A protocol for the development of PhyCaRe: An extension of the CARE guideline for physiotherapy using the Delphi method

Background

Case reports are one of the important forms of documentation and publication of clinical physiotherapy presenting the first line of evidence in scientific literature. In order to provide a systematic and precise structure for reporting and presenting cases, the CARE guidelines were established in 2013. However, these guidelines present limitations as while reporting require items of specific specialties following the checklist. Authors from different specialities have developed CARE extensions specifying the characteristic features of corresponding fields, however, an extension dealing with physiotherapy assessment and line of management in the CARE guidelines is proposed as PhyCaRe.

Method

After consulting with the advisors, a draft will be prepared of the specific elements that should be included in the PhyCaRe using web Delphi methodology considering CARE statement as the source and SurveyMonkey will be used to undertake the web Delphi questionnaire. The web Delphi methodology will be assumed for three rounds and will be open to physiotherapists and others with substantial experience in reviewing case reports. Subsequently, an online consensus meeting, pilot testing, and submission of the CARE extension for physiotherapy will be conducted for publication.

Dissemination

The 2010 "Guidance for Developers of Health Research Reporting" and instructions from the EQUATOR Network will be followed in the preparation of PhyCaRe guidelines. The guidelines will be propagated at different platforms and journals will be requested to adopt the guidelines.

Registration

The reporting guideline under development is prospectively registered on the EQUATOR Network website on PhyCaRe - Reporting guideline for physiotherapy case reports.

Physiological and molecular insights into the allelopathic effects on agroecosystems under changing environmental conditions

Allelopathy is a natural phenomenon of competing and interfering with other plants or microbial growth by synthesizing and releasing the bioactive compounds of plant or microbial origin known as allelochemicals. This is a sub-discipline of chemical ecology concerned with the effects of bioactive compounds produced by plants or microorganisms on the growth, development and distribution of other plants and microorganisms in natural communities or agricultural systems. Allelochemicals have a direct or indirect harmful effect on one plant by others, especially on the development, survivability, growth, and reproduction of species through the production of chemical inhibitors released into the environment. Cultivation systems that take advantage of allelopathic plants' stimulatory/inhibitory effects on plant growth and development while avoiding allelopathic autotoxicity is critical for long-term agricultural development. Allelopathy is one element that defines plant relationships and is involved in weed management, crop protection, and microbial contact. Besides, the allelopathic phenomenon has also been reported in the forest ecosystem; however, its presence depends on the forest type and the surrounding environment. In the present article, major aspects addressed are (1) literature review on the impacts of allelopathy in agroecosystems and underpinning the research gaps, (2) chemical, physiological, and ecological mechanisms of allelopathy, (3) genetic manipulations, plant defense, economic benefits, fate, prospects and challenges of allelopathy. The literature search and consolidation efforts in this article shall pave the way for future research on the potential application of allelopathic interactions across various ecosystems.

Social Media Impact on Self-Perceived Oral Health Practices Among Patients Visiting Tertiary Care Hospital in Lucknow: A Cross-Sectional Study

Background Social media is widely used in the medical field, and people often utilize it to learn about their symptoms prior to consulting with a healthcare professional. Hence, the study aims to investigate the influence of social media on self-perceived oral health practices among patients. Methodology A cross-sectional study design was adopted, with a questionnaire comprising 15 closed-ended questions. The sample size was estimated to be 451 participants based on the findings from the pilot study. The face validity of the questionnaire was assessed by a subject matter expert (0.83%), and the reliability was measured using Kappa statistics (0.86). The percentile was determined to assess the overall self-perceived oral health practices of the participants. The data was analyzed using descriptive analysis, chi-square test, and multivariate regression analysis at statistical significance (p ≤ 0.05). Results The majority of participants belonged to urban areas (66.5%), with an average age of 38.19 ± 6.70. The participants in urban 184 (61.3%) and rural 102 (67.5%) believed that social media provided better knowledge regarding oral health, which was statistically significant (p = 0.046). The majority of the participants, 267 (59.2%), spent more than 30 minutes to three hours per day on social media. It was found that participants who possessed professional occupations had increased odds of having good oral health practices on social media (p = 0.043). Conclusion The participants believed that social media provided better knowledge regarding oral health, and self-perceived practices among the participants were found to be poor. Social media platforms provide new educational possibilities in the dentistry sector, but their potential is neglected and unappreciated.

Link between individual resilience and aggressiveness in dental students and the mediating effect of spirituality: A path analysis

BACKGROUND

The role of spirituality in people's lives, particularly the lives of health professionals, as well as its impact on mental health issues like anger and aggressiveness and resilience, are particularly significant. Therefore, the purpose of this study was to examine the link between the propensity for violence and personal resilience in dental students by taking into account the function of spirituality as a mediator.

MATERIALS AND METHODS

In this cross-sectional questionnaire survey, 211 volunteer dentistry students participated from a government institute in Jammu and Kashmir, India using a stratified sample procedure. The Spiritual Orientation Scale, Buss and Perry Aggression Questionnaire, and Connor-Davidson Resilience Scale were used to gather the data. SPSS version 20.0 was used for conducting a bivariate analysis to ascertain the directionality connection between the research variables. In addition; structural equation modelling analysis was conducted by Smart PLS.

RESULTS

According to the findings, resilience and spirituality have a substantial and positive link (r = 0.468 r = 0.023). Aggressiveness and resilience revealed a statistically significant inverse link (r = 0.325, P = 0.04), but aggression and spirituality had no significant correlation. Spirituality played a substantial mediation influence in the indirect pathway of violence on resilience (P = 0.001).

CONCLUSION

According to the study's findings, spirituality can help pupils become more resilient as individuals and can act as a helpful intermediary between aggressiveness and resilience.

Evaluation of Correlation between Residual Ridge Resorption and Diabetes Mellitus

Objectives

This study aimed to assess the relationship between diabetes mellitus (DM) and the disintegration of the residual alveolar ridge.

Methods and Materials

The study sample comprises 144 participants (64 diabetics and 80 controls). Each participant had their orthopantomagram (OPG) taken. Considering the mandibular foreman (MF) and the lower border of mandible in OPGs as landmarks, resorption of residual ridge (RRR) in mandible was evaluated.

Results

The resorption in diabetic study participants was 36.9%, while it was 19.1% in the healthy control study participants. The RRR in the diabetic group was greater than the control group (P = 0.0039).

Conclusion

The resorption of RRR was greater in diabetic patients.

A Case of Steroid-Induced Gastric Perforation in a Ten-Year-Old Child

Gastric perforation is a rare yet critical clinical disorder that demands prompt medical attention. Gastric ulcers often manifest on the anterior wall of the stomach, underscoring the importance of early detection for an improved prognosis. This study delves into a specific case, shedding light on a 10-year-old male child diagnosed with steroid-induced gastric perforation. The diagnosis was established through a meticulous examination of the clinical history and a plain abdominal X-ray, culminating in a timely and decisive surgical intervention for repair.

Mycorrhizae set the stage for plants to produce a higher production of biomolecules and stress-related metabolites: a sustainable alternative of agrochemicals to enhance the quality and yield of beetroot (Beta vulgaris L.)

Population explosions, environmental deprivation, and industrial expansion led to an imbalanced agricultural system. Non-judicial uses of agrochemicals have decreased agrodiversity, degraded agroecosystems, and increased the cost of farming. In this scenario, a sustainable agriculture system could play a crucial role; however, it needs rigorous study to understand the biological interfaces within agroecosystems. Among the various biological components with respect to agriculture, mycorrhizae could be a potential candidate. Most agricultural crops are symbiotic with arbuscular mycorrhizal fungi (AMF). In this study, beetroot has been chose to study the effect of different AMFs on various parameters such as morphological traits, biochemical attributes, and gene expression analysis (ALDH7B4 and ALDH3I1). The AMF Gm-Funneliformis mosseae (Glomus mosseae), Acaulospora laevis, and GG-Gigaspora gigantean were taken as treatments to study the effect on the above-mentioned parameters in beetroot. We observed that among all the possible combinations of mycorrhizae, Gm+Al+GG performed best, and the Al-alone treatment was found to be a poor performer with respect to all the studied parameters. This study concluded that the more the combinations of mycorrhizae, the better the results will be. However, the phenomenon depends on the receptivity, infectivity, and past nutrient profile of the soil.

Assessment of Embrace-WetBond and Fissurit F Pit and Fissure Sealants' Marginal Sealing Abilities

Objectives

The goal of the current research was to assess marginal sealing abilities of 2 commercial pit and fissure sealants.

Materials and Methods

A total of 30 premolar teeth were equally classified into 2 groups: Group A-application of Embrace-WetBond sealant and Group B-application of Fissurit F, Voco sealant. After sealant placement, samples were preserved in artificial saliva for 48 hours prior to thermocycling. Later, samples were submerged for 24 hours in a 2% methylene blue solution. The amount of microleakage based on the quantity of dye penetration at interface between the tooth substance and sealant was compared under an optical stereomicroscope. The obtained data were statistically analysed for the dye penetration scores in both groups.

Result

It was observed that 8 samples from Group A (53%) had no dye penetration (Grade 0), whereas 4 samples from Group B (26%) showed Grade 0 penetration. In 5 out of 15 samples (33%) from Group B, the dye penetration was the greatest (Grade 3; P = 0.012).

Conclusion

It was concluded that Embrace-WetBond had lesser microleakage compared to group 2-Fissurit F, Voco sealant.

Rhombencephalosynapsis With Obstructive Hydrocephalus: A Rare Presentation of the Cerebellar Anomaly on MRI Findings

Rhombencephalosynapsis is an exceptionally uncommon cerebellar anomaly characterized by the absence or underdevelopment of vermal axons, the presence of dentate nuclei, and the fusion of cerebral hemispheres. Depending on the presence or absence of additional supratentorial anomalies, the prognosis and clinical appearance can vary widely. Here, we present the case of a consanguineous-parent newborn boy, aged four days, who was diagnosed with the use of an MRI. The child had spastic diplegia, bone anomalies, and facial dysmorphism. Slight hydrocephalus, hypogenesis of the corpus callosum, and agenesis of the septum pellucidum were some of the additional supratentorial abnormalities. This study details the clinical and MRI findings, as well as a possible etiology, of this illness.

Hematuria as a Sign of Kidney Stone Disease Evaluated Using Computed Tomography: A Review

Kidney stone is a common cause of acute pain in the abdomen in patients presenting to casualty. Being present in roughly 12% of the world's population makes it the most prevalent pathology of the urinary system. The ureters, kidneys, and bladder frequently develop calculi, resulting in hematuria. The most effective imaging technique for evaluating calculi is unenhanced helical computed tomography. The population, intervention, control, and outcomes (PICO)-formatted question was used to generate methodological medical subject heading (MeSH) phrases, which increased the search strategy's sensitivity in finding research. Some of these names ("hematuria") included "renal calculi" (MeSH) and "cone-beam computed tomography" (MeSH). Studies that satisfied these requirements were subjected to critical evaluation. The merits of the listed studies were evaluated using a unique quality assessment scale. The most accurate imaging diagnostic test for people with hematuria is multidetector computed tomography. If a patient over 40 presents with microscopic hematuria, a non-contrast computed tomography or ultrasound study should be performed, and if gross hematuria is observed, cystoscopy should be added. Pre- and post-contrast computed tomography scans and cystoscopy should be carried out on elderly patients.

Performance evaluation of native plant growth-promoting rhizobacteria for paddy yield enhancement in the jhum fields of Mokokchung, Nagaland, North East India

The present study was carried out to evaluate the performance of native plant growth-promoting rhizobacteria (PGPR) on jhum paddy yield enhancement in Nagaland, Northeast India. Three indigenous PGPR isolates (Bacillus cereus MKGB, Pseudomonas fluorescens MKGPf, and Azospirillum oryzae MKGAz) were tested in the soil microcosm and jhum fields of Longkhum and Ungma villages in Mokokchung, Nagaland. The maximum 78.44% seed germination, 165 cm plant height, 30 leaves, 5 tillers, and 5 panicles per plant were recorded in the PGPR consortium inoculated pot soil. Similarly, maximum 151 grains per panicle, 21.66 g grain yield per plant, and 33.50 g of straw biomass were recorded in the same treatment. The observations from the field trials revealed a maximum of 4.67 t ha^-1 paddy yield in the Longkhum village jhum field inoculated with the PGPR consortium which was significantly different from the control (T1) at a p value of ≤0.05%. Similarly 4.74 t ha^-1 paddy yield was obtained from the PGPR consortium applied jhum plots in Ungma village. The PGPR consortium was found more effective and promising than the single culture inoculation in paddy yield enhancement. The study suggests the application of tested PGPR consortium in jhum fields for soil health and crop productivity improvement and achieving agricultural sustainability as well as social prosperity in the rural areas of North East India.

Pfeature: A Tool for Computing Wide Range of Protein Features and Building Prediction Models

In the last three decades, a wide range of protein features have been discovered to annotate a protein. Numerous attempts have been made to integrate these features in a software package/platform so that the user may compute a wide range of features from a single source. To complement the existing methods, we developed a method, Pfeature, for computing a wide range of protein features. Pfeature allows to compute more than 200,000 features required for predicting the overall function of a protein, residue-level annotation of a protein, and function of chemically modified peptides. It has six major modules, namely, composition, binary profiles, evolutionary information, structural features, patterns, and model building. Composition module facilitates to compute most of the existing compositional features, plus novel features. The binary profile of amino acid sequences allows to compute the fraction of each type of residue as well as its position. The evolutionary information module allows to compute evolutionary information of a protein in the form of a position-specific scoring matrix profile generated using Position-Specific Iterative Basic Local Alignment Search Tool (PSI-BLAST); fit for annotation of a protein and its residues. A structural module was developed for computing of structural features/descriptors from a tertiary structure of a protein. These features are suitable to predict the therapeutic potential of a protein containing non-natural or chemically modified residues. The model-building module allows to implement various machine learning techniques for developing classification and regression models as well as feature selection. Pfeature also allows the generation of overlapping patterns and features from a protein. A user-friendly Pfeature is available as a web server python library and stand-alone package.

Comparison between Platelet-rich Fibrin and Saline Filling after Sinus Elevation without Adjunctive Bone Graft in Dental Implants Insertion Using CBCT

AIM

The goal of this research was to compare radiographically the outcomes of hydraulic transcrestal sinus lifting with platelet-rich fibrin (PRF) or normal saline filling on implant survival rates, negative outcomes, and variations in the height of residual alveolar ridge (HARB).

MATERIALS AND METHODS

There were 80 study participants included and 90 dental implants were placed. The study participants were divided into two categories: Category A and Category B. Each category consists of 40 study participants. Category A: Normal saline was placed in the maxillary sinus. Category B: PRF was placed in the maxillary sinus. Implant survival, complications, and HARB alterations were the outcome metrics. Radiographic images through Cone-beam computed tomography (CBCT) were retrieved and compared prior to surgery (T0), immediately following surgery (T1), three months later (T2), 6 months later (T3), and 12 months later (T4).

RESULTS

There are 90 implants having an average length of 10.5 ± 0.7 mm were inserted into the posterior portion of the maxilla of 80 patients with an average HARB of 6.9 ± 1.2 mm. At T1, elevation in HARB peaked, and the sinus membrane continued to droop but steadied while observed at T3. The steady increment of areas of radiopacities was noticed below the elevated membrane of the maxillary antrum. A radiographic intrasinus bone increase of 2.9 ± 1.4 mm was caused by the PRF filling, compared to 1.8 ± 1.1 mm by the saline filling at T4 (p < 0.05). Over the course of the one-year follow-up period, all of the implants were operating normally with no major issues.

CONCLUSION

Platelet-rich fibrin when used as a filling medium alone without bone graft can cause significant ascend in height of the residual alveolar bone (HRAB).

CLINICAL SIGNIFICANCE

The degradation of the alveolar bone under the maxillary sinus following tooth loss frequently restricts the placement of the implant in the edentulous region of posterior maxilla. Numerous sinus-lifting surgery procedures and tools have been developed to address these problems. It has been a topic of debate regarding the benefits of bone grafts placed at the apical region of the implant. The sharp protrusions of the granules of bone graft may also provide a danger of membrane puncture. Recently, it was shown that regular bone gain might occur inside the maxillary antrum without the use of any bone transplant material. Additionally, if there were substances that filled the gap between the floor of the sinus and the raised sinus membrane, then the membrane of the maxillary sinus could be raised greater and for a longer period of time during the phase of formation of new bone formation.

The Protective Role of Grape Seed in Obesity and Lipid Profile: An Updated Narrative Overview of Preclinical and Clinical Studies

Obesity and dyslipidemia are common disorders universally. According to the acquired outcomes of recent studies, dietary supplementations which have great content of phenolic compounds exert protective effects against obesity and dyslipidemia. Grape [Vitis vinifera] seeds are considered attractive sources of phenolic compounds with anti-oxidative stress and anti-inflammatory effects. There are also various experimental studies describing hepatoprotective, neuroprotective, anti-aging, cardioprotective, and anti-carcinogenic effects of polyphenols isolated from grape seed, highlighting the therapeutic and biological aspects of proanthocyanidins. The present review article first discusses pharmacological, botanical, toxicological, and phytochemical characteristics of Vitis vinifera seeds and afterward designates the protective properties which are attributed to the intake of grape seeds in obesity and hyperlipidemia. Overall valuable and updated findings of this study display that polyphenol of grape seeds has meaningful impacts on the regulation of lipid profile levels and management of obesity.

Nanovaccine: A Hope to Triumph the Battle Against Novel Coronavirus Disease 2019 (COVID-19)

BACKGROUND

The novel coronavirus 2019 (COVID-19) infection has caused the global emergence of coronavirus in humans during the last 12 months. Till May 11, 2021, the confirmed global COVID-19 cases and deaths reached 158551526 and 3296855, respectively.

METHODS

Goblet cells and ciliated cells in the nose act as the initial infection site of SARS-CoV-2. Thus, mucus immunity is important to protect from infection. The outburst of SARS-CoV-2 infection can be halted only when an effective vaccine will be developed.

RESULTS

Globally, over 100 different vaccines are under investigation, including DNA vaccines, RNA vaccines, inactivated virus vaccines, adenovirus-based vaccines, recombinant/subunit protein vaccines, peptide vaccines, virus-like particles, etc. Inactivated virus vaccines and mRNA, and adenovirus-based vaccines have moved fast into patent clinical trials.

CONCLUSION

Vaccines containing spike protein of SARS-CoV as subunit could effectively prevent binding of coronavirus to the host cell and membrane fusion. Thus, spike protein can be used as a major target for subunit vaccine preparation.

Emphysematous Gastritis: A Lethal Complication in a Patient With Pancreatitis

A rare illness known as emphysematous gastritis is caused by bacteria that produce gas, such as Clostridium perfringens and Escherichia coli. In gastric emphysema and emphysematous gastritis, gas can be observed within the stomach wall. Gastric emphysema should be distinguished from emphysematous gastritis. Radiological imaging features and clinical presentation are used to identify emphysematous gastritis. The imaging technique of choice for this condition is computed tomography (CT). Emphysematous gastritis has a high risk of morbidity and mortality; hence, early diagnosis and care are crucial. We discuss a case of pancreatitis with emphysematous gastritis in a male presenting to the general surgery department with abdominal pain and vomiting. The patient was advised to undergo an ultrasound and computed tomography for further evaluation.

Intranasally Co-administered Berberine and Curcumin Loaded in Transfersomal Vesicles Improved Inhibition of Amyloid Formation and BACE-1

Selective permeability of the blood-brain barrier restricts the treatment efficacy of neurologic diseases. Berberine (BBR) and curcumin (CUR)-loaded transferosomes (TRANS) were prepared for the effective management of Alzheimer's disease (AD). The study involved the syntheses of BBR-TRANS, CUR-TRANS, and BBR-CUR-TRANS by the film hydration method. Vesicles were characterized to ensure the formation of drug-loaded vesicles and their in vivo performance. The particle sizes of BBR-TRANS, CUR-TRANS, and BBR-CUR-TRANS were 139.2 ± 7, 143.4 ± 8, and 165.3 ± 6.5 nm, respectively. The presence of diffused rings in the SED image indicates the crystalline nature of the payload. Low surface roughness in an AFM image could be associated with the presence of a surface lipid. BBR-CUR-TRANS showed 41.03 ± 1.22 and 47.79 ± 3.67% release of BBR and 19.22 ± 1.47 and 24.67 ± 1.94% release of CUR, respectively, in phosphate buffer saline (pH 7.4) and acetate buffer (pH 4.0). Formulations showed sustained release of both loaded drugs. BBR-TRANS, CUR-TRANS, and BBR-CUR-TRANS exhibited a lower percentage of hemolysis than pure BBR and CUR, indicating the safety of the payload from delivery vesicles. Lower percentages of binding were recorded from BBR-CUR-TRANS than BBR-TRANS and CUR-TRANS. Acetylcholinesterase inhibition activity of the prepared transferosomes was greater than that of pure drugs, which are thought to have good cellular penetration. The spatial memory was improved in treated mice models. The level of malondialdehyde decreased in AD animals treated with BBR-TRANS, CUR-TRANS, and BBR-CUR-TRANS, respectively, as compared to the scopolamine-induced AD animals. BBR-CUR-TRANS-treated animals showed the highest decrease in the NO level. The catalase level was significantly restored in scopolamine-intoxicated animals treated with BBR-TRANS, CUR-TRANS, and BBR-CUR-TRANS. The immunohistochemistry result suggested that the BBR-TRANS, CUR-TRANS, and BBR-CUR-TRANS have significantly decreased the regulation of expression of BACE-1 through antioxidant activity. In conclusion, the study highlights the utility of formulated transferosomes as promising carriers for the co-delivery of drugs to the brain.

An exhaustive comprehension of the role of herbal medicines in Pre- and Post-COVID manifestations

ETHNOPHARMACOLOGICAL RELEVANCE

The coronavirus disease (COVID-19) has relentlessly spread all over the world even after the advent of vaccines. It demands management, treatment, and prevention as well with utmost safety and effectiveness. It is well researched that herbal medicines or natural products have shown promising outcomes to strengthen immunity with antiviral potential against SARS-COV-2.

AIM OF THE REVIEW

Our objective is to provide a comprehensive insight into the preventive and therapeutic effects of herbal medicines and products (Ayurvedic) for pre-and post-COVID manifestations.

MATERIAL AND METHOD

The database used in the text is collected and compiled from Scopus, PubMed, Nature, Elsevier, Web of Science, bioRxiv, medRxiv, American Chemical Society, and clinicaltrials.gov up to January 2022. Articles from non-academic sources such as websites and news were also retrieved. Exploration of the studies was executed to recognize supplementary publications of research studies and systematic reviews. The keywords, such as "SARS-COV-2, coronavirus, COVID-19, herbal drugs, immunity, herbal immunomodulators, infection, herbal antiviral drugs, and WHO recommendation" were thoroughly searched. Chemical structures were drawn using the software Chemdraw Professional 15.0.0.160 (PerkinElmer Informatics, Inc.).

RESULT

A plethora of literature supports that the use of herbal regimens not only strengthen immunity but can also treat SARS-COV-2 infection with minimal side effects. This review summarizes the mechanistic insights into herbal therapy engaging interferons and antibodies to boost the response against SARS-COV-2 infection, several clinical trials, and in silico studies (computational approaches) on selected natural products including, Ashwagandha, Guduchi, Yashtimadhu, Tulsi, etc. as preventive and therapeutic measures against COVID. We have also emphasized the exploitation of herbal medicine-based pharmaceutical products along with perspectives for unseen upcoming alike diseases.

CONCLUSION

According to the current state of art and cutting-edge research on herbal medicines have showed a significant promise as modern COVID tools. Since vaccination cannot be purported as a long-term cure for viral infections, herbal/natural medicines can only be considered a viable alternative to current remedies, as conceived from our collected data to unroot recurring viral infections.

WASH to control COVID-19: A rapid review

Background

Preventive public health has been suggested as methods for reducing the transmission of COVID-19. Safety and efficacy of one such public health measure: WASH intervention for COVID-19 has not been systematically reviewed. We undertook a rapid review to assess the effect of WASH intervention in reducing the incidence of COVID-19.

Methods

We conducted searches in PubMed, MEDLINE, and EMBASE. We undertook screening of studies in two stages and extracted data and assessed the quality of evidence for the primary outcome using GRADE recommendations.

Main results

We included a total of 13 studies with three studies on COVID-19 and 10 on SARS. The study found that hand washing, sterilization of hands, gargling, cleaning/shower after attending patients of COVID-19, or SARS was protective. Evidence also found that frequent washes can prevent SARS transmission among HCWs. However; one study reported that due to enhanced infection-prevention measures, front-line HCWs are more prone to hand-skin damage. The certainty of the evidence for our primary outcome as per GRADE was very low. We did not find any studies that assessed the effect of WASH on hospitalizations, and mortality due to COVID-19. Also; we did not find any study that compared WASH interventions with any other public health measures.

Conclusions

Current evidence of WASH interventions for COVID-19 is limited as it is largely based on indirect evidence from SARS. Findings from the included studies consistently show that WASH is important in reducing the number of cases during a pandemic. Timely implementation of WASH along with other public health interventions can be vital to ensure the desired success. Further good-quality studies providing direct evidence of the efficacy of WASH on COVID-19 are needed.

Improving the magnet alignment of undulator systems by laser interferometer

The issue of intrinsic-type misalignment errors arising from angular offsets between magnets in an undulator is addressed. A random tilt of the magnets or poles generates undesirable magnetic field components in both transverse and longitudinal directions and gives rise to errors in period lengths and amplitudes. These localized errors are carried to the entire undulator segments and are a cause of concern for precision field integral and phase error estimates. A laser interferometer has been designed to read the offsets and to fix the magnets to minimize the offsets.

Rare case of post mastectomy surgical site haematoma due to axillary artery branch pseudoaneurysm

We present a case of surgical site haematoma developed in a female patient with breast cancer who had undergone modified radical mastectomy. On investigation, the underlying aetiology was detected to be axillary artery branch pseudoaneurysm. The patient was managed with the minimally invasive technique of angioembolisation with coils. A multidisciplinary approach resulted in an excellent outcome. The patient made good recovery without any residual impairment.

Evaluation of awareness regarding pictorial warning on tobacco packets and its effect on cessation among tobacco users in Lucknow

Introduction:

Tobacco use has been identified as the leading cause of the preventable death worldwide and estimates that it currently causes 5.4 million deaths/year. In fact, India is suffering a phase of tobacco epidemic.

Aim:

The aim of the study was to evaluate the awareness regarding pictorial warning on tobacco packets and its effect on cessation among tobacco users.

Materials and Methods:

A study was conducted among 200 patients having tobacco habit, attending the outpatient department of Public Health Dentistry, KGMU, Lucknow. A self-structured questionnaire was made in English and Hindi language, pertaining to demographic details, type of tobacco products used, frequency, duration of tobacco habits, and awareness regarding pictorial warning.

Results:

Use of multiple tobacco habits was most prevalent 61 (30.5%) across all age groups, majority 185 (92.5%) of subjects had seen the tobacco warnings, and 113 (56.5%) participants had seen both types of warning (pictorial and written warning). One hundred and ten (55%) of subjects said that warning should be on both sides. Eighty-two (41%) study participants had never tried to quit tobacco habits, 43 (21.5%) of participants tried to quit tobacco habits because of peer pressure and 75 (37.5%) subjects said that after seeing a warning on tobacco packets, they will think to quit tobacco habit.

Conclusion:

Majority of study participants have observed the warnings on tobacco packets and most of them believe that they could recognize and understand warnings. The study participants believe that warnings on tobacco packets create alertness about various deleterious effects of all tobacco habits and help in dropping or give up these habits. Pictographic warnings were more effective than text warnings.

Clinico-radiological evaluation and management of type II radial ray defect in a young female from rural India: case report

Radial Ray Defect (RRD) is a rare disorder, and the etiology of this disorder is still under discussion. RRD is associated with many medical conditions for which prenatal counselling is of paramount importance. Any association with the family history is still unknown. The patient is a 16-year-old female who came to the orthopaedic clinic complaining of tingling and weakness in the right forearm. On examination, there was a gross deformity in the right forearm with radial deviation of the hand. An X-ray revealed radial ray defect type-2. She previously had a history of perinatal infection during early childhood. Surgery was successfully achieved, and positive results were accomplished. Radial Ray Defect can be focal or associated with other clinical manifestations. The timing of antenatal ultrasound for detecting this musculoskeletal anomaly is crucial. When RRD is associated with other syndromes, counselling to the parents about the quality of life and morbidity comes into play. Treatment is primarily surgical.

Determination of Spectrum of Symptoms Observed Followed by Administration of 1st and 2nd Doses of COVISHIELD™ Vaccine in Datta Meghe Institute of Medical Sciences (Deemed to be University) – A Study Protocol

Background: The 2019 novel coronavirus (2019-nCoV or SARS-CoV-2) was first detected in December 2019 in Wuhan City of Hubei, Province of China with population of 11 million, after outbreak of pneumonia. Present study deals with acceptability of newly manufactured vaccines against Covid 19 disease component of social misconceptions regarding the post vaccination symptoms and/or adverse events. Main rationale of this study is to list all post vaccination symptoms observed at multiple points of time to clear misconceptions resulting in possible increase in acceptability of newer vaccines. Aim: To determine the spectrum of symptoms observed followed by administration of 1st and 2nd doses of COVISHIELD™ vaccine in Datta Meghe Institute of Medical Sciences (deemed to be university). Methods: This will be a Prospective analytical cohort study conducted over a period of  5 years.  Procedure: Followed by letter of informed consent, pre validated questionnaire will be circulated amongst the healthcare professionals having been administered the 1st and 2nd doses of COVISHIELD™ vaccine filled and submitted to authorized email for further study and will be evaluated for enlisting post vaccination symptoms with time of onset and duration following 1st and 2nd doses of COVISHIELD™ vaccine. Follow up will maintained at regular intervals and questionnaire will be amongst participants at 6 months, 1 year, 2 years, 3 years, 4 years and 5 years after the 2nd dose of COVISHIELD™ vaccine. Expected Outcome: Post vaccination symptoms following 1st and 2nd doses of COVISHIELD™ vaccine with range of time of onset and duration of the same will enhance status of the COVISHIELD™ vaccine awareness, social acceptability and willingness. Conclusion: All conclusions will be drawn after proper statistical analysis.

Transvaginal Sonoelastography on Benign Masses of Cervix

Cervix is the lowermost portion of the uterus. Benign pathologies of the uterus mostly occur in women falling under the conceptive age profile. Frequently exhibited symptoms are excessive bleeding, menorrhagia and pain during menstruation or coitus. Sonoelastography in comparison to the sonography alone is a rather recent development and is easily affordable and available. This makes it ideal for use as a first – look diagnostic tool to determine the nature of the cervical mass without unnecessary invasive or expensive examinations. There is an urgent need for early differentiation of benign masses from malignant ones as it impacts the type of treatment administered, its efficacy, prognosis, and lifestyle post-treatment. This review aims to evaluate the accuracy of transvaginal sonography in correctly diagnosing benign masses of cervix from malignancy, and thus gives an overview of the evolution of its application in routine clinical practice. As seen in the review, only studies performing strain elastography have been taken into consideration with strain ratio being a focal point as this is a quantifiable unit, used for measurement of tissue elasticity. This gives us comparable results regarding the diagnostic precision of transvaginal elastography in cervical masses. Gold standard is used is histopathological diagnosis.

Doppler Indıces Evaluatıon In Malıgnant Breast Lesıons: A Revıew

The incidence of breast malignancy has displayed a rapid rise in recent times. It is one of the most common malignancies found in women. Women should be educated and made aware about self breast examination in order to detect malignancies at an early stage so that the prognosis can be improved. Breast pathologies can be classified into malignant and benign ones on the basis of signs and symptoms and by ultrasonography but can be confirmed on histopathology which remains the gold standard. Breast ultrasonography is the most common non ionizing radiological investigation used to assess breast lesions especially in women with dense or painful breasts. Breast carcinomas appear irregularly shaped hypoechoic lesions with non-circumscribed margins, but these features can rarely be manifested by benign lesions as well. Recent introduction of doppler ultrasound has led to an increase in the sensitivity of detecting breast carcinoma since most of the breast malignancies are hyper vascular and they show high resistivity index on spectral analysis. Angiogenesis in malignant lesions lead to formation of structurally abnormal and tortuous vessels with increased resistive index. Several studies on doppler analysis of breast malignancies have shown Doppler ultrasound to be a safe and effective modality showing acceptable diagnostic accuracy for non-invasive characterization of malignant breast lesions. Therefore, it can be employed as an alternative to histopathology in patients who present with breast lesions.

Critical Appraisal of Curriculum Design of Academic Courses Launched Under the Faculty of Allied Health Sciences, Datta Meghe Institute of Medical Sciences (Deemed to be University) in Academic Year 2020-2021 with Reference to Typing of the Said Courses And Adherence to the Principles of Curriculum Design – A Study Protocol

Background: Talking about the present scenario of curricula, it is essential to test whether curricula are in conformity with the standard guidelines and principles of curriculum design and centricity and orientation. This present study deals with aspect of adherence to principles of curriculum design as well as centricity and orientation of the curricular framework with reference to curricula of all academic courses under Allied Health Sciences started in the academic year 2020-2021 in Datta Meghe Institute of Medical Sciences (deemed to be university) as against principles of curriculum design and centricity of curricula. Aim and Objectives: To critically appraise the curriculum of academic courses launched under the faculty of Allied Health Sciences, Datta Meghe Institute Of Medical Sciences (deemed to be university) in academic year 2020-2021 with reference to typing of the said courses and adherence to the principles of curriculum design. Methods:- Type of Study: Descriptive study. Duration of Study: 6 months. Place of Study: School of Health Professions Education and Research Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha. Generation of a draft of the curriculum of academic courses included in the present study with reference to their typing and also taking into account the level and degree of commensuration of the same with principles of curriculum design along with recommendations if any. Conclusion: All conclusions in conformity with the aim and objectives of the present study will be drawn after proper statistical analysis.

Interaction of cesium bound fission product compounds (CsI and CsOH) with abundant inorganic compounds of atmosphere: Effect on hygroscopic growth properties

Cesium compounds if present in atmosphere, can affect human health as well as the ecosystem due to their highly hazardous nature. Interaction of cesium compounds with abundantly available atmospheric salts can modify the hygroscopic behavior in sub-saturation relative humidity (RH) domain. Any marked modification in growth factor (GF) for the mixed particle state in comparison to the single particles ultimately affects the settling rates and hence the deposition flux. This work studies the hygroscopic behavior of two important cesium bound fission product aerosols (CsI, CsOH) internally mixed with some common atmospheric particles viz. [Formula: see text] and NaNO₃ for a fixed dry particle size of 100 nm. Experimental measurements, performed with Hygroscopic tandem differential mobility analyzer in the range of 20-94% RH, have been compared with the predictions made from Zdanovskii-Stokes-Robinson (ZSR) approach. Apart from the single/pure particle state for the constituents (i.e. mixing ratios 1:0 and 0:1), three other mixing ratios 1:4, 1:1 and 4:1 have been considered. The results show that the GF vs RH pattern for mixed particles is different from that for single CsI and CsOH particles. The intrinsic water uptake behavior for these cesium compounds was found to be perturbed for some of the chosen combinations as well. Deliquescent transition for the mixed particles was observed at lower RH compared to the single electrolytes. Relative differences noticeable for the chosen mixing ratios could be related to the available fractions in the mixed state. Overall, ZSR method was found to be capturing the trend of increasing GFs with increasing RH. Terminal gravitational settling velocities calculated from the measured GFs were also found to be different for single and mixed particles. The relative difference was significant for some combinations and test conditions. Any modification in settling velocity ultimately impacts the deposition flux estimations. Hence neglecting the presence of atmospheric salts affects the accuracy of the source term estimates for a postulated nuclear reactor accident scenario.

Assessment of Knowledge about Ergonomics and Determining Musculoskeletal Disorders in Dentists: An Original Research

Background:

Musculoskeletal disorders (MSDs) are commonly occurring disorders nowadays. The present study was conducted with the aim of determining MSDs in dentists and to assess knowledge about ergonomics.

Materials and Methods:

This questionnaire study was conducted among 460 dental professionals of different age groups. Parameters such as posture of dentists, working alone or with an assistant, and number of breaks were recorded. Type of MSDs and the type and effectiveness were recorded.

Results:

BDS students were seventy, interns were 112, general dentists were 186, and specialists were 92. Year of practice was <5 years in 215, 5–10 years in 70, 10–20 years in 35, and >20 years in 140 students. Fourteen percent of students, 18% interns, 45% general practitioners, and 32% of specialists had a prevalence of MSD. Most common MSDs in students were upper back pain seen in 6%, in interns were upper back pain seen in 8%, in general practitioners were shoulder pain seen in 21%, and in specialists were hand/wrist pain seen in 10%. Forty-five percent of students, 67% interns, 72% general dentists, and 80% of specialists had idea about ergonomics. Seventy-four percent of students, 80% of interns, 83% of general dentists, and 87% of specialists think that ergonomics may improve performance. Sitting position was preferred seen in 53% of students, 58% of interns, 65% general dentists, and 60% of specialists. Forty-five percent of students, 47% of interns, 56% of general dentists, and 52% of specialists perform physical activity during work. The difference was found to be statistically significant (P < 0.05). Seventy-nine percent of students, 83% of interns, 86% of general dentists, and 88% of specialists show prolong sitting or standing.

Conclusion:

Authors found that all prefer to apply ergonomic in clinical practice. There is a lack of knowledge among BDS students and interns about ergonomics.

An application of probability density function for the analysis of PM2.5 concentration during the COVID-19 lockdown period

The first Covid-19 patient in India was reported on January 30, 2020 at the state of Kerala. The patient number rose to three by February 3, 2020. In the month of March 2020, the transmissions started to increase when the people started to return back to India from the Covid-19 affected countries. On March 12, a 76-year-old man having a travel history to Saudi Arabia was the first reported fatality in India due to Covid 19. Then for the prevention of the propagation of Covid, the Indian government declared a state of health emergency and strict counter measures were taken, including locking down of cities, prohibiting almost all avoidable activities and restricting population's mobility. From March 24, 2020 due to the complete lockdown in the country, human activities were heavily restricted in the whole geographical regions of India. This pandemic lockdown eventually serves as an opportunity to observe the background concentrations of pollutants in the atmosphere. The PM 2.5 distribution can affect human health and to overcome this problem, setting up of regulation for PM is necessary. In the present study Probability density functions (PDF) method have been utilised for the investigation of PM 2.5 pollutant data distribution of five countries namely, India, China, France, Brazil and United States of America (USA) for their respective lockdown period of 2020 and corresponding same period of 2019. A detailed study has been done for India, and for that purpose India has been divided into three regions (Central India, Coastal India and Indo-Gangetic Plain (IGP)) on the basis of different meteorological conditions. PM 2.5 concentration for hourly basis has been analysed for the lockdown period 24th March to 15th June 2020 and compared with the PM 2.5 concentration of previous year 2019 for the same time period. To understand the effect of lockdown in PM 2.5 emission in India, which will give us an idea about the background concentration, PDFs (probability density functions) have also been generated for the whole year from 2015 to 2019. The "goodness-of-fit" of the probability density functions, to the data, was assessed, using various statistical indices (Chi-square test). Results show that the PM 2.5 reduction during the lockdown period of 2020 as compared to the same period of 2019 is sufficiently large. This study will give a certain degree of idea to the regulatory bodies on planning and implementation of strict air quality control plans.

Thermal-hydraulic Safety Assessment of Full-Scale ESBWR Nuclear Reactor Design

The Economic Simplified Boiling Water Reactor (ESBWR) is a boiling water nuclear reactor of Generation III+. The US Nuclear Regulatory Commission (NRC) approved the ESBWR design as the world's best light-water nuclear reactor in 2014. It has the lowest core damage frequency (industry standard indicator of safety) of any Generation III or III+ reactor. It can cool automatically for more than seven days without using electricity or human intervention. During the operation, the ESBWR is designed to produce electricity while emitting almost no greenhouse gases. The energy generated by an ESBWR will prevent the emission of approximately 7.5 million metric tons of CO2 per year compared to standard electricity production on the US grid. The analysis present in this paper aimed to characterize the thermal-hydraulic simulations of full-scale ESBWR design. The analysis presented will help in recognizing the improvement needed in the reactor design and its passive safety systems. The analysis is performed for normal steady state and postulated design basis accident scenarios . The simulation results obtained by the code REALP/SCDAPSIM/MOD3.4 are compared with the TRACG and MELCOR code results to determine the code predictability and accuracy under accident conditions of the newly proposed design of the ESBWR nuclear reactor. It has been also demonstrated that for the postulated accident conditions the design of passive safety systems are capable to capture the accident progression without any active power.

Phycocyanin Extracted from Oscillatoria minima Shows Antimicrobial, Algicidal, and Antiradical Activities: In silico and In vitro Analysis

BACKGROUND

Phycocyanin is an algae-derived protein, which binds to pigment for harvesting light. It has been reported in various different species, including that of red algae, dinoflagellates, and cryptophyta. Importantly, phycocyanin has enormous applications, including cosmetic colorant, food additive, biotechnology, diagnostics, fluorescence detection probe, an anticancer agent, anti-inflammatory, immune enhancer, etc. In addition, several different algae were utilized for the isolation of cyano-phycocyanin (C-PC), but most of the purification methods consist of several steps of crude extraction.

AIM

To isolate C-PC from a new source of microalgae with better purity level and to evaluate its antimicrobial, algicidal, and antiradical activities.

METHODS

Biological activity, permeability, pharmacokinetics, and toxicity profile of C-PC were predicted by in silico studies. C-PC was purified and isolated by using ammonium sulphate precipitation, ion-exchange chromatography and gel-filtration chromatography. C-PC was characterized by SDS-PAGE and elution profile (purity ratio) analysis. Antimicrobial and algicial activities of C-PC were evaluated by the microtitre plate based assays. Antiradical activity of C-PC was evaluated by DPPH- and ABTS*+ radical scavenging assays.

CONCLUSION

C-PC was extracted from Oscillatoria minima for the first time, followed by its quantitative as well qualitative evaluation, indicating a new alternative source of this important protein. Furthermore, the antimicrobial, algicidal, and antiradical activities of the isolated C-PC extract have been demonstrated by both in silico as well as in vitro methods.

Lipid-Coated MCM-41 Mesoporous Silica Nanoparticles Loaded with Berberine Improved Inhibition of Acetylcholine Esterase and Amyloid Formation

Selective permeability of the blood-brain barrier limits effective treatment of neurodegenerative disorders. In the present study, brain-targeted lipid-coated mesoporous silica nanoparticles (MSNs) containing berberine (BBR) were synthesized for the effective treatment of Alzheimer's disease (AD). The study involved synthesis of Mobil Composition of Matter-41 (MCM-41) mesoporous silica nanoparticles (MSNs), BBR loading, and lipid coating of MSNs (MSNs-BBR-L) and in vitro and in vivo characterization of MSNs-BBR-L. The liposomes (for lipid coating) were prepared by the thin-film hydration method. Transmission electron microscopy (TEM) images indicated 5 nm thickness of the lipid coating. Dynamic light scattering (DLS) and TEM results confirmed that the size of synthesized MSNs-BBR-L was in the range of 80-100 nm. The X-ray diffraction (XRD) pattern demonstrated retention of the ordered structure of BBR after encapsulation and lipid coating. Fourier transform infrared (FTIR) spectrum confirmed the formation of a lipid coat over the MSN particles. MSNs-BBR-L displayed significantly (p < 0.05) higher acetylcholine esterase (AChE) inhibitory activity. The study confirmed significant (p < 0.05) amyloid fibrillation inhibition and decreased the malondialdehyde (MDA) level by MSNs-BBR-L. Pure BBR- and MSNs-BBR-L-treated AD animals showed a significant decrease in the BACE-1 level compared to scopolamine-intoxicated mice. Eight times higher area under the curve for MSNs-BBR-L (2400 ± 27.44 ng h/mL) was recorded compared to the pure BBR (295.5 ± 0.755 ng h/mL). Overall, these results highlight the utility of MSNs-BBR-L as promising drug delivery vehicles for brain delivery of drugs.

An Interesting Case of Achalasia Cardia with Co-Existing Coronavirus 19 Infection

With this case report, we emphasize the unique fact that chest pain and discomfort in COVID-19 infected patient can be due to other causes and it should not be overlooked. The SARS-CoV-2 is a novel strain of coronavirus, the homo-sapiens have recently been attacked in a large number. Common clinical symptoms of COVID-19 patients infected include high grade fever, weakness, dry cough, breathlessness and chest pain with discomfort. We are presenting a case report of covid-19 infected patient having chief complaints of chest pain and discomfort. The patient was evaluated using computed tomography imaging and- Achalasia cardia was diagnosed and needful was done. It should be noted that multiple conditions can co-exist along with COVID-19 infection for which proper and complete evaluation needs to be done keeping other possibilities in mind.

Critical Appraisal of National Accreditation and Assessment Council Accreditation Guidelines with Reference to Medical Sciences Universities/ Institutions as Against US and UK and Proposing an Upgraded Model of Accreditation Guidelines – A Study Protocol

Background: Accreditation forms chief platform to the fact that higher education should be accurately directed towards betterment, sharpening, honing and nourishing intellectual persona of learners. There is palpable need to critically analyze manuals embodying accrediting guidelines for Medical Sciences Universities / Institutions prescribed by NAAC as against guidelines in vogue in U.S. and U.K. with reference to any identifiable inadequacy pertaining to meaningful accreditation of Medical Sciences Universities / Institutions and proposing an ideal model towards meaningful accreditation . Aim and Objectives: To critically evaluate manuals of accreditation of Medical Sciences Universities / Institutions notified by National Accreditation and Assessment Council with reference to those in vogue in U.S. and U.K. and generate updated manual for accreditation of Medical Science Universities / Institutions in India. Methods: Type of study: Descriptive study. Duration of study: 2 years. Place of study: Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha. Expected Results: Generation of upgraded manual of accreditation of Medical Universities / Institutions in India. Conclusion: Updated manual of accreditation of medical Sciences Universities / Institutions in India could be availed by National Assessment and Accreditation Council for its utilization as a basal / referral document towards the necessary policy frame.

Atlanta Classification for Acute Pancreatitis- A Study Protocol

Background: Acute pancreatitis is one of the most common abdominal pathologies having variable outcome ranging from self limiting abdominal pain to high mortality and morbidity due to organ failure, over the past five decades, various classification systems have emerged to classify pancreatitis according to its severity , and the associated complications have emerged to classify acute pancreatitis and its various complications, such as Apache Scoring , Ct Severity , Modified Ct Severity ,Ransen  and Atlanta Classification. Objectives: We in our study will be classifying patients suffering from acute pancreatitis according to the revised Atlanta classification to divide them into interstitial edematous pancreatitis and necrotizing pancreatitis. The local complications will be classified according to CT imaging findings into acute necrotic collection, psuedocyst, acute necrotic collection and walled of necrosis. Organ failure will be assessed according to modified marshal scoring system into transient or persistent organ failure. Methodology: We will be carrying forward our study on   Siemens 16 slice computer tomography machine over a sample of 140 patients coming to the outpatient department of our hospital which will be followed by a routine clinical follow up of the patient to find out their prognosis. Results: Will be tabulated at the end of the study using SPSS version 26 software. Conclusion: The revised Atlanta classification for acute pancreatitis, in conjunction with the Modified Marshall Scoring System for organ failure, if found useful, in our series in improving the prognosis of the patients, then it can be incorporated in management.

Therapeutic Potential of Phytoconstituents in Management of Alzheimer's Disease

Since primitive times, herbs have been extensively used in conventional remedies for boosting cognitive impairment and age-associated memory loss. It is mentioned that medicinal plants have a variety of dynamic components, and they have become a prominent choice for synthetic medications for the care of cognitive and associated disorders. Herbal remedies have played a major role in the progression of medicine, and many advanced drugs have already been developed. Many studies have endorsed practicing herbal remedies with phytoconstituents, for healing Alzheimer's disease (AD). All the information in this article was collated from selected research papers from online scientific databases, such as PubMed, Web of Science, and Scopus. The aim of this article is to convey the potential of herbal remedies for the prospect management of Alzheimer's and related diseases. Herbal remedies may be useful in the discovery and advancement of drugs, thus extending new leads for neurodegenerative diseases such as AD. Nanocarriers play a significant role in delivering herbal medicaments to a specific target. Therefore, many drugs have been described for the management of age-linked complaints such as dementia, AD, and the like. Several phytochemicals are capable of managing AD, but their therapeutic claims are restricted due to their lower solubility and metabolism. These limitations of natural therapeutics can be overcome by using a targeted nanocarrier system. This article will provide the primitive remedies as well as the development of herbal remedies for AD management.

New insights into the role of the Nrf2 signaling pathway in green tea catechin applications

Nuclear factor-erythroid 2-related factor 2 (Nrf2) is a transcriptional signaling pathway that plays a crucial role in numerous clinical complications. Pivotal roles of Nrf2 have been proved in cancer, autoimmune diseases, neurodegeneration, cardiovascular diseases, diabetes mellitus, renal injuries, respiratory conditions, gastrointestinal disturbances, and general disorders related to oxidative stress, inflammation, apoptosis, gelatinolysis, autophagy, and fibrogenesis processes. Green tea catechins as a rich source of phenolic compounds can deal with various clinical problems and manifestations. In this review, we attempted to focus on intervention between green tea catechins and Nrf2. Green tea catechins especially epigallocatechin gallate (EGCG) elucidated the protective role of Nrf2 and its downstream molecules in various disorders through Keap-1, HO-1, NQO-1, GPx, GCLc, GCLm, NF-kB cross-link, kinases, and apoptotic proteins. Subsequently, we compiled an updated expansions of the Nrf2 role as a gate to manage and protect different disorders and feasible indications of green tea catechins through this signaling pathway. The present review highlighted recent evidence-based data in silico, in vitro, and in vivo studies on an outline for future clinical trials.