A critical appraisal of mucormycosis in COVID- 19 patients in a tertiary care centre in India.

Background and Purpose: Morbidity and mortality of opportunistic fungal infections in COVID-19 patients are less studied and defined. The patients receiving immunosuppressive therapy, broad-spectrum antibiotics, corticosteroids, and invasive and non-invasive ventilation are the high-risk groups. Materials and Methods: The demographic profile as well as clinical and radiological findings of all the patients with COVID-19 suspected of Mucormycosis (MM) were recorded. The tissue samples from all the patients were sent for microbiological (KOH mount and culture) and histopathological analysis for confirmation of MM. Results: In total, 45 COVID-19 patients suspected of MM were included in the study and MM was confirmed in 42 patients. The mean age of the patients was 50.30±14.17 years with a female: male ratio of 1.1:1. The most common symptom was headache (52.38%) followed by purulent nasal discharge (38.09%) and facial pain in 33.33% of the cases. The ocular symptoms included a diminution of vision (33.33%) and redness of the eye (2.38%). The most common site of involvement was rhino-orbital (42.85%) followed by sinonasal (23.80%) and rhino cerebral (19.04%). Majority (38.09%) of the patients were diagnosed with stage II of Rhino-orbital-cerebral Mucormycosis (ROCM) based on radiology. A history of diabetes mellitus and steroids was present in 97.61% and 85.71% of the cases, respectively. Moreover, KOH was positive for MM in 97.61% of the cases while the culture was positive in only 35.71% of the cases. In addition, on histopathology, MM was confirmed in 64.28 % of the cases. Mixed growth with Aspergillus species and Rhizopus species was observed in 14.28% of the cases in culture and 11.90% of the cases in histopathology test. Furthermore, angioinvasion was found in 23.80% of the cases according to the histopathology test. Conclusion: Based on the results, the most common conditions associated with MM in COVID-19 patients were diabetes mellitus and steroid therapy. A high level of clinical suspicion aided with diagnostic tests, including KOH mount, culture, histopathology, and radiology which helped the early detection of opportunistic fungal infection in COVID-19 patients to ensure timely treatment.

New insight into the dynamics of non-Newtonian Powell-Eyring fluid conveying tiny particles on Riga plate with suction and injection.

The purpose of the current work is to determine how a magnetic field, nonlinear thermal radiation, a heat source or sink, a Soret, and activation energy affect bio-convective nanofluid flow across a Riga plate in terms of heat transfer qualities. The major goal of this investigation is to enhance the heat transfer rate. The flow problem is demonstrated in the form of a collection of PDEs. Since the generated governing differential equations are nonlinear, we use a suitable similarity transformation to change them from partial to ODEs. The bvp4c package in MATLAB is used to numerically solve the streamlined mathematical framework. The impacts of numerous parameters on temperature, velocity, concentration, and motile microorganisms profiles are examined through graphs. Whereas, skin friction and Nusselt number are illustrated using tables. As the magnetic parameter values are raised, the velocity profile is seen to decrease and the temperature curve exhibits the opposite tendency. Additionally, the heat transfer rate expands as the nonlinear radiation heat factor is enhanced. Moreover, the outcomes in this investigation are more consistent and precise than in earlier ones.

Exceptional behavior of breast cancer-associated type 1 gene in breast invasive carcinoma.

Background: Cellular expression level of Breast Cancer-Associated Type 1 (BRCA1) encoded protein is the sign of genome integrity, stability, and surveillance. BRCA1 after sensing DNA damage activates repairing system and if mutated leaves genomic lesions unrepaired and triggers transformation of normal breast cells into cancerous ones. Aims of study: We conducted in silico study to have a holistic view of BRCA1's correlation with multiple variables of breast invasive carcinoma. Materials and Methods: We used user-friendly online GeneCardsSuite pathway-level enrichment analysis, UALCAN portal differential expression analysis, cBioPortal cancer genome platform for mutatome map construction, and cancer cell lines encyclopedia genomics of drug sensitivity toolkit to understand correlation of BRCA1 expression with the effectiveness of anti-cancer drugs. Results: Contrary to general behavior of a tumor suppressor gene our study revealed BRCA1 overexpression under all circumstances. This novel finding needs to be explored further to understand functional impact of BRCA1 overexpression on the expression of many genes which are transcriptionally regulated by BRCA1 and promotion of tumriogenesis. Conclusion: Our study highlights the potential role of BRCA1-regulated genes in oncogenesis and recommends use of BRCA1-linked genes as future therapeutic targets for effective disease management.

Distribution and health risk assessment of trace elements in ground/surface water of Kot Addu, Punjab, Pakistan: a multivariate analysis.

Water is a key component for living beings to sustain life and for socio-economic development. Anthropogenic activities contribute significantly to ground/surface water contamination particularly with trace elements. The present study was designed to evaluate distribution and health risk assessment of trace elements in ground/surface water of the previously unexplored area, Tehsil Kot Addu, Southern-Punjab, Pakistan. Ground/surface water samples (n = 120) were collected from rural and urban areas of Kot Addu. The samples were analyzed for physicochemical characteristics: total dissolved solids (TDS), pH, and EC (electrical conductivity), cations, anions, and trace elements particularly arsenic (As), lead (Pb), cadmium (Cd), and zinc (Zn). All of the water characteristics were evaluated based on the water quality standards set by World Health Organization (WHO). Results revealed the suitability of water for drinking purpose with respect to physicochemical attributes. However, the alarming levels of trace elements especially As, Cd, and Pb make it unfit for drinking purpose. Noticeably, 23, 96, and 98% of water samples showed As, Cd, and Pb concentrations higher than the permissible limits. Overall, the estimated carcinogenic and non-carcinogenic risk to the exposed community was higher than the safety level of USEPA, suggesting the probability of cancer and other diseases through long-term exposure via ingestion routes. Therefore, this study demonstrated an urgent need for water filtration/purification techniques, and some quality control measures are warranted to protect the health of the exposed community in Tehsil Kot Addu.

Luminescent lanthanide(III) complexes of DTPA-bis(amido-phenyl-terpyridine) for bioimaging and phototherapeutic applications.

We report here a series of coordinatively-saturated and thermodynamically stable luminescent [Ln(dtntp)(H2O)] [Ln(III) = Eu (1), Tb (2), Gd (3), Sm (4) and Dy (5)] complexes using an aminophenyl-terpyridine appended-DTPA (dtntp) chelating ligand as cell imaging and photocytotoxic agents. The N,N″-bisamide derivative of H5DTPA named as dtntp is based on 4'-(4-aminophenyl)-2,2':6',2″-terpyridine conjugated to diethylenetriamine-N,N',N″-pentaacetic acid. The structure, physicochemical properties, detailed photophysical aspects, interaction with DNA and serum proteins, and photocytotoxicity were studied. The intrinsic luminescence of Eu(III) and Tb(III) complexes due to f â†’ f transitions used to evaluate their cellular uptake and distribution in cancer cells. The solid-state structure of [Eu(dtntp)(DMF)] (1·DMF) shows a discrete mononuclear molecule with nine-coordinated {EuN3O6} distorted tricapped-trigonal prism (TTP) coordination geometry around the Eu(III). The {EuN3O6} core results from three nitrogen atoms and three carboxylate oxygen atoms, and two carbonyl oxygen atoms of the amide groups of dtntp ligand. The ninth coordination site is occupied by an oxygen atom of DMF as a solvent from crystallization. The designed probes have two aromatic pendant phenyl-terpyridine (Ph-tpy) moieties as photo-sensitizing antennae to impart the desirable optical properties for cellular imaging and photocytotoxicity. The photostability, coordinative saturation, and energetically rightly poised triplet states of dtntp ligand allow the efficient energy transfer (ET) from Ph-tpy to the emissive excited states of the Eu(III)/Tb(III), makes them luminescent cellular imaging probes. The Ln(III) complexes show significant binding tendency to DNA (K ~ 104 M-1), and serum proteins (BSA and HSA) (K ~ 105 M-1). The luminescent Eu(III) (1) and Tb(III) (2) complexes were utilized for cellular internalization and cytotoxicity studies due to their optimal photophysical properties. The cellular uptake studies using fluorescence imaging displayed intracellular (cytosolic and nuclear) localization in cancer cells. The complexes 1 and 2 displayed significant photocytotoxicity in HeLa cells. These results offer a modular design strategy with further scope to utilize appended N,N,N-donor tpy moiety for developing light-responsive luminescent Ln(III) bioprobes for theranostic applications.

Establishment of the First National Reference Standard for Insulin Lispro: Report of a collaborative study.

The present study was aimed to establish the First National Reference Standard (NRS) for Insulin lispro to allow stakeholders including manufacturer's laboratories, drug testing laboratories, drug regulatory authorities and academic institutions to demonstrate accuracy of the test results and to enable comparison and validation of analytical methods. The candidate standard for Insulin lispro was evaluated in a collaborative study to assign the vial content in order to serve it as NRS to support the Indian Pharmacopoeia (IP) monograph. The candidate standard was calibrated against the Ph. Eur. Insulin lispro reference standard by each of six participant laboratories in India using HPLC assay method as per the requirements of IP monograph. The results indicate that the candidate standard has an average content of 5.79 mg per vial with purity of 99.87%. Based on the study results the candidate standard was judged suitable to serve as the first NRS for Insulin lispro.

Effect of buctril super (Bromoxynil) herbicide on soil microbial biomass and bacterial population

The present study aimed to evaluate the effect of bromoxynil herbicide on soil microorganisms, with the hypothesis that this herbicide caused suppression in microbial activity and biomass by exerting toxic effect on them. Nine sites of Punjab province (Pakistan) those had been exposed to bromoxynil herbicide for about last ten years designated as soil 'A' were surveyed in 2011 and samples were collected and analyzed for Microbial Biomass Carbon (MBC), Biomass Nitrogen (MBN), Biomass Phosphorus (MBP) and bacterial population. Simultaneously, soil samples from the same areas those were not exposed to herbicide designated as soil 'B' were taken. At all the sites MBC, MBN and MBP ranged from 131 to 457, 1.22 to 13.1 and 0.59 to 3.70 µg g-1 in the contaminated soils (Soil A), which was 187 to 573, 1.70 to 14.4 and 0.72 to 4.12 µg g-1 in the soils without contamination (soil B). Bacterial population ranged from 0.67 to 1.84x10(8) and 0.87 to 2.37x10(8) cfu g-1 soil in the soils A and B, respectively. Bromoxynil residues ranged from 0.09 to 0.24 mg kg-1 at all the sites in soil A. But no residues were detected in the soil B. Due to lethal effect of bromoxynil residues on the above parameters, considerable decline in these parameters was observed in the contaminated soils. Results depicted that the herbicide had left toxic effects on soil microbial parameters, thus confirmed that continuous use of this herbicide affected the quality of soil and sustainable crop production.

Is opiate compliance a problem in cancer pain? A survey of health-care professionals' views.

This article reports on a questionnaire survey, which was conducted among health-care professionals to investigate their experience of opiate compliance in terminally ill patients with cancer pain. There were 93 respondents, ranging from hospital consultants to junior doctors and specialist nurses to staff nurses. Sixty-six respondents (71%) indicated that non-compliance was a problem in pain control. Non-compliance was considered a problem in more than 15% of patients for 92 respondents. Non-compliance was reported for all the routes and types of strong opiates. Short-acting morphine administered every 4-6 hours was reported as the drug most likely not to be taken (n=52, 55.9%), whereas transdermal opiates were the most common second-line choice for non-compliant patients (n=65, 70%). Participants indicated that the reasons for non-compliance varied and included gastrointestinal and CNS side effects, fear of addiction and lack of help with drug.