A study of serum magnesium, calcium and phosphorus level, and cognition in the elderly population of South India

Introduction: Different studies have shown the role of micro and macronutrients on cognitive function. Macronutrients have been involved in many metabolic activities of the body including oxidation and reduction reactions in the central nervous system. This involvement of macronutrients in the activities of central nervous system indicates its role in cognition. The present study is designed to know the role of macronutrients and its relation with cognition by using biological samples.Materials and methods: A total of 337 subjects with a mean age of 49 participated in the cross sectional study fromdifferent parts ofKerala state in India. Individuals participating in this studywere administered a series of neuropsychological test batteries with major emphasis on 7-min screen test. All test procedures were administered by standard protocol after a written consent was obtained from the participating subjects. Analysis of macronutrients level of magnesium, calcium and phosphorus was done by using serum samples and the data obtained were then statistically analyzed using SPSS software version 17.Results: The macronutrients magnesium, calcium and phosphorus were found to be significantly related to the cognitive score. Increasing magnesiumand calciumlevel was associated with higher cognitive score (P<0.0031 and 0.001 respectively), while lower phosphorus level was significantly associated with lower composite score (P<0.001).Conclusion: The results of our study give us an expression that macronutrients such as calcium, magnesium and phosphorus may be associated with cognitive function in elderly population of our state. But further studies on a larger population are required to come out with a definite conclusion

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Corrosion of 2205 duplex stainless steel weldment in chloride medium containing sulfate-reducing bacteria

Influence of changes in microstructure caused due to welding on microbiologically influenced corrosion of a duplex stainless steel was studied by exposing the weldment and parent metal to chloride medium containing sulfate-reducing bacteria (SRB). Identically prepared coupons (same area and surface finish) exposed to sterile medium were used as the control. Etching-type attack was observed in the presence of SRB, which was predominant in the heat-affected zone (HAZ) of the weldment. The anodic polarization studies indicated an increase in current density for coupon exposed to SRB-containing medium as compared to that obtained for coupon exposed to sterile medium. The scanning electron microscopy (SEM) observations after anodic polarization revealed that the attack was preferentially in the ferrite phase of HAZ of the weldment, whereas it was restricted to the austenite phase of the parent metal