Revisiting Elliot's Modification of Moberg's Flap and Our Improvisation.

Thumb tip injuries constitute one of the most common hand injuries. There are various reconstructive options for thumb tip injuries. We present our series of thumb tip injuries reconstructed using Elliot's modification of the Moberg flap, which provides like-for-like tissue. We also present our flap improvisation, which can be useful in the armamentarium of plastic surgeons. Background Moberg described the advancement flap for thumb defects in 1964, which was modified by O'Brien in which the proximal part of the flap is incised and advanced. Although it is a popular flap, it has the disadvantage of interphalangeal (IP) joint flexion deformity. Among the various modifications of the Moberg flap, Elliot's flap provided more tissue with minimal donor site morbidity and no usage of skin grafts or first web skin. Methods We retrospectively analyzed the patients who underwent reconstruction of thumb defects by Elliot's modified Moberg's flap. The size of the defect, etiology, and IP joint movement were analyzed. Two patients underwent our improvised flap where a daughter flap was elevated within Elliot's flap. Results Between January 2021 and September 2023, 12 patients underwent reconstruction by Elliot's flap. All flaps settled well. There was no IP joint deformity. Two patients had scar hypertrophy that was managed conservatively. Conclusion Elliot's modification of the Moberg flap is a very useful but underutilized flap for thumb tip injuries that provides like tissue with sensation and with little donor site morbidity. It can be used for thumb tip defects of up to 3 cm . It is possible to incorporate a second V-Y flap in patients for whom additional movement is required for tension-free closure.

Applications and Reliability of Dorsal Metacarpal Artery Perforator Flap.

Dorsal metacarpal artery perforator flap (DMAP), first described by Quaba and Davison, is a useful tool in the armamentarium of plastic surgeons. It provides like for like tissue for the reconstruction of dorsal finger defects. It is a simple and relatively easy flap to harvest with minimal donor site morbidity. In this case series, we present our experience, applications, and surgical technique of flap harvesting.

Assessing the Accuracy of Common Clinical Tests for Detecting Palmaris Longus: A Prospective Study in a Tertiary Center.

Background Palmaris longus (PL) is a short-bellied muscle with a long tendon that merges with the palmar aponeurosis. It is supplied by the median nerve and acts as a tensor of the palmar aponeurosis and flexes the wrist. This tendon is commonly used for tendon transfers and as a donor for tendon graft. There are numerous clinical tests to detect the presence of PL like Schaeffer's test, Thompson's test, Mishra's test I, Mishra's test II, Pushpakumar's "two-finger sign" method, and AIIMS test. The principle of all these tests is to make the tendon prominent by eliciting its flexor action and then its identification by inspection and palpation. Objectives The tests that are consistently easy to perform with good understandability would be easy to explain to the general population (patients). The aim of our study is to find out the accuracy and easy comprehensibility of various tests using compulsive postures for detecting PL tendon clinically. Materials and Methods This is a prospective study on 137 participants. All the patients were subjected to six clinical tests to detect the presence or absence of PL tendon. The results were recorded for both hands by a single observer. Results Of the 137 participants, 75 were males (54.74%) and 62 were females (45.26%). The mean age was 21 years. The AIIMS test showed the maximum number of tendons, that is, 113 (82.4%) in the right hand and 108 (78.8%) in the left hand. In view of the ability to comprehend the tests, 119 (86.9%) subjects understood Schaeffer's test very easily. Conclusion According to this study, the AIIMS test best demonstrates the PL tendon, and Schaeffer's test was the test most easily understood by the subjects.

Novel Supercapacitor Electrode Derived from One Dimensional Cerium Hydrogen Phosphate (1D-Ce(HPO4)2.xH2O).

In this manuscript, we are reporting for the first time one dimensional (1D) cerium hydrogen phosphate (Ce(HPO4)2.xH2O) electrode material for supercapacitor application. In short, a simple hydrothermal technique was employed to prepare Ce(HPO4)2.xH2O. The maximum surface area of 82 m2 g-1 was obtained from nitrogen sorption isotherm. SEM images revealed Ce(HPO4)2.xH2O exhibited a nanorod-like structure along with particles and clusters. The maximum specific capacitance of 114 F g-1 was achieved at 0.2 A g-1 current density for Ce(HPO4)/NF electrode material in a three-electrode configuration. Furthermore, the fabricated symmetric supercapacitor (SSC) based on Ce(HPO4)2.xH2O//Ce(HPO4)2.xH2O demonstrates reasonable specific energy (2.08 Wh kg-1), moderate specific power (499.88 W kg-1), and outstanding cyclic durability (retains 92.7% of its initial specific capacitance after 5000 GCD cycles).

Sustainable Synthesis of Bright Fluorescent Nitrogen-Doped Carbon Dots from Terminalia chebula for In Vitro Imaging.

In this study, sustainable, low-cost, and environmentally friendly biomass (Terminalia chebula) was employed as a precursor for the formation of nitrogen-doped carbon dots (N-CDs). The hydrothermally assisted Terminalia chebula fruit-derived N-CDs (TC-CDs) emitted different bright fluorescent colors under various excitation wavelengths. The prepared TC-CDs showed a spherical morphology with a narrow size distribution and excellent water dispensability due to their abundant functionalities, such as oxygen- and nitrogen-bearing molecules on the surfaces of the TC-CDs. Additionally, these TC-CDs exhibited high photostability, good biocompatibility, very low toxicity, and excellent cell permeability against HCT-116 human colon carcinoma cells. The cell viability of HCT-116 human colon carcinoma cells in the presence of TC-CDs aqueous solution was calculated by MTT assay, and cell viability was higher than 95%, even at a higher concentration of 200 µg mL-1 after 24 h incubation time. Finally, the uptake of TC-CDs by HCT-116 human colon carcinoma cells displayed distinguished blue, green, and red colors during in vitro imaging when excited by three filters with different wavelengths under a laser scanning confocal microscope. Thus, TC-CDs could be used as a potential candidate for various biomedical applications. Moreover, the conversion of low-cost/waste natural biomass into products of value promotes the sustainable development of the economy and human society.

Recent Advancements of Polyaniline/Metal Organic Framework (PANI/MOF) Composite Electrodes for Supercapacitor Applications: A Critical Review.

Supercapacitors (SCs), also known as ultracapacitors, should be one of the most promising contenders for meeting the needs of human viable growth owing to their advantages: for example, excellent capacitance and rate efficiency, extended durability, and cheap materials price. Supercapacitor research on electrode materials is significant because it plays a vital part in the performance of SCs. Polyaniline (PANI) is an exceptional candidate for energy-storage applications owing to its tunable structure, multiple oxidation/reduction reactions, cheap price, environmental stability, and ease of handling. With their exceptional morphology, suitable functional linkers, metal sites, and high specific surface area, metal-organic frameworks (MOFs) are outstanding materials for electrodes fabrication in electrochemical energy storage systems. The combination of PANI and MOF (PANI/MOF composites) as electrode materials demonstrates additional benefits, which are worthy of exploration. The positive impacts of the two various electrode materials can improve the resultant electrochemical performances. Recently, these kinds of conducting polymers with MOFs composites are predicted to become the next-generation electrode materials for the development of efficient and well-organized SCs. The recent achievements in the use of PANI/MOFs-based electrode materials for supercapacitor applications are critically reviewed in this paper. Furthermore, we discuss the existing issues with PANI/MOF composites and their analogues in the field of supercapacitor electrodes in addition to potential future improvements.

Facile synthesis of nitrogen-doped porous carbon materials using waste biomass for energy storage applications.

A simple, low-cost, and green route for the preparation of lotus carbon (LC) materials using lotus parts including leaves, flowers, fruits (seed pods), and stems as a renewable precursor is reported. Different porous carbons, leaf-carbon (LF-carbon), flower-carbon (FL-carbon), fruit-carbon (FR-carbon), and stem-carbon (ST-carbon) were synthesized from different parts of the lotus plant by simple carbonization method. The as-synthesized LC materials were well-characterized by many techniques such as electron microscopy and spectroscopy techniques, X-ray diffraction, and BET-surface area analysis. These techniques confirmed the porous structure of LC materials and the existence of heteroatoms in the prepared LC materials. The mesoporous structure of LC materials suggested employing it for the supercapacitor applications. The obtained FR-Carbon exhibits a high specific capacitance of 160 F/g in a three-electrode system in an aqueous 1 M H2SO4 electrolyte with a high rate performance of 52% retention from 0.5 to 5.0 A/g with good cycling stability of 95%. These results indicate that the porous carbon derived from lotus fruits is a potential electrode material for high-performance supercapacitors.

COVID-19 impacts and adaptations in Asia and Africa's aquatic food value chains.

The COVID-19 pandemic is a shock affecting all areas of the global food system. We tracked the impacts of COVID-19 and associated policy responses on the availability and price of aquatic foods and production inputs during 2020, using a high frequency longitudinal survey of 768 respondents in Bangladesh, Egypt, India, Myanmar, Nigeria. We found the following: (1) Aquatic food value chains were severely disrupted but most effects on the availability and accessibility of aquatic foods and production inputs were short-lived. (2) Impacts on demand for aquatic foods, production inputs, and labor have been longer lasting than impacts on their supply. (3) Retail prices of aquatic foods spiked briefly during March-May 2020 but trended down thereafter, whereas prices of production inputs rose. These trends suggest a deepening 'squeeze' on the financial viability of producers and other value chain actors. (4) Survey respondents adapted to the challenges of COVID-19 by reducing production costs, sourcing alternative inputs, diversifying business activities, leveraging social capital, borrowing, seeking alternative employment, and reducing food consumption. Many of these coping strategies are likely to undermine well-being and longer-term resilience, but we also find some evidence of proactive strategies with potential to strengthen business performance. Global production of aquatic food likely contracted significantly in 2020. The importance of aquatic food value chains in supporting livelihoods and food and nutrition security in Asia and Africa makes their revitalization essential in the context of COVID-19 recovery efforts. We outline immediate and longer-term policies and interventions to support this goal.

Toxic effects of magnetic nanoparticles on normal cells and organs.

Magnetic nanoparticles (MNPs) are promising candidates for drug delivery and treatment of various disorders. Toxicity evaluation is a critical point in the development of nanoformulations and therefore, draws considerable attention. Formulations involving individual or combinatorial nanoparticle suspensions might be used for targeted delivery and treatment. This might be a evaluated further for safety related issues considering future medications based on MNPs. Nanoparticle distribution in the body is dependent on its surface characteristics. Size, dose and routes of nanoparticle entry have to be taken into consideration for future assays.

Characterization of α-D-glucan produced by a probiont Enterococcus hirae KX577639 from feces of south Indian Irula tribals.

Exopolysaccharide (EPS) producing probiotic strain Enterococcus hirae KX577639 were isolated from the feces of South Indian Irula tribes. EPS yield was 18.57 g/L (dry weight) at 48 h in 2% sucrose supplemented MRS medium. TLC and GC-MS analysis confirmed the presence of predominant glucose monomer indicating the homopolysaccharide nature of EPS. FTIR and NMR studies revealed that the EPS were branched α-D-glucan polymer with α-(1 → 6) and α-(1 → 3) linkages. SEM analysis of glucan-EPS revealed porous and starch like cracked granules of aggregation. AFM studies proved spherical lumps and dense, grainy like network. The thermal behavior of glucan-EPS showed degradation temperature of 315.98 °C and melting point of 296.67 °C. The XRD analysis confirmed the amorphous nature of EPS with a crystalline index of 0.48. The water solubility index and water holding capacity of glucan-EPS showed 46.5% and 202.04%. These distinctive features of the glucan EPS could find its potential application in functional food products as the α-(1 → 3) linkage are resistant to human digestive enzymes and can serve as a nutrient to gut bacteria. This the first study reporting the EPS production by Enterococcus hirae.

Modified Technique for Making Auto-polymerized Polymethylmethacrylate Resin Custom Tray.

Custom made tray for dental impression is designed to provide a uniform space for the impression material and thereby improve the accuracy of the resultant working cast. Auto-polymerized acrylic resins have been the most commonly used material for the fabrication of these trays. The custom tray produces more accurate and reliable results for inter-abutment distance at the occlusal and gingival level than stock trays. This article describes a modified technique for fabrication of auto-polymerized Polymethylmethacrylate (PMMA) resin trays.

Highly potential antifungal activity of quantum-sized silver nanoparticles against Candida albicans.

The antifungal activity of polyvinylpyrrolidone (PVP)-stabilized quantum-sized silver nanoparticles (SNPs) against the growth of Candida albicans has been demonstrated in the present study. C. albicans is a known opportunistic human pathogen causing superficial and systemic infections. Research data carried out on C. albicans so far have shown unequivocally that it develops resistance against conventional antifungal drugs and that the infections it causes are difficult to cure with conventional antifungal agents. Hence, it is urgent to find newer materials for the treatment of infections caused by C. albicans that must be safe for the host. PVP-capped SNPs were synthesized, and its surface plasmon band was observed at 410 nm. The growth of C. albicans was markedly inhibited when the cells were incubated with SNP. The minimum inhibitory concentration (MIC) of SNP was determined as 70 ng/ml, and this value is relatively lower when compared with the conventionally used antifungal drugs such as amphotericin B (0.5 µg/ml), fluconazole (0.5 µg/ml), and ketoconazole (8 µg/ml). The viability of SNP-treated cells was checked by measuring the metabolic activity using XTT assay. Field emission scanning electron microscopic (FE-SEM) and transmission electron microscopic (TEM) analyses of the cells treated with SNP have lost the structural integrity to a greater extent.

Green synthesized nickel nanoparticles modified electrode in ionic liquid medium and its application towards determination of biomolecules.

An air and moisture stable ionic liquid 1-ethyl-3-methylimidazolium ethyl sulfate (EMIMES) was used as an electrolyte for electropolymerization of L-cysteine followed by electrodeposition of nickel nanoparticles (NiNP) on paraffin wax impregnated graphite electrode (PIGE). The electrodeposited NiNP modified electrode showed good redox activity and stability in 0.1M KOH solution. The modified electrode has been characterized using Fourier transform infrared spectroscopy (FTIR), Raman spectroscopy, X-ray photoelectron spectroscopy (XPS), field emission scanning electron microscopy (FESEM), energy dispersive X-ray spectroscopy (EDS), electrochemical impedance spectroscopy (EIS) and cyclic voltammetry (CV). The modified electrode was examined for electrocatalytic oxidation of some compounds of biological and clinical importance such as vitamin B6, L-tyrosine, L-tryptophan, vanillin, glucose and hydrogen peroxide by cyclic voltammetry to demonstrate the electrocatalytic activity of the electrodeposited NiNPs.