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In response to the growing demand for electricity and the depletion of fossil fuel resources, nations are transitioning towards renewable energy systems as viable alternatives for power generation. Wind and solar photovoltaic (SPV) energy systems have emerged as promising, sustainable options. However, conventional multilevel inverters fail to control both wind and SPV energy simultaneously. Therefore, in this study, a hybrid SPV wind power system with a level converter (HPWPS-SLC) was developed using a wind-based permanent magnet synchronous generator and SPV energy grid sources. The HPWPS-SLC leverages the benefits of the genetic algorithm-optimized adaptive neuro-fuzzy inference system controller for efficient energy generation and management. In addition, a pulse width modulation controller with a hybrid asymmetric switching scheme was implemented to reduce the total harmonic distortion (THD). This approach enables high switching frequency while minimizing the switch count, thereby reducing the losses and costs associated with conventional techniques. Simulation results show that the proposed HPWPS-SLC system achieves a power factor of 0.7 and a THD of 25.02 % for grid voltages under fault conditions. Despite the fault conditions, maintaining a THD value of 25.02 % ensures a better grid voltage waveform quality and minimizes distortions for stable operation. Utilizing a 42-cycle signal with a fast Fourier transform of 17 cycles enables finer resolution in harmonic analysis up to the 16th order, thereby enhancing the overall system performance.

This work details the study conducted on composite solid propellants with activated copper chromite (ACR) as burn catalyst for its burn rate change with time due to the interaction of ammonium perchlorate (AP) with ACR. One of the hypotheses cited for burn rate reduction is the conversion of chromite in ACR to chromate by an electrolytic reaction with moisture in the presence of ammonium perchlorate. This hypothesis was studied by a design of experiments which includes blending ammonium perchlorate and ACR, Aluminum and ACR, stand alone ACR in raw material stage and the blends storage with time. The effect of moisture in AP is addressed by comparing undried and dried AP in the blends. The blended raw materials were characterized by Thermo-gravimetric analysis, Particle Size Distribution, surface area measurement, Scanning Electron Microscopy and chromium estimation. Results show that the conversion of chromium from chromite to chromate is very minimum in the presence of AP. Propellant samples are prepared with these blends at different time intervals to understand viscosity, mechanical properties and burn rate behavior with raw material storage. Experimental results show burn rate shows an opposite trend of increase with blend storage of 6 months. A plausible explanation for this observation is presented in the paper correlating the experimental conditions.

Abstract Background The COVID-19 pandemic has served as a catalyst for recognizing the challenging environments in which healthcare workers operate, underscoring the urgent need to enhance their wellness to better support themselves and others. The implementation of a culture of wellness within the context of healthcare education, with a particular emphasis on individual-level strategies, allows for the realization of its intrinsic value and significance as a foundation for broader organizational strategies. This approach facilitates the establishment of a sustainable culture of wellness that benefits both current and subsequent generations of healthcare professionals. Methods We implemented our wellness program using a pragmatic pre-post study design for different settings. Our wellness intervention program was tested in three ways by creating combinations of different intensities (high, moderate, or low), delivery methods (face-to-face vs. virtual), different motivations (incentive, mandatory, or volunteer participation), and different timings (during medical programs or before entering into healthcare programs) among medical and nursing students. The effects of the wellness program were measured on quality of life, emotional intelligence, and efficacy scores among healthcare students. Statistical methods included repeated measures analysis of variance and paired t-tests. Results A total of 224 students (13 in high, 145 in moderate, and 66 in low-dose interventions) participated in our study program. Most scores were significantly improved except for a few factors in the high-dose face-to-face Well-Teach intervention cohort. Among quality of life components, the average psychological scores were markedly increased after high (13.2 vs. 14.7, p = .018), moderate (13.9 vs. 14.8, p

Abstract Exploration of secondary resources for isolation of valuable constituents, such as rare earth elements (REEs) and trace elements (TEs), is of importance owing to the need to identify new domestic sources and reduce reliance on imports. The present study systematically discusses the distribution of REEs and TEs in core samples from the coal block of Bhalukasba Surni {(B1(125 m)-B9 (409 m)} located in Rajmahal coalfield, Jharkhand, India, which has not been investigated previously for its geochemistry. The studied coal samples were found to be enriched in TEs whose abundances were in the order of Mn > Mo > Zr > Ni > Cr > V > Cu > Zn > Pb, and REEs (La, Ce, Pr, Nd, Sm, Eu, Gd, Dy, Er, Tm, Yb, Lu) along with Sc and Y. The average concentration of REEs with yttrium (ΣREY) on an ash basis was 528 ppm, which is significantly higher than the world average for coal ash (435 ppm). Of the samples investigated, B3 (182–184 m) and B8 (396–399 m) demonstrated relatively higher concentrations of potentially economic elements, with B3 containing a higher proportion of middle to heavy REEs Gd, Dy, Ho and Er, and B8 showing relative enrichment in Nd and Y. On dry whole coal basis, B6 (275–278 m) showed a considerably higher concentration of Ge (55 ppm) than other samples, whereas the concentration of Zr varied in the range of 90–160 ppm in the whole coal block. X-ray diffraction studies revealed the presence of quartz, keatite, hematite, zircon, anatase and orthoclase in the coal ash samples prepared at 815 °C. REEs exhibited prominent positive correlation with Al2O3 (0.4 0.9) which is supportive of their residence in primary clay minerals such as kaolinite and illite-smectite. Additionally, a positive correlation of REEs with P2O5 (0.4 0.9) suggests their association with phosphate minerals (such as monazite, xenotime, apatite). Positive correlation with TiO2 (r > 0.7) corroborates the possible association of REEs with anatase. The morphology of the coal ash samples viewed in SEM showed the presence of Al2O3 and SiO2 enriched irregular-sponge particles likely derived from partly-fused clay minerals, which accounted for the lower extent of REE encapsulation. The Bhalukasba Surni coal block is potentially of economic importance due to its enrichment in Ge, Zr, and the REEs.

Abstract Anti-microbial stewardship program (AMSP) is practiced only in tertiary hospitals in India, though, the lower tier hospitals remain the first point of contact in patient care. This study was conducted in lower tier hospitals to calculate antibiotic and multiple antibiotic prescription rate (APR, MPR) for common infections and finding existing strength of health system for optimizing antibiotic prescription. We conducted a cross sectional convergent parallel mix-method study in eight lower tier hospitals of three districts of West Bengal, India. Six hundred OPD prescriptions of UTI, ARI, AUFI, ADD were evaluated. Qualitative data collected through in-depth interviews of medical officers/officers in administrative positions, infection control nurses were analyzed using content analysis method. APR was 63.8% in primary tier hospitals and 60.8% in secondary tier hospitals. The MPR was higher in secondary tier hospital (23.8%). Presence of infection control committee, designated nursing staff, initiation of prescription audit, increased monitoring were identified as few facilitators for future implementation of AMSP in lower tier hospitals. The routine infection control activities of lower tier hospitals are currently delinked from AMR containment measures and thus, customized AMSP needs to be established in these hospitals catering two third of the population of India.

Abstract Ocean mesoscale eddies, with $$20-300$$ 20 - 300 km size, present in energetic regions of the global ocean, are known to impact local and remote atmospheric weather. The impact of eddies in the Mediterranean Sea on the local weather, however, remains largely unknown. Here, we study this impact during an extreme weather event observed over Israel on January $$8-10$$ 8 - 10 , 2020, resulting in heavy rains and floods. To do so, we designed a set of coupled and forced numerical simulations with a horizontal resolution of 5 km in both ocean and atmosphere. The coupled simulation successfully reproduces the main characteristics of the torrential rains observed during the event, whereas the forced simulations exhibit poorer performance. Our results emphasize the importance of mesoscale air-sea coupling in supplying moisture to the atmosphere, via mechanisms involving both sea surface temperature and surface currents associated with sea eddies. Extreme weather events are intensified by the Mediterranean Sea eddies, especially through atmospheric meso-cyclones.

Abstract The 3D printing technique has recently become more prevalent among researchers for the fabrication of nanocomposites. The low crystallinity of polylactic acid (PLA) leads to the poor mechanical and thermal properties of its 3D-printed products, which restrict their applications in many fields. To overcome the limitations of PLA, the present work aims to develop PLA-based bionanocomposite filaments with varying percentages (1, 3, and 5 wt%) of crystalline nanocellulose (CNC) through a single screw extruder. The filaments will be further utilized for the development of bionanocomposite samples to evaluate their properties. The effect of CNC reinforcement on the chemical structure of the filaments was analyzed by FTIR analysis. XRD analysis revealed that the crystallinity of the filaments was significantly improved due to the nucleating effect of CNC. The maximum crystallinity was observed in the filament containing 1 wt% CNC, which was 26% higher than the pure PLA filament. The thermal and mechanical performance of the filaments was also considerably improved after CNC reinforcement, which was confirmed by DSC-TGA and tensile test analysis. The maximum tensile strength and tensile modulus were observed to be 48.9 MPa and 1700 MPa, respectively, in the filament reinforced with 1 wt% CNC, which was 35.5% and 21.89%, respectively, higher than those of the pure PLA filament. Rheological analysis showed that the complex viscosity, storage modulus, and loss modulus of the filaments were significantly affected by the reinforcement of CNC.

Tissue on a chip or organ-on-chip (OOC) is a technology that's dignified to form a transformation in drug discovery through the use of advanced platforms. These are 3D in-vitro cell culture models that mimic micro-environment of human organs or tissues on artificial microstructures built on a portable microfluidic chip without involving sacrificial humans or animals.This review article aims to offer readers a thorough and insightful understanding of technology. It begins with an in-depth understanding of chip design and instrumentation, underlining its pivotal role and the imperative need for its development in the modern scientific landscape. The review article explores into the myriad applications of OOC technology, showcasing its transformative impact on fields such as radiobiology, drug discovery and screening, and its pioneering use in space research. In addition to highlighting these diverse applications, the article provides a critical analysis of the current challenges that OOC technology faces. It examines both the biological and technical limitations that hinder its progress and efficacy and discusses the potential advancements and innovations that could drive the OOC technology forward. Through this comprehensive review, readers will gain a deep appreciation of the significance, capabilities, and evolving landscape of OOC technology.

Introduction: Postoperative sore throat (POST) is a common cause of distress and dissatisfaction after general anesthesia. POST is one of the most distressing symptoms after general anesthesia. Incidence of POST ranges from 14.4% to 90% following laryngoscopy and tracheal intubation. Various drugs with different routes are examined to prevent POST. We intended to compare the effectiveness of nebulized dexamethasone and magnesium sulfate (MgSO4) in decreasing the incidence and severity of POST. Materials and Methods: In this prospective double-blind study, adult patients with either sex undergoing laryngoscopy and intubation for surgery were randomly assigned into dexamethasone (Group D) and MgSO4 (Group M). The primary outcome was to assess incidence and severity of POST, and secondary outcome was to assess the incidence of hoarseness and cough. Continuous variables were presented as mean ± standard deviation, and t-test was applied for comparing the difference of means between the two groups. P ≤0.05 was considered statistically significant. Results: The incidence of POST in Group D was much lower as compared to Group M at 0 h (P = 0.0262), but after that, there was no significant difference between groups. Severity of POST was compared between Group D and Group M at 0, 4, 8, 12, and 24 h postoperatively. At 0 h, Group D had 22 patients with no pain at rest (Grade 0) whereas Group M had 12 patients. The secondary outcomes (pain at deglutition, hoarseness, and cough) at 0, 4, 8, 12, and 24 h were not statistically significant (P > 0.05). Conclusions: Preoperative MgSO4 nebulization is as effective as dexamethasone nebulization in decreasing the incidence and severity of POST without causing any adverse effect. Incidence of pain on deglutition, hoarseness, and cough are also reduced effectively by both drugs.

Background and Aims: The erector spinae plane block (ESPB) is a novel regional anesthesia technique compared to the thoracic paravertebral block (TPVB) in providing postoperative pain relief in breast surgeries. Modified radical mastectomy (MRM) is a commonly performed surgery for breast cancer. The objective of the study is to compare the efficacy of ESPB and TPVB in providing postoperative pain relief after MRM. Material and Methods: This is a prospective randomized study conducted in a tertiary care teaching hospital. Sixty ASA I–III adult patients (age >18 years) scheduled to undergo elective unilateral MRM for breast cancer were enrolled in the study. Ultrasound-guided ESPB or TPVB with 0.25% bupivacaine was performed preoperatively on the patients randomized into two groups, namely, the ESPB and TPVB groups. All patients received patient-controlled analgesia for postoperative pain relief. Morphine consumption and Visual Analog Score (VAS) for pain were recorded at 3, 6, 12, and 24 h postoperatively. Results: Primarily, the mean postoperative VAS scores between the two groups at 3, 6, 12, and 24 h showed no statistical significance and were comparable when matched at different time points. However, 24-h morphine consumption was significantly more in the ESPB group (P = 0.035). Duration of block performance also showed a significant difference, with ESPB taking less time to perform (P < 0.001). The mean age and body mass index (BMI) of patients and length of hospital stay in both the groups were similar. Conclusions: Both ESPB and TPVB provided adequate analgesia in patients undergoing MRM; however, TPVB had better efficacy and opioid-sparing effect when compared to ESPB.

Background: Neutrophil–lymphocyte ratio (NLR) is a valuable indicator for evaluating inflammatory response and red blood cell distribution width (RBDW), a routinely available biomarker of likely erythropoietic dysfunction, which may be associated with adverse outcomes after cardiac surgery. This study aimed to investigate the association between these two readily available haematological parameters, with the poor outcomes in paediatric patients undergoing cardiac surgery. Methods: A comprehensive review of medical records for paediatric patients who underwent cardiac surgery at our tertiary care centre between April 2022 and June 2023 was carried out. RBDW and NLR values were collected from complete blood count reports obtained on admission to the ICU. Demographic data, surgical details, and postoperative complications were also recorded. A receiver operating characteristic (ROC) curve and multivariable logistic regression were applied to identify the prognosis performance of preoperative NLR and RBDW for poor outcomes. Results: The study included 219 patients meeting the inclusion criteria of which a total of 90 (41%) children experienced at least one of the poor outcomes. Preoperative NLR (AUC=0.88, 95%CI 0.36–0.70, cut off- 4.2) and RBDW (AUC=0.88, 95%CI 0.39–0.73, cut off- 18.5%) showed prognostic significance in the perioperative period. Conclusion: This retrospective observational study highlights a significant association between elevated Red Blood Cell Distribution Width (RBDW) and Neutrophil Lymphocyte Ratio (NLR) values and poor outcomes in paediatric patients undergoing cardiac surgery. These readily available haematological parameters could serve as potential prognostic indicators for identifying patients at risk of poor outcomes.

Summary: Background: Cholera cases have increased globally across the Eastern Mediterranean, Africa, Southeast Asia, and parts of Europe since early 2024. This study aims to identify cholera hotspots and understand the spatial distribution of cholera in Kolkata and surrounding regions, a key cholera reservoir. Additionally, we examine sociodemographic factors and aspects related to water, sanitation, and hygiene (WASH). Methods: Cholera clusters were detected using kernel density estimation and spatial autocorrelation through Global Moran’s-I statistics, with local cluster patterns examined using Local Moran’s-I statistics. Cholera cases from August 2021 to December 2023, treated at two tertiary care facilities in Kolkata: Infectious Diseases and Beleghata General Hospital and Dr. B C Roy Post Graduate Institute of Paediatric Sciences Hospital were included. Additionally, through a case–control study, 196 culture-confirmed cholera cases and 764 age/sex-matched neighborhood controls were enrolled, to investigate cholera risk factors. Findings: Spatial analysis revealed a concentration of 196 cholera cases in Kolkata and its surrounding regions of Howrah, Hooghly, and North and South 24 Parganas. Hotspot analysis showed significant clustering in several Kolkata wards (31, 33, 56, 46, 57, 58, 59, 61, 66, 71, and 107), particularly in the northern, central, and east Kolkata wetlands areas (Global Moran’s I statistic = 0.14, p

Whey is an excellent source of proteins, with a high biological value and essential elements in addition to the proteins it contains. Additionally, it possesses a number of characteristics that are exclusive to it. Whey has been “rediscovered” in recent years and is now being used in a wider variety of food recipes as a result of the features discussed here in the present review paper. It’s possible that using whey instead of the “nutrient goldmine” will be more “economical.” Consumers who are educated on the role that whey plays in human nutrition and are aware of its significance are more likely to be interested in purchasing food products that include whey. Due to the nutritional and functional features that whey possesses, it has been included into a wide variety of food compositions, such as dairy-based products, biofunctional components, confectionary products, and beverages that are both refreshing and nutritious. In this review, several types of food products and beverages containing whey that have been produced so far by researchers from all over the world are described, along with their processing characteristics, sensory attributes, and commercial potential. Moreover, this paper delves into the potential applications of probiotic and functional whey-based products within the realms of biofunctional and therapeutic relevance.

Efficient scheduling and load balancing are essential for optimizing performance in multiprocessor systems. This study proposes a novel hybrid algorithm that integrates beam search and differential evaluation techniques within the domain of artificial intelligence (AI) to address these challenges. Our objective is to minimize the operational completion time (OCT), a critical metric for evaluating system performance. Beam search is utilized to explore the solution space effectively, enabling the algorithm to identify promising solutions. Moreover, we employ a differential evaluation approach to assess the quality of candidate solutions and guide the search toward optimal or near-optimal scheduling and load-balancing configurations. By combining these techniques, our hybrid algorithm aims to minimize OCT, thereby enhancing system throughput and resource utilization. Experimental evaluations demonstrate the effectiveness of our approach in achieving improved performance compared to traditional methods. This research contributes to advancing the field of AI in multiprocessor systems optimization, providing practical solutions for real-world deployment in high-performance computing environments.

Demand forecasting, a crucial aspect of anticipating future customer needs, involves using historical data to predict trends. With the rise of artificial intelligence (AI), companies are increasingly turning to machine learning algorithms to enhance accuracy in forecasting compared to traditional methods. This article delves into the application of machine learning algorithms in demand forecasting, specifically within the realm of supply chain management, addressing both long-term (4–5 years) and short-term (3–4 months) scenarios. The primary focus is on improving prediction accuracy by employing feature selection algorithms and various machine learning and deep learning approaches. Utilizing diverse algorithms, such as time series, traditional machine learning, and advanced deep learning techniques, the study aims to forecast demand for different timeframes. Evaluation metrics like Mean Absolute Percentage Error (MAPE) and Mean Percentage Error (MPE) are employed to assess the effectiveness of each model. The primary goal is to pinpoint the most effective algorithm tailored to a specific dataset. This empowers companies to make well-informed decisions and enhance their supply chain operations by leveraging precise demand forecasts. The results of this study hold the potential to empower decision-makers and practitioners by enhancing their forecasting capabilities. By integrating both forecast periods a more comprehensive and robust supply chain strategy is ensured.

Cooking oil is an important source of essential nutrients for human health. Prolonged heating of vegetable oil can lead to the emergence of health conditions. This study examined the physicochemical characteristics of sesame seed oil after heating at 180°C for 4 or 8 hours. We assessed the acid value, iodine value, peroxide value, p-anisidine value, refractive index, and saponification value; conducted gas chromatography; and performed preclinical testing on Wistar rats. The acid value, specific gravity, refractive index, p-anisidine value, saponification value, peroxide value, and iodine value in the present investigation have been calculated to fall within the following range: 0.42–2.11 milligrams of potassium hydroxide (KOH) per gram (mg KOH/g oil), 0.92–0.8912, 1.473–1.4746, 0.67–15.32 p-Anisidine Value (AnV), 188–197.25 milligrams of potassium hydroxide (KOH) or sodium hydroxide (NaOH) per gram of fat or oil (mg KOH/g oil), 3.56–12.56 milliequivalents (meq) of active oxygen per kilogram of oil (meq/kg), and 108–81 grams of iodine per 100 grams of oil (gm/100g oil). Gas chromatography detected alterations in the quantities of mono-unsaturated fatty acids and poly-unsaturated fatty acids, as well as the production of trans fats, which have negative effects on health. Animal studies indicated changes in lipid profiles, liver profiles, and amounts of antioxidant enzymes (glutathione, superoxide dismutase [SOD], catalase, and thiobarbituric acid reactive substances [TBARS]) in tissue homogenates. The findings indicate that consuming thermo-oxidized oil can have detrimental effects. These findings highlight the need for a thorough comprehension of thermo-oxidized oil utilisation to adequately tackle public health issues.

To study the clinical profile and laboratory characteristics and treatment of children with Wilson’s disease (WD). The current study was done at Department of pediatrics, Sir Padampat Institute of Neonatology and Pediatric Health, Sawai Man Singh Medical College, Jaipur. It was an observational study and institution ethics committee approved the study. Patients visiting the outpatient department or admitting in wards with clinical presentation suggestive of WD were enrolled in the study after obtaining a valid informed written consent. Patients subjected to detailed clinical history and physical examination. All patients subjected to routine blood count, biochemistry including liver function tests and specific laboratory investigations. They underwent ophthalmological examination. Ultrasonography abdomen and liver biopsy performed in enrolled patients. Magnetic resonance imaging brain carried out in patients with neurological WD. Ferenci score was calculated for each of the patients. Total 50 patients were included in the study. Mean age at the time of diagnosis was 9.4 years with delay of 11 months after onset of symptoms. Male is to female ratio was 2/1. Hepatic manifestation were seen in 76% patients and 24% patients presented with neurological disease. Kayser-Fleischer ring was seen in 44% patients with hepatic disease and 83% patients with neurological disease. Twenty-four hour urinary copper was more than 2 time of upper limit of normal in all patients. Fifty-four percent patients showed improvement with chelation therapy and 9 patients died during the study period. WD in children has varied clinical manifestation and early diagnosis is necessary for good prognosis. It requires wide range of tests as genetic testing is not easily available. Acute liver failure has high mortality. Early chelation therapy reverses the clinical and biochemical abnormalities.

Abstract The extraction of valuables from waste has gained momentum. Thermal influence alters both the organic and inorganic components of coal. Insufficient knowledge on the association of rare earth elements (REEs) with the parent matrix of thermally altered high-ash coals (63% ash) limits the potential for such coals being utilized for isolation of valuables. In this study, we analyzed the distribution and occurrence modes of REEs within a magmatically altered high-ash coal via nine-step sequential extraction, combining Tessier and BCR methods. The total concentration of REEs in the coal sample, on whole coal basis, was found to be 820 ppm, which is significantly higher than the world average. Major mineral oxides were deduced to be those of Si, Fe, Al, Ca, Mg, and Ti. Sequential extraction confirmed that about 66% of HREE and 25% of LREE were included in the residual fraction. LREEs were concluded to be primarily in ionic form, whereas HREEs were speculated to be associated with the TiO2 phase. XRD analyses showed that thermal alteration affected the dolomite phase specifically, which selectively got removed where carbonate-bound elements were assessed. Petrographic analysis supported the magmatic influence and demonstrated the presence of mosaic structures and pores containing unfused vitrinite, with a reflectance value of 3.6. To summarize, the present study pertaining to delineation of association of valuables in high-ash heat-altered coals from an Eastern coalfield in India can potentially open up new avenues for utilizing such coals, which are otherwise considered waste.

Endophytic bacteria reside within the plant cell and are beneficial to it in a number of ways like growth, protection to environmental conditions and sustainability in favor of the hosts. Throughout the ages, Garlic (Allium sativum L.) has legendary therapeutic importance. The important step in endophyte isolation is the removal of plant tissue surface microflora, called as surface sterilization. Endophytes from medicinal plants may mimic the compound produced by the host plant and also plays an important role in production of bioactive compound, so it is necessary to isolate endophytes, not the epiphytic microbes. The present investigation was undertaken with an aim to optimize the sterilization parameters viz: time and concentration of ethanol and sodium hypochlorite for isolation of endophytic bacteria as well as exploring their antibacterial activity from Allium sativum. The results revealed that concentration and exposure time of sterilizing agent caused prominent surface sterilization but have negative effect on isolation of endophytes. Experimental results revealed that 70% ethanol (6 min), 2% sodium hypochlorite (1 min) followed by 70% ethanol (30 sec) is effective for surface sterilization of leaf and 70% ethanol (6 min), 3% sodium hypochlorite (1 min) followed by ethanol (30 sec) for bulb of Allium sativum. A total of 86 bacterial endophytes were recovered and screened for antibacterial activity against Enterococcus faecalis, Bacillus cereus ATCC 11778, Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli, Enterobacter, Klebsiella pneumoniae, Salmonella typhi and Proteus. Out of 86 bacterial endophytes, only (9%) endophytes were found to be inhibiting one or all test human pathogen. The findings of the present study suggest that use of optimized sterilization conditions are effective for removing surface bacterial strains without affecting endophytes as well as the Allium sativum plant of the Jaunpur district represents an excellent reservoir of endophytic bacteria and novel source of bioactive compounds. On the other hand different concentration and time of their exposure to different parts of plant is required for proper surface sterilization of that part and isolation of endophytes.

Genetic variability in rice breeding programs plays a very crucial role. It provides an outstanding pool of superior alleles governing better agronomic and quality characters through association mapping. For a greater understanding of population structure, the genetic relationship among different rice lines is indispensable prior to the setting of a correlation among dynamic alleles and traits. In the present investigation, the genetic diversity and population structure of 116 rice accessions were studied to understand genetic relatedness and diversity among them using 64 polymorphic SSR markers. A genotyping assessment based on SSR markers revealed a total of 225 alleles, with an average PIC value of 0.755. The germplasm lines were classified into three distinct subgroups through population structure analysis, utilizing both model- and distance-based approaches. AMOVA analysis showed that 11% of the total variation could be attributed to differences between groups, while the remaining 89% was likely due to differences within groups. This study suggested that population structure and genetic relatedness should be considered to establish marker–trait associations for association mapping when working with the core collection of germplasm lines.

Abstract Background Heavy menstrual bleeding (HMB) is a common menstrual disorder associated with multiple risk factors of cardiovascular disease (CVD) in women. In addition, HMB is often present with irregular menstruation (IM) which is a risk factor for CVD outcomes. However, the relationship between HMB and CVD outcomes is unexplored in the presence or absence of IM. We determined the association of HMB with multiple CVD outcomes using a nationally representative sample of female hospitalizations in the US. Methods All hospitalizations of females with HMB diagnosis and normal menstrual cycles from ages of 18 to 70 years were extracted from the National Inpatient Sample Database, 2017. The HMB was defined using the International Classification of Diseases (ICD)-10 for excessive and frequent menstruation bleeding and included any current or history of HMB diagnosis. Outcomes including major adverse cardiovascular events (MACE), coronary heart disease (CHD), stroke, heart failure (HF), atrial fibrillation (AF) or arrhythmia, myocardial infarction (MI), and diabetes (DM) were defined using ICD-10 codes. Adjusted logistic regression and prosperity scores-matched logistic regression analyses were conducted to summarize adjusted associations with an odds ratio (OR) and a 95% confidence interval (CI). Results Among 2,430,851 hospitalizations, HMB was observed in 7762 (0.68%) females with age ≤ 40 years and 11,164 (0.86%) females with age > 40 years. Among hospitalizations with age ≤ 40 years, HMB was significantly associated with increased odds of CVD outcomes including MACE (OR = 1.61; 95% CI: 1.25, 2.08), CHD (OR = 1.72; 95% CI: 1.10, 2.71), stroke (OR = 1.95; 95% CI: 1.12, 3.40), HF (OR = 1.53; 95% CI: 1.15, 2.03), and AF/arrhythmia (OR = 1.84; 95% CI: 1.34, 2.54). These associations were confirmed in multiple sensitivity analyses. In contrast, HMB was not robustly associated with CVD events among hospitalizations of women with age > 40 years. HMB without IM was strongly associated with DM, HF, AF, and MACE outcomes while HMB with IM was strongly associated with CHD and AF outcomes in hospitalizations of young women. Conclusions HMB is associated with CVD events among US hospitalizations of young women. A routine investigation and screening of menstrual disorders, especially HMB, is useful for CVD risk stratification and management in young women.

Meningitis is a significant infection of the central nervous system that is followed by inflammation of the meninges, resulting in catastrophic neurologic consequences. The inflammation may be caused by infection with viruses, bacteria, fungi, or other microorganisms and less commonly by certain drugs. Meningitis can be life-threatening because of the inflammation’s proximity to the brain and spinal cord; therefore, the condition is classified as a medical emergency. In the present case series, we encompass patient demographics, initial clinical symptoms, physical examinations, laboratory results, cerebrospinal fluid examination findings, treatment side effects, the occurrence of complications, and hospital outcomes. Furthermore, documented were any instances of recurrent cryptococcal meningitis (CM) during follow-up, along with the potential causes of recurrence, the treatment modalities administered, any complications that arose, and the ultimate outcomes. This series reveals CM can manifest alongside HIV co-infection in male patients. Therefore, it is essential to consider the possibility of CM when an immune-compromised patient presents with symptoms such as headaches and other indications of central nervous system involvement. These cases reveal cryptococcosis with HIV-infected patients for rapid and early diagnosis and appropriate treatment of opportunistic infections.

Boron (B) is one of the most important micronutrients for plants which play vital role in various metabolic process. Boron deficiency in rice has been widely reported in many rice growing regions of the world including Bangladesh. Therefore, a field experiment was carried out at the Agronomy Field Laboratory of Bangladesh Agricultural University, Bangladesh during the period from November 2022 to May 2023 to study the effect of different levels of B on aromatic Boro rice (cv. BRRI dhan50. The experiment comprised ten treatments viz. control (0 kg B ha-1), 2.0 kg B ha-1 (basal), 4.0 kg B ha-1 (basal), 6.0 kg B ha-1 (basal), 1.0 kg B ha-1 (basal) + 1.0 kg B ha-1 (soil application at 30 DAT), 2.0 kg B ha-1 (basal) + 2.0 kg B ha-1 (soil application at 30 DAT), 3.0 kg B ha-1 (basal) + 3.0 kg B ha-1 (soil application at 30 DAT), 1.0 kg B ha-1 (basal) + 0.5 kg B ha-1 (soil application at 30 DAT) + 0.5 kg B ha-1 (foliar application at flag leaf stage), 2.0 kg B ha-1 (basal) + 1.0 kg B ha-1 (soil application at 30 DAT) + 1.0 kg B ha-1 (foliar application at flag leaf stage) and 3.0 kg B ha-1 (basal) + 1.5 kg B ha-1 (soil application at 30 DAT) + 1.5 kg B ha-1 (foliar application at flag leaf stage). The experiment was laid out in Randomized Complete Block Design with three replications. The yield and yield contributing characters were influenced significantly by different levels of B. The highest number of total tillers hill-1 (14.65), effective tillers hill-1 (12.75) and grains panicle-1 (106.66) were obtained from 1.0 kg B ha-1 (basal) + 0.5 kg B ha-1 (soil application at 30 DAT) + 0.5 kg B ha-1 (foliar application at flag leaf stage). The highest grain (5.38 t ha-1) and straw (6.27 t ha-1) yields were also obtained from the same treatment which was at par with the treatment 2.0 kg B ha-1 (basal) + 1.0 kg B ha-1 (soil application at 30 DAT) + 1.0 kg B ha-1 (foliar application at flag leaf stage) (T8) whereas the lowest values were found in control. Results indicated that 1.0 kg B ha-1 (basal) + 0.5 kg B ha-1 (soil application at 30 DAT) + 0.5 kg B ha-1 (foliar application at flag leaf stage) appears as the promising practice in terms of grain yield of aromatic Boro rice (cv. BRRI dhan50). [Fundam Appl Agric 2024; 9(3.000): 232-239]

Background: In recent years, a significant understanding of delivering optimal aerosol therapy and the availability of various drugs and devices have led to an increase in its use in clinical practice. There are only a few studies available regarding their use in critically ill patients from a few parts of the world. We aimed to study the practice pattern of aerosol therapy in critically ill patients from Indian intensive care units (ICUs). Methods: After ethical approval, this multi-centric prospective observational study was performed over a study period of four weeks. Newly admitted adult patients considered who had an artificial airway and/or ventilation (including non-invasive). Patients were followed up for the next 14 days or until ICU discharge/death (whichever came first) for details of each aerosol therapy, including ongoing respiratory support, drug type, and aerosol-generating device. Results: From the nine participating centers across India, 218 patients were enrolled. Of 218 enrolled patients, 72.48% received 4884 aerosols with 30.91 ± 27.15 (95%CI: 26.6-35.1) aerosols per patient over 1108 patient days. Approximately 62.7% during IMV, 30.2% during NIV, 2.3% in spontaneously breathing patients with an artificial airway during weaning, and 4.7% were given without an artificial airway after weaning or decannulation. In 59%, a single drug was used, and bronchodilators were the most frequent. The jet nebulizer was the most common, followed by the ultrasonic and vibrating mesh aerosol generator. The ventilator setting was changed in only 6.6% of the aerosol sessions with IMV and none with NIV. Conclusion: Aerosol therapy is frequently used with a wide variation in practices; bronchodilators are the most commonly used drugs, and jet nebulizers are the most widely used.

Introduction: Extra Corporeal Membrane Oxygenation (ECMO) has long been used for cardiorespiratory support in the immediate post-paediatric cardiac surgery period with a 2-3% success as per the ELSO registry. Success in recovery depends upon the optimal delivery of critical care to paediatric patients and a comprehensive healthcare team. Methodology: The survival benefit of children placed on central veno arterial (VA) ECMO following elective cardiac surgeries for congenital heart disease (n = 672) was studied in a cohort of 29 (4.3%) cases from the period of Jan 2018 to Dec 2022 in our cardiac surgical centre. Indications for placing these patients on central VA ECMO included inability to wean from cardiopulmonary bypass (CPB), low cardiac output syndrome, severe pulmonary arterial hypertension, significant bleeding, anaphylaxis, respiratory failure and severe pulmonary edema. Results: The mean time to initiation of ECMO was less than 5 h and the mean duration of ECMO support was 56 h with a survival rate of 58.3%. Amongst perioperative complications, sepsis and arrhythmia on ECMO were found to be negatively associated with survival. Improvements in the pH, PaO2 levels and serum lactate levels after initiation of ECMO were associated with survival benefits. Conclusion: The early initiation of ECMO for paediatric cardiotomies could be a beacon of hope for families and medical teams confronting these challenging situations. Improvement in indicators of adequate perfusion and ventricular recoveries like pH and serum lactate and absence of arrhythmia and sepsis are associated with good outcomes.

Background The paucity of state-supported rehabilitation for chronically ill patients with long-term tracheostomies has ramifications of prolonged hospital-stay, increased burden on acute-care resources, and nosocomial infections. Few interventions describe home rehabilitation of adult tracheostomized patients. Almost none involve stakeholders. This paper describes the All-India Institute of Medical Sciences (AIIMS) ICU rehabilitation (AIR) healthcare intervention developed to facilitate home rehabilitation of chronically ill tracheostomized patients. Methods The AIR intervention development was based on the experience-based codesign theory (EBCD). A core research-committee studied prevalent knowledge and gaps in the area. Patients-carer and health-care stakeholders’ experiences of barriers and facilitators to home care resulted in an intervention with interlinked components: family-carer training, equipment bank, m-health application, and follow-up, guided by the Medical Research Council (MRC) framework. Healthcare stakeholders (doctors, nurses, medical equipment vendors) and patient-carer dyads were engaged to gather experiences at various stages to form smaller codesign teams for each component. Multiple codesign meetings iteratively allowed refinement of the intervention over one year. The Template for Intervention Description and Replication (TIDieR) checklist was used to report the AIR intervention. Results The first component comprised a minimum of three bedside hands-on training sessions for carers relating to tracheostomy suction, catheter care, monitoring oxygenation, enteral feeding, skincare, and physiotherapy, buttressed by pictorial-books and videos embedded in a mobile-application. The second was an equipment-bank involving a rental-retrieval model. The third component was a novel m-health tool for two-way communication with the core group and community of other patient-carers in the project for follow-up and troubleshooting. Home visits on days 7 and 21 post-discharge assessed patient hygiene, nutrition, physiotherapy, and established contact with the nearest primary healthcare facility for the future. Conclusions Findings support the EBCD-based development using active feedback from stakeholders. Assessment of feasibility, process and effectiveness evaluation will follow.

Melia dubia (Cav.) is one of the most promising agroforestry multipurpose tree species. However, there is a shortage of this quality planting material due to its low germination ability. Our study assessed six different presowing treatments, namely, soaking in tap water for 24 h, soaking in a cow dung slurry for 7 days (CDS), scarification with 50 % H2SO4 for 5 min, soaking in 200 ppm gibberellic acid (GA3) for 24 h, and soaking in CDS + H2SO4, GA3 + H2SO4 or the control (no application), for enhancing seed germination and growth in Melia dubia during 2019–20 in the Indo-Gangetic Plains region. STAR version 2.0.1 was used to analyze the observed data using one-way ANOVA. The results of this study showed that different treatments substantially impacted the germination and growth of Melia dubia. Compared with those of untreated seeds (control), the germination percentage of seeds treated with cow dung slurry significantly increased by 49 %, the biomass percentage significantly increased by 25 %, and the vigor index significantly increased by 79 %. In conclusion, our study revealed that treating Melia dubia seeds with cow dung slurry for a period of 7 days enhances germination and seedling growth and is also cost-effective for nursery managers and farmers due to the absence of associated costs.

The global energy landscape is undergoing a significant transformation, driven by the need to reduce greenhouse gas emissions, enhance energy security, and provide sustainable and clean power solutions. Renewable energy sources (RES) such as Solar Photovoltaic (SPV), wind, fuel cells, and tidal power play a crucial role in this transition due to their abundant availability and low environmental impact. However, integrating these diverse energy sources into power systems requires advanced control strategies to ensure stability, efficiency, and reliability. Existing systems, however, face significant challenges such as unstable voltage profiles, prolonged fault settling time (FST), and high total harmonic distortion (THD), which compromise their efficiency and reliability. To overcome these limitations, a novel methodology is proposed, integrating Solar PV (SPV), wind, fuel cell, and tidal energy sources into a seven-level converter (SLC) system, which is named as Four Level RES based SLC (FLRES-SLC) system. This system is managed by an Adaptive Neuro-Fuzzy Inference System (ANFIS), fine-tuned by Cuckoo Search adopted Grey Wolf Optimizer (CS-GWO). This hybrid control strategy ensures a robust voltage profile, significantly reduces FST, and lowers THD, thereby markedly improving the overall performance of the converter system. The innovative approach offers a reliable and efficient solution for modern power systems, enhancing their integration with diverse RES and ensuring high-quality power delivery.

Sickle cell disease (SCD) is a genetic disorder caused by mutations in the β-globin chain of hemoglobin, leading to abnormal red blood cells, severe pain, anemia, organ damage, and increased infection risk. Inherited in an autosomal recessive manner, it mainly affects regions with high malaria incidence, like sub-Saharan Africa, the Middle East, and the Indian subcontinent. Management includes blood transfusions, hydroxyurea, folic acid, iron chelators, and hematopoietic stem cell transplantation (HSCT), the only curative option but limited by donor compatibility. Comprehensive healthcare management (CHCM) emphasizes patient education, nutrition, prophylactic antibiotics, and early intervention to reduce morbidity and improve quality of life. SCD presents a significant global health burden, particularly in regions with limited healthcare access, contributing substantially to child mortality. In sub-Saharan Africa, India, and the Middle East, SCD is prevalent, with approximately 300,000 infants born annually with the condition. In the United States, about 100,000 individuals, predominantly African Americans, are affected. National initiatives, such as Nigeria’s National Sickle Cell Disease Control Program and India’s National Sickle Cell Anaemia Elimination Mission, aim to improve outcomes through early screening, public education, and enhanced healthcare access. Global efforts by the WHO, GSCDN, and SCDC focus on strategic policies, advocacy, and international collaboration to improve care and reduce mortality. Challenges in implementing SCD prevention programs include the need for extensive genetic screening, robust healthcare infrastructure, and overcoming cultural stigmas. Research funding disparities between the Global North and South further hinder advancements. Future research avenues include gene editing technologies, improving prenatal diagnosis, enhancing newborn screening, understanding genetic modifiers, developing new pharmacological agents, and optimizing stem cell transplants. Collaborative efforts among researchers, healthcare providers, policymakers, and patient advocacy groups are essential to translate research into practical applications, ensuring accessible, effective, and equitable advancements in SCD prevention and treatment.

The application of antibiotics in the poultry and veterinary sectors is very common practice in India. Owing to the seriousness of antimicrobial resistance (AMR), the present study has illustrated the overall scenario of AMR in the poultry and veterinary sectors in India through an in-depth scoping review and key informant interview (KII). In the poultry sector, most of the studies reviewed have reported resistant bacteria isolated from chicken meat, eggs, cloacal swabs, and fecal samples, and only a few have reported the presence of resistant bacteria in and around the environment of poultry farms. The major resistant bacteria that have been reported are E. coli, Salmonella spp., S. aureus, Campylobacter jejuni, and K. pneumoniae. These bacterial isolates exhibited resistance to various antibiotics, such as azithromycin (21.43%), tetracycline (11.30–100%), chloramphenicol (4.76–100%), erythromycin (75–83.33%), ciprofloxacin (5.7–100%), gentamicin (17–100%), amikacin (4.76%), cotrimoxazole (42.2–60%), trimethoprim (89.4%), ceftriaxone (80%), and cefotaxime (14.29–70%). Like the poultry sector, different antibiotics are also used for treating clinical and subclinical bovine mastitis, which is one of the major problems plaguing the dairy sector. Several AMR bacterial strains, such as E. coli, Staphylococcus aureus, S. epidermidis, and Klebsiella pneumoniae, have been reported by many researchers and showed resistance against tetracycline (74%), oxytetracycline (47.37%), ciprofloxacin (51%), streptomycin (57.89%), cephalosporin (100%), and trimethoprim (70%). The KIIs have revealed several reasons behind these AMR scenarios, of which the growing need for the production of food animals and their products with inadequate infrastructure and a lack of proper knowledge on farm management among the farmers are the major ones. Though several government legislations and policies have been laid down, proper implementation of these policies, strict surveillance on antibiotic application in the poultry and veterinary sectors, awareness generation among farmers, and infrastructure development can help minimize the development and transmission of AMR bacteria within and from these sectors.

Background and Aims: Gabapentin (GBP) has been found to decrease the pain scores and analgesic requirements following total abdominal hysterectomy, spinal surgery, and ear, nose, and throat surgery. It has been suggested that central neuronal sensitization may play an important role in postoperative pain. This study compares the effect of two different doses of preemptive GBP on morphine requirement and postoperative pain relief in patients undergoing mastectomy. Methods: This randomized comparative trial included 70 patients scheduled for unilateral mastectomy. They were divided into two groups. Group 1 received 800 mg oral GBP and Group 2 received 1200 mg oral GBP 2 h before surgery. After surgery, we recorded the pain score at different time points using the Visual Analog Scale (VAS) at rest. Patients were also asked about possible side effects of the premedication drug. Patients received morphine 0.1 mg/kg intravenous on demand. The time of first rescue analgesia was recorded along with the total rescue analgesic requirement in the first 24 h. Results: In our study, the mean VAS score, postoperatively at 2, 4, 12, 24 h in Group 2, was less than Group 1 but the difference was not statistically significant (P = 0.9, 0.1, 0.8, 0.4, respectively) Patients of Group 1 demanded rescue analgesia earlier (5.8 ± 3.4 h) than Group 2 (9.6 ± 5.9 h). The total 24 h morphine consumption in Group 1 (10.97 ± 4.01 mg) was higher than Group 2 (6.71 ± 5.02 mg). No significant side effects were observed during the perioperative period. Conclusion: We conclude that GBP in higher doses, when used preemptively, provides a greater degree of analgesia with opioid-sparing effect.

Abstract Cardiovascular disease (CVD) is a collective term for disorders of the heart and blood vessels. The molecular events and biochemical pathways associated with CVD are difficult to study in clinical settings on patients and in vitro conditions. Animal models play a pivotal and indispensable role in CVD research. Caenorhabditis elegans, a nematode species, has emerged as a prominent experimental organism widely utilized in various biomedical research fields. However, the specific number of CVD-related genes and pathways within the C. elegans genome remains undisclosed to date, limiting its in-depth utilization for investigations. In the present study, we conducted a comprehensive analysis of genes and pathways related to CVD within the genomes of humans and C. elegans through a systematic bioinformatic approach. A total of 1113 genes in C. elegans orthologous to the most significant CVD-related genes in humans were identified, and the GO terms and pathways were compared to study the pathways that are conserved between the two species. In order to infer the functions of CVD-related orthologous genes in C. elegans, a PPI network was constructed. Orthologous gene PPI network analysis results reveal the hubs and important KRs: pmk-1, daf-21, gpb-1, crh-1, enpl-1, eef-1G, acdh-8, hif-1, pmk-2, and aha-1 in C. elegans. Modules were identified for determining the role of the orthologous genes at various levels in the created network. We also identified 9 commonly enriched pathways between humans and C. elegans linked with CVDs that include autophagy (animal), the ErbB signaling pathway, the FoxO signaling pathway, the MAPK signaling pathway, ABC transporters, the biosynthesis of unsaturated fatty acids, fatty acid metabolism, glutathione metabolism, and metabolic pathways. This study provides the first systematic genomic approach to explore the CVD-associated genes and pathways that are present in C. elegans, supporting the use of C. elegans as a prominent animal model organism for cardiovascular diseases.

Abstract Patients reporting to the outpatient departments of peripheral health care settings in India with symptoms of urinary tract infection (UTI) receive one or the other antibiotic before culture confirmation and out of the total culture confirmed UTI cases, in less than one third cases the prescribed antibiotics matches to the antibiotic sensitivity test result. Hence, in this study, an indigenous point-of-care (POCT) rapid diagnostic kit (Rapidogram) for UTI was validated against conventional urine culture and sensitivity to understand its possible applicability at peripheral health care settings. This cross-sectional study was conducted during November 2021 to June 2022 in OPDs of two peripheral hospitals. A sample size of 300 was calculated using prevalence of urinary tract infection (UTI) as 33% for sensitivity and specificity using Buderer’s formula. Urine specimens were collected following standard aseptic procedures from the recruited suspected UTI cases and transferred to laboratory maintaining the cold chain. The validation work up was done in two sections: lab validation and field validation. Out of 300 urine samples, 29 were found positive for the growth of UTI pathogen by both methods and 267 were found negative by both methods. Thus, the kit shows very high specificity (99.6%; 97.9–99.9%) and considerably high sensitivity (90.6%; 74.9–98.0%). We also observed higher PPV, NPV, test accuracy (> 96%). Diagnostic Odds Ratio and Youden index were respectively 2581 and 0.89. Clinical data showed that 44% of the suspected UTI cases were prescribed at least one antibiotic before urine test. Mostly they received Norfloxacin whereas the mostly identified organism E.coli was sensitive to Nitrofurantoin. In the context of absence of microbiology facility at peripheral setting and rampant empirical use of antibiotics in UTI, this highly specific and sensitive POCT for UTI may be used as it not only identifies the organism, also shows the antibiotic sensitivity pattern.

Heart failure (HF) is not a single disease, but a rather clinical syndrome of varied etiology, pathogenesis, and different clinical presentation. This makes defining HF more difficult than diseases that have a pathologic gold standard for diagnosis, such as tuberculosis, malaria, and cancer. No textbook definition of HF till date appears to cover the whole spectrum of HF. To fill the gap, all international HF societies came up with a universal definition of HF, which was published in 2021. This definition has been recommended to be used in clinical practice as well as for trial purposes. In this document, I will review the limitations of older textbook definitions of HF and how the newer universal definition of HF has filled the gap in previous textbook definitions.

The growing prevalence of antimicrobial resistance (AMR) necessitates the development of new treatment methods to combat diseases like cholera. Lytic bacteriophages are viruses that specifically target and lyse bacteria upon infection, making them a possible treatment option for multi-drug-resistant pathogens. The current study investigated the potential role of bacteriophages isolated from clinical stool and sewage water samples in treating multi-drug-resistant Vibrio cholerae infection, finding that over 95% of the strains were susceptible. Whole-genome sequencing (WGS) analysis revealed that both Vibrio phage 4141 (4141) and Vibrio phage MJW (MJW) contain double-stranded DNA genomes consisting of 38,498 bp (43% GC) and 49,880 bp (42.5% GC) with 46 and 64 open reading frames (ORFs), respectively. Transmission electron microscope (TEM) and WGS analysis of Vibrio phage 4141 and Vibrio phage MJW validated that they are classified under the family Autographiviridae and Zobellviridae, respectively. Furthermore, both the phages showed highly significant biofilm degradation properties. The characterization of the phages and their strict host range, high spectrum of lytic ability, high efficiency of biofilm degradation, and close genetic similarity to the therapeutic phages indicates that these phages may be useful for therapeutic purposes for treating MDR V. cholerae infection in the future.

Recent progress in autonomous vehicle technology has led to the development of accurate and efficient tools for ensuring safety, which is crucial for verifying the reliability and security of vehicles. These vehicles operate under diverse conditions, necessitating the analysis of varying initial conditions and parameter values. Ensuring the safe operation of the vehicle under all these varying conditions is essential. Reachability analysis is an important tool to certify the safety and stability of the vehicle dynamics. We propose a reachability analysis approach for evaluating the response of the vehicle dynamics, specifically addressing uncertainties in the initial states and model parameters. Reachable sets illustrate all the possible states of a dynamical system that can be obtained from a given set of uncertain initial conditions. The analysis is crucial for understanding how variations in initial conditions or system parameters can lead to outcomes such as vehicle collisions or deviations from desired paths. By mapping out these reachable states, it is possible to design systems that maintain safety and reliability despite uncertainties. These insights help to ensure the stability and reliability of the vehicles, even in unpredictable conditions, by reducing accidents and optimizing performance. The nonlinearity of the model complicates the computation of reachable sets in vehicle dynamics. This paper proposes a Koopman theory-based approach that utilizes the Koopman principal eigenfunctions and the Koopman spectrum. By leveraging the Koopman principal eigenfunction, our method simplifies the computational process and offers a formal approximation for backward and forward reachable sets. First, our method effectively computes backward and forward reachable sets for a nonlinear quarter-car model with fixed parameter values. Furthermore, we applied our approach to analyze the uncertainty response for cases with uncertain parameters of the vehicle model. When compared to time-domain simulations, our proposed Koopman approach provided accurate results and also reduced the computational time by half in most cases. This demonstrates the efficiency and reliability of our proposed approach in dynamic systems uncertainty analysis using the reachable sets.

Introduction: Proper physician-patient communication has shown to impact patients’ satisfaction, and better health outcomes. On the contrary, negative impacts of poor communication have been attributed as one of the causes of increasing workplace violence. It is imperative to identify the attitude of the students towards communication skill learning. The aim of the study was to find out the attitude of undergraduate students towards communication skill learning using the communication skill attitude scale. Methods: This cross-sectional study was carried out from October, 2022 to July 2023 among undergraduate medical and dental students. Data was collected after obtaining the ethical approval from Institutional Review Committee (IRC number 2079/80/82) using a preformed proforma and the previously validated communication skills attitude scale questionnaire. Convenience sampling was done. The demographic details, educational characteristics, opinions regarding communication learning and median of positive and negative attitude scale scores were calculated using Statistical Package for the Social Sciences (SPSS). Results: The total median (interquartile range) positive attitudes scale (PAS) and negative attitudes scale (NAS) scores were 52.00 (48.00-87.00) and 31.00 (28.00-34.00) respectively. The first year of undergraduates had higher PAS scores 56.00 (50.00-60.00) than final year 48.50 (44.25-55.00). The students who were in favour of CS learning during the clinical years of training had a higher PAS median score, 54.00 (49.00-58.00). Conclusions: The undergraduates had overall positive attitude towards CS learning but negative attitudes were also noted, with deterioration in the scores from first to final year of undergraduation, reiterating the importance of strengthening CS learning in the curriculum early-on in the study period.

India is renowned for its mango diversity, with more than 1000 genotypes reported. However, the Himalayan plains bear some elite genotypes which supposed to bear high postharvest value, the systemic postharvest study of which is yet to be attempted. The aim of present study is to evaluate the postharvest quality and ripening behviour of these important genotypes. Thus, 15 un-explored mango genotypes of this region were selected and evaluated for ripening behaviour and detailed postharvest profiling via internal (total phenolic and total flavonoid content), nutritional attributes (Brix: acid ratio, total carotenoid concentration, ascorbic acid content and antioxidant activity), sensory evaluation, fruit softening enzymes (polygalactouronase, pectin methylesterase and lipoxygenase), shelf life attributes (respiration rate, physiological loss in weight and storage life in days) external attributes (fruit weight, fruit firmness, peel thickness, fruit shape and dry seed weight) and mineral contents (Calcium, potassium and phosphorous) under ambient storage (25 ± 4 °C and 65 ± 5 % RH). The results revealed that the highest total flavonoid content (682.40 μg g−1), ascorbic acid (46.88 mg 100 g−1) and antioxidant activity (4.84 μmol TE g−1) exhibited by ‘Sukul’. The total phenolic content was recorded as the highest in ‘Safed Malda’ (510.42 μg GAE g-1 FW), and total carotenoid concentration was recorded as the highest in ‘Sipiya’ (7.30 mg 100 g-1) ‘Zardalu’ (7.04 mg 100 g-1) and ‘Mithua’ (6.98 mg 100 g-1). Interestingly, genotypes such as ‘Sukul’, Sipiya’ and ‘Krishna Bhog ‘exhibited a 4–5 days higher storage life than other selected genotypes. Screened genotypes exhibited a high diversity of nutritional and biochemical contents. The results of this study bear practical utility for research (quality improvement programme) and the processing industry.

Large surface area, excellent electrical conductivity, homogeneous structure, and extended cycling stability are desirable characteristics for energy materials. Carbon-derived structures exhibit porous structure, work well in a wide potential window, and are highly conductive. Hence, they can show enhanced rate capability and cycle life. Despite ongoing efforts, the synthesis of carbons at lower temperatures remains a challenge. In comparison, the high-temperature synthesis protocols lead to a high CO2 footprint. Here, we report the synthesis of unique carbon morphologies, namely capped carbon nanostructures (CCS) and bowl-like carbon structures (BCS). Their performances are either comparable or higher than those conventionally used morphologies of carbon, such as nanospheres, microspheres, nanotubes, graphene oxide, and layered structures. The four-sided opening in BCS particles ensures higher adsorption of electrolyte ions, which is even higher than hierarchical or spherical structures. The cap formation on the CCS acts like an additional layer on top of the sphere. Further, the CCS is arranged in a sequential honeycomb array, which leads to the formation of definitive channels for electrolyte diffusion. The unique carbon morphologies showed nearly ∼ 40 % increment in the specific capacitance values compared to other commonly used carbon structures. The novel morphologies also have a much lower carbon footprint, as shown by the life cycle assessment (LCA) studies.

In seismic exploration, it is a critical task to image and interpret different seismic signatures over complex geology due to strong lateral velocity contrast, steep reflectors, overburden strata and dipping flanks. To understand the behavior of these seismic signatures, nowadays Reverse Time Migration (RTM) technique is used extensively by the oil & gas industries. During the extrapolation phase of RTM, the source wavefield needs to be saved, which needs high storage memory and large computing time. These two are the main obstacles of RTM for production use. In order to overcome these disadvantages, in this study, a second-generation improved RTM technique is proposed. In this improved form, a shift operator is introduced at the time of imaging condition of RTM algorithm which is performed automatically both in space and time domain. This effort is made to produce a better-quality image by minimizing the computational time as well as numerical artefacts. The proposed method is applied over various benchmark models and validated by implementing over one field data set from the Jaisalmer Basin, India. From the analysis, it is observed that the method consumes a minimum of 45% less storage space and reduce the execution time by 20%, as compared to conventional RTM. The proposed RTM is found to work efficiently in comparison to the conventional RTM both in terms of imaging quality and minimization of numerical artefacts for all the benchmark models as well as field data.

BackgroundSex hormones play a critical role in sex differences and cardiovascular disease risk associated with metabolic syndrome (MS) and inflammation. However, the associations of sex hormone ratios with metabolic and inflammatory markers are unclear according to sex and age differences. We evaluated the associations of sex hormone ratios with MS and inflammation among males and females.MethodsA retrospective cross-sectional study was conducted by including all adults from the National Health and Nutrition Examination Survey cycles 2013-2016 and excluding any pregnant women, heart disease, diabetes, and those currently taking insulin. MS was defined using the National Cholesterol Education Program criteria and a high-sensitivity C-reactive protein (CRP) level>3 mg/L was defined as a high CRP. Measures of MS components and CRP concentrations were also analyzed. The primary exposures were testosterone to estradiol (excess androgen index), testosterone to sex hormone-binding globulin (free androgen index), and estradiol to sex hormone-binding globulin (free estradiol index). The adjusted associations were summarized with a relative risk (RR) and 95% confidence interval (CI).ResultsThis study included 9167 subjects with 4360 males and 4807 females. Increases in free estradiol index were positively associated with MS (RR=1.48; 95%CI: 1.39, 1.58; RR=1.31; 95%CI: 1.22, 1.40) and high CRP (RR=1.49; 95%CI: 1.25, 1.77; RR=1.26; 95%CI: 1.06, 1.50) in men with age

Objectives The objective is to present the patterns of dual primary malignancies diagnosed at the Pathology Laboratory of Cancer Hospital with the support from hospital-based cancer registry (HBCR), Sangrur, Punjab, India for the years 2018 and 2019.

Abstract This study analyzed the BC associated with PM1 and the contribution of biomass burning to the BC using a portable seven-channel Dual spot Aethalometer in and around Gangtok, the capital city of Sikkim, India, during April 2021. Additionally, CO2 and meteorological parameters (Temperature, Pressure, and Relative Humidity) was measured. The minimum concentration of BC was found in rural areas where the contribution of biomass burning to the BC is highest. The observed spatial variability of BC over Gangtok Municipal Corporation (GMC) area is minimal. Five days back-trajectory analysis was done using the Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model to understand the regional influences of air masses at Gangtok. The air mass of the studied region is under influence of trans-regional transport from Indo-Gangetic Plains affecting the BC concentration over the studied region. The black carbon presence in the ambient air near the glacier heights in the Eastern Himalayan region may significantly cause localized warming, thereby enhancing glacier melts. The results have significant bearing for the policy-makers to take corrective steps in addressing the issue of rising BC concentration in high altitude regions. A further detailed study is needed to examine the effect of BC on radiative forcing and its large-scale effect on the East Asian summer monsoon using regional climate models.

Background and Objectives: Hypertension is one of the major risk factors of premature morbidity and mortality in our daily clinical practice. Various studies carried out in the urban settings, but there is scarcity of epidemiological data regarding hypertension among the rural people in Bangladesh. Therefore, this current study has been designed to find out the frequency and risk factors stratification of hypertension among the rural people in Jashore, Bangladesh. Materials and Methods: A cross-sectional study recruited 1812 participants above 18 years attending on national hypertensive week of 2019 in Bagherpara and Keshabpur upazila (subdistrict) health complex in Jashore, Bangladesh. 2020 International Society of Hypertension Global Hypertension Practice Guidelines had been demonstrated to classify hypertension. Results: Out of the total study population, the frequency of hypertension was 20.6% (Grade 1 and Grade 2 hypertensive patients 15.8% and 4.9%, respectively), and high normal blood pressure was 9.0%. The mean age of the study population, Grade 1 hypertensive and Grade 2 hypertensive cohorts were 42 ± 16, 49 ± 15 and 51 ± 14 years, respectively, with a male and female ratio was 1:2. Progressive rise of mean systolic and diastolic blood pressure were noticed with increasing age. Age (P:

In recent decades, demand for sustainable materials in place of low cost and high strength materials has been trigged globally, which has motivated researchers towards biocomposites/green composites. The PLA has been the most promising matrix material for suistanable biocomposites owing to its biodegradability, good availability, eco-friendliness, antibacterial property, and good mechanical and thermal properties. The PLA-based biocomposites are economical, full/partial biodegradable depends upon types of reinforcement, light in weight, and also offer good thermal and mechanical properties. A number of research works have been performed on PLA and its biocomposites to explore their potential for sustainable products. However, no comprehensive review with up-to-date research data on PLA and its biocomposites are reported so far. This fact motivated to summerize the reported studies on PLA and its biocomposites. The aim of present review is to highlight the current and past trends in the research of PLA and its biocomposites. This review article covers current and past efforts reported by researchers on the synthesis and sustainability of PLA, processing, characterization, applications and future scope of its biocomposites. This study observed that PLA-based composites are the most emerging materials that can replace existing non-biodegradable and non-renewable synthetic materials. The PLA-based biocomposites could be considered as the best source of sustainable products. PLA's mechanical and thermal properties can be enhanced by reinforcing the nano and micro sizes of natural fibers and cellulose.

This research examines the application of non-invasive acoustic analysis for detecting obstructions in vascular access (fistulas) used by kidney dialysis patients. Obstructions in these fistulas can interrupt essential dialysis treatment. In this study, we utilized a condenser microphone to capture the blood flow sounds before and after angioplasty surgery, analyzing 3819 sound samples from 119 dialysis patients. These sound signals were transformed into spectrogram images to classify obstructed and unobstructed vascular accesses, that is fistula conditions before and after the angioplasty procedure. A novel lightweight two-dimension convolutional neural network (CNN) was developed and benchmarked against pretrained CNN models such as ResNet50 and VGG16. The proposed model achieved a prediction accuracy of 100%, surpassing the ResNet50 and VGG16 models, which recorded 99% and 95% accuracy, respectively. Additionally, the study highlighted the significantly smaller memory size of the proposed model (2.37 MB) compared to ResNet50 (91.3 MB) and VGG16 (57.9 MB), suggesting its suitability for edge computing environments. This study underscores the efficacy of diverse deep-learning approaches in the obstructed detection of dialysis fistulas, presenting a scalable solution that combines high accuracy with reduced computational demands.

This study explores the spatial patterns of particulate matter (PM) in the megacity of Delhi. A GRIMM aerosol spectrometer is used to analyze different aerodynamic diameters (PM10, PM2.5, PM1.0), inhalable, thoracic, and alveolic particles, and black carbon (BC) at six prominent locations in Delhi during summer and winter. Additionally, metals (Pb, Fe, Ca, Al, Zn), along with silicon and sulfur, are analyzed using an ED-XRF spectrometer over the sampling locations during the summer season. The sampling site data are interpolated using the Kriging method to generate spatial maps to explore the air pollution problem in Delhi. East Delhi is observed to be the most polluted site, while Guru Gobind Singh Indraprastha University (GGSIPU) is the least polluted site. We further observe a high correlation between Al-Fe, Al-Ca, Zn-Pb, Ca-Fe, and S-Zn, indicating their common source of emission. Aerosols are also found to be highly enriched with metals like Al, S, Fe, Zn, and Pb, suggesting strong anthropogenic sources of these metals. Construction activities, resuspended dust, an increased number of vehicles, faulty agricultural practices, and soil could be recognized as major sources of the particulate concentration in an urban area like Delhi.