61 research outputs found

    Hydrogen Bond Symmetrization in Glycinium Oxalate under Pressure

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    We report here the evidences of hydrogen bond symmetrization in the simplest amino acid- carboxylic acid complex, glycinium oxalate, at moderate pressures of 8 GPa using in-situ infrared and Raman spectroscopic investigations combined with first-principles simulations. The protonation of the semioxalate units through dynamic proton movement results in infinite oxalate chains. At pressures above 12 GPa, the glycine units systematically reorient with pressure to form hydrogen bonded supramolecular assemblies held together by these chains

    Long-Term Effectiveness of Adalimumab in Patients with Rheumatoid Arthritis: An Observational Analysis from the Corrona Rheumatoid Arthritis Registry

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    INTRODUCTION: Current recommendations for the management of rheumatoid arthritis (RA) focus on a treat-to-target approach with the objective of maximizing long-term health-related quality-of-life in patients with RA. Published studies from randomized clinical trials have reported limited data regarding the long-term efficacy and safety of adalimumab in patients with RA. This study aims to evaluate the long-term (10+ years) persistency and effectiveness of adalimumab in patients with RA in a real-world setting. METHODS: Included in this study were biologic-naive adults with RA initiating adalimumab during follow-up enrolled in the Corrona RA registry. More than 10 years of data on persistency of adalimumab and rheumatologist-supplied reasons for discontinuation were examined. Among patients who persisted on adalimumab over the years, clinical [e.g., clinical disease activity index scores (CDAI), physician global assessment, tender joint count, and swollen joint count] and patient-reported outcomes (PRO), such as physical function, pain, fatigue, and morning stiffness, were examined. RESULTS: Of 1791 biologic-naive patients treated with adalimumab who had \u3e /=1 follow-up registry visit, 64.1% were still on therapy at 1 year and 10.2% were still on therapy by the end of year 12. Among patients who persisted on adalimumab for at least 1 year (77.1% female, mean age 53.9 years), 67.0% were in low disease activity (LDA)/remission (CDAI \u3c /=10) and had clinically meaningful improvements from baseline in all clinical assessments and PROs. Initial improvements in LDA/remission and in clinical and PRO assessments observed at year 1 were sustained in those patients who remained on adalimumab over 10 years of follow-up. Among patients who discontinued adalimumab, 61.6% were not in LDA/remission and 41.9% switched to another biologic within 12 months after discontinuing adalimumab. CONCLUSIONS: Real-world data demonstrate a sustained effectiveness of adalimumab in the treatment of RA for patients who remained on therapy for 10 years. FUNDING: Corrona, LLC and AbbVie

    Spectroscopic study of &#946;-Ni(OH)<SUB>2</SUB> under pressure

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    Infrared absorption and Raman study of &#946;-Ni(OH)2 has been carried out up to 25 GPa and 33 GPa, respectively. The frequency of A2u internal antisymmetric stretching O-H mode decreases linearly with pressure at a rate of &#8722;0.7 cm&#8722;1/GPa. The FWHM of this mode increases continuously with pressure and reaches a value of ~ 20 cm&#8722;1 around 25 GPa. There was no discernible change observed in the frequency and width of the symmetric stretching A1g O-H Raman mode up to 33 GPa. The constancy of the Raman mode is taken as a signature of the repulsion produced by H-H contacts in this material under pressure. Lack of any discontinuity in these modes suggests that there is no phase transition in this material in the measured pressure range

    Efficacy of Major Plant Extracts/Molecules on Field Insect Pests

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    Insect pests are considered the major hurdle in enhancing the production and productivity of any farming system. The use of conventional synthetic pesticides has led to the emergence of pesticide-resistant insects, environmental pollution, and negative effects on natural enemies, which have caused an ecological imbalance of the predator-prey ratio and human health hazards; therefore, eco-friendly alternative strategies are required. The plant kingdom, a rich repertoire of secondary metabolites, can be tapped as an alternative for insect pest management strategies. A number of plants have been documented to have insecticidal properties against various orders of insects in vitro by acting as antifeedants, repellents, sterilant and oviposition deterrents, etc. However, only a few plant compounds are applicable at the field level or presently commercialised. Here, we have provided an overview of the broad-spectrum insecticidal activity of plant compounds from neem, Annona, Pongamia, and Jatropha. Additionally, the impact of medicinal plants, herbs, spices, and essential oils has been reviewed briefl

    Quadratus lumborum block for post-operative pain relief in patient with Prune belly syndrome

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    Abdominal field blocks are commonly used as part of multimodal analgesia for post-operative pain relief in patients undergoing abdominal surgery. Conventionally, transversus abdominis plane block is used, but has the disadvantage of limited spread only to T10–T12 segments, providing only partial pain relief. The new quadratus lumborum (QL) block has the advantage of providing wider sensory block from T6 to L1 and thus has an evolving role in opioid-free anaesthesia. Opioid-induced cough depression, urinary retention, and drowsiness can be problematic in patients with Prune belly syndrome, who have deficient abdominal muscles and myriad of genitourinary problems. We report a case of a young male with Prune belly syndrome, who had a pain-free post-operative period after high inguinal orchidectomy with unilateral QL block

    Pressure-induced structural transformations in bis(glycinium)oxalate

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    We report in situ high-pressure Raman spectroscopic as well as X-ray diffraction measurements on bis(glycinium)oxalate, an organic complex of glycine, up to 35 GPa. Several spectral features indicate that at ~1.7 GPa it transforms to a new structure (phase II) which is characterized by the loss of the center of symmetry and the existence of two nonidentical glycine molecules. Across the transition, all the N-H···O bonds are broken and new weaker N-H···O bonds are formed. Our high-pressure X-ray diffraction studies support the possibility of a non-centrosymmetric space group P21 for phase II. Across 5 GPa, another reorganization of N-H···O hydrogen bonds takes place along with a structural transformation to phase III. The C-C stretching mode of oxalate shows pressure-induced softening with large reduction from the initial value of 856 to 820 cm−1 up to 18 GPa, and further softening is hindered at higher pressures

    A rare cause of post extubation laryngeal oedema

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    Phase transitions in Sc<SUB>2</SUB>(WO<SUB>4</SUB>)<SUB>3</SUB> under high pressure

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    High-pressure x-ray diffraction and Raman scattering studies on scandium tungstate [Sc<SUB>2</SUB>(WO<SUB>4</SUB>)<SUB>3</SUB>] show that it transforms to a monoclinic phase at -0.6± 0.3 GPa. The high-pressure phase has P2<SUB>1</SUB>/a symmetry and is related to the initial orthorhombic phase through cell doubling along the c axis. The compound undergoes another phase transition at -1.6 GPa, accompanied by a volume reduction of -8%. At -6.5 GPa, the diffraction pattern and Raman spectra of Sc<SUB>2</SUB>(WO<SUB>4</SUB>)<SUB>3</SUB> indicate the emergence of a disordered crystalline state which evolves into an amorphous phase beyond -14 GPa. The structural changes are found to be reversible up to -1.6 GPa. However, transformation to the amorphous state is found to be irreversible, though our results suggest some structural relaxation on release of pressure

    Evaluation and Analysis of Long-term Environmental Noise Levels in 7 Major Cities of India

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    This paper describes the long-term noise monitoring data for ten consecutive years (2011–2020) acquired from the diversified National Ambient Noise Monitoring Network (NANMN) set up across 7 major cities of India and consisting of 70 stations for continuous noise monitoring throughout the year. The annual average ambient noise levels observed throughout these ten years in 70 locations under study, including 25 locations in commercial zones, 12 in industrial, 16 in residential, and 17 in silence zones, are described. The noise scenario in these ten years is compared and analyzed. It is observed that no site in residential or silence zones meets the ambient noise limits for the past ten years. The study suggests guidelines for a policy framework for environmental noise management and control to regulate noise pollution in Indian cities

    MicroRNA Regulation of Brain Tumour Initiating Cells in Central Nervous System Tumours

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    CNS tumours occur in both pediatric and adult patients and many of these tumours are associated with poor clinical outcome. Due to a paradigm shift in thinking for the last several years, these tumours are now considered to originate from a small population of stem-like cells within the bulk tumour tissue. These cells, termed as brain tumour initiating cells (BTICs), are perceived to be regulated by microRNAs at the posttranscriptional/translational levels. Proliferation, stemness, differentiation, invasion, angiogenesis, metastasis, apoptosis, and cell cycle constitute some of the significant processes modulated by microRNAs in cancer initiation and progression. Characterization and functional studies on oncogenic or tumour suppressive microRNAs are made possible because of developments in sequencing and microarray techniques. In the current review, we bring recent knowledge of the role of microRNAs in BTIC formation and therapy. Special attention is paid to two highly aggressive and well-characterized brain tumours: gliomas and medulloblastoma. As microRNA seems to be altered in the pathogenesis of many human diseases, “microRNA therapy” may now have potential to improve outcomes for brain tumour patients. In this rapidly evolving field, further understanding of miRNA biology and its contribution towards cancer can be mined for new therapeutic tools
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