Honey and Nigella sativa against COVID-19 in Pakistan (HNS-COVID-PK): A multicenter placebo-controlled randomized clinical trial.

Until now, no specific and effective treatment exists for coronavirus disease 2019 (COVID-19). Since honey and Nigella sativa (HNS) have established antiviral, antibacterial, antiinflammatory, antioxidant, and immunomodulatory properties, we tested their efficacy for this disease in a multicenter, placebo-controlled, and randomized clinical trial at four medical care facilities in Pakistan. RT-PCR confirmed COVID-19 adults showing moderate or severe disease were enrolled in the trial. Patients were randomly assigned in a 1:1 ratio to receive either honey (1 g kg-1 day-1 ) and Nigella sativa seeds (80 mg kg-1 day-1 ) or a placebo for up to 13 days along with standard care. The outcomes included symptoms' alleviation, viral clearance, and 30-day mortality in the intention-to-treat population. Three hundred and thirteen patients, 210 with moderate and 103 with severe disease, underwent randomization from April 30 to July 29, 2020. Among the moderate cases, 107 were assigned to HNS, whereas 103 were assigned to the placebo group. Among the severe cases, 50 were given HNS, and 53 were given the placebo. HNS resulted in ~50% reduction in time taken to alleviate symptoms as compared to placebo (moderate cases: 4 vs. 7 days, Hazard Ratio [HR]: 6.11; 95% Confidence Interval [CI]: 4.23-8.84, p < 0.0001 and for severe cases: 6 vs. 13 days, HR: 4.04; 95% CI: 2.46-6.64; p < 0.0001). HNS also cleared the virus earlier than placebo in both moderate cases (6 vs. 10 days, HR: 5.53; 95% CI: 3.76-8.14, p < 0.0001) and severe cases (8.5 vs. 12 days, HR: 4.32; 95% CI: 2.62-7.13, p < 0.0001). HNS further led to a better clinical score on day 6 with normal activity resumption in 63.6% vs. 10.9% among moderate cases (OR: 0.07; 95% CI: 0.03-0.13, p < 0.0001) and hospital discharge in 50% versus 2.8% in severe cases (OR: 0.03; 95% CI: 0.01-0.09, p < 0.0001). In severe cases, the mortality rate was less than 1/4th in the HNS group than in placebo (4% vs. 18.87%, OR: 0.18; 95% CI: 0.02-0.92, p = 0.029). No HNS-related adverse effects were observed. HNS, compared with placebo, significantly improved symptoms, expedited viral load clearance, and reduced mortality in COVID-19 patients. This trial was registered on April 15, 2020 with ClinicalTrials.gov Identifier: NCT04347382.

MATLAB-based innovative 3D finite element method simulator for optimized real-time hyperthermia analysis.

BACKGROUND AND OBJECTIVE: Owing to the significant role of hyperthermia in enhancing the efficacy of chemotherapy or radiotherapy for treating malignant tissues, this study introduces a real-time hyperthermia simulator (RTHS) based on the three-dimensional finite element method (FEM) developed using the MATLAB App Designer. METHODS: The simulator consisted of operator-defined homogeneous and heterogeneous phantom models surrounded by an annular phased array (APA) of eight dipole antennas designed at 915 MHz. Electromagnetic and thermal analyses were conducted using the RTHS. To locally raise the target temperature according to the tumor's location, a convex optimization algorithm (COA) was employed to excite the antennas using optimal values of the phases to maximize the electric field at the tumor and amplitudes to achieve the required temperature at the target position. The performance of the proposed RTHS was validated by comparing it with similar hyperthermia setups in the FEM-based COMSOL software and finite-difference time-domain (FDTD)-based Sim4Life software. RESULTS: The simulation results obtained using the RTHS were consistent, both for the homogeneous and heterogeneous models, with those obtained using commercially available tools, demonstrating the reliability of the proposed hyperthermia simulator. The effectiveness of the simulator was illustrated for target positions in five different regions for both homogeneous and heterogeneous phantom models. In addition, the RTHS was cost-effective and consumed less computational time than the available software. The proposed method achieved 94% and 96% accuracy for element sizes of λ/26 and λ/36, respectively, for the homogeneous model. For the heterogeneous model, the method demonstrated 93% and 95% accuracy for element sizes of λ/26 and λ/36, respectively. The accuracy can be further improved by using a more refined mesh at the cost of a higher computational time. CONCLUSIONS: The proposed hyperthermia simulator demonstrated reliability, cost-effectiveness, and reduced computational time compared to commercial software, making it a potential tool for optimizing hyperthermia treatment.

Scorpion sting in Hafizabad, Pakistan: Facility based epidemiological study.

Scorpion envenomation is a widespread issue in tropical and subtropical countries. In the present study epidemiology of scorpion sting cases and potential treatment options in district Hafizabad, Pakistan are documented. Hafizabad city and the adjacent villages were selected for the data collection. Age, gender, time, site of scorpion sting on the body, scorpion sting symptoms, number of patients obtaining medical attention and the number of fatalities (if any) were noted. Data showed that scorpion envenomation often occurs in people between the ages of 16-47 years. There were more female victims (55%) and most of the scorpion sting incidences (55.49%) occurred between 07 PM and 02 AM Among body parts, both the hands (41.71%) and feet (48.57%) were more vulnerable to scorpion stings. In rural areas, the incidences of scorpion stings were higher (68.57%). The reported symptoms of scorpion stings include pain, hypertension, nausea and allergy. Out of all the victims, only 56.05% sought treatment from health care units as well as traditional medicine practitioners. However, others (43.94%) fully healed on their own without any treatment. People were using different types of plant-based materials and dead scorpions with mustard oil as a potent remedy against scorpion stings. Moreover, in the health care units there was no antivenom available and medical staff usually used common pain killers such as Xylocain and Lignocain for the treatment of scorpion sting.

Experimental and numerical investigations on feasibility of inorganic KSnCl3 perovskite absorber and SWCNT-HTL for solar cells.

Inorganic metal halide perovskite materials have attracted remarkable attention as light harvesters because of their promising optoelectronic merits and photovoltaic features like tunable band gaps, high charge carrier mobilities and greater absorption coefficients. In order to explore new inorganic perovskite materials for use in optoelectronic devices Potassium Tin Chloride (KSnCl3) has been experimentally synthesized using a supersaturated recrystallization technique at ambient conditions. The resultant nanoparticle (NP) specimens were analyzed for optical and structural properties by characteristic available techniques including scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDX) and UV visible spectroscopy. Experimental investigations about structure reveals that KSnCl3 crystallizes in orthorhombic phase with particle size of 400-500 nm. SEM showed better crystallization and EDX confirmed the accurate structural composition. UV-Visible analysis indicated a prominent absorption peak at 504 nm, and the band gap is 2.70 eV. Theoretical investigations of KSnCl3 were also carried out via AB-initio calculations in Wein2k simulation program using modified Becke Johnson (mBJ) and generalized gradient approximations (GGA). Optical properties like extinction coefficient k (ω), complex parts of dielectric constant (ε 1, ε 2), reflectivity R (ω), refractive index n (ω), optical conductivity L (ω) and absorption coefficient α (ω) were examined and it was observed that . theoretical investigations were consistent with experimental findings. Incorporation of KSnCl3 as an absorber material along with single walled carbon nanotubes as p-type materials in (AZO/IGZO/KSnCl3/CIGS/SWCNT/Au) solar cell configuration have been investigated by SCAPS-1D simulation package. Open circuit voltage (Voc) of 0.9914 V, short circuit current density (Jsc) of 47.32067 mA/cm2 and a remarkable efficiency of 36.823% with has been predicted. Thermally stable KSnCl3 may become potential source in manufacturing of photovoltaic and optoelectronic applications on large scale.

Structural and biological investigation of biogenically synthesized titanium dioxide nanoparticles: Calcination and characterization.

The antimicrobial drug resistance is increasing with the passage of time due to wide and improper use of broad spectrum drugs and the demand of the new drug increases day by day. The present study was planned to encounter this problem by synthesizing titanium dioxide nanoparticles (TiO2 NPs) by an eco-friendly route using Cannabis sativa leaves extract. The synthesized TiO2 NPs were calcined at 100, 300, 600, and 900°C in a muffle furnace. The crystallographic parameters were studied by X-ray diffraction and the phase transition occurred above 600°C. The surface morphology of the synthesized samples was studied by transmission electron microscopy (TEM), and scanning electron microscopy (SEM) and the particle size was measured through the ImageJ software. The elemental composition and purity of all the samples were studied by performing energy dispersive X-ray (EDX). All the synthesized TiO2 NPs were tested for their antimicrobial effect against Gram-positive and Gram-negative bacteria using the agar well diffusion method. The activity was found higher against Gram-negative bacteria and compared to Gram-positive bacteria.

Populus ciliata mediated synthesis of silver nanoparticles and their antibacterial activity.

Design and synthesis of bactericidal and fungicidal agents is very important to protect human beings from different diseases. Silver nanoparticles (AgNPs) possess good bactericidal properties. Synthesis of these nanoparticles (NPs) via green route is cost-effective and environmentally harmonious as compared to the chemical and physical approaches. In this work, AgNPs were synthesized through green synthesis method using Populus ciliata leaf extract. The synthesized AgNPs were characterized by x-ray diffraction (XRD), ultraviolet-visible (UV-Vis) spectroscopy, Fourier-transform infrared (FT-IR) spectroscopy, scanning electron microscopy (SEM), transmission electron microscopy (TEM), and energy dispersive x-ray (EDX) techniques. The XRD pattern depicted the characteristic Bragg's peaks of (111), (200), (220), and (311) planes which are the features of face centered cubic (FCC) geometry of the synthesized AgNPs. TEM micrographs revealed the spherical shaped particles having average size of 4 nm. The AgNPs showed inhibitory effects against selected gram positive (Staphylococcus epidermidis and Streptococcus pyogenes) and gram negative bacteria (Klebsiella pneumoniae, Serratia marcescens, and Pseudomonas pseudoalcaligenes). The maximum zone of inhibition (26 mm) was observed for gram negative bacterium (Serratia marcescens) when 25 mg/ml solution of AgNPs was used and for similar concentration of these NPs, the maximum zone of inhibition (25 mm) was observed against gram positive bacteria (S. pyogenes). The results indicated good bactericidal potential of the synthesized AgNPs. RESEARCH HIGHLIGHTS: Populus ciliata leaf extract mediated synthesis of AgNPs. Transmission electron microscopy analysis revealed very small size of the synthesized AgNPs (4 nm). The synthesized AgNPs were found very effective against various bacterial pathogens.

Forensic entomology when the evidence is "no insect." Best carrion fly species for predicting maximum postmortem interval in the United Arab Emirates.

The carrion insect species that most quickly deposit offspring on a corpse are, when available, likely to yield a more useful estimate of postmortem interval (PMI) compared to later arrivals. This is in part because the age of the oldest larva will be as close as possible to the PMI when doing a development analysis, and because the preappearance interval (PAI), the time the corpse was exposed before insect colonization, corresponds to the narrowest window of time since death for an insect-free corpse when doing a succession analysis. Given replicated training data a prediction of exposure time for a corpse can be in the form of a confidence set, and the maximum value of that set for an insect-free corpse is a probabilistic version of PAI. To discover the insect species likely to be useful in the early postmortem period in the United Arab Emirates we exposed 216 rat carcasses outdoors at two sites in Dubai over three-day periods during winter. Rats were sampled twice each day without replacement and kept in the lab to allow carrion insects to complete development to the adult stage. The fly species produced in this way were Sarcophaga dux, S. ruficornis, Wohlfahrtia nuba, W. indigens (Sarcophagidae), Chrysomya albiceps (Calliphoridae), and Musca domestica (Muscidae). To the best of our knowledge this is the first record of W. indigens larvae feeding on carrion. While adult C. albiceps and M. domestica were abundant on the carcasses, C. albiceps colonized too slowly to be useful for this type of succession analysis within this time frame, and M. domestica emerged from a single rat. The Sarcophagidae were rapid colonizers, and under these conditions the probability is>90% that a carcass would remain free of S. dux larvae not more than 57 h and free of W. nuba larvae for not more than 51 h.

Prophylactic potential of honey and Nigella sativa L. against hospital and community-based SARS-CoV-2 spread: a structured summary of a study protocol for a randomised controlled trial.

OBJECTIVES: Considering the therapeutic potential of honey and Nigella sativa (HNS) in coronavirus disease 2019 (COVID-19) patients, the objective of the study is defined to evaluate the prophylactic role of HNS. TRIAL DESIGN: The study is a randomized, placebo-controlled, adaptive clinical trial with parallel group design, superiority framework with an allocation ratio of 1:1 among experimental (HNS) and placebo group. An interim analysis will be done when half of the patients have been recruited to evaluate the need to adapt sample size, efficacy, and futility of the trial. PARTICIPANTS: All asymptomatic patients with hospital or community based COVID-19 exposure will be screened if they have had 4 days exposure to a confirmed case. Non-pregnant adults with significant exposure level will be enrolled in the study High-risk exposure (<6 feet distance for >10min without face protection) Moderate exposure (<6 feet distance for >10min with face protection) Subjects with acute or chronic infection, COVID-19 vaccinated, and allergy to HNS will be excluded from the study. Recruitment will be done at Shaikh Zayed Post-Graduate Medical Institute, Ali Clinic and Doctors Lounge in Lahore (Pakistan). INTERVENTION AND COMPARATOR: In this clinical study, patients will receive either raw natural honey (0.5 g) and encapsulated organic Nigella sativa seeds (40 mg) per kg body weight per day or empty capsule with and 30 ml of 5% dextrose water as a placebo for 14 days. Both the natural products will be certified for standardization by Government College University (Botany department). Furthermore, each patient will be given standard care therapy according to version 3.0 of the COVID-19 clinical management guidelines by the Ministry of National Health Services of Pakistan. MAIN OUTCOMES: Primary outcome will be Incidence of COVID-19 cases within 14 days of randomisation. Secondary endpoints include incidence of COVID-19-related symptoms, hospitalizations, and deaths along with the severity of COVID-19-related symptoms till 14th day of randomization. RANDOMISATION: Participants will be randomized into experimental and control groups (1:1 allocation ratio) via the lottery method. There will be stratification based on high risk and moderate risk exposure. BLINDING (MASKING): Quadruple blinding will be ensured for the participants, care providers and outcome accessors. Data analysts will also be blinded to avoid conflict of interest. Site principal investigator will be responsible for ensuring masking. NUMBERS TO BE RANDOMISED (SAMPLE SIZE): 1000 participants will be enrolled in the study with 1:1 allocation. TRIAL STATUS: The final protocol version 1.4 was approved by institutional review board of Shaikh Zayed Post-Graduate Medical Complex on February 15, 2021. The trial recruitment was started on March 05, 2021, with a trial completion date of February 15, 2022. TRIAL REGISTRATION: Clinical trial was registered on February 23, 2021, www.clinicaltrials.gov with registration ID NCT04767087 . FULL PROTOCOL: The full protocol is attached as an additional file, accessible from the Trials website (Additional file 1). With the intention of expediting dissemination of this trial, the conventional formatting has been eliminated; this Letter serves as a summary of the key elements of the full protocol. The study protocol has been reported in accordance with the Standard Protocol Items: Recommendations for Clinical Interventional Trials (SPIRIT) guidelines.

SSR Markers Associated with Proline in Drought Tolerant Wheat Germplasm.

Water stress causes major agricultural loss throughout the world as survival of the crops remained under stress and loss in yield. Plants respond to drought stress by means of different adaptive mechanisms such as accumulation of osmoprotectants to counteract the water stress. Amino acid proline is known to occur widely in higher plants and normally accumulates in large quantities as an osmolyte in response to environmental stresses. Biochemical estimation of proline was done in the drought-affected wheat genotypes by spectrophotometric method. Proline promoted a positive effect as root/shoot ratio was enhanced in wheat germplasm under drought stress. SSR primer pairs (45) were tested for polymorphism among selected wheat genotypes. The dendrogram results have shown the wheat genotype association with the levels of proline during induced drought stress. The relationship between pattern of drought responsive biochemical attributes and DNA markers in the selected wheat genotypes was recognized to select drought tolerant genotypes for sowing in drought affected areas of the country.

Synthesis and characterization of amylose grafted poly(acrylic acid) and its application in ammonia adsorption.

Amylose grafted poly(acrylic acid) (Am-g-PAA) was synthesized by graft copolymerization of amylose with acrylic acid. The structure of Am-g-PAA was confirmed by (1)H NMR and FT-IR spectra. The morphology, crystallinity and thermal properties of amylose and Am-g-PAA were investigated by SEM, XRD and TGA, respectively. The highest degree of substitution (DS) of carboxyl group was 1.96 which was obtained after reacted for 1h at 60°C. Acrylic acid to anhydroglucose mole ratio for DS was 19.81. It was found that a large number of carboxyl groups were grafted on the backbone of amylose. It was also found that ammonia adsorption capacity of amylose increased by grafting poly(acrylic acid) on the backbone of amylose.