Prevalence and incidence of oral cancer and pre-cancerous lesions in indigenous populations: a systematic review protocol.

OBJECTIVE: This review will determine the prevalence and incidence of oral cancer and pre-cancerous lesions in indigenous populations. INTRODUCTION: There are approximately 476 million indigenous individuals worldwide. Oral cancer affected over 350,000 people globally in 2018, with approximately 80% of cases occurring in the indigenous population. Moreover, the incidence of pre-cancerous lesions is high in this population, accounting for 48.3%. Limited evidence exists regarding the burden of oral cancer among indigenous populations despite research on oral health disparities in this group. INCLUSION CRITERIA: Inclusion criteria involve studies on the burden of oral cancer and pre-cancerous lesions in indigenous groups, considering rates, ratios (prevalence or mortality), or survival proportions. Databases will be searched from inception to the present, with no limitations on study design, language, age, gender, or geography. We will exclude studies that only identify, diagnose, or screen oral cancer and pre-cancerous lesions without mentioning prevalence and incidence. METHODS: This review will follow to the JBI methodology for systematic reviews of prevalence and incidence. Databases to be searched will include MEDLINE (Ovid), Embase (Ovid), CINAHL (EBSCOhost), Cochrane Central Register of Controlled Trials, Scopus, and Dentistry and Oral Sciences Source (EBSCOhost). ProQuest Dissertations and Theses, OAIster, International Association for Dental Research conference abstracts, Google Scholar, government reports, and cancer registry reports will be screened for unpublished studies. Two reviewers will independently screen articles, and data will be extracted using a customized form. Narrative data synthesis will be conducted, and where appropriate, meta-analysis using JBI SUMARI. Methodological quality will be assessed using JBI's critical appraisal tool for prevalence studies. REVIEW REGISTRATION NUMBER: PROSPERO CRD42023402858.

Nasal shedding of vaccine viruses after immunization with a Russian-backbone live attenuated influenza vaccine in India.

BACKGROUND: We present post-vaccination nasal shedding findings from the phase IV, community-based, triple-blinded RCT conducted to assess efficacy of trivalent LAIV and inactivated influenza vaccines in rural north India. METHODS: Children aged 2-10 years received LAIV or intranasal placebo across 2015 and 2016, as per initial allocation. On days 2 and 4 post-vaccination, trained study nurses collected nasal swabs from randomly selected subset of trial participants based on operational feasibility, accounting for 10.0% and 11.4% of enrolled participants in 2015 and 2016, respectively. Swabs were collected in viral transport medium and transported under cold chain to laboratory for testing by reverse transcriptase real-time polymerase chain reaction. RESULTS: In year 1, on day 2 post-vaccination, 71.2% (74/104) of LAIV recipients shed at least one of vaccine virus strains compared to 42.3% (44/104) on day 4. During year 1, on day 2 post-vaccination, LAIV-A(H1N1)pdm09 was detected in nasal swabs of 12% LAIV recipients, LAIV-A(H3N2) in 41%, and LAIV-B in 59%. In year 2, virus shedding was substantially lower; 29.6% (32/108) of LAIV recipients shed one of the vaccine virus strains on day 2 compared to 21.3% on day 4 (23/108). CONCLUSION: At day 2 post-vaccination in year 1, two-thirds of LAIV recipients were shedding vaccine viruses. Shedding of vaccine viruses varied between strains and was lower in year 2. More research is needed to determine the reason for lower virus shedding and vaccine efficacy for LAIV-A(H1N1)pdm09.

Recurrent fearful isolated sleep paralysis - A distressing co-morbid condition of obstructive sleep apnea.

We present a case of recurrent fearful isolated sleep paralysis in a 52-year-old male of Indo-Caribbean ethnicity with obstructive sleep apnea (OSA). Recurrent sleep paralysis is a widely under-reported yet worrisome symptom of various sleep disorders. Although a benign condition in most cases, sleep paralysis in a minority of patients causes great distress. Some patients exhibit bedroom avoidance behavior, whereas others experience bedtime anxiety, making it difficult to fall asleep. This leads to poor sleep quality and sleep deprivation, which can greatly impact a person's overall health. As in our case, this led to a vicious "lack of sleep" cycle where a patient who had bedtime anxiety and could not fall asleep, owing to his recurrent isolated sleep paralysis, also had poor quality sleep secondary to his OSA. This increases morbidity and has many potential consequences, which may include cardiovascular events, cognitive decline, and motor vehicular accidents. Sometimes, simply addressing the underlying medical condition cures the recurrent sleep paralysis as in this case where continuous positive airway pressure for OSA cured the recurrent sleep paralysis. One of our goals is to raise awareness of recurrent sleep paralysis so that patients can seek medical help and would not have to live with the anguish of the condition. Coming forward will also assist medical researchers in furthering their understanding of sleep paralysis.

Impact of COVID-19 response on public health literacy and communication.

With unaddressed challenges of pandemic with re-emergence of coronavirus disease 2019 (COVID-19) waves, public health literacy and communication have proved to be a prerequisite for effective communication as part of the control strategy. Hence this article addressed the impact of COVID-19 response policies on public health literacy. Considering the rapid transmission of COVID-19, taking lives needs urgent attention from the population>s perspective to be more vigilant about health information and incorporate that into their daily routines. To be responsible and resilient globally, governments and states are formulating different health policies and related plans to prevent and control the spread of the pandemic. This article has recommended short-term measures, including smart focused IEC targeted on vaccination and motivational sessions for health care workers and front line workers. Targeted Long-term measures included healthcare system reforms inclusive of resources, workforce, capacity building with particular focus on lifestyle measures addressing non-communicable disease prevention.

Lead-free relaxor-ferroelectric thin films for energy harvesting from low-grade waste-heat.

One of the ways to mitigate the world energy crisis is to harvest clean and green energy from waste-heat, which is abundant, ubiquitous, and free. Energy harvesting of this waste-heat is one of the most encouraging methods to capture freely accessible electrical energy. Ferroelectric materials can be used to harvest energy for low power electronic devices, as they exhibit switchable polarization, excellent piezoelectric and pyroelectric properties. The most important characteristic of ferroelectric materials, in the context of energy harvesting, is their ability to generate electric power from a time-dependent temperature change. In this work, we grew highly c-axis oriented heterostructures of BaZr0.2Ti0.8O3 (barium zirconium titanate, BZT)/Ba0.7Ca0.3TiO3 (barium calcium titanate, BCT) on SrRuO3 (strontium ruthenate, SRO) and deposited on SrTiO3 (strontium titanate, STO) single crystalline substrate using pulsed laser deposition (PLD) technique. We investigated the structural, electrical, dielectric, and pyroelectric properties of the above-mentioned fabricated heterostructures. The wide range of θ-2θ X-ray diffraction (XRD) patterns only shows (00l) reflection peaks of heterostructures and the substrate which confirmed that the films are highly c-axis oriented. We are also capable to convert the low-grade waste-heat into electrical energy by measuring various temperature-dependent ferroelectric hysteresis loops of our nanostructure films via pyroelectric Ericsson cycles and the structures show an energy conversion density ~ 10,970 kJ/m3 per cycle. These devices exhibit a large pyroelectric current density of ~ 25 mA/m2 with 11.8 °C of temperature fluctuation and the corresponding pyroelectric coefficient of 3425 µC/m2K. Our research findings suggest that these lead-free relaxor-ferroelectric heterostructures might be the potential candidates to harvest electrical energy from waste low-grade thermal energy.

Publisher Correction: Surface Modification and Charge Injection in a Nanocomposite Of Metal Nanoparticles and Semiconductor Oxide Nanostructures.

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

Surface Modification and Charge Injection in a Nanocomposite Of Metal Nanoparticles and Semiconductor Oxide Nanostructures.

Combining two materials in a nanoscale level can create a composite with new functionalities and improvements in their physical and chemical properties. Here we present a high-throughput approach to produce a nanocomposite consisting of metal nanoparticles and semiconductor oxide nanostructures. Volmer-Weber growth, though unfavorable for thin films, promotes nucleation of dense and isolated metal nanoparticles on crystalline oxide nanostructures, resulting in new material properties. We demonstrate such a growth of Au nanoparticles on SnO2 nanostructures and a remarkable sensitivity of the nanocomposite for detecting traces of analytes in surface enhanced Raman spectroscopy. Au nanoparticles with tunable size enable us to modify surface wettability and convert hydrophilic oxide surfaces into super-hydrophobic with contact angles over 150°. We also find that charge injection through electron beam exposure shows the same effect as photo-induced charge separation, providing an extra Raman enhancement up to an order of magnitude.

Mild COVID-19 infection-predicting symptomatic phase and outcome: A study from AIIMS, New Delhi.

CONTEXT: Comprehensive management of mild COVID infection calls for better understanding of symptomatology in these group of patients as well as early identification and close monitoring of patients at risk, data on which is limited. AIM: To study association between inflammatory markers and clinical presentation with progression of disease and the duration of resolution of symptoms. SETTINGS AND DESIGN: This is a retrospective study that has been conducted at a designated COVID -19 medical ward at AIIMS, New Delhi. METHODS AND MATERIAL: Fifty healthcare workers and their dependents who were admitted with asymptomatic and mild COVID-19 infection were included. Their records were retrospectively reviewed, entered into a predesigned proforma and analyzed. RESULTS: A total of 50 participants were included in the study of which 70% were healthcare workers. The patients were admitted with mild COVID illness out of which 22 (44%) were males. Most common symptom at presentation was fever (72%). Among patients who had mild disease versus those who progressed to moderate illness (n = 3), the patients with moderate illness were older [mean (SD): 57.33 (10.21) vs. 36.13 (14.05); P = 0.014] and had a longer duration of hospital stay [17 (1.41) days vs. 11.20 (3.86) days; P = 0.04]. Inflammatory markers, C-Reactive Protein (CRP) [2.46 vs. 0.20 (P = 0.024)], and Ferritin [306.15 vs. 72.53 (P = 0.023)] were higher in patients with moderate illness. There is also a significant correlation between the number of days taken for symptoms to resolve with Serum Ferritin (P = 0.007), CRP (P = 0.0256), and neutrophil lymphocyte ratio (NLR) (P = 0.044). CONCLUSIONS: Acute phase reactants/Inflammatory markers serve as good indicators of time taken to resolution of symptoms in acute COVID infection. NLR is a simple and inexpensive method to provide insight into symptomatic phase. These may be utility tools for primary care physician in the management in periphery and timely decision.

Large energy storage density performance of epitaxial BCT/BZT heterostructures via interface engineering.

We grew lead-free BaZr0.2Ti0.8O3 (BZT)/Ba0.7Ca0.3TiO3 (BCT) epitaxial heterostructures and studied their structural, dielectric, ferroelectric and energy density characteristics. The BZT/BCT epitaxial heterostructures were grown on SrRuO3 (SRO) buffered SrTiO3 (STO) single crystal substrate by optimized pulsed laser deposition (PLD) technique. These high-quality nanostructures exhibit high dielectric permittivity (∼1300), slim electric field-dependent polarization (P-E) curve with high saturation polarization (∼100 µC/cm2) and low remnant polarization (∼20 µC/cm2) through interface engineering to develop new lead-free ferroelectric system for energy storage devices. We observe an ultrahigh discharge and charge energy densities of 42.10 and 97.13 J/cm3, respectively, with high efficiency, which might be highly promising for both high power and energy storage electrical devices.