Correlation of awareness of the disease with glycaemic control and diabetic complications among patients attending a tertiary care hospital

Introduction. The awareness level among diabetic patients varies across patient population based on many factors such as differences in the literacy of the study population, socioeconomic status, availability of diabetes education. Hence, it is important to study the same in our set-up to plan appropriate preven- tive strategies. The present research work attempted to assess the awareness level about diabetes and its complications among diabetic patients attending a tertiary care teaching hospital.  Materials and methods. This is a hospital based, cross- sectional study, done in diabetic patients attending a tertiary care teaching hospital in South India. The awareness level of the patient was assessed using a pretested questionnaire. The questionnaire had 25 questions (knowledge — 18, attitude — 4 and prac- tice — 3) and each correct answer was given a score of ‘one’ and each wrong answer was given a score of ‘zero’. Patients were assessed clinically for the presence of micro and macrovascular complications and basic investigations were carried out. Metabolic control is assessed by HbA1c level.  Results. A total of 150 patients were included in the study. Approx. 52.6% of patients scored between 14 and 18 (sufficient awareness), 6.6% of patients had satisfactory awareness (KAP score 19–20) and 4% of patients had highly satisfactory awareness (KAP score > 20). Only eight patients had a score less than 10 (highly insufficient awareness) and 31.3% had insufficient awareness (KAP score 10–13). A positive correlation between educational qualification and awareness level was observed (r = 0.495, p < 0.001). Mean awareness score of patients who received diabetes education from physician and dietitian was significantly high when compared to other sources of patient education. Mean awareness scores were lower for those with various diabetic complications. There is a statistically signifi- cant negative correlation observed between awareness and HbA1c values (r = 0.527, p < 0.001).  Conclusion. Majority of the patients had sufficient awareness about the disease and about one-third of the patients had insufficient awareness about diabetes. The awareness level of the patients about the disease had a strong influence on the metabolic control, diabetic complications and also correlated with their educational status.

Comparison of intestinal parasitic infection in newly arrived and resident workers in Qatar

Abstract Background: The rapid growth of Qatar in the last two decades has been associated with an enormous expansion of building programs in its cities and in the provision of new service industries. This in turn has attracted a large influx of immigrant workers seeking employment in jobs associated with food handling, domestic service and the building industry. Many of these immigrants come from countries in the tropics and subtropics where intestinal parasitic infections are common. Methods: We analyzed intestinal parasitic infections recorded in 2008 among immigrant and long-term resident workers in Doha city, Qatar (n = 1538). Stool examinations were carried out at the Hamad Medical Corporation and at the Medical Commission in Doha using standard procedures. Results: Overall, 21.5% of subjects were infected with at least one of the species recorded (8 helminth and 4 protozoan species; the highest prevalence was for hookworms = 8.3%) and there were strong regional effects on prevalence of helminths, with subjects from North East Africa and Nepal showing particularly high prevalence. Most helminths declined in prevalence in subjects that acquired residency status in Qatar, especially among female subjects, but there was a marked exception among male Nepalese workers, who continued to harbour helminth infections (notably hookworms) after they became residents. Contrary to all other regional groups the prevalence of Giardia duodenalis was higher among Nepalese residents compared with new arrivals, while Blastocystis hominis infections were more common among residents of all regions, and especially among North East Africans. Conclusions: Our analysis has identified male Nepalese workers as a particular risk group continuing to harbour hookworm infection and G. duodenalis as residents, and subjects from North East Africa are as particularly likely to acquire B. hominis infection after settling in the country. These conclusions have important implications for the health authorities in QatarQatar National Research Fund (QRNF) NPRP Grant# 4-1283-3-32

Tracking global changes induced in the CD4 T-cell receptor repertoire by immunization with a complex antigen using short stretches of CDR3 protein sequence.

The clonal theory of adaptive immunity proposes that immunological responses are encoded by increases in the frequency of lymphocytes carrying antigen-specific receptors. In this study, we measure the frequency of different T-cell receptors (TcR) in CD4 + T cell populations of mice immunized with a complex antigen, killed Mycobacterium tuberculosis, using high throughput parallel sequencing of the TcRβ chain. Our initial hypothesis that immunization would induce repertoire convergence proved to be incorrect, and therefore an alternative approach was developed that allows accurate stratification of TcR repertoires and provides novel insights into the nature of CD4 + T-cell receptor recognition

NMR quantum computation with indirectly coupled gates

An NMR realization of a two-qubit quantum gate which processes quantum information indirectly via couplings to a spectator qubit is presented in the context of the Deutsch-Jozsa algorithm. This enables a successful comprehensive NMR implementation of the Deutsch-Jozsa algorithm for functions with three argument bits and demonstrates a technique essential for multi-qubit quantum computation.Comment: 9 pages, 2 figures. 10 additional figures illustrating output spectr

Efficiency of Hydrogen Peroxide and Fenton Reagent for Polycyclic Aromatic Hydrocarbon Degradation in Contaminated Soil: Insights from Experimental and Predictive Modeling

\ua9 2024 by the authors.This study investigates the degradation kinetics of polycyclic aromatic hydrocarbons (PAHs) in contaminated soil using hydrogen peroxide (H2O2) and the Fenton process (H2O2/Fe2+). The effect of oxidant concentration and the Fenton molar ratio on PAH decomposition efficiency is examined. Results reveal that increasing H2O2 concentration above 25 mmol/samples leads to a slight increase in the rate constants for both first- and second-order reactions. The Fenton process demonstrates higher efficiency in PAH degradation compared to H2O2 alone, achieving decomposition yields ranging from 84.7% to 99.9%. pH evolution during the oxidation process influences PAH degradation, with alkaline conditions favoring lower elimination rates. Fourier-transform infrared (FTIR) spectroscopy analysis indicates significant elimination of PAHs after treatment, with both oxidants showing comparable efficacy in complete hydrocarbon degradation. The mechanisms of PAH degradation by H2O2 and the Fenton process involve hydroxyl radical formation, with the latter exhibiting greater efficiency due to Fe2+ catalysis. Gaussian process regression (GPR) modeling accurately predicts reduced concentration, with optimized ARD-Exponential kernel function demonstrating superior performance. The Improved Grey Wolf Optimizer algorithm facilitates optimization of reaction conditions, yielding a high degree of agreement between experimental and predicted values. A MATLAB 2022b interface is developed for efficient optimization and prediction of C/C0, a critical parameter in PAH degradation studies. This integrated approach offers insights into optimizing the efficiency of oxidant-based PAH remediation techniques, with potential applications in contaminated soil remediation

Implementing universal multi-qubit quantum logic gates in three and four-spin systems at room temperature

In this paper, we present the experimental realization of multi-qubit gates $$ in macroscopic ensemble of three-qubit and four-qubit molecules. Instead of depending heavily on the two-bit universal gate, which served as the basic quantum operation in quantum computing, we use pulses of well-defined frequency and length that simultaneously apply to all qubits in a quantum register. It appears that this method is experimentally convenient when this procedure is extended to more qubits on some quantum computation, and it can also be used in other physical systems.Comment: 5 Pages, 2 Figure

Use of Quadrupolar Nuclei for Quantum Information processing by Nuclear Magnetic Resonance: Implementation of a Quantum Algorithm

Physical implementation of Quantum Information Processing (QIP) by liquid-state Nuclear Magnetic Resonance (NMR), using weakly coupled spin-1/2 nuclei of a molecule, is well established. Nuclei with spin$>$1/2 oriented in liquid crystalline matrices is another possibility. Such systems have multiple qubits per nuclei and large quadrupolar couplings resulting in well separated lines in the spectrum. So far, creation of pseudopure states and logic gates have been demonstrated in such systems using transition selective radio-frequency pulses. In this paper we report two novel developments. First, we implement a quantum algorithm which needs coherent superposition of states. Second, we use evolution under quadrupolar coupling to implement multi qubit gates. We implement Deutsch-Jozsa algorithm on a spin-3/2 (2 qubit) system. The controlled-not operation needed to implement this algorithm has been implemented here by evolution under the quadrupolar Hamiltonian. This method has been implemented for the first time in quadrupolar systems. Since the quadrupolar coupling is several orders of magnitude greater than the coupling in weakly coupled spin-1/2 nuclei, the gate time decreases, increasing the clock speed of the quantum computer.Comment: 16 pages, 3 figure

An IL-27-Driven Transcriptional Network Identifies Regulators of IL-10 Expression across T Helper Cell Subsets.

Interleukin-27 (IL-27) is an immunoregulatory cytokine that suppresses inflammation through multiple mechanisms, including induction of IL-10, but the transcriptional network mediating its diverse functions remains unclear. Combining temporal RNA profiling with computational algorithms, we predict 79 transcription factors induced by IL-27 in T cells. We validate 11 known and discover 5 positive (Cebpb, Fosl2, Tbx21, Hlx, and Atf3) and 2 negative (Irf9 and Irf8) Il10 regulators, generating an experimentally refined regulatory network for Il10. We report two central regulators, Prdm1 and Maf, that cooperatively drive the expression of signature genes induced by IL-27 in type 1 regulatory T cells, mediate IL-10 expression in all T helper cells, and determine the regulatory phenotype of colonic Foxp3 <sup>+</sup> regulatory T cells. Prdm1/Maf double-knockout mice develop spontaneous colitis, phenocopying ll10-deficient mice. Our work provides insights into IL-27-driven transcriptional networks and identifies two shared Il10 regulators that orchestrate immunoregulatory programs across T helper cell subsets

Rapid identification of in vitro cell toxicity using an electrochemical membrane screening platform

This study compares the performance and output of an electrochemical phospholipid membrane platform against respective in vitro cell-based toxicity testing methods using three toxicants of different biological action (chlorpromazine (CPZ), colchicine (COL) and methyl methanesulphonate (MMS)). Human cell lines from seven different tissues (lung, liver, kidney, placenta, intestine, immune system) were used to validate this physicochemical testing system. For the cell-based systems, the effective concentration at 50 % cell death (EC₅₀) values are calculated. For the membrane sensor, a limit of detection (LoD) value was extracted as a quantitative parameter describing the minimum concentration of toxicant which significantly affects the structure of the phospholipid sensor membrane layer. LoD values were found to align well with the EC₅₀ values when acute cell viability was used as an end-point and showed a similar toxicity ranking of the tested toxicants. Using the colony forming efficiency (CFE) or DNA damage as end-point, a different order of toxicity ranking was observed. The results of this study showed that the electrochemical membrane sensor generates a parameter relating to biomembrane damage, which is the predominant factor in decreasing cell viability when in vitro models are acutely exposed to toxicants. These results lead the way to using electrochemical membrane-based sensors for rapid relevant preliminary toxicity screens