Alternative Tool Research Articles

Capture of Group A Streptococcus by Open-Microfluidic CandyCollect Device in Pediatric Patients.

Obtaining high-quality samples to diagnose streptococcal pharyngitis in pediatric patients is challenging due to discomfort associated with traditional pharyngeal swabs. This may cause reluctance to go to the clinic, inaccurate diagnosis, or inappropriate treatment for children with sore throat. Here, we determined the efficacy of CandyCollect, a lollipop-inspired open-microfluidic pathogen collection device, to capture Group A Streptococcus (GAS) and compare user preference for CandyCollect, conventional pharyngeal swabs, or mouth swabs in children with pharyngitis and their caregivers. All child participants (30/30) were positive for GAS by qPCR on both the mouth swab and CandyCollect. Caregivers ranked CandyCollect as a good sampling method overall (27/30), and all caregivers (30/30) would recommend CandyCollect for children 5 years and older. Twenty-three of 30 children "really like" the taste and 24/30 would prefer to use CandyCollect if a future test were needed. All caregivers (30/30) and most children (28/30) would be willing to use CandyCollect at home. All participants tested positive for GAS on all three collection methods (pharyngeal swab, mouth swab, and CandyCollect). While both caregivers and children like CandyCollect, some caregivers would prefer a shorter collection time. Future work includes additional studies with larger cohorts presenting with pharyngitis of unknown etiology and shortening collection time while maintaining the attractive form of the device. Obtaining oral samples for the diagnosis of streptococcal pharyngitis is of great importance for children. To address the challenges associated with traditional pharyngeal swab sampling, we developed the CandyCollect device, a lollipop-inspired open mesofluidic saliva sampling system. In this study, saliva samples were collected from children, aged 5-14 years, with CandyCollect and mouth swabs and analyzed via qPCR. The results show CandyCollect is the child preferred collection tool and had 100% concordance with the results from traditional diagnosis methods as part of their clinical care.

Haemorrhage after thrombectomy with adjuvant thrombolysis in unknown onset stroke depends on high early lesion water uptake

Background and purposeIn wake-up stroke, CT-based quantitative net water uptake (NWU) might serve as an alternative tool to MRI to guide intravenous thrombolysis with alteplase (IVT). An important complication after...

Subset of retinoblastoma tumours is associated with BRCA1/2 mutations

BackgroundWe investigated the potential association between pathogenic BRCA1/2 variants and retinoblastoma pathogenicity.MethodsIn this single-centre, retrospective case series, we performed hereditary cancer panel tests using blood samples for patients with retinoblastoma...

Sustainable tool technology: Wood-based forming tools for deep drawing of sheet metal

In order to improve adaptability to evolving manufacturing processes in an era marked by mass customization and individualization, while also meeting geopolitical climate objectives, it is necessary to employ more sustainable methods in sheet metal forming to enhance flexibility. Metal based rigid tooling systems require a lot of material and energy resources, when aiming for high flexibility and scalability with respect to small batch size production. To reduce the overall resource consumption and to meet climate restrictions, non-metallic tooling approaches can counteract these issues when aiming for individualization in sheet metal forming. Compared to conventional metal-based tooling approaches, wood-based forming tools may enable a potential resource reduction (e.g., carbon footprint) and offer an alternative tooling approach for sheet metal forming. Although the mechanical performance of wood is lower compared to conventional tooling steel, certain wood-based forming tools can potentially be implemented for sheet metal forming. In this work a feasibility study of wood-based tooling materials is executed to investigate the mechanical performance on drawn sheet metal parts in a deep drawing operation. Different composite structures are investigated for wooden forming tools of black locust (robinia pseudoacacia).

Probabilistic pile reinforced slope stability analysis using load transfer factor considering anisotropy of soil cohesion

AbstractA probabilistic limit equilibrium framework combining empirical load transfer factor and anisotropy of soil cohesion is developed to conduct pile‐reinforced slope reliability analysis. The anisotropy of soil cohesion is determined conditioned on that the thrust force direction is parallel to the major principal direction and it is easily combined with load transfer factor, which are related with soil parameters, and pile parameters. The proposed method is illustrated against a homogeneous soil slope. The sensitivity studies of pile parameters on factor of safety (FS; calculated at respective means of soil parameters) and β demonstrated that the anisotropy of soil cohesion tends to pose significant effect on reliability index β than on FS. The effect of anisotropy of soil cohesion on FS is found to be slightly different under different pile locations, whereas its effect on β is observed to be least if piles are drilled at the middle part of slope and more significant effect is observed when piles are drilled at the lower and upper part of slope. The plots from the sensitivity studies provide an alternative tool for pile designs aiming at the target reliability index β. The proposed method contributes to the pile‐reinforced slope stability within limit equilibrium framework.

The Effectiveness of Alternative Tools for Measuring Metacognitive Skills in Terms of the Multi Methods Design

The study aimed at reaching a valid methodology to measure metacognition through alternative tools constructed and validated in terms of multi-method design that combines between qualitative and quantitative methods in measurement. A pilot study was conducted in which the computerized problem solving test was applied on sample of undergraduate students, the qualitative and quantitative data concerning their methods and paths they used to solve the problem in addition their thinking aloud protocols were collected, These data are used in preparing the study tools that applied on a sample consisted of (110) students from the faculty of education in(2013/2014). The study revealed that there was a statistically significant correlation between students' scores in the concurrent methods (TAP) and the offline methods "MRT", "TSQ", The skills measured by the multiple response test were the most contributors to interpreting and predicting performance. The study revealed also that students' post calibration scores was a good indicator of metacognitive monitoring, and it was more accurate than pre calibration for high performing students. Traces data presented valuable information about students' skills and activity at each step of the solution.

Antisense Oligonucleotide-Mediated Downregulation of IGFBPs Enhances IGF-1 Signaling.

Insulin-like growth factor-1 (IGF-1) has been considered as a therapeutic agent for muscle wasting conditions including Duchenne muscular dystrophy as it stimulates muscle regeneration, growth and function. Several preclinical and clinical studies have been conducted to show the therapeutic potential of IGF-1, however, delivery issues, short half-life and isoform complexity have impose challenges. Antisense oligonucleotides (AONs) are able to downregulate target proteins by interfering with their transcripts. Here, we investigated the feasibility of enhancing IGF-1 signaling by downregulation of IGF-binding proteins. We observed that out of frame exon skipping of Igfbp1 and Igfbp3 downregulated their protein expression, which increased Akt phosphorylation on the downstream IGF-1 signaling in vitro. 3'RNA sequencing analysis revealed the related transcriptome in C2C12 cells in response to IGFBP3 downregulation. The AONs did however not induce any exon skipping or protein knockdown in mdx mice after 6 weeks of systemic treatment. We conclude that IGFBP downregulation could be a good strategy to increase IGF-1 signaling but alternative tools are needed for efficient delivery and knockdown in vivo.

SWOT Analysis: Implementation of National Education Standard Policy to Improve the Quality of High School Graduates

The competence of quality graduates cannot be separated from the relationship between each educational standard that is a reference for management, governance, and education. The purpose of this analysis is to examine the implementation of national education standard policies as guidelines for improving the quality of education governance based on the quality of graduates who are ready to compete in the world of work both nationally and at the global level. The approach used in this analysis is descriptive-qualitative, which involves processing data obtained through literature studies in the form of reference books, scientific journals, official documents, digital sites, and official information that can be accessed online. The results of the study on the topic above conclude that SWOT analysis can be used as an alternative management analysis tool to identify aspects of strengths, challenges, opportunities, and threats to improve the quality and competence of graduates in accordance with the policies of national education standards. The results of the SWOT analysis recommend alternative strategies that can be developed and followed up as a form of implementation for improving the quality of graduates.

Nature-versus-nurture considered harmful: Actionability as an alternative tool for understanding the exposome from an ethical perspective.

Exposome research is put forward as a major tool for solving the nature-versus-nurture debate because the exposome is said to represent "the nature of nurture." Against this influential idea, we argue that the adoption of the nature-versus-nurture debate into the exposome research program is a mistake that needs to be undone to allow for a proper bioethical assessment of exposome research. We first argue that this adoption is originally based on an equivocation between the traditional nature-versus-nurture debate and a debate about disease prediction/etiology. Second, due to this mistake, exposome research is pushed to adopt a limited conception of agential control that is harmful to one's thinking about the good that exposome research can do for human health and wellbeing. To fully excise the nature-versus-nurture debate from exposome research, we argue that exposome researchers and bioethicists need to think about the exposome afresh from the perspective of actionability. We define the concept of actionability and related concepts and show how these can be used to analyze the ethical aspects of the exposome. In particular, we focus on refuting the popular "gun analogy" in exposome research, returning results to study participants and risk-taking in the context of a well-lived life.

Accuracy and Pitfalls in the Smartphone-Based Audiometry Examination.

Approximately 466 million people suffer from hearing loss worldwide, with Indonesia ranking fourth in Southeast Asia. However, conventional pure-tone audiometry is not yet available in many areas because of its high cost. Numerous available smartphone-based audiometry applications are potential alternative screening tools for hearing loss, especially in Indonesia. This study examined the findings on the validation of smartphone-based audiometry applications to assess hearing functions available in Indonesia. Based on the established eligibility criteria, this study was conducted by browsing the relevant literature validating smartphone-based audiometry applications in Indonesia. Relevant study data, such as the author, year, location, implementation procedures, and outcomes, were extracted and summarized. This systematic review found 17 relevant and eligible publications. Of the six applications tested, 5 were found to have good validity, such as uHearTM, Audiogram MobileTM, AudCalTM, Hearing TestTM e-audiologia, and WuliraTM. All smartphone-based audiometry was tested only for the air conduction threshold and was influenced by several factors. Because smartphone-based audiometry is inexpensive, simple, and more accessible than conventional audiometric testing, it can be useful as a screening modality or alternative approach to assess hearing function. Unfortunately, smartphone-based audiometry cannot replace conventional audiometry in diagnosing hearing impairment.

Testing the fragmentation of railway ballast material by laboratory methods using Proctor compactor

The physical classification of crushed stone and gravel used in railway construction is based on their strength and endurance and is performed by a laboratory test method using a rotating drum or a mortar method. The values of fracture resistance calculated using the Los Angeles method and abrasion calculated using the Micro-Deval method show a corresponding correlation and require further investigation. Purpose. The development of a new method for measuring rock material fracture that is consistent with widely used standards while also being more comparable to real-world railway operating conditions. Certainly, both standard tests are essential for ensuring product homogeneity during production, so the new recommended method is only a supplement. Methodology. The Proctor device was used to induce so-called shock loads from above, similar to railway loading conditions. Unlike the standard method, the andesite material was placed in a standard cylinder in these tests. The samples were pre-screened and sorted; the specified weight was approximately 1,300 g, and the specified sizes of the individual particles were 6.3, 8.0 and 11.2 mm. Only prewashed and dried materials of NZ (fine crushed stone) or KZ (special crushed stone) from four different quarries (Tállya, Szob, Nógrádkövesd, Recsk) with different rock physics characteristics were considered. The Proctor compactor machine was used because of its calculable labor (19.86 J/impact) and the crushing effect of the calculable impacts (64, 128, 256 and 1,028 blows). Even after loading different numbers of impacts, homogeneous samples from different quarries were sieved to measure the masses of fragments per fraction. Findings. The set of measurements made it possible to establish a series of fragmentation and degradation curves for each of the three repeated measurements based on the composition of the material and the number of blows, which showed the degradation of samples with different physical and mechanical properties of the rock material and particle sizes. With an increasing number of impacts, the amount of crushed material in the sample increased, but the distribution of crushed material did not decrease evenly and proportionally as the number of impacts increased. Parameters and indices were also computed to identify various correlations (i. e., FV, d < 22.4, d < 0.5, d < 0.063 mm, CU, M ratio,  ratio). Some of them (e. g., FV) needed to be changed, but they were predefined due to the nature of the tests. Originality. While many standard and alternative railway track ballast fragmentation test methods and measurement tools are available, this paper proposes a new laboratory method and demonstrates the specific measurement and application effectiveness. Practical value. In addition to standard tests that are already widely used, the new method for measuring the fractional composition of railway ballast can help simulate real-world operating conditions of a railroad track in the laboratory. This method will improve the safety of railway operations.

Diagnostic accuracy of daytime polysomnography: a reappraisal during the COVID-19 era.

Level I conventional polysomnography (PSG), the gold standard for diagnosing obstructive sleep apnea (OSA), requires an overnight stay. This study evaluated the role of daytime PSG as an alternative diagnostic tool. A prospective cohort study was undertaken with consecutive patients with suspected OSA at a tertiary care sleep center. The primary objective was to evaluate the sensitivity and diagnostic accuracy of daytime PSG for diagnosing OSA. The secondary objective was to find out the factors associated with a falsely negative daytime PSG result. All individuals were subjected to level I daytime PSG, done in the sleep lab in the presence of an experienced sleep technician during the daytime from 12 PM to 4 PM. Out of 162 patients, 105 underwent daytime PSG. OSA was diagnosed on daytime PSG in 86.7 out of the 19 remaining patients refused a repeat PSG study. Out of the 12 individuals who underwent the nighttime PSG for confirmatory diagnosis, 10 were diagnosed as OSA (false negatives), and 2 were confirmed as not-OSA (true negatives). The sensitivity, diagnostic accuracy, and negative predictive value of daytime PSG were 89.58%, 89.80%, and 16.67%, respectively. The false negatives had a higher prevalence of mild OSA. Daytime PSG is sensitive in diagnosing OSA and can be considered in individuals with severe symptoms at centers with a high patient load or when the individual wishes to avoid a nighttime study. A negative result in daytime PSG must be followed by conventional overnight PSG for confirmatory diagnosis.

Feasibility of Community Needs Assessment Tools as an Alternative For Health Survey in Describing Health Profile of A Community - A Mixed Method Study In Muddungere, Karnataka, India

Introduction: In India, even with planned health services, it is difficult to reach the health goals without community participation. While Community needs assessment approach (CNAA) tools like Focussed group Discussion (FGD), Village mapping and matrix ranking have been effective in quickly gathering information, surveys have been conventionally preferred. Aim & Objective: The present study compares qualitative and quantitative methods to understand feasibility of using CNAA tools in place of survey as an alternative tool Methodology: Mixed Method research employing Survey and CNAA methods of FGD, Village Mapping, transect walk and Matrix ranking score was carried out as a part of academic activity of National Service Scheme(NSS). Data was represented in form of percentages and frequency tables. Association was measured using Chi Square using Epi Info TM version 7.2.1software. Results: Using quantitative survey, we found that 71% used piped supply and 93.1% of the households used toilets. But 6.9% of them still preferred open fields for defecation. Amongst the participants of FGD, it was found that 90% participants preferred going to government hospitals. Comparable data found for variables like Maternal and child health indicators, Sanitation practices and burden of Non communicable diseases. Partially comparable results were found for burden of communicable diseases. Conclusion: CNAA research tools demonstrated comparability with survey in most areas of health concern and reduced the time required for conducting research without compromising the quality of results

Towards theorizing from the Arab non-periphery: Hyphenated identities and the boundless security field

Across the Middle East, military professionals, private militias, and other security actors often play a central role in the management of urban planning, public administration, and other state affairs. However, security studies scholarship offers few theoretical tools for understanding this deep and overt inter-twinement of security and governance, framing it as an outcome of authoritarian practices of coup-proofing or a symptom of ‘weak’ states. This article analyzes spatial planning and land management practices in Egypt and Lebanon to propose two concepts, ‘hyphenated identities’ and the ‘boundless security field’, as alternative theoretical tools for thinking about security. I argue that security logics are deeply enmeshed with the identity of the nation, its histories of conflict, and its experiences of state formation, creating a security field that is boundless and non-discrete. Within this field are a set of ‘hyphenated identities’, or categories of actors who perform dual roles as managers of security and managers of other governance matters. The influence of these actors on governance practices illustrates the extent to which security logics can be imbedded in the structures of the state and its modus operandi, thereby reinforcing the boundlessness of the security field.

DCROX and ROX Indices Predict Clinical Outcomes in Patients with COVID-19 Pneumonia Treated with High-Flow Nasal Cannula Oxygen Therapy.

High-flow nasal cannula (HFNC) therapy is a common respiratory support in patients with COVID-19 pneumonia. Predictive tools for the evaluation of successful weaning from HFNC therapy for COVID-19 pneumonia have been limited. This study aimed to develop a new predictor for weaning success from HFNC treatment in patients with COVID-19 pneumonia. We conducted a retrospective cohort study at Thammasat University Hospital, Thailand. Patients with COVID-19 pneumonia requiring HFNC therapy from April 2020 to September 2021 were included. The ROX index was defined as the ratio of oxygen saturation (SpO2)/fraction of inspired oxygen (FiO2) to respiratory rate. The CROX index was defined as the ratio of C-reactive protein (CRP) to the ROX index. dCROX was defined as the difference in CROX index between 24 hours and 72 hours. Weaning success was defined as the ability to sustain spontaneous breathing after separation from HFNC without any invasive or noninvasive ventilatory support for ≥48 hours or death. A total of 106 patients (49.1% male) were included. The mean age was 62.1 ± 16.2 years. Baseline SpO2/FiO2 was 276.1 ± 124.8. The rate of HFNC weaning success within 14 days was 61.3%. The best cutoff value of the dCROX index to predict HFNC weaning success was 3.15 with 66.2% sensitivity, 70.7% specificity, and an area under the ROC curve (AUC) of 0.71 (95% CI: 0.59-0.81, p < 0.001). The best cutoff value of the ROX index was 9.13, with 75.4% sensitivity, 78.0% specificity, and an AUC of 0.79 (95% CI: 0.69-0.88, p < 0.001). ROX index has the highest accuracy for predicting successful weaning from HFNC in patients with COVID-19 pneumonia. dCROX index is the alternative tool for this setting. However, a larger prospective cohort study is needed to verify these indices for determining separation from HFNC therapy. This trial is registered with TCTR20221107004.

Droplet digital PCR as alternative to microbiological culture for Mycobacterium tuberculosis complex detection in bovine lymph node tissue samples.

Bovine tuberculosis (bTB) caused by Mycobacterium tuberculosis complex (MTC) remains a significant concern for public health. Direct real-time PCR and droplet digital PCR (ddPCR) are proposed as alternative tools to enhance diagnostic precision and efficiency. This study aims to assess the diagnostic performance of a ddPCR assay targeting IS6110 for the detection of MTC DNA in both microbiological culture and fresh lymph node (LN) tissue samples obtained from cattle, in comparison with the established reference standard, the microbiological culture followed by real-time PCR. The fresh LNs (N=100) were collected each from a different cattle carcass at the slaughterhouse. The limit of detection of ddPCR-IS6110 was set to 101 copies per 20 μl reaction. DdPCR-IS6110 detected 44 out of 49 reference-standard positive samples and yielded negative results in 47 out of 51 reference-standard negative samples, resulting in adjusted sensitivity (Se) and specificity (Sp) of 90.76% [95% confidence interval (CI): 82.58 - 98.96%)], and 100% (95% CI: 100%) respectively. The estimated adjusted false negative rate (FNR) was 9.23% (95% CI: 1.04 - 17.42%) and the false positive rate (FPR) was 0% (95% CI: 0%). When directly applied from fresh bovine LN tissues, ddPCR-IS6110 identified 47 out of 49 reference-standard positive samples as ddPCR-IS6110-positive and 42 out of 51 reference-standard negative samples as ddPCR-IS6110-negative, resulting in adjusted Se and Sp values of 94.80% [95% (CI): 88.52 - 100%] and 100% (95% CI: 100%), respectively. The adjusted FNR was 5.20% (95% CI: 0 - 11.50%) and the FPR was 0% (95% CI: 0%). Noteworthy, ddPCR-IS6110 disclosed as positive 9 samples negative to reference-standard. DdPCR-IS6110 proved to be a rapid, highly sensitive, and specific diagnostic tool as an alternative to reference-standard method.

Non‐invasive measurement of glucocorticoids: The reptile perspective

AbstractRecent advancements in stress physiology, driven by the relevance of the stress response in animal welfare and conservation, have focused on alternative techniques beyond blood sampling for measuring glucocorticoids (GC). While blood samples have been traditionally used, practical and ethical concerns have spurred exploration into minimally invasive media like saliva, feces, milk, hair, and feathers. This review addresses the dearth of research on reptile endocrinology, offering insights into measuring GC or their metabolites in reptiles through various biological tissues. It underscores the importance of considering temporal dynamics in stress response evaluation and advocates for further exploration of alternative tools to enhance our understanding of reptilian stress responses.

Perfusion tomography in early follow-up of acute traumatic subdural hematoma: a case series.

Perfusion Computed Tomography (PCT) is an alternative tool to assess cerebral hemodynamics during trauma. As acute traumatic subdural hematomas (ASH) is a severe primary injury associated with poor outcomes, the aim of this study was to evaluate the cerebral hemodynamics in this context. Five adult patients with moderate and severe traumatic brain injury (TBI) and ASH were included. All individuals were indicated for surgical evacuation. Before and after surgery, PCT was performed and cerebral blood flow (CBF), cerebral blood volume (CBV) and mean transit time (MTT) were evaluated. These parameters were associated with the outcome at 6 months post-trauma with the extended Glasgow Outcome Scale (GOSE). Mean age of population was 46 years (SD: 8.1). Mean post-resuscitation Glasgow coma scale (GCS) was 10 (SD: 3.4). Mean preoperative midline brain shift was 10.1mm (SD: 1.8). Preoperative CBF and MTT were 23.9ml/100g/min (SD: 6.1) and 7.3s (1.3) respectively. After surgery, CBF increase to 30.7ml/100g/min (SD: 5.1), and MTT decrease to 5.8s (SD:1.0), however, both changes don't achieve statistically significance (p = 0.06). Additionally, CBV increase after surgery, from 2.34 (SD: 0.67) to 2.63ml/100g (SD: 1.10), (p = 0.31). Spearman correlation test of postoperative and preoperative CBF ratio with outcome at 6 months was 0.94 (p = 0.054). One patient died with the highest preoperative MTT (9.97s) and CBV (4.51ml/100g). CBF seems to increase after surgery, especially when evaluated together with the MTT values. It is suggested that the improvement in postoperative brain hemodynamics correlates to favorable outcome.

LASSO-derived model for the prediction of lean-non-alcoholic fatty liver disease in examinees attending a routine health check-up

Background Lean individuals with non-alcohol fatty liver disease (NAFLD) often have normal body size but abnormal visceral fat. Therefore, an alternative to body mass index should be considered for prediction of lean-NAFLD. This study aimed to use representative visceral fat links with other laboratory parameters using the least absolute shrinkage and selection operator (LASSO) method to construct a predictive model for lean-NAFLD. Methods This retrospective cross-sectional analysis enrolled 2325 subjects with BMI < 24 kg/m2 from medical records of 51,271 examinees who underwent a routine health check-up. They were randomly divided into training and validation cohorts at a ratio of 1:1. The LASSO-derived prediction model used LASSO regression to select 23 clinical and laboratory factors. The discrimination and calibration abilities were evaluated using the Hosmer–Lemeshow test and calibration curves. The performance of the LASSO model was compared with the fatty liver index (FLI) model. Results The LASSO-derived model included four variables—visceral fat, triglyceride levels, HDL-C-C levels, and waist hip ratio—and demonstrated superior performance in predicting lean-NAFLD with high discriminatory ability (AUC, 0.8416; 95% CI: 0.811–0.872) that was comparable with the FLI model. Using a cut-off of 0.1484, moderate sensitivity (75.69%) and specificity (79.86%), as well as high negative predictive value (95.9%), were achieved in the LASSO model. In addition, with normal WC subgroup analysis, the LASSO model exhibits a trend of higher accuracy compared to FLI (cut-off 15.45). Conclusions We developed a LASSO-derived predictive model with the potential for use as an alternative tool for predicting lean-NAFLD in clinical settings.

Anti-dengue potential and mosquitocidal effect of marine green algae-stabilized Mn-doped superparamagnetic iron oxide nanoparticles (Mn-SPIONs): an eco-friendly approach.

Vector-borne diseases pose a significant public health challenge in economically disadvantaged nations. Malaria, dengue fever, chikungunya, Zika, yellow fever, Japanese encephalitis, and lymphatic filariasis are spread by mosquitoes. Consequently, the most effective method of preventing these diseases is to eliminate the mosquito population. Historically, the majority of control programs have depended on chemical pesticides, including organochlorines, organophosphates, carbamates, and pyrethroids. Synthetic insecticides used to eradicate pests have the potential to contaminate groundwater, surface water, beneficial soil organisms, and non-target species. Nanotechnology is an innovative technology that has the potential to be used in insect control with great precision. The goal of this study was to test the in vitro anti-dengue potential and mosquitocidal activity of Chaetomorpha aerea and C. aerea-synthesized Mn-doped superparamagnetic iron oxide nanoparticles (CA-Mn-SPIONs). The synthesis of CA-Mn-SPIONs using C. aerea extract was verified by the observable alteration in the colour of the reaction mixture, transitioning from a pale green colour to a brown. The study of UV-Vis spectra revealed absorbance peaks at approximately 290nm, which can be attributed to the surface Plasmon resonance of the CA-Mn-SPIONs. The SEM, TEM, EDX, FTIR, vibrating sample magnetometry, and XRD analyses provided evidence that confirmed the presence of CA-Mn-SPIONs. In the present study, results revealed that C. aerea aqueous extract LC50 values against Ae. aegypti ranged from 222.942 (first instar larvae) to 349.877ppm in bioassays (pupae). CA-Mn-SPIONs had LC50 ranging from 20.199 (first instar larvae) to 26.918ppm (pupae). After treatment with 40ppm CA-Mn-SPIONs and 500ppm C. aerea extract in ovicidal tests, egg hatchability was lowered by 100%. Oviposition deterrence experiments showed that in Ae. aegypti, oviposition rates were lowered by more than 66% by 100ppm of green algal extract and by more than 71% by 10ppm of CA-Mn-SPIONs (oviposition activity index values were 0.50 and 0.55, respectively). Moreover, in vitro anti-dengue activity of CA-Mn-SPIONs has good anti-viral property against dengue viral cell lines. In addition, GC-MS analysis showed that 21 intriguing chemicals were discovered. Two significant phytoconstituents in the methanol extract of C. aerea include butanoic acid and palmitic acid. These two substances were examined using an in silico methodology against the NS5 methyltransferase protein and demonstrated good glide scores and binding affinities. Finally, we looked into the morphological damage and fluorescent emission of third instar Ae. aegypti larvae treated with CA-Mn-SPIONs. Fluorescent emission is consistent with ROS formation of CA-Mn-SPIONs against Ae. aegypti larvae. The present study determines that the key variables for the successful development of new insecticidal agents are rooted in the eco-compatibility and the provision of alternative tool for the pesticide manufacturing sector.