Lifetime cardiovascular management of patients with previous Kawasaki disease.

Kawasaki disease (KD) is an inflammatory disorder of young children, associated with vasculitis of the coronary arteries with subsequent aneurysm formation in up to one-third of untreated patients. Those who develop aneurysms are at life-long risk of coronary thrombosis or the development of stenotic lesions, which may lead to myocardial ischaemia, infarction or death. The incidence of KD is increasing worldwide, and in more economically developed countries, KD is now the most common cause of acquired heart disease in children. However, many clinicians in the UK are unaware of the disorder and its long-term cardiac complications, potentially leading to late diagnosis, delayed treatment and poorer outcomes. Increasing numbers of patients who suffered KD in childhood are transitioning to the care of adult services where there is significantly less awareness and experience of the condition than in paediatric services. The aim of this document is to provide guidance on the long-term management of patients who have vascular complications of KD and guidance on the emergency management of acute coronary complications. Guidance on the management of acute KD is published elsewhere

Lifetime cardiovascular management of patients with previous Kawasaki Disease

Kawasaki disease (KD) is an inflammatory disorder of young children, associated with vasculitis of the coronary arteries with subsequent aneurysm formation in up to one-third of untreated patients. Those who develop aneurysms are at life-long risk of coronary thrombosis or the development of stenotic lesions, which may lead to myocardial ischaemia, infarction or death. The incidence of KD is increasing worldwide, and in more economically developed countries, KD is now the most common cause of acquired heart disease in children. However, many clinicians in the UK are unaware of the disorder and its long-term cardiac complications, potentially leading to late diagnosis, delayed treatment and poorer outcomes. Increasing numbers of patients who suffered KD in childhood are transitioning to the care of adult services where there is significantly less awareness and experience of the condition than in paediatric services. The aim of this document is to provide guidance on the long-term management of patients who have vascular complications of KD and guidance on the emergency management of acute coronary complications. Guidance on the management of acute KD is published elsewhere

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Not AvailableMorphological and toxigenic variability in 187 Aspergillus flavus isolates, collected from a major Indian peanut production system, from 10 districts of Gujarat was studied. On the basis of colony characteristics, the isolates were grouped as group A (83%), B (11%) and G (6%). Of all the isolates, 21%, 47% and 32% were found to be fast-growing, moderately-fast and slow-growing respectively, and no-sclerotia and sclerotia production was recorded in 32.1% and 67% isolates respectively. Large, medium and small number of sclerotia production was observed in 55, 38 and 34 isolates respectively. Toxigenic potential based on ammonia vapour test was not found reliable, while ELISA test identified 68.5%, 18.7% and 12.8% isolates as atoxigenic, moderately-toxigenic and highly-toxigenic, respectively. On clustering, the isolates were grouped into 15 distinct clusters, 'A' group of isolates was grouped distinctly in different clusters, while 'B' and 'G' groups of isolates were clustered together. No association was observed between morphological-diversity and toxigenic potential of the isolates. From the present investigation, most virulent isolates were pooled to form a consortium for sick-plot screening of germplasm, against Aspergillus flavus. In future, atoxigenic isolates may be evaluated for their potential to be used as bio-control agent against toxigenic isolates.ICA

Eigen vector based analysis of Landsat OLI principal components and constrained energy minimization maps for discriminating iron enriched zones in banded iron formation (BIF) in Sidhi, Madhya Pradesh

In this study, we have used visible near infrared (VNIR) and shortwave infrared (SWIR) spectral bands of the Operational Land Imager (OLI) sensor of Landsat 8 satellite to delineate promising areas for iron exploration in the parts of Madhya Pradesh, India. OLI bands resampled laboratory reflectance spectra of Banded Iron Formation (BIF) were used as the reference to identify OLI spectral bands suitable in recording spectral features of Iron bearing minerals. Subsequently, BIFs were delineated in the principal component (PC) image prepared using those PC bands; which had opposite Eigen vector loading for the spectral bands; which recorded absorption minima and shoulder of the spectral feature of iron. Within the BIF, iron enriched zones were identified by integrating constrained energy minimization (CEM) maps of BIF, hematite and limonite-goethite. Integrated CEM map delineating iron enrichment zones was validated in the field based on measured Fe values of samples using X-ray Fluorescence Instrument

Gum Hydrocolloids Reinforced Silver Nanoparticle Sponge for Catalytic Degradation of Water Pollutants

The accumulation of organic contaminants including dyes in aquatic systems is of significant environmental concern, necessitating the development of affordable and sustainable materials for the treatment/elimination of these hazardous pollutants. Here, a green synthesis strategy has been used to develop a self-assembled gum kondagogu-sodium alginate bioconjugate sponge adorned with silver nanoparticles, for the first time. The properties of the nanocomposite sponge were then analyzed using FTIR, TGA, SEM, and MicroCT. The ensued biobased sponge exhibited hierarchical microstructure, open cellular pores, good shape memory, and mechanical properties. It merges the attributes of an open cellular porous structure with metal nanoparticles and are envisaged to be deployed as a sustainable catalytic system for reducing contaminants in the aqueous environment. This nanocomposite sponge showed enhanced catalytic effectiveness (km values up to 37 min−1 g−1 and 44 min−1 g−1 for methylene blue and 4-nitrophenol, respectively), antibacterial properties, reusability, and biodegradability (65% biodegradation in 28 days)

Balancing Between Narratives of the West and Hindu Nationalism in Emerging India

India has been an important point of reference for Western identity, and the construction of an Orient. Vice versa, people in India have constructed their own Occidentalisms about Westerners, and the global position of ‘the West’, as well as to form an Indian identity. The West has represented the colonizer in India, but at the same time a source of valuable ideologies, values, policies, and innovations benefiting India. Moreover, many nationalist narratives in India emphasize self-reliance from and even superiority to the West. During Narendra Modi’s administration, the ‘New India’ has concentrated on taking a more active role in the world. Traditional elements of Indian tradition have been revitalized for the purposes of international branding as well as domestic identity construction. The ‘core’ values and traditions of Indian society are inserted in the narratives of a modernizing India that has a lot to offer to the world and has plenty to benefit from careful interaction in the liberal world order. The narratives of Hindutva or Hindu nationalism often coincide with the view according to which India has a new role to play in the global arena. These nationalist narratives are also widely reflected on in the Indian news media. The aim of this chapter is to analyze Indian news media, and the way emerging India is positioned in relation to Asia, the West, and the global order.peerReviewe