Effect of farmyard manure, elemental sulphur and EDTA on growth and phytoextraction of cadmium by spider plants (Chlorophytum comosum L.) under Cd stress

Cadmium (Cd) contamination is considered as a widespread concern at global scale which is serious threats to human health. Phytoremediation is an eco-friendly approach which can remove or immobilize Cd from the soil. Different organic and inorganic amendments can potentially enhance Cd phytoremediation efficiency but the comparison of farmyard manure (FM), elemental sulphur (S) and ethylenediaminetetraacetic acid (EDTA) for Cd phytoremediation through spider plants (Chlorophytum comosum L.) remained unanswered. The present study evaluated the efficiency of S (0.1 and 0.2%), EDTA (0.1 and 0.2%, represented as EDTA-0.1 and EDTA-0.2) and FM (0.5 and 1%, represented as FM-0.5 and FM-1) for remediation of Cd contaminated soils (50 and 100 mg kg-1, represented as Cd-50 and Cd-100) through spider plants. Results depicted that the highest shoots and roots dry biomass was found in FM treated plants followed by S, EDTA and control except in EDTA-0.2 treatment in which the lowest values of these parameters were observed. Application of FM-1 significantly increased the shoot dry weight (120%), root dry weight (99%), as well as photosynthetic attributes in Cd-50 as compared to control. Application of EDTA-0.2 increased the bioavailable fraction of Cd than control and the maximum increase was observed in Cd-100. The highest Cd concentrations in shoot and roots were found in EDTA treated plants followed by S, control and FM irrespective of Cd and amendment levels. Maximum Cd in roots (109%) and shoots (156%) was recorded in plants grown in Cd-100 with EDTA-0.2 than control. The maximum bioaccumulation factor, translocation index, harvest index and root to shoot translocation were observed with EDTA than control and other treatments. EDTA along with spider plants may enhance the uptake of Cd but lower biomass production in the highest dose of EDTA may questioned the efficiency of EDTA.

Homozygous Missense Variant in the N-Terminal Region of ANK3 Gene Is Associated with Developmental Delay, Seizures, Speech Abnormality, and Aggressive Behavior

Introduction

Intellectual disability (ID) is a lifelong disability that affects an individual‧s learning capacity and adaptive behavior. Such individuals depend on their families for day-to-day survival and pose a significant challenge to the healthcare system, especially in developing countries. ID is a heterogeneous condition, and genetic studies are essential to unravel the underlying cellular pathway for brain development and functioning.

Methods

Here we studied a female index patient, born to a consanguineous Pakistani couple, showing clinical symptoms of ID, ataxia, hypotonia, developmental delay, seizures, speech abnormality, and aggressive behavior. Whole exome sequencing (WES) coupled with Sanger sequencing was performed for molecular diagnosis. Further, 3D protein modeling was performed to see the effect of variant on protein structure.

Results

WES identified a novel homozygous missense variant (c.178T>C; p.Tyr60His) in the ANK3 gene. In silico analysis and 3-dimensional (3D) protein modeling supports the deleterious impact of this variant on the encoding protein, which compromises the protein‧s overall structure and function.

Conclusion

Our finding supports the clinical and genetic diversity of the ANK3 gene as a plausible candidate gene for ID syndrome. Intelligence is a complex polygenic human trait, and understanding molecular and biological pathways involved in learning and memory can solve the complex puzzle of how cognition develops. Intellectual disability (ID) is defined as a deficit in an individual‧s learning and adaptive behavior at an early age of onset [American Psychiatric Association, 2013]. It is one of the major medical, and cognitive disorders with a prevalence of 1-3% in the population worldwide [Leonard and Wen, 2002]. ID often exists with other disabling mental conditions such as autism, attention deficit hyperactivity disorder, epilepsy, schizophrenia, bipolar disorder, or depression. Almost half of the cases appear to have a genetic explanation that ranges from cytogenetically visible abnormalities to monogenic defects [Flint, 2001; Ropers, 2010; Tucker-Drob et al., 2013]. Intellectual disability is a genetically heterogeneous condition, and more than 700 genes have been identified to cause ID alone or as a part of the syndrome. Research in X-linked ID has identified more than 100 disease-causing genes on the X chromosome that play a role in cognition; however, research into autosomal causes of ID is still ongoing [Vissers et al., 2016].

Prevalence of Gram positive bacteria in the affected individuals of Otitis media with effusion from the indigenous population of Southern Punjab, Pakistan: first report

Otitis media with effusion (OME) is a type of otitis media (OM) characterized by the presence of fluid behind intact tympanic membrane and is one of the most common diseases of early childhood. It is an infectious disease associated with the presence of many pathogenic bacteria in the middle ear of affected individuals. This study was aimed to determine the prevalence of Gram-positive bacteria from the middle ear of OME patients in the population of Southern Punjab, Pakistan. The incidence of OME under comprehensive healthcare setting was investigated in patients who consulted at the department of ear, throat and nose, Bahawal Victoria Hospital (BVH), Bahawalpur, from December, 2019 to May, 2021. Ear swabs were taken from affected and normal individuals. After culturing bacteria from the ear swabs, microscopic analysis and biochemical tests were performed to characterize the cultured Gram-positive bacteria. Out of 352 patients examined, 109 (30.9%) patients had OME. Age of the participants ranged from 14 to 50 years; individuals between the ages of 14 and 22 years had the highest infection rates, while individuals between 40 and 50 years had the lowest rate of infection. Tympanic membrane perforation, fever, cough, sore throat, ear pain and hearing problem showed association with symptoms of OME. Microscopic analysis and biochemical characterization showed the presence of streptococci and staphylococci in all the studied samples. The most frequently isolated bacteria were Streptococcus pneumoniae, Streptococcus pyogenes, and Staphylococcus aureus with percentage of 53.3%, 20% and 13.3% respectively. Enterococcus faecalis (6.6%) and Staphylococcus epidermidis (6.6%) were also identified in the studied samples. This study will help in the better medical administration of OME affected individuals.

Case report: A novel de novo loss of function variant in the DNA-binding domain of TBX2 causes severe osteochondrodysplasia

Background: T-box family members are transcription factors characterized by highly conserved residues corresponding to the DNA-binding domain known as the T-box. TBX2 has been implicated in several developmental processes, such as coordinating cell fate, patterning, and morphogenesis of a wide range of tissues and organs, including lungs, limbs, heart, kidneys, craniofacial structures, and mammary glands. Methods: In the present study, we have clinically and genetically characterized a proband showing a severe form of chondrodysplasia with developmental delay. Whole-exome sequencing (WES), Sanger sequencing, and 3D protein modeling were performed in the present investigation. Results: Whole-exome sequencing revealed a novel nonsense variant (c.529A>T; p.Lys177*; NM_005994.4) in TBX2. 3D-TBX2 protein modeling revealed a substantial reduction of the mutated protein, which might lead to a loss of function (LOF) or nonsense-mediated decay (NMD). Conclusion: This study has not only expanded the mutation spectrum in the gene TBX2 but also facilitated the diagnosis and genetic counseling of related features in affected families.

Cross-cultural diversity analysis: traditional knowledge and uses of freshwater fish species by indigenous peoples of southern Punjab, Pakistan

BACKGROUND

Fisheries have tremendous cultural and educational importance in human societies. The world is undergoing fast environmental and cultural changes, and local knowledge is being lost. Understanding how people interpret environmental change and develop practices in response to such change is essential to comprehend human resource use. This study was planned with the intent to document and conserve the knowledge about the uses of the freshwater fish fauna among the residents in South Punjab, Pakistan.

METHODS

Semi-structured interviews and questionnaires were conducted to collect data from informers (N = 88). Principal component analysis, relative frequency citation, fidelity level, relative popularity level, rank-order priority, and similarity index were used to analyze the fish data.

RESULTS

Overall, a total of 43 species of fishes were utilized in the study region, but only 26 species were utilized ethnomedicinally to treat a variety of illnesses such as asthma, body weakness, burn, chicken pox, cold, cough, eyesight, hepatitis, impotence, joint pain, night blindness, skin burn, spleen treatment, stomach infection, and weakness. The uses of fishes were analyzed employing various indices. The highest use value (UV) of 0.86 was calculated for spotted snakehead (Channa punctata), whereas the lowest UV of 0.05 was attained by karail fish (Securicula gora). Moreover, Channa punctata, Cyprinus carpio, Labeo rohita, Oreochromis niloticus, Wallago attu, Hypophthalmichthys molitrix, Rita rita, Sperata seenghala, Notopterus notopterus, Labeo dyocheilus, Systomus sarana, Puntius punjabensis, Securicula gora, Ompok bimaculatus, and Ompok pabda were the most popular species with RPL = 1.0. Out of the total, 20 species had a "zero" similarity index, while the ethnomedicinal use of 12 species (i.e., Labeo dyocheilus, Labeo boggut, Systomus sarana, Puntius punjabensis, Aspidoparia morar, Securicula gora, Crossocheilus diplochilus, Mastacembelus armatus, Ompok bimaculatus, Ompok pabda, Labeo gonius, and Sperata seenghala) was documented for the first time for a variety of diseases (i.e., body weakness, stomach infection, skin burn, joint pain, impotence, asthma, spleen treatment, and chicken pox).

CONCLUSION

Our findings showed that the local people of the study area hold noteworthy traditional knowledge about the medicinal and cultural uses of fish species. Furthermore, a comprehensive analysis of active chemicals and in vivo and/or in vitro activities of chemicals derived from ichthyofauna with the highest FC as well as UVs could be interesting for research on new drugs.

The Cost Effectiveness of Coronary CT Angiography and the Effective Utilization of CT-Fractional Flow Reserve in the Diagnosis of Coronary Artery Disease

Given the high global disease burden of coronary artery disease (CAD), a major problem facing healthcare economic policy is identifying the most cost-effective diagnostic strategy for patients with suspected CAD. The aim of this review is to assess the long-term cost-effectiveness of coronary computed tomography angiography (CCTA) when compared with other diagnostic modalities and to define the cost and effective diagnostic utilization of computed tomography-fractional flow reserve (CT-FFR). A search was conducted through the MEDLINE database using PubMed with 16 of 119 manuscripts fitting the inclusion and exclusion criteria for review. An analysis of the data included in this review suggests that CCTA is a cost-effective strategy for both low risk acute chest pain patients presenting to the emergency department (ED) and low-to-intermediate risk stable chest pain outpatients. For patients with intermediate-to-high risk, CT-FFR is superior to CCTA in identifying clinically significant stenosis. In low-to-intermediate risk patients, CCTA provides a cost-effective diagnostic strategy with the potential to reduce economic burden and improve long-term health outcomes. CT-FFR should be utilized in intermediate-to-high risk patients with stenosis of uncertain clinical significance. Long-term analysis of cost-effectiveness and diagnostic utility is needed to determine the optimal balance between the cost-effectiveness and diagnostic utility of CT-FFR.

Identification of novel inhibitors for SARS-CoV-2 as therapeutic options using machine learning-based virtual screening, molecular docking and MD simulation

The new coronavirus SARS-COV-2, which emerged in late 2019 from Wuhan city of China was regarded as causing agent of the COVID-19 pandemic. The primary protease which is also known by various synonymous i.e., main protease, 3-Chymotrypsin-like protease (3CL^PRO) has a vital role in the replication of the virus, which can be used as a potential drug target. The current study aimed to identify novel phytochemical therapeutics for 3CL^PRO by machine learning-based virtual screening. A total of 4,000 phytochemicals were collected from deep literature surveys and various other sources. The 2D structures of these phytochemicals were retrieved from the PubChem database, and with the use of a molecular operating environment, 2D descriptors were calculated. Machine learning-based virtual screening was performed to predict the active phytochemicals against the SARS-CoV-2 3CL^PRO. Random forest achieved 98% accuracy on the train and test set among the different machine learning algorithms. Random forest model was used to screen 4,000 phytochemicals which leads to the identification of 26 inhibitors against the 3CL^PRO. These hits were then docked into the active site of 3CL^PRO. Based on docking scores and protein-ligand interactions, MD simulations have been performed using 100 ns for the top 5 novel inhibitors, ivermectin, and the APO state of 3CL^PRO. The post-dynamic analysis i.e,. Root means square deviation (RMSD), Root mean square fluctuation analysis (RMSF), and MM-GBSA analysis reveal that our newly identified phytochemicals form significant interactions in the binding pocket of 3CL^PRO and form stable complexes, indicating that these phytochemicals could be used as potential antagonists for SARS-COV-2.

Impact assessment of drought monitoring events and vegetation dynamics based on multi-satellite remote sensing data over Pakistan

Drought is a complex hazard caused by the disruption of rainwater balance, and it always has an impact on ecological, farming and socio-economic. In order to protect farming land in Pakistan, effective and timely drought monitoring is extremely essential. Therefore, a regular drought monitoring is required to study drought severity, its duration and spread, to ensure effective planning and to help reduce their possible adverse impacts. In this study, multi-satellite data were used for reliable drought monitoring. For monitoring changing trend of drought in Pakistan, the NVSWI, DSI, VCI, and NAP indices were chosen as a tool incorporated with Moderate Resolution Imaging Spectroradiometer (MODIS)-based NDVI and ET/PET. Due to the low vegetation and significantly high changing trend of drought, NDVI, DSI and TVDI are useful to characterize drought frequency in Pakistan. The yearly DSI index shows that Pakistan suffered of drought with low vegetation during 2001, 2002 and 2006 study years. The seasonal DSI, VCI, NAP, NDVI, and NVSWI values confirmed that 2001, 2002 and 2006 led to severe drought years in Pakistan. The regression analysis between VHI, VCI, NDVI and NVSWI values are significantly positively correlated. The NAP, DSI, and NVSWI showed the positive signs for good drought monitoring indices for agricultural regions of Pakistan. The trend of drought change from 2001 to 2017 also showed characteristics. The results showed that from 2001 to 2017, the drought trend of the whole region changed obviously, and the overall drought frequency showed a downward trend. The good performance of DSI, and NVSWI could, explicitly, contribute progressively towards improving specific drought mitigation strategies and disaster risk reduction at regional and national levels.

Genetic overview of postaxial polydactyly: Updated classification

Polydactyly or polydactylism, also known as a hyperdactyly, is a congenital limb defect with various morphologic phenotypes. Apart from physical and functional impairments, the presence of polydactyly is an indication of an underlying syndrome in the newborn. Usually, it follows as an autosomal dominant/recessive inheritance pattern with defects in the limb development's anteroposterior patterning. Although mutations in several genes have been associated with polydactyly; however, the exact underlying cause, pathways, and disease mechanisms are still unexplored, thus making it of multi-factorial origin. Polydactyly is divided into three subtypes; radial, ulnar, and central polydactyly. So far, 11 loci (PAPA1-PAPA11) and seven human genes have been reported to cause non-syndromic postaxial polydactyly in humans, including the ZNF141, GLI3, IQCE, GLI1, FAM92A1, KIAA0825, and DACH1. In this review, we discuss emerging evidences of clinical and molecular characterization of polydactyly types in term of the involvement of newly associated genes and loci for non-syndromic postaxial polydactyly, and how these might impact our understanding of the genetic mechanisms and molecular etiology involved in the cause of polydactyly.

Metal-organic framework derived vanadium oxide supported nanoporous carbon structure as a bifunctional electrocatalyst for potential application in metal air batteries

High-efficiency, sustainable, non-precious metal-based electrocatalysts with bifunctional catalytic activity for the oxygen reduction reaction (ORR) and the oxygen evolution reaction (OER) are essential for metal-air batteries. In this research, a bifunctional electrocatalyst is developed by synthesizing a novel nanoporous vanadium oxide/carbon composite (NVC-900) through pyrolysis of a highly efficient vanadium metal-organic framework, MIL-101 (V). The fabrication process was conveniently carried out by pyrolyzing the synthesized MIL-101 (V) at 900 °C, producing vanadium oxide nanoparticles embedded in the extensively distributed pores of the carbon network. The evenly distributed nanopores substantially improve the performance of the efficient electrocatalyst for both the oxygen reduction reaction and oxygen evolution reactions (ORR/OER) by increasing surface area and facilitating access to stable catalytic active sites. The unique structure was characterized by powder X-ray diffraction (XRD) and scanning electron microscopy (SEM). For oxygen reduction reaction (ORR), the electrocatalyst established a promising limiting current density (J _L) of 5.2 mA cm^-2 at 1600 rpm at an onset potential of 1.18 V and a half-wave potential of 0.82 V, and for OER, a current density of 10 mA cm^-2 was delivered at a potential of 1.48 V. In comparison to 10% Pt/C, the synthesized bifunctional electrocatalyst being almost equally active towards bifunctional activity, showed much better long-term cyclic stability. The one-step thermal pyrolysis strategy to synthesize the nanoporous functional material and the proposed electrocatalytic material's long-term bifunctional activity and durability make it an ideal fit for next-generation portable green metal-air batteries.

A novel homozygous truncating variant in PPFIBP1 further delineates PPFIBP1-associated neurodevelopmental disorder

Neurodevelopmental disorders (NDDs) are classified as a group of disorders affecting function and development of the brain and having wide clinical variability. Herein, we describe two affected individuals segregating a recessive NDD. The affected individuals exhibited phenotypes such as global developmental delay (GDD), intellectual disability (ID), microcephaly and speech delay. Whole-exome sequencing (WES) followed by bidirectional Sanger sequencing techniques identified a homozygous nonsense variant (c.466C > T; p.Gln156*) in the PPFIBP1 gene (NM_003622.4) that segregated with the disease phenotype. Further, to elucidate the effect of the variant on protein structure, 3D protein modelling was performed for the mutant and normal protein that suggested substantial reduction of the mutant protein. Our data support the evidence that PPFIBP1 has a pivotal role in neurodevelopment in humans, and loss-of-function variants cause clinically variable neurodevelopmental phenotypes.

In vitro aging of stallion spermatozoa during prolonged storage at 5°C

Artificial insemination with chilled stallion semen is hampered by a limited period of maximum fertility maintenance (24-48 h). This study used multiparametric flow cytometry to simultaneously measure reactive oxygen species (ROS) production, mitochondrial function or [Ca²⁺ ]_i and plasma membrane fluidity in viable, acrosome-intact spermatozoa, with the aim of providing insight into changes in sperm function during storage at 5°C. High proportions of viable and acrosome-intact spermatozoa (71 ± 8%) remained after 96 h of storage demonstrating that the basic integrity of the cells was well preserved (n = 17 stallions). In addition, more than 90% of viable, acrosome-intact spermatozoa had active mitochondria and low intra-cellular or mitochondrial ROS levels. By contrast, the percentage of viable, acrosome-intact sperm with low plasma membrane fluidity and low [Ca²⁺ ]_i decreased over time (1 h: 63 ± 16%, 96 h: 29 ± 18%; p < 0.05). The [Ca²⁺ ]_i in viable sperm rose 3.1-fold (p < 0.05) over the 4 days, and fewer spermatozoa responded to bicarbonate stimulation (1 h: 46 ± 17%, 96 h: 19 ± 12%) with an increase in plasma membrane fluidity following prolonged storage. Overall, prolonged storage of stallion semen at 5°C resulted in disturbed calcium homeostasis and increased plasma membrane fluidity. The decline in fertility of stallion semen during cooled-storage may therefore relate to aspects of in vitro aging (changes in plasma membrane fluidity and intracellular calcium) which impairs capacitation-associated cell functions.

iRun: Horizontal and Vertical Shape of a Region-Based Graph Compression

Graph data are pervasive worldwide, e.g., social networks, citation networks, and web graphs. A real-world graph can be huge and requires heavy computational and storage resources for processing. Various graph compression techniques have been presented to accelerate the processing time and utilize memory efficiently. SOTA approaches decompose a graph into fixed-size submatrices and compress it by applying the existing graph compression algorithm. This approach is promising if the input graph is dense. Otherwise, an optimal graph compression ratio cannot be achieved. Graphs such as those used by social networks exhibit a power-law distribution. Thus, applying compression to the fixed-size block of a matrix could lead to the empty cell processing of that matrix. In this paper, we solve the problem of ordered matrix compression on a deep level, dividing the block into sub-blocks to achieve the best compression ratio. We observe that the ordered matrix compression ratio could be improved by adopting variable-shape regions, considering both horizontal- and vertical-shaped regions. In our empirical evaluation, the proposed approach achieved a 93.8% compression ratio on average, compared with existing SOTA graph compression techniques.

Clinical genetics of spondylocostal dysostosis: A mini review

Spondylocostal dysostosis is a genetic defect associated with severe rib and vertebrae malformations. In recent years, extensive clinical and molecular diagnosis advancements enabled us to identify disease-causing variants in different genes for such severe conditions. The identification of novel candidate genes enabled us to understand the developmental biology and molecular and cellular mechanisms involved in the etiology of these rare diseases. Here, we discuss the clinical and molecular targets associated with spondylocostal dysostosis, including clinical evaluation, genes, and pathways involved. This review might help us understand the basics of such a severe disorder, which might help in proper clinical characterization and help in future therapeutic strategies.

Congenital disorder of glycosylation with defective fucosylation 2 ( FCSK gene defect): The third report in the literature with a mild phenotype

BACKGROUND

Congenital disorders of glycosylation (CDG) are a group of heterogeneous disorders caused by abnormal lipid or protein glycosylation. Variants in the FCSK gene have been reported to cause CDG. Defective FCSK-induced CDG (FCSK-CDG) has only been reported previously in three unrelated children.

METHODS

In this study, we genetically and clinically examined a 3-year-old proband with resolved infantile spasms and normal development. Standard whole-exome sequencing (WES) and Sanger sequencing were performed to identify the functional impact of the variant.

RESULTS

WES revealed a rare biallelic missense variant (c.3013G>C; p.Val1005Leu) in FCSK. RT-qPCR showed a significant depletion in FCSK gene expression in the affected individual. Western blotting revealed reduced FCSK expression at the protein level compared to that in the control. Furthermore, 3D protein modeling suggested changes in the secondary structure, which might affect the overall FCSK protein function.

CONCLUSION

This study broadens the mutation and phenotypic spectrum of FCSK-associated developmental disorders.

N-GPETS: Neural Attention Graph-Based Pretrained Statistical Model for Extractive Text Summarization

The extractive summarization approach involves selecting the source document's salient sentences to build a summary. One of the most important aspects of extractive summarization is learning and modelling cross-sentence associations. Inspired by the popularity of Transformer-based Bidirectional Encoder Representations (BERT) pretrained linguistic model and graph attention network (GAT) having a sophisticated network that captures intersentence associations, this research work proposes a novel neural model N-GPETS by combining heterogeneous graph attention network with BERT model along with statistical approach using TF-IDF values for extractive summarization task. Apart from sentence nodes, N-GPETS also works with different semantic word nodes of varying granularity levels that serve as a link between sentences, improving intersentence interaction. Furthermore, proposed N-GPETS becomes more improved and feature-rich by integrating graph layer with BERT encoder at graph initialization step rather than employing other neural network encoders such as CNN or LSTM. To the best of our knowledge, this work is the first attempt to combine the BERT encoder and TF-IDF values of the entire document with a heterogeneous attention graph structure for the extractive summarization task. The empirical outcomes on benchmark news data sets CNN/DM show that the proposed model N-GPETS gets favorable results in comparison with other heterogeneous graph structures employing the BERT model and graph structures without the BERT model.

Clinical and molecular characterization of a large primary hyperoxaluria cohort from Saudi Arabia: a retrospective study

BACKGROUND

Primary hyperoxalurias (PHs) constitute rare disorders resulting in abnormal glyoxalate metabolism. PH-associated phenotypes range from progressive nephrocalcinosis and/or recurrent urolithiasis to early kidney failure.

METHODS

A retrospective study was conducted for patients with confirmed PH diagnoses from three tertiary centers in Saudi Arabia. Detailed clinical molecular diagnosis was performed for 25 affected individuals. Whole exome sequencing (WES)-based molecular diagnosis was performed for all affected individuals.

RESULTS

The male:female ratio was 52% male (n = 13) and 48% female (n = 12), and consanguinity was present in 88%. Nephrolithiasis and/or nephrocalcinosis were present in all patients. Kidney stones were present in 72%, nephrocalcinosis in 60%, hematuria in 32%, proteinuria in 16%, abdominal pain in 36%, developmental delay in 8%, and chronic kidney disease stage 5 (CKD stage 5) was observed in 28% of the patients. The most common PH disorder was type I caused by variants in the AGXT gene, accounting for 56%. The GRHPR gene variants were identified in 4 patients, 16% of the total cases. Seven patients did not reveal any associated variants. Missense variants were the most commonly observed variants (48%), followed by frame-shift duplication variants (28%).

CONCLUSIONS

Characterization of the genetic and clinical aspects of PH in this unique population provides direction for improved patient management and further research. A higher resolution version of the Graphical abstract is available as Supplementary information.

Factors Associated with Adverse Effects in Elderly Women Receiving Chemotherapy for Breast Cancer

Objective: To analyze the factors associated with adverse effects in elderly women receiving chemotherapy for breast cancer. Study Design: Comparative Cross-sectional Study. Place and Duration of Study: Oncology Department, Combined Military Hospital (CMH), Rawalpindi Pakistan, from Dec2020 to Nov 2021. Methodology: This study was conducted on 145 female patients (>65 years) with breast cancer who were taking chemotherapy of any type and had undergone one cycle. All the study participants underwent detailed clinical evaluation by a consultant oncologist to assess the presence of various adverse effects of chemotherapy. In addition, the association of Anthracycline use,>3 months of treatment, low haemoglobin at baseline and abnormal liver functions at baseline were studied with adverse effects in the study participants. Results: The final analysis included one hundred forty-five elderly female patients with breast cancer receiving chemotherapy.The mean age of the patients was 69.731±8.794 years. 89(61.4%) patients had no adverse effects, while 56(38.6%) had one or more adverse effects during chemotherapy. Anaemia 26(17.9%) was the commonest adverse effect, followed by fatigue 18(12.4%) and abnormal liver function tests 18(12.4%). It was revealed that the use of Anthracycline-based chemotherapy and long duration of chemotherapy were statistically significantly associated with adverse effects (p-value<0.05) in our study participants. Conclusion: Considerable number of elderly patients with breast cancer undergoing chemotherapy showed the presence of adverse effects. In addition, patients using Anthracycline-based chemotherapy and taking chemotherapy for more than three months were more at risk of developing adverse effects.

Non-invasive prenatal testing for autosomal recessive disorders: A new promising approach

Background: In pregnant women at risk of autosomal recessive (AR) disorders, prenatal diagnosis of AR disorders primarily involves invasive procedures, such as chorionic villus sampling and amniocentesis.

Methods: We collected blood samples from four pregnant women in their first trimester who presented a risk of having a child with an AR disorder. Cell-free DNA (cfDNA) was extracted, amplified, and double-purified to reduce maternal DNA interference. Additionally, whole-genome amplification was performed for traces of residual purified cfDNA for utilization in subsequent applications.

Results: Based on our findings, we detected the fetal status with the family corresponding different genes, i.e., LZTR1, DVL2, HBB, RNASEH2B, and MYO7A, as homozygous affected, wild-type, and heterozygous carriers, respectively. Results were subsequently confirmed by prenatal amniocentesis. The results of AmpFLSTR™ Identifiler™ presented a distinct profile from the corresponding mother profile, thereby corroborating the result reflecting the genetic material of the fetus.

Conclusion: Herein, we detected AR disease mutations in the first trimester of pregnancy while surmounting limitations associated with maternal genetic material interference. Importantly, such detection strategies would allow the screening of pregnant women for common AR diseases, especially in highly consanguineous marriage populations. This technique would open avenues for the early detection and prevention of recessive diseases among the population.

Mode I Fatigue of Fibre Reinforced Polymeric Composites: A Review

Composites are macroscopic combinations of chemically dissimilar materials preferred for new high-tech applications where mechanical performance is an area of interest. Mechanical apprehensions chiefly include tensile, creep, and fatigue loadings; each loading comprises different modes. Fatigue is cyclic loading correlated with stress amplitude and the number of cycles while defining the performance of a material. Composite materials are subject to various modes of fatigue loading during service life. Such loadings cause micro invisible to severe visible damage affecting the material's performance. Mode I fatigue crack propagates via opening lamina governing a visible tear. Recently, there has been an increasing concern about finding new ways to reduce delamination failure, a life-reducing aspect of composites. This review focuses on mode I fatigue behaviours of various preforms and factors determining failures considering different reinforcements with respect to fibres and matrix failures. Numerical modelling methods for life prediction of composites while subjected to fatigue loading are reviewed. Testing techniques used to verify the fatigue performance of composite under mode I load are also given. Approaches for composites' life enhancement against mode I fatigue loading have also been summarized, which could aid in developing a well-rounded understanding of mode I fatigue behaviours of composites and thus help engineers to design composites with higher interlaminar strength.