Sialic Acid-Targeted Ru(II)/Ir(III)/Re(I) Complexes for Ferroptosis Induction in Triple-Negative Breast Cancer.

Ferroptosis has been recognized as an iron-based nonapoptotic-regulated cell death process. In the quest of resisting the unyielding vehemence of triple-negative breast cancer (TNBC), herein we have showcased the ferroptosis-inducing heteroleptic [], [], and [] complexes, enabling them to selectively target "sialic acid", an overexpressed cancer cell-surface marker. The open-circuit potential (OCP) measurements in live cancer cells revealed the specific interaction between TNBC and the complexes, whereas control experiments with normal cells did not exhibit such interactions.

Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program.

The WHO's "End TB" initiative aims to reduce catastrophic expenses, incidence, and mortality by 90%, 80%, and 0%, respectively by 2030 and Government of India has committed to reaching these goals by 2025. Despite tremendous progress, tuberculosis (TB) remains one of the main public health issues. To limit TB transmission and expedite reduction in incidence, further measures are needed.

Double/Triple Intrauterine Blood Transfusion in Rh-isoimmunized Anemic Fetuses in Multiple Pregnancies with Favorable Outcome.

Background: Multiple pregnancies have increased with the use of assisted reproduction, and we expect more women reporting with Rh isoimmunization among multiple gestation in near future. Intrauterine transfusion in singleton itself is technically difficult and requires a lot of skill and precision. Performing double/triple transfusion in twins/triplets is expected to be more demanding.

Impact on Cardiovascular Health of Using Phentermine/Topiramate in Combination With Laparoscopic Sleeve Gastrectomy in Super Obesity.

Introduction: Management of patients with BMI≥50 kg/m is challenging. In previous work, pre and postoperative pharmacotherapy with phentermine/topiramate plus laparoscopic sleeve gastrectomy (PT + SG) promoted greater weight loss than sleeve gastrectomy (SG) alone at 24 mo postoperatively. This current secondary analysis studied the impact of PT + SG on blood pressure (BP), heart rate, and antihypertensive usage.

Staff Knowledge, Attitudes, and Beliefs About Child Sugar-Sweetened Beverage Intake and Acceptability of a Pediatric Clinic-Based Beverage Screener.

Beverages are the leading source of sugar in children's diets and a modifiable risk factor for adverse health conditions. Electronic health record-based screeners could facilitate health systems' efforts to reduce child consumption of sugary beverages. Before implementing a sugar-sweetened beverage screener in the electronic health record within academic healthcare system, 228 pediatric and family medicine clinic staff completed an online educational training to familiarize them with the screener and its rationale.

Assessment of thermal distribution through an inclined radiative-convective porous fin of concave profile using generalized residual power series method (GRPSM).

The thermal distribution in a convective-radiative concave porous fin appended to an inclined surface has been examined in this research. The equation governing the temperature and heat variation in fin with internal heat generation is transformed using non-dimensional variables, and the resulting partial differential equation (PDE) is tackled using an analytical scheme, generalized residual power series method (GRPSM). Moreover, a graphical discussion is provided to examine the consequence of diverse non-dimensional variables including the parameters of convection-conduction, ambient temperature, radiation, heat generation, and porosity effect on the thermal field of the fin.

Effect of a tropical cyclone on the distribution of heavy metals in the marine sediments off Kameswaram, Southeast coast of India.

Cyclones and heavy rainfalls are the main reasons for incessant environmental aggravation in the coastal regions and the distribution of pollutants from the contaminated terrestrial areas to the offshore regions. Twenty-five surface sediment samples were collected off Kameswaram, SE coast of India, and assessed for their geochemical and sedimentological characteristics post Cyclone Gaja. Sediment texture and various geochemical analyses were carried out to assess the metal distribution in the study area.

Identifying actionable strategies: using Consolidated Framework for Implementation Research (CFIR)-informed interviews to evaluate the implementation of a multilevel intervention to improve colorectal cancer screening.

Background: Many evidence-based interventions (EBIs) found to be effective in research studies often fail to translate into meaningful patient outcomes in practice. The purpose of this study was to identify facilitators and barriers that affect the implementation of three EBIs to improve colorectal cancer (CRC) screening in an urban federally qualified health center (FQHC) and offer actionable recommendations to improve future implementation efforts.

Methods: We conducted 16 semi-structured interviews guided by the Consolidation Framework for Implementation Research (CFIR) to describe diverse stakeholders' implementation experience.

Bioaccumulation of heavy metals in water, sediment, and tissues of major fisheries from Adyar estuary, southeast coast of India: An ecotoxicological impact of a metropolitan city.

Heavy metal content in water, sediment, and tissues of six commonly used edible fishes from Adyar estuary, southeast coast of India, was assessed for metal bioaccumulation. The enrichment of metals in estuarine sediment is due to the discharge of contaminated water from the Chennai Metropolis. The enrichment factor indicated that metals such as Cr (EF=30.

Trace metal contamination in the marine sediments off Point Calimere, Southeast coast of India.

Twenty-five offshore sediment samples were collected after the Gaja cyclone to evaluate the sediment quality in terms of its metal concentration. The samples were examined for organic matter, textural characteristics, calcium carbonate, and trace metals (Fe, Mn, Ni, Co, Cu, and Cr). The geo-accumulation index, enrichment factor, contamination factor, and pollution load index revealed that the study area was highly contaminated with Cu, Zn, and Co.

Implementing a multilevel intervention to accelerate colorectal cancer screening and follow-up in federally qualified health centers using a stepped wedge design: a study protocol.

Background: Screening for colorectal cancer (CRC) not only detects disease early when treatment is more effective but also prevents cancer by finding and removing precancerous polyps. Because many of our nation's most disadvantaged and vulnerable individuals obtain health care at federally qualified health centers, these centers play a significant role in increasing CRC screening among the most vulnerable populations. Furthermore, the full benefits of cancer screenings must include timely and appropriate follow-up of abnormal results.

Effectiveness and Cost of Implementing Evidence-Based Interventions to Increase Colorectal Cancer Screening Among an Underserved Population in Chicago.

With funding from the Centers for Disease Control and Prevention's Colorectal Cancer Control Program, The University of Chicago Center for Asian Health Equity partnered with a federally qualified health center (FQHC) to implement multiple evidence-based interventions (EBIs) in order to improve colorectal cancer (CRC) screening uptake. The purpose of this study is to determine the effectiveness and cost of implementing a provider reminder system entered manually and supplemented with patient reminders and provider assessment and feedback. The FQHC collected demographic characteristics of the FQHC and outcome data from January 2015 through December 2015 (preimplementation period) and cost from January 2016 through September 2017 (implementation period).

Evidence-Based Interventions for High Blood Pressure and Glycemic Control Among Illinois Health Systems.

Introduction: Evidence-based interventions (referral, team-based care, self-management, and self-monitoring) for chronic disease management are well documented and widely used by Federally Qualified Health Centers (FQHCs). However, how these interventions are implemented varies substantially.

Methods: The Illinois Health Information Systems Survey was deployed to 49 FQHCs.

Trace element contamination in marine sediments along the southeast Indian shelf following Cyclone Gaja.

In this study, twenty seven surface sediments were collected off Pushpavanam, Nagapattinam coast, southeast coast of India for understanding the sedimentological and geochemical behaviour after the Cyclone Gaja. The sediment samples were analysed for texture, organic matter (OM), carbonates, and trace metals such as Cr, Cu, Zn, Ni, Co including Fe and Mn. The Geoaccumulation index, contamination factor, enrichment factor and pollution load index revealed that Cu, Zn, Ni and Co is highly contaminated in the study area.

Water quality of the Uppanar estuary, Southern India: Implications on the level of dissolved nutrients and trace elements.

The current status of the water quality in terms of nutrients and trace elements were assessed in the Uppanar river estuary, Southern India. Twenty-five sampling stations were monitored in the study area, which is dominated by anthropogenic activities such as agriculture, settlements and fishing harbour in the downstream. Whereas, the upstream and midstream is dominated by barren lands and industrial hub respectively.

Seasonal variations and environmental risk assessment of trace elements in the sediments of Uppanar River estuary, southern India.

Twenty four surface sediments were gathered from the Uppanar river estuary, southern India to evaluate the trace element contamination risk in the sediments. The circulation of organic matter and calcium carbonate were controlled by algal blooms and shell fragments. Moreover, the concentrations of iron and manganese in the estuarine sediments were possibly contributed by riverine sources and geogenic processes.

Geochemical assessment of heavy metals pollution in surface sediments of Vellar and Coleroon estuaries, southeast coast of India.

Surface sediments were collected from Vellar and Coleroon estuaries for determine sediment texture, calcium carbonate, organic matter and heavy metals. Pollution indices such as pollution load index (PLI), contamination factor (CF), enrichment factor (EF) and geo-accumulation index (I) were done for this study to know the level of heavy metals pollution in the estuarine ecosystem. Pearson correlation matrix and factor were used to assess the relationship and source of heavy metals in the estuarine sediments.

Assessment of trace element accumulation in surface sediments off Chennai coast after a major flood event.

The present study was conducted to assess the trace element concentration in marine surface sediments after major flood event of Chennai metropolis, India. Thirty surface samples were collected from off Chennai coast. Trace elements, organic matter, CaCO, sand-silt-clay and C/N ratios were studied to understand the accumulation dynamics on sediments.

Qualitative Process Evaluation of a Community-Based Culturally Tailored Lifestyle Intervention for Underserved South Asians.

Introduction There are few examples of effective cardiovascular disease prevention interventions for South Asians (SAs). We describe the results of a process evaluation of the South Asian Heart Lifestyle Intervention for medically underserved SAs implemented at a community-based organization (CBO) using community-based participatory research methods and a randomized control design (n = 63). Method Interviews were conducted with 23 intervention participants and 5 study staff using a semistructured interview guide focused on participant and staff perceptions about the intervention's feasibility and efficacy.

Bioaccumulation of metals in fish species from water and sediments in macrotidal Ennore creek, Chennai, SE coast of India: A metropolitan city effect.

Accumulation of trace metals (Fe, Mn, Cr, Cu, Ni, Co, Pb, Zn, Cd) were investigated in water, sediment (n=20) along with six fish of diverse feeding guilds (Sillago sihama, Liza parsia, Etroplus suratensis, Oreochromis mossambicus, Arius parkii and Gerres oyena) from the Ennore creek, northern part of Chennai metropolitan megacity, southeast coast of India. Dissolved trace metals (DTMs) in surface water samples and total trace metals (TTMs) in surface sediments (top 0-10cm) indicate that concentration pattern of metals was higher in the discharge point of the river/channels entering the main creek. The maximum mean values of DTMs exhibited the following decreasing order (expressed in µg/L): Fe (1698)>Mn (24)>Zn (14.

Vertical distribution of heavy metals in soil profile in a seasonally waterlogging agriculture field in Eastern Ganges Basin.

The accumulation of heavy metals in soil and water is a serious concern due to their persistence and toxicity. This study investigated the vertical distribution of heavy metals, possible sources and their relation with soil texture in a soil profile from seasonally waterlogged agriculture fields of Eastern Ganges basin. Fifteen samples were collected at ~0.

Assessment of trace metal contamination in a historical freshwater canal (Buckingham Canal), Chennai, India.

The present study was done to assess the sources and the major processes controlling the trace metal distribution in sediments of Buckingham Canal. Based on the observed geochemical variations, the sediments are grouped as South Buckingham Canal and North Buckingham Canal sediments (SBC and NBC, respectively). SBC sediments show enrichment in Fe, Ti, Mn, Cr, V, Mo, and As concentrations, while NBC sediments show enrichment in Sn, Cu, Pb, Zn, Ni, and Hg.

Accumulation of total trace metals due to rapid urbanization in microtidal zone of Pallikaranai marsh, South of Chennai, India.

The article presents the results for enrichment of total trace metals (TTMs) from Pallikaranai salt marsh in South Chennai, a metropolis on the southeast coast of India. TTMs Fe, Mn, Cr, Cu, Ni, Co, Pb, Zn, Cd, Sr, V, and Hg along with sediment texture, OC, and CaCO3 were analyzed in 36 surface sediments collected during August 2008 to recognize and observe the input of TTMs in the marsh from various sources in the city limits. In view of the rapid urbanization and industrialization in Chennai City, especially on the southern side, uncontrolled input of sewage, garbage, and industrial effluents into the Pallikaranai marsh land, the elevated concentrations are not surprising.

Assessment of water quality using chemometric tools: a case study of river Cooum, South India.

Multivariate statistical techniques were applied to identify and assess the quality of river water. Thirty samples were collected from the River Cooum, and basic chemical parameters--such as pH, effect concentration, total dissolved solids, major cations, anions, nutrients, and trace metals--were evaluated. To evaluate chemical variation and seasonal effect on the variables, analysis of variance and box-and-whisker plots were performed.