Study of difference in cognitive functions after a single manic episode versus recurrent episodes in euthymic bipolar 1 patients

Background: Neurocognitive deficits have been substantially documented in patients with bipolar disorder in the euthymic state. The assessment of cognitive change from first episode mania is crucial in understanding whether cognitive deficits are progressive or already present from the first diagnostic episode of bipolar I disorder. The objective of the study is to assess and compare the cognitive function in bipolar I patients with one manic episode and recurrent episodes currently in remission.Methods: A cross sectional observational study consisting of 3 groups was carried on eighty cases each of bipolar 1 disorder patients in euthymic phase with one manic, more than 3 manic episodes and controls. These were subjected to the neuropsychological assessment and then compared.Results: The patients with recurrent episodes group shows poor performance upon digit span test, visuospatial memory test, verbal learning and memory test, color stroop test and trail making test than patients with single manic episode and healthy controls upon these cognitive tests.Conclusions: The present finding suggest that there is impairment in various cognitive domains like executive function, attention, memory even in bipolar patients after single manic episode

Posterior Corneal Lamellar Detachment after Phacoemulsification in a Case of Anterior Lamellar Keratoplasty

The abstract of this research was presented as a poster presentation at XXXV Congress of the EuropeanSociety of Cataract and Refractive Surgery (ESCRS), Lisbon, Portugal, 7th–11th October, 2017

New and improved method of bamboo cultivation in semi arid areas of Indian Thar desert

Bamboo (Dendrocalamus strictus Roxb.) is widely utilized in construction, pulp and paper, furniture, food and medicine, fuel and handicrafts for a long time. Due to its wider application, a field experiment was carried out to check its cultivation requirements besides its success rate in semi arid area of Indian Thar desert. In the present work, Guggul (Commiphora wightii Arnott.) which is a resident plant of Thar desert has been proved as a potential intercrop in bamboo cultivation. Improved growth was observed in bamboo with plant height (8.92 to 20.74 feet), number of culms (19 to 38), culm diameter (2.2 to 4.3 cm) during intercropping of guggul. Among different methods of irrigation, highest growth was recorded in drip irrigated plants where 50% recommended N:P:K and organic manure were given in combination followed by N:P:K sole. This study indicates that Guggul may play a role in microclimate development in the bamboo cultivation. This is the first report on successful bamboo cultivation in semi arid area of desert using an intercrop.Key words: Dendrocalamus, soil enzymes, fertilization, guggul, nitrogen

Angiotensin inhibition enhances drug delivery and potentiates chemotherapy by decompressing tumour blood vessels

Cancer and stromal cells actively exert physical forces (solid stress) to compress tumour blood vessels, thus reducing vascular perfusion. Tumour interstitial matrix also contributes to solid stress, with hyaluronan implicated as the primary matrix molecule responsible for vessel compression because of its swelling behaviour. Here we show, unexpectedly, that hyaluronan compresses vessels only in collagen-rich tumours, suggesting that collagen and hyaluronan together are critical targets for decompressing tumour vessels. We demonstrate that the angiotensin inhibitor losartan reduces stromal collagen and hyaluronan production, associated with decreased expression of profibrotic signals TGF-β1, CCN2 and ET-1, downstream of angiotensin-II-receptor-1 inhibition. Consequently, losartan reduces solid stress in tumours resulting in increased vascular perfusion. Through this physical mechanism, losartan improves drug and oxygen delivery to tumours, thereby potentiating chemotherapy and reducing hypoxia in breast and pancreatic cancer models. Thus, angiotensin inhibitors—inexpensive drugs with decades of safe use—could be rapidly repurposed as cancer therapeutics.National Cancer Institute (U.S.) (Grant P01-CA080124)National Cancer Institute (U.S.) (Grant R01-CA126642)National Cancer Institute (U.S.) (Grant R01-CA085140)National Cancer Institute (U.S.) (Grant R01-CA115767)National Cancer Institute (U.S.) (Grant R01-CA098706)United States. Dept. of Defense. Breast Cancer Research Program (Innovator Award W81XWH-10-1-0016)Lustgarten Foundation (Dana-Farber Cancer Institute/David H. Koch Institute for Integrative Cancer Research at MIT Bridge Project Grant

Compact high-quality CdSe–CdS core–shell nanocrystals with narrow emission linewidths and suppressed blinking

High particle uniformity, high photoluminescence quantum yields, narrow and symmetric emission spectral lineshapes and minimal single-dot emission intermittency (known as blinking) have been recognized as universal requirements for the successful use of colloidal quantum dots in nearly all optical applications. However, synthesizing samples that simultaneously meet all these four criteria has proven challenging. Here, we report the synthesis of such high-quality CdSe–CdS core–shell quantum dots in an optimized process that maintains a slow growth rate of the shell through the use of octanethiol and cadmium oleate as precursors. In contrast with previous observations, single-dot blinking is significantly suppressed with only a relatively thin shell. Furthermore, we demonstrate the elimination of the ensemble luminescence photodarkening that is an intrinsic consequence of quantum dot blinking statistical ageing. Furthermore, the small size and high photoluminescence quantum yields of these novel quantum dots render them superior in vivo imaging agents compared with conventional quantum dots. We anticipate these quantum dots will also result in significant improvement in the performance of quantum dots in other applications such as solid-state lighting and illumination.National Institutes of Health (U.S.) (Grant 5-U54-CA119349)National Institutes of Health (U.S.) (Grant 5R01CA126642)Massachusetts Institute of Technology. Institute for Soldier Nanotechnologies (W911NF-07-D-0004)National Science Foundation (U.S.) (Collaborative Research in Chemistry Program CHE-0714189)National Science Foundation (U.S.) (Award DMR-08-19762)National Science Foundation (U.S.) (Grant CHE-9808061)National Science Foundation (U.S.) (Grant DBI-9729592

Mid and Long Term Follow Up of 50 Pediatric Cardiac Chadians Operated in France from 2003 to 2012

Introduction Cardiac valvular diseases (CVDs) are the major cause of cardiovascular morbidity and mortality globally, with predominance of rheumatic heart disease (RHD) in developing countries. Congenital heart defects (CHD) diagnoses are delayed due to socioeconomic factors. This study aims to evaluate the post-operative surgical outcomes of CHD and valvular RHD. Methods This study is conducted with 50 patients from Chad, operated on between 2003 and 2012. Post-operative outcomes are evaluated from 2010 to 2012. Results With the follow-up of 19 RHD patients who underwent plasty, 8 (42.1%) had no complications, 4 (21%) presented with mild regurgitation, 7 (36.8%) required re-operation due to 6 mitral stenosis (MS) cases (mitral surface range from 0.7 to 1.2 cm2) and 1 severe mitral regurgitation (MR) case. While those patients with valve replacement, 2 (50%) had no complications, 1 (25%) had mild regurgitation and 1 (25%) patient died. Two patients with aortic regurgitation (AR) that underwent annuloplasty presented with severe regurgitation. Regarding AR with valve replacement, 3 (60%) had no complications, and 2 (40%) had mild regurgitation. Among the tricuspid regurgitation (TR) patients who had plasty, 6 (85.7%) had no complications, and 1 (14.3%) had severe regurgitation. The surgical repair was curative in all CHD patients. The loss to follow-up rate was 13/50 (26%). Conclusion The annuloplasty on rheumatic valve disease (MR and AR) has proven to be disappointing. Plasty is debated without justified indication for AR. The Outcomes of CHD, mitral and aortic valve replacement are successful

Normalization of tumour blood vessels improves the delivery of nanomedicines in a size-dependent manner

The blood vessels of cancerous tumours are leaky and poorly organized. This can increase the interstitial fluid pressure inside tumours and reduce blood supply to them, which impairs drug delivery. Anti-angiogenic therapies—which ‘normalize’ the abnormal blood vessels in tumours by making them less leaky—have been shown to improve the delivery and effectiveness of chemotherapeutics with low molecular weights, but it remains unclear whether normalizing tumour vessels can improve the delivery of nanomedicines. Here, we show that repairing the abnormal vessels in mammary tumours, by blocking vascular endothelial growth factor receptor-2, improves the delivery of smaller nanoparticles (diameter, 12 nm) while hindering the delivery of larger nanoparticles (diameter, 125 nm). Using a mathematical model, we show that reducing the sizes of pores in the walls of vessels through normalization decreases the interstitial fluid pressure in tumours, thus allowing small nanoparticles to enter them more rapidly. However, increased steric and hydrodynamic hindrances, also associated with smaller pores, make it more difficult for large nanoparticles to enter tumours. Our results further suggest that smaller (~12 nm) nanomedicines are ideal for cancer therapy due to their superior tumour penetration.ImClone Systems IncorporatedNational Institutes of Health (U.S.) (P01-CA080124)National Institutes of Health (U.S.) (R01-CA126642)National Institutes of Health (U.S.) (R01-CA115767)National Institutes of Health (U.S.) (R01-CA096915)National Institutes of Health (U.S.) (R01-CA085140)National Institutes of Health (U.S.) (R01-CA098706)National Institutes of Health (U.S.) (T32-CA073479)United States. Dept. of Defense (Breast Cancer Research Innovator Award W81XWH-10-1-0016

A budget feasible peer graded mechanism for iot-based crowdsourcing

We develop and extend a line of recent works on the design of mechanisms for heterogeneous tasks assignment problem in ’crowdsourcing’. The budgeted market we consider consists of multiple task requesters and multiple IoT devices as task executers. In this, each task requester is endowed with a single distinct task along with the publicly known budget. Also, each IoT device has valuations as the cost for executing the tasks and quality, which are private. Given such scenario, the objective is to select a subset of IoT devices for each task, such that the total payment made is within the allotted quota of the budget while attaining a threshold quality. For the purpose of determining the unknown quality of the IoT devices we have utilized the concept of peer grading. In this paper, we have carefully crafted a truthful budget feasible mechanism for the problem under investigation that also allows us to have the true information about the quality of the IoT devices. Further, we have extended the set-up considering the case where the tasks are divisible in nature and the IoT devices are working collaboratively, instead of, a single entity for executing each task. We have designed the budget feasible mechanisms for the extended versions. The simulations are performed in order to measure the efficacy of our proposed mechanismPeer ReviewedPostprint (author's final draft