International Journal of Current Research and Review
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IJCRR - 4(17), September, 2012

Pages: 85-94

Date of Publication: 14-Sep-2012


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BACTERIOLOGICAL APPLICATIONS OF QUANTUM DOTS

Author: Nithish.U.S, Sarah Sunitha

Category: General Sciences

Abstract:Quantum Dots are nanocrystals which are fluorescent in nature and their unique optical properties depend on their size. Quantum Dots have replaced conventional fluorophores which have disadvantages like photobleaching, narrow absorption spectra, stability and short period of fluorescence. Due to the possibility of conjugating the Quantum Dots to various types of bio molecules like streptavidin, antibodies, mannose etc there have been numerous applications in the detection, enumeration and differentiation of various bacteria. Quantum Dots can be applied to various matrices like food, water, tissue and blood samples. Quantum Dots have been used to detect pathogenic bacteria like E.coli, Staphylococcus aureus, Salmonella typhimurium, Bacillus anthracis, Listeria monocytogenes and Mycobacterium tuberculosis. Quantum dots can detect bacteria at the levels of 103- 10 CFU/ml in contaminated water samples. The minimum time for detection of bacteria using Quantum Dots ranges from 15 minutes to 2 hours. The major hindrance in using the Quantum Dots is its cost of production. This review summarises the properties, synthesis and applications of Quantum dots in the detection of bacteria which can have major implications in food and water safety evaluation, diagnosis of bacterial diseases and environmental enumeration of bacteria.

Keywords: Quantum Dots, Optical properties, Detection, Enumeration

Full Text:

INTRODUCTION
Quantum Dots (QD) are highly crystalline semiconductor nanocrystals. These are crystals whose dimension is less than that of the Exiton Bohr radius [1].Due to their nanoscale size; they have discrete electronic energy state giving rise to unique optical and electronic properties. They also possess the property of size dependent photo-emission which is due to the phenomenon of Quantum Confinement [2]. Their stability against photobleaching has attracted many researchers to develop bio-imaging and Quantum computing techniques. Due to their unique properties they have wide range of applications in electronics, computing and biology. QDs are made up of elements like Cadmium, Selenium, Indium, Tellurium, Phosphorous, Sulphur etc. These elements make up the core of a Quantum dot, which are then coated with a shell made of material of higher band energy. The outer shell also forms a protective layer on the Quantum dots. To make QDs biologically compatible one or more layer of organic polymers are added and are conjugated with organic ligands. The diameter of QDs varies from 1-20nm which consists of 100-100,000 atoms [2]. Due to their distinctive properties, QDs have improved the sensitivity of cellular analysis and molecular detection by few folds. The Quantum Dots were first studied by A.I. Ekimov and A.A. Onushchenko [3]. The size of microscopic CuCl crystals grown in transparent dielectric matrix varied from tens to hundreds of angstroms. Later high quality CdSe, CdS and CdTe semiconductor nanocrystals were synthesized based on pyrolysis of organometallic reagents [4]. The particles sizes were as small as 20 angstroms in diameter. Syntheisis of water soluble Quantum dots paved way for their conjugation to bio molecules and thereby opened up different applications in biology [5, 6]. In Quantum Dots, the energy levels of the valence electrons are discrete and have large differences. Thus they show the characteristics of an atom and hence they are also called artificial atoms [8]. The reduction in the size of the crystal brings the valence electrons closer thereby increasing their overall energy. This leads to splitting up of different electron levels giving it a discrete electron energy level system and also increasing their band gaps. This results in merging of valence band and conduction band making it a very good conductor of electricity. The splitting of energy level leads to excitement of the electron by absorption of energy and transition to higher energy levels. But these electrons return to their ground state by emitting a photon of energy either equal or lesser than that of the absorbed energy. The emitted photon has lesser energy when the electron rests in a metastable level for a brief period of time. This gives QDs their fluorescent property making them applicable in imaging and detection of molecules or cells. Thus as the size reduces, the gap between energy levels broadens up and the electron has to return from a much higher level which increases the emitted photon energy. Therefore as the size reduces, the emitted photon shifts from the red region of visible light spectra to the blue region. This gives rise to the unique fluorescent emission of the Quantum Dots.

PROPERTIES
The exceptional properties of the Quantum Dots like photo stability, broad range of absorption spectra, ease in change of emission spectra, sensitivity, brightness and ability of coupling with biological molecules, make them very useful in the field of biological imaging of different types of cells. Quantum Dots emitting different colours can be excited by monochromatic light. The time taken to fluoresce upon excitation is very less compared to conventional fluorophores and this property lasts longer for a given Quantum Dot. The Quantum Dots are very stable and resistant to photobleaching and overcome the disadvantages exhibited by fluorophores, which are important for imaging applications. SYNTHESIS QDs can be synthesized by colloidal synthesis, Efield method or by fabrication through etching or self-assembly.

Colloidal chemistry method
This method is also called Hot-Injection method [2].Here Quantum Dots are prepared as a batch by quickly adding appropriate amount of precursors into hot solvent and organic ligand system. First the precursors are decomposed to monomers by chemical or physical means like temperature. This results in nucleation process where the monomers starts binding to each other. This reaction is fast in the beginning and slows down in the end due to change in concentration.

E-field technique
In this method, Quantum Dots are synthesised between the interfaces of heterojunction of monomers [8]. On applying an electric field on the interface, 2D Electron Gas [2DEG] is created. Later these charges are confined to the interface by external devices. Thus the voltage and the 2DEG permit rearrangement of atoms, finally giving a Quantum Dot at the interface.

Fabrication
Etching or Lithographic method
In this method, first a Quantum Well or Double Barrier Heterostructure [DBH] are grown by the Epitaxial Method. Then pillars are etched out of it and they are further etched to give nanocrystals like Quantum Dots [8]. These pillars have the dimension of a Quantum Wire, which is then metalized on each terminal. Application of electric current on the terminals of Quantum Wire leads to the breakdown of the Quantum Wire and formation of Quantum Dots.

Self-assembly growth technique
Here Quantum Dots are formed as an out growth in the Epitaxial technique [8]. The effect is similar to the condensation of water droplets on cold surface. Generally, the epitaxial growth proceeds by forming a layer of atoms at once. But lattice mismatch and difference in surface energy between the atoms induces the formation of islands, thus Quantum Dots are formed. It is seen that bare Quantum Dots are unsuitable for biological application. This is because; they are insoluble in water and toxic due to their heavy metal composition, small size and active surface [9]. To overcome these problems, the surface of Quantum Dots is treated with stabilizing and coating substances. Most of the coating substances are organic polymers [10] which are amphiphilic in nature, also making them water soluble and easy to apply for biological analysis by conjugating with proteins, antibodies and other molecules. Additionally, it is observed that coating provides better photo stability [11]. It is also seen that some bio molecules like proteins can be effective nucleating and stabilizing agents for Quantum Dots [12].

APPLICATIONS OF QUANTUM DOTS IN BACTERIOLOGY
The superior optical properties of Quantum Dots entail them for numerous applications in labelling of cells. They are highly suitable for labelling, as the intense emission of light helps in detection of even a small number of the cells. They find applications in enumeration of bacterial cells in various matrices, detection of pathogens, food contaminants, and in the study of micro flora in bio films.

Enumeration
Here the number of bacterial cells can be enumerated by relating the intensity of light emitted by the Quantum Dots to the cell count. For example, Alteromonas species inhabiting the surface of small marine animals like Copepods were enumerated using QDs [13]. The CdSe Quantum Dots were conjugated with streptavidin so that QD can specifically bind to the anti-antibody against Alteromonas species. It is also possible to detect wide range of bacteria from a sample such as sewage water using water soluble Quantum Dots [14]. Quantum Dots can also be used to detect a particular strain of a bacterial species as supported from the result of an experiment where mannose conjugated CdS Quantum Dots could detect a strain Escherichia coli producing FimHlectin which binds specifically to mannose [15]. In a study on fluorescence detection of count of Escherichia coli and Staphylococcus aureus using Quantum Dots, spectrofluorometer was used for roughly counting the cells [16]. The low detection limit for this method was in order of 102CFU/ml. In a different study the same detection limit was obtained when the Quantum Dots were labelled to bacteria covalently using glutaraldehyde [17]. It was also seen that there was a linear relationship between fluorescence intensity and total bacterial count. By using Quantum Dots it is possible to distinguish between wild type and auxotrophic strain of a bacteria belonging to same species. This technique involves conjugating Quantum Dots with the biomolecule needed for bacterial growth but which cannot be synthesized by the bacteria. This method is applied for detection of purine auxotrophs of Bacillus subtilis and Escherichia coli where Quantum Dots conjugated with AMP were taken up preferentially by purine-auxotrophs rather than the wild type [18]. The Quantum Dots can also be coupled to the antibodies used in ELISA which can give us an intense signal even in a minute concentration of antigen. This method was applied for detection of Escherichia coli in water samples where the target bacteria were separated by antibody coated magnetic beads and then detected by ELISA using Quantum Dots conjugated to secondary antibodies [19]. Thus Quantum Dot based enumeration of bacteria can be rapid and sensitive compared to the conventional methods.

Detection of pathogens
Quantum Dots have better optical properties than other dyes or fluorophores; it is widely applicable in detecting pathogens from various clinical samples and to detect a particular pathogen from a cluster of bacteria. There are number of studies where Escherichia coli and Salmonella typhimurium were detected simultaneously using antibodies against these two species and conjugating different antibodies with Quantum Dots emitting light of different wavelength [20]. Multiplexed detection was also applied for Escherichia coli and Salmonella enteritidis [21]. Denatured Bovine serum albumin stabilized Quantum Dots were conjugated to secondary antibodies for detection of Escherichia coli and Listeria monocytogenes [22]. This type of conjugation to the secondary antibodies gives us an advantage of universal usage of the antibody for the detection, ease in their production and circumventing the tedious process of labelling individual primary antibodies. The interactions between antibody and antigen are weak and these are further weakened by conjugation of bulk substance like Quantum Dot. This reduces the staining property of Quantum Dots conjugated to antibodies, hence, it is preferred to conjugate small molecules like biotin to antibody and then bind them to Quantum Dots conjugated to streptavidin. The above method was also adopted for detection of E.coli [23] and Listeria monocytogenes where the limit of detection was found to be 2-3 CFU/ml with a detection time of 1.5 hrs. [24]. In another study Mycobacterium bovis BCG and Mycobacterium tuberculosis was detected using genus specific antibody and biotinylated antiantibody which would bind to streptavidin coated Quantum Dots [25]. The result gave a limit of detection of 103 bacteria/ml. This method was also applied for detection of Escherichia coliO157:H7 strain with a limit of detection of 10 3 CFU/ml with a detection time less than 2hrs [26]. In one of the studies Escherichia coli was imaged using organic acid stabilized Quantum Dots [27]. Here the Quantum Dots were internalized by the bacteria giving rise to fluorescence signal. It was found that none of the other bacteria interfered with the test. Quantum Dot labelling of the cells also aids Flow cytometric separation and analysis of pathogenic bacteria from other non-pathogenic ones. This method is a fast and effective technique for separation. In a study pathogenic Escherichia coli strain O157:H7 were separated from non-pathogenic bacteria using Quantum Dots and Flow cytometer [28]. The limit of detection was 1% of the pathogenic strain in the mixture of cells.

It is also possible for detection of strain and metabolism specific bacteria using Quantum Dots conjugated to a biomolecule which might bind to the receptor on the particular strain or may be used as a substrate for a metabolic pathway [29]. In another study different antibodies are conjugated to Quantum Dots of different emission peaks for multiplexed analysis of Bacillus anthracis spores and Yersinia pestis by Flow cytometry [30]. It also possible to detect one spores of Bacillus anthracis from other similar bacterial spores by conjugating Quantum Dots by BABA peptides [31] or a short peptide chain from gamma-phage lysine protein [32]. This analysis can be performed using methods like Flowcytometry, Confocal laser scanning microscopy and Spectrofluorometer with single cell resolution. An innovative yet specific method of labelling bacteria is using phage conjugated with Quantum Dots. This method can be used for recognising both slow growing and highly infectious bacteria. This method was studied for detection of Escherichia coli using biotinylated phage and streptavidin coated Quantum Dots [33]. Quantum Dots coated with zinc [II]-dipicolylamine could detect only mutant and pathogenic Escherichia coli that lacks O-antigen and could also facilitate in vivo optical imaging of the infection in the animal [34]. It is also possible to identify the bacterial species by detecting the species specific DNA sequence. In this method of detection the Quantum Dots are made to bind to a probe which is complementary to the species specific DNA sequence. In a study this method was used for detection of Mycobacterium tuberculosis and Mycobacterium avium subsp. paratuberculosis where the biotinylated probe hybridized with the DNA was detected by streptavidin coated Quantum Dots [35]. This method was 70 to 90% accurate compared to real time PCR and had a limit of detection of 12.5 ng of DNA in 20µl. This technique can be implied in diagnostic assay for rapid, specific and sensitive method of pathogen detection. In another study Quantum Dots based molecular beacons were used to detect the antibiotic resistant β-lactamase genes in pUC18 of Escherichia coli [36]. The mechanism of detection used in the study was a single step FISH, which gave an excellent signal on genes in the plasmid. There was an attempt to use ferrichrome conjugated to Quantum Dots for detection of bacteria with receptors for ferrous ions [37]. This method was successful in detecting Pseudomonas fluorescens having ferrous receptors.

Detection of bacterial food contaminants
Many bacterial infections are spread by contaminated food. Thus, detection of bacterial contaminants in food is important to monitor outbreaks of food borne infections. Three food-borne pathogens namely Salmonella typhimurium, Shigella flexneri and Escherichia coli were detected by antibodies against each bacteria which was conjugated to Quantum Dots of different emission wavelength [38]. The same method of antibody conjugated Quantum Dots were developed for specific detection of Staphylococcus aureus in food and environment [39]. The bacteria were detected under a fluorescent microscope and limit of detection was found to be 900 CFU/ml. Most of the contaminants are found in meats, thus Quantum Dots can be used to analyse contaminant in meat sample. In a recent study, Quantum Dots were used to detect pathogens like Escherichia coli and Salmonella in ground beef by conjugating Quantum Dots to specific antibodies against the pathogens [40]. In a study chicken carcass wash water was used as a sample for detecting Salmonella typhimurium contaminant in chicken meat [41]. Here contaminant was separated from sample with antibody conjugated magnetic beads and then reacted to biotin tagged secondary antibody which binds to streptavidin coated Quantum Dots. In this method the limit of detection was in order of 103 CFU/ml. Also there has been a report of use of indirect immunofluorescence coupled to Quantum Dots for labelling and detection specific bacterial serotype of pathogen Vibrio parahaemolyticus attached to small marine animals which are pathogen carriers [42]. This method can also be extended for detection of other Vibrio species like Vibrio cholerae. With the use of Quantum Dots in biosensors and microarrays, the size of the instrument have been reduced and also permitted for automation thus increasing rapidity and sensitivity of the test. These techniques have been used in assaying Salmonellae [43]. Nowadays array systems have been developed for rapid and sensitive detection of bacteria as indicated by a study where Escherichia coli O157:H7 was detected using Quantum Dots conjugated to antibody and the concept of sandwich ELISA [44]. The above method gave a limit of detection of below 10 CFU/ml. Escherichia coli was also detected using colistin-functionalised Quantum Dots which gave a limit of detecting as low as 28cells/ml [45] with a short analysis time of 15 min. excluding preparation and photoactivation time. Detection of bacteria in Oral bio films It is observed that many bacteria exhibit a symbiotic relationship between each other. These bacteria form biofilm which is a complex cluster of bacteria. These biofilms are found widely in our environment and also in our body like mouth etc. It is desirable to study symbiosis for evolutionary studies. Quantum Dots can be used for specific detection of bacteria in oral biofilms. This method has been used in a study where specific human oral bacteria namely Streptococcus gordonii DL1, Streptococcus mutans UA159 and Veillonella spp. strain R1 were detected in a biofilm in vivo and in vitro [46]. Here immunofluorescence method of imaging was used, and this method does not depend on detection of bacteria based on their morphology, which makes this rapid technique amenable to automation, enabling the detection from numerous samples. These studies also give an insight on the spatial relationship between bacteria and interspecies interaction in biofilm. Presence of specific gene in the biofilm can give a large insight on the species of the bacteria and also function of that gene in the biofilm. In a report Bacillus spoOA gene was analysed in a biofilm using DNA-Quantum Dots system [47]. The hybridization of target DNA to the probe was detected using flowcytometer and had a limit of detection of 0.02 nM. It has been observed that biofilms made of Streptococcus sp. and Veillonella sp. are formed in early stage of the plaque. These results were confirmed by using Quantum Dot based immunofluorescence on the enamel surface [48].

TOXICITY OF QUANTUM DOTS TO BACTERIA
We have seen the brighter side of the Quantum Dots but it has been demonstrated that these nanoparticles are toxic to living cells including bacteria. Formation of reactive oxygen species by the interaction of Quantum Dots with other bio molecules or release of the heavy metal ions which constitute the Quantum Dots have been the mechanism of inducing toxicity to the cells. The toxicity of Quantum Dots on four different strains of bacteria namely Pseudomonas aeruginosa, Staphylococcus aureus, Bacillus subtilis and Escherichia coli were studied [49]. The result indicated that Gram-positive strains were more resistant to the toxicity than the Gram-negative bacteria. This might be due to large amount of peptidoglycan on cell wall of Gram-positive bacteria. The study also indicated that Gram-positive bacteria previously exposed to Quantum Dot showed lack of reproducibility.

CONCLUSION
Today, the major hindrance for using Quantum Dots in bacteriological applications is its toxicity. It is suggested that by eliminating the heavy elements from Quantum Dots, the toxicity can be reduced. Thus new Heavy Metal-free Quantum Dots like carbon quantum Dots are being produced [50]. But their effective usage is still under research. The cost of production of Quantum Dots is also topic of concern when they have to be mass produced and used as diagnosis & analysing tools. Many methods for synthesizing biocompatible Quantum Dots using bacterial cells like Escherichia coli have been proposed [51]. The efficacy of these Quantum Dots in various applications will have to be proved. In conclusion, it can be said that Quantum Dot based techniques are rapid, sensitive and reliable tools for the enumeration, detection and differentiation of Bacteria.

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A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
A study by Ali Nawaz et al. entitled \"A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) \? A Randomized Controlled Study\" is awarded Best Article for Vol 14 issue 16.
A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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