Improvement of Abiotic Stress Tolerance in Plants with the Application of Nanoparticles

Plants are under the threat of climatic changes and there is a reduction in productivity and deterioration in quality. The application of nanoparticles is one of the recent approaches to improve plant yield and quality traits. A number of nanoparticles, such as zinc nanoparticles (ZnO NPs), iron nanoparticles (Fe2O3 NPs), silicon nanoparticles (SiO2 NPs), cerium nanoparticles (CeO2 NPs), silver nanoparticles (Ag NPs), titanium dioxide nanoparticles (TiO2 NPs), and carbon nanoparticles (C NPs), have been reported in different plant species to play a role to improve the plant physiology and metabolic pathways under environmental stresses. Crop plants readily absorb the nanoparticles through the cellular machinery of different tissues and organs to take part in metabolic and growth processes. Nanoparticles promote the activity of a range of antioxidant enzymes, including catalase (CAT), peroxidase (POD), and superoxide dismutase (SOD), in plant species, which in turn improve the growth and development under stressful conditions. The present review focuses on the mode of action and signaling of nanoparticles to the plant systems and their positive impact on growth, development, and ROS scavenging potential. The appropriate elucidation on mechanisms of nanoparticles in plants leads to better growth and yields under stress conditions, which will ultimately lead to increased agricultural production

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Heat Shock Proteins (HSP70) Gene: Plant Transcriptomic Oven in the Hot Desert

Heat stress is considered to induce a wide range of physiological and biochemical changes that cause severe damage to plant cell membrane, disrupt protein synthesis, and affect the efficiency of photosynthetic system by reducing the transpiration due to stomata closure. A brief and mild heat shock is known to induce acquired thermo tolerance in plants that is associated with concomitant production of heat shock proteins’ (HSPs) gene family including HSP70. The findings from different studies by use of technologies have thrown light on the importance of HSP70 to heat, other abiotic stresses and environmental challenges in desserts. There is clear evidence that under heat stress, HSP70 gene stabilized the membrane structure, chlorophyll and water breakdown. It was also found that under heat stress, HSP70 decreased the malondialdehyde (MDA) content and increased the production of superoxide dismutase (SOD) and peroxidase (POD) in transgenic plants as compared to non-transgenic plants. Some reactive oxygen species (ROS) such as superoxide, hydrogen peroxide and hydroxyl radical are also synthesized and accumulated when plants are stressed by heat. Hence HSP70 can confidently be used for transforming a number of heat tolerant crop species

Characteristics and outcomes of COVID-19 patients admitted to hospital with and without respiratory symptoms

Background: COVID-19 is primarily known as a respiratory illness; however, many patients present to hospital without respiratory symptoms. The association between non-respiratory presentations of COVID-19 and outcomes remains unclear. We investigated risk factors and clinical outcomes in patients with no respiratory symptoms (NRS) and respiratory symptoms (RS) at hospital admission. Methods: This study describes clinical features, physiological parameters, and outcomes of hospitalised COVID-19 patients, stratified by the presence or absence of respiratory symptoms at hospital admission. RS patients had one or more of: cough, shortness of breath, sore throat, runny nose or wheezing; while NRS patients did not. Results: Of 178,640 patients in the study, 86.4 % presented with RS, while 13.6 % had NRS. NRS patients were older (median age: NRS: 74 vs RS: 65) and less likely to be admitted to the ICU (NRS: 36.7 % vs RS: 37.5 %). NRS patients had a higher crude in-hospital case-fatality ratio (NRS 41.1 % vs. RS 32.0 %), but a lower risk of death after adjusting for confounders (HR 0.88 [0.83-0.93]). Conclusion: Approximately one in seven COVID-19 patients presented at hospital admission without respiratory symptoms. These patients were older, had lower ICU admission rates, and had a lower risk of in-hospital mortality after adjusting for confounders