Improvement in Active Cell Proliferation Area at Higher Permeability with Novel TPMS Lattice Structure.

The utilization of lattice-based scaffolds emerging as an advance technique over conventional bio-implants in Bone Tissue Engineering. In this study total six lattice structures are considered for permeability and wall shear stress (WSS) investigation. Namely TPMS-based Gyroid, Schwarz-P, Schwarz-D and two beam-based structure ? Cubic and Fluorite are compared with the proposed new lattice structure at porosity level of 80%, 75%, 70%. The proposed new lattice having combine characteristic of Gyroid and Schwarz-D TPMS lattice. The permeability is determined through Darcy's law, where the pressure drop across the lattice structure is calculated using a computational fluid dynamics (CFD) tool at flow rate between 0.2 to 10 ml/min. The Cubic and Schwarz-P lattice structures exhibited the highest permeability but at the cost of a lower active surface area for WSS, measuring below 155 mm2, means least cell proliferation occurs. While the permeability value in New Lattice structure is in the ideal range with the enhanced active surface area for WSS (514 mm2). The complex internal curvatures of New Lattice promote the cell proliferation while the through-pore holes allow the efficient cell seeding.

Finger millet (Eleusine coracana L.): from staple to superfood-a comprehensive review on nutritional, bioactive, industrial, and climate resilience potential.

MAIN CONCLUSION: This review discusses the Finger millet's rich nutritional profile, bioactive potential, and industrial applications, combined with its climate resilience, which make it a promising crop for enhancing food security and promoting sustainable agriculture. This review also highlights its significant potential to address malnutrition and mitigate climate change impacts. The emergence of Finger millet from "poor man's staple food" to "a nutrient rich cereal" has encouraged the need to explore this crop at a wider scale. It is a highly significant crop due to its rich nutritional and bioactive profile, diverse biological activities, and promising industrial applications, along with the high climate resilience. This comprehensive review evaluates its nutritional composition by comparing favorably with other cereals and millets and emphasizing its potential to address malnutrition and enhance food security. Furthermore, it explores the phytochemical/bioactive potential and strategies to enhance their bioavailability followed biological activities of Finger millet by highlighting its various health-promoting properties. The review also discusses industrial potential of finger millet including its role in nutraceutical and functional food production, as well as bioenergy generation. In addition, role of Finger millet as a climate-resilient crop; specifically, the available genetic resources and identification of genes and quantitative trait loci (QTLs) associated with major stress tolerance traits have also been discussed. By providing a comprehensive synthesis of existing knowledge, this study offers valuable insights for researchers, policymakers, and stakeholders engaged in efforts to promote sustainable agriculture, enhance food and nutrition security, and mitigate the impacts of climate change.

Insights from assessment for arrhythmia after CoViD-19 vaccination among Indians.

Post-vaccination myocarditis is usually moderate and transient, recovering quickly with conservative treatment. Therefore, it is of interest to assess for arrhythmia after CoViD-19 vaccination among Indians. We looked for ECG abnormalities in a small cohort of 50 participants after 52 weeks after receiving the Oxford/AstraZeneca CoViD-19 vaccination. Data shows that post-vaccination myocarditis is typically mild and transient, with most cases resolving swiftly through conservative management. Thus, it is unlikely that this vaccine will induce severe arrhythmias or life-threatening cardiac events in the general population.

Zeolites in wastewater treatment: A comprehensive review on scientometric analysis, adsorption mechanisms, and future prospects.

Zeolites possess a microporous crystalline structure, a large surface area, and a uniform pore size. Natural or synthetic zeolites are commonly utilized for adsorbing organic and inorganic compounds from wastewater because of their unique physicochemical properties and cost-effectiveness. The present review work comprehensively revealed the application of zeolites in removing a diverse range of wastewater contaminates, such as dyes, heavy metal ions, and phenolic compounds, within the framework of contemporary research. The present review work offers a summary of the existing literature about the chemical composition of zeolites and their synthesis by different methods. Subsequently, the article provides a wide range of factors to examine the adsorption mechanisms of both inorganic and organic pollutants using natural zeolites and modified zeolites. This review explores the different mechanisms through which zeolites effectively eliminate pollutants from aquatic matrices. Additionally, this review explores that the Langmuir and pseudo-second-order models are the predominant models used in investigating isothermal and kinetic adsorption and also evaluates the research gap on zeolite through scientometric analysis. The prospective efficacy of zeolite materials in future wastewater treatment may be assessed by a comparative analysis of their capacity to adsorb toxic inorganic and organic contaminates from wastewater, with other adsorbents.

Chlorinated volatile organic compounds (CVOCs) and 1,4-dioxane kinetics and equilibrium adsorption studies on selective macrocyclic adsorbents.

Chlorinated volatile organic compounds (CVOCs) are often found in combination with 1,4-dioxane which has been used as a solvent stabilizer. It would be desirable to separate these compounds since biodegradation of 1,4-dioxane follows an aerobic pathway while anaerobic conditions are needed for biodegrading CVOCs. Conventional adsorbents such as activated carbon (AC) and carbonaceous resins have high adsorption capacities for 1,4-dioxane and CVOCs but lack selectivity, limiting their use for separation (Liu et al., 2019). In the current work, two macrocyclic adsorbents, ß-CD-TFN and Res-TFN, were examined for selective adsorption of chlorinated ethenes in the presence of 1,4-dioxane. Both adsorbents exhibited rapid adsorption of the CVOCs and minimal adsorption of 1,4-dioxane. Res-TFN had a higher adsorption capacity for CVOCs than ß-CD-TFN (measured linear partition coefficient, Kd 2140 -9750 L⋅kg-1 versus 192-918 L⋅kg-1 for 1,1, DCE, cis-1,2-DCE and TCE, respectively) and was highly selective for CVOCs(TCE Kd ~117 Kd for 1,4-dioxane). By comparison, TCE and 1,4-dioxane adsorption on AC was approximately equal at 100 µg⋅L-1 and approximately 1/3 of the adsorption of TCE on the Res-TFN. The greater adsorption and selectivity of Res-TFN suggest that it can be used as a selective adsorbent to separate CVOCs from 1,4-dioxane to allow separate biodegradation.

n-Perfluorooctane versus n-Octane: Pyrene Fluorescence to Compare and Contrast Solute Solvation.

Fluorous solvents may offer distinctly different solvation environments to a solute compared to their hydrocarbon analogues due to the inherently high electronegativity associated with fluorine. Solute solvation within n-perfluorooctane (PFO) is compared with that in n-octane using the well-established polycyclic aromatic hydrocarbon (PAH) fluorescence probe pyrene in the temperature range of 288 to 318 K. Both density (ρ) and dynamic viscosity (η) of PFO are considerably higher than those of n-octane. UV-vis molecular absorbance, fluorescence emission/excitation, and excited-state emission intensity decay reveal the cybotactic region of pyrene to be more nonpolar in PFO than that in n-octane. Bimolecular quenching rate constants (kq) for the pyrene-nitrobenzene fluorophore-quencher pair adhere to the Stokes-Einstein formulation; however, they are considerably higher than the estimated rate constants for the diffusion-controlled process (kdiff). This is due to the high electron affinity of nitrobenzene leading to aromatic π-π interactions between pyrene and nitrobenzene. For a nonaromatic low electron affinity quencher, such as nitromethane, while kq < kdiff in n-octane, kq > kdiff in PFO. This is due to the fact that highly electronegative fluorines on PFO stabilize the partial positive charge (δ+) that develops on excited pyrene during electron/charge transfer to the quencher nitromethane, facilitating quenching in the process. Exciplex formation between pyrene and triethylamine (TEA) is more favored in PFO as opposed to n-octane although ηPFO > ηn-octane. The developing charge on the exciplex is stabilized by the electronegative fluorines of the PFO. The pyrene-TEA exciplex appears to form exclusively in the excited state of pyrene, and the kinetics of exciplex formation is in the subnanosecond regime. On the contrary, the efficiency of exciplex formation between pyrene and N,N-dimethylaniline (DMA) is comparable in PFO and n-octane, and the kinetics is slower in comparison to that of the pyrene-TEA exciplex. Certain ground-state heterogeneity is detected for the pyrene-DMA system in PFO due to the low solubilizing ability of the fluorous solvent. Highly electronegative fluorines on perfluorohydrocarbon solvents are found to offer unusual and unique solvation characteristics.

Comparing the Output of an Artificial Intelligence Algorithm in Detecting Radiological Signs of Pulmonary Tuberculosis in Digital Chest X-Rays and Their Smartphone-Captured Photos of X-Ray Films: Retrospective Study.

BACKGROUND: Artificial intelligence (AI) based computer-aided detection devices are recommended for screening and triaging of pulmonary tuberculosis (TB) using digital chest x-ray (CXR) images (soft copies). Most AI algorithms are trained using input data from digital CXR Digital Imaging and Communications in Medicine (DICOM) files. There can be scenarios when only digital CXR films (hard copies) are available for interpretation. A smartphone-captured photo of the digital CXR film may be used for AI to process in such a scenario. There is a gap in the literature investigating if there is a significant difference in the performance of AI algorithms when digital CXR DICOM files are used as input for AI to process as opposed to photos of the digital CXR films being used as input. OBJECTIVE: The primary objective was to compare the agreement of AI in detecting radiological signs of TB when using DICOM files (denoted as CXRd) as input versus when using smartphone-captured photos of digital CXR films (denoted as CXRp) with human readers. METHODS: Pairs of CXRd and CXRp images were obtained retrospectively from patients screened for TB. AI results were obtained using both the CXRd and CXRp files. The majority consensus on the presence or absence of TB in CXR pairs was obtained from a panel of 3 independent radiologists. The positive and negative percent agreement of AI in detecting radiological signs of TB in CXRd and CXRp were estimated by comparing with the majority consensus. The distribution of AI probability scores was also compared. RESULTS: A total of 1278 CXR pairs were analyzed. The positive percent agreement of AI was found to be 92.22% (95% CI 89.94-94.12) and 90.75% (95% CI 88.32-92.82), respectively, for CXRd and CXRp images (P=.09). The negative percent agreement of AI was 82.08% (95% CI 78.76-85.07) and 79.23% (95% CI 75.75-82.42), respectively, for CXRd and CXRp images (P=.06). The median of the AI probability score was 0.72 (IQR 0.11-0.97) in CXRd and 0.72 (IQR 0.14-0.96) in CXRp images (P=.75). CONCLUSIONS: We did not observe any statistically significant differences in the output of AI in digital CXRs and photos of digital CXR films.

Indian and global scenarios of Bisphenol A distribution and its new analogues: Prevalence & probability exceedance.

We compare, the prevalence, fate, and sources of Bisphenol A both globally and in India. India has the highest concentration of BPA and Bisphenol S(BPS) in general, with vegetables, particularly corn, beans, strings, and raw or canned vegetables, being the largest contributors. Among all the matrices, bisphenols (BPs) are found in the highest concentration in food, followed by surface water, wastewater, and indoor dust. BPA, BPS, and BPF are the most commonly reported analogues in India, with BPA being the most dominant category used worldwide. The highest concentration of BPs is observed in Uttar Pradesh, Punjab and Haryana that are three major agricultural states of India however, there is still a research gap regarding the dietary exposure to BPs on an individual level. Environmentally detected BPA occurs in a range of below detection to 10636 ng. L-1, with significant geographic variations. Interestingly, the order of abundance in India was maximum for BPS, which is contrary to the global average, where BPA is observed as most abundant. BPS is found to be the most common BPs analogue in surface water worldwide, with limited removal efficiency by both naturally remediation and conventional treatment methods. Similar patterns were observed in the US-India and Japan-Korea regions in terms of their source-sink-prevalence-fate dynamics. The probability of exceeding safe concentrations of BPs is higher in India and Korea, suggesting that these countries are more vulnerable to high prevalence concentrations and the subsequent public health hazards.

Mixotrophic growth of a ubiquitous marine diatom.

Diatoms are major players in the global carbon cycle, and their metabolism is affected by ocean conditions. Understanding the impact of changing inorganic nutrients in the oceans on diatoms is crucial, given the changes in global carbon dioxide levels. Here, we present a genome-scale metabolic model (iMK1961) for Cylindrotheca closterium, an in silico resource to understand uncharacterized metabolic functions in this ubiquitous diatom. iMK1961 represents the largest diatom metabolic model to date, comprising 1961 open reading frames and 6718 reactions. With iMK1961, we identified the metabolic response signature to cope with drastic changes in growth conditions. Comparing model predictions with Tara Oceans transcriptomics data unraveled C. closterium's metabolism in situ. Unexpectedly, the diatom only grows photoautotrophically in 21% of the sunlit ocean samples, while the majority of the samples indicate a mixotrophic (71%) or, in some cases, even a heterotrophic (8%) lifestyle in the light. Our findings highlight C. closterium's metabolic flexibility and its potential role in global carbon cycling.

Traversing the prevalence of microplastics in soil-agro ecosystems: Origin, occurrence, and pollutants synergies.

The ubiquity of plastics in modern life has made them a significant environmental concern and a marker of the Anthropocene era. The degradation of plastics results in the formation of microplastics (MPs), which measure 5 mm or less. The coexistence of MPs with other pollutants found in sludge, water treatment plant effluents, surface water, and groundwater, shapes the environmental landscape together. Despite extensive investigation, the long-term implications of MPs in soils remain uncertain, underscoring the importance of delving into their transportation and interactions with soil biota and other contaminants. The present article provides a comprehensive overview of MPs contamination in soil, encompassing its sources, prevalence, features, and interactions with soil flora and fauna, heavy metals, and organic compounds. The sources of MPs in soil agroecosystems are mulching, composting, littering, sewage sludge, irrigation water, and fertilizer application. The concentration of MPs reported in plastic mulch, littering, and sewage sludge is 503 ± 2760 items per kg-1, 4483 ± 2315 MPs/kg, and 11,100 ± 570 per/kg. The transport of MPs in soil agroecosystems is due to their horizontal and vertical migration including biotic and abiotic mobility. The article also highlighted the analytical process, which includes sampling planning, collection, purification, extraction, and identification techniques of MPs in soil agroecosystems. The mechanism in the interaction of MPs and organic pollutants includes surface adsorption or adhesion cation bridging, hydrogen bonding, charge transfer, ligand exchange, van der Waals interactions, and ion exchange.

Natural and human-made disaster and associated health outcomes among community-dwelling older adults in India: Findings from LASI, 2017-18.

BACKGROUND: Droughts, flash floods, rail accidents, and riots are relatively regular occurrences for those living in many low- and middle-income countries like India. While such natural and human-made disasters put everyone in harm's way, their toll on specific segments of society-like older adults-is the heaviest. Therefore, in this study, we examine (1) the prevalence of natural and human-made disasters in India and (2) the association between natural and human-made disasters and several physical and mental health outcomes among older Indians. METHODS: A cross-sectional study was conducted utilizing data come from the 2017-18 wave 1 of the nationally representative Longitudinal Ageing Study in India, comprising a sample of 29,333 older adults (14,120 males and 15,213 females) aged 60 years and above. Multivariate random intercept multilevel logistic regression analysis is used to examine the association between natural and human-made disasters and poor self-rated health, difficulty in activities of daily living, difficulty in instrumental activities of daily living, communicable diseases, non-communicable diseases, depressive symptoms, and psychiatric disorder. RESULTS: Overall, 3.58% of older adults reported that they have encountered any type of natural or human-made disaster in the past five years. Compared to those who did not experience any (natural or human-made) disaster, older adults who experienced any disaster had a higher prevalence of poor self-rated health (33.4% vs 23.31%), difficulty in activities of daily living (33.94% vs 23.00%), difficulty in instrumental activities of daily living (60.09% vs 47.70%), communicable diseases (49.57% vs 25.86%), depressive symptoms (17.30% vs 8.06%) and psychiatric disorders (3.42% vs 2.78%). After adjusting for the selected variables and the contextual effect, the odds of poor self-rated health (1.64 [1.40, 1.92]), difficulty in activities of daily living and instrumental activities of daily living (1.89 [1.61, 2.21] and 1.63 [1.40, 1.89]), communicable and non-communicable diseases (2.12 [1.83, 2.46] and 1.38 [1.20, 1.60]), depressive symptoms and psychiatric disorder (1.67 [1.55, 2.05] and 1.52 [1.33, 2.18]) were significantly higher among older adults who experienced a natural or human-made disaster than their counterparts without such an experience. CONCLUSIONS: Relative to their non-exposed counterparts, older Indians who survived natural or human-made disasters endured an inflated risk of poor self-rated health, functional difficulties, communicable and non-communicable diseases, depressive symptoms, and psychiatric disorders. As such, post-disaster efforts should be grounded in policies and programs that address disaster-related trauma and diseases and improve the functional, physical, and psychological facets of health among older disaster survivors.

Cholesterol Lowering in Older Adults: Should We Wait for Further Evidence?

PURPOSE OF REVIEW: Current guidelines for primary and secondary prevention of cardiovascular events in adults up to age 75 years are well-established. However, recommendations for lipid-lowering therapies (LLT), particularly for primary prevention, are inconclusive after age 75. In this review, we focus on adults ≥ 75 years to assess low-density lipoprotein-cholesterol (LDL-C) as a marker for predicting atherosclerotic cardiovascular disease (ASCVD) risk, review risk assessment tools, highlight guidelines for LLT, and discuss benefits, risks, and deprescribing strategies. RECENT FINDINGS: The relationship between LDL-C and all-cause mortality and cardiovascular outcomes in older adults is complex and confounded. Current ASCVD risk estimators heavily depend on age and lack geriatric-specific variables. Emerging tools may reclassify individuals based on biologic rather than chronologic age, with coronary artery calcium scores gaining popularity. After initiating LLT for primary or secondary prevention, target LDL-C levels for older adults are lacking, and non-statin therapy thresholds remain unknown, relying on evidence from younger populations. Shared decision-making is crucial, considering therapy's time to benefit, life expectancy, adverse events, and geriatric syndromes. Deprescribing is recommended in end-of-life care but remains unclear in fit or frail older adults. After an ASCVD event, LLT is appropriate for most older adults, and deprescribing can be considered for those approaching the last months of life. Ongoing trials will guide statin prescription and deprescribing among older adults free of ASCVD. In the interim, for adults ≥ 75 years without a limited life expectancy who are free of ASCVD, an LLT approach that includes both lifestyle and medications, specifically statins, may be considered after shared decision-making.

Instabilities and self-organization in spatiotemporal epidemic dynamics driven by nonlinearity and noise.

Theoretical analysis of epidemic dynamics has attracted significant attention in the aftermath of the COVID-19 pandemic. In this article, we study dynamic instabilities in a spatiotemporal compartmental epidemic model represented by a stochastic system of coupled partial differential equations (SPDE). Saturation effects in infection spread-anchored in physical considerations-lead to strong nonlinearities in the SPDE. Our goal is to study the onset of dynamic, Turing-type instabilities, and the concomitant emergence of steady-state patterns under the interplay between three critical model parameters-the saturation parameter, the noise intensity, and the transmission rate. Employing a second-order perturbation analysis to investigate stability, we uncover both diffusion-driven and noise-induced instabilities and corresponding self-organized distinct patterns of infection spread in the steady state. We also analyze the effects of the saturation parameter and the transmission rate on the instabilities and the pattern formation. In summary, our results indicate that the nuanced interplay between the three parameters considered has a profound effect on the emergence of dynamical instabilities and therefore on pattern formation in the steady state. Moreover, due to the central role played by the Turing phenomenon in pattern formation in a variety of biological dynamic systems, the results are expected to have broader significance beyond epidemic dynamics.

Progress and obstacles in employing carbon quantum dots for sustainable wastewater treatment.

We explored the potential of carbon quantum dots (CQDs) as novel materials for wastewater treatment and their role towards environmental sustainability. The advantages of CQDs over other carbon-based materials, when synthesized using the same precursor material and for the same contaminant are discussed, enabling future researchers to choose the appropriate material. CQDs have demonstrated exceptional adaptability in various wastewater treatment, acting as efficient adsorbents for contaminants, exhibiting excellent photocatalytic properties for degradation of organic pollutants, and functioning as highly sensitive sensors for water quality monitoring. We found that bottom-up approach has better control over particle size (resulting CQDs: 1-4 nm), whereas top-down synthesis approach (resulting CQDs: 2-10 nm) have more potential for large scale applications and tunability. Transmission electron microscopy (TEM) remains the most expensive characterization technique, which provides the best resolution of the CQD's surface. The study emphasizes on the environmental impact and safety considerations pertaining to CQDs by emphasizing the need for thorough toxicity evaluation, and necessary environmental precautions. The study also identifies the lacunae pertaining to critical challenges in practical implementation of CQDs, such as scalability, competition of co-existing contaminants, and stability. Finally, future research directions are proposed, advocating green synthesis approaches, tailored surface functionalization, and, lowering the overall cost for analysis, synthesis and application of CQDs.

Impact of Cr Doping on the Structural, Optical, and Magnetic Properties of Sol-Gel-Synthesized Bi0.80Ba0.10Pr0.10FeO3 Nanopowders.

The sol-gel route was used to synthesize a series of compounds of the system Bi0.8Ba0.10Pr0.10Fe1-x Cr x O3 within the 0 ≤ x ≤ 0.15 compositional range. To explore the impact of Cr3+ ion substitution on the structural, dielectric, optical, and magnetic properties, we introduced varying concentrations of Cr3+ while maintaining a fixed 10% atomic concentration of each Ba2+ and Pr2+ in BiFeO3. X-ray diffraction analysis revealed a structural phase transition from rhombohedral (R3c) for an undoped (i.e., without Cr) sample to two coexisting phases, i.e., a mix of rhombohedral and orthorhombic (Pbnm) phases for the Cr-doped samples. Cr3+ doping significantly changes the band gap energy from 1.84 eV (x = 0.0) to 1.93 eV (x = 0.15), which makes this material suitable for photovoltaic applications. Furthermore, each sample exhibited ferromagnetic behavior due to the disruption of the spiral spin structures and adjustments in superexchange interactions, attributed to modifications in the Fe-O and Fe-O-Fe bond lengths. A reduction in magnetization is observed at higher Cr concentrations that can be ascribed to the dilution of magnetic moments due to the increase of the orthorhombic phase percentage and the introduction of nonmagnetic Cr3+ ions. Our results show that Cr doping in the Bi0.8Ba0.10Pr0.10FeO3 system induces enhanced multiferroic properties at room temperature.

5-mC methylation study of sORFs in 3'UTR of transcription factor JUNGBRUNNEN 1-like during leaf rust pathogenesis in wheat.

BACKGROUND: JUB1, a NAC domain containing hydrogen peroxide-induced transcription factor, plays a critical role in plant immunity. Little is known about how JUB1 responds to leaf rust disease in wheat. Recent discoveries in genomics have also unveiled a multitude of sORFs often assumed to be non-functional, to argue for the necessity of including them as potential regulatory players of translation. However, whether methylation on sORFs spanning the 3'UTR of regulatory genes like JUB1 modulate gene expression, remains unclear. METHODS AND RESULTS: In this study, we identified the methylation states of two sORFs in 3'UTR of a homologous gene of JUB1 in wheat, TaJUB1-L, at cytosine residues in CpG, CHH and CHG sites at different time points of disease progression in two near-isogenic lines of wheat (HD2329), with and without Lr24 gene during leaf rust pathogenesis. Here, we report a significant demethylation of the CpG dinucleotides occurring in the sORFs of the 3'UTR in the resistant isolines after 24 h post-infection. Also, the up-regulated gene expression observed through RT-qPCR was directly proportional to the demethylation of the CpG sites in the sORFs. CONCLUSIONS: Our findings indicate that TaJUB1-L might be a positive regulator in providing tolerance during leaf rust pathogenesis and cytosine methylation at 3'UTR might act as a switch for its expression control. These results enrich the potential benefit of conventional methylation assay techniques for unraveling the unexplored enigma in epigenetics during plant-pathogen interaction in a cost-effective and confidentially conclusive manner.

Interesting Breast Tumours: A Tripod of Cases.

Knowledge regarding the lesser common breast tumours, including malignant papillary neoplasms and glycogen-rich clear cell carcinoma, is limited. Overall, cases of papillary carcinoma of the breast fare better than invasive breast carcinoma, from the data available in literature. Glycogen-rich clear cell carcinoma is characterized by the presence of clear cells, having mostly a poorer prognosis. We hereby present three such cases which would add to the existing available information. Case 1 is a 79-year-old female who presented with a left breast lump and bloody nipple discharge. Mammography suggested malignant lesion, with FNAC suspicious of malignancy. Surgery was done and histopathological examination showed irregular islands of tumour cells having papillary fronds with absence of myoepithelial layer. Immunohistochemically, the tumour was GATA3, CK7, ER, PR positive, HER2 negative, with Ki67 index 10%. The case was diagnosed as Solid papillary carcinoma. Case 2 is a 57-year-old female presenting with a left breast lump along with bloody nipple discharge. Mammography and FNAC were in favour of malignancy. Trucut biopsy was done, microscopy revealing a tumour having >90% papillary architecture with infiltrative pattern. Features were suggestive of Invasive breast carcinoma with papillaroid features. The tumour was GATA3, CK7, ER, PR positive, HER2 negative, with Ki67 index 15%. Case 3 is a 70-year-old female presenting with a right breast lump with nipple retraction. Mammography and FNAC were suggestive of malignancy. Trucut biopsy followed by microscopy revealed polygonal tumour cells with clear cytoplasm in nested pattern, showing positive staining for Periodic Acid Schiff. Immunostaining showed GATA3 positive, PAX8 negative, ER and PR positive, HER2 negative, and Ki67 index 20%. A diagnosis of Invasive breast carcinoma with Glycogen-rich clear cell pattern was made. Identifying these rare entities is important along with assessing hormone status for avoiding overtreatment and undertreatment and applying appropriate targeted therapies.

Biological and Computational Studies of Hydrazone based Transition Metal(II) Complexes.

In the chronicles of human history, infectious diseases played a pivotal role, influencing societies, steering advancements in medicine, and significantly impacting the well-being of people worldwide. Consequently, in the pursuit of identifying effective combating agents for infectious ailments, the Co(II), Ni(II), Cu(II), Zn(II) complexes of N'-(4-nitrobenzylidene)benzohydrazide were synthesized in the current investigation. Numerous spectral and physical analysis were conducted to characterize the compounds which revealed octahedral stereochemistry of complexes. The anti-tuberculosis, anti-inflammatory, antibacterial and antifungal investigations demonstrated that the compounds (1-5) have significant efficacy for these infectious ailments. The [Zn(L)2(H2O)2] complex (5) has comparable TB inhibition potency to streptomycin as shown by MIC value of 0.0196 ± 0.0003 µmol/mL. Additionally, the anti-inflammatory, antibacterial and antifungal studies also revealed the comparable inhibiting property of (5) to standard drugs with significant IC50 (07.49 ± 0.08 µM) and MIC (0.0098 µmol/mL) values. Furthermore, pharmacophore modeling with addition of molecular docking, DFT, MESP, ADMET were employed against (1-5) to give a new insight in biological evaluations. The pharmacophore modeling suggested that (5) has a distinctive pharmacophoric features including cationic sites, hydrogen-bond donors and acceptors which provide valuable insights into drug design for pharmacological applications. Moreover, another in silico investigations authenticate the bioactivity of (5).

Frailty and Cardiovascular Health.

The incidence of frailty and cardiovascular disease (CVD) increases as the population ages. There is a bidirectional relationship between frailty and CVD, and both conditions share several risk factors and underlying biological mechanisms. Frailty has been established as an independent prognostic marker in patients with CVD. Moreover, its presence significantly influences both primary and secondary prevention strategies for adults with CVD while also posing a barrier to the inclusion of these patients in pivotal clinical trials and advanced cardiac interventions. This review discusses the current knowledge base on the relationship between frailty and CVD, how managing CVD risk factors can modify frailty, the influence of frailty on CVD management, and future directions for frailty detection and modification in patients with CVD.