Competent antioxidant and antiglycation properties of zinc oxide nanoparticles (ZnO-NPs) phyto-fabricated from aqueous leaf extract of Boerhaavia erecta L

During the present century, plant-based zinc oxide nanoparticles (ZnO-NPs) are exploited extensively for their vast biological properties due to their unique characteristic features and eco-friendly nature. Diabetes is one of the fast-growing human diseases/abnormalities worldwide, and the need for new/ novel antiglycation products is the need of the hour. The study deals with the phyto-fabrication of ZnO-NPs from Boerhaavia erecta, a medicinally important plant, and to evaluate their antioxidant and antiglycation ability in vitro. UV-visible spectroscopy (UV-Vis), X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM), and energy dispersive spectroscopy (EDS) were used to characterize the phyto-fabricated ZnO-NPs. The characterization of nanoparticles revealed that the particles showed an absorption peak at 362 nm and band gap energy of 3.2 eV, approximately 20.55 nm in size, with a ZnO elemental purity of 96.61%. The synthesized particles were found agglomerated when observed under SEM, and the FT-IR studies proved that the phyto-constituents of the extract involved during the different stages (reduction, capping, and stabilization) of nanoparticles synthesis. The antioxidant and metal chelating activities confirmed that ZnO-NPs could inhibit the free radicals generated, which was dose-dependent with an IC₅₀ value between 1.81 and 1.94 mg mL^-1, respectively. In addition, the phyto-fabricated nanoparticles blocked the formation of advanced glycation end products (AGEs) as noticed through inhibition of Amadori products, trapping of reactive dicarbonyl intermediate and breaking the cross-link of glycated protein. It was also noted that the phyto-fabricated ZnO-NPs significantly prevented the damage of red blood corpuscles (RBCs) induced by MGO. The present study's findings will provide an experimental basis for exploring ZnO-NPs in diabetes-related complications.

No evidence of resistance to itraconazole in a prospective real-world trial of dermatomycosis in India

BACKGROUND

The prevalence of superficial fungal infections in India is believed to have increased substantially in the past decade. We evaluated the treatment outcomes and risk factors associated with clinical response to a treatment course of itraconazole for the management of dermatomycosis in India.

METHODS

In this real-world, prospective pilot study (August 2019 to March 2020), adult participants (18-60 years), diagnosed with T. cruris or T. corporis, received itraconazole 200 mg/day (any formulation) orally for 7 days, and were followed for an additional 7 days.

RESULTS

The study was terminated early due to the COVID-19 pandemic. Of 40 enrolled participants (mean [SD] age, 35.5 [12.73] years; {62.5%}] male; 37 received itraconazole and 20 (50%) completed the study. The median (range) Clinical Evaluation Tool Signs and Symptoms total score at baseline was 5.5 (2-10). Clinical response of "healed" or "markedly improved" based on the Investigator Global Evaluation Tool at day 7 (primary objective) was 42.9% (12/28; 95% CI: 24.53%, 61.19%). Itraconazole minimum inhibitory concentration for identified microorganisms, T. mentagrophytes species complex (91.7%) and T. rubrum (8.3%), was within the susceptibility range (0.015-0.25 mcg/mL). At day 14, 8/13 (61.5%) participants achieved a mycological response, 2/13 participants (15.4%) had a mycological failure and 90% showed a clinical response.

CONCLUSION

COVID-19 pandemic affected patient recruitment and follow-up, so the findings call for a careful interpretation. Nevertheless, this real-world study reconfirmed the clinical efficacy and microbial susceptibility to itraconazole for the fungi causing dermatophytosis in India.

TRIAL REGISTRATION

Trial registration number: Clinicaltrials.gov NCT03923010.

In Silico Computational Studies of Bioactive Secondary Metabolites from Wedelia trilobata against Anti-Apoptotic B-Cell Lymphoma-2 (Bcl-2) Protein Associated with Cancer Cell Survival and Resistance

In the present study, the binding affinity of 52 bioactive secondary metabolites from Wedelia trilobata towards the anti-apoptotic B-cell lymphoma-2 (Bcl-2) protein (PDB: 2W3L) structure was identified by using in silico molecular docking and molecular dynamics simulation. The molecular docking results demonstrated that the binding energies of docked compounds with Bcl-2 protein ranged from -5.3 kcal/mol to -10.1 kcal/mol. However, the lowest binding energy (-10.1 kcal/mol) was offered by Friedelin against Bcl-2 protein when compared to other metabolites and the standard drug Obatoclax (-8.4 kcal/mol). The molecular dynamics simulations revealed that the Friedelin-Bcl-2 protein complex was found to be stable throughout the simulation period of 100 ns. Overall, the predicted Absorption, Distribution, Metabolism, Excretion, and Toxicity (ADMET) properties of Friedelin are relatively better than Obatoclax, with the most noticeable differences in many parameters where Friedelin has no AMES toxicity, hepatotoxicity, and skin sensitization. The ADMET profiling of selected compounds supported their in silico drug-likeness properties. Based on the computational analyses, the present study concluded that Friedelin of W. trilobata was found to be the potential inhibitor of the Bcl-2 protein, which merits attention for further in vitro and in vivo studies before clinical trials.

Response Surface Methodology Analysis of Energy Harvesting System over Pathway Tiles

This paper presents an experimental analysis of the optimization of PZT-based tiles for energy harvesting. The hardware (actual experiment), PZT-based tiles, were developed using 6 × 6 piezoelectric (PZT-lead zirconate titanate) sensors of 40 mm in diameter on a hard cardboard sheet (300 × 300 mm²). Our experimental analysis of the designed tiles obtained an optimized power of 3.626 mW (85 kg or 0.83 kN using 36 sensors) for one footstep and 0.9 mW for 30 footsteps at high tapping frequency. Theoretical analysis was conducted with software (Design-Expert) using the response surface methodology (RSM) for optimized PZT tiles, obtaining a power of 6784.155 mW at 150 kg or 1.47 kN weight using 34 sensors. This software helped to formulate the mathematical equation for the most suitable PZT tile model for power optimization. It used the quadratic model to provide adjusted and predicted R2 values of 0.9916 and 0.9650, respectively. The values were less than 0.2 apart, which indicates a high correlation between the actual and predicted values. The outcome of the various experiments can help with the selection of input factors for optimized power during pavement design.

Phytoconstituents of Withania somnifera unveiled Ashwagandhanolide as a potential drug targeting breast cancer: Investigations through computational, molecular docking and conceptual DFT studies

Breast cancer is the second most common malignancy in females worldwide and poses a great challenge that necessitates the identification of novel therapeutic agents from several sources. This research aimed to study the molecular docking and molecular dynamics simulations of four proteins (such as PDB: 6CBZ, 1FDW, 5GWK and 2WTT) with the selected phytochemicals from Withania somnifera to identify the potential inhibitors for breast cancer. The molecular docking result showed that among 44 compounds, two of them, Ashwagandhanolide and Withanolide sulfoxide have the potential to inhibit estrogen receptor alpha (ERα), 17-beta-hydroxysteroid -dehydrogenase type 1 (17β-HSD1), topoisomerase II alpha (TOP2A) and p73 tetramerization domain that are expressed during breast cancer. The molecular dynamics (MD) simulations results suggested that Ashwagandhanolide remained inside the binding cavity of four targeted proteins and contributed favorably towards forming a stable protein-ligand complex throughout the simulation. Absorption, Distribution, Metabolism, Excretion and Toxicity (ADMET) properties confirmed that Ashwagandhanolide is hydrophobic and has moderate intestinal permeability, good intestinal absorption, and poor skin permeability. The compound has a relatively low VDss value (-1.652) and can be transported across ABC transporter and good central nervous system (CNS) permeability but did not easily cross the blood-brain barrier (BBB). This compound does not possess any mutagenicity, hepatotoxicity and skin sensitization. Based on the results obtained, the present study highlights the anticancer potential of Ashwagandhanolide, a compound from W. somnifera. Furthermore, in vitro and in vivo studies are necessary to perform before clinical trials to prove the potentiality of Ashwagandhanolide.

Nutrient Composition and Radical Scavenging Activities of Watermelon Seed-based Nutribar

Aims: The present study is aimed to develop watermelon seed nutribars (WMSNB) and to determine proximate content, antioxidant activity, free fatty composition and also sensory evaluation in order to create awareness of its potential nutritional values and increase its consumption in the form of nutraceuticals, functional foods and pharmaceuticals. Study Design: Proximate analysis, total phenolic, antioxidant activity and free fatty acid profile was carried by using well established in-vitro assay. Place and Duration of the Study: Department of Clinical Nutrition and Dietetics, Sri Devaraj Urs Academy of Higher Education and Research. Kolar, between June 2021 and November 2021 Methodology: The developed nutribars samples were evaluated for proximate analysis (moisture, crude protein, ash, total fat, crude fibre, and total carbohydrate), total phenolic, antioxidant activity by using DPPH assay, free fatty composition by using GC-MS, and sensory characteristics based on hedonic scale point. The ingredients used for preparation of WMSNB were Watermelon seeds (100gm), jaggery (50gm), coconut flakes (15gm), sesame seeds (10gm) and ghee (5gm). Peanut nutribars (PNB) were also developed by replacing Watermelon seeds (WMS) with peanuts which was used for comparison purpose. Results: The proximate screening indicated that protein (15.72%) and carbohydrate content (52.49%) was high in WMSNB compared to PNB. The prepared WMSNB showed rich in phenolics and also possessed good antioxidant activity against DPPH. The free fatty acid composition showed that linolenic acid, stearic acid and lauric acid of oil extracted from WMSNB were 51.15%, 10.65% and 6.49% respectively, while oleic and palmitic acid extracted from PNB were 38.11% and 14.62% respectively. The overall sensory evaluation showed that there was no significant difference (P<0.05) between WMSNB and PNB. Conclusion: The antioxidant capacity of the WMSNB constituent underlines the potential source of natural antioxidants and bioactive compounds for the therapeutic purposes.

Studies on evaluation of surfactant coupled sonication pretreatment on Ulva fasciata (marine macroalgae) for enhanced biohydrogen production

Biohydrogen production from marine macroalgal biomass by advanced pre-treatment strategies is considered a clean energy technology. The present study focuses on investigating the effects of sonication pre-treatment (SP) and saponin coupled sonic pre-treatment (SSP) on Ulva fasciata for enhancing the production of biohydrogen. The SP and SSP were optimized to improve the hydrolysis process during digestion. The optimized time and sonication power were found respectively as 30 min and 200 W. A high concentration of biopolymer release was noticed in SSP than SP at optimized conditions. The surfactant dosage in SSP was optimized at 0.0036 g/g TS. The effect of SSP process was assessed by estimation of COD (Chemical Oxygen Demand) and SCOD (Soluble Chemical Oxygen Demand) release. The study revealed that, at a specific energy of 36,000 KJ/Kg TS, the SCOD release was higher in SSP (1900 mg/L) than SP (1050 mg/L). The SSP process could improve the COD solubilization to 15 % more than the SP. Carbohydrate and protein release are also more in SSP than SP. The use of biosurfactants significantly reduced the energy utilization in the hydrolysis process. The SSP pre-treated Ulva fasciata biomass has yielded a higher biohydrogen of 91.7 mL/g COD which is higher compared to SP (40.5 mL/g COD) and Control (9 mL/g COD).

Evaluation of workshop on teaching skills for medical postgraduates (Ramachandra Annual Postgraduate Teaching Skills)

BACKGROUND

Postgraduate medical curriculum is usually devoted to developing competencies in the specialty concerned, patient care, and submitting dissertations. The need to impart teaching skills during postgraduation has gone unnoticed, hence Ramachandra Annual Postgraduate Teaching Skills (RAPTS), a teaching skills workshop, was conceptualized and implemented as postgraduate students serve as tutors/residents in the department to teach undergraduate medical students. This study is aimed to evaluate the effectiveness of the teaching skills workshop for postgraduates.

MATERIALS AND METHODS

One hundred and seventy-eight postgraduate students of pre- and paraclinical department underwent the training in medical education principles and participated in the feedback. RAPTS Workshop was implemented as per the six-step approach. The learning was evaluated through a pre- and posttest scores. Student feedback was also obtained on the process overall objectives and contents of the workshop. Force-field analysis was performed.

RESULTS

There was a significant learning by the postgraduates on various medical education principles as evidenced by significant improvement in the posttest scores (P < 0.05). Feedback regarding the general aspects of the workshop showed that 92% of the participants felt that the contents of the workshop suited their learning. Eighty-four percent of the participants opined that the presentations of the sessions were good and 91% felt that time management was good. Force-field analysis indicated that the factors favoring teaching skills workshop were higher.

CONCLUSION

This study has highlighted the importance of including teaching methodology training in the postgraduate curriculum that helps in grooming the future teachers in the right direction, in the right time. Competencies related to teaching skills based on medical education principles can be included in the postgraduate curriculum.

Genotoxic and Cytotoxic Properties of Zinc Oxide Nanoparticles Phyto-Fabricated from the Obscure Morning Glory Plant Ipomoea obscura (L.) Ker Gawl

The study was undertaken to investigate the antioxidant, genotoxic, and cytotoxic potentialities of phyto-fabricated zinc oxide nanoparticles (ZnO-NPs) from Ipomoea obscura (L.) Ker Gawl. aqueous leaf extract. The UV-visible spectral analysis of the ZnO-NPs showed an absorption peak at 304 nm with a bandgap energy of 3.54 eV, which are characteristics of zinc nanoparticles. Moreover, the particles were of nano-size (~24.26 nm) with 88.11% purity and were agglomerated as observed through Scanning Electron Microscopy (SEM). The phyto-fabricated ZnO-NPs offered radical scavenging activity (RSA) in a dose-dependent manner with an IC50 of 0.45 mg mL-1. In addition, the genotoxicity studies of ZnO-NPs carried out on onion root tips revealed that the particles were able to significantly inhibit the cell division at the mitotic stage with a mitotic index of 39.49%. Further, the cytotoxic studies on HT-29 cells showed that the phyto-fabricated ZnO-NPs could arrest the cell division as early as in the G0/G1 phase (with 92.14%) with 73.14% cells showing early apoptotic symptoms after 24 h of incubation. The results of the study affirm the ability of phyto-fabricated ZnO-NPs from aqueous leaf extract of I. obscura is beneficial in the cytotoxic application.

Development and validation of a structured feedback questionnaire from postgraduates on various elements of postgraduate medical curriculum

BACKGROUND

Medical Council of India, introduced the Post Graduate (PG) curriculum as 'Competency Based Medical Education' (CBME). Feedback from the end users is a vital step in curriculum evaluation. Therefore, the primary objective of this study was to develop and validate a Structured Feedback Questionnaire (SFQ) for postgraduates, encompassing all the components of the PG-CBME curriculum.

METHODS

SFQ was developed with 23 Likert based questions and four open ended questions. Content validation was done by Lawshe method. After getting institutional ethics clearance and informed consent, SFQ was administered to 121 final year PGs (response rate 100%). We performed Principal component analysis (PCA), Structural equation modeling (SEM), Chi squared test (χ2/df); goodness-of-fit index (GFI); adjusted GFI; comparative fit index (CFI) and root mean square error of approximation (RMSEA). Cronbach's alpha was done for estimating the internal consistency.

RESULTS

The validation resulted in a three-factor model comprising of "curriculum" (42.1%), "assessment" (28%), and "support" (18.5%). Chi squared test (χ2/df ratio) < 2, CFI (0.78), GFI (0.72) and RMSEA (0.09) indicated superior goodness of fit for the three-factor model for the sample data. All the extracted factors had good internal consistency of ≥0.9.

CONCLUSION

We believe that this 23 item SFQ is a valid and reliable tool which can be utilized for curriculum evaluation and thereby formulating recommendations to modify the existing curriculum wherever required, facilitating enriched program outcomes.

Effect of Ramadan Fasting on Body Composition, Biochemical Profile, and Antioxidant Status in a Sample of Healthy Individuals

BACKGROUND

Muslims fast during the month of Ramadan by abstinence from food and drink every day from dawn to sunset. Studies have reported contradictory results with respect to the changes in body weight and biochemical parameters. No study has been conducted on the association between fasting and body weight and biochemical parameters in the Indian setting on healthy Muslim subjects.

OBJECTIVES

To assess the effect of fasting during Ramadan on biochemical parameters such as lipid profile, liver function test, renal function test, antioxidant status, random blood sugar, hemoglobin, body composition, and blood pressure in a sample of healthy individuals.

METHODS

In this study, 52 healthy free-living participants (25 males, 27 females, 21-64 years) who met the inclusion and exclusion criteria and completed both follow-ups (before and after Ramadan) were studied. Participants were fasting 12 hours a day for at least 21 days, including menstruating women. It was a free-living study with no dietary restrictions. Anthropometry, lipid profile, liver and renal function tests were measured by standard methods. Body composition was analyzed by bioelectrical impedance.

RESULTS

Significant beneficial changes in albumin, alanine aminotransferase, creatinine, and high-density lipoprotein (HDL) were observed, while total cholesterol, random blood sugar, aspartate aminotransferase, and alkaline phosphatase enzymes remained unchanged after Ramadan. Fasting did bring in some changes in body composition; among both men and women, mean weight loss ranged from 0.81 - 1.4 kg in majority of the subjects, which was due to loss in muscle mass. Moderate changes in intra- and extracellular water content was observed after fasting.

CONCLUSIONS

Significant improvements were observed in HDL levels and liver function tests, which can be attributed to the loss of body weight. Improvement in liver function tests may be related to the changes in cytokines and alteration in sleep patterns. Ramadan-like fasting, along with the nutritional education prior to fasting, may be beneficial and effective in the spiritual and overall well-being.

Magnetically recyclable CoFe2O4/ZnO nanocatalysts for the efficient catalytic degradation of Acid Blue 113 under ambient conditions

CoFe₂O₄/ZnO magnetic nanocatalysts were synthesized using a low-frequency ultrasound-assisted technique to enhance the optical, morphological, magnetic and catalytic properties of ZnO. The as-synthesized nanocatalysts were characterized by XRD, Raman, TEM, DR-UV-Vis and VSM analyses in order to confirm the expected modifications of the resulting nanocatalysts. The Raman spectral analysis revealed substitutional Zn²⁺ in the CoFe₂O₄/ZnO nanocatalyst. The as-synthesized material was tested for its catalytic activity in the degradation of Acid Blue (AB113), a known textile pollutant. The CoFe₂O₄ and CoFe₂O₄/ZnO nanocatalysts revealed the efficient catalytic degradation of AB113 in ambient conditions. The nanocatalyst dosage and the initial concentration of AB113 were varied by fixing one parameter as constant in order to determine the maximum catalytic efficiency with the minimum catalyst loading for AB113 degradation. The CoFe₂O₄/ZnO nanocatalyst demonstrated 10-fold enhanced mineralization of AB113 compared to the individual bare nanocatalysts, which could be achieved within 3 hours of catalytic degradation of AB113. The magnetic CoFe₂O₄/ZnO nanocatalyst was found to be stable for six consecutive recycles of AB113 degradation, which indicates that the catalytic efficiency of the nanocatalyst was retained after various numbers of cycles.

CoFe₂O₄/ZnO magnetic nanocatalysts were synthesized using a low-frequency ultrasound-assisted technique to enhance the optical, morphological, magnetic and catalytic properties of ZnO.

First report of Burkholderia pseudomallei ST412 and ST734 clones harbouring blaOXA-57 but susceptible to imipenem in India

Melioidosis caused by Burkholderia pseudomallei has become an important clinical threat, especially in Northern Australia and Southeast Asia. However, the genome information on this pathogen is limited. B. pseudomallei isolates identified from bloodstream infections from inpatients were subjected to whole-genome sequencing by IonTorrent PGM and MinION Oxford Nanopore sequencing technologies. Highly accurate complete genomes of two strains, VB3253 and VB2514, were obtained by a hybrid genome assembly method using both short and long DNA reads. Both isolates carried blaPenI and carbapenemase-encoding blaOXA-57 genes, although the isolates were susceptible to imipenem by E-test method with MIC 1 μg/mL. Multiple IS family transposases specific for all non-fermenting Gram-negative bacteria (NFGNBs)—especially IS3 and IS5, which facilitate mobilization of extended-spectrum β-lactamase (ESBL) and carbapenemase genes—were carried in these genomes. This further adds to the complexity of gene transmission. These IS families were identified only upon hybrid genome assembly and would otherwise be missed.

Ultrasmall Plasmonic Nanoparticles Decorated Hierarchical Mesoporous TiO2 as an Efficient Photocatalyst for Photocatalytic Degradation of Textile Dyes

Hierarchical mesoporous TiO₂ was synthesized via a solvothermal technique. The sonochemical method was adopted to decorate plasmonic nanoparticles (NPs) (Ag, Au) on the pores of mesoporous TiO₂. The crystallinity, structure, and morphology were determined to understand the physicochemical nature of the nanocomposites. The catalytic efficiency of the plasmonic nanocatalysts was tested for the azo dyes (congo red, methyl orange, acid orange 10, and remazol red) under solar and visible light irradiations. The generation of hydroxyl radicals was also studied using terephthalic acid as a probe molecule. An attempt was made to understand the influence of size, work function and Fermi level of the metal NPs toward the efficiency of the photocatalyst. The efficiency of the nanocomposites was found to be in the order of P25 < mesoporous TiO₂ < mesoporous Ag-TiO₂ < mesoporous Au-TiO₂ nanospheres under both direct solar light and visible light irradiation. The results indicated that the adsorption of dye, anatase phase, and surface plasmon resonance of NPs favored the effective degradation of dyes in aqueous solution. Further, the efficiency of the catalyst was also tested for xanthene (rose bengal), rhodamine (rhodamine B, rhodamine 6G), and thiazine (methylene blue) dyes. Both TiO₂ and NPs (Ag & Au) possess a huge potential as an eco-friendly photocatalyst for wastewater treatment.

Tunable photovoltaic performance of preferentially oriented rutile TiO2 nanorod photoanode based dye sensitized solar cells with quasi-state electrolyte

Photoanodes made of highly oriented TiO₂ nanorod (NR) arrays with different aspect ratios were synthesized via a one-step hydrothermal technique. Preferentially oriented single crystalline rutile TiO₂ was confirmed by the single peak in an XRD pattern (2θ = 63°, (0 0 2)). FESEM images evidenced the growth of an array of NRss having different geometries with respect to reaction time and solution refreshment rate. The length, diameter and aspect ratio of the NRs increased with reaction time as 4 h (1.98 μm, 121 nm, 15.32), 8 h (4 μm, 185 nm, 22.70), 12 h (5.6 μm, 242 nm, 27.24) and 16 h (8 μm, 254 nm, 38.02), respectively. Unlike a conventional dye-sensitized solar cell (DSSC) with a liquid electrolyte, DSSCs were fabricated here using one-dimensional rutile TiO₂ NR based photoanodes, N719 dye and a quasi-state electrolyte. The charge transport properties were investigated using current-voltage curves and fitted using the one-diode model. Interestingly the photovoltaic performance of the DSSCs increased exponentially with the length of the NR and was attributed to a higher surface to volume ratio, more dye anchoring, and channelized electron transport. The higher photovoltaic performance (J_sc = 5.99 mA cm^-2, V_oc = 750 mV, η = 3.08%) was observed with photoanodes (16 h) made with the longer, densely packed TiO₂ NRs (8 μm, 254 nm).

Green synthesis of porous Au–Nx-TiO2 nanospheres for solar light induced photocatalytic degradation of diazo and triazo dyes and their eco-toxic effects

The photocatalytic activity of Au–N_x-TiO₂ nanospheres evaluated under natural sunlight; 91% mineralization of azo dyes is achieved without toxic intermediates.

Physicochemical characterization of black seed oil-milk emulsions through ultrasonication

The ultrasonic formation of stable emulsions of a bioactive material, black seed oil, in skim milk was investigated. The incorporation of 7% of black seed oil in pasteurised homogenized skim milk (PHSM) using 20kHz high intensity ultrasound was successfully achieved. The effect of sonication time and acoustic power on the emulsion stability was studied. A minimum process time of 8min at an applied acoustic power of 100W was sufficient to produce emulsion droplets stable for at least 8days upon storage at 4±2°C, which was confirmed through creaming stability, particle size, rheology and color analysis. Partially denatured whey proteins may provide stability to the emulsion droplets and in addition to the cavitation effects of ultrasound are responsible for the production of smaller sized emulsion droplets.

Sonochemical synthesis of porous NiTiO3 nanorods for photocatalytic degradation of ceftiofur sodium

Porous NiTiO₃ nanorods were synthesized through the sonochemical route followed by calcination at various temperature conditions. Surface morphology of the samples was tuned by varying the heat treatment temperature from 100 to 600°C. The synthesized NiTiO₃ nanorods were characterized by transmission electron microscopy, X-ray photoelectron spectroscopy, X-ray diffraction, diffused reflectance spectroscopy, photoluminescence spectroscopy and Brunauer-Emmett-Teller (BET) analyses. The characterization studies revealed that the NiTiO₃ nanomaterial was tuned to porous and perfectly rod shaped structure during the heat treatment at 600°C. The porous NiTiO₃ nanorods showed visible optical response and thus can be utilized in the photocatalytic degradation of ceftiofur sodium (CFS) under direct sunlight. The photoluminescence intensity of the porous NiTiO₃ nanorods formed while heating at 600°C was lower than that of the as-synthesized NiTiO₃ sample owing to the photogenerated electrons delocalization along the one dimensional nanorods and this delocalization resulted in the reduction of the electron-hole recombination rate. The photocatalytic degradation of ceftiofur sodium (CFS) was carried out using NiTiO₃ nanorods under the direct sunlight irradiation and their intermediate products were analysed through HPLC to deduce the possible degradation mechanism. The porous NiTiO₃ nanorods exhibited an excellent photocatalytic activity towards the CFS degradation and further, the photocatalytic activity was increased by the addition of peroxomonosulfate owing to the simultaneous generation of both OH and SO₄^-.

Molecular characterisation of antimicrobial resistance in Pseudomonas aeruginosa and Acinetobacter baumannii during 2014 and 2015 collected across India

BACKGROUND

Surveillance of antimicrobial resistance (AMR) is of great importance. Pseudomonas aeruginosa and Acinetobacter baumannii are important pathogens and emergence of resistance in these have increased the morbidity and mortality rates. This surveillance study was initiated by the Government of India - Indian Council of Medical Research. The aim of this study is to determine the antimicrobial susceptibility profile and to characterise the enzyme mediated antimicrobial resistance such as extended spectrum beta-lactamases (ESBLs) and carbapenemases among multidrug-resistant (MDR) P. aeruginosa and A. baumannii.

MATERIALS AND METHODS

A multi-centric study was conducted from January 2014 to December 2015 with a total number of 240 MDR P. aeruginosa and 312 MDR A. baumannii isolated from blood, cerebrospinal fluid, respiratory, pus, urine and intra-abdominal infections. Kirby-Bauer disc diffusion was done to determine the antimicrobial susceptibility profile. Further, MDR isolates were characterised by multiplex polymerase chain reaction to determine the resistance genes for ESBLs and carbapenemases.

RESULTS

Among the ESBLs, blaVEB (23%), blaTEM (5%) and blaSHV (0.4%) in P. aeruginosa and blaPER (54%), blaTEM (16%) and blaSHV (1%) in A. baumannii were the most prevalent. Likewise, blaVIM (37%), blaNDM (14%), blaGES (8%) and blaIMP (2%) in P. aeruginosa and blaOXA-23like (98%), blaOXA-58like (2%), blaNDM (22%) and blaVIM (3%) in A. baumannii were found to be the most prevalent carbapenemases. blaOXA-51like gene, intrinsic to A. baumannii was present in all the isolates tested.

CONCLUSION

The data shown highlight the wide difference in the molecular mechanisms of AMR profile between P. aeruginosa and A. baumannii. In P. aeruginosa, plasmid-mediated mechanisms are much lesser than the chromosomal mediated mechanisms. In A. baumannii, class D oxacillinases are more common than other mechanisms. Continuous surveillance to monitor the trends in AMR among MDR pathogens is important for implementation of infection control and to guide appropriate empirical antimicrobial therapy.

Results from the Survey of Antibiotic Resistance (SOAR) 2012-14 in Thailand, India, South Korea and Singapore

OBJECTIVES

To provide susceptibility data for community-acquired respiratory tract isolates of Streptococcus pneumoniae, Streptococcus pyogenes, Haemophilus influenzae and Moraxella catarrhalis collected in 2012-14 from four Asian countries.

METHODS

MICs were determined using Etest(®) for all antibiotics except erythromycin, which was evaluated by disc diffusion. Susceptibility was assessed using CLSI, EUCAST and pharmacokinetic/pharmacodynamic (PK/PD) breakpoints. For macrolide/clindamycin interpretation, breakpoints were adjusted for incubation in CO2 where available.

RESULTS

Susceptibility of S. pneumoniae was generally lower in South Korea than in other countries. Penicillin susceptibility assessed using CLSI oral or EUCAST breakpoints ranged from 21.2% in South Korea to 63.8% in Singapore. In contrast, susceptibility using CLSI intravenous breakpoints was much higher, at 79% in South Korea and ∼95% or higher elsewhere. Macrolide susceptibility was ∼20% in South Korea and ∼50%-60% elsewhere. Among S. pyogenes isolates (India only), erythromycin susceptibility (∼20%) was lowest of the antibiotics tested. In H. influenzae antibiotic susceptibility was high except for ampicillin, where susceptibility ranged from 16.7% in South Korea to 91.1% in India. South Korea also had a high percentage (18.1%) of β-lactamase-negative ampicillin-resistant isolates. Amoxicillin/clavulanic acid susceptibility for each pathogen (PK/PD high dose) was between 93% and 100% in all countries except for H. influenzae in South Korea (62.5%).

CONCLUSIONS

Use of EUCAST versus CLSI breakpoints had profound differences for cefaclor, cefuroxime and ofloxacin, with EUCAST showing lower susceptibility. There was considerable variability in susceptibility among countries in the same region. Thus, continued surveillance is necessary to track future changes in antibiotic resistance.

Update on: Shigella new serogroups/serotypes and their antimicrobial resistance

Shigellosis represents a major burden of disease in developing countries. A low infectious dose allows the disease to be spread effectively. Although shigellosis is mostly a self-limiting disease, antibiotics are recommended to reduce deaths, disease symptoms and organism-shedding time. However, in India, antimicrobial resistance among the genus Shigella is more common than among any other enteric bacteria. Notably, new serotypes or subserotypes in Shigella are reported from various parts of the world. Identification of new subserotypes of Shigella spp. is becoming a major issue as these strains are nontypeable by conventional serotyping. The commercially available antisera may not cover all possible epitopes of the O lipopolysaccharide antigen of Shigella serotypes. Therefore, molecular methods which most closely approach the resolution of full serotyping are necessary to identify such strains. In addition, the knowledge of a prevalent serotype in various geographic regions may assist in formulating strategies such as the development of a vaccine to prevent infection especially when the immunity to disease is serotype specific, and to understand the disease burden caused by new Shigella serotypes.

Epidemiological characterisation of Streptococcus pneumoniae from India using multilocus sequence typing

OBJECTIVE

The aim of this study was to utilize the multilocus sequence typing (MLST) technique to characterise Streptococcus pneumoniae among clinical isolates in India. MLST was used to determine clonality, to establish genetic relatedness, to check for correlation between serotypes and sequence types (STs) and its relevance associated with antibiotic resistance.

METHODS

Forty consecutive invasive S. pneumoniae isolates in children<5 years were characterised. Preliminary identification of serotype and antibiotic susceptible profile was followed with MLST technique to identify the STs of the isolates. STs were then analysed for clonality using an eBURST algorithm and genetic relatedness using Sequence Type Analysis and Recombinational Tests version 2 software.

RESULTS

The most common ST was ST63. Among the forty isolates, we identified nine novel STs, six of which had known alleles but in new combinations, three of which had new alleles in their sequence profile. The new STs assigned were 8501-8509. One clonal complex was found among the 40 strains characterised. The most common serotypes in this study were serotype 19F, 14 and 5. Non-susceptibility to penicillin and erythromycin was observed in 2.5% and 30% of the isolates, respectively.

CONCLUSION

This study shows a significant number of novel STs among the 40 isolates characterised (9/40, 22.5%), however, internationally recognised strains were also circulating in India, indicating, there could be greater geographical variation in pneumococcal STs in India. Molecular epidemiology data is essential to understand the population dynamics of S. pneumoniae in India before the introduction of pneumococcal vaccines in NIP in India.

A possible alternative to the error prone modified Hodge test to correctly identify the carbapenemase producing Gram-negative bacteria

CONTEXT

The modified Hodge test (MHT) is widely used as a screening test for the detection of carbapenemases in Gram-negative bacteria. This test has several pitfalls in terms of validity and interpretation. Also the test has a very low sensitivity in detecting the New Delhi metallo-β-lactamase (NDM). Considering the degree of dissemination of the NDM and the growing pandemic of carbapenem resistance, a more accurate alternative test is needed at the earliest.

AIMS

The study intends to compare the performance of the MHT with the commercially available Neo-Sensitabs - Carbapenemases/Metallo-β-Lactamase (MBL) Confirmative Identification pack to find out whether the latter could be an efficient alternative to the former.

SETTINGS AND DESIGN

A total of 105 isolates of Klebsiella pneumoniae resistant to imipenem and meropenem, collected prospectively over a period of 2 years were included in the study.

SUBJECTS AND METHODS

The study isolates were tested with the MHT, the Neo-Sensitabs - Carbapenemases/MBL Confirmative Identification pack and polymerase chain reaction (PCR) for detecting the blaNDM-1 gene.

RESULTS

Among the 105 isolates, the MHT identified 100 isolates as carbapenemase producers. In the five isolates negative for the MHT, four were found to produce MBLs by the Neo-Sensitabs. The Neo-Sensitabs did not have any false negatives when compared against the PCR.

CONCLUSIONS

The MHT can give false negative results, which lead to failure in detecting the carbapenemase producers. Also considering the other pitfalls of the MHT, the Neo-Sensitabs--Carbapenemases/MBL Confirmative Identification pack could be a more efficient alternative for detection of carbapenemase production in Gram-negative bacteria.

Sonophotocatalytic treatment of Bismarck Brown G dye and real textile effluent using synthesized novel Fe(0)-doped TiO2 catalyst

Using a novel Fe(0)-TiO₂-doped catalyst, the degradation of Bismarck Brown G dye was compared by means of advanced oxidation processes, such as sonolysis, photolysis (UV light) and sonophotolysis. The sonophotolysis methodology was also adopted for real textile effluent.

Fabrication of visible-light-driven N-doped ordered mesoporous TiO2 photocatalysts and their photocatalytic applications

Herein we report a facile method for the synthesis of N-doped crystalline mesoporous titanium dioxide (NMT) with ordered structure. Structural characterization and HR-TEM studies revealed that NMT exhibits pure anatase phase with highly crystalline ordered mesoporous structure in NMT. The N2 isotherms are of type IV with an H1 hysteresis loop and a pronounced capillary condensation step at high relative pressure for NMT, suggesting the presence of well-ordered mesoporous structure. The reflectance spectrum of NMT shows stronger absorption in the visible region above 400 nm, owing to the substitution of the lattice oxygen by nitrogen. XPS results proved the doping of nitrogen in to oxygen in TiO2 lattice, which confirmed by the presence of peak at 401 eV for N1s. The efficiency of photocatalyst was evaluated by the degradation of Rhodamine-B and antibacterial activity against E. coli under visible-light irradiation. N-doped mesoporous TiO2 shows superior photocatalytic and anti-bacterial activity compared to pure TiO2 under visible-light irradiation. The enhanced photocatalytic activity of NMT is attributed to synergistic effect of NMT that is N-doping and well ordered crystalline mesoporous structure with high surface area of NMT. These findings suggest that N-doped mesoporous TiO2 has potential application in many areas such as degradation of hazardous pollutants, anti-bacterial agents, fuel cells, battery electrode, sensors, opto electronic devices, photo active self-cleaning surfaces.

Raman spectral signature of Mn-rich nanoscale phase segregations in carbon free LiFe1−xMnxPO4 prepared by hydrothermal technique

Mn-rich nanoscale secondary phases were identified in LiFe_1−xMn_xPO₄, despite of known complete solubility for the LiFePO₄–LiMnPO₄ system and observed linear increase in the lattice parameters of LiFe_1−xMn_xPO₄ with increasing Mn concentration.

High surface area Ag-TiO2 nanotubes for solar/visible-light photocatalytic degradation of ceftiofur sodium

Titanium dioxide nanotubes (TiO2 NTs) with very high surface area (469 m(2)/g) have been synthesized through a simple hydrothermal method and their surface has been modified using silver nanoparticles (Ag NPs). The Ag NPs deposited TiO2 NTs (Ag-TiO2 NTs) show an extended optical response from UV to visible region coupled with a surface plasmon resonance band and thus can be utilized as a plasmonic photocatalyst. The photoluminescence intensity of TiO2 NTs is lower than that of TiO2 nanoparticles due to the delocalization of photogenerated electrons along the one dimensional nanotubes which reduces the rate of charge recombination. The Langmuir adsorption constant of Ag-TiO2 NTs (for ceftiofur sodium adsorption) is twice that of P25 TiO2. The Ag-TiO2 NTs exhibit excellent photocatalytic activity toward the degradation of ceftiofur sodium (CFS) due to high surface area and mesoporosity of TiO2 NTs. The addition of peroxomonosulfate in the photocatalytic system greatly amplifies the CFS degradation owing to the simultaneous generation of both OH and SO4(-). The catalyst retains its photocatalytic activity at least up to four consecutive cycles.

Sol-gel synthesis of mesoporous mixed Fe2O3/TiO2 photocatalyst: application for degradation of 4-chlorophenol

Photosensitization of TiO2 with other transition metal oxides can extend its light absorption property in the visible region. Such materials could emerge as excellent catalysts for solar photocatalytic degradation. In the present study mesoporous Fe2O3/TiO2 (10, 30, 50, 70 and 90 wt% Fe2O3) photocatalysts were synthesized by sol-gel process and characterized using different techniques. The XRD patterns exhibited the presence of mesoporous structure and isomorphic substitution of Fe(3+) in TiO2 at low Fe(3+) loading and Ti(4+) in Fe2O3 at high Fe(3+) loading. The XPS results revealed the presence of Ti(4+) and Fe(3+) in Fe2O3/TiO2 materials. The DRS UV-vis spectra showed a shift in the band gap excitation of TiO2 to longer wavelength, thus illustrating incorporation of Fe(3+) in TiO2. In addition, free TiO2 and Fe2O3 particles were also present. Their photocatalytic activity was tested for the degradation of 4-chlorophenol in aqueous medium using sunlight. The activity of the catalysts followed the order: meso-30 wt% Fe2O3/TiO2>meso-10 wt% Fe2O3/TiO2>meso-50 wt% Fe2O3/TiO2>meso-70 Fe2O3/TiO2>meso-90 wt% Fe2O3/TiO2>meso-Fe2O3>meso-TiO2. This order concluded that mesoporous Fe2O3/TiO2 could be an active catalyst for pollutant degradation, as TiO2 with framework Fe(3+) and photosensitization with free Fe2O3 were involved in the activity.