A Review on Green Synthesis, Characterization and Anticancer Application of Metallic Nanoparticles.

Cancer is one of the leading causes of death worldwide and also the main obstacle of accelerating anticipation. It is globally recognized as overwhelmingly challenging in terms of clinical management. Cancer is taken into account because a prime lethal disease affects different organs of the body. Even with the rapid improvements in the medical sciences, there are no proper medicines to treat specific kinds of cancer. One of the fundamental issues within the malignant growth treatment is the side effect because of conventional treatment systems. Nanotechnology might be an extremely encouraging field for the therapeutic and drug areas; thus, it assumes a crucial part in improving humankind's satisfaction. In the infield of nanotechnology, a plant-mediated fusion of metal nanoparticles has been developed as a substitute to defeat the limitations of traditional synthesis approaches similar to physical and synthetic strategies. These tunable properties of nanomaterials make them progressed apparatuses in the biomedical platform particularly for the improvement of new diagnostics and focused on therapeutics for malignancy.This review incorporates the characterization of nanoparticles with size and shape and features critical uses of biosynthesized green nanomaterials in cancer theranostics.

Idiopathic acute pancreatitis-A myth or reality? Role of endoscopic ultrasonography and magnetic resonance cholangiopancreatography in its diagnosis.

BACKGROUND: Around 10% to 30% patients with acute pancreatitis (AP) do not have a cause after the routine investigations, and are considered as having idiopathic acute pancreatitis (IAP). Establishing the etiology in such patients will prevent recurrences and evolution to chronic pancreatitis. Endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) characteristically are used to diagnose IAP when routine methods fail, but their exact role is not determined. METHODS: This prospective study was undertaken in a tertiary care hospital, in which patients admitted initially with diagnosis of IAP were evaluated. These patients underwent MRCP and EUS at least 4 weeks after an attack of AP. The results of EUS and MRCP were compared and analyzed with various clinical variables using suitable statistical tests. RESULTS: A total of 31 patients with IAP were included. EUS and/or MRCP was able to establish at least one etiology in 17 patients (54.8%). The diagnoses revealed were gallbladder (GB) microlithiasis, GB sludge, choledocholithiasis, pancreatobiliary ductal anomalies, pancreatic adenocarcinoma, and intraductal papillary mucinous neoplasm. Comparing the diagnostic accuracy of both the modalities, EUS (14/31) was able to diagnose more cases than MRCP (8/31). The diagnostic capability of EUS was lower in patients who had a cholecystectomy (12.5% vs. 56.5%; p = 0.03). CONCLUSIONS: EUS and MRCP are useful modalities in the etiological diagnosis of IAP and should be used in conjunction. EUS is better for establishing a possible biliary etiology and MRCP for an anatomical alteration in pancreatobiliary ducts.

Antibacterial activities of sulfonyl or sulfonamide containing heterocyclic derivatives and its structure-activity relationships (SAR) studies: A critical review.

The rise of drug-resistance has made the deserted clinical requirement to improve of new classes of antibiotics agents. The development of antibacterial agents with the novel method of activity stays a high need worldwide. The treatment of bacterial infections remains a test in light of developing irresistible sicknesses and the expanding number of multidrug-resistance microbial pathogens. Therefore, there is a need for powerful activities to think of new successful therapeutic agents, and it is dire to find novel synthetic analogs against bacterial targets. The improvements of new, less harmful, minimum side-effort, and extremely dynamic sulfonyl or sulfonamide-bearing analogs are hot research topics in medicinal chemistry. This present review summarizes the current innovations of sulfonyl or sulfonamide-based derivatives with potential antibacterial activities against various Gram-positive and Gram-negative bacterial strains and discussing its various aspects of structure-activity relationship (SAR).

Clinical profile of patients presenting with dysphagia - an experience from a tertiary care center in North India.

BACKGROUND AND AIM: Dysphagia can lead to substantial morbidity and mortality, especially in the elderly. It has both benign and malignant causes. Despite having a varied etiology, there have been few studies in India. Therefore, a study was undertaken to evaluate the clinical profile and various etiologies of dysphagia. METHODS: A prospective study was conducted on 220 patients with a complaint of dysphagia. Detailed history and examination, endoscopy and biopsies, and barium swallow were performed. Computed tomography and magnetic resonance imaging were performed wherever required. Patients who had an oropharyngeal or neurological cause of dysphagia were excluded. RESULTS: The mean age of patients was 57.2 years, with the male: female ratio being 1.7:1. Of the patients, 35% (78 patients) had malignant etiology, with a mean age of 65.2 years, and 65% (142 patients) had a benign etiology, with a mean age of 51 years. Among the patients with malignancy, 56 had squamous cell carcinoma of esophagus (71.7%), 20 had adenocarcinoma of esophagus (25.7%), and 2 had gastric cardia adenocarcinoma (2.6%). Malignancy was most commonly located in distal esophagus (48 patients), and among the cases, 18 had involvement of the gastroesophageal junction. The most common benign cause was esophagitis secondary to reflux in 25.5% (56 patients), followed by esophageal ulcer in 5.9%, achalasia in 5%, corrosive stricture in 4.5%, and peptic stricture in 3.6%. CONCLUSION: Dysphagia has diverse etiology, and a majority can be diagnosed by endoscopy and barium swallow. Malignancy is an important cause of dysphagia in elderly. Esophageal squamous cell carcinoma remains the most common malignancy, but the incidence of gastroesophageal junctional adenocarcinoma is increasing.