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1.
Lancet ; 403(10433): 1304-1308, 2024 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-38555135

RESUMEN

The historical and contemporary alignment of medical and health journals with colonial practices needs elucidation. Colonialism, which sought to exploit colonised people and places, was justified by the prejudice that colonised people's ways of knowing and being are inferior to those of the colonisers. Institutions for knowledge production and dissemination, including academic journals, were therefore central to sustaining colonialism and its legacies today. This invited Viewpoint focuses on The Lancet, following its 200th anniversary, and is especially important given the extent of The Lancet's global influence. We illuminate links between The Lancet and colonialism, with examples from the past and present, showing how the journal legitimised and continues to promote specific types of knowers, knowledge, perspectives, and interpretations in health and medicine. The Lancet's role in colonialism is not unique; other institutions and publications across the British empire cooperated with empire-building through colonisation. We therefore propose investigations and raise questions to encourage broader contestation on the practices, audience, positionality, and ownership of journals claiming leadership in global knowledge production.


Asunto(s)
Colonialismo , Prejuicio , Humanos , Colonialismo/historia , Liderazgo , Conocimiento
2.
J Virol ; 97(6): e0038223, 2023 06 29.
Artículo en Inglés | MEDLINE | ID: mdl-37289075

RESUMEN

Palmitoylation of viral proteins is crucial for host-virus interactions. In this study, we examined the palmitoylation of Japanese encephalitis virus (JEV) nonstructural protein 2A (NS2A) and observed that NS2A was palmitoylated at the C221 residue of NS2A. Blocking NS2A palmitoylation by introducing a cysteine-to-serine mutation at C221 (NS2A/C221S) impaired JEV replication in vitro and attenuated the virulence of JEV in mice. NS2A/C221S mutation had no effect on NS2A oligomerization and membrane-associated activities, but reduced protein stability and accelerated its degradation through the ubiquitin-proteasome pathway. These observations suggest that NS2A palmitoylation at C221 played a role in its protein stability, thereby contributing to JEV replication efficiency and virulence. Interestingly, the C221 residue undergoing palmitoylation was located at the C-terminal tail (amino acids 195 to 227) and is removed from the full-length NS2A following an internal cleavage processed by viral and/or host proteases during JEV infection. IMPORTANCE An internal cleavage site is present at the C terminus of JEV NS2A. Following occurrence of the internal cleavage, the C-terminal tail (amino acids 195 to 227) is removed from the full-length NS2A. Therefore, it was interesting to discover whether the C-terminal tail contributed to JEV infection. During analysis of viral palmitoylated protein, we observed that NS2A was palmitoylated at the C221 residue located at the C-terminal tail. Blocking NS2A palmitoylation by introducing a cysteine-to-serine mutation at C221 (NS2A/C221S) impaired JEV replication in vitro and attenuated JEV virulence in mice, suggesting that NS2A palmitoylation at C221 contributed to JEV replication and virulence. Based on these findings, we could infer that the C-terminal tail might play a role in the maintenance of JEV replication efficiency and virulence despite its removal from the full-length NS2A at a certain stage of JEV infection.


Asunto(s)
Virus de la Encefalitis Japonesa (Especie) , Encefalitis Japonesa , Proteínas no Estructurales Virales , Replicación Viral , Animales , Ratones , Línea Celular , Cisteína/metabolismo , Virus de la Encefalitis Japonesa (Especie)/fisiología , Lipoilación , Serina/metabolismo , Proteínas no Estructurales Virales/metabolismo , Virulencia
3.
Strahlenther Onkol ; 2024 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-38918259

RESUMEN

INTRODUCTION: Risk factors for developing osteoradionecrosis (ORN) are well known, but less is known about factors influencing the interval between radiotherapy and the onset of ORN. Also, it is unknown whether there is any specific period post-radiotherapy with a reduced probability of ORN when irradiated teeth require extraction. PURPOSE: The primary aim of this study was to identify factors influencing the interval in developing ORN in the following subgroups of patients: (1) patients who spontaneously developed ORN, (2) surgical-intervention-related ORN with a particular focus on patients after mandibulectomy. The secondary aim was to attempt to identify a possible time for safer dental intervention after primary treatment. MATERIALS AND METHODS: The authors retrospectively analysed 1608 head and neck cancer (HNC) patients treated in a single centre. Time intervals were measured from the end of radiotherapy to the development of ORN and further analysed in the subgroups listed above. RESULTS: In all, 141 patients (8.8%) developed intra-oral ORN. Median time from radiotherapy to ORN development in the whole cohort was 9 months. Median interval for spontaneous ORN was 8 months, 6.5 months for intervention-related ORN, and 15 months for patients post-mandibulectomy. In patients who required dental extraction preradiotherapy, median interval of ORN onset was 5 months. CONCLUSION: In our study, a slightly higher proportion of patients with intervention developed ORN earlier in comparison with spontaneous ORN. The period from 12-18 months after radiotherapy was identified as having the highest probability of developing ORN in patients after mandibulectomy. A time for safer dental intervention after primary treatment was not identified.

4.
Sex Health ; 212024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38769681

RESUMEN

Sexually diverse Muslim men (SDMM) are seen to present later and with more advanced symptoms of HIV and other sexually transmitted infections (STIs). The limited access to sexual healthcare services is attributed to the stigma associated with their multiple intersecting identities. We conducted a scoping review to synthesise research on barriers impeding SDMM's access to sexual health care. We used Arksey and O'Malley's five-stage framework as the methodology for the review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses' extension for scoping reviews, was used as a guide for the presentation of the results. Searches conducted in EBSCOhost, Scopus, MEDLINE, Embase, CINAHL, Global Health, and Google Scholar yielded 1382 results, of which 18 studies were deemed eligible for this review. Bronfenbrenner's socioecological model was employed as a framework to analyse the studies. Through analysing the eligible studies, we identified factors operating at three different levels that can impede SDMM's access to sexual health care. Limited awareness and low-perceived risk of HIV/STIs, coupled with the fear of sexual identity disclosure might act as individual-level barriers to sexually diverse Muslim men's access to sexual health care. The experiences of discrimination within clinical settings were presented as a healthcare system-related issue discouraging SDMM from revisiting those services. Heteronormative and religious ideologies, homophobic government programs, and poverty might manifest in the more intimate domains of healthcare delivery, creating hostile spaces for SDMM. Intensive research and advocacy efforts are required to improve SDMM's access to sexual health care, which can reduce their risk of HIV/STIs.


Asunto(s)
Accesibilidad a los Servicios de Salud , Islamismo , Salud Sexual , Enfermedades de Transmisión Sexual , Humanos , Islamismo/psicología , Masculino , Enfermedades de Transmisión Sexual/prevención & control , Estigma Social , Infecciones por VIH , Minorías Sexuales y de Género/psicología
5.
Chem Biodivers ; 21(2): e202301815, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38152840

RESUMEN

Pistacia chinensis subsp. integerrima (J.L. Stewart) Rech. f. is a plant known for its therapeutic applications in traditional medicine, which are related to its antimicrobial, anticancer, antioxidant, anti-inflammatory, analgesic, antidiarrheal, and muscle relaxant properties. The galls of P. chinensis are rich in triterpenes and flavonoids, and we here report the extraction of pistagremic acid (1), apigenin (2) and sakuranetin (3) from this source. The isolated compounds were tested against Aspergillus flavus, Candida albicans, Candida glabrata, Fusarium solani, Microsporum canis and Trichoderma longibrachiatum. The results highlighted the antimicrobial activity of flavonoids 2 and 3, suggesting that this class of molecules may be responsible for the effect related to the traditional use. On the other hand, when the compounds and the extract were tested for their antiproliferative activity on a panel of 4 human cancer cell lines, the triterpene pistagremic acid (1) showed a higher potential, thus demonstrating a different bioactivity profile. Structure-based docking and molecular dynamics simulations were used to help the interpretation of experimental results. Taken together, the here reported findings pave the way for the rationalization of the use of P. chinensis extracts, highlighting the contributions of the different components of galls to the observed bioactivity.


Asunto(s)
Pistacia , Triterpenos , Humanos , Antifúngicos/farmacología , Triterpenos/farmacología , Flavonoides/farmacología , Extractos Vegetales
6.
J Fish Biol ; 104(3): 633-646, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37903720

RESUMEN

A swim tunnel is to fish as a treadmill is to humans, and is a device used for indirect measuring of the metabolic rate. This study aims to explore the fish stress (if any) during the critical swimming test routines (fish handling, confinement, and swimming) using heart rate (fH , heartbeat per minute) bio-loggers in farmed Atlantic salmon (Salmo salar L.). In addition, the recovery dynamics of exercised fish using fH were explored for 48 h post swim tests. Continuous fH data were acquired following the surgical implantation and throughout the trials, such as during fish handling, swim tests (critical swimming speed, Ucrit ), and 48 h post swim tests. After 3 weeks of surgical recovery, fH stabilized at 46.20 ± 1.26 beats min-1 , equalizing a ~38% reduction in fH recorded post-surgical tachycardia (74.13 ± 1.44 beats min-1 ). Interestingly, fH was elevated by ~200% compared to baseline levels not only due to the Ucrit (92.04 ± 0.23 beats min-1 ) but also due to fish handling and confinement in the swim tunnel, which was 66% above the baseline levels (77.48 ± 0.34 beats min-1 ), suggesting fish stress. Moreover, significantly higher plasma cortisol levels (199.56 ± 77.17 ng mL-1 ) corresponding to a ~300% increase compared to baseline levels (47.92 ± 27.70 ng mL-1 ) were identified after Ucrit , predicting post-swim test stress (physiological exhaustion). These findings reinforce the importance of fish acclimation in the swim tunnel prior to the swimming tests. However, fH dropped over the course of the 48-h post-swim test, but remained comparatively higher than the basal levels, suggesting fish should be given at least 48 h to recover from handling stress for better fish welfare. This study further explored the influence of fish tagging on Ucrit , which resulted in reduced swimming capabilities of tagged fish (1.95 ± 0.37 body lengths s-1 ) compared to untagged fish (2.54 ± 0.42 body length s-1 ), although this was not significant (p = 0.06), and therefore future tagging studies are warranted.


Asunto(s)
Salmo salar , Humanos , Animales , Frecuencia Cardíaca , Natación/fisiología
7.
Water Sci Technol ; 89(9): 2225-2239, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38747946

RESUMEN

Instantaneous peak flows (IPFs) are often required to derive design values for sizing various hydraulic structures, such as culverts, bridges, and small dams/levees, in addition to informing several water resources management-related activities. Compared to mean daily flows (MDFs), which represent averaged flows over a period of 24 h, information on IPFs is often missing or unavailable in instrumental records. In this study, conventional methods for estimating IPFs from MDFs are evaluated and new methods based on the nonlinear regression framework and machine learning architectures are proposed and evaluated using streamflow records from all Canadian hydrometric stations with natural and regulated flow regimes. Based on a robust model selection criterion, it was found that multiple methods are suitable for estimating IPFs from MDFs, which precludes the idea of a single universal method. The performance of machine learning-based methods was also found reasonable compared to conventional and regression-based methods. To build on the strengths of individual methods, the fusion modeling concept from the machine learning area was invoked to synthesize outputs of multiple methods. The study findings are expected to be useful to the climate change adaptation community, which currently heavily relies on MDFs simulated by hydrologic models.


Asunto(s)
Aprendizaje Automático , Ríos , Canadá , Movimientos del Agua , Modelos Teóricos , Dinámicas no Lineales , Análisis de Regresión
8.
Saudi Pharm J ; 32(2): 101936, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38261938

RESUMEN

In this work, we investigated Diospyros kaki extract and an isolated compound for their potential as xanthine oxidase (XO) inhibitors, a target enzyme involved in inflammatory disorders. The prepared extract was subjected to column chromatography, and dinaphthodiospyrol S was isolated. Then XO inhibitory properties were assessed using a spectrophotometry microplate reader. DMSO was taken as a negative control, and allopurinol was used as a standard drug. The molecular docking study of the isolated compound to the XO active site was performed, followed by visualization and protein-ligand interaction. The defatted chloroform extract showed the highest inhibitory effect, followed by the chloroform extract and the isolated compound. The isolated compound exhibited significant inhibitory activity against XO with an IC50 value of 1.09 µM. Molecular docking studies showed that the compound strongly interacts with XO, forming hydrogen bond interactions with Arg149 and Cys113 and H-pi interactions with Cys116 and Leu147. The binding score of -7.678 kcal/mol further supported the potential of the isolated compound as an XO inhibitor. The quantum chemical procedures were used to study the electronic behavior of dinaphthodiospyrol S isolated from D. kaki. Frontier molecular orbital (FMO) analysis was performed to understand the distribution of electronic density, highest occupied molecular orbital HOMO, lowest unoccupied molecular orbital LUMO, and energy gaps. The values of HOMO, LUMO, and energy gap were found to be -6.39, -3.51 and 2.88 eV respectively. The FMO results indicated the intramolecular charge transfer. Moreover, reactivity descriptors were also determined to confirm the stability of the compound. The molecular electrostatic potential (MEP) investigation was done to analyze the electrophilic and nucleophilic sites within a molecule. The oxygen atoms in the compound exhibited negative potential, indicating that they are favorable sites for electrophilic attacks. The results indicate its potential as a therapeutic agent for related disorders. Further studies are needed to investigate this compound's in vivo efficacy and safety as a potential drug candidate.

9.
J Neurosci Res ; 101(12): 1849-1863, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37732456

RESUMEN

Studies have shown that prenatal maternal stress (PNMS) affects brain structure and function in childhood. However, less research has examined whether PNMS effects on brain structure and function extend to young adulthood. We recruited women who were pregnant during or within 3 months following the 1998 Quebec ice storm, assessed their PNMS, and prospectively followed-up their children. T1-weighted magnetic resonance imaging (MRI) and resting-state functional MRI were obtained from 19-year-old young adults with (n = 39) and without (n = 65) prenatal exposure to the ice storm. We examined between-group differences in gray matter volume (GMV), surface area (SA), and cortical thickness (CT). We used the brain regions showing between-group GMV differences as seeds to compare between-group functional connectivity. Within the Ice Storm group, we examined (1) associations between PNMS and the atypical GMV, SA, CT, and functional connectivity, and (2) moderation by timing of exposure. Primarily, we found that, compared to Controls, the Ice Storm youth had larger GMV and higher functional connectivity of the anterior cingulate cortex, the precuneus, the left occipital pole, and the right hippocampus; they also had larger CT, but not SA, of the left occipital pole. Within the Ice Storm group, maternal subjective distress during preconception and mid-to-late pregnancy was associated with atypical left occipital pole CT. These results suggest the long-lasting impact of disaster-related PNMS on child brain structure and functional connectivity. Our study also indicates timing-specific effects of the subjective aspect of PNMS on occipital thickness.

10.
Cancer Treat Res ; 185: 91-104, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37306906

RESUMEN

The hormonal therapy for cancer has become a household name and the series of experiments performed leading to the discovery of hormones use in the treatments of breast cancer. The hormones like antiestrogen, aromatase restrictors, antiandrogens, and use of extremely strong luteinizing hormone-releasing hormone agonists to perform a "medical hypophysectomy" because of their ability of causing desensitization in the pituitary gland have proven their value in the treatment of cancers over the last two decades. Millions of women still use hormonal therapy for menopause symptoms. Estrogen plus progestin or estrogen separately utilized as a menopause hormonal therapy throughout the world. Women receiving different premenopausal and postmenopausal hormonal therapies are on higher risk of having ovarian cancer. The risk of ovarian cancer did not increase with the increase of duration of hormonal therapy. Postmenopausal hormone use was found to be inversely related to major colorectal adenomas.


Asunto(s)
Neoplasias de la Mama , Neoplasias Colorrectales , Neoplasias Ováricas , Femenino , Humanos , Estrógenos , Menopausia
11.
Cancer Treat Res ; 185: 285-310, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37306914

RESUMEN

Malnutrition in cancer patients is highly prevalent. The metabolic and physiologic changes associated with the disease and the side effects of treatment regimens all combine together to produce a detrimental effect on the patient's nutritional status. A poor nutritional status significantly reduces the efficacy of treatment methods and the patient's overall chances of survival. Therefore, an individualized nutrition care plan is essential to counter malnutrition in cancer. Nutritional assessment is the first step of this process which sets the foundation for developing an effective intervention plan. Currently, there is no single standard method for nutritional assessment in cancer. Hence, to get a true picture of the patient's nutritional state, a comprehensive analysis of all aspects of the patient's nutritional status is the only reliable strategy. The assessment includes anthropometric measurements and evaluation of body protein status, body fat, inflammation markers, and immune markers. A thorough clinical examination which factors in the medical history and physical signs, along with the dietary intake patterns of the patient, is also important components of nutritional assessment of cancer patients. To facilitate with the process, various nutritional screening tools like patient-generated subjective global assessment (PGSGA), nutrition risk screening (NRS), and malnutrition screening tool (MST) have been developed. While these tools have their own benefits, they only give a glimpse of the nutritional problems and do not bypass the need for a complete assessment employing various methods. This chapter covers all four of the elements of nutritional assessment for cancer patients in detail.


Asunto(s)
Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos , Desnutrición , Neoplasias , Humanos , Evaluación Nutricional , Estado Nutricional
12.
Sensors (Basel) ; 23(20)2023 Oct 14.
Artículo en Inglés | MEDLINE | ID: mdl-37896564

RESUMEN

For autonomous driving, perception is a primary and essential element that fundamentally deals with the insight into the ego vehicle's environment through sensors. Perception is challenging, wherein it suffers from dynamic objects and continuous environmental changes. The issue grows worse due to interrupting the quality of perception via adverse weather such as snow, rain, fog, night light, sand storms, strong daylight, etc. In this work, we have tried to improve camera-based perception accuracy, such as autonomous-driving-related object detection in adverse weather. We proposed the improvement of YOLOv8-based object detection in adverse weather through transfer learning using merged data from various harsh weather datasets. Two prosperous open-source datasets (ACDC and DAWN) and their merged dataset were used to detect primary objects on the road in harsh weather. A set of training weights was collected from training on the individual datasets, their merged versions, and several subsets of those datasets according to their characteristics. A comparison between the training weights also occurred by evaluating the detection performance on the datasets mentioned earlier and their subsets. The evaluation revealed that using custom datasets for training significantly improved the detection performance compared to the YOLOv8 base weights. Furthermore, using more images through the feature-related data merging technique steadily increased the object detection performance.

13.
Sensors (Basel) ; 23(10)2023 May 12.
Artículo en Inglés | MEDLINE | ID: mdl-37430624

RESUMEN

The problem of energy optimization for Internet of Things (IoT) devices is crucial for two reasons. Firstly, IoT devices powered by renewable energy sources have limited energy resources. Secondly, the aggregate energy requirement for these small and low-powered devices is translated into significant energy consumption. Existing works show that a significant portion of an IoT device's energy is consumed by the radio sub-system. With the emerging sixth generation (6G), energy efficiency is a major design criterion for significantly increasing the IoT network's performance. To solve this issue, this paper focuses on maximizing the energy efficiency of the radio sub-system. In wireless communications, the channel plays a major role in determining energy requirements. Therefore, a mixed-integer nonlinear programming problem is formulated to jointly optimize power allocation, sub-channel allocation, user selection, and the activated remote radio units (RRUs) in a combinatorial approach according to the channel conditions. Although it is an NP-hard problem, the optimization problem is solved through fractional programming properties, converting it into an equivalent tractable and parametric form. The resulting problem is then solved optimally by using the Lagrangian decomposition method and an improved Kuhn-Munkres algorithm. The results show that the proposed technique significantly improves the energy efficiency of IoT systems as compared to the state-of-the-art work.

14.
Molecules ; 28(2)2023 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-36677762

RESUMEN

Allenes with two carbon-carbon double bonds belong to a unique class of unsaturated hydrocarbons. The central carbon atom of allene is sp hybridized and forms two σ-bonds and two π-bonds with two terminal sp2 hybridized carbon atoms. The chemistry of allenes has been well documented over the last decades. They are more reactive than alkenes due to higher strain and exhibit significant axial chirality, thus playing a vital role in asymmetric synthesis. Over a variety of organic transformations, allenes specifically undergo classical metal catalyzed cycloaddition reactions to obtain chemo-, regio- and stereoselective cycloadducts. This review briefly describes different types of annulations including [2+2], [2+2+1], [3+2], [2+2+2], [4+2], [5+2], [6+2] cycloadditions using titanium, cobalt, rhodium, nickel, palladium, platinum, gold and phosphine catalyzed reactions along with a mechanistic study of some highlighted protocols. The synthetic applications of these reactions towards the synthesis of natural products such as aristeromycin, ent-[3]-ladderanol, waihoensene(-)-vindoline and (+)-4-epi-vindoline have also been described.

15.
Environ Monit Assess ; 195(8): 990, 2023 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-37491409

RESUMEN

Human interventions and rapid changes in land use adversely affect the adequate distribution of water resources. A research study was conducted to quantify the gap between demand and supply for irrigation water in Multan, Pakistan, which may lead to sustainable water management. Two remotely sensed images (Landsat 8 OLI and Landsat 5 TM) were downloaded for the years 2010 and 2020, and supervised classification method was performed for the selected land use land cover (LULC) classes and basic framework. During the evaluation, the kappa coefficient was found in the ranges of 0.83-0.85, and overall accuracy was found to be more than 80% which indicated a substantial agreement between the classified maps and the ground truth data for both years and seasons. The LULC maps showed that urbanization has increased by 49% during the last decade (2010-2020). Reduction in planting areas for wheat (9%), cotton (24%), and orchards (46%) was observed. An increase in planting areas for rice (92%) and sugarcane (63%) was observed. The changing LULC pattern may be related to variation in water demand and supply for irrigation. The irrigation water demand has decreased by 370.2 Mm3 from 2010 to 2020, due to the reduction in agricultural land and an increase in urbanization. Available irrigation water supply (canals/rainfall) was estimated as 2432 Mm3 for the year 2020 which was 26% less than that of total irrigation water demand (3281 Mm3). The findings also provide the database for sustainable water management and equitable distribution of water in the region.


Asunto(s)
Sistemas de Información Geográfica , Tecnología de Sensores Remotos , Humanos , Pakistán , Monitoreo del Ambiente/métodos , Urbanización , Grano Comestible , Conservación de los Recursos Naturales
16.
J Pak Med Assoc ; 73(4): 759-762, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37051978

RESUMEN

Objectives: The study examined the moderating role of academic motivation and academic entitlements between students' motives for communication with their instructors and their academic achievements. METHODS: The descriptive cross-sectional study was conducted at the universities situated in Okara and Sargodha, Pakistan, from November 1, 2017 to November 9, 2018. Data were collected using the Students' Motives for Communicating with their Instructors Scale, Academic Motivation Scale and the Academic Entitlement Scale. Data were analysed using SPSS-23. RESULTS: There were 264 students. Academic motivation moderated the relationship between participation motive and academic achievement as well as the relationship between functional motive and academic achievement (p<0.05). Academic entitlement moderated the relationship between relational motive and academic achievement (p<0.05). CONCLUSIONS: High and moderate level of academic motivation enhanced the effect of students' relational and functional motive for communicating on academic achievement whereas low level of motivation reduced it. High, moderate and low level of academic entitlement enhanced the effect of relational motive on academic achievement. High level of academic entitlement reduced the effect of functional motive on academic achievement. High level of academic entitlement reduced the effect of functional motive on academic achievement whereas moderate and low level of academic entitlement reduced its effect.


Asunto(s)
Éxito Académico , Motivación , Humanos , Universidades , Estudios Transversales , Estudiantes
17.
J Pak Med Assoc ; 73(3): 715-717, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36932794

RESUMEN

Elderly are one of the fastest-growing population globally and require significant healthcare services due to age-related deterioration in physiological systems. Poor postural control due to aging results in impaired balance leading to increase in frequency of falls, poor quality of life, and rise in disability and mortality rates. In Pakistan, due to lack of awareness, and resources, fall prevention and screening programmes for the elderly are lacking. Regular fall risk screening utilizing balance assessment tools, integration of fall prevention programmes and balance rehabilitation approach as part of elderly healthcare services can serve as tools to lower the incidence of falls in the elderly population of Pakistan. Moreover, integration of latest technology as part of balance rehabilitation can also be considered. The review aims to highlight appropriate strategies for fall risk screening and balance rehabilitation in an effort to promote an important healthcare intervention for elderly in Pakistan.


Asunto(s)
Envejecimiento , Calidad de Vida , Humanos , Anciano , Pakistán , Medición de Riesgo , Atención a la Salud , Accidentes por Caídas/prevención & control , Equilibrio Postural/fisiología
18.
J Pak Med Assoc ; 73(8): 1583-1586, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37697746

RESUMEN

OBJECTIVE: To determine the Frequency of psychiatric illnesses in patients with neurological conditions, and to take their opinion about psychiatric disorders. Methods: The cross-sectional study was conducted from June 1 to August 30, 2021, at the Neurology Outpatient Department of Allied Hospital, Faisalabad, Pakistan, and comprised patients of either gender aged 12-70 years from among those visiting the outpatient clinic. Data was collected through interviews and the 41-item Depression Anxiety Stress Scale. Data was analysed using SPSS 21. RESULTS: Of the 201 patients, 160(79.6%) were females and 41(20.4%) were males. The overall mean age was 34.5+/- 9.38 years. Primary neurological problem was headache 119(59.2%). Overall, 155(77.2%) patients met the criteria of psychiatric disorders; 55(27.4%) anxiety, 37(19.4%) had depressive disorder, 42(20.8%) mixed anxiety depressive disorder, and 19(9.5%) had other psychiatric illnesses. Also, 101(50.2%) patients lacked awareness about psychiatry illnesses, 35(17.4%) had fear of stigma, and 28(13.9%) had misconceptions. CONCLUSIONS: The frequency of psychiatric disorders among those visiting the neurology outpatient department was high, and was associated with negative views about such illnesses.


Asunto(s)
Trastornos Mentales , Neurología , Femenino , Masculino , Humanos , Adulto , Pacientes Ambulatorios , Estudios Transversales , Trastornos Mentales/epidemiología , Departamentos de Hospitales
19.
Saudi Pharm J ; 31(12): 101868, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38033748

RESUMEN

Objective: Traditionally, Olea ferruginea Royle (Oleaceae) has been used as a painkiller and antidiabetic in various ailments. To provide a scientific background to this folklore the current study was designed to anti-inflammatory and antidiabetic effects of one of the isolated compound from this plant. Methods: Ferruginan A was isolated from the ethyl acetate extract of Olea ferruginea bark. This isolated molecule was subjected to in-vitro anti-inflammatory and antidiabetic effects using HRBCs and glucose uptake tests. The compound was also tested for molecular docking and ADMET study. Results: Regarding the anti-inflammatory effect, the tested compound demonstrated a 69.82 % inhibition at a concentration of 100 µg/mL, while the Ferruginan A (100 µl/mL) increased the uptake of glucose (3.79-71.86 %) in the yeast cell. Similarly, the zone of inhibition values of Ferruginan A (24.98 mm) against Escherichia coli were found to be comparable to standard (Imipenem: 31.09 mm). The mechanism of antidiabetic and anti-inflammatory effects was explored by using docking simulations performed on four molecular targets related to diabetes and inflammation. The results showed that the isolated compound may act as an antidiabetic agent by inhibiting the 5' Adenosine monophosphate-activated protein kinase (AMPK). While it also showed inhibition of anti-inflammatory targets COX-1, COX-2, and Tumor necrosis factor alpha (TNF-α). The ADMET prediction study revealed that isolated compound possesses favorable ADMET profile. Conclusion: It was concluded that Ferruginan A might be a significant anti-inflammatory and antidiabetic molecule.

20.
BMC Plant Biol ; 22(1): 540, 2022 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-36414951

RESUMEN

BACKGROUND: Around the globe, salinity is one of the serious environmental stresses which negatively affect rapid seed germination, uniform seedling establishment and plant developments restricting sustainable agricultural productivity. In recent years, the concepts of sustainable agriculture and cleaner production strategy have emphasized the introduction of greener agrochemicals using biocompatible and natural sources to maximize crop yield with minimum ecotoxicological effects. Over the last decade, the emergence of nanotechnology as a forefront of interdisciplinary science has introduced nanomaterials as fast-acting plant growth-promoting agents. RESULTS: Herein, we report the preparation of nanocomposite using chitosan and green tea (CS-GTE NC) as an ecofriendly nanopriming agent to elicit salt stress tolerance through priming imprints. The CS-GTE NC-primed (0.02, 0.04 and 0.06%), hydroprimed and non-primed (control) wheat seeds were germinated under normal and salt stress (150 mM NaCl) conditions. The seedlings developed from aforesaid seeds were used for physiological, biochemical and germination studies. The priming treatments increased protein contents (10-12%), photosynthetic pigments (Chl a (4-6%), Chl b (34-36%), Total Chl (7-14%) and upregulated the machinery of antioxidants (CAT (26-42%), POD (22-43%)) in wheat seedlings under stress conditions. It also reduced MDA contents (65-75%) and regulated ROS production resulting in improved membrane stability. The priming-mediated alterations in biochemical attributes resulted in improved final germination (20-22%), vigor (4-11%) and germination index (6-13%) under both conditions. It reduced mean germination time significantly, establishing the stress-insulating role of the nanocomposite. The improvement of germination parameters validated the stimulation of priming memory in composite-treated seeds. CONCLUSION: Pre-treatment of seeds with nanocomposite enables them to counter salinity at the seedling development stage by means of priming memory warranting sustainable plant growth and high crop productivity.


Asunto(s)
Plantones , Triticum , Plantones/metabolismo , Germinación , Semillas , Estrés Salino
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