Prevalence of Health Problems, Professional and Financial Satisfaction among Doctors Working Across Vadodara City: A Cross-sectional Study

Background: The present study was conducted to know the distribution of various health problems among doctors and to assess professional and financial satisfaction levels among doctors. Methods: A Google Form questionnaire-based cross-sectional study was conducted among 122 doctors in Vadodara selected purposively after taking consent. Google form was circulated by email and WhatsApp groups. The form consisted of questions related to demographic details, health problems, financial and job satisfaction. All the responses were recorded and analyzed in MS Excel 2019. Results: Among the 122 doctors, 89 (72.95%) were male and 33 (27.04%) were female and 101 (82.78%) doctors were taking treatment for some ailment. Around 86.9% of doctors regularly opt for a health check-up. Among the health problems reported by doctors, the most common were musculoskeletal ailments (72.13%) followed by hypertension (28.9%), diabetes (17.2), cardiac (12.3%), endocrinal (10.65%), eye (9.01), mental (6.55) problems. Approximately 37.70% of doctors answered that health problems temporarily affect their work; 5.73% of doctors felt the need to modify their work pattern. About 91.80% of doctors were satisfied by their profession, while 108 (88.52%) doctors were financially satisfied with their work. Conclusion: More than half of the professionals complained of musculoskeletal problems. The majority of health care professionals were professionally and financially satisfied

Anomalous Spin segregation in a weakly interacting two-component Fermi gas

We explain the spin segregation seen at Duke in a two-component gas of 6Li [Du, Luo, Clancy and Thomas, Phys. Rev. Lett. 101,150401 (2008)] as a mean-field effect describable via a collisionless Boltzmann equation. As seen in experiments, we find that slight differences in the trapping potentials in the two spin states drive small spin currents. Hartree-Fock type interactions convert these currents into a redistribution of populations in energy space, and consequently a long lived spin texture develops. We explore the interaction strength dependence of these dynamics, finding close agreement with experiment.Comment: 4 pages, 3 figures, published version. Text modified to include qualitative discussion of spin-segregation effect; 1 figure adde

Enhancing catalytic epoxide ring-opening selectivity using surface-modified Ti3C2Tx MXenes

MXenes are a new family of two-dimensional carbides and/or nitrides. Their 2D surfaces are typically terminated by O, OH and/or F atoms. Here we show that Ti3C2Tx—the most studied compound of the MXene family—is a good acid catalyst, thanks to the surface acid functionalities. We demonstrate this by applying Ti3C2Tx in the epoxide ring-opening reaction of styrene oxide (SO) and its isomerization in the liquid phase. Modifying the MXene surface changes the catalytic activity and selectivity. By oxidizing the surface, we succeeded in controlling the type and number of acid sites and thereby improving the yield of the mono-alkylated product to >80%. Characterisation studies show that a thin oxide layer, which forms directly on the Ti3C2Tx surface, is essential for catalysing the SO ring-opening. We hypothesize that two kinds of acid sites are responsible for this catalysis: In the MXene, strong acid sites (both Lewis and Brønsted) catalyse both the ring-opening and the isomerization reactions, while in the Mxene–TiO2 composite weaker acid sites catalyse only the ring-opening reaction, increasing the selectivity to the mono-alkylated product.TKS was supported by the NWO TOP-PUNT Catalysis in Confined Spaces (Grant 718.015.004). EVRF and ASE acknowledge financial support by MINECO (Spain) through the projects MAT2017-86992-R and MAT2016-80285-P. VN and MWB thank NSF DMR 1740795 for financial support

Apparent thinning of human visual cortex during childhood is associated with myelination

Human cortex appears to thin during childhood development. However, the underlying microstructural mechanisms are unknown. Using functional magnetic resonance imaging (fMRI), quantitative MRI (qMRI), and diffusion MRI (dMRI) in children and adults, we tested what quantitative changes occur to gray and white matter in ventral temporal cortex (VTC) from childhood to adulthood, and how these changes relate to cortical thinning. T1 relaxation time from qMRI and mean diffusivity (MD) from dMRI provide independent and complementary measurements of microstructural properties of gray and white matter tissue. In face- and character-selective regions in lateral VTC, T1 and MD decreased from age 5 to adulthood in mid and deep cortex, as well as in their adjacent white matter. T1 reduction also occurred longitudinally in children’s brain regions. T1 and MD decreases 1) were consistent with tissue growth related to myelination, which we verified with adult histological myelin stains, and 2) were correlated with apparent cortical thinning. In contrast, in place-selective cortex in medial VTC, we found no development of T1 or MD after age 5, and thickness was related to cortical morphology. These findings suggest that lateral VTC likely becomes more myelinated from childhood to adulthood, affecting the contrast of MR images and, in turn, the apparent gray–white boundary. These findings are important because they suggest that VTC does not thin during childhood but instead gets more myelinated. Our data have broad ramifications for understanding both typical and atypical brain development using advanced in vivo quantitative measurements and clinical conditions implicating myelin

A coupling matrix vision for mobile filtering devices with micro-acoustic wave technologies. A systematic approach

Con el espectro radioeléctrico cada vez más saturado, los filtros y duplexores son elementos claves de la tecnología en el mercado de dispositivos discretos para la telefonía móvil. El segmento de usuario de los sistemas de comunicaciones inalámbricas aprovecha las destacadas propiedades de los dispositivos filtrantes basados en resonadores acústicos. Generalmente, el diseño de dispositivos de onda acústica ha sido asumido por técnicas de optimización debido a las restrictivas limitaciones impuestas por la viabilidad tecnológica de los resonadores SAW y BAW, así como las exigentes especificaciones eléctricas. Una respuesta de transmisión muy restrictiva y factores tecnológicos muy limitantes conducen a hacer el diseño más y más complejo y una tarea muy desafiante. El objetivo del trabajo está enfocado en facilitar el diseño de filtros/duplexores y hacerlo más eficiente. En consecuencia, la formulación inicial del problema se ha centrado en la viabilidad tecnológica para implementar filtros de onda acústica. Proporcionar una metodología sistemática es útil para acelerar la curva de aprendizaje de nuevos diseñadores. Los filtros de microondas con elevada selectividad son posibles si sus funciones de transferencia incorporan ceros de transmisión finitos. La introducción de nodos no-resonantes (NRN) da la posibilidad de diseñar filtros con el máximo número de ceros de transmisión finitos sin tener que implementar acoplamientos directos entre la fuente y la carga. Además, las configuraciones en línea con NRN permiten la extracción de los elementos analíticamente. La típica configuración de filtro ladder presenta similitudes características de acuerdo con las redes de prototipo en línea con nodos resonantes y no-resonantes, que son las propiedades de modularidad, para controlar los ceros de transmisión con resonadores independientes, y respuestas completamente canonícas sin acoplamiento fuente-carga directo. Los elementos de la red pasobanda son dados por ecuaciones explícitas en términos de aquellos en los prototipos en línea con NRN que pueden ser sintetizados analíticamente. Como consecuencia, es posible definir una metodología de síntesis directa para obtener los parámetros pasobanda eléctricos de un filtro RF general que está basado en resonadores acústicos. Este trabajo presenta una metodología que proporciona un procedimiento de síntesis sistemático para diseñar filtros y duplexores ladder basados en resonadores de onda micro-acústica. La metodología de diseño utiliza un enfoque nodal basado en NRN y nodos resonantes. La representación de la red mediante una matriz de acoplamiento mixta de nodos resonantes y no resonantes es capaz de gestionar de forma eficiente las restricciones tecnológicas. El procedimiento es eficiente en tiempo, preciso en los resultados y proporciona un profundo entendimiento de las particulares interacciones que se producen entre las restricciones tecnológicas y el funcionamiento del dispositivo. Un completo paquete de software, con un simulador rápido, preciso y de fácil uso, ha sido desarrollado, permitiendo obtener diseños de primera etapa exitosos. Como resultado de la metodología sistemática, hemos desarrollado un método de diseño que combina y sistemáticamente gestiona redes filtrantes compuestas de bloques de polo extraído con bloques de resonadores acoplados, es decir, celdas ladder con secciones CRF. Además, la metodología has sido extendida exitosamente para tener en cuenta el diseño de divisores de potencia con respuesta filtrante por medio de dos topologías diferentes: la configuración ladder y las secciones CRF. La metodología propuesta ofrece una solución que combina el completo cumplimiento de las máscaras de espectro con topologías preparadas para acomodar las restricciones tecnológicas de la tecnología micro-acústica. La metodología ha sido desarrollada orientada nativamente a gestionar la tecnología, como es el ajuste de la limitación en el acoplo electromagnético, y basada en fundamentos de síntesis rigurosos.With a spectrum more and more overcrowded, filters and duplexers are drivers of the technology in the discrete device mobile market. The user segment of wireless communication systems takes profit of the outstanding performance of filtering devices based on acoustic resonators. Usually, the design of acoustic wave devices have been mainly entrusted to optimization techniques because the stringent constraints imposed by the technological feasibility of SAW and BAW resonators and the challenging electrical specifications. A stringent transmission response and very restrictive technological factors lead the design to a more and more complex and challenging task. The aim of the work is focused on easing the filters/duplexers designs and making it more efficient. Consequently, the initial formulation of the problem was focused on the technological feasibility of acoustic wave filters. Providing a systematic methodology is useful to accelerate the learning curve of new entrant designers. Microwave filters with high selectivity are possible if their transfer functions incorporates finite transmission zeros. The inclusion of non-resonant nodes gives the possibility of designing filters with the maximum number of finite transmission zeros without implementing direct couplings between source and load. Furthermore, inline configuration with NRN allows the extraction of the elements analytically. The common ladder filter configuration exhibits characteristic similarities regarding inline prototype networks with resonant and non-resonant nodes, which are the property of modularity, to control transmission zeros by independent resonators, and fully canonical response without a direct source-load coupling. The elements of the lowpass prototype are given by explicit equations in terms of those in in-line prototypes with non-resonating nodes that can be synthesized analytically. As a consequence it is possible to define a direct synthesis methodology to obtain the bandpass electric parameters of a general RF filter that is based on acoustic resonators. This work presents a methodology that provides a systematic synthesis procedure for designing ladder filters and duplexers based on acoustic wave resonators. The methodology uses a nodal approach based on resonating and non-resonating nodes. The coupling matrix representation with a mix of different nature nodes, resonant and non-resonant, is able to efficiently manage the technological restrictions. The procedure is time efficient, precise in the outcomes and provides a deep understanding of the particular interactions between technological constraints and device performance. A complete software package with fast, accurate and easy-to-use simulator has been developed, enabling starting point design success. As a result of the systematic methodology, we have developed a design method that combines and systematically manages a filtering network composed of extracted-pole blocks with coupling resonators blocks, so it is ladder cells with CRF sections. Moreover, the methodology has been successfully extended to take into consideration filtering power dividers by means of two different topologies: ladder configuration and CRF sections. The proposed methodology offers a solution that combines a complete spectrum fulfillment with topologies ready to accommodate technological constraints of micro-acoustics technologies. The methodology has been developed natively oriented to manage with the technology, such as accommodating electromechanical coupling constraints, leveraged in rigorous synthesis foundations

The influence of HLA genotype on the development of metal hypersensitivity following joint replacement

We thank Innovate UK Edge for providing funding to allow this research to be carried out.Background  Over five million joint replacements are performed across the world each year. Cobalt chrome (CoCr) components are used in most of these procedures. Some patients develop delayed type hypersensitivity (DTH) responses to CoCr implants, resulting in tissue damage and revision surgery. DTH is unpredictable and genetic links have yet to be definitively established. Methods At a single site, we carried out an initial investigation to identify HLA alleles associated with development of DTH following metal-on-metal hip arthroplasty. We then recruited patients from other centres to train and validate an algorithm incorporating patient age, gender, HLA genotype44 and blood metal concentrations to predict the development of DTH. Accuracy of the modelling was assessed using performance metrics including time dependent receiver operator curves. Results Using next generation sequencing, here we determine the HLA genotypes of 606 patients. 176 of these patients had experienced failure of their prostheses; the remaining 430 remain asymptomatic at a mean follow up of twelve years. We demonstrate that the development of DTH is associated with patient age, gender, the magnitude of metal exposure and the presence of certain HLA class II alleles. We show that the predictive algorithm developed from this investigation performs to an accuracy suitable for clinical use, with weighted mean survival probability errors of 1.8% and 3.1%53 for pre-operative and post-operative models respectively. Conclusions The development of DTH following joint replacement appears to be determined by the interaction between implant wear and a patient’s genotype. The algorithm described in this paper may improve implant selection and help direct patient surveillance following surgery. Further consideration should be given towards understanding patient specific responses to different biomaterials.Publisher PDFPeer reviewe

PHB-PEO electrospun fiber membranes containing chlorhexidine for drug delivery applications

Fiber meshes of poly(hydroxybutyrate) (PHB) and poly(hydroxybutyrate)/poly(ethylene oxide) (PHB/PEO) with different concentrations of chlorhexidine (CHX) were prepared by electrospinning for assessment as a polymer based drug delivery system. The electrospun fibers were characterized at morphological, molecular and mechanical levels. The bactericidal potential of PHB and PHB/PEO electrospun fibers, with and without CHX, was investigated against Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) by disk diffusion susceptibility tests. Electrospun fibers containing CHX exhibited bactericidal activity. PHB/PEO-1%CHX displayed higher CHX release levels and equivalent antibacterial activity when compared to PHB/PEO with 5 and 10 wt% CHX. Bactericidal performance of samples with 1 wt% CHX was assessed by Colony Forming Units (CFU), where reductions of 100% and 99.69% against E. coli and S. aureus were achieved, respectively.This work was supported by FEDER through the COMPETE Program and by the Portuguese Foundation for Science and Technology (FCT) in the framework of the Strategic Project PEST-C/FIS/UI607/2011 and PEST-C/QUI/UIO686/2011. The authors also thank funding from Matepro - Optimizing Materials and Processes", ref. NORTE-07-0124-FEDER-000037", co-funded by the "Programa Operacional Regional do Norte" (ON.2 - O Novo Norte), under the "Quadro de Referencia Estrategico Nacional" (QREN), through the "Fundo Europeu de Desenvolvimento Regional" (FEDER). D.M.C, JP and VS thanks the FCT for the, SFRH/BD/82411/2011, SFRH/BD/64901/2009 and SFRH/BPD/63148/2009 grants respectively. The authors also thank support from the COST Action MP1003, 2010 'European Scientific Network for Artificial Muscles' and to the COST Action MP1206 'Electrospun Nano-fibres for Bio inspired Composite Materials and Innovative Industrial Applications'. The authors also thank prof. Jose Luis Gomez Ribelles from the Unversidad Politecnica de Valencia, Spain, for interesting discussions on these issues

β-Adrenoceptor blockade modulates fusiform gyrus activity to black versus white faces.

INTRODUCTION: The beta-adrenoceptor antagonist propranolol is known to reduce peripheral and central activity of noradrenaline. A recent study found that intervention with propranolol diminished negative implicit racial bias. MATERIALS AND METHOD: The current study used functional magnetic resonance imaging (fMRI) in order to determine the neural correlates of this effect. Healthy volunteers (N = 40) of white ethnic origin received a single oral dose (40 mg) of propranolol, in a randomised, double-blind, parallel group, placebo-controlled design, before viewing unfamiliar faces of same and other race. RESULTS AND DISCUSSION: We found significantly reduced activity in the fusiform gyrus and thalamus following propranolol to out-group faces only. Additionally, propranolol lowered the implicit attitude score, without affecting explicit prejudice measure. CONCLUSION: These findings suggest that noradrenaline pathways might modulate racial bias by acting on the processing of categorisation in the fusiform gyrus

Amorphous formulations of indomethacin and griseofulvin prepared by electrospinning

Following an array of optimization experiments, two series of electrospun polyvinylpyrrolidone (PVP) fibers were prepared. One set of fibers contained various loadings of indomethacin, known to form stable glasses, and the other griseofulvin (a poor glass former). Drug loadings of up to 33% w/w were achieved. Electron microscopy data showed the fibers largely to comprise smooth and uniform cylinders, with evidence for solvent droplets in some samples. In all cases, the drug was found to exist in the amorphous physical state in the fibers on the basis of X-ray diffraction and differential scanning calorimetry (DSC) measurements. Modulated temperature DSC showed that the relationship between a formulation’s glass transition temperature (<i>T</i>_g) and the drug loading follows the Gordon–Taylor equation, but not the Fox equation. The results of Gordon–Taylor analysis indicated that the drug/polymer interactions were stronger with indomethacin. The interactions between drug and polymer were explored in more detail using molecular modeling simulations and again found to be stronger with indomethacin; the presence of significant intermolecular forces was further confirmed using IR spectroscopy. The amorphous form of both drugs was found to be stable after storage of the fibers for 8 months in a desiccator (relative humidity <25%). Finally, the functional performance of the fibers was studied; in all cases, the drug-loaded fibers released their drug cargo very rapidly, offering accelerated dissolution over the pure drug