Impact of Oral Health Literacy on Periodontal Health among Low-income-group Workers of Dental Institutes in Patna, Bihar, India.

AIM: To evaluate the impact of oral health literacy (OHL) on the periodontal health among low-income-group workers of dental institutes. MATERIALS AND METHODS: A cross-sectional study was conducted on 137 class III and IV workers of dental college. Data collection was done by using a customized pro forma including demographics, REALD-30 for calculating OHL, and items on oral hygiene habits like toothpaste use, brushing frequency, and any other oral hygiene aid. Following which periodontal health status was determined, which was categorized into severe, moderate, and mild periodontitis (health). The analysis was done using the SPSS 11.5. Periodontal health status was associated with OHL scores, oral hygiene habits, and demographics using the chi-square test. The statistical significance level was set at 5% level. RESULTS: Among the 137 subjects, 25 participants reported health/mild periodontitis, 53 had moderate periodontitis, and 59 had severe periodontitis. Low OHL was observed in 52.5% and only 13.8% had high OHL. The participants who had low OHL, 56.94% (n = 41), were having severe disease, while the subjects who had better OHL, only 21.05% (n = 4) were found to have severe disease. CONCLUSION: The people with low socioeconomic classes can be reached effectively if the community involvement concept is used through the workers of dental institutions. But first efforts should be made to improve the OHL of these workers. CLINICAL SIGNIFICANCE: Improving OHL can be of great help to the clinicians and the community health workers because it helps them to make patient adherent to the treatment and the medications prescribed to them. Periodontitis affects people with low socioeconomic status and in the present study it was class III and IV workers. Improving OHL of this population will decrease the oral disease burden of India.

Vertically standing nanoporous Al-Ag zig-zag silver nanorod arrays for highly active SERS substrates.

Surface enhanced Raman scattering (SERS) has emerged as a promising technique for chemical and biological sensing. "Hot spots" are the areas on noble metal nanostructures where light is highly concentrated into small volumes and enhances the local electromagnetic field near the metal nanostructures. These hot spots have been claimed to provide extraordinary enhancements to the SERS signal. Here, we report the fabrication of nanoporous zig-zag Ag nanostructures with built-in high density hot spots. The zig-zag Ag nanostructures were fabricated by glancing angle deposition of Ag and Al, with Al deposited on the edges of the zig-zag structure during growth. A 2.5 wt% HCl solution was used for etching Al from the Ag-Al zig-zag structure. The etching process produced intra-particle gaps by leaching less stable Al from fully alloyed Al-Ag nanostructures. This step of mild acid etching (2.5% v/v HCl for 45 min) allowed the formation of Raman hot spots on the elbows of zig-zag nanorods while maintaining the zig-zag morphology of highly active Ag nanostructures. A high enhancement factor of ∼106 was observed on nanoporous zig-zag Ag nanostructures obtained by de-alloying, making them very appealing as Raman sensors. The role played by nanogap hot spots in Ag zig-zag nanostructures towards SERS enhancement is modelled by using finite difference time domain (FDTD) simulations.

Recent Advances and Challenges in Textile Electrodes for Wearable Biopotential Signal Monitoring: A Comprehensive Review.

The technology of wearable medical equipment has advanced to the point where it is now possible to monitor the electrocardiogram and electromyogram comfortably at home. The transition from wet Ag/AgCl electrodes to various types of gel-free dry electrodes has made it possible to continuously and accurately monitor the biopotential signals. Fabrics or textiles, which were once meant to protect the human body, have undergone significant development and are now employed as intelligent textile materials for healthcare monitoring. The conductive textile electrodes provide the benefit of being breathable and comfortable. In recent years, there has been a significant advancement in the fabrication of wearable conductive textile electrodes for monitoring biopotential signals. This review paper provides a comprehensive overview of the advances in wearable conductive textile electrodes for biopotential signal monitoring. The paper covers various aspects of the technology, including the electrode design, various manufacturing techniques utilised to fabricate wearable smart fabrics, and performance characteristics. The advantages and limitations of various types of textile electrodes are discussed, and key challenges and future research directions are identified. This will allow them to be used to their fullest potential for signal gathering during physical activities such as running, swimming, and other exercises while being linked into wireless portable health monitoring systems.

GLAD Based Advanced Nanostructures for Diversified Biosensing Applications: Recent Progress.

Glancing angle deposition (GLAD) is a technique for the fabrication of sculpted micro- and nanostructures under the conditions of oblique vapor flux incident and limited adatom diffusion. GLAD-based nanostructures are emerging platforms with broad sensing applications due to their high sensitivity, enhanced optical and catalytic properties, periodicity, and controlled morphology. GLAD-fabricated nanochips and substrates for chemical and biosensing applications are replacing conventionally used nanomaterials due to their broad scope, ease of fabrication, controlled growth parameters, and hence, sensing abilities. This review focuses on recent advances in the diverse nanostructures fabricated via GLAD and their applications in the biomedical field. The effects of morphology and deposition conditions on GLAD structures, their biosensing capability, and the use of these nanostructures for various biosensing applications such as surface plasmon resonance (SPR), fluorescence, surface-enhanced Raman spectroscopy (SERS), and colorimetric- and wettability-based bio-detection will be discussed in detail. GLAD has also found diverse applications in the case of molecular imaging techniques such as fluorescence, super-resolution, and photoacoustic imaging. In addition, some in vivo applications, such as drug delivery, have been discussed. Furthermore, we will also provide an overview of the status of GLAD technology as well as future challenges associated with GLAD-based nanostructures in the mentioned areas.

Carbon nanotube photo-thermo-mechanical actuator.

Carbon nanotubes show a remarkable tendency for direct (rapid) temperature increase of the order of hundreds of degrees when exposed to near infra-red light. The reason is local confinement of the heat wave in their 1D structure which generates rapid temperature rise. Here we demonstrate that these high temperatures can be exploited to generate large deformation and force output by anchoring the nanotubes to a substrate. We report energy density (i.e., work done per unit mass) of the nanotube actuator as approximately 4268 J/Kg which is significantly larger than piezoceramic (approximately 4.25 J/Kg), magnetostrictive (approximately 21.6 J/Kg), lead-zinc-niobate/lead-titanate single-crystals (approximately 131 J/Kg), polyvinylidene fluoride trifluoro-ethylene copolymers (approximately 160 J/Kg) and shape memory alloys (approximately 1337 J/Kg).

Water droplet bouncing on a non-superhydrophobic Si nanospring array.

Self-cleaning surfaces often make use of superhydrophobic coatings that repel water. Here, we report a hydrophobic Si nanospring surface that effectively suppresses wetting by repelling water droplets. The dynamic response of Si nanospring arrays fabricated by glancing-angle deposition is investigated. These hydrophobic arrays of vertically standing nanosprings (about 250 nm high and 60 nm apart) allow the droplets to rebound within a few milliseconds after contact. Amazingly, the morphology of the nanostructures influences the impact dynamics. The rebound time and coefficient of restitution are higher for Si nanosprings than for vertical Si columns. By considering the droplet/nanospring surface as a coupled-spring system, we argue that the restoring force of the nanosprings may be responsible for the water-droplet rebound. The bouncing phenomena studied here are essential in the design of self-cleaning surfaces and are also of fundamental importance for the study of wetting behavior on nanostructures.

Influence of Cu doping on the local electronic and magnetic properties of ZnO nanostructures.

In this paper, we report the existence of defect induced intrinsic room-temperature ferromagnetism (RTFM) in Cu doped ZnO synthesized via a facile sol-gel route. The wurtzite crystal structure of ZnO remained intact up to certain Cu doping concentrations under the present synthesis environment as confirmed by the Rietveld refined X-ray diffraction pattern with the average crystallite size between 35 and 50 nm. Field emission scanning electron microscopy reveals the formation of bullet-like morphologies for pure and Cu doped ZnO. Diffuse reflectance UV-vis shows a decrease in the energy band gap of ZnO on Cu doping. Further, these ZnO samples exhibit strong visible photoluminescence in the region of 500-700 nm associated with defects/vacancies. Near-edge X-ray absorption fine-structure measurements at Zn, Cu L3,2- and O K-edges ruled out the existence of metallic Cu clusters in the synthesized samples (up to 2% doping concentration) supporting the XRD results and providing the evidence of oxygen vacancy mediated ferromagnetism in Cu : ZnO systems. The observed RTFM in Cu doped ZnO nanostructures can be explained by polaronic percolation of bound magnetic polarons formed by oxygen vacancies. Further, extended X-ray absorption fine-structure data at Zn and Cu K-edges provide the local electronic structure information around the absorbing (Zn) atom. The above findings for ZnO nanostructures unwind the cause of magnetism and constitute a significant lift towards realizing spin-related devices and optoelectronic applications.

Structural and electronic investigation of ZnO nanostructures synthesized under different environments.

An explicit study of comparison on the basis of structure and electronic properties of ZnO nanostructures was discussed. ZnO synthesized by sol-gel and hydrothermal method without using any surfactant leads to the formation of two different morphologies. Rietveld crystal structure refinement of X-ray diffraction patterns confirmed the wurtzite structure of both samples. Raman spectra also confirmed the wurtzite phase formation and improved crystallinity in sample synthesized by hydrothermal route that are concurrent with results obtained from X-ray diffraction. Field-emission scanning electron microscopy revealed the formation of ZnO spherical nanoparticle structure for sol-gel method and flower like µ-structure for ZnO prepared through hydrothermal route. Williamson-Hall equations applied to study the strain and stress parameters present in the material, show the decrease in their values as the crystal size increases. Energy band gap is calculated using diffused reflectance spectroscopy. Near-edge X-ray absorption fine-structure measurements at O K- and Zn L3,2- edges simulated with FEFF9.05 code confirmed the presence of oxygen vacancies. Further extended x-ray absorption fine-structure revealed a similar local atomic structure for both samples despite having different morphologies.

Mechanical Strain Induced Tunable Anisotropic Wetting on Buckled PDMS Silver Nanorods Arrays.

We report the fabrication of anisotropic superhydrophobic surface with dual-scale roughness by the deposition of silver nanorods arrays on prestretched poly(dimethylsiloxane) (PDMS) using oblique angle deposition and subsequent release of strain after the deposition, which resulted in the formation of microbuckles/wrinkles. The amplitude and periodicity of the wrinkles were tuned by varying the prestretching mechanical strain (ε) applied to the PDMS film from 0 to 30% prior to Ag nanorods deposition. The peaks and valleys in the surface topography of Ag nanorods arrays covered PDMS films lead to anisotropic wetting by water droplet. The droplet is free to move along the direction parallel to the wrinkles, but the droplet moving perpendicular to the wrinkles confront energy barrier leading to wetting anisotropy. The anisotropic wettability was tuned from 22 to 37° for 10-30% prestretched PDMS film. The dual scale roughness (nanorods on micro wrinkles) was found to be responsible for the superhydrophobicity (contact angle ∼155°) of the sample prepared for 30% prestretched PDMS film in perpendicular direction. The wetting behavior of the Ag nanorods PDMS film surface was reversibly tuned by applying the mechanical strain, which induces the change in the microscale roughness determined by amplitude (A) and periodicity (λ) of the buckles. Most interestingly, the water droplet also displayed the anisotropy in the roll-off angle. The effect of different A and λ on anisotropic wettability of Ag nanorods arrays/PDMS film was also demonstrated by lattice Boltzmann (LB) modeling. These findings may produce a promising way of controlling the direction of liquid flow such as in microfluidic devices and transportation of the microliter water droplets in a preset direction.

Comparative analysis of DNA polymorphisms and phylogenetic relationships among Syzygium cumini Skeels based on phenotypic characters and RAPD technique.

The Indian black berry (Syzygium cumini Skeels) has a great nutraceutical and medicinal properties. As in other fruit crops, the fruit characteristics are important attributes for differentiation were also determined for different accessions of S. cumini. The fruit weight, length, breadth, length: breadth ratio, pulp weight, pulp content, seed weight and pulp: seed ratio significantly varied in different accessions. Molecular characterization was carried out using PCR based RAPD technique. Out of 80 RAPD primers, only 18 primers produced stable polymorphisms that were used to examine the phylogenetic relationship. A sum of 207 loci were generated out of which 201 loci found polymorphic. The average genetic dissimilarity was 97 per cent among jamun accessions. The phylogenetic relationship was also determined by principal coordinates analysis (PCoA) that explained 46.95 per cent cumulative variance. The two-dimensional PCoA analysis showed grouping of the different accessions that were plotted into four sub-plots, representing clustering of accessions. The UPGMA (r = 0.967) and NJ (r = 0.987) dendrogram constructed based on the dissimilarity matrix revealed a good degree of fit with the cophenetic correlation value. The dendrogram grouped the accessions into three main clusters according to their eco-geographical regions which given useful insight into their phylogenetic relationships.

Genito-urinary tuberculosis revisited--13 years' experience of a single centre.

BACKGROUND: Tuberculosis had been declared by the World Health Organization (WHO) as 'public health emergency' in 1993. Extra pulmonary tuberculosis (E.P.T.B.) comprises 20-25% total burden of the disease in which genitourinary tuberculosis (GU.T.B.) is 4%. Timely diagnosis and treatment will prevent the sequelae of this disease. AIMS: To know the varied clinical presentations, diagnostic modalities and management of G.U.T.B. METHODS: During a 13-year-period, 117 retrospective cases of GUTB were admitted in the tertiary care centre. They were analyzed for clinical presentation, diagnostic modalities and management. RESULTS: Young patients mainly in third decade of life were commonly affected with higher incidence in females. In our study, the most common presentation was irritative voiding symptoms (66.47%) followed by haematuria (47.60%). Although it can affect the entire organ in genito-urinary system but, in the present study, kidney was the most affected organ (64.9%) following ureter (27.35%), urinary bladder (17.09%), prostate (3.4%) and epididymis (5.19%). In this study, we had not encountered any case of testicular and penile tuberculosis. Among the different diagnostic modalities in this study, the diagnostic positivity rate was 41.6% for the urine AFB test, 55.4% for the urine M. tuberculosis culture test and 67.7% for PCR. Chest x-ray was positive in 25.6% (30). ESR was raised in 62.5% and Mantoux test was positive in 61.2% patients. CONCLUSION: A high index of suspicion and a wide range of investigations may be required to achieve a complete diagnosis of genitourinary tuberculosis. Though short course chemotherapy with four-drug-regimen for six-month-duration is the mainstay of treatment, surgical interventions were required in 60% of cases of this study.

Urinary tract endometriosis: Review of 19 cases.

AIM: The aim of our study was to evaluate the treatment outcomes of medical and surgical management of urinary tract endometriosis. MATERIALS AND METHODS: Urinary tract endometriosis patients enrolled between Jan 2006 and May 2010 were retrospectively reviewed. Preoperative datas (mode of presentation, diagnosis, imaging), intraoperative findings (location and size of lesion), postoperative histopathology and follow-up were recorded and results were analyzed and the success rate of different modalities of treatment was calculated. RESULTS: In our study, of nineteen patients, nine had vesical involvement and ten had ureteric involvement. Among the vesical group, the success rate of transurethral resection followed by injection leuproide was 60% (3/5), while among the partial cystectomy group, the success rate was 100%. Among patients with ureteric involvement, success rate of distal ureterectomy and reimplantation was 100%, laparoscopic ureterolysis with Double J stenting followed by injection leuprolide was 75% while that of Gonadotropin- releasing hormone (GnRh) analogue alone was 67%. CONCLUSION: One should have a high index of suspicion with irritative voiding symptoms with or without hematuria, with negative urine culture, in all premenopausal women to diagnose urinary tract endometriosis. Partial cystectomy is a better alternative to transurethral resection followed by GnRh analogue in vesical endometriosis. Approach to the ureter must be individualised depending upon the severity of disease and dilatation of the upper tract to maximise the preservation of renal function.