SYNTHESISCHARACTERIZATION AND STUDY OF COBALTDOPED LYSINE CARBONNANOTUBESINAQUEOUSMEDIUM

ABSTRAC

Effect of glimepiride compared with glibenclamide on post prandial blood sugar in type II diabetes mellitus patients

Background: Diabetes mellitus is a major public health problem with many complications. The Global Burden of Diabetes Study has projected that there will be a 122% increase in the number of people with diabetes mellitus worldwide in 2025 compared to 1995. Despite the availability of new agents for the treatment of type 2 diabetes mellitus oral sulfonylureas remain a cornerstone of therapy.Glibenclamide and glimepiride are widely used sulfonylurea antidiabetic drugs.Methods: A randomized, open, parallel group study was conducted by the Department of Pharmacology in association with Department of Medicine at Maharishi Markandeshwar Institute of Medical Sciences & Research (MMIMSR), Mullana, Ambala. Total 50 patients were divided into two groups I & II. In Group I (n=25) glibenclamide (5-15 mg/day) & in Group II (n=25) glimepiride (1-6mg/day) was administered for a period of 24 weeks and data analyzed by Student’s “t”- test.Results: There was a significant improvement in  the post prandial blood sugar score (p0.05) between the two groups.Conclusions: Both the drugs glibenclamide and glimepiride were effectively reduced post prandial blood sugar in both the groups. But these sulfonylurea drugs lowered post prandial blood sugar to a similar degree without significant difference between the two groups

Advances in Developing Multigene Abiotic and Biotic Stress-Tolerant Rice Varieties

Increasing incidences of multiple abiotic stresses together with increasing population are the major constraints to attain the global food security. Rice, the major staple food crop is very much prone to various abiotic and biotic stresses, which can occur one at a time or two or more together in a single crop growing season and adversely affects the rice production and productivity. The devastating effect of multiple stresses on rice crop is much more erratic and complex leading to higher losses in the crop grain yield. The concurrent occurrence of multiple streeses can destroy rice production in many of the rainfed areas of South and Southeast-Asia. Genomics-assisted breeding strategies have been instrumental in introgression of various major effect QTLs/genes into rice mega varieties and have proven successful in achieving the desired level of tolerance/resistance to various abiotic stresses in diffferent crop species. Keeping the present scenario of changing climate in mind, the chapter discusses the recent past success in combining tolerance to two or more abiotic stresses in mega rice varieties applying genomics-assisted breeding and development of high-yielding climate resilient rice through stacking of multiple genes/QTLs, which can withstand in a cascade of multiple stresses occurring regularly in rainfed environments

Strategies for Stakeholder Engagement and Uptake of New Intervention: Experience From State-Wide Implementation of mHealth Technology for NCD Care in Tripura, India.

BACKGROUND: Appropriate strategies and key stakeholder engagement are the keys to successful implementation of new health care interventions. OBJECTIVES: The study sought to articulate the key strategies used for scaling up a research-based intervention, mPower Heart electronic Clinical Decision Support System (e-CDSS), for state-wide implementation at health facilities in Tripura. METHODS: Multiple strategies were used for statewide implementation of mPower Heart e-CDSS at noncommunicable diseases clinics across the government health facilities in Tripura: formation of a technical coordination-cum-support unit, change management, enabling environment, adapting the intervention with user focus, and strengthening the Health Information System. RESULTS: The effective delivery of a new health system intervention requires engagement at multiple levels including political leadership, health administrators, and health professionals, which can be achieved by forming a technical coordination-cum-support unit. It is important to specify the role and responsibilities of existing manpower and provide a structured training program. Enabling environment at health facilities (providing essential equipment, space and time, etc.) is also crucial. Successful implementation also requires that patients, health care providers, the health system, and leadership recognize the immediate and long-term benefits of the new intervention and have a buy-in in the intervention. With constant encouragement and nudge from administrative authorities and by using multiple strategies, 40 government health facilities adopted the mPower Heart e-CDSS. From its launch in May 2017 until November 20, 2018, a total of 100,810 eligible individuals were screened and enrolled, with 35,884 treated for hypertension, 9,698 for diabetes, and 5,527 for both hypertension and diabetes. CONCLUSIONS: Multiple strategies, based on implementation principles, are required for successful scaling up of research-based interventions

Jejunal perforation due to ingested buffalo bone mimicking acute appendicitis

Additional file 1. Care case report timeline

Случай раннего выявления метастазов в бедренной кости у больного раком полового члена

Background. Bone metastasis is very common in the advanced stage of numerous carcinomas. In penile carcinoma, lymph nodes metastasis is somehow common but it is very rare reported to be secondary from penile cancer. till the date, there are only few cases of penis carcinoma reported bone metastasis in literature worldwide.Case Presentation. Herein, We presented a 51-year-old Nepalese male with squamous cell carcinoma of penis. computed tomography (ct) scan of the patient revealed that there was carcinoma involving glans penis and precure with bilateral external & internal inguinal lymphadenopathies. After then, the patient was under gone for partial penectomy and bilateral inguinal lymphadenectomy and complete 6-cycle chemotherapy. After one year of treatment, patient developed thigh pain and headache and he advised to have magnetic Resonance imaging (mRi) of brain, 99mTc-MDP whole body bone scan and ct scan of pelvis and thigh. The examination report reveals that there was a sclerotic change in vertex of skull bone and moderate 99mTc-MDP uptake in right proximal shaft of femur just below the neck d/d metastasis. The histopathological examination of the true cut biopsy taken from the lesion of the femur showed metastatic keratinizing squamous cell carcinoma which is rare case of femoral shaft bone metastasis secondary from penile carcinoma. Then patient was sent for surgical reconstruction of femur. Based on the case studies review femur shaft bone metastasis from penile cancer is extremely rare.Conclusion. The best of our knowledge; this is the first early detected bone metastases to shaft of the femur in a patient with penile cancer. early diagnosis helps to radical treatment as well as palliative treatment. surgery is the preferred option of the treatments, especially for metastatic foci in the long bones.Аннотация Метастазы в кости часто встречаются на поздних стадиях разных злокачественных новообразований. Для рака полового члена характерно лимфогенное метастазирование, костные метастазы встречаются очень редко. На данный момент в мировой литературе зарегистрировано лишь несколько случаев рака полового члена с метастазами в кости.Описание клинического случая. Мы представляем описание клинического случая плоскоклеточного рака полового члена у 51-летнего мужчины из Непала. Компьютерная томография (КТ) выявила рак полового члена, локализованный на головке и крайней плоти с двусторонней паховой лимфаденопатией. Пациенту выполнена частичная пенэктомия, двусторонняя паховая лимфаденэктомия, проведено 6 курсов адъювантной химиотерапии. Через один год после завершения лечения у пациента появились боли в бедре и головная боль, рекомендована МРТ головного мозга, сканирование костей скелета с 99mTc-MDP и КТ таза и бедра. Обследование показало наличие склеротических изменений в теменной кости черепа и умеренное накопление 99mTc-MDP в проксимальном отделе правом бедренной кости ниже шейки. Гистологическое исследование биоптата, взятого из очага в бедренной кости, выявило метастаз ороговевающего плоскоклеточного рака, что является редким случаем метастазирования рака полового члена в диафиз бедренной кости. Пациент был направлен на хирургическую реконструкцию бедренной кости. Согласно обзору клинических исследований, метастазы в диафизе бедренной кости при раке полового члена встречаются крайне редко.Заключение. Представлен первый случай раннего выявления костных метастазов в диафизе бедренной кости у пациента с раком полового члена. Ранняя диагностика помогает как радикальному, так и паллиативному лечению. Хирургическое вмешательство является предпочтительным вариантом лечения, особенно при метастатических очагах в длинных костях

Mechanical, electrical and thermal properties of graphene oxide-carbon nanotube/ ABS hybrid polymer nanocomposites

Multiwalled carbon nanotubes (MWCNTs), functionalized carbon nanotubes (FCNTs) and graphene oxide-carbon nanotube (GCNTs) hybrid Bucky paper (BP) reinforced acrylonitrile-butadiene-styrene (ABS) composites are prepared via vacuum filtration followed by hot compression molding. The nanomechanical, electrical and thermal properties of these BP reinforced ABS composites are studied. The nanoindentation hardness and elastic modulus of GCNTs-ABS hybrid composites reached to 389.98 +/- 91.79 MPa and 7669.6 +/- 1179.12 MPa respectively. Other nanomechanical parameters such as plastic index parameter, elastic recovery, the ratio of residual displacement after load removal and displacement at maximum load are also investigated. The improved nanomechanical properties are correlated with Raman spectroscopy and scanning electron microscopy (SEM). It is found that GCNTs and their composites showed the higher value of defect density. The maximum value of defect density range for GCNTs and GCNTs-ABS is (297.4 to 159.6) and (16.0 to11.6), respectively. The higher defect density of GCNTs indicates that the interfacial interaction between the ABS, which was further correlated with electrical and thermal properties. Additionally, the through-plane electrical conductivities of MWCNTs, FCNTs and GCNTs based ABS composites were 6.5 +/- 0.6, 4.5 +/- 0.7 and 6.97 +/- 1.2 S/cm respectively and thermal conductivities of MWCNTs, FCNTs and GCNTs reinforced ABS composites; 1.80, 1.70 and 1.98 W/mK respectively. These GCNTs-ABS composites with this value of thermal conductivity can be used in various applications of efficient heat dissipative materials for electronic devices

Synthesis of high surface area activated carbon from eucalyptus bark for the removal of methylene blue

In present study, high surface area (1852m2g−1) activated carbon was synthesized by single step thermo chemical activation of agro-waste lignocellulose biomass (eucalyptus bark).The synthesized activated carbon has been characterized using scanning electron microscopy, energy-dispersive-X-ray spectroscopy and BET surface area analyser. The eucalyptus bark derived activated carbon (EBAC) was used to remove methylene blue (MB) from waste water. The pH, contact time and concentration of dye were optimized and it was found that at pH of 5.5-6.5 at the room temperature, maximum removal of dye was observed. The obtained time data follows the pseudo second order kinetics. The effect of concentration study was carried out with varying concentration at optimized pH and time. The maximum adsorption capacity is obtained to be 7.15 mg/g. To understand the adsorption process, the Dubinin–Radushkevich (D–R) isotherm and Freundlich isotherm were used for fitting of equilibrium data. The fitted data follows D-R isotherm which reveals the physisorption process during adsorption of dye

Performance of the tsunami forecast system for the Indian Ocean

The Indian Tsunami Early Warning System (ITEWS) at the Indian National Centre for Ocean Information Services, Hyderabad, is responsible for issuing tsunami bulletins in India. The tsunami centre oper- ates on a 24×7 basis and monitors seismological sta- tions, bottom pressure recorders and tidal stations throughout the Indian Ocean to evaluate potentially tsunamigenic earthquakes and disseminating tsunami bulletins. The end-to-end capabilities of this warning system have been well proven during all the tsunami- genic earthquakes that occurred since September 2007. Comparison of the earthquake parameters estimated by ITEWS with other international seismological agencies suggests that the system is performing well and has achieved the target set up by the Inter- governmental Oceanographic Commission