Efficacy and safety of low intensity vitamin K antagonists in Western and East-Asian patients with left-sided mechanical heart valves

Journal of Thrombosis and Thrombolysis - The optimal INR target in patients with mechanical heart valves is unclear. Higher INR targets are often used in Western compared with East Asian countries....     

Evaluation of Factors in Relation with the Non-Compliance to Curative Intent Radiotherapy among Patients of Head and Neck Carcinoma: A Study from the Kumaon Region of India

Introduction:

Radiotherapy (RT)-based curative regimens for head and neck squamous cell carcinomas (HNSCC) deliver a dose of 66–70 Gray (Gy) over a period of 6–7 weeks, and incomplete treatments are unlikely to result in cure. Non-compliance to RT is major contributory factor to treatment failure.

Aims:

To assess the proportion of patients who do not complete planned treatment after initiation of curative RT. This study also aims to explore a possible relationship of non-compliance due to socio-economic, disease-related and treatment-related factors.

Materials and Methods:

The records of HNSCC patients treated from January 2012–December 2013 were audited. Data from the treatment records were to collect patient-related, disease-related, and social demographic parameters. Of the patients who had not completed treatment, the reasons behind the same were investigated.

Results:

Of the 324 patients of HNSCC who were initiated on radical RT, a total of 76 patients were found to have discontinued treatment without authorization of the treating clinician. There was no significant predilection for treatment non-compliance with regards to patient age, educational status, religion, site of the disease, use of neoadjuvant chemotherapy, or use of concurrent chemotherapy. There tended to be a higher association of treatment non-compliance among patients residing >100 km away from the treatment center, patients hailing from hilly regions, patients without the below poverty line (BPL) card, unemployed patients, and patients with stage IV-A/B disease. Of the 76 patients who did not complete treatment, telephonic questionnaire could be obtained from 54 patients. Causes for non-compliance included preference for traditional healers (22.2%), fear of toxicity (7.4%), logistic reasons (18.5%), financial reasons (24.1%), and lack of interest/faith in RT (5.6%).

Conclusion:

There is a high incidence of treatment default among patients of HNSCC during RT in this region. The revelation of the higher propensity for treatment default among patients from distant, hilly regions, unemployed, patients without BPL cards, and stages-IVA/IVB highlights the need for specific interventions for these special populations.     

Substantially enhanced rate capability of lithium storage in Na2Ti6O13 with self-doping and carbon-coating

Na₂Ti₆O₁₃ (NTO) has recently been reported for lithium ion storage and showed very promising results. In this work, we report substantially enhanced rate capability in NTO nanowires by Ti(iii) self-doping and carbon-coating. Ti(iii) doping and carbon coating were found to work in synergy to increase the electrochemical performances of the material. For 300 cycles at 1C (1C = 200 mA g⁻¹) the charge capacity of the electrode is 206 mA h g⁻¹, much higher than that (89 mA h g⁻¹) of the pristine NTO electrode. For 500 cycles at 5C the electrode can still deliver a charge capacity of 180.5 mA h g⁻¹ with a high coulombic efficiency of 99%. At 20C the capacity of the electrode is 2.6 times that of the pristine NTO. These results clearly demonstrate that the Ti(iii) self-doping and uniform carbon coating significantly enhanced the kinetic processes in the NTO nanowire crystal, making it possible for fast charge and discharge in Li-ion batteries.

Ti³⁺ self-doping and carbon-coating are efficient approaches to simultaneously improve the rate capability and cyclability of Na₂Ti₆O₁₃ nanowires for lithium storage.     

Seasonal and Geographic Patterns in Seeking Cardiovascular Health Information: An Analysis of the Online Search Trends

Objective

To ascertain whether temporal and geographic interest in seeking cardiovascular disease (CVD) information online follows seasonal and geographic patterns similar to those observed in real-world data.

Increase in Temperature Induces the Malathion Toxicity in <Emphasis Type="Italic">Pangasianodon hypophthalmus</Emphasis>: A Short Term Acute Test

The study was conducted to evaluate the effect of higher temperature beyond optimum range on acute toxicity for malathion (effective concentration 50 %) in Pangasianodon hypophthalmus. A 2 days renewal bioassay system for 96 h was used to determine LC₅₀ value of malathion at three different regimes of temperature that is 30, 32 and 34 °C considering as T1, T2 and T3, respectively. The physico-chemical parameters of water of different treatment groups were estimated during pre and post-exposure of test chemical, following standard methods. The result of short term acute toxicity test at 96 h LC₅₀ values through probit analysis was found to be 7.76, 6.45 and 4.46 µL L^?1 for T1, T2, and T3, respectively. The 96 h LC₅₀ of malathion at 34 °C was found to be significantly (p < 0.01) lower as compared with estimated LC₅₀ for malathion at 30 and 32 °C. High temperature and free carbon dioxide coupled with low dissolved oxygen were significantly noticed in T3 group when compared to T1 and T2 groups. Lower LC₅₀ of malathion at 34 °C as compared to 30 and 32 °C showed that at a higher temperature, the toxicity of malathion increased, signifying diminished fish protective response to malathion toxicity. The current study reflects the impact of increased temperature on pesticide toxicity in the aquatic ecosystem, alarming the aqua farmers to judiciously use malathion in ponds.     

Trichoderma harzianum ThU and Its Metabolites Underscore Alteration in Essential Oils of Ocimum basilicum and Ocimum sanctum

Proceedings of the National Academy of Sciences, India Section B: Biological Sciences - Ocimum, an important commercial aromatic crop, is well known for the industrially acclaimed essential oil. In...