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1.
J Voice ; 2024 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-38714440

RESUMO

This paper reviews the research work on the analysis and classification of pathological infant cries in the last 50 years. The literature review mainly covers the need and role of early clinical diagnosis, pathologies detected from cry samples, challenges in pathological cry signal data acquisition, signal processing techniques, and signal classifiers. The signal processing techniques include preprocessing, feature extraction from domains, such as time, spectral, time-frequency, prosodic, wavelet, etc, and feature selection for selecting dominant features. Literature covers traditional machine learning classifiers, such as Bayesian networks, decision trees, K-nearest neighbor, support vector machine, Gaussian mixture model, etc, and recently added neural network models, such as convolutional neural networks, regression neural networks, probabilistic neural networks, graph neural networks, etc. Significant experimental results of pathological cry identification and classification are listed for comparison. Finally, it suggests future research in the direction of database preparation, feature analysis and extraction, neural network classifiers to provide a non-invasive and robust automatic infant cry analysis model.

2.
Environ Sci Pollut Res Int ; 31(16): 24480-24491, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38441741

RESUMO

Literature review suggests that studies on biomedical waste generation and disposal behaviors in North America are limited. Given the infectious nature of the materials, effective biomedical waste management is vital to the public health and safety of the residents. This study explicitly examines seasonal variations of treated biomedical waste (TBMW) disposal rates in the City of Regina, Canada, from 2013 to 2022. Immediately before the onset of COVID-19, the City exhibited a steady pattern of TBMW disposal rate at about 6.6 kg∙capita-1∙year-1. However, the COVID-19 pandemic and its associated lockdowns brought about an abrupt and persistent decline in TBMW disposal rates. Inconsistent fluctuations in both magnitude and variability of the monthly TBMW load weights were also observed. The TBMW load weight became particularly variable in 2020, with an interquartile range 4 times higher than 2019. The average TBMW load weight was also the lowest (5.1 tonnes∙month-1∙truckload-1) in 2020, possibly due to an overall decline in non-COVID-19 medical emergencies, cancellation of elective surgeries, and availability of telehealth options to residents. In general, the TBMW disposal rates peaked during the summer and fall seasons. The day-to-day TBMW disposal contribution patterns between the pre-pandemic and post-pandemic are similar, with 97.5% of total TBMW being disposed of on fixed days. Results from this Canadian case study indicate that there were observable temporal changes in TBMW disposal behaviors during and after the COVID-19 lockdowns.


Assuntos
COVID-19 , Eliminação de Resíduos de Serviços de Saúde , Resíduos de Serviços de Saúde , Eliminação de Resíduos , Gerenciamento de Resíduos , Humanos , Pandemias , Canadá/epidemiologia , Controle de Doenças Transmissíveis , Eliminação de Resíduos/métodos , Eliminação de Resíduos de Serviços de Saúde/métodos
3.
Mar Pollut Bull ; 200: 116062, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38290364

RESUMO

The present study aims to address the issue of oil in water pollution by application of a superhydrophobic cotton fabric. The superhydrophobic cotton fabric with a water contact angle of 158 ± 2°, is developed by a solution immersion technique using zirconium dioxide (ZrO2) nanoparticles and hexadecyltrimethoxysilane. The synthesis parameters such as concentration, curing temperature, and immersion time were optimized using Box-Behnken design method. With mechanical durability, chemical resilience and thermal stability, the coated fabric can separate different oil-water mixtures with an efficiency of 99.9 %. The coated fabric can also be reused for 50 separation cycles in acidic and neutral medium. Besides, droplet dynamic behavior of oil-water mixture has also been studied to ascertain the effect of mixture impact velocities on separation performance. Additionally, coated fabric possesses self-cleaning feature, which makes it viable for muddy oil-water separation. Prepared coated fabric holds tremendous potential for industrial use and oil-water separation in extreme conditions.


Assuntos
Indústrias , Têxteis , Água , Poluição da Água , Interações Hidrofóbicas e Hidrofílicas
4.
Appl Microbiol Biotechnol ; 108(1): 119, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38204132

RESUMO

Infection and invasion are the prerequisites for developing the disease symptoms in a host. While the probable mechanism of host invasion and pathogenesis is known in many pathogens, very little information is available on Leptospira invasion/pathogenesis. For causing systemic infection Leptospira must transmigrate across epithelial barriers, which is the most critical and challenging step. Extracellular and membrane-bound proteases play a crucial role in the invasion process. An extensive search for the proteins experimentally proven to be involved in the invasion process through cell junction cleavage in other pathogens has resulted in identifying 26 proteins. The similarity searches on the Leptospira genome for counterparts of these 26 pathogenesis-related proteins identified at least 12 probable coding sequences. The proteins were either extracellular or membrane-bound with a proteolytic domain to cleave the cell junction proteins. This review will emphasize our current understanding of the pathogenic aspects of host cell junction-pathogenic protein interactions involved in the invasion process. Further, potential candidate proteins with cell junction cleavage properties that may be exploited in the diagnostic/therapeutic aspects of leptospirosis will also be discussed. KEY POINTS: • The review focussed on the cell junction cleavage proteins in bacterial pathogenesis • Cell junction disruptors from Leptospira genome are identified using bioinformatics • The review provides insights into the therapeutic/diagnostic interventions possible.


Assuntos
Leptospira , Leptospirose , Humanos , Junções Intercelulares , Endopeptidases , Biologia Computacional
5.
Environ Monit Assess ; 195(9): 1032, 2023 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-37561244

RESUMO

Ranchi is the administrative capital of Jharkhand and is located in the southern part of the Chhotanagpur Plateau. It is rich in forest and mineral resources and hence is suitable for the establishment of many large- and small-scale industries. The estimated population of Ranchi for the year 2023 is 3.54 million. These demographic characteristics make the capital more vulnerable to environmental degradation. Also, previous water quality research focused on river, water, and oceans separately; however, little or no work has been carried out on the comparison of metal or metalloid analysis in rivers, waterfalls, and lakes. Hence, the present study aims to assess the pollution status of mineral-rich and industrial hub city, Ranchi, through analysis of metals or metalloids in abiotic (water and sediment) and biotic (fish and human) components. The water, sediment, and fish (Labeo rohita and Catla catla) samples were collected from Subarnarekha river, Jumar river, Dassam fall, Getalsud dam, Hundru fall, Jonha fall, Kanke dam, and Sita fall. Samples were collected following standard methods and analyzed in inductively coupled plasma mass spectrometry (ICP-MS). Among three aquatic systems (rivers, dams, and falls), dams were highly polluted with metals or metalloids, which may be due to effluent discharge from different industries. Additionally, the high population in the city also contributed to metals or metalloids pollution. The reason may be the direct sewage disposal and agricultural and surface runoff in the water systems. It was observed that most of the aquatic systems in Ranchi were severely polluted with metals or metalloids. The fish also accumulated these metals or metalloids in their body and can be life-threatening to the human population consuming them. The THQ (above 1) and HI (2.95) values for As showed that children are more vulnerable to health risk through consumption of contaminated fish. Hence, proper planning and management are needed to overcome the metals or metalloids pollution in Ranchi.


Assuntos
Cyprinidae , Metaloides , Metais Pesados , Poluentes Químicos da Água , Animais , Criança , Humanos , Metaloides/toxicidade , Metaloides/análise , Poluentes Químicos da Água/toxicidade , Poluentes Químicos da Água/análise , Monitoramento Ambiental/métodos , Metais/toxicidade , Metais/análise , Qualidade da Água , Minerais/análise , Rios/química , Metais Pesados/toxicidade , Metais Pesados/análise , Medição de Risco/métodos
6.
J Vector Borne Dis ; 60(2): 200-206, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37417170

RESUMO

BACKGROUND & OBJECTIVES: The highly sensitive method for a true understanding of malaria prevalence is of utmost importance for India's elimination strategy. The PCR reaction type with rapid detection, cost-effectiveness, and less workforce should be preferable. Multiplex PCR type accomplishes the present requirement by saving time and resources to find true surveillance data for malaria, especially in low-parasitemia/asymptomatic groups or populations. METHODS: The present study focuses on designing multiplex PCR (mPCR) to detect simultaneously Plasmodium genus (PAN) and two common Plasmodium species found in India. It is compared to standard nested PCR on 195 clinical samples to diagnose malaria. The mPCR was designed with a minimum number of primers, leading to less clogging and effective and enhanced detection. It contains one common reverse primer and three forward primers amplifying three targeted genes corresponding to P. falciparum, P. vivax, and Plasmodium genus. RESULTS: The sensitivity and specificity for mPCR were 94.06 and 95.74, respectively. The limit of detection for mPCR was 0.1 parasites/µl. The study has shown a ROC curve area for the mPCR of 0.949 for Plasmodium genus and P. falciparum and 0.897 for P. vivax with standard nPCR. INTERPRETATION & CONCLUSION: The mPCR is rapid in detecting species together, cost-effective, and requires fewer human resources than the standard nPCR. Therefore, the mPCR can be used as an alternative technique for the higher sensitive detection of the malaria parasite. It could also become a vital tool for determining malaria prevalence, facilitating the application of the most effective measures.


Assuntos
Malária Falciparum , Malária Vivax , Malária , Plasmodium , Humanos , Reação em Cadeia da Polimerase Multiplex/métodos , Plasmodium falciparum/genética , Plasmodium vivax/genética , Malária/diagnóstico , Malária/epidemiologia , Malária/parasitologia , Malária Falciparum/diagnóstico , Malária Vivax/diagnóstico , Malária Vivax/epidemiologia , Malária Vivax/parasitologia , Plasmodium/genética , Sensibilidade e Especificidade
7.
Indian J Med Res ; 157(1): 23-29, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-37040223

RESUMO

Background & objectives: India targets malaria elimination by 2030 in a phased manner, so malaria's assured diagnosis is crucial. Introduction of rapid diagnostic kits in India in 2010 has revolutionized malaria surveillance. The storage temperature of rapid diagnostic tests (RDTs), kit components and handling in transportations impact the results of RDTs. Therefore, quality assurance (QA) is required before it reaches end-users. The Indian Council of Medical Research-National Institute of Malaria Research (ICMR-NIMR) has a World Health Organization (WHO) recognized lot-testing laboratory facility to assure the quality of RDTs. Methods: The ICMR-NIMR receives RDTs from different manufacturing companies as well as various agencies such as National and State Programmes and Central Medical Services Society. The WHO standard protocol is followed to conduct all the tests, including long-term and post-dispatch testing. Results: A total of 323 lots tested during January 2014-March 2021 were received from different agencies. Amongst them, 299 lots passed the quality of test and 24 failed. In long-term testing, 179 lots were tested and only nine failed. A total of 7741 RDTs were received from end-users for post-dispatch testing of which 7540 qualified the QA test with a score of 97.4 per cent. Interpretation & conclusions: RDTs received for quality testing showed compliance with QA evaluation of malaria RDTs based on the protocol recommended by the WHO. However, continuous monitoring of the quality of RDTs is required under QA programme. Quality-assured RDTs have a major role, especially in areas where low parasitaemia of parasites persists.


Assuntos
Testes Diagnósticos de Rotina , Malária , Humanos , Testes Diagnósticos de Rotina/métodos , Malária/diagnóstico , Testes de Diagnóstico Rápido , Índia , Comércio
8.
Korean J Parasitol ; 60(4): 295-299, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36041492

RESUMO

Malaria elimination and control require prompt and accurate diagnosis for treatment plan. Since microscopy and rapid diagnostic test (RDT) are not sensitive particularly for diagnosing low parasitemia, highly sensitive diagnostic tools are required for accurate treatment. Molecular diagnosis of malaria is commonly carried out by nested polymerase chain reaction (PCR) targeting 18S rRNA gene, while this technique involves long turnaround time and multiple steps leading to false positive results. To overcome these drawbacks, we compared highly sensitive cytochrome oxidase gene-based single-step multiplex reaction with 18S rRNA nested PCR. Cytochrome oxidase (cox) genes of P. falciparum (cox-III) and P. vivax (cox-I) were compared with 18S rRNA gene nested PCR and microscopy. Cox gene multiplex PCR was found to be highly specific and sensitive, enhancing the detection limit of mixed infections. Cox gene multiplex PCR showed a sensitivity of 100% and a specificity of 97%. This approach can be used as an alternative diagnostic method as it offers higher diagnostic performance and is amenable to high throughput scaling up for a larger sample size at low cost.


Assuntos
Malária Falciparum , Malária Vivax , Malária , DNA de Protozoário/análise , DNA de Protozoário/genética , Complexo IV da Cadeia de Transporte de Elétrons/genética , Humanos , Malária/diagnóstico , Malária Falciparum/diagnóstico , Malária Vivax/diagnóstico , Reação em Cadeia da Polimerase Multiplex/métodos , Plasmodium falciparum/genética , RNA Ribossômico 18S/genética , Sensibilidade e Especificidade
9.
World J Diabetes ; 12(10): 1740-1749, 2021 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34754375

RESUMO

BACKGROUND: Diabetes mellitus (DM) is a progressively increasing metabolic disorder and a significant public health burden that demands immediate global attention. However, there is a paucity of data about adherence to antidiabetic drugs among patients with type-2 (T2)DM in Uttarakhand, India. Outpatient research reported that more than 50% of patients do not adhere to the correct administration and appropriate medicine dosage. It has been reported that patients with chronic diseases who adhere to treatment may experience improvement in quality of life (QoL) and vice versa. AIM: To assess the adherence to antidiabetic medication and QoL among patients with T2DM. METHODS: This cross-sectional descriptive study was conducted at a tertiary care hospital in Uttarakhand, India. The Medication Adherence Rating Scale and World Health Organization QoL-BREF scale were used to assess medication adherence and QoL. RESULTS: Two hundred seventy-seven patients suffering from T2DM participated in the study. Their mean age was 50.80 (± 10.6) years, 155 (56%) had a poor adherence level and 122 (44%) had a good adherence level to antidiabetic medications. After adjusting for sociodemographic factors, multiple linear regression analysis found patients who were adherent to antidiabetic medications had significantly higher mean overall perception of QoL and overall perception of health, with beta scores of 0.36 and 0.34, respectively (both P = 0.000) points compared with nonadherent patients. CONCLUSION: There was an association between medication adherence and QoL in patients with T2DM. Hence, there is a need to plan awareness and counseling programs followed by regular follow-up to motivate patient adherence to recommended treatment and lifestyle regimens.

10.
Nanomedicine (Lond) ; 15(29): 2851-2869, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33275041

RESUMO

Aim: To prepare curcumin (CUR)-loaded, dioleoyl phosphoethanolamine-conjugated human serum albumin nanoparticles (NPs) and to evaluate their effectiveness in breast cancer therapy. Materials & methods: The CUR-loaded NPs were physicochemically characterized and evaluated for their cytotoxicity in murine (4T1) and human breast cancer (MDA-MB-231) cell lines. The antitumor efficacy of the nanomedicine was evaluated in 4T1 tumor bearing mice. Results: The prepared NPs exhibited encapsulation and drug loading efficiencies of approximately 79 and 21%, respectively. The NPs were taken up efficiently and markedly hindered the proliferation of breast cancer cells compared with free drug. NPs exhibited greater suppression of tumor growth in 4T1 tumor bearing mice. Conclusion: CUR-human serum albumin-dioleoyl phosphoethanolamine NPs could be a potential treatment alternative for solid tumors, including breast cancer.


Assuntos
Neoplasias da Mama , Curcumina , Nanopartículas , Animais , Neoplasias da Mama/tratamento farmacológico , Linhagem Celular Tumoral , Curcumina/uso terapêutico , Portadores de Fármacos/uso terapêutico , Sistemas de Liberação de Medicamentos , Feminino , Humanos , Lipoproteínas , Camundongos , Tamanho da Partícula , Albumina Sérica Humana/uso terapêutico
11.
Am J Trop Med Hyg ; 103(4): 1510-1516, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32783792

RESUMO

The prevalence of malaria in India is decreasing, but it remains a major concern for public health administration. The role of submicroscopic malaria and asymptomatic malaria parasitemia and their persistence is being explored. A cross-sectional survey was conducted in the Kandhamal district of Odisha (India) during May-June 2017. Blood samples were collected from 1897 individuals for screening of asymptomatic parasitemia. Samples were screened using rapid diagnostic tests (RDTs) and examined microscopically for Plasmodium species. Approximately 30% of randomly selected samples (n = 586) were analyzed using real-time PCR (qPCR), and the genetic diversity of Plasmodium falciparum was analyzed. The prevalence of Plasmodium species among asymptomatic individuals detected using qPCR was 18%, which was significantly higher than that detected by microscopy examination (5.5%) or RDT (7.3%). Of these, 37% had submicroscopic malaria. The species-specific prevalence among asymptomatic malaria-positive cases for P. falciparum, Plasmodium vivax, and mixed infection (P. falciparum and P. vivax) by qPCR was 57%, 29%, and 14%, respectively. The multiplicity of infection was 1.6 and 1.2 for the merozoite surface protein-1 gene (msp1) and (msp2), respectively. Expected heterozygosity was 0.64 and 0.47 for msp1 and msp2, respectively. A significant proportion of the study population, 105/586 (18%), was found to be a reservoir for malaria infection, and identification of this group will help in the development of elimination strategies.


Assuntos
Malária/epidemiologia , Parasitemia/epidemiologia , Plasmodium/isolamento & purificação , Adolescente , Adulto , Criança , Pré-Escolar , Coinfecção , Erradicação de Doenças , Feminino , Humanos , Índia/epidemiologia , Malária/parasitologia , Malária/prevenção & controle , Masculino , Parasitemia/parasitologia , Parasitemia/prevenção & controle , Plasmodium/genética , Reação em Cadeia da Polimerase em Tempo Real , Especificidade da Espécie , Adulto Jovem
12.
Environ Sci Pollut Res Int ; 27(33): 41914-41927, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32705555

RESUMO

Samples of water, sediment and epilithic periphyton (EP) were collected from a lake (Dimna, DL), an intermediate canal (IC), and a river (Subarnarekha River, SR) to compare the pollution status of an urban ecosystem, and the concentrations of metal(loid) s were determined. Water characteristics were analysed by the water quality index (WQI). Sediment pollution was assessed using the ecological risk index (ERI). Accumulation of metal(loid) s in EP was determined by using bioaccumulation factor (BAF) and biota-sediment accumulation factor (BSAF). The result showed that the DL was least polluted (WQI = 30.39) and SR (WQI = 90.13) was the most polluted ecosystem. Sediment analysis revealed that Ni, Cr and Cd are the significant pollutants, especially in SR. The THQ value for fish dishes cooked in Indian style was found higher than that of raw fish, suggesting calculations considering the cooking process can provide better results. Health risk assessment shows that people inhabiting DL are vulnerable to Cr and Cu exposure, whereas people inhabiting IC and SR are susceptible to As and Co exposure due to the consumption of cooked fish. Moreover, for a developing country like India, it is important to upgrade the assessment methods and include regular monitoring of interconnecting ecosystems for the safeguard of human and ecological health.


Assuntos
Metais Pesados , Perifíton , Poluentes Químicos da Água , Animais , Culinária , Ecossistema , Monitoramento Ambiental , Sedimentos Geológicos , Humanos , Índia , Metais Pesados/análise , Medição de Risco , Rios , Água , Poluentes Químicos da Água/análise
13.
Pharm Res ; 37(2): 18, 2020 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-31897768

RESUMO

PURPOSE: In this study, we developed a polymeric micellar system for glutathione-mediated intracellular delivery of a photosensitizer, chlorin e6 (Ce6) by synthesizing an amphiphilic polymer, methoxy-poly(ethylene glycol)-poly(D,L-lactide)-disulfide-Ce6 (mPEG-PLA-S-S-Ce6), which self-assembled in aqueous environment to form micelles. METHODS: The polymer-drug conjugate was characterized by NMR. The singlet oxygen (2O1) generation and in vitro release of Ce6 micelles were evaluated. Further, glutathione-mediated intracellular drug delivery was assessed in human alveolar adenocarcinoma cells (A549), mouse mammary carcinoma cells (4 T1) and 3D A549 spheroids. RESULTS: The micellar system protected Ce6 from aggregation leading to improved 2O1 generation compared to free Ce6. Due to the availability of glutathione, the disulfide bonds in the micelles were cleaved resulting in rapid release of Ce6 evident from the in vitro study. The Ce6 micelles displayed quicker drug release in presence of glutathione monoester (GSH-OEt) pre-treated A549 and 4 T1 cells compared to without pre-treated cells. In vitro phototoxicity of micelles displayed enhanced toxicity in 10 mM GSH-OEt pre-treated A549 and 4 T1 cells compared to untreated cells. As anticipated, Ce6 micelles showed lower drug release in presence of 0.1 mM of buthionine sulfoximine (BSO) pretreated A549 and 4 T1 cells exhibiting lower phototoxicity. Further, A549 3D spheroids treated with Ce6 micelles showed significant inhibition in growth, enhanced phototoxicity, and cellular apoptosis in comparison to free Ce6. CONCLUSION: The above results showed that the developed strategy could be effective in improving the PDT efficacy of Ce6, and the developed polymeric micellar system could be utilized as a PDT regimen for cancer.


Assuntos
Glutationa/química , Poliésteres/química , Polietilenoglicóis/química , Porfirinas/química , Células A549 , Animais , Apoptose/efeitos dos fármacos , Butionina Sulfoximina/química , Linhagem Celular Tumoral , Clorofilídeos , Portadores de Fármacos/química , Liberação Controlada de Fármacos/efeitos dos fármacos , Humanos , Camundongos , Micelas , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/química , Polímeros/química , Porfirinas/farmacologia
14.
Anesth Essays Res ; 14(4): 644-652, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-34349335

RESUMO

CONTEXT: The supraclavicular brachial plexus block is a very safe, useful and effective method for upper limb surgeries. Among local anesthetics, ropivacaine has special applications in neuraxial and peripheral nerve blocks due to its low cardiotoxicity and less toxicity to central nervous systems compared to bupivacaine and lignocaine. Dexmedetomidine is a newer and potent alpha-2 receptor agonist which has 10 times higher selectivity for alpha-2 receptors as compared to clonidine, So far, very few studies have been undertaken to compare the efficacy of clonidine and dexmedetomidine to provide and prolong postoperative analgesia, especially with the use of ultrasound for nerve localization. AIMS: To compare the efficacy of postoperative analgesia between clonidine and dexmedetomidine as adjuvants with 0.5% ropivacaine by ultrasound-guided supraclavicular brachial plexus block for upper limb surgeries. SETTINGS AND DESIGN: Prospective, randomised, double-blind interventional study. SUBJECTS AND METHODS: Eighty patients of ASA grade I or II undergoing elective upper limb surgery were randomly divided into two groups:- Group RC (n = 40) received 35 ml of 0.5% ropivacine with 1 µg.kg-1 of clonidine. Group RD (n = 40) received 35 ml of 0.5% ropivacaine with 1 µg.kg-1 of dexmedetomidine. STATISTICAL ANALYSIS USED: The statistical software SPSS version 20 has been used for the analysis. By using Pearson's Chi-Square test for Independence of Attributes/Fisher's Exact. Continuous variables were expressed as Mean, Median, and Standard Deviation and compared across the groups using unpaired t-test. RESULTS: In our comparative study, dexmedetomidine 1 µg.kg-1 with 35 ml of 0.5% ropivacaine provided significantly longer duration of postoperative analgesia and earlier sensory block as compared to clonidine 1 µg.kg-1 with same dose of ropivacaine in ultrasound-guided supraclavicular brachial plexus block. CONCLUSIONS: The ropivacaine-dexmedetomidine group in our study provided earlier sensory block and more prolonged postoperative analgesia as compared to ropivacaine-clonidine group. Thus ropivacaine-dexmedetomidine combination may be effectively used in all painful upper limb surgeries specially orthopaedic procedures.

15.
IEEE Access ; 8: 186932-186938, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-34812360

RESUMO

COVID-19 cases in India have been steadily increasing since January 30, 2020 and have led to a government-imposed lockdown across the country to curtail community transmission with significant impacts on societal systems. Forecasts using mathematical-epidemiological models have played and continue to play an important role in assessing the probability of COVID-19 infection under specific conditions and are urgently needed to prepare health systems for coping with this pandemic. In many instances, however, access to dedicated and updated information, in particular at regional administrative levels, is surprisingly scarce considering its evident importance and provides a hindrance for the implementation of sustainable coping strategies. Here we demonstrate the performance of an easily transferable statistical model based on the classic Holt-Winters method as means of providing COVID-19 forecasts for India at different administrative levels. Based on daily time series of accumulated infections, active infections and deaths, we use our statistical model to provide 48-days forecasts (28 September to 15 November 2020) of these quantities in India, assuming little or no change in national coping strategies. Using these results alongside a complementary SIR model, we find that one-third of the Indian population could eventually be infected by COVID-19, and that a complete recovery from COVID-19 will happen only after an estimated 450 days from January 2020. Further, our SIR model suggests that the pandemic is likely to peak in India during the first week of November 2020.

16.
Photodiagnosis Photodyn Ther ; 29: 101633, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31870896

RESUMO

BACKGROUND: To develop a photosensitizer, chlorin e6 (Ce6)-based amphiphilic polymer, DP-Ce6, where DOPE and PEG are conjugated to Ce6, which would self-assemble to form polymeric micelles (DP-Ce6-M) in aqueous environment. METHODS: DP-Ce6-M were characterized for particle size, zeta potential, and singlet oxygen (1O2) generation. Cellular internalization, phototoxicity were investigated against monolayer and 3D spheroids of human lung adenocarcinoma cells (A549). RESULTS AND CONCLUSIONS: DP-Ce6-M formed stable micelles with particles size of 58.2 ±â€¯1.6 nm. Solubility of Ce6 was improved. Photoactivity of DP-Ce6-M was sustained in regard to 1O2 generation compared to free Ce6. The DP-Ce6-M showed enhanced internalization and growth inhibition in monolayer and spheroidal cells. Overall, DP-Ce6-M demonstrated the potential for further exploration as PDT agent for cancer treatment.


Assuntos
Adenocarcinoma/tratamento farmacológico , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/farmacologia , Porfirinas/farmacologia , Neoplasias Uterinas/tratamento farmacológico , Linhagem Celular Tumoral , Clorofilídeos , Feminino , Humanos , Lipídeos/química , Lipídeos/farmacologia , Micelas , Nanopartículas , Tamanho da Partícula , Fosfatidiletanolaminas/química , Fosfatidiletanolaminas/farmacologia , Fármacos Fotossensibilizantes/síntese química , Fármacos Fotossensibilizantes/química , Polietilenoglicóis/química , Polietilenoglicóis/farmacologia , Polímeros/química , Polímeros/farmacologia , Porfirinas/química
17.
J Family Med Prim Care ; 8(10): 3356-3361, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31742168

RESUMO

BACKGROUND AND AIMS: Female infertility is a complex multifactorial, and polygenic disease associated with genetic factors plays an essential role in its formation and follicle development, oocyte maturation, and steroidogenesis regulation in the ovary. The aim here is too study the genetic association between follicle-stimulating hormone receptor (FSHR) Asn680Ser; (rs6166) gene polymorphism with female Infertility in our population. METHODS: In this prospective case-control study, we enrolled 106 infertile and 164 unrelated healthy control individuals. Genomic DNA was extracted from the 5 ml of venous blood using the modified salting-out method. A polymerase chain reaction-amplified exon 10 of FSHR and purified PCR products were sequenced on an ABI 3730XL DNA sequencer. The data were analyzed statistically. RESULTS: We found that the presence of rare allele "G" and heterozygous and common homozygous genotypes significantly increased the risk of female infertility. No significant change in the FSHR 191756 G >A genotype frequency was observed, regardless of chromosomal integrity. The genotype frequency distribution of locus 680 was consistent with the Hardy-Weinberg Equilibrium (HWE) in both groups (P > 0.05). CONCLUSION: No significant differences were found in allelic variants frequency and genotype distribution between each category of subjects when analyzing the FSHR SNPs in the exonic region (P value >0.05). FSHR Asn680Ser polymorphisms and female infertility (P > 0.05). Variations in FSHR gene have an essential influence on ovarian function and can account for several defects of female fertility. FSHR Asn680Ser (rs6166) gene polymorphism is associated with female infertility and can be used as a relevant molecular biomarker to identify the risk of infertility in our population. This finding can be important for disease pathogenesis.

18.
Nanomedicine (Lond) ; 14(7): 819-834, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30874479

RESUMO

AIM: In this study, we developed a chlorin e6-conjugated methoxy-poly(ethylene glycol)-poly(d,l-lactide) (mPEG-PLA-Ce6) amphiphilic polymer, which self-assembled to form stable nanoparticles. MATERIALS & METHODS: The nanoparticles were characterized for particle size, ζ-potential and singlet oxygen (1O2) generation. Cellular internalization and phototoxicity were investigated against monolayer and 3D spheroids of human lung adenocarcinoma cells (A549). RESULTS & CONCLUSION: mPEG-PLA-Ce6 exhibited a size of 149.72 ± 3.51 nm and ζ-potential of -24.82 ± 2.94 mV. The 1O2 generation by mPEG-PLA-Ce6 in water was considerably higher than free chlorin e6. The nanoparticles showed enhanced cellular internalization and phototoxicity in monolayer and 3D spheroids. The developed mPEG-PLA-Ce6 has potential application as a nanocarrier of chlorin e6 for photodynamic therapy of solid tumors.


Assuntos
Antineoplásicos/química , Portadores de Fármacos/química , Nanopartículas/química , Poliésteres/química , Polietilenoglicóis/química , Porfirinas/química , Células A549 , Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Transporte Biológico , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Clorofilídeos , Liberação Controlada de Fármacos , Humanos , Micelas , Tamanho da Partícula , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/química , Fármacos Fotossensibilizantes/farmacologia , Porfirinas/farmacologia
19.
Int J Pharm ; 557: 329-341, 2019 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-30599231

RESUMO

In the current study, we employed poly(amidoamine) (PAMAM) dendrimers of generation 4 (G4) to deliver paclitaxel (PTX), a poorly soluble anti-cancer agent precisely to cancer cells via its conjugation on dendrimer surface. Further, G4 PAMAM has been PEGylated (PEG) and tagged with Biotin, an essential micronutrient for cellular functions, receptors of which are overexpressed in certain cancers. The synthesized multifunctional conjugates were characterized by 1H NMR and zeta potential analysis techniques. In addition, the conjugates were evaluated in vitro in cell monolayers and 3D spheroids of biotin receptor over-expressed A549 cell line (human non-small cell lung cancer). G4 PTX PEG-Biotin conjugate penetrated at significantly higher extent in monolayers as well as spheroids as studied by flow cytometry and confocal microscopy by visualizing the cells at varied depth. The G4 PTX PEG-Biotin conjugate demonstrated higher cytotoxicity compared to free PTX and G4 PTX PEG conjugate as assessed by MTT assay in monolayers and Presto Blue assay in detached spheroidal cells. G4 PTX PEG-Biotin demonstrated significant inhibition of growth of tumor spheroids. Therefore, the newly synthesized biotin anchored PTX-conjugated dendrimer system is promising and could be further explored for efficiently delivering PTX to biotin receptor overexpressed cancers.


Assuntos
Antineoplásicos Fitogênicos/administração & dosagem , Biotina/administração & dosagem , Dendrímeros/administração & dosagem , Portadores de Fármacos/administração & dosagem , Paclitaxel/administração & dosagem , Polietilenoglicóis/administração & dosagem , Células A549 , Antineoplásicos Fitogênicos/química , Biotina/química , Sobrevivência Celular/efeitos dos fármacos , Dendrímeros/química , Portadores de Fármacos/química , Humanos , Neoplasias/tratamento farmacológico , Paclitaxel/química , Polietilenoglicóis/química , Esferoides Celulares/efeitos dos fármacos , Células Tumorais Cultivadas
20.
Nanomedicine (Lond) ; 13(23): 2961-2980, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30501561

RESUMO

AIM: The present study was designed to probe the cardioprotective effects of nanoyttria (NY). MATERIALS & METHODS: NY was characterized using various techniques. Isoproterenol (ISO)-induced cardiotoxicity challenged mice were treated with NY for 28 days at two doses (0.4 and 4 mg/kg, intraperitoneally). RESULTS: NY demonstrated free radical scavenging activity as shown by a 2,2-diphenyl-1-picrylhydrazyl assay. NY treatment showed alleviation of ISO-induced cardiotoxicity as evident from the reduction in biochemical parameters. The expression of proinflammatory cytokines (IL-1ß, IL-6 and TNF-α) showed significant decrease upon NY treatment. Histopathology and ECG showed protection in histoarchitecture and rhythm of heart, respectively. Reduction in hydroxyproline and TGF-ß1 expression indicated antifibrotic activity. CONCLUSION: We report for the first time that NY ameliorates ISO-induced cardiac remodeling.


Assuntos
Traumatismos Cardíacos/tratamento farmacológico , Nanopartículas/metabolismo , Ítrio/química , Animais , Cardiotoxicidade/tratamento farmacológico , Citocinas/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Coração , Traumatismos Cardíacos/induzido quimicamente , Hidroxiprolina/metabolismo , Isoproterenol/toxicidade , Masculino , Camundongos , Infarto do Miocárdio/tratamento farmacológico , Estresse Oxidativo/efeitos dos fármacos , Tamanho da Partícula , Células RAW 264.7 , Propriedades de Superfície
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