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Orina F, Amukoye E, Bowyer C, Chakaya J, Das D, Devereux G, Dobson R, Dragosits U, Gray C, Kiplimo R, Lesosky M, Loh M, Meme H, Mortimer K, Ndombi A, Pearson C, Price H, Twigg M, West S, Semple S. Household carbon monoxide (CO) concentrations in a large African city: An unquantified public health burden? Environ Pollut 2024; 351:124054. [PMID: 38677455 DOI: 10.1016/j.envpol.2024.124054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 04/10/2024] [Accepted: 04/24/2024] [Indexed: 04/29/2024]
Abstract
Carbon monoxide (CO) is a poisonous gas produced by incomplete combustion of carbon-based fuels that is linked to mortality and morbidity. Household air pollution from burning fuels on poorly ventilated stoves can lead to high concentrations of CO in homes. There are few datasets available on household concentrations of CO in urban areas of sub-Saharan African countries. CO was measured every minute over 24 h in a sample of homes in Nairobi, Kenya. Data on household characteristics were gathered by questionnaire. Metrics of exposure were summarised and analysis of temporal changes in concentration was performed. Continuous 24-h data were available from 138 homes. The mean (SD), median (IQR) and maximum 24-h CO concentration was 4.9 (6.4), 2.8 (1.0-6.3) and 44 ppm, respectively. 50% of homes had detectable CO concentrations for 847 min (14h07m) or longer during the 24-h period, and 9% of homes would have activated a CO-alarm operating to European specifications. An association between a metric of total CO exposure and self-reported exposure to vapours >15 h per week was identified, however this were not statistically significant after adjustment for the multiple comparisons performed. Mean concentrations were broadly similar in homes from a more affluent area and an informal settlement. A model of typical exposure suggests that cooking is likely to be responsible for approximately 60% of the CO exposure of Nairobi schoolchildren. Household CO concentrations are substantial in Nairobi, Kenya, despite most homes using gas or liquid fuels. Concentrations tend to be highest during the evening, probably associated with periods of cooking. Household air pollution from cooking is the main source of CO exposure of Nairobi schoolchildren. The public health impacts of long-term CO exposure in cities in sub-Saharan Africa may be considerable and should be studied further.
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Affiliation(s)
- F Orina
- Centre for Respiratory Diseases Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - E Amukoye
- Research and Development, Kenya Medical Research Institute, Nairobi, Kenya
| | - C Bowyer
- Faculty of Creative and Cultural Industries, University of Portsmouth, Portsmouth, UK
| | - J Chakaya
- Centre for Respiratory Diseases Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - D Das
- Institute of Occupational Medicine, Research Avenue North Riccarton, Edinburgh EH14 4AP, UK; Department of Environment and Geography, University of York, YO10 5NG, UK
| | - G Devereux
- Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK
| | - R Dobson
- Institute for Social Marketing and Health, University of Stirling, Stirling, FK9 4LA, UK
| | - U Dragosits
- UK Centre for Ecology & Hydrology, Bush Estate, Penicuik, Midlothian EH26 0QB, UK
| | - C Gray
- School of Social and Political Sciences, University of Glasgow, Glasgow, UK
| | - R Kiplimo
- Centre for Respiratory Diseases Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - M Lesosky
- National Heart and Lung Institute, Imperial College London, London, SW3 6LR, UK
| | - M Loh
- Institute of Occupational Medicine, Research Avenue North Riccarton, Edinburgh EH14 4AP, UK
| | - H Meme
- Centre for Respiratory Diseases Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - K Mortimer
- Cambridge Africa, Department of Pathology, University of Cambridge, Cambridge, UK; Department of Paediatrics and Child Health, School of Clinical Medicine, College of Health Sciences, University of KwaZulu Natal, Durban, South Africa
| | - A Ndombi
- Centre for Respiratory Diseases Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - C Pearson
- UK Centre for Ecology & Hydrology, Bush Estate, Penicuik, Midlothian EH26 0QB, UK
| | - H Price
- Biological and Environmental Sciences, University of Stirling, Stirling, FK9 4LA, UK
| | - M Twigg
- UK Centre for Ecology & Hydrology, Bush Estate, Penicuik, Midlothian EH26 0QB, UK
| | - S West
- Stockholm Environment Institute, University of York, YO10 5NG, UK
| | - S Semple
- Institute for Social Marketing and Health, University of Stirling, Stirling, FK9 4LA, UK.
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Hadem H, Mitra A, Ojha AK, Rajasekaran R, Satpathy B, Das D, Mukherjee S, Dhara S, Das S, Das K. Electrophoretic Deposition of 58S Bioactive Glass- Polymer Composite Coatings on 316L Stainless Steel: An Optimization for Corrosion, Bioactivity, and Cytocompatibility. ACS Appl Bio Mater 2024. [PMID: 38652577 DOI: 10.1021/acsabm.4c00037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
This study presents a facile fabrication of 58S bioactive glass (BG)-polymer composite coatings on a 316L stainless steel (SS) substrate using the electrophoretic deposition technique. The suspension characteristics and deposition kinetics of BG, along with three different polymers, namely ethylcellulose (EC), poly(acrylic acid) (PAA), and polyvinylpyrrolidone (PVP), have been utilized to fabricate the coatings. Among all coatings, 58S BG and EC polymers are selected as the final composite coating (EC6) owing to their homogeneity and good adhesion. EC6 coating exhibits a thickness of ∼18 μm and an average roughness of ∼2.5 μm. Herein, EC6 demonstrates better hydroxyapatite formation compared to PAA and PVP coatings in simulated body fluid-based mineralization studies for a period of 28 days. Corrosion studies of EC6 in phosphate-buffered saline further confirm the higher corrosion resistance properties after 14 days. In vitro cytocompatibility studies using human placental mesenchymal stem cells demonstrate an increase in cellular viability, attachment, and higher proliferation compared to the bare SS substrate. EC6 coatings promote osteogenic differentiation, which is confirmed via the upregulation of the OPN and OCN genes. Moreover, the EC6 sample exhibits improved antibacterial properties against Escherichia coli and Staphylococcus aureus compared to the uncoated ones. The findings of this work emphasize the potential of electrophoretically fabricated BG-EC composite coatings on SS substrates for orthopedic applications.
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Affiliation(s)
- Hushnaara Hadem
- Structural Characterization of Materials Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology, Kharagpur 721302, India
| | - Arijit Mitra
- Structural Characterization of Materials Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology, Kharagpur 721302, India
| | - Atul Kumar Ojha
- School of Medical Science and Technology, Indian Institute of Technology, Kharagpur 721302, India
| | - Ragavi Rajasekaran
- School of Medical Science and Technology, Indian Institute of Technology, Kharagpur 721302, India
- Rajendra Mishra School of Engineering and Entrepreneurship, Indian Institute of Technology, Kharagpur 721302, India
| | - Bangmaya Satpathy
- Structural Characterization of Materials Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology, Kharagpur 721302, India
| | - Debasish Das
- School of Nano Science and Technology, Indian Institute of Technology, Kharagpur 721302, India
| | - Sayan Mukherjee
- School of Medical Science and Technology, Indian Institute of Technology, Kharagpur 721302, India
| | - Santanu Dhara
- School of Medical Science and Technology, Indian Institute of Technology, Kharagpur 721302, India
| | - Siddhartha Das
- Structural Characterization of Materials Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology, Kharagpur 721302, India
| | - Karabi Das
- Structural Characterization of Materials Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology, Kharagpur 721302, India
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Das D, Sonthalia S, Stein-O 'Brien G, Wahbeh MH, Feuer K, Goff L, Colantuoni C, Mahairaki V, Avramopoulos D. Insights for disease modeling from single-cell transcriptomics of iPSC-derived Ngn2-induced neurons and astrocytes across differentiation time and co-culture. BMC Biol 2024; 22:75. [PMID: 38566045 PMCID: PMC10985965 DOI: 10.1186/s12915-024-01867-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 03/13/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Trans-differentiation of human-induced pluripotent stem cells into neurons via Ngn2-induction (hiPSC-N) has become an efficient system to quickly generate neurons a likely significant advance for disease modeling and in vitro assay development. Recent single-cell interrogation of Ngn2-induced neurons, however, has revealed some similarities to unexpected neuronal lineages. Similarly, a straightforward method to generate hiPSC-derived astrocytes (hiPSC-A) for the study of neuropsychiatric disorders has also been described. RESULTS Here, we examine the homogeneity and similarity of hiPSC-N and hiPSC-A to their in vivo counterparts, the impact of different lengths of time post Ngn2 induction on hiPSC-N (15 or 21 days), and the impact of hiPSC-N/hiPSC-A co-culture. Leveraging the wealth of existing public single-cell RNA-seq (scRNA-seq) data in Ngn2-induced neurons and in vivo data from the developing brain, we provide perspectives on the lineage origins and maturation of hiPSC-N and hiPSC-A. While induction protocols in different labs produce consistent cell type profiles, both hiPSC-N and hiPSC-A show significant heterogeneity and similarity to multiple in vivo cell fates, and both more precisely approximate their in vivo counterparts when co-cultured. Gene expression data from the hiPSC-N show enrichment of genes linked to schizophrenia (SZ) and autism spectrum disorders (ASD) as has been previously shown for neural stem cells and neurons. These overrepresentations of disease genes are strongest in our system at early times (day 15) in Ngn2-induction/maturation of neurons, when we also observe the greatest similarity to early in vivo excitatory neurons. We have assembled this new scRNA-seq data along with the public data explored here as an integrated biologist-friendly web-resource for researchers seeking to understand this system more deeply: https://nemoanalytics.org/p?l=DasEtAlNGN2&g=NES . CONCLUSIONS While overall we support the use of the investigated cellular models for the study of neuropsychiatric disease, we also identify important limitations. We hope that this work will contribute to understanding and optimizing cellular modeling for complex brain disorders.
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Affiliation(s)
- D Das
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, 733 E. Broadway, Baltimore, MD, 21205, USA
| | - S Sonthalia
- Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, USA
| | - G Stein-O 'Brien
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, 733 E. Broadway, Baltimore, MD, 21205, USA
| | - M H Wahbeh
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, 733 E. Broadway, Baltimore, MD, 21205, USA
| | - K Feuer
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, 733 E. Broadway, Baltimore, MD, 21205, USA
| | - L Goff
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, 733 E. Broadway, Baltimore, MD, 21205, USA
- Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, USA
| | - C Colantuoni
- Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, USA
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, USA
- Institute of Genome Sciences, University of Maryland School of Medicine, Baltimore, USA
| | - V Mahairaki
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, 733 E. Broadway, Baltimore, MD, 21205, USA
| | - D Avramopoulos
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, 733 E. Broadway, Baltimore, MD, 21205, USA.
- Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, USA.
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Nisha S, Das D, Vijay DM, Karmakar S, Barai S, Shashikumar P. Evaluation of Postoperative Complications Following Modified Coronally Advanced Flap as Root Coverage Procedure - A Prospective Clinical Study. Niger J Clin Pract 2024; 27:448-454. [PMID: 38679766 DOI: 10.4103/njcp.njcp_559_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 02/29/2024] [Indexed: 05/01/2024]
Abstract
BACKGROUND Root coverage procedures are very technique sensitive and require patients' compliance for successful treatment outcomes. Post operative complications can influence patients' acceptance of treatment and compromise further periodontal maintenance. AIM The aim of this study was to evaluate the frequency and severity of complications after a modified coronally advanced flap procedure. METHODS AND MATERIALS A total of 78 modified coronally advanced flap procedures were performed in 42 patients for root coverage. Duration of surgical procedure, history of smoking, gender, and age were recorded for each patient. A questionnaire was given to every patient to fill in at first post operative week regarding their experience of postoperative pain, swelling, and bleeding. RESULTS Pain and duration of surgery had a correlation (OR: 1.05, P < 0.05). Post operative bleeding was significantly correlated with duration of surgery (OR: 1.03, P < 0.05). Current smokers experienced post operative swelling (P < 0.05). However, post operative pain in current smokers was not significantly different (P > 0.05) as compared to nonsmokers. Descriptive statistics were expressed as mean and standard deviations. Odd's ratio was obtained to evaluate risk indicators for moderate to severe types of complications. P < 0.05 was considered as significant. CONCLUSIONS The duration of the surgery, long duration, and the presence of smoking can increase the frequency and severity of post operative complications.
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Affiliation(s)
- S Nisha
- Department of Periodontology, Haldia Institute of Dental Sciences and Research, Haldia, West Bengal, India
| | - D Das
- Department of Conservative and Endodontics, Haldia Institute of Dental Sciences and Research, Haldia, West Bengal, India
| | - D M Vijay
- Department of Periodontology, Private Practice, Pune, Maharashtra, India
| | - S Karmakar
- Department of Periodontology, Manipal College of Dental Sciences Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - S Barai
- Department of Conservative and Endodontics, Haldia Institute of Dental Sciences and Research, Haldia, West Bengal, India
| | - P Shashikumar
- Department of Periodontology, J. S. S. Dental College and Hospital, J. S. S. Academy of Higher Education and Research, Mysuru, Karnataka, India
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Chanda AK, Begum RA, Matin MNI, Das D, Nessa A, Rahman MMM. Assessment of Kidney Function among the Employees of Sylhet MAG Osmani Medical College and Hospital. Mymensingh Med J 2024; 33:554-560. [PMID: 38557540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
The kidney carries out a variety of physiological processes, including the excretion of nitrogenous waste products, maintenance of fluid, electrolyte, acid-base, and mineral homeostasis, regulation of blood pressure, as well as the synthesis and release of erythropoietin and other endocrine substances. Chronic kidney disease (CKD) can lead to end-stage renal disease (ESRD) and increased cardiovascular morbidity and mortality. CKD has a long period of asymptomatic stage. The symptoms of CKD usually present at the advanced stage of the disease. Chronic kidney disease (CKD) is a potentially fatal that impacts various physiological systems. This cross-sectional observational study was conducted in the Department of Physiology in collaboration with the Department of Nephrology, Sylhet MAG Osmani Medical College Hospital (SMAGOMC&H), from July 2022 to June 2023 to observe the status of kidney function among the employees of SMAGOMC&H, Bangladesh. The study population consisted of all willingly participating volunteers working at SMAGOMC&H between the ages of 18 and 59 years. Participants with acute illness, malignancy, pregnancy, diagnosed case of CKD, and history of kidney transplant were excluded from the study. A thorough history was taken, and a physical examination was done. Serum creatinine, and spot urine albumin creatinine ratio (ACR) of each participant were measured. eGFR (estimated glomerular filtration rate) was estimated by using NKF (National Kidney Foundation) eGFR calculator app. A Semi-structured questionnaire was used for data collection. Most of the participants were between 50-59 years (46.0%). The mean age of these study subjects was 45.25±10.08 years. The mean serum creatinine level was 0.85±0.18 mg/dl, the mean eGFR was 102.92±16.21 ml/min/1.73m² and the mean urinary ACR was 27.44±12.48 mg/gm found in this study. Out of the total participants, 16.5% were at stage 1 CKD, 6.5% were at stage 2 CKD and 2.5% were at stage 3 CKD, according to eGFR by CKD-EPI (Chronic kidney disease epidemiology collaboration) equation. Seventy five percent (75.0%) of the participants had normal to mildly increased ACR and 25.0% had moderately increased ACR. Pearson's correlation test revealed a significant negative correlation of eGFR with age, serum creatinine, and urinary ACR (p<0.001). This study revealed that 16.5%, 6.5% and 2.5% of the study participants were at CKD stage 1, stage 2, and stage 3, respectively. Assessment of renal function can help early identification of CKD in apparently healthy asymptomatic subjects.
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Affiliation(s)
- A K Chanda
- Dr Arun Kumar Chanda, Lecturer, Department of Physiology, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh; E-mail:
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Mahanta D, Banerjee A, Kumar A, Deb P, Karthik KS, Mohanan SP, Malla SR, Das D. The Closure of Grade 1 Coronary Perforation by the Snowplow Phenomenon. Cureus 2024; 16:e54818. [PMID: 38529467 PMCID: PMC10962301 DOI: 10.7759/cureus.54818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2024] [Indexed: 03/27/2024] Open
Abstract
We report an extremely rare case of spontaneous closure of grade 1 coronary perforation by the snowplow phenomenon during the revascularization of a subtotal occlusion in the left anterior descending coronary artery. Coronary artery perforation is usually a nightmare during coronary intervention in the cardiac catheterization laboratory. While large coronary perforation requires the deployment of a covered stent, small perforations require heparin reversal, prolonged balloon inflation, deployment of small coils, or gel foam closure. The coronary segment with a small perforation was stented with a drug-eluting stent (DES), which might have resulted in the shifting of the fatty plaque toward the perforation and subsequently sealing the coronary perforation.
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Affiliation(s)
| | - Anindya Banerjee
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Abhinav Kumar
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Pranjit Deb
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | | | - Saran P Mohanan
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Sindhu Rao Malla
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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Mahanta D, Singh AK, Behera SK, Das D. An Interesting Case of Balloon-Assisted Deployment of a Dislodged Coronary Stent. Cureus 2024; 16:e55257. [PMID: 38558631 PMCID: PMC10981516 DOI: 10.7759/cureus.55257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2024] [Indexed: 04/04/2024] Open
Abstract
We report a first and interesting case of balloon-assisted deployment of a dislodged coronary stent. While performing a calcified left circumflex coronary artery (LCX) intervention, the drug-eluting coronary stent was dislodged in the osteoproximal segment of the calcified and tortuous LCX. The dislodged stent was rewired, progressively dilated with multiple balloons and, finally, a larger, balloon-mounted stent was pushed forward, positioned across the coronary lesion and deployed, resulting in distal thrombolysis in myocardial infarction (TIMI) III flow with good angiographic results. Rewiring the dislodged stent with subsequent balloon-assisted deployment in the lesion can be a solution for a dislodged coronary stent in the proximal vessel.
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Affiliation(s)
| | - Anoop Kumar Singh
- Cardiology, Institute of Medical Sciences & SUM Hospital, SOA University, Bhubaneswar, IND
| | | | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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Guguchia Z, Das D, Simutis G, Adachi T, Küspert J, Kitajima N, Elender M, Grinenko V, Ivashko O, Zimmermann MV, Müller M, Mielke C, Hotz F, Mudry C, Baines C, Bartkowiak M, Shiroka T, Koike Y, Amato A, Hicks CW, Gu GD, Tranquada JM, Klauss HH, Chang JJ, Janoschek M, Luetkens H. Designing the stripe-ordered cuprate phase diagram through uniaxial-stress. Proc Natl Acad Sci U S A 2024; 121:e2303423120. [PMID: 38150501 PMCID: PMC10769840 DOI: 10.1073/pnas.2303423120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 11/02/2023] [Indexed: 12/29/2023] Open
Abstract
The ability to efficiently control charge and spin in the cuprate high-temperature superconductors is crucial for fundamental research and underpins technological development. Here, we explore the tunability of magnetism, superconductivity, and crystal structure in the stripe phase of the cuprate La[Formula: see text]Ba[Formula: see text]CuO[Formula: see text], with [Formula: see text] = 0.115 and 0.135, by employing temperature-dependent (down to 400 mK) muon-spin rotation and AC susceptibility, as well as X-ray scattering experiments under compressive uniaxial stress in the CuO[Formula: see text] plane. A sixfold increase of the three-dimensional (3D) superconducting critical temperature [Formula: see text] and a full recovery of the 3D phase coherence is observed in both samples with the application of extremely low uniaxial stress of [Formula: see text]0.1 GPa. This finding demonstrates the removal of the well-known 1/8-anomaly of cuprates by uniaxial stress. On the other hand, the spin-stripe order temperature as well as the magnetic fraction at 400 mK show only a modest decrease under stress. Moreover, the onset temperatures of 3D superconductivity and spin-stripe order are very similar in the large stress regime. However, strain produces an inhomogeneous suppression of the spin-stripe order at elevated temperatures. Namely, a substantial decrease of the magnetic volume fraction and a full suppression of the low-temperature tetragonal structure is found under stress, which is a necessary condition for the development of the 3D superconducting phase with optimal [Formula: see text]. Our results evidence a remarkable cooperation between the long-range static spin-stripe order and the underlying crystalline order with the three-dimensional fully coherent superconductivity. Overall, these results suggest that the stripe- and the SC order may have a common physical mechanism.
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Affiliation(s)
- Z. Guguchia
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - D. Das
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - G. Simutis
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232Villigen, Switzerland
| | - T. Adachi
- Department of Engineering and Applied Sciences, Sophia University, Tokyo102-8554, Japan
| | - J. Küspert
- Physik-Institut, Universität Zürich, CH-8057Zürich, Switzerland
| | - N. Kitajima
- Department of Applied Physics, Tohoku University, Sendai980-8579, Japan
| | - M. Elender
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - V. Grinenko
- Tsung-Dao Lee Institute, Shanghai Jiao Tong University, Pudong, 201210Shanghai, China
| | - O. Ivashko
- Deutsches Elektronen-Synchrotron, 22607Hamburg, Germany
| | | | - M. Müller
- Condensed Matter Theory Group, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - C. Mielke
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - F. Hotz
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - C. Mudry
- Condensed Matter Theory Group, Paul Scherrer Institute, CH-5232Villigen, Switzerland
- Institut de Physique, École Polytechnique Fédérale de Lausanne, LausanneCH-1015, Switzerland
| | - C. Baines
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - M. Bartkowiak
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232Villigen, Switzerland
| | - T. Shiroka
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
- Laboratorium für Festkörperphysik, ETH Zürich, CH-8093Zürich, Switzerland
| | - Y. Koike
- Department of Applied Physics, Tohoku University, Sendai980-8579, Japan
| | - A. Amato
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - C. W. Hicks
- Max Planck Institute for Chemical Physics of Solids, D-01187Dresden, Germany
- School of Physics and Astronomy, University of Birmingham, BirminghamB15 2TT, United Kingdom
| | - G. D. Gu
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY11973
| | - J. M. Tranquada
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY11973
| | - H.-H. Klauss
- Institute for Solid State and Materials Physics, Technische Universitat Dresden, D-01069Dresden, Germany
| | - J. J. Chang
- Physik-Institut, Universität Zürich, CH-8057Zürich, Switzerland
| | - M. Janoschek
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232Villigen, Switzerland
- Physik-Institut, Universität Zürich, CH-8057Zürich, Switzerland
| | - H. Luetkens
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
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Mahanta D, Budhia AK, Barik RC, Das D, Acharya D. Unveiling a Rare Side Effect: A Report of a Unique Case of Second-Degree Type 2 Sinoatrial Node Exit Block Induced by Adenosine Infusion. Cureus 2024; 16:e53310. [PMID: 38435879 PMCID: PMC10906749 DOI: 10.7759/cureus.53310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/31/2024] [Indexed: 03/05/2024] Open
Abstract
Adenosine is a widely used pharmacologic agent in the field of cardiology, predominantly for the termination of supraventricular tachycardias and diagnostic purposes. Most of the side effects are short-lasting due to its very short half-life. Fatal complications of adenosine are rare but can include ventricular fibrillation, ventricular tachycardia, and asystole. Proper medical supervision and monitoring are crucial to minimize risks. We report a unique case of a second-degree type 2 sinoatrial node exit block following intravenous adenosine administration in a 25-year-old male presenting with palpitations.
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Affiliation(s)
- Dibyasundar Mahanta
- Cardiology, Institute of Medical Sciences (IMS) SUM Medical College and Hospital, Bhubaneswar, IND
| | - Anup K Budhia
- Internal Medicine, Hi-Tech Medical College and Hospital, Bhubaneswar, IND
| | - Rama Chandra Barik
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Debasis Acharya
- Cardiology, Hi-Tech Medical College and Hospital, Bhubaneswar, IND
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Mahanta DS, Budhia AK, Barik RC, Das D, Mohanty RK, Acharya D. Polymorphic Ventricular Tachycardia in Acute Cervical Spinal Cord Injury: A Rare Occurrence in the Setting of Normal QTc. Cureus 2024; 16:e53299. [PMID: 38435904 PMCID: PMC10905206 DOI: 10.7759/cureus.53299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/31/2024] [Indexed: 03/05/2024] Open
Abstract
Cardiovascular manifestations like bradycardia, hypotension, fluctuation of blood pressure, and supraventricular arrhythmia are common in acute spinal cervical injury above the C6 level and are the major cause of mortality and morbidity in them. Ventricular tachycardia (VT) and fibrillation have only been reported in a few cases, but polymorphic VT (PMVT) has not been reported. We report a very rare case of acute cervical spinal cord injury patient who developed PMVT in the setting of normal QT interval degenerating to ventricular fibrillation, causing cardiac arrest before surgery.
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Affiliation(s)
- Dibya S Mahanta
- Cardiology, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, IND
| | - Anup K Budhia
- Internal Medicine, Hi-Tech Medical College and Hospital, Bhubaneswar, IND
| | - Rama C Barik
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | | | - Debasis Acharya
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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11
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Saatian B, Deshpande K, Herrera R, Sedighi S, Eisenbarth R, Iyer M, Das D, Julian A, Martirosian V, Lowman A, LaViolette P, Remsik J, Boire A, Sankey E, Fecci PE, Shiroishi MS, Chow F, Hurth K, Neman J. Breast-to-brain metastasis is exacerbated with chemotherapy through blood-cerebrospinal fluid barrier and induces Alzheimer's-like pathology. J Neurosci Res 2023; 101:1900-1913. [PMID: 37787045 PMCID: PMC10769085 DOI: 10.1002/jnr.25249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 08/09/2023] [Accepted: 09/04/2023] [Indexed: 10/04/2023]
Abstract
Control of breast-to-brain metastasis remains an urgent unmet clinical need. While chemotherapies are essential in reducing systemic tumor burden, they have been shown to promote non-brain metastatic invasiveness and drug-driven neurocognitive deficits through the formation of neurofibrillary tangles (NFT), independently. Now, in this study, we investigated the effect of chemotherapy on brain metastatic progression and promoting tumor-mediated NFT. Results show chemotherapies increase brain-barrier permeability and facilitate enhanced tumor infiltration, particularly through the blood-cerebrospinal fluid barrier (BCSFB). This is attributed to increased expression of matrix metalloproteinase 9 (MMP9) which, in turn, mediates loss of Claudin-6 within the choroid plexus cells of the BCSFB. Importantly, increased MMP9 activity in the choroid epithelium following chemotherapy results in cleavage and release of Tau from breast cancer cells. This cleaved Tau forms tumor-derived NFT that further destabilize the BCSFB. Our results underline for the first time the importance of the BCSFB as a vulnerable point of entry for brain-seeking tumor cells post-chemotherapy and indicate that tumor cells themselves contribute to Alzheimer's-like tauopathy.
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Affiliation(s)
- B Saatian
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
| | - K Deshpande
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
| | - R Herrera
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
| | - S Sedighi
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
| | - R Eisenbarth
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
| | - M Iyer
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
| | - D Das
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
| | - A Julian
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
| | - V Martirosian
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
| | - A Lowman
- Department of Radiology and Biomedical Engineering, Medical College of Wisconsin
| | - P LaViolette
- Department of Radiology and Biomedical Engineering, Medical College of Wisconsin
| | - J Remsik
- Department of Neurology, Memorial Sloan Kettering Cancer Center
| | - A Boire
- Department of Neurology, Memorial Sloan Kettering Cancer Center
| | - E Sankey
- Department of Neurosurgery, Duke University School of Medicine
| | - PE Fecci
- Department of Neurosurgery, Duke University School of Medicine
| | - MS Shiroishi
- Brain Tumor Center, University of Southern California
- Department of Pathology, Keck School of Medicine, University of Southern California
| | - F Chow
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
- Norris Comprehensive Cancer Center, University of Southern California
| | - K Hurth
- Brain Tumor Center, University of Southern California
- Department of Neuroscience and Physiology, Keck School of Medicine, University of Southern California
- Norris Comprehensive Cancer Center, University of Southern California
| | - J Neman
- Department of Neurological Surgery, Keck School of Medicine, University of Southern California
- Brain Tumor Center, University of Southern California
- Department of Neuroscience and Physiology, Keck School of Medicine, University of Southern California
- Department of Radiology, Keck School of Medicine, University of Southern California
- Norris Comprehensive Cancer Center, University of Southern California
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12
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Guguchia Z, Gawryluk DJ, Shin S, Hao Z, Mielke Iii C, Das D, Plokhikh I, Liborio L, Shenton JK, Hu Y, Sazgari V, Medarde M, Deng H, Cai Y, Chen C, Jiang Y, Amato A, Shi M, Hasan MZ, Yin JX, Khasanov R, Pomjakushina E, Luetkens H. Hidden magnetism uncovered in a charge ordered bilayer kagome material ScV 6Sn 6. Nat Commun 2023; 14:7796. [PMID: 38016982 PMCID: PMC10684576 DOI: 10.1038/s41467-023-43503-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 11/10/2023] [Indexed: 11/30/2023] Open
Abstract
Charge ordered kagome lattices have been demonstrated to be intriguing platforms for studying the intertwining of topology, correlation, and magnetism. The recently discovered charge ordered kagome material ScV6Sn6 does not feature a magnetic groundstate or excitations, thus it is often regarded as a conventional paramagnet. Here, using advanced muon-spin rotation spectroscopy, we uncover an unexpected hidden magnetism of the charge order. We observe an enhancement of the internal field width sensed by the muon ensemble, which takes place within the charge ordered state. More importantly, the muon spin relaxation rate below the charge ordering temperature is substantially enhanced by applying an external magnetic field. Taken together with the hidden magnetism found in AV3Sb5 (A = K, Rb, Cs) and FeGe kagome systems, our results suggest ubiqitous time-reversal symmetry-breaking in charge ordered kagome lattices.
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Affiliation(s)
- Z Guguchia
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232, Villigen PSI, Switzerland.
| | - D J Gawryluk
- Laboratory for Multiscale Materials Experiments, Paul Scherrer Institut, 5232, Villigen PSI, Switzerland.
| | - S Shin
- Laboratory for Multiscale Materials Experiments, Paul Scherrer Institut, 5232, Villigen PSI, Switzerland
| | - Z Hao
- Department of Physics, Southern University of Science and Technology, Shenzhen, Guangdong, 518055, China
| | - C Mielke Iii
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232, Villigen PSI, Switzerland
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057, Zürich, Switzerland
| | - D Das
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232, Villigen PSI, Switzerland
| | - I Plokhikh
- Laboratory for Multiscale Materials Experiments, Paul Scherrer Institut, 5232, Villigen PSI, Switzerland
| | - L Liborio
- Scientific Computing Department, Science & Technology Facilities Council, Rutherford Appleton Laboratory, Didcot, OX11 0QX, UK
| | - J Kane Shenton
- Scientific Computing Department, Science & Technology Facilities Council, Rutherford Appleton Laboratory, Didcot, OX11 0QX, UK
| | - Y Hu
- Photon Science Division, Paul Scherrer Institut, CH-5232, Villigen PSI, Switzerland
| | - V Sazgari
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232, Villigen PSI, Switzerland
| | - M Medarde
- Laboratory for Multiscale Materials Experiments, Paul Scherrer Institut, CH-5232, Villigen PSI, Switzerland
| | - H Deng
- Department of Physics, Southern University of Science and Technology, Shenzhen, Guangdong, 518055, China
| | - Y Cai
- Shenzhen Institute for Quantum Science and Engineering, Southern University of Science and Technology, Shenzhen, 518055, China
| | - C Chen
- Shenzhen Institute for Quantum Science and Engineering, Southern University of Science and Technology, Shenzhen, 518055, China
| | - Y Jiang
- Laboratory for Topological Quantum Matter and Advanced Spectroscopy (B7), Department of Physics, Princeton University, Princeton, NJ, 08544, USA
| | - A Amato
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232, Villigen PSI, Switzerland
| | - M Shi
- Photon Science Division, Paul Scherrer Institut, CH-5232, Villigen PSI, Switzerland
| | - M Z Hasan
- Laboratory for Topological Quantum Matter and Advanced Spectroscopy (B7), Department of Physics, Princeton University, Princeton, NJ, 08544, USA
- Princeton Institute for the Science and Technology of Materials, Princeton University, Princeton, NJ, 08540, USA
- Quantum Science Center, Oak Ridge, TN, 37831, USA
| | - J-X Yin
- Department of Physics, Southern University of Science and Technology, Shenzhen, Guangdong, 518055, China
| | - R Khasanov
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232, Villigen PSI, Switzerland
| | - E Pomjakushina
- Laboratory for Multiscale Materials Experiments, Paul Scherrer Institut, 5232, Villigen PSI, Switzerland
| | - H Luetkens
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232, Villigen PSI, Switzerland
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13
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Mahanta D, Gadade SV, Parhi DK, Das D. An Unusual Case of Right Anterior Descending Coronary Artery. Cureus 2023; 15:e48090. [PMID: 38046727 PMCID: PMC10690461 DOI: 10.7759/cureus.48090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2023] [Indexed: 12/05/2023] Open
Abstract
The left anterior descending coronary artery (LAD) arises from the left coronary sinus about 10-12 mm above the annular plane and traverses down the interventricular groove. With deep septal and diagonal branches, it supplies the left side of the heart. Here, we describe an extremely rare case of anomalous origin of the LAD from the right coronary artery, which courses epicardially over the right side of the heart with its ramifying branches, which can be described as the "right anterior descending coronary artery (RAD)."
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Affiliation(s)
| | | | | | - Debasish Das
- Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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14
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Sahoo KK, Katari JK, Das D. Recent advances in methanol production from methanotrophs. World J Microbiol Biotechnol 2023; 39:360. [PMID: 37891430 DOI: 10.1007/s11274-023-03813-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 10/19/2023] [Indexed: 10/29/2023]
Abstract
Methanol, the simplest aliphatic molecule of the alcohol family, finds diverse range of applications as an industrial solvent, a precursor for producing other chemicals (e.g., dimethyl ether, acetic acid and formaldehyde), and a potential fuel. There are conventional chemical routes for methanol production such as, steam reforming of natural gas to form syngas, followed by catalytic conversion into methanol; direct catalytic oxidation of methane, or hydrogenation of carbon dioxide. However, these chemical routes are limited by the requirement for expensive catalysts and extreme process conditions, and plausible environmental implications. Alternatively, methanotrophic microorganisms are being explored as biological alternative for methanol production, under milder process conditions, bypassing the requirement for chemical catalysts, and without imposing any adverse environmental impact. Methanotrophs possess inherent metabolic pathways for methanol production via biological methane oxidation or carbon dioxide reduction, thus offering a surplus advantage pertaining to the sequestration of two major greenhouse gases. This review sheds light on the recent advances in methanotrophic methanol production including metabolic pathways, feedstocks, metabolic engineering, and bioprocess engineering approaches. Furthermore, various reactor configurations are discussed in view of the challenges associated with solubility and mass transfer limitations in methanotrophic gas fermentation systems.
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Affiliation(s)
- Krishna Kalyani Sahoo
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, 781039, Assam, India
| | - John Kiran Katari
- School of Energy Science & Engineering, Indian Institute of Technology, Guwahati, 781039, Assam, India
| | - Debasish Das
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, 781039, Assam, India.
- School of Energy Science & Engineering, Indian Institute of Technology, Guwahati, 781039, Assam, India.
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15
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Mir FA, Mohanty S, Pandey A, Naqashbandi A, Das D. Supracardiac Total Anomalous Pulmonary Venous Connection in Adolescence. Cureus 2023; 15:e47392. [PMID: 38021527 PMCID: PMC10657646 DOI: 10.7759/cureus.47392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/20/2023] [Indexed: 12/01/2023] Open
Abstract
Background Supracardiac total anomalous pulmonary communication (TAPVC) constitutes a rare congenital cardiac anomaly. Most babies with supracardiac TAPVC are diagnosed in infancy and undergo complete surgical repair during infancy. Delayed presentation of supracardiac TAPVC is rare, and the surgical outcomes are not well known. This retrospective study was conducted to determine the presentation and surgical outcome of supracardiac TAPVC among adolescents, which constitutes an extremely rare subgroup of TAPVC. Methodology This retrospective analysis was conducted among 15 adolescent patients with supracardiac TAPVC who underwent surgical repair in the cardiothoracic surgery department of a tertiary care center in India. This study aimed to assess the intraoperative, postoperative, immediate, early, and late outcomes of adolescent patients with supracardiac TAPVC who had undergone surgical repair between 2010 and 2014 in a tertiary care center in India. Results The study included 15 patients with a diagnosis of isolated supracardiac TAPVC. A mild degree of cyanosis was present in eight patients, recurrent episodes of lower respiratory tract infections were present in five patients, and dyspnea (New York Heart Association I/II) was noted in 12 patients. Mean oxygen saturation was 92% (range = 85-93%), and mean pulmonary artery pressure was 24 mmHg (range = 15-50 mmHg). After median stenotomy, a wide anastomosis was made between the common pulmonary venous chamber and the posterior wall of the left atrium. A fenestration was made in the Dacron patch in three patients who had raised pulmonary vascular resistance (PVR) preoperatively. Twelve patients were weaned off cardiopulmonary bypass (CPB) with minimal inotropic support. Three patients who had high preoperative PVR had difficulty in weaning from CPB. The mean CPB and cross-clamp time was 75 ± 12 minutes and 58 ± 9 minutes, respectively. Atrial fibrillation was noted in five (33.3%) patients in the early postoperative period, and three (20%) patients had pulmonary artery hypertensive crises postoperatively. There was no superficial or deep sternal wound infection in the postoperative period. Mild and moderate right ventricular dysfunction was present in four (26.67%) and two (13.3%) patients, respectively, in the postoperative period. On two-dimensional echocardiography during follow-up at the end of one year, there was no gradient across the anastomosis, and pulmonary artery pressure was normal in all patients. Conclusions Surgical repair of supracardiac TAPVC in adolescence has an excellent outcome. Survival of patients with supracardiac TAPVC until adolescence depends on the presence of a dilated vertical vein and a large atrial septal defect facilitating unobstructed pulmonary venous flow. The aim of the surgical repair should be to create a wide anastomosis between the left atrium and the pulmonary venous chamber which should be bigger than the size of the mitral valve orifice indexed to the body surface area as it would amount to no or negligible anastomotic gradient postoperatively.
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Affiliation(s)
- Firdoos Ahmad Mir
- Cardiothoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, IND
| | - Satyapriya Mohanty
- Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Arvind Pandey
- Cardiothoracic Surgery, Banaras Hindu University Institute of Medical Sciences, Varanasi, IND
| | | | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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16
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Mahanta D, Acharya D, Das D. U-shaped and L-shaped Left Main Coronary Artery: Rare Congenital Anomalies. Cureus 2023; 15:e47131. [PMID: 38021621 PMCID: PMC10650090 DOI: 10.7759/cureus.47131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Congenital anomalies in the shape of the coronary arteries are extremely uncommon to encounter in routine clinical practice in interventional cardiology. In this study, we describe two uncommon shape anomalies of the left main coronary artery, that is, U-shaped left main coronary artery and L-shaped left main coronary artery. These anomalies were observed in two consecutive patients who presented with atypical chest pain and exertional shortness of breath. These uncommon shape anomalies of the left main coronary artery hold their clinical significance during intervention as those require robust guide catheter support during the difficult passage of the routine coronary hardwires.
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Affiliation(s)
| | - Debasis Acharya
- Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Debasish Das
- Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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17
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Mahanta D, Banerjee A, Kumar A, Deb P, Malla SR, Pramanik S, Das D. The Rescuing Role of Aggressive Thrombosuction in Elective Coronary Angioplasty. Cureus 2023; 15:e47414. [PMID: 38021732 PMCID: PMC10658211 DOI: 10.7759/cureus.47414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/21/2023] [Indexed: 12/01/2023] Open
Abstract
Thrombosuction plays a controversial role during primary percutaneous intervention (PCI). Landmark trials have demonstrated no additional role of thrombosuction during primary percutaneous intervention towards improving mortality and outcome during primary percutaneous intervention. We describe a rare elective coronary angioplasty where only aggressive thrombosuction (almost 150-200 mL) of blood from the coronary artery established the antegrade coronary flow and saved an octogenarian from impending sudden cardiac death (SCD). The present case describes the promising role of aggressive thrombosuction even during elective coronary intervention when a large dissection ends in acute total thrombotic occlusion of a coronary artery jeopardizing the antegrade coronary perfusion.
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Affiliation(s)
| | - Anindya Banerjee
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Abhinav Kumar
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Pranjit Deb
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Sindhu Rao Malla
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Subhas Pramanik
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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18
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Mahanta DS, Budhia AK, Mohanty RK, Barik RC, Das D, Acharya D. Exercise-Induced Ventricular Tachycardia: A Case Report. Cureus 2023; 15:e47614. [PMID: 38022086 PMCID: PMC10667602 DOI: 10.7759/cureus.47614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2023] [Indexed: 12/01/2023] Open
Abstract
Exercise-induced ventricular tachycardia (EIVT) is a very rare condition that can occur in both structurally normal and abnormal hearts. It is important to recognize and understand the triggers, symptoms, and implications of this condition. In this report, we present a case of a young patient who experienced symptoms of palpitation, presyncope, and syncope during exertion. We also review the pathophysiology, clinical presentation, diagnosis, and management of exercise-induced ventricular arrhythmia. This information is particularly important in the context of sports medicine and cardiovascular health.
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Affiliation(s)
- Dibya S Mahanta
- Cardiology, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, IND
| | - Anup K Budhia
- Internal Medicine, Hi-Tech Medical College and Hospital, Bhubaneswar, IND
| | - Ranjan K Mohanty
- Cardiology, Srirama Chandra Bhanja Medical College, Cuttack, IND
| | - Rama C Barik
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Debasis Acharya
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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19
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Mahanta D, Barik R, Budhia AK, Das D, Acharya D. A Case of Bradycardia-Induced Torsades De Pointes in a Patient Presenting to the Emergency Room With Cardiac Arrest. Cureus 2023; 15:e46831. [PMID: 37954743 PMCID: PMC10636644 DOI: 10.7759/cureus.46831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2023] [Indexed: 11/14/2023] Open
Abstract
Torsades de pointes (TdP) is a less common type of ventricular tachycardia (VT) characterized by polymorphic VT of changing amplitude and characteristic twists around the isoelectric baseline. It is almost always associated with QT interval prolongation. Unless immediately intervened, it can lead to ventricular fibrillation followed by cardiac arrest. We report a case of a patient with bradycardia-induced TdP who presented to the emergency room with cardiac arrest.
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Affiliation(s)
- Dibyasundar Mahanta
- Cardiology, Siksha 'O' Anusandhan (SOA) Institute of Medical Sciences (IMS) SUM Medical College and Hospital, Bhubaneswar, IND
| | - Ramachandra Barik
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Anup K Budhia
- Medicine, Hi-Tech Medical College and Hospital, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Debasis Acharya
- Cardiology, Hi-Tech Medical College and Hospital, Bhubaneswar, IND
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20
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Mahanta D, Parhi DK, Gadade SV, Das D. An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention. Cureus 2023; 15:e46526. [PMID: 37927712 PMCID: PMC10625397 DOI: 10.7759/cureus.46526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2023] [Indexed: 11/07/2023] Open
Abstract
Coronary artery dissection can occur after post-balloon inflation; however, a very long-segment coronary dissection (>50 mm) is a rare occurrence during routine coronary interventions. Here, we report an extremely rare case of long-segment coronary dissection in the left anterior descending coronary artery (LAD) induced during antegrade revascularization of chronic total occlusion of osteoproximal LAD with stiffer Gaia II wire. The patient had excruciating angina with hemodynamic collapse and acute pulmonary edema; the patient was rescued with long-segment coronary revascularization.
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Affiliation(s)
| | | | | | - Debasish Das
- Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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21
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Das D, Saintillan D. On the absence of collective motion in a bulk suspension of spontaneously rotating dielectric particles. Soft Matter 2023; 19:6825-6837. [PMID: 37655464 DOI: 10.1039/d3sm00298e] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
A suspension of dielectric particles rotating spontaneously when subjected to a DC electric field in two dimensions next to a no-slip electrode has proven to be an ideal model for active matter [Bricard et al., Nature, 2013, 503, 95-98]. In this system, an electrohydrodynamic (EHD) instability called Quincke rotation was exploited to create self-propelling particles which aligned with each other due to EHD interactions, giving rise to collective motion on large length scales. It is natural to question whether a suspension of such particles in three dimensions will also display collective motion and spontaneously flow like bacterial suspensions do. Using molecular dynamics type simulations, we show that dielectrophoretic forces responsible for chaining in the direction of the applied electric field in conventional electrorheological fluids and the counter-rotation of neighboring particles in these chains prevent collective motion in suspensions undergoing spontaneous particle rotations. Our simulations discover that the fundamental microstructural unit of a suspension under Quincke rotation is a pair of counter-rotating spheres aligned in the direction of the electric field. We perform a linear stability analysis that explains this observation.
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Affiliation(s)
- Debasish Das
- Department of Mathematics and Statistics, University of Strathclyde, Livingstone Tower, 26 Richmond Street, Glasgow G1 1XH, UK.
| | - David Saintillan
- Department of Mechanical and Aerospace Engineering, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA.
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22
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Mahanta D, Das D, Acharya D. A Ball Valve Thrombus in a Young Obese Male With Hyperlipidemia. Cureus 2023; 15:e44625. [PMID: 37799249 PMCID: PMC10548146 DOI: 10.7759/cureus.44625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/03/2023] [Indexed: 10/07/2023] Open
Abstract
A ball valve thrombus is a common entity in rheumatic mitral stenosis where a large clot forms in the left atrial appendage, the clot detaches from the left atrial appendage, swirls in the left atrium in a clockwise manner, obstructs the mitral inflow producing cyclic acute pulmonary edema, and likely causes left ventricular outflow tract obstruction producing transient syncope or embolism to the brain producing dense hemiplegia. Besides rheumatic mitral stenosis, ball valve thrombus has been described in post-mitral valve replacement patients and restrictive cardiomyopathy. Left atrial myxoma sometimes rocks across the mitral valve producing the effect of a ball valve thrombus. Right atrial ball valve thrombus has been described after prolonged parenteral nutrition through a central line in intensive care units and in carcinoma patients with cardiac metastasis. We report an extremely rare case of a ball valve thrombus in an obese individual where dyslipidemia was the sole triggering factor for the formation of a ball valve thrombus in the left atrium.
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Affiliation(s)
- Dibyasundar Mahanta
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Debasis Acharya
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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Mahanta D, Gadade SV, Parhi DK, Das D. Primary Percutaneous Coronary Intervention of Acute Thrombotic Occlusion of a Low-Lying Tortuous Right Coronary Artery With a Multipurpose Catheter in an Octogenarian. Cureus 2023; 15:e46048. [PMID: 37900527 PMCID: PMC10603496 DOI: 10.7759/cureus.46048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/27/2023] [Indexed: 10/31/2023] Open
Abstract
Right coronary artery intervention is usually accomplished with a Judkins right (JR) coronary guide catheter. Abnormal right coronary artery take-off from the right coronary sinus poses difficulty in engaging the right coronary artery with a conventional JR guide catheter. We report a rare case of primary percutaneous intervention of the right coronary artery which was performed with a multipurpose catheter as the patient had an extremely low-lying coronary artery from the coronary sinus where conventional catheters could not engage the right coronary artery in an octogenarian with acute inferior wall ST-elevation myocardial infarction in cardiogenic shock.
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Affiliation(s)
| | | | | | - Debasish Das
- Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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Mahanta D, Parhi DK, Gadade SV, Das D. A Single Coronary Artery From the Left Coronary Sinus: The Continuing Conundrum. Cureus 2023; 15:e45844. [PMID: 37881403 PMCID: PMC10594393 DOI: 10.7759/cureus.45844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/24/2023] [Indexed: 10/27/2023] Open
Abstract
It is extremely rare to come across a single coronary artery during routine interventional cardiology practice. The incidence of single coronary arteries increases across congenital heart diseases. We report an extremely rare case of a single coronary artery arising from the left coronary sinus in an octogenarian presenting with anterior wall non-ST elevated myocardial infarction (NSTEMI) secondary to atherosclerotic occlusion of the proximal left main coronary artery (LMCA). It is often difficult to selectively engage a single coronary artery due to anomalous origin from the sinus; nonselective coronary sinus injection often suffices in visualizing the single coronary trunk dividing into left and right coronary arteries besides demonstrating the associated route and atherosclerotic anomalies.
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Affiliation(s)
| | | | | | - Debasish Das
- Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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Mahanta D, Acharya D, Das D. Cracking the Left Main Coronary Artery Nodular Calcium With a Scoring Balloon. Cureus 2023; 15:e44123. [PMID: 37750115 PMCID: PMC10518211 DOI: 10.7759/cureus.44123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2023] [Indexed: 09/27/2023] Open
Abstract
Nodular calcium in the coronary artery poses a great challenge during coronary intervention. Although rotational atherectomy is the preferred modality of treatment of nodular calcium, we treated the left main coronary artery (LMCA) nodular calcium with a scoring balloon during primary angioplasty of an octogenarian with anterior wall myocardial infarction and EKG suggestive of LMCA occlusion. During primary coronary angioplasty, the scoring balloon alone also sometimes suffices in achieving good angiographic results and thrombolysis in myocardial infarction grade III (TIMI III) flow.
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Affiliation(s)
- Dibyasundar Mahanta
- Cardiology, Sunshine Hospital, Bhubaneswar, IND
- Cardiology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, IND
| | - Debasis Acharya
- Cardiology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, IND
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Dey N, Raha H, Das D, Ray SK, Guha PK. Ni 6Se 5, an unexplored transition metal chalcogenide of formula M (n+1)X n(2≤n≤8), for high-performance hybrid supercapacitor and Li-ion battery application. Nanotechnology 2023. [PMID: 37433289 DOI: 10.1088/1361-6528/ace632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/13/2023]
Abstract
This work reports an in-situ, one-step hydrothermal preparation procedure of a binder-free electrode growth of Ni6Se5on nickel foam (Ni6Se5/NF) with a rod-like structure. Ni6Se5is an enveloped transition metal chalcogenides of formula M(n+1)Xn(where 2≤n≤8, M is a transition metal and X is chalcogen) of the nickel selenide family. The Ni6Se5/NF electrode described here demonstrates an exceptional lifetime of 81% capacitance retention over 20000 cycles and a high specific capacitance of 473.5 Fg-1at a current density of 4 Ag-1. The Ni6Se5/NF/activated carbon asymmetric supercapacitor exhibits a remarkable 97.3 Whkg-1energy density and a 2325 Wkg-1power density. Ni6Se5served as an active electrode material in supercapacitor applications and offered exceptional power density and long cycle life. Ni6Se5/NF, used as an anode for Li-ion batteries (LIB), has a lithium storage capacity of 939.7 mAhg-1at 100 mAg-1current density. Ni6Se5active electrode material's excellent energy storage capability, which was previously unreported, is particularly beneficial for electrochemical energy storage device applications.
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Affiliation(s)
- Nikita Dey
- Nano Science and Technology, Indian Institute of Technology Kharagpur, IIT Kharagpur, SNST, Kharagpur, Kharagpur, 721302, INDIA
| | - Himadri Raha
- Indian Institute of Technology Kharagpur, IIT Kharagpur, SNST, Kharagpur, Kharagpur, 721302, INDIA
| | - Debasish Das
- Indian Institute of Technology Kharagpur, Materials Science Centre,, Indian Institute of Technology Kharagpur, Kharagpur, Kharagpur, 721302, INDIA
| | - Samit K Ray
- Indian Institute of Technology Kharagpur, Department of Physics, Indian Institute of Technology Kharagpur, Kharagpur, Kharagpur, West Bengal, 721302, INDIA
| | - Prasanta Kumar Guha
- Electronics and Electrical Communication Engineering, Indian Institute of Technology Kharagpur, Electronics and Electrical Communication Engineering Department, Indian Institute of Technology Kharagpur, Kharagpur, Kharagpur, West Bengal, 721302, INDIA
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Das D, Das T. The "P"-Value: The Primary Alphabet of Research Revisited. Int J Prev Med 2023; 14:41. [PMID: 37351025 PMCID: PMC10284198 DOI: 10.4103/ijpvm.ijpvm_200_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 01/09/2023] [Indexed: 06/24/2023] Open
Abstract
Each research roves around the P value. A value less than 0.05 is considered to be statistically significant. Very few researchers are aware of the history, real-world significance, statistical insight, and in-depth criticism about this monumental alphabet of research. This article will provide detailed insight into the most common molecule of research which will be rewarding for the young students and researchers in the primary world of research. It is not a simple value; it is the longest and broadest description of research squeezed to a number for the ground level worker to the principal investigator. The present review will provide a detailed and unique insight into the P value which would be rewarding for the primary care physicians toward translating research into their clinical practice.
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Affiliation(s)
- Debasish Das
- Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
| | - Tutan Das
- Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
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Das D, Mohanty S, Guru S, Banerjee A, Kumar A, Deb P, Samantray H. A Retrospective Study on Drug and Dietary Patterns in Patients With Severe Rheumatic Valvular Heart Disease in Eastern India. Cureus 2023; 15:e37358. [PMID: 37181974 PMCID: PMC10171875 DOI: 10.7759/cureus.37358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2023] [Indexed: 05/16/2023] Open
Abstract
Background India has a high prevalence of rheumatic valvular heart diseases. Empirical treatment in rheumatic heart disease curtails morbidity and mortality. Less is known about the drug and dietary management of severe rheumatic heart disease at the pretertiary care level, which forms the building stone in the management of rheumatic heart disease. The present study was carried out to evaluate the drug and dietary patterns of patients with severe rheumatic valvular heart disease at a pretertiary care level, which is the backbone of the management of rheumatic heart disease. Methodology This cross-sectional study was carried out in a tertiary care center in Eastern India between May 2020 and May 2022 across 1,264 study subjects. The drug and dietary patterns of the patients with severe rheumatic valvular heart disease during their index visit to the cardiac department were studied and analyzed. Patients aged less than 18 years; patients with mild or moderate rheumatic valvular heart diseases; patients with coexisting end-stage organ disease (chronic liver disease and chronic kidney disease), malignancy, and sepsis; and patients not willing to participate in the study were excluded. Results Most of the patients were on diuretic therapy, and diuretic therapy was overprescribed across the patients with mitral regurgitation, aortic stenosis, and aortic regurgitation. Most of the patients across each spectrum of rheumatic valvular heart disease were lacking the cornerstone therapy such as beta-blockers in mitral stenosis and angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) in mitral and aortic regurgitation. The recommended injectable benzathine penicillin prophylaxis was prescribed in a very small number of patients (5%), and most of the patients were on oral penicillin prophylaxis (95%) in spite of its reported high failure rate in prophylaxis. Empirical rationale prescriptions in severe rheumatic valvular heart disease were lacking in the pretertiary care level in Eastern India. Conclusion Each spectrum of severe valvular heart disease was lacking the cornerstone therapy such as beta-blockers in mitral stenosis and ACE inhibitors or angiotensin receptor blockers (ARBs) in mitral and aortic regurgitation along with recommended injectable benzathine penicillin prophylaxis. Diuretics and digoxin were overprescribed across the spectrum of rheumatic heart disease. Improvement of this essential gap in the treatment of severe rheumatic heart disease would bring down morbidity and improve mortality in the future.
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Affiliation(s)
- Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Satyapriya Mohanty
- Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Satyabrata Guru
- Trauma and Emergency/Internal Medicine, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Anindya Banerjee
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Abhinav Kumar
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Pranjit Deb
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Humshika Samantray
- Cardiothoracic Surgery, All India Institute of Medical Sciences, Bhubaneswar, IND
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Islam MM, Faruque SM, Das D, Ranjan R, Ahmed SM, Adhikary AB. Diagnostic Dilemma of Frozen Shoulder in Post CABG Patient: A Case Report. Mymensingh Med J 2023; 32:593-598. [PMID: 37002777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023]
Abstract
Frozen shoulder, also known as adhesive capsulitis, is a condition featured by stiffness and pain in shoulder joint. In this report, we present a case of 58 years old diabetic male patient with the history of coronary artery bypass grafting (CABG) 06 months back. He presented with persistent right shoulder pain for 05 months. Clinical examinations reveal restriction of the right shoulder joint movement in all directions and wasting of the right supraspinatus, infraspinatus and trapezius muscles. Both active and passive range of motions was restricted with painful right shoulder joint. Pain free abduction range was about 40 degrees in right shoulder. Plain X-ray of right shoulder joint and other relevant investigations show normal findings. Considering the clinical and laboratory findings decision was taken to treat the patient with exercise, pain killer and ultrasound therapy which were found to be optimistic.
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Affiliation(s)
- M M Islam
- Dr Md Mahbubul Islam, MD (Physical Medicine) Phase B Student, Department of Physical Medicine & Rehabilitation, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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V S, Mohanty S, Das D, Ghosh A, Maiti R, Nanda P. Hematological Parameters as an Early Marker of Deep Vein Thrombosis in Diabetes Mellitus: An Observational Study. Cureus 2023; 15:e36813. [PMID: 37123805 PMCID: PMC10137300 DOI: 10.7759/cureus.36813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/28/2023] [Indexed: 03/30/2023] Open
Abstract
Background Although the association between the presence of diabetes mellitus and the development of deep vein thrombosis (DVT) is well known, the role of novel biomarkers in predicting the development of DVT in diabetic patients is not yet known to a large extent. Studies have shown that complete blood count (CBC) and CBC-derived parameters such as neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) can be used as surrogate markers to detect DVT. This study was conducted to assess the utility of NLR and PLR as a marker of DVT in diabetic patients. Methodology This case-control study was conducted among a calculated sample size of 109 DVT patients in one arm and 109 non-DVT patients in another arm. Hematological tests including total leucocyte count, differential leucocyte count, total neutrophil count, total lymphocyte count, total platelet count, NLR, and PLR were performed. Results We found a significant difference in NLR and PLR between the DVT and the non-DVT groups. In addition, we found that NLR and PLR were significantly higher in the diabetic group, indicating the presence of inflammation in association with diabetes mellitus. Analysis of the receiver operating characteristic curve showed that at a cut-off value of 2.83, NLR can detect DVT in diabetic patients with 67% sensitivity and 92% specificity. Similarly, PLR at a cut-off value of 131.46 can detect DVT in diabetic patients with 56% sensitivity and 90% specificity. Conclusions We conclude that NLR and PLR are novel inflammatory markers that can help in the early detection of DVT in diabetic patients.
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Mohanty S, Banerjee A, Kumar A, Deb P, Samantray H, Das D. Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital. Cureus 2023; 15:e36918. [PMID: 37128533 PMCID: PMC10148691 DOI: 10.7759/cureus.36918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2023] [Indexed: 05/03/2023] Open
Abstract
BACKGROUND The development of atrial fibrillation adds a lot to the morbidity and mortality of individual patients. The spectrum of non-valvular atrial fibrillation among young adults is less known. The present observational study aims to analyze the clinical-aetiological spectrum of non-valvular atrial fibrillation among young adults between 18 and 40 years of age. METHODS A retrospective observational study was carried out to analyze the clinical-aetiological spectrum of non-valvular atrial fibrillation among young adults less than 40 years of age attending the cardiac outpatient department in a tertiary care hospital in Eastern India over a period of two years. Patients with any form of organic valvular heart disease and patients more than 40 years of age were excluded from the study. One hundred and seventeen patients under 40 years of age were analysed with respect to demographic, aetiological, and clinical profiles. RESULTS Most common aetiologies behind non-valvular atrial fibrillation in young adults (<40 years) were hypertension (40%) and the presence of left ventricular systolic dysfunction (31%). Thyrotoxicosis, obesity, obstructive sleep apnoea, the presence of congenital heart disease, coronary artery disease, myopericarditis, chronic kidney disease, dyselectronemia, diabetes mellitus, and the presence of chronic obstructive pulmonary disease contributed towards the development of non-valvular atrial fibrillation in the young population in less proportion of cases. Most of the cases were symptomatic with palpitation, shortness of breath, or diaphoresis. Less number of cases (17%) had left atrial thrombus which may be due to early clinical attention with the proper therapeutic anticoagulation regimen. CONCLUSIONS Hypertension and the presence of left ventricular systolic dysfunction contribute to the majority towards the development of non-valvular atrial fibrillation among young adults. Accurate measurement and monitoring of blood pressure among young adults and careful assessment of left ventricular systolic dysfunction with subsequent appropriate management of hypertension and left ventricular systolic dysfunction in young can decrease the burden of non-valvular atrial fibrillation among the young population.
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Affiliation(s)
- Satyapriya Mohanty
- Cardiothoracic Surgery, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, IND
| | - Anindya Banerjee
- Cardiology, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, IND
| | - Abhinav Kumar
- Cardiology, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, IND
| | - Pranjit Deb
- Cardiology, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, IND
| | - Humshika Samantray
- Cardiothoracic Surgery, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, IND
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Sahoo KK, Sinha A, Das D. Process engineering strategy for improved methanol production in Methylosinus trichosporium through enhanced mass transfer and solubility of methane and carbon dioxide. Bioresour Technol 2023; 371:128603. [PMID: 36634876 DOI: 10.1016/j.biortech.2023.128603] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 01/06/2023] [Accepted: 01/07/2023] [Indexed: 06/17/2023]
Abstract
Methanol was produced in a two-stage integrated process using Methylosinus trichosporium NCIMB 11131. The first stage involved sequestration of methane to produce methanotrophic biomass, which was utilized as biocatalyst in the second stage to convert CO2 into methanol. A combinatorial process engineering approach of design of micro-sparger, engagement of draft tube, addition of mass transfer vector and elevation of reactor operating pressure was employed to enhance production of biomass and methanol. Maximum biomass titer of 7.68 g/L and productivity of 1.46 g/L d-1 were achieved in an airlift reactor equipped with a micro-sparger of 5 µm pore size, in the presence of draft tube and 10 % v/v silicone oil, as mass transfer vector. Maximum methane fixation rate was estimated to be 0.80 g/L d-1. Maximum methanol titer of 1.98 g/L was achieved under an elevated operating pressure of 4 bar in a high-pressure stirred tank reactor.
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Affiliation(s)
- Krishna Kalyani Sahoo
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, Assam 781039, India
| | - Ankan Sinha
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, Assam 781039, India
| | - Debasish Das
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, Assam 781039, India.
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Mohanty S, Venkateshan M, Das PK, Pandey A, Gehlot M, Gomathi B, Shetty A, Mishra P, Das D. Socioeconomic Burden of Critically Ill Patients: A Descriptive Study. Cureus 2023; 15:e35598. [PMID: 37007309 PMCID: PMC10063161 DOI: 10.7759/cureus.35598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2023] [Indexed: 03/04/2023] Open
Abstract
Background The cost of critical illness treatment is generally recognized as expensive and increasing in India. Critical illness of the individual will affect the socioeconomic status of the individual and the family. The direct and indirect costs of intensive care and its impact on the socioeconomic status of critically ill patients and their families need to be estimated. The present study was carried out to evaluate the socioeconomic burden of critically ill patients admitted to ICUs in Eastern India. Methods A descriptive survey was conducted to measure the socioeconomic burden. One hundred fifteen critically ill patients and their family members were conveniently selected for the study. Critically ill patients admitted to ICUs and those who were bedridden for more than seven days along with anyone the family member, i.e., spouse, father, or mother, were included in the study to estimate the impact of long-term illness on the care providers in the family. Socio-demographic and socioeconomic burdens were analyzed through the interview method. Results Half (49.6%) of the critically ill patients were heads of the family, and their employment is the primary source of income for the family members. Most (60.9%) of the patients belonged to lower socioeconomic status. Critically ill patients spend a maximum (38169.6±3996.2) amount for pharmaceutical expenses. Eventually, the family members accompanying patients lost maximum working days because of the long length of hospital stay. Below upper-lower (p=0.046) class socioeconomic family, age less than 40 (p=0.018) years, and those families depending (p=0.003) on patients' income significantly reported higher socioeconomic burden. Conclusions Critical care hospitalization of patients increases the socioeconomic burden on the whole family, especially in lower-middle-income countries like India. It soberly affects younger age group patients with low socioeconomic status and families depending on the patient's income during their man days.
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Mishra P, Mohanty S, P S, Moharana B, Das D. Paracentral Acute Middle Maculopathy As the Presenting Sign of Ischemic Cardiomyopathy. Cureus 2023; 15:e35418. [PMID: 36994255 PMCID: PMC10042500 DOI: 10.7759/cureus.35418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2023] [Indexed: 03/31/2023] Open
Abstract
Paracentral acute middle maculopathy (PAMM) is a type of ischemic maculopathy affecting intermediate and deep retinal capillary plexuses. A typical presentation is acute onset scotoma with or without vision loss. It is characterized by greyish-white parafoveal lesions. Sometimes very subtle lesions can be missed on clinical examination. The main diagnostic modality is spectral domain optical coherence tomography (SD-OCT) wherein focal or multifocal lesions are seen as bands of hyperreflectivity in the inner nuclear and outer plexiform layers. This entity can be associated with systemic microvascular diseases. Here, we report an interesting case of PAMM as the only presenting sign in a patient with ischemic cardiomyopathy, highlighting the necessity for a thorough systemic examination in such patients.
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Affiliation(s)
| | - Satyapriya Mohanty
- Cardiothoracic Surgery, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Shanmugasundaram P
- Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Bruttendu Moharana
- Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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Das D, Mohanty S. Macro T-wave Alternans in Jervell and Lange-Nielsen Syndrome. Cureus 2023; 15:e34762. [PMID: 36909039 PMCID: PMC9999448 DOI: 10.7759/cureus.34762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2023] [Indexed: 02/11/2023] Open
Abstract
Here, we report a rare case of a three-year-old boy with Jervell and Lange-Nielsen (JLN) syndrome who presented with two episodes of nocturnal agonal gasp provoked by fever mimicking syncope in the last six months with a history of sudden cardiac death in one elderly sibling. Interestingly, an electrocardiogram (EKG) revealed macro T-wave alternans (TWA) indicative of a high risk of malignant ventricular arrhythmia in the form of ventricular fibrillation and sudden cardiac death. TWA in JLN syndrome has not been described in the global literature so far. Our case is unique and the first to describe macro TWA in JLN syndrome and is a teaching point to young cardiologists to always look for macro TWA in the EKG of long QT syndrome for risk stratification, management, and, most importantly, avoiding the risk of sudden cardiac death.
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Affiliation(s)
- Debasish Das
- Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
| | - Satyapriya Mohanty
- Cardiothoracic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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Nganguia H, Das D, Pak OS, Young YN. Influence of surface viscosities on the electrodeformation of a prolate viscous drop. Soft Matter 2023; 19:776-789. [PMID: 36625263 DOI: 10.1039/d2sm01307j] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Contaminants and other agents are often present at the interface between two fluids, giving rise to rheological properties such as surface shear and dilatational viscosities. The dynamics of viscous drops with interfacial viscosities has attracted greater interest in recent years, due to the influence of surface rheology on deformation and the surrounding flows. We investigate the effects of shear and dilatational viscosities on the electro-deformation of a viscous drop using the Taylor-Melcher leaky dielectric model. We use a large deformation analysis to derive an ordinary differential equation for the drop shape. Our model elucidates the contributions of each force to the overall deformation of the drop and reveals a rich range of dynamic behaviors that show the effects of surface viscosities and their dependence on rheological and electrical properties of the system. We also examine the physical mechanisms underlying the observed behaviors by analyzing the surface dilatation and surface deformation.
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Affiliation(s)
- H Nganguia
- Department of Mathematics, Towson University, Towson, MD 21252, USA.
| | - D Das
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow, UK.
| | - O S Pak
- Department of Mechanical Engineering, Santa Clara University, Santa Clara, CA 95053, USA.
| | - Y-N Young
- Department of Mathematical Sciences, New Jersey Institute of Technology, Newark, NJ 07102, USA.
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Muacevic A, Adler JR, Mir FA, Banerjee A, Das D. Bleeding From Left Atrial Appendage During Atrial Septal Defect Closure Through Right Anterolateral Thoracotomy: An Unusual Complication. Cureus 2023; 15:e34138. [PMID: 36843748 PMCID: PMC9949747 DOI: 10.7759/cureus.34138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2023] [Indexed: 01/26/2023] Open
Abstract
Anterolateral thoracotomy is frequently used for the closure of ostium secundum atrial septal defect (ASD). The cosmetic result has become an important feature. There are various complications of anterolateral thoracotomy like persistent postoperative pain, phrenic nerve injury, atelectasis, and bleeding. We report a case of ASD closure through anterolateral thoracotomy who had bleeding of the left atrial appendage (LAA), which is an unusual and rare complication.
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Simutis G, Bollhalder A, Zolliker M, Küspert J, Wang Q, Das D, Van Leeuwen F, Ivashko O, Gutowski O, Philippe J, Kracht T, Glaevecke P, Adachi T, V Zimmermann M, Van Petegem S, Luetkens H, Guguchia Z, Chang J, Sassa Y, Bartkowiak M, Janoschek M. In situ uniaxial pressure cell for x-ray and neutron scattering experiments. Rev Sci Instrum 2023; 94:013906. [PMID: 36725613 DOI: 10.1063/5.0114892] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 12/24/2022] [Indexed: 06/18/2023]
Abstract
We present an in situ uniaxial pressure device optimized for small angle x-ray and neutron scattering experiments at low-temperatures and high magnetic fields. A stepper motor generates force, which is transmitted to the sample via a rod with an integrated transducer that continuously monitors the force. The device has been designed to generate forces up to 200 N in both compressive and tensile configurations, and a feedback control allows operating the system in a continuous-pressure mode as the temperature is changed. The uniaxial pressure device can be used for various instruments and multiple cryostats through simple and exchangeable adapters. It is compatible with multiple sample holders, which can be easily changed depending on the sample properties and the desired experiment and allow rapid sample changes.
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Affiliation(s)
- G Simutis
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - A Bollhalder
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - M Zolliker
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - J Küspert
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - Q Wang
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - D Das
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, Villigen PSI, Switzerland
| | - F Van Leeuwen
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - O Ivashko
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - O Gutowski
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - J Philippe
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - T Kracht
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - P Glaevecke
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - T Adachi
- Department of Engineering and Applied Sciences, Sophia University, Chiyoda, Tokyo, 102-8554, Japan
| | - M V Zimmermann
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - S Van Petegem
- Structure and Mechanics of Advanced Materials, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - H Luetkens
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, Villigen PSI, Switzerland
| | - Z Guguchia
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, Villigen PSI, Switzerland
| | - J Chang
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - Y Sassa
- Department of Physics, Chalmers University of Technology, SE-41296 Göteborg, Sweden
| | - M Bartkowiak
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - M Janoschek
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
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Das D, Biswas S, Rao Dumpala RM, Pente AS, Manohar S. Separation of Radioactive Ruthenium from Alkaline Solution: A Solvent Extraction and Detailed Mechanistic Approach. ACS Omega 2022; 7:43803-43812. [PMID: 36506155 PMCID: PMC9730466 DOI: 10.1021/acsomega.2c04903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 10/26/2022] [Indexed: 06/17/2023]
Abstract
A solvent extraction-based technique has been utilized to study the separation of ruthenium from simulated alkaline solution using Aliquat 336 as the extractant and isodecyl alcohol (IDA) as the phase modifier in n-dodecane. The effects of various experimental parameters such as solution pH, mixing time, concentration of Aliquat 336 and IDA, role of citric acid as the aqueous phase modifier/complexing agent, and stripping agents have been evaluated. It was observed that with the increase in the solution pH, the extraction efficiency increases gradually. However, when citric acid was added into the aqueous solution, an overall increase (from ∼20 to 91%) in ruthenium extraction is observed. 20 min of the mixing time was found to be sufficient to reach the extraction equilibrium. Solution composition was optimized as 50% Aliquat 336 and 10% IDA in n-dodecane (v/v) for maximum extraction. The stripping of ruthenium from the loaded organic phase has been studied using HCl and HNO3. The result indicates that in the presence of 8 M HNO3, ∼73% of ruthenium can be back extracted to the aqueous phase in a single contact. The stripping efficiency of HNO3 was found to be higher than that of HCl. Active studies with 106Ru as the radiotracer were also performed and monitored using a HPGe detector. The same method was implemented for extraction studies with real waste solution in the presence of other radionuclides such as 137Cs, 90Sr, and 125Sb. The presence of the chemical species in aqueous as well as organic phase has been identified using UV-vis spectrophotometry, Fourier transform infrared spectroscopy, and Raman spectroscopy. Density functional theory-based quantum mechanical calculations have been performed in order to unravel the extraction mechanism with the present solvent system.
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Affiliation(s)
- Debasish Das
- Waste
Management Division, Bhabha Atomic Research
Centre, Trombay, Mumbai400085, India
- Homi
Bhabha National Institute, Anushaktinagar, Mumbai400094, India
| | - Sujoy Biswas
- Uranium
Extraction Division, Bhabha Atomic Research
Centre, Trombay, Mumbai400085, India
| | - Rama Mohana Rao Dumpala
- Radiochemistry
Division, Bhabha Atomic Research Centre, Trombay, Mumbai400085, India
- Institute
for Nuclear Waste Disposal, Karlsruhe Institute
of Technology, P.O. Box 3640, 76021Karlsruhe, Germany
| | - Avinash S. Pente
- Waste
Management Division, Bhabha Atomic Research
Centre, Trombay, Mumbai400085, India
| | - Smitha Manohar
- Nuclear
Recycle Group, Bhabha Atomic Research Centre, Trombay, Mumbai400085, India
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Das D, Squires N, Mueller M, Collins S, Lewicky-Gaupp C, Bretschneider C, Geynisman-Tan J, Kenton K. Use of Novel Configuration with Suture Kit Device for Robotic-assisted Minimally Invasive Sacrocolpopexy. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Naegele S, Efthymiou V, Das D, Richmon J, Iafrate J, D. F. O2.3 Detection and monitoring of circulating tumor HPV DNA in HPV-associated sinonasal and nasopharyngeal cancers. Oral Oncol 2022. [DOI: 10.1016/j.oraloncology.2022.106174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Banerjee A, Pramanik S, Das D. Balloon atrial septostomy in the era of vanishing Rashkind balloon. Indian Heart J 2022. [DOI: 10.1016/j.ihj.2022.10.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mielke Iii C, Liu H, Das D, Yin JX, Deng LZ, Spring J, Gupta R, Medarde M, Chu CW, Khasanov R, Hasan ZM, Shi Y, Luetkens H, Guguchia Z. Local spectroscopic evidence for a nodeless magnetic kagome superconductor CeRu 2. J Phys Condens Matter 2022; 34:485601. [PMID: 36202080 DOI: 10.1088/1361-648x/ac9813] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 10/06/2022] [Indexed: 06/16/2023]
Abstract
We report muon spin rotation (µSR) experiments on the microscopic properties of superconductivity and magnetism in the kagome superconductor CeRu2withTc≃5 K. From the measurements of the temperature-dependent magnetic penetration depthλ, the superconducting order parameter exhibits nodeless pairing, which fits best to an anisotropics-wave gap symmetry. We further show that theTc/λ-2ratio is comparable to that of unconventional superconductors. Furthermore, the powerful combination of zero-field (ZF)-µSR and high-fieldµSR has been used to uncover magnetic responses across three characteristic temperatures, identified asT1∗≃110 K,T2∗≃65 K, andT3∗≃40 K. Our experiments classify CeRu2as an exceedingly rare nodeless magnetic kagome superconductor.
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Affiliation(s)
- C Mielke Iii
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - H Liu
- Beijing National Laboratory for Condensed Matter Physics and Institute of Physics, Chinese Academy of Sciences, Beijing 100190, People's Republic of China
- University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
| | - D Das
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - J-X Yin
- Laboratory for Topological Quantum Matter and Advanced Spectroscopy (B7), Department of Physics, Princeton University, Princeton, NJ 08544, United States of America
| | - L Z Deng
- Department of Physics and Texas Center for Superconductivity, University of Houston, Houston, TX, United States of America
| | - J Spring
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - R Gupta
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - M Medarde
- Laboratory for Multiscale Materials Experiments, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - C-W Chu
- Department of Physics and Texas Center for Superconductivity, University of Houston, Houston, TX, United States of America
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720, United States of America
| | - R Khasanov
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - Z M Hasan
- Laboratory for Topological Quantum Matter and Advanced Spectroscopy (B7), Department of Physics, Princeton University, Princeton, NJ 08544, United States of America
- Princeton Institute for the Science and Technology of Materials, Princeton University, Princeton, NJ 08540, United States of America
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, United States of America
- Quantum Science Center, Oak Ridge, TN 37831, United States of America
| | - Y Shi
- Beijing National Laboratory for Condensed Matter Physics and Institute of Physics, Chinese Academy of Sciences, Beijing 100190, People's Republic of China
- University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
| | - H Luetkens
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - Z Guguchia
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
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Das S, Majumder M, Das D, Chowdhury N, Das A, Das K, Fardous J, Hasan MJ. Prevalence and Risk Factors of Secondary Hyperparathyroidism among CKD Patients and Correlation with Different Laboratory Parameters. Mymensingh Med J 2022; 31:1084-1092. [PMID: 36189556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Hyperthyroidism is one of the major complications in CKD patients who results in a number of metabolic disorders and contributes to morbidity and mortality. The objective of the study was to investigate the prevalence and risk factors for secondary hyperparathyroidism among CKD patients as well as its correlation with different laboratory parameters. This was a cross-sectional study conducted among the admitted CKD patients of Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh from January 2019 to December 2019. Following recruitment, clinical parameters were extracted from the patients' medical records. Afterward, blood sample blood was collected to measure the biochemical parameters and serum parathyroid hormone levels. A binary logistic regression model was used to assess the factors associated with hyperparathyroidism. The mean±SD serum PTH in all CKD patients was 215.04±168.15 pg/ml. The overall prevalence of secondary hyperparathyroidism among CKD patients was 75.0% (32.0% in stage 3, 88.0% in stage 4 and 93.0% in stage 5 CKD). Serum PTH levels had a significant positive correlation with serum creatinine and serum phosphate levels and a significant negative correlation with serum albumin and serum calcium levels. However, only female sex was revealed as a significant risk factor in the adjusted regression model (aOR 0.26, 95% CI 0.07-0.98 for male sex compared to female sex). As the prevalence of secondary hyperparathyroidism increases in advanced stages of CKD, early detection and management of CKD are crucial to prevent metabolic disorders that could trigger the development of this complication.
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Affiliation(s)
- S Das
- Dr Supti Das, Assistant Professor, Department of Biochemistry, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh; E-mail:
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Sinha A, Kumar R, Goswami G, Das D. Process engineering strategy for large scale outdoor cultivation of Tetradesmus obliquus CT02 coupled with pH guided CO 2 feeding. J Environ Manage 2022; 318:115539. [PMID: 35728376 DOI: 10.1016/j.jenvman.2022.115539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 05/20/2022] [Accepted: 06/13/2022] [Indexed: 06/15/2023]
Abstract
A novel CO2 tolerant microalga Tetradesmus obliquus CT02, was previously evaluated to be a suitable bio refinery platform for synthesis of bioactive molecules, biodiesel, and biofertilizer. In the present study, a process engineering strategy was developed targeting improved growth performance of the strain at large scale under fluctuating outdoor environmental conditions. The strategy relies on maintaining pH of the culture at its optimal value via cascade control with CO2 feeding. The strategy was developed at laboratory scale bubble column photobioreactor under diurnal variation of simulated sunlight intensity and was further validated through growth performance of the strain under outdoor conditions in a 100 L airlift bioreactor. Under laboratory condition, 53.3% and 85.16% improvement in biomass concentration (1.87 g L-1) and productivity (114.8 mg L-1 day-1) was achieved as compared to the uncontrolled pH, respectively. The strategy demonstrated a significant improvement in biomass concentration and productivity by 225.7% and 121.6% respectively, compared to the pH uncontrolled batch, even under outdoor fluctuating environmental condition.
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Affiliation(s)
- Ankan Sinha
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, Assam, 781039, India
| | - Ratan Kumar
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, Assam, 781039, India
| | - Gargi Goswami
- Department of Biotechnology, Gandhi Institute of Technology and Management (GITAM) University, Visakhapatnam, Andhra Pradesh, 530045, India
| | - Debasish Das
- Department of Biosciences & Bioengineering, Indian Institute of Technology, Guwahati, Assam, 781039, India.
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Islam N, Das MC, Saif-Ur-Rahman KM, Khan MA, Khandaker G, Das D. Corona Virus Disease 2019 (COVID-19) Diagnostic Tests: A Glimpse. Mymensingh Med J 2022; 31:887-889. [PMID: 35780380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Mass testing for COVID-19 infection is one of the core measures in tackling the global spread of the disease. Testing is vital to diagnose and estimate cases, attack rates and case fatality rates- critical data for policy-making. As COVID-19 continues to spread globally, the demand for more extensive laboratory testing and innovative technology increases. However, countries around the world have been struggling to keep up pace with the worldwide demand to expand testing strategy. The pandemic evolves, so does our knowledge and understanding of diagnostic tests of COVID-19. Here we aim to review major challenges related to COVID-19 diagnostic tests and future development. So, the ongoing urgency and demand for tests would certainly steer the rapid uptake of novel techniques, which in turn would boost our understanding of diagnostic tests for COVID-19.
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Affiliation(s)
- N Islam
- Dr Nazmul Islam, School of Public Health and Life Sciences, University of South Asia, Dhaka, Bangladesh; E-mail:
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Sharma S, Das D, Sadhu B, Sharma N. Vanadium(IV) coordination complexes with excellent biological activities: a synthetic, characterization, and density functional theory approach. J COORD CHEM 2022. [DOI: 10.1080/00958972.2022.2060744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Sonika Sharma
- Department of Chemistry, Himachal Pradesh University, Shimla, India
| | - Debasish Das
- Waste Management Division, Bhabha Atomic Research Centre, Mumbai, India
| | - Biswajit Sadhu
- Health Physics Division, Bhabha Atomic Research Centre, Mumbai, India
| | - Neeraj Sharma
- Department of Chemistry, Himachal Pradesh University, Shimla, India
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Griffiths H, Das D. P.83 COL4A1 mutation - the new kid on the block. Int J Obstet Anesth 2022. [PMCID: PMC9060826 DOI: 10.1016/j.ijoa.2022.103379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Abstract
BACKGROUND Herpes simplex virus encephalitis (HSVE) is one of the most common infectious causes of sporadic encephalitis. Coronavirus disease (COVID-19) has been associated with immune dysregulation of the host that might increase the risk of infections like HSVE following SARS-CoV-2 infection. There is paucity of literature on post COVID-19 HSVE. This study was conducted with the aim of analyzing the clinical presentation, brain imaging, and outcome of patients presenting with HSVE within 6 weeks of COVID-19 and providing a comprehensive review on the possible mechanisms of post-COVID-19 HSVE. METHODS This observational study included patients who had laboratory-confirmed HSVE (type 1 or type 2) and a history of COVID-19 within the previous 6 weeks. Patients were followed up for 3 months. RESULTS Eight patients were included and all of them had type 1 HSVE. The mean latency of onset of neurological symptoms from being diagnosed with COVID-19 is 23.87 days and a majority of the patients have received injectable steroids with a mean duration of 6.5 days. Behavioral abnormality was the commonest neurological presentation and typical brain imaging involved T2 FLAIR hyperintensities of the medial temporal lobes. All patients received intravenous acyclovir 10 mg/kg every eight hourly for atleast 14 days. One patient with concomitant rhinocerebral mucormycosis succumbed while the majority had a complete recovery. CONCLUSION Possible immune dysregulation in COVID-19 may increase the susceptibility of HSVE in patients with a history of recent SARS-CoV-2 infection. The clinical manifestations and laboratory findings of HSVE in such patients are similar to typical HSVE.
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Affiliation(s)
- S Gupta
- From the Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research, Annex-1, 52/1a Shambhunath Pandit Street, Kolkata 700025, India
| | - A Dutta
- From the Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research, Annex-1, 52/1a Shambhunath Pandit Street, Kolkata 700025, India
| | - U Chakraborty
- Address correspondence to Dr Uddalak Chakraborty, Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research, Annex-1, 52/1a Shambhunath Pandit Street, Kolkata 700025, West Bengal, India.
| | - R Kumar
- Department of Neurology, G.S Neuroscience Clinic and Research Center, 3/214, Boring Rd, New Patliputra Colony, Patliputra Colony, Patna, Bihar 800013, India
| | - D Das
- From the Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research, Annex-1, 52/1a Shambhunath Pandit Street, Kolkata 700025, India
- Woodlands Multi-Speciality Hospital and C K Birla Hospitals,8/5, Alipur Rd, Alipore, Kolkata, West Bengal 700027, India
| | - B K Ray
- From the Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research, Annex-1, 52/1a Shambhunath Pandit Street, Kolkata 700025, India
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50
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Mukherjee A, Das D, Banerjee S, Majumder SB. Synthesis and electrochemical performance of in‐situ and ex‐situ carbon‐ coated Na
2
Ti
3
O
7
, as a promising anode for sodium‐ion batteries. Electrochemical Science Adv 2022. [DOI: 10.1002/elsa.202100118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
- Anwesa Mukherjee
- Materials Science Centre Indian Institute of Technology Kharagpur West Bengal India
| | - Debasish Das
- School of Nano Science and Technology Indian Institute of Technology Kharagpur West Bengal India
| | - Susanta Banerjee
- Materials Science Centre Indian Institute of Technology Kharagpur West Bengal India
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