Unicommissural unicuspid aortic valve (UAV) presenting as ascending aortic aneurysm with aortic dissection.

We herein present an exceptionally rare instance of a unicommissural unicuspid aortic valve (UAV) manifesting with an aneurysmal ascending aorta complicated by a type A aortic dissection .

All that flows across the ventricular septum are not ventricular septal defects.

Coronary cameral fistula is a rare congenital anomaly and clinical presentation depends on the location of the defect, degree of shunting, and associated complications. We present a case of coronary cameral fistula where segmental analysis by echocardiogram helped us to avoid misdiagnosis as a ventricular septal defect.

Nanoplatelet Superlattices by Tin-Induced Transformation of FAPbI3 Nanocrystals.

The transition from 3D to 2D lead halide perovskites is traditionally led by the lattice incorporation of bulky organic cations. However, the transformation into a coveted 2D superlattice-like structure by cationic substitution at the Pb2+ site of 3D perovskite is unfamiliar. It is demonstrated that the gradual increment of [Sn2+ ] alters the FASnx Pb1- x I3 nanocrystals into the Ruddlesden-Popper-like nanoplatelets (NPLs), with surface-absorbed oleic acid (OA) and oleylamine (OAm) spacer ligand at 80 °C (FA+ : formamidinium cation). These NPLs are stacked either by a perfect alignment to form the superlattice or by offsetting the NPL edges because of their lateral displacements. The phase transition occurs from the Sn/Pb ratio ≥0.011, with 0.64 wt% of Sn2+ species. At and above Sn/Pb = 0.022, the NPL superlattice stacks start to grow along [00l] with a repeating length of 4.37(3) nm, comprising the organic bilayer and the inorganic block having two octahedral layers (n = 2). Besides, a photoluminescence quantum yield of 98.4% is obtained with Sn/Pb = 0.011 (n ≥ 4), after surface passivation by trioctylphosphine (TOP).

Changes in discourse on unmet need for family planning among married women in India: evidence from NFHS-5 (2019-2021).

Unmet needs for contraception in India have declined over time but the rate has not been uniform among women across geographies and socio-economic strata. Identifying the characteristics of women in communities where unmet need is still high is important to devise appropriate strategies to ensure access and uptake of modern contraceptive methods. The current study examined whether there was a national decline in unmet need over time and if regional disparities exist in unmet need. Demographic variations in unmet need based on factors such as maternal age, education, religion, caste, wealth index quintile, family size, and access to antenatal care (ANC) were also documented. Our approach was to document the prevalence of total unmet need for family planning and unmet need for spacing among married Indian women and quantify variability based on socio-economic and demographic drivers within a hierarchal framework, thus providing both macro and micro perspectives. We used data from the fourth and fifth rounds of the National Family Health Survey (NFHS) collected from all the States and Union Territories (UTs) in India. Quantile regression analysis and multilevel regression techniques were used to understand the predictors for the total unmet need for family planning and the unmet need for spacing. Results show a considerable decline in the prevalence of unmet need for family planning in India from NFHS-4 to 5 (from 12.9 to 9.3%) in the last six6 years. The north-eastern states show a significant reduction in unmet need for family planning in Manipur (17.8%), Nagaland (13.5%), and followed by Sikkim (9.1%). The predictors such as years of schooling, place of residence, caste, religion, wealth quintile, number of antenatal care (ANC) visits, and children ever born have a significant association with unmet needs for family planning and spacing among married women in India. There is a significant association between years of schooling with the total unmet needs for family planning at (q25) quantiles and the unmet need for spacing at (q25, q50) quantiles. Results reveal that the demand for unmet need for spacing and limiting was the highest among the women in the age categories 15-19 (17.8%) and 20-24 (17.3%). The demand for limiting was the highest (6.8%) among Muslim women. Across wealth quantile categories, the overall unmet demand (11.4%) for spacing and limiting was the highest among the women in the lowest socioeconomic groups. We conclude that greater access to frontline health workers among young wives, and significant investment in education in general, will continue to reduce the unmet needs for family planning in India.

Delivering PACE++ curriculum in community settings: Impact of TARA intervention on gender attitudes and dietary practices among adolescent girls in Bihar, India.

Adolescence phase has high intrinsic and instrumental relevance. The Transformative Action for Rural Adolescents intervention delivered PACE++ curriculum with innovations to introduce a) health and nutrition sessions and b) delivery of the content in community settings of rural Bihar. This paper examines impact of the intervention showcasing establishment of intergenerational community connect for empowering and invigorating adolescent girls on gender attitude, empowerment and adolescent health and nutrition. The impact evaluation is based on a two-arm (intervention and comparison groups) cluster randomized controlled design with two rounds of representative cross-sectional surveys. The baseline and endline sample comprised of 2327 and 2033 adolescent girls (15-19 years), respectively. Descriptive statistical, difference-in-differences and propensity score matching methods are used to confirm the program impact. The DID and PSM analyses confirm high significance of impact on gender equity norms, diets and nutritional knowledge and understanding of employee related rights and responsibilities. School-going adolescent girls performed better than those who have discontinued formal education. The intervention showcases the importance of delivering the modified PACE curriculum in rural settings through leveraging community platforms. The findings call for greater policy attention on scaling up of similar initiatives for empowerment and social capital development of adolescent girls.

A Giant Coronary Aneurysm in a Suspected Kawasaki Disease Causing Asymptomatic Myocardial Ischemia.

Coronary involvement in Kawasaki disease is not uncommon; however, giant coronary aneurysm exceeding 50 mm is extremely rare. In this article, we presented a case of giant coronary aneurysm involving right coronary artery with associated asymptomatic myocardial ischemia as evident by multimodality imaging.

Morphological evaluation and boosted photocatalytic activity of N-doped ZnO nanoparticles prepared via Co-precipitation method.

Pristine and nitrogen (N) doped zinc oxide (ZnNxO1-x, x = 0, 0.005, 0.01, and 0.02) nanoparticles (NPs) were successfully synthesized using chemical co-precipitation approach. The formation of pure crystalline wurtzite ZnO phase without any second phase during N-doping was confirmed by X-ray diffraction (XRD) analysis of N-doped ZnO samples. X-ray photoelectron spectroscopic (XPS) analysis ensured the effective inclusion of nitrogen into ZnO matrix. The morphological analysis revealed the formation of nanorods as a result of N-doping. The optical band gap calculated from UV-vis spectroscopy was observed to decrease up to 1 mol.% N doping followed by a subtle increase. Photoluminescence (PL) spectra revealed that electron-hole recombination was the least for 1 mol.% N doped ZnO NPs. ZnN0.01O0.99 NPs showed superior photocatalytic activity among all samples due to rod-shaped NPs and reduced electron-hole recombination, which was accessed by the photodegradation of Rhodamine B (RhB).