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1.
Healthc Technol Lett ; 11(4): 218-226, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39100503

RESUMO

Depression is a serious mental state that negatively impacts thoughts, feelings, and actions. Social media use is rapidly growing, with people expressing themselves in their regional languages. In Pakistan and India, many people use Roman Urdu on social media. This makes Roman Urdu important for predicting depression in these regions. However, previous studies show no significant contribution in predicting depression through Roman Urdu or in combination with structured languages like English. The study aims to create a Roman Urdu dataset to predict depression risk in dual languages [Roman Urdu (non-structural language) + English (structural language)]. Two datasets were used: Roman Urdu data manually converted from English on Facebook, and English comments from Kaggle. These datasets were merged for the research experiments. Machine learning models, including Support Vector Machine (SVM), Support Vector Machine Radial Basis Function (SVM-RBF), Random Forest (RF), and Bidirectional Encoder Representations from Transformers (BERT), were tested. Depression risk was classified into not depressed, moderate, and severe. Experimental studies show that the SVM achieved the best result with anaccuracy of 0.84% compared to existing models. The presented study refines thearea of depression to predict the depression in Asian countries.

2.
Healthc Technol Lett ; 11(4): 227-239, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39100502

RESUMO

Autism spectrum disorder (ASD) is a complex psychological syndrome characterized by persistent difficulties in social interaction, restricted behaviours, speech, and nonverbal communication. The impacts of this disorder and the severity of symptoms vary from person to person. In most cases, symptoms of ASD appear at the age of 2 to 5 and continue throughout adolescence and into adulthood. While this disorder cannot be cured completely, studies have shown that early detection of this syndrome can assist in maintaining the behavioural and psychological development of children. Experts are currently studying various machine learning methods, particularly convolutional neural networks, to expedite the screening process. Convolutional neural networks are considered promising frameworks for the diagnosis of ASD. This study employs different pre-trained convolutional neural networks such as ResNet34, ResNet50, AlexNet, MobileNetV2, VGG16, and VGG19 to diagnose ASD and compared their performance. Transfer learning was applied to every model included in the study to achieve higher results than the initial models. The proposed ResNet50 model achieved the highest accuracy, 92%, compared to other transfer learning models. The proposed method also outperformed the state-of-the-art models in terms of accuracy and computational cost.

5.
Biology (Basel) ; 13(7)2024 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-39056703

RESUMO

Streptococcus gordonii is a gram-positive, mutualistic bacterium found in the human body. It is found in the oral cavity, upper respiratory tract, and intestines, and presents a serious clinical problem because it can lead to opportunistic infections in individuals with weakened immune systems. Streptococci are the most prevalent inhabitants of oral microbial communities, and are typical oral commensals found in the human oral cavity. These streptococci, along with many other oral microbes, produce multispecies biofilms that can attach to salivary pellicle components and other oral bacteria via adhesin proteins expressed on the cell surface. Antibiotics are effective against this bacterium, but resistance against antibodies is increasing. Therefore, a more effective treatment is needed. Vaccines offer a promising method for preventing this issue. This study generated a multi-epitope vaccine against Streptococcus gordonii by targeting the completely sequenced proteomes of five strains. The vaccine targets are identified using a pangenome and subtractive proteomic approach. In the present study, 13 complete strains out of 91 strains of S. gordonii are selected. The pangenomics results revealed that out of 2835 pan genes, 1225 are core genes. Out of these 1225 core genes, 643 identified as non-homologous proteins by subtractive proteomics. A total of 20 essential proteins are predicted from non-homologous proteins. Among these 20 essential proteins, only five are identified as surface proteins. The vaccine construct is designed based on selected B- and T-cell epitopes of the antigenic proteins with the help of linkers and adjuvants. The designed vaccine is docked against TLR2. The expression of the protein is determined using in silico gene cloning. Findings concluded that Vaccine I with adjuvant shows higher interactions with TLR2, suggesting that the vaccine has the ability to induce a humoral and cell-mediated response to treat and prevent infection; this makes it promising as a vaccine against infectious diseases caused by S. gordonii. Furthermore, validation of the vaccine construct is required by in vitro and in vivo trials to check its actual potency and safety for use to prevent infectious diseases caused by S. gordonii.

6.
Skin Res Technol ; 30(8): e13878, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39081158

RESUMO

BACKGROUND: Skin diseases are severe diseases. Identification of these severe diseases depends upon the abstraction of atypical skin regions. The segmentation of these skin diseases is essential to rheumatologists in risk impost and for valuable and vital decision-making. Skin lesion segmentation from images is a crucial step toward achieving this goal-timely exposure of malignancy in psoriasis expressively intensifies the persistence ratio. Defies occur when people presume skin diseases they have without accurately and precisely incepted. However, analyzing malignancy at runtime is a big challenge due to the truncated distinction of the visual similarity between malignance and non-malignance lesions. However, images' different shapes, contrast, and vibrations make skin lesion segmentation challenging. Recently, various researchers have explored the applicability of deep learning models to skin lesion segmentation. MATERIALS AND METHODS: This paper introduces a skin lesions segmentation model that integrates two intelligent methodologies: Bayesian inference and edge intelligence. In the segmentation model, we deal with edge intelligence to utilize the texture features for the segmentation of skin lesions. In contrast, Bayesian inference enhances skin lesion segmentation's accuracy and efficiency. RESULTS: We analyze our work along several dimensions, including input data (datasets, preprocessing, and synthetic data generation), model design (architecture, modules), and evaluation aspects (data annotation requirements and segmentation performance). We discuss these dimensions from seminal works and a systematic viewpoint and examine how these dimensions have influenced current trends. CONCLUSION: We summarize our work with previously used techniques in a comprehensive table to facilitate comparisons. Our experimental results show that Bayesian-Edge networks can boost the diagnostic performance of skin lesions by up to 87.80% without incurring additional parameters of heavy computation.


Assuntos
Teorema de Bayes , Dermatopatias , Humanos , Dermatopatias/diagnóstico por imagem , Dermatopatias/patologia , Internet das Coisas , Aprendizado Profundo , Neoplasias Cutâneas/diagnóstico por imagem , Neoplasias Cutâneas/patologia , Pele/diagnóstico por imagem , Pele/patologia , Dermoscopia/métodos , Algoritmos
7.
Nanoscale Adv ; 6(14): 3644-3654, 2024 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-38989513

RESUMO

Creatinine, a byproduct of muscle metabolism, is typically filtered by the kidneys. Deviations from normal concentrations of creatinine in human saliva serve as a crucial biomarker for renal diseases. Monitoring these levels becomes particularly essential for individuals undergoing dialysis and those with kidney conditions. This study introduces an innovative disposable point-of-care (PoC) sensor device designed for the prompt detection and continuous monitoring of trace amounts of creatinine. The sensor employs a unique design, featuring a creatinine-imprinted polythiophene matrix combined with niobium oxide nanoparticles. These components are coated onto a screen-printed working electrode. Thorough assessments of creatinine concentrations, spanning from 0 to 1000 nM in a redox solution at pH 7.4 and room temperature, are conducted using cyclic voltammetry (CV), differential pulse voltammetry (DPV), and electrochemical impedance spectroscopy (EIS). The devised sensor exhibits a sensitivity of 4.614 µA cm-2 nM-1, an impressive trace level limit of detection at 34 pM, and remarkable selectivity for creatinine compared to other analytes found in human saliva, such as glucose, glutamine, urea, tyrosine, etc. Real saliva samples subjected to the sensor reveal a 100% recovery rate. This sensor, characterized by its high sensitivity, cost-effectiveness, selectivity, and reproducibility, holds significant promise for real-time applications in monitoring creatinine levels in individuals with kidney and muscle-related illnesses.

8.
Front Genet ; 15: 1361610, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38826807

RESUMO

Shigella dysenteriae has been recognized as the second most prevalent pathogen associated with diarrhea that contains blood, contributing to 12.9% of reported cases, and it is additionally responsible for approximately 200,000 deaths each year. Currently, there is no S. dysenteriae licensed vaccine. Multidrug resistance in all Shigella spp. is a growing concern. Current vaccines, such as O-polysaccharide (OPS) conjugates, are in clinical trials but are ineffective in children but protective in adults. Thus, innovative treatments and vaccines are needed to combat antibiotic resistance. In this study, we used immuno-informatics to design a new multiepitope vaccine and identified S. dysenteriae strain SD197's membrane protein targets using in-silico methods. The target protein was prioritized using membrane protein topology analysis to find membrane proteins. B and T-cell epitopes were predicted for vaccine formulation. The epitopes were shortlisted based on an IC50 value <50, antigenicity, allergenicity, and a toxicity analysis. In the final vaccine construct, a total of 8 B-cell epitopes, 12 MHC Class I epitopes, and 7 MHC Class II epitopes were identified for the Lipopolysaccharide export system permease protein LptF. Additionally, 17 MHC Class I epitopes and 14 MHC Class II epitopes were predicted for the Lipoprotein-releasing ABC transporter permease subunit LolE. These epitopes were selected and linked via KK, AAY, and GGGS linkers, respectively. To enhance the immunogenic response, RGD (arginine-glycine-aspartate) adjuvant was incorporated into the final vaccine construct. The refined vaccine structure exhibits a Ramachandran score of 91.5% and demonstrates stable interaction with TLR4. Normal Mode Analysis (NMA) reveals low eigenvalues (3.925996e-07), indicating steady and flexible molecular mobility of docked complexes. Codon optimization was carried out in an effective microbial expression system of the Escherichia coli K12 strain using the recombinant plasmid pET-28a (+). Finally, the entire in-silico analysis suggests that the suggested vaccine may induce a significant immune response against S. dysenteriae, making it a promising option for additional experimental trials.

9.
Data Brief ; 54: 110461, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38774244

RESUMO

The world's need for energy is rising due to factors like population growth, economic expansion, and technological breakthroughs. However, there are major consequences when gas and coal are burnt to meet this surge in energy needs. Although these fossil fuels are still essential for meeting energy demands, their combustion releases a large amount of carbon dioxide and other pollutants into the atmosphere. This significantly jeopardizes community health in addition to exacerbating climate change, thus it is essential need to move swiftly to incorporate renewable energy sources by employing advanced information and communication technologies. However, this change brings up several security issues emphasizing the need for innovative cyber threats detection and prevention solutions. Consequently, this study presents bigdata sets obtained from the solar and wind powered distributed energy systems through the blockchain-based energy networks in the smart grid (SG). A hybrid machine learning (HML) model that combines both the Deep Learning (DL) and Long-Short-Term-Memory (LSTM) models characteristics is developed and applied to identify the unique patterns of Denial of Service (DoS) and Distributed Denial of Service (DDoS) cyberattacks in the power generation, transmission, and distribution processes. The presented big datasets are essential and significantly helps in identifying and classifying cyberattacks, leading to predicting the accurate energy systems behavior in the SG.

10.
PLoS One ; 19(5): e0303048, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38753867

RESUMO

Shigella dysenteriae, is a Gram-negative bacterium that emerged as the second most significant cause of bacillary dysentery. Antibiotic treatment is vital in lowering Shigella infection rates, yet the growing global resistance to broad-spectrum antibiotics poses a significant challenge. The persistent multidrug resistance of S. dysenteriae complicates its management and control. Hence, there is an urgent requirement to discover novel therapeutic targets and potent medications to prevent and treat this disease. Therefore, the integration of bioinformatics methods such as subtractive and comparative analysis provides a pathway to compute the pan-genome of S. dysenteriae. In our study, we analysed a dataset comprising 27 whole genomes. The S. dysenteriae strain SD197 was used as the reference for determining the core genome. Initially, our focus was directed towards the identification of the proteome of the core genome. Moreover, several filters were applied to the core genome, including assessments for non-host homology, protein essentiality, and virulence, in order to prioritize potential drug targets. Among these targets were Integration host factor subunit alpha and Tyrosine recombinase XerC. Furthermore, four drug-like compounds showing potential inhibitory effects against both target proteins were identified. Subsequently, molecular docking analysis was conducted involving these targets and the compounds. This initial study provides the list of novel targets against S. dysenteriae. Conclusively, future in vitro investigations could validate our in-silico findings and uncover potential therapeutic drugs for combating bacillary dysentery infection.


Assuntos
Antibacterianos , Simulação por Computador , Disenteria Bacilar , Simulação de Acoplamento Molecular , Shigella dysenteriae , Shigella dysenteriae/efeitos dos fármacos , Shigella dysenteriae/genética , Shigella dysenteriae/patogenicidade , Humanos , Antibacterianos/farmacologia , Disenteria Bacilar/microbiologia , Disenteria Bacilar/tratamento farmacológico , Genoma Bacteriano , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Biologia Computacional/métodos
11.
Chem Asian J ; 19(14): e202400245, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-38634677

RESUMO

A highly flexible, tunable morphology membrane with excellent thermal stability and ionic conductivity can endow lithium metal batteries with high power density and reduced dendrite growth. Herein, a porous Polyurethane (PU) membrane with an adjustable morphology was prepared by a simple nonsolvent-induced phase separation technique. The precise control of the final morphology of PU membranes can be achieved through appropriate selection of a nonsolvent, resulting a range of pore structures that vary from finger-like voids to sponge-like pores. The implementation of combinatorial DFT and experimental analysis has revealed that spongy PU porous membranes, especially PU-EtOH, show superior electrolyte wettability (472%), high porosity (75%), good mechanical flexibility, robust thermal dimensional stability (above 170 °C), and elevated ionic conductivity (1.38 mS cm-1) in comparison to the polypropylene (PP) separator. The use of PU-EtOH in Li//Li symmetric cell results in a prolonged lifespan of 800 h, surpasing the longevity of PU or PP cells. Moreover, when subjected to a high rate of 5 C, the LiFePO4/Li half-cell with a PU-EtOH porous membrane displayed better cycling performance (115.4 mAh g-1) compared to the PP separator (104.4 mAh g-1). Finally, the prepared PU porous membrane exhibits significant potential for improving the efficiency and safety of LMBs.

12.
J Environ Manage ; 357: 120610, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38581889

RESUMO

Biochar has been widely used in soil amendment and environmental remediation. Polycyclic aromatic hydrocarbons (PAHs) could be produced in preparation of biochar, which may pose potential risks to the environment and human health. At present, most studies focus on the ecotoxicity potential of biochar, while there are few systematic reviews on the formation mechanisms and mitigation strategies of PAHs in biochar. Therefore, a systematical understanding of the distribution, formation mechanisms, risk assessment, and degradation approaches of PAHs in biochar is highly needed. In this paper, the distribution and content of the total and bioavailable PAHs in biochar are reviewed. Then the formation mechanisms, influencing factors, and potential risk assessment of PAHs in biochar are systematically explored. After that, the effective strategies to alleviate PAHs in biochar are summarized. Finally, suggestions and perspectives for future studies are proposed. This review provides a guide for reducing the formation of biochar-associated PAHs and their toxicity, which is beneficial for the development and large-scale safe use of environmentally friendly biochar.


Assuntos
Recuperação e Remediação Ambiental , Hidrocarbonetos Policíclicos Aromáticos , Poluentes do Solo , Humanos , Poluentes do Solo/análise , Carvão Vegetal , Solo
13.
Data Brief ; 53: 110212, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38439994

RESUMO

Blockchain-based reliable, resilient, and secure communication for Distributed Energy Resources (DERs) is essential in Smart Grid (SG). The Solana blockchain, due to its high stability, scalability, and throughput, along with low latency, is envisioned to enhance the reliability, resilience, and security of DERs in SGs. This paper presents big datasets focusing on SQL Injection, Spoofing, and Man-in-the-Middle (MitM) cyberattacks, which have been collected from Solana blockchain-based Industrial Wireless Sensor Networks (IWSNs) for events monitoring and control in DERs. The datasets provided include both raw (unprocessed) and refined (processed) data, which highlight distinct trends in cyberattacks in DERs. These distinctive patterns demonstrate problems like superfluous mass data generation, transmitting invalid packets, sending deceptive data packets, heavily using network bandwidth, rerouting, causing memory overflow, overheads, and creating high latency. These issues result in ineffective real-time events monitoring and control of DERs in SGs. The thorough nature of these datasets is expected to play a crucial role in identifying and mitigating a wide range of cyberattacks across different smart grid applications.

14.
Environ Sci Pollut Res Int ; 31(17): 26019-26035, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38492145

RESUMO

This study synthesized a new thiomalic acid-modified rice husk biochar (TMA-BC) as a versatile and eco-friendly sorbent. After undergoing chemical treatments, the mercerized rice husk biochar (NaOH-BC) and TMA-BC samples showed higher BET surface area values of 277.1 m2/g and 305.8 m2/g, respectively, compared to the pristine biochar (BC) sample, which had a surface area of 234.2 m2/g. In batch adsorption experiments, it was found that the highest removal efficiency for malachite green (MG) was achieved with TMA-BC, reaching 96.4%, while NaOH-BC and BC exhibited removal efficiencies of 38.6% and 27.9%, respectively, at pH 8. The engineered TMA-BC exhibited a super adsorption capacity of 104.17 mg/g for MG dye at pH 8.0 and 25 °C with a dosage of 2 g/L. The SEM, TEM, XPS, and FTIR spectroscopy analyses were performed to examine mesoporous features and successful TMA-BC carboxylic and thiol functional groups grafting on biochar. Electrostatic forces, such as π - π interactions, hydrogen bonding, and pore intrusion, were identified as key factors in the sorption of MG dye. As compared to single-solution adsorption experiments, the binary solution experiments performed at optimized dosages of undesired ions, such as humic acid, sodium dodecyl sulfate surfactant, NaCl, and NaSCN, reflected an increase in MG dye removal of 2.8%, 8.7%, 5.4%, and 12.7%, respectively, which was attributed to unique mesoporous features and grafted functional groups of TMA-BC. Furthermore, the TMA-BC showed promising reusability up to three cycles. Our study indicates that mediocre biochar modified with TMA can provide an eco-friendly and cost-effective alternative to commercially accessible adsorbents.


Assuntos
Corantes de Rosanilina , Poluentes Químicos da Água , Ligantes , Hidróxido de Sódio , Poluentes Químicos da Água/química , Cinética , Carvão Vegetal/química , Adsorção
15.
Artigo em Inglês | MEDLINE | ID: mdl-38261494

RESUMO

Alzheimer's Disease (AD) is a widespread, chronic, irreversible, and degenerative condition, and its early detection during the prodromal stage is of utmost importance. Typically, AD studies rely on single data modalities, such as MRI or PET, for making predictions. Nevertheless, combining metabolic and structural data can offer a comprehensive perspective on AD staging analysis. To address this goal, this paper introduces an innovative multi-modal fusion-based approach named as Dual-3DM3-AD. This model is proposed for an accurate and early Alzheimer's diagnosis by considering both MRI and PET image scans. Initially, we pre-process both images in terms of noise reduction, skull stripping and 3D image conversion using Quaternion Non-local Means Denoising Algorithm (QNLM), Morphology function and Block Divider Model (BDM), respectively, which enhances the image quality. Furthermore, we have adapted Mixed-transformer with Furthered U-Net for performing semantic segmentation and minimizing complexity. Dual-3DM3-AD model is consisted of multi-scale feature extraction module for extracting appropriate features from both segmented images. The extracted features are then aggregated using Densely Connected Feature Aggregator Module (DCFAM) to utilize both features. Finally, a multi-head attention mechanism is adapted for feature dimensionality reduction, and then the softmax layer is applied for multi-class Alzheimer's diagnosis. The proposed Dual-3DM3-AD model is compared with several baseline approaches with the help of several performance metrics. The final results unveil that the proposed work achieves 98% of accuracy, 97.8% of sensitivity, 97.5% of specificity, 98.2% of f-measure, and better ROC curves, which outperforms other existing models in multi-class Alzheimer's diagnosis.


Assuntos
Doença de Alzheimer , Humanos , Doença de Alzheimer/diagnóstico por imagem , Semântica , Imageamento por Ressonância Magnética/métodos , Algoritmos , Tomografia por Emissão de Pósitrons/métodos
16.
Chem Rec ; 24(1): e202300268, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37874033

RESUMO

Aluminum-sulfur batteries (AlSBs) exhibit significant potential as energy storage systems due to their notable attributes, including a high energy density, cost-effectiveness, and abundant availability of aluminum and sulfur. In order to commercialize AlSBs, an understanding of their working principles is necessary. In this review, we examine the current advancements in cathodes, both in theory and practice, as well as the progress made in aqueous and nonaqueous electrolytes. We also explore the modifications made to separators and the theoretical understanding of problems associated with AlSBs. Furthermore, we discuss future research directions aimed at resolving these issues. Our aim is to summarize the current progress in AlSBs and, based on recent progress and understanding of the mechanism, help design a battery to overcome the challenges that such batteries have been facing.

17.
Front Immunol ; 14: 1273838, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38045699

RESUMO

Dengue virus infection (DVI) is a mosquito-borne disease that can lead to serious morbidity and mortality. Dengue fever (DF) is a major public health concern that affects approximately 3.9 billion people each year globally. However, there is no vaccine or drug available to deal with DVI. Dengue virus consists of four distinct serotypes (DENV1-4), each raising a different immunological response. In the present study, we designed a tetravalent subunit multi-epitope vaccine, targeting proteins including the structural protein envelope domain III (EDIII), precursor membrane proteins (prM), and a non-structural protein (NS1) from each serotype by employing an immunoinformatic approach. Only conserved sequences obtained through a multiple sequence alignment were used for epitope mapping to ensure efficacy against all serotypes. The epitopes were shortlisted based on an IC50 value <50, antigenicity, allergenicity, and a toxicity analysis. In the final vaccine construct, overall, 11 B-cell epitopes, 10 HTL epitopes, and 10 CTL epitopes from EDIII, prM, and NS1 proteins targeting all serotypes were selected and joined via KK, AAY, and GGGS linkers, respectively. We incorporated a 45-amino-acid-long B-defensins adjuvant in the final vaccine construct for a better immunogenic response. The vaccine construct has an antigenic score of 0.79 via VaxiJen and is non-toxic and non-allergenic. Our refined vaccine structure has a Ramachandran score of 96.4%. The vaccine has shown stable interaction with TLR3, which has been validated by 50 ns of molecular dynamics (MD) simulation. Our findings propose that a designed multi-epitope vaccine has substantial potential to elicit a strong immune response against all dengue serotypes without causing any adverse effects. Furthermore, the proposed vaccine can be experimentally validated as a probable vaccine, suggesting it may serve as an effective preventative measure against dengue virus infection.


Assuntos
Vírus da Dengue , Dengue , Viroses , Animais , Humanos , Vacinas Combinadas , Vacinas de Subunidades Antigênicas , Epitopos de Linfócito B , Dengue/prevenção & controle
18.
Cureus ; 15(11): e49532, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38156151

RESUMO

Objective Hypertension (HTN) is among the most common causes of chronic disease burden, along with dyslipidemia. It is a prominent risk factor for cardiovascular and cerebrovascular morbidity and mortality. More often than not, HTN coexists with dyslipidemia. This study aimed to see the antihypertensive effect of statins (atorvastatin), as certain animal models have shown that statins have a voltage-gated calcium channel-blocking effect. Material and methods This was a randomized controlled trial done at the Ayub Hospital Complex in Abbottabad, Pakistan. After ethical approval, 120 patients with newly diagnosed hypertension belonging to either gender and aged 35 and above were enrolled in the trial. They were randomly divided into two groups, with each group comprising 60 patients. One group was administered amlodipine 5 mg per oral (PO) once a day, while the other group was given 5 mg of amlodipine PO plus 10 mg of atorvastatin PO. The patients were examined on a follow-up visit 14 days later, and blood pressure was recorded as per protocols. Results A total of 120 newly diagnosed patients were studied in this trial. The mean age was 51.07 years, with a standard deviation of ±6.15 years and a range of 41-60 years. There were 64 (53.3%) males and 56 (46.7%) females in the study. The mean systolic blood pressures (SBPs) and diastolic blood pressures (DBPs) in Group 2 (amlodipine 5 mg + atorvastatin 10 mg) were significantly lower than the patients in Group 1 (only amlodipine 5 mg) in the follow-up visit, which was 14 days after starting the medication (p≤0.05). Conclusion The addition of a lipid-lowering drug to an antihypertensive regimen results in a better lowering of blood pressure in hypertensive individuals.

19.
J Coll Physicians Surg Pak ; 33(11): 1283-1287, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37926882

RESUMO

OBJECTIVE: To assess the clinical outcome of arthroscopic stabilisation for recurrent anterior glenohumeral joint dislocations. STUDY DESIGN: Case series. Place and Duration of the Study: Ghurki Trust Teaching Hospital, Lahore, from May 2018 to December 2022. METHODOLOGY: Fifty-two patients who underwent arthroscopic repair of Bankart lesion were studied. Those who had concomitant fractures, neurological injury or underwent any surgery on the same shoulder were excluded. The outcome was assessed in terms of improvement in pain, constant and Rowe scores, postoperatively. RESULTS: The mean delay in the procedure after the first dislocation was 65.15+38.23 months, and the mean follow-up period was 26.61+7.55 months. On final follow-up, improvement in pain was statistically significant (p<0.05): (VAS: 2.17+1.77 to 0.69+0.64 at rest and from 4.5+2.24 to 1.58+1.85 at motion). On subjective assessment, 50% of the sample was very satisfied, and an objective assessment showed statistically significant (p<0.05) improvement in Constant score from 65.4 to 78.6. Rowe score not only showed a significant improvement (from 31.6 to 80.3 with p<0.05), but 69.2% of the follow-up scores lied in the good and excellent results range as well. Recurrence was noted in 8 cases (15.3%). CONCLUSION: Significant clinical improvement was seen after arthroscopic stabilisation in anterior shoulder instability. However, further research is required regarding the recurrence rate and restriction in the range of motion. KEY WORDS: Glenohumeral joint, Dislocation, Stabilisation, Shoulder arthroscopy.


Assuntos
Instabilidade Articular , Luxação do Ombro , Articulação do Ombro , Humanos , Articulação do Ombro/cirurgia , Luxação do Ombro/cirurgia , Ombro , Instabilidade Articular/cirurgia , Recidiva , Artroscopia/métodos , Amplitude de Movimento Articular , Dor , Estudos Retrospectivos
20.
J Genet Eng Biotechnol ; 21(1): 151, 2023 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-38017118

RESUMO

BACKGROUND: Cellulase is an important bioprocessing enzyme used in various industries. This study was conducted with the aim of improving the biodegradation activity of cellulase obtained from the Bacillus subtilis AG-PQ strain. For this purpose, AgO and FeO NPs were fabricated using AgNO3 and FeSO4·7H2O salt respectively through a hydro-thermal method based on five major steps; selection of research-grade materials, optimization of temperature, pH, centrifuge, sample washed with distilled water, dry completely in the oven at the optimized temperature and finally ground for characterization. The synthesized NPs were characterized by scanning electron microscope (SEM), energy dispersive X-ray (EDX), and X-ray diffraction (XRD) to confirm the morphology, elemental composition, and structure of the sample respectively. The diameter of the NPs was recorded through SEM which lay in the range of 70-95 nm. RESULTS: Cultural parameters were optimized to achieve better cellulase production, where incubation time of 56 h, inoculum size of 5%, 1% coconut cake, 0.43% ammonium nitrate, pH 8, and 37 °C temperature were found optimal. The enhancing effect of AgO NPs was observed on cellulase activity (57.804 U/ml/min) at 50 ppm concentration while FeO NPs exhibited an inhibitory effect on cellulase activity at all concentrations. Molecular docking analysis was also performed to understand the underlying mechanism of improved enzymatic activity by nanocatalysts. CONCLUSION: This study authenticates AgO NPs as better nanocatalysts for improved thermostable cellulase biodegradation activity with the extraordinary capability to be potentially utilized in bioethanol production.

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