Issue Information

Design, Synthesis, Antimicrobial Evaluation, and Laccase Catalysis Effect of Novel Benzofuran–Oxadiazole and Benzofuran–Triazole Hybrids

Novel structural hybrids of benzofuran–oxadiazole and benzofuran–triazole have been synthesized and evaluated for their potential against Staphylococcus aureus , Bacillus subtilis , and Escherichia coli . The excellent antibiotic activity was shown by compounds 5c and 9c against S. aureus with minimum inhibitory concentration values in 1.74–5.16 mg/mL range. The estimation of in vitro antifungal activity of synthetic compounds was performed against Trichoderma harzianum , Aspergillus niger , and Metarhizium anisopliae . Among compounds 5a – 5j , only 5h and 5i showed promising antifungal potential against T. harzianum and A. niger , whereas compound 5j showed enhanced antifungal effect only against A. niger when their activity values were compared with standard drug amphotericin. No pronounced antifungal activity was shown by synthesized compounds 9a–j , except for compound 9g , which was active against all fungal strains having minimum inhibitory concentration values in 1.90–2.03 mg/mL range. In addition to antimicrobial evaluation, the synthesized compounds were also analyzed to study their effects on the catalytic potential of laccase, and it was found that among all, compound 9b showed very strong activity with maximum relative reactivity of 145% at 0.03‐m M concentration.

Evaluation of radiographers’ knowledge and attitudes of image quality optimisation in paediatric digital radiography in Saudi Arabia and Australia: a survey‐based study

Digital radiography (DR) systems enable radiographers to reduce the radiation dose to patients while maintaining optimised image quality. However, concerns still exist about paediatric patients who may be exposed to an increased level of radiation dose which is not needed for clinical practice. The purpose of this study was to evaluate the knowledge, awareness and attitudes, in terms of image quality optimisation of radiographers undertaking paediatric DR in Australia and Saudi Arabia. Methods A survey‐based study was devised and distributed to radiographers from Australia and Saudi Arabia. Questions focused on Australian and Saudi Arabian radiographers’ knowledge and attitude of paediatric DR examinations. Results There were 376 participants who responded to the survey from both countries. A major finding showed that most participants lack knowledge in the area of paediatric DR examinations. Most participants from Australia had received no formal training in paediatric digital radiography (79%), whereas nearly half of the participants from Saudi Arabia received no training (45%). Approximately three out of four radiographers from both countries believed that when using DR they did not need to change the way they collimate the beam as DR images can be cropped using post‐processing methods. Conclusion The finding of this study demonstrates that radiographers from both countries should improve their understanding and clinical use of DR in paediatric imaging. More education and training for both students and clinicians is needed to enhance radiographer performance in digital radiography and improve their clinical practices.

Office‐based laryngology: Technical and visual optimization by patient‐positioning maneuvers

Objective/Hypothesis To qualitatively and quantitatively assess the effect of discrete head postures/maneuvers during flexible laryngoscopy on visualization of specific anatomical structures within the laryngopharynx. Study Design Prospective, observational study. Methods Flexible laryngoscopy was performed on 18 sequential patients. Videos of the laryngopharynx were captured during the neutral head position and five discrete maneuvers: maximal sniffing, head extension, right turn, left turn, and chin down. Images were analyzed using ImageJ, and differences in the (normalized) anatomical areas of interest were examined with each maneuver (paired t test]. Covariates for surgeon, nostril, and gender were evaluated. Results There was a significantly increased ( P = 0.009) area of view of the anterior space (petiole of epiglottis/anterior laryngeal vestibule) with head extension. Right head turn led to a significantly increased view of the left pyriform sinus ( P = 0.00001), whereas left head turn yielded an increased view of the right pyriform sinus ( P = 0.0001). The right and left vocal fold/ventricle were better visualized during right head turn (with the scope traversing the right nostril) and left head turn (with the scope traversing the left nostril), respectively. Chin‐down posture achieved a more distal view of the airway more frequently than the other maneuvers. Conclusion The anterior space (supraglottic larynx) may be best visualized and accessed with head extension. Right and left head turn improve visualization of the contralateral piriform sinus. Chin down provides improved airway visualization in a plurality of patients. Future studies examining maneuvers are warranted to create a catalog of validated techniques to optimize the efficacy of the office‐based proceduralist. Level of Evidence 2 Laryngoscope , 129:330–334, 2019

Design of dual‐band microstrip patch antenna with right‐angle triangular aperture slot for energy transfer application

This work focusing on the dual‐band antenna design with rectifying circuit for energy transfer system technology for enhancement gain performance. The air gap technique is applied on this microstrip antenna design work to enhance the antenna gain. The work begins with designing and analyzing the antenna via the CST Microwave Studio software. After validation on acceptable performance in simulation side is obtained, the return loss, S 11 of the antenna is measured using vector network analyzer equipment. The rectifier circuit is used to convert the captured signal to DC voltage. This projected dual‐band antenna has successfully accomplished the target on return loss of −44.707 dB and −32.163 dB at dual resonant frequencies for 1.8 GHz and 2.4 GHz, respectively. This proposed antenna design benefits in low cost fabrication and has achieved high gain of 6.31 dBi and 7.82 dBi for dual‐band functioning frequencies.

A mixed methods analysis of clozapine errors reported to the National Reporting and Learning System

Purpose To review and analyse medication errors related to clozapine, an atypical antipsychotic, that were reported to the National Reporting and Learning System (NRLS). Methods Following extraction of one year of clozapine related errors from the NRLS, a qualitative analysis (thematic analysis and re‐classification) and quantitative analysis was performed. An incident was considered a clozapine error if there was a failure in its medication process (i.e. an error in the prescribing, dispensing, preparing, administering, monitoring or advising of clozapine). Results “Issues with stock/supply/ordering” was the most common theme derived from the qualitative thematic analysis (n = 338), followed by wrong dose/strength/frequency (n = 221) and medication omissions (n = 202). Most errors occurred in the “administration/supply” medication stage. Over half of reported clozapine incidents involved people 26 to 55 years old (n = 830) and 82% of errors were reported by mental health services (n = 1270). Only 1.5% of reports were classed as moderate/severe harm. Conclusion Issues with availability, stock, and supply were found to be the most common causes. This usually entailed a lack of stock to fulfil a patient's dose/supply. Such incidents could potentially be reduced by improved management of the supply process, and liaison between pharmacy and clinical staff. The implementation of emergency drug cupboards at the discretion of an on‐call pharmacist may prove to be a preventative measure for such errors. Despite the potential adverse effects associated with clozapine, very few incidents led to moderate/severe harm. Encouragement of NRLS reporting is recommended for incidents of all degrees of harm.

Electrochemical Behavior of Dental Ni‐Cr Wirolloy Coated with Eco‐friendly Films in Artificial Saliva

The electrochemical corrosion behavior of the non‐precious Ni‐Cr Wirolloy, being used in dentistry, was investigated before and after applying of two types of eco‐friendly coatings, polyvinyl silsesquioxane (PVS) and nano‐hydroxyapatite (nHAP) separately in artificial saliva solution at 37 °C for 14 d of immersion. The study aimed to investigate the effectiveness of the introduced coating films in enhancing the corrosion resistance of the alloy, and in decreasing the leaching of the toxic Ni ions from the alloy into the environment. The electrochemical corrosion investigation methods used are; open circuit potential (OCP), electrochemical impedance spectroscopy (EIS) and potentiodynamic polarization techniques. The evaluated results revealed that the electrochemically coated alloy with PVS. prepared at cathodic potential showed higher corrosion resistance and more stable film compared to that prepared by conventional dip‐coating method. At the same time, the nHAP electrochemically coated film provided the best anti‐corrosion properties over all examined time intervals. The obtained results were confirmed via surface analysis, which assured the formation of the prepared coatings on the alloy surface. Chemical analysis of the corrosion product/solutions showed that the effect of electrochemically deposited nHAP and PVS. polymer films in suppression of Ni ions leaching is similar and slightly higher than that of the chemically coated PVS. one; however, all of them are efficient in decreasing the leaching of the risky Ni ions into the solution.

A Hierarchical Clustering algorithm based on Silhouette Index for cancer subtype discovery from genomic data

Identifying potential novel subtypes of cancers from genomic data requires techniques to estimate the number of natural clusters in the data. Determining the number of natural clusters in a dataset has been a challenging problem in Machine Learning. Employing an internal cluster validity index such as Silhouette Index together with a clustering algorithm has been a widely used technique for estimating the number of natural clusters, which has limitations. We propose a Hierarchical Agglomerative Clustering algorithm which automatically estimates the numbers of natural clusters and gives the associated clustering solutions along with dendrograms for visualizing the clustering structure. The algorithm has a Silhouette Index-based criterion for selecting the pair of clusters to merge, in the process of building the clustering hierarchy. The proposed algorithm could find decent estimates for the number of natural clusters, and the associated clustering solutions when applied to a collection of cancer gene expression datasets and general datasets. The proposed method showed better overall performance when compared to that of a set of prominent methods for estimating the number of natural clusters, which are used for cancer subtype discovery from genomic data. The proposed method is deterministic. It can be a better alternative to contemporary approaches for identifying potential novel subtypes of cancers from genomic data.

Microbial assessment of medicinal herbs (Cnidii Rhizoma and Alismatis Rhizoma), effects of electron beam irradiation and detection characteristics

Medicinal herbs comprise of heavy microbial contaminations. This study aimed to assess microbial hazards including foodborne pathogens in 20 commercial medicinal herbs, Cnidii Rhizoma (C1-C10) and Alismatis Rhizoma (T1-T10) as well as to evaluate irradiation effects of E-beam on microbial load and detection chracteristics. Four samples (C5, C10, T1, T8) from both herbs with higher microbial load were selected for evaluating the irradiation effect of E-beam (up to 10 kGy) on microbial load and radiation-induced changes in detection markers by standard methods (Codex, Korean Food Code), such as direct epifluorescent filter technique/aerobic plate count (DEFT/APC), photostimulated luminescence (PSL), thermoluminescence (TL), and electron spin resonance (ESR). DEFT/APC revealed non-evidence of pre-sterilization of all samples. PSL differentiated irradiated samples (1, 5, and 10 kGy) of both herbs from non-irradiated (control: 0 kGy). Both TL and ESR methods validated PSL screening results by detecting radiation-induced markers from E-beam irradiated medicinal herbs.

Effect of TELEmedicine for Inflammatory Bowel Disease on Patient Activation and Self-Efficacy

Limitations in inflammatory bowel disease (IBD) care necessitate greater patient activation and self-efficacy, measures associated with positive health outcomes.