Prevalence of breast cancer in rural population of Jaipur: a survey-based observational study.

Breast cancer, a global health concern predominantly affecting women, recorded 2.3 million new cases and 685,000 deaths in 2020. Alarmingly, projections suggest that by 2040, there could be over 3 million new cases and 1 million deaths. To assess breast cancer prevalence in 24 rural villages within a 60 km radius of NIMS Hospital, Tala Mod, Jaipur, Rajasthan, North India 303,121. A study involving 2023 participants conducted initial screenings, and positive cases underwent further tests, including ultrasound, mammography, and biopsy. SPSSv28 analysed collected data. Among 2023 subjects, 3 screened positive for breast lumps. Subsequent clinical examination and biopsy identified 1 normal case and 2 with breast cancer, resulting in a prevalence proportion of 0.0009 or 98 per 100,000. This study helps fill gap in breast cancer prevalence data for rural Rajasthan. The results highlight a concerning prevalence of breast cancer in the rural area near NIMS hospital, emphasizing the urgent need for increased awareness, early detection, and better healthcare access. Challenges like limited resources, awareness programs, and delayed diagnosis contribute to this high incidence. To address this, comprehensive approach is necessary, including improved screening programs and healthcare facilities in rural areas. Prioritizing rural healthcare and evidence-based strategies can reduce the burden of breast cancer and improve health outcomes.

The Use of Lipid-Based Nanocarriers to Improve Ovarian Cancer Treatment: An Overview of Recent Developments.

Ovarian cancer poses a formidable health challenge for women globally, necessitating innovative therapeutic approaches. This review provides a succinct summary of the current research status on lipid-based nanocarriers in the context of ovarian cancer treatment. Lipid-based nanocarriers, including liposomes, solid lipid nanoparticles (SLNs), and nanostructured lipid carriers (NLCs), offer a promising solution for delivering anticancer drugs with enhanced therapeutic effectiveness and reduced adverse effects. Their versatility in transporting both hydrophobic and hydrophilic medications makes them well-suited for a diverse range of anticancer drugs. Active targeting techniques like ligand-conjugation and surface modifications have been used to reduce off-target effects and achieve tumour-specific medication delivery. The study explores formulation techniques and adjustments meant to enhance drug stability and encapsulation in these nanocarriers. Encouraging results from clinical trials and preclinical investigations underscore the promise of lipid-based nanocarriers in ovarian cancer treatment, providing optimism for improved patient outcomes. Notwithstanding these advancements, challenges related to clearance, long-term stability, and scalable manufacturing persist. Successfully translating lipidbased nanocarriers into clinical practice requires addressing these hurdles. To sum up, lipidbased nanocarriers are a viable strategy to improve the effectiveness of therapy for ovarian cancer. With their more focused medication administration and lower systemic toxicity, they may completely change the way ovarian cancer is treated and increase patient survival rates. Lipidbased nanocarriers need to be further researched and developed to become a therapeutically viable treatment for ovarian cancer.

Unveiling the correlation between structural and magnetic ordering in nano Co1-xNixTeO4.

Nanomaterials with unique structures and exotic magnetic phenomena are always intriguing; however, the direct correlation of structural and magnetic ordering up to a few nanometers remains critical. We report structural and magnetic properties of sol-gel grown Co1-xNixTeO4 (x = 0, 0.5 and 1) nanoparticles. An increase in the calcination temperature leads to the enhancement of the particle size and structural ordering. This is accompanied by changes in the magnetic interactions as well. Calcination at lower temperatures retains the short-range non-crystalline structure and superparamagnetic behavior, while calcination at higher temperatures results in long-range ordering in both the crystal and magnetic structures. Superparamagnetic to antiferromagnetic ordering observed from temperature- and field-dependent magnetization is attributed to the changes in structural ordering. This study presents a new family of nanomaterials displaying stable magnetic order up to ∼6 nm, where the magnetic properties can be uniquely controlled by changing the structural ordering.

Nearly compensated ferrimagnetic behaviour and giant exchange bias of hexagonal Mn2PtAl: experimental and theoretical studies.

We have investigated the Mn2PtAl Heulser alloy to unravel its structural, magnetic, calorimetric and electronic structure properties. At room temperature, the alloy crystallizes in a hexagonal structure. Magnetization reveals a weak martensitic transition at 307 K, followed by a long range ferrimagnetic transition at 90 K. Griffiths phase-like signature and positive Weiss temperature in dc-magnetization, isothermal magnetic hysteresis loops and a frequency-independent peak confirm a nearly compensated ferrimagnetic order of Mn2PtAl. The theoretical electronic structure calculations also reveal the ferrimagnetic ground state of Mn2PtAl and Mn ions (occupying different sites) with a very small total magnetic moment. A giant exchange bias field of 2.73 kOe, at a temperature of 3 K and a cooling field of 70 kOe, has been estimated and is attributed to the unidirectional anisotropy associated with possible ferromagnetic clusters formed by the field cooling process in the ferrimagnetic matrix.

Experimental and Theoretical Investigations of Fe-Doped Hexagonal MnNiGe.

We report a comprehensive investigation of MnNi0.7Fe0.3Ge Heusler alloy to explore its magnetic, caloric, and electrical transport properties. The alloy undergoes a ferromagnetic transition across T C ∼ 212 K and a weak-antiferromagnetic transition across T t ∼ 180 K followed by a spin-glass transition below T f ∼ 51.85 K. A second-order phase transition across T C with mixed short and long-range magnetic interactions is confirmed through the critical exponent study and universal scaling of magnetic entropy and magnetoresistance. A weak first-order phase transition is evident across T t from magnetization and specific heat data. The frequency dependent cusp in χAC(T) along with the absence of a clear magnetic transition in specific heat C(T) and resistivity ρ(T) establish the spin glass behavior below T f. Mixed ferromagnetic and antiferromagnetic interactions with dominant ferromagnetic coupling, as revealed by density functional calculations, are experimentally evident from the large positive Weiss temperature, magnetic saturation, and negative magnetic-entropy and magnetoresistance.

Magnetic behavior of Ru substituted skyrmion metal MnSi.

We report on the structural and magnetic properties of Ru substituted skyrmion metal MnSi i.e. Mn1-xRuxSi for the nominal compositions of0⩽x⩽0.5. The composition-temperature (x-T) phase diagram illustrates the substitution-driven changes in the magnetic behavior. It is confirmed that the magnetic ordering temperature (para-to helimagnetic)Ttrand the effective magneticµeffmoment decrease with increasingx. This indicates the suppression of magnetic order by the substitution of Ru in MnSi. However, the magnetic nature is sustained up to a concentration of aboutx= 0.1 above which the system exhibits spin-glass like nature as inferred from the negative Curie-Weiss temperatureθCW, reduced magnetic moment (of the order 10-2 µBf.u.-1) and linearM-H(at 2 K) inx= 0.5. Mn1-xRuxSi is found to avoid the quantum phase transition and exhibits a composition-driven magnetic to spin-glass like transition.

Non-collinear antiferromagnetism to compensated ferrimagnetism in Ti(Fe1-xCox)2 (x = 0, 0.5 and 1) alloys: experiment and theory.

The manifestation of the structural and magnetic properties of Co substituted TiFe2 is investigated using powder X-ray diffraction, magnetization and density functional theory calculations. The alloys TiFe2 and TiFeCo crystallize in the hexagonal structure (P63/mmc) with a reduction in the lattice parameters of TiFeCo (by about 0.51% in a and 0.64% in c) when compared to TiFe2. On the other hand, TiCo2 crystallizes in the cubic structure (Fd3[combining macron]m). A structural transition from hexagonal to cubic is anticipated for a composition with x ∈ [0.5, 1]. The non-collinear antiferromagnetic (AFM) spin structure (formed by 6h Fe atoms) of TiFe2 with Néel temperature TN ∼ 275 K is reported at zero magnetic field H. Meanwhile, a magnetic field-induced collinear antiferromagnetic spin structure is suggested by magnetization measurements and supported by density functional theory calculations. The magnetization of TiFeCo shows a weak-ferromagnetic (FM)-like transition around 204 K, followed by a broad hump at 85.5 K and H = 200 Oe. Ferromagnetic interactions are weakened, causing the hump to disappear due to the possible transfer of electrons between Fe and Co. TiCo2 shows compensated ferrimagnetism with magnetization of the order of 10-5µB f.u.-1 and a linear increase of M with H at 5 K. The presence of a non-collinear AFM spin structure in TiFe2, a reduced magnetic moment in TiFeCo due to the charge transfer between Co and Fe, and compensated ferrimagnetism in TiCo2 promise a rich phase diagram of Ti(Fe1-xCox)2 alloys and the possible potential of these alloys for use in spintronics applications.

Anomalous magnetic properties in LaFe11.5Al1.5.

We report the magnetic relaxation, DC magnetization, heat capacity, and X-ray powder diffraction studies of a melt-spun LaFe11.5Al1.5 compound executed across a temperature range of 5 to 300 K. We have found three magnetic transitions (at temperatures T1, T2, and Tord) in this compound in the zero-field cooled (ZFC) mode, and two magnetic transitions (at T2 and Tord) in the field-cooled cooling/warming (FCC/FCW) mode. The ferromagnetic transition (FM) at temperature T2 indicating hysteresis alludes to a magnetic transition of the first-order (FOT) at lower temperatures. The magnetization study reveals that meta-stable states exist in the low-temperature antiferromagnetically ordered state. Partially reversible behaviour is also observed in the 120-140 K temperature range. The heat capacity data indicates that the magnetic state of this compound is clearly different from that of spin glasses. The magnetocaloric properties of the compound are determined in the form of the isothermal magnetic entropy change (SM) and the adiabatic temperature change (ΔTad) and the utmost values of SM and Tad for a field variation of 25 kOe observed were 3.1 J kg-1 K-1 and 1.12 K respectively. The relative cooling power (RCP) is ascertained to be 216 J kg-1 for an enforced field of 25 kOe.

Magnetism of 3d and 4d doped Mn0.7T0.3NiGe (T = Fe, Co, Ru and Rh): bulk magnetization and ab initio calculations.

We compare the magnetic properties of 3d (Fe and Co) and 4d (Ru and Rh) transition metals doped MnNiGe using the combined results of magnetization and ab initio calculations. The alloys crystallize in austenite Ni2In-type hexagonal phase (space group: P63/mmc) with insignificant difference in the lattice parameters. Mn0.7Fe0.3NiGe and Mn0.7Co0.3NiGe exhibit spin-glass behavior, resulting from the competing ferro- and antiferromagnetic interactions. These alloys exhibit spontaneous exchange bias field of about [Formula: see text] Oe and 323 Oe, respectively. From the 4d-metal doped alloys, Mn0.7Ru0.3NiGe shows glassy behavior while long-range ferromagnetic order is confirmed in Mn0.7Rh0.3NiGe. In Mn0.7Rh0.3NiGe, in agreement with experiment and the theoretical calculations, the ground state is confirmed to be ferromagnetic because of the FM exchange interactions of the Mn magnetic moments. But in Mn1-x (Fe,Co,Ru) x NiGe alloys the calculations revealed the competing and comparable FM and AFM exchange interaction parameters, resulting in the formation of spin-glassy characteristics.

Relation of systolic and diastolic epicardial adipose tissue thickness with presence and severity of coronary artery disease (The EAT CAD study).

BACKGROUND: Recent studies have shown EAT to be an indicator of cardiovascular risk and atherosclerotic plaque development. However, such data is sparse from Indian sub-continent. The present study evaluated the relationship of EAT as determined by echocardiography to the presence and severity of coronary artery disease (CAD). MATERIALS AND METHODS: This was a cross-sectional observational study constituting 500 patients including 250 with angiographically normal coronary arteries (non-CAD group), and 250 patients with significant CAD on coronary angiogram (CAD group). CAD severity was assessed by Gensini and SYNTAX scores. RESULTS: The mean systolic and diastolic EAT thickness in the CAD group (5.7 ± 1.5 mm and 4.3 ± 1.1 mm) were significantly higher than the non-CAD group (4.2 ± 1.2 mm and 3.2 ± 1.2 mm), both P < 0.001. EAT thickness showed a significant positive correlation with waist circumference, LDL-C levels, Gensini score, and SYNTAX score. On multivariate logistic regression analysis, both systolic and diastolic EAT thickness were found to be independent predictor of CAD in addition traditional risk factors. Receiver operating characteristics (ROC) analysis showed that systolic EAT thickness of 5 mm and diastolic EAT thickness of 4 mm had similar sensitivity (85% vs 83%, respectively) and specificity (70% vs 72%, respectively) to detect presence of CAD. CONCLUSION: Systolic and diastolic EAT thicknesses are increased in CAD patients and related to both presence and severity of CAD. EAT, being modifiable, may be an attractive target for future interventions to reduce CV risk and has potential to monitor the response to life-style modification and therapy. However, larger and prospective studies required to validate these findings.

Real World Experience of a Biodegradable Polymer Sirolimus-Eluting Stent (Yukon Choice PC Elite) in Patients with Acute ST-Segment Elevation Myocardial Infarction Undergoing Primary Angioplasty: A Multicentric Observational Study (The Elite India Study).

BACKGROUND: The durable polymer drug-eluting stents (DPDES) reduce the risk of repeated target vessel revascularisation (TLR) compared with BMS, but are associated with increased risk of late adverse events. In broadly inclusive populations, the biodegradable-polymer drug-eluting stents (BPDES) have favourable results compared with DPDES in the long term. However, its use in primary angioplasty has not been adequately studied, and data of real-world clinical experience is lacking. AIM: Aim of this study was to assess the safety and efficacy of Yukon Choice PC Elite sirolimus-eluting stent (a novel BPDES) in STEMI patients undergoing primary angioplasty. METHODS: We have presented here one-year clinical follow-up data of the Yukon Choice PC Elite sirolimus-eluting stent in patients undergoing primary angioplasty. A total of 636 patients were enrolled in this single arm, prospective observational study from five centres. RESULTS: This multicentric observational study showed excellent safety and efficacy profile of the novel device at one year follow up. The device-oriented composite endpoint (DOCE) of cardiac death, target-vessel reinfarction, and target-lesion revascularisation (TLR) was 2.7%, and the patient-oriented composite endpoint (POCE) of all-cause death, any myocardial infarction, and any revascularisation was 4.2% at one year. Definite or probable stent thrombosis rate was 0.6%, and no events were recorded beyond 6 months of follow up. CONCLUSIONS: In patients with STEMI undergoing primary angioplasty, the use of Yukon Choice PC Elite (biodegradable polymer sirolimus-eluting stent) has excellent results at one year. It, therefore, represents an attractive alternative to second generation DES in this high-risk population.

Revelation of spin glass behavior in Ru doped MnNiGe: experiment and theory.

We report on the nature of the magnetism in Ru substituted MnNiGe using the combined results of x-ray diffraction, dc-magnetization, ac-susceptibility and ab initio calculations. Mn0.7Ru0.3NiGe crystallizes in Ni2In-type hexagonal structure (P63/mmc) at room temperature with lattice parameters a = b = 4.099 [Formula: see text] and c = 5.367 [Formula: see text]. From the dc-magnetization; a broad peak around 46.55 K, separation between zero-field cooled and field-cooled warming state and non-saturating isothermal magnetization with typical S-type hysteresis indicate glassy behavior. A cusp in [Formula: see text] is observed to shift toward high temperatures with increasing frequency. Mydosh parameter ([Formula: see text]), single-relaxation time ([Formula: see text] s) obtained through critical slowing-down analysis, [Formula: see text] from the Vogel-Fulcher law and Tholence criterion [Formula: see text], confirm that Mn0.7Ru0.3NiGe belongs to the short-range interaction spin-glass systems with strong coupling between the magnetic clusters. LSDA+U calculations confirmed the competing exchange interactions between large magnetic moments of the Mn ions in Mn0.7Ru0.3NiGe compound resulting in the formation of spin-glassy characteristics.

Epidermoid Cyst of the Cerebellopontine Angle Presenting with Contralateral Trigeminal Neuralgia: Extremely Rare Case and Review of Literature.

BACKGROUND: An epidermoid cyst is a rare tumor of the cerebellopontine angle region. It usually presents with ipsilateral compressive symptoms. The contralateral trigeminal neuralgia is an unusual presentation in such cases. We did not find such case reports in the literature. CASE DESCRIPTION: Here, we report a case of a 62-year-old female with a right cerebellopontine angle epidermoid cyst presenting with right hearing impairment and the contralateral trigeminal neuralgia. CONCLUSION: The possible mechanism leading to the contralateral trigeminal neuralgia is discussed here along with the diagnosis and management of the case.

Extradural Spinal Hamartoma Causing Spinal Cord Compression in an Adolescent Male: An Extremely Rare Case and Review of the Literature.

Spinal hamartoma is an extremely rare, benign spinal lesion occurring in children. It may cause spinal cord compression and subsequent neurological deficits. On reviewing the literature, of a total of 20 cases, only 2 cases are reported in an adolescent age group. It may be a pure spinal hamartoma, or sometimes it may be associated with either neurofibromatosis type I or spinal dysraphism. MRI is the investigation of choice. Surgical excision of the lesion and the decompression of the cord are the definitive treatment. Here, we pre-sent a similar case in a 16-year-old adolescent male, its diagnosis and further management.

Magnetization, resistivity, specific heat and ab initio calculations of Gd5Sb3.

We report on the combined results of the structural, magnetic, transport and calorimetric properties of Mn5Si3-type hexagonal Gd5Sb3, together with ab initio calculations. It exhibits a ferromagnetic (FM)-like transition at 265 K, antiferromagnetic (AFM) Néel transition at 95.5 K followed by a spin-orientation transition at 62 K. The system is found to be in AFM state down to 2 K in a field of 70 kOe. The FM-AFM phase coexistence is not noticeable despite large positive Curie-Weiss temperature ([Formula: see text] K). Instead, low-temperature AFM and high-temperature FM-like phases are separated in large temperatures. Temperature-magnetic field (H-T) phase diagram reveals field-driven complex magnetic phases. Within the AFM phase, the system is observed to undergo field-driven spin-orientation transitions. Field-induced tricritical and quantum critical points appear to be absent due to the strong AFM nature and by the intervention of FM-like state between paramagnetic and AFM states, respectively. The metallic behavior of the compound is inferred from resistivity along with large Sommerfeld parameter. However, no sign of strong electron-correlations is reasoned from the Kadowaki-Wood's ratio [Formula: see text] [Formula: see text] cm · (mol · K)2(mJ)-2, despite heavy γ. Essentially, ab initio calculations accounting for electronic correlations confirm AFM nature of low-temperature magnetic state in Gd5Sb3 and attainable FM ordering in agreement with experimental data.

Vertebral Hemangioma an Extremely Rare Cause of Spinal Cord Compression in Children: A Case Report.

Symptomatic benign vascular tumors of the bone are rare. Vertebral hemangiomas are rare detectable spinal tumors. Those presenting with neurological deficits are extremely rare. Early diagnosis and complete excision of the lesion with decompression of the cord is the definitive management in such cases. Delay in treatment may cause irreversible damage to the cord and may leave patient with lifelong neurological deficit. Here, we report a similar case of a thoracic vertebral hemangioma causing spinal cord compression in a child.

Systematic review of the optimal frequency of follow-up in persons with mild dementia who continue to drive.

Fitness-to-drive guidelines commonly indicate that persons with mild dementia may be safe to drive but that periodic reevaluation is required. This paper presents the findings of a systematic review of primary evidence regarding the optimal timing of follow-up in persons with mild dementia who continue to drive. A search of Medline, CINAHL, PsychInfo, AARP Ageline, and Sociofile from 1984 to 2005 was performed. No published studies focus primarily on the timing of follow-up of drivers with mild dementia. Three studies present longitudinal data that the authors reference when recommending periodicity of follow-up. This study identifies a concerning research gap in the field of dementia and driving. To provide better evidence to guide recommendations for periodicity of follow-up, 3 recommendations are proposed: (1) that prospective cohort driving research be undertaken to follow patients with mild dementia who continue to drive, (2) that data from such longitudinal research be presented as survival analyses, and (3) that existing research on the progression rates of Alzheimer disease be employed as a default until the first 2 recommendations are realized.

Clinical utility of office-based cognitive predictors of fitness to drive in persons with dementia: A systematic review.

OBJECTIVES: To perform a systematic review of evidence available regarding in-office cognitive tests that differentiate safe from unsafe drivers with dementia. DESIGN: A comprehensive literature search of multiple databases including Medline, CINAHL, PsychInfo, AARP Ageline, and Sociofile from 1984 to 2005 was performed. This was supplemented by a search of Current Contents and a review of the bibliographies of all relevant articles. SETTING: English prospective cohort, retrospective cohort, and case-control studies that used accepted diagnostic criteria for dementia or Alzheimer's disease and that employed one of the primary outcomes of crash, simulator assessment, or on-road assessment were included. PARTICIPANTS: Two reviewers. MEASUREMENTS: The reviewers independently assessed study design, main outcome of interest, cognitive tests, and population details and assigned a Newcastle-Ottawa quality assessment rating. RESULTS: Sixteen articles met the inclusion criteria. Tests recommended by guidelines (e.g., the American Medical Association (AMA) and Canadian Medical Association guidelines) for the assessment of fitness to drive did not demonstrate robustly positive findings (e.g., Mini-Mental State Examination, Trails B) or were not evaluated in any of the included studies (e.g., Clock Drawing). Fifteen studies did not report any cutoff scores. CONCLUSION: Without validated cutoff scores, it is impossible to employ tests in a standardized fashion in front-line clinical settings. This study identified a research gap that will prevent the development of evidence-based guidelines. Recommendations to address this gap are that driving researchers routinely perform cutoff score analyses and that stakeholder organizations (e.g., AMA, American Geriatrics Society) sponsor consensus fora to review driving research methodologies.