Randomized double blind comparative study on efficacy and safety of oral oxaceprol 200 mg versus oral diclofenac 50 mg in patients with moderate osteoarthritis

Background: Osteoarthritis of knee is the most common form of arthritis globally, approximately 250 million people are suffering from osteoarthritis of the knee alone throughout the world. It is a chronic joint disease leading to cause cartilage degradation that involves synovial Inflammation, Subchondral bone remodelling, and Formation of osteophyte pathologically, which leads to cause pain, joint destruction and difficulty in walking. Aim of the current study was to compare the safety and efficacy of oxaceprol 200 mg versus diclofenac 50 mg in patients with moderate osteoarthritis and to determine cost-effectiveness between these two drugsMethods: this is a randomized controlled study, in our study total of 94 patients were screened, of which 85 patients met inclusion & exclusion criteria. In this, 78 members gave written informed consent, they were randomly assigned by double-blind fashion into two treatment groups (oxaceprol and diclofenac). Results were analyzed by applying paired and unpaired student t-test by using SPSS softwareResults: In our study, both oxaceprol and diclofenac were extremely significant in reducing joint pain and joint stiffness and improving physical activity, but when comparing with one another oxaceprol group showed better results in improving physical activityConclusions: From our study, it is concluded that oxaceprol is equally efficacious as diclofenac in reducing knee pain, joint stiffness but more efficacious than diclofenac in improving physical activity of patients by enhancing bone remodelling

Effect of graphite particulate on mechanical characterization of hybrid polymer composites

Quest for producing lightweight and biodegradable materials has encouraged researchers to replace synthetic fibers with natural fibers. Hence a study is made to investigate the effects of introducing secondary reinforcement (natural fibers), stacking sequence, and addition of graphite particles on the mechanical characteristics and water uptakes along with diffusivity of hybrid (glass\jute) composites. Different weight fractions of graphite particulates are incorporated into the epoxy to produce different samples having 4 plies for each sample by hand layup vacuum bagging method. The obtained specimens are subjected to various mechanical tests, water absorption tests as per the ASTM standards, and optical microscopy was used to study the fracture morphology of the samples. The results displayed that the properties are deteriorated a little with the addition of secondary reinforcement, however they have improved with the addition of graphite. E-Glass as skin layer and treated jute as core layer composite exhibits ameliorate tensile strength (201.5 MPa), compression strength (515.12 MPa), flexural strength (106.9 MPa), hardness (25 BHN). However highest impact energy of 26 J is recorded for the sample with jute as skin layer and E-Glass as the core layer. Water absorption tests revealed that the addition of graphite has reduced the water absorption in the hybrid samples

A double-blind randomized placebo-controlled study of low dose mirtazapine once daily in patients of major depressive disorders on escitalopram

Background: The SSRIs being used as 1st line therapy in treatment of depression have delayed therapeutic effect which makes the patient vulnerable to an increased risk of suicide and decreased adherence to the treatment and will prematurely discontinue the therapy. The present study was conducted to evaluate if low dose mirtazapine-escitalopram combination therapy has any add on benefit over monotherapy with escitalopram.Methods: In a single-centered, comparative study involving patients with depression attending the out-patient after screening and exclusion, 60 eligible patients were randomly assigned to receive tablet mirtazapine 7.5 mg plus tablet escitalopram 10 mg intervention or tablet escitalopram 10 mg plus placebo intervention in a double-blind 6-week treatment phase. The primary outcome measure was the change in the 17-item Hamilton Depression Rating Scale (HDRS) and Montgomery-Asberg Depression Rating Scale (MADRS) score from baseline. Participants were evaluated at baseline, 1st, 2nd,4th and 6th week. Results were analyzed using Chi-Square test for adverse effects and independent t-test analysis for efficacy parameter.Results: In the analysis of results at 6th week the numbers of patients achieved remission in mirtazapine group are more with a p-value of 0.018 which is significant and the numbers of responders in mirtazapine group are also more which is statistically significant on chi-square test. There is no significant difference was observed between the two groups with reference to occurrence of adverse effect.Conclusions: Adding low dose mirtazapine has an added benefit in terms of efficacy and getting remission early with more number of responders in the treatment of major depression

Role of an Agro Technique for the Development of Medicinal Plant: Shalparni

Vrikshayurveda a classical science of botanical field, this science deals with growth and development of plants. This science mainly suggests uses of Kunapa jala and Pancha gavya for the high productivity of crops. This concept works around organic farming for effective plant growth. Vrikshayurvedha mentioned Kunapajala as organic liquid manure which is a fermentation product and acts as plant nutrients. There are two types of Kunapajala mainly in practices viz; herbal and non-herbal which is prepared according to the procedures described in Vrikshayurvedha. Considering importance of this we planned a study to investigate role of Vrikshayurvedha concept for the development of medicinal plant; Shalparni. Present study investigated role of Kunapajala in the growth and % yield of plant Shalparni. This study observed that Kunapajala treatment offered best response with respect to root yield and soil physico-chemical parameters. Kunapajala increased plant yield quantitatively as well as qualitatively

A self-sensing and self-heating planar braided composite for smart civil infrastructures reinforcement

Allocating different capabilities to structural elements simultaneously is still challenging. In this study, a field-applicable multifunctional planar braided composite with the abilities of reinforcing, self-sensing and self-heating was developed for the first time. In this route, three commercial fabrics were used, including cotton, cotton/polyamide, and polyester. The fabrics were first chemically treated and then coated with a carbon nanomaterial-based polymeric conductive paste using screen printing with different concentrations and layers. The samples were then covered and sealed with a thermoplastic polyurethane-based polymer to avoid environmental factors effects. Smart planar composites (SPC) were also used as reinforcement for cementitious specimens. The electrical conductivity and joule heating capability of the samples were also evaluated. The microstructure of the SPCs was investigated using various tests. The mechanical and self-sensing performances of the cementitious composite reinforced with different SPCs were assessed using different load patterns. The results showed a heating rate of 0.44 ˚C/s, a joule heating power of 0.7 W/˚C, and a maximum temperature of 44 ˚C which proved the proper heating capability of the cementitious composites reinforced with SPCs. The great correlation between electrical resistivity changes and strain values indicated the high potential of the composite in strain sensing for different applications. The SPCs also improved the post-crack behaviour of the specimen and its flexural strength and failure strain by approximately 50% and 118%, respectively. The outcomes of this study draw a bright horizon in multifunctional braided composite development with different applications in civil infrastructures, which is a crucial step for intelligent cities' advances.This work was partly financed by the Institute for Sustainability and Innovation in Engineering Structures (ISISE) and the R&D Unit of the Centre for Textile Science and Technology (2C2T) founded by the Portuguese Foundation for Science and technology (FCT) under the reference “UIDP/00264/2020”. The first author also acknowledges the support provided by the FCT/PhD individual fellowship with reference of “2021.07596.BD”

The Ontario Mother and Infant Study (TOMIS) III: A multi-site cohort study of the impact of delivery method on health, service use, and costs of care in the first postpartum year

Abstract Background The caesarean section rate continues to rise globally. A caesarean section is inarguably the preferred method of delivery when there is good evidence that a vaginal delivery may unduly risk the health of a woman or her infant. Any decisions about delivery method in the absence of clear medical indication should be based on knowledge of outcomes associated with different childbirth methods. However, there is lack of sold evidence of the short-term and long-term risks and benefits of a planned caesarean delivery compared to a planned vaginal delivery. It also is important to consider the economic aspects of caesarean sections, but very little attention has been given to health care system costs that take into account services used by women for themselves and their infants following hospital discharge. Methods and design The Ontario Mother and Infant Study III is a prospective cohort study to examine relationships between method of delivery and maternal and infant health, service utilization, and cost of care at three time points during the year following postpartum hospital discharge. Over 2500 women were recruited from 11 hospitals across the province of Ontario, Canada, with data collection occurring between April 2006 and October 2008. Participants completed a self-report questionnaire in hospital and structured telephone interviews at 6 weeks, 6 months, and 12 months after discharge. Data will be analyzed using generalized estimating equation, a special generalized linear models technique. A qualitative descriptive component supplements the survey approach, with the goal of assisting in interpretation of data and providing explanations for trends in the findings. Discussion The findings can be incorporated into patient counselling and discussions about the advantages and disadvantages of different delivery methods, potentially leading to changes in preferences and practices. In addition, the findings will be useful to hospital- and community-based postpartum care providers, managers, and administrators in guiding risk assessment and early intervention strategies. Finally, the research findings can provide the basis for policy modification and implementation strategies to improve outcomes and reduce costs of care

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe