Efficient Zinc Vanadate Homojunction with Cadmium Nanostructures for Photocatalytic Water Splitting and Hydrogen Evolution.

Construction of a homojunction is an effective strategy for effective charge transfer to suppress charge carrier recombination in augmented photocatalysis. The present work reveals the synthesis of homojunction formation through the reinforcement of Cd nanostructures into a solid lattice of zinc vanadate (Zn3V2O8, ZnV) using the hydrothermal method. The formation of a homojunction between cadmium vanadate (CdV, Cd3V2O8) and ZnV was confirmed by various spectroscopic and electron microscopic techniques such as Fourier-transform infrared (FTIR), X-ray diffraction (XRD), scanning electron microscopy (SEM) associated with energy-dispersive X-ray (EDX) mapping, transmission electron microscopy (TEM), X-ray photoelectron spectroscopy (XPS), and ultraviolet-visible spectrophotometry (UV-Vis). The synthesized material was explored for photocatalytic hydrogen (PC H2) production using the water splitting process under visible-light illumination. The spectroscopic and experimental results revealed that the formation of a CdV/ZnV homojunction significantly improved the transport of photogenerated charge carriers (electron-hole pairs) and thus resulted in enhanced H2 production efficiency (366.34 µmol g-1 h-1) as compared to pristine ZnV (229.09 µmol g-1 h-1) and CdV (274.91 µmol g-1 h-1) using methanol as a sacrificial reagent (SR) with water under visible-light illumination. The synergistic effect of Cd on ZnV NPs resulted in band gap reduction and broadened visible light absorption which was attributed to enhanced H2 production. The current study explains how a homojunction affects various features of important factors behind photocatalytic activity, which supports significant insights into the advancement of materials in the future.

Rational construction of MOF derived α-Fe2O3/g-C3N4 composite for effective photocatalytic degradation of organic pollutants and electrocatalytic oxygen evolution reaction.

In recent years, researchers have been actively investigating metal oxide-based materials with narrow bandgaps due to their potential applications toward wastewater treatment and oxygen evolution reactions (OER). In this study, we successfully synthesized g-C3N4 (GCN), Fe2O3, and Fe2O3/g-C3N4 (FGCN) using thermal polymerization and hydrothermal methods. We characterized the physicochemical and structural properties of these materials through various analytical techniques including XRD, FT-IR, UV-DRS, XPS, FE-SEM, and HR-TEM analyses, confirming the effective construction of the FGCN composite catalyst. We evaluated the photocatalytic activity of Fe2O3, GCN, and FGCN composite catalysts by assessing their ability to degrade rhodamine B (RhB) and crystal violet (CV) by exposing them to sunlight for 150 min. Among these catalysts, the FGCN composite demonstrated excellent photocatalytic performance, achieving 93 % and 95 % degradation of RhB and CV, respectively, under 150 min of sunlight exposure. The developed Fe2O3/g-C3N4@Nickel foam (FGCN@NF) composite catalyst exhibits remarkable OER performance, with a reduced Tafel slope of 64 mV/dec and a low overpotential of 290 mV at a current density of 10 mA/cm2 and shows excellent durable performance over a long time (15 h). Total Organic Carbon (TOC) analysis confirmed the mineralization of both dyes. The photocatalytic performance remained largely unchanged after five consecutive experiments, demonstrating excellent reusability and photostability. Trapping experiments revealed that O2●- is the main species responsible for the photocatalytic decomposition of various dyes by the FGCN composite catalyst. Therefore, the development of a versatile photo/electrocatalytic system that can efficiently promote energy conversion in environmental applications has attracted great attention.

Screening out molecular pathways and prognostic biomarkers of ultraviolet-mediated melanoma through computational techniques.

PURPOSE: Ultraviolet radiation causes skin cancer, but the exact mechanism by which it occurs and the most effective methods of intervention to prevent it are yet unknown. For this purpose, our study will use bioinformatics and systems biology approaches to discover potential biomarkers of skin cancer for early diagnosis and prevention of disease with applicable clinical treatments. METHODS: This study compared gene expression and protein levels in ultraviolet-mediated cultured keratinocytes and adjacent normal skin tissue using RNA sequencing data from the National Center for Biotechnology Information-Gene Expression Omnibus (NCBI-GEO) database. Then, pathway analysis was employed with a selection of hub genes from the protein-protein interaction (PPI) network and the survival and expression profiles. Finally, potential clinical biomarkers were validated by receiver operating characteristic (ROC) curve analysis. RESULTS: We identified 32 shared differentially expressed genes (DEGs) by analyzing three different subsets of the GSE85443 dataset. Skin cancer development is related to the control of several DEGs through cyclin-dependent protein serine/threonine kinase activity, cell cycle regulation, and activation of the NIMA kinase pathways. The cytoHubba plugin in Cytoscape identified 12 hub genes from PPI; among these 3 DEGs, namely, AURKA, CDK4, and PLK1 were significantly associated with survival (P < 0.05) and highly expressed in skin cancer tissues. For validation purposes, ROC curve analysis indicated two biomarkers: AURKA (area under the curve (AUC) value = 0.8) and PLK1 (AUC value = 0.7), which were in an acceptable range. CONCLUSIONS: Further translational research, including clinical experiments, teratogenicity tests, and in-vitro or in-vivo studies, will be performed to evaluate the expression of these identified biomarkers regarding the prognosis of skin cancer patients.

Fabrication of Bi2O3/Bismuth Titanates Modified with Metal-Organic Framework-In2S3/CdIn2S4 Materials for Electrocatalytic H2 Production and Its Photoactivity.

Compositional and structural elucidation of the materials is important to know their properties, chemical stability, and electro-photoactivity. The heterojunction electrocatalyst and photocatalyst activity could open a new window for solving the most urgent environmental and energy problems. Here, for the first time, we have designed and fabricated Bi2O3/bismuth titanates modified with MOF-In2S3/CdIn2S4 materials by a stepwise process. The detailed structural elucidation and formation of mixed composite phases were studied in detail. It has been found that the formed composite was efficiently utilized for the electrocatalytic H2 production reaction and the photocatalytic degradation of tetracycline. XRD patterns for the metal-organic framework-In2S3 showed a main compound of MOF, and it was assigned to a MIL-53 MOF phase, with a monoclinic structure. The addition of CdCl2 onto the MOF-In2S3 phase effectively produced a CdIn2S4 flower platform on the MOF rods. The uniform dispersion of the bismuth titanates in MOF-In2S3/CdIn2S4 materials is detected by mapping of elements obtained by dark-field HAADF-STEM. Finally, the predictions of how to integrate experiments and obtain structural results more effectively and their common development in new heterojunctions for electro-/photocatalytic applications are presented.

Artificial intelligence and digital health in improving primary health care service delivery in LMICs: A systematic review.

AIM: Technology including artificial intelligence (AI) may play a key role to strengthen primary health care services in resource-poor settings. This systematic review aims to explore the evidence on the use of AI and digital health in improving primary health care service delivery. METHODS: Three electronic databases were searched using a comprehensive search strategy without providing any restriction in June 2023. Retrieved articles were screened independently using the "Rayyan" software. Data extraction and quality assessment were conducted independently by two review authors. A narrative synthesis of the included interventions was conducted. RESULTS: A total of 4596 articles were screened, and finally, 48 articles were included from 21 different countries published between 2013 and 2021. The main focus of the included studies was noncommunicable diseases (n = 15), maternal and child health care (n = 11), primary care (n = 8), infectious diseases including tuberculosis, leprosy, and HIV (n = 7), and mental health (n = 6). Included studies considered interventions using AI, and digital health of which mobile-phone-based interventions were prominent. m-health interventions were well adopted and easy to use and improved the record-keeping, service deliver, and patient satisfaction. CONCLUSION: AI and the application of digital technologies improve primary health care service delivery in resource-poor settings in various ways. However, in most of the cases, the application of AI and digital health is implemented through m-health. There is a great scope to conduct further research exploring the interventions on a large scale.

Hydrothermal Synthesis of a Magnesium Vanadate-Functionalized Reduced Graphene Oxide Nanocomposite for an Efficient Photocatalytic Hydrogen Production.

Herein, we reported the fabrication of a magnesium vanadate-reduced graphene oxide (Mg3V2O8-rGO) composite. Further, the structural morphology of the as-prepared Mg3V2O8-rGO composite was studied by scanning electron microscopy. Powder X-ray diffraction and energy-dispersive X-ray spectroscopy techniques were also adopted to check the phase purity and elemental composition of the prepared Mg3V2O8-rGO composite. Mg3V2O8-rGO possesses a band gap of 2.98 eV, which prompted us to explore its photocatalytic activity for hydrogen (H2) evolution reaction. The Mg3V2O8-rGO composite demonstrated the generation of a reasonable amount of H2 evolution (97.45 µmol g-1), which is relatively higher than that of pristine Mg3V2O8 (17.45 µmol g-1). This may be attributed to the presence of synergism between Mg3V2O8 and rGO. In addition, Mg3V2O8-rGO also showed good stability and suggested its potential application for photocatalytic H2 evolution applications. So far, no report is available on the use of Mg3V2O8-rGO as a photocatalyst for H2 evolution. We propose the potential role of the Mg3V2O8-rGO composite for photocatalytic H2 evolution applications.

Efficient light-driven hydrogen evolution and azo dye degradation over the GdVO4@g-C3N4 heterostructure.

A straightforward hydrothermal technique was used for the synthesis of a g-C3N4/GdVO4 (CN/GdV) heterostructure as an alternate material for energy and environmental applications. X-ray diffraction (XRD), scanning electron microscopy (SEM), transmission electron microscopy (TEM), and X-ray photoelectron spectroscopy (XPS) were used to characterize the synthesized g-C3N4 (CN), GdVO4 (GdV), and the CN/GdV heterostructure. The characterization results revealed the distribution of GdV over CN sheets. The as-fabricated materials were tested for their capacity to evolve hydrogen gas and degrade two azo dyes (Amaranth; AMR and Reactive Red2; RR2) in the presence of visible light. When compared to pure CN and GdV, the efficiency of CN/GdV toward hydrogen evolution was high, with H2 evolution of 8234, 10 838, and 16 234 µmol g-1 in 4 h, respectively. The CN/GdV heterostructure was able to degrade 96% and 93% of AMR (60 min) and RR2 (80 min), respectively. The enhanced activity with CN/GdV could be attributed to the type-II heterostructure and decreased recombination of charge carriers. The intermediate analysis of AMR and RR2 degradation was conducted using mass spectrometry (MS). The mechanism of photocatalysis was investigated and is discussed based on the optical and electrochemical characterizations. The efficient photocatalytic characteristics of CN/GdV could promote further research on metal vanadate nanocomposite materials.

Synthesis of Solar Light Active Reduced Graphene Oxide-ZnS Nanomaterial for Photocatalytic Degradation and Antibacterial Applications.

Good water quality is essential for life; therefore, decolorizing and detoxifying organic dye wastes (textile effluents) have gained immense environmental importance in recent years. Thus, the degradation of wastewater has become a potential need for our environment. This research aims to synthesize and investigate a ceramic-based nanomaterial catalyst for the degradation of dye solution under exposure to sunlight. A reduced graphene oxide-ZnS (rGO-ZnS) nanomaterial was qualitatively synthesized using a solvothermal method. The prepared nanomaterial was characterized using XRD, SEM, HR-TEM, EDX, XPS, and FT-IR techniques. The photocatalytic activity of the rGO-ZnS nanomaterial was checked using oxidative photocatalytic degradation of naphthol blue black dye (NBB) under direct sunlight irradiation. Here, the rGO/ZnS composite showed a significant photocatalytic performance to degraded NBB (93.7%) under direct solar light. Chemical Oxygen Demand (COD) measurements confirmed the mineralization of the dye. The influence of different radical scavengers on NBB degradation was studied. Optimum conditions for efficient degradation were determined. The antibacterial property of the prepared catalyst was studied.

Highly Efficient Solar-Light-Active Ag-Decorated g-C3N4 Composite Photocatalysts for the Degradation of Methyl Orange Dye.

In this study, we utilized calcination and simple impregnation methods to successfully fabricate bare g-C3N4 (GCN) and x% Ag/g-C3N4 (x% AgGCN) composite photocatalysts with various weight percentages (x = 1, 3, 5, and 7 wt.%). The synthesized bare and composite photocatalysts were analyzed to illustrate their phase formation, functional group, morphology, and optical properties utilizing XRD, FT-IR, UV-Vis DRS, PL, FE-SEM, and the EDS. The photodegradation rate of MO under solar light irradiation was measured, and the 5% AgGCN composite photocatalyst showed higher photocatalytic activity (99%), which is very high compared to other bare and composite photocatalysts. The MO dye degradation rate constant with the 5% AgGCN photocatalyst exhibits 14.83 times better photocatalytic activity compared to the bare GCN catalyst. This photocatalyst showed good efficiency in the degradation of MO dye and demonstrated cycling stability even in the 5th successive photocatalytic reaction cycle. The higher photocatalytic activity of the 5% AgGCN composite catalyst for the degradation of MO dye is due to the interaction of Ag with GCN and the localized surface plasmon resonance (SPR) effect of Ag. The scavenger study results indicate that O2●- radicals play a major role in MO dye degradation. A possible charge-transfer mechanism is proposed to explain the solar-light-driven photocatalyst of GCN.

Cellulose nanocrystals doped silver nanoparticles immobilized agar gum for efficient photocatalytic degradation of malachite green.

The present study involves the synthesis of green functional material based on the silver nanoparticle (Ag NPs) doped cellulose nanocrystals (CNC) immobilized agar gum (AA) biopolymer using chemical coprecipitation method. The stabilization of Ag NPs in cellulose matrix and functionalization of the synthesized material through agar gum was analyzed using various spectroscopic techniques such as Fourier Transform Infrared (FTIR), Scanning electron microscope (SEM), Energy X-Ray diffraction (EDX), Photoelectron X-ray (XPS), Transmission electron microscope (TEM), Selected area energy diffraction (SAED) and ultraviolet visible (UV-Vis) spectroscopy. The XRD results suggested that the synthesized AA-CNC@Ag BNC material is composed of 47 % crystalline and 53 % amorphous nature having distorted hexagonal structure due to capping of Ag NPs by amorphous biopolymer matrix. The Debye-Scherer crystallite sized was calculated as 18 nm which is found in close agreement with TEM analysis (19 nm). The SAED yellow fringes simulates the miller indices values with XRD patterns and supported the surface functionalization of Ag NPs by biopolymer blend of AA-CNC. The XPS data supported the presence of Ag0 as indexed by Ag3d orbital corresponding to Ag3d3/2 at 372.6 eV and Ag3d5/2 at 366.6 eV. The surface morphological results revealed a flaky surface of the resultant material having well distributed Ag NPs in the matrix. The EDX and atomic concentration results given by XPS supported the presence if C, O and Ag in the bionanocomposite material. The UV-Vis results suggested that the material is both UV and visible light active having multiple SPR effects with anisotropy. The material was explored as a photocatalyst for remediation of wastewater contaminated by malachite green (MG) using advance oxidation process (AOP). Photocatalytic experiments were performed in order to optimize various reaction parameters such as irradiation time, pH, catalyst dose and MG concentration. The obtained results showed that almost 98.85 % of MG was degraded by using 20 mg of catalyst at pH 9 for 60 min of irradiation. The trapping experiments revealed that •O2- radicals played primary role in MG degradation. This study will provide new possible strategies for the remediation of wastewater contaminated by MG.

Synthesis of Xanthan Gum Anchored α-Fe2O3 Bionanocomposite Material for Remediation of Pb (II) Contaminated Aquatic System.

Increases in community and industrial activities have led to disturbances of the environmental balance and the contamination of water systems through the introduction of organic and inorganic pollutants. Among the various inorganic pollutants, Pb (II) is one of the heavy metals possessing non-biodegradable and the most toxic characteristics towards human health and the environment. The present study is focussed on the synthesis of efficient and eco-friendly adsorbent material that can remove Pb (II) from wastewater. A green functional nanocomposite material based on the immobilization of α-Fe2O3 nanoparticles with xanthan gum (XG) biopolymer has been synthesized in this study to be applied as an adsorbent (XGFO) for sequestration of Pb (II). Spectroscopic techniques such as scanning electron microscopy with energy dispersive X-ray (SEM-EDX), Fourier transform infrared (FTIR), transmission electron microscopy (TEM), X-ray diffraction (XRD), ultraviolet visible (UV-Vis) and X-ray photoelectron spectroscopy (XPS) were adopted for characterizing the solid powder material. The synthesized material was found to be rich in key functional groups such as -COOH and -OH playing important roles in binding the adsorbate particles through ligand-to-metal charge transfer (LMCT). Based on the preliminary results, adsorption experiments were conducted, and the data obtained were applied to four different adsorption isotherm models, viz the Langmuir, Temkin, Freundlich and D-R models. Based on the high values of R2 and low values of χ2, the Langmuir isotherm model was found to be the best model for simulation of data for Pb (II) adsorption by XGFO. The value of maximum monolayer adsorption capacity (Qm) was found to be 117.45 mg g-1 at 303 K, 126.23 mg g-1 at 313 K, 145.12 mg g-1 at 323 K and 191.27 mg g-1 at 323 K. The kinetics of the adsorption process of Pb (II) by XGFO was best defined by the pseudo-second-order model. The thermodynamic aspect of the reaction suggested that the reaction is endothermic and spontaneous. The outcomes proved that XGFO can be utilized as an efficient adsorbent material for the treatment of contaminated wastewater.

In Situ Hydrothermal Synthesis of Ni1-xMnxWO4 Nanoheterostructure for Enhanced Photodegradation of Methyl Orange.

The monoclinic nanocrystalline Ni1-xMnxWO4 heterostructure has been successfully synthesized by the hydrothermal technique for achieving better sensitive and photocatalytic performances. Different characterization techniques such as X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), ultraviolet-visible (UV-Vis), and photoluminescence (PL) spectroscopy have been employed to investigate their structural, microstructural, and optical properties. Mn-ion incorporation in the NiWO4 lattice reduces the particle size of the sample compared with the pure undoped NiWO4 sample, which has been confirmed from the transmission electron microscope image. The Tauc plot of the Ni1-xMnxWO4 sample exhibits a significant decrease in bandgap energy compared with the pure undoped NiWO4 sample due to the quantum confinement effect. Finally, the material was explored as a photocatalyst for the degradation of methyl orange (MO) dye from wastewater under visible light irradiation. Various reaction parameters such as pH, catalyst dose, reaction time, and kinetics of the photodegradation were studied using the batch method. The results showed that the Ni1-xMnxWO4 is highly efficient (94.51%) compared with undoped NiWO4 (65.45%). The rate of photodegradation by Ni1-xMnxWO4 (0.067) was found to be 1.06 times higher than the undoped NiWO4 (0.062).

Zinc Vanadate (Zn3V2O8) Immobilized Multiwall Carbon Nanotube (MWCNT) Heterojunction as an Efficient Photocatalyst for Visible Light Driven Hydrogen Production.

Z-scheme photocatalytic reaction is considered an effective strategy to promote the photogenerated electron-hole separation for significantly improving the efficiency of photocatalytic hydrogen precipitation from splitting water. In this study, a heterojunction nanocomposite material based on Zn3V2O8 (ZV) with MWCNT was prepared by a hydrothermal process. The photocatalysts were characterized by X-ray diffraction, scanning electron microscopy (SEM), Fourier transform infrared (FTIR), UV-visible absorption spectroscopy, and transmission electron microscopy (TEM) to understand crystal structure, morphology, and optical properties. The efficiency of the samples was evaluated for the photocatalytic H2 production under visible solar radiation using water glycerol as a sacrificial reagent. The obtained results suggest that, between ZV and ZV@MWCNT, the latter shows higher efficiency for H2 production. The maximum H2 production efficiency was found to be 26.87 µmol g-1 h-1 for ZV and 99.55 µmol g-1 h-1 for ZV@MWCNT. The synergistic effect of MWCNT to ZV resulted in improving the efficiency of charges and light-absorbing capacity, resulting in enhanced H2 production in the heterojunction nanocomposite material. The nanocomposite was stable and highly efficient for H2 production of six or more cycles. Based on the outcomes of this study, it can be observed that forming the heterojunction of individual nano systems could result in more efficient material for H2 production under visible solar energy.

CuO Nanorods Immobilized Agar-Alginate Biopolymer: A Green Functional Material for Photocatalytic Degradation of Amaranth Dye.

The contamination of water is increasing day by day due to the increase of urbanization and population. Textile industries contribute to this by discarding their waste directly into water streams without proper treatment. A recent study explores the treatment potential of copper oxide nanorods (CuO NRs) synthesized on a green basis in the presence of a biopolymer matrix of agar (AA) and alginate (Alg), in terms of cost effectiveness and environmental impact. The synthesized bio nanocomposite (BNC) was characterized by using different instrumental techniques such as Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), ultra-violet spectroscopy (UV-Vis), scanning electron microscopy-energy dispersive X-ray-elemental analysis (SEM-EDX), transmission electron microscopy (TEM), selected area diffraction pattern (SAED) and X-ray photoelectron spectroscopy (XPS). The optical studies revealed that immobilization of CuO NRs with Alg-Agar biopolymer blend resulted in an increase in light absorption capacity by decreasing the energy bandgap from 2.53 eV to 2.37 eV. The bio nanocomposite was utilized as a photocatalyst for the degradation of amaranth (AN) dye from an aquatic environment under visible light irradiation. A statistical tool known as central composite design (CCD) associated with response surface methodology (RSM) was taken into consideration to evaluate the optimized values of process variables and their synergistic effect on photocatalytic efficiency. The optimized values of process variables were found to be irradiation time (45 min), AN concentration (80 ppm), catalyst dose (20 mg), and pH (4), resulting in 95.69% of dye degradation at 95% confidence level with desirability level 1. The rate of AN degradation was best defined by pseudo-first-order reaction based on the correlation coefficient value (R2 = 0.99) suggesting the establishment of adsorption-desorption equilibrium initially at the catalyst surface then photogenerated •O2- radicals interacting with AN molecule to mineralize them into small non-toxic entities like CO2, H2O. The material used has high efficiency and stability in photocatalytic degradation experiments up to four cycles of reusability.

Fluorometric Sensing and Detection of p-Nitroaniline by Mixed Metal (Zn, Ni) Tungstate Nanocomposite.

Aromatic amines are important chemical intermediates that hold an irreplaceable significance for synthesizing many chemical products. However, they may react with substances excreted from human bodies to generate blood poisoning, skin eczema, and dermatitis disease and even induce cancer-causing high risks to human health and the environment. Metal tungstates have been proven to be highly efficient materials for developing various toxic gases or chemical detection sensor systems. However, the major factors of the sensors, such as sensitivity, selectivity, stability, response, and recovery times, still need to be optimized for practical technological applications. In this work, Ni-doped ZnWO4 mixed metal tungstate nanocomposite material was synthesized by the hydrothermal method and explored as a sensor for the fluorometric determination of p-nitroaniline (p-NA). Transmission electron microscopy (TEM) was used for the elucidation of the optimized particle diameter. Scanning electron microscopy (SEM) was employed to observe the surface morphological changes in the material during the solid-state reactions. The vibration modes of as-prepared samples were analyzed using Fourier-transform infrared spectroscopy (FTIR). The chemical bonding and oxidation states of individual elements involved in material synthesis were observed using X-ray photoelectron spectroscopy (XPS). The PL activities of the metal tungstate nanoparticles were investigated for the sensing of p-nitroaniline (p-NA). The obtained results demonstrated that ZnNiWO4 was more effective in sensing p-NA than the other precursors were by using the quenching effect. The material showed remarkably high sensitivity towards p-NA in a concentration range of 25-1000 µM, and the limit of detection (LOD) value was found to be 1.93 × 10-8 M for ZnWO4, 2.17 × 10-8 M for NiWO4, and 2.98 × 10-8 M for ZnNiWO4, respectively.

In vitro inhibition of biofilm and virulence factor production in azole-resistant strains of Candida albicans isolated from diabetic foot by Artemisia vulgaris stabilized tin (IV) oxide nanoparticles.

The advent of nanotechnology has been instrumental in the development of new drugs with novel targets. Recently, metallic nanoparticles have emerged as potential candidates to combat the threat of drug-resistant infections. Diabetic foot ulcers (DFUs) are one of the dreadful complications of diabetes mellitus due to the colonization of numerous drug-resistant pathogenic microbes leading to biofilm formation. Biofilms are difficult to treat due to limited penetration and non-specificity of drugs. Therefore, in the current investigation, SnO2 nanoparticles were biosynthesized using Artemisia vulgaris (AvTO-NPs) as a stabilizing agent and were characterized using ultraviolet-visible (UV-vis) spectroscopy, Fourier transform infrared spectroscopy (FT-IR), X-ray diffraction (XRD), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDX). Furthermore, the efficacy of AvTO-NPs against biofilms and virulence factors of drug-resistant Candida albicans strains isolated from DFUs was assessed. AvTO-NPs displayed minimum inhibitory concentrations (MICs) ranging from 1 mg/mL to 2 mg/mL against four strains of C. albicans. AvTO-NPs significantly inhibited biofilm formation by 54.8%-87%, germ tube formation by 72%-90%, cell surface hydrophobicity by 68.2%-82.8%, and exopolysaccharide (EPS) production by 69%-86.3% in the test strains at respective 1/2xMIC. Biosynthesized NPs were effective in disrupting established mature biofilms of test strains significantly. Elevated levels of reactive oxygen species (ROS) generation in the AvTO-NPs-treated C. albicans could be the possible cause of cell death leading to biofilm inhibition. The useful insights of the present study could be exploited in the current line of treatment to mitigate the threat of biofilm-related persistent DFUs and expedite wound healing.

An International Perspective on Preceding Infections in Guillain-Barré Syndrome: The IGOS-1000 Cohort.

BACKGROUND AND OBJECTIVES: Infections play a key role in the development of Guillain-Barré syndrome (GBS) and have been associated with specific clinical features and disease severity. The clinical variation of GBS across geographical regions has been suggested to be related to differences in the distribution of preceding infections, but this has not been studied on a large scale. METHODS: We analyzed the first 1,000 patients included in the International GBS Outcome Study with available biosamples (n = 768) for the presence of a recent infection with Campylobacter jejuni, hepatitis E virus, Mycoplasma pneumoniae, cytomegalovirus, and Epstein-Barr virus. RESULTS: Serologic evidence of a recent infection with C. jejuni was found in 228 (30%), M. pneumoniae in 77 (10%), hepatitis E virus in 23 (3%), cytomegalovirus in 30 (4%), and Epstein-Barr virus in 7 (1%) patients. Evidence of more than 1 recent infection was found in 49 (6%) of these patients. Symptoms of antecedent infections were reported in 556 patients (72%), and this proportion did not significantly differ between those testing positive or negative for a recent infection. The proportions of infections were similar across continents. The sensorimotor variant and the demyelinating electrophysiologic subtype were most frequent across all infection groups, although proportions were significantly higher in patients with a cytomegalovirus and significantly lower in those with a C. jejuni infection. C. jejuni-positive patients were more severely affected, indicated by a lower Medical Research Council sum score at nadir (p = 0.004) and a longer time to regain the ability to walk independently (p = 0.005). The pure motor variant and axonal electrophysiologic subtype were more frequent in Asian compared with American or European C. jejuni-positive patients (p < 0.001, resp. p = 0.001). Time to nadir was longer in the cytomegalovirus-positive patients (p = 0.004). DISCUSSION: Across geographical regions, the distribution of infections was similar, but the association between infection and clinical phenotype differed. A mismatch between symptom reporting and serologic results and the high frequency of coinfections demonstrate the importance of broad serologic testing in identifying the most likely infectious trigger. The association between infections and outcome indicates their value for future prognostic models.

Nucleotide oligomerization domain polymorphism confers no risk to Guillain-Barré syndrome.

OBJECTIVES: Nucleotide oligomerization domain (NOD) proteins are cytoplasmic receptors that play important roles in host innate immune responses to pathogens by recognizing self or non-self-molecules and have been implicated in many autoimmune diseases including Guillain-Barré syndrome (GBS). The current study investigated whether NOD polymorphisms (NOD1-Glu266Lys, rs2075820, and NOD2- [Arg702Trp, rs2066844 and Gly908Arg, rs2066845]) contribute to ligand sensing and thus affect the susceptibility and/or severity of GBS. MATERIALS AND METHODS: We determined single nucleotide polymorphisms (SNPs) of NOD gene (NOD1-Glu266Lys and NOD2-[Arg702Trp; Gly908Ar]) in 303 patients with GBS and 303 healthy controls from Bangladesh by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and Sanger sequencing. Genotypes and allele frequencies were compared by performing chi-squared or Fisher's exact test with Yates' continuity correction. Serology for Campylobacter jejuni and anti-GM1 antibodies were determined by enzyme-linked immunosorbent assay (ELISA) techniques. RESULTS: NOD variants (NOD1-Glu266Lys and NOD2- [Arg702Trp; Gly908Arg]) were not associated with susceptibility and severity of GBS when compared with healthy controls and mild or severe form of disease. Moreover, NOD2 polymorphisms showed wild-type NOD2 C2104 and NOD2 G2722, respectively, with homozygous Arg/Arg genotype of NOD2 (Arg702Trp) polymorphism and homozygous Gly/Gly genotype of NOD2 (Gly908Arg) for all study subjects in Bangladesh. Homogenous distribution of NOD1 genotypes was observed in patients with axonal and demyelinating form of GBS. CONCLUSIONS: NOD variants confer no risk to the susceptibility and severity of GBS. Moreover, NOD2 polymorphism is rare or absent in patients with GBS as well as in the healthy individuals of Bangladesh.

Evidence-based risk factors for major complications during Ramadan fasting in people with diabetes grouped under IDF-DAR risk categories.

AIM: To identify evidence-based risk factors for major complications during Ramadan fasting in people with diabetes grouped under IDF-DAR risk categories. METHODS: This prospective observational multicenter study was conducted by Baqai Institute of Diabetology and Endocrinology (BIDE) between April-June 2019. People with diabetes having intention to fast during Ramadan were recruited. Demographic data collection along with risk categorization was done during pre-Ramadan visit. Structured education was given on one- to-one basis to each of the study participants. Assessment of complications was done during post Ramadan visit. RESULTS: A total of 1045 people with diabetes participated with near equal gender distribution. Two thirds of study population was grouped into very high- and high-risk categories. Frequencies of major hypoglycemia, major hyperglycemia, hospitalization & need to break the fast were 4.4%, 10.8%, 0.8% & 3.1% respectively. On multivariate analysis, the risk factors found for major hypoglycemia during Ramadan were male gender, use of sedatives & antidepressants & having type1 diabetes mellitus, history of DKA/HHS during last 3 months for major hyperglycemia, major hypoglycemia & hospitalization for breaking of fast while older age, acute illness, and major hypoglycemia were identified factors for hospitalization. CONCLUSION: In this prospective study evidence-based risk factors for fasting related major complications were identified in people with diabetes. It is imperative to recognize these factors during pre-Ramadan risk assessment visit.

Guillain-Barré syndrome associated with SARS-CoV-2 infection: A case report with long term follow up.

A 50-years old male presented with quadriplegia and paresthesia and was diagnosed as Guillain-Barré syndrome (GBS). He was found positive for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) six weeks prior to the onset of weakness. GBS disability score was 4. Electrophysiology showed acute inflammatory demyelinating polyradiculopathy. Anti-SARS-CoV-2 IgG was found positive. Immunological tests for Campylobacter jejuni, Zika virus, Hepatitis E virus, Herpes Simplex virus, Haemophilus influanzae and Mycoplasma pneumoniae were negative. Patient received standard dose of intravenous immunoglobulin and after six months had almost complete recovery of muscle power. This case represents possible association of SARS-CoV-2 infection and GBS with good clinical outcome.