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Background: Vaccine hesitancy has been inching up and its root cause lies in the factors that influence the vaccination. The present study was conducted to find out the proportion and factors contributing to vaccine hesitancy for routine childhood vaccinations in the slum population. Methods: A community-based cross-sectional study was carried out among 210 children between the age group of 0 and 59 months residing in the urban slums of Ranchi in 2021. Data were collected during the household visit by interviewing the parents using a predesigned pretested interview schedule which was developed based on the validated version of the vaccine hesitancy survey questionnaire originally developed by the World Health Organization Strategic Advisory Group of Experts’ working group on vaccine hesitancy. Associations between variables were analyzed using logistic regression. Results: A total of 210 children whose parents had given consent were included in our study. The majority of the families, 188 (89.5%), were not hesitant while only 22 (10.5%) were vaccine hesitant. Tribal children and unreserved category children had adjusted odds ratio of 4.41 (95% CI, 1.61–45.46) and 7.75 (95% CI, 1.07–56.08) for the delay as against their reference category. Conclusions: Most of the children were vaccinated in our study area and the families have shown confidence in vaccines. Although there were delays in vaccination and the reasons for the delays must be addressed to prevent these vaccine-hesitant populations from turning into vaccine-refusal population. Uniformity in vaccination days in different health facilities in slum areas, appropriate antenatal information, and counseling regarding childhood vaccinations, widespread awareness, and improving mother’s education can help address the issue of vaccine hesitancy.

Abstract Clean river water is an essential and life-sustaining asset for all living organisms. The upper Ganga and Yamuna river system has shown signs of rejuvenation and tremendous improvement in the water quality following the nationwide lockdown due to the coronavirus pandemic. All the industrial and commercial activity was shut down, and there was negligible wastewater discharge from the industries. This article addresses the water quality assessment from the study area, which is based on the original data of physical parameters, major and trace elements, and stable isotopes (hydrogen and oxygen) systematics during the nationwide lockdown. The impact of the lockdown could be seen in terms of an increase in dissolved oxygen (DO). Water samples were collected from the Upper Ganga and Yamuna river basins (Alaknanda, Bhagirathi, and Tons rivers) during an eight-week lockdown in Uttarakhand, India. We discussed the signs of rejuvenation of riverine based on physical parameters, major ions, trace elements, isotopic ratios, and water pollution index (WPI). Results reveal that the water quality of the entire upper basins of the Ganga has significantly improved by 93%, reflecting the signs of self-rejuvenation of the rivers. Multivariate analysis suggests a negative factor loading for an anthropogenic element ( $${NO}_{3}^{-}$$ NO 3 - ), implying that they contribute little to the river water during the lockdown. Further, bicarbonate ( $${HCO}_{3}^{-}$$ HCO 3 - ) is a dominant element in both river basins. The geochemical facies are mainly characterized by the ( $${{Ca}^{2+} :{Mg}^{2+} : HCO}_{3}^{-}$$ Ca 2 + : Mg 2 + : H C O 3 - ) type of water, suggesting that silicate rock weathering dominates with little influence from carbonate weathering in the area. The positive factor loadings of some cations, like $${HCO}_{3}^{-}$$ HCO 3 - , $${Ca}^{2+}$$ Ca 2 + , and $${Mg}^{2+}$$ Mg 2 + reflect their strong association with the source of origin in the lockdown phases. Stable isotopic reveals that the glaciated region contributed the most to the river basin, as evidenced by the low d-excess in riverine water compared to anthropogenic contributions. Rivers can self-rejuvenate if issues of human influence and anthropogenic activities are adequately resolved and underline our responsibility for purifying the ecosystem. We observed that this improvement in the river water quality will take a shorter time, and quality will deteriorate again when commercial and industrial activity resumes.

In the present study, MnO2 nanoparticles were synthesized using Citrus limetta peels extract and functionalized by chitosan polymer. Surface morphology analysis of chitosan functionalized MnO2 nanoparticles was carried out using a scanning electron microscope (SEM) and transmission electron microscope (TEM), which revealed that the synthesized nanoparticles were spherical, with a size range of 14–24 nm. Energy dispersive X-ray analysis and elemental mapping were used to observe Mn, O, C, H, and N. Fourier-transform infrared spectroscopy confirmed the presence of hydroxyl, carboxyl, and amino groups on the surface of the nanoparticles. The kinetics and isotherms were compared and it was found that the pseudo-second-order and Langmuir isotherm were the best fit, with R2 values of 0.99. The thermodynamic study demonstrated that the adsorption was endothermic and spontaneous. These findings indicate that chitosan functionalized nanoparticles have a better Pb(II) removal efficiency (94.40%), making them an eco-friendly and cost-effective alternative for wastewater treatment. HighlightsChitosan functionalized nanoadsorbent was synthesized through green route.Sorption mechanism explored through isotherm, kinetics, and thermodynamic models.Synthesized adsorbent showed high Pb(II) removal capacity.

Context: Diabetes is a chronic disease associated with many complications. Approximately 20% of people living with diabetes suffer from some form of depression. “Diabetes distress” (DD) is used to describe the significant negative psychological reactions related to emotional burdens and worries specific to an individual’s experience to manage severe, complicated chronic disease such as diabetes. Aim: To determine the proportion having DD and to identify the sociodemographic and morbidity related factors associated with the presence of DD among adults with Type2DM who are being treated at PHC Naubatpur, Bihar. Material and Methods: This facility based cross-sectional analytical study was done over 3 months among 260 Type2DM patients attending PHC Naubatpur. Sociodemographic details and morbidity related details were collected followed by PAID questionnaire to assess DD Results: Around 60% of the participants were of age ≤60 years. Majority (63.8%) of the participants were having diabetes from past 1-10years. One-fourth (24.6%) of them were having score of ≥40, therefore having DD. Alcohol consumption and presence of diabetes complications in the participants were found to be independent predictors of DD. Conclusion: This study showed a high (24.6%) prevalence of DD. It is essential to identify high-risk patients with different mental health needs. Healthcare providers should focus on reducing DD and devise ways to increase self-care practices and coping skills.

Abstract Background Treatment with regorafenib, a multiple-kinase inhibitor, to manage metastatic colorectal cancers (mCRCs) shows a modest improvement in overall survival but is associated with severe toxicities. Thus, to reduce regorafenib-induced toxicity, we used regorafenib at low concentration along with a dual JAK/HDAC small-molecule inhibitor (JAK/HDACi) to leverage the advantages of both JAK and HDAC inhibition to enhance antitumor activity. The therapeutic efficacy and safety of the combination treatment was evaluated with CRC models. Methods The cytotoxicity of JAK/HDACi, regorafenib, and their combination were tested with normal colonic and CRC cells exhibiting various genetic backgrounds. Kinomic, ATAC-seq, RNA-seq, cell cycle, and apoptosis analyses were performed to evaluate the cellular functions/molecular alterations affected by the combination. Efficacy of the combination was assessed using patient-derived xenograft (PDX) and experimental metastasis models of CRC. To evaluate the interplay between tumor, its microenvironment, and modulation of immune response, MC38 syngeneic mice were utilized. Results The combination therapy decreased cell viability; phosphorylation of JAKs, STAT3, EGFR, and other key kinases; and inhibited deacetylation of histone H3K9, H4K8, and alpha tubulin proteins. It induced cell cycle arrest at G0-G1 phase and apoptosis of CRC cells. Whole transcriptomic analysis showed that combination treatment modulated molecules involved in apoptosis, extracellular matrix-receptor interaction, and focal adhesion pathways. It synergistically reduces PDX tumor growth and experimental metastasis, and, in a syngeneic mouse model, the treatment enhances the antitumor immune response as evidenced by higher infiltration of CD45 and cytotoxic cells. Pharmacokinetic studies showed that combination increased the bioavailability of regorafenib. Conclusions The combination treatment was more effective than with regorafenib or JAK/HDACi alone, and had minimal toxicity. A clinical trial to evaluate this combination for treatment of mCRCs is warranted.

Abstract The bioavailability of nicotinamide adenine dinucleotide (NAD) is vital for skeletal muscle health, yet the mechanisms or signals regulating NAD homeostasis remain unclear. Here, we uncover a pathway connecting peripheral glucose sensing to the modulation of muscle NAD through TAS1R2, the sugar-sensing G protein-coupled receptor (GPCR) initially identified in taste perception. Muscle TAS1R2 receptor stimulation by glucose and other agonists induces ERK1/2-dependent phosphorylation and activation of poly(ADP-ribose) polymerase1 (PARP1), a major NAD consumer in skeletal muscle. Consequently, muscle-specific deletion of TAS1R2 (mKO) in male mice suppresses PARP1 activity, elevating NAD levels and enhancing mitochondrial capacity and running endurance. Plasma glucose levels negatively correlate with muscle NAD, and TAS1R2 receptor deficiency enhances NAD responses across the glycemic range, implicating TAS1R2 as a peripheral energy surveyor. These findings underscore the role of GPCR signaling in NAD regulation and propose TAS1R2 as a potential therapeutic target for maintaining muscle health.

Abstract Introduction The study aimed to evaluate comparability in terms of efficacy, safety and immunogenicity of Sun’s ranibizumab biosimilar with reference ranibizumab in patients with neovascular age-related macular degeneration (nAMD). Methods This prospective, randomised, double-blind, two-group, parallel-arm, multicentre, phase 3 comparative study included patients with nAMD ≥ 50 years, randomised (in a 2:1 ratio) in a double-blind manner to receive 0.5 mg (0.05 mL) intravitreal injection of either Sun’s ranibizumab or reference ranibizumab in the study eye every 4 weeks until week 16 (total of four doses). Results Primary endpoint results demonstrated equivalence in the proportion of patients who lost fewer than 15 letters from baseline best-corrected visual acuity (BCVA) to the end of week 16 (99% of patients in Sun’s ranibizumab and 100% in reference ranibizumab; p > 0.9999), with the proportional difference (90% confidence interval) at −1% (−2.51, +0.61) lying within a pre-specified equivalence margin. Visual acuity improved by 15 or more letters in 43% of Sun’s ranibizumab group and 37% of the reference ranibizumab group (p = 0.4267). The mean increase in BCVA was 15.7 letters in Sun’s ranibizumab group and 14.6 letters in the reference ranibizumab group (p

The article introduces a cost-effective and user-friendly alternative to traditional pyrolysis techniques, obviating the necessity for intricate tube furnaces and inert gas environments. This novel approach employs materials capable of reacting with and sequestering oxygen to establish an oxygen-depleted atmosphere. The experimental setup entails positioning a crucible containing the sample inside a ceramic pot, enveloped by varying sizes of wood coal particles, and subsequently subjecting the ceramic pot to furnace conditions. Utilizing this oxygen-limited strategy, a biochar sample, derived via hydrothermal processing, underwent carbonization at 650°C for 6.5 hours, with outcomes compared against ambient condition carbonization under identical temperature and duration parameters. Gravimetric analysis revealed that wood coal effectively curtails oxygen availability, augmenting biochar yield from 1.53 % to 19.50 %. Fourier-transform infrared spectroscopy (FTIR) indicates diminished oxygen functional groups, while X-ray diffraction (XRD) and field-emission scanning electron microscopy (FESEM) affirmed a denser, compact carbon structure in biochar produced under oxygen-restricted conditions versus ambient conditions. The carbon content percentage in biochar samples treated at 650°C for 6.5 hours under both conditions was assessed via energy-dispersive X-ray spectroscopy (EDX) data. The emergence of a novel carbon nanomaterial, derived from biomass waste through our oxygen-limiting method, may exhibits applications in energy storage and water purification. Our approach offers simplicity, cost-efficiency, and straightforward implementation while upholding the integrity of pyrolysis/thermal treatment within inert conditions, ensuring the robustness of the procedure.

This comprehensive review investigates the dynamic landscape of trace elemental analysis methodologies applied to plants and food-based extracts. The exploration spans from the inception of techniques to the latest procedures, contributing to heightened precision and sensitivity in elemental detection. According to the WHO, herbal plants and medicine from varied soil compositions serve as crucial therapeutic agents for 70–80 % of the world's population. Yet, their susceptibility to trace element toxicity poses a significant risk to human health. Rising population and increased food demands have led to environmental pollution, contaminating the food chain through unintended activities like industrialization, mining, and pesticide production. The elemental composition of plants and derived extracts is central to comprehending nutritional profiles, evaluating product quality, and ensuring food safety. Methodological advancements, progressing from manual procedures to sophisticated technologies such as X-ray fluorescence (XRF), neutron activation analysis (NAA), inductively coupled plasma optical emission spectroscopy (ICP OES), and inductively coupled plasma mass spectrometry (ICP-MS), are delineated. Recent strides in paper-based electrochemical sensors are highlighted for their distinctive capabilities and elucidation of associated advantages and limitations.Moreover, the review delves into innovative sample preparation methodologies, encompassing microwave-assisted digestion and solid-phase microextraction, to amplify the efficiency of elemental extraction and subsequent analysis. Integrating data analytics and machine learning in elucidating complex elementary datasets is explored, underscoring the potential for heightened accuracy and automation in trace elemental analysis. This review compiles literature data, summarizing sample preparation methods for various herbal parts (roots, soil, stems, bark, fruits, food). Standard protocols from WHO, United States Pharmacopeia-National Formulary (USP-FR), Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy (AYUSH) are considered. Lead, Cadmium, Mercury, and Arsenic are the primary toxic elements of concern in herbal medicines. This review furnishes valuable insights tailored for researchers, analysts, and policymakers actively involved in advancing the domain of trace elemental analysis in plants and food-based extract.

Disulfiram, an FDA-approved medication for treating alcohol dependence syndrome (ADS), is often used surreptitiously, resulting in severe adverse drug reactions such as disulfiram-induced psychosis (DIP). DIP presents diagnostic challenges, despite being perceived as common; however, there is limited literature available on DIP in India. We describe four cases with a history of psychosis in the background of disulfiram exposure. Our four male patients, aged 30–46 years old, had a history of ADS ranging from 7 to 16 years. They developed DIP after 5–15 days of exposure to disulfiram in doses ranging from 500 to 750 mg. In all cases, disulfiram was administered surreptitiously based on advice from non-experts. Predominant symptomatology included delusion, followed by perceptual disturbances. Naranjo adverse drug reaction probability scale was applied to establish disulfiram as the probable cause of psychosis in all cases. All patients responded to disulfiram discontinuation and a brief period of low-dose antipsychotic therapy within 7 days. The probability of DIP should be explored in a case of ADS presenting with an acute psychotic episode. Disulfiram, though an effective agent, should be used cautiously in selected cases at the recommended dose. Awareness building among family members may prevent and aid in the early detection of DIP.

IntroductionThe gut microbiome’s influence on weight management has gained significant interest for its potential to support better obesity therapeutics. Patient stratification leading to personalized nutritional intervention has shown benefits over one-size-fit-all diets. However, the efficacy and impact on the gut’s microbiome of personalizing weight loss diets based on individual factors remains under-investigated.MethodsThis study assessed the impact of Digbi Health’s personalized dietary and lifestyle program on weight loss and the gut microbiome end-points in 103 individuals. Participants’ weight loss patterns and gut microbiome profiles were analyzed from baseline to follow-up samples.ResultsSpecific microbial genera, functional pathways, and communities associated with BMI changes and the program’s effectiveness were identified. 80% of participants achieved weight loss. Analysis of the gut microbiome identified genera and functional pathways associated with a reduction in BMI, including Akkermansia, Christensenella, Oscillospiraceae, Alistipes, and Sutterella, short-chain fatty acid production, and degradation of simple sugars like arabinose, sucrose, and melibiose. Network analysis identified a microbiome community associated with BMI, which includes multiple taxa known for associations with BMI and obesity.DiscussionThe personalized dietary and lifestyle program positively impacted the gut microbiome and demonstrated significant associations between gut microbial changes and weight loss. These findings support the use of the gut microbiome as an endpoint in weight loss interventions, highlighting potential microbiome biomarkers for further research.

Iron is an essential plant nutrient, and a continuous supply of it is required as it is a key factor in various metabolic processes, including photosynthesis, chlorophyll synthesis, and respiration. Various transcription factors are known to regulate iron homeostasis in plants, and the bHLH transcription factor family is one of them. The StbHLH47 is a homologue of the Arabidopsis POPEYE (PYE), which is known to repress iron homeostasis-related genes in Arabidopsis. Potato is the most consumed vegetable in the world and is low in iron content. We have generated CRISPR/Cas9-edited StbHLH47 lines and performed a detailed analysis of these lines. The analysis revealed that the roots of StbHLH47 edited lines have decreased ferric chelate reductase (FCR) activity compared to the roots of the wild-type (WT) plant. We also observed that CRISPR/Cas9 edited lines have fewer trichomes when compared to the WT plant. The expression of genes associated with iron homeostasis was also measured. Compared to the control, the expression of StbHLH47 was downregulated in the edited lines, while the expression of StNAS4, StOPT3, and StFRO3 was upregulated. This suggests the negative regulation of StbHLH47 in modulating iron. The iron content was also quantified using inductively coupled plasma mass spectrometry (ICP-MS) and found to be increased in the generated transgenic lines when compared to WT plants. Overall, this study reveals that StbHLH47 negatively regulates the expression of iron homeostasis-related genes. StbHLH47 edited lines exhibited decreased FCR activity, changes in phenotype, and increased iron content in the potato plants. Key message: This study provides novel insight into the role of StbHLH47 in modulating iron content in Solanum tuberosum and controlling the expression of various iron homeostasis-related genes.

Summary: The emergence of multidrug resistance in cancer cells necessitates the development of new therapeutic modalities. One way cancer cells orchestrate energy metabolism and redox homeostasis is through overloaded iron pools directed by iron regulatory proteins, including transferrin. Here, we demonstrate that targeting redox homeostasis using nitrogen-based heterocyclic iron chelators and their iron complexes efficiently prevents the proliferation of liver cancer cells (EC50: 340 nM for IITK4003) and liver cancer 3D spheroids. These iron complexes generate highly reactive Fe(IV)=O species and accumulate lipid peroxides to promote oxidative stress in cells that impair mitochondrial function. Subsequent leakage of mitochondrial cytochrome c activates the caspase cascade to trigger the intrinsic apoptosis pathway in cancer cells. This strategy could be applied to leverage the inherent iron overload in cancer cells to selectively promote intrinsic cellular apoptosis for the development of unique iron-complex-based anticancer therapeutics.

The ever-increasing growth of online services and smart connectivity of devices have posed the threat of malware to computer system, android-based smart phones, Internet of Things (IoT)-based systems. The anti-malware software plays an important role in order to safeguard the system resources, data and information against these malware attacks. Nowadays, malware writers used advanced techniques like obfuscation, packing, encoding and encryption to hide the malicious activities. Because of these advanced techniques of malware evasion, traditional malware detection system unable to detect new variants of malware. Cyber security has attracted many researchers in the past for designing of Machine Learning (ML) or Deep Learning (DL) based malware detection models. In this study, we present a comprehensive review of the literature on malware detection approaches. The overall literature of the malware detection is grouped into three categories such as review of feature selection (FS) techniques proposed for malware detection, review of ML-based techniques proposed for malware detection and review of DL-based techniques proposed for malware detection. Based on literature review, we have identified the shortcoming and research gaps along with some future directives to design of an efficient malware detection and identification framework.

Purpose: To compare the safety and efficacy parameters of intravitreal ranibizumab vs intravitreal dexamethasone (IVD) in the treatment of patients with naïve diabetic macular edema (DME) in terms of best-corrected visual acuity (BCVA), central macular thickness (CMT), and possible complications like intraocular pressure (IOP) rise and cataract progression. Methods: A hospital-based prospective and comparative study of naïve DME patients was conducted between November 2020 and October 2021 with a minimum follow-up (F/U) period of 6 months. Thirty phakic patients received one dose of IVD implant (Group A) and the other 30 (Group B) received three consecutive monthly doses of ranibizumab. The main exclusion criteria were steroid responders and the presence of ocular inflammation. Results: The mean pre-injection CMT in Group A was 405μ and reduced to 297.07μ at 3 months and 278.35μ at 6 months. Mean increase in logMAR BCVA was 0.55. The mean pre-injection IOP was 16.28 and 17.64 mm of Hg at 6 months. In Group B, the mean pre-injection CMT was 401.07μ and reduced to 276.1μ at 3 months and 292.9μ at 6 months. Mean BCVA increased to 0.37. The mean pre-injection IOP was 17.28 mm Hg and 16.42 mm Hg at 6 months. There was no significant progression of cataract in both groups. Conclusion: The mean decrease in CMT was comparable in both the groups at 6 months F/U with an improvement of BCVA with no significant IOP fluctuation or cataract progression. Hence, IVD appears to be noninferior to ranibizumab in the treatment of naïve DME.

With the voluminous information being produced by the Internet of Things (IoT) smart gadgets, the consumers with their countless service requests are also growing rapidly. As there is a huge distance between the IoT devices and the Cloud datacenter, some latency is incurred in the communication between the IoT devices and the Cloud datacenter. This latency can be reduced by introducing a Fog layer in between the Cloud and the IoT layer and therefore, it is paramount to offload those tremendous data to leverage the overloaded storage and computation to the Cloud-based systems and Fog-assisted nodes. Moreover, these heavy computations consume significant energy from the distributed Fog servers as well as Cloud datacenters. Therefore, this work addresses the task migration problem in a Fog-Cloud system and load balancing to reduce the latency rate, energy utilized and service time while increasing the resource utilization for latency-sensitive systems. This paper uses a Fuzzy logic algorithm for determining the target layers for offloading considering the resource heterogeneity and the system requirements (i.e., network bandwidth, task size, resource utilization and latency sensitivity). A Binary Linear-Weight JAYA (BLWJAYA) task scheduling algorithm has been proposed to map the incoming IoT requests to computation-rich Fog nodes/virtual machines (VMs). Numerous experimental simulations have been carried out to appraise the efficacy of the suggested method and it is evident that the suggested method outperforms other baselines with an approximate improvement of 26.2%, 12%, 7%, 8.63% and 6% for Resource utilization, Service rate, Latency rate, Energy consumption and Load balancing rate. The presented approach is generic and scalable concerning addressing the unpredictability of data and the associated latency due to the task offloading criteria within the Fog layer.

Hit-or-miss use of chemical pesticides and benightedness on the long-term impacts of hard pesticides on plants, soil, human health, and environments in conjunction with the resurgence of cabbage butterfly are the major impediments to the production of cabbage across the globe. This study, thus, was executed to disinter the effective soft pesticides which can keep the Pieris brassicae nepalensis well below the economic injury level, minimize their resurgence or even eradicate them so as to surge the production and productivity of cabbage in Salyan district, Nepal from April to July 2022. The experiment was set down in one factorial randomized complete block design with soft pesticides: Neemix @5ml/l, Cow urine solution@ 1:10, Botanical extract fermented with cow urine (BEFCU)@1:5, Emamectin benzoate @2gm/l, Spinosad @0.3ml/l, Cypermethrin@2ml/l, and Control, were used as treatments and each treatment were replicated thrice. Mean larval population, percentage of infested leaves, average hole per infested leaves, head diameter, height, and yield of cabbage were the parameters that were documented during the entire experimental period. Spraying of soft pesticides unraveled significant sway in larval mortality as well as diminution in the damage. Zenithal reduction in the cabbage butterfly population was recorded on the application of Spinosad (80%) followed by Cypermethrin (71.29%), Emamectin benzoate (71.25%), and Neemix (67.22%). Similarly, the nadir percentage of damage on leaves was documented on the application of Spinosad and Cypermethrin followed by Emamection benzoate. Maximum head diameter (16.10 cm) and yield (23.44 Mt/ha) were obtained when cabbage was sprayed with Spinosad followed by Cypermethrin whereas minimum head diameter (13.37 cm) and yield (13.76 Mt/ha) was recorded with the control. Spinosad and Cypermethrin, thus, are superior soft pesticides for the management of cabbage butterfly relative to other treatments in Salyan district. Farmers, therefore, are suggested to exploit Spinosad and Cypermethrin for the control and management of cabbage butterfly in an attempt to boost the production and productivity of cabbage.

Abstract Physical activity and mental well-being play an important role in reducing the risk of various diseases and in promoting independence among older adults. Appropriate physical activity, including yoga and mindfulness practices, can help rectify the loss of independence due to aging and have a positive influence on physical health and functional activities. This study assessed rural–urban differences in yoga and mindfulness practices and their associated factors among middle-aged and older Indian adults. The total sample size considered for the current analysis was 72,250 middle-aged and older adults (aged ≥ 45 years). Bivariate and multivariable logistic regression analyses were used to estimate the prevalence of yoga and mindfulness practices and examine the associations of selected variables with yoga and mindfulness practices among the participants. Further, we used the Fairley decomposition technique to determine the factors contributing to rural–urban differences in the prevalence of yoga and mindfulness practices among middle-aged and older adults. More than 9% of middle-aged and older adults in rural areas and 14% in urban areas reported practicing yoga and mindfulness activities more than once per week. Adults aged ≥ 65 years were more likely to practice yoga and mindfulness activities than those who age 45–54 years were. Those with an education of ten years and above were 2.3 and 2.1 times higher likely to practice yoga in rural (AOR: 2.28; CI: 2.07–2.52) and urban (AOR: 2.13; CI: 1.91–2.37) areas compared to their uneducated peers, respectively. The largest contributors in diminishing the gap in yoga practice among participants were education (44.2%), caste (2.5%), chronic diseases such as hypertension (4.53%), diabetes (1.71%), high cholesterol (3.08%), self-reported pain (5.76%), and difficulties in instrumental activities of daily living (1.22%). The findings suggest that middle-aged and older adults in urban areas practice yoga and mindfulness activities more than their peers in rural areas do. Education level, household characteristics, and health outcomes such as chronic conditions, pain, and functional difficulties explain the observed differences in yoga and mindfulness practices across rural and urban areas. Age-appropriate healthy practices such as yoga and mindfulness should be encouraged to enhance the physical and mental well-being of middle-aged and older adults, especially in rural areas.

Abstract A large body of evidence has shown a direct link between arsenic exposure and drug resistance to Leishmania parasites against antimonial preparations in visceral leishmaniasis (VL) hyper-endemic regions, especially in India and its sub-continent. However, the implicated roles of arsenic on the VL host, pathophysiological changes, and immune function have not yet been clarified, particularly at the reported concentration of arsenic in the VL hyper-endemic area of Bihar, India. Herein, we exposed the mouse VL model to arsenic (0.5 mg/L to 2 mg/L) through their drinking water and analyzed its effect on T cells proliferation, Th1/Th2-mediators, MAPK signaling cascade, and parasite load in preclinical models. Coherently, the parasite count in Giemsa stained spleen imprint has been investigated and found significant positive associations with levels of arsenic exposure. The liver and kidney function tests (AST, ALT, ALP, BUN, Creatinine, Urea, etc.) are apparent to hepatonephric toxicity in arsenic exposed VL mice compared to unexposed. This observation appears to be consistent with the up-regulated expression of immune regulatory Th2 mediators (IL-4, IL-10, TGF-β) and down-regulated expression of Th1 mediators (IL-12, IFN-γ, TNF-α) with a suppressed leishmanicidal function of macrophage (ROS, NO, iNOS). We also established that arsenic exposure modulated the host ERK-1/2 and p38 MAPK signaling cascade, limited T lymphocyte proliferation, and a lower IgG2a/IgG1 ratio to favor the Leishmania parasite survival inside the host. This study suggests that the contorted Th1-subtype and exacerbated Th2-subtype immune responses are involved in the increased susceptibility and pathogenesis of Leishmania parasite among subjects/individuals regularly exposed to arsenic.

The healthcare sector constantly investigates ways to improve patient outcomes and provide more patient-centered care. Delivering quality medical care involves ensuring that patients have a positive experience. Most healthcare organizations use patient survey feedback to measure patients’ experiences. However, the power of social media can be harnessed using artificial intelligence and machine learning techniques to provide researchers with valuable insights into understanding patient experience and care. Our primary research objective is to develop a social media analytics model to evaluate the maternal patient experience during the COVID-19 pandemic. We used the “COVID-19 Tweets” Dataset, which has over 28 million tweets, and extracted tweets from the US with words relevant to maternal patients. The maternal patient cohort was selected because the United States has the highest percentage of maternal mortality and morbidity rate among the developed countries in the world. We evaluated patient experience using natural language processing (NLP) techniques such as word clouds, word clustering, frequency analysis, and network analysis of words that relate to “pains” and “gains” regarding the maternal patient experience, which are expressed through social media. The pandemic showcased the worries of mothers and providers on the risks of COVID-19. However, many people also shared how they survived the pandemic. Both providers and maternal patients had concerns regarding the pregnancy risks due to COVID-19. This model will help process improvement experts without domain expertise to understand the various domain challenges efficiently. Such insights can help decision-makers improve the patient care system.

Abstract A reliable understanding of linkages between meteorological, hydrological and agricultural droughts (MD, HD, and AD respectively) is crucial to building resilience and planning for future climate changes. Despite Australia being prone to severe droughts, lagtimes of propagation (and recovery), from meteorological to hydrological and agricultural droughts across its large hydroclimatic regions, are poorly understood. Therefore, we investigate the characteristics of drought propagation and recovery time lags for droughts of four timescales and a combination of drought onset and cessation criteria in 407 unregulated catchments within six major precipitation zones across the country. We find that the propagation and recovery lags depend on climatic conditions, drought criteria and timescales. The median of catchment average propagation times from MD to HD across Australia varied from 0.8 to 1.7 months for 1‐month timescales, increasing to 2.2–5.0 months for 12‐month timescales. The corresponding recovery lagtimes were 1.3–3.7 and 1.7–7.0 months respectively. Similarly, the median of catchment average propagation times from MD to AD ranged from 0.8 to 1.9 months for 1‐month timescales, increasing to 0.6–5.0 months for 12‐month. The corresponding recovery lagtimes were 0.7–2.8 and 0.3–8.7 months respectively. For droughts of smaller timescales, propagation and recovery lags are linearly correlated with recovery lagtimes consistently greater than propagation times. However, as the timescale increases, these relationships weaken suggesting effects of other catchment attributes (e.g., groundwater contributions) on lag relationships.

Thioredoxin reductase 1 (Txnrd1) is known to have prognostic significance in a subset of breast cancer patients. Despite the pivotal role of Txnrd1 in regulating several cellular and physiological processes in cancer progression and metastasis, its clinical significance is largely unrecognized. Here, we undertook a retrospective comprehensive meta-analysis of 13,322 breast cancer patients from 43 independent cohorts to assess prognostic and predictive roles of Txnrd1. We observed that Txnrd1 has a positive correlation with tumor grade and size and it is over-expressed in higher-grade and larger tumors. Further, hormone receptor-negative and HER2-positive tumors exhibit elevated Txnrd1 gene expression. Patients with elevated Txnrd1 expression exhibit significant hazards for shorter disease-specific and overall survival. While Txnrd1 has a positive correlation with tumor recurrence and metastasis, it has a negative correlation with time to recurrence and metastasis. Txnrd1High patients exhibit 2.5 years early recurrence and 1.3 years early metastasis as compared to Txnrd1Low cohort. Interestingly, patients with high Txnrd1 gene expression exhibit a pathologic complete response (pCR) to neoadjuvant chemotherapy, but they experience early recurrence after radiotherapy. Txnrd1High MDA-MB-231 cells exhibit significant ROS generation and reduced viability after doxorubicin treatment compared to Txnrd1Low MCF7 cells. Corroborating with findings from meta-analysis, Txnrd1 depletion leads to decreased survival, enhanced sensitivity to radiation induced killing, poor scratch-wound healing, and reduced invasion potential in MDA-MB-231 cells. Thus, Txnrd1 appears to be a potential predictor of recurrence, metastasis and therapy response in breast cancer patients.

Background: Despite a huge number of advancements in the medical field, periodontitis still remains one of the most prevalent oral diseases worldwide. Aim: Thus, the primary aim of our study was to evaluate the prevalence of periodontal diseases in patients reporting to the tertiary healthcare setup in Ranchi. Materials and Methods: Based on inclusion criteria, subjects aged 18–60 years were selected and a per forma was filled by the observer. The prevalence of periodontal disease was measured using the community periodontal index, simplified oral hygiene index, and stage of periodontitis. Results: Descriptive variables were assessed using frequency, percentage, mean, and standard deviations, while the categorical analysis was performed using the Chi-square tests. Conclusion: General awareness about periodontal health and regular dental visits should be given utmost importance among the rural populations of every developing country.

Abstract Electrochemical reduction of CO2 presents an attractive way to store renewable energy in chemical bonds in a potentially carbon-neutral way. However, the available electrolyzers suffer from intrinsic problems, like flooding and salt accumulation, that must be overcome to industrialize the technology. To mitigate flooding and salt precipitation issues, researchers have used super-hydrophobic electrodes based on either expanded polytetrafluoroethylene (ePTFE) gas-diffusion layers (GDL’s), or carbon-based GDL’s with added PTFE. While the PTFE backbone is highly resistant to flooding, the non-conductive nature of PTFE means that without additional current collection the catalyst layer itself is responsible for electron-dispersion, which penalizes system efficiency and stability. In this work, we present operando results that illustrate that the current distribution and electrical potential distribution is far from a uniform distribution in thin catalyst layers (~50 nm) deposited onto ePTFE GDL’s. We then compare the effects of thicker catalyst layers (~500 nm) and a newly developed non-invasive current collector (NICC). The NICC can maintain more uniform current distributions with 10-fold thinner catalyst layers while improving stability towards ethylene (≥ 30%) by approximately two-fold.

Ammonia synthesis is one of the most important chemical reactions. Due to thermodynamic restrictions and the reaction requirements of the current commercial iron catalysts, it is also one of the worst reactions for carbon dioxide emissions and energy usage. Ruthenium-based catalysts can substantially improve the environmental impact as they operate at lower pressures and temperatures. In this work, we provide a screening of more than 40 metals as possible promoter options based on a Ru/Pr2O3 catalyst. Cesium was the best alkali promoter and was held constant for the series of double-promoted catalysts. Ten formulations outperformed the Ru-Cs/PrOx benchmark, with barium being the best second promoter studied and the most cost-effective option. Designs of experiments were utilized to optimize both the pretreatment conditions and the promoter weight loadings of the doubly promoted catalyst. As a result, optimization led to a more than five-fold increase in activity compared to the unpromoted catalyst, therefore creating the possibility for low-ruthenium ammonia synthesis catalysts to be used at scale. Further, we have explored the roles of promoters using kinetic analysis, X-ray Photoelectron Spectroscopy (XPS), and in situ infrared spectroscopy. Here, we have shown that the role of barium is to act as a hydrogen scavenger and donor, which may permit new active sites for the catalyst, and have demonstrated that the associative reaction mechanism is likely used for the unpromoted Ru/PrOx catalyst with hydrogenation of the triple bond of the dinitrogen occurring before any dinitrogen bond breakage.

The autonomic nervous system plays an integral role in motion and sensation as well as the physiologic function of visceral organs. The nervous system additionally plays a key role in primary liver diseases. Until recently, however, the impact of nerves on cancer development, progression, and metastasis has been unappreciated. This review highlights recent advances in understanding neuroanatomical networks within solid organs and their mechanistic influence on organ function, specifically in the liver and liver cancer. We discuss the interaction between the autonomic nervous system, including sympathetic and parasympathetic nerves, and the liver. We also examine how sympathetic innervation affects metabolic functions and diseases like nonalcoholic fatty liver disease (NAFLD). We also delve into the neurobiology of the liver, the interplay between cancer and nerves, and the neural regulation of the immune response. We emphasize the influence of the neuroimmune axis in cancer progression and the potential of targeted interventions like neurolysis to improve cancer treatment outcomes, especially for hepatocellular carcinoma (HCC).

Endometriosis, an incurable gynecological disease that causes abnormal growth of uterine-like tissue outside the uterine cavity, leads to pelvic pain and infertility in millions of individuals. Endometriosis can be treated with medicine and surgery, but recurrence and comorbidities impair quality of life. In recent years, nanoparticle (NP)-based therapy has drawn global attention, notably in medicine. Studies have shown that NPs could revolutionize conventional therapeutics and imaging. Researchers aim to enhance the prognosis of endometriosis patients with less invasive and more effective NP-based treatments. This study evaluates this potential paradigm shift in endometriosis management, exploring NP-based systems for improved treatments and diagnostics. Insights into nanotechnology applications, including gene therapy, photothermal therapy, immunotherapy, and magnetic hyperthermia, offering a theoretical reference for the clinical use of nanotechnology in endometriosis treatment, are discussed in this review.

High pressure study is crucial in chemical, physical and materials sciences for understanding phase transitions, new phase evolution and in designing pressure sensors. Utilizing the high potential of pyrochlore as luminescent sensors and its structural diversity, Lu2Sn2O7:5.0%Eu3+ (LSOE) nanoparticles (NPs) have been synthesized using a hydrothermal method and characterized at ambient condition using x-ray diffraction (XRD), Raman spectroscopy and field emission scanning electron microscopy (FESEM). The reduced intensity of hypersensitive electric dipole transitions (5D0→7F2), reduction in average luminescence lifetime, and increase in symmetry around Eu3+ has also being observed in the LSOE NPs induced by the applied high pressure. The same is reflected in color tuning from red to orange to yellow on switching pressure from low to medium to high. Lifetime spectroscopy suggests that high pressure causes site-swapping of europium ion from Lu3+ to Sn4+, which triggers change in local symmetry around Eu3+. This work will pave a newer way of designing high pressure induced color tunable phosphor, high pressure sensor and need-based site engineering in pyrochlore compounds and their nanomaterials for high pressure applications.

The stem bark of Salix alba (SA) is extensively used in herbal medicine and nutraceuticals. The non-availability of quality standard available for SA stem bark in the Ayurvedic Pharmacopeia of India (API) leads inability to trace adulteration. In the current study, quality standard of SA stem bark has been developed in the interest of quality control, as per international standards including API parameters. The geographical changes could play a vital role in phytochemicals’ and nutrients’ variations. Hence, the samples from different geolocations and markets were analysed along with the cultivated plant sample. A comprehensive study including identification and authentication by DNA barcoding and pharmacognostic evaluation, physicochemical and phytochemical analysis by HPTLC was carried out. Moreover, a validated HPLC method was developed for the quantification of three phytochemicals (Salicin, Procyanidin B1 and Catechin) for the standardization of SA stem bark. The complete profiling of volatile metabolites and non-volatile metabolites was done by using GC–MS and LC-MS techniques, respectively. In ICP-OES based elemental analysis, heavy metals were observed below permissible limits, and SA stem bark has shown significant amount of essential metal ions like Na, Mg, Ca, Fe, Cu, and Zn. The observed total phenol content (TPC) and total flavonoid content (TFC) for all samples of SA stem bark ranged from 16.69 to 50.30 mg GAE/ g of wt. and 124.57 to 347.76 mg QCE/ g of wt., respectively. In DPPH assay, the observed IC50 values of SA stem bark ranged from 0.58 to 2.08 mg/mL. In antibacterial assay, SA stem bark has shown promising results against S. aureus and B. subtilis strains with inhibition zones of 20 ± 4 mm. Overall, this is first report comprising of advanced quality standard and detailed standardization of SA stem bark with quantification of three important phytochemicals by HPLC along with the quantification of essential metal ions and other in vitro assays. Moreover, the study revealed that the fresh stem bark sample may contain significant content of phytochemicals and antibacterial activity.

An experiment was conducted during the rainy (kharif) seasons of 2021 and 2022 at the Norman E. Borlaug (NEB) Crop Research Centre at Govind Ballabh Pant University of Agriculture and Technology, Pantnagar, Uttarakhand to study the effect of different establishment methods and weed management practices on growth and yield of rice (Oryza sativa L.). The study was carried in a split plot design with 3 replications. In main plot 4 rice establishment methods and in sub plot 4 weed management practices were included. The results revealed that significantly higher grain yield was recorded in mechanical line sowing (S2) over rest of the treatment. According to the pooled data analysis of grain yield the per cent increase in mechanical line sowing (S2) over broadcasting (S1), raised bed system (S3) and semi-dry system (S4) was 23.1%, 17.6% and 8.1%, respectively. Among the different weed management practices grain yield was recorded maximum in W3 (pre emergence herbicide followed by two manual weeding) treatment which showed at par results with W2 (pre emergence followed by post emergence herbicide) treatment. The per cent grain yield increase in pre emergence herbicide followed by two manual weeding (W3) over manual weeding (W1), pre emergence followed by post emergence herbicide (W2) and mechanical weeding (W4) was 19.3%, 0.75% and 31.7%, respectively. Weed density was recorded minimum in mechanical line sowing (S2) and raised bed system (S3). At panicle initiation stage significantly lower weed density was recorded in mechanical line sowing (S2). However, among the weed management practices manual weeding (W1) and pre emergence herbicide followed by two manual weeding (W3) treatments recorded at par. Weed dry weight remain non-significant under different rice establishment methods during active tillering as well as panicle initiation stage.

There is a need for low cost red emitting materials for commercial phosphor converted white light emitting diodes (pc-WLEDs) due to low color rendering index (CRI) and high correlated color temperature (CCT) of currently existing InGaN pumped YAG:Ce3+ white LED. The present study involves the synthesis, characterisation and photoluminescence studies of Eu doped albite (NaAlSi3O8: x%Eu3+, x = 0, 0.5, 1, 2, 5). Successful doping of Eu3+ at Na+ site was observed to result in a small expansion of the unit cell. Under 395 nm excitation the phosphors show intense red band at 614 nm due to the trivalent europium ions. There is an enhancement in their red emission as well as internal quantum efficiency from 67 to 73 % with increase in the europium concentration. The luminescence decay lifetime of NaAlSi3O8: x%Eu3+ phosphor is having biexponential decay with short life time in microseconds and long lifetime in milliseconds endowed by their different proximity to sodium vacancies. The powdered sample was also converted to its glassy form by heating at 1200 °C to compare their photophysical properties. High asymmetry ratio and improved PL emission intensity of europium ion was found in the albite glass compared to crystalline powder whereas luminescence lifetime reduces. The CIE chromaticity diagram indicates the high color purity of the synthesized material. The present work demonstrated that the synthesized Eu3+ doped Albite powder and glass as a potential low-cost red emitting phosphor for the UV excitation.

Adiantum venustum D. Don (Himalayan or Evergreen maiden hair fern), also known as ‘Hansraj’ in India, is a pteridophytes that grows extensively in tropical and temperate areas. It has been used in traditional medicines to treatment cough, cold, fever, and headache. However, the information available is scarce and scattered. So, the primary goal of this review is to provide complete and updated knowledge about the distribution, morphology, pharmacognostic characteristics, chemistry and biological activities of A. venustum to assess its therapeutic potential and future research opportunities. Different parts of this fern have been extensively used in traditional medicines to treatment diseases from time immemorial. It is a reservoir of active chemical compounds like terpenoids, flavonoids, fatty acids, sterol, carotenoids and others, which possesses antimicrobial, antiviral, antitumor, and anti-analgesic properties. The current review has been designed to provide the upto-date knowledge and perspectives about A. venustum and its potential use as a therapeutic plant. So, researchers should take a keen interest in exploring and isolating new active components, bio-assay their pharmaceutical values and mode of action, and conducting clinical trials to justify their reported studies on human health benefits.

Abstract Antiangiogenic treatment targeting the vascular endothelial growth factor (VEGF) pathway is a powerful tool to combat tumor growth and progression; however, drug resistance frequently emerges. We identify CD5L (CD5 antigen-like precursor) as an important gene upregulated in response to antiangiogenic therapy leading to the emergence of adaptive resistance. By using both an RNA-aptamer and a monoclonal antibody targeting CD5L, we are able to abate the pro-angiogenic effects of CD5L overexpression in both in vitro and in vivo settings. In addition, we find that increased expression of vascular CD5L in cancer patients is associated with bevacizumab resistance and worse overall survival. These findings implicate CD5L as an important factor in adaptive resistance to antiangiogenic therapy and suggest that modalities to target CD5L have potentially important clinical utility.

Abstract We present a database resulting from high throughput experimentation, primarily on metal oxide solid state materials. The central relational database, the Materials Provenance Store (MPS), manages the metadata and experimental provenance from acquisition of raw materials, through synthesis, to a broad range of materials characterization techniques. Given the primary research goal of materials discovery of solar fuels materials, many of the characterization experiments involve electrochemistry, along with optical, structural, and compositional characterizations. The MPS is populated with all information required for executing common data queries, which typically do not involve direct query of raw data. The result is a database file that can be distributed to users so that they can independently execute queries and subsequently download the data of interest. We propose this strategy as an approach to manage the highly heterogeneous and distributed data that arises from materials science experiments, as demonstrated by the management of over 30 million experiments run on over 12 million samples in the present MPS release.

Abstract Cytomegalovirus (CMV) is a widely prevalent herpesvirus that reaches seroprevalence rates of up to 95% in several parts of the world. The majority of CMV infections are asymptomatic, albeit they have severe detrimental effects on immunocompromised individuals. Congenital CMV infection is a leading cause of developmental abnormalities in the USA. CMV infection is a significant risk factor for cardiovascular diseases in individuals of all ages. Like other herpesviruses, CMV regulates cell death for its replication and establishes and maintains a latent state in the host. Although CMV-mediated regulation of cell death is reported by several groups, it is unknown how CMV infection affects necroptosis and apoptosis in cardiac cells. Here, we infected primary cardiomyocytes, the contractile cells in the heart, and primary cardiac fibroblasts with wild-type and cell-death suppressor deficient mutant CMVs to determine how CMV regulates necroptosis and apoptosis in cardiac cells. Our results reveal that CMV infection prevents TNF-induced necroptosis in cardiomyocytes; however, the opposite phenotype is observed in cardiac fibroblasts. CMV infection also suppresses inflammation, reactive oxygen species (ROS) generation, and apoptosis in cardiomyocytes. Furthermore, CMV infection improves mitochondrial biogenesis and viability in cardiomyocytes. We conclude that CMV infection differentially affects the viability of cardiac cells.

Gairika (red ochre) has a long history of influencing human civilization. Gairika is a rich source of nutrients used for reproductive and brain health. Gairika is mentioned as an antacid drug in Indian Ayurvedic medicine under Laghu Sutashekhara Rasa (LSR). However, a detailed study on LSR has not been reported to date. In the present study, LSR was prepared, and a pharmaceutical SOP (standardization procedure) was reported to obtain batch-to-batch reproducibility. LSR was characterized using FTIR, XRD, SEM-EDX, and TGA analyses. LSR was tested in vitro for its antacid activity. Advanced instrumentation revealed that LSR formation produced symmetrical particles (5–8 µm) with kaolin, kaolinite, quartz, goethite, and hematite, along with the phytoconstituents of Goghrita (clarified cow’s butter), Shunthi, and Nagawalli, as confirmed by GC-MS/MS analysis. The FTIR study revealed the formation of a chelating complex of goethite and hematite along with their phytoconstituents. XRD analysis confirmed the presence of kaolin, kaolinite, quartz, goethite, and hematite. Using in vitro antacid experiments, LSR and Shunthi demonstrated significant antacid activity as compared to antacid drugs and standards in the market, such as CaCO3. The DPPH assay revealed IC50 values of 12.16 ± 1.23 mg/mL, which is 0.0029 of Trolox-equivalent antioxidant activity. The inhibition (18 ± 4 mm) against pathogens (S. aureus, E. coli, P. aeruginosa, and B. subtilis) and the prominent growth of gut microbiota-supported strains (S. boulardii, L. paracasei, and L. plantarum) observed on LSR formulation were indicative of LSR application as a prebiotic. Here, the mechanism of purification and levigation mentioned in the classical literature of LSR was established. Overall, purification of Gairika with cow ghee and levigation with Nagawalli may enhance the solubility, bioavailability, and shelf-life of LSR through hydration and co-crystallization mechanisms. This is the first comprehensive report on the pharmaceutical validation of LSR and its characterization. The results of the present study could contribute to the development and reliable reproduction of LSR and the utility of environmental red ochre as a medicine in combination with Shunthi (Zingiber officinale Roxb.), as prescribed under Indian Ayurvedic medicine.

BackgroundThe increasing burden of depression and noncommunicable disease (NCD) is a global challenge, especially in low- and middle-income countries, considering the resource constraints and lack of trained human resources in these settings. Effective treatment of depression in people with NCDs has the potential to enhance both the mental and physical well-being of this population. It will also result in the effective use of the available health care resources. Brief psychological therapies, such as behavioral activation (BA), are effective for the treatment of depression. BA has not been adapted in the community health care services of India, and the feasibility of using BA as an intervention for depression in NCD and its effectiveness in these settings have not been systematically evaluated. ObjectiveOur objective is to adapt BA for the Indian NCD context and test the acceptability, feasibility, and implementation of the adapted BA intervention (BEACON intervention package [BIP]). Additionally, we aim to test the feasibility of a randomized controlled trial evaluation of BIP for the treatment of depression compared with enhanced usual care. MethodsFollowing well-established frameworks for intervention adaptation, we first adapted BA (to fit the linguistic, cultural, and resource context) for delivery in India. The intervention was also adapted for potential remote delivery by telephone. In a randomized controlled trial, we will be testing the acceptability, feasibility, and implementation of the adapted BA intervention (BIP). We shall also test if a randomized controlled feasibility trial can be delivered effectively and estimate important parameters (eg, recruitment and retention rates and completeness of follow-up) needed to design a future definitive trial. ResultsFollowing the receipt of approval from all the relevant agencies, the development of the BIP was started on November 28, 2020, and completed on August 18, 2021, and the quantitative data collection was started on August 23, 2021, and completed on December 10, 2021. Process evaluation (qualitative data) collection is ongoing. Both the qualitative and quantitative data analyses are ongoing. ConclusionsThis study may offer insights that could help in closing the gap in the treatment of common mental illness, particularly in nations with limited resources, infrastructure, and systems such as India. To close this gap, BEACON tries to provide BA for depression in NCDs through qualified NCD (BA) counselors integrated within the state-run NCD clinics. The results of this study may aid in understanding whether BA as an intervention is acceptable for the population and how feasible it will be to deliver such interventions for depression in NCD in South Asian countries such as India. The BIP may also be used in the future by Indian community clinics as a brief intervention program. Trial RegistrationClinical Trials Registry of India CTRI/2020/05/025048; https://tinyurl.com/mpt33jv5 International Registered Report Identifier (IRRID)DERR1-10.2196/41127

Study region: The study region includes two glaciers from Alaknanda and Bhagirathi river basins in Central Himalaya. Study focus: The study focuses on the analysis of high-resolution isotopic data sets of different components of the streamflow with ground-based meteorological observations from Automatic Weather Stations (AWSs) at two glaciers (∼4000 m asl). New hydrological insights for the region: The glaciers in the Himalaya are difficult to access due to their topography and climate and require complicated logistics to work in the region. Hence, the understanding of hydrological processes in this region is limited. The debris cover (sublimation of surface ice), orientation and microclimatic conditions (temperature, wind and rain) of the two glaciers control the isotope signatures of the glacier surface ice in the Himalayan region, indicating heterogeneity and complexity in the isotopic compositions. The studies estimating the contribution of different components to the streamflow downstream using generalized values of stable isotopes (glacier ice, snow) are complicated, as several glaciers contribute to the total runoff in large basins. The stable isotopes of streamflow indicate the contribution of snow and ice melt during early ablation (May-Jun.); rainfall and ice melt during the ISM (Jul.-Aug.) and ice melt during late ablation (Sep.-Oct.). The contribution of snow-glacier melt and rainfall for the ablation season (Jun.-Oct.) was 89% and 11%, respectively. The separation of the hydrograph is complex, site and time-specific, which needs attention.

Abstract Diabetes mellitus is one of the prime risk factors for cardiovascular complications and is linked with high morbidity and mortality. Diabetic cardiomyopathy (DCM) often manifests as reduced cardiac contractility, myocardial fibrosis, diastolic dysfunction, and chronic heart failure. Inflammation, changes in calcium (Ca2+) handling and cardiomyocyte loss are often implicated in the development and progression of DCM. Although the existence of DCM was established nearly four decades ago, the exact mechanisms underlying this disease pathophysiology is constantly evolving. Furthermore, the complex pathophysiology of DCM is linked with exosomes, which has recently shown to facilitate intercellular (cell-to-cell) communication through biomolecules such as micro RNA (miRNA), proteins, enzymes, cell surface receptors, growth factors, cytokines, and lipids. Inflammatory response and Ca2+ signaling are interrelated and DCM has been known to adversely affect many of these signaling molecules either qualitatively and/or quantitatively. In this literature review, we have demonstrated that Ca2+ regulators are tightly controlled at different molecular and cellular levels during various biological processes in the heart. Inflammatory mediators, miRNA and exosomes are shown to interact with these regulators, however how these mediators are linked to Ca2+ handling during DCM pathogenesis remains elusive. Thus, further investigations are needed to understand the mechanisms to restore cardiac Ca2+ homeostasis and function, and to serve as potential therapeutic targets in the treatment of DCM.

Abstract Background Over the years, phytomedicines have been widely used as natural modalities for the treatment and prevention of various diseases by different ethnic groups across the globe. Although, 25% of drugs in the USA contain at least one plant-derived therapeutic compound, currently there is a paucity of plant-derived active medicinal ingredients in the pharmaceutical industry. Scientific evidence-based translation of plant-derived ethnomedicines for their clinical application is an urgent need. The anticancer and associated properties (antioxidative, anti-inflammatory, pro-apoptotic and epithelial-mesenchymal transition (EMT) inhibition) of various plant extracts and phytochemicals have been elucidated earlier. Several of the plant derivatives are already in use under prophylactic/therapeutic settings against cancer and many are being investigated under different phases of clinical trials. Main body The purpose of this study is to systematically comprehend the progress made in the area of prophylactic and therapeutic potential of the anticancerous plant derivatives. Besides, we aim to understand their anticancer potential in terms of specific sub-phenomena, such as anti-oxidative, anti-inflammatory, pro-apoptotic and inhibition of EMT, with an insight of the molecules/pathways associated with them. The study also provides details of classes of anticancer compounds, their plant source(s) and the molecular pathway(s) targeted by them. In addition to the antioxidative and antiproliferative potentials of anticancer plant derivatives, this study emphasizes on their EMT-inhibition potential and other ‘anticancer related’ properties. The EMT is highlighted as a phenomenon of choice for targeting cancer due to its role in the induction of metastasis and drug resistance. Different phytochemicals in pre-clinical or clinical trials, with promising chemopreventive/anticancer activities have been enlisted and the plant compounds showing synergistic anticancer activity in combination with the existing drugs have been discussed. The review also unravels the need of carrying out pan-signalome studies for identifying the cardinal pathways modulated by phytomedicine(s), as in many cases, the molecular pathway(s) has/have been randomly studied. Conclusion This review systematically compiles the studies regarding the impact of various plant derivatives in different cancers and oncogenic processes, as tested in diverse experimental model systems. Availability of more comprehensive information on anticancer phyto-constituents, their relative abundance in crude drugs, pathways/molecules targeted by phytomedicines, their long-term toxicity data and information regarding their safe use under the combinatorial settings, would open greater avenues of their utilization in future against this dreaded disease. Graphical Abstract

Background: Pictorial health warnings (PHW) are an effective strategy to deter or reduce tobacco use. This study was conducted to determine the level of awareness of PHWs on tobacco products and their correlates among adults attending the outpatient department (OPD) of a tertiary care facility in Eastern India. Materials and Methods: This cross-sectional study was conducted over a period of 3 months among 307 patients aged 18 years to 65 years. A pre-tested semi-structured questionnaire was used for the collection of data and inferential statistics were performed using JAMOVI version 2.3.21. Results: About 84% (95% CI, 78.9-87.2) of the participants were aware of PHW on tobacco products, 82.4% (95% CI, 77.8-86.3) for smoked forms and 51.8% (95% CI, 46.2-57.3) for smokeless forms. More than half of the participants felt that the current PHW were ineffective. Male [AOR, 3.13; 95% CI, 1.33-7.37], being educated [AOR, 3.37; 95% CI, 1.29-8.76], employment [AOR, 5.65; 95% CI, 1.21-26.30] and ever-tobacco use [AOR, 3.23; 95% CI, 1.43-7.2] were found to be independent correlates of PHW awareness for smoked tobacco products, whereas as being male [AOR, 2.01; 95% CI, 1.02-3.95] and being young (18-30 years) [AOR, 2.51; 95% CI, 1.08-5.84] were found to be the independent predictors of PHW awareness for smokeless tobacco products (SLT). Conclusion: Four out of every five individuals were aware of pictorial health warnings (PHW) on tobacco products; however, it was much less for SLT compared to smoked tobacco products. Male, being educated, employment and ever-tobacco use were independent correlates of awareness for the smoked form of tobacco products, whereas being young (18-30 years) was an independent predictor of awareness for SLT.

Introduction: Bihar has experienced high nutritional public health problem among children and women over the years. In this background, this study was planned to find the level of food insecurity and identify contributing factors in rural Bihar. Material and Methods: We conducted community-based cross-sectional study among 255 families residing in villages catered by RHTC, Naubatpur. A pretested semi-structured interview schedule and HFIAS were used. Result: A total of 27.8% of the 255 households were food insecure, of which 73.3% were severely food insecure. Kutcha houses, dispossession of agricultural land, and lower SES were found to be predictors. Conclusion: Around one in three families experienced food insecurity, and it was more among families residing in kutcha houses, without possession of agricultural land and belonging to lower socioeconomic status.

Ophthalmic disorders have psychiatric aspects associated with them at various levels. Psychological factors have a well-documented role in the causation, aggravation, and maintenance of various ophthalmic conditions, including glaucoma, central serous retinopathy, dry eye disease, and retinitis pigmentosa. Many ophthalmic conditions, including blindness, have psychological manifestations as well, which need to be addressed, in addition to the ophthalmic pathology. There is also significant overlap in the treatment of the two disciplines in many ways. For instance, many ophthalmic drugs have psychiatric side effects. Even ophthalmological surgeries have psychiatric aspects associated with them, which primarily include black patch psychosis and anxiety in the operation theater. This review will be useful for psychiatrists and ophthalmologists, for their clinical practice and research. Future research should focus on this interface to give it its well-deserved attention.

Introduction: Proximal hypospadias repair has many postoperative complications such as urethrocutaneous fistulae, wound dehiscence, and urethral stricture. The beneficial effect of estrogen to promote wound healing has been known. We designed a study to determine whether preoperative stimulation of tissue with estrogen can reduce the postoperative complications associated with wound healing in patients undergoing hypospadias repair. Methods: Patients with proximal hypospadias requiring two-stage repairs (chordee correction followed by urethral tubularization) were randomized to estrogen and control groups before the second stage of surgery. In the former, topical estrogen cream (0.5 mg of estriol) was applied to the ventral penis for a month, whereas normal saline gel was applied to the latter; the urethroplasty was carried out thereafter. Patients were followed up for complications. Results: There were 29 patients in the estrogen group and 31 in the placebo group after the exclusion criteria were met. There was no significant difference in the overall postoperative complications between the estrogen group (44.8%) and the placebo group (51.6%). The occurrence of urethrocutaneous fistula (37.9% vs. 51.6%) and dehiscence (41.4% vs. 45.2%) was not significantly different between the estrogen and placebo groups. Neourethral stricture occurred in four patients in the estrogen group, while none of the patients in the placebo group developed stricture. Conclusions: The preoperative application of topical estrogen cream to the ventral penis failed to demonstrate any significant effect on wound healing and complications.

Electro-catalytic activity of Pt in the oxygen reduction reaction (ORR) depends strongly on its morphology. For an understanding of how morphology affects the catalytic properties of Pt, the investigation of Pt materials having well-defined morphologies is required. However, the challenges remain in rational and facile synthesis of Pt particles with tuneable well-defined morphology. A promising approach for the controlled synthesis of Pt particles is ‘self-assembly of building blocks’. Here, we report a unique synthesis method to control Pt morphology by using a self-assembly route, where nanoflower, nanowire, nanosheet and nanotube morphologies of Pt particles have been produced in a controlled manner. In the growth mechanism, Pt nanoparticles (5–11 nm) are rapidly prepared by using NaBH4 as a reductant, followed by their agglomeration promoted by adding 1,2-ethylenediamine. The morphology of the resulting Pt particles can be easily controlled by tuning hydrophobic/hydrophilic interactions by the addition of isopropanol and H2O. Of the Pt particles prepared using this method, Pt nanotubes show the highest ORR catalytic activity in an acid electrolyte with an onset potential of 1.02 V vs. RHE.

AVR-48 is a structural derivative of chitin previously shown by our laboratory to significantly decrease lung injury parameters in LPS, hyperoxia and sepsis-induced rodent models. The current study objectives are to determine the cellular mechanism of action and demonstrate efficacy in a mouse bacterial lung infection model. For in vitro receptor binding and macrophage polarization studies, C57Bl/6J mouse derived spleens and human peripheral blood mononuclear cells (hPBMCs) were treated with AVR-48 ± LPS or biotin conjugated AVR-48. Different macrophage types were determined using flow cytometry and secreted cytokines were measured using ELISA. In vivo, a CD-1 mouse Pseudomonas aeruginosa lung infection was treated with AVR-48, assessing bacterial colony forming unit (CFU), IL-10 and IL-17A levels in lung and blood samples. AVR-48 binds to both the toll-like receptor 4 (TLR4) and the CD163 receptor on mouse monocytes. In hPBMCs, frequency of intermediate macrophages increased upon AVR-48 treatment for 72 h. Increased bacterial phagocytosis/intracellular killing were observed in THP-1 cells and reduction in CFU in CD-1 mouse lungs. Binding of AVR-48 to both TLR4 and CD163 receptors bring the macrophages to an intermediary stage, resulting in increased phagocytosis and decreased inflammation, altogether providing an optimal immune balance for treating lung injury and infection.

New chemical components to female spider pheromones are identified in the false black widow spider, Steatoda grossa.