The postoperative chest in lung cancer.

Most of the complications following lung cancer surgery occur in the early postoperative period and can result in significant morbidity and mortality. Delayed complications can also occur. Diagnosing these complications can be challenging because clinical manifestations are non-specific. Imaging plays an important role in detecting these complications in a timely manner and facilitates prompt interventions. Hence, it is important to have knowledge of the expected anatomical alterations following lung cancer surgeries, and the spectrum of post-surgical complications and their respective imaging findings to avoid misinterpretations or delay in diagnosis.

Analysis of trimodal and bimodal therapy in a selective-surgery paradigm for locally advanced oesophageal squamous cell carcinoma.

BACKGROUND: Long-term survival outcomes of trimodal therapy (TMT; chemoradiation plus surgery) and bimodal therapy (BMT; chemoradiation) have seldom been analysed. In a selective-surgery paradigm, the benefit of TMT in patients with a complete clinical response is controversial. Factors associated with survival in patients with a clinical complete response to chemoradiation were evaluated. METHODS: Patients with stage II-III oesophageal squamous cell carcinoma treated with TMT or BMT from 2002 to 2017 were evaluated. The BMT group consisted of patients who were otherwise eligible for surgery but underwent chemoradiation alone followed by observation. This group included patients who later had salvage oesophagectomy. Survival was evaluated and compared between TMT and BMT groups. Elastic net regularization was performed to select co-variables for Cox multivariable survival analysis in patients with a clinical complete response. RESULTS: Of 143 patients, 60 (41.9 per cent) underwent TMT and 83 (58.0 per cent) BMT. Patients who underwent TMT had longer median overall survival than those who had BMT (77 versus 33 months; P = 0.019). For patients with a clinical complete response, TMT achieved longer median overall survival than BMT (123 versus 55 months; P = 0.04). BMT had a high locoregional recurrence rate (48 versus 6 per cent; P < 0.001); 26 of 29 patients with locoregional recurrence in the BMT groupunderwent salvage resection. Cox multivariable analysis demonstrated that upper-mid oesophageal tumour location (hazard ratio (HR) 2.04; P = 0.024) and tumour length (HR 1.18; P = 0.046) were associated with worse survival. Although TMT was not associated with survival, it was a predictor of reduced recurrence (HR 0.28; P = 0.028). The maximum standardized uptake value after chemoradiation also predicted recurrence (HR 1.33; P < 0.001). CONCLUSION: In patients who achieve a clinical complete response, TMT reduces locoregional recurrence but may not prolong survival. The differences in survival outcomes may be due to patient selection; therefore, a selective-surgery strategy in oesophageal squamous cell carcinoma is a reasonable approach.

Photocatalytic activity of SnO2/Fe3O4 nanocomposites and the toxicity assessment of Vigna radiata, Artemia salina and Danio rerio in the photodegraded solution.

The study was undertaken to design SnO2/Fe3O4 nanocomposite by sonochemical method and to assess the photodegradation of organic dye. Textural, composition and structural features of the bare SnO2 and SnO2/Fe3O4 samples were characterized using scanning electron microscope (SEM), energy dispersive X-ray (EDX), X-ray diffraction (XRD), and Fourier transform infrared spectroscopy (FTIR). The X-ray diffraction of as-synthesized SnO2/Fe3O4 nanocomposites confirms the presence of tetragonal and cubic structure. The results disclose that the incorporation of Fe3O4 in SnO2 decrease the crystallite size and increase the surface area compared with bare SnO2 nanoparticle. The as-prepared photocatalyst shows higher efficiency than the bare SnO2 under sunlight irradiation. Vigna radiata seeds (VR), Artemia salina (AS) and Zebra fish (Danio rerio (DR) were used to check the toxicity level of the treated and untreated Rhodamine B (RhB) dye solution. These models displayed good consistency for examining the harmfulness of the solutions. The results suggests SnO2/Fe3O4 nanocomposite exhibited a good efficacy in the dye wastewater treatment. Further, the degradation efficiency was confirmed by the toxicity examination.

Bioaccumulation of metals in mangroves and salt marshes collected from Tuticorin coast of Gulf of Mannar marine biosphere reserve, Southeastern India.

Three species of mangroves and six species of salt marshes were collected from various locations along the Tuticorin coast for the estimation of metals like Cu, Cd, Pb, and Zn. The bioaccumulation of metals in mangroves is in the order of Cu > Pb > Zn > Cd, and the season-wise accumulation was higher in monsoon followed by summer, post-monsoon, and pre-monsoon seasons. The accumulation of metals in mangroves showed higher in Rhizophoraapiculata followed by Avicenniamarina, and Rhizophoramucronata. The concentration of metals in salt marshes is in the order of Pb > Zn > Cu > Cd, and the species-wise accumulation showed in the order of Suaeda maritime > Ipomoea sp. > Suaeda sp. > Spinifix littoreous > Sesuvium portacastrum > Ipomoea pes-capras. BAF in salt marhes and mangroves is as Cd < Pb < Cu < Zn and Cd < Cu < Pb < Zn, respectively.

Assessment of Heavy Metals Pollution in Noyyal and Chinnar Rivers, Western Ghats of Tamil Nadu, India with Reference to Crabs (Gecarcinucidae)-A Baseline Study.

In the present study, heavy metals (Cd, Cu, Pb, and Zn) level in the water, sediment, and crabs were analyzed from Noyyal and Chinnar Rivers of the Western Ghats in Tamil Nadu, India. Based on our results, Noyyal River is considered as polluted environment due to the discharge of contaminants by various anthropogenic activities, whereas, Chinnar River maintained as unpolluted one due to its tributary nature of Noyyal River located in Western Ghats hills. The results showed that the heavy metals in water and sediments were higher in Noyyal River. Also, the level of bioaccumulation of studied metals and biochemical constituents were higher in the crab Spiralothelphusa hydrodroma sampled from Noyyal River than Barytelphusa cunicularis collected from Chinnar River. The present findings revealed that the crab sampled from Noyyal River had elevated heavy metals which lead to a significant increase in biochemical constituents to overcome the stress.

Bioaccumulation of heavy metals, antioxidants, and metabolic enzymes in the crab Scylla serrata from different regions of Tuticorin, Southeast Coast of India.

The present study was performed to analyze the bioaccumulation of heavy metals, biochemical constituents, antioxidants, and metabolic enzymes in the crab Scylla serrata from different regions of Tuticorin, Southeast Coast of India. The study area consists of Threspuram and Harbour Beach which were polluted environments due to the discharge of industrial effluents and domestic sewage into them. Punnakayal, which is a low-polluted environment where the in-situ culture of S. serrata is carried out by local fish farmers, was selected as well. The results revealed that the level of heavy metals, biochemical constituents, antioxidants, and metabolic enzymes were significantly high in the crabs collected from Threspuram and Harbour Beach compared to the crabs collected from Punnakayal. This study indicates that crabs from polluted environments have significant heavy metals bioaccumulation which leads to elevated antioxidants and metabolic enzyme levels. This implies that the crabs are under oxidative and metabolic stress.

Health risk assessment and bioaccumulation of toxic metals in commercially important finfish and shellfish resources collected from Tuticorin coast of Gulf of Mannar, Southeastern India.

The present study was mainly focused on the distribution of metals (Cd, Cu, Pb, and Zn) in commercially important marine finfish and shellfish resources collected from the Tuticorin coast of the Gulf of Mannar, Southeastern India. Sixty-six species were collected in all four seasons for the analysis of metals. The order of bioaccumulation of metals in fishes is (Zn > Pb > Cu > Cd), in Crustaceans is (Zn > Pb > Cu > Cd), and in mollusks is (Pb > Zn > Cu > Cd). The human health risk assessment factors such as BCF, THQ, and HI were higher in most of the tested animals. The outcome of the present study will sound the alarm to the community about heavy metal contamination of sea foods. We conclude that continuous monitoring of the ecosystem is essential to the maintenance of the pristine ecosystem and quality of the seafood.

Health risk assessment and potentiality of green seaweeds on bioaccumulation of trace elements along the Palk Bay coast, Southeastern India.

Bioaccumulation of metals in ten species of green seaweeds collected along the Palk Bay was assessed in the present study. The accumulation of metals in all the ten species were in the order of Pb > Cu > Zn > Cd. Cd was recorded above the permissible level, and Pb, Cu and Zn were below the permissible level of CEQG. The metal concentration in seaweeds was above the WHO standards. The permissible levels of metals were compared with the standards of human health risk assessment, which shows that the exposure of metals from seaweeds has moderate hazard risk to humans. The result of trace element accumulation in four seasons was in the order of summer >monsoon>pre-monsoon>post monsoon. One-way ANOVA revealed that Cd and Pb show significant differences (p˂0.01) in all the species. Cu showed significant variation (p˂0.01) in all the four seasons. Zn also showed significant difference (p˂0.01) during pre-monsoon season.

Bioaccumulation of trace metals in the coastal Borneo (Malaysia) and health risk assessment.

The concentration of nine trace elements were analyzed in the different tissue organs of commonly available crabs (Portunus sanguinolentus, Portunus pelagicus and Scylla serrate) and bivalve (Polymesoda erosa) species collected from the Miri coast, Borneo in order to evaluate the potential health risk by consumption of these aquatic organisms. Among the analyzed organs, metal accumulation was higher in the gill tissues. The essential (Cu and Zn) and non-essential (Pb and Cd) elements showed the highest (i.e. Zn) and lowest concentrations (i.e. Cd) in their tissue organs, respectively. The estimated daily intake and hazard indices of all metals in the muscle indicate that the measured values were below the provisional tolerable daily intake suggested by the joint FAO/WHO Expert Committee on Food Additives. Compared to Malaysian and international seafood guideline values the results obtained from the present study are lower than the permissible limits and safe for consumption.

Isatin based macrocyclic Schiff base ligands as novel candidates for antimicrobial and antioxidant drug design: In vitro DNA binding and biological studies.

In the present work, five macrocyclic compounds, C18H12N2O4 (1), C38H24N8O6 (1a), C38H24N8O4S2 (1b), C40H32N8O4 (2a) and C48H32N8O4 (2b) have been synthesized and thoroughly characterized by elemental analysis, FT-IR, 1D & 2D NMR and electron spray ionization mass spectral analysis. The DNA binding ability of these compounds were investigated in vitro by UV-Visible, fluorescence, circular dichroism (CD) spectroscopy and viscosity measurements. The results indicate that these compounds possess strong DNA binding affinity via intercalation, while the order of binding strength followed the trend 2b (1.52 ±â€¯0.06 × 105 M-1) > 2a (1.12 ±â€¯0.11 × 105 M-1) > 1b (1.05 ±â€¯0.04 × 105 M-1) > 1a (0.97 ±â€¯0.14 × 104 M-1) > 1 (0.75 ±â€¯0.21 × 104 M-1). The radical scavenging potencies of the compounds were explored by employing DPPH, OH and NO assays, in which 1a exhibited highest inhibitory effect on the radicals (IC50 = 23.59 µM (DPPH), 26.14 µM (OH), 28.41 µM (NO)). The in vitro antibacterial studies showed that these compounds have the potential to arrest the growth of bacteria, among which, 1a was found to be vulnerable against the bacterial stains. In addition, in silico molecular docking stimulations were also performed to position these compounds into the active sites of bacterial membrane proteins. The results of in vitro and in silico investigations reveal that the compounds apprehend the bacterial growth significantly. The data obtained from this piece of work would be helpful to design antibacterial drugs incorporating isatin based macrocyclic frameworks.

Enhanced antimicrobial, antioxidant and anticancer activity of Rhizophora apiculata: An experimental report.

The present study is designed to evaluate the antimicrobial, antioxidant and anticancer activities of Rhizophora apiculata. Initially, the phenolic and flavonoid content was quantified in solvent extracts, and gallic acid and rutin were used as a control, respectively. Further, antimicrobial and minimal inhibitory activities of different solvent extracts were assessed against human clinical pathogenic bacteria, and the results showed that butanol and methanol extract has potential antimicrobial activity. FTIR analysis of solvent extracts showed the presence of phenolic compounds at 3409-3430 cm-1 that actively involved in various applications including antioxidant and anticancer activities. The in vitro antioxidant activity of solvent extracts showed excellent antioxidant potential, about 84% of DPPH free-radical scavenging, 76% of hydrogen peroxide, 82% of hydroxyl radical scavenging, and 80% of reducing power. Two-way ANOVA analysis showed that the highly significant effect of antioxidant activity depends on the concentration of extracts. The DNA protection efficiency of extracts against oxidative damage was confirmed by DNA nicking assay using bacterial DNA. The methanol extract effectively inhibited the growth and induces the apoptosis through ROS generation and sensitizes the mitochondrial membrane potential of A549 lung cancer cells. Taken together, the results showed that the solvent extracts of R. apiculata could be potential antioxidant and anticancer agents.

Bioremediation of Industrial Waste Through Enzyme Producing Marine Microorganisms.

Bioremediation process using microorganisms is a kind of nature-friendly and cost-effective clean green technology. Recently, biodegradation of industrial wastes using enzymes from marine microorganisms has been reported worldwide. The prospectus research activity in remediation area would contribute toward the development of advanced bioprocess technology. To minimize industrial wastes, marine enzymes could constitute a novel alternative in terms of waste treatment. Nowadays, the evidence on the mechanisms of bioremediation-related enzymes from marine microorganisms has been extensively studied. This review also will provide information about enzymes from various marine microorganisms and their complexity in the biodegradation of comprehensive range of industrial wastes.

Bioactive DOPA melanin isolated and characterised from a marine actinobacterium Streptomyces sp. MVCS6 from Versova coast.

The melanin pigment produced from Streptomyces sp., MVCS6 was isolated and dihydroxyphenyalanine (DOPA) melanin compound was biochemically identified and spectroscopically characterised (ultraviolet and FT-IR). DOPA melanin showed a promising activity as an antibacterial natural product against 12 pathogenic bacteria from hospital isolations, particularly, against Pseudomonas aeruginosa RMMH7 (inhibition zone of 18 ± 0.02 at 30 µg/disc, and MIC of 10 ± 0.02 µg/mL) and Vibrio parahaemolytics RMMH12 (inhibition zone of 15 mm ± 0.03 at 30 µg/disc, and MIC of 14 ± 0.02 µg/mL). Moreover, in vitro evaluation of reducing power (Ascorbic Acid Equivalent (160 µg/mL)), DPPH radical-scavenging (89%), NO-scavenging (72%) and lipid peroxidation activities (89.6%) were determined. Cytotoxicity of DOPA melanin against cervical cancer cell line showed a dose-response activity, and IC50 value was found to be 300 µg/mL. These results would open the way to propose Streptomyces sp. MVCS6 as a promising source of bioactive eumelanin with therapeutic potential in medicine.

Biosynthesis of silver nanoparticles from deep sea bacterium Pseudomonas aeruginosa JQ989348 for antimicrobial, antibiofilm, and cytotoxic activity.

Pseudomonas aeruginosa (JQ989348) was isolated from deep sea water sample and used for synthesis of silver nanoparticles (AgNPs). AgNPs were confirmed by analyzing surface plasmon resonance using UV-visible spectrophotometer at 420 nm. Further scanning electron microscope analysis confirmed the range of particle size between 13 and 76 nm and XRD pattern authorizes the anisotropic crystalline nature of AgNPs. Fourier transform infrared spectrum endorsed the presence of high amount of proteins and other secondary metabolites in synthesized AgNPs influence the reduction process and stabilization of nanoparticles. The inhibitory activity of AgNPs was tested against human pathogens showed high activity against Eschericia coli, Vibrio cholerae, Aeromonas sp., and Cornebacterium sp. demonstrating its antimicrobial value against pathogenic diseases. Additionally, biologically synthesized AgNPs have notable anti-biofilm activity against primary biofilm forming bacteria P. aeruginosa and Staphylococcus aureus. The MTT assay method was evaluated using human cervical cancer cells exposed the AgNPs have excellent cytotoxic activity.

Delayed cerebellar ataxia: A rare self limiting complication of plasmodium falciparum malaria.

The classic presentation of malaria with paroxysms of fever is seen only in 50-70% of the patients. The development of immunity, the increasing resistance to anti-malarial drugs, and the indiscriminate use of anti-malarial drugs have led to malaria with the presentation of unusual features. Cerebellar ataxia, extrapyramidal rigidity and various psychiatric symptoms have been described either as early manifestations of cerebral malaria or as a part of post malaria neurological syndrome. In this case report, we will discuss one such patient of falciparum malaria infection who developed midline cerebellar signs, and responded to anti-malarial treatment.

Speedy orthodontics: a case report.

Management of severe rotation poses a great challenge for the orthodontist, especially when cortical anchorage occurs. The conventional methods require excessive treatment time, rely on patient compliance, and can cause root resorption. A groundbreaking new procedure developed by Wilcko et al, which is actually a modification of the conventional corticotomy procedure, amalgamates the orthodontic mechanics, alveolar decortications, and augmentation procedure to make treatment time three to four times faster than conventional orthodontic techniques. This procedure uses the dynamics of bone physiology and redirects the emphasis in tooth movement to the manner in which supporting bone responds to orthodontic forces applied to the tooth. This article includes a case report in which the technique is used on a patient who has a severely rotated mandibular left canine.

Development of polyvinyl chloride biofilms for succession of selected marine bacterial populations.

Present investigation was made to bring out the pattern of biofilm formation by heterotrophic bacteria on nontoxic material, polyvinyl chloride (PVC) sheet fitted wooden rack that was immersed in seawater and the study was conducted in Tuticorin coast. Samplings were made over a period of 7 days with the following time period intervals: 30 min, 1, 2, 4, 24, 48, 72, 96, 120 and 144 hr. Bacterial enumeration was made by spread plate method on nutrient agar medium and characterization of bacterial isolates up to generic level was done. Gram-negative bacteria like Pseudomonas sp., Enterobacter sp., Aeromonas sp., Cytophaga sp. and Flavobacterium sp. were found to be the pioneer in colonizing the surface within 30 min and seven genera were represented in the biofilm. Among them two genera were found belonging to Gram-positive groups which included Micrococcus and Bacillus sp. The early stage biofilm i.e. up to 24th hr was wholly constituted by Gram-negative groups. However, the population density of Pseudomonas sp. was found to be higher (315 CFU) when compared to other Gram-negative forms. Occurrence of Gram-positive group was noted only at 48th hr old biofilm (28 to 150 CFU). The period between 48 and 96th hr was the transition where both the Gram-negative and Gram-positive groups co- existed. After 96th hr, the biofilm was found constituted only by Gram-positive groups. The isolates of early stage biofilm were found to produce allelopathic substance like bacteriocin.

A dynamic micro-CT scanner based on a carbon nanotube field emission x-ray source.

Current commercial micro-CT scanners have the capability of imaging objects ex vivo with high spatial resolution, but performing in vivo micro-CT on free-breathing small animals is still challenging because their physiological motions are non-periodic and much faster than those of humans. In this paper, we present a prototype physiologically gated micro-computed tomography (micro-CT) scanner based on a carbon nanotube field emission micro-focus x-ray source. The novel x-ray source allows x-ray pulses and imaging sequences to be readily synchronized and gated to non-periodic physiological signals from small animals. The system performance is evaluated using phantoms and sacrificed and anesthetized mice. Prospective respiratory-gated micro-CT images of anesthetized free-breathing mice were collected using this scanner at 50 ms temporal resolution and 6.2 lp mm(-1) at 10% system MTF. The high spatial and temporal resolutions of the micro-CT scanner make it well suited for high-resolution imaging of free-breathing small animals.

An unusual finding in the follow-up of a transabdominal pre-peritoneal (TAPP) implanted mesh for inguinal hernia.

BACKGROUND: Abnormalities around titanium stapled sites are not well described in the literature. Existence of staple granulomas or neoplasms on titanium stapled sites used in TAPP procedures is unknown. CASE: We report a case in which differentiation of suspected staple granuloma or neoplasm around a titanium staple, used to secure the mesh in a TAPP procedure, could not be made other than by pathologic examination. CONCLUSION: This case emphasises that although the appearance of the lesion may be suspected for staple granuloma, the possibility of a malignant neoplasm should always be considered.

Infrared and Raman spectroscopic studies of l-valine l-valinium perchlorate monohydrate.

FT-IR and FT-Raman spectra were recorded and analyzed for l-valine l-valinium perchlorate monohydrate crystals. The wave number assignments have been made for the functional groups, viz. COOH, COO(-), --[NH(3)](+), C--(CH(3))(2), C--C--N and C--H. One of the two amino acid residues remains in the zwitterionic form while the other residue exists in the cationic form. The symmetry of the ClO(4)(-) anion has been found to be lowered corresponding to ClO(2) group. The hydrogen bonds that prevail between amino acid residues, perchlorate anion and water molecule influence the wave numbers of several stretching and deformation modes to deviate from the expected values.