Outcomes of Two Different Techniques Using the Lateral Approach for Lumbar Interbody Arthrodesis

Study Design Retrospective cohort study. Objective To determine the short-term outcomes of two different lateral approaches to the lumbar spine. Methods This was a retrospective review performed with four fellowship-trained spine surgeons from a single institution. Two different approach techniques were identified. (1) Traditional transpsoas (TP) approach: dissection was performed through the psoas performed using neuromonitored sequential dilation. (2) Direct visualization (DV) approach: retractors are placed superficial to the psoas followed by directly visualized dissection through psoas. Outcome measures included radiographic fusion and adverse event (AE) rate. Results In all, 120 patients were identified, 79 women and 41 men. Average age was 64.2 years (22 to 86). When looking at all medical and surgical AEs, 31 patients (25.8%) had one or more AEs; 22 patients (18.3%) had a total of 24 neurologically related AEs; 15 patients (12.5%) had anterior/lateral thigh dysesthesias; 6 patients (5.0%) had radiculopathic pain; and 3 patients (2.5%) had postoperative weakness. Specifically, for neurologic AEs, the DV group had a rate of 28.0% and the TP group had a rate of 14.2% (p < 0.18). When looking at the rate of neurologic AEs in patients undergoing single-level fusions only, the DV group rate was 28.6% versus 10.2% for the TP group (p < 0.03). Conclusion Overall, 18.3% of patients sustained a postoperative neurologic AE following lateral interbody fusions. The TP approach had a statistically lower rate of neurologic-specific AE for single-level fusions.

Effect of cleft lip palate repair on craniofacial growth

OBJECTIVE

The aim of this cross-sectional study was to compare craniofacial growth among operated and unoperated unilateral cleft lip and palate non-syndromic subjects.

MATERIALS AND METHODS

A sample of 180 subjects of Indian origin was selected. Of them, 90 were operated, and 90 were unoperated complete unilateral cleft lip and palate individuals. The subjects were divided into three age groups of 3-5, 8-10, and 20-25 years comprised of 30 patients in each group. The following measurements were evaluated: Angle and length of the cranial base; maxillary spatial positioning and length; mandibular spatial positioning; morphology and length; maxillomandibular relationship. Comparative analysis of the means between the groups was performed with Student's t-test at the significance levels of 5%. The ANOVA test has been performed to test the effect of time.

RESULTS

No significant differences were observed between the measurements that represented the angle and length of the cranial base of unoperated and the operated patients (P>0.05). There was statistically significant decrease (P˂0.05) in the maxillary length (Co-A; 69.00 mm in 3-5 years, 68.33 mm in 8-10 years, and 67.17 mm in 20-25 years age group), and SNA angle (74.83° in 3-5 years, 74.17 ° in 8-10 years and 73.17 ° in 20-25 years age group) in operated group. No significant difference noticed on cephalometric values of the mandible, except Ar-Go-Me angle (P˂0.05), which showed vertical growth pattern in unoperated patients (132.50 ° in 3-5 years, 132.00 ° I 8-10 years and 138.33 ° in 20-25 years age group).

CONCLUSION

Lip and palate repair has a significant influence on the maxilla and resulting in retarded growth of maxilla, which causes midface deficiency beyond acceptable sagittal limits. The Gonial angle showed vertical growth pattern in unoperated patients, but the cranial base angle and length of unoperated and the operated patients were similar.

Diamine Functionalized Cubic Mesoporous Silica for Ibuprofen Controlled Delivery

A diamine functionalized cubic mesostructured KIT-6 (N-KIT-6) has been prepared by post-synthetic method using calcined mesoporous KIT-6 with a diamine source, i.e., N-'[3-(tri methoxysilyl)- propyl]'ethylenediamine. The KIT-6 mesoporous silica used for N-KIT-6 was synthesized under weak acidic hydrothermal method using bitemplates, viz., Pluronic P123 and 1-butanol. The synthesized mesoporous materials, KIT-6 and N-KIT-6, have been characterized by the relevant instrumental techniques such as SAXS, N2 sorption isotherm, FT-IR, SEM, TEM and TGA to prove the standard mesoporous materials with the identification of diamine groups. The characterized mesoporous materials, KIT-6 and N-KIT-6, have been extensively used in the potential application of controlled drug delivery, where ibuprofen (IBU) employed as a model drug. The rate of IBU adsorption and release was monitored by UV vis-spectrometer. On the basis of the experimental results of controlled drug delivery system, the results of IBU adsorption and releasing rate in N-KIT-6 are higher than those of KIT-6 because of the higher hydrophobic nature as well as rich basic sites on the surface of inner pore wall silica.

RETRACTED: Green synthesis of zinc oxide nanoparticles using Moringa oleifera leaf extract and evaluation of its antimicrobial activity

The development of semiconductor materials made a considerable progress of catalytic technologies. In the present study, a simple and eco-friendly chemical direction for the synthesis of zinc oxide nanoparticles (ZnO NPs) using leaf extract of Moringa oleifera has been used. The prepared ZnO NPs were characterized various techniques such as UV-Vis absorption spectroscopy, X-ray diffraction (XRD), field emission scanning electron microscopy (FE-SEM), energy dispersive X-ray analysis (EDX), Fourier transform infrared spectroscopy (FT-IR) and photoluminescence spectroscopy (PL). XRD analysis revealed the wurtzite hexagonal structure of ZnO NPs. FT-IR confirmed the presence of functional groups of both leaf extract and ZnO NPs. The particles size, morphology and topography determined from FE-SEM. The intense and narrow width of zinc and oxygen have high purity and crystalline were identified using EDX. UV-Vis absorption showed the characteristic absorption peak of ZnO NPs. The results of antimicrobial activities revealed that maximum zones of inhibition was observed Gram (+ve) positive bacteria and followed by the Gram (-ve) negative bacteria and fungal at concentration of 200μg/mL of ZnO NPs.

Green synthesis of silver nanoparticles using Croton sparsiflorus morong leaf extract and their antibacterial and antifungal activities

Biologically synthesized nanoparticles have been widely used in the field of medicine. Especially, silver nanoparticles (Ag NPs) synthesized by the leaf extract lead the biological activity. In the present work, the synthesized Ag NPs by using the leaf extract of Croton sparsiflorus morong Ag NPs were characterized by using UV-Visible (UV-Vis) absorption spectroscopy, X-ray diffraction (XRD), Field Emission Scanning Electron Microscopy (FE-SEM) along with Energy Dispersive X-ray (EDX) Spectroscopy and Fourier Infrared (FT-IR) Spectroscopy, respectively. UV-Vis peak at 457 nm confirmed the Ag NPs due to the absorption. Cubic structural analysis and 16 nm particle size of the Ag NPs were calculated by using XRD analysis. The surface morphology along with the presence of Ag NPs was identified by using FE-SEM and EDX, respectively. The FT-IR study revealed with the functional groups of the Ag NPs. Finally, the present research has been explored to exhibit the significant antimicrobial activities.

RETRACTED: Facile, eco-friendly and template free photosynthesis of cauliflower like ZnO nanoparticles using leaf extract of Tamarindus indica (L.) and its biological evolution of antibacterial and antifungal activities

In the present investigation, we chose the very simple and eco-friendly chemical method for synthesis of zinc oxide nanoparticles from leaf extract of Tamarindus indica (L.) (T. indica) and developed the new green route for synthesis of nanoparticles. Formed product has been studied by UV-vis absorption spectroscopy, Photoluminescence (PL) spectroscopy, X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), Field emission scanning electron microscopy (FE-SEM) and with corresponding energy dispersive X-ray analysis (EDX). Mainly, the present results depicted that the synthesized nanoproducts are moderately stable, hexagonal phase, roughly spherical with maximum particles in size range within 19-37 nm in diameter. The antibacterial and fungal activities of aqueous extracts of T. indica were ended with corresponding disk diffusion and Minimum Inhibitory Concentration (MIC). The highest mean zones of inhibition were observed in the ZnO NPs (200 μg/mL) against Staphylococcus aureus (13.1±0.28). Finally, it can be concluded that microbial activity of ZnO NPs has more susceptible S. aureus than the other micro organisms. Further, the present investigation suggests that ZnO NPs has the potential applications for various medical and industrial fields.

Synthesis of silver nanoparticles using A. indicum leaf extract and their antibacterial activity

Green synthesis of silver nanoparticles has been achieved using environmentally acceptable plant extract. It is observed that Abutilon indicum leaf extract can reduce silver ions into silver nanoparticles within 15 min of reaction time. The formation and stability of the reduced silver nanoparticles in the colloidal solution were monitored by UV-Vis spectrophotometer analysis. The mean particle diameter of silver nanoparticles was calculated from the XRD pattern. FT-IR spectra of the leaf extract after the development of nanoparticles are determined to allow identification of possible functional groups responsible for the conversion of metal ions to metal nanoparticles. The AgNPs thus obtained showed highly potent antibacterial activity toward Gram-positive (Staphyloccocus aureus and Bacillus subtilis) and Gram-negative (Salmonella typhi and Escherichia coli) microorganisms.

Rapid biological synthesis of silver nanoparticles using Leucas martinicensis leaf extract for catalytic and antibacterial activity

A novel green approach for the synthesis and stabilization of silver nanoparticles (AgNPs) using water extract of Leucas martinicensis leaf has been developed. As obtained, the nanoparticles are characterized by UV-visible (UV-Vis), transmission electron microscope (TEM), and X-ray diffraction (XRD). The crystalline nature of the AgNPs is confirmed by the prominent peaks in the XRD pattern. FTIR spectra suggest that the possible biomolecules are responsible for the efficient stabilization of the sample. The effects of leaf quantity on the biosynthesis of AgNPs are investigated by UV-Vis spectrophotometer. The synthesized AgNPs are observed to have a good catalytic activity on the reduction of methylene blue by L. martinicensis leaf. This is confirmed by the decrease in absorbance maximum values of methylene blue with respect to time through UV-Vis spectrophotometer. Moreover, the antibacterial activity of synthesized AgNPs against Staphylococcus aureus, Bacillus subtilis, Salmonella typhi, and Escherichia coli are screened.

Synthesis of silver nanoparticles from Melia dubia leaf extract and their in vitro anticancer activity

Silver nanoparticles have a significant role in the pharmaceutical science. Especially, silver nanoparticles synthesized by the plant extracts lead a significant role in biological activities such as antimicrobial, antioxidant and anticancer. Keeping this in mind, the present work investigation has been taken up with the synthesized silver nanoparticles using the plant extract of Melia dubia and it characterizes by using UV-visible, XRD and SEM-EDS. The effect of the silver nanoparticles on human breast cancer (KB) cell line has been tested. Silver nanoparticles showed remarkable cytotoxicity activity against KB cell line with evidence of high therapeutic index value are the results are discussed.

On the Asymptotic Behaviour of Extremes and Near Maxima of Random Observations from the General Error Distributions

As the name suggests, the family of general error distributions has been used to model nonnormal errors in a variety of situations. In this article we show that the asymptotic distribution of linearly normalized partial maxima of random observations from the general error distributions is Gumbel when the parameter of these distributions lies in the interval (0, 1). Our result fills a gap in the literature. We also establish the corresponding density convergence, obtain an asymptotic distribution of the partial maxima under power normalization, and state and prove a strong law. We also study the asymptotic behaviour of observations near the partial maxima and the sum of such observations.

Incessant formation of chain-like mesoporous silica with a superior binding capacity for mercury

A new chain type mesoporous silica has been easily synthesized to remove mercury ions from an aqueous medium.

A rare case of renal tumour

Primary Renal Lymphoma (PRL) is an unusual and a rare tumour of the kidney. By definition, PRL is a lymphoma without evidence of any systemic involvement. This report describes a case of PRL, which included clinical presentation, imaging findings, histopathology and immunohistochemistry.

Green synthesis of silver nanoparticles from Gloriosa superba L. leaf extract and their catalytic activity

The present work focuses the use of aqueous extract of Gloriosa superba Linn. (Glory Lily) for producing silver nanoparticles (AgNPs) from silver nitrate aqueous solution. Phytochemical analysis of the extract revealed the presence of alkaloid, amino acids, carbohydrates and proteins in the extract and they serve as effective reducing and capping agents for converting silver nitrate to silver nanoparticles. The nanoparticles were characterised by UV (Ultra violet), FT-IR (Fourier Transform Infrared), XRD (X-ray diffraction), TEM (Transmission Electron Microscope) SEM-EDX (Scanning Electron Microscopy-Energy Dispersive X-ray), and PL (Photoluminescence) studies. Moreover, the catalytic activity of synthesized AgNPs in the reduction of methylene blue was studied by UV-vis spectrophotometer. The synthesized AgNPs are observed to have a good catalytic activity on the reduction of methylene blue by G. superba extract which is confirmed by the decrease in absorbance maximum values of methylene blue with respect to time using UV-vis spectrophotometer.

Synthesis, characterization and catalytic activity of silver nanoparticles using Tribulus terrestris leaf extract

Biomediated silver nanoparticles were synthesized with the aid of an eco-friendly biomaterial, namely, aqueous Tribulus terrestris extract. Silver nanoparticles were synthesized using a rapid, single step, and completely green biosynthetic method employing aqueous T. terrestris leaf extracts as both the reducing and capping agent. Silver ions were rapidly reduced by aqueous T. terrestris leaf extracts, leading to the formation of highly crystalline silver nanoparticles. An attempt has been made and formation of the silver nanoparticles was verified by surface plasmon spectra using an UV-vis (Ultra violet), spectrophotometer. Morphology and crystalline structure of the prepared silver nanoparticles were characterized by TEM (Transmission Electron Microscope) and XRD (X-ray Diffraction), techniques, respectively. FT-IR (Fourier Transform Infrared), analysis suggests that the obtained silver nanoparticles might be stabilized through the interactions of carboxylic groups, carbonyl groups and the flavonoids present in the T. terrestris extract.