Does higher tax rate affect tobacco usage?Unravelling the nexus between tobacco regulatory control and public health concern

Objectives:Bangladesh stands as a prominent global consumer of tobacco,with alarming consequences on public health.The Global Adult Tobacco Survey reported that tobacco consumption claimed over 126000 lives in 2018,contributing to 13.5%of all deaths in the country.This study aims to explore the effectiveness of higher tax rates and tobacco use regulation as control mechanisms in mitigating tobacco consumption and health care cost burden,with a particular emphasis on its implications for public health.Methods:This study is based on the annual time series data over the period 2000-2020.The study employs the ordinary least square method to analyze the quantitative confirming the stationarity of data at level.This research uses different models to investigate individual effects and combined effects on both tobacco consumption and tobacco health care cost burden.Results:The study finds a negative relationship between tobacco tax rate and tobacco consumption.More specifically,the higher tax rate of tobacco(low(β=-0.3495),medium(β=-0.2319),high(β=-0.9033),premium(β=-0.7322),filtered(β=-0.2114),and non-filtered(β=-0.3452)categories)is significant to reduce tobacco use at 1%level of significance.The study finds similar results when it applied tobacco retail price instead of tobacco tax rate as the independent variable.Finally,the study investigates the impact on health care cost through tobacco consumption,tobacco control law,growth rate,export-import,and tobacco production.The results indicate that tobacco consumption,export-import,and tobacco production increases health care cost burden while tobacco use regulatory decreases it.By reducing tobacco consumption,higher taxes and tobacco use regulation contribute to alleviating the burden on the healthcare system,promoting healthier lifestyles,and aligning with global health objectives.Conclusions:Higher tax rate on tobacco products is necessary to increase the retail price so that tobacco users cannot consume tobacco.Specific tax and uniform tax base are needed so that tobacco users cannot switch to lower priced brands.Tobacco control laws need to revised and proper implementation should be ensured as well,to achieve the goal of tobacco free Bangladesh by 2040.Tobacco-related diseases,responsible for a significant proportion of deaths in the country,could witness a considerable decline with the successful implementation of higher tax rates and tobacco use regulation.This study provides insights that not only contribute to the economic discourse but also accentuate the broader public health benefits arising from effective tobacco taxation policies.

Genetics of non-alcoholic fatty liver disease: From susceptibility and nutrient interactions to management

Genetics plays an important role in determining the susceptibility of an individual to develop a disease. Complex, multi factorial diseases of modern day(diabetes, cardiovascular disease, hypertension and obesity) are a result of disparity between the type of food consumed and genes, suggesting that food which does not match the host genes is probably one of the major reasons for developing life style diseases. Non-alcoholic fatty liver is becoming a global epidemic leading to substantial morbidity. While various genotyping approaches such as whole exome sequencing using next generation sequencers and genome wide association studies have identified susceptibility loci for non-alcoholic fatty liver disease(NAFLD) including variants in patatin-like phospholipase domain containing 3 and transmembrane 6 superfamily member 2 genes apart from others; nutrient based studies emphasized on a combination of vitamin D, E and omega-3 fatty acids to manage fatty liver disease. However majority of the studies were conducted independent of each other and very few studies explored the interactions between the genetic susceptibility and nutrient interactions. Identifying such interactions will aid in optimizing the nutrition tailor made to an individual's genetic makeup, thereby aiding in delaying the onset of the disease and its progression. The present topic focuses on studies that identified the genetic susceptibility for NAFLD, nutritional recommendations, and their interactions for better management of NAFLD.

Comparison of anti-vascular endothelial growth factors, laser treatments and a combination of the both for treatment of central retinal vein occlusion

AIM：To compare changes in visual acuity and macular edema in patients with central retinal vein occlusion（CRVO）treated with intravitreal injections of bevacizumab,macular grid photocoagulation combined with pan retinal photocoagulation（PRP）,or both（bevacizumab＋grid＋PRP）.· METHODS：Our study is a retrospective cohort clinical study that examined patients that suffered from ischemic CRVO with macular edema.Study inclusion criteria were ischemic CRVO with macula edema and the availability of complete medical records for at least 12 mo after treatment.Excluded were patients with diabetes or any other retinal disease.We reviewed the medical records of patients treated in one ophthalmology departmentcomparing changes in visual acuity and macular edema in patients treated with intravitreal injections of bevacizumab vs those that were treated with macular grid photocoagulation and PRP or both.The main outcome measures were the differences in best corrected visual acuity（BCVA） and in macular thickness,as assessed by optical coherence tomography,between the enrollment and the final follow up visits.· RESULTS：Sixty-five patients met inclusion criteria.There were no statistically significant differences among the three groups in the mean changes in macular thickness as measured by ocular coherence tomography（131.5±41.2,108.6±29.2,and 121.1±121.1,P=0.110）,or in visual acuity（0.128±0.077,0.088±0.057,and 0.095±0.065）,for intravitreal injections,macular grid photocoagulation＋PRP and a combination of the treatments,respectively,P =0.111.The proportions of patients with macular edema after treatment were：26.1%,28.6%,and 14.3%,respectively,P=0.499.· CONCLUSION：Similar benefit was observed for intravitreal injections,laser photocoagulation,or a combined regimen in the treatment of CRVO.A nonstatistically significant trend for reduction in macular edema was observed following combined treatment.

Association Mapping of Quantitative Trait Loci for Grain Size in Introgression Line Derived from Oryza rufipogon

Grain size is one of the critical agronomic traits governing grain yield and quality in rice.However,the underlying genetic mechanisms that control grain size in rice are poorly understood.We used an introgression line derived from Zhonghui 8015 and Oryza rufipogon Griff.This introgression line was evaluated under two different environmental conditions to dissect the quantitative trait loci controlling grain size.Genome-wide association study(GWAS)was performed using 28193 SNPs through a general linear model,and 56 significant SNPs on different loci associated with the 4 grain size traits were detected.Cloned genes including GS3 and q GL3 showed substantial effects on grain length and size.Seven new stable loci were identified with pleiotropic effects on grain size.Haplotype,gene expression analyses,combined gene-based associations,and functional annotations permitted the shortlisting of important dominant genes including GS3 and q GL3.

Establishment and Growth of Potato Micro-Cuttings in Sand Trays

Two separate experiments were conducted to evaluate the success of the establishment and growth of micro-cuttings of potato (5 - 6 cm tall) in sand trays [38 cm (L) × 28 cm (W) × 7.5 cm (H) plastic trays] under controlled environment (22?C ± 2?C, 60 - 75 μmosm–1?s–1 light energy for 16 h daily). In the first experiment, micro-cuttings of potato cv. Diamant were planted at six populations (500, 600, 700, 800, 900 and 1000 cuttings per tray) in treated sand (sun dry, 1% formaldehyde, 0.2% Dithane M-45 and control). The mortality percentage of micro-cuttings was nil for sun dry sand while formaldehyde and dithane M-45 treated sand had 1% - 4% against 15% in the control with the highest population density. Mortality of micro-cuttings in formaldehyde and dithane M-45 treated sand trays were found not to be related to pathogenic organism rather toxic effect of these two chemicals. Micro-cuttings in Sun dry and control treatments showed better growth performance than these in chemically treated sand trays. In the second experiment, urea @ 1, 2 and 3 g per tray was applied as solid form after 15 days of planting the micro-cuttings and as liquid form @ 0.5, 1 and 2% solution sprayed in the micro-cuttings repeatedly after 15, 30, 45 and 60 days of planting. The micro-cuttings which received urea as solid state died within 2 - 3 days and 2% urea solution was also detrimental. Urea solution @ 0.5% found to be very effective for vegetative growth of micro-cuttings in sand trays. The control was also good for vegetative growth but at a slower rate.

Salt-Induced Changes in Physio-Biochemical and Antioxidant Defense System in Mustard Genotypes

Salinity stress is a major factor limiting plant growth and productivity of many crops including oilseed.The present study investigated the identification of salt tolerant mustard genotypes and better understanding the mechanism of salinity tolerance.Salt stresses significantly reduced relative water content(RWC),chlorophyll(Chl)content,K^(+) and K^(+)/Na^(+) ratio,photosynthetic rate(P N),tran-spiration rate(Tr),stomatal conductance(gs),intercellular CO_(2) concentration(Ci)and increased the levels of proline(Pro)and lipid peroxidation(MDA)contents,Na+,superoxide(O_(2)^(•−))and hydrogen peroxide(H_(2)O_(2))in both tolerant and sensitive mustard genotypes.The tolerant genotypes maintained higher Pro and lower MDA content than the salt sensitive genotypes under stress condition.The activities of superoxide dismutase(SOD),catalase(CAT),peroxidase(POD),glutathione peroxidase(GPX),monodehydroascorbate reductase(MDHAR)and dehydroascorbate reductase(DHAR)were increased with increasing salinity in salt tolerant genotypes,BJ-1603,BARI Sarisha-11 and BARI Sarisha-16,but the activities were unchanged in salt sensitive genotype,BARI Sarisha-14.Besides,the increment of ascorbate peroxidase(APX)activity was higher in salt sensitive genotype as compared to tolerant ones.However,the activ-ities of glutathione reductase(GR)and glutathione S-transferase(GST)were increased sharply at stress conditions in tolerant genotypes as compared to sensi-tive genotype.Higher accumulation of Pro along with improved physiological and biochemical parameters as well as reduced oxidative damage by up-regulation of antioxidant defense system are the mechanisms of salt tolerance in selected mustard genotypes,BJ-1603 and BARI Sarisha-16.

Life Cycle Assessment of Household Water Tanks—A Study of LLDPE, Mild Steel and RCC Tanks

A case of household water tanks, 1000 L capacity, made of RCC, LLDPE and mild steel (stainless steel) was evaluated for life cycle analysis. The scope of the research comprised of the raw materials, energy inputs and corresponding emissions during all phases of product making such as extraction of raw material, it’s processing, followed by manufacturing and transport, as well as use and reuse of the product. Simapro 8 (System for Integrated environMental Assessment of PROducts), a modelling software, from Dutch PRé Consultants was used to conduct the life cycle analysis. Simapro 8 enables systematic and transparent modelling and analysis of complex life cycles based on the recommendations of the ISO 14040 series of standards. In the present study the most common method which is acceptable worldwide “Recipe Endpoint method” (ReCiPe) was employed. ReCiPe computes the impact categories and classifies them into two classes based on relevant arrays of characterization factors. Simapro addresses impact categories viz. ozone depletion, human toxicity, ionizing radiation, photochemical oxidant formation, particulate matter formation, terrestrial acidification, climate change, terrestrial ecotoxicity, agricultural land occupation, urban land occupation, natural land transformation, marine ecotoxicity, marine eutrophication, fresh water eutrophication, fresh water ecotoxicity, fossil fuel depletion, minerals depletion, fresh water depletion at the midpoint level. While at the Endpoint level, the impact categories are multiplied by corresponding damage factors and integrated to be represented as three Endpoint level categories, viz. human health, ecosystems and resource depletion. The three endpoint categories are normalized, weighted, and aggregated into a single score. LCA studies indicate that household water tanks of LLDPE have least environmental implications considering impacts on human health, ecosystems and resource depletion as compared to its counterparts viz. Household water tanks made up of mild steel and RCC. The sequence of the material with decreasing impacts is concrete tanks > mild steel tank > LLDPE tanks. The overall assessment is centred on the elements such as material inputs, energy inputs and environmental emissions.

使用OCT评估多发性硬化症分期及其严重性（英文）

目的:评估光学相干层析成像(OCT)、多发性硬化病程(MS)和扩展伤残状态等级(EDSS)之间的联系。方法:前瞻性双盲研究。29例多发性硬化症确诊患者与29例正常人进行比较,年龄和性别匹配。所有受试者于同一天进行光学相干层析成像检查和神经扩展伤残状态等级测试。结果:多发性硬化症患者平均扩展伤残状态等级指数为3. 2,健康对照组为0. 03,多发性硬化症患者病程为11. 7a。多发性硬化症患者视网膜神经纤维层(RNFL)厚度显著较薄(P<0. 01)。多发性硬化病程与视网膜神经纤维层变薄之间存在相关性。扩展伤残状态等级与视网膜神经纤维层变薄之间呈相关趋势但无统计学意义。结论:较正常对照组,多发性硬化症患者RNFL较薄。多发性硬化症病程对RNFL厚度有直接影响。RNFL厚度与扩展伤残状态等级之间可能存在相关性。建议使用OCT作为多发性硬化症患者的检测和评估工具。

Various Aetiologies of Non-Traumatic Coccydynia Cause Pain in the Posterior Sacrococcygeal Leg of the Pelvic Tripod: A Burden on the Healthcare Sector

Introduction: Coccydynia, television disease, and coccygodynia are the different names given to this disabling disease, which can become chronic. It was described by Simson in 1859. Coccydynia means pain at the end of the vertebral column. Non-traumatic coccydynia is a diagnosis, which is never straightforward like traumatic coccydynia because the onset is unclear, and both the patient and the unaware clinician face many challenges in treating it on time and with accuracy. Coccyx was likened to a cuckoo bird’s beak as a curved bone of fused 3 to 5 vertebrae with remnant disc material in some rare cases, unfused segments, linear scoliosis or subluxations and deformities. Stress X-rays of the coccyx in the antero-posterior and lateral views in standing and sitting reveal the “Dynamic Instability” due to congenital coccygeal morphological, pathological and mechanical variations. Material and Methods: This is a complex study having retrograde data collected from online publications from various databases, like PubMed, Embase, and Cochrane Library and also antegrade data collected from 100 patients with their consent from patients in Adam and Eve Specialised Medical Centre-based at Abu Dhabi, UAE and data was processed in the research centre of Krushi Orthopaedic Welfare Society based in India between 2014-2024 following all guidelines of Helsinki and approved by the ethics board of Krushi Orthopaedic Welfare Society. Clinical Presentation: The coccyx is painful, with aches, spasms, and an inability to sit. This affects daily activities without any particular date of onset. The onset remains insidious for the non-traumatic variety of coccydynia. Aetiology and Patho Anatomy: Non-traumatic coccydynia can be caused by a myriad of reasons, like congenital morphological variations, acquired dynamic instabilities, and hidden trauma remaining quiescent to re-surface as a strain-induced pain. Radiological Presentations: Unless clarity is focused on these coccygeal views, the errors of the unevacuated rectum, non-dynamic standing views, improper X-ray exposure and refuge by insurance companies to approve the much needed but multiple views in radiological investigation (Stress X-ray), MRI scan, lack of awareness by the clinician, all lead to missed diagnosis with its repercussions as congenital variations in morphology, acquired changes in structure/mobility, pathologies like tumours like congenital teratoma & adult onset chordoma, Tarlov cysts, pilonidal sinus or infections—even tuberculosis, dural syndrome, stiff coccyx due to ankylosing spondylitis and many others like relation to neurosis have all been documented. Treatment options are outside the scope of this research topic, as only the differential diagnosis is being stressed here, so that the clinician and the patient do not overlook the varying aetiology, which is the first step to timely and appropriate treatment. Conclusion: Level 3 evidence is available pointing towards many aetiologies causing non-traumatic coccydynia, and in this study of 100 patients by Krushi O W S, a non-profit organisation, the results were as follows: 1) Coccydynia is more common in Type II coccyx and bony spicules. 2) Coccydynia is more prevalent when the sacrococcygeal joints are not fused. 3) Coccydynia is more prevalent when there is subluxation at the intercoccygeal joints. 4) Coccydynia is more when the sacral angle is lower. 5) Coccydynia is associated with higher sacrococcygeal curved length. 6) Coccydynia is associated with a lower sacrococcygeal curvature index. 7) Gender variations: The coccygeal curvature index was lower in females with coccydynia;the intercoccygeal angle was lower in males. 8) Both obese and thin individuals can get affected due to different weight-bearing mechanics in play.

）plication of geo-microbial prospecting method for finding oil and gas reservoirs

Microbial prospecting of hydrocarbons is based on the detection of anomalous population of hydrocarbon oxidizing bacteria in the surface soils, indicates the presence of subsurface oil and gas accumulation. The technique is based on the seepage of light hydrocarbon gases such as C1-C4 from the oil and gas pools to the shallow surface that provide the suitable conditions for the development of highly specialized bacterial population. These bacteria utilize hydrocarbon gases as their only food source and are found enriched in the near surface soils above the hydrocarbon bearing structures. The methodology involves the collection of soil samples from the survey area, packing, preservation and storage of samples in pre-sterilized sample bags trader aseptic and cold conditions till analysis and isolation and enumeration of hydrocarbon utilizing bacteria such as methane, ethane, propane, and butane oxidizers. The contour maps for the population density of hydrocarbon oxidizing bacteria are drawn and the data can be integrated with geological, geochemical, geophysical methods to evaluate the hydrocarbon prospect of an area and to prioritize the drilling locations thereby reducing the drilling risks and achieve higher success in petroleum exploration. Microbial Prospecting for Oil and Gas （MPOG） method success rate has been reported to be 90%. The paper presents details of microbial prospecting for oil and gas studies, excellent methodology, future development trends, scope, results of study area, case studies and advantages.