Background:Pulpotomy has been proposed as an alternative for the management of irreversible pulpitis in permanent molars with closed apices.Aim:To compare the performances of calcium hydroxide (CH), mineral trioxide aggregate (MTA), and platelet-rich fibrin (PRF) as pulpotomy agents in mature permanent molars with irreversible pulpitis.Materials and Methods:Fifty-four permanent mandibular molars with carious exposure and symptoms of irreversible pulpitis were randomly allocated to three groups, and full pulpotomy was performed using CH, MTA, or PRF as pulpotomy agents. Pain intensity was recorded using numeric rating scale score at baseline, 24 h, 7 days, 6 months, and 1 year. Clinical and radiographic assessments were done at 6 months and 1 year.Statistical Analysis:Kruskal–Wallis test and Friedman test were used for intergroup and intragroup comparison of pain scores, respectively. The radiographic outcomes between the three study arms were compared using Chi-square test.Results:Clinical success rate was 94.4% at 7 days, which dropped to 85.4% at 12 months. All three agents were equally effective in providing pain relief at all the intervals tested, with no significant difference between them (P > 0.05 at all intervals). However, at 6 months and 12 months, 26.2% and 52.4% teeth depicted slight widening of periodontal ligament space. No significant difference was observed between the radiographic success rates observed with the three groups (P = 0.135 at 6 months, 0.717 at 12 months).Conclusion:Pulpotomy exhibited a high clinical success rate in mature molars with irreversible pulpitis and selection of biomaterial did not affect its outcome.

No abstract

Background A global rollout of vaccinations is currently underway to mitigate and protect people from the COVID-19 pandemic. Several individuals have been using social media platforms such as Twitter as an outlet to express their feelings, concerns, and opinions about COVID-19 vaccines and vaccination programs. This study examined COVID-19 vaccine–related tweets from January 1, 2020, to April 30, 2021, to uncover the topics, themes, and variations in sentiments of public Twitter users. Objective The aim of this study was to examine key themes and topics from COVID-19 vaccine–related English tweets posted by individuals, and to explore the trends and variations in public opinions and sentiments. Methods We gathered and assessed a corpus of 2.94 million COVID-19 vaccine–related tweets made by 1.2 million individuals. We used CoreX topic modeling to explore the themes and topics underlying the tweets, and used VADER sentiment analysis to compute sentiment scores and examine weekly trends. We also performed qualitative content analysis of the top three topics pertaining to COVID-19 vaccination. Results Topic modeling yielded 16 topics that were grouped into 6 broader themes underlying the COVID-19 vaccination tweets. The most tweeted topic about COVID-19 vaccination was related to vaccination policy, specifically whether vaccines needed to be mandated or optional (13.94%), followed by vaccine hesitancy (12.63%) and postvaccination symptoms and effects (10.44%) Average compound sentiment scores were negative throughout the 16 weeks for the topics postvaccination symptoms and side effects and hoax/conspiracy. However, consistent positive sentiment scores were observed for the topics vaccination disclosure, vaccine efficacy, clinical trials and approvals, affordability, regulation, distribution and shortage, travel, appointment and scheduling, vaccination sites, advocacy, opinion leaders and endorsement, and gratitude toward health care workers. Reversal in sentiment scores in a few weeks was observed for the topics vaccination eligibility and hesitancy. Conclusions Identification of dominant themes, topics, sentiments, and changing trends about COVID-19 vaccination can aid governments and health care agencies to frame appropriate vaccination programs, policies, and rollouts.

IntroductionDiarrhea is a common complication of acquired immune deficiency syndrome (AIDS), occurring in almost 90% of AIDS patients in developing countries like India. The present study was aimed to determine the prevalence and microbiological profile of pathogens associated with diarrhea in human immunodeficiency virus (HIV) positive patients and their relation to CD4 counts.Materials and methodsForty-five successive HIV-positive patients, 27 with diarrhea (study group) and 18 without diarrhea (control group), were included in the three-month study. The HIV infection was confirmed by three different antibody detection tests. The stool samples were collected on two consecutive days and were examined for parasites by microscopy using wet mount and modified Ziehl-Neelsen stain. They were examined for bacteria by Gram stain and conventional Ziehl-Neelsen stain and were inoculated on appropriate culture media. The isolates were identified by standard biochemical tests, followed by antibiotic susceptibility testing using the Kirby-Bauer disc diffusion method.Results Twenty-four pathogens were detected in diarrheal HIV-positive patients, including 14 parasites (58.33%), seven bacteria (29.17%), and three fungi (12.50%). Isospora sp. was the most common parasite (25.9%) followed by Cryptosporidium sp. (14.8%). Other parasites included Cyclospora sp., Strongyloides stercoralis, and Entamoeba histolytica (3.7% each).​ Escherichia coli (18.5%) was the most common bacterial isolate, of which, 80% were Enterotoxigenic E. coli (ETEC) while 20% were Enteropathogenic E. coli (EPEC). Other isolates included Shigella flexneri and Mycobacterium tuberculosis (3.7% each). The isolates were sensitive to furazolidone (94.11%), chloramphenicol (76.47%), and gentamicin (52.94%). The isolates from diarrheal patients showed resistance to norfloxacin (5.88% vs. 50%, p<0.05) as compared to those from non-diarrheal patients. The diarrheal HIV-positive patients had lower mean CD4 counts (202.6 cells/µL), as compared to those without diarrhea (239.28 cells/µL).Conclusion Isospora sp. is the most common parasite and Escherichia​ coli is the most common bacterium associated with diarrhea in HIV patients. The antibiotic sensitivity patterns should be monitored regularly to detect resistance to commonly used drugs. The prevalence of organisms in a region, various clinical manifestations, sensitivity patterns of isolates, and relation with CD4 count should be considered while instituting therapy in HIV patients with diarrhea.

No abstract

In this investigation, the extensive wear behaviour of materials was studied using SiC reinforced magnesium alloy composites fabricated through the stir casting process. The wear properties of AZ91 alloy composites with a small variation (i.e., 3%, 6%, 9% and 12%) of SiC particulates were evaluated by varying the normal load with sliding velocity and sliding distance. The worn surfaces were examined by scanning electron microscope to predict the different wear mechanisms on the pin while sliding on the hard disk in the dry sliding wear test condition. The microhardness of the SiC reinforced AZ91 composites was found to be more than the un-reinforced AZ91 alloy. Pins tested at load 19.62 N, and 2.6 m/s exhibited a series of short cracks nearly perpendicular to the sliding direction. At higher speed and load, the oxidation and delamination were observed to be fully converted into adhesion wear. Abrasion, oxidation, and delamination wear mechanisms were generally dominant in lower sliding velocity and lower load region, while adhesion and thermal softening/melting were dominant in higher sliding velocity and loads. The wear loss, wear rate and coefficient of friction of the SiC reinforced composites were lower than that of the unreinforced alloy. This is due to the fact of higher hardness exhibited by the composites. The wear behaviour at the velocity of 1.39 m/s was dominated by oxidation and delamination wear, whereas at the velocity of 2.6 m/s the wear behaviour was dominated by abrasion and adhesion wear. It was also found that the plastic deformation and smearing occurred at higher load and sliding velocity.

No abstract

In recent times, demand for light weight and high strength materials fabricated from natural fibres has increased tremendously. The use of natural fibres has rapidly increased due to their high availability, low density, and renewable capability over synthetic fibre. Natural leaf fibres are easy to extract from the plant (retting process is easy), which offers high stiffness, less energy consumption, less health risk, environment friendly, and better insulation property than the synthetic fibre-based composite. Natural leaf fibre composites have low machining wear with low cost and excellent performance in engineering applications, and hence established as superior reinforcing materials compared to other plant fibres. In this review, the physical and mechanical properties of different natural leaf fibre-based composites are addressed. The influences of fibre loading and fibre length on mechanical properties are discussed for different matrices-based composite materials. The surface modifications of natural fibre also play a crucial role in improving physical and mechanical properties regarding composite materials due to improved fibre/matrix adhesion. Additionally, the present review also deals with the effect of silane-treated leaf fibre-reinforced thermoset composite, which play an important role in enhancing the mechanical and physical properties of the composites.