• Title/Summary/Keyword: PREM

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Comparative evaluation of intranasal midazolam-ketamine, dexmedetomidine-ketamine, midazolam-fentanyl, and dexmedetomidine-fentanyl combinations for procedural sedation and analgesia in pediatric dental patients: a randomized controlled trial

  • Abhilasha Agarwal;Afroz Alam Ansari;Rajendra Nath;Rakesh Kumar Chak;Rajeev Kumar Singh;Richa Khanna;Prem Raj Singh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.2
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    • pp.69-81
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    • 2023
  • Background: In order to assess the effectiveness of various analgesio-sedative combinations for pain relief and sedation in pediatric dental patients, a thorough evaluation of clinical studies and patient outcomes is necessary. Methods: A total of 128 healthy, uncooperative pediatric dental patients were randomly allocated to receive one of the four combinations of drugs via the intranasal (IN) route: Group I received midazolam-ketamine (MK), Group II received dexmedetomidine-ketamine (DK), Group III received midazolam-fentanyl (MF), and Group IV received dexmedetomidine-fentanyl (DF) in a parallel-arm study design. The efficacy and safety of the combinations were evaluated using different parameters. Results: The onset of sedation was significantly faster in the DF group than in the DK, MF, and MK groups (P < 0.001). The depth of sedation was significantly higher in the DK and DF groups than in the MK and MF groups (P < 0.01). DK and DF produced significant intra- and postoperative analgesia when compared with combinations of MK and MF. No significant adverse events were observed for any of the combinations. Conclusions: The DK and DF groups showed potential as analgesio-sedatives in view of their anxiolytic and analgesic effects.

In-silico and structure-based assessment to evaluate pathogenicity of missense mutations associated with non-small cell lung cancer identified in the Eph-ephrin class of proteins

  • Shubhashish Chakraborty;Reshita Baruah;Neha Mishra;Ashok K Varma
    • Genomics & Informatics
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    • v.21 no.3
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    • pp.30.1-30.13
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    • 2023
  • Ephs belong to the largest family of receptor tyrosine kinase and are highly conserved both sequentially and structurally. The structural organization of Eph is similar to other receptor tyrosine kinases; constituting the extracellular ligand binding domain, a fibronectin domain followed by intracellular juxtamembrane kinase, and SAM domain. Eph binds to respective ephrin ligand, through the ligand binding domain and forms a tetrameric complex to activate the kinase domain. Eph-ephrin regulates many downstream pathways that lead to physiological events such as cell migration, proliferation, and growth. Therefore, considering the importance of Eph-ephrin class of protein in tumorigenesis, 7,620 clinically reported missense mutations belonging to the class of variables of unknown significance were retrieved from cBioPortal and evaluated for pathogenicity. Thirty-two mutations predicted to be pathogenic using SIFT, Polyphen-2, PROVEAN, SNPs&GO, PMut, iSTABLE, and PremPS in-silico tools were found located either in critical functional regions or encompassing interactions at the binding interface of Eph-ephrin. However, seven were reported in nonsmall cell lung cancer (NSCLC). Considering the relevance of receptor tyrosine kinases and Eph in NSCLC, these seven mutations were assessed for change in the folding pattern using molecular dynamic simulation. Structural alterations, stability, flexibility, compactness, and solvent-exposed area was observed in EphA3 Trp790Cys, EphA7 Leu749Phe, EphB1 Gly685Cys, EphB4 Val748Ala, and Ephrin A2 Trp112Cys. Hence, it can be concluded that the evaluated mutations have potential to alter the folding pattern and thus can be further validated by in-vitro, structural and in-vivo studies for clinical management.

Influence of loading rate on flexural performance and acoustic emission characteristics of Ultra High Performance Concrete

  • Prabhat Ranjan Prem;Vignesh Kumar Ramamurthy;Vaibhav Vinod Ingle;Darssni Ravichandran;Greeshma Giridhar
    • Structural Engineering and Mechanics
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    • v.89 no.6
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    • pp.617-626
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    • 2024
  • The study investigated the behavior of plain and fibered Ultra-High Performance Concrete (UHPC) beams under varying loading conditions using integrated analysis of the flexure and acoustic emission tests. The loading rate of testing is -0.25 -2 mm/min. It is observed that on increasing loading rate, flexural strength increases, and toughness decreases. The acoustic emission testing revealed that higher loading rates accelerate crack propagation. Fiber effect and matrix cracking are identified as significant contributors to the release of acoustic emission energy, with fiber rupture/failure and matrix cracking showing rate-dependent behavior. Crack classification analysis indicated that the rise angle (RA) value decreased under quasi-static loading. The average frequency (AF) value increased with the loading rate, but this trend reversed under rate-dependent conditions. K-means analysis identified distinct clusters of crack types with unique frequency and duration characteristics at different loading rates. Furthermore, the historic index and signal strength decreased with increasing loading rate after peak capacity, while the severity index increased in the post-peak zone, indicating more severe damage. The sudden rise in the historic index and cumulative signal strength indicates the possibility of several occurrences, such as the emergence of a significant crack, shifts in cracking modes, abrupt failure, or notable fiber debonding/pull-out. Moreover, there is a distinct rise in the number of AE knees corresponding to the increase in loading rate. The crack mapping from acoustic emission testing aligned with observed failure patterns, validating its use in structural health monitoring.

A Study on the Damage Degree of Hair Dye Treatments and the Impact of Heavy Metals (트리트먼트(Treatment)를 이용한 모발 염색이 손상도와 중금속 함량에 미치는 영향)

  • Lee, Tae-Sook;Kim, Younghee
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.551-557
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    • 2017
  • Hair beauty treatments that can express individuality have increased and diversified. However, their repetitive use has also brought about hair damage. To reduce such damage, the importance of hair treatments when receiving chemotherapy has magnified greatly. In this study, the hair (normal hair, NH) of 5 people in their 20s has been collected and observed with SEM before dyeing (NH), after dyeing (DH) and after dyed and treated (DTH) to measure the hair's morphological damage and mineral content. SEM observation results revealed that, in DTH, a cuticle-like arrangement appears almost uniformly, the hair settles, the lines are smooth, and the damage degree is low. Regarding mineral content, the concentration of minerals was generally balanced. However, in the observation of toxic minerals and minerals found in large amounts, the concentration of Ba, Na, Ca, and Mg was higher than the balance range in NH, DH, and DTH.

EPR and Electrical Studies in Layered Na1.9Li0.1Ti3O7 and its Copper Doped Derivatives (층상구조의 Na1.9Li0.1Ti3O7과 그 구리 혼입 유도체의 EPR 및 전기적 연구)

  • Pal, D.;Chand, Prem;Tandon, R.P.;Shripal
    • Journal of the Korean Chemical Society
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    • v.49 no.6
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    • pp.560-566
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    • 2005
  • Sintered ceramic samples of pure and some copper doped layered sodium lithium tri-titanate ($Na_{1.9}Li_{0.1}Ti_{3-X}Cu_XO_{7-X}$) materials with different dopant molar percentages (0.0$Cu^{2+}$ at $Ti^{4+}$ sites in the lattice is proposed in this paper. Furthermore, three distinct regions have been identified in log(${\sigma}_{d.c.}T$) versus 1000/T plots. The lowest temperature region is attributed to electronic hopping conduction(polaron) for all copper doped derivatives and ionic conduction for lithium substituted $Na_2Ti_3O_7$.The mechanism of conduction in the intermediate region is associated interlayer ionic conduction and in the highest temperature region is associated modified interlayer ionic conduction.