Rheumatoid Arthritis: Severity Classification, Factors Responsible, Pathophysiology, Current and Herbal Treatment

Rheumatoid Arthritis is the autoimmune disorder occurs due to the change in life style, improper diet plans, smoking, excessive alcohol consumption etc. It generally affects the joints and creates swelling and severe pain in joints which leads to further destruction of bone and cartilages. Due to autoimmune responses the factors like Tumor Necrosis Factor-α, Interleukins-1 are introduced to synovial and synovial membrane which creates the swelling and pain. These factors further produce reactive oxygen species and inducing osteoclasts which destruct the bone and cartilages. Along with the drugs the several natural herbal treatments are also available for the treatment of rheumatoid arthritis. This includes varies medicinal plants form which acacia species is more potent and efficient. Acacia Senegal is the plant which blocks the receptors and decreases the level of tumor necrosis factor-α. Present work on rheumatoid arthritis mainly covers classification, factors responsible, pathophysiology, severity, current treatment and its drawbacks, herbal treatment and its benefits in treatment of Rheumatoid Arthritis

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Ceria-Molybdenum Mix Metal Oxide: A Mild and Efficient Recyclable Catalyst for One-Pot Synthesis of Polyhydroquinoline via Hantzsch Reaction

In laboratory, ceria-molybdenum mix metal oxide catalyst was synthesized by using simple grinding method and characterized by FT-IR, XRD, SEM, and EDX. Catalytic activities of catalyst were testified in Hantzsch condensation reaction for the synthesis of polyhydroquinoline by using dimedone, substituted aryl aldehydes, ethylacetoacetate and ammonium acetate with high percent yield. It is an efficient catalyst for 1,4-dihydropyridines synthesis. Cerium molybdenum mix metal oxide catalyst can be re-covered and re-used. DOI: http://dx.doi.org/10.17807/orbital.v12i1.1420  </p

A Novel Enhancement of Nano Structure by Organic Acid Dopants in Emulsion Polymerization of Poly(o-toluidine)

A simple, more facile and green approach for the synthesis of poly(o-toluidine) (POT) has been described, by using oxidative emulsion polymn. in a heterogeneous phase by using ammonium persulfate as an oxidant and org. acids as dopant, acids used such as tartaric, oxalic and citric. The effect or influence of these dopants on cond., morphol. of the nano structure of POT and phys. properties are well studied and found that it depends on the nature and type of the functional org. acid dopants. By using this synthetic approach we have obtained POT nanostructures of uniform granular morphol., with av. 40-100 nm particle size doped with oxalic or citric acid, whereas in tartaric acid doped POT fibrilar morphol. with 40-60 nm size nano fibers was ascertained. These compds. were characterized by UV-Visible, FT-IR, SEM, and XRD. Elec. cond. studies of these materials were also carried out and found increase in cond. with citric acid and oxalic acid doped POT as compared to the tartaric acid. XRD studies showed partial cryst. nature of tartaric acid doped POT polymer as compared to others. By using this emulsion process, POT nanostructure formed with 60-100 nm diam. size having high yield, cond., and improved soly. in org. solvents in the emeraldine salt phase of polymer (confirmed by the presence of characteristic peaks at 420 nm and ~800-850 nm). The influences of reaction conditions, e.g. monomer, acid concn. on the physico-chem. properties were also investigated