Correlation of serum calcium levels with severity and functional outcome in acute ischemic stroke patients

Background: The objective of the study was to study the role of serum calcium levels in accessing the severity and functional outcome in the patients of acute ischemic stroke.Methods: The study included a total of 50 patients of acute ischemic stroke in the age group of 20 to 80 years. The patients were divided into four quartiles as per their serum albumin corrected levels measured during 24 ton 48 hours of incidence of ischemic stroke. The stroke severity was accessed by using National Institutes of Health (NIH) stroke scale and the functional outcome at the time of discharge and after three months of follow up by using modified Rankin scale (mRS). The results were analyzed by using appropriate statistical test.Results: We found that the patients those in higher calcium quartiles (Q3,Q4) had significantly lesser 24-48 hrs stroke severity as compared to those in lower calcium quartiles (Q1,Q2) i.e. in 72.73% in Q3, and 42.86% in Q4 were in mild NIH scale group as compared to 7.69% in Q2 and 0% in Q1. At the time of discharge and at three months follow up functional outcome was significantly better in higher calcium quartile group when compared to lower quartile (>3 mRS score suggestive of poor outcome in 91.66% of Q1, 76.93% in Q2, 27.27% in Q3 and 7.14% in Q4 at the time of discharge and 83.32% in Q1, 76.93 in Q2, 27.27% in Q3 and 7.14% in Q4 at three months of follow up). The correlation analysis showed that this association was statistically significant (p-value <0.01).Conclusions: we conclude that 24 -48 hours calcium levels have strong correlation with severity and functional outcome in acute ischemic stroke patients and hence it can be taken as a marker of severity and prognostic factor in these patients.

Generalized Second-Order G-Wolfe Type Fractional Symmetric Program and their Duality Relations under Generalized Assumptions

In this article, we formulate the concept of generalize bonvexity/pseudobonvexity functions. We formulate duality results for second-order fractional symmetric dual programs of G-Wolfe-type model. In the next section, we explain the duality theorems under generalize bonvexity/pseudobonvexity assumptions. We identify a function lying exclusively in the class of generalize pseudobonvex and not in class of generalize bonvex functions. Our results are more generalized several known results in the literature

Investigating Flavonoid Extracts from Medicinal Plants: Evaluating their Anti-Cancer Potential, Mechanisms, and Synergistic Impact on Colon Cancer

Colon cancer, the leading cause of global cancer-related mortality, demands innovative therapeutic approaches to combat its formidable impact. This empirical study embarks on a quest to unlock novel avenues for colon cancer treatment by investigating the anti-cancer potential of flavonoid extracts sourced from medicinal plants. Our research journey commences with an in-depth examination of the staggering global burden imposed by colon cancer and the inherent limitations of current therapeutic regimens. In response to this pressing challenge, we spotlight the emerging enthusiasm for natural compounds, specifically flavonoids, as transformative agents within the realm of cancer research and therapy. In our pursuit of innovative solutions, we meticulously select medicinal plants celebrated for their flavonoid-rich content and extract these bioactive compounds with precision. Rigorous phytochemical analyses unveil the specific flavonoids at play. In a series of in vitro experiments employing colon cancer cell lines, we uncover a compelling narrative of concentration-dependent cytotoxicity, underscoring the remarkable anti-proliferative attributes of these extracts. Moreover, our investigations reveal that flavonoid extracts possess the remarkable capability to induce apoptosis, substantiated through Annexin V/PI staining and caspase activation assays. As we delve deeper into mechanistic insights, a rich tapestry unfolds, elucidating the intricate modulation of pivotal apoptosis-related pathways by these natural compounds. This study not only furnishes compelling evidence of flavonoid extracts' anti-cancer potential against colon cancer but also underscores the pivotal role of natural compounds in the ever-evolving landscape of cancer research, offering a beacon of hope for pioneering therapeutic strategies. The journey has only begun, and further investigations, alongside rigorous clinical trials, are warranted to harness the full therapeutic potential of flavonoid-based interventions in colon cancer management, potentially redefining the paradigm of cancer treatment

Stomatal behaviour and endogenous phytohormones promotes intrinsic water use efficiency differently in cotton under drought

112-120The coordination between phytohormones regulation, stomatal behaviour (stomatal index and opening/closing) and gas exchange are potent determinants of plant survival under drought stress. However, we found a knowledge gap in the mechanism regulating the fine-tuning of these features during drought. In order to address this we evaluated gas exchange, stomatal behaviour and endogenous phytohormones content in two cotton varieties (LRA-5166 and NBRI-67) differing in drought sensitivity during water deficit conditions. Variety specific differences were recorded in net photosynthesis rate (A), transpiration rate (E) and stomatal conductance (gs) with significantly less decrease in drought tolerant LRA-5166 than drought sensitive NBRI-67. The abscisic acid (ABA) accumulation was significantly increased in LRA-5166 while reduced in NBRI-67 under water deficit, which was accompanied by relatively less reduced 6-benzylaminopurine (6-BAP) level in LRA-5166 than NBRI-67.Thus, improved ABA/6-BAP ratio was observed in both the varieties of cotton. Critically, LRA- 5166 has reduced stomatal index, aperture size and significantly higher A and intrinsic water use efficiency (WUEi), thus higher drought tolerance than NBRI-67. Furthermore, we found that endogenous ABA predominantly maintains the stomatal behaviour and regulates its physiology either by antagonizing 6-BAP or alone to coordinate with water deficit signals. Overall, our findings describe a new insight as to how drought modulates endogenous ABA and 6-BAP homeostasis in cotton leaf and the mechanism of stomatal regulation by ABA and 6-BAP in cotton

Feasibility of urolithiasis management after studer neobladder urinary diversion: A multicenter center study

Background: Stones formation is a common complication after cystectomy including stones of the upper urinary tract and reservoir or conduit. Advances in instrumentation and techniques have expanded treatment options, while minimizing morbidity. Aims and Objectives: Feasibility of urolithiasis management after urinary diversion surgery. Materials and Methods: Eleven patients of diversion with stone were observed from January 01, 2015, to July 30, 2022. Operative procedures were decided on basis on stone locations and size. Perioperative parameters were observed and compared with similar studies. Percutaneous nephrolithotomy, percutaneous-based antegrade ureteroscopy with semi-rigid or flexible ureteroscope, transurethral reservoir lithotripsy, percutaneous pouch lithotripsy, and open operation were performed. The operative finding and complications were retrospectively collected and analyzed. Results: The mean age of the patients was 53.2±8.1 years and mean pre-operative stone diameter was 3.1±3.5 cm. Three patients suprapubic cystolithotomy, two patients percutaneous cystolithotripsy, two patients percutaneous nephrolithitomy, two patients extracorporeal shock wave lithotripsy, one patient per urethral cystolithotripsy/cystolitholapexy, and one patient ureteroscopy/flexible ureteroscopy were done. The male-to-female ratio was 9/2. Stone-free rate was 100% after single session of treatment. In the post-operative period, fever was observed in two patients, and urinary leakage through wound site in one patient. Conclusion: Stone surgery after urinary diversion is challenging, success of treatment depends on experience of surgical team, pre-operative preparation, and correct instrumentations

Effect of salinity and nitrogen fertilization levels on growth parameters of Sarcocornia fruticosa, Salicornia brachiata, and Arthrocnemum macrostachyum

Salinity negatively influences crop growth, but several salt-tolerant plant species (halophytes) are viable crops. Sarcocornia fruticosa (ecotypes EL and VM) is currently cultivated, but there is demand for new crop candidates and higher biomass production. Salicornia brachiata Roxb. and Arthrocneum macrostachyum L. are considered novel crops, and to realize their potential, their response to salinity and nitrogen nutrition was compared to S. fruticosa ecotypes. Experiments revealed that higher N supplemented with lower NaCl significantly increased fresh and dry shoot biomass. Lower biomass was obtained at lower nitrogen supplemented with elevated NaCl, whereas total soluble solids content positively correlated with NaCl fertigation in both Sarcocornia ecotypes. Protein content increased with a lower nitrogen supply. Anthocyanins and oxygen radical absorbance capacity were highest in S. fruticosa EL and A. macrostachyum at higher NaCl supply. The results show that halophytes have a variety of strategies to cope with high NaCl, even between ecotypes of the same species. Notably, repetitive harvesting of S. brachiata delayed flowering enabling year-round biomass production. Additionally, S. brachiata accumulated higher biomass than Sarcocornia VM when grown in a greenhouse at higher radiation than in a growth room and strongly supports its inclusion as a cash-crop halophyte.info:eu-repo/semantics/publishedVersio

Production of He-4 and (4) in Pb-Pb collisions at root(NN)-N-S=2.76 TeV at the LHC

Results on the production of He-4 and (4) nuclei in Pb-Pb collisions at root(NN)-N-S = 2.76 TeV in the rapidity range vertical bar y vertical bar <1, using the ALICE detector, are presented in this paper. The rapidity densities corresponding to 0-10% central events are found to be dN/dy4(He) = (0.8 +/- 0.4 (stat) +/- 0.3 (syst)) x 10(-6) and dN/dy4 = (1.1 +/- 0.4 (stat) +/- 0.2 (syst)) x 10(-6), respectively. This is in agreement with the statistical thermal model expectation assuming the same chemical freeze-out temperature (T-chem = 156 MeV) as for light hadrons. The measured ratio of (4)/He-4 is 1.4 +/- 0.8 (stat) +/- 0.5 (syst). (C) 2018 Published by Elsevier B.V.Peer reviewe

Accuracy Estimation of Propagation Velocity in Variable Path Ultrasonic Interferometer for Liquids

In this article, we describe the effects and the degree to which they cause error in the measurement of propagation velocity. Various effects include nonlinearity in path measurement, temperature stability and number of maxima or minima consideration. Double-distilled water was used as a sample to estimate various effects. Finally, it has been concluded that the variable frequency approach may be preferred for better accuracy. It has also been observed that the digital frequency selection is more precise than mechanical distance variation