Acute Scrotal Abdomen: An Epitome of Negligence in Rural India.

An inguinoscrotal hernia is considered to be giant when it passes beyond the midpoint of the thigh in a standing position. It is a rare condition that can lead to complications such as obstruction and perforation. Here, we present the case of a 35-year-old male who was diagnosed with a giant inguinoscrotal hernia with transverse colon perforation peritonitis. The patient presented with acute abdomen and septic shock. On presentation, resuscitation was started and an emergency laparotomy was performed. Resection of the gangrenous bowel segment and end jejunostomy was done as damage control surgery. However, despite intensive care and efforts, the patient succumbed due to multiorgan dysfunction syndrome (MODS). This is a rare case of a giant inguinoscrotal hernia with transverse colon perforation peritonitis, leading to MODS and mortality.

The production of biodiesel from plum waste oil using nano-structured catalyst loaded into supports.

The present study was undertaken with aims to produced catalyst loaded on low-cost clay supports and to utilize plum waste seed oil for the production of biodiesel. For this purpose, Bentonite-potassium ferricyanide, White pocha-potassium ferricyanide, Granite-potassium ferricyanide, Sindh clay-potassium ferricyanide, and Kolten-potassium ferricyanide composites were prepared. Transesterification of plum oil under the different conditions of reactions like catalysts concentrations (0.15, 0.3 and 0.6 g), temperature (50, 60, 70 and 80 °C), reaction time (2, 4 and 6 h) and oil to methanol ratio (1:10) was conducted. The maximum biodiesel yield was recorded for Bentonite-potassium ferricyanide composite. This composite was subjected to calcination process to produce Calcinized bentonite-potassium ferricyanide composite and a further improvement in biodiesel amount was recorded. The fuel quality parameters of all biodiesel samples were in standard range. Gas chromatographic mass spectrometric analysis confirmed the presence of oleic and linoleic acids in the plum seed oil. The characterization of composite was done using FTIR, SEM and EDX. Two infrared bands are observed in the spectrum from 1650 to 1630 cm-1 indicates that the composite materials contained highly hydrogen bonded water. The presence of surface hydroxyls groups can also be confirmed from FTIR data. SEM image clearly show the presence of nano-rods on the surface of Granite-potassium ferricyanide and Kolten-potassium ferricyanide composites. Another interesting observation that can be recorded from SEM images is the changes in surface characteristic of Bentonite-potassium ferricyanide composite after calcination (at 750 °C, 1 atm for 4 h). Calcinized bentonite-potassium ferricyanide composite found to contain more nano rod like structures at its surface as compared to Bentonite-potassium ferricyanide composite which contained spherical particles. EDX data of Bentonite-potassium ferricyanide composite and Calcinized bentonite-potassium ferricyanide composite show that after calcination carbon and oxygen was reduced. The other lost volatile compounds after calcination were of Na, Mg, Al, Si, and S. The XRD spectrum of pure bentonite showed the average crystal size of 24.46 nm and calcinized bentonite of 25.59 nm. The average crystal size of bentonite and potassium ferricyanide composite and its calcinized form was around 33.76 nm and 41.05 nm, respectively.

Platinum complexes of curcumin delivered by dual-responsive polymeric nanoparticles improve chemotherapeutic efficacy based on the enhanced anti-metastasis activity and reduce side effects

Platinum-based chemotherapy is used for non-small cell lung cancer (NSCLC). However, it has side effects and minimum efficacy against lung cancer metastasis. In this study, platinum-curcumin complexes were loaded into pH and redox dual-responsive nanoparticles (denoted as Pt-CUR@PSPPN) to facilitate intracellular release and synergistic anti-cancer effects. Pt-CUR@PSPPN was prepared by a nano-precipitation method and had a diameter of ∼100 nm. The nanoparticles showed increased anti-cancer effects both and . In addition, Pt-CUR@PSPPN blocked PI3K/AKT signal transduction pathway and inhibited MMP2 and VEGFR2, resulting in enhanced anti-metastatic activity. Furthermore, reduced side effects were also observed. In conclusion, Pt-CUR@PSPPN provided a novel and attractive therapeutic strategy for NSCLC.

Reporting effective extraction methodology and chemical characterization of bioactive components of under explored Platycladus orientalis (L.) Franco from semi-arid climate.

The bioactive ingredients of many essential oils are complex and difficult to reproduce synthetically. In the present study, the influence of extraction method on relative extraction of bioactive compounds of essential oil of Platycladus orientalis (L.) Franco (Thuja orientalis L. is a synonym of it) leaves gathered from semi-arid climate was studied. A higher yield of essential oil was obtained by hydrodistillation (0.1%) as compared to steam distillation (0.07%) under newly optimized conditions. Initial analysis of these oils by TLC showed the presence of different polarity groups ranging from non-polar terpene hydrocarbons to polar terpenoid alcohols. GC-MS analysis revealed that major component of hydrodistilled essential oil of Platycladus orientalis (L.) Franco leaves was α-pinene (17.83%) and steam distilled essential oil contained α-cedrol (12.44%). The results obtained in the present study emphasize that suitable extraction technique should be used to obtain particular component of interest.

Respiratory symptoms and ventilatory function among health-care workers exposed to cleaning and disinfectant chemicals, a 2-year follow-up study.

Previous cross-sectional studies have shown that exposure to cleaning chemicals among health-care workers (HCWs) is associated with respiratory disorders and ventilatory function changes. This study aimed to further explore this association using a longitudinal approach. A prospective 2-year follow-up study was carried out at a tertiary care hospital in Saudi Arabia from June 2012 to June 2014 among 56 nurses who were responsible for disinfection and sterilization of medical instruments and equipment. The workplaces of the participants were assessed for engineering, environmental, and safety control measures. Self-administered questionnaires were distributed to all participants to assess their exposure to cleaning chemicals and their medical history. Spirometric parameters were measured for all nurses in 2012 (baseline) and again in 2014 (follow-up). The prevalence of work-related respiratory symptoms did not increase significantly over this time. Among all the spirometric parameters, only forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) ratio decreased significantly, and only 10.7% of participants who were exposed to cleaning chemicals for more than 10 years had FEV1 and FVC less than their longitudinal normal limits at the end of the study. Smoking and gender were associated with statistically significant decreases in some of the spirometric parameters. Our 2-year follow-up study did not demonstrate significant association between exposure to cleaning chemicals among HCWs and changes in the prevalence of work-related respiratory symptoms, but indicated early effects on ventilatory function among them. The study highlights the importance of periodic spirometry, proper work practices, and effective control measures to protect HCWs against potentially harmful workplace chemicals for disinfection and sterilization.

Dose Response of MTLn3 Cells to Serial Dilutions of Arsenic Trioxide and Ionizing Radiation.

MTLn3 cells derived from mouse mammary epithelium are known to be highly malignant and are resistant to both radio- and chemo-therapy. We exposed MTLn3 cells to various doses of inorganic Arsenic trioxide (As2O3) in combination with ionizing radiation. Cells were treated with a series of As2O3 concentrations ranging from 20 µM to 1.22 nM for 8 hour, 24 hour and 48 hour periods. Post-treated cell proliferation was quantified by measuring mitochondrial activity and DNA analysis. Cells exposed to radiation and As2O3 at concentration greater than 1.25 µM showed apoptosis and radiations alone treated cells were statistically not different from the control. Hormesis was observed for As2O3 concentrations in the range of 0.078 µM to 0.625 µM while the combined chemo and radiation treatments of the cells did not affect the hormetic effect. We have demonstrated that As2O3 (in the presence and absence of ionizing radiation) in specific low concentrations induced apoptosis in the otherwise chemoresistant cancer cells. This low concentration-mediated cell death is immediately followed by a surge in cell survival. Low dosing dosimetry is highly desirable in metronomic therapy however, it has a narrow window since necrosis, hormesis, apoptosis and other dose-dependent biological processes take place in this region. Further quantifiable dosimetry is highly desired for routine clinical practice.

Neural responses to electrical stimulation on patterned silk films.

Peripheral nerve injury is a critical issue for patients with trauma. Following injury, incomplete axon regeneration or misguided axon innervation into tissue will result in loss of sensory and motor functions. The objective of this study was to examine axon outgrowth and axon alignment in response to surface patterning and electrical stimulation. To accomplish our objective, metal electrodes with dimensions of 1.5 mm × 4 cm, were sputter coated onto micropatterned silk protein films, with surface grooves 3.5 µm wide × 500 nm deep. P19 neurons were seeded on the patterned electronic silk films and stimulated at 120 mV, 1 kHz, for 45 min each day for 7 days. Responses were compared with neurons on flat electronic silk films, patterned silk films without stimulation, and flat silk films without stimulation. Significant alignment was found on the patterned film groups compared with the flat film groups. Axon outgrowth was greater (p < 0.05) on electronic films on days 5 and 7 compared with the unstimulated groups. In conclusion, electrical stimulation, at 120 mV, 1 kHz, for 45 min daily, in addition to surface patterning, of 3.5 µm wide × 500 nm deep grooves, offered control of nerve axon outgrowth and alignment.

Development path and current status of the NANIVID: a new device for cancer cell studies.

Cancer cells create a unique microenvironment in vivo that enables migration to distant organs. To better understand the tumor micro-environment, special tools and devices are required to monitor the interactions between different cell types and the effects of particular chemical gradients. Our study presents the design and optimization of a versatile chemotaxis device, the nano-intravital device (NANIVID), which consists of etched and bonded glass substrates that create a soluble factor reservoir. The device contains a customized hydrogel blend that is loaded with epidermal growth factor (EGF), which diffuses from the outlet to create a chemotactic gradient that can be sustained for many hours in order to attract specific cells to the device. A microelectrode array is under development for quantification of cell collection and will be incorporated into future device generations. Additionally, the NANIVID can be modified to generate gradients of other soluble factors in order to initiate controlled changes to the microenvironment including the induction of hypoxia, manipulation of extracellular matrix stiffness, etc. The focus of the article is to present the design and optimization of the device towards wide ranging applications of cancer cell dynamics in vitro and, ultimately, implantation for in vivo investigations.

A new chemotaxis device for cell migration studies.

This study presents the design and optimization for in vitro use of a new versatile chemotaxis device called the NANIVID (NANo IntraVital Imaging Device), developed using advanced nano/micro fabrication techniques. The device is fabricated using microphotolithographic techniques and two substrates are bonded together using a thin polymer layer creating a sealed device with one outlet. The main structure of the device consists of two Pyrex substrates: an etched chemoattractant reservoir and a top cover, with a final size of 0.2 × 2 × 3 mm. This reservoir contains a hydrogel blend with EGF which diffuses out through a small (∼9.10(3)µm(2)) outlet. This reservoir sustains a steady release of growth factor into the surrounding environment for several hours establishing a consistent concentration gradient from the device. The focus of this study was to design and optimize the new device for cell chemotaxis studies in breast cancer cells in cell culture. Our results show that we have created a flexible, cheap, miniature and autonomous chemotaxis device and demonstrate its usefulness in 2D and 3D cell culture. We also provide preliminary data for use of the device in vivo.