Anterior cruciate ligament reconstruction (ACLR) is an accepted and established surgical technique for anterior cruciate ligament (ACL) injuries and is now being practiced across the globe in increasing numbers. Although most patients get good to excellent results in the short-term after ACLR, its consequences in the long-term in prevention or acceleration of knee osteoarthritis (OA) are not yet well-defined. Still, there are many debatable issues related to ACLR, such as the appropriate timing of surgery, graft selection, fixation methods of the graft, operative techniques, rehabilitation after surgery, and healing augmentation techniques. Most surgeons prefer not to wait long after an ACL injury to do an ACLR, as delayed reconstruction is associated with secondary damages to the intra- and periarticular structures of the knee. Autografts are the preferred choice of graft in primary ACLR, and hamstring tendons are the most popular amongst surgeons. Single bundle ACLR is being practiced by the majority, but double bundle ACLR is getting popular due to its theoretical advantage of providing more anatomical reconstruction. A preferred construct is the interference fixation (Bio-screw) at the tibial site and the suspensory method of fixation at the femoral site. In a single bundle hamstring graft, a transportal approach for creating a femoral tunnel has recently become more popular than the trans-tibial technique. Various healing augmentation techniques, including the platelet rich plasma (PRP), have been tried after ACLR, but there is still no conclusive proof of their efficacy. Accelerated rehabilitation is seemingly more accepted immediately after ACLR.

Background: In oral carcinoma much effort has been made to predict the prognosis of patients but a sound understanding of underlying cell biology is likely to need progress. Recently, attention has been directed towards tumour associated tissue eosinophils and mast cells and their role in the biologic behavior of tumours. Aim: The retrospective study was used to evaluate the influence of tumour associated tissue eosinophils and mast cells on prognosis of oral squamous cell carcinoma (OSCC). Material and methods: The follow-up, of histopathologically diagnosed thirty cases of OSCC, was carried out for minimum period of 3 years. Special stains are wonderful they allow us to see which we can not see clear with routine H&E stain.Tissue sections were stained with special stains, Carbol Chromotrope for tissue eosinophil and Toluidine blue for tissue mast cell staining. Result: The results of the present study shows that increase infiltration of tissue eosinophils and mast cells in OSCC, associated with favourable prognosis. Conclusion: We concludes that infiltration of tissue eosinophils and mast cells are indicators of favourable prognosis in OSCC. Thus quantitative assessment of eosinophils and mast cells are the most important aspects of the microscopic evaluation of OSCC.

<p>There is an immediate need to discover treatments for COVID-19, the pandemic caused by the SARS-CoV-2 virus. Standard small molecule drug discovery workflows that start with library screens are an impractical path forward given the timelines to discover, develop, and test clinically. To accelerate the time to patient testing, here we explored the therapeutic potential of small molecule drugs that have been tested to some degree in a clinical environment, including approved medications, as possible therapeutic interventions for COVID-19. Motivating our process is a concept termed polypharmacology, i.e. off-target interactions that may hold therapeutic potential. In this work, we used Ligand Design, our deep learning drug design platform, to interrogate the polypharmacological profiles of an internal collection of small molecule drugs with federal approval or going through clinical trials, with the goal of identifying molecules predicted to modulate targets relevant for COVID-19 treatment. Resulting from our efforts is PolypharmDB, a resource of drugs and their predicted binding of protein targets across the human proteome. Mining PolypharmDB yielded molecules predicted to interact with human and viral drug targets for COVID-19, including host proteins linked to viral entry and proliferation and key viral proteins associated with the virus life-cycle. Further, we assembled a collection of prioritized approved drugs for two specific host-targets, TMPRSS2 and cathepsin B, whose joint inhibition was recently shown to block SARS-CoV-2 virus entry into host cells. Overall, we demonstrate that our approach facilitates rapid response, identifying 30 prioritized candidates for testing for their possible use as anti-COVID drugs. Using the PolypharmDB resource, it is possible to identify repurposed drug candidates for newly discovered targets within a single work day. We are making a complete list of the molecules we identified available at no cost to partners with the ability to test them for efficacy, in vitro and/or clinically.</p><div><br></div>

Zero Budget Natural Farming (ZBNF), utilizing natural resources, multiple cropping systems, and cow-dung- and urine-based products to improve soil biology, has been practiced by thousands of farmers in India. However, without any scientific proof, this traditional and ancient technique is mocked as a bugged theory in the scientific community. In the current study, we have investigated the effect of Jeevamrit—cow-dung- and urine-based formulation—on soil chemical and microbial properties of the ZBNF field coupled with metagenomic analysis and the economics of ZBNF. The percentage increase in soil properties, such as organic carbon, available phosphorus, and available potassium, was recorded up to 46%, 439%, and 142%, respectively, while micronutrients, such as Zn, Fe, Cu, and Mn, also increased up to 98%, 23%, 62%, and 55%, respectively, from 2017 to 2019. Whole genome metagenomic analysis revealed that Proteobacteria were dominantly present, and bacterial phyla including Bacillus, Pseudomonas, Rhizobium, and Panibacillus. On the other hand, Ascomycota was the dominating fungal phyla present in the soil sample. Further, functional analysis showed a high representation of genes/enzymes involved in amino acids and carbohydrate metabolism contributing to soil fertility, plant growth, defense, and development. Additionally, the cost–benefit ratio of ZBNF was double the farmer’s practice when tested with the rice and wheat cropping system. The results from this study provide a new proof of concept and understanding of the potential of the ZBNF component, i.e., Jeevamrit, in improving soil properties.

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Low energy-short pulsed electric discharge coupled with precise movement of circular electrode in micro-electrical discharge-milling (μ-EDM-milling) enables generation of three-dimensional (3D) cavities in the order of few tens of microns. Use of unshaped rotating electrode alters the spark discharge pattern that is primarily driven by the shape and size of the cavities being machined. In this paper, effects of five different cavities: circular, triangular, square, channel, and cross channel (square pillars) on the machining performance have been studied. These cavities having a nominal dimension of 1000 μm were machined on steel sample using 200 μm tungsten carbide electrode. The machining performance has been evaluated by analyzing dimensional accuracy, surface integrity, profile error, and formation of recast layers. The results highlight significant shape effect on machining performance in μ-EDM-milling. Circular holes machined by die sinking (tool advancement in Z-axis) are found to be more accurate, and square shaped pillars machined in two settings by generating cross channels at 90 deg have poor dimensional control. On the other hand, triangular cavities have the highest surface finish and profile uniformity compared to other shapes. The microscopic study in scanning electron microscopy (SEM) reveals significant variations in globule formation, recast layer deposition, flow of eroded molten metal, and final shape of cavities, which are found to be dependent of tool rotation.

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