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Abstract Aedes aegypti and Aedes albopictus mosquitoes spread major vector-borne viral diseases in tropical and sub-tropical regions of the globe. In this study, we sequenced the genome of Indian Ae. aegypti and Ae. albopictus and mapped to their reference genomes. Comparative genomics were performed between our strain and the reference strains. A total of 14,416,484 single nucleotide polymorphisms (SNPs) and 156,487 insertions and deletions (InDels) were found in Ae. aegypti, and 28,940,433 SNPs and 188,987 InDels in Ae. albopictus. Particular emphasis was given to gene families involved in mosquito digestion, development, and innate immunity, which could be putative candidates for vector control. Serine protease cascades and their inhibitors called serpins, play a central role in these processes. We extracted high-impact variants in genes associated with serine proteases and serpins. This study reports for the first time a high coverage genome sequence data of an Indian Ae. albopictus mosquito. The results from this study will provide insights into Indian Aedes specific polymorphisms and the evolution of immune related genes in mosquitoes, which can serve as a resource for future comparative genomics and those pursuing the development of targeted biopesticides for effective mosquito control strategies.

An analytical model is presented for light scattering associated with heat transport near a cell membrane that divides a complex system into two topologically distinct half-spaces. Our analysis is motivated by experiments on vibrational photothermal microscopy which have not only demonstrated remarkably high contrast and resolution, but also are capable of providing label-free local information of heat transport in complex morphologies. In the first Born approximation, the derived Greens function leads to the reconstruction of a full 3D image with photothermal contrast obtained using both amplitude and phase detection of periodic excitations. We show that important fundamental parameters including the Kapitza length and Kapitza resistance can be derived from experiments. Our goal is to spur additional experimental studies with high-frequency modulation and heterodyne detection in order to make contact with recent theoretical molecular dynamics calculations of thermal transport properties in membrane systems.

A field trial was conducted to investigate the ‘Phytotoxicity of pendimethalin on the emergence of seedlings in direct seeded rice (DSR) across different concentrations’ during the Kharif season of 2022 at the experimental farm of the School of Agriculture, Lovely Professional University, Phagwara, Punjab. The experiment was conducted using a randomized block design with five treatments using different doses of pendimethalin (1600, 1800, 2000, and 2200 gram active ingredient per hectare (g ai per ha), and control (untreated)). Application of pendimethalin at 1600 g ai per ha resulted in a significantly higher number of seedlings than other treatment groups. The lowest number of seedlings was observed in the 2200 g ai per ha treatment group. The number of microbes present was optimal during the treatment with 1600 g ai per ha pendimethalin. With an increase in the dosage of pendimethalin, a decrease in the count of soil microbes was observed, with the lowest microbial count observed with the highest dose of pendimethalin, i.e., 2200 g ai per ha. No phytotoxic effect was observed in the DSR treated with pendimethalin at 1600 g ai per ha. Therefore the present study has to be obtain the appropriate use of dosage to inhibit the toxicity of herbicide as well as maintain the soil fertility and microbial growth.

Background: Craniopharyngiomas are rare benign tumors located in the sellar and suprasellar region, with an incidence of 0.5–2 cases per million as reported in Western studies. Post-treatment, including surgery and/or radiotherapy, many patients develop significant obesity, primarily due to hypothalamic damage and associated complications such as hypopituitarism. In the South Asian population, genetic predisposition to obesity at lower BMIs, coupled with a carbohydrate-rich diet, may exacerbate obesity in craniopharyngioma patients, presenting a unique challenge. Methods: This submission is a commentary based on a comprehensive literature review. The authors conducted the review using PubMed to focus on English-language articles covering hypothalamic obesity, craniopharyngioma and obesity in the South Asian population from 1939 to the present. Results: The literature review revealed that 50–60 % of patients treated for craniopharyngioma develop obesity, predominantly linked to hypothalamic damage, although these data are mainly derived from Western studies. Hypopituitarism was frequently observed, further contributing to the obesity. Despite a caloric intake appropriate for the age and gender, these patients exhibited reduced physical activity as measured by wrist accelerometers. Patients with hypothalamic obesity due to craniopharyngioma are at risk for metabolic syndrome and cardiovascular morbidity. Additionally, visual impairment was common, leading to a decreased quality of life. The South Asian population, genetically predisposed to visceral obesity and a carbohydrate-rich diet, may display a distinct phenotype. Although multiple treatment modalities have been tried, there is no definite treatment modality available to counteract this condition at present. Conclusion: South Asian phenotype of craniopharyngioma-related obesity is characterized by significant metabolic and hormonal dysregulation, influenced by both dietary and genetic factors. Nevertheless, there may be a lot to be still understood about this devastating, rapid, relentless hypothalamic obesity syndrome. Also, a higher morbidity rate within this population, underscores the need for further research to develop targeted interventions.

ABSTRACTIn this study, we investigate novel fractional tuberculosis model with Caputo fractional derivative. The computational solution of the fractional tuberculosis disease is obtained with the help of the generalized Euler's method (GEM). This article considers two treatment strategies: protective treatment for latent populations and main treatment for infected ones. The compartmental structure of the six-dimensional model includes the susceptible, latent, infected, recovered, and treatment classes. To examine the nature of differential equations of fractional order that arise in biological illness, the findings produced utilizing the method under consideration are more accurate and straightforward. Additionally, the stability of the equilibrium point is also investigated. The fractional model has been graphically simulated using MATLAB22.

Two major challenges hinder the advance of aqueous zinc metal batteries for sustainable stationary storage: (1) achieving predominant Zn-ion (de)intercalation at the oxide cathode by suppressing adventitious proton co-intercalation and dissolution, and (2) simultaneously overcoming Zn dendrite growth at the anode that triggers parasitic electrolyte reactions. Here, we reveal the competition between Zn2+ vs proton intercalation chemistry of a typical oxide cathode using ex-situ/operando techniques, and alleviate side reactions by developing a cost-effective and non-flammable hybrid eutectic electrolyte. A fully hydrated Zn2+ solvation structure facilitates fast charge transfer at the solid/electrolyte interface, enabling dendrite-free Zn plating/stripping with a remarkably high average coulombic efficiency of 99.8% at commercially relevant areal capacities of 4 mAh cm-2 and function up to 1600 h at 8 mAh cm-2. By concurrently stabilizing Zn redox at both electrodes, we achieve a new benchmark in Zn-ion battery performance of 4 mAh cm-2 anode-free cells that retain 85% capacity over 100 cycles at 25 °C. Using this eutectic-design electrolyte, Zn | |Iodine full cells are further realized with 86% capacity retention over 2500 cycles. The approach represents a new avenue for long-duration energy storage.

Substantial advancements have been made in applying fractional calculus to understanding the epidemiology of viral diseases. However, it remains troubling that over 2,000,000 children, particularly those under the age of 5 and elderly individuals over 65, succumb to pneumonia annually in developing nations. This paper uses a deterministic SVEIR (susceptible, vaccinated, exposed, infected, and recovered) model to investigate pneumonia disease dynamics from a mathematical perspective. The governing model has been generalized from Caputo fractional derivatives, and the generalized Euler’s method has been used to calculate the approximate solution of the governing model. The dynamical systems theory examines the model’s stability analysis, basic reproduction number, and equilibrium points. The linearization method for spatial equilibrium and the Lyapunov functional method demonstrate that the model is locally asymptotic stable for disease-free equilibrium. Graphical results are showcased through MATLAB21 to illustrate the resolution of the problem. The research findings suggest that the disease will eventually disappear from the population if vaccination coverage rises over the necessary vaccination threshold. According to sensitivity analysis, the most sensitive factors are the transmission rate and the pace at which exposed individuals become contagious. According to the study, we must strengthen treatment effectiveness to prevent disease spreading.

In this paper, we delve into the realm of mathematical modeling as a powerful theoretical tool to understand essential aspects of medical-biological phenomena. This study focuses on developing a mathematical model incorporating the incomplete I-function (IIF) and estimating glucose supply in the human bloodstream. The results of our investigations are far-reaching, revealing many exciting scenarios across the various parameters under investigation. These results are not only practical but can also play an essential role in the contexts of medical and biological fields.

Abstract This study focuses on improving the accuracy of assessing liver damage and early detection for improved treatment strategies. In this study, we examine the human liver using a modified Atangana-Baleanu fractional derivative based on the mathematical model to understand and predict the behavior of the human liver. The iteration method and fixed-point theory are used to investigate the presence of a unique solution in the new model. Furthermore, the homotopy analysis transform method, whose convergence is also examined, implements the mathematical model. Finally, numerical testing is performed to demonstrate the findings better. According to real clinical data comparison, the new fractional model outperforms the classical integer-order model with coherent temporal derivatives.

Aqueous zinc batteries are recognized to suffer from H+/Zn2+ coinsertion in the cathode, but few approaches have been reported to suppress deleterious H+ intercalation. Herein, we realize this goal by tuning the solvation structure, using LiV2(PO4)3 (LVP) as a model cathode. Phase conversion of LVP induced by H+ intercalation is observed in 4 m Zn(OTf)2, whereas dominant Zn2+ insertion is confirmed in a ZnCl2 water-in-salt electrolyte (WiSE). This disparity is ascribed to the complete absence of free water and a strong Zn2+–H2O interaction in the latter that interrupts the H2O hydrogen bonding network, thus suppressing H+ intercalation. On the basis of this strategy, a novel PEG-based hybrid electrolyte is designed to replace the corrosive ZnCl2 WiSE. This system exhibits an optimized Zn2+ solvation sheath with a similar low free water content, showing not only much better suppression of H+ intercalation but also highly reversible Zn plating/stripping with a CE of ∼99.7% over 150 cycles.

Sediment deposition is a natural process that occurs in all reservoirs, resulting in significant storage loss, which has an adverse effect on the economic development of the local area. It is necessary to take appropriate action to control the sedimentation and prevent loss of the storage capacity of the reservoir. In the present study, runoff and sediment data collected at the Konijerla hydrometric station of Wyra reservoir for the period of 1991 to 2019 are used. Data from 2011 to 2016 is used to calibrate and the data from 2017 to 2019 is used to validate the SWAT model. The Wyra watershed consists of 26 sub-basins and 47 HRUs (Hydrological Response Units). Out of these sub-basins, one of the sub-basins is contributing 18.8% of sedimentation. It was also observed that two other sub-basins, though less in area, generate high sediments. Seasonal sediment analysis showed that sedimentation increased by 12% in the month of August for wet years. Overall sedimentation increased in wet years by 10.60% and in dry years, it decreased by 18.78%. The SWAT model was satisfactory in the calibration and validation periods for various parameters used. Hence, this model can be used for sedimentation study, as well as a planning tool in the reservoir capacity management.

Abstract Two major challenges hinder the advance of aqueous zinc metal batteries for sustainable stationary storage: (1) achieving predominant Zn-ion (de)intercalation at the oxide cathode by suppressing adventitious proton co-intercalation and dissolution, and (2) simultaneously overcoming Zn dendrite growth at the anode that triggers parasitic electrolyte reactions. Here, we reveal the competition between Zn2+ vs proton intercalation chemistry of a typical oxide cathode using ex-situ/operando techniques, and alleviate side reactions by developing a cost-effective and non-flammable hybrid eutectic electrolyte. A fully hydrated Zn2+ solvation structure facilitates fast charge transfer at the solid/electrolyte interface, enabling dendrite-free Zn plating/stripping with a remarkably high average coulombic efficiency of 99.8% at commercially relevant areal capacities of 4 mAh cm−2 and function up to 1600 h at 8 mAh cm−2. By concurrently stabilizing Zn redox at both electrodes, we achieve a new benchmark in Zn-ion battery performance of 4 mAh cm−2 anode-free cells that retain 85% capacity over 100 cycles at 25 °C. Using this eutectic-design electrolyte, Zn | |Iodine full cells are further realized with 86% capacity retention over 2500 cycles. The approach represents a new avenue for long-duration energy storage.

The present article introduces and studies the Fredholm-type integral equation with an incomplete I-function (IIF) and an incomplete $ \bar {I} $ -function (I $ \bar {I} $ F) in its kernel. First, using fractional calculus and the Mellin transform principle, we solve an integral problem involving IIF. The idea of the Mellin transform and fractional calculus is then used to analyse an integral equation using the incomplete $ \bar {I} $ -function. This is followed by the discovery and investigation of several important exceptional cases. This article's general discoveries may yield new integral equations and solutions. The desired outcomes seem to be very helpful in resolving many real-world problems whose solutions represent different physical phenomena. And also, findings help solve introdifferential, fractional differential, and extended integral equation problems.

Calcium is an essential element in our body and plays a vital role in moderating calcium signalling. Calcium is also called the second messenger. Calcium signalling depends on cytosolic calcium concentration. In this study, we focus on cellular calcium fluctuations with different buffers, including calcium-binding buffers, using the Hilfer fractional advection-diffusion equation for cellular calcium. Limits and start conditions are also set. By combining with intracellular free calcium ions, buffers reduce the cytosolic calcium concentration. The buffer depletes cellular calcium and protects against toxicity. Association, dissociation, diffusion, and buffer concentration are modelled. The solution of the Hilfer fractional calcium model is achieved through utilizing the integral transform technique. To investigate the influence of the buffer on the calcium concentration distribution, simulations are done in MATLAB 21. The results show that the modified calcium model is a function of time, position, and the Hilfer fractional derivative. Thus the modified Hilfer calcium model provides a richer physical explanation than the classical calcium model.

The study discussed in this article is driven by the realization that many physical processes may be understood by using applications of fractional operators and special functions. In this study, we present and examine a fractional integral operator with an I-function in its kernel. This operator is used to solve several fractional differential equations (FDEs). FDE has a set of particular cases whose solutions represent different physical phenomena. Many mathematical physics, biology, engineering, and chemistry problems are identified and solved using FDE. Specifically, a few exciting relations involving the new fractional operator with incomplete I-function (IIF) in its kernel and classical Riemann Liouville fractional integral and derivative operators, the Hilfer fractional derivative operator, and the generalized composite fractional derivate (GCFD) operator are established. The discovery and investigation of several important exceptional cases follow this.

In order to understand and manage infectious illnesses, mathematical models are extremely important. They support decision making by researchers and public health workers in predicting the spread of diseases, evaluate the results of interventions, and gathering data. This study considers a fractionalized hepatitis B virus (HBV) infection model with cell cure. The Atangana Baleanu fractional model was initially established for the epidemic issue. This paper analyses the fractional form that makes up the HBV infection model utilizing the numerical methodology, homotopy analysis transform method (HATM). The suggested technique is created with the use of the homotopy analysis method (HAM), the homotopy polynomial, and the Laplace transformation. Additionally, the existence and uniqueness of the solution are considered, and stability analysis is given by the fixed-point theory (FPT) of the HBV model. Through MATLAB21, the obtained solutions are graphically simulated. The graphical solutions demonstrated that the peak of viral propagation is reduced when a fractional-order derivative is included to the model, and cell damage is minimized by starting treatment early on; however, the disease takes longer to be completely eradicated. The outcomes will be beneficial in the medical field. The fractional model lets us draw significant information essential for predicting disease outcomes and planning appropriate clinical management for patients.

Traffic congestion is the major problem due to rapid urbanization and exponential growth of private vehicles, a decrease in the use of active transport, which results in problems of transport sustainability and public health issues. Generally, commuters often find it challenging to travel along the congested routes in urban areas due to increased travel time or air pollution. The traffic congestion of those congested routes may be minimized using strategies like congestion pricing, but public acceptability is one of the main hurdles in establishing a congestion pricing scheme. The present study attempted to understand the public acceptability of the congestion pricing system in India. To fulfil the objective of the study, a questionnaire survey was conducted to ascertain the public's perception of the congestion pricing system. In order to achieve this objective, a multinomial logistic regression (MNL) model was developed by considering public opinion on support to implement congestion pricing as a dependent variable, and other variables were considered as independent variables. From the model results, it is understood that the travel frequency (viz., 1-2 and 3-4 times) and number of times struck in congestion of commuters are most likely to remain neutral. The revenue generated by congestion pricing is allocated to road infrastructure, car tax reductions, public transportation, and parking areas, which are more likely to remain in neutral and under review after implementation. The study results are more useful to policy makers in urban areas while they relook at congestion pricing strategies in developing countries.

Ethiopia is one of the countries highly affected by the COVID-19 pandemic in Africa. A new study has looked at the transmission dynamics of the outbreak in Ethiopia based on the age categories of the infected individuals. Infected individuals are divided into three age categories (less than 14 years (I $ _{1} $ ), 15–54 years (I $ _{2} $ ), and above 54 years I $ _{3} $ ). Chebyshev polynomial of the fourth kind is used to convert a fractional system into an algebraic system of equations, which is then solved using iterative methods. The fundamental reproduction number $ (\mathcal R _{0}) $ is calculated using the next-generation matrix technique, and the disease-free and endemic equilibrium points, as well as their stability, are carefully studied. We calculated the parameters and starting conditions provided for our model using data from the Ethiopian Public Health Institute (EPHI) and the Ethiopian Ministry of Health from 29 February 2021, to 7 June 2021.

Precise regulation of chromatin architecture is vital to physiological processes including hematopoiesis. ARID1A is a core component of the mammalian SWI/SNF complex, which is one of the ATP-dependent chromatin remodeling complexes. To uncover the role of ARID1A in hematopoietic development, we utilized hematopoietic cell-specific deletion of Arid1a in mice. We demonstrate that ARID1A is essential for maintaining the frequency and function of hematopoietic stem cells and its loss impairs the differentiation of both myeloid and lymphoid lineages. ARID1A deficiency led to a global reduction in open chromatin and ensuing transcriptional changes affected key genes involved in hematopoietic development. We also observed that silencing of ARID1A affected ATRA-induced differentiation of NB4 cells, suggesting its role in granulocytic differentiation of human leukemic cells. Overall, our study provides a comprehensive elucidation of the function of ARID1A in hematopoiesis and highlights the central role of ARID1A-containing SWI/SNF complex in maintaining chromatin dynamics in hematopoietic cells.

Chromosomal translocation t(8;21)(q22;q22) which leads to the generation of oncogenic RUNX1-RUNX1T1 (AML1-ETO) fusion is observed in approximately 10% of acute myelogenous leukemia (AML). To identify somatic mutations that co-operate with t(8;21)-driven leukemia, we performed whole and targeted exome sequencing of an Asian cohort at diagnosis and relapse. We identified high frequency of truncating alterations in ASXL2 along with recurrent mutations of KIT, TET2, MGA, FLT3, and DHX15 in this subtype of AML. To investigate in depth the role of ASXL2 in normal hematopoiesis, we utilized a mouse model of ASXL2 deficiency. Loss of ASXL2 caused progressive hematopoietic defects characterized by myeloid hyperplasia, splenomegaly, extramedullary hematopoiesis, and poor reconstitution ability in transplantation models. Parallel analyses of young and >1-year old Asxl2-deficient mice revealed age-dependent perturbations affecting, not only myeloid and erythroid differentiation, but also maturation of lymphoid cells. Overall, these findings establish a critical role for ASXL2 in maintaining steady state hematopoiesis, and provide insights into how its loss primes the expansion of myeloid cells.

Background: Soft tissue tumors (STTs) are heterogeneous group of tumor and Immunohistochemistry (IHC) has assumed an increasingly important role in their diagnosis. Objectives: To estimate the relative frequency of various STTs with age, gender and site wise distribution, study their histomorphological spectrum, grade the soft tissue sarcomas and evaluate the role of IHC. Materials and Methods: This observational study was conducted in tertiary care hospital and cases diagnosed as STTs from January 2018 to December 2020 were included in the study. Clinical findings were obtained from patients’ case files. Histological findings were evaluated and grading was done in soft tissue sarcomas. IHC was performed wherever required. Descriptive and comparative statistical analysis was performed. Results: STTs were encountered more in female than male. Benign STTs were more common than malignant. Incidence of malignancy increased with age, malignant tumors being most common in fifth decade. Adipocytic tumors (n=162, 63.8 %) formed major bulk of benign tumors. Most common malignant STTs were smooth muscle tumors (n=6, 23.1 %). IHC was very important in diagnosis of STTs because of frequent difficulty of diagnosis on morphological basis alone. Conclusions: Adipocytic tumors were most common benign STTs and most common malignant STTs were smooth muscle tumors.

This study aims at evaluating the validity profile of Titmus vision screener V4 for gauging visual acuity and colour perception as a screening tool. Eleven hundred young adults attending eye OPD at a tertiary care center were included in the study. All individuals underwent distance visual acuity (DVA) measurement with Snellen chart and Titmus vision screener V4, at 6 m on the same day. Later, these individuals underwent colour vision testing with Ishihara pseudo isochromatic plates and Titmus vision screener V4. The age distribution ranged from 19 to 53 years with mean age as 26.6 years. Males (87.4%) were more as compared to females. Mean DVA measured by Snellen's chart and Titmus vision screener V4 were 0.088 ± 0.15 and 0.110 ± 0.17, respectively (p = 0.000). Mean difference between DVA by Snellen's chart and Titmus screener V4 was −0.021 ± 0.82 with 95% CI (−0.026 to −0.016). For measuring visual acuity, Titmus vision screener V4 showed a sensitivity of 99.5% and specificity of 90.6%. Negative predictive value and positive predictive value were 99.6% and 85.6%, respectively. For diagnosing colour perception, the Titmus vision screener V4 showed a sensitivity of 100% and specificity of 99.8%. The negative predictive value and positive predictive value were 100% and 88.8% respectively. Area under the curve of receiver operating characteristic (ROC) curve was 0.960 with 95%CI (0.949–0.972). Our study supports use of Titmus vision screener V4 as an excellent screening tool for measurement of visual acuity as well as colour perception. [ABSTRACT FROM AUTHOR]

We report a new ion conductor—Na11Sn2SbSe12—as a possible candidate for a solid catholyte in composite cathodes for all-solid state Na-batteries, which exhibits a room temperature ionic conductivity of 0.15 ± 0.03 mS cm−1 and an activation energy of 0.39 ± 0.02 eV. The sulfide solid solutions of Na11Sn2SbSe12, namely, Na11Sn2SbS12−xSex (x = 1 and 6), were also investigated through a combination of Rietveld refinement against powder x-ray diffraction data and electrochemical impedance spectroscopy to reveal the complex structure–property relationships governing ion transport in this class of materials. Meanwhile, broadening of the Na-ion diffusion pathways in Na11Sn2SbSe12 is expected to facilitate Na-ion transport compared to the sulfide-rich member of the solid solution, the opposite holds: increasing the Se fraction in Na11Sn2SbS12−xSex leads to a little change in the activation energy but a reduction in the ionic conductivity. We ascribe this to the lowering of the prefactor, σ0, in the Arrhenius relationship with increasing lattice “softening” as a function of higher Se content.

Research Question: Does the dose of gonadotropin used for superovulation in IVF affect the proportion of euploid blastocysts obtained after fertilization? Study Design: Multicentre randomized controlled trial recruiting 57 women who were treated with ovarian stimulation using either 150 or 300 IU Menopur per day. Both groups received GnRH antagonist from day 5 of ovarian stimulation and final oocyte maturation was induced using a leuprolide GnRH (gonadotropin releasing hormone) agonist trigger when three or more follicles reached 17 mm diameter. Oocyte collection was scheduled 36–38 hours post trigger. In vitro fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI) were performed according to individual unit protocol and embryos were cultured to blastocyst stage. A trophectoderm biopsy was performed on day 5 of embryo culture and used for preimplantation genetic testing for aneuploidy. Euploid embryos were transferred in subsequent frozen embryo transfer cycles with appropriate endometrial preparation. Results: The number of oocytes obtained from women randomized to 150 IU Menopur was between 3 and 17 (mean = 9), whereas the number of oocytes obtained from women randomized to 300 IU Menopur was between 3 and 24 (mean = 11). There was a positive linear relationship between serum AMH concentration and oocyte yield in both the 150 and 300 IU Menopur groups (R = 0.3359, R2 = 0.1129 and R = 0.3741, R2 = 0.1399). The percentage of euploid to aneuploid embryos in the 150 IU Menopur group was 63% and in the 300 IU Menopur group, the proportion was 75%, which was not significantly different (p = 0.17). Conclusion: The higher dose ovarian stimulation protocol did not significantly increase the number of oocytes retrieved, nor did the higher dose protocol reduce the proportion of euploid embryos created. This study does not support the hypothesis that use of higher doses of gonadotropin for ovarian stimulation results in a reduction in the proportion of euploid embryos obtained after IVF.

Abstract Background Coronavirus disease 2019 (COVID-19) has become a global pandemic and is posing a serious public health problem for almost all countries. Spontaneous pneumomediastinum, a rare condition, is usually seen in patients with underlying pulmonary pathology, infections, or mechanical ventilation. Spontaneous pneumomediastinum is a rare complication in COVID-19 pneumonia. Case presentation We report a case of spontaneous pneumomediastinum, pneumopericardium, and subcutaneous emphysema in a 62-year-old diabetic patient with COVID-19 infection who presented with cough, fever, and breathlessness, which turned to be a fatal complication. Conclusion Pneumomediastinum/subcutaneous emphysema, a not so common complication associated with COVID-19 infection, should be considered as a bad prognostic indicator of worsening disease and hence requires early recognition and careful monitoring of the patient for any possible unfavorable outcome.

C/EBPε is a critical transcriptional factor for granulocyte differentiation and function. Individuals with germline mutations of C/EBPε fail to develop normal granulocytes and suffer from repeated infections. In order to gain a global view of the transcriptional machinery regulated by C/EBPε, we performed whole-genome ChIP-Seq using mouse bone marrow cells. To complement the C/EBPε DNA binding analyses, RNA-Sequencing was done in parallel using sorted mature and immature granulocytes from WT and C/EBPε KO bone marrow. This approach led to the identification of several direct targets of C/EBPε, which are potential effectors of its role in granulocytic differentiation and function. Interestingly, Trem1, a gene critical to granulocyte function, was identified as a direct C/EBPε target gene. Trem1 expression overlaps very closely with expression signature of C/EBPε during hematopoietic development. Luciferase reporter and EMSA assays revealed that C/EBPε binds to the regulatory elements of Trem1 and regulates its expression during granulocytic differentiation. In addition, we provide evidence that inflammatory stimuli (LPS) can also control the expression of Trem1 independent of C/EBPε. Overall, this study provides comprehensive profiling of the transcriptional network controlled by C/EBPε during granulopoiesis and identifies Trem1 as one of its downstream effectors involved in eliciting an immune response.

Introduction: Second generation Supraglottic Airway Devices (SADs) contain a gastric drain tube which separates the respiratory and the alimentary tract. This provides a better oropharyngeal seal and reduces the risk of pulmonary aspiration of refluxed gastric contents compared to the first generation SADs. Aim: To compare Ambu® AuraGain™ (AAU) laryngeal mask airway with LMA® ProSeal™ (PLMA) in terms of Oropharyngeal Leak Pressure (OLP) in laparoscopic surgeries. Materials and Methods: This randomised clinical study was conducted from December 2017-September 2019, at Shri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad, India in 80 patients, aged 18-65 years, of American Society of Anaesthesiologists (ASA) physical status I and II undergoing laparoscopic surgeries. Patients were randomly assigned to one of the two groups: group PLMA and group AAU. After induction of anaesthesia, SADs were inserted by an experienced anaesthesiologist. OLP, pharyngeal mucosal pressure, peak airway pressure and secondary outcome parameters (the number of attempts, time required, ease, and haemodynamic response associated with insertion of LMA) were recorded at set time points. Data was analysed using Statistical Packages for Social Sciences (SPSS) version 22. Results: All patients in both the groups were comparable in terms of demographic data and baseline vital parameters. The Oropharyngeal Leak Pressure of group AAU was comparable to group PLMA at all measured time-points. The two groups were comparable in terms of pharyngeal mucosal pressure immediately after insertion of LMA, but group AAU had lesser pharyngeal mucosal pressure compared to group PLMA immediately after pneumoperitoneum, at 30 and 60 minutes. Mean peak airway pressures were lower in group AAU than group PLMA immediately after insertion of LMA (15.53±1.50 versus 17.06±2.56 cmH2O, p=0.004) and immediately after creation of pneumoperitoneum (23.03±2.96 versus 26.58±10.12 cmH2O, p=0.04). Both the groups were comparable in terms of number of attempts, time taken, haemodynamic response associated with LMA insertion and with passage of gastric tube except that PLMA was easier to insert in the first attempt compared to AAU (26/40 versus 13/40, Grade 1 ease of insertion). Conclusion: Ambu® AuraGain™ could be a useful alternative to LMA® ProSeal™ in patients undergoing laparoscopic surgeries.