Formulation and Comparative in-vitro Evaluation of Mucoadhesive Buccal Tablets of Furosemide

This study was conducted to develop mucoadhesive buccal tablet of Frusemide. A Mucoadhesive buccal tablet of Frusemide were prepared by using wet granulation method using dfferent polymer such as HPMC k 100, Carbopol-940 in different ratio. Tablets were analysed by measuring different parameters thickness, hardness weight uniformity, drug content uniformity, LOD, sweeling index, invitro dissolution study and solubility. The tablets were evaluated for in vitro release in pH 6.8-phosphate buffer for 12 hr in standard dissolution apparatus. Mucoadhesion strength was increased with increase in the concentration of carbopol. In order to determine the mode of release, the data was subjected to Zero order, first order, Higuchi and Peppas diffusion model

Zinc and provitamin A biofortified maize genotypes exhibited potent to reduce hidden-hunger in Nepal

Zinc deficiency affects one third of the population worldwide, and vitamin A deficiency is a prevalent public health issue in Sub-Saharan Africa and South-Asia, including Nepal. Crop biofortification is the sustainable solution to these health—related problems, thus we conducted two different field trials in an alpha lattice design to identify zinc and provitamin A biofortified maize genotypes consistent and competitive in performance over the contrasting seasons (Season 1: 18 February to 6 July 2020 and Season 2: 31 August to 1 February, 2020/21). In our study, the performance of introduced maize genotypes (zinc—15 and provitamin A biofortified—24) were compared with that of the local check, focusing on the overall agro-morphology, yield attributes, yield, and kernel zinc and total carotenoid content. Zinc and total carotenoid in the tested genotypes were found in the range between 14.2 and 24.8 mg kg−1 and between 1.8 and 3.6 mg 100 g−1. Genotypes A1831-8 from zinc and EEPVAH-46 from provitamin A biofortified maize trial recorded kernel zinc and total carotenoid as high as 52.3, and 79.5%, respectively, compared to the local check (DMH849). The provitamin A genotypes EEPVAH-46 and EEPVAH-51 (total carotenoid: 3.6 and 3.3 mg 100 g−1), and zinc biofortified genotypes A1847-10 and A1803-42 (20.4 and 22.4 mg kg−1 zinc) were identified as superior genotypes based on their yield consistency over the environments and higher provitamin A and zinc content compared to the check. In addition, farmers can explore August sowing to harvest green cobs during December-January to boost up the emerging green cob business

Determinants of agriculture biodiversity in Western Terai landscape complex of Nepal

The study explored agriculture biodiversity around protected areas and identified factors affecting diversity of agriculture biodiversity in farming households. The study analyzed the data collected from household survey of about 907 farmers from Western-Terai Landscape Complex of Nepal. Intra-species and inter-species richness and evenness in agriculture landscape were estimated and compared across a spectrum of land-uses. The study identified different social, economic, technological and ecological factors affecting the richness of intra-species and inter-species diversity of agriculture biodiversity using generalized linear regression models. Technology index, information index, food security, animal holding, ethnicity, irrigation facility and land-use were found as major variables affecting agriculture. The results also indicated that buffer zones had higher diversity than other land-uses, indicating positive effects of protected-land on surrounding agriculture biodiversity. Results supported need of coordinated efforts to mainstream agriculture biodiversity conservation with landscape conservation plans and socio-economic developments of the region

Determinants of agriculture biodiversity in Western Terai landscape complex of Nepal

The study explored agriculture biodiversity around protected areas and identified factors affecting diversity of agriculture biodiversity in farming households. The study analyzed the data collected from household survey of about 907 farmers from Western-Terai Landscape Complex of Nepal. Intra-species and inter-species richness and evenness in agriculture landscape were estimated and compared across a spectrum of land-uses. The study identified different social, economic, technological and ecological factors affecting the richness of intra-species and inter-species diversity of agriculture biodiversity using generalized linear regression models. Technology index, information index, food security, animal holding, ethnicity, irrigation facility and land-use were found as major variables affecting agriculture. The results also indicated that buffer zones had higher diversity than other land-uses, indicating positive effects of protected-land on surrounding agriculture biodiversity. Results supported need of coordinated efforts to mainstream agriculture biodiversity conservation with landscape conservation plans and socio-economic developments of the region

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Short term effects of manure and irrigation application on soil nutrients content, water use efficiency and maize productivity in Chitwan, Nepal

A field experiment was conducted at Chitwan, Nepal to evaluate the effects of manure and irrigation application on soil nutrients content, water use efficiency and maize productivity. The experiment was laid out in a factorial complete randomized block design with three replications. The treatments were consisted of two manure levels: no manure and manure with fertilizer based on 120 kg ha-1 nitrogen recommended. Similarly, another factor was irrigation water application with five levels which were control (no irrigation) and irrigation applications of 300, 600, 900 and 1200 mm during growing period. The manure application significantly affected the total nitrogen (0.13%) and available phosphorus (37.5 kg ha-1) content in the soil. Interestingly, different irrigation treatments enhanced soil nutrient content differently except soil nitrogen. Similarly, the highest grain yield was observed on 1200 mm irrigation which corresponded to 169% increment over control irrigation treatment but not significant with 600 and 900mm irrigation. The 1200 mm irrigation showed the lowest irrigation water use efficiency (IWUE) (5.96 kg ha-1 mm-1), while 300 mm irrigation showed maximum (18.37 kg ha-1 mm-1) followed by 600 mm irrigation (7.04 kg ha-1 mm-1) based on grain yield. In conclusion, it seems that 600 mm irrigation treatments are quite suitable for the maize production in spring season with benefits of increasing IWUE and saving water around 50% of water which will help in growing more areas and in managing the limited water resources in Chitwan, Nepal