The effect on income of providing near vision correction to workers in Bangladesh: The THRIVE (Tradespeople and Hand-workers Rural Initiative for a Vision-enhanced Economy) randomized controlled trial

INTRODUCTION

Presbyopia, the leading cause of vision impairment globally, is common during working years. However, no trials have assessed presbyopia's impact on income.

METHODS

In April 2017, we conducted a census among 59 Bangladesh villages to identify persons aged 35 to 65 years with presbyopia (presenting distance vision > = 6/12 bilaterally and correctable inability to see 6/13 at 40 cm with both eyes), who never had owned glasses. Participants were randomized (1:1) to receive immediate free reading glasses (intervention) or glasses delivered 8 months later (control). Visual demand of different jobs was stratified into three levels. Outcomes were between-group differences in the 8 month change in: self-reported monthly income (primary) and Near Vision Related Quality of Life (NVRQOL, secondary).

RESULTS

Among 10,884 census participants, 3,655 (33.6%) met vision criteria and 863 (23.6%) comprised a sample enriched for near vision-intensive jobs, but 39 (4.52%) could not be reached. All participants allocated to intervention (n = 423, 51.3%) and control (n = 401, 48.7%) received the appropriate intervention, and follow-up was available for 93.4% and 96.8% respectively. Groups were similar at baseline in all characteristics: mean age was 47 years, 50% were male, 35% literate, and about half engaged in "most near vision-intensive" occupations. Glasses wear at 8-month follow-up was 88.3% and 7.81% in intervention and control respectively. At baseline, both the intervention and control groups had a self-reported median monthly income of US$35.3. At endline, the median income for the intervention group was US$47.1 compared with US$35.3 for control, a difference of 33.4%. Predictors of greater income increase in multivariate models included intervention group allocation (OR 1.45, 95% CI 1.12, 1.88, P = 0.005), male sex (OR 2.41, 95% CI 1.84, 3.16, P <0.001), and not engaging in income-producing work at baseline (OR 2.35, 95% CI 1.69, 3.26, P<0.001).

CONCLUSION

Provision of reading glasses increases income in near vision-intensive occupations, and may facilitate return to work for those currently unemployed.

Carbon Dots for Multiuse Platform: Intracellular pH Sensing and Complementary Intensified T1-T2 Dual Imaging Contrast Nanoprobes

Measurement of pH in living cells is a great and decisive factor for providing an early and accurate diagnosis factor. Along with this, the multimodal transverse and longitudinal relaxivity enhancement potentiality over single modality within a single platform in the magnetic resonance imaging (MRI) field is a very challenging issue for diagnostic purposes in the biomedical field of application. Therefore, this work aims to design a versatile platform by fabricating a novel nanoprobe through holmium- and manganese-ion doping in carbon quantum dots (Ho-Mn-CQDs), which can show nearly neutral intracellular pH sensing and MRI imaging at the same time. These manufactured Ho-Mn-CQDs acted as excellent pH sensors in the near-neutral range (4.01-8.01) with the linearity between 6.01 and 8.01, which could be useful for the intracellular pH-sensing capability. An innumerable number of carboxyl and amino groups are present on the surface of the prepared nanoprobe, making it an excellent candidate for pH sensing through fluorescence intensity quenching phenomena. Cellular uptake and cell viability experiments were also executed to affirm the intracellular accepting ability of Ho-Mn-CQDs. Furthermore, with this pH-sensing quality, these Ho-Mn-CQDs are also capable of acting as T1-T2 dual modal imaging contrast agents in comparison with pristine Ho-doped and Mn-doped CQDs. The Ho-Mn-CQDs showed an increment of r1 and r2 relaxivity values simultaneously compared with only the negative contrast agent, holmium in holmium-doped CQDs, and the positive contrast agent, manganese in manganese-doped CQDs. The above-mentioned observations elucidate that its tiny size, excitation dependence of fluorescence behavior, low cytotoxicity, and dual modal contrast imaging capability make it an ideal candidate for pH monitoring in the near-neutral range and also as a dual modal MRI imaging contrast enhancement nanoprobe at the same time.

Capra cartilage-derived peptide delivery via carbon nano-dots for cartilage regeneration

Targeted delivery of site-specific therapeutic agents is an effective strategy for osteoarthritis treatment. The lack of blood vessels in cartilage makes it difficult to deliver therapeutic agents like peptides to the defect area. Therefore, nucleus-targeting zwitterionic carbon nano-dots (CDs) have immense potential as a delivery vehicle for effective peptide delivery to the cytoplasm as well as nucleus. In the present study, nucleus-targeting zwitterionic CDs have been synthesized as delivery vehicle for peptides while also working as nano-agents towards optical monitoring of cartilage healing. The functional groups of zwitterion CDs were introduced by a single-step microwave assisted oxidation procedure followed by COL II peptide conjugation derived from Capra auricular cartilage through NHS/EDC coupling. The peptide-conjugated CDs (PCDs) allows cytoplasmic uptake within a short period of time (∼30 m) followed by translocation to nucleus after ∼24 h. Moreover, multicolor fluorescence of PCDs improves (blue, green, and read channel) its sensitivity as an optical code providing a compelling solution towards enhanced non-invasive tracking system with multifunctional properties. The PCDs-based delivery system developed in this study has exhibited superior ability to induce ex-vivo chondrogenic differentiation of ADMSCs as compared to bare CDs. For assessment of cartilage regeneration potential, pluronic F-127 based PCDs hydrogel was injected to rabbit auricular cartilage defects and potential healing was observed after 60 days. Therefore, the results confirm that PCDs could be an ideal alternate for multimodal therapeutic agents.

Strain sensing multi-stimuli responsive light emitting lanthanide-based tough and stretchable hydrogels with tunable luminescence and fast self-recovery using metal-ligand and hydrophobic interaction

Lanthanide-based hydrogels have recently attracted massive interest due to their multipurpose applications like optical sensing, optical image probe, UV OLED, electroluminescent device and biological applications. Here we have developed dual...

Fabrication of a Vitamin B12-Loaded Carbon Dot/Mixed-Ligand Metal Organic Framework Encapsulated within the Gelatin Microsphere for pH Sensing and In Vitro Wound Healing Assessment

Bacterial invasion is a serious concern during the wound healing process. The colonization of bacteria is mainly responsible for the pH fluctuation at the wound site. Therefore, the fabrication of a proper wound dressing material with antibacterial activity and pH monitoring ability is necessary to acquire a fast healing process. Therefore, this work is dedicated to designing a vitamin B12-loaded gelatin microsphere (MS) decorated with a carbon dot (CD) metal-organic framework (MOF) for simultaneous pH sensing and advanced wound closure application. The resultant MS portrayed a high specific surface area and a hierarchically porous structure. Furthermore, the surface of the resultant MS contained numerous carboxyl groups and amine groups whose deprotonation and protonation with the pH alternation are accountable for the pH-sensitive properties. The vitamin B12 release study was speedy from the MOF structure in an acidic medium, which was checked by gelatin coating, and a controlled drug release behavior was observed. The system showed excellent cytocompatibility toward the L929 cell line and remarkable antibacterial performance against Gram-negative Escherichia coli and Gram-positive Staphylococcus aureus. Furthermore, the combined effect of Zn²⁺, the imidazole unit, and CDs produces an outstanding bactericidal effect on the injury sites. Finally, the in vitro wound model suggests that the presence of the vitamin B12-loaded gelatin MS accelerates the proliferation of resident fibroblast L929 cells and causes tissue regeneration in a time-dependent manner. The relative wound area, % of wound closure, and wound healing speed values are remarkable and suggest the requirement for assessing the response of the system before exploiting its prospective in vivo application.

Carbon Dot Cross-Linked Gelatin Nanocomposite Hydrogel for pH-Sensing and pH-Responsive Drug Delivery

Delivery of therapeutics to the intestinal region bypassing the harsh acidic environment of the stomach has long been a research focus. On the other hand, monitoring a system's pH during drug delivery is a crucial diagnosis factor as the activity and release rate of many therapeutics depend on it. This study answered both of these issues by fabricating a novel nanocomposite hydrogel for intestinal drug delivery and near-neutral pH sensing at the same time. Gelatin nanocomposites (GNCs) with varying concentrations of carbon dots (CDs) were fabricated through simple solvent casting methods. Here, CDs served a dual role and simultaneously acted as a cross-linker and chromophore, which reduced the usage of toxic cross-linkers. The proposed GNC hydrogel sample acted as an excellent pH sensor in the near-neutral pH range and could be useful for quantitative pH measurement. A model antibacterial drug (cefadroxil) was used for the in vitro drug release study at gastric pH (1.2) and intestinal pH (7.4) conditions. A moderate and sustained drug release profile was noticed at pH 7.4 in comparison to the acidic medium over a 24 h study. The drug release profile revealed that the pH of the release medium and the percentage of CDs cross-linking influenced the drug release rate. Release data were compared with different empirical equations for the evaluation of drug release kinetics and found good agreement with the Higuchi model. The antibacterial activity of cefadroxil was assessed by the broth microdilution method and found to be retained and not hindered by the drug entrapment procedure. The cell viability assay showed that all of the hydrogel samples, including the drug-loaded GNC hydrogel, offered acceptable cytocompatibility and nontoxicity. All of these observations illustrated that GNC hydrogel could act as an ideal pH-monitoring and oral drug delivery system in near-neutral pH at the same time.

Isolation and mass spectrometry based hydroxyproline mapping of type II collagen derived from Capra hircus ear cartilage

Collagen II (COLII), the most abundant protein in vertebrates, helps maintain the structural and functional integrity of cartilage. Delivery of COLII from animal sources could improve cartilage regeneration therapies. Here we show that COLII can be purified from the Capra ear cartilage, a commonly available bio-waste product, with a high yield. MALDI-MS/MS analysis evidenced post-translational modifications of the signature triplet, Glycine-Proline-Hydroxyproline (G-P-Hyp), in alpha chain of isolated COLII (COLIIA1). Additionally, thirty-two peptides containing 59 Hyp residues and a few G-X-Y triplets with positional alterations of Hyp in COLIIA1 are also identified. Furthermore, we show that an injectable hydrogel formulation containing the isolated COLII facilitates chondrogenic differentiation towards cartilage regeneration. These findings show that COLII can be isolated from Capra ear cartilage and that positional alteration of Hyp in its structural motif, as detected by newly developed mass spectrometric method, might be an early marker of cartilage disorder.

Surface quaternized nanosensor as a one-arrow-two-hawks approach for fluorescence turn “on–off–on” bifunctional sensing and antibacterial activity

The hydrothermal synthesis of κ-carrageenan and lemon juice derived carbon dots and their application in a fluorescence sensor for Cr(vi) and ascorbic acid are demonstrated.

INFLUENCE OF DIFFERENT SPECIFIC SURFACE AREA OF HIGHLY DISPERSIBLE SILICA AND INTERFACIAL CHARACTERISTICS OF GREEN ELASTOMER COMPOSITES

Epoxidized natural rubber (ENR) is a modified form of NR bearing polar epoxy groups. The focus is on dispersion of highly dispersible silica (HDS) filler with three different specific surface areas in ENR 25/ENR 50 composites. The effect of three different specific surface areas of HDS on bound rubber content, Payne effect, physicomechanical properties, and viscoelastic properties of the green composites was studied in detail. Also, the influences of epoxide content in ENRs in the absence of silane coupling agent are evaluated on the overall properties of green composites. The highest level of reinforcement was obtained for the intermediate specific surface area of HDS due to the homogenous dispersion in the ENR matrix. Small-angle X-ray scattering (SAXS) has been used to analyze the particle network and cluster establishment in the green composites. The present SAXS method provides a unique insight into the aggregate formation according to the Beaucage model. On the other hand, SAXS results demonstrate that the particle network can be efficiently suppressed by increasing the specific surface area of HDS.

Green approach to photoluminescent carbon dots for imaging of gram-negative bacteria Escherichia coli

Fluorescent carbon dots, zero-dimensional nanomaterials with surface ligands, have been studied extensively over the past few years in biolabelling or fluorescence-based live cell assays. In the past, synthetic organic dyes have been used as cell tracking materials, but they have severe limitations; fluorescent carbon dots may pave the way to biolabelling and cell imaging. In this work, green fluorescent carbon dots have been synthesized from a green source, gram, without any sort of covalent or ionic modifications. These gram-derived carbon dots are unique with respect to synthetic commercial cell-tracking dyes as they are non-toxic, cell internalization occurs quickly, and they have excellent bioconjugation with bacterial cells. Our aim is to establish these carbon dots in a biolabelling assay with its other physicochemical features like the tunable luminescence property, high degree of water solubility and low toxicity, towards various environments (wide range of pH, high ionic strength). Our study introduces a new perspective on the commercialization of carbon dots as a potential alternative to synthetic organic dyes for fluorescence-based cell-labelling assays.

On-demand tuned hazard free elastomeric composites: A green approach

Rising ecological concerns and depletion of the potentially harmful environmental impacts caused by rubber products, are of prime importance in the industry. Therefore, implementation of sustainable greener materials is required to minimize the detrimental influences. In this research, we investigated the beneficial influence of naturally derived bio-resin toward the effects of association with Zinc Oxide Nanoparticles in highly dispersible silica (HDS) reinforced Natural rubber (NR)/Epoxidized Natural Rubber (ENR)-based composites. This novel green composite offers impressive properties which were analyzed based on bound rubber content, transmission electron microscopy, physico-mechanical, dynamic mechanical, and cure characteristics. Nanoindentation studies demonstrated the enhanced hysteresis phenomenon of the green composites. The small angle X-ray scattering (SAXS) characterization has been studied by using a Beaucage model and results corroborates that the insertion of bio-resin exhibits ameliorated state of silica dispersion in the green composites. Overall, the study with the bio-resin has provided the impetus in employing it as an alternative to the expensive synthetic route of silane coupling agent and toxic process oil.

A simplistic approach to green future with eco-friendly luminescent carbon dots and their application to fluorescent nano-sensor 'turn-off' probe for selective sensing of copper ions

Zero-dimensional fluorescent nanoparticles having specificity as molecular probe appears to be strategically balanced fluorescent nano-probes. In this work, purified lemon extract and l-arginine have been thermally coupled for the extremely acute detection of Cu²⁺ in aqueous medium. The Cu²⁺ ions may be captured by the amino groups on the surface of the nano-sensor to form cupric ammine complex resulting in quenched fluorescence via an inner filter effect. Our proposed nano-probe is N-doped carbon dots (NCDs) which are efficiently selective as fluorescent chemosensor due to enormous binding affinity towards Cu²⁺ in a wide range of concentration (0.05-300μM) within a few minutes.

Colonic adenocarcinoma with coexisting tuberculosis: an unusual presentation

Tuberculosis affecting the colon is an uncommon extra-pulmonary form of the disease, and its association with malignancy is highly unusual. A 66-year man presented with lower gastrointestinal bleeding altered bowel habit and significant weight loss. On examination, he had ulcer infiltrative growth in the descending colon, with friable mucosa, bleeds easily on touch. With the diagnosis of carcinoma of the descending colon, he underwent left hemicolectomy. The histopathological examination revealed carcinoma colon with coexisting tuberculosis. The aetiological association between the tuberculosis and colon cancer is a matter of debate. However, the treating surgeon should be aware of this association, to avoid confusion and delay in the management.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.131-134

Nucleation and size distribution of nucleus during induction period of polyethylene crystallization

The crystallization process from supercooled melt results in the formation of nanosize nuclei in the earlier stage (induction period) through subsequent attachment or detachment of repeating unit to nuclei. The size distribution of nucleus f(N(j),t) in the induction period of nucleation process from the melts has not been experimentally confirmed yet by direct observation. The reason is that the number density of nuclei nu is too small to be detected experimentally. In our previous work, we showed the direct evidence of nucleation experimentally by means of small angle x-ray scattering (SAXS) technique. Further we have succeeded to observe the nucleation and f(N(j),t) of polymer crystallization from the melts by SAXS using synchrotron radiation. We increased nu by adding a nucleating agent to a polymer (polyethylene). The time evolution of f(N(j),t) was observed for the first time.

Photoionization of CH(3)I mediated by the C state in the visible and ultraviolet regions

Three/two-photon resonant multiphoton ionization (MPI) of the CH3I monomer has been studied in the gas phase at 532 and 355 nm using time-of-flight mass spectrometry. Under low laser intensity (approximately 10(9) W/cm2) the mass spectra showed peaks at m/z 15, 127 and 142, corresponding to [CH3]+, [I]+ and [CH3I]+ species, at both these wavelengths. The laser power dependence for [CH3I]+, [I]+ and [CH3]+ ions showed a three-photon dependence at 532 nm. For the same three ions, photoionization studies at 355 nm gave a power dependence of 2. Both these results suggest that a vibronic energy level at approximately 7 eV, lying in the Rydberg C state, acts as a resonant intermediate level in ionization of CH3I. In the case of 355 nm, with increasing intensity additional peaks at m/z 139 and 141 were observed which could be assigned to [CI]+ and [CH2I]+ fragments. In contrast, for high intensity radiation at 532 nm ( approximately 2 x 10(10) W/cm2), only the [CI]+ fragment was observed. At these wavelengths, fragment ions observed in mass spectra mainly arise from photodissociation of the parent ion. Experiments at another wavelength in the visible region (564.2 nm) confirmed the results obtained at 532 nm. In order to assess the role of the A state in these MPI experiments, additional experiments were performed at 266 and 282.1 nm, which access the A state directly via a one-photon transition, and showed absence of a surviving precursor ion. Reaction energies for various possible dissociation channels of CH3I/[CH3I]+/[CH2I]+ were calculated theoretically at the MP2 level using the GAMESS electronic structure program.

Characterization of a multilayer highly reflecting mirror by spectroscopic phase-modulated ellipsometry

The characterization of optical multilayer coatings has been a challenging task for thin-film scientists and engineers because of the various complex, interdependent layer parameters that exist in the system. Spectroscopic phase-modulated ellipsometry has some advantages in the postanalysis of the layer parameters of such multilayer coatings because it suitably models the layer structure with respect to the ellipsometric measurements. An algorithm to characterize multilayer optical coatings with large numbers of layers has been described by spectroscopic ellipsometry by use of a discrete spectral zone fitting approach. A 23-layer multilayer highly reflecting mirror has been characterized by this technique in the wavelength range 280-1000 nm. The ellipsometric spectra (? and D versus wavelength) have been fitted separately in three wavelength regimes. Fitting the ellipsometric spectra in the wavelength regime of 700-1000 nm permitted the sample structure to be determined. The data were then fitted in the wavelength range 280-340 nm, i.e., near the fundamental absorption edge of TiO(2), to yield the dispersion relation for the optical constants of TiO(2). Finally, the data were fitted in the wavelength range 340-700 nm, and the true dispersion of the refractive index of TiO(2), along with the best-fitting sample structure, was obtained.

Image Evaluation of the High Resolution VUV Spectrometer at SURF II by Ray Tracing

A high resolution VUV spectroscopic facility has been in use for several years at SURF II, the Synchrotron Ultraviolet Radiation Facility at the National Institute of Standards and Technology in Gaithersburg, Maryland. At this facility, a combination of three cylindrical mirrors is utilized to focus the light originating in the storage ring onto the horizontal entrance slit of the spectrometer. The spectrometer uses a 6.65 m concave grating having a groove density of 4800 lines/mm in the off-plane Eagle mounting. In preparation for the installation of an array detector in the exit image plane, a ray tracing program has been formulated and spot diagrams have been constructed by plotting the coordinates of the points of intersection of the diffracted rays with the image plane, which is tangent to the Rowland circle. In creating the spot diagrams, we have considered both parallel and tilted configurations of the entrance slit with respect to the grating grooves. It is shown that the line widths of the spectral images can be reduced when the entrance slit is properly tilted. Finally, we have estimated the spectral widths of the images when they are recorded on an array detector placed tangent to the Rowland circle. We conclude that an image spectral width of 0.41 pm to 0.88 pm in first order can be achieved over the wavelength region of 40 nm to 120 nm.

A design of a vermiculite column adsorber for the removal of lead from water

Mini-column techniques were employed to determine the mass transfer coefficient for lead adsorption onto vermiculite. Variation of the mass transfer coefficient with flow rate, particle size of sorbent, and influent lead concentration were studied. Multiple linear regression (MLR) analysis showed that the mass transfer coefficient varied as the 0.43 power of the liquid flow rate and inversely as the 0.272 power of particle diameter of the vermiculite, but was independent of the influent concentration of lead. Different parameters of a fixed bed column design for the removal of lead by vermiculite were determined using the data from the batch sorption study. The performance of the liquid bed column in removing lead was in close agreement with predicted performance using the batch isotherm data.

Theoretical evaluation of the high-resolution vacuum ultraviolet spectrometer on SURF II

The high-resolution vacuum-ultraviolet spectroscopic facility at SURF II, the Synchrotron Ultraviolet Radiation Facility at the National Institute of Standards and Technology in Gaithersburg, Md., consists of a fore-optics system of three cylindrical mirrors and a 6.65-m concave grating spectrometer using the off-plane Eagle mounting. To prepare for the evaluation of the actual performance of this nationalfacility spectrometer against theoretical expectations, we computed scanning parameters, spectral resolution, and the optimum curvature and tilt of both entrance and exit slits. It is planned eventually to replace the exit slit of this instrument with a two-dimensional array detector to increase data collection efficiency. Therefore a major motivation for this work is that the results on the tilt and curvature of the exit slit can be used to maximize the resolution obtainable with the array detector through data processing.

Aberration properties of a Czerny-Turner spectrograph using plane-holographic diffraction grating

In this paper I discuss the construction and the aberration properties of plane-holographic diffraction gratings in a Czerny-Turner mounting. A ray-tracing scheme has been formulated for computing the aberrations of the system. It has been found that in the area near the recording wavelength for the holographic grating, the system has better resolution than does a conventional grating system. The design parameters of a medium-sized holographic grating spectrograph are specified. The performance of the spectrograph is evaluated by plotting spot diagrams, which show that astigmatic defects are much reduced.

A note on the estimation of marriage rate from census data

"The level and trend in nuptiality for the developing countries can not be studied because necessary data are not available. A broad idea of the trend is obtained by examining the never-married proportion for different age cohorts at different censuses. In this paper, a methodology for estimating age-specific marriage rates from census data is presented." (SUMMARY IN FRE AND ITA)