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Aim Methods Results Conclusion There is no universally accepted treatment consensus for haemorrhoids, and thus, management has been individualized all over the world. This study was conducted to assess a global view of how surgeons manage haemorrhoids.The research panel of the International Society of University Colon and Rectal Surgeons (ISUCRS) developed a voluntary, anonymous questionnaire evaluating surgeons' experience, volume and treatment approaches to haemorrhoids. The 44 multiple‐choice questionnaire was available for one month via the ISUCRS email database and the social media platforms Viber and WhatsApp.The survey was completed by 1005 surgeons from 103 countries; 931 (92.6%) were in active practice, 819 (81.5%) were between 30 and 60 years of age, and 822 (81.8%) were male. Detailed patient history (92.9%), perineal inspection (91.2%), and digital rectal examination (91.1%) were the most common assessment methods. For internal haemorrhoids, 924 (91.9%) of participants graded them I–IV, with the degree of haemorrhoids being the most important factor considered to determine the treatment approach (76.3%). The most common nonprocedural/conservative treatment consisted of increased daily fibre intake (86.9%), increased water intake (82.7%), and normalization of bowel habits/toilet training (74.4%). Conservative treatment was the first‐line treatment for symptomatic first (92.5%), second (72.4%) and third (47.3%) degree haemorrhoids; however, surgery was the first‐line treatment for symptomatic fourth degree haemorrhoids (77.6%). Rubber band ligation was the second‐line treatment in first (50.7%) and second (47.2%) degree haemorrhoids, whereas surgery was the second‐line treatment in third (82.9%) and fourth (16.7%) degree symptomatic haemorrhoids. Rubber band ligation was performed in the office by 645(64.2%) of the participants. The most common surgical procedure performed for haemorrhoids was an excisional haemorrhoidectomy for both internal (87.1%) and external (89.7%) haemorrhoids – with 716 (71.2%) of participants removing 1, 2 or 3 sectors as necessary.Although there is no global haemorrhoidal treatment consensus, there are many practice similarities among the different cultures, resources, volume and experience of surgeons around the world. With additional studies, a consensus statement could potentially be developed. [ABSTRACT FROM AUTHOR]

AbstractBackgroundMethodsResultsConclusionsIndia relies primarily on direct smear microscopy for tuberculosis (TB) diagnosis. However, the low sensitivity of smear microscopy emphasizes the need to improve its performance. We recently described the development of ‘TBDetect’ kit which showed improved performance over direct smear microscopy at National Reference Laboratories (NRLs) in India.The present study was aimed to assess the operational feasibility of ‘TBDetect’ microscopy in field settings. This was evaluated by (i) assessing the performance of ‘TBDetect’ microscopy vs. LED-fluorescence microscopy (LED-FM) on consecutive presumptive pulmonary TB patients (n = 5300) who attended Designated Microscopy Centres (DMCs, n = 13) under 4 NRLs at Bhubaneswar, Bhopal, Chennai, and New Delhi, and (ii) obtaining feedback from Scientists (n = 10) and laboratory technicians (n = 42) using semi-structured questionnaires under the following parameters: feasibility of initiation of ‘TBDetect’ microscopy in DMCs, sample preparation and testing, training, time-to-result, logistics, and troubleshooting. A scoring questionnaire was also used to assess ‘TBDetect’ microscopy vs. LED-FM and statistical significance of the scores was calculated using paired t-test.The overall positivity of ‘TBDetect’ microscopy was 10.32% (547/5300) vs. 8.96% (475/5300) of LED-FM at all sites and the increment in positivity was significant (p = 0.019). In addition, ‘TBDetect’ microscopy yielded an increment in smear grade status over LED-FM (p = 0.043). The feedback from the study-in-charge and kit users indicated that ‘TBDetect’ microscopy was easily adapted in point-of-care settings. An analysis of scoring feedback suggested that it was easy to perform and observe in comparison to LED-FM (p < 0.005).This study established the feasibility of ‘TBDetect’ microscopy in field settings. [ABSTRACT FROM AUTHOR]

Background: Folate and vitamin B12 deficiencies in pregnant women are associated with increased risk for adverse maternal and infant health outcomes, including neural tube defects (NTDs). Methods: A population‐based cross‐sectional survey was conducted in two rural areas in Ambala District, Haryana, India in 2017 to assess baseline folate and vitamin B12 status among women of reproductive age (WRA) and predict the prevalence of NTDs. We calculated the prevalence of folate and vitamin B12 deficiency and insufficiency by demographic characteristics among 775 non‐pregnant, non‐lactating WRA (18–49 years). Using red blood cell (RBC) folate distributions and an established Bayesian model, we predicted NTD prevalence. All analyses were conducted using SAS‐callable SUDAAN Version 11.0.4 to account for complex survey design. Results: Among WRA, 10.1% (95% CI: 7.9, 12.7) and 9.3% (95% CI: 7.4, 11.6) had serum (<7 nmol/L) and RBC folate (<305 nmol/L) deficiency, respectively. The prevalence of RBC folate insufficiency (<748 nmol/L) was 78.3% (95% CI: 75.0, 81.3) and the predicted NTD prevalence was 21.0 (95% uncertainly interval: 16.9, 25.9) per 10,000 live births. Prevalences of vitamin B12 deficiency (<200 pg/mL) and marginal deficiency (≥200 pg/mL and ≤300 pg/mL) were 57.7% (95% CI: 53.9, 61.4) and 23.5% (95% CI: 20.4, 26.9), respectively. Conclusions: The magnitude of folate insufficiency and vitamin B12 deficiency in this Northern Indian population is a substantial public health concern. The findings from the survey help establish the baseline against which results from future post‐fortification surveys can be compared. [ABSTRACT FROM AUTHOR]

Astroblastoma is an uncommon circumscribed glial tumor mostly involving the cerebral hemisphere. The characteristic molecular alteration is meningioma (disrupted in balanced translocation) 1 (MN1) rearrangement. No definite World Health Organization grade has been assigned as both low‐ and high‐grade tumors are known to occur. Tumors in the spine are extremely rare; to date only three cases have been reported in the literature. A vigilant microscopy and ancillary testing aid in diagnosis when the tumors present in unusual locations, as in our case. The prompt differentiation of this tumor from its mimickers is a mandate as modalities of management are different and not clearly established. [ABSTRACT FROM AUTHOR]

The present study was done to know the In-vitro efficacy of Psidium guajava leaves against subclinical mastitis causing organisms namely S. aureus and E. coli. Total 200 cases of sub-clinical mastitis in buffaloes were screened from October 2020 to June 2021 in Ayodhya and Sultanpur districts of Uttar Pradesh by using California Mastitis Test (CMT) and White Side Test (WST). In-vitro efficacy of Psidium guajava extracts - Hydro/Aqueous (H), Methanolic (M) and Hydro-Methanolic (HM) extracts were studied by using disc diffusion sensitivity test and observed no inhibition zone for Hydro/Aqueous extract at any concentration for any bacteria. Hydro-Methanolic extract at 300 mg/ml concentration revealed inhibition zone against S. aureus only. Inhibition Zones for Methanolic extracts at 200 mg/ml, 250 mg/ml and 300 mg/ml were seen against S. aureus, maximum zone was obtained at 300 mg/ml and least against 200 mg/ml concentration. [ABSTRACT FROM AUTHOR]

Green hydrogen synthesis has attracted researchers due to energy resource applications. Non‐renewable energy sources have been found to be incapable of meeting energy demands. Therefore, the need of the hour is to introduce an alternative to produce an efficient amount of H2. This review has summarized and investigated hetero‐catalysts and their hydrogen production potential under different light illuminations. Here, the syntheses of various nanoparticles (NPs) and composite semiconductors have been reviewed, and insights into the enhanced ability of noble‐free metal electrocatalysts have been provided. Specific nanomaterials, such as nickel, ruthenium, silver, boron‐doped SnO2, AgVO3, cobalt‐ferrite, and cobalt, dominate in synthesizing durable electrocatalysts. These exhibit Schottky junctions and enhance catalytic behaviour for hydrogen production. Finally, the challenges of the nanoparticle's structural and conductive properties and critical solutions are discussed. This review discusses mechanistic insights, interactions, and kinetics that involve a higher H2 synthesis rate. [ABSTRACT FROM AUTHOR]