Multifunctional CoFe2O4/ZnO nanocomposites: Probing magnetic and photocatalytic properties.

Developing nanocomposites as efficient photocatalysts for eliminating hazardous contaminants is essential because of growing severity of water pollution. In this study, we have analysed the morphological, structural, magnetic, and optical properties of cobalt ferrite (CoFe2O4), and zinc oxide (ZnO) nanocomposites synthesized via hydrothermal approach and used for removal of rose bengal (RB) dye from contaminated water. X-ray diffraction (XRD) analysis of synthesized nanocomposite revealed two distinct phases that matched with CoFe2O4 and ZnO. Fourier Transform Infrared (FTIR) spectra enlightened Co-O, Fe-O, and O-Zn-O binding peaks in synthesized nanocomposites. The band gap of nanocomposite, as determined by UV diffuse reflectance spectroscopy (UV-DRS), varies from 3.19 to 3.25 eV. The wide band gap semiconductor (ZnO) is believed to be responsible for this transformation by introducing new sub-bandgap energy levels. X-ray photoelectron spectroscopy (XPS) has shown the roles of various ions. High-resolution transmission electron microscopy (HRTEM) analysis revealed spherical morphology of synthesized samples. The highest magnetism of pure CoFe2O4 was 34.61 emu/g, making it the most magnetic among all the synthesized materials. Furthermore, CoFe2O4/ZnO (1:4) nanocomposite exhibited the highest degradation of RB dye. The recombination of electron-hole pairs is inhibited by interfacial charge transfer provided by CoFe2O4 and ZnO. The results showed that CoFeZn14 nanocomposite is a promising candidate for wastewater treatment. CoFeZn14 demonstrated remarkable stability, showcasing its ability to be reused up to four times without compromising its efficiency. .

Recent advancement in nanomaterials for the detection and removal of uranium: A review.

Uranyl ions U(VI), are the common by-product of nuclear power plants and anthropogenic activities like mining, excess utilization of fertilizers, oil industries, etc. Its intake into the body causes serious health concerns such as liver toxicity, brain damage, DNA damage and reproductive issues. Therefore, there is urgent need to develop the detection and remediation strategies. Nanomaterials (NMs), due to their unique physiochemical properties including very high specific area, tiny sizes, quantum effects, high chemical reactivity and selectivity have become emerging materials for the detection and remediation of these radioactive wastes. Therefore, the current study aims to provide a holistic view and investigation of these new emerging NMs that are effective for the detection and removal of Uranium including metal nanoparticles, carbon-based NMs, nanosized metal oxides, metal sulfides, metal-organic frameworks, cellulose NMs, metal carbides/nitrides, and carbon dots (CDs). Along with this, the production status, and its contamination data in food, water, and soil samples all across the world are also complied in this work.

Comparison of intranasal midazolam-fentanyl with dexmedetomidine-fentanyl as pre-medication in the paediatric age group.

Background & objectives: Intranasal midazolam-fentanyl is commonly used as pre-medication in paediatric patients, but there is a risk of respiratory depression with this combination. Dexmedetomidine is a drug that preserves respiratory function. The objective of this study was to compare the efficacy of intranasal midazolam-fentanyl and dexmedetomidine-fentanyl in paediatric patients undergoing elective surgeries. Methods: Hundred children in the age group of 3-8 yr of American Society of Anaesthesiologists physical status grade 1 were randomized into two groups- group A received intranasal midazolam (0.2 mg/kg)-fentanyl (2 µg/kg) and group B received intranasal dexmedetomidine (1 µg/kg)-fentanyl (2 µg/kg) 20 min before induction of general anaesthesia. Heart rate and SpO2 were monitored. Sedation score, parental separation and response to intravenous cannulation were seen after 20 min. Children were monitored for 2 h for post-operative analgesia by Oucher's Facial Pain Scale. Results: Sedation scores were satisfactory in both groups, although children in group A were more sedated than in group B. Parental separation and response to intravenous cannulation were comparable in both the groups. The two groups were also haemodynamically comparable intraoperatively. Post-operative heart rate was also comparable at all-time intervals in both the groups except for heart rate at 100 and 120 min which were more in group A. Group A experienced more post-operative pain as assessed by Oucher's Facial Pain Scale as compared to group B. Children receiving intranasal dexmedetomidine-fentanyl had better post-operative analgesia as compared to those who received intranasal midazolam-fentanyl. Interpretation & conclusions: Both intranasal midazolam with fentanyl and intranasal dexmedetomidine with fentanyl provided satisfactory sedation. Both groups were comparable in separation reaction and response to intravenous cannulation with better post-operative analgesia in children receiving intranasal dexmedetomidine-fentanyl.

The role of steroid receptors, peptides and growth factors in the aetiopathogenesis of idiopathic gynecomastia.

Idiopathic gynecomastia is a diagnosis of exclusion. We aimed to evaluate the role of steroids, peptides and growth factors in these patients. Those with bilateral idiopathic gynecomastia (n = 29) (Simon's grade IIb or III) who underwent gland excision were evaluated by immunohistochemical techniques using semi-quantitative grading for oestrogen receptor (ER), progesterone receptor (PR), aromatase, androgen receptor (AR), peptides (IGF-1, IGF-2, HER-2, parathyroid-hormone related peptide [PTHrP]) and growth factors (EGFR, TGFß). The cohort comprised 29 patients, with a mean age of 25.3 ± 5.1 years and a mean body mass index of 27.2 ± 2.3 kg/m2 . Grade IIb gynecomastia was present in 79.1% and moderate-to-severe insulin resistance (HOMA-IR >3) in 53.7% of patients. ER expression was positive in 100% samples, followed by AR (96.5%), aromatase (96.5%) and PR (93.1%). IGF-1 was expressed in 86.2% of the cohort, IGF2 in 27.5% and HER-2 in only two samples, with both showing weak immunoexpression. None of the patients had positive expression of EGFR, TGF-ß or PTHrP. There was no association between immunoexpression and gynecomastia grade. This study demonstrates the predominant role of oestrogen, aromatase and insulin resistance in the aetiopathogenesis of idiopathic gynecomastia and implicates the paracrine hyperestrogenic milieu in its causation as circulating hormones were normal.

Toward Unveiling the Anomalies Associated with the Spontaneous Spreading of Droplets.

The liquid droplet spreads over a solid surface to minimize the surface energy when brought in direct contact with the surface. The spreading process is rapid in the early stages, tends to slow down during its progress, and has resulted in peculiarity due to the experimental difficulties in the accurate determination of the contact line radius. In the present numerical study, we found that drop spreading begins with a viscosity-dominated Stokes regime, where contact radius scales as r ∼ t for a wide range of drop liquid viscosities. Subsequent to the Stokes regime, the inertial regime is observed where contact radius scales as r ∼ t0.5 for low- to medium-viscous droplets, whereas for very high viscous drops, the spreading dynamics is completely dominated by the viscous regime. It is also found that the equilibrium wetting condition does not affect the power-law scaling for the contact radius of the drop. The amplitude of capillary waves induced across the interface of the drop is observed to be sufficiently high to cause necking and ejection of satellite drops from the main drop during its spreading for low-viscous liquids from complete wetting to partial wetting conditions. A regime plot between the Ohnesorge number and advancing contact angle of the substrate is presented to demarcate the regions of damped waves without pinch-off and drop spreading with satellite drops.

Development of hierarchical magnesium oxide anchored cerium oxide nanocomposites with improved magnetic properties and photocatalytic performance.

A facile strategy was introduced for the development of pure MgO and its nanocomposites using different CeO2 contents (3%-7%) to enhance their magnetic properties and photocatalytic performance. Different morphologies (namely nanoflowers and rhombohedral type nanostructures) were obtained using an in situ hydrothermal method at different concentrations of CeO2. X-ray diffraction results revealed that peaks of CeO2 were observed along with peaks of MgO, which confirms the presence of both phases. The crystallite size and particle size were found to increase with changing CeO2 content in the host matrix of MgO. Moreover, the band gap reduces while the magnetic character increases with CeO2 content. The magnetic behaviour of the nanocomposites was elucidated on the basis of oxygen intrinsic defects, which are shown through XPS. EPR measurements were carried out to understand the valence electrons and establish the defects present in the material, which are related to the size of the nanostructures. The degradation of Rose Bengal dye was performed to probe the photocatalytic activity of the MgO@CeO2 nanocomposites. Hence the facile synthesis of these nanostructures conveyed good magnetic properties along with its application towards dye degradation.

Impact of COVID-19 Pandemic on Oncology Practices During Nationwide Lockdown Period: A Single Centre Experience and the Way Forward.

BACKGROUND: The COVID-19 pandemic has posed a grave challenge to mankind as it doesn't appear to get controlled in the near future. Worldwide, health care centers are working more than their capacity with the scarcity of medical resources. Cancer patients are considered to be at higher risk of developing life-threatening complications from COVID-19 and at the same time treatment delays can lead to poorer oncological outcomes. Appropriate planning is therefore important to continue with cancer treatment services and simultaneously avoiding the risk of infection to the patients and healthcare staff and not allowing community transmission of viral infection. METHODS AND RESULTS: We modified our practice measures in cancer patients receiving systemic therapy. Tele-consultations and use of electronic means, providing the best supportive care at or near home, and involvement of local/ family physicians were widely practiced. We minimised in-patient admissions, however, day-care chemotherapies were continued to provide optimum oncology services. CONCLUSIONS: Modified oncological practice measures need to be implemented as the pandemic seems to stay for a longer time.

Distraction Lengthening of First Metacarpal in Traumatic Thumb Amputations.

Introduction Based on the level of the thumb loss, phalangization, toe-to-thumb transfer, pollicization, and distraction callotasis of the first metacarpal are the various options available for reconstruction. The aims of the study were to observe the length gained in the distraction process, duration of treatment required, functional recovery in the form of pinch strength, sensations, and patient satisfaction. Patients and Methods It was a prospective study of 10 patients of thumb amputation, conducted from January 2014 to July 2015. The patients' age, mode of injury, level of amputation, and advantages and disadvantages of distraction callotasis were evaluated. Results The most common etiology of thumb loss was domestic accidents while working with a chaff cutter. The total duration of treatment was 124 (93-165) days and the mean gain in length was 25 (20-28) mm. The pinch strength increased from a mean of 0.91 to 2.06 kg, i.e., a 44.17% improvement from preoperative pinch strength. All of our patients retained their sensations of the reconstructed thumb post distraction. Conclusions Among many options for thumb reconstruction, distraction callotasis is a simple and safer option in the selective group of patients who are not keen on toe-to-thumb transfer which provide a significant improvement. The longer duration of treatment is the disadvantage associated with the need for proper counselling beforehand.

Europium-doped cerium oxide nanoparticles: investigating oxygen vacancies and their role in enhanced photocatalytic and magnetic properties.

In this study, pure and europium-doped (2%, 4%, 6%, and 8%) cerium oxide (CeO2) nanoparticles (NPs) were employed for efficient dye removal through photocatalytic approach. XRD and TEM confirmed the formation of pure CeO2 nanoparticles, while XPS and Raman spectroscopy were used to analyze the electronic properties and lattice defects, such as oxygen vacancies. The presence of lattice defects, which increased with the concentration of Eu, was found to be responsible for the enhanced degradation of Rose Bengal dye (82.4% for 8% Eu-doped sample) in 75 min. FTIR confirmed the chemical composition of the synthesized sample. The band at 617 cm-1, corresponding to the symmetrical stretching vibration mode of (Ce-O-Ce) or (Ce-O-Eu). The magnetic properties of synthesized samples were examined using VSM, revealing an increase from 4.48 to 11.0 emu/g in magnetization. This enhancement was attributed to F-center exchange mechanism (FCE), resulting from the presence of oxygen vacancies. These findings contribute to the development of advanced materials for sustainable wastewater treatment and spintronics.

Carbon dots as potential candidate for photocatalytic treatment of dye wastewater.

Water is the utmost important element for the existence of life. In recent decades, water resources have become highly contaminated by a variety of pollutants, especially toxic dyes that are harmful to both living beings and environment. Hence, there is an urgent need to develop more effective methods than traditional wastewater treatment approaches for treatment of hazardous dyes. Herein, we have addressed the various aspects related to the effective and economically feasible method for photocatalytic degradation of these dyes employing carbon dots. The photocatalysts based on carbon dots including those mediated from biomass have many superiorities over conventional methods such as utilization of economically affordable, non-toxic, rapid reactions, and simple post-processing steps. The current study will also facilitate better insight into the understanding of photocatalytic treatment of dye-polluted wastewater for future wastewater treatment studies. Additionally, the possible mechanistic pathways of photocatalytic dye decontamination, several challenges, and future perspectives have also been summarized.

Evaluation of skull bone viability and effect of early surgical intervention in electrical contact burns using 18 F-Sodium Fluoride PET-CT imaging.

OBJECTIVE: Electrical contact burns of the scalp cause serious morbidity and mortality. Early necrotic bone debridement and flap cover are crucial for successful wound closure. 18 F Sodium Fluoride (NaF), with high bone-to-soft tissue activity ratio, is useful for bone viability assessment. This study evaluated the role of 18 F NaF PET-computed tomography (CT) in objectively defining the extent and depth of nonviable calvarial bone, to guide adequate bone debridement. METHOD: Of 20 patients referred to our institute with electrical contact burns of the scalp during a 2-year period, 15 were enrolled in the study. Two weeks after the initial management, tracer uptake pattern was noted on 18 F NaF PET-CT of the head and exposed bone measured. Surgical bone debridement was based on scan findings, followed by wound closure. All patients underwent clinical evaluation and follow-up scan 3 months after surgery. RESULTS: Eight patients showed a central photopenic area in the exposed bone (maximum standardized uptake value [SUVmax] of 0.76 ± 0.14 with mean maximum dimensions 4.10 ± 1.76/2.67 ± 1.54 cm). High tracer uptake (SUVmax, 9.66 ± 6.03) was seen peripheral to the exposed bone (mean maximum dimensions, 8.14 ± 3.03/4.75 ± 1.61 cm). Postoperatively, there was no significant change in tracer uptake in the central debrided region or peri-debridement bone area under the flap. Clinically all patients showed a well-healed flap. CONCLUSION: 18 F NaF PET-CT appears useful for objective evaluation of skull bone viability and planning necrotic bone debridement in patients with electrical contact burns. However, additional studies with longer patient follow-up are required to validate these results.

Thurston syndrome: an uncommon disorder presenting with common abnormalities.

This article describes an infant who had a combination of malformations. The boy had a median cleft of the lip, cleft of the soft palate, microcephaly, and ulnar polydactyly of both hands and feet. All of these are relatively commonly encountered in any plastic surgical outpatient department. However, the combination of such abnormalities is encountered extremely rarely. Thurston syndrome is one of the several oral-facial-digital syndromes. A brief literature review of Thurston syndrome and salient features of oral-facial-digital syndromes are discussed.

Endoscopic evaluation of velopharyngeal function in cleft lip palate patients - A correlation with speech analysis.

BACKGROUND: Speech abnormalities due to velopharyngeal insufficiency (VPI) significantly affect communication skills, self-esteem, and scholastic performance. It leads to a poor social, emotional, educational, and behavioral development and a poor quality of life overall in cleft lip palate (CLP) patients. Its early diagnosis and severity assessment using video-nasoendoscopy and speech assessment can significantly contribute to management. The present study evaluated VPI in CLP patients using both tools. METHODS: A total of 48 patients with repaired cleft palate were subjected to speech and video-nasoendoscopic assessment. Speech assessment measured severity of hypernasality, speech intelligibility, and voice quality. Video-nasoendoscopy evaluated velopharyngeal port closure to grade the severity of VPI. The speech assessment and video-nasoendoscopy findings were analyzed and correlated. RESULTS: There was a moderately strong statistically significant negative correlation between the grade of VPI and hypernasality (r = -0.542, p = 0.000). There was a stronger statistically significant negative correlation of grade of velopharyngeal port insufficiency with speech intelligibility (r = -0.634, p = 0.000). About 72% of the patients had abnormal voice quality. CONCLUSION: This study is the first attempt at diagnosing and grading VPI on a quantitative scoring based on a ratio scale for the motion of soft palate and pharyngeal walls. The strong correlation between endoscopic grading and speech analysis findings warrants further evaluation of nasoendoscopic grading of VPI in more studies.

Development and Validation of Wheelchair-Based Yoga Module for Individuals with Paraplegia.

Spinal cord injury causes temporary or permanent loss of motor, sensory, or autonomic functions, leading to long-term impairments that are not only confined to physical attributes but also restrict individuals' participation in major domains of life. Around 60%-80% of individuals with spinal cord injuries depend on a wheelchair for mobility. Numerous studies have reported yoga's beneficial role in alleviating spinal cord injury symptoms; however, a validated wheelchair-based yoga module was unavailable. Thus, the present study aimed to develop and validate a wheelchair-based yoga module that comprises a printed protocol for individuals with paraplegia. The study was conducted in four phases: The first three phases were the steps for the formulation of a wheelchair-based yoga module, and in the last phase the content validity of the designed module was determined by a panel of 10 experts, who were asked to rate the preliminary module for its necessity and relevance using a Likert scale. A total of 17 yoga practices with high content validity were included in the final wheelchair-based yoga module, and 10 practices with lower content validity were excluded from the designed module. Data analysis revealed the mean content validation index of the designed module to be 0.81. This study concludes that the formulated wheelchair-based yoga module is valid for individuals with paraplegia. However, future studies need to be conducted to determine the protocol's feasibility and effectiveness.

Enhanced photocatalytic degradation of organic dye by CeO2/CNT/GO hybrid nanocomposites under UV light for wastewater treatment.

Development of nanocomposites as efficient photocatalysts for the removal of hazardous organic pollutants is always in dire demand due to increase in water pollution. In this article, a facile sol-gel method has been used to synthesize cerium oxide (CeO2) nanoparticles followed by their decoration over multi-walled carbon nanotubes (CNTs) and graphene oxide (GO) to construct binary as well ternary hybrid nanocomposites using ultrasonic treatment. The oxygen vacancy defects have been depicted using X-ray photoelectron spectroscopy (XPS) that may result into improved photocatalytic efficiency. The ternary hybrid nanocomposites (CeO2/CNT/GO) showed excellent photocatalytic efficiency towards degradation of rose bengal (RB) dye up to 96.9% in 50 min. CNTs and GO provide the interfacial charge transfer which inhibits the electron-hole pair recombination. The results obtained here indicate that these composites can be effectively utilized as promising materials for the degradation of harmful organic pollutants for wastewater treatment.

A Multi-Thresholding-Based Discriminative Neural Classifier for Detection of Retinoblastoma Using CNN Models.

Cancer is one of the vital diseases which lead to the uncontrollable growth of the cell, and it affects the body tissue. A type of cancer that affects the children below five years and adults in a rare case is called retinoblastoma. It affects the retina in the eye and the surrounding region of eye like the eyelid, and sometimes, it leads to vision loss if it is not diagnosed at the early stage. MRI and CT are widely used scanning procedures to identify the cancerous region in the eye. Current screening methods for cancer region identification needs the clinicians' support to spot the affected regions. Modern healthcare systems develop an easy way to diagnose the disease. Discriminative architectures in deep learning can be viewed as supervised deep learning algorithms which use classification/regression techniques to predict the output. A convolutional neural network (CNN) is a part of the discriminative architecture which helps to process both image and text data. This work suggests the CNN-based classifier which classifies the tumor and nontumor regions in retinoblastoma. The tumor-like region (TLR) in retinoblastoma is identified using the automated thresholding method. After that, ResNet and AlexNet algorithms are used to classify the cancerous region along with classifiers. In addition, the comparison of discriminative algorithm along with its variants is experimented to produce the better image analysis method without the intervention of clinicians. The experimental study reveals that ResNet50 and AlexNet yield better results compared to other learning modules.

Electromyographic analysis of trunk and hip muscles during Yoga poses prescribed for treating chronic low back pain.

Yoga is effective for the management of chronic low back pain as it improves muscle strength and endurance. The objective of the current study was to assess trunk and hip muscle activation during Yoga poses usually prescribed for patients with chronic LBP. The study included 22 healthy Yoga trained subjects (mean age: 24.4 ± 2.6 years; 16 females, 6 males). The testing involved collecting surface electromyography data from Rectus Abdominis (RA) and Transverse Abdominis (TA), Gluteus Medius (GM), and Erector Spinae (ES) as subjects attained and held 16 different Yoga poses in standing, kneeling, supine, or prone positions in random order. The signal of each muscle was processed and normalized to its maximum voluntary isometric contraction (MVC). Statistical comparisons were made across selected poses and phases (attaining and holding) for each muscle using repeated-measures ANOVA. The data was also descriptively analyzed for sorting muscle activity. The activation of trunk flexors was significantly higher during boat pose (>50% MVC) followed by plank pose (∼30% MVC), activation of ES was significantly higher during reverse boat (41.7% ± 3.3 MVC) as compared to bow, snake, backward-sway, and warrior poses. The GM activation was significantly less in standing poses than during side-lying and Tiger poses (32-42% MVC). The cat-camel, kneeling camel, downward dog, backward-sway, swaying-palm tree, and warrior poses activated all tested muscles fairly (<20% MVC). The study helps the grading of Yoga positions according to the challenge imposed. The challenging poses may be used to develop graded rehabilitation programs to improve muscle strength/endurance.

Plastic Waste-Derived Carbon Dots: Insights of Recycling Valuable Materials Towards Environmental Sustainability.

Carbon dots (CDs) or carbon quantum dots (CQDs) have emerged as rising stars in the carbon family due to their diverse applications in various fields. CDs are spherical particles with a well-distributed size of less than 10 nm. Functional CDs are promising nanomaterials with low toxicity, low cost, and enormous applications in the field of bioimaging, optoelectronics, photocatalysis, and sensing. Plastic is non-biodegradable and hazardous to the environment, however extremely durable and used in abundance. During the COVID-19 pandemic, the use of plastic waste, particularly masks, goggles, face shields, and shoe cover, has increased tremendously. It needs to be recycled in a productive way as plastic wastes take hundreds or thousands of years to degrade naturally. The conversion of plastic waste into magnificent CDs has been reported as one of the key alternatives for environmental sustainability and socio-economic benefits. In this review, synthetic routes for the conversion of plastic wastes into CDs utilizing hydrothermal, solvothermal, pyrolysis, flash joule heating, and characterization of these CDs using different techniques, such as Fourier-transform infrared spectroscopy, Raman spectroscopy, X-ray diffraction, and transmission electron microscope, have been discussed. Furthermore, potential applications of these plastic-derived CDs in sensing, catalysis, agronomics, and LED lights are summarized herein.