Mother-to-child HIV transmission and its correlates in India: systematic review and meta-analysis

BACKGROUND: In India, preventing mother-to-child transmission (PMTCT) of Human Immunodeficiency Virus (HIV) remains one of the foremost challenge in community health. Countrywide MTCT of HIV is estimated to be > 10,000 annually. Aims of present study are to find out the prevalence of HIV and correlates of HIV transmission among children given birth by HIV infected mother through systematic review along with meta-analysis. METHODS: All avaiable articles are retrieved using MEDLINE, Cochrane Library, Science Direct, EMBASE, Google Scholar and PUBMED following guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) are applied to critically reviewing the selected articles. STATA 13.0 is used to preparation of forest plot for Meta-analysis. For assessment of heterogeneity and publication biases I2 statistics along with Begg and Mazumdar's test and Egger's tests are used. Odds ratio (OR) along with forest plots have been showing with 95% confidence interval (CI). RESULTS: All together 10 studies including 1537 pairs of mothers and new births are assessed in present meta-analysis. Present analysis revealed the prevalence of HIV due to MTCT in India as 8.76% (95% CI; 5.76, 12.31). Analysis of subgroups exhibit a higher pooled prevalence in eastern region of India, 10.83% (95% CI: 5.9, 17.81) and lower in in Western region in India, 6.37% (95% CI: 4.65, 8.49). Status of MTCT before and after initiation of universal ART are 10.23% (95% CI 6.61, 14.55) and 7.93% (95% CI 4.18, 12.76) respectively. Associated factors with MTCT of HIV include absence of maternal prevention of MTCT intervention, OR = 10.82 (95% CI: 5.28, 22.17), lacking in administration of infant ARV (antiretroviral), OR = 8.21 (95% CI: 4.82, 14.0) and absence of medical facility during childbirth OR = 3.73 (95% CI: 1.67, 8.33). CONCLUSIONS: In India, pooled HIV prevalence of MTCT as high as 8.78% (95% CI; 5.76, 12.31) among babies born to infected mothers warrants urgent need of focused intervention for providing ART (PMTCT intervention), ensuring proper infant ARV prophylaxis, and avoiding delivery without proper medical facility to pregnant women with HIV for reduction of occurrence in HIV transmission from mothers to children

HIV Transmission Potential Among Local and Migrant Factory Workers in Kolkata, India

Migrant workers in India play a key role in the spread of HIV. Kolkata is a common destination for workers, who may acquire infection and transmit it to their wives and/or other sexual partners. We investigated sexual relations and condom use by factory workers. Migrant and local factory workers were randomly selected from five wards of Kolkata. Information was collected about demographic and socio-economic characteristics, sexual relationships, condom usage, and perceptions and intent to use condoms. Condom use was very low in both groups of workers, particularly among migrants. Many married workers visited female sex workers but never used condoms. Few intended to use condoms, and if they did, it did not always translate into actual usage. There is great potential for transmission of HIV/sexually transmitted infections by these workers. Carefully designed intervention and education programs in the context of low literacy and cultural norms are urgently needed

A Research Road Map for Responsible Use of Agricultural Nitrogen

Nitrogen (N) is an essential but generally limiting nutrient for biological systems. Development of the Haber-Bosch industrial process for ammonia synthesis helped to relieve N limitation of agricultural production, fueling the Green Revolution and reducing hunger. However, the massive use of industrial N fertilizer has doubled the N moving through the global N cycle with dramatic environmental consequences that threaten planetary health. Thus, there is an urgent need to reduce losses of reactive N from agriculture, while ensuring sufficient N inputs for food security. Here we review current knowledge related to N use efficiency (NUE) in agriculture and identify research opportunities in the areas of agronomy, plant breeding, biological N fixation (BNF), soil N cycling, and modeling to achieve responsible, sustainable use of N in agriculture. Amongst these opportunities, improved agricultural practices that synchronize crop N demand with soil N availability are low-hanging fruit. Crop breeding that targets root and shoot physiological processes will likely increase N uptake and utilization of soil N, while breeding for BNF effectiveness in legumes will enhance overall system NUE. Likewise, engineering of novel N-fixing symbioses in non-legumes could reduce the need for chemical fertilizers in agroecosystems but is a much longer-term goal. The use of simulation modeling to conceptualize the complex, interwoven processes that affect agroecosystem NUE, along with multi-objective optimization, will also accelerate NUE gains

Solar photocatalytic degradation of metal complex azo dyes and treatment of dye house waste

69-74In a laboratory study, the effectiveness of zinc oxide-mediated solar photocatalytic degradation of three metal complex azo dyes (Acidol Yellow, Acidol Grey and Acidol Scarlet) and treatment of a woollen textile dye house waste were examined. A 53-86% degradation of the dyes was achieved by 15 min illumination with a sunlight intensity of 0.5-0.8 kW/m2 and zinc oxide dose of 1.5 g/L. A 67-93% decrease in degradation rate was observed for degradation of the dyes in mixture (simultaneous degradation). It was, however, observed that pre-adsorption was not a necessary prerequisite for degradation. Treatment of the dye house waste containing the three dyes, with zinc oxide (3.0 g/L), reduced colour (89%) and COD (63%) in 2.75 h illumination. BOD5/COD ratio increased from 0.43 to 0.66. The study has demonstrated that zinc oxide mediated solar photocatalytic degradation is a potentially useful method of treatment of dye ho use waste containing metal complex azo dyes

Coronavirus (SARS-CoV-2): a systematic review for potential vaccines

COVID-19 is an international public health emergency in need of effective and safe vaccines for SARS-CoV-2. A systematic review has been done to analyze the availability, development and status of new COVID-19 vaccine candidates as well as the status of vaccines for other diseases that might be effective against SARS-CoV-2 infection. PubMed, MEDLINE, EMBASE, Science Direct, Google Scholar, Cochrane library, ClinicalTrials.gov, Web of Science and different trial registries were searched for currently available and probable future vaccines. Articles and ongoing clinical trials are included to ascertain the availability and developmental approaches of new vaccines that could limit the present and future outbreaks. Pharmaceutical companies and institutions are at different stages of developing new vaccines, and extensive studies and clinical trials are still required

Coronavirus (SARS-CoV-2): a systematic review for potential vaccines

COVID-19 is an international public health emergency in need of effective and safe vaccines for SARS-CoV-2. A systematic review has been done to analyze the availability, development and status of new COVID-19 vaccine candidates as well as the status of vaccines for other diseases that might be effective against SARS-CoV-2 infection. PubMed, MEDLINE, EMBASE, Science Direct, Google Scholar, Cochrane library, ClinicalTrials.gov, Web of Science and different trial registries were searched for currently available and probable future vaccines. Articles and ongoing clinical trials are included to ascertain the availability and developmental approaches of new vaccines that could limit the present and future outbreaks. Pharmaceutical companies and institutions are at different stages of developing new vaccines, and extensive studies and clinical trials are still required

Re-exploring Saliva as an Analyte in Estimation of Lithium in Stable Bipolar Patients – A Pilot Study in a Tertiary Care Hospital in West Bengal

Background: Lithium a frequently prescribed drug in the treatment of bipolar affective disorder, due to its inherent adverse potential and narrow therapeutic index, demands for regular therapeutic drug monitoring (TDM). Although the term TDM seems to be tedious, the most tedious job is to collect blood samples from patients with psychiatric illness. In this study, we aimed to find out an alternative method to serum lithium monitoring. Although saliva as an analyte is non-popular, the presence of lithium in the saliva in patients who consumes lithium makes procedure of collection easier. The rate of elimination of lithium is slower from saliva than from serum, which makes the concentration of lithium higher in saliva than in blood. Lithium elimination follows two compartment pharmacokinetic models, where important part of compartment is saliva and salivary glands. The trouble of repeated venipuncture can be done away with, if a non-invasive method for serum lithium concentration is taken into consideration. An alternative method of determining lithium level could be saliva. The aim of this study was to find out whether estimation of lithium in saliva can replace serum lithium estimation. Materials and Methods: In this cross-sectional study, 60 stable patients of bipolar disorder attending psychiatry outdoor on lithium therapy for 3 months or more were considered. After informed consent documentation serum and saliva samples were collected after 12 h of last dose of lithium carbonate intake. Assessment was done based on atomic absorption spectrometry. After statistical analysis, it was found that that there is a correlation between serum and saliva lithium level. The 60 patients were divided into two groups, consisting of 30 patients each. Linear regression was done in both the groups thereby the formula obtained from the first group, was utilized to calculate the saliva concentration form serum concentration. The mean values were compared at the last. Results: The mean serum lithium obtained was 0.99 ± 0.257 SD (mEq/L) and mean salivary lithium obtained was 1.63 ± 0.51 SD (mEq/L) in Group 1. Whereas, the mean serum lithium obtained was 0.79 ± 0.26 SD (mEq/L) and mean salivary lithium obtained was 1.67 ± 0.49 SD (mEq/L) in group 2. Lithium concentration from both the samples showed a positive correlation as obtained from the scatter plot. Conclusion: Salivary Li estimation seems to yield positive results, yet more research should be done in this regard. Since saliva method for estimation is non-invasive, the idea could be utilized in designing other device

Differential Impact of Nitric Oxide and Abscisic Acid on the Cellular and Physiological Functioning of sub1A QTL Bearing Rice Genotype under Salt Stress

Hydroponic culture containing 200 mM NaCl was used to induce oxidative stress in seedlings of cultivars initially primed with 1 mM SNP and 10 µM ABA. Exogenous application of sodium nitroprusside (SNP – a nitric oxide donor) and abscisic acid (ABA) was well sensitized more in cv. Swarna Sub1 than cv. Swarna and also reflected in different cellular responses. The major effects of salinity, irrespective of the cultivar, were lowering the water relation, including relative water content and osmotic potential, and decreasing the compatible solutes like alanine, gamma-aminobutyric acid, and glycine betaine. The accumulated polyamines were reduced more in cv. Swarna with a concomitant decrease in photosynthetic reserves. NADP-malic enzyme activity, sucrose accumulation, ascorbate peroxidase, and glutathione S-transferase activities gradually declined under NaCl stress and the catabolizing enzymes like invertase (both wall and cytosolic forms) also declined. On the contrary, plants suffered from oxidative stress through superoxide, hydrogen peroxide, and their biosynthetic enzymes like NADP(H) oxidase. Moderation of Na+/K+ by both SNP and ABA were correlated with other salt sensitivities in the plants. The maximum effects of SNP and ABA were found in the recovery of antioxidation pathways, osmotic tolerance, and carbohydrate metabolism. Findings predict the efficacy of SNP and ABA either independently or cumulatively in overcoming NaCl toxicity in rice

Differential Impact of Nitric Oxide and Abscisic Acid on the Cellular and Physiological Functioning of <i>sub1A</i> QTL Bearing Rice Genotype under Salt Stress

Hydroponic culture containing 200 mM NaCl was used to induce oxidative stress in seedlings of cultivars initially primed with 1 mM SNP and 10 µM ABA. Exogenous application of sodium nitroprusside (SNP – a nitric oxide donor) and abscisic acid (ABA) was well sensitized more in cv. Swarna Sub1 than cv. Swarna and also reflected in different cellular responses. The major effects of salinity, irrespective of the cultivar, were lowering the water relation, including relative water content and osmotic potential, and decreasing the compatible solutes like alanine, gamma-aminobutyric acid, and glycine betaine. The accumulated polyamines were reduced more in cv. Swarna with a concomitant decrease in photosynthetic reserves. NADP-malic enzyme activity, sucrose accumulation, ascorbate peroxidase, and glutathione S-transferase activities gradually declined under NaCl stress and the catabolizing enzymes like invertase (both wall and cytosolic forms) also declined. On the contrary, plants suffered from oxidative stress through superoxide, hydrogen peroxide, and their biosynthetic enzymes like NADP(H) oxidase. Moderation of Na+/K+ by both SNP and ABA were correlated with other salt sensitivities in the plants. The maximum effects of SNP and ABA were found in the recovery of antioxidation pathways, osmotic tolerance, and carbohydrate metabolism. Findings predict the efficacy of SNP and ABA either independently or cumulatively in overcoming NaCl toxicity in rice

Photoactivated TiO₂ Nanocomposite Delays the Postharvest Ripening Phenomenon through Ethylene Metabolism and Related Physiological Changes in <i>Capsicum</i> Fruit

Capsicum is one of the most perishable fruit which undergo rapid loss of commercial value during postharvest storage. In this experiment our aim is to evaluate the effect of photoactivated TiO2 nano-particle complexed with chitosan or TiO2-nanocomposite (TiO2-NC) on extension self-life of Capsicum fruit and its effect on related morphological, physiological and molecular attributes at room temperature (25 °C). Initially, TiO2-NC coated fruits recorded superior maintenance of total soluble solids accumulation along with retention of firmness, cellular integrity, hydration, color etc. On the extended period of storage, fruit recorded a lower bioaccumulation of TiO2 in comparison to metallic silver over the control. On the level of gene expression for ethylene biosynthetic and signaling the TiO2-NC had more regulation, however, discretely to moderate the ripening. Thus, ACC synthase and oxidase recorded a significantly better downregulation as studied from fruit pulp under TiO2-NC than silver. On the signaling path, the transcripts for CaETR1 and CaETR2 were less abundant in fruit under both the treatment when studied against control for 7 d. The reactive oxygen species (ROS) was also correlated to retard the oxidative lysis of polyamine oxidation by diamine and polyamine oxidase activity. The gene expression for hydrolytic activity as non-specific esterase had corroborated the development of essential oil constituents with few of those recorded in significant abundance. Therefore, TiO2-NC would be reliable to induce those metabolites modulating ripening behavior in favor of delayed ripening. From gas chromatography-mass spectrometry (GC-MS) analysis profile of all tested essential oil constituents suggesting positive impact of TiO2-NC on shelf-life extension of Capsicum fruit. Our results indicated the potentiality of TiO2-NC in postharvest storage those may connect ethylene signaling and ROS metabolism in suppression of specific ripening attributes