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Dental caries is the single most common chronic childhood disease. In early childhood caries, there is early carious involvement and gross destruction of the maxillary anterior teeth. This leads to difficulty in speech, decreased masticatory efficiency, development of abnormal tongue habits and subsequent malocclusion and psychological problems if esthetics are compromised. The restoration of severely decayed primary incisors is often a difficult procedure that presents a special challenge to pediatric dentists. This case report documents the restoration of severely mutilated lateral incisors in a patient with early childhood caries.

Diabetic Retinopathy (DR) refers to a micro-vascular complication causing vision problems in diabetic patients. It is a serious global public health issue that damages the retinal blood vessels and leaves a large number of patients with loss of vision. Micro-aneurysms, hemorrhages, macular edema, and exudates are some of the lesions used to diagnose it. When detected early, Diabetic Retinopathy can be treated well with precise identification of lesions. Computer-aided diagnosis refers to the approaches used to extract specific features associated with the disease by using image processing filters. Some Machine Learning tools, especially the ones well-suited to data analysis applications are particularly useful. This paper primarily focuses on a comparative performance evaluation of many machine learning and deep learning-based techniques applied for the diagnosis of this vision ailment in diabetic patients. [ABSTRACT FROM AUTHOR]

In today's scenario, many people suffer from Diabetic Retinopathy (DR), due to different lifestyles and cultures. Hence, the exact severity analysis system is the most required application to avoid vision loss. The Neural network with multiple decision functions already existed for this severity analysis case. However, those models do not give the proper outcome in exact segmentation, leading to improper severity analysis outcomes. So, the current study aims to design a novel Squirrel Search-based Extreme Boosting (SSbEB) for accurately segmenting and estimating the severity range. Initially, the DR database was filtered and entered into the classification layer, then the features were extracted, and the abnormal region was segmented. Here, incorporating the squirrel features in the extreme boosting has afforded the finest feature analysis and segmentation outcome, which help predict the DR severity level with the maximum possible rate. The severity score of the segmented region was determined as normal, mild, severe, moderate, and proliferative. Hence, the designed model is implemented in the python platform, and the performance parameters, such as precision, specificity, accuracy, and recall, have been measured and compared with other models. Hence, the recorded exact severity analysis score is 94.4%, which is quite better than the past models. Thus, the implemented model is suitable for the DR severity analysis system and supported for realtime disease analysis applications. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to compare the efficacy with the use of 2% lignocaine with adrenalin with two different concentrations and also its effect on the cardiovascular system. Materials and Methods: 100 patients were taken for this study. 68 were Male & 32 females. Extractions of mandibular bilateral teeth (Molars and Pre Molars).2% lignocaine with two different concentrations - one with 1:80000 and the other with 1:200000. Irrespective of the number of teeth extracted, inferior alveolar and lingual nerve blocks were administered (long buccal whenever necessary). Unilateral extractions were carried out in a single sitting and the other side was done on next visit. A single operator carried out all the cases. All the patients were given the same pre-operative and post-operative instructions. A total of 4ml solution was injected on each side. Results: Systolic blood pressure, pulse rate, onset of anesthesia, durationnof anesthesia and blood loss all the parameter were significant woth p value less tan 0.05. Conclusion: In accordance to our study, 2% lignocaine in 1:2,00,000 dilution of adrenaline can safely be used in minor oral surgical procedures, and is safe in hypertensive and cardiac patients as this dilution does not alter any haemodynamic parameters to a great extent.

Abstract The Hydroxycarboxylic acid receptor 2 (HCA2), also known as the niacin receptor or GPR109A, is a prototypical GPCR that plays a central role in the inhibition of lipolytic and atherogenic activities. Its activation also results in vasodilation that is linked to the side-effect of flushing associated with dyslipidemia drugs such as niacin. GPR109A continues to be a target for developing potential therapeutics in dyslipidemia with minimized flushing response. Here, we present cryo-EM structures of the GPR109A in complex with dyslipidemia drugs, niacin or acipimox, non-flushing agonists, MK6892 or GSK256073, and recently approved psoriasis drug, monomethyl fumarate (MMF). These structures elucidate the binding mechanism of agonists, molecular basis of receptor activation, and insights into biased signaling elicited by some of the agonists. The structural framework also allows us to engineer receptor mutants that exhibit G-protein signaling bias, and therefore, our study may help in structure-guided drug discovery efforts targeting this receptor.

Medical Thoracoscopy (MT) is commonly performed by respiratory physicians for diagnostic as well as therapeutic purposes. The aim of the study was to provide evidence-based information regarding all aspects of MT, both as a diagnostic tool and therapeutic aid for pulmonologists across India. The consensus-based guidelines were formulated based on a multistep process using a set of 31 questions. A systematic search of published randomized controlled clinical trials, open labelled studies, case reports and guidelines from electronic databases, like PubMed, EmBase and Cochrane, was performed. The modified grade system was used (1, 2, 3 or usual practice point) to classify the quality of available evidence. Then, a multitude of factors were taken into account, such as volume of evidence, applicability and practicality for implementation to the target population and then strength of recommendation was finalized. MT helps to improve diagnosis and patient management, with reduced risk of post procedure complications. Trainees should perform at least 20 medical thoracoscopy procedures. The diagnostic yield of both rigid and semirigid techniques is comparable. Sterile-graded talc is the ideal agent for chemical pleurodesis. The consensus statement will help pulmonologists to adopt best evidence-based practices during MT for diagnostic and therapeutic purposes.

Abstract The multi-messenger detection of the gravitational-wave signal GW170817, the corresponding kilonova AT2017gfo and the short gamma-ray burst GRB170817A, as well as the observed afterglow has delivered a scientific breakthrough. For an accurate interpretation of all these different messengers, one requires robust theoretical models that describe the emitted gravitational-wave, the electromagnetic emission, and dense matter reliably. In addition, one needs efficient and accurate computational tools to ensure a correct cross-correlation between the models and the observational data. For this purpose, we have developed the Nuclear-physics and Multi-Messenger Astrophysics framework NMMA. The code allows incorporation of nuclear-physics constraints at low densities as well as X-ray and radio observations of isolated neutron stars. In previous works, the NMMA code has allowed us to constrain the equation of state of supranuclear dense matter, to measure the Hubble constant, and to compare dense-matter physics probed in neutron-star mergers and in heavy-ion collisions, and to classify electromagnetic observations and perform model selection. Here, we show an extension of the NMMA code as a first attempt of analyzing the gravitational-wave signal, the kilonova, and the gamma-ray burst afterglow simultaneously. Incorporating all available information, we estimate the radius of a 1.4M ⊙ neutron star to be $$R=11.9{8}_{-0.40}^{+0.35}$$ R = 11.9 8 − 0.40 + 0.35 km.

Fungi infections are becoming more prevalent and burdensome on a global scale leading to an important concern for immunocompromised patients. Hospitals often become infected with serious, invasive Candida infections. Higher frequency of Non-albicans Candida (NAC) species are found in the hospital setting, and some of these fungi can become opportunistic. Pathogens after a change in the host environment trigger them to move from a commensal to a pathogenic phase. Various clinical symptoms of Candida species, which are common human commensals, range from mucocutaneous overgrowth to bloodstream infections. In many hospitals, phenotypic methods are still considered the gold standard method for identification. Among the 112 isolates, Candida albicans (n=47; 52.64%) was noted as a significant etiology isolated from clinical samples. Further, C. albicans accounted the principal etiology in urine (n=28; 31.36%), and vaginal swab (n=13; 14.56%), followed by C. tropicalis (urine: n=15; 16.8% and vaginal swab: n=5; 5.6%). In blood C. pelliculosa (n=14; 15.68%) was found to be predominant followed by C. tropicalis (n=11; 12.32%). Antifungal susceptibility pattern was performed for (n=51) samples by VITEK AST and 100% susceptibility (voriconazole, and micafungin) was recorded in C. tropicalis and C. albicans. Whereas, fluconazole resistance was observed in C. tropicalis (n=3; 15%), and C. pelliculosa (n=1; 11.11%) and amphotericin B resistance in C. tropicalis (n=1; 5%) and C. albicans (n=1; 9.1%).

A novel pyrene-based fluorescent chemosensor (pyren-1-ylmethyl)-L-valine (1) has been synthesized. 1 is a highly selective chemosensor for detecting Cu(II) ions through fluorescence quenching over other competitive metal ions and showing aqueous-organic solvent-based gelation properties. Rod-shaped surface morphology may be attributed to intermolecular Hydrogen bonding between the carboxylic acid group and π-π stacking of pyrene moiety. In addition, 1 can also be utilized for the practical detection of Cu2+ion in natural water samples.

Background: Neonatal sepsis is responsible for about 30%–50% of the total neonatal deaths in developing countries. Thyroid hormone changes are highly common in hospitalized patients or with critical illnesses. The aim of the study is to compare thyroid hormone profile in term neonates with early-onset sepsis (EOS) and healthy controls and their association with outcome of sepsis. Materials and Methods: A total of 150 neonates, 75 cases with EOS and 75 healthy controls, were included in this study. EOS was defined according to the European Medical Agency Sepsis Criteria of neonatal sepsis. Results: The mean free triiodothyronine and mean thyroid-stimulating hormone level in neonates with EOS were significantly lower than in control group. Conclusion: Neonatal sepsis causes significant alteration in thyroid hormone profile in term neonates with EOS.

Environmental pollution poses a pressing global challenge, demanding innovative solutions for effective pollutant removal. Photocatalysts, particularly titanium dioxide (TiO2), are renowned for their catalytic prowess; however, they often require ultraviolet light for activation. Researchers had turned to doping with metals and non-metals to extend their utility into the visible spectrum. While this approach shows promise, it also presents challenges such as material stability and dopant leaching. Co-doping, involving both metals and non-metals, has emerged as a viable strategy to mitigate these limitations. Inthe fieldof adsorbents, carbon-based materials doped with nitrogen are gaining attention for their improved adsorption capabilities and CO2/N2 selectivity. Nitrogen doping enhances surface area and fosters interactions between acidic CO2 molecules and basic nitrogen functionalities. The optimal combination of an ultramicroporous surface area and specific nitrogen functional groups is key to achievehigh CO2 uptake values and selectivity. The integration of photocatalysis and adsorption processes in doped materials has shown synergistic pollutant removal efficiency. Various synthesis methods, including sol–gel, co-precipitation, and hydrothermal approaches had been employed to create hybrid units of doped photocatalysts and adsorbents. While progress has been made in enhancing the performance of doped materials at the laboratory scale, challenges persist in transitioning these technologies to large-scale industrial applications. Rigorous studies are needed to investigate the impact of doping on material structure and stability, optimize process parameters, and assess performance in real-world industrial reactors. These advancements are promising foraddressing environmental pollution challenges, promoting sustainability, and paving the way for a cleaner and healthier future. This manuscript provides a comprehensive overview of recent developments in doping strategies for photocatalysts and adsorbents, offering insights into the potential of these materials to revolutionize environmental remediation technologies.

In rapidly growing urban contexts, water plays a pivotal role in the transitions the urban environment goes through to sustain the quality of life of its population. Spatial planning and design are essential for the facilitation and manifestation of such transitions. Focusing on Bhuj, a rapidly growing Indian city in a hot arid desert climate, its crucial yet changing sensitivity to urban water flows over time is assessed. The concept of water sensitivity is coined as a goal to pursue by the Water-Sensitive Urban Design approach. In India, however, much of the urban design and development processes are of an unplanned and informal nature, seemingly inhibiting the water sensitivity of urban transitions. Reviewing spatial planning paradigms and their manifestation in space in Bhuj over time, however, brings to light a pre-existing water sensitivity. Yet it also shows a shift from the supply security-oriented ingenious watershed expansion to catastrophe-steered and urban expansion-driven water system negligence. Review and discussion of past and present urban water transitions and management points out drivers, barriers, and their interrelationships, to enable and advance water-sensitive urban development tied to local history, traditional knowledge, and context specificities.

BackgroundSARS-CoV-2 infection during pregnancy may cause adverse maternal, neonatal and placental outcomes. While tissue hypoxia is often reported in COVID-19 patients, pregnant women with anemia are suspected to be more prone to placental hypoxia-related injuries.MethodsThis hospital-based cross-sectional study was conducted between August-November 2021, during COVID-19 second wave in India. Term pregnant women (N=212) admitted to hospital for delivery were enrolled consecutively. Since hospital admission mandated negative RT-PCR test for SARS-CoV-2 virus, none had active infection. Data on socio-demography, COVID-19 history, maternal, obstetric, and neonatal outcomes were recorded. Pre-delivery maternal and post-delivery cord blood samples were tested for hematological parameters and SARS-CoV-2 IgG. Placentae were studied for histology.ResultsOf 212 women, 122 (58%) were seropositive for SARS-CoV-2 IgG, but none reported COVID-19 history; 134 (63.2%) were anemic. In seropositive women, hemoglobin (p=0.04), total WBC (p=0.009), lymphocytes (p=0.005) and neutrophils (p=0.02) were significantly higher, while ferritin was high, but not significant and neutrophils to lymphocytes (p=0.12) and platelets to lymphocytes ratios (p=0.03) were lower. Neonatal outcomes were similar. All RBC parameters and serum ferritin were significantly lower in anemic mothers but not in cord blood, except RDW that was significantly higher in both, maternal (p=0.007) and cord (p=0.008) blood from seropositive anemic group compared to other groups. Placental histology showed significant increase in villous hypervascularity (p=0.000), dilated villous capillaries (p=0.000), and syncytiotrophoblasts (p=0.02) in seropositive group, typically suggesting placental hypoxia. Maternal anemia was not associated with any histological parameters. Univariate and multivariate logistic regression analyses of placental histopathological adverse outcomes showed strong association with SARS-CoV-2 seropositivity but not with maternal anemia. When adjusted for several covariates, including anemia, SARS-CoV-2 seropositivity emerged as independent risk factor for severe chorangiosis (AOR 8.74, 95% CI 3.51-21.76, p

The ‘Covid-19 and the Constitution’ timeline is a web-based resource conceptualized and developed by Center for Health Equity, Law and Policy in collaboration with Justice Adda and Vaibhav Bhawsar. It documents Indian legal and policy responses to the pandemic and contextualizes them with fundamental rights guaranteed in the Indian Constitution. The timeline also offers illustrated personal narratives and experiences of citizens’ varied struggles, along with critical commentary on emerging issues that implicate fundamental rights. Through this paper, the authors elucidate on the motivations, aims and methodologies which undergird the project. The authors hope that the project will serve to shape rights-based responses to future health challenges, in India and elsewhere.

Mitochondrial bioenergetic alterations occur in the brain and peripheral cells of patients with Alzheimer’s disease (AD). This study focuses on plasma circulating factors, namely lipids, as mediators of systemic bioenergetic differences in participants with normal cognition (NC), mild cognitive impairment (MCI), and dementia due to probable AD (DEM). We examined bioenergetic differences across cognitive groups by measuring the mitochondrial respiration of peripheral blood mononuclear cells (PBMCs) from 37 participants (12 NC, 12 MCI, 13 DEM). PBMC bioenergetics were lower in the DEM group compared to the NC group. To determine whether circulating factors can mediate bioenergetic differences according to cognitive status, we exposed naïve neuronal Neuro-2a (N2a) cells to plasma from each participant in vitro. N2a bioenergetics were lower following plasma exposure from DEM compared to NC group participants. Notably, PBMC Max and N2a Max positively correlated, suggesting that circulating factors modulate the bioenergetics of naïve N2a cells according to the bioenergetic capacity of donor primary PBMCs. To identify lipid metabolites that may contribute to bioenergetic differences between cognitive groups, we performed liquid chromatography-mass spectrometry to assess the abundance of individual lipid species and correlated PBMC and N2a bioenergetics. Glycocholic acid (GCA) positively correlated with PBMC and N2a bioenergetics, while linoleic acid (LA) was negatively correlated. These data suggest that GCA and LA may contribute to the stimulatory and inhibitory bioenergetics effects related to cognitive status. Post hoc analyses revealed that GCA abundance was lower by 52.9% in the DEM group compared to the NC group and that LA abundance was higher by 55.7% in the DEM group compared to the NC group. To validate these findings, we examined the abundance of GCA and LA in the larger, more diverse, parent cohort (n = 378) and found similar results; GCA abundance was lower by 29.7% in the DEM group compared to the NC group and LA abundance was higher by 17.8% in the DEM group compared to the NC group. These data demonstrate that circulating factors have a direct effect on mitochondrial bioenergetics and that individual circulating factors identified to be associated with mitochondrial function are differentially expressed in patients with dementia.

Background:We aimed to develop and validate a rule-based Natural Language Processing (NLP) algorithm to detect sexual history documentation and its five key components [partners, practices, past history of sexually transmitted infections (STIs), protection from STIs, and prevention of pregnancy] among adolescent encounters in the pediatric emergency and inpatient settings.MethodsWe iteratively designed a NLP algorithm using pediatric emergency department (ED) provider notes from adolescent ED visits with specific abdominal or genitourinary (GU) chief complaints. The algorithm is composed of regular expressions identifying commonly used phrases in sexual history documentation. We validated this algorithm with inpatient admission notes for adolescents. We calculated the sensitivity, specificity, negative predictive value, positive predictive value, and F1 score of the tool in each environment using manual chart review as the gold standard.ResultsIn the ED test cohort with abdominal or GU complaints, 97/179 (54%) provider notes had a sexual history documented, and the NLP algorithm correctly classified each note. In the inpatient validation cohort, 97/321 (30%) admission notes included a sexual history, and the NLP algorithm had 100% sensitivity and 98.2% specificity. The algorithm demonstrated >97% sensitivity and specificity in both settings for detection of elements of a high quality sexual history including protection used and contraception. Type of sexual practice and STI testing offered were also detected with >97% sensitivity and specificity in the ED test cohort with slightly lower performance in the inpatient validation cohort.ConclusionThis NLP algorithm automatically detects the presence of sexual history documentation and its key components in ED and inpatient settings.

Background: Intubation with either an endotracheal tube or a rigid bronchoscope is generally preferred to provide airway protection as well as to manage unpredictable complications during transbronchial lung cryobiopsy (TBLC). The laryngeal mask airway has been described as a safe and convenient tool for airway control during bronchoscopy. Aims and Objectives: In this study, we evaluated the safety and outcome of using a laryngeal mask airway (LMA) as a conduit for performing TBLC by flexible video bronchoscopy (FB). Methods: We retrospectively analyzed the database of the patients who underwent TBLC between November 2015 and September 2019. The procedure was performed using FB through LMA under general anesthesia. Prophylactic occlusion balloon was routinely used starting January 2017 onwards. Radial endobronchial ultrasound (R-EBUS) guidance was used for TBLC in the localized lung lesions when deemed necessary. Multidisciplinary consensus diagnostic yield was determined and periprocedural complications were recorded. Results: A total of 326 patients were analysed. The overall diagnostic yield was 81.60% (266/326) which included a positive yield of 82.98% (161/194) in patients with diffuse lung disease and 79.54% (105/132) in patients with localized disease. Serious bleeding complication occurred in 3 (0.92%) cases. Pneumothorax was encountered in 8 (2.45%) cases. A total of 9 (2.76%) cases had at least 1 major complication. Conclusion: This study demonstrates that the use of LMA during TBLC by flexible bronchoscopy allows for a convenient port of entry, adequate airway support and effective endoscopic management of intrabronchial haemorrhage especially with the use of occlusion balloon.

Background and Objectives: Ensuring quality in transfusion services has become an essential part of the hospital quality management system to provide safe blood supply to the patients. To assess the overall quality performance of our blood center, this study was conducted to evaluate the five mandatory quality indicators (QI) put forward by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and make recommendations, if any, for improvement of the same. Methods: The five mandatory QIs (defined by NABH) were observed and monitored monthly for a period of 1 year from April 2019 to March 2020, information was gathered in a structured manner, root causes for any deviation were analyzed, and specific corrective and preventive actions were taken. Results: The overall performance was found to be satisfactory with the mean transfusion-transmitted infection % being 1.82%, mean transfusion reaction rate 0.30%, and mean wastage rate 13.5%. The turnaround time was maintained at 28.5 min for emergency cases and 141.38 min for routine. There was no case of component quality control failure during the study period. Conclusion: The study observed that by strictly following the quality parameters put forward by NABH, processes can be controlled in a manner that errors are avoided or kept at minimum. This, in turn, shall help in attaining higher levels of performance. The study concluded by putting forward few important recommendations.

Staphylococcus aureus and Streptococcus pyogenes are two highly infectious pathogens implicated in a significant percentage of healthcare associated infections. They produce wide range of infections, from mere folliculitis & furuncles, cellulitis, myositis, & glomerulonephritis to conditions with very significant morbidity such as necrotizing fasciitis & Toxic Shock syndrome, and thus represent an important subset of infections that need to be tackled urgently. To assess prevalence of nasal as well as oropharyngeal carriage of Staphylococcus aureus & Streptococcus pyogenes among health-care workers and its antimicrobial resistance pattern. One nasal swab & two oropharyngeal swabs were collected from each participant, with one nasal & oropharyngeal swab cultured on blood agar & mannitol salt agar for Staphylococcus aureus, and the second oropharyngeal swabs were cultured on Crystal violet blood agar for Streptococcus pyogenes, further subjected to susceptibility test by disc diffusion method on Muller-Hinton agar as per CLSI guidelines 2019. Prevalence of Staphylococcus aureus carriage was 9% which includes 4% It is nasal, 4.5% oropharyngeal & 0.5% both. Prevalence of MRSA, MLSB & mupirocin resistant Staphylococcus aureus was 1.5%,4% & 0%respectively. Prevalence of oropharyngeal carriage of Streptococcus pyogenes was 1.5%. This study feature the need of screening of Health-care workers for nasal as well as oropharyngeal carriage of Staphylococcus aureus & Streptococcus pyogenes & further its antimicrobial resistance pattern.

ABSTRACT The understanding that the drivers of inequities are multiple and intersecting is critical for health policy formulation and implementation. An intersectionality analysis reveals these relationships and allows a nuanced grasp of how health inequities are framed and understood. Using global statistics and other examples, the paper argues the significance of an intersectionality analysis in unravelling the disproportionate impact of inequity and the implications for the health and lives of persons experiencing these multiple discriminations. Attention to this, challenges the assumption of homogeneity and helps to visibilize lived realities. A few examples of acts of resistance are cited by the authors that have attempted to amplify the voices and knowledge of those whose realities are otherwise invisibilized by prevailing inequities, policies and discourses. ‘Marginalizing’ health thus implies an intersectional understanding of inequity as well as challenging and changing prevailing socio-political structures.

In this study the anti-oxidant and antimicrobial effect of fruit, viz. starfruit (Averrhoa carambola) and guava (Psidium guajava) and fruit by-product, viz. watermelon (Citrullus lanatus) rind were studied to evaluate the quality and shelf-life of chevon meatballs. The fruit and fruit by products were incorporated in the meatball mixture in dry powder form at the rate of 1.0%, 1.5% and 2.0% based on w/w basis. In addition, the effect of these powders on the physico-chemical characteristics, textural profile and sensory attributes were also analyzed. For storage studies, the product was stored at refrigeration temperature (4±1°C) for a period of 21 days. The treated samples had a significantly lowered values for Thiobarbituric Acid Reacting Substances (TBARS) and an improved microbiological quality. Effect of fruit and fruit by-product powder on the proximate parameters, physico-chemical characteristics and textural profile attributes of the chevon meatballs was significant but with a few exceptions. The treated products, compared to control, had better physico-chemical properties, desirable textural properties and enhanced sensorial characteristics. These attributes together indicated that starfruit powder, guava powder and watermelon rind powder can be added to chevon meatball mixtures to create products which not only have better quality and acceptability but an improved shelf-life and has the potential to perform as a functional food.

Maternal nutritional status and care during pregnancy are essential for adequate birth weight. In this prospective cohort study (N = 1061) in an urban slum, we investigated the association of maternal anthropometry, body composition, gestational weight gain and dietary intakes with low birthweight (LBW, 2) and another 30% were overweight/obese. The mean age and BMI were 23 years and 21.7 kg/m2, respectively, and haemoglobin was 10.73 g/dL. The mean birthweight (N = 605) was 2.81 ± 0.5 kg, and the average gestational age was 38 ± 2 weeks. About 15% of infants had LBW, and 48% were small for gestational age (SGA). Maternal body composition was assessed by skinfold thickness (SFT) in all trimesters. In the first trimester (N = 762), we found that mean fat-free mass (FFM), fat mass (FM) and body fat percentage (% BF) were 38.86 kg, 11.43 kg and 21.55%, respectively. Low birthweight was significantly associated with preterm deliveries (p < 0.001) and less fat free mass (p = 0.02) in the third trimester. Among other factors were age (p = 0.017), maternal anthropometry (height: p = 0.031; weight: p = 0.059) and fewer antenatal check-ups (p = 0.037). Small size (SGA) was consistently associated with maternal bodyweight at all trimesters (term I, p = 0.013, term II, p = 0.003 and term III, p < 0.001), fat mass in the third trimester (p < 0.001) and maternal height (p = 0.003).

Isolated fallopian tube torsion is an extremely rare occurrence in a young female. The lady concerned presented with acute abdominal pain and the ovaries were normal on the scan with dilated fallopian tubes. On laparoscopy, it was revealed that she was suffering from fallopian tube torsion and laparoscopic salpingectomy was performed. The patient recovered well postoperatively.

The study was conducted to evaluate the effect of starfruit (Averrhoa carambola) powder on the storage stability of both raw minced pork and cooked pork meatballs. Starfruit powder was incorporated to raw minced pork as well as pork meatball mixture at the rate of 1.0%,1.5% and 2.0% based on w/w basis. Samples with starfruit powder had lowered Thiobarbituric acid reactive substances (TBARS) value and improved microbiological quality of the product was observed, when stored at refrigeration temperature (4±1°C) for a period of 21 days. The product had better physico-chemical properties, desirable textural properties and enhanced sensorial characteristics. All these attributes lead to enhancement of the overall acceptability of the treated product. It indicated that starfruit powder can successfully be utilized as additives to raw pork and pork meatball mixtures to obtain products having improved shelf-life and can act as functional foods.

Abstract Breast cancer progression and relapse is conceivably due to tumor initiating cells (TICs)/cancer stem cells. EMT (epithelial-mesenchymal-transition)-signaling regulates TICs’ turnover. However, the mechanisms associated with this episode are unclear. We show that, in triple-negative-breast cancer (TNBC) cells enriched with TICs, CCN5 significantly blocks cellular growth via apoptosis, reversing EMT-signaling and impairing mammosphere formation, thereby blocking the tumor-forming ability and invasive capacity of these cells. To corroborate these findings, we isolated tumor-initiating side populations (SP) and non-side population (NSP or main population) from MCF-7 cell line, and evaluated the impact of CCN5 on these subpopulations. CCN5 was overexpressed in the NSP but downregulated in the SP. Characteristically, NSP cells are ER-α positive and epithelial type with little tumorigenic potency, while SP cells are very similar to triple-negative ones that do not express ER-α- and Her-2 and are highly tumorigenic in xenograft models. The overexpression of CCN5 in SP results in EMT reversion, ER-α upregulation and delays in tumor growth in xenograft models. We reasoned that CCN5 distinguishes SP and NSP and could reprogram SP to NSP transition, thereby delaying tumor growth in the xenograft model. Collectively, we reveal how CCN5-signaling underlies the driving force to prevent TNBC growth and progression.