Prevalence and risk factors for falls among the community dwelling older adults of Thrissur: A pilot study.

Background: According to World Health Organization (WHO) statistics, every year 28-35% of people over 65 years and 32-42% of people over 70 years experience falls. Given that many falls are preventable, can occur in any population, and can result in significant morbidity and mortality, falls are receiving more attention as a major global issue. Objective: The objectives of this study were as follows: 1. To measure the prevalence of falls among the elderly living in the Thrissur Taluk Health Centre. 2. To identify the risk factors associated with falls in the elderly using the Centre for Disease Control and Prevention, Stopping Elderly Accidents, Deaths and Injuries (CDCs STEADI) 2019 scale and the Timed Up and Go (TUG) scale. 3. To find the association between the risk factors and the prevalence of fall among older people. Materials and Methods: A cross-sectional study was conducted to find the prevalence of fall among the elderly in Thrissur Taluk Health Centers. CDCs STEADI 2019 fall risk assessment tool was used to assess the risk factors associated with the elderly. TUG test was used to determine gait, balance, strength, and posture. Results: In our study, we discovered a prevalence of 41 percent of falls among the community-dwelling older adults of Thrissur. This study has shown that the risk of fall was higher among the female elderly population. 88% are found to be at high risk of fall, and 65% of the population were worried about fall. Conclusion: This study found out a high prevalence of falls among community dwelling older adults.A future study with a larger sample size would be more helpful to confirm the impact of different variables in relation to the risk of fall among the elderly.

Random Lasing for Bimodal Imaging and Detection of Tumor.

The interaction of light with biological tissues is an intriguing area of research that has led to the development of numerous techniques and technologies. The randomness inherent in biological tissues can trap light through multiple scattering events and provide optical feedback to generate random lasing emission. The emerging random lasing signals carry sensitive information about the scattering dynamics of the medium, which can help in identifying abnormalities in tissues, while simultaneously functioning as an illumination source for imaging. The early detection and imaging of tumor regions are crucial for the successful treatment of cancer, which is one of the major causes of mortality worldwide. In this paper, a bimodal spectroscopic and imaging system, capable of identifying and imaging tumor polyps as small as 1 mm2, is proposed and illustrated using a phantom sample for the early diagnosis of tumor growth. The far-field imaging capabilities of the developed system can enable non-contact in vivo inspections. The integration of random lasing principles with sensing and imaging modalities has the potential to provide an efficient, minimally invasive, and cost-effective means of early detection and treatment of various diseases, including cancer.

Reference range for glycated haemoglobin in full term non diabetic pregnant women: a multicentric cross sectional study.

BACKGROUND: There are no large studies to define the normal value of glycated haemoglobin (HbA1c) measured in full term pregnant women measured at the time of delivery. RESEARCH DESIGN AND METHODS: The study was conducted at three government hospitals in South India. Clinical data, maternal blood sample and foetal cord blood sample were collected from women admitted for safe confinement. Mean (± SD) of HbA1c in participants with no known diabetes (gestational or pregestational) or any complications (maternal or fetal) is described, 2.5th-97.5th centile reference range was derived. RESULTS: From 3 centres, 2004 women participated in the study. Data from 1039 participants who had no history of diabetes or any maternal or fetal complication were used to determine the reference range for HbA1c at term pregnancy. The mean HbA1c in subjects devoid of diabetes and its known complications was 5.0 (± 0.39) %. The reference range for normal HbA1c at term in these women was found to be 4.3-5.9%. Maternal HbA1c at term pregnancy in non-diabetic pregnant women is associated with pre-pregnancy BMI, maternal age and 2-h plasma glucose level of 2nd trimester oral glucose tolerance test (OGTT). CONCLUSIONS: The mean HbA1c at term pregnancy in non-diabetic women admitted for safe confinement is 5.00 (± 0.39) %. An HbA1c of 5.9% or more at term should be considered abnormal and women with such a value may be kept at a close surveillance for development of diabetes.

Lasing from Micro- and Nano-Scale Photonic Disordered Structures for Biomedical Applications.

A disordered photonic medium is one in which scatterers are distributed randomly. Light entering such media experiences multiple scattering events, resulting in a "random walk"-like propagation. Micro- and nano-scale structured disordered photonic media offer platforms for enhanced light-matter interaction, and in the presence of an appropriate gain medium, coherence-tunable, quasi-monochromatic lasing emission known as random lasing can be obtained. This paper discusses the fundamental physics of light propagation in micro- and nano-scale disordered structures leading to the random lasing phenomenon and related aspects. It then provides a state-of-the-art review of this topic, with special attention to recent advancements of such random lasers and their potential biomedical imaging and biosensing applications.

Plasmonic random laser enabled artefact-free wide-field fluorescence bioimaging: uncovering finer cellular features.

Narrow bandwidth, high brightness, and spectral tunability are the unique properties of lasers that make them extremely desirable for fluorescence imaging applications. However, due to the high spatial coherence, conventional lasers are often incompatible for wide-field fluorescence imaging. The presence of parasitic artefacts under coherent illumination causes uneven excitation of fluorophores, which has a critical impact on the reliability, resolution, and efficiency of fluorescence imaging. Here, we demonstrate artefact-free wide-field fluorescence imaging with a bright and low threshold silver nanorod based plasmonic random laser, offering the capability to image finer cellular features with sub-micrometer resolution even in highly diffusive biological samples. A spatial resolution of 454 nm and up to 23% enhancement in the image contrast in comparison to conventional laser illumination are attained. Based on the results presented in this paper, random lasers, with their laser-like properties and spatial incoherence are envisioned to be the next-generation sources for developing highly efficient wide-field fluorescence imaging systems having high spatial and temporal resolution for real-time, in vivo bioimaging.

Leprous Neuropathy: Observational Study Highlighting the Role of Electrophysiology in Early Diagnosis.

Background Worldwide leprosy is a common cause of peripheral neuropathy. Electrophysiology is underutilized in its diagnosis. Objective This study aims to evaluate the usefulness of electrophysiological study in the diagnosis of leprous neuropathy. Materials and Methods Clinical and electrophysiological abnormalities of 36 histopathology proven leprosy patients from January 2015 to January 2017 were studied. Statistical Analysis Proportions were compared by Chi-square test. Results Total patients were 36. Thirty-four patients had abnormal electrophysiology and 34 had neurological deficits like weakness, sensory changes, and thickening. By clinical examination, multiple nerve involvement (motor weakness, sensory changes, and nerve thickening) occurred in 29, single nerve in 5, and no nerve involvement in 2. With electrophysiology, multiple nerve involvement (mononeuritis multiplex) was present in 32, single nerve in 2, and normal conduction parameters in 2. From the 36 patients, a total of 1,008 nerves were subjected to clinical examination and 132 were picked up clinically as affected, (13.1%). Electrophysiological study was done in 504 nerves, and 215 were found to be involved, (43%). Nerve abnormality detected by electrophysiology is significantly higher than clinical detection. (Chi-square =164.4054; p = 0.0000). Clinically, the most commonly affected nerve was unar (27) and the least affected was median (2) nerve. Electrophysiology detected 69% of nerves with demyelination and 35% of nerves with axonal features (mosaic pattern). Discussion There was subclinical neuropathy with electroclinical dissociation, as evidenced by more abnormality in electrophysiology than clinical examination. The nerve involvement was mononeuritis or mononeuritis multiplex pattern, both clinically and electrophysiologically. Electrophysiology showed both axonal and demyelinating nerve involvement (mosaic pattern). All the three features are present in leprous neuropathy. In corollary, if a patient has these electrophysiological features, he should be thoroughly investigated for leprosy. Conclusion Triple findings, such as subclinical neuropathy with electroclinical dissociation, mononeuritis multiplex, and mosaic pattern of demyelination and axonopathy, suggest leprous neuropathy.

Bio-inspired wrinkle microstructures for random lasing governed by surface roughness.

A method for fabricating bio-inspired scattering substrates based on polydimethylsiloxane (PDMS) for spatially incoherent random lasing is presented. The leaves of monstera and piper sarmentosum plants are used to mold PDMS polymer to form wrinkle-like scattering substrates, which are then used with a liquid gain medium for random lasing. Scattering is attributed to the surface roughness (Sa) of the samples. The rougher sample with 5.2 µm Sa shows a two-mode stable lasing with a 2 nm linewidth and a lower threshold fluence of 0.2mJ/cm2 compared to the sample with smaller Sa (3.6 µm) with a linewidth of 5 nm and a threshold fluence of 0.5mJ/cm2. The waveguide theory substantiates the results of incoherent random lasing through a relation between the microstructure feature size and the mean free path. Power Fourier transform analysis is used to deduce the resonant cavity length of 180 µm in the rougher sample, and the observed variations in cavity length with Sa validate the optical feedback. PDMS being hydrophobic, the scattering substrate can be reused by wiping off the gain medium. This Letter paves the way for facile fabrication methods of bio-inspired random lasers for sensing and imaging applications.

Universality in spectral condensation.

Self-organization is the spontaneous formation of spatial, temporal, or spatiotemporal patterns in complex systems far from equilibrium. During such self-organization, energy distributed in a broadband of frequencies gets condensed into a dominant mode, analogous to a condensation phenomenon. We call this phenomenon spectral condensation and study its occurrence in fluid mechanical, optical and electronic systems. We define a set of spectral measures to quantify this condensation spanning several dynamical systems. Further, we uncover an inverse power law behaviour of spectral measures with the power corresponding to the dominant peak in the power spectrum in all the aforementioned systems.

Cost-Effective Realization of Multimode Exciton-Polaritons in Single-Crystalline Microplates of a Layered Metal-Organic Framework.

We report the observation of multimode exciton-polaritons in single-crystalline microplates of a two-dimensional (2D) layered metal-organic framework (MOF), which can be synthesized through a facile solvothermal approach, thereby eliminating all fabrication complexities usually involved in the construction of polariton cavities. With a combination of experiments and theoretical modeling, we have found that the exciton-polaritons are formed at room temperature as a result of a strong coupling between Fabry-Perot cavity modes formed inherently by two parallel surfaces of a microplate and Frenkel excitons provided by the 2D layers of dye molecular linkers in the MOF. Flexibility in rational selection of dye linkers for synthesizing such MOFs renders a large-scale, low-cost production of solid-state, micro-exciton-polaritonic devices operating in the visible and near-infrared range. Our work introduces MOFs as a new class of potential materials to explore polariton-related quantum phenomena in a cost-effective manner.

Stokes mode Raman random lasing in a fully biocompatible medium.

We demonstrate for the first time, to the best of our knowledge, Raman random lasing in a continuous-wave (CW) excited, completely biocompatible and biodegradable carrot medium naturally composed of fibrous cellulose scattering medium and rich carotene Raman gain medium. The CW-laser-induced photoluminescence threshold and linewidth analysis at the Stokes modes of carotene show a characteristic lasing action with a threshold of 130 W/cm2 and linewidth narrowing with mode Q factor up to 1300. Polarization study of output modes reveals that lasing mode mostly retains the source polarization state. A neat and interesting linear temperature dependence of emission intensity is also discussed. Easy availability, biocompatibility, excitation-dependent emission wavelength selectivity, and temperature sensitivity are hallmarks of this elegant Raman laser medium with strong potential as an optical source for applications in bio-sensing, imaging, and spectroscopy.

Femtosecond laser-pumped plasmonically enhanced near-infrared random laser based on engineered scatterers.

In this Letter, we report on the design, fabrication, and implementation of a novel plasmon-mode-driven low-threshold near-infrared (NIR) random laser (RL) in the 850-900 nm range based on plasmonic ZnS@Au core-shell scatterers. Plasmon modes in the NIR region are used for nanoscale scatterer engineering of ZnS@Au core-shell particles to enhance scattering, as against pristine ZnS. This plasmonic scattering enhancement coupled with femtosecond (fs) laser pumping is shown to cause a three-fold lasing threshold reduction from 325 µJ/cm2 to 100 µJ/cm2 and a mode Q-factor enhancement from 200 to 540 for ZnS@Au-based RL, as compared to pristine ZnS-based RL. Local field enhancement due to plasmonic ZnS@Au scatterers, as evidenced in the finite-difference time-domain simulation, further adds to this enhancement. This work demonstrates a novel scheme of plasmonic mode coupling in the NIR region and fs excitation in a random laser photonic system, overcoming the inherent deficiencies of weak absorption of gain media and poor scattering cross sections of dielectric scatterers for random lasing in the NIR spectrum.

Enhanced Photovoltaic Performance in Polypyrrole Nanoparticles Counter Electrode Due to Incorporation of Multi-Walled Carbon Nanotubes.

In this present work, Multi-walled carbon nanotubes (MWNTs) with different content by weight (10%, 20%, 30%, 50% and 70%) are introduced into Polypyrrole nanoparticles (PPy NP) matrix and fabricated as Pt free counter electrodes (CEs) for dye-sensitized solar cell (DSSC). For comparison DSSCs using pristine PPy NP, MWNTs and Platinum (Pt) were also fabricated. The incorporation of MWNTs acts as conductive channel and co-catalyst to the PPy NP CEs in the reduction of li to I-. The electrochemical catalytic activities of different CEs were analysed by Cyclic Voltammetry (CV) and Electrochemical Impedance Spectroscopy (EIS) and photovoltaic performance was studied under standard AM 1.5 sunlight illumination. It was observed that incorporation of MWNTs in the PPy NP CE greatly enhanced the catalytic activity for I3 reduction and significantly reduced the charge transfer resistance in the PPy NP/MWNTs composite CE finally improving short-circuit photocurrent density, fill factor, open circuit voltage and power conversion efficiency of DSSC. DSSC fabricated from PPy NP/MWNTs composite CE with 50% MWNTs content reached the highest photoconversion efficiency of 5.80% which is 91% that of Pt CE based DSSC (6.37%).

Micropatterning of porphyrin nanotubes thin film using focused laser writing.

We report an effective process to create micropatterns on a thin film of porphyrin nanotubes PNTs on Si substrate using focused laser beam. The optical properties of the newly synthesized porphyrin nanotubes are investigated and micropatterning is demonstrated using laser fabrication, an increasingly important tool in various fields of research. We made use of this laser cutting method to create interesting and useful two-dimensional patterned structures. The shapes and sizes of the structures created can be controlled by varying the power of the laser, angle of incident of the focused laser beam, the relative speed with which the laser beam traverse through the film and the magnification of objective lens used.

Morphological properties of Ag2SeTe nano thin films prepared by thermal evaporation.

Semiconducting silver selenide telluride (Ag2SeTe) thin films were prepared with different thicknesses onto glass substrates at room temperature using thermal evaporation technique. The structural properties were determined as a function of thickness by X-ray diffraction exhibiting no preferential orientation along any plane; however, the films are found to have peaks corresponding to mixed phase. The morphology of these films was studied using scanning electron microscope and atomic force microscopy respectively, and is reported. The morphological properties are found to be very sensitive to the thin film thickness. The composition of the films is also estimated using energy dispersive analysis using X-rays and are also reported.

Single- and few-layer graphene growth on stainless steel substrates by direct thermal chemical vapor deposition.

Increasing interest in graphene research in basic sciences and applications emphasizes the need for an economical means of synthesizing it. We report a method for the synthesis of graphene on commercially available stainless steel foils using direct thermal chemical vapor deposition. Our method of synthesis and the use of relatively cheap precursors such as ethanol (CH(3)CH(2)OH) as a source of carbon and SS 304 as the substrate proved to be economically viable. The presence of single- and few-layer graphene was confirmed using confocal Raman microscopy/spectroscopy. X-ray photoelectron spectroscopic measurements were further used to establish the influence of various elemental species present in stainless steel on graphene growth. The role of cooling rate on surface migration of certain chemical species (oxides of Fe, Cr and Mn) that promote or hinder the growth of graphene is probed. Such analysis of the chemical species present on the surface can be promising for graphene based catalytic research.

Spatial phase filtering based on the intensity-dependent refractive index of PbS nanocomposite film.

We demonstrate the use of stable films containing PbS nanocrystals as media for self-adaptive phase filtering in phase contrast imaging of transparent objects by a cost-effective exploitation of nonlinear optical refraction in a simple, all-optical, and self-adjusting 4f imaging system. The optical nonlinearity is characterized by z-scan technique using a continuous wave He-Ne laser as the excitation source. The mechanism of nonlinearity in this case is mainly due to the nonlocal thermo-optical interaction between the laser beam and the sample. The value of nonlinear refractive index coefficient is found to be -3.5x10(-7) cm(2)/W. The nanocomposite material shows a thermal lens effect and is a potential candidate for phase contrast imaging.

Nonlinear optical response of chloroaluminiumphthalocyanine encapsulated by silica core-shell particles.

We report for the first time on the synthesis of core-shell particles containing chloroaluminiumphthalocyanine (ClAlPc) prepared using a sol-gel technique. These particles have the dye molecules at the core, encapsulated by silica shell. The mean size of the particle is determined from HRTEM studies and is found to be approximately 0.08 microm. The surface and bulk compositions of the core-shell particles are studied by XPS and EDAX measurements, respectively. Time-resolved fluorescent measurements indicate a decrease in fluorescence lifetime for the core-shell particles as compared to that of bare dye dissolved in ethanol. This is analyzed on the basis of available theoretical models. Third-order nonlinear optical effects are investigated by the Z-scan technique using 8 ns pulses at a wavelength of 532 nm from a frequency-doubled Nd:YAG laser. The analysis indicates that both singlet and triplet excited-state absorption contribute to nonlinear absorption.

Simple technique for obtaining photoacoustic spectra corrected for the spectral variation of the source in single scan.

A simple technique is presented to obtain normalized photoacoustic (PA) spectra corrected for the spectral variation of the source in a single scan. The input light beam is passed through the center of a dual slot chopper, which splits it into two chopped output beams at two different frequencies at a fixed ratio. The beams fall on the sample and the reference kept side-by-side in the same sample chamber. The PA signals are detected by a microphone and processed by two lock-in amplifiers tuned at two different frequencies. The technique is tested by recording the PA spectra of standard samples.

Two-photon-assisted excited state absorption in nanocomposite films of PbS stabilized in a synthetic glue matrix.

Strong nonlinear absorption is observed in nanocomposite films containing PbS nanocrystals of mean size of 3.3 nm stabilized in a commercial poly(vinyl acetate) glue by a novel and simple chemical route of synthesis. A significant blueshift of the optical absorption edge indicates strong quantum confinement. The mean nanocrystal size was characterized by x-ray diffraction and transmission electron microscopy. The surface structure of nanocrystals is analysed using infrared spectroscopy. The excitonic transitions are probed by photoacoustic spectroscopy and the results are analysed on the basis of theoretical calculations using envelope function formalism. Results of open aperture z-scan experiments suggest a model involving saturable absorption followed by two-photon absorption at a lower concentration while the data for a higher concentration fitted saturable absorption followed by three-photon absorption. Free carrier absorption due to two-photon-assisted excited state absorption appears to be the predominant mechanism of optical nonlinearity.

Nonlinear optical properties of free standing films of PbS quantum dots in the nonresonant femtosecond regime.

Devices based on optical technology for high speed communication networks require materials with large nonlinear optical response in the ultrafast regime. Nonlinear optical materials have also attracted wide attention as potential candidates for the protection of optical sensors and eyes while handling lasers. Optical limiters have a constant transmittance at low input influence and a decrease in transmittance at higher fluences and are based on a variety of mechanisms such as nonlinear refraction, nonlinear scattering, multiphoton absorption and free carrier absorption. As we go from bulk to nanosized materials especially in the strong quantum confinement regime where radius of the nanoparticle is less than the bulk exciton Bohr radius, the optical nonlinearity is enhanced due to quantum confinement effect. This paper is on the ultrafast nonresonant nonlinearity in free standing films of PbS quantum dots stabilized in a synthetic glue matrix by a simple chemical route which provides flexibility of processing in a variety of physical forms. Optical absorption spectrum shows significant blue shift from the bulk absorption onset indicating strong quantum confinement. PbS quantumdots of mean size 3.3nm are characterized by X-ray diffraction and transmission electron microscopy. The mechanism of nonlinear absorption giving rise to optical limiting is probed using open z-scan technique with laser pulses of 150 fs pulse duration at 780 nm and the results are presented in the nonresonant femtosecond regime. Irradiance dependence on nonlinear absorption are discussed.