STUDY OF THYROID PROFILE IN GERIATRIC TYPE-2 DIABETICS IN JHARKHAND

Objective: To study the  association of the two endocrinal disorders (Diabetes mellitus and thyroid disease) in randomly selected geriatric patients.Method: The study includes 80 patients in geriatric age groups with type 2 diabetes mellitus visiting the Medicine out patients department. Thyroid profile were assayed  in type 2 diabetic patients.Results: It was noted that thyroid dysfunction was prevalent in 41(51.25%)  out of the 80 geriatric age group patients with 31(38.75%) being hypothyroidism, 7 (8.7%) having subclinical hypothyroidism and 3 (3.7%) having a hyperthyroid state.Conclusion: The study shows that screening should be strongly recommended for all type 2 diabetics to rule out thyroid dysfunction in patients with increasing age.Keywords: Thyroid profile, Geriatric patients, Diabetes mellitus.Â

Image-based Skin Disease Detection and Classification through Bioinspired Machine Learning Approaches

A self-learning disease detection model will be useful for identifying skin infections in suspected individuals using skin images of infected patients. To detect skin diseases, some AI-based bioinspired models employ skin images. Skin infection is a common problem that is currently faced due to various reasons, such as food, water, environmental factors, and many others. Skin infections such as psoriasis, skin cancer, monkeypox, and tomato flu, among others, have a lower death rate but a significant impact on quality of life. Neural Networks (NNs) and Swarm intelligence (SI) based approaches are employed for skin disease diagnosis and classification through image processing. In this paper, the convolutional neural networks-based Cuckoo search algorithm (CNN-CS) is trained using the well-known multi-objective optimization technique cuckoo search. The performance of the suggested CNN-CS model is evaluated by comparing it with three commonly used metaheuristic-based classifiers: CNN-GA, CNN-BAT, and CNN-PSO. This comparison was based on various measures, including accuracy, precision, recall, and F1-score. These measures are calculated using the confusion matrices from the testing phase. The results of the experiments revealed that the proposed model has outperformed the others, achieving an accuracy of 97.72%

An integrated transcriptomics-guided genome-wide promoter analysis and next-generation proteomics approach to mine factor(s) regulating cellular differentiation

Differential next-generation-omics approaches aid in the visualization of biological processes and pave the way for divulging important events and/or interactions leading to a functional output at cellular or systems level. To this end, we undertook an integrated Nextgen transcriptomics and proteomics approach to divulge differential gene expression of infant and pubertal rat Sertoli cells (Sc).Unlike, pubertal Sc, infant Sc are immature and fail to support spermatogenesis. We found exclusive association of 14 and 19 transcription factor binding sites to infantile and pubertal states of Sc, respectively, using differential transcriptomics-guided genome-wide computational analysis of relevant promoters employing 220 Positional Weight Matrices from the TRANSFAC database. Proteomic SWATH-MS analysis provided extensive quantification of nuclear and cytoplasmic protein fractions revealing 1,670 proteins differentially located between the nucleus and cytoplasm of infant Sc and 890 proteins differentially located within those of pubertal Sc. Based on our multi-omics approach, the transcription factor YY1 was identified as one of the lead candidates regulating differentiation of Sc.YY1 was found to have abundant binding sites on promoters of genes upregulated during puberty. To determine its significance, we generated transgenic rats with Sc specific knockdown of YY1 that led to compromised spermatogenesis

An integrated transcriptomics-guided genome-wide promoter analysis and next-generation proteomics approach to mine factor(s) regulating cellular differentiation.

Differential next-generation-omics approaches aid in the visualization of biological processes and pave the way for divulging important events and/or interactions leading to a functional output at cellular or systems level. To this end, we undertook an integrated Nextgen transcriptomics and proteomics approach to divulge differential gene expression of infant and pubertal rat Sertoli cells (Sc).Unlike, pubertal Sc, infant Sc are immature and fail to support spermatogenesis. We found exclusive association of 14 and 19 transcription factor binding sites to infantile and pubertal states of Sc, respectively, using differential transcriptomics-guided genome-wide computational analysis of relevant promoters employing 220 Positional Weight Matrices from the TRANSFAC database. Proteomic SWATH-MS analysis provided extensive quantification of nuclear and cytoplasmic protein fractions revealing 1,670 proteins differentially located between the nucleus and cytoplasm of infant Sc and 890 proteins differentially located within those of pubertal Sc. Based on our multi-omics approach, the transcription factor YY1 was identified as one of the lead candidates regulating differentiation of Sc.YY1 was found to have abundant binding sites on promoters of genes upregulated during puberty. To determine its significance, we generated transgenic rats with Sc specific knockdown of YY1 that led to compromised spermatogenesis

Molecular enneanuclear CuII phosphates containing planar hexanuclear and trinuclear sub-units: syntheses, structures, and magnetism

Highly symmetric enneanuclear copper(II) phosphates [Cu9(Pz)6(μ-OH)3(μ3-OH)(ArOPO3)4(DMF)3] (PzH =pyrazole, Ar = 2,6-(CHPh2)2-4-R-C6H2; R = Me, 2MeAr; Et, 2EtAr; iPr, 2iPrAr; and Ar = 2,6-iPr2C6H3, 2Dip) comprising nine copper(II) centers and pyrazole, hydroxide and DMF as ancillary ligands were synthesized by a reaction involving the arylphosphate monoester, 1, copper(I)chloride, pyrazole, and triethylamine in a 4 : 9 : 6 : 14 ratio. All four complexes were characterized by single crystal structural analysis. The complexes contain two distinct structural motifs within the multinuclear copper scaffold: a hexanuclear unit and a trinuclear unit. In the latter, the three Cu(II) centres are bridged by a µ3-OH. Each pair of Cu(II) centers in the trinuclear unit are bridged by a pyrazole ligand. The hexanuclear unit is made up of three dinuclear Cu(II) motifs where the two Cu(II) centres are bridged by an -OH and a pyrazole ligand. The three dinuclear units are connected to each other by phosphate ligands. The latter also aid the fusion of the trinuclear and the hexanuclear motifs. Magnetic studies reveal a strong antiferromagnetic exchange between the Cu(II) centres of the dinuclear units in the hexanuclear part and a strong spin frustration in the trinuclear part leading to a degenerate ground state

RMAC study:A randomized study for evaluation of metronomic adjuvant chemotherapy in recurrent head and neck cancers post salvage surgical resection in those who are ineligible for re-irradiation

Background: Adjuvant re-chemoradiation after salvage surgery improves disease-free survival in recurrent head and neck cancer. However, most patients are ineligible for re-irradiation and are kept on observation. We investigated the efficacy of metronomic adjuvant chemotherapy (MAC) in this group of patients compared to observation. Methods: This was a randomized integrated phase II/III clinical trial. Adults with recurrent head and neck cancer, who had undergone salvage surgery, but were ineligible for adjuvant re-irradiation were randomized in a 1:1 ratio to either MAC arm or observation. MAC consisted of weekly oral methotrexate (at a dose of 15 mg per square meter of body surface area) and celecoxib (at a dose of 200 mg orally twice daily) for 6 months. The primary endpoint of phase 2 was disease-free survival (DFS) while that of phase 3 was overall survival (OS). For phase 2, to detect an improvement in the hazard ratio (HR) 0.67 with MAC, with a type 1 error of 10% (1-sided), type 2 error of 30%, 105 patients were required. While for phase 3, with a target HR of 0.77, with a type 1 error of 5%, type 2 error of 20%, 318 patients were required. Here we report the results of phase 2 part of the study. Results: At a median follow up of 30.2 months (95% confidence interval (CI), 25.3 to 35.1) the 1 year and 2-year DFS were 57.4% (95% CI, 42.8–69.5) and 37.6% (95% CI, 24.1–51) in MAC arm whereas the corresponding numbers were 62.3% (95% CI, 47.8 to 73.8) and 54.2%(95% CI, 39.8 to 66.5) in observation arm, respectively (hazard ratio for progression, 1.45; 95% CI, 0.87 to 2.47; P = 0.15). In the MAC arm, the 1 and 2 year OS was 78.7% (95% CI, 64.9 to 87.6) and 48% (95% CI, 34.1 to 62).The corresponding figures in the observation arm were 79.2% (95% CI, 65.7 to 87.9) and 65.5% (95% CI, 50.9 to 76.7) (hazard ratio for death, 1.7, 95% CI, 0.94 to 3.08; P = 0.08). Conclusion: The adjuvant 6-month metronomic schedule was ineffective in improving outcomes in recurrent head and neck cancers post salvage surgery who are ineligible for re-radiation. Trial registration. Clinical trial registry of India (CTRI)- CTRI/2016/04/006872 [Registered on 26/4/2016] © 2022 Elsevier Lt

RMAC study:A randomized study for evaluation of metronomic adjuvant chemotherapy in recurrent head and neck cancers post salvage surgical resection in those who are ineligible for re-irradiation

Background: Adjuvant re-chemoradiation after salvage surgery improves disease-free survival in recurrent head and neck cancer. However, most patients are ineligible for re-irradiation and are kept on observation. We investigated the efficacy of metronomic adjuvant chemotherapy (MAC) in this group of patients compared to observation. Methods: This was a randomized integrated phase II/III clinical trial. Adults with recurrent head and neck cancer, who had undergone salvage surgery, but were ineligible for adjuvant re-irradiation were randomized in a 1:1 ratio to either MAC arm or observation. MAC consisted of weekly oral methotrexate (at a dose of 15 mg per square meter of body surface area) and celecoxib (at a dose of 200 mg orally twice daily) for 6 months. The primary endpoint of phase 2 was disease-free survival (DFS) while that of phase 3 was overall survival (OS). For phase 2, to detect an improvement in the hazard ratio (HR) 0.67 with MAC, with a type 1 error of 10% (1-sided), type 2 error of 30%, 105 patients were required. While for phase 3, with a target HR of 0.77, with a type 1 error of 5%, type 2 error of 20%, 318 patients were required. Here we report the results of phase 2 part of the study. Results: At a median follow up of 30.2 months (95% confidence interval (CI), 25.3 to 35.1) the 1 year and 2-year DFS were 57.4% (95% CI, 42.8–69.5) and 37.6% (95% CI, 24.1–51) in MAC arm whereas the corresponding numbers were 62.3% (95% CI, 47.8 to 73.8) and 54.2%(95% CI, 39.8 to 66.5) in observation arm, respectively (hazard ratio for progression, 1.45; 95% CI, 0.87 to 2.47; P = 0.15). In the MAC arm, the 1 and 2 year OS was 78.7% (95% CI, 64.9 to 87.6) and 48% (95% CI, 34.1 to 62).The corresponding figures in the observation arm were 79.2% (95% CI, 65.7 to 87.9) and 65.5% (95% CI, 50.9 to 76.7) (hazard ratio for death, 1.7, 95% CI, 0.94 to 3.08; P = 0.08). Conclusion: The adjuvant 6-month metronomic schedule was ineffective in improving outcomes in recurrent head and neck cancers post salvage surgery who are ineligible for re-radiation. Trial registration. Clinical trial registry of India (CTRI)- CTRI/2016/04/006872 [Registered on 26/4/2016] © 2022 Elsevier Lt

Freezing transitions in a system of two-dimensional octupolar multipoles

We have investigated the fluid-solid freezing transitions in a system of axially symmetric particles confined to a two-dimensional plane and interacting via purely repulsive octupolar interaction potential varying as the seventh power of the inverse interparticle separation. Both the one-component and two-component cases have been considered. The classical density functional theory of freezing has been employed to study the relative stability of the triangular solid phase of the system with respect to the fluid phase of the system using the structural inputs calculated by solving the Rogers-Young integral equation theory. Considering the freezing of the fluid into substitutionally disordered solid, in the case of binary mixtures, we observe that the temperature-composition phase diagram is a spindle for moderate particle asymmetries in the range 0.90-0.75. Further increasing the asymmetry to 0.70 results in the coexistence of the fluid phases of two different compositions