Development of cardiac prescreening device for rural population using ultralow-power embedded system

The invention is inspired by the desire to understand the opportunities and expectations of developing economies in terms of healthcare. The designed system is a point-of-care (POC) device that can deliver heart-care services to the rural population and bridge the rural-urban divide in healthcare delivery. The product design incorporates several innovations including the effective use of adaptive and multiresolution signal-processing techniques for acquisition, denoising, segmentation, and characterization of the heart sounds (HS) and murmurs using an ultralow-power embedded Mixed Signal Processor. The device is able to provide indicative diagnosis of cardiac conditions and classify a subject into either normal, abnormal, ischemic, or valvular abnormalities category. Preliminary results demonstrated by the prototype confirm the applicability of the device as a prescreening tool that can be used by paramedics in rural outreach programs. Feedback from medical professionals also shows that such a device is helpful in early detection of common congenital heart diseases. This letter aims to determine a framework for utilization of automated HS analysis system for community healthcare and healthcare inclusion.     

A low impedance receiver for power efficient current mode signalling across on-chip global interconnects

In this work we propose a low impedance receiver for on-chip high speed current-mode signalling over global interconnect. The receiver provides a very low input impedance even with a low quiescent power. The low input impedance helps to get high link bandwidth without any passive terminator. Moreover, the receiver has high transimpedance gain over a large bandwidth. This facilitates in reducing the signalling current by 6.7 times compared to a passive termination. A test chip has been fabricated in 0.18 μm CMOS process to test the topology with a prototype global interconnect having a length of 10 mm. Power consumption of the transceiver for a data rate of 2.5 Gbps data is 2 mW. This gives an energy efficiency of 0.8 pJ/b.     

Consumption of brown rice: a potential pathway for arsenic exposure in rural Bengal

This study assesses the arsenic (As) accumulation in different varieties of rice grain, that people in rural Bengal mostly prefer for daily consumption, to estimate the potential risk of dietary As exposure through rice intake. The rice samples have been classified according to their average length (L) and L to breadth (B) ratio into four categories, such as short-bold (SB), medium-slender (MS), long-slender (LS), and extra-long slender (ELS). The brown colored rice samples fall into the SB, MS, or LS categories; while all Indian Basmati (white colored) are classified as ELS. The study indicates that the average accumulation of As in rice grain increases with a decrease of grain size (ELS: 0.04; LS: 0.10; MS: 0.16; and SB: 0.33 mg kg(-1)), however people living in the rural villages mostly prefer brown colored SB type of rice because of its lower cost. For the participants consuming SB type of brown rice, the total daily intake of inorganic As (TDI-iAs) in 29% of the cases exceeds the previous WHO recommended provisional tolerable daily intake value (2.1 μg day(-1) kg(-1) BW), and in more than 90% of cases, the As content in the drinking water equivalent to the inorganic As intake from rice consumption (C(W,eqv)) exceeds the WHO drinking water guideline of 10 μg L(-1). This study further demonstrates that participants in age groups 18-30 and 51-65 yrs are the most vulnerable to the potential health threat of dietary As exposure compared to participants of age group 31-50 yrs, because of higher amounts of brown rice consumption patterns and lower BMI.     

Drugs – Do we need them? Applications of non-pharmaceutical therapy in anterior eye disease: A review

Natural products have been in use long before the introduction of modern drug therapies and are still used in various communities worldwide for the treatment of anterior eye disease. The aim of this review is to look at the current non-pharmaceutical modalities that have been tried and assess the body of existing evidence behind them. This includes alternative medicine, existing non-pharmaceutical therapy and more recent low and high tech solutions.A detailed search of all available databases including MEDLINE, Pubmed and Google was made to look for English-language studies for complementary and alternative treatment modalities (CAM), natural therapies and new modalities for anterior eye disease such as blepharitis, dry eye and microbial keratitis. We have included a broad discussion ranging from traditional treatments like honey and aloe vera which have been used for centuries, to the more recent technological advances like Intense Pulsed Light (IPL), LipiFlow and photoactivated chromophore for corneal cross linking in infectious keratitis (PACK-CXL).Alternative management strategies may have a role in anterior eye diseases and have a potential in changing the way we currently approach them. Some of the available CAM could play a role if incorporated in to current management practices of not only chronic diseases like blepharitis and dry eye, but also acute conditions with significant morbidity like microbial keratitis. Further large-scale randomized control trials stratified by disease severity are required to improve our understanding and to evaluate the use of non-pharmaceutical therapy against current practice.     

Distribution and identification of culturable airborne microorganisms in a Swiss milk processing facility

Airborne communities (mainly bacteria) were sampled and characterized (concentration levels and diversity) at 1 outdoor and 6 indoor sites within a Swiss dairy production facility. Air samples were collected on 2 sampling dates in different seasons, one in February and one in July 2012 using impaction bioaerosol samplers. After cultivation, isolates were identified by mass spectrometry (matrix-assisted laser desorption/ionization-time-of-flight) and molecular (sequencing of 16S rRNA and rpoB genes) methods. In general, total airborne particle loads and total bacterial counts were higher in winter than in summer, but remained constant within each indoor sampling site at both sampling times (February and July). Bacterial numbers were generally very low (<100 cfu/m³ of air) during the different steps of milk powder production. Elevated bacterial concentrations (with mean values of 391 ± 142 and 179 ± 33 cfu/m³ of air during winter and summer sampling, respectively; n = 15) occurred mainly in the “logistics area,” where products in closed tins are packed in secondary packaging material and prepared for shipping. However, total bacterial counts at the outdoor site varied, with a 5- to 6-fold higher concentration observed in winter compared with summer. Twenty-five gram-positive and gram-negative genera were identified as part of the airborne microflora, with Bacillus and Staphylococcus being the most frequent genera identified. Overall, the culturable microflora community showed a composition typical and representative for the specific location. Bacterial counts were highly correlated with total airborne particles in the size range 1 to 5 µm, indicating that a simple surveillance system based upon counting of airborne particles could be implemented. The data generated in this study could be used to evaluate the effectiveness of the dairy plant’s sanitation program and to identify potential sources of airborne contamination, resulting in increased food safety.     

The seated man (Homo Sedens) the seated work position. Theory and practice

Modern furniture in schools, factories and offices is constructed in such a way that no one can use it properly. Each day people sit for many hours hunched over their tables in postures extremely harmful to the back. No one should be surprised that more than half of the population today is complaining of backache. In no other field of human activity is a similar gap between theory and reality found. A closer study of 'normal' sitting postures will explain why nobody is able to sit in the 'ideal' position. First of all, the eye in this position is at a distance of 50-60 cm from the book or working material and the axis of vision is horizontal. In addition, this posture requires at least 90 degrees flexion of the hip joint, yet the normal human being can only bend 60 degrees . A considerably better sitting posture can be obtained if the table is tilted about 10 degrees . In this way the book is brought closer and at a better angle to the eye. The worst bending of the neck is thus avoided. Furthermore, the seat can, with advantage, be tilted 20 degrees forward to reduce the flexion of the lumbar region. By both these means the extra 30 degrees flexion, which is the most strenuous part of flexion, is avoided.     

Efficient Total Chemical Synthesis of 13C=18O Isotopomers of Human Insulin for Isotope‐Edited FTIR

Isotope‐edited two‐dimensional Fourier transform infrared spectroscopy (2 D FTIR) can potentially provide a unique probe of protein structure and dynamics. However, general methods for the site‐specific incorporation of stable ¹³C=¹⁸O labels into the polypeptide backbone of the protein molecule have not yet been established. Here we describe, as a prototype for the incorporation of specific arrays of isotope labels, the total chemical synthesis—via a key ester insulin intermediate—of 97 % enriched [(1‐¹³C=¹⁸O)Phe^B24] human insulin: stable‐isotope labeled at a single backbone amide carbonyl. The amino acid sequence as well as the positions of the disulfide bonds and the correctly folded structure were unambiguously confirmed by the X‐ray crystal structure of the synthetic protein molecule. In vitro assays of the isotope labeled [(1‐¹³C=¹⁸O)Phe^B24] human insulin showed that it had full insulin receptor binding activity. Linear and 2 D IR spectra revealed a distinct red‐shifted amide I carbonyl band peak at 1595 cm^?1 resulting from the (1‐¹³C=¹⁸O)Phe^B24 backbone label. This work illustrates the utility of chemical synthesis to enable the application of advanced physical methods for the elucidation of the molecular basis of protein function.     

Multivalent Interactions between an Aromatic Helical Foldamer and a DNA G‐Quadruplex in the Solid State

Quinoline‐based oligoamide foldamers have been identified as a potent class of ligands for G‐quadruplex DNA. Their helical structure is thought to target G‐quadruplex loops or grooves and not G‐tetrads. We report a co‐crystal structure of the antiparallel hairpin dimeric DNA G‐quadruplex (G₄T₄G₄)₂ with tetramer 1 —a helically folded oligo‐quinolinecarboxamide bearing cationic side chains—that is consistent with this hypothesis. Multivalent foldamer–DNA interactions that modify the packing of (G₄T₄G₄)₂ in the solid state are observed.     

Modification of nylon 6 with organochlorosilanes. II. Physical properties

The physical properties of nylon 6 yarn treated with dimethyldichlorosilane (DMCS) and vinylmethyldichlorosilane (VMCS) in nitrogen atmosphere or air in the presence and absence of an amine have been compared with those of ether-extracted parent yarn. Treatment with DMCS in nitrogen resulted in marginal improvement in breaking stress, considerable increase in breaking elongation, and elastic behavior, whereas initial modulus was decreased. A decrease in density, birefringence, and moisture regain with increase in per cent weight gain was observed. Mechanical damping was decreased considerably up to an optimum weight gain after which it was increased. Thermal properties were also determined, and results are discussed in relation to mechanical properties. The results indicate that the overall thermal stability has decreased in the chemically treated yarns. Treatment with organochlorosilanes in the presence of air results in a chain-scission reaction and a decrease in mechanical properties.     

Macro-to-micro porous special bioactive glass and ceftriaxone-sulbactam composite drug delivery system for treatment of chronic osteomyelitis: an investigation through in vitro and in vivo animal trial

A systematic and extensive approach incorporating in vitro and in vivo experimentation to treat chronic osteomyelitis in animal model were made using antibiotic loaded special bioactive glass porous scaffolds. After thorough characterization for porosity, distribution, surface charge, a novel drug composite were infiltrated by using vacuum infiltration and freeze-drying method which was subsequently analyzed by SEM-EDAX and studied for in vitro drug elution in PBS and SBF. Osteomyelitis in rabbit was induced by inoculation of Staphylococcus aureus and optimum drug-scaffold were checked for its efficacy over control and parenteral treated animals in terms of histopathology, radiology, in vivo drug concentration in bone and serum and implant-bone interface by SEM. It was optimized that 60P samples with 60-65% porosity (bimodal distribution of macro- to micropore) with average pore size ~60 μm and higher interconnectivity, moderately high antibiotic adsorption efficiency (~49%) was ideal. Results after 42 days showed antibiotic released higher than MIC against S. aureus compared to parenteral treatment (2 injections a day for 6 weeks). In vivo drug pharmacokinetics and SEM on bone-defect interface proved superiority of CFS loaded porous bioactive glass implants over parenteral group based on infection eradication and new bone formation.