• 제목/요약/키워드: Iron supplementation

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How to approach orthognathic surgery in patients who refuse blood transfusion

  • Lee, Sang Hwan;Kim, Dong Gyu;Shin, Ho Seong
    • Archives of Plastic Surgery
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    • 제47권5호
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    • pp.404-410
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    • 2020
  • Background Some patients who need surgery refuse a blood transfusion because of their religious beliefs or concerns about blood-borne infections. In recent years, bloodless surgery has been performed successfully in many procedures, and is therefore of increasing interest in orthognathic surgery. Methods Ten Jehovah's Witnesses who visited our bloodless surgery center for orthognathic surgery participated in this study. To maintain hemoglobin (Hb) levels above 10 g/dL before surgery, recombinant erythropoietin (rEPO) was subcutaneously administered and iron supplements were intravenously administered. During surgery, acute normovolemic hemodilution (ANH) and induced hypotensive anesthesia were used. To elevate the Hb levels to >10 g/dL after surgery, a similar method to the preoperative approach was used. Results The 10 patients comprised three men and seven women. Their average Hb level at the first visit was 11.1 g/dL. With treatment according to our protocol, the average preoperative Hb level rose to 12.01 g/dL, and the average Hb level on postoperative day 1 was 10.01 g/dL. No patients needed a blood transfusion, and all patients were discharged without any complications. Conclusions This study presents a way to manage patients who refuse blood transfusions while undergoing orthognathic surgery. rEPO and iron supplementation were used to maintain Hb levels above 10 g/dL. During surgery, blood loss was minimized by a meticulous procedure and induced hypotensive anesthesia, and intravascular volume was maintained by ANH. Our practical approach to orthognathic surgery for Jehovah's Witnesses can be applied to the management of all patients who refuse blood transfusions.

음수중(飮水中) 동(銅)의 수준(水準)에 따른 흰쥐장기내(臟器內) 동(銅), 철(鐵) 및 아연(亞鉛)의 농도(濃度)에 미치는 영향 (Effects of Drinking Water Supplemented with Copper on Tissue Concentrations of Copper, Iron and Zinc in Rats)

  • 고진복;정복미;김재영;최도점;양차범
    • 한국식품영양과학회지
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    • 제16권2호
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    • pp.63-68
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    • 1987
  • The effects of various levels of copper(Cu) intake on the concentrations of copper, iron (Fe) and 3inc(Zn) in rat tissues were studied in growing rats. For different groups the drinking water was supplemented with 0(control), 25, 50, 100 and 200ppm Cu(as copper sulphate) for 1 day respectively. All animal groups were fed with the control diet (Cu contents, 12.8%mg/kg diet) during the experiment. At the end of the 4 week experiment, body weight gain was slightly lower in the Cu supply groups than in control group. Liver and serum Cu were significantly higher in 50, 100 and 200ppm Cu of male and in 200ppm Cu of female than in control groups. Spleen Cu was significantly increased by the supplementation of Cu. Liver and heart Fe of male and heart Fe of female were increased by incresing supplementary Cu levels. In 50ppm Cu group, liver, spleen and kidney Fe of female increased but the others did not. Fe of tissues was different in male and female rats according to Cu levels supplied. Serum Zn of male and female was significantly lower in 50, 100 and 200ppm Cu groups than in control and 25ppm Cu groups. When supplemented with Cu levels there were no significant differences among groups for liver, kidney, spleen and heart Zn as well as heart and kidney Cu.

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중년기의 비타민ㆍ무기질 보충제 사용량과 건강관련 생활습관 조사 (Supplement Dose and Health-Related Life Style of Vitamin-Mineral Supplement User among Korean Middle-Aged)

  • 김윤정;문주애;민혜선
    • 대한지역사회영양학회지
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    • 제9권3호
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    • pp.303-314
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    • 2004
  • We studied daily micronutrient intake from vitamin-mineral supplements, health-related life style, clinical case of diseases and food frequency of the Korean middle-aged (40-59 yr, n = 404) to compare the characteristics of non-user (n = 270) and user (n = 134) of vitamin-mineral supplements. Rate of supplement use of the middle-aged was 33.2% and there was significant difference in education level (p = 0.0084) and family income (p = 0.0476) of user and nonuser. Smoking habit (p = 0.0844) and drinking frequency (p = 0.0606) tended to be lower in a supplement user than a non-user. The medical history of a case was significantly higher in users (67.9%) than in non-users (44.4%) (p = 0.001), which suggests that medical history is one of the important motivations of supplement use. Supplement users had the medical history of digestive disease (34.1%), anemia (11.0%) and hypertension (9.9%) in order. Vitamin C was the most frequently supplemented nutrient (81.3%) among vitamin-mineral supplement, and the next orders were vitamins E (73.1%), B$_2$(68.7%) and B$_{6}$ (60.4%). Mean intakes of vitamin B$_1$, iron, selenium, vitamin E, and vitamin C from supplement was 4,260%, 4,030%, 1,660% and 1,330% of RDA, respectively. The supplement users tended to consume most food items including milk & milk products (p < 0.01), rice (p < 0.01), grains (p < 0.05) and cookies (p < 0.01) less frequently than non-users. Conclusively, nutrient intake of vitamin B$_1$, iron, selenium, vitamin E, and vitamin C from supplement was excessively high compared to RDA. We suggest that the toxic effect of excessive supplementation should he informed to supplement user and nutritional education should be focused on the optimal supplement dose.e.

Successful Treatment of Scabies-Induced Life Threatening Anemia in a Wild Raccoon Dog (Nyctereutes procyonoides)

  • Myeongsu Kim;Phyo Wai Win;Yoon-Hee Kim;Jae-IK Han
    • 한국임상수의학회지
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    • 제41권3호
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    • pp.195-199
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    • 2024
  • A free-range wild raccoon dog (Nyctereutes procyonoides) was rescued with cachexia. Physical examination revealed generalized hyperkeratosis and alopecia typical of scabies as well as hypothermia (35.6℃). The patient was obtunded and severely dehydrated (10%). Hematological parameters included a low packed cell volume (PCV; 15%) and hemoglobin concentration, leukocytosis, and hypoglycemia. A blood smear revealed different subtypes of hypochromic leptocytes, indicating a regenerative response against severe anemia. This case was initially tentatively diagnosed as a severe anemia due to chronic external bleeding presumed to be caused by scabies-induced skin injuries. Darbepoetin alpha (DPO), iron dextran, and fluralaner were administered at the initial presentation, and supportive care including oxygen supplementation, warming, and nutritional support was provided. However, on day 5, the PCV dropped to 5.9% presumably caused by rapid rehydration due to drinking water ad libitum. DPO was boosted on days 5 and 6 along with daily iron dextran. On day 21, the PCV had recovered to 19.8%, and a blood smear evaluation showed a strong regenerative response. This case shows that even if severe anemia occurs in a raccoon dog, it can be managed with an appropriate response. In particular, since the rehydration rate due to food intake is faster than the hematopoietic response rate of raccoon dogs, the PCV may decrease rapidly in the early stage of treatment; therefore, diagnostic examination and additional medical management for hematopoiesis are necessary.

해조의 식용분말화에 관한 연구 (A Study on the Nutritive Value and Utilization of Powdered Seaweeds)

  • 유정열;이기열;김숙희
    • Journal of Nutrition and Health
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    • 제8권1호
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    • pp.15-37
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    • 1975
  • I. Subject of the study A study on the nutritive value and utilization of powdered seaweeds. II. Purpose and Importance of the study A. In Korea the shortage of food will be inevitable by the rapidly growing population. It will be very important study to develop a new food from the seaweeds which were not used hitherto for human consumption. B. The several kinds of seaweeds have been used by man in Korea mainly as side-dishes. However, a properly powdered seaweed will enable itself to be a good supplement or mixture to certain cereal flours. C. By adding the powdered seaweed to any cereals which have long been staple foods in this country the two fold benefits; saving of cereals and change of dietary pattern, will be secured. III. Objects and scope of the study A. Objects of the study The objects will come under four items. 1. To develop a powdered seaweed as a new food from the seaweeds which have been not used for human consumption. 2. To evaluate the nutritional quality of the products the analysis for chemical composition and animal feeding experiment will be conducted. 3. Experimental cocking and accepability test will be conducted for the powdered products to evaluate the value as food stuff. 4. Sanitary test and also economical analysis will be conducted for the powdered products. B. Scope of the study 1. Production of seaweed powders Sargassum fulvellum growing in eastern coast and Sargassum patens C.A. in southern coast were used as the material for the powders. These algae, which have been not used for human consumption, were pulverized through the processes of washing, drying, pulverization, etc. 2. Nutritional experiments a. Chemical composition Proximate components (water, protein, fat, cellulose, sugar, ash, salt), minerals (calcium, phosphorus, iron, iodine), vitamins (A, $B_1,\;B_2$ niacin, C) and amino acids were analyzed for the seaweed powders. b. Animal feeding experiment Weaning 160 rats (80 male and 80 female rats) were used as experimental animals, dividing them into 16 groups, 10 rats each group. Each group was fed for 12 weeks on cereal diet (Wheat flour, rice powder, barley powder, potato powder, corn flour) with the supplementary levels of 5%, 10%, 15%, 20% and 30% of the seaweed powder. After the feeding the growth, feed efficiency ratio, protain efficiency ratio and ,organs weights were checked and urine analysis, feces analysis and serum analysis were also conducted. 3. Experimental cooking and acceptability test a. Several basic studies were conducted to find the characteristics of the seaweed powder. b. 17 kinds of Korean dishes and 9 kinds of foreign dishes were prepared with cereal flours (wheat, rice, barley, potato, corn) with the supplementary levels of 5%, 10%, 15%, 20% and 30% of the seaweed powder. c. Acceptability test for the dishes was conducted according to plank's Form. 4. Sanitary test The heavy metals (Cd, Pb, As, Hg) in the seaweed powders were determined. 5. Economical analysis The retail price of the seaweed powder was compared with those of other cereals in the market. And also economical analysis was made from the nutritional point of view, calculating the body weight gained in grams per unit price of each feeding diet. IV. Results of the study and the suggestion for application A. Chemical composition 1. There is no any big difference in proximate components between powders of Sargassum fulvellum in eastern coast and Sargassum patens C.A. in southern coast. Seasonal difference is also not significant. Higher levels of protein, cellulose, ash and salt were found in the powders compared with common cereal foods. 2. The levels of calcium (Ca) and iron (Fe) in the powders were significantly higher than common cereal foods and also rich in iodine (I). Existence of vitamin A and vitamin C in the Powders is different point from cereal foods. Vitamin $B_1\;and\;B_2$ are also relatively rich in the powders.'Vitamin A in ·Sargassum fulvellum is high and the levels of some minerals and vitamins are seemed4 to be some influenced by seasons. 3. In the amino acid composition methionine, isoleucine, Iysine and valine are limiting amino acids. The protein qualities of Sargassum fulvellum and Sargassum patens C.A. are seemed to be .almost same and generally ·good. Seasonal difference in amino acid composition was found. B. Animal feeding experiment 1. The best growth was found at.10% supplemental level of the seaweed Powder and lower growth rate was shown at 30% level. 2. It was shown that 15% supplemental level of the Seaweed powder seems to fulfil, to some extent the mineral requirement of the animals. 3. No any changes were found in organs development except that, in kidney, there found decreasing in weight by increasing the supplemental level of the seaweed powder. 4. There is no any significant changes in nitrogen retention, serum cholesterol, serum calcium and urinary calcium in each supplemental level of the seaweed powder. 5. In animal feeding experiment it was concluded that $5%{\sim}15%$ levels supplementation of the seaweed powder are possible. C. Experimental cooking and acceptability test 1. The seaweed powder showed to be utilized more excellently in foreign cookings than in Korean cookings. Higher supplemental level of seaweed was passible in foreign cookings. 2. Hae-Jo-Kang and Jeon-Byung were more excellent than Song-Pyun, wheat cake, Soo-Je-Bee and wheat noodle. Hae-Je-Kang was excellent in its quality even as high as 5% supplemental level. 3. The higher levels of supplementation were used the more sticky cooking products were obtained. Song-Pyun and wheat cake were palatable and lustrous in 2% supplementation level. 4. In drop cookie the higher levels of supplementation, the more crisp product was obtained, compared with other cookies. 5. Corn cake, thin rice gruel, rice gruel and potato Jeon-Byung were more excellent in their quality than potato Man-Doo and potato noodle. Corn cake, thin rice gruel and rice gruel were excellent even as high as 5% supplementation level. 6. In several cooking Porducts some seaweed-oder was perceived in case of 3% or more levels of supplementation. This may be much diminished by the use of proper condiments. D. Sanitary test It seems that there is no any heavy metals (Cd, Pb, As, Hg) problem in these seaweed Powders in case these Powders are used as supplements to any cereal flours E. Economical analysis The price of the seaweed powder is lower than those of other cereals and that may be more lowered when mass production of the seaweed powder is made in future. The supplement of the seaweed powder to any cereals is also economical with the criterion of animal growth rate. F. It is recommended that these seaweed powders should be developed and used as supplement to any cereal flours or used as other food material. By doing so, both saving of cereals and improvement of individual's nutrition will greatly be achieved. It is also recommended that the feeding experiment for men would be conducted in future.

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혼합 미생물제의 수준별 급여가 육계의 생산성 및 장내 미생물에 미치는 영향 (Impact of Feeding Multiple Probiotics on Performance and Intestinal Microflora in Broiler Chicks)

  • 류경선;신원집;박재홍;류명선;김종설;김상호;리홍룡
    • 한국가금학회지
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    • 제30권3호
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    • pp.197-202
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    • 2003
  • 육계에서 생균제의 급여에 대한 효과는 의견이 다양하다. 그러므로 본 연구는 육계 사료에 혼합 미생물제의 첨가가 성장능력, 장내 미생물, 혈중 콜레스테롤, 백신 항체가에 미치는 영향을 구명하고자 실행하였다. 1일령 코우브 육계 수컷 320수를 혼합 생균제 0, 0.1, 0.2, 0.3%수준의 사료에 5반복으로 평사에서 35일간 사양실험을 하였다. 기초사료의 영양소는 사육전기와 후기에 각각 CP 21.5, 19%와 대사에너지는 3,100 kcal/kg으로 하였다. 증체량, 사료섭취량, 사료요구율은 주간별로 측정하였으며, 장내 살모넬라, 대장균, 유산균, 효모균 수는 실험 종료시에 회장과 맹장에서 측정하였다. ND 백신 항체가와 콜레스테롤도 실험 종료시에 처리구별로 채혈한 후에 혈장을 분리하여 분석하였다. 미생물제 0.1과 0.2% 급여구에서 사육전기에 증체량은 669.33, 679.75g으로 대조구보다 높았으며, 사육후기에도 동일한 경향을 보였다. 사육 전기 3주간에 사료요구율은 미생물 급여구에서 대조구보다 개선되는 경향을 보였으며, 전 사육기간에 1.611, 1.621로서 대조구의 1.660에 비하여 개선되었다. 미생물 급여구에서 ND백신 항체가는 대조구에 비하여 증대되었으며, 회장 소화물의 살모넬라수는 감소되지 않았지만 효모균 수는 0.1% 급여구에서 증가하였다. 맹장에서는 유산균과 효모균 수가 대조구보다 높게 나타났다. 혈중전체 콜레스테롤은 0.1% 급여구에서 다른 처리구보다 높게 나타났을지라도 HDL의 비율은 대조구보다 현저하게 높았다(P<0.05). 본 연구의 결과 육계사료에 혼합 미생물제의 첨가는 육계의 생산능력과 간접적으로 면역능력을 개선할 수 있을 것으로 사료된다.대조구보다 많은 것으로 나타났다(P<0.05). 또한 회장에서는 살모넬라 및 대장균의 수가 감소하는 경향을 나타내었다. 이상의 결과에서 AO 배양물의 급여는 육계의 생산성을 향상시키며, 장내미생물총 및 사육환경을 개선시키는 것으로 판단된다..)', 'have a headache (2.10±0.79)', 'poor memory (2.09±0.83)', 'no appetite (1.99±0.85)', As for the correlation between iron parameter and clinical symptoms related to anemia, the hematocrit rate was negatively correlated with 'get a cold easily', 'pale face', 'feeling blue', 'difficult digestion' (p<0.05). The level of iron was negatively correlated with 'tired out easily', 'get a cold easily' (p<0.05) and TS (%) were negatively correlated with 'tired out easily (p<0.05)', 'get a cold easily (p<0.01). Our study resulted that the prevalence of a iron deficiency of a middle school girl is very high, therefore the guidelines for iron supplementation and nutritional education to improve their

Effects of Varying Dietary Zinc Levels and Environmental Temperatures on the Growth Performance, Feathering Score and Feather Mineral Concentrations of Broiler Chicks

  • Lai, P.W.;Liang, Juan-Boo;Hsia, L.C.;Loh, T.C.;Ho, Y.W.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권7호
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    • pp.937-945
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    • 2010
  • This study aimed to investigate the effects of dietary zinc (Zn), environmental temperatures and Zn${\times}$temperature interaction on growth, feathering score and mineral composition of broilers. A total of 256 d-old Avian male broiler chicks were randomly allocated to a $4{\times}2$ factorial arrangement with four corn-soybean meal basal diets (containing 44 mg Zn/kg) supplemented with 0, 40, 60 mg/kg Zn (Diets 1, 2 and 3, respectively; 0.8% Ca for these three diets) and non-Zn supplementation, 1.6% Ca (Diet 4) and two temperature conditions (low: 26, 24, $22^{\circ}C$ vs. high: 30, 28, $26^{\circ}C$). All birds were given feathering coverage scores for back, breast, wing, under-wing and tail. The wing and tail were further evaluated for the occurrence and severity of defect feathers. Feathers were then pooled for mineral composition analysis. The results showed that in high temperature conditions, broilers fed Zn-unsupplemented, 0.8% Ca ration (Diet 1) had significantly (p<0.05) lower ADFI and ADG (wk 1-6) than birds under low temperature conditions. However, when the birds were fed 40 and 60 mg/kg Zn supplementation (Diets 2 and 3), the ADFI and ADG in both temperature conditions were not significantly different. In low temperature conditions, the ADFI, ADG (p<0.05), all feather coverage (p<0.01) and tail defect scores (p<0.001) of birds fed Diet 4 (excess Ca) were significantly poorer than those fed Diet 1. More Ca (p<0.05) was retained in the feathers of broilers fed Diet 4 under high temperature conditions. Broilers fed the Zn-unsupplemented ration (Diet 1) had significantly higher feather phosphorus (p<0.01) and potassium (p<0.05) concentrations than those fed the 60 mg/kg Zn-supplemented ration (Diet 3). A reduction of feather phosphorus (p<0.01) and potassium (p<0.05) and higher manganese (p<0.05) concentrations were observed in Diet 4 broilers as compared to those fed Diet 1. Under high temperature conditions, broilers had lower iron (p<0.05) and higher manganese (p<0.05) concentrations in feathers. Broilers kept in high temperature conditions had a higher Zn requirement and 40 mg/kg Zn supplementation was sufficient for the birds to achieve optimum growth. Supplemental Zn ameliorated the adverse effect of high temperature on growth and occurrence of tail feather defects. Excess Ca disrupted Zn metabolism to exert a detrimental effect on growth performance and normal feathering and this was elucidated in the birds kept in low temperature conditions.

산란계에 있어 델타-아미노레블린산의 급여가 생산성 및 계란 품질에 미치는 영향 (Effects of Dietary Delta-Aminolevulinic Acid on Egg Production and Egg Quality in Laying Hens)

  • 홍종욱;신승오;조진호;진영걸;유종상;이제현;장해동;김효진;김인호
    • 한국가금학회지
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    • 제34권3호
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    • pp.181-185
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    • 2007
  • 본 연구는 델타-이미노레블린산(ALA)의 급여가 산란계의 생산성 및 계란 품질에 미치는 영향에 대해 알아보기 위하여 시험을 실시하였다. 사양 시험은 30주령 ISA Brown 144수를 공시하였으며 28일간 실시하였다. 시험 설계는 1) CON (기초 사료), 2) 0.05(기초 사료 + ALA 0.05%) 3) 0.1(기초 사료 + ALA 0.1%) 및 4) 0.2(기초 사료 + ALA 0.2%)로 4개 처리를 하여 처리당 4반복, 반복당 12수씩 완전 임의 배치하였다. 전체 사양 시험 기간 동안, 델타-아미노레블린산의 첨가 수준이 증가함에 따라 산란율의 감소가 나타났으나, 0.2% 첨가 수준에서 다시 증가하는 경향을 나타내었다(quadratic effect, P=0.01). 난중은 델타-아미노레블린산의 첨가 수준이 증가함에 따라 무게가 증가하였다(linear effect, P=0.01; quadratic effect, P=0.01). 난황색은 전체 사양 시험 기간 동안, 0.1% 첨가 수준까지 난황색이 높아지다가 0.2% 첨가 수준에서 낮아지는 경향을 나타내었다(quadratic effect, P=0.03). 델타-아미노레블린산의 첨가 수준이 증가함에 따라 혈액 내 hemoglobin 농도가 유의적으로 증가하였다(linear effect, P= 0.01). 결론적으로, 산란계에 델타-아미노레블린산의 급여는 난중 및 난황색 그리고 혈액 내 hemoglobin 농도를 증가시키는 것으로 사료된다.

카드뮴의 장기 중독시 철분의 섭취 수준이 흰쥐의 체내 카드뮴 축적에 미치는 효과 (Effect of Dietary Iron Levels on the Cadmium Accumulation in Cadmium Poisoned Rats)

  • 최미경
    • Journal of Nutrition and Health
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    • 제27권7호
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    • pp.709-716
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    • 1994
  • This study was undertaken to investigate the effect of dietary Fe levels on Cd accumulation in Cd poisoned rats. Forty male weaning Sprague Dawley rats weighing 80-90g were divided into 4 groups(LFe : low Fe, LFeCd : low Fe and Cd, AFe : adequate Fe, AFeCd : adequate Fe and Cd) according to Cd administration(Cd : 0 or 50ppm in drinking water) and Fe levels (Fe : 6 or 40ppm in diet) for 12 weeks. The food intake and weight gain of LFe and LFeCd were significantly lower than those of AFe and AFeCd(p<0.01, p<0.001). The water intake was not affected significantly by Cd and Fe, therefore Cd intake was no significant difference between groups. The Cd accumulation of kidney in LFeCd was significantly higher than those of AFeCd(p<0.001). But the Cd accumulations of brain, liver and spleen were not significantly different between Cd groups and without Cd groups. The serum Cd content and urinary Cd excretion of LFeCd was significantly higher than those of AFeCd(p<0.01, p<0.01). But the fecal Cd excretion of LFeCd was significantly lower than that of AFeCd(p<0.001). The Cd retention, Cd retention rate, and apparent Cd digestibility of LFeCd were significantly higher than those of AFeCd(p<0.001, p<0.001, p<0.001). It was concluded that adequate Fe supplementation have protective effects on the long term Cd poisoning in rats.

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Implications of SPION and NBT Nanoparticles upon In Vitro and In Situ Biodegradation of LDPE Film

  • Kapri, Anil;Zaidi, M.G.H.;Goel, Reeta
    • Journal of Microbiology and Biotechnology
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    • 제20권6호
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    • pp.1032-1041
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    • 2010
  • The comparative influence of two nanoparticles [viz., superparamagnetic iron oxide nanoparticles (SPION) and nanobarium titanate (NBT)] upon the in vitro and in situ low-density polyethylene (LDPE) biodegradation efficiency of a potential polymer-degrading microbial consortium was studied. Supplementation of 0.01% concentration (w/v) of the nanoparticles in minimal broth significantly increased the bacterial growth, along with early onset of the exponential phase. Under in vitro conditions, ${\lambda}$-max shifts were quicker with nanoparticles and Fourier transform infrared spectroscopy (FTIR) illustrated significant changes in CH/$CH_2$ vibrations, along with introduction of hydroxyl residues in the polymer backbone. Moreover, simultaneous thermogravimetric-differential thermogravimetry-differential thermal analysis (TG-DTG-DTA) reported multiple-step decomposition of LDPE degraded in the presence of nanoparticles. These findings were supported by scanning electron micrographs (SEM), which revealed greater dissolution of the film surface in the presence of nanoparticles. Furthermore, progressive degradation of the film was greatly enhanced when it was incubated under soil conditions for 3 months with the nanoparticles. The study highlights the significance of bacteria-nanoparticle interactions, which can dramatically influence key metabolic processes like biodegradation. The authors also propose the exploration of nanoparticles to influence various other microbial processes for commercial viabilities.