Quantifying postoperative recovery using wearable activity monitors following abdominal wall surgery: The AbTech trial.

PURPOSE: This work aimed to investigate the validity of wearable activity monitors (WAMs) as an objective tool to measure the return toward normal functional mobility following abdominal wall surgery. This was achieved by quantifying and comparing pre- and postoperative physical activity (PA). METHODS: A multicenter, prospective, observational cohort study was designed. Patients undergoing abdominal wall surgery were assessed for eligibility and consent for study participation was obtained. Participants were asked to wear a WAM (AX3, Axivity) on the wrist of their dominant hand at least 48 hours pre-operatively, for up to 2 weeks postop, and again after 6 months postop for 48 hours. RESULTS: A cohort of 20 patients were recruited in this validation study with a mean age of 47.3 ± 13.0 years. Postoperation, the percentage median PA (±IQR) dropped to 32.6% (20.1), whereas on day 14, PA had reached 64.6% (22.7) of the preoperative value providing construct validity. Activity levels at >6 months postop increased by 16.4% on an average when compared to baseline preoperative PA (p = 0.046). CONCLUSION: This study demonstrates that WAMs are valid markers of postoperative recovery following abdominal wall surgery. This was achieved by quantifying the reduction in PA postoperation, which has not been previously shown. In addition, this study suggests that abdominal wall surgery may improve the patient's quality of life via increased functional mobility at 6 months postop. In the future, this technology could be used to identify the patient and surgical factors that are predictors of outcome following abdominal wall surgery.

Facile green synthesis of non-genotoxic, non-hemolytic organometallic silver nanoparticles using extract of crushed, wasted, and spent Humulus lupulus (hops): Characterization, anti-bacterial, and anti-cancer studies.

Since the last few decades, the green synthesis of metal nanoparticles was one of the most thrust areas due to its widespread application. The study proposed using wasted and unusable Humulus lupulus (Hops) extract to synthesize silver nanoparticles for biomedical application. The environment around us gives us many scopes to use the waste from environmental sources and turn it into something valuable. The spent Hops extract was used to synthesize silver nanoparticles (AgNP@HOPs), and the synthesized product exhibited an excellent therapeutic effect in terms of anti-bacterial and anti-cancer agents. The synthesis was optimized considering different factors like time and the concentration of AgNO3. The silver nanoparticles were characterized in detail using different characterization techniques XRD, DLS, TEM, BET, XPS, Raman Spectroscopy, SEM, EDAX, AFM, which revealed the uniqueness of the silver nanoparticles. The average hydrodynamic size was found to be 92.42 ± 2.41 with a low polydispersity index. The presence of Ag-C and Ag-O bonds in the AgNP@HOPs indicated that it is composed of organo-silver and silver oxides. The nanoparticles were found to be spherical with an average size of 17.40 nm. The AgNPs were lethal to both E. coli and S. aureus with a MIC-50 of 201.881 µg/mL and 213.189 µg/mL, respectively. The AgNP@HOPs also exhibited an anti-cancer effect with an IC-50 of 147.175. The AgNP@HOPs exhibited less cytotoxicity and genotoxicity against normal cells and exhibited superior haemocompatibility (major criteria for drug selection). There are indeed various reports on the synthesis of silver nanoparticles, but this study proposes a green method for producing non-genotoxic, non-hemolytic organometallic silver nanoparticles using waste material with considerable therapeutic index from the environmental source with potential application in the medical industry. This work could be taken forward for in-vivo studies and for pre clinical studies.

Hand preference and accidents in India.

The relationship between handedness and accidents in self-classified left- and right-handers in India was examined. It was hypothesised that the incidence of accidents would be greater in left-handers as compared to right-handers. Data were collected with the help of a questionnaire on side bias, along with a checklist on accidents. Analysis of data suggested that whether or not left-handers have more accidents than right-handers depends on the kind of activity examined: in India, left-handers have more driving accidents than right-handers, while right-handers have more sports accidents than left-handers.

Impact of water quality on the stress physiology of cultured Labeo rohita (Hamilton-Buchanan).

Investigation was conducted for 12 months in two water bodies, S1 with optimum water quality and S2 receiving sewage water. The water quality parameters were assessed in relation to the impact on the stress sensitive physiological parameters of fish Labeo rohita. While optimum levels of transparency, dissolved oxygen, unionised ammonia, alkalinity and hardness in S1 reflected in minimum variation of the physiological parameters of L. rohita but suboptimal levels of DO (nil-18.0 mg/l) and CO2 (nil-16.0 mg/l) observed diurnally and unionised ammonia (0.11-0.42 mg/l) found throughout the experimental period, resulted in significant variation in plasma cortisol (90.0-377.0 ng/ml), cholesterol (89.6-285.0 mg/dl) and condition factor (0.7-1.3) in L. rohita. The results are of significance for fish aquatic habitat management.

Effect of sublethal levels of nitrite on some blood parameters of juvenile Labeo rohita (Hamilton-buchanan).

Juveniles of L. rohita were exposed to sublethal levels of nitrite (0.02, 0.1 and 0.4 mg/l) for 2, 24, 48 and 96 hr. The time of exposure at individual concentrations of nitrite did not show any significant difference in haemoglobin, cortisol, chloride and lactic acid. Haematocrit showed significant reduction with increasing concentration of nitrite irrespective of duration of exposure. Fishes exposed to 0.4 mg/l nitrite showed significantly high levels of glucose beyond 2 hr. The mean erythrocytic fragility of fishes exposed to the 3 concentrations of nitrite for 3 exposure periods showed significant higher sensitivity to osmotic stress. The results suggest decrease in haematocrit and cell wall strength of erythrocytes creating stress to fish.

Influence of sublethal ammonia toxicity on some physiological parameters of Labeo rohita (Hamilton-Buchanan) fingerlings.

Fingerlings of Labeo rohita subjected to sublethal unionized ammonia (0.132mg/l) for 30 days exhibited significant changes. Increase in haemoglobin, haematocrit, plasma cortisol, plasma glucose, plasma cholesterol and plasma lactic acid levels whereas, decrease in plasma chloride, liver and muscle glycogen, hepatosomatic index and DNA/RNA ratio of muscles with stable plasma protein was observed. Metabolic recovery was not observed within 30 days of exposure.

Visual-field superiority as a function of stimulus type and content.

The objective of this study was to examine whether hemispheric superiority is determined more by stimulus type (facial, lexical) or content (neutral, emotional). A split, visual-field experiment was designed using a computer-based program with bilateral presentation (left visual-field, right visual-field) for four sets of stimuli: face (neutral, emotional) x word (neutral, emotional), N = 40. The dependent measures were the frequency of correct response and response latency of correct responses. The visual-field effect was nonsignificant for correct responses; however, the interaction of stimulus type x content was found significant. The interaction of visual-field x stimulus type was significant with response time as the dependent measure. Facial stimuli were processed faster in the left visual-field (a right hemispheric function) and lexical stimuli were processed faster in the right visual-field (a left hemispheric function). No hemispheric effect was observed for stimulus content.

Sublethal temperature stress in juvenile Labeo rohita (Ham-Buch.) and Rita rita (Ham.): some physiological changes.

Juveniles of fish L. rohita and R. rita subjected to a rapid (5 min) sublethal temperature increase from 28 to 35 degrees C showed significant increase in cortisol and decrease in interrenal ascorbic acid. Hypercholesterolemia, hyperglycemia and hyperlactemia were also evident accompanied by increased blood haemoglobin and haematocrit and stable protein levels. Compensatory responses were initiated within 72 hr in both the fishes. R. rita recovered more quickly indicating it to be more resistant to the heat stress than L. rohita. Hence fishes subjected to sublethal temperature stress should be given a metabolic recovery period of 72 hr prior to further stress being applied.