Systematic review with expert consensus on use of extracorporeal hemoadsorption in septic shock:An Indian perspective

BACKGROUND Septic shock is a severe form of sepsis characterised by deterioration in circulatory and cellular-metabolic parameters.Despite standard therapy,the outcomes are poor.Newer adjuvant therapy,such as CytoSorb®extracorporeal haemoadsorption device,has been investigated and shown promising outcome.However,there is a lack of some guidance to make clinical decisions on the use of CytoSorb®haemoadsorption as an adjuvant therapy in septic shock in Indian Setting.Therefore,this expert consensus was formulated.AIM To formulate/establish specific consensus statements on the use of CytoSorb®haemoadsorption treatment based on the best available evidence and contextualised to the Indian scenario.METHODS We performed a comprehensive literature on CytoSorb®haemoadsorption in sepsis,septic shock in PubMed selecting papers published between January 2011 and March 20232021 in English language.The statements for a consensus document were developed based on the summarised literature analysis and identification of knowledge gaps.Using a modified Delphi approach combining evidence appraisal and expert opinion,the following topics related to CytoSorb®in septic shock were addressed:need for adjuvant therapy,initiation timeline,need for Interleukin-6 levels,duration of therapy,change of adsorbers,safety,prerequisite condition,efficacy endpoints and management flowchart.Eleven expert members from critical care,emergency medicine,and the intensive care participated and voted on nine statements and one open-ended question.RESULTS Eleven expert members from critical care,emergency medicine,and the intensive care participated and voted on nine statements and one open-ended question.All 11 experts in the consensus group(100%)participated in the first,second and third round of voting.After three iterative voting rounds and adapting two statements,consensus was achieved on nine statements out of nine statements.The consensus expert panel also recognised the necessity to form an association or society that can keep a registry regarding the use of CytoSorb®for all indications in the open-ended question(Q10)focusing on“future recommendations for CytoSorb®therapy”.CONCLUSION This Indian perspective consensus statement supports and provides guidance on the use of CytoSorb®haemoadsorption as an adjuvant treatment in patients with septic shock to achieve optimal outcomes.

Quantum Cryptography-A Theoretical Overview

Quantum Key Distribution seems very promising as it offers unconditional security,that’s why it is being implemented by the tech giants of the networking industry and government.Having quantum phenomenon as a backbone,QKD protocols become indecipherable.Here we have focused on the complexities of quantum key distribution and how this technology has contributed to secure key communication.This article gives an updated overview of this technology and can serve as a guide to get familiar with the current trends of quantum cryptography.

A Critical Overview on Quantum Computing

Quantum Computing and Quantum Information Science seem very promising and developing rapidly since its inception in early 1980s by Paul Benioff with the proposal of quantum mechanical model of the Turing machine and later By Richard Feynman and Yuri Manin for the proposal of a quantum computers for simulating various problems that classical computer could not.Quantum computers have a computational advantage for some problems,over classical computers and most applications are trying to use an efficient combination of classical and quantum computers like Shor’s factoring algorithm.Other areas that are expected to be benefitted from quantum computing are Machine Learning and deep learning,molecular biology,genomics and cancer research,space exploration,atomic and nuclear research and macro-economic forecasting.This paper represents a brief overview of the state of art of quantum computing and quantum information science with discussions of various theoretical and experimental aspects adopted by the researchers.

Advancement of noble metallic nanoparticles in agriculture: A promising future

Since the last decades,nanotechnology has gained the attention of researchers in the field of plant sciences.The characteristics of nanoparticles are reliant on their shape and size.Formulations involving noble metallic nanoparticles(NMNPs)offer novel technologies to boost agricultural productivity and minimize conventional pesticide use.The application of nanoparticles as nanofertilizer improves plant growth and enhances nutrient uptake efficiency.Noble metallic nanoparticles act as antimicrobial agents against multidrug-resistant pathogens and provide protection to plants.Nanobiosensors and nanodevices are utilized in diverse agro-based areas such as plant disease diagnosis and nanoparticle-based material delivery.Several studies have focused on negative impacts such as toxicity and environmental threats posed by NMNPs.Understanding the effects of NMNPs on agriculture is critical for the assessment of their safety and the impending environmental risks to biodiversity and human health.Here,we summarize the advances of NMNPs towards revolutionizing modern agricultural applications and the recent trends in sustainable precision agriculture.