Current Indian Science - Volume 3, Issue 1, 2025
Volume 3, Issue 1, 2025
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Phytochemicals as Therapeutic Agents for ESKAPE Pathogens
More LessBackgroundThe worldwide increase of antimicrobial resistance in ESKAPE pathogens, which includes Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter sp., constitutes a substantial public health hazard, constraining treatment alternatives and elevating morbidity and mortality rates. As traditional antibiotics diminish in efficacy, phytochemicals are capturing interest due to their varied antibacterial characteristics and decreased susceptibility to developing antibiotic resistance. Phytochemicals, such as alkaloids, terpenes, phenolics, flavonoids, and organosulfur compounds, have multi-target processes that might provide innovative strategies for addressing infections caused by ESKAPE pathogens.
ObjectiveThe investigation sought to evaluate the effectiveness and mechanisms via which different phytochemicals could hinder and destroy the resistance pathways of ESKAPE bacteria, emphasizing their potential to serve as therapeutic agents in combating antimicrobial resistance.
ResultsInvestigation demonstrates that some phytochemicals may disrupt many bacterial functions, such as cell wall production, membrane integrity, quorum sensing, and biofilm development in ESKAPE pathogens. For example, carvacrol from essential oils has shown efficacy against S. aureus by reducing staphyloxanthin synthesis and altering regulatory proteins, including SarA. Furthermore, conessine has altered resistance in A. baumannii by inhibiting the AdeIJK efflux pump. Flavonoids like resveratrol and curcumin have shown synergistic benefits with conventional antibiotics by improving their effectiveness while minimizing toxicity. These chemicals address several resistance pathways, impairing the ability of infections to build resistance.
ConclusionPhytochemicals provide an opportunity to facilitate the development of novel therapies targeting antimicrobial resistance in ESKAPE bacteria. Extensive efficacy and distinctive multi-target mechanisms of phytochemicals provide them promising candidates for combination therapy, possibly reinstating antibiotic effectiveness and decelerating the development of resistance. Additional investigation into the increase of bioavailability and clinical usage is essential to fully exploring the medicinal potential of phytochemicals.
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Review Understanding of the Many Facets of Cancer and the Management of Skin Cancer
More LessAuthors: Arushi Saloki, Aditya Shrivastava, Sarita Gaikwad and Swarnlata SarafCancer is a complex disorder characterized by the unregulated proliferation of cells that have the potential to invade other regions of the body. It stems from genetic alterations in various cell types, resulting in tumor formation. These growths are classified as benign (noncancerous) or malignant (cancerous). Unlike benign tumors, which typically remain localized, malignant tumors can spread, infiltrate nearby tissues, and establish secondary growth in organs far from the original site. The treatment approach depends on the specific type and progression of cancer, encompassing options such as surgical intervention, radiation-based therapies, drug-based treatments, immune system-boosting techniques, and therapies targeting particular cellular mechanisms. Skin cancer is a common occurrence among various cancer types, especially in populations with lighter skin tones. Skin cancer is a prevalent form of cancer, particularly in the Caucasian population. The most common skin cancers are basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. BCCs, which arise from the basal layer of the epidermis, are often treated with surgery, topical therapies, or cryotherapy depending on their risk and location. Mohs micrographic surgery is effective for high-risk or recurrent BCCs, whereas topical treatments such as 5-fluorouracil and imiquimod are used for superficial BCCs. Early diagnosis through biopsy and various imaging techniques is crucial for effective management. Advances in treatment, including targeted therapies and improved surgical techniques, continue to enhance patient outcomes and reduce recurrence rates. Understanding these diverse aspects of cancer and skin cancer will help devise effective treatment strategies and improve patient prognosis.
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A Synergistic Approach: Combining Traditional Wisdom and Modern Technology for Wound Care in Northeast India
More LessNortheastern India, recognized as a significant biodiversity hotspot, has a long-standing ethnomedicine tradition. The present study investigated the plant species employed by indigenous populations within the region for wound healing. Through comprehensive field surveys in conjunction with literature reviews, we identified 20 distinct plant species across 15 families utilized by different tribes for wound treatment. This includes communities such as the Garos from Garo Hills, the Nyishi and Wancho from Arunachal Pradesh, and the Kuki and Ahom and Karbi from Karbi Anglong.
Conventional healing practitioners use different parts of these botanical samples, such as leaves, roots, and stems, in various formulations, such as pastes, extracts, and decoctions. This study investigated the different preparation methods and application techniques associated with each plant species. We also evaluated the bioactive compounds in these plants, including flavonoids, tannins, and asiaticoside, that contribute to their wound-healing properties.
This research further stresses the possibility of combining traditional knowledge with modern medical practices to innovate wound-healing therapies. We discuss the use of botanical gels, such as Cresilon Traumagel, which harness the biological activities of Centella asiatica for therapeutic purposes. Such an approach is thus promising for developing safe, accessible, and productive solutions in wound care.
This paper contributes to preserving traditional knowledge by documenting and analysing these ethnomedical practices, which can provide valuable insights for developing innovative wound-healing strategies. These findings highlight the need for exploration of the rich flora of Northeast India for potential therapeutic agents and the integration of traditional wisdom with modern technology for better wound care.
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Neurocysticercosis: Clinical Manifestations, Complications, and Pharmacotherapeutic Approaches – A Comprehensive Study
More LessNeurocysticercosis (NCC), caused by the larval stage of Taenia solium, is a leading cause of acquired epilepsy, contributing to 30–50% of seizure cases in endemic regions like Latin America and Southeast Asia. Infection occurs via ingestion of T. solium eggs, leading to CNS cyst formation. Symptoms include seizures, headaches, hydrocephalus, and neuropsychiatric disorders, influenced by cyst location and stage. Diagnosis involves neuroimaging (MRI, CT), serological tests (EITB), and molecular methods (PCR). Treatment combines antiparasitic agents (albendazole, praziquantel) with corticosteroids, achieving up to 85% cyst resolution. Antiepileptic drugs and surgical interventions address seizures and complications like hydrocephalus. Preventive strategies, including sanitation, pig farming control, and education, are vital. Emerging therapies, such as immunomodulators and novel antiparasitic drugs, offer potential for overcoming treatment challenges. This review emphasizes advancements in NCC management and the need for integrated global efforts to mitigate its burden.
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Validation of Modified Sahli's Hemoglobin Method Using Automated CBC: A Feasibility Study for Point-of-Care Testing
More LessIntroductionFor rapid screening of anemia in the field on a mass scale, Hemoglobin is estimated by the Hemoglobin Colour Strip (HCS) method as per the WHO recommendation. However, this method does not provide precise measurements as several factors appear to contribute to incorrect readings. In this context, the modified method can be used in the field as a point-of-care assessment tool without any laboratory involvement, with more precise values close to those obtained in the laboratory-based automated CBC method (CBCA).
Methods158 Students of both sexes in the age range of 18 to 25 years from the Department of Allied Health Sciences were randomly selected after obtaining their consent for this study. Venous blood was collected and hemoglobin was estimated by the HCS method, Conventional Sahli’s Method, and Sahli’s method with some modifications, and the result was compared with the gold standard for hemoglobin measurement tool, i.e. CBCA method.
ResultsIt was found that modifications to the Sahlis method can improve its accuracy, as evidenced by the significant difference in Hb content between this method and the conventional Sahli’s method. It is also found that the reading obtained through this modified method is as close to the CBCA method.
DiscussionThough the conventional Sahli’s method has so many advantages, it also has a good number of limitations. Moreover, in the conventional methodology, the reading of the acid hematin solution is noted till the color of the acid hematin solution matches the standard brown color glass of the comparator. But in reality, there is no single reading in which color just matches, which is purely based on color perception, which can vary and thereby is prone to a false low value than the real one. In such a condition, the recording of the reading under methodology is modified in such a way that the obtained value will be close to the real value compared with the autoanalyzer.
ConclusionFrom the present set of studies, it can be concluded that the modified Sahli’s method can be used as a more reliable tool for point-of-care in large-scale screening of anemia.
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Understanding Wound Healing: Exploring Underlying Dynamics, Roles, and Emerging Innovations
More LessAuthors: Richa Srivastava and Shivanshi ChauhanThe skin, constituting the largest organ of the human body, plays a multifaceted role essential for maintaining overall health and homeostasis. A wound can be defined as any injury that disrupts the integrity of the skin or underlying tissues, resulting in damage to the epidermis and potential exposure of deeper structures. Wound healing is a highly specialised, dynamic, multi-phase process that uses a complex mechanism to mend wounded or damaged tissues. A chronic condition is more prone to infections and aberrant scar development, which are the results of any disruption in the complex physiological healing process. Inflammation, tissue creation, and tissue remodelling are the three overlapping stages of wound healing. The role of the TIME principle has also been emphasized in the review, which stresses the importance of Tissue debridement, Inflammation/infection control, Moisture balance, and Edge advancement. Clotting, inflammation, granulation tissue creation, epithelialisation, neovascularisation, collagen synthesis, and wound contraction are the steps of this intricate and ever-changing sequence of events. Despite the advent of numerous therapy regimens, the intricate wound healing mechanism and meticulously long treatment requirements make wounds difficult to diagnose and treat clinically. The review deals with the complex pathways of wound healing, its pathophysiology, and cellular dynamics, along with innovations in skin regeneration and wound healing from scaffolds to biomaterials. The intricate role of flavonoids and antibiotics, along with the advancements in the healing of acute and chronic wounds, has also been discussed. The review also includes the latest strategies like nano-material bacterial fibers, keratin-based formulations, dermis regeneration template (DRT), 3D bioprinting, use of medical-grade honey (MGH), Steri-Strip orientation, and treatment based on mesenchymal stem cells (MSCs) to manage the complications in healing, which have immense potential to change the wound care paradigm in the future.
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A Decade of Medical Device Safety: Adverse Event Reports Submitted to CDSCO
More LessAuthors: Sagarika Majhi and Lubhan SinghMedical device-related adverse events can significantly impact public health by influencing patient safety and medical expenses. More adverse occurrences have been documented due to our growing dependence on medical technology. These incidents can have major repercussions for patients, such as death or serious damage that necessitates surgery. Prompt reporting of these adverse occurrences is crucial for the quick detection and correction of any device malfunctions, reducing patient risks, as stressed by medical specialists. The risk of adverse events is increased by the complexity of medical devices, which includes differences in user interactions, software dependability, and manufacturing quality. To guarantee that devices operate accurately and safely throughout their lives, effective risk management is essential.
Maintaining public health requires constant observation and reporting of unfavorable occurrences. By allowing regulatory bodies and healthcare practitioners to monitor device performance in actual environments, these procedures guarantee that problems are resolved before they become more serious public health emergencies. The Materiovigilance Program in India (MvPI) was created to track adverse occurrences linked to medical devices, produce safety statistics, and promote the best practices to improve patient safety. When medical equipment violates regulations or poses possible threats to patient safety, recalls are essential measures that must be performed. These programs promote accountability and openness in the healthcare system by evaluating recall and adverse event data, which helps guide regulatory choices and raises the general caliber of medical devices on the market. Although precise statistics on the types of adverse events reported to the Central Drugs Standard Control Organisation (CDSCO) are not made public, this article cites typical difficulties, including potentially harmful device malfunctions, incorrect device operation, and unpleasant interactions between the device and the patient.
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Legal Frameworks for Managing Agricultural Waste: Challenges and Impacts of Crop Residue Burning in India and Global Perspectives
More LessAuthors: Gyanendra Singh, Mohit P.N. and Vir NarayanThis review examines India's environmental and business compliance regulations together with other global standards to perform a critical analysis of their differences. The article demonstrates that Indian environmental legislation remains challenging because it includes two key regulations, such as the Environment Protection Act (1986) and the Air (Prevention and Control of Pollution) Act (1981). These elaborate frameworks face law enforcement challenges because they lack sufficient resources, multiple legal domains create overlap, and there is insufficient robust tracking infrastructure. The Companies Act (2013) imposes a Corporate Social Responsibility requirement on companies but provides ambiguous definitions alongside limited reporting standards.
International norms, including the Paris Agreement and Environmental Directives of the European Union, together with the UN Global Compact, demand active governance systems that have clear accountability and track environmental, social, and governance (ESG) performance metrics closely. These frameworks present improved regulatory enforcement methods that use new technologies, including AI and blockchain systems. The frameworks offer India opportunities to develop transparent guidelines that everyone can understand. India's processes encounter major challenges because of reduced public engagement alongside economic disparities and its typical reactive policy development style. The study demonstrates India's capability to eliminate these gaps through the adoption of worldwide best practices and technological tracking systems with public-private-citizen relationship development.
The research proposes modifications to Indian legal systems that will synchronize with global standards for sustaining long-term development and strengthening government capabilities while raising international competitiveness. Participatory government, together with the circular economy, enables India to resolve environmental and business compliance issues smartly. The country will become both more responsible and resilient through these efforts.
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Inhibition of Biofilm Formation by Food Waste Extracts and Iron Modulation
More LessAuthors: Veronica Lobo, Gayatri Kulkarni, Shraddha Joshi and Seema RodgeIntroductionBiofilms are complex microbial communities, exhibiting antibiotic resistance that makes their inhibition difficult. Iron availability is known to affect biofilm formation. Biofilm inhibition can be achieved by altering iron concentrations. One aspect of this study involved the evaluation of the effects of iron salts such as ferric ammonium citrate (FAC), ferrous sulfate (FeSO4), and chelating agents like ethylenediaminetetraacetic acid (EDTA) on biofilm formation. In addition, the study explored the effect of bioactive compounds from natural sources, including plant extracts and food waste derivatives, for biofilm inhibition and control.
MethodsThis study investigated the effect of iron salts on biofilm formation in Staphylococcus aureus and Escherichia coli. Additionally, methanolic extracts of food wastes of onion, potato, sweet lime, and banana peels were screened for their antimicrobial and anti-biofilm activity. Biofilm quantification was performed using crystal violet (CV) staining assays.
Results50 μM of Ferrous sulphate and EDTA was used, which significantly inhibited biofilm formation in both S. aureus ATCC 25923 and E. coli. DH5α FAC increased E. coli DH5α biofilm formation by 27%, while decreasing S. aureus ATCC 25923 biofilms by 48%. In contrast, the addition of Ferrous Sulphate led to a 61.12% reduction in E. coli DH5α biofilm. EDTA, an iron chelator, significantly reduced biofilm formation in both S. aureus ATCC 25923 and E. coli DH5α by 64% and 63%, respectively. Food waste extracts exhibited varying degrees of biofilm inhibition: hot onion extract showed a 63% reduction in E. coli DH5α biofilm, while its cold counterpart reduced E. coli DH5α and S. aureus ATCC 25923 biofilms by 36% and 27%, respectively. Cold banana extracts inhibited E. coli DH5α biofilm by 72%, and potato extracts (hot and cold) reduced E. coli DH5α biofilm by 76.30% and 77.70%, and S. aureus ATCC 25923 by 59% and 32.04%, respectively. Sweet lime hot extract reduced S. aureus ATCC 25923 biofilms by 42.30%, whereas its cold extract led to enhanced biofilm formation.
DiscussionThe findings demonstrate that both iron modulation and natural bioactive compounds derived from food wastes affect the dynamics of biofilms differently in Gram-positive and Gram-negative bacteria. Iron limitation and chelation effectively disrupted biofilm establishment, while metabolites from food wastes exerted additional inhibitory effects, highlighting an eco-friendly approach to biofilm control. The variations in the effects of different extracts suggest that the stability of bioactive compounds and temperature play crucial roles in biofilm inhibition.
ConclusionIn this study, it was observed that iron modulation and the use of bioactive compounds derived from food waste can effectively inhibit biofilm formation. These findings suggest sustainable strategies for biofilm control and could aid in developing alternative antimicrobial approaches.
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Mechanisms of Ferroptosis and Emerging Links to the Pathology of Metabolic Disorders
More LessAuthors: Bhoopendra Singh, Nidhi Srivastava and Ankita SharmaFerroptosis, a unique form of programmed cell death characterized by lipid peroxidation and iron accumulation, has emerged as a critical factor in the development and progression of metabolic disorders. This review explores the role of ferroptosis in various pathological conditions, including obesity, type-2 diabetes, renal and adrenal injury, and cardiometabolic complications. The interplay between oxidative stress, lipid metabolism, and ferroptosis highlights its contribution to cellular dysfunction and tissue damage in these metabolic disorders. Furthermore, the potential of nutritional and pharmacological interventions to modulate ferroptosis pathways is examined, with a focus on antioxidants, iron chelators, and diet-based strategies. Understanding the mechanism and therapeutic implications of ferroptosis provides a foundation for an innovative approach to combat metabolic disorders. Future research is essential to uncover biomarkers, refine therapeutic strategies, and translate these findings into clinical practice.
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A Brief Review on the Opto-Electronic Properties of Delafossite Materials for Solar Cell Applications
More LessDelafossite materials have excellent properties, making them highly sought after for next-generation solar cells. They are based on abundant and non-toxic elements. Since environmental and economic factors are crucial in the pursuit of discovering a new solar energy harvester, extensive research has been conducted. This paper reviews various synthesis methods, crystal structure, and opto-electronic properties of delafossite materials. The calculated solar cell parameters, such as short-circuit current (Jsc), open-circuit voltage (Voc), and efficiency (η) of solar cells fabricated under diverse conditions, are reported. The findings indicate that these materials are ideal for use in solar cells, as they can function as photocathodes or photoanodes in p-type Dye-Sensitized Solar Cells (DSSCs) and also serve effectively in absorber layers and hole-transport layers. Their unique crystal structure, with a tunable band gap, allows for maximizing power conversion efficiency. However, there are still limitations in synthesizing nanoparticle structures to achieve desired properties, and improvements in various aspects and higher efficiency are still required.
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The Effects of Global Climate Change on Agricultural Production: A Review
More LessAuthors: Gayatari Sharma, Saroj Kumari, Kavita Bahmani, Nisham Rani, Jyoti Malik, Meena Devi, Yash Soni and Sunita DeviOne of the biggest risks to humans’ social progress is global warming. It is a classic example of how the climate is changing globally and has had a significant impact on social life and production in numerous ways. Since agriculture is the basis of human survival, it is especially susceptible to weather change, such as changing temperature, precipitation, wind speed, and other environmental factors. In addition, crop yield cycles, the frequency of severe climate events, and the patterns of pest sickness have an impact on harvest production and quality. By altering temperature regimes, rainfall patterns, and the frequency of extreme climate events, global climate change has had a significant impact on agricultural production. The possible outcomes of these changes are reduced harvest, increased insects and diseases, and disruption in the water supply. According to research, high temperatures lead to shortening of agricultural growth cycles, while erratic rainfall tends to push planting back and reduce harvests. The development of climate-resilient crop cultivars, effective water management techniques, such as drip irrigation, and diversification strategies, like intercropping, are just a few of the adaptive strategies that have been employed in response to these challenges. All of these strategies have demonstrated promise in stabilizing yields under changing climate conditions. This paper has examined the most recent developments in this field, providing an overview of how agricultural practices contribute to global climate change and their influence on it, and suggested potential solutions.
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Phytocompounds as Potential EGFR Inhibitors for Glioblastoma Management: A Structure-Based Molecular Docking and Simulation Study
More LessIntroductionGlioblastoma (GBM) is a highly aggressive brain cancer with limited therapeutic options. The epidermal growth factor receptor (EGFR) plays a critical role in tumor progression, making it a promising target for novel treatments. This study aimed to identify plant-derived phytochemicals as potential EGFR inhibitors to enhance the management of GBM.
MethodsComputational approaches were utilized, including virtual screening of phytochemicals from the NPACT database against the EGFR crystal structure (PDB ID: 5XWD). Molecular docking, ADMET (absorption, distribution, metabolism, excretion, and toxicity) profiling, and 50 ns molecular dynamics (MD) simulations were performed to evaluate binding affinity, pharmacokinetic properties, and complex stability using metrics, such as root mean square deviation (RMSD), radius of gyration (Rg), and solvent-accessible surface area (SASA). Cytotoxicity was assessed against the SF-295 GBM cell line.
ResultsThree phytochemicals, 2,3-dihydrowithaferin A, strophanthidin, and 6,8-diprenyleriodictyol, demonstrated strong EGFR binding affinities (-8.5 to -7.9 kcal/mol), favorable drug-like properties, and optimal ADMET profiles. MD simulations confirmed stable binding for 2,3-dihydrowithaferin A and 6,8-diprenyleriodictyol, with low RMSD (<2.5 Å), compact Rg (<2.2 nm), and reduced SASA. Only 6,8-diprenyleriodictyol exhibited cytotoxicity against SF-295 GBM cells (Pa = 0.383).
DiscussionThe findings position 6,8-diprenyleriodictyol as a promising EGFR inhibitor due to its balanced binding affinity, pharmacokinetic profile, and selective cytotoxicity, potentially addressing limitations of current EGFR inhibitors like erlotinib in GBM. The stable binding and favorable ADMET properties suggest potential for CNS penetration; however, the P-glycoprotein substrate status warrants further investigation. However, there is a need for in vitro and in vivo validation to confirm its efficacy and selectivity.
Conclusion6,8-Diprenyleriodictyol emerges as a lead candidate for EGFR-targeted GBM therapy, supported by its strong binding, favorable pharmacokinetics, and cytotoxicity against GBM cells. Further experimental studies are needed to validate its therapeutic potential and overcome challenges, such as BBB penetration.
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Formulation and Evaluation of Solid Dispersion Lipid Particles of Curcumin for Improving Bioavailability
More LessAuthors: More V. Apoorva, Dhokchawle V. Bharat, Tauro J. Savita and Kulkarni R. SavitaBackgroundTo overcome the drugs’ low bioavailability and/ or solubility, the development of novel oral delivery approaches using lipid-based formulations has been of growing interest. Curcumin being a Class IV drug, has poor solubility and poor permeability. One of the biggest obstacles to its use in therapeutic treatment is this.
ObjectiveIn order to increase drug bioavailability, this research aimed to create Solid Dispersion Lipid Particles (SDSLs), in which Solid Dispersion (SD) was enclosed in solid lipid particles as the drug's core packaging.
MethodsFor this, Curcumin (CUR) was selected as a model drug, PEG 6000 was used as a polymer, Stearic acid was used as the lipid phase, and Poloxomer 188 was used as a surfactant. Different batches of SD were formulated by solvent evaporation method. SDSLs were prepared by the melt-emulsification ultrasonication method and characterized for their % yield, % drug loading, % drug encapsulation efficiency, zeta potential, FTIR spectroscopy, XRD studies, in vitro drug release, and ex vivo permeation.
ResultsThe optimized formulation showed the highest % EE and sustained in vitro drug release. The release mechanism was Super Case II, and the Higuchi equation was the best fit for the data.
ConclusionSDSLs have sustained release effects and demonstrated enhanced ex vivo permeability which could lead to improved bioavailability. These studies demonstrate that SDSL could be a promising oral formulation for enhanced bioavailability.
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The Effect of Intermittent Fasting on FOXO3 Expression, Proteasome Activity and Oxidative Stress in Obese Men: A Clinical Trial
More LessIntroductionThe escalation of metabolic imbalance in obesity not only diminishes lifespan but also accelerates the cellular and biomolecular mechanisms of aging. This study aimed to explore the effect of intermittent fasting on FOXO3 expression, proteasome activity, and oxidative stress in obesity as parameters that play a role in the aging molecular process.
MethodsA randomized clinical trial was conducted in Jakarta. The study enrolled 50 obese males, divided into a control group of 25 individuals and an intervention group of 25 individuals. Over the course of 8 weeks, the intervention group adhered to a 5:2 intermittent fasting regimen, fasting for two days each week, specifically on Mondays and Thursdays. The food intake was monitored through food records and analyzed using the NutriSurvey 2007 program. Prior to and following the intervention, whole blood samples were collected for the analysis of FOXO3 expression, proteasome activity, and oxidative stress, assessed by measuring carbonyl, reduced glutathione/GSH, and total antioxidant capacity.
ResultsThe fasting group exhibited a lower consumption of complex carbohydrates, fats, and proteins compared to the control. Notably, there was a significant increase in FOXO3 expression and proteasome activity observed in the intermittent fasting group compared to the control. Furthermore, oxidative stress was mitigated in the intermittent fasting group, as evidenced by a decrease in carbonyl and an increase in GSH levels and total antioxidant capacity.
ConclusionThe 5:2 intermittent fasting over an 8-week period promotes increased FOXO3 expression and proteasome activity while reducing oxidative stress, thereby potentially delaying the aging process in obesity.
Clinical Trial Registration No.This study has been registered online at www.clinicaltrial.gov (ID: NCT04319133).
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An Overview of the Synthesis of 3,4-Dimethyl-1H-Pyrrole and its Potential Applications
More LessAuthors: Jitendra D. Bhosale, Ratnamala S. Bendre, Gopal Jadhav and Rajesh DaburThe pyrrole ring, mainly 3,4-dimethyl-1H-pyrrole, is present in several pharmacologically active substances and naturally occurring medications. The specific methyl group substitution patterns of 3,4-dimethyl-1H-pyrrole affect how it interacts with and reacts to biological targets, making it a unique and useful compound in several research fields.
However, new initiatives are still required to synthesise such molecules with their enhanced potency as effective drug molecules. They are usually synthesized via multicomponent methodologies, and recent developments in this specific field of study are highlighted in this overview.
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Current and Traditional Approaches to Polycystic Ovarian Syndrome Treatment: A Review
More LessAuthors: Pratibha Munday and Prabhat SinghIntroductionAmong fertile women, Polycystic Ovarian Syndrome (PCOS) is a prevalent metabolic and endocrine condition. This disorder is characterised by hyperandrogenism (high levels of male hormones), recurrent anovulation (ovulation failure), and polycystic ovaries. Infertility, hirsutism, and irregular menstruation are typical symptoms. The primary objective of this review is to provide a current and comprehensive approach to treating PCOS.
MethodsThe databases PubMed, Frontiers, ScienceDirect, Springer, Wiley, and MDPI were utilised for the literature search. We used keywords, such as PCOS, hirsutism, medicinal plants, obesity, anovulation, and related variations to identify relevant articles and materials.
ResultsThe findings indicated that several herbal remedies, such as Saraca asoca, Moringa oleifera, Asparagus racemosus, Glycyrrhiza glabra, Panax ginseng, and Cimicifuga racemosa, as well as various natural compounds, including glycosides, anthraquinones, chlorogenic acid, apigenin, epigenin, and flavonoids, show preliminary evidence supporting their potential in the management of PCOS.
DiscussionHerbal treatments are appealing because they are natural and may have fewer side effects. Several herbs have shown promise in managing PCOS symptoms. While traditional treatments for PCOS remain important, the growing interest in complementary and alternative therapies highlights the need for further research into the efficacy and safety of medicinal plants. Alternative approaches may include lifestyle modifications, nutritional supplements, and the use of herbal remedies.
ConclusionThis review primarily focuses on evaluating the efficacy of herbal medicines in the management of PCOS. The drawbacks of traditional therapy are driving an increase in interest in alternative treatments for PCOS management. New scientific findings and their application in conventional therapy suggest that they may play a crucial role in the overall treatment of this complex illness.
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Microbiological Profile and Drug Utilization in UTI at Tertiary Care Hospital
More LessAuthors: Wandeep Dagar, Sonal Vyas, Amit Arora, Kanishaka Kapoor, Isha Chawla and Meenakshi DhanawatIntroductionUrinary Tract Infections (UTIs) represent one of the most common microbial diseases affecting individuals across age groups. This study aimed to investigate the microbiological profile and antibiotic utilization patterns among UTI patients at a tertiary care hospital.
MethodsA prospective observational study was conducted at the Maharishi Markandeshwar Institute of Medical Science and Research (MMIMSR), Mullana, Ambala. The study duration was from January 1, 2021, to April 30, 2021. A total of 323 patients aged 12 years and above with culture-confirmed UTIs receiving antimicrobial treatment were included. Data collected included demographics, urine culture results, and antimicrobial susceptibility patterns.
ResultsOut of 323 urine samples analyzed, 165 (51.08%) showed significant microbial growth. The majority of positive cases were from females (54.7%) and patients aged 50–70 years. Escherichia coli (44%) was the most prevalent organism, followed by Enterococcus spp. (11.14%), Klebsiella pneumoniae (8.9%), Pseudomonas aeruginosa (8.04%), and Staphylococcus aureus (6.19%). Gram-negative isolates exhibited high resistance to ampicillin (70%) and nalidixic acid (10.5%), but were more sensitive to nitrofurantoin (10.8%), imipenem (8.6%), and meropenem (7.4%). Gram-positive organisms showed sensitivity to tigecycline (6.5%), linezolid (7.1%), and sulfamethoxazole (7.7%).
DiscussionThe study demonstrates a significant prevalence of multidrug-resistant pathogens in UTIs. Escherichia coli remains the most frequent uropathogen. The findings underscore the importance of regular microbiological surveillance and sensitivity profiling to inform empirical treatment decisions. The inclusion of patients aged 12 and above ensures broader representation across age demographics.
ConclusionUTIs in tertiary care settings are predominantly caused by Escherichia coli, with varying levels of antibiotic resistance. Local sensitivity patterns should guide empirical treatment. The implementation of antimicrobial stewardship programs is essential to combat the rising trend of antimicrobial resistance.
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Role of Nutrients and Diet in Wound Healing: The Emerging Paradigm for Effective Therapy
More LessAuthors: Aishik Banerjee, Arup Ghosh, Subhrajyoty Basu, Soumitra Sahana, Amit Kundu and Sumanta MondalRestoring tissue integrity is the outcome of the intricate biological process known as wound healing. Haemostasis, inflammation, proliferation, and tissue remodeling are the four main stages that make up its physiological makeup. In order to restore tissue integrity, a number of cellular and extracellular pathways are triggered at the site of a wound in a highly controlled and coordinated manner. This process can be hampered by various reasons, which can lead to poor cosmetic results, increased patient morbidity and mortality, and delayed wound healing. This current review aims to summarize the pathogenesis, risk factors, current approaches, nanotechnology, and major phytochemicals for wound management. It is commonly known that malnutrition poses a risk to the healing process, and extensive research has validated the role that nutrition plays in the healing process. The requirement for calories and proteins rises during the healing process of wounds, resulting in an increased need for vital amino acids, carbohydrates, vitamins, fatty acids, and other micronutrients. While providing the right nutrients and assessing the nutritional state and phases of wound healing, nutritional evaluation is still required during the healing process. Natural products have components that are anti-inflammatory, angiogenic, antioxidant, and these properties play a major role in the treatment of wound healing. The use of topical phytochemicals to improve acute and chronic wound healing has been increasingly supported by research in recent years. In addition, the nonmaterial created by combining several disciplines has been employed in the domains of medicine and has been widely used in wound healing due to its great adsorption capacity, drug loading, and antibacterial characteristics, leading to the rapid development of Nanotechnology.
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