Hospitalization Events Among Adolescents and Adults With Sickle Cell Disease in a Tertiary Care Center in Central India.

BACKGROUND: Sickle cell disease (SCD) is an inherited red blood cell disorder, wherein mutation causes the substitution of glutamic acid to valine at the sixth position of the ß-globin chain. These include sickle cell anemia (homozygous sickle mutation), sickle-beta thalassemia, and hemoglobin SCD. The clinical manifestations of SCD are protean. Individuals with SCD suffer from both acute and chronic complications, which include recurring episodes of pain commonly called vaso-occlusive crisis (VOC) - acute chest syndrome (ACS); aseptic necrosis of the bone; micro-infarction of the spleen, brain, and kidney; infections; stroke; and organ damage affecting every part of the body. SCD necessitates frequent hospitalizations because of severe complications, which pose a significant burden on caregivers and economic strain on healthcare systems. The pattern of hospital admission with SCD varies in different parts of the world. OBJECTIVE: This study aimed to determine the causes of hospitalization among adolescent and adult patients with SCD and to determine factors associated with their hospital stay. METHODS: The study was a hospital-based prospective observational study comprising adolescent and adult patients diagnosed with SCD, aged 15-45 years, who were hospitalized in the Department of General Medicine at All India Institute of Medical Sciences in Raipur from August 2021 to August 2022. RESULT: According to our study, the primary reason for hospitalization was a painful crisis, accounting for 63% of cases, followed by infection (17%), ACS (11%), and acute hemolytic crisis (9%). Notably, we did not observe any significant differences between genders and causes of admission (p > 0.05). Joint pain (p = 0.005), back pain (p = 0.001), and chest pain (p = 0.001) were more frequently reported by adults over the age of 19. In addition, our analysis of the duration of hospital stays and various factors revealed that patients admitted for infections had a significantly longer mean hospital stay duration (p = 0.040). CONCLUSION: Acute painful crises were the primary cause of hospital admission among individuals with SCD; many patients also encountered infections and ACS. Furthermore, patients who experienced infections and VOC had a lengthier duration of hospital stay. Therefore, it is essential to provide them with comprehensive instructions on various preventive measures against infections and the factors that trigger painful crises.

Fluorescence-tagged salivary small extracellular vesicles as a nanotool in early diagnosis of Parkinson's disease.

BACKGROUND: Parkinson's disease is generally asymptomatic at earlier stages. At an early stage, there is an extensive progression in the neuropathological hallmarks, although, at this stage, diagnosis is not possible with currently available diagnostic methods. Therefore, the pressing need is for susceptibility risk biomarkers that can aid in better diagnosis and therapeutics as well can objectively serve to measure the endpoint of disease progression. The role of small extracellular vesicles (sEV) in the progression of neurodegenerative diseases could be potent in playing a revolutionary role in biomarker discovery. METHODS: In our study, the salivary sEV were efficiently isolated by chemical precipitation combined with ultrafiltration from subjects (PD = 70, healthy controls = 26, and prodromal PD = 08), followed by antibody-based validation with CD63, CD9, GAPDH, Flotillin-1, and L1CAM. Morphological characterization of the isolated sEV through transmission electron microscopy. The quantification of sEV was achieved by fluorescence (lipid-binding dye-labeled) nanoparticle tracking analysis and antibody-based (CD63 Alexa fluor 488 tagged sEV) nanoparticle tracking analysis. The total alpha-synuclein (α-synTotal) in salivary sEVs cargo was quantified by ELISA. The disease severity staging confirmation for n = 18 clinically diagnosed Parkinson's disease patients was done by 99mTc-TRODAT-single-photon emission computed tomography. RESULTS: We observed a significant increase in total sEVs concentration in PD patients than in the healthy control (HC), where fluorescence lipid-binding dye-tagged sEV were observed to be higher in PD (p = 0.0001) than in the HC using NTA with a sensitivity of 94.34%. In the prodromal PD cases, the fluorescence lipid-binding dye-tagged sEV concentration was found to be higher (p = 0.008) than in HC. This result was validated through anti-CD63 tagged sEV (p = 0.0006) with similar sensitivity of 94.12%. We further validated our findings with the ELISA based on α-synTotal concentration in sEV, where it was observed to be higher in PD (p = 0.004) with a sensitivity of 88.24%. The caudate binding ratios in 99mTc-TRODAT-SPECT represent a positive correlation with sEV concentration (r = 0.8117 with p = 0.0112). CONCLUSIONS: In this study, for the first time, we have found that the fluorescence-tagged sEV has the potential to screen the progression of disease with clinically acceptable sensitivity and can be a potent early detection method for PD.

Role of rare-earth oxides, conjugated with [Formula: see text], in the enhancement of power conversion efficiency of dye sensitized solar cells (DSSCs).

Different rare-earth (RE) metal-oxides nano-particles (NPs) viz. Samarium (III) oxide (Sm2O3), Neodymium (III) oxide (Nd2O3), and Gadolinium (III) oxide (Gd2O3) were synthesized using co-precipitation route, and investigated by structural, optical, and morphological studies. Findings and supporting studies were presented to understand the role of RE-metal-oxides NPs as photo-anode material for dye sensitized solar cells (DSSCs) applications. Structural analysis of prepared RE-metaloxides, by X-ray diffraction (XRD), reveals the crystalline nature of the particles ranging from 24 to 37 nm. Morphological study by field emission scanning electron microscopy (FESEM) supports the crystalline nature in the nano range of the prepared RE-metal oxides particles. The observed d values of each sample support the growth of Gd2O3, Nd2O3, and Sm2O3 material. The band-gap of prepared material was estimated from the UV-VIS absorption data and Tauc relation. The observed band gap values are 3.55 eV, 3.31 eV, and 3.52 eV for Gd2O3, Nd2O3, and Sm2O3 respectively. These values are reasonably high compare to the bulk values, indicates the nanostructure formation. Optimized RE-metal oxides NPs employed in the form of TiO2 photo anode for the fabrication of DSSCs. FESEM confirms that the Gd2O3-based photo-anode shows more uniform and decent coverage with more porosity on the TiO2. The EIS measurements of prepared DSSCs also supported the improvement in the photovoltaic output for the modified photo-anode devices as cells with modified photo-anode exhibited less charge recombination at the photo-anode/dye/electrolyte interface with increased electron lifetime leading to improved device performance as compared to the unmodified-based DSSCs. The highest efficiency 5.51% was demonstrated by [Formula: see text]/[Formula: see text] photo-anode-based DSSCs compare to Sm2O3, and Nd2O3 activated photo-anode.

Optimization of process parameters for improved chitinase activity from Thermomyces sp. by using artificial neural network and genetic algorithm.

Chitinase is responsible for the breaking down of chitin to N-acetyl-glucosamine units linked through (1-4)-glycosidic bond. The chitinases find several applications in waste management and pest control. The high yield with characteristics thermal stability of chitinase is the key to their industrial application. Therefore, the present work focuses on parameter optimization for chitinase production using fungus Thermomyces lanuginosus MTCC 9331. Three different optimization approaches, namely, response surface methodology (RSM), artificial neural network (ANN) and genetic algorithm (GA) were used. The parameters under study were incubation time, pH and inoculum size. The central composite design with RSM was used for the optimization of the process parameters. Further, results were validated with GA and ANN. A multilayer feed-forward algorithm was performed for ANN, i.e., Levenberg-Marquardt, Bayesian Regularization, and Scaled Conjugate Gradient. The ANN predicted values gave higher chitinase activity, i.e., 102.24 U/L as compared to RSM-predicted values, i.e., 88.38 U/L. The predicted chitinase activity was also closer to the observed data at these levels. The validation study suggested that the highest activity of chitinase as predicted by ANN is in line with experimental analysis. The comparison of three different statistical approaches suggested that ANN gives better optimization results compared to the GA and RSM study.

Data on primary hydration characteristics of aqueous electrolytes.

The data presented in this article support the research article entitled "Development of a rationale for decoupling osmotic coefficient of electrolytes into electrostatic and nonelectrostatic contributions" (Sahu and Juvekar, 2018) [1]. In this article, we have presented the plots of osmotic coefficients against molality for more than hundred aqueous single electrolytes at 25 °C. The linear regions in these plots are marked to show that they are present in all these electrolytes and that these regions extend over a wide range of concentrations. Slopes of the linear regions are used to estimate the primary molar hydration volume as well as the primary hydration number of these electrolytes. These values are also listed and the method of estimation is presented with sample calculation. These data, not only reinforce the observations made in the main article but also provide useful measures for estimation of the nonelectrostatic contribution to the osmotic coefficient.

Attribution of antibacterial and antioxidant activity of Cassia tora extract toward its growth promoting effect in broiler birds.

AIM: The study was conducted to evaluate the attribution of antibacterial and antioxidant activity of methanolic extract of Cassia tora toward its growth promoting effect in broiler birds. MATERIALS AND METHODS: A limit test was conducted for C. tora extract in Wistar albino rats. Phytochemical screening of methanolic extract of leaves of C. tora was carried out. In-vitro antibacterial activity was measured by disc diffusion method. 1-day-old Ven Cobb broiler birds (n=90) were randomly allocated into three groups consisting of three replicates with 10 birds in each group. The birds of group T1 (Control) received basal diet, whereas birds of group T2 (Standard) received an antibiotic (Lincomycin at 0.05% in feed). The birds of group T3 (Test) received Cassia tora extract (CSE) at 0.4 g/L in drinking water in addition to basal diet. The treatment was given to birds of all the groups for 6 weeks. Antioxidant activity of C. tora was determined in blood of broiler birds. Cumulative body weight gain, feed intake, feed conversion ratio (FCR), dressing percent, and organ weight factor were evaluated to determine growth performance in broiler birds. RESULTS: Phytochemicals in C. tora were screened. Sensitivity to Escherichia coli and resistant to Staphylococcus aureus and Pseudomonas aeruginosa was observed in in-vitro antibacterial activity test. At the end of 6th week, antioxidant activity reflected significantly (p≤0.05) lower level of erythrocyte malondialdehyde and higher levels of reduced glutathione (GSH) and GSH peroxidase in broiler birds of group T2 and T3 as compared to broiler of group T1. Mean cumulative body weight gain of birds of T2 and T3 were significantly (p≤0.05) higher as compared to T1. Mean FCR of birds of group T3 decreased significantly than group T1. CONCLUSION: Supplementation of C. tora leaves extract at 0.4 g/L in drinking water improved growth performance in broiler birds due to its antimicrobial and antioxidant activity. Therefore, it could be used as an alternative to antibiotic growth promoter in poultry ration.

Micropropagation of Dalbergia sissoo Roxb. through tissue culture technique.

Multiple shoots of Dalbergia sissoo Roxb. (Sissoo) were incited from seeds through indirect somatic embryogenesis method. Seeds were inoculated in Murashige and Skoog's medium without any growth hormone. Than cotyledonary leaves were struck and used for callus induction on MS medium amplified with 2, 4-dichlorophenoxyacetic acid (0.5 to 4 mg mL(-1)). After 3 to 4 weeks the embryogenic callus clumps was transferred to medium supplemented with cytokinin (BAP 1 to 5 mg L(-1), kinetin 1-5.0 mg L(-1)) for embryo maturation and germination. The high-frequency shoot proliferation (82%) and maximum number of shoots per explants were recorded in MS medium containing NAA (0.5)+BAP (0.5). The findings of recent investigations have shown that, it is possible to induce indirect somatic embryogenesis in Dalbergia sissoo and plant regeneration from callus cultures derived from cotyledonary leaves as explants.