Erratum: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

Interpretation: By quantifying levels and trends in exposures to risk factors and the resulting disease burden, this assessment offers insight into where past policy and programme efforts might have been successful and highlights current priorities for public health action. Decreases in behavioural, environmental, and occupational risks have largely offset the effects of population growth and ageing, in relation to trends in absolute burden. Conversely, the combination of increasing metabolic risks and population ageing will probably continue to drive the increasing trends in non-communicable diseases at the global level, which presents both a public health challenge and opportunity. We see considerable spatiotemporal heterogeneity in levels of risk exposure and risk-attributable burden. Although levels of development underlie some of this heterogeneity, O/E ratios show risks for which countries are overperforming or underperforming relative to their level of development. As such, these ratios provide a benchmarking tool to help to focus local decision making. Our findings reinforce the importance of both risk exposure monitoring and epidemiological research to assess causal connections between risks and health outcomes, and they highlight the usefulness of the GBD study in synthesising data to draw comprehensive and robust conclusions that help to inform good policy and strategic health planning

IN VITRO ASSESSMENT OF PRASARANI SANDHAN, A TRADITIONAL POLYHERBAL AYURVEDIC MEDICINE, FOR IMMUNOSTIMULATING ACTIVITY IN SPLENIC CELLS OF BALB/C MICE

Objective: The objective of the present study was to evaluate the immunostimulating potential of an Ayurvedic preparation Prasarani Sandhan (PRS) by measuring immunoglobulinM (IgM) production and splenocytes proliferation in vitro.Methods: Freshly prepared BALB/c mice splenocytes were treated with 0.25, 0.5, 0.75, 1, 1.5, 2, 3, and 4% (v/v) of PRS and the cells were sub-cultured at 37°C, humidified atmosphere containing 5% CO2 for 120 hours. IgM production and cells proliferation were determined by enzyme-linked immunosorbent assay (ELISA) and 3-(4,5-dimethylthiazol-2-y)-2,5-diphenylterazolium bromide (MTT) methods, respectively. The presence of endotoxin was determined by treating PRS with polymyxin B in culture.Results: PRS at the doses of 0.25, 0.5, 0.75, 1, 1.5% (v/v) significantly promoted polyclonal IgM productions (1.847, 2.024, 1.986, 1.958, and 1.465 µg/mL, respectively) compared to control (0.358 µg/mL). Similarly, 0.25, 0.5, 0.75, and 1% (v/v) of the preparation significantly stimulated splenocytes proliferation (absorbance 0.346, 0.394, 0.385, and 0.378 respectively, at 570 nm) compared to control (Abs. 0.156). The highest increment of IgM production and splenocytes proliferation by 0.50% PRS was 5.65 and 2.52-times than control. Polymixin B treated PRS significantly reduced its ability for IgM production and cells proliferation by 51.5% and 30%, respectively. Thus, the findings suggest that the apparently observed enhancement of IgM by PRS was due to the contamination of bacterial endotoxin, PRS has no immunostimulating property.Conclusion: This is the first report on the immunostimulating activity of PRS. Prasarani Sandhan was contaminated with bacterial endotoxin and the preparation failed to exhibit immunostimulating activity in vitro.Â

Performance evaluation of Bluetooth low energy technology under interference

Abstract In this chapter, the focus is on analytical and experimental performance evaluation of the Bluetooth Low Energy (BLE) technology. Studies have been conducted in indoor case relevant to healthcare and medical scenarios. Performance of the recently developed BLE 5 coded technique is compared to BLE 4 that is currently the most popular wireless technology in commercial healthcare and medical solutions. The improved version of BLE may continue the popularity of BLE usage in those application scenarios, and in addition it may enable novel Internet of Things (IoT) solutions. The main objective of this work was to explore the packet error rate (PER) of BLE communication under ZigBee interference, since it is envisaged, that coexistence problems may arise with the further growth of number of the different IoT devices deployed. In this chapter, we first develop an analytical model to characterize the PER of BLE link with varying distance to interfering nodes. Then we conduct a series of practical measurements using the Nordic Semiconductor nRF52840 chipset, which supports the new BLE 5 coded features. Our results show that ZigBee interference is very harmful for BLE communication when operating at the same frequency band, i.e., assuming worst-case scenario. The proposed model can be used to evaluate PER of BLE in various interference scenarios to get insight of communication reliability which is very important specifically for healthcare and medical applications

Immunopotentiality of Ayurvedic polyherbal formulations “Saribadi” and “Anantamul Salsa” with augmentation of IgM production and lymphocytes proliferation: A preliminary study

Objective: To assess the immunopotentiality of Ayurvedic polyherbal preparations, “Saribadi” and “Anantamul Salsa”. Methods: Freshly prepared BALB/c mice splenocytes were cultured with “Saribadi” or “Anantamul Salsa” treatment [doses of 0.25%, 0.50%, 0.75%, 1.00%, 1.50%, 2.00%, 3.00% and 4.00% (v/v)] at 37 °C for 5 days. The immunoglobulin M (IgM) production and lymphocytes proliferation were determined by ELISA and MTT methods, respectively. Endotoxin contamination was assessed by treating the preparations with polymyxin B. Results: The doses of “Saribadi” [0.25%, 0.50%, 0.75% and 1.00% (v/v)] significantly increased IgM productions (0.966, 0.728, 0.695 and 0.615 μg/mL vs. control 0.265 μg/mL) and lymphocytes proliferation [absorbance 0.311, 0.394, 0.372 and 0.334 optical density (OD) vs. control 0.162 OD]. Similarly, the doses of “Anantamul Salsa” [0.50%, 0.75%, 1.00% and 1.50% (v/v)] promoted IgM productions (0.933, 0.919, 0.917 and 0.892 μg/mL vs. control 0.502 μg/mL) and the doses of “Anantamul Salsa” [0.50%, 0.75%, 1.00%, 1.50%, 2.00%, and 3.00% (v/v)] stimulated lymphocytes proliferation (absorbance 0.395, 0.326, 0.440, 0.398, 0.452 and 0.355 OD vs. control 0.199 OD). The activity of “Saribadi” and “Anantamul Salsa” was not retarded by the treatment of preparations with polymyxin B. Conclusions: Immunomodulatory activity of “Saribadi” and “Anantamul Salsa” was unveiled for the first time. “Saribadi” and “Anantamul Salsa” possess immunostimulating potential acting through the induction of lymphocyte proliferation and IgM production. These preparations may be useful in strengthening immune responses. However, further cellular and in vivo studies are required

Enhancement of the production of L-glutaminase, an anticancer enzyme, from Aeromonas veronii by adaptive and induced mutation techniques.

Microbial anti-cancer enzymes have been proven to be effective and economical agents for cancer treatment. Aeromonas veronii has been identified as a microorganism with the potential to produce L-glutaminase, an anticancer agent effective against acute lymphocytic leukaemia. In this study, a selective medium of Aeromonas veronii was used to culture the microorganism. Strain improvement was done by adaptive and induced mutational techniques. A selective minimal agar media was incorporated for the growth of the strain which further supports adaptive mutation. Strains were also UV-irradiated and successively treated with N-methyl-N'-nitro-N-nitrosoguanidine to find a resilient strain capable of producing L-glutaminase efficiently. The Plackett-Burman design and central composite designs were used to screen and optimize additional carbon and nitrogen sources. Adaptive mutation resulted in promising yield improvements compared to native strain (P<0.001). The mean yield of 30 treated colonies from the induced mutation was significantly increased compared to the non-induced strain (P< 0.001). The economically feasible statistical designs were found to reinforce each other in order to maximize the yield of the enzyme. The interactions of nutrient factors were understood from the 3D response surface plots. The model was found to be a perfect fit in terms of maximizing enzyme yield, with the productivity improving at every stage to a fourfold output of enzyme (591.11 ±7.97 IU/mL) compared to the native strain (135±3.51 IU/mL)

Sediment color tool for targeting arsenic-safe aquifers for the installation of shallow drinking water tubewells

In rural Bangladesh, drinking water supply mostly comes from shallow hand tubewells installed manually by the local drillers, the main driving force in tubewell installation. This study was aimed at developing a sediment color tool on the basis of local driller's perception of sediment color, arsenic (As) concentration of tubewell waters and respective color of aquifer sediments. Laboratory analysis of 521 groundwater samples collected from 144 wells during 2009 to 2011 indicate that As concentrations in groundwater were generally higher in the black colored sediments with an average of 239μg/L. All 39 wells producing water from red sediments provide safe water following the Bangladesh drinking water standard for As (50μg/L) where mean and median values were less than the WHO guideline value of 10μg/L. Observations for off-white sediments were also quite similar. White sediments were rare and seemed to be less important for well installations at shallow depths. A total of 2240 sediment samples were collected at intervals of 1.5m down to depths of 100m at 15 locations spread over a 410km2 area in Matlab, Bangladesh and compared with the Munsell Color Chart with the purpose of direct comparison of sediment color in a consistent manner. All samples were assigned with Munsell Color and Munsell Code, which eventually led to identify 60 color shade varieties which were narrowed to four colors (black, white, off-white and red) as perceived and used by the local drillers. During the process of color grouping, participatory approach was considered taking the opinions of local drillers, technicians, and geologists into account. This simplified sediment color tool can be used conveniently during shallow tubewell installation and thus shows the potential for educating local drillers to target safe aquifers on the basis of the color characteristics of the sediments

Groundwater Quality of Some Parts of Coastal Bhola District, Bangladesh: Exceptional Evidence

The composition of groundwater governs the drinking and irrigation water suitability. A large part of the coastal region of Bangladesh is affected and is responsible for changing the composition of the groundwater. This research attempted to observe the groundwater quality of the Bhola Sadar and Char Fasson upazilas in coastal Bangladesh. Twenty-eight (28) water samples, 27 at depths of 260–430 m (850–1400 ft) and 1 from a crop field, were collected and analyzed. The quality of water samples was determined through the evaluation of odor, color, turbidity, electrical conductivity, pH, total dissolved solids, nitrate (NO3−), ammonium (NH4+), sodium (Na), potassium (K), calcium (Ca), magnesium (Mg), iron (Fe), manganese (Mn), copper (Cu), zinc (Zn) and arsenic (As) ions. An Atomic Absorption Spectrophotometer was used for heavy metal analysis. The outcomes were compared with the drinking water quality of Bangladesh and the World Health Organization. The results showed that the average values of nearly all of the parameters were underneath or within the standard level, representing that the groundwater was appropriate for drinking purposes. The water quality parameters were also compared with the irrigation water quality of Bangladesh and the Food and Agriculture Organization. It was found that the collected samples were also suitable for irrigation. To do this, the soluble sodium percentage, sodium adsorption ratio, magnesium adsorption ratio, Kelley’s ratio, and total hardness were calculated. The novelty of this research is that, despite being in a coastal district, the deep aquifer water of Bhola was appropriate for drinking and irrigation purposes

Groundwater Quality of Some Parts of Coastal Bhola District, Bangladesh: Exceptional Evidence

Peer reviewed: TrueFunder: authority of Jashore University of Science and TechnologyThe composition of groundwater governs the drinking and irrigation water suitability. A large part of the coastal region of Bangladesh is affected and is responsible for changing the composition of the groundwater. This research attempted to observe the groundwater quality of the Bhola Sadar and Char Fasson upazilas in coastal Bangladesh. Twenty-eight (28) water samples, 27 at depths of 260–430 m (850–1400 ft) and 1 from a crop field, were collected and analyzed. The quality of water samples was determined through the evaluation of odor, color, turbidity, electrical conductivity, pH, total dissolved solids, nitrate (NO3−), ammonium (NH4+), sodium (Na), potassium (K), calcium (Ca), magnesium (Mg), iron (Fe), manganese (Mn), copper (Cu), zinc (Zn) and arsenic (As) ions. An Atomic Absorption Spectrophotometer was used for heavy metal analysis. The outcomes were compared with the drinking water quality of Bangladesh and the World Health Organization. The results showed that the average values of nearly all of the parameters were underneath or within the standard level, representing that the groundwater was appropriate for drinking purposes. The water quality parameters were also compared with the irrigation water quality of Bangladesh and the Food and Agriculture Organization. It was found that the collected samples were also suitable for irrigation. To do this, the soluble sodium percentage, sodium adsorption ratio, magnesium adsorption ratio, Kelley’s ratio, and total hardness were calculated. The novelty of this research is that, despite being in a coastal district, the deep aquifer water of Bhola was appropriate for drinking and irrigation purposes.</jats:p

Estimated regression coefficients in the optimization of nutrient factors by central composite design.

<p>The table shows the regression analysis of the nutrient factors with their corresponding <i>P</i>-value. R Square 94.38%, R Square predicted 83.89%, R Square adjusted 90.97%, # denotes significant values, and ^ denotes non-significant values.</p

Screening of Baccaurea ramiflora (Lour.) extracts for cytotoxic, analgesic, anti-inflammatory, neuropharmacological and antidiarrheal activities

Abstract Background It has been observed that the various part of Baccaurea ramiflora plant is used in rheumatoid arthritis, cellulitis, abscesses, constipation and injuries. This plant also has anticholinergic, hypolipidemic, hypoglycemic, antiviral, antioxidant, diuretic and cytotoxic activities. The present studyaimed to assess the cytotoxic, analgesic, anti-inflammatory, CNS depressant and antidiarrheal activities of methanol extract of Baccaurea ramiflora pulp and seeds in mice model. Methods The cytotoxic activity was determined by brine shrimp lethality bioassay; anti-nociceptive activity was determined by acetic acid-induced writhing, formalin- induced licking and biting, and tail immersion methods. The anti-inflammatory, CNS depressant and anti-diarrheal activities were assessed by carrageenan-induced hind paw edema, the open field and hole cross tests, and castor oil-induced diarrheal methods, respectively. The data were analyzed by one way ANOVA (analysis of variance) followed by Dunnett’s test. Results In brine shrimp lethality bioassay, the LC50 values of the methanol extracts of Baccaurea ramiflora pulp and seed were 40 μg/mL and 10 μg/mL, respectively. Our investigation showed that Baccaurea ramiflora pulp and seed extracts (200 mg/kg) inhibited acetic acid induced pain 67.51 and 66.08%, respectively (p < 0.05) that was strongly comparable with that of Ibuprofen (72%) (p < 0.05). The Baccaurea ramiflora pulp and seed extracts (200 mg/kg) significantly (p < 0.05) reduced 58.5 and 53.4 in early and 80.8%, 76.61% in late phase of formalin-induced licking and biting. At 60 and 90 min pulp and seed extracts (200 mg/kg) inhibited nociception of thermal stimulus 50.16 and 62.4%, respectively (p < 0.05) which was comparable with the standard (morphine, 75.9% inhibition). The pulp and seed extracts (200 mg/kg) significantly (p < 0.05) reduced inflammation (42.00 and 55.22%, respectively) in carrageenan-induced hind paw edema and defecations (59.7 and 63.03%, respectively) in castor oil induced diarrhea. Both the extracts showed high sedative activity at 30, 60, 90, and 120 min. Conclusion Our investigation demonstrated significant cytotoxic, analgesic, anti-inflammatory, CNS depressant and antidiarrheal activities of methanol extract of Baccaurea ramiflora pulp and seeds (200 mg/kg)