Technique For Removal Research Articles

Detection of Dysrhythmias from Electrocardiogram Signals Using Noise Removal and Deep Learning Techniques

Detection of Dysrhythmias from Electrocardiogram Signals Using Noise Removal and Deep Learning Techniques

Enhancing streamflow simulations with gated recurrent units deep learning models in the flood prone region with low-convergence streamflow data

Highly accurate streamflow simulations are essential for water resources and river management. However, there are longstanding challenges for streamflow modeling in the hydrology field. As a result, deep learning methods have been introduced as novel tools and are being used in simulation. This paper proposes a novel approach that utilizes unconventional data preprocessing techniques to improve the accuracy of daily streamflow predictions in flood-prone regions. We applied this approach to a flood-prone area in western Iran and simulated daily streamflow using a deep learning Gated Recurrent Unit (GRU) method under various data selection scenarios. These scenarios focused on identifying the optimal combination of input variables, time steps, and outlier removal techniques. The outlier removal methods investigated in this study include Mahalanobis distance, critical section removal, Z-score, and no removal. The average rainfall of the area, data driven precipitation, Normalized Difference Vegetation Index (NDVI), surface soil moisture, groundwater baseflows, and streamflow in the hydrometric station were evaluated using correlation control method, and inputs with the lowest correlation were removed. Based on the results obtained from the deep learning models produced in the research, it was found that the GRU model, with various modified inputs using Z-score removal, had the best performance. The model had an average of Root Mean Squared Error (RMSE) at 5.24 mm and R2 (Coefficient of Determination) at 0.91 during training, while during validation, it had an RMSE of 7.74 mm and R2 of 0.83. Considering using relatively low convergence data in streamflow simulation in this study, it can be said that the listed scenarios showed an appropriate result in dealing with the data and recognizing the complex pattern of the daily streamflow, and the future studies will show the improvement of the GRU models if higher convergence data will be used.

Cryoablation Does Not Significantly Contribute to Systemic Effector Immune Responses in a Poorly Immunogenic B16F10 Melanoma Model.

Cryoablation is a minimally invasive procedure implemented to destroy solid tumors. It also results in the release of tumor antigens into the systemic circulation. Preclinical studies using immunogenic tumor models have shown that cryoablation evokes antitumor immune responses. The mechanisms by which cryoablation impacts immune responses in poorly immunogenic tumors have not been sufficiently explored. We used a bilateral B16F10 melanoma model devoid of strong immunogenic antigens. Cryoablation-induced effector immune responses were investigated, also in combination with a peritumoral STING agonist and systemic anti-PD-1. Selective immune cell depletion, T-cell migration arrest, in vivo T-cell transplantation, and cryoablation versus surgical removal techniques were used to determine the contribution of cryoablation and immunotherapies to systemic antitumor effector immune responses. Treatment of a tumor with cryoablation + STING agonist + anti-PD-1 resulted in the rejection of unablated, contralateral tumors. Depletion studies demonstrated that tumor rejection is essentially dependent on CD8+ T cells. T-cell arrest in the lymph nodes had no effect on the rejection process. Splenic CD8+ T cells isolated from cryoablation-treated mice with B16F10 melanoma, upon transplantation into melanoma-bearing recipients, did not impact the recipient's tumor growth. Finally, comparison of cryoablation + STING agonist + anti-PD-1 versus surgery + STING agonist + anti-PD-1 in the bilateral tumor model showed no difference in the rejection of contralateral tumors. Cryoablation does not significantly contribute to systemic antitumor effector immune responses in a B16F10 melanoma model. Cryoablation primarily performs tumor debulking, and immunotherapy functions independently of cryoablation in eliciting antitumor effector immune responses.

Insight into the efficient electrochemical reduction of nitrate employing Pd/Ru bimetallic doped copper foam cathode: Selectivity and reliability

Nitrate pollution threatens ecological environment and human health. Electrochemical reduction of nitrate to ammonia using metal-doped modified cathode is a promising technique for nitrate removal. In this work, a bimetallic Ru/Pd-doped Cu foam (CF) electrode was developed for nitrate reduction using cation exchange method. Confirmed by various physio-chemical characterization, it was found that the Ru/Pd-Cu Spongy Copper Foam (SCF) was successfully prepared. In addition, nearly 100 % nitrate removal, 94.07 % NH3 selectivity, and 84.9 % Faradaic efficiency (FE) could be achieved, under the optimized conditions as 100 mg L−1 of initial NO3--N concentration, 0.3 mol L−1 of Na2SO4 as electrolyte and the applied current of 5.42 mA cm−2. Through electrochemical testing and DFT calculation, it was revealed that the bimetallic doping of Ru/Pd facilitate electrocatalytic nitrate reduction reaction (NO3RR) by reducing the energy barriers of the NO3--to-NH3 pathway from 0.81 to 0.56 eV. Besides, the electrode showed excellent stability and anti-toxicity even after 10 repeated NO3RR cycles, since the NH3 yield rate and NH3 selectivity ranged from 0.206 to 0.231 mg h−1 cm−2, 87–96.87 % respectively. After NO3RR, an extended electrochemical oxidation process was implemented to remove ammonia, and nearly 100 % of NH3 was oxidized to N2 without byproducts. Thereby, this study provides a new option for the electrochemical reduction of nitrate to ammonia via cathode modification, to achieve the substantial nitrate removal from nitrate-containing water.

How to reduce gluten in foods: a critical review of patents

SummarySpecific gluten protein fractions cause major health problems to individuals with coeliac disease. The aim of this study was to review gluten reduction in foods based on information disclosed in patents, a rarely cited source, with support from science. Overall, 89 patents on gluten reduction in foods were published up to August 2024, and 79% reported unique information, not mentioned in the scientific literature. The most popular topics were wheat and barley genes modifications, proteolytic enzymes for brewing, and proteolytic bacterial starters for bread making. Other gluten detoxification and removal techniques comprised kernels sorting, as well as separation, binding, heating, and chemical treatments. Extensive degradation of gluten‐containing ingredients impaired much food properties, especially in bread. Few patented inventions on gluten reduction would meet the needs of coeliac persons because gluten‐free foods need to be prepared with low‐gluten ingredients, as confirmed by proper analytical techniques.

Optimization of 1H-MRS methods for large-volume acquisition of low-concentration downfield resonances at 3 T and 7 T.

This goal of this study was to optimize spectrally selective 1H-MRS methods for large-volume acquisition of low-concentration metabolites with downfield resonances at 7 T and 3 T, with particular attention paid to detection of nicotinamide adenine dinucleotide (NAD+) and tryptophan. Spectrally selective excitation was used to avoid magnetization-transfer effects with water, and various sinc pulses were compared with a band-selective, uniform response, pure-phase (E-BURP) pulse. Localization using a single-slice selective pulse was compared with voxel-based localization that used three orthogonal refocusing pulses, and low bandwidth refocusing pulses were used to take advantage of the chemical shift displacement of water. A technique for water sideband removal was added, and a method of coil channel combination for large volumes was introduced. Proposed methods were compared qualitatively with previously reported techniques at 7 T. Sinc pulses resulted in reduced water signal excitation and improved spectral quality, with a symmetric, low bandwidth-time product pulse performing best. Single-slice localization allowed shorter TEs with large volumes, enhancing signal, whereas low-bandwidth slice-selective localization greatly reduced the observed water signal. Gradient cycling helped remove water sidebands, and frequency aligning and pruning individual channels narrowed spectral linewidths. High-quality brain spectra of NAD+ and tryptophan are shown in 4 subjects at 3 T. Improved spectral quality with higher downfield signal, shorter TE, lower nuisance signal, reduced artifacts, and narrower peaks was realized at 7 T. These methodological improvements allowed for previously unachievable detection of NAD+ and tryptophan in human brain at 3 T in under 5 min.

Removing cloud shadows from ground-based solar imagery

The study and prediction of space weather entails the analysis of solar images showing structures of the Sun’s atmosphere. When imaged from the Earth’s ground, images may be polluted by terrestrial clouds which hinder the detection of solar structures. We propose a new method to remove cloud shadows, based on a U-Net architecture, and compare classical supervision with conditional GAN. We evaluate our method on two different imaging modalities, using both real images and a new dataset of synthetic clouds. Quantitative assessments are obtained through image quality indices (RMSE, PSNR, SSIM, and FID). We demonstrate improved results with regards to the traditional cloud removal technique and a sparse coding baseline, on different cloud types and textures.

Strategies for Removing Endocrine Disrupting Chemicals (EDCs) from Wastewater.

Endocrine-disrupting drugs, also called endocrine disruptors or micropollutants, cause serious environmental and public health problems due to their ability to disrupt the endocrine functions of organisms and humans, even at low concentrations. This report provides a summary of current removal techniques, such as activated sludge processes, membrane filtration, adsorption, and membrane bioreactor techniques for endocrine-disrupting chemicals, including their efficiency, limitations, and practical implementation. This review evaluates these methods by considering their treatment efficiency, costs, and environmental impact. To curb this menace, several developed countries have distinct strategies, such as physical remediation techniques, biological processes, phytoremediation, and chemical processes to remove endocrine disruptors. In developing nations, most conventional wastewater treatment plants do not even monitor those contaminants due to the low biodegradability and high complexity of such compounds. Hence, in this review work, potential endocrine-disrupting chemicals, their impacts, mechanisms of action, consequences for human health, and bio-mitigation strategies reported so far have been discussed in the context of the relevant literature.

Individually customized gender affirming genital procedures: techniques and considerations.

Gender-affirming surgery is being increasingly performed for transgender and gender-diverse individuals diagnosed with gender dysphoria. However, there is a group of patients who may seek outcomes that are either a combination of or altogether different from those of binary procedures such as penile inversion vaginoplasty or phalloplasty. We describe surgical techniques for less commonly performed gender-affirming genital procedures, in order to introduce these procedures to the medical and surgical community. Operative techniques for phallus-preserving vaginoplasty, vagina-preserving phalloplasty, and removal of genitalia with creation of perineal urethrostomy are described. Demographic characteristics and complications of these procedures in 16 patients are reported. Individually customized gender-affirming genital procedures, such as phallus-preserving vaginoplasty, vaginal-preserving phalloplasty, and removal of genitalia and creation of perineal urethrostomy, may better affirm the identities of some gender-diverse patients, and may also preserve desired sexual function of natal genitalia.

Phycoremediation: a path towards heavy metal bioremediation from wastewater

AbstractHeavy metals (HMs) have emerged as a significant and complex water pollution problem globally. These pollutants are particularly concerning due to their teratogenic, mutagenic, poisonous and carcinogenic properties, as well as their non‐biodegradability. Traditional removal techniques often fall short in addressing these issues, leading to a search for more effective solutions. One promising alternative is the phycoremediation process, which employs microalgae to remove HMs from wastewater. This method is not only cost‐effective but also environmentally friendly, offering the additional benefits of nutrient recovery from polluted water and conversion into value‐added products. This review delves into the capabilities of microalgae in remediating HM‐polluted water, examining the various factors and methods that affect the process. Key improvements that can enhance the efficiency of phycoremediation include immobilizing microalgae to increase their stability and longevity, utilizing binary cultures to harness synergistic effects and implementing cellular and genetic modifications to boost HM uptake and resilience. Moreover, the integration of algorithms and artificial intelligence can optimize phycoremediation processes by predicting and controlling environmental conditions, enhancing the precision and effectiveness of HM removal. The combination of these advanced strategies holds promise for overcoming the limitations of conventional methods, positioning phycoremediation as a viable solution for mitigating HM contamination in water bodies. © 2024 The Author(s). Journal of Chemical Technology and Biotechnology published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry (SCI).

Comparison of Pacman cutting technique and trisection cutting technique for hydrophobic acrylic intraocular lens removal.

The objective of this retrospective cohort study is to compare the Pacman cutting technique with the trisection cutting technique for hydrophobic acrylic intraocular lens extraction. A total of 29 eyes of 29 patients requiring IOL removal were selected and enrolled in this study. The patients in group 1 (13 cases) underwent the conventional trisection cut technique from May 2022 to Dec. 2022. The patients in group 2 (16 cases) underwent the modified partial IOL cutting technique (Pacman cutting technique) from Jan. 2023 to June 2023. Corneal endothelial cells (CECs) count, slit-lamp examination, and intraocular pressure (IOP) measurement were conducted at all preoperative and postoperative visits. Surgical time, intraoperative and postoperative complications were recorded. The mean surgical time was 3.48 ± 1.54 minutes (range: 2 to 7 minutes) for the trisection cut technique group and 2.52 ± 1.18 minutes (range: 2 to 5 minutes) for the Pacman cut technique group. There was a statistically significant difference between the two groups in terms of surgical duration (P < .05). There was no difference in the mean preoperative CEC counts (group 1: 1924 ± 462, group 2: 1876 ± 516, P > 0.05). However, three months after the operation, the count of CECs decreased by 213 ± 72 (11%) in group 1 and 142 ± 57 (8%) in group 2. The decrease in CECs in group 1 was greater than that in group 2, and the difference was statistically significant (P < .05). There were no serious complications affecting vision in either group during the follow-up period. This study showed that the Pacman cutting technique is more effective and safer than the trisection cutting technique for hydrophobic acrylic IOL removal.

521. SHORT-TERM PROPHYLACTIC STENTING FOR HIGH-RISK ESOPHAGEAL ANASTOMOSIS: A CASE SERIES

Abstract Background Anastomotic leak after esophagectomy is a cause of major morbidity, increases surgical mortality and can affect long-term survival outcomes. Early recognition and treatment of anastomotic leaks has greatly improved the rescue rates for this catastrophic complication. However, for some patients, successful rescue is not sufficient to prevent major morbidity and worse long-term outcomes. Prevention of esophageal anastomotic leaks would benefit these patients. Prophylactic stenting after esophagectomy can be one of the tools used in addition to all other factors that are implemented to improve surgical outcomes in this complex cohort of patients. Methods We present a series of seven patients who underwent esophagectomy for malignant disease at our institution. They had insertion of prophylactic esophageal stents at the time of esophagectomy due to a combination of patient factors and intraoperative complications. All anastomoses were carried out using the modified Orringer technique of linear stapled esophagogastric anastomosis. All patients underwent insertion of an 18mm diameter, fully covered EGIS (S&amp;G Biotech, Korea) esophageal stent with antireflux valve. This was fixed to the esophagus / gastric tube using two 2-0 Vicryl Rapide (Polyglactin 910) sutures. The stents were removed endoscopically between postoperative day 14 and 28. Results None of the seven patients who underwent prophylactic esophageal stenting had any clinical or radiological evidence of anastomotic leak. In one patient, at the time of stent removal, a possible anastomotic defect was noted but it was not possible to enter the cavity. A new stent was inserted, and the patient was clinically observed. He remained clinically well throughout. Another patient developed a severe hospital acquired pneumonia requiring ventilatory support without evidence of anastomotic leak. Median length of stay was 13 days. There was no mortality within 90 days of surgery. Conclusion Short term prophylactic esophageal stenting is possible and safe. The technique of stent fixation and early removal helps to mitigate the risks of stent migration and erosion. In our small series, the stents were effective in preventing anastomotic leaks with no stent related complications. This provides optimism for patients and surgeons that morbidity from anastomotic leaks can be minimised, enabling patients to recover from surgery and proceed to adjuvant treatment if indicated. The safety profile of prophylactic esophageal stents should be investigated further and both short- term and long-term outcomes compared to current standards of care by randomised studies.

European Society for Gynaecological Endoscopy (ESGE) Good Practice Recommendations on surgical techniques for removal of fibroids: part 1 abdominal (laparoscopic and open) myomectomy.

Uterine fibroids are the most common benign tumours of the female reproductive tract and can cause a range of symptoms including abnormal uterine bleeding, pain, pressure symptoms and subfertility. Surgery may be required for some symptomatic fibroids via abdominal or transvaginal routes. The European Society for Gynaecological Endoscopy Uterine Fibroids Working Group developed recommendations based on the best available evidence and expert opinion for the surgical treatment of uterine fibroids. In this first part of the recommendations, abdominal approaches to surgical treatment of fibroids including laparoscopic, robot- assisted and open myomectomy are described.

COMPARATIVE EVALUATION OF BEHAVIOUR OF CHILDREN AND TIME TAKEN BY THREE TECHNIQUES OF CARIES REMOVAL: CHEMOMECHANICAL CARIES REMOVAL, CARIES REMOVAL WITH SMART BURS AND CONVENTIONAL CARIES REMOVAL- A CLINICAL PROSPECTIVE STUDY

Background: Many chemomechanical caries removal (CMCR) agents have been introduced and marketed since 1970s, with each new one being better and effective than the previously introduced. CMCR and Smart Burs (mechanical caries removal) are minimally invasive treatment approaches which selectively remove caries-infected tissue while leaving intact caries-affected tissue-conserving tooth structure. Aim: to compare the effectiveness of different caries removal techniques in primary teeth using the BRIX-3000, conventional caries removal , and Smart Burs in removing dentinal caries. The time taken for caries removal, the efficacy of caries removal and patient acceptance will be evaluated for clinical success with different caries removal techniques. Materials and methods: the study will be carried in thirty primary teeth in children aged 5-10 years with asymptomatic carious lesion. The teeth will be randomly divided into three groups depending on type of caries removal method used. Results: There was statistically significant difference among the groups with respect to childs behaviour , time taken and efficiency of caries removal Conclusion:The time taken to remove caries by Conventional method was observed to be significantly lower as compared to that taken by smart burs and Brix - 3000. The clinical efficacy of caries removal was highest with conventional method followed by almost comparable effectiveness by smart burs and Brix-3000. However,Patient acceptance during caries removal was found to be highest with Brix - 3000 followed by Smart burs and least by Conventional method.

Pitfalls in measurements of R1 relaxation rates of protein backbone 15N nuclei.

The dynamics of the backbone and side-chains of protein are routinely studied by interpreting experimentally determined 15N spin relaxation rates. R1(15N), the longitudinal relaxation rate, reports on fast motions and encodes, together with the transverse relaxation R2, structural information about the shape of the molecule and the orientation of the amide bond vectors in the internal diffusion frame. Determining error-free 15N longitudinal relaxation rates remains a challenge for small, disordered, and medium-sized proteins. Here, we show that mono-exponential fitting is sufficient, with no statistical preference for bi-exponential fitting up to 800MHz. A detailed comparison of the TROSY and HSQC techniques at medium and high fields showed no statistically significant differences. The least error-prone DD/CSA interference removal technique is the selective inversion of amide signals while avoiding water resonance. The exchange of amide with solvent deuterons appears to affect the rate R1 of solvent-exposed amides in all fields tested and in each DD/CSA interference removal technique in a statistically significant manner. In summary, the most accurate R1(15N) rates in proteins are achieved by selective amide inversion, without the addition of D2O. Importantly, at high magnetic fields stronger than 800MHz, when non-mono-exponential decay is involved, it is advisable to consider elimination of the shortest delays (typically up to 0.32s) or bi-exponential fitting.

Long-Term Outcomes of Modified Endoscopic Transcanal Approach to Small Acoustic Tumors.

The management options for small acoustic tumors are still controversial, and surgery is indicated in a select number of patients only. This is to avoid unnecessary extensive operations and risk of complications. Endoscopic transcanal approach, which was recently introduced, can be an alternative option to overcome these challenges. We have developed a modified technique for endoscopic transcanal removal of small acoustic tumors with tympanoplasty using tragal cartilage and without the need to harvest abdominal fat for obliteration. There was also no need to do an ear cul-de-sac procedure compared with the previous method. We report the long-term outcomes of this approach. Retrospective review. Tertiary hospital. Those who were diagnosed with small acoustic tumors between June 2016 and June 2022 were enrolled. Tumor removal via a Modified Endoscopic Transcanal Transpromontorial Approach (mETTA). Tumor control rate, closure rate of tympanic membrane, and complications such as cerebrospinal fluid (CSF) leakage and facial palsy were analyzed. Operation time and hospital stay were also analyzed. Twenty-two patients with a mean age of 55.5 ± 9.4 years were enrolled. Eighteen were vestibular schwannomas (VS), two were intracochlear schwannomas (ICS), and two were with intravestibulocochlear schwannomas (IVCS). Gross total removal was achieved in 21 cases. One had developed significant CSF leakage, and the other patient complicated with permanent facial palsy. The tympanic membrane healed well in all patients, but three patients showed delayed healing until several months and treated conservatively. Mean operation time was 149.6 ± 48.4 minutes, mean hospital stay was 8.9 ± 4.5 days, and mean postoperative follow-up period was 42.0 ± 15.7 months. Long-term results of modified endoscopic transcanal approach to small acoustic tumors are acceptable and comparable to classical treatments such as translabyrinthine approach or gamma knife radiation. This is an alternative option for smaller tumors warranting surgical removal and maintained cosmetic advantages.

Isolation, Characterization and Optimization of Indigenous Petrol Degrading Bacteria from Oil Contaminated Soil

Petroleum-derived products like petrol, containing complex hydrocarbons, have catastrophic environmental effects, posing a universal challenge. Bioremediation is known as eco-friendly and safe technique for removal of hydrocarbon pollutants. In this study, indigenous bacteria were isolated from oil contaminated soils and screened for their biodegradation potential. The bacterial enrichment and isolation were done using selective media Bushnell-Haas supplemented with petrol as a sole carbon source. Out of fifteen isolated strains best two isolates S4P2 and S14P1 were selected on basis of DCPIP screening method. These isolates were identified as Pseudomonas chengduensis &amp; Pseudomonas donghuensis by 16S rRNA gene sequencing. The growth parameters were optimized by one factor at a time. The optimum growth temperature for P.chengduensis &amp; P. donghuensis was found to be 37°C at pH 7 with a substrate concentration of 1%.

Efficacy of various techniques in calcium silicate-based intracanal medicament removal: a micro-CT analysis

The purpose of this study was to evaluate the efficacy of different techniques in removing calcium silicate intracanal medicament (Bio-C Temp). Forty human single-canaled premolars were randomly distributed into five groups (n = 8). All root canals were instrumented, then filled with Bio-C Temp. Following 1-week incubation, the intra-canal medicament was removed using one of five techniques according to tooth group: conventional syringe irrigation, Endo Activator, passive ultrasonic irrigation (PUI), ProTaper Universal F3 and XP-endo Finisher (XPF). Micro-CT scanning was performed before and after removal of Bio-C Temp. All techniques significantly reduced the volume of Bio-C Temp (p < 0.001) without reaching complete elimination. The percentage of Bio-C Temp removed was significantly higher in the XPF group (98.2%) compared to conventional syringe irrigation (70.6%), the Endo Activator (75.7%), and the ProTaper Universal (76.6%). There was no significant difference between the XPF and PUI (95.1%) groups. None of the removal techniques were able to completely remove Bio-C Temp from the root canal. However, XPF was the most effective method, but was not statistically significant when compared to PUI. Clinical Relevance: This study demonstrated that both XPF and PUI outperform conventional irrigation in removing Bio-C Temp intracanal medicament.

Two decades of research trends in microbial-induced carbonate precipitation for heavy metal removal: a bibliometric review and literature review.

Amidst the increasing significance of innovative solutions for bioremediation of heavy metal removal, this paper offers a thorough bibliometric analysis of microbial-induced carbonate precipitation (MICP) for heavy metal removal, as a promising technology to tackle this urgent environmental issue. This study focused on articles published from 1999 to 2022 in the Scopus database. It assesses trends, participation, and key players within the MICP for heavy metal sequestration. Among the 930 identified articles, 74 countries participated in the field, with China being the most productive. Varenyam Achal, the Chinese Academy of Sciences, and Chemosphere are leaders in the research landscape. Using VOSviewer and R-Studio, keyword hotspots like "MICP", "urease", and "heavy metals" underscore the interdisciplinary nature of MICP research and its focus on addressing a wide array of environmental and soil-related challenges. VOSviewer emphasises essential terms like "calcium carbonate crystal", while R-Studio highlights ongoing themes such as "soil" and "organic" aspects. These analyses further showcase the interdisciplinary nature of MICP research, addressing a wide range of environmental challenges and indicating evolving trends in the field. This review also discusses the literature concerning the potential of MICP to immobilise contaminants, the evolution of the research outcome in the last two decades, MICP treatment techniques for heavy metal removal, and critical challenges when scaling from laboratory to field. Readers will find this analysis beneficial in gaining valuable insights into the evolving field and providing a solid foundation for future research and practical implementation.

Chemo mechanical caries removal CMCR: Efficacy of Carisolv gel in primary molar teeth.

To evaluate the efficacy of CariSolv gel with respect to chemo-mechanical caries removal in primary molar teeth. The cross-sectional study was conducted at the Department of Paediatric Dentistry, Bakhtawar Amin Dental College and Hospital, Multan, Pakistan, from July to December 2022, and comprised patients of either gender aged 6-12 years having vital, primary molar teeth with clinical and radiographic evidence of carious lesion. Freshly prepared CariSolv gel 0.2 ml to 1.0ml was applied to carious dentine for a minimum of 30 seconds, using chemo-mechanical caries removal hand instruments. The cavity preparation was rinsed and dried. Image caries detector dye was applied by micro brush for 10 seconds. After the cavity preparation was washed and dried, any red-stained dentine indicated residual infected dentine. A maximum of 3 chemo-mechanical caries removal cycles were allowed. Data was analysed using SPSS 26.0. Of the 134 patients, 74(55.2%) were boys and 60(44.8%) were girls. The overall mean age was 8.55±1.58 years. The procedure was successful in 115(85.8%) cases. Age and gender were not significantly associated with the outcome (p>0.05). Chemo-mechanical caries removal method using CariSolv gel was found to be a viable alternative to traditional drilling techniques for caries removal in primary molar teeth.