Expanded spectrum of varicella disease and the need for vaccination in India

Varicella vaccine was first licensed in Japan and South Korea in 1989 for use in healthy children and was introduced in US in 1995. So far, 29 countries have adopted varicella vaccine in their universal immunization program (UIP). No Asian country, India included, has adopted the varicella vaccine as part of their UIP. The extra-cutaneous sites for VZV diseases are central nervous system and gastrointestinal tract, the expanded disease spectrum includes vasculopathy, myelitis, inflammatory bowel disease, perforated ulcers, and gastritis. The actual disease burden of varicella is not known as most of the infected individuals may not visit the physician. The amplifiable VZV DNA will not always be detectable in cerebrospinal fluid (CSF) samples in protracted illnesses such as vasculopathies, but demonstrable anti-VZV IgG in CSF has diagnostic value. The World Health Organization (WHO) position paper 2014 recommends two doses of varicella and zoster vaccines in targeted population. In India, varicella vaccine is not included in the UIP due to the cost and the belief that lifelong immunity occurs following primary infection. The expanded spectrum of VZV disease and the mounting body of evidence, however, suggest the need for both varicella and zoster vaccines in routine immunization schedule.

Patient-reported outcome measures in cerebrovascular neurosurgery

OBJECTIVE

The object of this study was to describe the use of patient-reported outcome measures (PROMs) in cerebrovascular neurosurgery and to outline a framework for incorporating them into future cerebrovascular research.

METHODS

Following the standardized PRISMA guidelines, the authors performed a search of the PubMed and Embase databases in February 2023 using filters to investigate six specific cerebrovascular pathologies/procedures: subarachnoid hemorrhage (SAH), intracranial hemorrhage, ischemic stroke, arteriovenous malformation, chronic subdural hematoma, and carotid artery stenosis. PROMs in the identified articles were distinguished and classified as generic, symptom specific, or disease specific.

RESULTS

A total of 259 studies including 51 PROMs were eligible for inclusion in the review. Most of the PROMs were generic or symptom specific. Only 5 PROMs were disease specific, and all of these pertained to stroke or SAH.

CONCLUSIONS

There are only a limited number of disease-specific PROMs available for cerebrovascular pathologies and outcomes. Further validation of existing measures in independent cohorts, expanded incorporation of disease-specific PROMs in prospective trials, and the development of new PROMs specific to cerebrovascular conditions are critical to a better understanding of the impact of cerebrovascular diseases and novel therapies on patient lives.

Oculomasticatory rhythmic movements, insomnia and stroke-like episodes in a patient with POLG mutation

The POLG mutation, a leading cause of mitochondrial diseases, exhibits a wide-ranging age of onset and a complex clinical presentation. We encountered an atypical clinical profile in an elderly man with a POLG mutation, characterised by a stroke-like episode, chronic insomnia and transient oculomasticatory rhythmic movement. History revealed chronic constipation since his 50s and progressive bilateral ophthalmoplegia since his early 60s. Subsequently, he had experienced acute encephalopathy and later developed chronic insomnia. The present neurological examination showed bilateral complete ophthalmoplegia, ptosis, and rhythmic ocular and jaw movements. Imaging indicated findings suggestive of a stroke-like episode and eventual genetic analysis revealed a homozygous missense mutation in the POLG gene. This case expands the clinical spectrum of POLG mutations in individuals over 60 years, showcasing the rare combination of a stroke-like episode, chronic insomnia and oculomasticatory rhythmic movement.

Medicaid Insurance is a Predictor of Prolonged Hospital Length of Stay After Traumatic Brain Injury: A Stratified National Trauma Data Bank Cohort Analysis of 552 949 Patients

BACKGROUND AND OBJECTIVES

Hospital length of stay (HLOS) is a metric of injury severity, resource utilization, and healthcare access. Recent evidence has shown an association between Medicaid insurance and increased HLOS after traumatic brain injury (TBI). This study aims to validate the association between Medicaid and prolonged HLOS after TBI using the National Trauma Data Bank.

METHODS

National Trauma Data Bank Trauma Quality Programs Participant Use Files (2003-2021) were queried for adult patients with TBI using traumatic intracranial injury ICD-9/ICD-10 codes. Patients with complete HLOS, age, sex, race, insurance payor, Glasgow Coma Scale, Injury Severity Score, and discharge disposition data were included (N = 552 949). Analyses were stratified by TBI severity using Glasgow Coma Scale. HLOS was coded into Tiers according to percentiles within TBI severity categories (Tier 1: 1-74th; 2: 75-84th; 3: 85-94th; 4: 95-99th). Multivariable logistic regressions evaluated associations between insurance payor and prolonged (Tier 4) HLOS, controlling for sociodemographic, Injury Severity Score, cranial surgery, and discharge disposition variables. Adjusted odds ratios (aOR) and 95% CI were reported.

RESULTS

HLOS Tiers consisted of 0-19, 20-27, 28-46, and ≥47 days (Tiers 1-4, respectively) in severe TBI (N = 103 081); 0-15, 16-21, 22-37, and ≥38 days in moderate TBI (N = 39 904); and 0-7, 8-10, 11-19, and ≥20 days in mild TBI (N = 409 964). Proportion of Medicaid patients increased with Tier ([Tier 1 vs Tier 4] severe: 16.0% vs 36.1%; moderate: 14.1% vs 31.6%; mild TBI: 10.2% vs 17.4%; all P < .001). On multivariable analyses, Medicaid was associated with prolonged HLOS (severe TBI: aOR = 2.35 [2.19-2.52]; moderate TBI: aOR = 2.30 [2.04-2.61]; mild TBI: aOR = 1.75 [1.67-1.83]; reference category: private/commercial).

CONCLUSION

This study supports Medicaid as an independent predictor of prolonged HLOS across TBI severity strata. Reasons may include different efficacies in care delivery and reimbursement, which require further investigation. Our findings support the development of discharge coordination pathways and policies for Medicaid patients with TBI.

Acoustic Droplet Vaporization of Perfluorohexane Emulsions Induced by Heterogeneous Nucleation at an Ultrasonic Frequency of 1.1 MHz

Droplets made of liquid perfluorocarbon undergo a phase transition and transform into microbubbles when triggered by ultrasound of intensity beyond a critical threshold; this mechanism is called acoustic droplet vaporization (ADV). It has been shown that if the intensity of the signal coming from high ultrasonic harmonics are sufficiently high, superharmonic focusing is the mechanism leading to ADV for large droplets (>3 μm) and high frequencies (>1.5 MHz). In such a scenario, ADV is initiated due to a nucleus occurring at a specific location inside the droplet volume. But the question on what induces ADV in the case of nanometer-sized droplets and/or at low ultrasonic frequencies (<1.5 MHz) still remains. We investigated ADV of perfluorohexane (PFH) nano- and microdroplets at a frequency of 1.1 MHz and at conditions where there is no superharmonic focusing. Three types of droplets produced by microfluidics were studied: plain PFH droplets, PFH droplets containing many nanometer-sized water droplets, and droplets made of a PFH corona encapsulating a single micron-sized water droplet. The probability to observe a vaporization event was measured as a function of acoustic pressure. As our experiments were performed on droplet suspensions containing a population of monodisperse droplets, we developed a statistical model to extrapolate, from our experimental curves, the ADV pressure thresholds in the case where only one droplet would be insonified. We observed that the value of ADV pressure threshold decreases as the radius of a plain PFH droplet increases. This value was further reduced when a PFH droplet encapsulates a micron-sized water droplet, while the encapsulation of many nanometer-sized water droplets did not modify the threshold. These results cannot be explained by a model of homogeneous nucleation. However, we developed a heterogeneous nucleation model, where the nucleus appears at the surface in contact with PFH, that successfully predicts our experimental ADV results.

Stroke-Like Episodes and Epilepsy in a Patient with COQ8A-Related Coenzyme Q10 Deficiency

Coenzyme q10 (CoQ10) deficiency is an extremely uncommon disease that has very rarely been reported in adulthood. This case describes an elderly male with ataxia since adolescence, and visual disturbance since 40, presenting with recurrent episodes of seizures. Imaging revealed stroke-like episodes, with other immune and infective evaluations being negative. He was eventually diagnosed to have Primary CoQ10 deficiency secondary to CoQ8A mutation. This account highlights the challenges in diagnosing and managing primary Coenzyme Q10 deficiency, especially when it presents later in life with atypical features such as stroke-like episodes.

In vitro anti-prostate adenocarcinoma and lung cancer studies of phenoxyaniline-block-poly(methyl methacrylate) based nanocomposites via controlled radical polymerization

A phenoxyaniline-based macroinitiator is utilized for the first time in order to produce phenoxyaniline-block-poly(methyl methacrylate) composites through single electron transfer-living radical polymerization (SET-LRP) under mild conditions. A different weight percentage of Cloisite 93A is added into the polymer mixtures in order to increase their biochemical properties. The prepared block copolymer nanocomposites are characterized using ATR-IR, UV-vis-spectroscopy, XRD, Raman, TGA, DSC, a particle size analyzer, contact angle measurements and SEM in order to characterize their structural, thermal, surface and morphological properties. Further, the developed polymeric nanocomposites are successfully applied in two different cancer cell lines (prostate adenocarcinoma and lung cancer), which show excellent anticancer properties. Also, acridine orange/ethidium bromide (AO/EtBr) dual staining is performed, which causes drastic cell death by apoptosis in both A549 and PC-3 cell lines, which indicated that the prepared polymeric nanocomposites effectively inhibit the cell proliferation and induce the apoptosis in both the cancer cells. Here nanoclay is used for cancer treatment because of its complete water solubility, which essentially causes the formation of a cationic complex between the clay and drug through electrostatic interactions. Hence, the exchange of ions between the clay and other ions in the biological environment leads to inhibition of the proliferation of prostate adenocarcinoma and lung cancer cells in the system.

N-Nitrosamine sensing properties of novel penta-silicane nanosheets-a first-principles outlook

CONTEXT

N-Nitrosamine is one of the highly toxic carcinogenic compounds that are found almost in the entire environment. In the present work, novel penta-silicene (penta-Si) and penta-silicane (penta-HSi) are utilised to sense the N-nitrosamine in the air environment. Initially, structural firmness of penta-Si and penta-HSi is confirmed using cohesive energy. Subsequently, the electronic properties of penta-Si and penta-HSi are discussed with the aid of electronic band structure and projected density of states (PDOS) maps. The calculated band gap of penta-Si and penta-HSi is 0.251 eV and 3.117 eV, correspondingly. Mainly, the adsorption property of N-nitrosamine on the penta-Si and penta-HSi is studied based on adsorption energy, Mulliken population analysis along with relative energy gap changes. The computed adsorption energy range is in physisorption (- 0.101 to - 0.619 eV), which recommends that the proposed penta-Si and penta-HSi can be employed as a promising sensor to detect the N-nitrosamine in the air environment.

METHODS

The structural, electronic and adsorption behaviour of N-nitrosamine on penta-Si and penta-HSi are studied based on the density functional theory (DFT) approach. The hybrid generalized gradient approximation (GGA) with Becke's three-parameter (B3) + Lee-Yang-Parr (LYP) exchange correlation functional is used to optimise the base material. All calculations in the present work are carried out in Quantum-ATK-Atomistic Simulation Software.

Bilateral vestibulopathy presaging clinically probable multisystem atrophy

Bilateral vestibulopathy is a clinical diagnosis backed by investigative confirmation, which can be masked by the lack of lateralising signs. It has a broad aetiological spectrum including neurodegenerative conditions, though many such cases also have unknown aetiology. We present the case of an elderly gentleman who presented with progressive bilateral vestibulopathy nearly 1.5 years prior to his eventual diagnosis of clinically probable multisystem atrophy. This case highlights the need to serially re-evaluate for parkinsonism and cerebellar signs in idiopathic bilateral vestibulopathy and raises a possibility that bilateral vestibulopathy, similar to constipation or anosmia, could be an early syndrome presaging the onset of overt extrapyramidal or cerebellar symptoms in patients with multisystem atrophy.

Anthropogenic marine litter: An approach to environmental quality for India's southeastern Arabian Sea coast

Anthropogenic marine litter (AML), mainly plastic, is a global concern that is persistent and widespread. To prevent and mitigate this threat, we need to understand the magnitude and source of AML. There is limited knowledge about AML pollution on the Indian Coast. In this context, the present study examined the distribution, abundance, typology, and beach quality based on AML along 22 beaches on the southeastern coast of the Arabian Sea. A total of 4911 AML items were classified into 9 categories, weighing 16.79 kg, and retrieved from a total area of 8000 m². The mean abundance and weight of AML in the current study were 0.45 ± 0.34 items/m² and 1.53 ± 0.92 g/m², respectively. Thottapally showed the most abundant AML among the studied beaches with 0.96 items/m², followed by Azheekkal with 0.73 items/m². Plastic, being the most common item, accounts for 77.6 % of all items and has a mean density of 0.35 items/m² comprising hard plastic (22 %), thermocol (13 %), food wrappers (7 %), cigarette butts (7 %), plastic rope (6 %), and plastic cutlery (6 %). Hazardous anthropogenic litter (HAL) was maximum at Thottapally (17.71 %; 85 out of 480 items collected). Based on the cleanliness of beaches, they are graded "moderately clean" (63 %) by the General Index (GI), "clean" (54 %), and "moderately clean" (40 %) as calculated by the Clean Coast Index (CCI). Hazardous Anthropogenic Beach Litter Index (HABLI) classifies 72 % of beaches as "moderately safe", while the Environmental Status Index (ESI) rates 68 % of beaches as "mediocre". Besides, model simulations demonstrated the pathways of AML propagation, which correlate to the littoral and coastal current flow patterns over the region. Land-based activities were the crucial factors influencing AML distribution. The study highlighted the need for effective regional litter management strategies, policy instruments for the litter impact pathways, economic, regulatory, and behavioural management tools, which were also discussed.

Facile Synthesis of Battery-Type CuMn2O4 Nanosheet Arrays on Ni Foam as an Efficient Binder-Free Electrode Material for High-Rate Supercapacitors

The development of battery-type electrode materials with hierarchical nanostructures has recently gained considerable attention in high-rate hybrid supercapacitors. For the first time, in the present study novel hierarchical CuMn₂O₄ nanosheet arrays (NSAs) nanostructures are developed using a one-step hydrothermal route on a nickel foam substrate and utilized as an enhanced battery-type electrode material for supercapacitors without the need of binders or conducting polymer additives. X-ray diffraction, scanning electron microscopy (SEM), and transmission electron microscopy (TEM) techniques are used to study the phase, structural, and morphological characteristics of the CuMn₂O₄ electrode. SEM and TEM studies show that CuMn₂O₄ exhibits a nanosheet array morphology. According to the electrochemical data, CuMn₂O₄ NSAs give a Faradic battery-type redox activity that differs from the behavior of carbon-related materials (such as activated carbon, reduced graphene oxide, graphene, etc.). The battery-type CuMn₂O₄ NSAs electrode showed an excellent specific capacity of 125.56 mA h g^-1 at 1 A g^-1 with a remarkable rate capability of 84.1%, superb cycling stability of 92.15% over 5000 cycles, good mechanical stability and flexibility, and low internal resistance at the interface of electrode and electrolyte. Due to their excellent electrochemical properties, high-performance CuMn₂O₄ NSAs-like structures are prospective battery-type electrodes for high-rate supercapacitors.

Autoimmune encephalitis: an observational study from South India

Background

Ever since AE was acknowledged as a potentially treatable cause of encephalitis, it has been increasingly recognised worldwide. Data suggests that these disorders are under-recognized, which calls for an increased awareness of the varying clinical, laboratory, electrophysiological and radiological presentations of the different types of autoimmune encephalitis. This cross-sectional observational study included all patients diagnosed with AE, who presented to a tertiary care centre from June 2016 to January 2021. Data were collected including patient’s demography, clinical, laboratory, radiological and electrophysiology studies, management and outcomes.

Results

31 study participants were included, of which 13 patients were anti-NMDA antibody positive, 12 patients were anti-LGI1 antibody positive, 2 patients were anti-CASPR2 antibody positive, 2 were positive for dual positive status (anti-LGi1 and anti-CASPR2), and one each for anti-GABA-B and anti-GAD 65. There was a marginal male predilection with overall seizures being the most common symptom (68%) followed by behavioural disturbance (64.5%), and impairment of consciousness (32.3%). Patients with Anti-NMDA encephalitis were likely to be young females, with CSF pleocytosis, a more protracted hospital course with more chances of relapse and residual disease, while the patients with anti-Lgi1 encephalitis were likely to be older males with a shorter, less severe hospital course.

Conclusion

The present study detailed the demographic, clinical, imaging, laboratory and EEG characteristics of 31 AE patients from a tertiary centre. The findings concurred with the literature and demonstrate the diverse spectrum of clinical manifestations of patients with AE, present with.

Interspecific variations in leaf litter decomposition and nutrient release from tropical mangroves

Efficient nutrient cycling through decomposition of leaf litter often regulates the high productivity and subsequent carbon sequestration of mangrove ecosystems along the land-ocean boundary. To understand the characteristics and the potentials of mangrove leaf litter in supplying organic carbon and nutrients to the coastal waters, four major mangrove species (A. officinalis, R. mucronata, H. littoralis and S. apetala) of Bhitarkanika mangrove forest, Odisha, India, were examined in controlled environmental conditions. Half-life time (t₀.₅), estimated for decomposition of those mangrove leaf litter materials ranged from 18 to 52 days. During the incubation experiment, organic carbon from mangrove leaf litter was released primarily through physical processes and was available for heterotrophic respiration. Among the four species, leaf litter of S. apetala with the lowest initial C/N ratios, released organic carbon with low molecular weight (labile substances) that has a relatively higher potential to support the aquatic food web. On the contrary, leaf litter of R. mucronata released organic material with relatively higher molecular weight (humic substances, higher aromaticity), which revealed its superior non-labile characteristics in this unique environment. The mean total heterotrophic bacterial (THB) population in the incubation was around nine-fold higher than the control. THB population growth and Chromophoric Dissolved Organic Matter (CDOM) spectral data further suggested the rapid release of highly labile and recalcitrant carbon from S. apetala and R. mucronata (between 7th and 21st day of incubation), respectively. The mean litter fall from the Bhitarkanika mangrove forest was estimated to be 11.32 ± 1.57 Mg ha^-1 y^-1 and its corresponding carbon content was 5.43 ± 0.75 Mg C ha^-1. The study revealed the role of leaf litter leachates as an important food source to microbial communities in the adjacent coastal waters, in addition to a potential carbon sequesterer through long-term burial in mangrove soil and export to the deep sea.

Case report on pre-orthodontic trainer in a 9-year-old child with 12 months follow up

BACKGROUND: Pre-fabricated myofunctional appliances for early orthodontic therapy have been designed specifically for the care of children at the time of mixed dentition in growing adolescents with class II division 1 malocclusions. Sophisticated prefabricated removable functional appliances known as pre-orthodontic trainers have been shown to train the orofacial musculature, thus correcting malocclusions. CASE DESCRIPTION: This is a case report of 9-year-old boy diagnosed as Class II division 1 malocclusion with protruded upper anterior teeth, constricted upper arch, space loss in lower arch and Class 2 molar relation on side. Functional treatment approach was decided using pre orthodontic T4K trainer for 12 months. At the end of this phase of treatment, improvements have been evaluated with lateral cephalograms superimposition between T1 and T2. DISCUSSION: Class II orthopaedic treatment along with the use of functional appliances by early interception assist in addressing the concerns with soft tissues, muscles, mouth respiration, and bruxism. The pre orthodontic trainer allowed a good dento-skeletal result as it had a major effect on the masticatory muscles after 12 months application which helped in obtaining a good esthetic outcome for the patient. CONCLUSIONS: The use of prefabricated functional appliance in children can be an advantageous method for early treatment of class II malocclusions with functional patterns as these devices influences masticatory muscle which help in molding the facial tissues and a viable alternative to braces for treating malocclusions in children because it stimulates the development of the dental arches transversely to stop the progression of the malocclusion. Therefore, when a lack of transverse development is discovered at a young age, this appliance is an invaluable tool for enhancing dental arch development, interceptive management of malocclusion, and oral habits.

Networking and co-occurrence of virulent and multidrug resistant environmental bacteria in different aquatic systems: A gap in MDR-virulence transfer?

Co-occurrence of resistance and virulence is often overlooked in aquatic bacteria as environmental reservoirs, while transmission of these characteristics to clinically significant strains present unforeseen problems in future. In this investigation, environmental bacteria identified concurrently from multiple aquatic habitats viz., groundwater, canal, river and coastal waters were profiled for antibiotic resistance, metal tolerance, virulence factors and genes coding for these determinants. Strains from polluted river and canal exhibited higher resistance and virulence, especially Pseudomonas gessardii and P. fluorescens displayed high antibiotic resistance index (ARI > 0.6-0.8) with Alkaline Protease and Phospholipase production. Opportunistic pathogens including Vibrio parahaemolyticus, V. alginolyticus, V. vulnificus, Corynebacterium and Comamonas testosteroni expressed all three virulence factors with relatively low resistance. However, V. vulnificus and V. alginolyticus exhibited multiclass antibiotic resistance (5/6 classes). Metagenomic analysis revealed that genes corresponding to beta-lactam resistance were significantly higher (p < 0.05) in freshwater than seawater, while multidrug resistance gene were higher (p < 0.05) in seawater. In all aquatic bodies, abundant virulence genes belonged to secretion system proteins followed by motility related genes. Culturable bacteria revealed differential distribution of positive and negative correlation between 31 targeted genes with expressed resistance and virulence. Among Acinetobacter, significant positive correlation was found between Phospholipase production, other virulence genes (OVGs) and resistance to DNA Synthesis Inhibitors (DSI). In Pseudomonas, positive correlation was detected between toxin genes (toxA, eta, hlyA and stx) and resistance to cell wall synthesis inhibitors (CSI) as well as with OVGs and adhesion genes (eae, afa, papC and papA). Network analysis displayed unique clustering of genes ncc, arsB, strA, merA and intI dominated by non-pathogens and distinct clustering of genes pho, erm, nfsA, trh, lasB, tdh and invA by Vibrio. This investigation extends insight on co-occurring resistance and virulence in aquatic reservoir bacteria that could pose serious threats to public health in future.

Benthic foraminifera as an environmental proxy for pollutants along the coast of Chennai, India

Benthic foraminifera are increasingly used as an indicator of environmental disturbance. Their sensitivities to pollutants can be reflected by changes in assemblage, which can provide useful information about ecosystem health. This study aimed to investigate the impact of organic and inorganic pollutants on the benthic ecology of the Chennai coast, with a focus on the 2017 oil spill caused by the collision of two ships. Sediment samples collected from five distinct zones along the coast were analysed for pollutants such as polycyclic aromatic hydrocarbons (PAHs), total petroleum hydrocarbons (TPH), heavy metals (Cr, Cd, Pb) and total organic carbon (TOC). The maximum concentrations of Cr (137 μg/g), Cd (6.93 μg/g) and Pb (34.2 μg/g), as well as TPH (84.3 μg/g) and PAHs (227 ng/g), were observed. A total of 47 species of foraminifera were identified in this study, of which 12 were morphologically abnormal. In the low-impact zone, the species diversity index (H') was higher. TPH and PAH concentrations were positively associated with abnormal species. Pollution-resistant foraminifera species include Ammonia tepida, Elphidium discoidale, and Quinqueloculina lamarckiana, while opportunistic foraminifera include Pararotalia curryi, Nonionella stella, Rosalina globularis, and Spirillina vivipara. PAHs and heavy metals were adversely correlated with foraminiferal abundance, while TPH was positively correlated. To assess the response of the benthic ecosystem to hydrocarbon pollution, indices such as the Foraminiferal Index of Environmental Impact (FIEI), Exponential (H'_bc) index and the Foraminiferal Abnormality Index (FAI) were used as environmental health proxies. FIEI, exp(H'_bc) and FAI values show the impact of hydrocarbon pollution to an extent along the northern Chennai coast.

Hybridization of long short-term memory with Sparrow Search Optimization model for water quality index prediction

Water quality (WQ) analysis is a critical stage in water resource management and should be handled immediately in order to control pollutants that could have a negative influence on the ecosystem. The dramatic increase in population, the use of fertilizers and pesticides, and the industrial revolution have resulted in severe effects on the WQ environment. As a result, the prediction of WQ greatly helped to monitor water pollution. Accurate prediction of WQ is the foundation of managing water environments and is of high importance for protecting water environment. WQ data presents in the form of multi-variate time-sequence dataset. It is clear that the accuracy of predicting WQ will be enhanced when the multi-variate relation and time sequence dataset of WQ are fully utilized. This article presents the Water Quality Prediction utilising Sparrow Search Optimization with Hybrid Long Short-Term Memory (WQP-SSHLSTM) model. The presented WQP-SSHLSTM model intends to examine the data and classify WQ into distinct classes. To achieve this, the presented WQP-SSHLSTM model undergoes data scaling process to scale the input data into uniform format. Followed by, a hybrid long short-term memory-deep belief network (LSTM-DBN) technique is employed for the recognition and classification of WQ. Moreover, Sparrow search optimization algorithm (SSOA) is utilized as a hyperparameter optimizer of the proposed DBN-LSTM model. For demonstrating the enhanced outcomes of the presented WQP-SSHLSTM model, a sequence of experiments has been performed and the outcomes are reviewed under distinct prospects. The WQP-SSHLSTM model has achieved 99.84 percent accuracy, which is the maximum attainable. The simulation outcomes ensured the enhanced outcomes of the WQP-SSHLSTM model on recent methods.

Comparative Evaluation of Fixed Functional Cantilever Space Maintainer and Fixed Nonfunctional Space Maintainer: A Randomized Controlled Trial

Background and objectives

Effective way to prevent mesial drift after the early loss of primary first molars is by inserting a durable space maintainer. Several space maintainers are available; fixed nonfunctional (FNF) space maintainer (crown and loop) is commonly used when abutment teeth need full-coronal restoration. Disadvantages of crown and loop space maintainer are nonfunctional, nonesthetic, and fracture of solder loop. To overcome this drawback, new design of fixed functional cantilever (FFC) space maintainer (crown and pontic) using bis-acrly composite resin. The study evaluated the longevity and acceptance of an FFC and compared it with a FNF space maintainer.

Materials and methods

A total of 20 healthy children, aged 6-9 years, were selected having bilateral premature loss of lower deciduous first molars. FFC space maintainer in one quadrant and FNF space maintainer in the other was cemented. The subject's acceptance of treatment was checked using a visual analog scale after the treatment completion. Criteria for complication leading to the failure was assessed in both the designs in the 3rd, 6th, and 9th month. Cumulative success longevity was obtained at a 9 month evaluation.

Results

Patient acceptability was greater in group I (FFC) in comparison to group II (FNF). In group I, fracture of the crown and pontic was the common complication leading to failure, followed by attrition of the crown and loss of material due to abrasion. In group II, fracture of the solder joint was the common complication leading to failure, followed by slippage of the loop gingivally and cement loss. The longevity of groups I and II were 70 and 85%, respectively.

Conclusion

FFC can be considered a viable alternative to conventional FNF space maintainers.

How to cite this article

Sathyaprasad S, Krishnareddy MG, Vinod V, et al. Comparative Evaluation of Fixed Functional Cantilever Space Maintainer and Fixed Nonfunctional Space Maintainer: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2022;15(6):750-760.

Arsenic resistance and horizontal gene transfer are associated with carbon and nitrogen enrichment in bacteria

Coastal waters are confluences receiving large amounts of point and non-point sources of pollution. An attempt was made to explore microbial community interactions in response to carbon, nitrogen and metal pollution. Additionally, experiments were designed to analyze the influence of these factors on horizontal gene transfer (HGT). Shift in bacterial diversity dynamics by arsenic stress and nutrient addition in coastal waters was explored by metagenomics of microcosm setups. Phylogenetic analysis revealed equal distribution of Gammaproteobacteria (29%) and Betaproteobacteria (28%) in control microcosm. This proportional diversity from control switched to unique distribution of Gammaproteobacteria (44.5%)> Flavobacteria (17.7%)> Bacteriodia (11.92%)> Betaproteobacteria (11.52%) in microcosm supplemented with carbon, nitrogen and metal (C + N + M). Among metal-stressed systems, alpha diversity analysis indicated highest diversity of genera in C + N + M followed by N + M > C+M> metal alone. Arsenic and ampicillin sensitive E. coli XL1 blue and environmental strains (Vibrio tubiashii W85 and E. coli W101) were tested for efficiency of uptake of plasmid (P) pUCminusMCS (arsB^Ramp^R) under varying stress conditions. Transformation experiments revealed that combined effect of carbon, nitrogen and metal on horizontal gene transfer (HGT) was significantly higher (p < 0.01) than individual factors. The effect of carbon on HGT was proved to be superior to nitrogen under metal stressed conditions. Presence of arsenic in experimental setups (P + M, P + N + M and P + C + M) enhanced the HGT compared to non-metal counterparts supplemented with carbon or nitrogen. Arsenic resistant bacterial isolates (n = 200) were tested for the ability to utilize various carbon and nitrogen substrates and distinct positive correlation (p < 0.001) was found between arsenic resistance and utilization of urea and nitrate. However, evident positive correlation was not found between carbon sources and arsenic resistance. Our findings suggest that carbon and nitrogen pollution in aquatic habitats under arsenic stress determine the microbial community dynamics and critically influence uptake of genetic material from the surrounding environment.

Ingestion and toxic impacts of weathered polyethylene (wPE) microplastics and stress defensive responses in whiteleg shrimp (Penaeus vannamei)

Weathered plastic litter is recognized as hazardous secondary microplastics(MPs) in the coastal and marine ecosystems, which are of high concern due to their greater impact on the environment. The present study aims to elucidate the impacts of environmentally weathered polyethylene (wPE) MPs on ingestion, growth and enzymatic responses in Penaeus vannamei. The Penaeus vannamei was chronically exposed to five varying concentration (0.1 mg-0.5 mg) of wPE particles in the size range between 43 and 32 μm for a period of 25days, followed by 5days depuration. At the end of exposure, a considerable number of wPE particles were observed from <2 to 14 per individual organism. However, around 60% of the wPE particles were removed after the depuration phase. The toxic exposure on P. vannamei resulted in significant changes in the enzymatic and growth responses with increasing concentration and duration. In addition, growth assessment confirmed that wPE exposure inhibited the growth of organism, and the effect was particularly evident at increasing concentrations and prolonged exposure. Also observed an elevated levels of lipid peroxidation, glutathione-S-transferases, whereas lower levels of reduced-glutathione and catalase at all exposed concentrations. This study confirmed that the ingestion of wPE was completely influenced by exposure duration, rather than the concentrations of administered. The present biomarker assay might act as an appropriate oxidative stress index for wPE toxicity. Findings of this study is useful in providing the basic biological information for environmental risk assessments of MPs, which are of high concern due to the rising input of microplastics into the environment.

Microplastic pollution in fragile coastal ecosystems with special reference to the X-Press Pearl maritime disaster, southeast coast of India

Microplastics (MPs) are a global environmental concern and pose a serious threat to marine ecosystems. This study aimed to determine the abundance and distribution of MPs in beach sediments (12 beaches), marine biota (6 beaches) and the influence of microbes on MPs degradation in eco-sensitive Palk Bay and Gulf of Mannar coast. The mean MP abundance 65.4 ± 39.8 particles/m² in beach sediments; 0.19 ± 1.3 particles/individual fish and 0.22 ± 0.11 particles g^-1 wet weight in barnacles. Polyethylene fragments (33.4%) and fibres (48%) were the most abundant MPs identified in sediments and finfish, respectively. Histopathological examination of fish has revealed health consequences such as respiratory system damage, epithelial degradation and enterocyte vacuolization. In addition, eight bacterial and seventeen fungal strains were isolated from the beached MPs. The results also indicated weathering of MPs due to microbial interactions. Model simulations helped in tracking the fate and transboundary landfall of spilled MPs across the Indian Ocean coastline after the X-Press Pearl disaster. Due to regional circulations induced by the monsoonal wind fields, a potential dispersal of pellets has occurred along the coast of Sri Lanka, but no landfall and ecological damage are predicted along the coast of India.

Enabling ultra-low-voltage switching in BaTiO3

Single crystals of BaTiO₃ exhibit small switching fields and energies, but thin-film performance is considerably worse, thus precluding their use in next-generation devices. Here, we demonstrate high-quality BaTiO₃ thin films with nearly bulk-like properties. Thickness scaling provides access to the coercive voltages (<100 mV) and fields (<10 kV cm^-1) required for future applications and results in a switching energy of <2 J cm^-3 (corresponding to <2 aJ per bit in a 10 × 10 × 10 nm³ device). While reduction in film thickness reduces coercive voltage, it does so at the expense of remanent polarization. Depolarization fields impact polar state stability in thicker films but fortunately suppress the coercive field, thus driving a deviation from Janovec-Kay-Dunn scaling and enabling a constant coercive field for films <150 nm in thickness. Switching studies reveal fast speeds (switching times of ~2 ns for 25-nm-thick films with 5-µm-diameter capacitors) and a pathway to subnanosecond switching. Finally, integration of BaTiO₃ thin films onto silicon substrates is shown. We also discuss what remains to be demonstrated to enable the use of these materials for next-generation devices.

Comparison of Fasting Insulin Level, Homeostatic Model of Insulin Resistance, and Lipid Levels between Patients with Primary Hypertension and Normotensive Subjects

BACKGROUND

Hyperinsulinemia and insulin resistance occurs in obese patients with primary hypertension independent of diabetes and obesity. This study was aimed at assessing serum fasting insulin levels, the homeostatic model assessment for insulin resistance (HOMA-IR), and serum lipid levels in non-obese patients with primary hypertension when compared to normotensive subjects.

METHODS

This observational study comprised 100 patients over 18 years of age, divided into two groups. The hypertensive group comprised non-obese patients with primary hypertension (n=50); the normotensive group comprised normotensive age- and sex-matched individuals (n=50). Patients with diabetes, impaired fasting glucose, obesity, and other causative factors of insulin resistance were excluded from the study. Serum fasting insulin levels and fasting lipid profiles were measured, and insulin resistance was calculated using HOMA-IR. These data were compared between the two groups. Pearson's correlation coefficient was used to assess the extent of a linear relationship between HOMA-IR and to evaluate the association between HOMA-IR and systolic and diastolic blood pressures.

RESULTS

Mean serum fasting insulin levels (mIU/L), mean HOMA-IR values, and fasting triglyceride levels (mg/dL) were significantly higher in the hypertensive versus normotensive patients (10.32 versus 6.46, P<0.001; 1.35 versus 0.84, P<0.001; 113.70 versus 97.04, P=0.005, respectively). The HOMA-IR levels were associated with systolic blood pressure (r value 0.764, P=0.0005).

CONCLUSION

We observed significantly higher fasting insulin levels, serum triglyceride levels, and HOMA-IR reflecting hyperinsulinemia and possibly an insulin-resistant state among primary hypertension patients with no other causally linked factors for insulin resistance. We observed a significant correlation between systolic blood pressure and HOMA-IR.

Enhanced photocatalytic activity of ZnO hexagonal tube/r-GO composite on degradation of organic aqueous pollutant and study of charge transport properties

ZnO hexagonal tube and ZnO/r-GO nanocomposites were synthesized by hydrothermal method and the nanostructures were characterized by XRD, UV-DRS, PL, FTIR, FESEM, and TEM techniques. The main violet emission peak of the synthesized nanostructures is due to the transition between interstitial zinc and hole (valence band) of ZnO. The potential of ZnO/r-GO nanocomposite was evaluated using methyl orange (MO) and rhodamine-B (RhB), and the results were compared with the activity of synthesized ZnO nanostructures. More than 95% of MO and RhB were by ZnO/r-GO nanocomposite and it was found to be higher than that of ZnO hexagonal tube. The degradation MO and RhB were found to follow first-order kinetics and it has a rate constant of 7.68 × 10^-2and 7.83 × 10^-2 min^-1, respectively. These results are mainly due to the enhanced charge transport property. Trapping experiments show that superoxide radical anion and hydroxide radicals are chief species responsible for the degradation of MO and RhB. The chemical stability of the nanocomposite was evaluated by cycle test experiments and it reveals that the catalyst can be reused up to few cycles without considerable loss of photocatalytic activity. This work affords a simple stratagem to integrate ZnO hexagonal tubes and r-GO nanosheets to construct effective catalysts for the degradation of organic compounds.

Isolation and biological evaluation 7-hydroxy flavone from Avicennia officinalis L: insights from extensive in vitro, DFT, molecular docking and molecular dynamics simulation studies

The flavonoid based 7-hydroxy flavone (PubChem CID: 5281894; molecular formula: C₁₅H₁₀O₃) molecule has been isolated for the first time from the methanolic extract from the leaves of Avicennia officinalis L. in the tropical mangrove ecosystem of Andaman and Nicobar Islands (ANI), India. The molecular structure of bioactive compound was characterized by spectroscopic analysis, including FT-IR, ¹H, ¹³C NMR spectroscopy and ESI-HRMS and elucidated as 7-hydroxy flavone. An anticancer activity of isolated 7-hydroxy flavone was evaluated by in vitro study against two different human cancer cell lines namely, HeLa (cervical cells) and MDA-MB231 (breast cells) and they exhibited promising anticancer activity with IC₅₀ values are 22.5602 ± 0.21 µg/mL and 3.86474 ± 0.35 µg/mL, respectively. The antioxidant property of 7-hydroxy flavone at a standard concentration of 50 µg, was found to be (IC₅₀) 5.5486 ± 0.81 µg/mL. In summary, this investigation provides evidence that 7-hydroxy flavone exhibits both anticancer and antioxidant properties. Meanwhile, the antimicrobial activity ability of 7-hydroxy flavone were also evaluated using three Gram positive and two Gram negative strain exhibited no antimicrobial activities. Density-functional theory (DFT) studies confirm the structure is global minima in the PES, from the optimized geometry FMO and MESP map analyzed. Further, the molecular docking and molecular dynamics simulation studies result shows that 7-hydroxy flavone has the better binding ability with anti-apoptotic Bcl-2 protein with the estimated free energy of binding of -6.3 kcal/mol. This bioactive compound may be act as drug candidate for treating various kinds of cancers. HighlightsA 7-hydroxy flavone molecule has been isolated from Avicennia officinalis.The isolated pure compound was subjected to spectral analysis such as FT-IR, ¹H NMR, ¹³C NMR spectral data and HRMS analysis for skeleton of the molecule.The anticancer activity of 7-hydroxy flavone studied against Cervical (HeLa) cancer cell lines and breast (MDA-MB231) cancer cell lines with the IC₅₀ values of 22.5602 ± 0.21 µg/mL and 3.86474 ± 0.35 µg/mL), respectively.The antioxidant properties of 7-hydroxy flavone were found to be (IC₅₀) 5.5486 ± 0.81 µg/mL at a standard concentration of 50 µg.DFT, molecular docking and MD simulation results explained that 7-hydroxy flavone could be the most promising candidate to inhibit the function of anti-apoptotic Bcl-2 protein in cancerous cell.Communicated by Ramaswamy H. Sarma.

Materials for a Sustainable Microelectronics Future: Electric Field Control of Magnetism with Multiferroics

This article is written on behalf of many colleagues, collaborators, and researchers in the field of complex oxides as well as current and former students and postdocs who continue to enable and undertake cutting-edge research in the field of multiferroics, magnetoelectrics, and the pursuit of electric-field control of magnetism. What I present is something that is extremely exciting from both a fundamental science and applications perspective and has the potential to revolutionize our world, particularly from a sustainability perspective. To realize this potential will require numerous new innovations, both in the fundamental science arena as well as translating these scientific discoveries into real applications. Thus, this article will attempt to bridge the gap between fundamental materials physics and the actual manifestations of the physical concepts into real-life applications. I hope this article will help spur more translational research within the broad materials community.

Modified collision study to isolate and study small fibre neuropathy in patients with Type 2 diabetes

Introduction:

Diabetic distal symmetrical polyneuropathy (DSPN) can be categorized as small fibre, large fibre, and mixed neuropathy. Even though small fibre neuropathy is the most prevalent, unfortunately it is usually not recognized by routine electrophysiologic studies. In this study, we intend to examine the slow velocity small fibres responsible for small fibre DSPN, by isolating them using collision technique principle in patients with diabetes.

Methods:

This is an observational case-control study designed to compare nerve conduction values with application of collision technique in 60 patients with T2D and in 60 age and sex matched controls.

Results:

The collision study in patients with Type 2 Diabetes showed mean Latency of 10.5 ± 1.7 ms and mean Amplitude of 3.4 ± 2.3 mV on the right side and mean Latency of 10.5 ± 1.7 ms and the mean Amplitude of 3.5 ± 2.2 mV on the left side. There was a statistically significant difference (P value < 0.001) in the amplitute and latency of CNAPs of small fibres in median nerve innervated APBs of both arms between those with T2D and controls.

Discussion and Conclusion:

Collision study helps to examine the slower conducting fibres of the larger nerves. Our study suggests that the Collision Technique can be used to identify early peripheral neuropathy regardless of the diabetes status, thus making it more practically feasible and cost-effective.

Fatty acid signatures of sediment microbial community in the chronically polluted mangrove ecosystem

Phospholipid fatty acid (PLFA) analysis was used to examine variation in the distribution of microbial communities in heavily polluted mangrove sediments of Thane creek, west coast of India. A total of 40 individual PLFAs representing 11 functional groups were identified in the sediment and were mainly dominated by saturated fatty acids (anaerobic prokaryotes) >50%. Significant dominance of PUFA, 16:3 ω6c (34.2%) indicators of micro-eukaryotes, in subsurface depth (p < 0.05) suggests input from the remnants of marine microalgae. Declined mean relative abundance of fungi (<6%) and actinomycetes (<1%) were detected in the sediment indicating their sensitivity to anthropic stressors. Homogenous profile of microbial diversity indicating active bioturbation. Cumulative metabolic stress evident from SAT/MUFA (>1), B/F (>1) and G⁺/G^- (<1) ratio and prolonged hypoxia to be prevalent in the creek during the study. In conclusion, PLFA signatures can thus be used as potential biomarkers of environmental monitoring and proxy for interpreting ecosystem health.

COVID-19 restrictions and their influences on ambient air, surface water and plastic waste in a coastal megacity, Chennai, India

Anthropogenic activities experienced a pause due to the nationwide lockdown, imposed to contain the rapid spread of COVID-19 in the third week of March 2020. The impacts of suspension of industrial activities, vehicular transport and other businesses for three months (25 March-30 June) on the environmental settings of Chennai, a coastal megacity was assessed. A significant reduction in the key urban air pollutants [PM_2.5 (66.5%), PM₁₀ (39.5%), NO₂ (94.1%), CO (29%), O₃ (45.3%)] was recorded as an immediate consequence of the reduced anthropogenic activities. Comparison of water quality of an urban river Adyar, between pre-lockdown and lockdown, showed a substantial drop in the dissolved inorganic N (47%) and suspended particulate matter (41%) during the latter period. During the pandemic, biomedical wastes in India showed an overall surge of 17%, which were predominantly plastic. FTIR-ATR analysis confirmed the polymers such as polypropylene (25.4%) and polyester (15.4%) in the personal protective equipment.

GROUNDWATER AND DRINKING WATER RADON CONCENTRATIONS IN THE COASTAL AND INTERIOR AREAS OF CHENNAI METRO CITY AND ITS IMPACT ON PUBLIC HEALTH

One hundred forty-eight water samples were collected from in and around Chennai and 222Rn concentrations were measured using radon emanometry method. The average 222Rn concentration was estimated to be 6.88, 2.01, 1.17, 0.19 and 0.10 Bq L-1 for borewell water, openwell water, tank water, metro water and lake water, respectively, which were within the U.S. Environmental Protection Agency's (USEPA) Standard limit of 11.1 Bq L-1 and World Health Organization (WHO) global average 10 Bq L-1. The total effective dose obtained has varied from 0 to 157.57 μSv y-1 with ±10% standard deviation. The mean values were 19.608, 8.092, 4.692, 0.761 and 0.423 μSv y-1 for closed borewell, open well water, tank water, metro water and for lake water, respectively. All these values were below the reference point 0.1 mSv y-1 (100 μSv y-1) set by WHO.

Optimized Attribute Selection Using Artificial Plant (AP) Algorithm with ESVM Classifier (AP-ESVM) and Improved Singular Value Decomposition (ISVD)-Based Dimensionality Reduction for Large Micro-array Biological Data

In the tremendous field of the bioinformatics look into, enormous volume of genetic information has been produced. Higher throughput gadgets are made accessible at lower cost made the age of Big data. In a time of developing information multifaceted nature and volume and the approach of huge information, feature selection has a key task to carry out in decreasing high dimensionality in AI issues. Dealing with such huge data has turned out to be incredibly testing strategy for choosing the exact features in enormous medical databases. Large clinical data frequently comprise of an enormous number of identifiers of the disease. Data mining when applied to clinical data for identification of diseases, a few identifiers are will not be much useful and sometimes may even have negative impacts. Consequently, when the FS is applied, it is vital as it can expel those insignificant disease identifiers. It likewise builds the adequacy of decision by a physician emotionally supportive network by viably diminishing the time of learning of the framework. In this paper, a unique approach is presented for the feature selection utilizing the Artificial Plant algorithm which uses the Enhanced Support Vector Machine classifier. The features got are additionally dimensionally decreased by presenting the Improved Singular Value Decomposition strategy; finally, enhancement is done by the outstanding BAT streamlining method. The examinations are completed with real-time large cervical cancer data and it demonstrated to be more effective than the current methods.

C19orf12 mutation causing mitochondrial membrane-protein Associated Neurodegeneration masquerading as spastic paraplegia

Mitochondrial Membrane-protein Associated Neurodegeneration (MPAN) is a rare disease, caused by C19orf12 mutations and up to 29 different mutations have been described. We report a young woman presented with spastic paraparesis due to C19orf12 gene. MPAN presenting like Hereditary spastic paraplegia-43 is rare and the genetic mutation had been described only once in the literature.

Spatiotemporal variations in anthropogenic marine litter pollution along the northeast beaches of India

Marine litter is widely distributed in marine environments and has been a severe concern worldwide, due to the disposal of waste from diverse sources. The severity of this threat has garnered increasing attention in India over the last decade, but the full consequences of this pollution are yet to be quantified. To estimate the spatiotemporal distribution, composition and beach quality of marine litter pollution, 17 beaches along the Hooghly estuary, a part of the Gangetic delta was studied. Marine litter was collected from 100 m long transects during two seasons (monsoon and post-monsoon). The OSPAR monitoring standard was applied to the 16,597 litter items collected, then grouped under 6 types and 44 categories. In terms of number, litter abundance was higher during monsoon (1.10 ± 0.39 items/m²) than that of post-monsoon (0.86 ± 0.32 items/m²). Most of the beaches were categorized as low cleanliness as computed by the general index and clean coast index and the good for the pellet pollution index. Hazardous litter constituted 6.5% of the total collected litter items. The model prediction revealed that the influence of high discharge from Hooghly, Rasulpur and Subarnarekha River carried enormous anthropogenic litter to the northeast beaches. The litter flux decreases with an increase in distance from the shore, and act as a sink to the sea-floor. The results denote that the distribution and typology of marine litter were representatives of household, tourism and fishing, which in turn highlights the need for better regional litter management measures. Suggested management practices include source reduction, mitigation, management of beach environment and change in littering behaviour through environmental education.

Interface enriched highly interlaced layered MoS2/NiS2 nanocomposites for the photocatalytic degradation of rhodamine B dye

In the past few decades, air and water pollution by organic dyes has become a serious concern due to their high toxicity. Removal of these organic dyes from polluted water bodies is a serious environmental concern and the development of new advanced photocatalytic materials for decomposing organic dyes can be a good solution. In this work, layered molybdenum disulfide/nickel disulfide (MoS₂/NiS₂) nanocomposites with various NiS₂ content was synthesized by a one-step hydrothermal method using citric acid as a reducing agent. The X-ray diffraction pattern shows the hexagonal and cubical crystal structure of MoS₂ and NiS₂, respectively. Morphological analysis confirms the formation of MoS₂/NiS₂ nanosheets. The elemental composition of the samples was carried out by XPS, which shows a significant interaction between NiS₂ and MoS₂. The photocatalytic performance of MoS₂/NiS₂ nanocomposites was studied by the degradation of rhodamine B (RhB). Ni-4 sample shows higher photocatalytic activity with a maximum degradation of 90.61% under visible light irradiation for 32 min.

The photocatalytic performance of MoS₂/NiS₂ nanocomposites was studied by the degradation of rhodamine B (RhB). Ni-4 sample shows higher photocatalytic activity with a maximum degradation of 90.61% under visible light irradiation for 32 min.

Engineering new limits to magnetostriction through metastability in iron-gallium alloys

Magnetostrictive materials transduce magnetic and mechanical energies and when combined with piezoelectric elements, evoke magnetoelectric transduction for high-sensitivity magnetic field sensors and energy-efficient beyond-CMOS technologies. The dearth of ductile, rare-earth-free materials with high magnetostrictive coefficients motivates the discovery of superior materials. Fe_1-xGa_x alloys are amongst the highest performing rare-earth-free magnetostrictive materials; however, magnetostriction becomes sharply suppressed beyond x = 19% due to the formation of a parasitic ordered intermetallic phase. Here, we harness epitaxy to extend the stability of the BCC Fe_1-xGa_x alloy to gallium compositions as high as x = 30% and in so doing dramatically boost the magnetostriction by as much as 10x relative to the bulk and 2x larger than canonical rare-earth based magnetostrictors. A Fe_1-xGa_x - [Pb(Mg_1/3Nb_2/3)O₃]_0.7-[PbTiO₃]_0.3 (PMN-PT) composite magnetoelectric shows robust 90° electrical switching of magnetic anisotropy and a converse magnetoelectric coefficient of 2.0 × 10^-5 s m^-1. When optimally scaled, this high coefficient implies stable switching at ~80 aJ per bit.

Assessment of biogrowth assemblages with depth in a seawater intake system of a coastal power station

Marine biogrowth infestation of a seawater intake system was investigated. A digital camera fixed onto a skid was used to record the biogrowth at intervals of 5 m up to a depth of 55 m. Divers inspected the intake shaft and collected the biogrowth samples for biomass estimation. A biomass density of 7.5 kg m^-2 and 28.2 kg m^-2 was recorded at 5 and 30 m depths respectively. Inspection by the divers revealed that hard-shelled organisms such as oysters and brown and green mussels were observed in plenty up to a thickness of 15 cm and bryozoans grew as epibionts. At lower depths (<40 m), hydroids grew on the shells of green mussels along with silt accumulation. The biofouling community was composed of 46 organisms, exhibiting variation in distribution and abundance. The study explains the extent and type of marine biogrowth phenomena with depth and describes biofouling preventive methods.Supplemental data for this article is available online at https://doi.org/10.1080/08927014.2021.1933457 .

Triple-negative breast cancers with expression of glucocorticoid receptor in immune cells show better prognosis

Background

Glucocorticoid receptor (GR) is shown to have variable frequency of expression in invasive tumors of the breast. Investigation of additional nuclear receptors like GR in receptor negative tumors like triple negative breast cancer (TNBC) may have prognostic and therapeutic significance.

Methods

Expression of GR was evaluated by immunohistochemistry in 175 tumors of invasive breast cancer with long term follow up. GR Expression was separately evaluated in invasive tumor cells, stromal cells and tumor infiltrating lymphocytes (TIL's). Staining pattern was categorised as positive when more than 1% of the cells stained in each subpopulation of cells. Disease free survival was analysed between GR positive and negative status by Kaplan Meier analysis.

Results

Of the 175 tumors, 121 (70%) were ER positive, 53 (30%) were ER negative and 29% (51) were triple negative. 74% (130/175) tumors showed expression of GR in invasive tumor cells while (84%) 147/175 had expression in TIL's. No significant difference in distribution of GR was noted between ER positive and ER negative tumors (78% vs 66%, p-0.1). Of the TNBC's 54% (28/51) and 70% (36/51) showed expression of GR in invasive tumor and TIL's respectively. Overall, GR positive tumors had significant better survival than GR negative tumors (mean survival time of 85 vs 59 months respectively, p-0.04) Contrary to the reports that GR expression in TIL's are associated with immunosuppressive activity in model systems, TNBC's with increased expression of GR in immune cells were associated with better survival (Mean survival time 74 vs 41 months, log rank test- p-0.03). TNBC tumors which were GR negative had higher lymph node metastases (p-0.04) and none of the other clinical features like age, menopausal state, tumor size and grade were different between GR positive and negative tumors within TNBC.

Conclusions

Glucocorticoids (GC) are often used to alleviate the adverse symptoms during chemotherapy. Determining the GR status is of importance due to the pro cell survival effect of the glucocorticoids mediated through GR during chemotherapy. Though GC mediated effects on chemotherapy are controversial, our results indicate favourable effects in TNBC.

The construction of a dual direct Z-scheme NiAl LDH/g-C3N4/Ag3PO4 nanocomposite for enhanced photocatalytic oxygen and hydrogen evolution

Dual direct Z-scheme photocatalysts for overall water decomposition have demonstrated strong redox abilities and the efficient separation of photogenerated electron-hole pairs. Overall water splitting utilizing NiAl-LDH-based binary and ternary nanocomposites has been extensively investigated. The synthesized binary and ternary nanocomposites were characterized via XRD, FTIR, SEM, HRTEM, XPS, UV-DRS, and photoelectrochemical measurements. The surface wettability properties of the prepared nanocomposites were measured via contact angle measurements. The application of the NiAl-LDH/g-C3N4/Ag3PO4 ternary nanocomposite was investigated for photocatalytic overall water splitting under light irradiation. In this work, we found that in the presence of Ag3PO4, the evolution of H2 and O2 is high over LCN30, and 2.8- fold (O2) and 1.4-fold (H2) activity increases can be obtained compared with the use of LCN30 alone. It is proposed that Ag3PO4 is involved in the O2 evolution reaction during water oxidation and g-C3N4 is involved in overall water splitting. Our work not only reports overall water splitting using NiAl-LDH-based nanocomposites but it also provides experimental evidence for understanding the possible reaction process and the mechanism of photocatalytic water splitting. Photoelectrochemical measurements confirmed the better H2 and O2 evolution abilities of NiAl-LDH/g-C3N4/Ag3PO4 in comparison with NiAl LDH, g-C3N4, Ag3PO4, and LCN30. The observed improvement in the gas evolution properties of NiAl LDH in the presence of Ag3PO4 is due to the formation of a dual direct Z-scheme, which allows for the easier and faster separation of charge carriers. More importantly, the LCNAP5 heterostructure shows high levels of H2 and O2 evolution, which are significantly enhanced compared with LCN30 and pure NiAl LDH.

Aggregation of Region-based and Boundary-based Knowledge Biased Segmentation for Osteoporosis Detection from X-Ray, Dual X-Ray and CT Images

BACKGROUND

Osteoporosis is a term used to represent the reduced bone density, which is caused by insufficient bone tissue production to balance the old bone tissue removal. Medical Imaging procedures such as X-Ray, Dual X-Ray and Computed Tomography (CT) scans are used widely in osteoporosis diagnosis. There are several existing procedures in practice to assist osteoporosis diagnosis, which can operate using a single imaging method.

OBJECTIVE

The purpose of this proposed work is to introduce a framework to assist the diagnosis of osteoporosis based on consenting all these X-Ray, Dual X-Ray and CT scan imaging techniques. The proposed work named "Aggregation of Region-based and Boundary-based Knowledge biased Segmentation for Osteoporosis Detection from X-Ray, Dual X-Ray and CT images" (ARBKSOD) is the integration of three functional modules.

METHODS

Fuzzy Histogram Medical Image Classifier (FHMIC), Log-Gabor Transform based ANN Training for osteoporosis detection (LGTAT) and Knowledge biased Osteoporosis Analyzer (KOA).

RESULTS

Together, all these three modules make the proposed method ARBKSOD scored the maximum accuracy of 93.11%, the highest precision value of 93.91% while processing the 6th image batch, the highest sensitivity of 92.93%, the highest specificity of 93.79% is observed during the experiment by ARBKSOD while processing the 6th image batch. The best average processing time of 10244 mS is achieved by ARBKSOD while processing the 7th image batch.

CONCLUSION

Together, all these three modules make the proposed method ARBKSOD to produce a better result.