COVID-19 Pandemic and Periodontal Practice: The Immunological, Clinical, and Economic Points of View

The recent global health problem, COVID-19, has had far-reaching impacts on lifestyles. Although many effective WHO-approved vaccines have been produced that have reduced the spread and severity of the disease, it appears to persist in humans for a long time and possibly forever as everyday it turns out to have new mutations. COVID-19 involves the lungs and other organs primarily through cytokine storms, which have been implicated in many other inflammatory disorders, including periodontal diseases. COVID-19 is in a close association with dental and periodontal practice from two respects: first, repeated mandatory lockdowns have reduced patient referrals to dentists and limited the dental and periodontal procedures to emergency treatments, whereas it is important to recognize the oral manifestations of COVID-19 as well as the influence of oral and periodontal disease on the severity of COVID-19. Second, dentistry is one of the high-risk professions in terms of close contact with unmasked individuals, necessitating redefining the principles of infection control. The pressures of the economic recession on patients as well as dentists add to the difficulty of resuming elective dental services. Therefore, this study is divided into two parts corresponding to what mentioned above: the first part examines the clinical and immunological associations between COVID-19 and periodontal and oral diseases, and the second part delineates the measures needed to control the disease transmission in dental clinics as well as the economic impact of the pandemic era on dental services.

Potentials of CCL21 and CBS as therapeutic approaches for breast cancer

Objective: The present research set out to ascertain the roles of CCL21 and CBS in breast cancer (BC) cell biological behaviors and the relationship of CCL21 and CBS expression with the clinicopathological features of patients with BC. Methods: Immunohistochemistry of CCL21 or CBS was performed in 18 intraductal cancer tissues, 124 invasive BC tissues, 50 paraneoplastic tissues, 50 lobular hyperplasia tissues, and 30 normal breast tissues. For cell experiments, two human BC cell lines (MDA-MB-231 and MCF-7) and a human breast epithelial cell line (MCF-10A) were utilized to detect the expression of CCL21 and CBS. After loss- and gain-of-function assays for CCL21 or CBS, the expression of CBS and CCL21 was measured by qRT-PCR and Western blot. Additionally, BC cell proliferation was assessed by MTT assay and EdU staining, and BC cell migration was determined by scratch test and Transwell assay. Results: In the clinical data, the positive rate of CCL21 or CBS was significantly higher in invasive BC tissues than in intraductal BC tissues, lobular hyperplasia tissues, paraneoplastic tissues, and normal breast tissues (P < 0.05 or P < 0.01). CBS or CCL21 expression shared close association with the clinicopathological characteristic and the poor prognosis of BC patients. In cell experiments, overexpression of CCL21 or CBS enhanced the proliferative and migratory abilities of BC cells. Conclusion: CCL21 and CBS promoted BC cell migration and proliferation. CCL21 or CBS expression was strongly related to the poor prognosis of BC patients.

Need of the Hour: Awareness on Green Banking Products

Human beings for their self-centeredness, warmth, and leisure in their life, have chosen the avenue of globalization, technological advancement, and industrialization. The price that they are paying for this avenue is the catastrophe of biodiversity, climatic changes, global warming, depleting resources, melting of glaciers, and the catastrophe of greenery. Hence environmental sustainability and sustainable development have turned into a crucial agenda in the global association. India is a rapidly flourishing nation which is backed by the industrial sectors, yet it is exposed terribly to climatic change and global warming. Due to this alarming plight, the banking sectors who are the chief financial supporter of industries that cause pollution have taken a small start: Going Green. This has given push up to the conception of green banking and it has given birth to green banking products. The green banking products target cutback of carbon impression, resource-efficient economies, and ward off wastage of the accessible limited resources. It is focused upon moving towards banking practices that are non-hazardous to the environment and aids to conserve it. These green banking products initiatives have recently kick-started in a handful of banks across the country. Fueling of green products is required at a quick pace than anticipated, as they have a close association with other sectors that forms the country’s economy. This paper skates through the Need of the Hour and the awareness on Green Banking Products.

A case report of renal calyceal diverticulum with hypertension in children and review of literature

Background Renal calyx diverticulum refers to a cystic lesion covered with the transitional epithelium in the renal parenchyma. Although there is no clear evidence that calyx diverticulum can cause hypertension, there exists a close association between the two, and there are few related reports. Herein, we reported the case of a child with renal calyx diverticulum complicated with hypertension and summarized the diagnosis and treatment. Case presentation Physical examination of the patient, an 11-year-old child, revealed a left renal cyst with hypertension (155/116 mmHg). There were no related symptoms. Routine urine and blood biochemical examinations showed no abnormalities. Imaging revealed left renal cyst compression causing the hypertension. She underwent renal cyst fluid aspiration and injection of a sclerosing agent into the capsule, but her blood pressure increased again 3 days postoperatively. Color Doppler ultrasonography showed that the size of the left renal cyst was the same as that preoperatively. To further confirm the diagnosis, cystoscopic retrograde ureteropyelography was performed to confirm the diagnosis of renal calyx diverticulum. Subsequently, renal calyceal diverticulum resection and calyx neck enlargement were performed. The operation went smoothly and the blood pressure returned to normal postoperatively. No abnormalities were noted at the 7-month postoperative follow-up. Conclusion There exists an association between renal calyx diverticulum and hypertension. Therefore, hypertension can be considered a surgical indication for renal calyx diverticulum. Moreover, renal calyceal diverticulum in children can be easily misdiagnosed as a renal cyst. Therefore, it is important to be vigilant to prevent a series of complications, such as postoperative urine leakage, in such cases.

Rubicon in Metabolic Diseases and Ageing

Autophagy is a conserved cellular degradation system that maintains intracellular homeostasis. Cytoplasmic components are engulfed into double-membrane vesicles called autophagosomes, which fuse with lysosomes, and resulting in the degradation of sequestered materials. Recently, a close association between autophagy and the pathogenesis of metabolic diseases and ageing has become apparent: autophagy is dysregulated during metabolic diseases and ageing; dysregulation of autophagy is intimately associated with the pathophysiology. Rubicon (Run domain Beclin-1 interacting and cysteine-rich containing protein) has been identified as a Beclin-1 associated protein. Notably, Rubicon is one of few negative regulators of autophagy whereas many autophagy-related genes are positive regulators of autophagy. Rubicon also has autophagy-independent functions including phagocytosis and endocytosis. In this mini-review, we focus on the various roles of Rubicon in different organs in the settings of metabolic diseases and ageing, and discuss its potential role as a promising therapeutic target.

Crosstalk Among YAP, LncRNA, and Tumor-Associated Macrophages in Tumorigenesis Development

Long non-coding RNAs (ncRNAs), which do not encode proteins, regulate cell proliferation, tumor angiogenesis, and metastasis and are closely associated with the development, progression, and metastasis of many cancers. Tumor-associated macrophages (TAMs) in the tumor microenvironment play an important role in cancer progression. The Hippo signaling pathway regulates cell proliferation and apoptosis, maintains tissue and organ size, and homeostasis of the internal environment of organisms. Abnormal expression of Yes-associated protein (YAP), the Hippo signaling pathway key component, is widely observed in various malignancies. Further, TAM, lncRNA, and YAP are currently valuable targets for cancer immunotherapy. In this review, we have logically summarized recent studies, clarified the close association between the three factors and tumorigenesis, and analyzed the outlook of tumor immunotherapy.

Trafficking Processes and Secretion Pathways Underlying the Formation of Plant Cuticles

Cuticles are specialized cell wall structures that form at the surface of terrestrial plant organs. They are largely comprised lipidic compounds and are deposited in the apoplast, external to the polysaccharide-rich primary wall, creating a barrier to diffusion of water and solutes, as well as to environmental factors. The predominant cuticle component is cutin, a polyester that is assembled as a complex matrix, within and on the surface of which aliphatic and aromatic wax molecules accumulate, further modifying its properties. To reach the point of cuticle assembly the different acyl lipid-containing components are first exported from the cell across the plasma membrane and then traffic across the polysaccharide wall. The export of cutin precursors and waxes from the cell is known to involve plasma membrane-localized ATP-binding cassette (ABC) transporters; however, other secretion mechanisms may also contribute. Indeed, extracellular vesiculo-tubular structures have recently been reported in Arabidopsis thaliana (Arabidopsis) to be associated with the deposition of suberin, a polyester that is structurally closely related to cutin. Intriguingly, similar membranous structures have been observed in leaves and petals of Arabidopsis, although in lower numbers, but no close association with cutin formation has been identified. The possibility of multiple export mechanisms for cuticular components acting in parallel will be discussed, together with proposals for how cuticle precursors may traverse the polysaccharide cell wall before their assimilation into the cuticle macromolecular architecture.

Seasonal and microclimatic effects on leaf beetles (Coleoptera, Chrysomelidae) in a tropical forest fragment in northeastern Mexico

Leaf beetles (Coleoptera: Chrysomelidae) constitute a family of abundant, diverse, and ecologically important herbivorous insects, due to their high specificity with host plants, a close association with vegetation and a great sensitivity to microclimatic variation (factors that are modified gradually during the rainy and dry seasons). Therefore, the effects of seasonality (rainy and dry seasons) and microclimate on the community attributes of chrysomelids were evaluated in a semideciduous tropical forest fragment of northeastern Mexico. Monthly sampling was conducted, between March 2016 and February 2017, with an entomological sweep net in 18 plots of 20 × 20 m, randomly distributed from 320 to 480 m a.s.l. Seven microclimatic variables were simultaneously recorded during each of the samplings, using a portable weather station. In total, 216 samples were collected at the end of the study, of which 2,103 specimens, six subfamilies, 46 genera, and 71 species were obtained. The subfamily Galerucinae had the highest number of specimens and species in the study area, followed by Cassidinae. Seasonality caused significant changes in the abundance and number of leaf beetle species: highest richness was recorded in the rainy season, with 60 species, while the highest diversity (lowest dominance and highest H’ index) was obtained in the dry season. Seasonal inventory completeness of leaf beetles approached (rainy season) or was higher (dry season) than 70%, while the faunistic similarity between seasons was 0.63%. The outlying mean index was significant in both seasons; of the seven microclimatic variables analyzed, only temperature, heat index, evapotranspiration and wind speed were significantly related to changes in abundance of Chrysomelidae. Association between microclimate and leaf beetles was higher in the dry season, with a difference in the value of importance of the abiotic variables. The results indicated that each species exhibited a different response pattern to the microclimate, depending on the season, which suggests that the species may exhibit modifications in their niche requirements according to abiotic conditions. However, the investigations must be replicated in other regions, in order to obtain a better characterization of the seasonal and microclimatic influence on the family Chrysomelidae.

Mortality Rate in Covid-19 Positive Patients with Acute Kidney Injury Requiring Hemodialysis

Introduction: According to statistics till April, 2020 1,995,983 cases and 131,037 deaths have been reported globally with COVID-19 being a global threat posing great challenges to the healthcare system. Clinical data reviews and researchers have revealed that COVID-19 affects multiple organ especially liver, kidney and heart with primary damage to the respiratory system. Acute kidney injury and COVID-19 infection has been found to be linked to each other but the etiology remains unclear still. Method: This is an observational retrospective study conducted in nephrology department of Patel Hospital, Karachi. Data was collected retrospectively from medical records of patients. The study was carried out during the time period of March, 2020 till May 2021 for duration of 15 months. Patients with positive COVID-19 PCR and having AKI requiring hemodialysis were included in the study. Data was collected by complete evaluation of COVID-19 patient records and their symptoms, clinical status and final outcome during their hospital stay was noted. Results: The frequency of acute kidney injury requiring hemodialysis in our tertiary care setup was found to be 12.2% (n=41). Amongst these there were 53.7% males (n=22) and 46.3% females (n=19) and the mean age of patients was found to be 64.82+ 11.2 years. The mean level of lymphocyte count was found to be 11.3 + 4.8 *109/L. The in hospital mortality of COVID-19 positive patients having AKI was documented to be 73.2% (n=30) as shown in table-4. The other group of patients included 11 patients who recovered from acute kidney injury after hemodialysis sessions and were discharged from the hospital. Conclusion: Since COVID-19 infection became pandemic in 2020 there still needs to be a lot of research done in different populations. Hospitalized patients with COVID-19 infection should be Screen for kidney impairment and provided proper treatment. There has been found a very close association between the severity of acute kidney injury and mortality among the critically ill patients.

“Things” and Recovery From Trauma in Joukhader’s A Map of Salt and Stars

The present article explores the impact of “Things” on the healing journeys of the characters in Syrian American author Jennifer Zeynab Joukhader’s novel A Map of Salt and Stars (2018). It highlights the role of certain “Things” in Nour’s family’s healing process from the traumatic experiences of the Syrian war. The article also sheds light on the war’s reshaping of the objects and the individuals’ relationship with them. The objects that this article investigates are as varied as mundane utensils (a shattered plate), cherished souvenirs (Zahra’s bracelet), and even magical objects (Nour’s stone). Particularly, the article examines the establishment of the close association between the characters and these objects and the impact of this association on the family’s journey towards safety and recovery. For this reason, the present study is situated within the theoretical frameworks of the “Thing” theory and psychological trauma. This article argues that the close association that the characters establish with certain “Things” accompanies them during their grief and traumatic experiences, and subsequently initiates and facilitates their recovery.