Knowledge, Attitude, and Practice of Physiotherapists in COVID-19 ICUs: A National Survey.

Background: COVID-19 belongs to the beta-corona cluster that spreads enormously via aerosols. Physiotherapists must be knowledgeable about the symptoms, mode of transmission, risk mitigation strategies, and practice guidelines for COVID-19. Objective: This study aimed to assess physiotherapists' knowledge of COVID-19 guidelines, their attitude toward this new evolving field, and their practice routines in India's COVID-19 ICUs. Methods: It was a cross-sectional study. A total of 600 questionnaires were distributed through e-mail and WhatsApp to physiotherapists using Google Forms between February 2022 and January 2023. The questionnaires consisted of demographics and 23 questions in three sections about the knowledge, attitude, and practice of physiotherapists working in the COVID-19 ICU. Data analysis was carried out using Jamovi. Results: A total of 136 responses were obtained from 18 states of India. Of 136 participants, 89 were female (65.4%) and 47 were male (34.6%). The highest level of qualification was BPT (n = 69 (50.7%)), followed by MPT (n = 62 (45.6%)) and Ph.D. (3 (3.7%)). The knowledge about COVID-19 guidelines is fair. Only 21.3% of the physiotherapists received training before being deployed in COVID-19 ICUs, and the CARP protocol was well known by only as few as 10.3%. The criteria advised for close monitoring of patients during treatment was aware by 29.4%. Most physiotherapists have a good attitude toward treating COVID-19 patients; 70.63% strongly agree that physiotherapy is vital in these patients despite the risk of self-exposure, and 64.7% agree that physiotherapy should be initiated during all phases of COVID-19. Physiotherapists follow good practices for COVID-19 patients in the ICU, which is as per the guideline recommendation. Conclusion: Physiotherapists working in COVID-19 ICUs have a fair knowledge of the existing physiotherapy guidelines for COVID-19, and they exhibit good attitudes and practice patterns.

Iron oxide nanoparticles impart cross tolerance to arsenate stress in rice roots through involvement of nitric oxide.

The growth and development patterns of crop plants are being seriously threatened by arsenic (As) contamination in the soil, and it also acts as a major hurdle in crop productivity. This study focuses on arsenate As(V) mediated toxicity in rice plants. Further, among the different type of NPs, iron oxide nanoparticles (FeO NPs) display a dose-dependent effect but their potential role in mitigating As(V) stress is still elusive. FeO NPs (500 µM) play a role in imparting cross-tolerance against As(V) induced toxicity in rice. Growth attributes, photosynthetic performance, nutrient contents and biochemical parameters were significantly altered by As(V). But FeO NPs rescued the negative consequences of As(V) by restricting its entry with the possible involvement of NO in rice roots. Moreover, results related with gene expression of NO(OsNoA1 and OsNIA1) and proline metabolism were greatly inhibited by As(V) toxicity. But, FeO NPs reversed the toxic effect of As(V) by improving proline metabolism and stimulating NO mediated up-regulation of antioxidant enzymes particularly glutathione-S-transferase which may be possible reasons for the reduction of As(V) toxicity in rice roots. Overall, it can be stated that FeO NPs may act as an As(V) barrier to restrict the As(V) uptake by roots and have the ability to confer cross tolerance by modulating various morphological, biochemical and molecular characteristics with possible intrinsic involvement of NO.

Additional calcium and sulfur manages hexavalent chromium toxicity in Solanum lycopersicum L. and Solanum melongena L. seedlings by involving nitric oxide.

In recent years, nutrient management has gained much attention for mitigating metal stress. But, role of nutrients like calcium (Ca) and sulfur (S) in mitigating Cr(VI) toxicity along with their mechanism of action are still limited. Therefore, the present study was performed to explore role of Ca and S in ameliorating Cr(VI) toxicity in 21 days old seedlings of Solanum lycopersicum L. and Solanum melongena L. Chromium (VI) reduced tolerance index and altered root traits due to greater Cr accumulation in the cell wall and cellular organelles due to down-regulation in thiols and phytochelatins that lead to alterations in photosynthesis. However, Ca or S stimulated vacuolar sequestration of Cr(VI) and reduced its uptake at the cell wall. This was coincided with up-regulation in glutathione-S-transferase activity, and amounts of thiols and phytochelatins. Cr(VI) caused oxidative stress together with up-regulation in superoxide dismutase and catalase, and proline metabolism while Ca and S reversed these effects. Chromium (VI) inhibited nitrate reductase activity while Ca and S reversed this response. NG-nitro-l-arginine methyl ester augmented Cr(VI) toxicity but sodium nitroprusside (SNP) mitigated Cr(VI) toxicity. Overall results show that Ca and S both are able in ameliorating Cr(VI) toxicity and require nitric oxide for this task.

Avenues of the membrane transport system in adaptation of plants to abiotic stresses.

Abiotic stress imposed by many factors such as: extreme water regimes, adverse temperatures, salinity, and heavy metal contamination result in severe crop yield losses worldwide. Plants must be able to quickly respond to these stresses in order to adapt to their growing conditions and minimize metabolic losses. In this context, transporter proteins play a vital role in regulating stress response mechanisms by facilitating movement of a variety of molecules and ions across the plasma membrane in order to maintain fundamental cellular processes such as ion homeostasis, osmotic adjustment, signal transduction, and detoxification. Aquaporins play a crucial role in alleviating abiotic stress by transporting water and other small molecules to maintain cellular homeostasis. Similarly, other transporter families such as CDF, ZIP, ABC, NHX, HKT, SWEETs, TMTs, and ion channels also contribute to abiotic stress tolerance. Hormones and other signaling molecules are necessary to coordinate responses across different tissues and to precisely regulate molecular trafficking. The present review highlights the current understanding of how membrane transporters orchestrate stress responses in plants. It also provides insights about the importance of these sensing and adaptive mechanisms for ensuring improved sustainable crop production during unfavorable conditions. Finally, this review discusses future prospects for the use of computational tools in constructing signaling networks to improve our understanding of the behavior of transporters under abiotic stress.

Exogenous proline application ameliorates toxic effects of arsenate in Solanum melongena L. seedlings.

Hydroponic experiments were conducted to investigate an effect of exogenous application of proline (Pro; 25 µM) in alleviating arsenate (As(V); 5 and 25 µM) toxicity in Solanum melongena L. (eggplant) seedlings. Exposure of As(V) declined growth of eggplant, which was coincided with an enhanced accumulation of As. However, exogenous Pro application alleviated As(V) toxicity in eggplant seedlings by reducing the accumulation of As. The fluorescence characteristics (JIP-test): φP0, Ψ0, φE0, PIABS, ABS/RC, TR0/RC, ET0/RC, DI0/RC, NPQ and qP were also affected by As(V). However, the effects of As(V) were more prominent on PIABS DI0/RC and NPQ. In Pro treated seedlings, following parameters viz. φP0, Ψ0, φE0 and PIABS were stimulated, while, energy flux parameters (ABS/RC, TR0/RC, ET0/RC and DI0/RC) were inhibited. Toxic effects of As(V) on photochemistry of photosystem II (PS II) were ameliorated by an exogenous application of Pro. Oxidative stress markers: superoxide radical, hydrogen peroxide and malondialdehyde (lipid peroxidation) were enhanced by As(V) exposure, however, their levels were significantly diminished by an exogenous application of Pro. Treatment of As(V) stimulated the activities of superoxide dismutase, peroxidase and catalase except that of glutathione-S-transferase. Exogenous Pro application improved the activities of enzymatic antioxidants. The level of endogenous Pro was higher in As(V) treated as well as in Pro fed seedlings. The activity of a key enzyme of Pro biosynthesis: Δ(1)-pyrroline-5-carboxylate synthetase was higher in Pro fed seedlings. The activity of Pro dehydrogenase was inhibited under As(V) stress, and its activity was minimum in case of Pro+As(V) combination. These results indicate that Pro metabolism could play a key role in regulating the accumulation of As and levels of antioxidants, which concomitantly result into a better growth of eggplant seedlings when compared to the As(V) treatments alone.

Differential physiological and biochemical responses of two cyanobacteria Nostoc muscorum and Phormidium foveolarum against oxyfluorfen and UV-B radiation.

In the present study, degree of tolerance and tolerance strategies of two paddy field cyanobacteria viz. Nostoc muscorum and Phormidium foveolarum against oxyfluorfen (10 and 20 µg ml(-1)) and UV-B (7.2 kJ m(-2)d(-1)) stress were investigated. Oxyfluorfen and UV-B decreased growth, photosynthesis, nutrient uptake, nitrate reductase, acid and alkaline phosphatase activities, which accompanied with the increase in the level of oxidative stress. However, growth was more affected in N. muscorum than P. foveolarum. Antioxidants exhibited differential responses against oxyfluorfen and UV-B stress. Ascorbate and proline levels were higher in P. foveolarum. A protein of 66 kDa was expressed in N. muscorum, however, it was absent in P. foveolarum than those of N. muscorum. Besides this, a protein of 29 kDa appeared in P. foveolarum under all the treatments, but it was present only in control cells of N. muscorum cells. Overall results indicated resistant nature of P. foveolarum against oxyfluorfen and UV-B stress in comparison to N. muscorum.