Kidney transplantation: The journey across a century.

The Journey of kidney transplantation began a century ago with animal experiments and xenotransplants. The initial attempts of human to human kidney transplant were made by Yuri Voronoy, Jean Hamburger and several others between 1930 and 40s, but most of these were unsuccessful. The first successful live related kidney transplant between identical twins was performed at the Brigham Hospital in Boston in December 1953, by Joseph Murray and John P. Merrill, which paved the way for future live transplants. With the gradual improvement in the understanding of immunity and tolerance, the use of immunosuppression was attempted using irradiation and steroids, which gradually evolved over the decades to include azathioprine and cyclosporine. Discoveries of human leukocyte antigen by Dausset, complement dependent cross match by Paul Terasaki, and other developments in transplant immunology improved outcomes of kidney transplant. This journey was marked by new discoveries and improvements in surgical techniques including laparoscopic and robotic transplant surgery, better and safer immunosuppression, advances in transplant immunology, advent of the concept of brain death and deceased donor transplant program, and complicated transplants like transplants in highly sensitised recipients and ABO incompatible transplants. India was not far behind the rest of the world, and after a few unsuccessful attempts, the first successful transplant was done in CMC Vellore in 1971, which was followed by advancements in kidney transplants keeping in pace with the rest of the world.

Cancer trends and burden among Armed Forces personnel, veterans and their families: Cancer registry data analysis from tertiary care hospital.

Background: Cancer incidence is rising across the globe. The incidence and patterns of various cancers among Armed Forces Personnel and Veterans is not known. We did the analysis of registry data maintained at our hospital. Methods: A retrospective analysis was performed of all patients registered at our hospital cancer registry between 01st January 2017 and 31st December 2019. Patients were registered with unique identification number. Baseline demographics and cancer subtype data were retrieved. Patients with histopathologically proven diagnosis and age ≥18 years were studied. Armed Forces Personnel (AFP) were defined as those who are in active service, and Veterans as those who had retired from service at the time of registration. Patients with Acute and Chronic Leukemias were excluded. Results: New cases registered were 2023, 2856 and 3057 in year 2017, 2018, 2019 respectively. AFP, Veterans and dependents among them were 9.6%, 17.8%, and 72.6% respectively. Haryana, Uttar Pradesh and Rajasthan represented 55% of all cases with male to female ratio 1.14:1 and median age was 59 years. The median age among AFP was 39 years. Among AFP as well as veterans, Head and Neck cancer was the most common malignancy. Cancer incidence was significantly higher in adults >40 years as compared to <40 years. Conclusion: Seven percent rise per year of new cases in this cohort is alarming. Tobacco-related cancers were the most common. There is an unmet need to establish a prospective centralized Cancer Registry to better understand the risk factors, outcomes of treatment and strengthen the policy matters.

Bottom-Up Growth of Monolayer Honeycomb SiC.

The long theorized two-dimensional allotrope of SiC has remained elusive amid the exploration of graphenelike honeycomb structured monolayers. It is anticipated to possess a large direct band gap (2.5 eV), ambient stability, and chemical versatility. While sp^{2} bonding between silicon and carbon is energetically favorable, only disordered nanoflakes have been reported to date. Here we demonstrate large-area, bottom-up synthesis of monocrystalline, epitaxial monolayer honeycomb SiC atop ultrathin transition metal carbide films on SiC substrates. We find the 2D phase of SiC to be almost planar and stable at high temperatures, up to 1200 °C in vacuum. Interactions between the 2D-SiC and the transition metal carbide surface result in a Dirac-like feature in the electronic band structure, which in the case of a TaC substrate is strongly spin-split. Our findings represent the first step towards routine and tailored synthesis of 2D-SiC monolayers, and this novel heteroepitaxial system may find diverse applications ranging from photovoltaics to topological superconductivity.

To compare the outcomes of pancreaticojejunostomy and pancreaticogastrostomy reconstruction after pancreaticoduodenectomy: A prospective observational study.

Background: We have been in constant search of novel innovations to decrease the high morbidity after Pancreaticoduodenectomy (PD). Pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG) are the two different methods of reconstruction after PD. However, the existing data is ambiguous in supporting either of them as the preferred technique of reconstruction. Methods: This was a single-center prospective observational study that included 64 patients who underwent PD over two years. We compared PG with PJ as a method of reconstruction after PD. The primary objective was to assess whether PG decreases the rate of postoperative pancreatic fistula (POPF) rates or not. Secondary objectives comprised analysis of perioperative outcomes, 30-day and 90-day mortality. Results: Pancreatic fistula was significantly lower in PG as compared to the PJ group (24% vs. 47%) with a p-value of 0.027. The incidence of clinically pertinent (grade B) fistula was only 3% in the PG group and 32% in the PJ group. PG group had a higher incidence of post pancreatectomy hemorrhage (PPH) and delayed gastric emptying (DGE). No statistically significant difference was seen between either group need for blood transfusion, re-exploration, re-admissions, ICU stay, or length of hospital stay, and 30-day and 90-day mortality. Pancreatic texture and high BMI were independent predictors for pancreatic fistula. Conclusion: PG when compared to PJ for reconstruction after PD, decreases the rate of POPF significantly; however, it is associated with an elevated risk of DGE and PPH. There was no difference in 30-day and 90-day mortality between both the treatment groups.

Genetic admixture and population structure analysis of Indian water buffaloes (Bubalus bubalis) using STR markers.

BACKGROUND: India has a vast riverine and swamp buffalo diversity adapted to various agro-ecological conditions. In the present study, genetic diversity data for 10 different buffalo populations of India, using 20 highly polymorphic microsatellite markers has been generated for the genetic diversity analysis. The buffalo populations of Eastern Odisha state, were the primary focus. METHODS AND RESULTS: The minimal spanning network based on Bruvo's distance, PCA (Principal Component Analysis) based on the Fst (Fixation Index) values, and genetic admixture analysis using both the STRUCTURE and 'snapclust' were performed. The analysis could identify the Manda population as distinct from other Odisha buffalo breeds as well as adjoining Chhattisgarhi buffalo breeds. The total observed number of alleles ranged between 143 (Manda) and 301 (Paralakhemundi) with an average of 204 alleles per breed. The Sambhalpuri buffalo population also clustered into two separate subpopulations, half of the unique sub-population located geographically south-wards, displayed no admixture with any of the adjacent buffalo populations. The Manda buffalo population has shown sufficient allelic richness and heterozygosity under random mating being practiced in the field conditions. CONCLUSIONS: The study has led to the identification of the Manda as a distinct buffalo population, and the germplasm has been registered as a new Indian buffalo breed. Whereas, the Sambhalpuri population requires elaborate analysis to confirm the existence of two distinct sub-populations.

Adaptability of different mechanisms and kinetic study of methane combustion in steam diluted environments.

The chemical kinetics of methane oxidation in a steam-diluted environment are studied in the present study. Various well-validated mechanisms for methane combustion are adopted and compared with experimental data. Ignition delay, laminar flame speed, and emissions for CH4 combustion with steam dilution are discussed. Cumulative relative error parameter was determined for all mechanisms considered in this study to evaluate the prediction level in quantifiable terms. Reaction pathways under no and steam-diluted environments are analyzed, and key elementary reactions and species are identified in these conditions. The analysis gives a relative idea of the applicability of some of the reduced mechanisms for the diluted steam conditions. This study aims to guide future computational fluid dynamics simulations to accurately predict combustion characteristics in these conditions. Computations of laminar flame speed from GRI-3.0, Aramco3.0, Curran, and San Diego mechanisms were the most precise under diluted steam conditions. Similarly, for the calculation of ignition delay of methane under the steam dilution, the Aramco mechanism and the Curran's mechanism were able to predict the experimentally observed values most closely. Sensitivity study for the OH concentrations shows that the H-abstraction of methane from OH radicals has an opposing trend with dilution for Aramco and GRI-3.0 mechanism. On the other hand, CO and NO emissions were reduced significantly, with the dilution increased from 0 to 20%. The third-body effect of steam is observed to dominate the deviation observed between the detailed and reduced mechanism. For low operating pressure conditions, the GRI-3.0 mechanism gives an excellent prediction, whereas, for applications like gas turbines and furnaces, Aramco-3.0 and Curran mechanisms can be adopted to give good results. The San Diego mechanism can be chosen for low computational facility purposes as it shows very good predictions for ignition delay and laminar flame speed computations.

Current status and unique attributes of Indian Chilika buffalo for adaptation to brackish water ecology.

Chilika buffalo is native to the Eastern coast of India and well adapted to the largest coastal brackish water lagoon of Asia, Chilika Lake. We present here a report on the Chilika buffalo breed emphasizing the conservational urgency based on unique biochemical and molecular evidence related to liver and kidney functions while comparing it with tropically adapted other water buffalo breeds (Bubalus bubalis) of India. It is found that the Chilika buffalo breed has a better ability to withstand a long dehydration period as evident from its better glomerular filtration and higher expression of the ion transport channel. Mitochondrial D-loop sequencing results have shown these buffaloes being closer to swamp-type buffaloes of Bangladesh and northeast India and represent a unique "hybrid zone" on the eastern coast of India. Conservation of such uniquely adapted germplasm is crucial owing to the current global trend, where the introduction of exotic breeds has negatively impact "sui-generis" germplasm and they require higher managerial resource consumption for maintaining higher productivity. Further, the introduction of unconventional fisheries activities has proved detrimental to the lagoon ecosystem, potentially causing more threat to the buffalo's population.

Med23 Regulates Sox9 Expression during Craniofacial Development.

The etiology and pathogenesis of craniofacial birth defects are multifactorial and include both genetic and environmental factors. Despite the identification of numerous genes associated with congenital craniofacial anomalies, our understanding of their etiology remains incomplete, and many affected individuals have an unknown genetic diagnosis. Here, we show that conditional loss of a Mediator complex subunit protein, Med23 in mouse neural crest cells (Med23fx/fx;Wnt1-Cre), results in micrognathia, glossoptosis, and cleft palate, mimicking the phenotype of Pierre Robin sequence. Sox9 messenger RNA and protein levels are both upregulated in neural crest cell-derived mesenchyme surrounding Meckel's cartilage and in the palatal shelves in Med23fx/fx;Wnt1-Cre mutant embryos compared to controls. Consistent with these observations, we demonstrate that Med23 binds to the promoter region of Sox9 and represses Sox9 expression in vitro. Interestingly, Sox9 binding to ß-catenin is enhanced in Med23fx/fx;Wnt1-Cre mutant embryos, which, together with downregulation of Col2a1 and Wnt signaling target genes, results in decreased proliferation and altered jaw skeletal differentiation and cleft palate. Altogether, our data support a cell-autonomous requirement for Med23 in neural crest cells, potentially linking the global transcription machinery through Med23 to the etiology and pathogenesis of craniofacial anomalies such as micrognathia and cleft palate.

Influence of Eu3+ on the Structure and Photophysical Properties in (Y,Gd)F3 Nanophosphors.

The scientific community has shown a growing interest in relating to the lanthanide based luminescent materials and it has made an effort to develop them. Among these several luminescent materials, we have proposed to developed (Y,Gd)F3 nanophosphors doped with distinct of Eu3+ concentrations using modified hydrothermal process. The effect of co-doping of rare earth activators to the host lattice structure and morphology are investigated using different analytical techniques. The diffuse reflectance spectra reveal a tuning of optical band gap due to substitutions. From the extensive XPS analysis, Gd and Eu are found to be in a stable ionic state of +3 which is replacing Y3+ in YF3 host. Photoluminescence emission spectra of the nanophosphors are excited by near ultraviolet (UV, 393 nm) excitation. From photoluminescence study, the intensity variation is observed for emission peak at 591 nm and fluorescence quenching occurs at higher doping level. This effect subsequently explained on the frame work of local symmetry and nonradiative transfer among multipole-multipole interaction. At 393 nm excitation Eu3+ (2, 3, 5, 7, 10 at %) doped (Y, Gd) F3 show CIE chromaticity coordinates shifted to red regions with increase in Eu doping levels. Because of the longer decay time these phosphors can be used for bio-labeling and other similar applications.

Record high levels of atmospheric ammonia over India: Spatial and temporal analyses.

Atmospheric ammonia (NH3) is an alkaline gas and a prominent constituent of the nitrogen cycle that adversely affects ecosystems at higher concentrations. It is a pollutant, which influences all three spheres such as haze formation in the atmosphere, soil acidification in the lithosphere, and eutrophication in water bodies. Atmospheric NH3 reacts with sulfur (SOx) and nitrogen (NOx) oxides to form aerosols, which eventually affect human health and climate. Here, we present the seasonal and inter-annual variability of atmospheric NH3 over India in 2008-2016 using the IASI (Infrared Atmospheric Sounding Interferometer) satellite observations. We find that Indo-Gangetic Plains (IGP) is one of the largest and rapidly growing NH3 hotspots of the world, with a growth rate of +1.2% yr-1 in summer (June-August: Kharif season), due to intense agricultural activities and presence of many fertilizer industries there. However, our analyses show insignificant decreasing trends in annual NH3 of about -0.8% yr-1 in all India, about -0.4% yr-1 in IGP, and -1.0% yr-1 in the rest of India. Ammonia is positively correlated with total fertilizer consumption (r = 0.75) and temperature (r = 0.5) since high temperature favors volatilization, and is anti-correlated with total precipitation (r = from -0.2, but -0.8 in the Rabi season: October-February) as wet deposition helps removal of atmospheric NH3. This study, henceforth, suggests the need for better fertilization practices and viable strategies to curb emissions, to alleviate the adverse health effects and negative impacts on the ecosystem in the region. On the other hand, the overall decreasing trend in atmospheric NH3 over India shows the positive actions, and commitment to the national missions and action plans to reduce atmospheric pollution and changes in climate.

Probing structural and photophysical features of Eu3+ activated NaCdPO4 orthophosphate phosphor.

A series of Eu3+ doped NaCd1-xPO4: x Eu3+ (0 ≤ x ≤ 0.1) phosphors were synthesized and a systematic investigation of structural, morphological, optical and photophysical properties were carried out. Structural characteristics were analyzed both qualitatively as well as quantitatively to establish the phase purity, supported by FTIR and Raman spectroscopy methods. The valance state of the dopant, as well as surface elemental compositions were investigated by XPS technique. The optical characteristics were analyzed by employing UV-Visible DRS, which shows that the host bandgap is getting broadened upon doping as a result of the Burstein-Moss (BM) effect. Eu3+ doped phosphor exhibits emissions rich in red (617 nm) under suitable excitations at 393 nm while the optimal doping concentration was found to be around x = 0.06. The effective non-radiative transfer of energy from host to activator is governed by the dominant dipole-dipole transitions. The hypersensitive transition line 5D0 â†’ 7F2 is observed owing to the induced electric dipole (ED) transition of Eu3+ centered at 617 nm. Local site symmetry has been analyzed to ascertain the environment around Eu3+ and presence of any non-equivalent cation sites. The concentration quenching effect of phosphors was explained on the basis of Dexter's theory and charge compensation mechanism. The Commission Internationale de l'Eclairage (CIE 1931) chromaticity coordinates for the prepared phosphors were estimated and found to lie in the red region of color space. The photoluminescence decay time was measured for the most intense emission line 5D0 â†’ 7F2 at 617 nm under 393 nm excitation and the results indicate that Eu3+ activated NaCdPO4 can be a suitable red phosphor for white LED using UV-LED chip owing to it's near UV-excitation characteristics.

Mitochondrial sequence-based evolutionary analysis of riverine-swamp hybrid buffaloes of India indicates novel maternal differentiation and domestication patterns.

In this study, mitochondrial D-loop sequence data on riverine, swamp and hybrid buffaloes from India have been generated and compared with other reported Indian riverine, Chinese and Bangladeshi swamp buffalo populations. Sequence analysis revealed the presence of 132 haplotypes, with a haplotype diversity of 0.9611 ± 0.0045 and a nucleotide diversity of 0.04801 ± 0.00126. For the first time, the existence of riverine-swamp hybrids among the Indian Chilika buffalo population has been recorded, having 49 chromosomes, which was also confirmed by mitochondrial haplotype sharing between Chilika and Indian swamp as well as Chinese swamp buffalo populations in the network analysis. Phylogenetic analysis documents the sharing of reported pre-domestication haplogroups 'SA1', 'SA2', 'SA3' and 'SB1' between the Chilika and swamp buffalo populations of India, China and Bangladesh, an indication of the migration of swamp buffaloes towards Bangladesh and adjoining lower parts of India and north towards Chinese domestication sites. The results have also been supplemented by multidimension scaling, grouping Indian and Chinese swamp buffaloes more closely together with Bangladeshi buffaloes, but into a separate quadrant, whereas Chilika grouped away from other riverine as well as swamp buffaloes. These findings thus confirm the previous reports that the northeast region of India, close to the Indo-China border, is the point of evolution of swamp buffaloes with multiple sites of domestication.

Tunable luminescence of Eu3+ -activated CaWO4 nanophosphors via Bi3+ incorporation.

A series of CaWO4 :3Eu3+ :xBi3+ (x = 2, 5, 7 and 10 at.%) nanophosphors was prepared through the efficient low-temperature ethylene glycol route. Their structural, as well as photophysical, properties were studied. X-ray diffraction analysis and a X-ray photoelectron spectroscopy survey confirmed that the Bi3+ and Eu3+ ions incorporated perfectly into Ca2+ and without disturbing the lattice. The samples exhibited almost spherical morphology with average particle sizes from 10 to 30 nm. For the nanoparticles, Fourier transform infrared spectroscopy featured broad absorption bands around 871 and 778 cm-1 that were due to antisymmetric stretching, whereas a peak at 435 cm-1 was assigned to antisymmetric bending vibrations of the bonds in [WO4 2- ] clusters. The nanophosphors showed orange-red luminescence, which was further tuned to red by incorporation of sensitizer Bi3+ ions. This colour tuning of the nanoparticles is described in the context of energy transfer from the WO4 2- group to sensitizer Bi3+ and activator Eu3+ ions under 394 nm excitation. A CIE diagram supports this colour tunability.

Palivizumab Prophylaxis among Infants at Increased Risk of Hospitalization due to Respiratory Syncytial Virus Infection in UAE: A Hospital-Based Study.

Background: Respiratory syncytial virus (RSV) represents a significant public health burden and the leading cause of lower respiratory tract infections globally, and it is the major cause of hospitalization during the winter. We aimed to evaluate the effectiveness of palivizumab prophylaxis to reduce the hospitalization in children at high risk of RSV infection. Methods: We performed a retrospective observational single-arm hospital-based study including five RSV seasons (September to March) from 2012 to 2017. We retrospectively included premature infants born at less than 35 weeks of gestation with chronic lungs disease or hemodynamic significant congenital heart disease for palivizumab prophylaxis against RSV infection according to the criteria presented. Results: A total of 925 children were enrolled in the study over the five RSV seasons. Of them, 410 (44.3%) infants born at <32 weeks of gestation and 515 (55.6%) infants born at 32-35 weeks of gestation with mean (±SD) birth weight of 1104.8 ± 402.85 and 1842.5 ± 377.5, respectively. The compliance with the course of palivizumab was reported in 841 (90.9%) children. Of them, about 75 (8.9%) hospitalized children were reported, and 17 (2.02%) RSV positive children were detected. Hospitalization due to RSV infection was decreased from 9.23% in the 2012-2013 season to 0.67% in the 2016-2017 season. Conclusion: This study demonstrated that palivizumab prophylaxis in children at high risk of developing RSV infection was effective in reducing the risk of hospitalization with a high compliance rate over the five RSV seasons.

Precipitation Biases in CMIP5 Models over the South Asian Region.

Using data from 33 models from the CMIP5 historical and AMIP5 simulations, we have carried out a systematic analysis of biases in total precipitation and its convective and large-scale components over the south Asian region. We have used 23 years (1983-2005) of data, and have computed model biases with respect to the PERSIANN-CDR precipitation (with convective/large-scale ratio derived from TRMM 3A12). A clustering algorithm was applied on the total, convective, and large-scale precipitation biases seen in CMIP5 models to group them based on the degree of similarity in the global bias patterns. Subsequently, AMIP5 models were analyzed to conclude if the biases were primarily due to the atmospheric component or due to the oceanic component of individual models. Our analysis shows that the set of individual models falling in a given group is somewhat sensitive to the variable (total/convective/large-scale precipitation) used for clustering. Over the south Asian region, some of the convective and large-scale precipitation biases are common across groups, emphasizing that although on a global scale the bias patterns may be sufficiently different to cluster the models into different groups, regionally, it may not be true. In general, models tend to overestimate the convective component and underestimate the large-scale component over the south Asian region, although with spatially varying magnitudes depending on the model group. We find that the convective precipitation biases are largely governed by the closure and trigger assumptions used in the convection parameterization schemes used in these models, and to a lesser extent on details of the individual cloud models. Using two different methods: (i) clustering, (ii) comparing the bias patterns of models from CMIP5 with their AMIP5 counterparts, we find that, in general, the atmospheric component (and not the oceanic component through biases in SSTs and atmosphere-ocean feedbacks) plays a major role in deciding the convective and large-scale precipitation biases. However, the oceanic component has been found important for one of the convective groups in deciding the convective precipitation biases (over the maritime continent).

Structural, magnetic, grain and grain boundary mediated conduction features of low dimensional LaFeO3 nanoparticles.

A detailed investigation of crystal structure, magnetic and electrical conduction properties of a low dimensional LaFeO3 is reported. The sample is synthesized by Sol-Gel method with a low preparation temperature. Synchrotron x-ray diffraction, Raman and FTIR spectroscopy methods were used to establish the structural phase and vibrational modes present in the sample. The low dimensionality and morphology of the prepared sample is probed through transmission electron microscopy. From the explicitly field and temperature dependent magnetization, the magnetic phase exhibited by the nanoparticle is weak ferromagnetic which is further evidencing from the Fe57 Mossbauer spectroscopy. To gain further understanding of electrical conduction mechanism and related features of AC conductivity, impedance spectroscopy techniques are used. It is noticed that, the grain effect is dominated while the electrode effect is suppressed with temperature. The activation energies due to grain and grain boundary effect are found to be 0.0780 eV, 0.175 eV for T < 90 °C and 0.451 eV, 0.525 eV for T > 90 °C respectively. Finally, jump relaxation model and Jonscher's power law are used to explain the frequency-dependent conduction behavior in the system.

Development and evaluation of retort pouch processed chhenapoda (cheese based baked sweet).

A study has been undertaken to optimize ingredient proportions for preparation of chhenapoda and the effect of retort processing on its quality and storability. Chhenapoda was prepared from cottage cheese with standard practices followed by confectioners using different levels of semolina (0, 50, 100, 150, 200 g) and sugar (0, 100, 200, 300, 400 g) per kg cheese and ingredient proportion was optimized based on sensory scores. Prepared chhenapoda sample of 200 g were packed in pre-fabricated 3 side seal multilayer laminated retortable pouches, hermetically sealed and retort processed at different temperatures (100, 110 and 120 °C) and time intervals (15, 30 and 45 min). It was found from Response Surface Methodology (RSM) technique that addition of 18.5% sugar and 7.5% semolina with cottage cheese was optimum for chhenapoda preparation. Microbiological analysis showed that total plate count and yeast and mould count (YMC) decreased from 110 × 107 to 4 × 104 and YMC from 3 × 103 to 0 respectively during retort processing (30 min thermal processing in laminated pouch at 120 °C). From the storage study, it can be concluded that retort processing of chhenapoda in laminated pouch at 120 °C for 30 min resulted in microbiological safe and sensory acceptable product which could be stored up to 30 days under refrigerated condition.