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Objective: The need for reinstitution of intensive care unit (ICU) care (“recidivism”) in post-cardiac surgery patients is associated with increased morbidity, mortality, resource use, and healthcare costs. Recidivism is propounded as a quality indicator of ICU care. There is a paucity of studies from India regarding cardiac surgical ICU readmissions, their outcomes, and risk factors. Methods: Nested case-control study including 1,711 consecutive adult patients who underwent cardiac surgery over a two-year period at a tertiary care institute. The patients were grouped into recidival (R) and control (C) groups. The reasons for readmission, outcomes, and predictive risk factors were analyzed. Results: Fifty-four of 1,711 (3.1%) patients were readmitted to ICU, main reasons being cardiac arrhythmias (24, 41%), pericardial effusion (9, 15.2%), and infection (8, 13.5%). Readmission was significantly higher for valvular interventions (39 patients, 24.3%, mitral valve 25 patients) than coronary artery bypass grafting (13, 10.6%), P value 0.003*. On multivariate analysis, EuroSCORE 2 (>5), age, surgical reexploration, postoperative pulmonary complications, and infections were independently associated with a need for ICU readmission. The mortality rate among the readmitted patients was 7.4% compared to 1.4% overall mortality. The mean total postoperative length of stay was significantly longer for recidival patients (17.6 ± 14 days vs 7.6 ± 2.4 days; P < 0.0001). Conclusions: Recidivism is associated with longer hospital stay, suboptimal outcomes as well higher risk of mortality. Postoperative cardiac dysrhythmia was the most common cause of recidivism in our cohort. Early identification of patients at risk for recidivism and timely management of cardiopulmonary complications can translate to better outcomes.

Abstract Introduction Previable premature rupture of membrane (PV‐PROM) is a complex clinical situation posing considerable risks to the foetus. There is an extreme paucity of management options and clear guidelines in the literature for this dismal situation. This is the first report on usage of a novel combination of cellular therapeutic agents in a case of PROM. This study reports the earliest gestational age at which a case of spontaneous PV‐PROM (sPV‐PROM) has been successfully dealt by active management and, the longest period of continuation of pregnancy in a singleton sPV‐PROM for a total of 149 days. Objective To study the benefit of Intraamniotic Injection of PRF and PRP (IFPRP) in an index case of PV‐PROM. Design This is a case report of a 26‐year‐old woman with a recurrent, sPV‐PROM at 14 weeks 2 days with a previous pregnancy loss due to PV‐PROM at 18 weeks managed in a private reproductive health hospital in Mysore, India. Methods Our subject underwent an elective cervical stitch at 14 weeks. She had confirmed, repeated episodes of leak after 30 h of the procedure. Apart from aggressive management to control infection with vaginal asepsis, an Intraamniotic injection of 9 mL of autologous PRF and 4.5 mL of PRP was done under ultrasound guidance. The pregnancy was monitored closely for signs of infection and foetal wellbeing. Results The amniotic fluid leak stopped immediately after IFPRP for 36 h. After two more bouts of small leak, it stopped completely. She delivered a healthy baby of 3.4 kg at 35 weeks 4 days. The mother and baby did well postnatally. Conclusion Our protocol for fixing the leak is simple, easy to use, and can be done in resource‐poor settings which we consider is a big advantage. Further studies are needed to explore its potential in treating PROM.

Objective: The purpose of this research is to estimate the effectiveness of non-laser surgery and laser surgery in the management of periodontitis. Methods: One hundred participants with a chronic periodontitis diagnosis participated in a randomized controlled experiment. Two cohorts of patients were created: Cohort B underwent non-laser surgery and Cohort A underwent laser surgery. Pre- and postoperative assessments were conducted at 3, 6, and 12 months for clinical criteria such as “pocket depth (PD), gingival index (GI), and clinical attachment level (CAL)”. Results: There was a noticeable improvement in clinical parameters following both laser and non-laser operations. However, laser surgery showed superior results in terms of decreased PD and raised CAL. Conclusion: In conclusion, compared to non-laser surgery, laser surgery seems to be a more successful treatment option for periodontitis. Larger sample sizes and longstanding follow-up are required for future research in order to validate these results and evaluate the longstanding sustainability of the treatment effects.

Abstract A new hybrid ultrasound luminescent chemical imaging technique is described along with a pH sensor to image chemical concentrations at the surface of implanted medical devices. The purpose is to detect and study local biochemistry during infection. The sensor comprises a mechanoluminescent film (SrAl2O4:Eu, Dy microphosphors embedded in a biocompatible polymer film) and a pH indicator dye. A focused ultrasound beam generates green luminescence at the ultrasound focal point. By pulsing the ultrasound ON and OFF, the modulated luminescence can be distinguished from persistent luminescence, for high spatial resolution imaging. A red fluorescent dye and the pH indicator dye bromothymol blue are added to the coating to modulate the red‐light transmittance via pH dependent absorbance. Acidosis is observed as an increase in red luminescence intensity in spectroscopy and imaging. The films are sensitive to biologically relevant changes in pH (6.0–8.0) and can be imaged through optically scattering media to mimic tissue. The images have a knife edge spatial resolution of ≈3 mm through optically scattering phantoms, limited by the focused ultrasound spot size. This novel technique may permit the elucidation of implant infection at the implant surface and can be further developed for the measurement of other relevant chemical species in the future.

Abstract Schizophrenia is a chronic neuropsychiatric disorder that causes distinct structural alterations within the brain. We hypothesize that deep learning applied to a structural neuroimaging dataset could detect disease-related alteration and improve classification and diagnostic accuracy. We tested this hypothesis using a single, widely available, and conventional T1-weighted MRI scan, from which we extracted the 3D whole-brain structure using standard post-processing methods. A deep learning model was then developed, optimized, and evaluated on three open datasets with T1-weighted MRI scans of patients with schizophrenia. Our proposed model outperformed the benchmark model, which was also trained with structural MR images using a 3D CNN architecture. Our model is capable of almost perfectly (area under the ROC curve = 0.987) distinguishing schizophrenia patients from healthy controls on unseen structural MRI scans. Regional analysis localized subcortical regions and ventricles as the most predictive brain regions. Subcortical structures serve a pivotal role in cognitive, affective, and social functions in humans, and structural abnormalities of these regions have been associated with schizophrenia. Our finding corroborates that schizophrenia is associated with widespread alterations in subcortical brain structure and the subcortical structural information provides prominent features in diagnostic classification. Together, these results further demonstrate the potential of deep learning to improve schizophrenia diagnosis and identify its structural neuroimaging signatures from a single, standard T1-weighted brain MRI.

Highlights High Coulombic efficiency of over 99% for dendrite-free K||Cu cell after 820 cycles. Year-scale-cycling performance of organic PTCDI cathode over 2,100 cycles. Flexible device demonstration such as fibre cell still could operate when cut into three fibre cells.

Memory formation depends on neural activity across a network of regions, including the hippocampus and broader medial temporal lobe (MTL). Interactions between these regions have been studied indirectly using functional MRI, but the bases for interregional communication at a cellular level remain poorly understood. Here, we evaluate the hypothesis that oscillatory currents in the hippocampus synchronize the firing of neurons both within and outside the hippocampus. We recorded extracellular spikes from 1854 single- and multi-units simultaneously with hippocampal local field potentials (LFPs) in 28 neurosurgical patients who completed virtual navigation experiments. A majority of hippocampal neurons phase-locked to oscillations in the slow (2–4 Hz) or fast (6–10 Hz) theta bands, with a significant subset exhibiting nested slow theta × beta frequency (13–20 Hz) phase-locking. Outside of the hippocampus, phase-locking to hippocampal oscillations occurred only at theta frequencies and primarily among neurons in the entorhinal cortex and amygdala. Moreover, extrahippocampal neurons phase-locked to hippocampal theta even when theta did not appear locally. These results indicate that spike-time synchronization with hippocampal theta is a defining feature of neuronal activity in the hippocampus and structurally connected MTL regions. Theta phase-locking could mediate flexible communication with the hippocampus to influence the content and quality of memories.

The solid electrolyte interface (SEI) is vital to the stability of alkali metal‐ion battery anodes. However, conventional SEIs that lack elasticity will be damaged during the anode's repeated volume expansion, such as in potassium‐ion battery anodes, ultimately resulting in cell failure. Herein, a low‐content additive (pigment green 7, 0.07 wt%) in a conventional carbonate electrolyte to create a reticular elastic SEI with excellent uniformity and good chemical stability is employed. As a result, long‐lasting K||K symmetric cell (over 1400 h), enhanced graphite anode (500 cycles with 97.9% capacity retention), and stabilized perylene‐3,4:9,10‐tetracarboxydiimide cathode (1200 cycles with 82.8% capacity retention) are achieved. Furthermore, the matched graphite||perylene‐3,4:9,10‐tetracarboxydiimide full cell operates stably for more than 200 cycles. This work provides a novel avenue into the rational design of elastic SEIs for advanced anodes.

Gladiolus is a popular commercial flower crop among top ten cut flowers of international trade. In order to improve the rate of multiplication, eleven gladiolus varieties with three nutrient regimes (N1- 96:18:108, N2-128:24:144 and N3-160:30:180 ppm of NPK) were evaluated under aeroponics system. The results revealed that different varieties and nutrient regimes had significant influence on plant growth, corm and cormel production. Among the genotypes, Arka Naveen recorded maximum plant height (109.44 cm), on par with Arka Amar (104.77 cm). The genotype Arka Amar (1.89) recorded highest number of corms per plant, on par with Arka Ranjini (1.78), Arka Aayush (1.44), Arka Naveen (1.44) and Arka Shobha (1.67). However, number of cormels were recorded highest in Arka Aayush (1.67), on par with Arka Amar (1.67) and Arka Ranjini (1.44). Among the nutrient regimes, N2 (128:24:144 ppm NPK) registered maximum plant height (85.44 cm), on par with N3 (160:30:180 ppm NPK) (77.42 cm). The number of corms (1.39) and cormels (3.56) per plant were recorded highest in N2 (128:24:144 ppm of NPK). The genotype Arka Manorama did not produce cormels under aeroponics system. Gladiolus varieties Arka Amar, Arka Aayush and Arka Naveen were found as best suited under aeroponic system for better corm multiplication under the nutrient regime of N2 (128:24:144 ppm of NPK).

Zinc oxide nanoparticles (ZnO NPs) are indispensable materials for spectral and optical phenomena, prepared by a chemical precipitation method. We studied their properties resulting from different dopants in the nanoscale. The samples' structure, texture, energy band, and photoluminescence were examined using XRD, TEM, FTIR, PL, and UV–VIS spectroscopy. XRD shows the single hexagonal Wurtzite with crystallite sizes from 10.1 to 17.8 nm and the spherical shape particles. The octahedral sites at 470–489 cm−1 and the tetrahedral sites at 616 cm−1 were observed in the FTIR studies. PL showed a wider bandgap, better UV emission, and decreased defect density of the Fe doped than that of the pristine one. Fe-doped ZnO NPs are more active than pristine ZnO NPs for their quenching or absorbing properties, indicating their antibiotic properties.

Abstract Objectives To develop a novel laryngoscope device capable of dynamically measuring force and torque measurements in real‐time during intubation and to explore the efficacy of such a device through a face validation simulation. Methods The torque sensor laryngoscope is designed for use during intubation and is modeled after a standard, single‐use plastic laryngoscope. After device calibration, a face validation study was performed with intubation experts in the field. Quantitative data (intubation force metrics) and qualitative data (expert feedback on the device) were collected from three intubations using a Mac blade and three intubations with the Miller blade. Results Three experts (two anesthesiologists and one otolaryngologist) participated in the study. The mean maximum force exerted with the Mac blade was 24.5 N (95% confidence interval [CI], 22.3–26.8). The average force exerted was 13.6 N (95% CI, 11.7–15.5). The average total suspension time was 13.1 s (95% CI, 10.4–15.8). The average total impulse was 164.6 N·s (95% CI, 147.9–181.4). The mean maximum force exerted with the Miller blade was 31.6 N (95% CI, 26.4–36.8). The average force exerted was 15.8 N (95% CI, 13.8–17.9). The average total suspension time was 11.3 s (95% CI, 9.9–12.6). The average total impulse was 216.2 N·s (95% CI, 186.5–245.9). The mean maximum force (p = .0265) and total impulse (p = .009) were significantly higher in the Miller blade trials than in the Mac blade trials. Survey results found that this device, while bulky, intubated similarly to standard‐use models and has potential as an intubation teaching tool. Conclusion The torque sensor laryngoscope can measure and display real‐time intubation force metrics for multiple laryngoscope blades. Initial validation studies showed a significantly lower maximum force and total impulse when intubating with the Mac blade than with the Miller blade. Face validation survey results were positive and suggested the potential for this device as a teaching tool. Level of Evidence Level 5.

Introduction A “reproducibility crisis” has afflicted the recent medical literature, affecting 75‐89% of major reported findings. An important cause of the inability to replicate results is hypothesizing after the results are known (HARKing): presenting a post hoc hypothesis according with findings as if it were a confirmed a priori hypothesis. Meeting abstract instructions may affect the frequency of HARKing. Methods We tested the hypothesis that, compared with abstract instructions NOT indicating a "hypothesis" should be stated, instructions indicating THAT a "hypothesis" should be stated would increase the proportion of abstracts judged by field content experts to exhibit HARKing. [Hypothesis pre‐registered at AsPredicted.org (#5019)]. We analyzed randomly sampled abstracts from 4 International Stroke Conference (ISC) meeting years with highly forceful (2015), moderately forceful (2017), and non‐forceful (2013 and 2022) requirements for statement of a “hypothesis” in abstract preparation instructions, regardless of whether a hypothesis statement was appropriate (confirmatory science) or inappropriate (exploratory science). Results The 163 abstracts (39 to 43 in each meeting year) equally sampled the 14‐17 ISC topic categories. Explicit “hypothesis” statements were more common in the highly and moderately forceful instruction years (30% and 27%) than in the non‐forceful instruction years (9% and 13%) (p = 0.006). Among the total 32 hypothesis statements, 81% were deemed falsifiable, and 19% non‐falsifiable. None (0%) of hypotheses were stated as pre‐registered prior to study conduct. Overall, 59% (19/32) of the hypothesis statements were adjudicated by two independent content experts as likely to be hypothesizing after the results were known (HARKing). HARKing was more common in the highly and moderately forceful instruction years (20% and 15%) than the non‐forceful instruction years (9% and 3%) (p = 0.03). Conclusion Abstract preparation instructions requiring the use of a hypothesis statement promoted hypothesizing after the results are known, with HARKing present in 1 out of every 5 meeting abstracts. To improve reproducibility of neurovascular research studies, appropriate meeting abstract preparation instructions are desirable, recommending hypothesis statements only for the small proportion of stroke studies that are of confirmatory, rather than exploratory, design.

The large radius of potassium ions inevitably destabilizes the crystal structure of the cathode material in potassium-ion batteries, leading to capacity degradation. Here, authors demonstrate that phase-engineered amorphous vanadium oxide alleviates large volume variation and improves electrochemical behaviour.

Aims: The intraoral microbiota has a high potential to undergo dysbiosis, causing inflammatory changes with respect to the tissues surrounding either a natural tooth or an implant. Thus, the longevity of implant prosthesis depends on a thorough implant decontamination protocol. Among all the techniques available for doing so, laser is garnering increasing popularity, owing to minimal bleeding, high efficiency, and faster healing. However, limited literature exists regarding the superiority of lasers over chlorhexidine (CHX), the indisputable gold standard antibacterial chemical agent. The aim of this study was to compare the percentage of bacterial reduction of Aggregatibacter actinomycetemcomitans from implant healing abutments post red diode laser therapy versus 0.2% CHX treatment. Settings and Design: The current study had an ex vivo, observational, case–control design. Materials and Methods: Patients reporting for the second stage of the implant surgery were taken as the source of data and the healing abutments, the clinical samples. Eleven patients were chosen with one intraoral implant serving as the test site for laser treatment and another, the control site for CHX treatment. Microbiological analysis was performed via quantitative real time polymerase chain reaction to compare the bacterial reduction percentage after each treatment. Statistical Analysis Used: Repeated measures ANOVA and independent sample t test were used. Results: The mean bacterial viability of the test group (laser) was 1.2%–1.6%, and 0.6%–1.4% for the control group (CHX). The former caused a mean bacterial reduction of 96.1% while the latter, 96.3%. Both the treatments caused a highly statistically significant reduction of viable bacterial counts (P = 0.001). However, when compared, there was no statistically significant difference in the bacterial reduction, when compared in between the two (P = 0.902). Conclusion: Laser treatment is at par with chemical implant surface decontamination. It can help bypass the complications of CHX and revolutionize the protocols for implant surface decontamination.

China aster [Callistephus chinensis (L.) Nees] is a flowering annual mainly cultivated for loose flower and cut flower, bedding and pot culture. To assess the genetic diversity, 42 genotypes were evaluated for fourteen quantitative traits. The genotypes were found to be highly variable for the traits such as plant height, plant spread, flower stalk length, 100 flower weight, number of flowers per plant, weight of flowers per plant and flower yield per hectare. However, low variability was recorded for vase life and shelf life. The genotypes were broadly grouped into two clusters, which were further divided into cluster 1a, 1b and cluster 2a, 2b, respectively. All the genotypes in cluster 1a were vigorous and medium flowering, whereas, genotypes in cluster 1b were tall, erect, vigorous and late flowering. The cluster 2a comprises of the genotypes with short stature, small flower and early flowering, however, cluster 2b contains only two genotypes. In principal component analysis (PCA) PC1 was highly correlated to flower yield, weight of flowers/plant, flower stalk length and plant height and PC2 was highly positively correlated to shelf life and vase life and negatively correlated to 100 flower weight. The results suggested that the existing variation in China aster genotypes could be used for the development of trait-specific novel genotypes.

One of the strategies to combat micronutrient malnutrition is by developing biofortified common bean lines (Phaseolus vulgaris L.) capable of tolerating different stress conditions. In this study, the adaptive responses of different biofortified bean lines grown under combined stress of acidic soil and high-temperatures were evaluated in the Colombian Amazon. A total of 247 common bean lines from the Mesoamerican gene pool were used to determine the adaptive response in terms of phenological, physiological, and agronomic behavior under combined stress conditions. The lines tested were obtained from different single crosses, double crosses, and backcrosses between different bean materials, of which 146 were obtained from F4 families with high iron (Fe) content in seed and 99 common bean lines from F5 families. Different bean lines had grain yields (GY) higher than 1400 kg ha−1 from the F5 (lines: 859, 805, 865, and 657) and F4 (lines: 2853 and 2796) families. The superior performance of these lines was related to a higher photosynthate partitioning that has allowed an increase in pod formation (pod partitioning index, PPI) from the canopy biomass (CB) and grain filling (pod harvest index, PHI; harvest index, HI), resulting in higher values of GY. Values of GY were correlated with CB (r = 0.36), PPI (r = 0.6), PHI (r = 0.68), and HI (r = 0.8, p < 0.001). This increase in agronomic performance is due to a greater allocation of energy to the photosynthetic machinery (ΦII) and its dissipation in the form of heat (ΦNPQ), with increases in the leaf temperature difference (LTD). Based on the results obtained, six biofortified lines of common bean (lines F5: 859, 805, 865, and 657; lines F4: 2853 and 2796) showed traits of tolerance to combined stress and can serve as progenitors to increase Fe and Zn concentration in the seeds of lines that tolerate the combined stress from acidic soil and high temperature in the Colombian Amazon region.

IntroductionLaser-induced photodamage is a robust method for investigating retinal pathologies in small animals. However, aiming of the photocoagulation laser is often limited by manual alignment and lacks real-time feedback on lesion location and severity. Here, we demonstrate MURIN: MUltimodal Retinal Imaging and Navigated-laser-delivery, a multimodality OCT and SLO ophthalmic imaging system with an image-guided scanning laser lesioning module optimized for the murine retina. The proposed system enables targeting of focal and extended area lesions under OCT guidance to benefit visualization of photodamage response and the precision and repeatability of laser lesion models of retinal injury.MethodsMURIN optics were optimized for simultaneous near-infrared and visible wavelength imaging/laser lesioning. Custom LabView control software was developed to steer the photocoagulation laser and automatically deliver laser pulses to targets-of-interest. In vivo retinal imaging was performed in transgenic Müller glia-tdTomato reporter mice (Rlbp1:CreER; Rosaai14, 5 animals, 10 eyes) and microglia-GFP/Müller glia-tdTomato reporter mice (Cx3cr1GFP; Rlbp1:CreER; Rosaai14, 9 animals, 15 eyes) to visualize cellular changes in the retina after laser lesion delivery.ResultsReal-time MURIN imaging concurrent with laser lesioning allowed us to visualize lesion formation dynamics and any corresponding changes in retinal morphology. We observe increasing fluorescence photoconversion on SLO and scattering contrast on OCT. Significant morphological changes are visible on MURIN after high-severity photodamage. OCT cross-sections show the spatial extent of the lesions contract over time from diffusion areas of increased scattering to granular scatterers and corresponding SLO images show a radial pattern surrounding severe focal lesions, which may be a result of a change in Müller cell shape or orientation in response to injury. The inner plexiform layer is distorted and increased RPE thickness and scattering are observed, all of which are confirmed on corresponding hematoxylin and eosin (H&E) histology and differential interference contrast (DIC) microscopy.DiscussionMURIN as a unique imaging platform that enables combined SLO and OCT imaging with an integrated image-guided laser lesioning module. This technology has clear benefits over existing multimodal imaging and laser lesioning systems by enabling simultaneous multimodal imaging, independent and precise control of Iridex laser pulse parameters and patterns, and real-time OCT and SLO visualization of lesion formation.

Many common bean (Phaseolus vulgaris L.) plants cultivated in areas of the world with acidic soils exhibit difficulties adapting to low phosphorus (P) availability, along with aluminum (Al) toxicity, causing yield loss. The objective of this study was to evaluate the influence of an increase in P supply level on the agronomic, phenological, and physiological performance of two common bean breeding lines grown in acidic soil, with low fertility and under high temperature conditions, in a screenhouse. A randomized complete block (RCB) design was used under a factorial arrangement (five levels of P × 2 genotypes) for a total of 10 treatments with four replications. The factors considered in the experiment were: (i) five P supply levels (kg ha−1): four levels of P0, P15, P30, and P45 through the application of rock phosphate (RP), and one P level supplied through the application of organic matter (PSOM) corresponding to 25 kg P ha−1 (P25); and (ii) two advanced bean lines (BFS 10 and SEF10). Both bean lines were grown under the combined stress conditions of high temperatures (day and night maximum temperatures of 42.5 °C/31.1 °C, respectively) and acidic soil. By increasing the supply of P, a significant effect was found, indicating an increase in the growth and development of different vegetative organs, as well as physiological efficiency in photosynthesis and photosynthate remobilization, which resulted in higher grain yield in both bean lines evaluated (BFS 10 and SEF10). The adaptive responses of the two bean lines were found to be related to phenological adjustments (days to flowering and physiological maturity; stomatal development), as well as to heat dissipation strategies in the form of heat (NPQ) or unregulated energy (qN) that contributed to greater agronomic performance. We found that, to some extent, increased P supply alleviated the negative effects of high temperature on the growth and development of the reproductive organs of bean lines. Both bean lines (BFS 10 and SEF 10) showed adaptive attributes suited to the combined stress conditions of high temperature and acidic soil, and these two lines can serve as useful parents in a bean breeding program to develop multiple stress tolerant cultivars.

Abstract Predicting the severity of COVID-19 remains an unmet medical need. Our objective was to develop a blood-based host-gene-expression classifier for the severity of viral infections and validate it in independent data, including COVID-19. We developed a logistic regression-based classifier for the severity of viral infections and validated it in multiple viral infection settings including COVID-19. We used training data (N = 705) from 21 retrospective transcriptomic clinical studies of influenza and other viral illnesses looking at a preselected panel of host immune response messenger RNAs. We selected 6 host RNAs and trained logistic regression classifier with a cross-validation area under curve of 0.90 for predicting 30-day mortality in viral illnesses. Next, in 1417 samples across 21 independent retrospective cohorts the locked 6-RNA classifier had an area under curve of 0.94 for discriminating patients with severe vs. non-severe infection. Next, in independent cohorts of prospectively (N = 97) and retrospectively (N = 100) enrolled patients with confirmed COVID-19, the classifier had an area under curve of 0.89 and 0.87, respectively, for identifying patients with severe respiratory failure or 30-day mortality. Finally, we developed a loop-mediated isothermal gene expression assay for the 6-messenger-RNA panel to facilitate implementation as a rapid assay. With further study, the classifier could assist in the risk assessment of COVID-19 and other acute viral infections patients to determine severity and level of care, thereby improving patient management and reducing healthcare burden.

Background: Chanting “OM” is a form of meditation that has numerous health benefits. However, the neurophysiological mechanisms underpinning its effect are surprisingly scarce. The present study aimed to investigate the effect of OM chanting on autonomic modulation, using heart rate variability (HRV), on experienced yoga practitioners and yoga naïve persons. Methods: This prospective study included 19 yoga practitioners (9 females and 10 males; group mean age ± standard deviation [SD]; 25.9 ± 3.2 years) and 17 yoga naïve persons (8 females and 9 males; group mean age ± SD; 24.8 ± 3.6 years) of both sexes and similar age range. Both the groups were assessed for HRV indices (time and frequency domain measures) before and after loud OM chanting for 5 min. Results: Baseline comparison using Mann–Whitney U test between groups showed yoga practitioners had significantly increased high frequency (HF) power (P < 0.029) than nonyoga practitioners, signifying a state of tranquility before the chanting of OM. After 5 min of loud chanting of OM, a comparison between groups assessed using Wilcoxon Signed Ranks test revealed: HF Power, a component of the parasympathetic nervous system, was further amplified with a significantly increase (P < 0.001) in the yoga practitioners group compared to nonyoga practitioners. Furthermore, this increase in HF power was positively correlated with the years of experience in yoga. Conclusion: The present study showed that a brief chanting of OM (5 min) might enhance parasympathetic nervous system activity, promote relaxation, and provide calmness. Further, this experience may be achieved effectively in individuals experienced in yoga than nonyoga practitioners.

Phosphorus (P) is one of the essential macronutrients for plant growth and development, and it is an integral part of the major organic components, including nucleic acids, proteins and phospholipids. Although total P is abundant in most soils, a large amount of P is not easily absorbed by plants. Inorganic phosphate (Pi) is the plant-available P, which is generally immobile and of low availability in soils. Hence, Pi starvation is a major constraint limiting plant growth and productivity. Enhancing plant P efficiency can be achieved by improving P acquisition efficiency (PAE) through modification of morpho-physiological and biochemical alteration in root traits that enable greater acquisition of external Pi from soils. Major advances have been made to dissect the mechanisms underlying plant adaptation to P deficiency, especially for legumes, which are considered important dietary sources for humans and livestock. This review aims to describe how legume root growth responds to Pi starvation, such as changes in the growth of primary root, lateral roots, root hairs and cluster roots. In particular, it summarizes the various strategies of legumes to confront P deficiency by regulating root traits that contribute towards improving PAE. Within these complex responses, a large number of Pi starvation-induced (PSI) genes and regulators involved in the developmental and biochemical alteration of root traits are highlighted. The involvement of key functional genes and regulators in remodeling root traits provides new opportunities for developing legume varieties with maximum PAE needed for regenerative agriculture.

IntroductionPrevious research has shown increased productivity amongst sown grass pastures compared to native savanna pastures by year-round grazing for fattening of adult and young Brahman (Bos indicus)-bred cattle in the well-drained native savanna ecosystem of the Colombian Orinoquía. But there is limited information on the carbon footprint (CF) of commercial young-Brahman heifers and steers reared throughout life on well-managed Brachiaria decumbens Stapf pastures.MethodsThe present study characterized growth, lifetime enteric methane (CH4) emissions, carcass carbon dioxide equivalent (CO2-eq) CH4 efficiency intensities (i.e., emissions per kg of product), and estimated the overall CF of young cattle grazing B. decumbens pastures subject to a range of daily liveweight gains (DLWGs; 0.428 – 0.516 kg) and fattening framework (405 – 574 kg). Weaning data from seven consecutive calving seasons in a commercial Brahman breeding herd continuously grazed on B. decumbens were integrated with a Microsoft Excel® dynamic greenhouse gas emission (GHGE) simulation of stockers-yearlings, and seven fattening, and processing scenarios.ResultsThe model predicted that heifers subject to low and high DLWGs (0.428 vs 0.516 kg) and steers (0.516 kg) may be successfully fattened without supplementation assuming that animals had access to a well-managed grass pasture. Depending on the fattening strategy, kg CO2-eq CH4/kg edible protein values ranged from 66.843 to 87.488 ± 0.497 for heifers and from 69.689 to 91.291 ± 0.446 for steers.DiscussionAssuming that forage on offer is at least 1,500-2,000 kg of dry matter/ha during the rainy season, all the simulated systems showed potential for C neutrality and net-zero C emission when considering GHGEs from the soil, pasture, and animal components vs the estimated soil C capture over seven seasons. However, under a more optimistic scenario, these beef systems could accomplish substantial net gains of soil C, over the period for which field data are available. Overall, this study projects the positive impact of the design of plausible fattening strategies on grasslands for improving cattle productivity and reducing emission intensities with concomitant increases in technical efficiency.

The COVID-19 pandemic has been an historic challenge to public health and behavior change programs. In low -and middle-income countries (LMICs) such as Nigeria, there have been challenges in promoting vaccination. Vaccine hesitancy and social norms related to vaccination may be important factors in promoting or inhibiting not only COVID vaccination, but other routine vaccinations as well. The aim of this study was to conduct a national-level quasi-experimental evaluation of a social media based COVID-19 vaccination promotion campaign in Nigeria run in 2022. We followed a longitudinal cohort of Nigerians (at baseline) drawn from all 37 states in Nigeria over a 10-month period. This was done at 3 time points to evaluate psychosocial predictors of vaccination and vaccination outcomes following a theory of change based on Diffusion of Innovations, Social Norms Theory, and the Motivation, Opportunity, Ability (MOA) Framework. In a quasi-experimental design, participants in 6 Nigerian states where the social media campaign was run (treatment) were compared to participants from non-treatment states. This study highlights new social media-based data collection techniques. The study found that vaccination rates increased in treatment states compared to non-treatment states, and that these effects were strongest between baseline and first follow up (December 2021 to March 2022). We also found that more pro-vaccination social norms at one time point are associated with higher vaccination rates at a later time point. Social media campaigns are a promising approach to increasing vaccination at scale in LMICs, and social norms are an important factor in promoting vaccination, which is consistent with the Social Norms Theory. We describe implications for future vaccination campaigns and identify future research priorities in this area.

Complete cuboid dislocation without cuboid fracture are rare injuries and there is a paucity of literature describing their management. Previous studies have reported on the use of closed reduction casting, internal fixation, and Kirschner wire fixation in the treatment of such injuries. This case report presents the successful management of a complete cuboid dislocation in a healthy 42-year-old man following a motorcycle accident. The dislocation was reduced and stabilized using a novel mini-open approach that involved distraction of the lateral column complex through the use of an external fixator, followed by percutaneous Kirschner wire fixation to reinforce the area. The patient was monitored for 46 months and continues to function without limitation. This case report highlights the successful application of a novel fixation construct using an external fixator device and percutaneous Kirschner wire fixation for the treatment of a complete cuboid dislocation without cuboid fracture. The technique presented in this report could offer a valuable additional option for physicians treating patients with these rare injuries.

IntroductionAnemia has been reported in nearly 40% of acute ischemic stroke (AIS) patients and is linked to significant morbidity and disability. The presence of anemia is associated with worse outcomes in AIS, specifically in the presence of large vessel occlusion (LVO). An optimal hemoglobin (Hb) target specific to this pathology has not yet been established. The goal of this review is to systematically review literature that observes the association that exists between AIS outcomes and hemoglobin (Hb) levels.MethodsA systematic review was performed in accordance with guidelines for the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) to identify studies from 2008-2022. The following inclusion and exclusion criteria were used: studies of adult patients with AIS; must describe outcomes with regard to Hb levels in AIS (not limited to LVO); must be written in English. The clinical variables extracted included Length of Stay (LOS), modified rankin score (mRS), Hb levels, and mortality.ResultsA total of 1,154 studies were gathered, with 116 undergoing full text review. 31 studies were included in this review. The age of patients ranged from 61.4 to 77.8. The presence of anemia in AIS increased LOS by 1.7 days on average and these patients also have a 15.2% higher rate of mortality at one year, on average.DiscussionThis data suggests that the contemporary thresholds for treating anemia in AIS patients may be inadequate because anemia is strongly associated with poor outcomes (e.g., mRS>2 or mortality) and increased LOS in AIS patients. The current generalized Hb threshold for transfusion (7 g/dL) is also used in AIS patients, however, a more aggressive transfusion parameter should be further explored based on these findings. Further studies are required to confirm these findings and to determine if a more liberal RBCT threshold will result in clinical benefits.

Abstract The optical and chemical properties of gold and silver nanoparticles make them useful for many applications, including surface enhanced spectroscopy‐based biosensors, photostable colorants, enhanced photovoltaic, and nanoscale optical elements. We report a simple technique to generate patterns of gold and silver nanoparticles with controlled shape and shape‐dependent optical properties using metal stamps to impress them onto a glass substrate or flexible polymers. The pressure flattens the nanoparticles, converting initially spherical nanoparticles into discs with reduced height and increased diameter. This deformation causes their localized surface plasmon resonance wavelength to red‐shift. Nanoparticles were characterized by electron microscopy, atomic force microscopy, and dark field optical scattering spectroscopy. The deformed nanoparticle patterns had a lateral resolution limited by the nanoparticle diameter (single particles are partly flattened only where they contact the stamp). The method also (i) transfers the stamp's topography, with smooth stamps generating flattened nanoparticles with uniform height, and small changes in stamp height are evident in the nanoparticle height and scattering wavelength, and (ii) allows facile removal of undeformed nanoparticles using scotch tape, and patterns of deformed nanoparticles can be transferred to a flexible polymer film. The patterning process is simple and inexpensive. It can be performed by hand for demonstrations or artistic applications, with controlled force for plasmonics research, and potentially automated on reel‐to‐reel presses for large scale production.

Knowledge is limited about the level of bioactive compounds and antioxidant activity of seeds from bred lines of common beans developed from interspecific crosses using four different Phaseolus species (P. vulgaris L., P. coccineus L., P. acutifolius A. Gray. Gray., and P. dumosus). In this study, differences in the nutritional quality of seeds among 112 bean genotypes were evaluated by measuring the levels of phenolic compounds, pigments, antioxidant activity, and sugars. The bean genotypes were grown under high temperatures and acid soil conditions in the Amazon region of Colombia. Five typology groups of bean genotypes were identified based on the level of bioactive compounds and their functional capacity: (1) highly bioactive and functional (HBF); (2) moderately bioactive and functional (MBF); (3) moderate antioxidant content with pigment influence (MACP); (4) moderately antinutritional with limited antioxidant potential (MALAP); and (5) antinutritional, low bioactive, and functional (ALBF). We developed a nutritional quality index (NQI) with values ranging from 0 to 1 based on the nutritional and anti-nutritional balance of each genotype and the higher values of the NQI of a genotype indicating greater nutritional quality. We found three interspecific bred lines (SER 212, SER 213, and RRA 81), with NQI values higher than 0.8. These three lines belong to the typology group of HBF. The superior nutritional quality of these three interspecific bred lines is attributed to a greater level of bioactive compounds and antioxidant capacity. These three bred lines may serve as useful parents to develop nutritionally superior and stress-resilient beans from bean breeding programs. Further research is needed to explore the role of testa color in improving the nutritional quality of seeds of common bean genotypes grown under different climatic conditions.

Background and Aim: Mucositis, one of the vulnerabilities of chemotherapy, affects the physiological activities and therapeutic strategies of patients because it can affect the normal cell population. Etoposide is a commonly used chemotherapeutic agent for cancers such as oral, lung, and gastrointestinal. In addition to the abnormal metabolic processes in the body caused by tumorigenesis, new metabolic alterations can occur, such as oxidative stress, antioxidant imbalance, and inflammatory reactions, all of which can contribute to existing patient vulnerability. Therapeutic adjuvants can help overcome these toxic effects. Spondias pinnata is a tropical tree omnipresent in the coastal and Western Ghat section of India that is used for culinary purposes and as a local analgesic. Therefore, we aimed to study the anti-inflammatory effects of S. pinnata in an etoposide-induced mucositis rat model. Materials and Methods: Small intestinal tissue homogenates from albino Wistar rats were used to estimate the levels of glutathione (GSH) and nitric oxide (NO), and activities of total antioxidant (TAO), myeloperoxidase (MPO) and Na+-K+ ATPase. The animals were grouped into: (1) normal control, (2) etoposide-induced mucositis (65 mg/kg bodyweight, single IP dose), (3) S. pinnata control group, and (4) etoposide followed by S. pinnata bark extract (200 mg/kg bodyweight, once in a day). Animals were sacrificed after 24, 48, 72, and 96 h and compared with that of the normal control group (n=6). Statistical analysis was performed using EZR software. Results: We observed a significant decrease in the TAO and GSH levels with a marked increase in NO, MPO, and Na+-K+ ATPase activity in the mucositis group. A tendency to recover from the decreased TAO and GSH levels existed in the treated group, showing the protective effects of S. pinnata bark extract against mucositis. In addition, this extract also showed anti-inflammatory effects as reflected by the recovery in MPO levels at the end of 96 h. Maintenance of Na+-K+ ATPase activity in the treated group demonstrates the protective effects of the extract against the increased levels observed in the etoposide-induced mucositis group. Conclusion: This study revealed the protective effects of S. pinnata bark extract against the oxidative and inflammatory changes that occurred during the development of mucositis. This would decrease the pathological burden during chemotherapy and prevent any hurdles in therapeutic modalities.

The present study was conducted at ICAR-IIHR, Bengaluru, India during 2018-2019 to quantify resource use efficiency in 11 genotypes of gladiolus propagated through cormels based on growth, biomass partitioning and nutrient removal pattern. Growth and yield parameters differed significantly among genotypes. The leaf number was significantly higher in Arka Shobha (9.67) and Arka Manorama (9.00) than other genotypes (6.33-8.67). The spike length was higher in Arka Naveen (102.9 cm) and lesser in Arka Kumkum (66.2 cm). The pattern of biomass partitioning indicated that below ground biomass (corm) accounted for 71.5% of total biomass (3990 kg ha-1), while above ground biomass (leaf and spike) was 28.5% of total biomass (1137 kg ha-1). In gladiolus genotypes, the nutrient profile indicated that the accumulation of N was higher in corms followed by leaves and spikes. The accumulation of P (0.13-0.14%), Mn (29.8-43.5 mg kg-1), Zn (15.3-23.4 mg kg-1) and Cu (5.2-6.0 mg kg-1) was similar. Spikes accumulated higher K and Mg than leaves and corms. The accumulation of Ca was more in leaves (2.39%) followed by flower stalks (1.95 %). The average Fe concentration (mg kg-1) was more in corms (293) followed by leaves (269) and flower stalks (160). The average nutrient removal in genotypes was quantified at 122 kg N, 10.8 kg P and 71.7 kg K per ha per crop. The nutrient demand (g ha-1) of Fe was more (1062.4) than Mn (152.5), Zn (23.8) and Cu (23.0). The data implies that gladiolus is a heavy feeder of N and K. Nutrient removal of K and Fe influenced the biomass production with high degree of variability (Y =-541.858 + 24.097 Kuptake + 1.405 Feuptake R2=0.995). The present study gives scope for precision nutrient use by avoiding blanket recommendations.

Defect states in perovskites dictate the charge carriers behaviour, thus the ultimate optical and electrical properties. Here, the authors in-situ investigate trapped carrier dynamics in MAPbI3 thin films with ultra-fast temporal and high energetic resolution by means of ultrafast photocurrent spectroscopy.

Background and Objectives: Overprescribing of antibiotics is one of the important contributors of antimicrobial resistance globally. A high proportion of antibiotics prescribed in community settings are unnecessary or inappropriate. This study assesses the prescribing practices and factors related to antibiotic prescribing in community pharmacies in United Arab Emirates (UAE). Materials and Methods: A cross-sectional study utilizing a quantitative approach was carried out in the community pharmacies of Ras Al Khaimah (RAK), UAE. Six hundred and thirty prescription encounters from 21 randomly selected community pharmacies were investigated using World Health Organization (WHO) core prescribing indicators. Factors related to antibiotic prescribing were identified using logistic regression analyses. Results: In 630 prescription encounters, a total of 1814 drugs were prescribed. Out of these, the most commonly prescribed drug class was antibiotics (43.8% prescriptions) and the antibiotic was amoxicillin/clavulanic-acid (22.4%). The average number of drugs per prescription was 2.88, which was higher than the WHO recommended value of 1.6–1.8. In addition, more than half of the prescriptions (58.6%) had drugs by generic names and the majority of the drugs prescribed (83.8%) were from the essential drug list, which were lower than the optimal values of 100%. The majority of the antibiotics prescribed in the study were from the WHO’s Access group antibiotics. Multivariable logistic regression analysis identified patient age (children—OR: 7.40, 95% CI: 2.32–23.62, p = 0.001 and adolescent—OR: 5.86, 95% CI: 1.57–21.86, p = 0.008), prescriber qualification as general practitioner (OR: 1.84, 95% CI:1.30–2.60, p = 0.001), and number of drugs per prescription (OR: 3.51, 95% CI: 1.98–6.21, p < 0.001) as independent factors associated with antibiotic prescribing. Conclusions: This study reveals considerable variations from the WHO recommendations for the different prescribing indicators in the community pharmacies of RAK, UAE. In addition, the study reports overprescribing of antibiotics in the community setting, indicating the need for interventions to promote rational use of antibiotics in a community setting.

The COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a source of significant morbidity and death worldwide, and effective treatments are urgently needed. Clinical trials have focused largely on direct antiviral therapies or on immunomodulation in patients with severe manifestations of COVID-19. One therapeutic approach that remains to be clinically investigated is disruption of the host-virus relationship through amino acid restriction, a strategy used successfully in the setting of cancer treatment. Arginine is an amino acid that has been shown in nonclinical studies to be essential in the life cycle of many viruses. Therefore, arginine depletion may be an effective therapeutic approach against SARS-CoV-2. Several arginine-metabolizing enzymes in clinical development may be a viable approach to induce a low arginine environment to treat COVID-19 and other viral diseases. Herein, we explore the rationale for arginine depletion as a therapeutic approach for COVID-19.

Background: It has been speculated that the pathogenesis of diseases prompted by cigarette smoking includes oxidative damage by free radicals. Though, definitive evidence that smoking may cause the oxidative modification of target molecules in vivo is lacking. Therefore, the purpose of this study was to estimate and compare the levels of salivary Thiocyanate (SCN) and power of hydrogen (pH) in the saliva of smokers and nonsmokers with chronic periodontitis (ChP). Materials and Methods: A study population consisted of 60 male systemically healthy subjects in the age group of 20-65 years that was further divided into three groups: Group 1: 20 Healthy nonsmokers, who never smoked. Group 2: 20 nonsmokers with chronic periodontitis. Group 3: 20 smokers with chronic periodontitis. Unstimulated saliva was collected for at least 5 mins and clinical parameters; salivary pH and SCN thiocyanate levels were assessed using the spectrophotometric method. Statistical analysis was performed using SPSS Inc 21.0, Chicago, II, United States of America. Results: Data showed that the mean salivary SCN level, periodontal parameters were higher in smokers with chronic periodontitis as compared to nonsmokers with chronic periodontitis and healthy subjects (P < 0.05.) Post Hoc tests multiple comparisons Tukey Honest Significant Difference (HSD) among three groups were statistically significant (p < 0.05). Conclusion: Salivary thiocyanate levels remain increased by smoking in addition to the impact of periodontitis, and these results also indicated a significant change in the pH depending on the severity of the periodontal condition in smokers. Thus, the measurement of salivary thiocyanate may prove to be useful in the early detection of periodontal disease. The salivary pH shows significant changes and, consequently, relevant to the severity of the periodontal disease. Salivary pH may thus be used as a quick chairside diagnostic biomarker.

Context: Severe acute respiratory syndrome coronavirus-19 has had a devastating effect on the common man's life. Aim: To study whether the fear of contracting covid19 infection deter the patients from seeking medical help? Setting and Design: Retrospective study from hospital data were obtained from the medical record departments of four major hospitals. Materials and methods: Number of admissions for eight serious illnesses in the month of April in 2020 compared to 3 preceding years. Statistical analysis: The data were analyzed by applying multiple measures ANOVA and descriptive statistics. Results: There was a significant decrease in the number of admissions in each of the eight listed illnesses during April 2020 compared to the same period in the previous 3 years. There was no significant change in the number of deaths reported in the district during this period, as suggested by the government data. Conclusion: From the observed results, it is evident that there was a marked decline in the hospitalization for serious illnesses during the lockdown period in south India. This result is in agreement with the data from similar studies, published from hospitals worldwide.

Abstract Background The Value-Based Healthcare (VBH) concept is designed to improve individual healthcare outcomes without increasing expenditure, and is increasingly being used to determine resourcing of and reimbursement for medical services. Radiology is a major contributor to patient and societal healthcare at many levels. Despite this, some VBH models do not acknowledge radiology’s central role; this may have future negative consequences for resource allocation. Methods, findings and interpretation This multi-society paper, representing the views of Radiology Societies in Europe, the USA, Canada, Australia, and New Zealand, describes the place of radiology in VBH models and the healthcare value contributions of radiology. Potential steps to objectify and quantify the value contributed by radiology to healthcare are outlined.

The present study was carried out to evaluate the performance of two novel gladiolus hybrid selections IIHRG-7 and IIHRG-11 along with commercial checks, for flower quality traits and Fusarium wilt resistance in completely randomized block design, during 2012-13 to 2014-15. Three years data were pooled and analyzed statistically. The hybrid selections IIHRG-7 and IIHRG-11 had been developed through hybridization by crossing Arka Meera x Picardy and Gold Medal 412 x Arka Poonam, respectively followed by selection. IIHRG-7 has novel flower colour (as per RHS Colour Chart) i.e., Red-Purple (65.B) having Red-Purple (62.A) streaks with Red-Purple (67.B) splash and spike with variegated florets, while, IIHRG-11 has novel floret colour as Red (41.C) having Red (41.A) margin. Blotch Red (46.B) with yellow (13.C) border and resistance to Fusarium wilt disease. These hybrid selections are suitable for cut-flower and flower arrangement purposes. Further, these hybrid selections will be useful for developing new gladiolus hybrid selections with novel traits and resistance to Fusarium wilt disease.

The study revealed that cold stress elevates the expression of HSP70, TLR2 and TL4 of indigenous chicken. Increase in expression of HSP70 was most likely to have cryoprotective properties by elevating the TLR2 and TLR4 of indigenous chicken during cold stress.

Common bean (Phaseolus vulgaris L.) production in the tropics typically occurs in rainfed systems on marginal lands where yields are low, primarily as a consequence of drought and low phosphorus (P) availability in soil. This study aimed to investigate the physiological and chemical responses of 12 bush bean genotypes for adaptation to individual and combined stress factors of drought and low P availability. Water stress and P deficiency, both individually and combined, decreased seed weight and aboveground biomass by ∼80%. Water deficit and P deficiency decreased photosynthesis and stomatal conductance during plant development. Maximum rates of carboxylation, electron transport, and triose phosphate utilization were superior for two common bean genotypes (SEF60 and NCB226) that are better adapted to combined stress conditions of water deficit and low P compared to the commercial check (DOR390). In response to water deficit treatment, carbon isotope fractionation in the leaf tissue decreased at all developmental stages. Within the soluble leaf fraction, combined water deficit and low P, led to significant changes in the concentration of key nutrients and amino acids, whereas no impact was detected in the seed. Our results suggest that common bean genotypes have a degree of resilience in yield development, expressed in traits such as pod harvest index, and conservation of nutritional content in the seed. Further exploration of the chemical and physiological traits identified here will enhance the resilience of common bean production systems in the tropics.

Abstract Objective To determine the inflammatory analytes that predict clinical progression and evaluate their performance against biomarkers of neurodegeneration. Methods A longitudinal study of MCI‐AD patients in a Discovery cohort over 15 months, with replication in the Alzheimer’s Disease Neuroimaging Initiative (ADNI) MCI cohort over 36 months. Fifty‐three inflammatory analytes were measured in the CSF and plasma with a RBM multiplex analyte platform. Inflammatory analytes that predict clinical progression on Clinical Dementia Rating Scale‐Sum of Boxes (CDR‐SB) and Mini Mental State Exam scores were assessed in multivariate regression models. To provide context, key analyte results in ADNI were compared against biomarkers of neurodegeneration, hippocampal volume, and CSF neurofilament light (NfL), in receiver operating characteristic (ROC) analyses evaluating highest quartile of CDR‐SB change over two years (≥3 points). Results Cerebrospinal fluid inflammatory analytes in relation to cognitive decline were best described by gene ontology terms, natural killer cell chemotaxis, and endothelial cell apoptotic process and in plasma, extracellular matrix organization, blood coagulation, and fibrin clot formation described the analytes. CSF CCL2 was most robust in predicting rate of cognitive change and analytes that correlated to CCL2 suggest IL‐10 pathway dysregulation. The ROC curves for ≥3 points change in CDR‐SB over 2 years when comparing baseline hippocampal volume, CSF NfL, and CCL2 were not significantly different. Interpretation Baseline levels of immune cell chemotactic cytokine CCL2 in the CSF and IL‐10 pathway dysregulation impact longitudinal cognitive and functional decline in MCI‐AD. CCL2’s utility appears comparable to biomarkers of neurodegeneration in predicting rapid decline.

Abstract MXenes, a new class of 2D transition metal carbides, nitrides, and carbonitrides, have attracted much attention due to their outstanding properties. Here, we report the broadband spatial self‐phase modulation of Ti2CT x MXene nanosheets dispersed in deionized water in the visible to near‐infrared regime, highlighting the broadband nonlinear optical (NLO) response of Ti2CT x MXene. Using ultrafast pulsed laser excitation, the nonlinear refractive index n2 and the third‐order nonlinear susceptibility χmonolayer3 of Ti2CT x MXene were measured to be ∼10−13 m2/W and ∼ 10−10 esu, respectively. Leveraging the large optical nonlinearity of Ti2CT x MXene, an all‐optical modulator in the visible regime was fabricated based on the spatial cross‐phase modulation effect. This work suggests that 2D MXenes are ideal broadband NLO materials with excellent prospects in NLO applications.

Selenium (Se) is an essential micronutrient for aquatic organisms. Despite its importance, our current knowledge of the biogeochemical cycling of dissolved Se in tropical estuaries is limited, especially in Southeast Asia. To gain insights into Se cycling in tropical peat-draining rivers and estuaries, samples were collected from the Rajang, Maludam, Sebuyau, Simunjan, Sematan, Samunsam and Lunda rivers and estuaries in western Sarawak, Malaysia, in March and September 2017 and analysed for various forms of Se (dissolved inorganic and organic). Mean total dissolved Se (TDSe), dissolved inorganic Se (DISe) and dissolved organic Se concentrations (DOSe) were 2.2 nmol L−1 (range: 0.7 to 5.7 nmol L−1), 0.18 nmol L−1 (range: less than the detection limit to 0.47 nmol L−1) and 2.0 nmol L−1 (range: 0.42 to 5.7 nmol L−1), respectively. In acidic, low-oxygen, organic-rich blackwater (peatland-draining) rivers, the concentrations of DISe were extremely low (near or below the detection limit, i.e. 0.0063 nmol L−1), whereas those of DOSe were high. In rivers and estuaries that drained peatland, DOSe ∕ TDSe ratios ranged from 0.67 to 0.99, showing that DOSe dominated. The positive relationship between DISe and salinity and the negative relationship between DOSe and salinity indicate marine and terrestrial origins of DISe and DOSe, respectively. The positive correlations of DOSe with the humification index and humic-like chromophoric dissolved organic matter components in freshwater river reaches suggest that peat soils are probably the main source of DOSe. The DOSe fractions may be associated with high molecular weight peatland-derived aromatic and black carbon compounds and may photodegrade to more bioavailable forms once transported to coastal waters. The TDSe flux delivered by the peat-draining rivers exceeded those reported for other small rivers and is quantitatively more significant than previously thought.

Autism Spectrum Disorder (ASD) is a developmental disorder characterized by difficulty in communication, which includes a high incidence of speech production errors. We hypothesize that these errors are partly due to underlying deficits in motor coordination and control, which are also manifested in degraded fine motor control of facial expressions and purposeful hand movements. In this pilot study, we computed correlations of acoustic, video, and handwriting time-series derived from five children with ASD and five children with neurotypical development during speech and handwriting tasks. These correlations and eigenvalues derived from the correlations act as a proxy for motor coordination across articulatory, laryngeal, and respiratory speech production systems and for fine motor skills. We utilized features derived from these correlations to discriminate between children with and without ASD. Eigenvalues derived from these correlations highlighted differences in complexity of coordination across speech subsystems and during handwriting, and helped discriminate between the two subject groups. These results suggest differences in coupling within speech production and fine motor skill systems in children with ASD. Our long-term goal is to create a platform assessing motor coordination in children with ASD in order to track progress from speech and motor interventions administered by clinicians.

Background: Chlorhexidine gluconate (CHX) mouthwash has earned eponym of gold standard to treat or prevent periodontal disease. However, it has been reported to have local side-effects on long-term use. To explore a herbal alternative, the present study was carried out to evaluate the clinical antimicrobial activity of two mouth rinses. One containing 0.2% CHX and other containing herbal mouth rinse (HM). Methods: This randomized, crossover salivary bacterial counts, was carried out on a sample of 10 healthy volunteers rinsed for 1 minute with 0.2% CHX and for 1 minute with HM. Saliva samples were obtained before rinsing, and after 5 min, and 1, 3, 5 and 7 h. These samples were cultured both aerobically and anaerobically. Percentages of survival, in regard to baseline, were calculated for each time point. Results: Results were available both for aerobic and anaerobic salivary bacteria. Statistically significant difference is observed between Herbal and 0.2% CHX mouth wash at 1 hr (P < 0.05), 3 hrs (P < 0.01), 5 hrs (P < 0.01) as well as at 7 hrs (P < 0.001) and HM and 0.2% CHX mouth wash at 5 minutes after using mouth wash (P < 0.05), 1 hr (P < 0.05), 3 hrs (P < 0.01), 5 hrs (P < 0.01) as well as at 7 hrs (P < 0.001). Conclusion: Based on the results, this clinical study demonstrated that significant reduction of microbial activity was observed in 0.2% CHX when compared with HM containing bibhitaka, nagavali and salvodora persica as main ingredients.