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Jagadeesan S, Patel P, Kushwaha P, Patidar N. Scrub typus fulminating as liver failure: A rare report. J Vector Borne Dis 2023; 60:333-335. [PMID: 37843246 DOI: 10.4103/0972-9062.374042] [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] [Indexed: 10/17/2023] Open
Abstract
Scrub typhus is almost an endemic tropical mite-borne, zoonotic illness often cognate with the bacterium Orientia tsutsugamushi. After a typical incubation period of a fortnight, non-specific symptoms including fever, headache, and a specific skin 'eschar' is customary. If untreated after a symptomatic week, scrub typus may precipitate end-organ involvements spiraling into vivid complications. Nevertheless, crub typhus tends to display mild transaminitis, frank liver failure is hardly common in clinical practice. An instance of scrub typus triggering fulminant hepatic failure (FHF) in a middle-aged female is being reported here.
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Affiliation(s)
- Subramani Jagadeesan
- Medicine, Venkateshwara Institute of Medical Sciences, Gajraula, Uttar Pradesh, India
| | - Pranav Patel
- Acute Medicine, North Middlesex University Hospital, London, United Kingdom
| | - Pushpendra Kushwaha
- Internal Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - Nehal Patidar
- Internal Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
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Kushwaha P, Agarwal M. Utilization of metal industry solid waste as an adsorbent for adsorption of anionic and cationic dyes from aqueous solution through the batch and continuous study. Environ Sci Pollut Res Int 2023; 30:46748-46765. [PMID: 36723835 DOI: 10.1007/s11356-023-25531-6] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 01/19/2023] [Indexed: 06/18/2023]
Abstract
Industrial waste, for instance, textile effluents when released into the ecological system without first being treated or with inappropriate levels of treatment, can lead to serious issues deteriorating the environment and human health. Moreover, solid waste from various industries has also become a major issue due to massive urbanization. For instance, the waste from the metal industry has been rapidly increasing such as Jarosite which has various metals, metal oxides, and silica in its composition. Therefore, Jarosite was utilized as an adsorbent for the adsorption of anionic Congo red (CR) and cationic Methylene blue (MB) dyes from aqueous solutions. The processed adsorbent sample was characterized by BET, XRD, SEM, EDS, FTIR, and XPS techniques. The effects of initial dye concentration, pH, adsorbent dose, temperature, and contact time were examined. The metal industry waste is used as a low-cost abundant adsorbent with great potential for adsorption ability to remove the CR (97.5%) and MB (68.5%) at pH 7, contact time 90 min, adsorbent dose 0.1 g, and initial dye concentration 50 mg/L. The adsorption data followed the adsorption isotherm and Kinetics for both dyes. The removal of both dyes was a physical adsorption process, endothermic and spontaneous reaction. Column adsorption investigation was described by AB (Adams-Bohart) and YN (Yoon-Nelson) models. According to the economic view, the utilization of jarosite for dye removal is a cost-effective approach, because it is collected free of cost from industries. Henceforth, for the first time, toxic metal industry waste was successfully utilized as an adsorbent for wastewater treatment.
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Affiliation(s)
- Pushpendra Kushwaha
- Department of Chemical Engineering, Malaviya National Institute of Technology, Jaipur, 302017, India
| | - Madhu Agarwal
- Department of Chemical Engineering, Malaviya National Institute of Technology, Jaipur, 302017, India.
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Sunko V, Mazzola F, Kitamura S, Khim S, Kushwaha P, Clark OJ, Watson MD, Marković I, Biswas D, Pourovskii L, Kim TK, Lee TL, Thakur PK, Rosner H, Georges A, Moessner R, Oka T, Mackenzie AP, King PDC. Probing spin correlations using angle-resolved photoemission in a coupled metallic/Mott insulator system. Sci Adv 2020; 6:eaaz0611. [PMID: 32128385 PMCID: PMC7032925 DOI: 10.1126/sciadv.aaz0611] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 10/29/2019] [Indexed: 06/10/2023]
Abstract
A nearly free electron metal and a Mott insulating state can be thought of as opposite ends of the spectrum of possibilities for the motion of electrons in a solid. Understanding their interaction lies at the heart of the correlated electron problem. In the magnetic oxide metal PdCrO2, nearly free and Mott-localized electrons exist in alternating layers, forming natural heterostructures. Using angle-resolved photoemission spectroscopy, quantitatively supported by a strong coupling analysis, we show that the coupling between these layers leads to an "intertwined" excitation that is a convolution of the charge spectrum of the metallic layer and the spin susceptibility of the Mott layer. Our findings establish PdCrO2 as a model system in which to probe Kondo lattice physics and also open new routes to use the a priori nonmagnetic probe of photoemission to gain insights into the spin susceptibility of correlated electron materials.
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Affiliation(s)
- V. Sunko
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - F. Mazzola
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
| | - S. Kitamura
- Max Planck Institute for the Physics of Complex Systems, Nöthnitzer Straße 38, 01187 Dresden, Germany
| | - S. Khim
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - P. Kushwaha
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - O. J. Clark
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
| | - M. D. Watson
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
| | - I. Marković
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - D. Biswas
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
| | - L. Pourovskii
- CPHT, CNRS, Ecole Polytechnique, Institut Polytechnique de Paris, F-91128 Palaiseau, France
- Institut de Physique, Collège de France, 11 place Marcelin Berthelot, 75005 Paris, France
| | - T. K. Kim
- Diamond Light Source, Harwell Campus, Didcot, OX11 0DE, UK
| | - T.-L. Lee
- Diamond Light Source, Harwell Campus, Didcot, OX11 0DE, UK
| | - P. K. Thakur
- Diamond Light Source, Harwell Campus, Didcot, OX11 0DE, UK
| | - H. Rosner
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - A. Georges
- CPHT, CNRS, Ecole Polytechnique, Institut Polytechnique de Paris, F-91128 Palaiseau, France
- Institut de Physique, Collège de France, 11 place Marcelin Berthelot, 75005 Paris, France
- Center for Computational Quantum Physics, Flatiron Institute, New York, NY 10010, USA
- DQMP, Université de Genève, 24 quai Ernest Ansermet, CH-1211 Genève, Switzerland
| | - R. Moessner
- Max Planck Institute for the Physics of Complex Systems, Nöthnitzer Straße 38, 01187 Dresden, Germany
| | - T. Oka
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
- Max Planck Institute for the Physics of Complex Systems, Nöthnitzer Straße 38, 01187 Dresden, Germany
| | - A. P. Mackenzie
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - P. D. C. King
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
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Sunko V, Rosner H, Kushwaha P, Khim S, Mazzola F, Bawden L, Clark OJ, Riley JM, Kasinathan D, Haverkort MW, Kim TK, Hoesch M, Fujii J, Vobornik I, Mackenzie AP, King PDC. Maximal Rashba-like spin splitting via kinetic-energy-coupled inversion-symmetry breaking. Nature 2018; 549:492-496. [PMID: 28959958 DOI: 10.1038/nature23898] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 07/26/2017] [Indexed: 11/09/2022]
Abstract
Engineering and enhancing the breaking of inversion symmetry in solids-that is, allowing electrons to differentiate between 'up' and 'down'-is a key goal in condensed-matter physics and materials science because it can be used to stabilize states that are of fundamental interest and also have potential practical applications. Examples include improved ferroelectrics for memory devices and materials that host Majorana zero modes for quantum computing. Although inversion symmetry is naturally broken in several crystalline environments, such as at surfaces and interfaces, maximizing the influence of this effect on the electronic states of interest remains a challenge. Here we present a mechanism for realizing a much larger coupling of inversion-symmetry breaking to itinerant surface electrons than is typically achieved. The key element is a pronounced asymmetry of surface hopping energies-that is, a kinetic-energy-coupled inversion-symmetry breaking, the energy scale of which is a substantial fraction of the bandwidth. Using spin- and angle-resolved photoemission spectroscopy, we demonstrate that such a strong inversion-symmetry breaking, when combined with spin-orbit interactions, can mediate Rashba-like spin splittings that are much larger than would typically be expected. The energy scale of the inversion-symmetry breaking that we achieve is so large that the spin splitting in the CoO2- and RhO2-derived surface states of delafossite oxides becomes controlled by the full atomic spin-orbit coupling of the 3d and 4d transition metals, resulting in some of the largest known Rashba-like spin splittings. The core structural building blocks that facilitate the bandwidth-scaled inversion-symmetry breaking are common to numerous materials. Our findings therefore provide opportunities for creating spin-textured states and suggest routes to interfacial control of inversion-symmetry breaking in designer heterostructures of oxides and other material classes.
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Affiliation(s)
- Veronika Sunko
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK.,Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - H Rosner
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - P Kushwaha
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - S Khim
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - F Mazzola
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
| | - L Bawden
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
| | - O J Clark
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
| | - J M Riley
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK.,Diamond Light Source, Harwell Campus, Didcot OX11 0DE, UK
| | - D Kasinathan
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - M W Haverkort
- Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany.,Institute for Theoretical Physics, Heidelberg University, Philosophenweg 19, 69120 Heidelberg, Germany
| | - T K Kim
- Diamond Light Source, Harwell Campus, Didcot OX11 0DE, UK
| | - M Hoesch
- Diamond Light Source, Harwell Campus, Didcot OX11 0DE, UK
| | - J Fujii
- Istituto Officina dei Materiali (IOM)-CNR, Laboratorio TASC, Area Science Park, S.S.14, Km 163.5, 34149 Trieste, Italy
| | - I Vobornik
- Istituto Officina dei Materiali (IOM)-CNR, Laboratorio TASC, Area Science Park, S.S.14, Km 163.5, 34149 Trieste, Italy
| | - A P Mackenzie
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK.,Max Planck Institute for Chemical Physics of Solids, Nöthnitzer Straße 40, 01187 Dresden, Germany
| | - P D C King
- SUPA, School of Physics and Astronomy, University of St Andrews, St Andrews KY16 9SS, UK
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Moll PJW, Kushwaha P, Nandi N, Schmidt B, Mackenzie AP. Evidence for hydrodynamic electron flow in PdCoO2. Science 2016; 351:1061-4. [DOI: 10.1126/science.aac8385] [Citation(s) in RCA: 293] [Impact Index Per Article: 36.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Accepted: 12/23/2015] [Indexed: 11/02/2022]
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Abstract
A 63-year-old woman presented with a 4-week history of vulval bleeding. On examination, an 8 mm fleshy irregular vascular lesion was present on the vulva in the periclitoreal area. This vulval lesion was treated by surgical excision. Histological analysis showed irregular pieces of skin partly covered by hyperplastic squamous epithelium. There were areas of fistulous-like endophytic proliferations lined by hyperplastic squamous epithelial cells. The intervening stroma showed granulation tissue with severe active chronic inflammation. At least five hair follicle shafts surrounded by foreign body type giant cells were also identified within the inflamed area. There was no evidence of dysplasia or malignancy. This chronically inflamed fistulous tract together with hair shafts within the wall of the tract were diagnostic of a pilonidal sinus of the vulva. This case report summarises the importance of diagnosing pilonidal sinus at an unusual location.
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Affiliation(s)
- P Kushwaha
- Department of Histopathology, Royal Blackburn Hospital, Blackburn, Lancashire, UK
| | - A Merritt
- Department of Histopathology, Royal Blackburn Hospital, Blackburn, Lancashire, UK
| | - M B Aslam
- Department of Histopathology, Royal Blackburn Hospital, Blackburn, Lancashire, UK
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Hussain MK, Ansari MI, Yadav N, Gupta PK, Gupta AK, Saxena R, Fatima I, Manohar M, Kushwaha P, Khedgikar V, Gautam J, Kant R, Maulik PR, Trivedi R, Dwivedi A, Kumar KR, Saxena AK, Hajela K. Design and synthesis of ERα/ERβ selective coumarin and chromene derivatives as potential anti-breast cancer and anti-osteoporotic agents. RSC Adv 2014. [DOI: 10.1039/c3ra45749d] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
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Khedgikar V, Kushwaha P, Gautam J, Verma A, Changkija B, Kumar A, Sharma S, Nagar GK, Singh D, Trivedi PK, Sangwan NS, Mishra PR, Trivedi R. Withaferin A: a proteasomal inhibitor promotes healing after injury and exerts anabolic effect on osteoporotic bone. Cell Death Dis 2013; 4:e778. [PMID: 23969857 PMCID: PMC3763455 DOI: 10.1038/cddis.2013.294] [Citation(s) in RCA: 86] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2012] [Revised: 05/16/2013] [Accepted: 05/29/2013] [Indexed: 11/27/2022]
Abstract
Withania somnifera or Ashwagandha is a medicinal herb of Ayurveda. Though the extract and purified molecules, withanolides, from this plant have been shown to have different pharmacological activities, their effect on bone formation has not been studied. Here, we show that one of the withanolide, withaferin A (WFA) acts as a proteasomal inhibitor (PI) and binds to specific catalytic β subunit of the 20S proteasome. It exerts positive effect on osteoblast by increasing osteoblast proliferation and differentiation. WFA increased expression of osteoblast-specific transcription factor and mineralizing genes, promoted osteoblast survival and suppressed inflammatory cytokines. In osteoclast, WFA treatment decreased osteoclast number directly by decreasing expression of tartarate-resistant acid phosphatase and receptor activator of nuclear factor kappa-B (RANK) and indirectly by decreasing osteoprotegrin/RANK ligand ratio. Our data show that in vitro treatment of WFA to calvarial osteoblast cells decreased expression of E3 ubiquitin ligase, Smad ubiquitin regulatory factor 2 (Smurf2), preventing degradation of Runt-related transcription factor 2 (RunX2) and relevant Smad proteins, which are phosphorylated by bone morphogenetic protein 2. Increased Smurf2 expression due to exogenous treatment of tumor necrosis factor α (TNFα) to primary osteoblast cells was decreased by WFA treatment. This was corroborated by using small interfering RNA against Smurf2. Further, WFA also blocked nuclear factor kappa-B (NF-kB) signaling as assessed by tumor necrosis factor stimulated nuclear translocation of p65-subunit of NF-kB. Overall data show that in vitro proteasome inhibition by WFA simultaneously promoted osteoblastogenesis by stabilizing RunX2 and suppressed osteoclast differentiation, by inhibiting osteoclastogenesis. Oral administration of WFA to osteopenic ovariectomized mice increased osteoprogenitor cells in the bone marrow and increased expression of osteogenic genes. WFA supplementation improved trabecular micro-architecture of the long bones, increased biomechanical strength parameters of the vertebra and femur, decreased bone turnover markers (osteocalcin and TNFα) and expression of skeletal osteoclastogenic genes. It also increased new bone formation and expression of osteogenic genes in the femur bone as compared with vehicle groups (Sham) and ovariectomy (OVx), Bortezomib (known PI), injectible parathyroid hormone and alendronate (FDA approved drugs). WFA promoted the process of cortical bone regeneration at drill-holes site in the femur mid-diaphysis region and cortical gap was bridged with woven bone within 11 days of both estrogen sufficient and deficient (ovariectomized, Ovx) mice. Together our data suggest that WFA stimulates bone formation by abrogating proteasomal machinery and provides knowledge base for its clinical evaluation as a bone anabolic agent.
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Affiliation(s)
- V Khedgikar
- Division of Endocrinology and Center for Research in Anabolic Skeletal Targets in Health and Illness (ASTHI), CSIR-Central Drug Research Institute, Lucknow 226001, India
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Kushwaha P, Broadbent M, Diss C, Munro JM. Complex atypical endometrial hyperplasia in a 22-year-old woman. J OBSTET GYNAECOL 2012; 32:814. [PMID: 23075369 DOI: 10.3109/01443615.2012.711386] [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: 11/13/2022]
Affiliation(s)
- P Kushwaha
- Department of Cellular Pathology, Barnet Hospital, Enfield, UK.
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Kushwaha P, Sharma DP, Singh H, Singh D. Unusual mode of cervical spine injury. The Indian Journal of Neurotrauma 2011. [DOI: 10.1016/s0973-0508(11)80027-4] [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: 11/26/2022]
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