Co-pyrolysis of orange peel and eggshell for oxygenated rich composite: Process optimization with response surface methodology.

Co-pyrolysis of orange peel and chicken eggshell was performed for the synthesis of the composite, a co-pyrolysis technique used to promote natural fabrication and to allow the raw material elemental combination effect and the preparatory conditions such as pyrolysis temperature, residence time, and eggshell/orange peel mixing ratio, to be optimized with the response surface methodology through Box-Behnken Design(BBD). BBD involved a randomized series of 17 experimental runs, and the best optimal conditions were found with a pyrolysis temperature of 300 °C, a residence time of 1 h, and 0.5 as the mixing ratio. These conditions gave a maximum adsorption capacity of 167 mg/g for removal of the modal pollutant methylene blue. FTIR spectra of the composite showed new functional peaks of oxygenated groups, at two different bands. XRD confirmed an amorphous surface with inorganic component peaks, while SEM-EDS revealed rich defects sites along with an enhanced percentage of oxygen elements on the surface; the surface area was enhanced from 1 m2 with unmodified peel to 64 m2 with composite. The adsorption behavior of the composite was studied for dye removal and the adsorption behavior was well explained by the Langmuir isotherm model.

The Study of Clinical Profile of Patients With Mucormycosis During COVID-19 Pandemic in Tertiary Care Hospital.

INTRODUCTION: Mucormycosis has gained a huge number of cases in the second wave of post COVID-19 infection, which may be attributed to increased awareness, advancement in diagnostic techniques, and an increase in the prevalence of predisposing factors. This study evaluated the pattern, risk factors, and clinical profile of patients with mucormycosis during the second wave of the COVID-19 pandemic. METHODS: A prospective observational study was conducted in the Department of Emergency Medicine of a dedicated tertiary care hospital for COVID-19. The Institutional Ethics Committee approved the study. One hundred five patients diagnosed with mucormycosis were included from June 2021 to December 2021. Informed consent was obtained from the patients. Data on demography, clinical features, predisposing factors, co-morbid conditions, and microbiological samples were obtained and analyzed. RESULTS:  Out of 105 patients, 71 were male, and 34 were female. The patient presented with mucormycosis between the 2nd and 3rd week of post COVID-19 infection. Incidence was mainly seen in patients in their fifties, mostly associated with diabetes mellitus (DM) (53.30%), oxygen administration (80%), and previous use of steroids (45.71%). Predominantly, males were more affected. The most common presentation was headache (50.47%), orbital pain with restricted ocular movement (47.67%), proptosis (42.85%), and diminished vision (41.90%). Rhino-orbital-cerebral mucormycosis (ROCM) was the most common presentation of mucormycosis, while only five cases of pulmonary mucormycosis were found. CONCLUSION: ROCM was the most common presentation of mucormycosis between the second and third week of post COVID-19 infection. Diabetes mellitus and inadvertent use of steroids were major predisposing factors. Therefore, a high degree of suspicion and early diagnosis with initiation of treatment is warranted in cases of mucormycosis in post COVID-19 infection.

Multilevel hysteresis modulation (MHM) for sliding mode controlled dual inverter PV systems.

In this article, proposes an adaptive multiband hysteresis modulation and its characterization based on a robust nonlinear sliding-mode control (RNSMC) strategy of a dual two-level inverter topologies for photovoltaic (PV) system subject to robust and fast-tracking characteristics and external disturbance rejection. Using the RNSMC based novel, vector control schemes are designed and implemented to improve its robustness and against the rejection of external disturbances. The control scheme ensures the active power is stable across the whole operation of the PV systems (standalone and grid-connected). The reachability and stability analysis are obtaining the robustness of the controller. Tsypkin's method is used to realize the switching frequency characterization. The development and implementation approach of the proposed control strategy is thoroughly detailed, and its effectiveness is validated on the simulation and real-time laboratory tests. Moreover, the proposed scheme is superior in keeping the enhanced efficiency, multilevel voltage waveforms, and total harmonic distortion (THD) reduction in current within the necessary standard limitations even under different operating conditions.

Incidence of Acute Myocardial Infarction in Patients Presenting With Cerebrovascular Accident in a Tertiary Care Centre in Eastern India.

Acute myocardial infarction in individuals who have had a cerebrovascular accident or transient ischemic attack (CVA-TIA) is a medical emergency, which must be examined and treated as soon as possible. Physicians face a significant problem in managing this scenario because early treatment of one ailment would surely postpone treatment of the other. Early detection and treatment will have an impact on the patient's morbidity and mortality in the future, as well as aid in the patient's rehabilitation. On the basis of ECG alterations and cardiac biomarkers, a prospective observational study was conducted in 103 diagnosed CVA patients to investigate the incidence of myocardial infarction. Infarct and hemorrhagic CVA cases were evenly distributed. According to the age-based distribution, the highest rate of myocardial infarction (8%, 8) was observed in those aged 51-60 years. The male-to-female ratio is 1.86:1. Thirty-two patients had diabetes, among them 75% had only elevated creatine kinase MB (CKMB) with no myocardial infarction (MI), whereas 59 patients had hypertension of which 70% had only elevated CK-MB with no MI. ST-elevation myocardial infarction (STEMI) with high CKMB accounted for 14.78% (15) of the cases, but the majority (71%, 73) of the cases had elevated CKMB with no MI, and the rest presented with normal CKMB. Elevated CKMB with or without STEMI serves as a poor prognosticating factor. Therefore, these patients should be managed on a priority basis for a better outcome.

Correction: Incidence of Acute Myocardial Infarction in Patients Presenting With Cerebrovascular Accident in a Tertiary Care Centre in Eastern India.

[This corrects the article DOI: 10.7759/cureus.29005.].

Does exposure to health information through mobile phones increase immunisation knowledge, completeness and timeliness in rural India?

INTRODUCTION: Immunisation plays a vital role in reducing child mortality and morbidity against preventable diseases. As part of a randomised controlled trial in rural Madhya Pradesh, India to assess the impact of Kilkari, a maternal messaging programme, we explored determinants of parental immunisation knowledge and immunisation practice (completeness and timeliness) for children 0-12 months of age from four districts in Madhya Pradesh. METHODS: Data were drawn from a cross-sectional survey of women (n=4423) with access to a mobile phone and their spouses (n=3781). Parental knowledge about immunisation and their child's receipt of vaccines, including timeliness and completeness, was assessed using self-reports and vaccination cards. Ordered logistic regressions were used to analyse the factors associated with parental immunisation knowledge. A Heckman two-stage probit model was used to analyse completeness and timeliness of immunisation after correcting for selection bias from being able to produce the immunisation card. RESULTS: One-third (33%) of women and men knew the timing for the start of vaccinations, diseases linked to immunisations and the benefits of Vitamin-A. Less than half of children had received the basic package of 8 vaccines (47%) and the comprehensive package of 19 vaccines (44%). Wealth was the most significant determinant of men's knowledge and of the child receiving complete and timely immunisation for both basic and comprehensive packages. Exposure to Kilkari content on immunisation was significantly associated with an increase in men's knowledge (but not women's) about child immunisation (OR: 1.23, 95% CI 1.02 to1.48) and an increase in the timeliness of the child receiving vaccination at birth (Probit coefficient: 0.08, 95% CI 0.08 to 0.24). CONCLUSION: Gaps in complete and timely immunisation for infants persist in rural India. Mobile messaging programmes, supported by mass media messages, may provide one important source for bolstering awareness, uptake and timeliness of immunisation services. TRIAL REGISTRATION NUMBER: NCT03576157.