Correlation between Transcranial Ultrasound and CT Head to Detect Clinically Significant Conditions in Post-craniectomy Patients Performed by Emergency Physician: A Pilot Study.

Background: The main objective is to detect clinically significant conditions by transcranial ultrasound (TCS) in post-decompressive craniectomy (DC) patients who come to the emergency department. Materials and methods: This was a cross-sectional observational study. We studied 40 post-DC patients. After primary stabilization, TCS was done. Computer tomography of head was done within 2 hours of performing TCS. The correlation between both modalities were assessed by the measurement of lateral ventricle (LV) (Bland-Altman plot), Midline shift and mass lesion. Additionally, normal cerebral anatomy, 3rd and 4th ventricles and external ventricular drainage (EVD) catheter visualization were also done. Results: About 14/40 patients came with non-neurosurgical complaints and 26/40 patients came with neurosurgical complaints. Patients with non-neurosurgical complaints (4/14) had mass lesions and 1/14 had MLS. Patients with neurosurgical complaints (11/26) had mass lesions and about 5 patients had MLS. A good correlation was found between TCS and CT of head in measuring LV right (CT head = 17.4 ± 13.8 mm and TCS = 17.1 ± 14.8 mm. The mean difference (95% CI) = [0.28 (-1.9 to 1.33), ICC 0.93 (0.88-0.96)], Left [CT head = 17.8 ± 14.4 mm and TCS = 17.1 ± 14.2 mm, the mean difference (95% CI) 0.63 (-1.8 to 0.61), ICC 0.96 (0.93-0.98)], MLS [CT head = 6.16 ± 3.59 (n = 7) and TCS = 7.883 ± 4.17 (n = 6)] and mass lesions (kappa 0.84 [0.72-0.89] [95% CI] p-value < 0.001). The agreement between both modalities for detecting mass lesions is 93.75%. Conclusion: Point of care ultrasound (POCUS) is a bedside, easily operable, non-radiation hazard and dynamic imaging tool that can be used for TCS as a supplement to CT head in post-DC patients in emergency as well as in ICU. However, assessment of the ventricular system (pre/post-EVD insertion), monitoring of regression/progression of mass lesion, etc. can be done with TCS. Repeated scans are possible in less time which can decrease the frequency of CT head. How to cite this article: Chouhan R, Sinha TP, Bhoi S, Kumar A, Agrawal D, Nayer J, et al. Correlation between Transcranial Ultrasound and CT Head to Detect Clinically Significant Conditions in Post-craniectomy Patients Performed by Emergency Physician: A Pilot Study. Indian J Crit Care Med 2024;28(3):299-306.

Synthesis of Biogenic Hematite Nanocubes as Recyclable Dark Fenton-like Catalysts at Neutral pH and Plant Growth Applications of Degraded Waste Water.

The goal of this study is to fabricate bioinspired metal oxide nanocubes from lemon peel extract in an environmentally friendly manner and evaluate its impact on environmental remediation. In neutral pH, the degradation kinetics of methylene blue dye (MB) in the aqueous phase was investigated using iron oxide nanoparticles as a catalyst. The obtained results revealed that under optimum conditions, synthesized Fe2O3 nanoparticles (IONPs) offered ultrafast dark Fenton-like reaction to degrade MB. The size, morphological structures, and stability were confirmed through dynamic light scattering, field emission scanning electron microscopy, X-ray diffraction, and ζ potential analysis. The overall environmental impact of the process was assessed by growing wheat plants with treated wastewater and evaluating their biochemical attributes. Antibacterial activity was investigated against Gram-positive (Bacillus megaterium, Bacillus subtilis) and Gram-negative (Escherichia coli, Salmonella typhimurium) aerobics and Gram-positive cocci (Staphylococcus aureus). The antifungal activity was measured against Fusarium solani by spore germination inhibition and zone inhibition of fungal pathogens for different nanocube concentrations.

Application of nickel chitosan nanoconjugate as an antifungal agent for combating Fusarium rot of wheat.

Agro-researchers are endlessly trying to derive a potential biomolecule having antifungal properties in order to replace the application of synthetic fungicides on agricultural fields. Rot disease often caused by Fusarium solani made severe loss of wheat crops every year. Chitosan and its metallic nano-derivatives hold a broad-spectrum antifungal property. Our interdisciplinary study deals with the application of nickel chitosan nanoconjugate (NiCNC) against Fusarium rot of wheat, in comparison with chitosan nanoparticles (CNPs) and commercial fungicide Mancozeb. CNPs and NiCNC were characterized on the basis of UV-Vis spectrophotometry, HR-TEM, FESEM, EDXS and FT-IR. Both CNPs and NiCNC were found effective against the fungal growth, of which NiCNC at 0.04 mg/mL showed complete termination of F. solani grown in suitable medium. Ultrastructural analysis of F. solani conidia treated with NiCNC revealed pronounced damages and disruption of the membrane surface. Fluorescence microscopic study revealed generation of oxidative stress in the fungal system upon NiCNC exposure. Moreover, NiCNC showed reduction in rot disease incidence by 83.33% of wheat seedlings which was further confirmed through the observation of anatomical sections of the stem. NiCNC application helps the seedling to overcome the adverse effect of pathogen, which was evaluated through stress indices attributes.

Applications of chitosan and chitosan based metallic nanoparticles in agrosciences-A review.

The second most abundant biological macromolecule, next to cellulose is Chitosan. It is a versatile naturally occurring hydrophilic polysaccharide, derived as a deacetylated form of chitin. Due to its biocompatibility, biodegradability and antimicrobial activity, it has become a significant area of research towards drug delivery system, plant growth promotion, anti-pathogenic potentiality, seed priming and in plant defense mechanism. Various synthetic strategies have been established in recent years that couples different metals with chitosan nanoparticles. Metals like silver, copper, zinc, iron and nickel are highly compatible to form chitosan metallic nanoparticles and are proved to be non-toxic to the agricultural plant system. This review highlights the mode of action of nanochitosan on Gram-positive and Gram-negative bacteria in a distinguished manner as well as its action on fungi. A prime focus has been given on the skeletal framework of the metallic nanochitosan particles. Our study also projects the antimicrobial mechanism of chitosan based on its physiochemical properties, environmental factors and the type of organism on which it acts. Moreover, the mechanism for stimulation of plant immunity by metallic nanochitosan has also been reviewed. Our study relies on the conclusion that chitosan metallic nanoparticles showed enhanced anti-pathogenic and plant growth promoting activity in comparison to bulk chitosan.

Improvisation of salinity stress response in mung bean through solid matrix priming with normal and nano-sized chitosan.

Nano particles open up a new avenue in crop science because of their unique physicochemical properties. Chitosan is preferred as priming agent in nano-form due to its biodegradability and non toxicity. Prepared nano-chitosan was characterized by Dynamic light scattering study, Fourier-transform infrared spectroscopy study and scanning electron microscopy. In present study the morphological, physiological and biochemical responses with an emphasis on several oxidative stress markers like proline, malondialdehyde (MDA), hydrogen peroxide (H2O2) contents of mung bean seedlings to 0, 4 and 8 dS/m salt stress conditions after Solid Matrix Priming (SMP) using the elicitors like nano-chitosan, chitosan and water were studied. The activities of different antioxidant enzymes like superoxide dismutase, catalase and oxidative stress markers like proline, H2O2 and MDA increased considerably over water control in accordance with salt stress gradient. However, SMP with nano-chitosan showed significant improvement showing reduction in H2O2 and MDA contents over control leading to the better growth, increased chlorophyll content and metabolism. Thus, our study shows that SMP with both normal and nano sized chitosan will be able to overcome the adverse effect of salt stress in mung bean seedlings allowing the activation of their defense mechanisms for better protection against salt stress.