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Abstract Machine learning (ML) is increasingly used to identify patterns that could predict neurodevelopmental disorders (NDDs), such as autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD). One key source of multilevel data for ML prediction models includes population-based registers and electronic health records. These can contain rich information on individual and familial medical histories and socio-demographics. This review summarizes studies published between 2010–2022 that used ML algorithms to develop predictive models for NDDs using population-based registers and electronic health records. A literature search identified 1191 articles, of which 32 were retained. Of these, 47% developed ASD prediction models and 25% ADHD models. Classical ML methods were used in 82% of studies and in particular tree-based prediction models performed well. The sensitivity of the models was lower than 75% for most studies, while the area under the curve (AUC) was greater than 75%. The most important predictors were patient and familial medical history and sociodemographic factors. Using private in-house datasets makes comparing and validating model generalizability across studies difficult. The ML model development and reporting guidelines were adopted only in a few recently reported studies. More work is needed to harness the power of data for detecting NDDs early.

Abstract Background Cucumber (Cucumis sativus L.) is a model crop to study cell biology, including the development of haploids and doubled haploids in vegetable crops. In plant breeding, haploid and doubled haploids are valuable tools for developing pure homozygous inbred lines and accelerating genetic progress by reducing the time required for breeding cycles. Besides, the haploids are also valuable in genomic studies. We are reporting the induction of haploids in cucumber involving gynoecious and parthenocarpic genotypes for the first time. This study aimed to assess the efficient induction of haploids through pollination with gamma-irradiated pollen in cucumber. The effect of gamma irradiation dose on pollen viability and germination, fruit setting percentage, seed development, and haploid embryo development in cucumber hybrid genotypes were studied in detail. The goal was to utilize this information to produce haploid plants for genomics and transformation works in this model vegetable crop. Results Pollination was done on six cucumber genotypes using varying doses of gamma rays (100, 200, 300, 400, and 500 Gy). Genotypes, doses of irradiation, and embryo developmental stage influenced the successful generation of in-vitro haploid plants. The optimal timeframe for embryo rescue was found to be 25 to 30 days after pollination. Haploid embryos were effectively induced using irradiated pollen at 400 to 500 Gy doses. Parthenogenetic plantlets were analyzed, and their ploidy level was confirmed through stomatal physiology, cytology (mitosis), and flow cytometry methods. Conclusion Through parthenogenic embryo development, it is possible to induce a large number of haploids in cucumber. This technique’s power lies in its ability to streamline the breeding process, enhance genetic gain, and produce superior cultivars that contribute to sustainable agriculture and food security.

Introduction: People living with human immunodeficiency virus (PLHIV) are known to have an increased prevalence of traditional cardiovascular risk factors and are at a higher risk of cardiovascular disease (CVD). This study was done to assess the CVD risk factors in treatment naïve PLHIV in a center of the national program. Methods: In this cross-sectional explorative study, traditional CVD risk factors were assessed, and 10-year Framingham and atherosclerotic cardiovascular disease (ASCVD) risk score were calculated in treatment naïve PLHIV attending the antiretroviral therapy (ART) center, IMS, BHU. Results: The study included 337 ART naïve patients. The prevalence of CVD risk factors in treatment naïve PLHIV - were low high-density lipoprotein cholesterol levels (81.4%), high triglyceride levels (32.7%), smoking (32.3%), obesity (13.6%), hypertension (5%), diabetes (2.7%), and high low-density lipoprotein cholesterol levels (2.1%). Moderate-to-high 10-year Framingham Risk Score and American Heart Association/American College of Cardiology 10-year ASCVD risk score were 10.8% and 8.9%, respectively. In Framingham Risk Score, age ≥40 years (odds ratio [OR] - 131) (95% confidence interval [CI] - 6.5–1043) alcohol intake (OR - 5.14 [95% CI - 1.82–14.46] and presence of tuberculosis (OR - 4.78) (95% CI - 1.48-15.40), while in ASCVD risk score history of alcohol intake (OR - 26.20 [95% CI - 3.1-216.8] were at higher risk of CVD in multivariate variate analysis. Conclusion: CVD risk factors were common among ART naïve patient. Thus, screening, education, and treatment of CVD risk factors should be done in these patients at initiation of care.

The present study was conducted to evaluate potential health risks of Omani cosmetics considering the dangers and adverse effects on health caused by unregulated and unlabelled cosmetic products. Therefore, this current study is to examine the toxic heavy metals of unregulated facial whitening creams that are available in the Omani market and compare them with branded facial whitening creams. A total twenty-two samples were purchased from the Souqs/markets of all eleven governorates of Oman and their heavy metals content was determined by using Inductively Coupled Plasma-Optical Emission Spectroscopy (ICP-OES). The sample was digested by using ultra wave microwave at 180 °C. The percentage of heavy metals present in the unregulated whitening creams were compared with the heavy metals content of two randomly selected and branded whitening creams. The results showed that most of the unregulated samples contain significant amount of chromium, cooper and lead. In comparison, the branded face creams contained only the permissible amount of the heavy metals tested. The maximum arsenic content was found in a sample collected from Al Batinah South region (1.74 ppm). The maximum cadmium content was found in a sample collected from Al Wusta region (2.02 ppm). The maximum cobalt and chromium content were found in the samples collected from Al Buraimi region (0.10 ppm) and Dhofar region (8.04 ppm) respectively. In conclusion, unregulated face creams are not safe for human consumption because they contain significant levels of heavy metals that exceed the permissible limits.

Objectives: Monitoring of Leishmania transmission is considered a strategic priority for sustaining elimination of visceral leishmaniasis as a public health problem in the Indian subcontinent. The objective of this study was to evaluate whether serological surveys can distinguish between communities with and without Leishmania transmission, and to assess which serological marker performs best. Methods: Seven villages were selected from Bihar and Uttar Pradesh state, India, and categorized as either currently endemic (CE), previously endemic (PE) or nonendemic (NE). Blood samples were analyzed with the rK39 RDT, direct agglutination test (DAT), and rK39 ELISA. Results: Contrary to the rK39 RDT and DAT, the rK39 ELISA showed a significant difference between all three categories of endemicity, with a seroprevalence of 5.21% in CE villages, 1.55% in PE villages, and 0.13% in NE villages. Even when only looking at the seroprevalence among children aged

Abstract Compact multi-rotor unmanned aerial vehicles (UAVs) can be operated in many challenging environmental conditions. In case the UAV requires certain considerations in designing like lightweight, efficient propulsion system and others depending upon the application, the hybrid UAV comes into play when the usual UAV types cannot be sufficient to meet the requirements. The propulsion system for the UAV was selected to be coaxial rotors because it has a high thrust-to-weight ratio and to increase the efficiency of the propulsion system, a unique propeller was proposed to achieve higher thrust. The proposed propeller was uniquely designed by analyzing various airfoil sections under different Reynolds’s number using X-Foil tool to obtain the optimum airfoil section for the propellers. Since the design with duct increases efficiency, the Hybrid UAV presented in this paper has the modified novel convergent–divergent (C–D)-based duct which is a simplified model of a conventional C–D duct. The yawing and rolling maneuverings of the UAV could be achieved by the thrust vectoring method so that the design is simpler from a structural and mechanical perspective. The use of UAVs has risen in recent years, especially compact UAVs, which can be applied for applications like surveillance, detection and inspection, and monitoring in a narrow region of space. The design of the UAV is modeled in CATIA, and its further performance enactment factors are picked from advanced computational simulations relayed bottom-up approach. The predominant computational fluid dynamics (CFD) and fluid structure interaction (FSI) investigations are imposed and optimized through Computational Analyses using Ansys Workbench 17.2, which includes analysis of structural behaviour of various alloys, CFRP and GFRP based composite materials. From the structural analysis Titanium alloy came out to be the best performing materials among the others by having lower total deformation and other parameters such as normal and equivalent stress. The dynamics control response is obtained using MATLAB Simulink. The validations are carried out on the propeller using a thrust stand for CFD and on the duct through a high-jet facility for structural outcomes to meet the expected outcome.

Background: Providing adequate nutritional support to neonates and children undergoing surgery is crucial for their recovery and overall health outcomes. However, there are various challenges associated with this, including the unique nutritional requirements of this population and the potential complications that can arise pre- and post-surgery. Materials and Methods: This study aimed to assess the practices and challenges in providing nutritional support to neonates and children both pre- and post-surgery, and to analyze its impact on recovery and outcomes. A retrospective analysis was conducted on a cohort of 200 neonates and children who underwent surgery over a two-year period. Data regarding preoperative nutritional status, types of nutritional support provided, postoperative complications, and recovery outcomes were collected and analyzed. Results: The study found that 65% of neonates and children were malnourished preoperatively, with 45% experiencing delays in initiating enteral feeding post-surgery due to complications such as gastrointestinal intolerance and surgical complications. Among those who received parenteral nutrition, 30% developed catheter-related bloodstream infections. Overall, the mean length of hospital stay was prolonged by 7 days in malnourished patients compared to adequately nourished patients. Conclusion: Effective nutritional support in neonates and children undergoing surgery is essential for optimal recovery and outcomes. However, significant challenges exist, including preoperative malnutrition, delays in initiating enteral feeding, and complications associated with parenteral nutrition. Strategies to optimize nutritional status preoperatively, minimize postoperative complications, and enhance nutritional support are imperative to improve outcomes in this vulnerable population.

Background: Parental involvement in the neonatal intensive care unit (NICU) has been recognized as crucial for neonatal outcomes and parental mental health. Materials and Methods: A retrospective cohort study was conducted, involving 300 neonates admitted to the NICU over 1 year. Parental involvement was categorized into three levels: high, moderate, and low, based on the frequency and intensity of parental participation in neonatal care. Neonatal outcomes including the length of hospital stay, incidence of complications, and parental mental health outcomes measured through standardized scales were compared among the three groups. Results: Neonates with high parental involvement had a significantly shorter length of hospital stay (mean difference = 5 days, P < 0.001) compared to those with moderate or low involvement. Complication rates were also lower in the high involvement group (20%) compared to moderate (35%) and low (45%) involvement groups. Parental mental health scores were the highest in the high involvement group (mean score = 75), followed by moderate (mean score = 60) and low (mean score = 45) involvement groups. Conclusion: Higher levels of parental involvement in the NICU are associated with improved neonatal outcomes and better parental mental health.

Abstract The increasing number of private cars, public transportation vehicles, and pedestrians, as well as the absence of adequate space for these ground amenities, are one of the primary causes of traffic congestion and accidents in the Kathmandu Valley. Investigations have indicated that the Kathmandu Valley has the greatest traffic accidents despite the heavy presence of the government and its agencies there. Most teens and young adults suffer injuries while using motor vehicles. The study's primary objective is to foresee and prevent such complications by planning for sufficient subsurface infrastructure (a cut‐and‐cover rectangular tunnel) for the Kathmandu Valley's transportation network. The overlying pressure, lateral earth pressure, live load, uplift pressure, and live surcharge are some of the forces acting on the tunnel, creating unique stress and moment zones. The tunnel meets the following geometric requirements: (a) Each of the tunnel's two cells has a clear span of 10 m and a clear height of 5.5 m. The side walls, inner walls, top slab, and bottom slab are all 700 mm thick. Soil has built up to a height of 4 m over the tunnel's roof. The analytical method is used in the tunnel segment's analysis. Furthermore, the designed tunnel has been evaluated for stability, considering the deflection and shear resistance. The analysis indicates that the tunnel meets the stability requirements. This implies that the structure is capable of withstanding the applied forces without excessive deflection. Non‐linear dynamic time history analyses of the El Centro earthquake and the Gorkha earthquake were computed. From the El Centro earthquake, the maximum displacement was 23.63 mm at 10.59 s, and from the Gorkha earthquake, the maximum displacement was 16 mm at 0.19 s for the modeled structures.

BackgroundIn Southeast Asia, treatment is recommended for all patients with post-kala-azar dermal leishmaniasis (PKDL). Adherence to the first-line regimen, twelve weeks of miltefosine (MF), is low and ocular toxicity has been observed with this exposure period. We assessed the safety and efficacy of two shorter-course treatments: liposomal amphotericin B (LAmB) alone and combined with MF.Methodology/principal findingsAn open-label, phase II, randomized, parallel-arm, non-comparative trial was conducted in patients with parasitologically confirmed PKDL, 6 to ≤60 years. Patients were assigned to 20 mg/kg LAmB (total dose, in five injections over 15 days) alone or combined with allometric MF (3 weeks). The primary endpoint was definitive cure at 12 months, defined as complete resolution of papular and nodular lesions and >80% re-pigmentation of macular lesions. Definitive cure at 24 months was a secondary efficacy endpoint. 118/126 patients completed the trial. Definitive cure at 12 months was observed in 29% (18/63) patients receiving LAmB and 30% (19/63) receiving LAmB/MF (mITT), increasing to 58% and 66%, respectively, at 24 months. Most lesions had resolved/improved at 12 and 24 months for patients receiving LAmB (90%, 83%) and LAmB/MF (85%, 88%) by qualitative assessment. One death, unrelated to study drugs, was reported; no study drug-related serious adverse events were observed. The most frequent adverse drug reactions were MF-related vomiting and nausea, and LAmB-related hypokalaemia and infusion reactions. Most adverse events were mild; no ocular adverse events occurred.Conclusions/significanceBoth regimens are suitably safe and efficacious alternatives to long-course MF for PKDL in South Asia.Trial registrationCTRI/2017/04/008421.

In the current investigation, the different powers (180, 360, 540, 720, and 900 W) and durations (5 and 10 min) were used for microwave roasting (MwR) of hemp seeds. The influence on yield, oxidative stability, level of phenolic acids, flavonoids, fatty acids, tocopherols, phytosterols, radical scavenging activity (RSA) and physicochemical attributes of hemp oil (HO) upon MwR were investigated. The elevation in MwR conditions had decreased color and peroxide values while increased density, viscosity, p-anisidine value and Maillard reaction products in HO. The phenolic and flavonoid content, RSA, level of catechin, epicatechin, vitexin, myricetin, hydroxybenzoic and hydroxycinnamic acids in HO were highest upon MwR for 10 min at 720 W. The oxidative stability, oil yield, tocopherols and phytosterols exhibited an initial increase followed by decline at elevated conditions of MwR. The MwR (540 W for 5 min) proved effective in improving oil yield and stability, level of phytosterols, phenolic acids, tocopherols, and flavonoids in HO.

Abstract In this paper, by applying fractional quantum calculus, we study a nonlinear Duffing-type equation with three sequential fractional q-derivatives. We prove the existence and uniqueness results by using standard fixed-point theorems (Banach and Schaefer fixed-point theorems). We also discuss the Ulam–Hyers and the Ulam–Hyers–Rassias stabilities of the mentioned Duffing problem. Finally, we present an illustrative example and nice application; a Duffing-type oscillator equation with regard to our outcomes.

We explore the dynamics of a three-species Lotka-Volterra model incorporating intraguild (IG) predation. The model encompasses interactions between a basal prey, intraguild prey and omnivorous top/intraguild predator. These interactions are characterized by linear functional responses, while considering intraspecific competition and cooperative hunting dynamics. The study involves a comprehensive stability of different steady states and bifurcation analysis. Bifurcation structures unveil shifts in equilibrium stability and the emergence of new equilibrium states. Investigation into dynamics around the coexistence equilibrium highlights diverse behaviors, including stable coexistence, oscillations and chaos. Furthermore, exploration of species' densities under parameter variations uncovers distinct patterns, ranging from stability to chaos. Incorporating the concept of hunting cooperation among IG predators and IG prey can lead to the emergence or suppression of chaotic oscillations, respectively. Additionally, we observe that lower consumption rate of IG predator and cooperation of IG predator helps the system to keep in a stable state position.

Hyperammonia-producing bacteria (HAB) are a class of microbes present in the stomach of ruminants, responsible for the rapid rate of ammonia production from protein degradation beyond the capacity of these animals for their utilization. Thus, ruminant nutritionists are interested in decreasing ruminal protein degradation and ammonia genesis by focusing on controlling the activity of HAB. The investigations of the present study were carried out to determine predominant hyperammonia-producing bacteria in the rumen of buffaloes, their isolation and characterization, as well as the inhibition of these isolates with various sources of plant secondary compounds (tannins, saponins, and essential oils). Studies employing high-throughput sequencing of amplicons of the 16S rRNA gene from genomic DNA recovered from enrichment culture of HAB of buffalo rumina indicated that, at the phylum level, Proteobacteria (61.1 to 68.2%) was the most predominant HAB. Acidaminococcus was most predominant among the identified genera. In vitro experiments were conducted with enrichment culture of buffalo rumen contents incubated with different types of feed additives such as essential oils (eucalyptus oil, lemon grass oil, and clove oil) and extracts of plants (Sapindus mukorossi fruits and Ficus bengalensis leaves), each at graded dose levels. The reduction in ammonia production by clove and lemon grass oils was evident due to the presence of major bioactive compounds, especially eugenol and limonene, which have strong antimicrobial activity. However, clove oil and Indian soapberry/reetha (Sapindus mukorossi) fruit were found to be promising and effective in reducing the growth, protease production, and ammonia production of HAB culture.

Visceral leishmaniasis (VL) is a potentially fatal parasitic infection caused by Leishmania donovani in India. L. donovani is an obligate intracellular protozoan residing mostly in macrophages of the reticuloendothelial system throughout chronic infection. Monocytic phagocytes are critical in the pathogenesis of different forms of leishmaniasis. Subsets of monocytes are distinguished by their surface markers into CD14+CD16- classical monocytes, CD14+CD16+ intermediate monocytes, and CD16++CD14low non-classical monocyte subsets. During cutaneous leishmaniasis (CL), intermediate monocyte are reported to be a source of inflammatory cytokines IL-1β and TNF, and they express CCR2 attracting them to sites of inflammatory pathology. We examined monocyte subsets in the blood and bone marrow of patients with VL from an endemic site in Bihar, India, and found these contrasted with the roles of monocytes in CL. During VL, intermediate and non-classical CD16+ monocyte subsets expressed instead a non-inflammatory phenotype with low CCR2, high CX3CR1 and low microbicidal oxidant generation, making them more similar to patrolling monocytes than inflammatory cells. Bone marrow CD16+ monocyte subsets expressed a phenotype that might be more similar to the inflammatory subsets of CL, although our inability to obtain bone marrow from healthy donors in the endemic region hampered this interpretation Overall the data suggest that CD16+ intermediate monocyte subsets in VL patients express a phenotypes that contributes to an immunosuppressed pathologic immune state, but in contrast to CL, these do not mediate localized inflammatory responses.

BackgroundPost-kala-azar dermal leishmaniasis (PKDL) is a dermatosis which can occur after successful treatment of visceral leishmaniasis (VL) and is a public health problem in VL endemic areas. We conducted a systematic scoping review to assess the characteristics of published PKDL clinical studies, understand the scope of research and explore the feasibility and value of developing a PKDL individual patient data (IPD) platform.MethodsA systematic review of published literature was conducted to identify PKDL clinical studies by searching the following databases: PubMed, Scopus, Ovid Embase, Web of Science Core Collection, WHO Global Index Medicus, PASCAL, Clinicaltrials.gov, Ovid Global Health, Cochrane Database and CENTRAL, and the WHO International Clinical Trials Registry Platform. Only prospective studies in humans with PKDL diagnosis, treatment, and follow-up measurements between January 1973 and March 2023 were included. Extracted data includes variables on patient characteristics, treatment regimens, diagnostic methods, geographical locations, efficacy endpoints, adverse events and statistical methodology.ResultsA total of 3,418 records were screened, of which 56 unique studies (n = 2,486 patients) were included in this review. Out of the 56 studies, 36 (64.3%) were from India (1983-2022), 12 (21.4%) from Sudan (1992-2021), 6 (10.7%) were from Bangladesh (1991-2019), and 2 (3.6%) from Nepal (2001-2007). Five (8.9%) studies were published between 1981-1990 (n = 193 patients), 10 (17.9%) between 1991-2000 (n = 230 patients), 10 (17.9%) between 2001-2010 (n = 198 patients), and 31 (55.4%) from 2011 onwards (n = 1,865 patients). Eight (14.3%) were randomised clinical trials, and 48 (85.7%) were non-randomised studies. The median post-treatment follow-up duration was 365 days (range: 90-540 days) in 8 RCTs and 360 days (range: 28-2,373 days) in 48 non-randomised studies. Disease diagnosis was based on clinical criterion in 3 (5.4%) studies, a mixture of clinical and parasitological methods in 47 (83.9%) and was unclear in 6 (10.7%) studies. Major drugs used for treatment were miltefosine (n = 636 patients), liposomal amphotericin B (L-AmB) (n = 508 patients), and antinomy regimens (n = 454 patients). Ten other drug regimens were tested in 270 patients with less than 60 patients per regimen.ConclusionsOur review identified studies with very limited sample size for the three major drugs (miltefosine, L-AmB, and pentavalent antimony), while the number of patients combined across studies suggest that the IPD platform would be valuable. With the support of relevant stakeholders, the global PKDL community and sufficient financing, a PKDL IPD platform can be realised. This will allow for exploration of different aspects of treatment safety and efficacy, which can potentially guide future healthcare decisions and clinical practices.

Tomato leaf curl New Delhi virus (TolCNDV) causes yellow mosaic disease, which poses a significant biotic constraint for sponge gourd cultivation, potentially resulting in crop loss of up to 100%. In the present investigation, 50 diverse genotypes were screened for 3 years under natural epiphytotic conditions. A subset of 20 genotypes was further evaluated across four different environments. The combined analysis of variance revealed a significant genotype × environment interaction. Eight genotypes consistently exhibited high and stable resistance in the preliminary screening and multi-environment testing. Furthermore, genotype plus genotype × environment interaction biplot analysis identified DSG-29 (G-3), DSG-7 (G-2), DSG-6 (G-1), and DSGVRL-18 (G-6) as the desirable genotypes, which have stable resistance and better yield potential even under diseased conditions. The genotype by yield × trait biplot analysis and multi-trait genotype–ideotype distance index analysis further validated the potential of these genotypes for combining higher yield and other desirable traits with higher resistance levels. Additionally, resistant genotypes exhibited higher activities of defense-related enzymes as compared to susceptible genotypes. Thus, genotypes identified in our study will serve as a valuable genetic resource for carrying out future resistance breeding programs in sponge gourd against ToLCNDV.

Abstract COVID‐19 hit Lebanon at the worst time, amid an economic downward spiral and national protests regarding living conditions and political corruption. The first case was found on February 21, 2020, and the first batch of vaccines arrived on March 24, 2021. Although neither natural infection nor mass vaccination truly provided herd immunity, the latter was a more effective way to handle the pandemic, and Lebanon fell short on that path. During the pandemic, a myriad of factors complicated its response to the virus. Thanks to the COVAX program, the country received 1086,720 doses donated and 1626,390 deliveries. All in all, over 5.8 million doses have been administered. A total of 2.74 million people received at least one dose, and 2.4 million had a complete primary vaccination series. However, around 98% of the population were infected with the virus. Issues that stopped the vaccination campaigns include a lack of trust in government officials and news media, leading to false information propagating and remaining unchallenged online. Other factors include the economic collapse, which led to the Lebanese currency losing over 98% of its initial worth. Some Lebanese people might find themselves either unable to reach proper health facilities or unwilling to adopt the narrative pushed by the political elite. Poverty also worsened affected infected individuals’ prognosis and mortality. A bigger emphasis must be put on reaching individuals with disabilities or in low‐income areas, as they were the most affected by the pandemic. Problems these communities face include the lack of funding for special education schools and the lack of accessibility to medical information promoted by the government. Lebanon must learn from the issues that arose during this pandemic and focus on fixing them in advance to prepare for any other health emergency that might turn up in the future.

Summary: Background: Occurrences of relapse after 6-months post-treatment has been reported in recent Visceral Leishmaniasis (VL) efficacy studies. A meta-analysis was carried out to quantify the proportion of relapses observed at and beyond 6-months using the Infectious Diseases Data Observatory (IDDO) systematic review (SR) database. Methods: Studies in the IDDO SR database (1983–2021; 160 studies) were eligible for inclusion if follow-up was at least 6-months, relapse was clearly reported, and patients with HIV coinfections were excluded. Meta-analysis of single proportion was undertaken and the estimates were reported with 95% confidence intervals (CI). Findings: Overall, 131 studies enrolling 27,687 patients were included; 1193 patients relapsed. In the Indian sub-continent (ISC), relapse estimates at 6-months was 4.5% [95% CI: 2.6%–7.5%; I2 = 66.2%] following single dose liposomal amphotericin B (L-AmB) and 1.5% [95% CI: 0.7%–3.3%; I2 = 0%] for L-AmB in a combination therapy. In East Africa (EA), corresponding estimates were 3.8% [95% CI: 1.3%–10.9%; I2 = 75.8%] following pentavalent antimony (PA), and 13.0% [95% CI: 4.3%–33.6%; I2 = 0%] for PA + paromomycin. From 21 studies with follow-up longer than 6-months, 0.6% [95% CI: 0.2%–1.8%; I2 = 0%] of patients relapsed after 6-months and estimated 27.6% [95% CI: 11.2%–53.4%; I2 = 12%] of relapses would have been missed by a 6-month follow-up. Interpretation: The estimated relapse proportion ranged from 0.5% to 4.5% in ISC and 3.8%–13.0% in EA with the currently recommended drugs. Over one-quarter of relapses would be missed with 6-months follow-up suggesting a longer follow-up may be warranted. Funding: Wellcome Trust (ref: 208378/Z/17/Z).

Biodiesel replaced imported oils as an ecologically beneficial alternative which may replace diesel depending on crop and oil costs. Tobacco seed oil is trans-esterified using a heterogeneous base catalyst to produce biodiesel in this study to examine the mechanical properties and emission performance characteristics using single-cylinder Kirloskar engine. Several biofuel/diesel blends were tested, and their effects on performance and efficiency were examined under varying loads at a constant rotational speed of 1500 rpm. The engine's performance and emissions characteristics were measured and compared at a fuel injection pressure of 200 bar. The results of the experimental studies show that the tobacco seed oil and biodiesel blends are more efficient than diesel fuel and their blend ratios that boost brake thermal efficiency by 10.27%, 16.66%, 9.23%, and 11.87% under 25%, 50%, 75%, and 100% of loading, respectively, outperform other biodiesel blends with significant environmentally sustainable emission characteristics.

Abstract Vortex matter in layered high- $$T_c$$ T c superconductors, including iron-pnictides, undergo several thermodynamic phase transitions due to the complex interplay of pinning energy, thermal energy and elastic energy. Moreover, the presence of anisotropy makes their vortex physics even more intriguing. Here, we report a detailed vortex dynamics study, using dc magnetization measurements, in a triclinic iron-pnictide superconductor (Ca $$_{0.85}$$ 0.85 La $$_{0.15}$$ 0.15 ) $$_{10}$$ 10 (Pt $$_3$$ 3 As $$_8$$ 8 )(Fe $$_2$$ 2 As $$_2$$ 2 ) $$_5$$ 5 , with a superconducting transition temperature, T $$_c$$ c $$\sim$$ ∼ 31 K. A second magnetization peak (SMP) feature is observed for magnetic field perpendicular (H $$\parallel$$ ‖ c) and parallel (H $$\parallel$$ ‖ ab) to the crystal plane. However, its fundamental origin is quite different in both directions. For H $$\parallel$$ ‖ c, the SMP can be well explained using an elastic-to-plastic vortex creep crossover, using collective creep theory. In addition, a possible rhombic-to-square vortex lattice phase transition is also observed for fields in between the onset-field and peak-field related to the SMP. On the other hand, for H $$\parallel$$ ‖ ab, a clear signature of an order-disorder vortex phase transition is observed in the isothermal M(H) measurements at T $$\ge$$ ≥ 6 K. The disordered phase exhibits the characteristics of entangled pinned vortex-liquid. We construct a comprehensive vortex phase diagram by displaying characteristic temperatures and magnetic fields for both crystal geometries in this unique superconducting compound. Our study sheds light on the intricate vortex dynamics and pinning in an iron-pnictide superconductor with triclinic symmetry.

Introduction: Generally, the spinal cord ends at the level between the first and second lumbar vertebrae. There are many studies published globally, yet no article has been published concerning this title in our settings. The objective of this study was to determine the tip level of conus medullaris by the Magnetic Resonance Imaging (MRI) in living humans in Nepalese population. Methods: Images of the MRI done between August 2019 to June 2021 were accessed through the database of the radiology department for defining the level of conus medullaris. The termination level of conus medullaris was rescored in relation to the upper, mid, and lower third of the adjacent vertebrae and the intervertebral disc. Input data was processed in Microsoft Excel which was later analyzed by SPSS 20.0. Results: Of the total, 202 study population, a higher number of spinal cords terminated at lower one-third of L1 vertebrae, accounting for 51 (females 26 and males 25) followed by L1-L2 intervertebral disc comprising only 35 (males 19; females 16). No significant differences in number existed between the two sexes having conus medullaris termination at both levels. Most of the cases who were in the age group of 40-49 years old, termination of CM was noted in L1 with the most common shape being the central type C, accounting for 38% (78/202). Conclusions: The conus medullaris was terminated mostly at lower one third of L1 vertebral body in our settings with no gender difference.

In the present article, we set the if and only if conditions for the solutions of the class of neutral impulsive delay second-order differential equations. We consider two cases when it is non-increasing and non-decreasing for quotient of two positive odd integers. Our main tool is the Lebesgue's dominated convergence theorem. Examples illustrating the applicability of the results are also given, and state an open problem.

BackgroundCD4+ T cells play a central role in control of L. donovani infection, through IFN-γ production required for activation of macrophages and killing of intracellular parasites. Impaired control of parasites can in part be explained by hampered CD4+ T cells effector functions in visceral leishmaniasis (VL) patients. In a recent studies that defined transcriptional signatures for CD4+ T cells from active VL patients, we found that expression of the IL-7 receptor alpha chain (IL-7Rα; CD127) was downregulated, compared to CD4+ T cells from endemic controls (ECs). Since IL-7 signaling is critical for the survival and homeostatic maintenance of CD4+ T cells, we investigated this signaling pathway in VL patients, relative to ECs.MethodsCD4+ T cells were enriched from peripheral blood collected from VL patients and EC subjects and expression of IL7 and IL7RA mRNA was measured by real time qPCR. IL-7 signaling potential and surface expression of CD127 and CD132 on CD4+ T cell was analyzed by multicolor flow cytometry. Plasma levels of soluble IL-7 and sIL-7Rα were measured by ELISA.ResultTranscriptional profiling data sets generated previously from our group showed lower IL7RA mRNA expression in VL CD4+ T cells as compared to EC. A significant reduction was, however not seen when assessing IL7RA mRNA by RT-qPCR. Yet, the levels of soluble IL-7Rα (sIL-7Rα) were reduced in plasma of VL patients compared to ECs. Furthermore, the levels of soluble IL-7 were higher in plasma from VL patients compared to ECs. Interestingly, expression of the IL-7Rα protein was higher on VL patient CD4+ T cells as compared to EC, with activated CD38+ CD4+ T cells showing higher surface expression of IL-7Rα compared to CD38- CD4+ T cells in VL patients. CD4+ T cells from VL patients had higher signaling potential baseline and after stimulation with recombinant human IL-7 (rhIL-7) compared to EC, as measured by phosphorylation of STAT5 (pSTAT5). Interestingly, it was the CD38 negative cells that had the highest level of pSTAT5 in VL patient CD4+ T cells after IL-7 stimulation. Thus, despite unaltered or potentially lowered IL7RA mRNA expression by CD4+ T cells from VL patients, the surface expression of the IL-7Rα was higher compared to EC and increased pSTAT5 was seen following exposure to rhIL-7. Accordingly, IL-7 signaling appears to be functional and even enhanced in VL CD4+ T cells and cannot explain the impaired effector function of VL CD4+ T cells. The enhanced plasma IL-7 may serve as part of homeostatic feedback mechanism regulating IL7RA expression in CD4+ T cells.

The seaweeds are in focus for their immunity and gut health-stimulating potentials in humans and farm animals, but their potential as a gut health-promoting agent and performance booster to replace antibiotic growth promoters (AGP) in broiler chicken-feed remains to be evaluated. In vivo feeding experiments were conducted on commercial broiler chickens (1–42 days post-hatch) to evaluate dried aqueous exact of red seaweed Eucheuma denticulatum (referred to as PBD 5). Each of the three test diets (basal diet with three dosing regimens of PBD5, 0.25 g kg −1 for 0–6 weeks, 0.25 g kg −1 for 0–4 weeks or 1.0 g kg −1 for 0–2 weeks), along with an AGP supplemented diet (Virginiamycin (V), 20 ppm in basal diet), and a control diet was fed to 13 pen replicates of five chicks in each. PBD5 at 1.0 g kg −1 diet for 0–2 weeks improved (P

In recent years, multirotor unmanned aerial vehicles (MRUAVs) have seen increased investment and deployment for various novel uses, including intruder surveillance, agro farming, and crack detection in severe environments. An identical line of inquiry motivates this work, which aims to better use MRUAVs for agriculture. This study used an agricultural drone (AD) with a coaxial propeller. The proposed AD has increased stability compared to conventional ADs due to employing a coaxial rotor instead of one of the conventional rotors. The proposed AD can be customized to accommodate a wide range of design requirements; however, this investigation uses a payload weight of 2.5 kg. The coaxial propeller arrangement, the “Y” frame, and the fertilizer tank are among the many complex AD parts built efficiently with the help of the cutting-edge tool CATIA. Predictions of flow behavior over the AD and its side effects are presented to confirm the built AD further. Eddy formation and the subsequent pressure drag developments on the AD are simulated using the province computational tool Ansys Fluent. Velocity profiles of fluid variations over the AD are studied after estimating vertical takeoff, vertical landing, and forward speed conditions for various flexible payloads equipped with MRUAV models. The AD’s minor influence allows the construction of eddy structures within and around it. Finally, AD’s structural displacements and failure factors under aerodynamic loads are commuted through the fluid-structure interaction approach. The suggested agricultural drone, thus, is robust and well suited for multicomputational tool agricultural applications.

BackgroundImprovements in standard precaution related to infection prevention and control (IPC) at the national and local-level health facilities (HFs) are critical to ensuring patient's safety, preventing healthcare-associated infections (HAIs), mitigating Antimicrobial Resistance (AMR), protecting health workers, and improving trust in HFs. This study aimed to assess HF's readiness to implement standard precautions for IPC in Nepal.MethodsThis study conducted a secondary analysis of the nationally-representative Nepal Health Facility Survey (NHFS) 2021 data and used the Service Availability and Readiness Assessment (SARA) Manual from the World Health Organization (WHO) to examine the HF's readiness to implement standard precautions for IPC. The readiness score for IPC was calculated for eight service delivery domains based on the availability of eight tracer items: guidelines for standard precautions, latex gloves, soap and running water or alcohol-based hand rub, single use of standard disposal or auto-disable syringes, disinfectant, safe final disposal of sharps, safe final disposal of infectious wastes, and appropriate storage of infectious waste. We used simple and multiple linear regression and quantile regression models to examine the association of HF's readiness with their characteristics. Results were presented as beta (β) coefficients and 95% confidence interval (95% CI).ResultsThe overall readiness scores of all HFs, federal/provincial hospitals, local HFs, and private hospitals were 59.9±15.6, 67.1±14.4, 59.6±15.6, and 62.6±15.5, respectively. Across all eight health service delivery domains, the HFs' readiness for tuberculosis services was the lowest (57.8±20.0) and highest for delivery and newborn care services (67.1±15.6). The HFs performing quality assurance activities (β = 3.68; 95%CI: 1.84, 5.51), reviewing clients' opinions (β = 6.66; 95%CI: 2.54, 10.77), and HFs with a monthly meeting (β = 3.28; 95%CI: 1.08, 5.49) had higher readiness scores. The HFs from Bagmati, Gandaki, Lumbini, Karnali and Sudurpaschim had readiness scores higher by 7.80 (95%CI: 5.24, 10.36), 7.73 (95%CI: 4.83, 10.62), 4.76 (95%CI: 2.00, 7.52), 9.40 (95%CI: 6.11, 12.68), and 3.77 (95%CI: 0.81, 6.74) compared to Koshi.ConclusionThe readiness of HFs to implement standard precautions was higher in HFs with quality assurance activities, monthly HF meetings, and mechanisms for reviewing clients' opinions. Emphasizing quality assurance activities, implementing client feedback mechanisms, and promoting effective management practices in HFs with poor readiness can help to enhance IPC efforts.

IntroductionMomordica balsamina is the closest wild species that can be crossed with an important fruit vegetable crop, Momordica charantia, has immense medicinal value, and placed under II subclass of primary gene pool of bitter gourd. M. balsamina is tolerant to major biotic and abiotic stresses. Genome characterization of Momordica balsamina as a wild relative of bitter gourd will contribute to the knowledge of the gene pool available for improvement in bitter gourd. There is potential to transfer gene/s related to biotic resistance and medicinal importance from M. balsamina to M. charantia to produce high-quality, better yielding and stress tolerant bitter gourd genotypes.MethodsThe present study provides the first and high-quality chromosome-level genome assembly of M. balsamina with size 384.90 Mb and N50 30.96 Mb using sequence data from 10x Genomics, Nanopore, and Hi-C platforms.ResultsA total of 6,32,098 transposons elements; 2,15,379 simple sequence repeats; 5,67,483 transcription factor binding sites; 3,376 noncoding RNA genes; and 41,652 protein-coding genes were identified, and 4,347 disease resistance, 67 heat stress–related, 05 carotenoid-related, 15 salt stress–related, 229 cucurbitacin-related, 19 terpenes-related, 37 antioxidant activity, and 06 sex determination–related genes were characterized.ConclusionGenome sequencing of M. balsamina will facilitate interspecific introgression of desirable traits. This information is cataloged in the form of webgenomic resource available at http://webtom.cabgrid.res.in/mbger/. Our finding of comparative genome analysis will be useful to get insights into the patterns and processes associated with genome evolution and to uncover functional regions of cucurbit genomes.

Introduction Visceral leishmaniasis (VL) is a parasitic disease with an estimated 30 000 new cases occurring annually. Despite anaemia being a common haematological manifestation of VL, the evolution of different haematological characteristics following treatment remains poorly understood. An individual participant data meta-analysis (IPD-MA) is planned to characterise the haematological dynamics in patients with VL.Methods and analysis The Infectious Diseases Data Observatory (IDDO) VL data platform is a global repository of IPD from therapeutic studies identified through a systematic search of published literature (PROSPERO registration: CRD42021284622). The platform currently holds datasets from clinical trials standardised to a common data format. Corresponding authors and principal investigators of the studies indexed in the IDDO VL data platform meeting the eligibility criteria for inclusion were invited to be part of the collaborative IPD-MA. Mixed-effects multivariable regression models will be constructed to identify determinants of haematological parameters by taking clustering within study sites into account.Ethics and dissemination This IPD-MA meets the criteria for waiver of ethical review as defined by the Oxford Tropical Research Ethics Committee (OxTREC) granted to IDDO, as the research consists of secondary analysis of existing anonymised data (exempt granted on 29 March 2023, OxTREC REF: IDDO). Ethics approval was granted by the ICMR-Rajendra Memorial Research Institute of Medical Sciences ethics committee (letter no.: RMRI/EC/30/2022) on 4 July 2022. The results of this analysis will be disseminated at conferences, the IDDO website and peer-reviewed publications in open-access journals. The findings of this research will be critically important for control programmes at regional and global levels, policymakers and groups developing new VL treatments.PROSPERO registration number CRD42021284622.

Background: There has been a shift from single disease protocols to interventions that address shared vulnerabilities across disorders with high comorbidity. Unified Protocol (UP) is an emotion-focused transdiagnostic intervention that addresses neuroticism, a shared mechanism identified in emotional disorders by enhancing emotion regulation skills. In this study, we attempted to understand the effect of the (UP) on symptom severity, emotion regulation, and neuroticism. Methods: A non-concurrent multiple baseline design was adopted. Six clients with a primary diagnosis of an anxiety disorder were randomly assigned to a 2, 3, or 4-week baseline period, following medication stabilization for 4 weeks. Following the baseline period, UP was delivered over 15–18 sessions. Neuroticism and emotion regulation were assessed at baseline, post, and follow-up. Anxiety severity was measured weekly by both an independent rater and on self-report. Results: Of the 6 clients randomized, 3 completed the intervention. Visual analysis was used to examine changes in symptom severity and Reliable Change Index (RCI) was used to examine changes in scores on neuroticism and emotion regulation across time points for the 3 completers. Reliable change was observed in 1 out of 3 clients for neuroticism and in 2 out of 3 clients for emotion regulation skills. Change in slope, and level of symptom severity was observed across participants. Conclusions: UP is a parsimonious approach to addressing co-morbidities. Our findings support the role of emotion regulation skills in the management of anxiety. A larger sample is required to establish these findings more robustly and support generalization of findings.

In this paper, we deal with the asymptotic and oscillatory behavior of quasi-linear delay differential equations of fourth order. We first find new properties for a class of positive solutions of the studied equation, $ \mathcal{N}_{a} $. As an extension of the approach taken in [1], we establish a new criterion that guarantees that $ \mathcal{N}_{a} = \emptyset $. Then, we create a new oscillation criterion.

Abstract Introduction Underrepresentation of disabled groups in clinical trials results in an inadequate evidence base for their clinical care, which drives health inequalities. This study aims to review and map the potential barriers and facilitators to the recruitment of disabled people in clinical trials to identify knowledge gaps and areas for further extensive research. The review addresses the question: ‘What are the barriers and facilitators to recruitment of disabled people to clinical trials?’. Methods The Joanna Briggs Institute (JBI) Scoping review guidelines were followed to complete the current scoping review. MEDLINE and EMBASE databases were searched via Ovid. The literature search was guided by a combination of four key concepts from the research question: (1) disabled populations, (2) patient recruitment, (3) barriers and facilitators, and (4) clinical trials. Papers discussing barriers and facilitators of all types were included. Papers that did not have at least one disabled group as their population were excluded. Data on study characteristics and identified barriers and facilitators were extracted. Identified barriers and facilitators were then synthesised according to common themes. Results The review included 56 eligible papers. The evidence on barriers and facilitators was largely sourced from Short Communications from Researcher Perspectives (N = 22) and Primary Quantitative Research (N = 17). Carer perspectives were rarely represented in articles. The most common disability types for the population of interest in the literature were neurological and psychiatric disabilities. A total of five emergent themes were determined across the barriers and facilitators. These were as follows: risk vs benefit assessment, design and management of recruitment protocol, balancing internal and external validity considerations, consent and ethics, and systemic factors. Conclusions Both barriers and facilitators were often highly specific to disability type and context. Assumptions should be minimised, and study design should prioritise principles of co-design and be informed by a data-driven assessment of needs for the study population. Person-centred approaches to consent that empower disabled people to exercise their right to choose should be adopted in inclusive practice. Implementing these recommendations stands to improve inclusive practices in clinical trial research, serving to produce a well-rounded and comprehensive evidence base.

A subsurface investigation was conducted to assess the suitability of a site for potential tunnel construction, focusing on the determination of shear wave velocities (Vs) in subsurface materials. This study employed three distinct methods to analyze Vs in weathered soft rock: drilling mechanism, multichannel analysis of surface waves (MASW), and microtremor array measurement (MAM). Through the utilization of MASW and MAM, empirical relationships were established, enabling the determination of Vs based solely on soil type and depth, offering a practical alternative to the limitations of SPT N-Value, particularly when exceeding 50 blows. The comparison of Vs values obtained from these methods revealed a close alignment between empirical techniques and MASW/MAM, which proved to be cost-effective and an efficient alternative to drilling for comprehensive underground structure assessments. The reliability of MASW was further underscored through its comparison with existing empirical methods. Moreover, the empirical approach demonstrated its efficacy in predicting velocities in weathered soft rock within the Central Himalayan region of Nepal, thus enhancing the feasibility study of underground structures. Lastly, this study proposed a Vs-Depth correlation specifically tailored for highly weathered meta-sandstone bedrock resulting in clay and sandy soils.

In the original publication [...]

Wetlands of India are basically low-lying areas and are one of the most important and potential inland natural fish habitats of the country and provide livelihood to millions of poor fishers living around them. In India, they account for a total area of 3.54 lakh ha covering states of Uttar Pradesh, Bihar, West Bengal, Asom and other North-East states. The present annual fish yield from these wetlands is 350 kg/ha on the average against estimated production potential of 1500kg/ha/year. Among the Indian states, Asom is endowed with myriads of wetlands ranging from 35 to 3458.12 ha in water spread area. The average existing fish production from wetlands of Asom 173 kg/ha/year against its production potential of 1,000–1,500 kg/ ha/year and several factors, viz. habitat alteration, over exploitation, lack of scientific management, encroachment, etc., are responsible for poor productivity of the wetlands. Hence, a study was conducted in 4 selected floodplain wetlands of the state namely Talu Malu (22.0 ha), Amuguri Basapathar (50.0 ha), Kutuha Bar (16.0 ha) and Bhitorkuri (20.0 ha) floodplain wetlands to see the critical factors associated with sustainable development and management of wetlands. The study revealed that four predictive variables namely management capabilities of wetland development committee (X15), availability of aquaculture inputs (X17), age (X1), community-based fisheries organization (X14) have significant positive contribution towards sustainable development and management of wetland fisheries (Y) and each of them contributed at 1% (P

ABSTRACT Objective: COVID-19 is a multisystem immunoinflammatory disorder, and the hypothalamo–pituitary-adrenal (HPA) axis may be affected by SARS-CoV-2 as well as by steroid treatment during the illness. Information on the HPA axis after recovering from COVID-19, especially in those treated with steroids, is sparse. Hence, this study was performed to evaluate the hypothalamo-pituitary-adrenal axis during the post-COVID-19 period in patients treated with steroids during the illness. Subject and methods: This prospective study involved 60 patients aged 18-60 years who had recovered from moderate or severe COVID-19 and had received steroid treatment during the illness. The HPA axis was assessed with a low-dose (1 mcg) adrenocorticotropic hormone stimulation test at 3, 6 and 9 months in the post-COVID period. Results: The HPA axis was suppressed in 31.66% of the patients at 3 months and 5% at 6 months; however, all patients recovered at 9 months. Cumulative steroid use during the illness was inversely correlated with stimulated cortisol at 3 months in the post-COVID period. Fatigue was present in 58.33% of the patients at 3 months and was more prevalent in those with HPA axis suppression. Conclusion: Nearly one-third of the patients with moderate to severe COVID-19 who were treated with steroids had suppressed HPA axis at 3 months, with gradual recovery over a period of 9 months. Cumulative steroid equivalent dose, but not disease severity, was predictive of HPA axis suppression at 3 months.

BackgroundCo-endemicity of neglected tropical diseases (NTDs) necessitates that these diseases should be considered concomitantly to understand the relationship between pathology and to support disease management and control programs. The aims of the study were to assess the prevalence of filarial infection in asymptomatic Leishmania donovani infected individuals and the correlation of Wuchereria bancrofti infection with progression to clinical visceral leishmaniasis (VL) in Bihar, India.Methodology/principal findingsWithin the Muzaffarpur-TMRC Health and Demographic Surveillance System (HDSS) area, a cohort of Leishmania seropositive (n = 476) or seronegative individuals (n = 1130) were sampled annually for three years for filarial infection and followed for progression to clinical VL. To corroborate the results from the cohort study, we also used a retrospective case-control study of 36 VL cases and 71 controls selected from a subset of the HDSS population to investigate the relationship between progression to clinical VL and the prevalence of filarial infection at baseline. Our findings suggest a higher probability of progression to clinical VL in individuals with a history of filarial infection: in both the cohort and case-control studies, progression to clinical VL was higher among filaria infected individuals (RR = 2.57, p = 0.056, and OR = 2.52, p = 0.046 respectively).ConclusionThis study describes that progression to clinical VL disease is associated with serological evidence of prior infection with W. bancrofti. The integration of disease programs for Leishmania and lymphatic filariasis extend beyond the relationship of sequential or co-infection with disease burden. To ensure elimination targets can be reached and sustained, we suggest areas of co-endemicity would benefit from overlapping vector control activities, health system networks and surveillance infrastructure.

Introduction Visceral leishmaniasis (VL) is a parasitic disease with an estimated 30 000 new cases occurring annually. There is an observed variation in the efficacy of the current first-line therapies across different regions. Such heterogeneity could be a function of host, parasite and drug factors. An individual participant data meta-analysis (IPD-MA) is planned to explore the determinants of treatment outcomes.Methods and analysis The Infectious Diseases Data Observatory (IDDO) VL living systematic review (IDDO VL LSR) library is an open-access resource of all published therapeutic studies in VL since 1980. For this current review, the search includes all clinical trials published between 1 January 1980 and 2 May 2021. Studies indexed in the IDDO VL LSR library were screened for eligibility for inclusion in this IPD-MA. Corresponding authors and principal investigators of the studies meeting the eligibility criteria for inclusion were invited to be part of the collaborative IPD-MA. Authors agreeing to participate in this collaborative research were requested to share the IPD using the IDDO VL data platform. The IDDO VL data platform currently holds data sets from clinical trials standardised to a common data format and provides a unique opportunity to identify host, parasite and drug determinants of treatment outcomes. Multivariable regression models will be constructed to identify determinants of therapeutic outcomes using generalised linear mixed-effects models accounting for within-study site clustering.Ethics and dissemination This IPD-MA meets the criteria for waiver of ethical review as defined by the Oxford Tropical Research Ethics Committee (OxTREC) granted to IDDO, as the research consists of secondary analysis of existing anonymised data (Exempt granted on 29 March 2023, OxTREC REF: IDDO) Ethics approval was granted by the ICMR-Rajendra Memorial Research Institute of Medical Sciences ethics committee (Letter no: RMRI/EC/30/2022) on 04-07-2022. The results of this IPD-MA will be disseminated at conferences, IDDO website and any peer-reviewed publications. All publications will be open source. Findings of this research will be critically important for the control programmes at regional/global levels, policy makers and groups developing new VL treatments.PROSPERO registration CRD42021284622.

BackgroundIt has been amply described that levels of IgM antibodies against Mycobacterium leprae (M. leprae) phenolic glycolipid I (PGL-I) correlate strongly with the bacterial load in an infected individual. These findings have generated the concept of using seropositivity for antibodies against M. leprae PGL-I as an indicator of the proportion of the population that has been infected. Although anti-PGL-I IgM levels provide information on whether an individual has ever been infected, their presence cannot discriminate between recent and past infections. Since infection in (young) children by definition indicates recent transmission, we piloted the feasibility of assessment of anti-PGL-I IgM seroprevalence among children in a leprosy endemic area in India as a proxy for recent M. leprae transmission.Material and methodsA serosurvey for anti-PGL-I IgM antibodies among children in highly leprosy endemic villages in Bihar, India, was performed, applying the quantitative anti-PGL-I UCP-LFA cassette combined with low-invasive, small-volume fingerstick blood (FSB).ResultsLocal staff obtained FSB of 1,857 children (age 3–11 years) living in 12 leprosy endemic villages in Bihar; of these, 215 children (11.58%) were seropositive for anti-PGL-I IgM.ConclusionThe anti-PGL-I seroprevalence level of 11.58% among children corresponds with the seroprevalence levels described in studies in other leprosy endemic areas over the past decades where no prophylactic interventions have taken place. The anti-PGL-I UCP-LFA was found to be a low-complexity tool that could be practically combined with serosurveys and was well-accepted by both healthcare staff and the population. On route to leprosy elimination, quantitative anti-PGL-I serology in young children holds promise as a strategy to monitor recent M. leprae transmission in an area.

Polycystic ovarian syndrome (PCOS) has been associated with significant psychological distress. Early identification of mental health consequences may expedite early intervention and improve overall health among women with PCOS. The current scoping review focuses on the prevalence and factors influencing psychiatric morbidity among Indian women with PCOS. Arksey and O’Malley’s framework for conducting scoping reviews was used. We examined the published literature on the prevalence of psychiatric morbidity among Indian women with a clinical or biochemical diagnosis of PCOS from 2001 to 2021 using appropriate keywords in the PubMed and Google Scholar search engines. Case reports, review articles, and guidelines were excluded. We then collated and summarized the data from the selected studies. Of the 45 studies found, 11 studies were included in the review. Most of the studies were done in the hospital setting, except for one study conducted in the school setting. The Rotterdam 2003 criteria were the most used diagnostic criteria for PCOS. All studies except one used screening instruments for assessing psychiatric morbidity. Depression (11%–93%) and anxiety (15%–100%) were the most common psychiatric comorbidities. The presence of acne predicted depression and the presence of alopecia and infertility increased the risk of anxiety among women with PCOS. High rates of depression and anxiety with a wide range of prevalence were seen among Indian women with PCOS. Future studies should assess psychiatric morbidity using structured diagnostic instruments in the community sample.

UTe2 receives significant attention as it may be an example of a spin-triplet superconductor but many features of this material are still to be fully understood. Here, the authors use muon spin rotation to investigate the existence of low-temperature magnetic clusters in single crystals of UTe2 and discuss the potential relationship with the temperature dependent behaviour of the specific heat.

Background: There is strong evidence that the prevalence of chronic conditions substantially increases with age as multimorbidity the coexistence is associated with poor quality of life and health outcome. Objective: The objective of this study is to assess the psychosocial medical domains and their association with well-being among the Geriatrics. Materials and Methods: A community-based cross-sectional study at Urban Health Training Center, Jeedimetla including all the participants whose aged 60 years and above with written consent. A total of 140 participants were subjected to “Integrated care tool” brief questionnaire by interview schedule method including domains such as physical, functional, psychological, mental health, geriatric syndromes, financial security, social involvement, and elder abuse. The association between various domains and well-being was analyzed using binary logistic regression analysis. Results: The well-being was affected among 72.9% mainly suffering with noncommunicable diseases such as hypertension and related complications. Higher mean scores were recorded for those whose well-being is affected for the domains such as physical, geriatric syndromes 1 and 2, mental health, social and family security, and elder abuse. On binary logistic regression analysis, the main predictors for their affected well-being were elder abuse and geriatric syndromes. Conclusions: This gives a comprehensive health status of geriatrics with domain-wise classification of health care needs, thereby improving the health-seeking behavior and preventing frequent hospitalization and related complications.

The mucus fluid vehicle is impacted by the synthetic response that changes the physical science of liquid due to the thickness of the bodily fluid. Additionally, various issues in the respiratory system might happen because of bodily fluid adequacy. A central point of transportation of immunizations to forestall COVID-19 is the concentration level expected during movement, stockpiling, and dispersion. The current review stated that mucus fluid transportation is restrained through magnetic force originating due to heat variation. Permeable channel over respiratory disease and chemicals due to mass reaction–diffusion variation. The bodily fluid development is surveyed by the force, energy, and diffusion condition influence of body powers because of attractive field, source of heat cause of thermal conduction, resistance due to disease chemical reaction cause of concentration profile. The nonlinear arrangement of incomplete differential conditions is addressed by the Laplace transform technique, and MATLAB programming outcomes are initiated for momentum, temperature, and diffusion fields and inferred that the bodily fluid stream decelerates due to magnetic force. The skin friction, Nusselt number, Sherwood number, and the microorganism’s thickness are assessed and explained exhaustively. Furthermore, microorganisms are occupied in different elements to survey the mucus fluid mechanism.

The aim of the study was to green synthesis and evaluate the antiepileptic activity of herbal nanoparticles of Mimusops elengi (ME) on electrochemical convulsion models in mice. ME herbal nanoparticles (MEHNPs) were synthesized and characterized. The particles size and zeta potential of MEHNPs were found to be 24 nm and 29.5 mV respectively. FTIR study revealed that minor shifts of peaks may be due to capping, reduction and stabilization of MEHNPs. Electro convulsions (ECs) were induced using electro-convulsiometer and ear-clip electrodes with alternating current of 45 mA for 0.2 s stimulation. PTZ was administered intraperitoneally to mice at a dose of 105 mg/kg, which was the CD97 (97% convulsive dose for the clonic phase) for inducing chemo-convulsions. The ability of methanol extract of ME bark (MEME-B) and ME herbal nanoparticles (MEHNPs) to reduce the hind limb extension (HLE) in EC and clonic-type (CT) convulsions in the PTZ model was used to establish antiepileptic parameters. HLE and CC was reduced significantly (P < 0.05) whereas neurochemical analyses show a significant rise in Acetylcholinesterase (AChE) and Gamma Butyric acid (GABA) levels. Antioxidant studies revealed that both MEME and MEHNPs significantly increased antioxidant enzymes and scavenged free radicals (P < 0.05), whereas histological findings revealed the protective effects. In both models, MEME-B and MEHNPs exhibited significant anti-epileptic properties, which could be attributed to suppressing excitatory neurohumoral transmission and enhanced inhibitory neurotransmission, as well as a significant increase in antioxidant status. MEHNPs, on the other hand, have outperformed MEME-B in terms of reducing oxidative stress and altering neurochemicals such as AChE and GABA.

Abstract Exploration of heterosis is a strategy for enhancing sunflower yield and productivity. In India, the greatest constraints on sunflower production are stagnant and inconsistent yields. By raising them in a variety of ecological conditions, stable per-se performance with the highest yielding potential sunflower hybrids were selected. Sustainable agriculture requires the use of desirable hybrids with high seed yields and oil content too. By making three distinct crossing sets from 32 sunflower genotypes, 11 cytoplasmic male sterility (CMS), and 21 restorer lines, a total of 124 hybrids were developed (comprising both lines and tester). After extensive field evaluation of all hybrids, only eight superior F1s belonging to all three sets, as well as the three national control hybrids KBSH-53, LSFH-171, and DRSH-1, were selected for stability analysis in four agro-ecological regions of West Bengal, India viz., Nimpith, Baruipur, Bankura, and Berhapore. The genetic stability of several phenotypic characters was assessed using statistical models that examine genotype-environment interaction (G × E) in multi-locational yield trials. In this experiment, the performance of hybrids under various environmental circumstances over two-year periods was measured using regression coefficient (bi) and deviations from regression (S2di). With the exception of genotypes CMS-852A × EC-601751 for volume weight (0.9335) and CMS-302A × EC-623011 for head diameter (0.0905) and volume weight (0.6425), all sunflower genotypes for all concerned traits had extremely minor and negligible deviations from regression (S2di), which showed significant values. The genotypes having insignificant values of S2di were more stable. The economic heterosis of these novel hybrids was also quantified. CMS-302A × EC-623011 in which seed yield was recorded 20.90, 20.91, 20.95 and 20.90% higher than DRSH-1 at Nimpith, Baruipur, Bankura and PORS (Berhampur), respectively. The research revealed that CMS-302A × EC-623011, CMS-853A × EC-623027 and P-2–7-1A × EC-512682 exhibited good seed production and stability for critical agronomic parameters in addition to oil content. As a result, the current researches enlighten to find out how stable the expression of important economic traits in sunflower hybrids is.