Characterization of halotolerant, pigmented, plant growth promoting bacteria of groundnut rhizosphere and its in-vitro evaluation of plant-microbe protocooperation to withstand salinity and metal stress.

The use of plant associated, indigenous beneficial microbes for sustainable agriculture is getting worldwide acceptance as they successfully colonize at different plant niche under stress conditions to enhance the crop productivity. They also generate several plant growth regulators and protect plants from adversity like presence of salts and metals. In the present study, indigenous, halotolerant, plant growth promoting (PGP) bacterial isolates were isolated from the saline rhizospheric soil of groundnut plants aiming to investigate its in-vitro metal remediation capabilities under saline stress condition. Two pigmented bacteria were selected based on their phenotypic, biochemical, physiological and PGP characters and identified as members of family Bacillaceae (Bacillus and Halobacillus) based on 16S rRNA gene sequence similarity. The pigments were extracted, tested for different antioxidant properties and identified by GC-MS and FT-IR spectra. Simultaneously, both strains exhibited a wide range of salinity (NaCl≥25%), metal resistance (Zinc≈1700mgkg-1, Aluminium≈1800mgkg-1, Lead≈1800mgkg-1), pH (6-10), PGP attributes (indole - 1.05-3.15µgml-1, ammonia - 0.13-19.95mmolml-1, nitrite - 0.07-0.26mmolml-1) and antibiotics sensitivity revealing their wide range of metabolic diversity. In-vitro inoculation of groundnut seedlings with selected isolates under salinity (1% NaCl) and metal (Zn, Al and Pb) stress had a positive impact on different plant physiological parameters (lesser lignification, intact proto xylem and cortical parenchyma) which was correlated with PGP attributes. Microwave plasma atomic emission spectroscopy analysis of seedling samples also detected less amount of metals in plants treated with bacteria indicating, an establishment of plant-microbe protocooperation to withstand salinity and metal stress. This strategy can be implemented to improve crop production in saline metal polluted agriculture fields.

Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study.

BACKGROUND: Virtual reality (VR) distraction is a nonpharmacological method to prevent acute pain that has not yet been thoroughly explored for anesthesiology. We present our experience using VR distraction to decrease routine intravenous sedation for patients undergoing preoperative perineural catheter insertion. METHODS: This 1-month quality improvement project involved all elective unilateral primary total knee arthroplasty patients who received a preoperative adductor canal catheter. Clinical data were analyzed retrospectively. For the first half of the month, all patients received usual care; intravenous sedation was administered at the discretion of the regional anesthesiologist. For the second half of the month, patients were offered VR distraction with intravenous sedation upon request. The primary outcome was fentanyl dosage; other outcomes included midazolam dosage, procedure-related pain, procedural time, and blood pressure changes. RESULTS: Seven patients received usual care and seven used VR. In the VR group, 1/7 received intravenous sedation versus 6/7 who received usual care (P = 0.029). The fentanyl dose was lower (median [10th-90th percentiles]) in the VR group (0 [0-20] µg) versus the non-VR group (50 [30-100] µg; P = 0.008). Midazolam use was lower in the VR group (0 [0-0] mg) than in the non-VR group (1 [0-1] mg; P = 0.024). Procedure-related pain was lower in the VR group (1 [1-4] NRS) versus the non-VR group (3 [2-6] NRS; P = 0.032). There was no difference in other outcomes. CONCLUSIONS: VR distraction may provide an effective nonpharmacological alternative to intravenous sedation for the ultrasound-guided placement of certain perineural catheters.

Beta-thalassemia mutations in western India.

OBJECTIVE: To study occurrence of common mutations in the population of Gujarat and the most prevalent mutation in certain high-risk communities. METHODS: The mutation screening was carried out using ARMS-PCR in children with beta thalassemia. RESULTS: Population screening has identified certain communities like Sindhis, Lohana, Rajputs, and SC/ST/OBC to be at higher risk as compared to others. The most common mutation was IVS 1-5 (G-->C) followed by 619 bp deletions of the total cases coming to Gujarat. CONCLUSION: Molecular evaluation for Thalassemia should be considered for families whose ethnicity indicates origin from high-risk community.