Recent advances in the synthesis of triazole derivatives

Triazole ring system has attracted a continuously growing interest of synthetic organic chemists and those dealing with the medicinal compounds due to its versatile potential to interact with biological systems. The triazole compounds possess a wide range of biological activities and are especially focused for antifungal behavior. In thisreview article, we have summarized the recent developmentsin the synthetic methodologies of this ring system. The main focus was on the methodologies which deal with the facile and convenient synthesis

Antioxidants: Natural Antibiotics

The aim of this current piece of writing is to draw the attention of readers and researchers toward the natural antioxidants that can take the place of synthetic antibiotics to avoid bacterial resistance and gastrotoxicity/nephrotoxicity. Antioxidants such as polyphenols, vitamins, and carotenoids are the organic compounds mainly extracted from natural sources and dominantly involved in boosting the defense system of organisms. The main public health-related issue over the globe is ever-growing bacterial resistance to synthetic antibiotics, which is being continuously reported during the last decade. Further, the pipeline of the development of new synthetic antibacterial agents to replace the resistant antibiotics in clinical set-up is gradually drying up. This scenario originated the concept to revive the interest toward natural antibacterial products due to their chemical diversity, which provide important therapeutic effect and make the microbes unable to copy them for creating resistance. Natural products, especially polyphenols had been seen in antioxidant, antibacterial, anticancer, anti-inflammation, and antiviral activities with encouraging results. In this chapter, we will focus over the role of natural antioxidants as antibacterial agents

Antioxidant, antimicrobial and antiproliferative activities of peel and pulp extracts of red and white varieties of Ipomoea batatas (L) Lam

Purpose: To investigate the antioxidant, antibacterial and anticancer potentials of methanol and ethanol extracts of the peel and pulp of red and white species of Ipomoea batatas (L.) fruit.Methods: Total phenolic contents and flavonoids were determined using chemical assays. Antioxidant studies were carried out using 2,2-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging assay, inhibition of linoleic acid peroxidation assay and reducing power assay. Antibacterial and antiproliferative activities of extracts were determined using disc diffusion and MDBK cancer cell line inhibition methods, respectively.Results: The extract of peels of red specie (PERS) showed total phenolic contents (TPC) 8.9 mg gallic acid equivalent (GAE)/g dry extract and flavonoids 6.5 mg catechin equivalent (CE)/g dry extract. The extract of PERS also showed promising DPPH free radical scavenging activity, inhibition of linoleic acid peroxidation and reducing power activity. However, mild antibacterial and anti-proliferative activities were noted except that the extract showed significant inhibition of Bacillus subtilis growth.Conclusion: The results indicate that the peel and the pulp of red sweet potato (SP) specie are rich in antioxidants and can potentually be processed as antioxidant food supplements.Keywords: Ipomoea batatas (L.) Lam, Sweet potato, Phenolic content, Antioxidants, Antibacterial activity, Antiproliferative activit

Usability Evaluation of Online Educational Applications in COVID-19

COVID-19 is a pandemic faced by almost every country in the world, this has resulted in health crisis. Due to COVID-19, all the countries around the world have decided to close all educational institutes to prevent this pandemic. Educational institutes have taken every possible measure to minimize the impact of the closure of schools and introduce the concept of an online education system which is not only a massive shock for parents but it also affects the children's learning process and social life. The educational applications (Apps) are very important, because they offer more opportunities for development and growth to society. In this pandemic situation, educational Apps like Zoom, HEC LMS, Google Classroom, and Skype, etc. are the need of the hour when everything goes online. In this paper, the usability features of online educational Apps are thoroughly discussed including the effectiveness and usability for students. Using the results obtained from the survey, this paper observes the student's perspective of usefulness of online educational Apps in student’s learning process of different age groups. It also analyzes the easiness for students to understand, interact and use these Apps

Offshore Wind Farm-Grid Integration: A Review on Infrastructure, Challenges, and Grid Solutions

Recently, the penetration of renewable energy sources (RESs) into electrical power systems is witnessing a large attention due to their inexhaustibility, environmental benefits, storage capabilities, lower maintenance and stronger economy, etc. Among these RESs, offshore wind power plants (OWPP) are ones of the most widespread power plants that have emerged with regard to being competitive with other energy technologies. However, the application of power electronic converters (PECs), offshore transmission lines and large substation transformers result in considerable power quality (PQ) issues in grid connected OWPP. Moreover, due to the installation of filters for each OWPP, some other challenges such as voltage and frequency stability arise. In this regard, various customs power devices along with integration control methodologies have been implemented to deal with stated issues. Furthermore, for a smooth and reliable operation of the system, each country established various grid codes. Although various mitigation schemes and related standards for OWPP are documented separately, a comprehensive review covering these aspects has not yet addressed in the literature. The objective of this study is to compare and relate prior as well as latest developments on PQ and stability challenges and their solutions. Low voltage ride through (LVRT) schemes and associated grid codes prevalent for the interconnection of OWPP based power grid have been deliberated. In addition, various PQ issues and mitigation options such as FACTS based filters, DFIG based adaptive and conventional control algorithms, ESS based methods and LVRT requirements have been summarized and compared. Finally, recommendations and future trends for PQ improvement are highlighted at the end

Variation of hepatic enzymes with Vitamin B12 and D3 levels in cirrhotic patients

OBJECTIVE: To determine variation of hepatic enzymes Vitamin B12 and D3 levels in cirrhotic patients.DESIGN: Cross sectional study.SETTING: Cirrhotic patients in Abbasi Shaheed Hospital.PARTICIPANTS: 250 patients in Abbasi Shaheed Hospital with diagnosis of cirrhosis including 141 males and 109 females.VARIABLE PARAMETERS: They include mean ALT, GGT, Alkaline phosphatase levels along with Vitamin B12 and D3 levels in blood.RESULTS: Vitamin B12 levels were 1249.59±487.01pg/ml and 1422.28±627.75pg/ml in males and females respectively while Vitamin D3 levels were found to be 17.15±10.45 nmol/L in males and 14.80±14.24 nmol/L in females. Vitamin B12 levels were found to be positively correlated with the elevation of ALT and were negatively correlated with elevation of ALT, GGT and Alkaline Phosphatase. The ALT levels were 50.0±21.88 in males and 14.80±14.24 in females, Alkaline phosphatase to be 311.46±107.98 in males while female Alkaline phosphatase were 346.47±101.60. GGT levels to be 41.70±10.62 in males and 45.01±13.74 in females.CONCLUSION: Cirrhotic patients suffering from severe hepatocellular damage have their elevated levels of Vitamin B12 and depressed Vitamin D3 levels in plasma accompanied by a positive association with elevated ALT and GGT plasma level

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

Diagnostic accuracy of TIMI versus GRACE score for prediction of death in patients presenting with Acute Non-ST Elevation Myocardial Infarction (NSTEMI)

Background: Acute Coronary Syndrome describes a spectrum of disease ranging from unstable angina through non-ST-Elevation Myocardial Infarction (NSTEMI) to ST-Elevation Myocardial Infarction (STEMI). Early death in NSTEMI is usually due to an arrhythmia. Patients should be admitted immediately to hospital, preferably to a cardiac care unit because there is a significant risk of death. Objective: To compare the diagnostic accuracy of TIMI versus GRACE for prediction of death in patients presenting with Acute Non-ST elevation Myocardial Infarction. Material & Methods: This present cross sectional study was conducted at Department of Cardiology, CPEIC, Multan. All patients assessed according to given scores in the two scoring system i.e. TIMI risk score and GRACE score. Then patients were labeled as high or low risk for death. Data was collected by using pre-designed proforma. 2x2 tables were generated to measure the sensitivity, specificity, positive predictive value, negative Predictive value and diagnostic accuracy of TMI Risk score and GRACE Score for prediction of death in NSTEMI patients. Results: In our study the mean age of the patients was 55.73±9.78 years. The male to female ratio of the patients was 1.6:1. The diabetes as risk factor was found in 145(39%) patients, smoking as risk factor was found in 53(14.2%) patients and hypertension as risk factor was found in 174(46.8%) patients. the sensitivity of TIMI risk was 97.7% with specificity of 92.93% and the diagnostic accuracy was 95.16%, similarly the sensitivity of GRACE risk was 100% with specificity of 95.96% and the diagnostic accuracy was 97.85%. Conclusion: Our study results concluded that both the TIMI risk and GRACE risk are good predictor of death in patients presenting with Acute Non-ST elevation Myocardial Infarction with higher sensitivity and diagnostic accuracy. However the GRACE risk showed more accurate results as compared to TIMI risk

Ultrasound Versus Bronchoscopy Guided Percutaneous Dilatational Tracheostomy: A Comparative Analysis

Objective: To compare procedure efficacy and postoperative complications of ultrasound-guided vs. bronchoscopy guided percutaneous dilatational tracheostomy, among obese ICU patients. Study type, settings & duration: The prospective, randomized & comparative study was conducted in critical care department of Services Hospital, Lahore from April 2020 to April 2021. Methodology: A total of 52 ICU patients were assigned into two groups (Group A-25 patients, and Group B-27 patients). Group A patients underwent ultrasound-guided percutaneous dilatational tracheostomy (PDT) and group B under conventional bronchoscopy guidance. In both groups, Ciaglia’s method of PDT was used among both groups. Patients were monitored for procedure time, number of punctures, peri and post-procedural complications: Bleeding, injury to nearby structures, hypoxemia, arrhythmias, difficulty to ventilate, pneumothorax, surgical emphysema, loss of airway, tracheal cartilage fracture and a new lung infiltrate, etc. Results: Intra-procedural complications were noted among four obese patients from both groups, i.e 1/15 (6.6%) in group A, and 3/14 (21.4%) in group B. The operation time was comparatively less in A as compared to group B. However, hospitalization duration in both the groups remained the same i.e 28 days. No postoperative complications were noted in either group. There were no conversions to surgical tracheostomy and deaths. Conclusion: Ultrasound-guided procedure is superior to bronchoscopy guided PDT among obese ICU patients with a low percentage of intra- and post-operative complications