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 <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "http://jats.nlm.nih.gov/publishing/1.0/JATS-journalpublishing1.dtd"> <article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.0" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JAPST</journal-id>
      <journal-title-group>
        <journal-title>Journal of Advanced Pharmaceutical Science And Technology </journal-title>
      </journal-title-group>
      <issn pub-type="epub">2328-0182</issn>
      <publisher>
        <publisher-name>Open Access Pub</publisher-name>
        <publisher-loc>United States</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">JAPST-20-3618</article-id>
      <article-id pub-id-type="doi">10.14302/issn.2328-0182.japst-20-3618</article-id>
      <article-categories>
        <subj-group>
          <subject>research-article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Analysis of Isotopic Abundance Ratio of Consciousness Energy Healing Treated Metronidazole Using LC-MS and GC-MS Spectrometry</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Alice</surname>
            <given-names>Branton</given-names>
          </name>
          <xref ref-type="aff" rid="idm1849898268">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mahendra</surname>
            <given-names>Kumar Trivedi</given-names>
          </name>
          <xref ref-type="aff" rid="idm1849898268">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Dahryn</surname>
            <given-names>Trivedi</given-names>
          </name>
          <xref ref-type="aff" rid="idm1849898268">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Snehasis</surname>
            <given-names>Jana</given-names>
          </name>
          <xref ref-type="aff" rid="idm1849900860">2</xref>
          <xref ref-type="aff" rid="idm1849900356">*</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1849898268">
        <label>1</label>
        <addr-line>Trivedi Global, Inc., Henderson, USA</addr-line>
      </aff>
      <aff id="idm1849900860">
        <label>2</label>
        <addr-line>Trivedi Science Research Laboratory Pvt. Ltd., Thane (W), Maharashtra, India</addr-line>
      </aff>
      <aff id="idm1849900356">
        <label>*</label>
        <addr-line>Corresponding author</addr-line>
      </aff>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Fatma</surname>
            <given-names>Mohammed Mady</given-names>
          </name>
          <xref ref-type="aff" rid="idm1849751308">1</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1849751308">
        <label>1</label>
        <addr-line>Department of Pharmaceutics, Minia University, Egypt.</addr-line>
      </aff>
      <author-notes>
        <corresp>
    
    Snehasis Jana, <addr-line>Trivedi Science Research Laboratory Pvt. Ltd., Thane (W), Maharashtra, India</addr-line>, Email: <email>publication@trivedisrl.com</email></corresp>
        <fn fn-type="conflict" id="idm1842547748">
          <p>No author has any associations that may represent a potential conflict of interest.</p>
        </fn>
      </author-notes>
      <pub-date pub-type="epub" iso-8601-date="2020-11-24">
        <day>24</day>
        <month>11</month>
        <year>2020</year>
      </pub-date>
      <volume>2</volume>
      <issue>3</issue>
      <fpage>26</fpage>
      <lpage>36</lpage>
      <history>
        <date date-type="received">
          <day>04</day>
          <month>11</month>
          <year>2020</year>
        </date>
        <date date-type="accepted">
          <day>23</day>
          <month>11</month>
          <year>2020</year>
        </date>
        <date date-type="online">
          <day>24</day>
          <month>11</month>
          <year>2020</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© </copyright-statement>
        <copyright-year>2020</copyright-year>
        <copyright-holder>Alice Branton, et al.</copyright-holder>
        <license xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="http://openaccesspub.org/japst/article/1514">This article is available from http://openaccesspub.org/japst/article/1514</self-uri>
      <abstract>
        <p>Metronidazole is an antibiotic and useful for the antibacterial and antiprotozoal medication. This study was performed to investigate the impact of the Trivedi Effect<sup>®</sup>-Biofield Energy Healing Treatment on the structural properties and the isotopic abundance ratio of metronidazole using LC-MS and GC-MS spectroscopy. Metronidazole sample was divided into two parts, one part of metronidazole was considered as control (no Biofield Energy Treatment was provided), while the second part was treated with the Trivedi                               Effect<sup>®</sup>-Consciousness Energy Healing Treatment remotely by a renowned Biofield Energy Healer, Alice Branton and termed as a treated sample. The LC-MS spectra of both the samples of metronidazole at the retention time (R<sub>t</sub>) 2.61 minutes exhibited the mass of the protonated molecular ion peak at <italic>m/z</italic> 172 <sup>M+H</sup><sup>+</sup> (calculated for C<sup>6</sup>H<sup>10</sup>N<sup>3</sup>O<sup>3</sup><sup>+</sup>, 172.07). The LC-MS based isotopic abundance ratio of P<sub>M+1</sub>/P<sub>M</sub> (<sup>2</sup>H/<sup>1</sup>H or <sup>13</sup>C/<sup>12</sup>C or <sup>15</sup>N/<sup>2</sup><sup>14</sup>N or <sup>17</sup>O/<sup>16</sup>O) in the treated metronidazole was significantly increased by 8.24% compared with the control sample. Thus,<sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N,and<sup>17</sup>O contributions from (C<sub>6</sub>H<sub>10</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173 in the treated sample were significantly increased compared with the control sample. The GC-MS based isotopic abundance ratio of P<sub>M+1</sub>/P<sub>M</sub> in the treated metronidazole was significantly increased by 5.92% compared with the control sample. Hence,<sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N, and<sup>2</sup><sup>17</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 172 in the Biofield Energy Treated sample were significantly increased compared with the control sample. However, the isotopic abundance ratio of P<sub>M+2</sub>/P<sub>M</sub> in the treated metronidazole was significantly decreased by 18.2% compared with the control sample. Hence,<sup>18</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173 in the treated sample were significantly decreased compared with the control sample. The isotopic abundance ratio of P<sub>M+1</sub>/P<sub>M</sub> (<sup>2</sup>H/<sup>1</sup>H or <sup>13</sup>C/<sup>12</sup>C or <sup>15</sup>N/<sup>14</sup>N or <sup>17</sup>O/<sup>16</sup>O) and P<sub>M+2</sub>/P<sub>M</sub> (<sup>18</sup>O/<sup>16</sup>O) in the treated metronidazole was significantly altered compared to the control sample. From the results, it can be hypothesized that the changes in isotopic abundance and mass peak intensities could be due to changes in nuclei possibly through the interference of neutrino particles <italic>via</italic> the Trivedi Effect<sup>®</sup> - Consciousness Energy Healing Treatment. The new form of treated metronidazole would be better designing novel pharmaceutical formulations that might offer better therapeutic response against bacterial and protozoal infection in the vagina (bacterial vaginosis), stomach (giardiasis, trichomoniasis, pseudomembranous colitis), joints (pelvic inflammatory disease), liver, skin, brain, and respiratory tract, aspiration pneumonia, rosacea, intra-abdominal infections, lung abscess, fungating wounds, periodontitis, amoebiasis, oral infections, <italic>etc.</italic></p>
      </abstract>
      <kwd-group>
        <kwd>Metronidazole</kwd>
        <kwd>The Trivedi Effect®</kwd>
        <kwd>Biofield Energy</kwd>
        <kwd>Consciousness Energy Healing Treatment</kwd>
        <kwd>LC-MS</kwd>
        <kwd>GC-MS</kwd>
      </kwd-group>
      <counts>
        <fig-count count="5"/>
        <table-count count="2"/>
        <page-count count="11"/>
      </counts>
    </article-meta>
  </front>
  <body>
    <sec id="idm1849712716" sec-type="intro">
      <title>Introduction</title>
      <p>Metronidazole is an antibiotic, useful for the antiprotozoal medication. The mechanism of action involves the inhibition of the microorganism by means of disrupting the DNA of microbial cells for the nucleic acid synthesis. It has the relatively little effect on human cells or aerobic bacteria. This function only occurs when metronidazole is partially reduced, which usually happens only in anaerobic cells <xref ref-type="bibr" rid="ridm1842969396">1</xref><xref ref-type="bibr" rid="ridm1842971556">2</xref>. It is useful for the treatment of bacterial infections in the vagina (bacterial vaginosis), stomach (giardiasis, trichomoniasis, pseudomembranous colitis), liver, skin, joints (pelvic inflammatory disease), brain, and respiratory tract, aspiration pneumonia, rosacea, fungating wounds, intra-abdominal infections, lung abscess, periodontitis, amoebiasis, oral infections, and infections caused by susceptible anaerobic organisms such as Bacteroides, Dracunculus, Clostridium, Peptostreptococcus, Fusobacterium, <italic>Helicobacter pylori</italic>, and <italic>Prevotella species</italic>,<italic> etc.</italic><xref ref-type="bibr" rid="ridm1842971556">2</xref><xref ref-type="bibr" rid="ridm1842979196">3</xref><xref ref-type="bibr" rid="ridm1843070356">4</xref><xref ref-type="bibr" rid="ridm1842826612">5</xref>. It is also used for the infections of <italic>Giardia</italic> in cats, dogs, horse, and other companion animals <xref ref-type="bibr" rid="ridm1842971556">2</xref><xref ref-type="bibr" rid="ridm1842831148">6</xref>. Some of the common side effects associated with the metronidazole therapy are nausea, vomiting, headache, dizziness, diarrhoea, weight loss, abdominal pain, metallic taste in the mouth, thrombophlebitis, hypersensitivity reactions, stomatitis, glossitis, dark urine, leucopenia, neutropenia, peripheral neuropathy, central nervous system toxicity, and paraesthesia <italic>etc</italic>. <xref ref-type="bibr" rid="ridm1842971556">2</xref><xref ref-type="bibr" rid="ridm1842819892">7</xref>. Metronidazole is bitter in taste, and so in the liquid suspension, it contains in the form of metronidazole benzoate. Metronidazole has high oral bioavailability. It is also delivered in the form of a tablet, capsule, and intravenous injection also <xref ref-type="bibr" rid="ridm1842819892">7</xref><xref ref-type="bibr" rid="ridm1842816436">8</xref>. It is hazardous to the skin (irritant, permeator), eye (irritant), inhalation, and ingestion. The solubility profile of metronidazole is very poor, where is very slightly soluble in cold water, hot water, alcohol, chloroform, dilute acid, and dimethylformamide <xref ref-type="bibr" rid="ridm1842813772">9</xref><xref ref-type="bibr" rid="ridm1842799052">10</xref>.</p>
      <p>Since the physicochemical properties of the pharmaceutical compounds have crucial role in its dissolution, absorption, and bioavailability profile in the biological system <xref ref-type="bibr" rid="ridm1842804092">11</xref>. In this scenario, it was found that the Trivedi Effect<sup>®</sup>-Biofield Energy Healing Treatment has the significant impact on various properties such as particle size, surface area, and isotopic abundance           ratios of pharmaceutical and nutraceutical                compounds <xref ref-type="bibr" rid="ridm1842802796">12</xref><xref ref-type="bibr" rid="ridm1842791180">13</xref>. The Trivedi Effect<sup>®</sup> is a natural and only scientifically proven phenomenon in which a person can harness this inherently intelligent energy and transmit it anywhere on the planet through the possible mediation of neutrinos <xref ref-type="bibr" rid="ridm1842787796">14</xref>. “Biofield Energy” the electromagnetic energy field which exists surrounding the living beings, which can transmit the electromagnetic energy in the form of bio-photons, generated by the continuous movement of the electrically charged particles (ions, cells, etc.) inside the body. Biofield Energy Healing specialists have the ability to harness the energy from the environment or the “Universal Energy Field” and can transmit into any living and non-living object(s), this process is called Biofield Energy Healing Treatment <xref ref-type="bibr" rid="ridm1842781388">15</xref><xref ref-type="bibr" rid="ridm1842781028">16</xref><xref ref-type="bibr" rid="ridm1842794420">17</xref>. Biofield based Energy Therapies have been reported to with significant outcomes against various disease <xref ref-type="bibr" rid="ridm1842764340">18</xref>. National Center of Complementary and Integrative Health (NCCIH) has recognized and accepted Biofield Energy Healing as a Complementary and Alternative Medicine (CAM) health care approach in addition to other therapies, medicines, and practices such as yoga, Qi Gong, Tai Chi, hypnotherapy, Reiki, etc. <xref ref-type="bibr" rid="ridm1842758868">19</xref>. These therapies have been accepted by most of the U.S.A. population with several advantages <xref ref-type="bibr" rid="ridm1842757860">20</xref>. In the same way, The Trivedi Effect<sup>®</sup>-Biofield Energy Healing Treatment has been proved scientifically                 with outstanding results in the fields of materials                   science <xref ref-type="bibr" rid="ridm1842768372">21</xref>, agricultural science <xref ref-type="bibr" rid="ridm1842766716">22</xref>, microbiology <xref ref-type="bibr" rid="ridm1842730412">23</xref>, cancer research <xref ref-type="bibr" rid="ridm1842725372">24</xref>, pharmaceuticals and nutraceuticals <xref ref-type="bibr" rid="ridm1842802796">12</xref><xref ref-type="bibr" rid="ridm1842791180">13</xref>, etc. The Trivedi Effect<sup>®</sup>-Biofield Energy Healing Treatment could be an economical approach for the practical problems associated with metronidazole with respect to the physicochemical properties for designing better pharmaceuticals formulations. The stable isotope ratio analysis has various applications in different scientific fields for understanding the isotope effects resulting from the variation of the isotopic composition of the molecule <xref ref-type="bibr" rid="ridm1842740204">25</xref><xref ref-type="bibr" rid="ridm1842735452">26</xref>. Isotope ratio analysis can be performed by using the conventional mass spectrometry (MS) techniques such as gas chromatography - mass spectrometry (GC-MS) and liquid chromatography - mass spectrometry (LC-MS) in low micromolar concentration with sufficient precision <xref ref-type="bibr" rid="ridm1842694628">27</xref><xref ref-type="bibr" rid="ridm1842690236">28</xref>. Therefore, LC-MS and GC-MS were used in this study to characterize the structural properties and evaluate the isotopic abundance ratio analysis of P<sub>M+1</sub>/P<sub>M</sub> (<sup>2</sup>H/<sup>1</sup>H or <sup>13</sup>C/<sup>12</sup>C or <sup>17</sup>O/<sup>16</sup>O or <sup>15</sup>N/<sup>14</sup>N) and P<sub>M+2</sub>/P<sub>M</sub> (<sup>18</sup>O/<sup>16</sup>O) in the Trivedi Effect<sup>®</sup> - Consciousness Energy Healing Treated metronidazole compared to the control sample.</p>
    </sec>
    <sec id="idm1849693924" sec-type="materials">
      <title>Materials and Methods </title>
      <sec id="idm1849694428">
        <title>Chemicals and Reagents</title>
        <p>Metronidazole was purchased from Tokyo Chemical Industry Co., Ltd., Japan. Other chemicals used during the experiments were of analytical grade available in India. </p>
      </sec>
      <sec id="idm1849694932">
        <title>Consciousness Energy Healing Treatment Strategies</title>
        <p>The test sample metronidazole powder was divided into two parts. One part of metronidazole powder sample was considered as a control sample (no Biofield Energy Treatment was provided). However, the other part of metronidazole was treated with the Trivedi Effect<sup>®</sup>- Consciousness Energy Healing Treatment remotely under standard laboratory conditions for 3 minutes and known as the Trivedi Effect<sup>®</sup> Treated or Biofield Energy Treated metronidazole sample. The Biofield Energy Treatment was provided through the healer’s unique energy transmission process by the renowned Biofield Energy Healer, Alice Branton, USA, to the test sample. Further, the control sample was treated with “sham” healer for comparison purpose. The “sham” healer did not have any knowledge about the Biofield Energy Treatment. After that, the Biofield Energy Treated and untreated metronidazole samples were kept in sealed conditions and characterized using LC-MS and GC-MS, analytical techniques. </p>
      </sec>
    </sec>
    <sec id="idm1849694572">
      <title>Characterization</title>
      <sec id="idm1849695292">
        <title>Liquid Chromatography-mass Spectrometry (LC-MS) Analysis and Calculation of</title>
        <sec id="idm1849695148">
          <title>Isotopic Abundance Ratio</title>
          <p>The LC-MS analysis of the control and Biofield Energy Treated metronidazole was carried out with the help of LC-MS ThermoFisher Scientific, the USA equipped with an ion trap detector connected with a triple-stage quadrupole mass spectrometer. The column used here was a reversed phase Thermo Scientific Synchronis C18 (Length-250 mm X ID 4.6 mm X 5 micron), maintained at 25˚C. 10 µL of metronidazole solution (methanol used as diluent) was injected and the analyte was eluted using 5% 10 mM ammonium formate (pH 3.5 with formic acid) (mobile phase A; 5%) and acetonitrile (mobile phase B; 95%) pumped at a constant flow rate of 1 mL/min. Chromatographic separation was achieved using gradient condition and the total run time was 10 min. Peaks were monitored at 300 nm using the PDA detector. The mass spectrometric analysis was performed under +ve ESI mode. The total ion chromatogram, peak area% and mass spectrum of the individual peak which was appeared in LC along with the full scan (<italic>m/z</italic> 50-1500) were recorded. The total ion chromatogram and mass spectrum of the individual peak (appeared in LC-MS) were recorded.</p>
          <p>The natural abundance of each isotope (C, O, H, and N) can be predicted from the comparison of the height of the isotope peak with respect to the base peak. The values of the natural isotopic abundance of the common elements are obtained from the literature <sup>36</sup>, <sup>38</sup><sup>39</sup><sup>40</sup>. The LC-MS based isotopic abundance ratios (P<sub>M+1</sub>/P<sub>M</sub>) for the control and Biofield Energy Treated metronidazole was calculated.</p>
          <p>Percentage (%) change in isotopic abundance ratio = ((IAR<sub>Treated</sub> – IAR<sub>Control</sub>)/ IAR<sub>Control</sub>) x 100)</p>
          <p>Where IAR<sub>Treated</sub> = isotopic abundance ratio in the treated sample and IAR<sub>Control</sub> = isotopic abundance ratio in the control sample.</p>
        </sec>
      </sec>
      <sec id="idm1849690252">
        <title>Gas Chromatography-mass Spectrometry (GC-MS) Analysis</title>
        <p>GC-MS of the control and Biofield Energy Treated sample of metronidazole were analyzed with the help of Perkin Elmer Gas chromatograph equipped with a PE-5MS (30M x 250 micros x 0.250 microns) capillary column and coupled to a single quadrupole mass detector was operated with electron impact (EI) ionization in positive mode. Oven temperature was programmed from 75°C (5 min hold) to 280°C (14 min hold) @ 10°C /min (total run time 40 min). The sample was prepared taking 60 mg of the metronidazole is in 3 ml acetonitrile as a diluent. Mass spectra were scanned from <italic>m/z</italic> 20 to 400. The identification of analyte was done by GC retention times and by a comparison of the mass spectra of samples. </p>
        <p>The GC-MS based isotopic abundance ratios (P<sub>M+1</sub>/P<sub>M </sub>and P<sub>M+2</sub>/P<sub>M</sub>) for the control and Biofield Energy Treated metronidazole was calculated.</p>
        <p>Percentage (%) change in isotopic abundance ratio = ((IAR<sub>Treated</sub> – IAR<sub>Control</sub>)/ IAR<sub>Control</sub>) x 100)</p>
        <p>Where IAR<sub>Treated</sub> = isotopic abundance ratio in the treated sample and IAR<sub>Control</sub> = isotopic abundance ratio in the control sample.</p>
      </sec>
    </sec>
    <sec id="idm1849687948" sec-type="results">
      <title>Results and Discussion</title>
      <sec id="idm1849687444">
        <title>Liquid Chromatography-mass Spectrometry (LC-MS)</title>
        <p>The LC-MS chromatograms and mass spectra of both the samples of metronidazole are shown in the <xref ref-type="fig" rid="idm1850279660">Figure 1</xref> and <xref ref-type="fig" rid="idm1850274404">Figure 2</xref>, respectively. The chromatograms of metronidazole showed the single major                  chromatographic peak at the retention time (R<sub>t</sub>) of 2.61 minutes in both the case (<xref ref-type="fig" rid="idm1850279660">Figure 1</xref>). This results indicated that the polarity of both the control and Biofield Energy Treated metronidazole remained same. </p>
        <fig id="idm1850279660">
          <label>Figure 1.</label>
          <caption>
            <title>  Liquid chromatograms of the control and Biofield Energy Treated metronidazole.</title>
          </caption>
          <graphic xlink:href="images/image1.jpg" mime-subtype="jpg"/>
        </fig>
        <p>As per the literature metronidazole was detected with the molecular mass peak (M)<sup>+</sup> at <italic>m/z</italic> 171 MS spectrum in positive ion mode <xref ref-type="bibr" rid="ridm1842688004">29</xref>. The mass spectra of both the samples of metronidazole (<xref ref-type="fig" rid="idm1850274404">Figure 2</xref>) exhibited the mass of the protonated molecular ion peak at <italic>m/z</italic> 172 (M+H)<sup>+</sup> (calculated for C<sub>6</sub>H<sub>10</sub>N<sub>3</sub>O<sub>3</sub><sup>+</sup>, 172.07) in the control sample and Biofield Energy Treated sample (<xref ref-type="fig" rid="idm1850274980">Figure 3</xref>). </p>
        <fig id="idm1850274404">
          <label>Figure 2.</label>
          <caption>
            <title> Mass spectra of the control and Biofield Energy Treated metronidazole at Rt 2.61 minutes.</title>
          </caption>
          <graphic xlink:href="images/image2.jpg" mime-subtype="jpg"/>
        </fig>
        <fig id="idm1850274980">
          <label>Figure 3.</label>
          <caption>
            <title> Proposed fragmentation pattern of metronidazole.</title>
          </caption>
          <graphic xlink:href="images/image3.jpg" mime-subtype="jpg"/>
        </fig>
        <p>The LC-ESI-MS spectra of both the control and Biofield Energy Treated metronidazole showed the mass of the molecular ion peak (M+H)<sup>+</sup> at <italic>m/z</italic> 172 (M+H)<sup>+</sup> (calculated for C<sub>6</sub>H<sub>10</sub>N<sub>3</sub>O<sub>3</sub><sup>+</sup>, 172.07) with relative intensity of 100%. The theoretical calculation of P<sub>M+1</sub> for metronidazole was presented as below:</p>
        <p>P(<sup>13</sup>C) = ((6 x 1.1%) x 100% (the actual size of the M<sup>+</sup> peak)) / 100% = 6.6%</p>
        <p>P(<sup>2</sup>H) = ((10 x 0.015%) x 100%) / 100%= 0.15%</p>
        <p>P(<sup>15</sup>N) = ((3 x 0.4%) x 100%) / 100% = 1.2%</p>
        <p>P(<sup>17</sup>O) = ((3 x 0.04%) x 100%) / 100% = 0.12%</p>
        <p>P<sub>M+1,</sub><italic>i.e.</italic><sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N, and<sup>17</sup>O contributions from (C<sub>6</sub>H<sub>10</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173= 8.07%</p>
        <p>The calculated isotope abundance (8.07%) was close to the experimental value 8.01% (<xref ref-type="table" rid="idm1850249620">Table 1</xref>). From the above calculation, it has been found that <sup>13</sup>C and <sup>15</sup>N have major contribution to <italic>m/z</italic> 173. </p>
        <table-wrap id="idm1850249620">
          <label>Table 1.</label>
          <caption>
            <title> LC-MS based isotopic abundance analysis results of metronidazole in Biofield Energy Treated sample compared to the control sample.</title>
          </caption>
          <table rules="all" frame="box">
            <tbody>
              <tr>
                <td>Parameter</td>
                <td>Control sample</td>
                <td>Biofield Energy Treated sample</td>
              </tr>
              <tr>
                <td>P<sub>M </sub>at <italic>m/z</italic> 172 (%)</td>
                <td>100</td>
                <td>100</td>
              </tr>
              <tr>
                <td>P<sub>M+1</sub> at <italic>m/z</italic> 173 (%)</td>
                <td>8.01</td>
                <td>8.67</td>
              </tr>
              <tr>
                <td>P<sub>M+1</sub>/P<sub>M</sub></td>
                <td>0.08</td>
                <td>0.09</td>
              </tr>
              <tr>
                <td>% Change of isotopic abundance ratio (P<sub>M+1</sub>/P<sub>M</sub>) with respect to the control sample</td>
                <td> </td>
                <td>8.24</td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn id="idm1849642460">
              <label/>
              <p>P<sub>M</sub>: the relative peak intensity of the parent molecular ion [M<sup>+</sup>]; P<sub>M+1</sub>: the relative peak intensity of the isotopic molecular ion [(M+1)<sup>+</sup>], M: mass of the parent molecule.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
        <p>The LC-MS based isotopic abundance ratio analysis of metronidazole in the control and Biofield Energy Treated samples were calculated. P<sub>M</sub> and P<sub>M+1</sub> for metronidazole near <italic>m/z</italic> 172 and 173, respectively of the control and Biofield Energy Treated samples, which were obtained from the observed relative peak intensities of (M<sup>+</sup>) and ((M+1)<sup>+</sup><sup>)</sup> peaks, respectively in the ESI-MS spectra (<xref ref-type="table" rid="idm1850249620">Table 1</xref>). The percentage change of the isotopic abundance ratio (P<sub>M+1</sub>/P<sub>M</sub>) in the Biofield Energy Treated metronidazole was significantly increased by 8.24% compared with the control sample (<xref ref-type="table" rid="idm1850249620">Table 1</xref>). Therefore, it was concluded that the<sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N, and<sup>17</sup>O contributions from (C<sub>6</sub>H<sub>10</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173 in the Biofield Energy Treated sample were significantly increased compared to the control sample. </p>
      </sec>
      <sec id="idm1849639220">
        <title>Gas Chromatography-mass Spectrometry (GC-MS) Analysis</title>
        <p>The GC of the control and Biofield Energy Treated metronidazole showed the presence of a single chromatographic peak in the chromatogram (<xref ref-type="fig" rid="idm1850211332">Figure 4</xref> and <xref ref-type="fig" rid="idm1850210108">Figure 5</xref>). The retention times of the Biofield Energy Treated sample (16.48 minute) was close to those of the control sample (16.49 minutes). The parent molecular ion peak of metronidazole at <italic>m/z</italic> 271 <sup>M</sup><sup>+</sup> (calculated for C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub><sup>+</sup>, 171.06) in the control sample and Biofield Energy Treated sample, along with the fragment ion peaks near <italic>m/z</italic> 154, 124, 96, and 81 (<xref ref-type="fig" rid="idm1850211332">Figure 4</xref> and <xref ref-type="fig" rid="idm1850210108">Figure 5</xref>) which were proposed corresponded to the molecular formula C<sub>6</sub>H<sub>8</sub>N<sub>3</sub>O<sub>2</sub><sup>+</sup>, C<sub>6</sub>H<sub>9</sub>N<sub>2</sub>O<sup>+</sup>, C<sub>5</sub>H<sub>8</sub>N<sub>2</sub><sup>+</sup>, and C4H<sub>5</sub>N<sub>2</sub><sup>+</sup>, respectively (<xref ref-type="fig" rid="idm1850274980">Figure 3</xref>). The mass peak intensities influence the isotopic abundance ratio, which was well supported by the LC-MS based isotopic abundance ratio analysis.</p>
        <fig id="idm1850211332">
          <label>Figure 4.</label>
          <caption>
            <title> The GC-MS chromatogram and mass spectra of the control metronidazole.</title>
          </caption>
          <graphic xlink:href="images/image4.jpg" mime-subtype="jpg"/>
        </fig>
        <fig id="idm1850210108">
          <label>Figure 5.</label>
          <caption>
            <title> The GC-MS chromatogram and mass spectra of the Biofield Energy Treated                       metronidazole.</title>
          </caption>
          <graphic xlink:href="images/image5.jpg" mime-subtype="jpg"/>
        </fig>
        <p>The GC-MS spectra of both the control and Biofield Energy Treated metronidazole showed the mass of the molecular ion peak <sup>M</sup><sup>+</sup> at <italic>m/z</italic> 171 (calculated for C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub><sup>+</sup>, 171.06). The theoretical calculation of P<sub>M+1</sub> for metronidazole was presented as below:</p>
        <p>P(<sup>13</sup>C) = ((6 x 1.1%) x 15.7% (the actual size of the M<sup>+</sup> peak)) / 100% = 1.04%</p>
        <p>P(<sup>2</sup>H) = ((9 x 0.015%) x 15.7%) / 100%= 0.021%</p>
        <p>P(<sup>15</sup>N) = ((3 x 0.4%) x 15.7%) / 100% = 0.19%</p>
        <p>P(<sup>17</sup>O) = ((3 x 0.04%) x 15.7%) / 100% = 0.02%</p>
        <p>P<sub>M+1,</sub><italic>i.e.</italic><sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N, and<sup>17</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 172 = 1.27%</p>
        <p>From the above calculation, it has been found that <sup>13</sup>C and <sup>15</sup>N have major contribution to <italic>m/z</italic> 172.</p>
        <p>Similarly, the theoretical calculation of P<sub>M+2</sub> for metronidazole was presented as below:</p>
        <p>P(<sup>18</sup>O) = ((3 x 0.2%) x 15.7%) / 100% = 0.09%</p>
        <p>P<sub>M+2,</sub><italic>i.e.</italic><sup>18</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173 = 1.2%</p>
        <p>From the above calculation, it has been found that only <sup>18</sup>O have the major contribution to <italic>m/z</italic> 173. The calculated isotopic abundances were close to the experimentally observed value (<xref ref-type="table" rid="idm1850191964">Table 2</xref>).</p>
        <table-wrap id="idm1850191964">
          <label>Table 2.</label>
          <caption>
            <title> GC-MS based isotopic abundance analysis results of metronidazole in control and Biofield           Energy Treated samples.</title>
          </caption>
          <table rules="all" frame="box">
            <tbody>
              <tr>
                <td>Parameter</td>
                <td>Control sample</td>
                <td>Biofield Energy Treated sample</td>
              </tr>
              <tr>
                <td>P<sub>M </sub>at <italic>m/z</italic> 171 (%)</td>
                <td>15.70</td>
                <td>15.08</td>
              </tr>
              <tr>
                <td>P<sub>M+1</sub> at <italic>m/z</italic> 172 (%)</td>
                <td>1.15</td>
                <td>1.17</td>
              </tr>
              <tr>
                <td>P<sub>M+1</sub>/P<sub>M</sub></td>
                <td>0.07</td>
                <td>0.08</td>
              </tr>
              <tr>
                <td>% Change of isotopic abundance ratio (P<sub>M+1</sub>/P<sub>M</sub>) with respect to the control sample</td>
                <td> </td>
                <td>5.92</td>
              </tr>
              <tr>
                <td>P<sub>M+1</sub> at <italic>m/z</italic> 173 (%)</td>
                <td>0.14</td>
                <td>0.11</td>
              </tr>
              <tr>
                <td>P<sub>M+1</sub>/P<sub>M</sub></td>
                <td>0.01</td>
                <td>0.01</td>
              </tr>
              <tr>
                <td>% Change of isotopic abundance ratio (P<sub>M+2</sub>/P<sub>M</sub>) with respect to the control sample</td>
                <td> </td>
                <td>-18.20</td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn id="idm1849599260">
              <label/>
              <p>P<sub>M</sub>: the relative peak intensity of the parent molecular ion [M<sup>+</sup>]; P<sub>M+1</sub>: the relative peak intensity of the isotopic molecular ion [(M+1)<sup>+</sup>]; P<sub>M+2</sub>: the relative peak intensity of the isotopic molecular ion [(M+2)<sup>+</sup>], M: mass of the parent molecule.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
        <p>The GC-MS based isotopic abundance ratio analysis of metronidazole in the control and Biofield Energy Treated samples were calculated. P<sub>M,</sub> P<sub>M+1</sub>, and P<sub>M+2</sub> for metronidazole near <italic>m/z</italic> 171, 172, and 173, respectively of the control and Biofield Energy Treated samples, which were obtained from the observed relative peak intensities of [M<sup>+</sup>], [(M+1)<sup>+</sup>], and              [(M+2)<sup>+</sup>] peaks, respectively in the mass spectra and are presented in <xref ref-type="table" rid="idm1850191964">Table 2</xref>. The isotopic abundance ratio of P<sub>M+1</sub>/P<sub>M</sub> in the Biofield Energy Treated metronidazole was significantly increased by 5.92% compared with the control sample (<xref ref-type="table" rid="idm1850191964">Table 2</xref>). Hence,<sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N, and<sup>17</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 172 in the Biofield Energy Treated sample were significantly increased compared with the control sample. However, the isotopic abundance ratio of P<sub>M+2</sub>/P<sub>M</sub> in the Biofield Energy Treated metronidazole was significantly decreased by 18.2% compared with the control sample (<xref ref-type="table" rid="idm1850191964">Table 2</xref>). Hence,<sup>18</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173 in the Biofield Energy Treated sample were significantly decreased compared with the control sample.</p>
        <p>LC-MS and GC-MS study confirmed the sample as metronidazole. The LC-MS and GC-MS based isotopic abundance ratios of P<sub>M+1</sub>/P<sub>M</sub> (<sup>2</sup>H/<sup>1</sup>H or <sup>13</sup>C/<sup>12</sup>C or <sup>15</sup>N/<sup>14</sup>N or <sup>17</sup>O/<sup>16</sup>O) and P<sub>M+2</sub>/P<sub>M</sub> (<sup>18</sup>O/<sup>16</sup>O) in the Biofield Energy Treated metronidazole were significantly altered compared to the control sample. As per modern physics, the neutrinos change identities which are only possible if the neutrinos possess mass and have the ability to interchange their phase from one phase to another internally. Therefore, the neutrinos have the ability to interact with protons and neutrons in the nucleus, which indicated a close relation between neutrino and the isotope formation <xref ref-type="bibr" rid="ridm1842787796">14</xref><xref ref-type="bibr" rid="ridm1842735452">26</xref><xref ref-type="bibr" rid="ridm1842694628">27</xref>. The altered isotopic composition in molecular level of the Trivedi Effect<sup>®</sup>-Consciousness Energy Healing Treated metronidazole might be due to the alteration in neutron to proton ratio in the nucleus. It can be hypothesized that the changes in isotopic abundance could be due to changes in nuclei possibly through the interference of neutrino particles <italic>via</italic> the Trivedi Effect<sup>®</sup> - Consciousness Energy Healing Treatment. The new form of metronidazole (Biofield Energy Treated) would be very useful to design better pharmaceutical formulations that might offer better therapeutic response against many diseases.</p>
      </sec>
    </sec>
    <sec id="idm1849585220" sec-type="conclusions">
      <title>Conclusions</title>
      <p>The experimental results concluded that the Trivedi Effect<sup>®</sup>-Consciousness Energy Healing Treatment (Biofield Energy Healing Treatment) showed the significant impact on the isotopic abundance ratios and mass peak intensities of metronidazole. The LC-MS spectra of both the samples of metronidazole at the retention time (R<sub>t</sub>) 2.61 minutes exhibited the mass of the protonated molecular ion peak at <italic>m/z</italic> 172 <sup>M+H</sup><sup>+</sup> (calculated for C<sub>6</sub>H<sub>10</sub>N<sub>3</sub>O<sub>3</sub><sup>+</sup>, 172.07). The LC-MS based isotopic abundance ratio of P<sub>M+1</sub>/P<sub>M</sub> (<sup>2</sup>H/<sup>1</sup>H or <sup>13</sup>C/<sup>12</sup>C or <sup>15</sup>N/<sup>14</sup>N or <sup>17</sup>O/<sup>16</sup>O) in the Biofield Energy Treated metronidazole was significantly increased by 8.24% compared with the control sample. Thus,<sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N,and<sup>17</sup>O contributions from (C<sub>6</sub>H<sub>10</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173 in the Biofield Energy Treated sample were significantly increased compared with the control sample. The                               GC-MS based isotopic abundance ratio of P<sub>M+1</sub>/P<sub>M</sub> in the Biofield Energy Treated metronidazole was significantly increased by 5.92% compared with the control sample. Hence,<sup>13</sup>C, <sup>2</sup>H, <sup>15</sup>N, and<sup>17</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 172 in the Biofield Energy Treated sample were significantly increased compared with the control sample. However, the isotopic abundance ratio of P<sub>M+2</sub>/P<sub>M</sub> in the Biofield Energy Treated metronidazole was significantly decreased by 18.2% compared with the control sample. Hence,<sup>18</sup>O contributions from (C<sub>6</sub>H<sub>9</sub>N<sub>3</sub>O<sub>3</sub>)<sup>+</sup> to <italic>m/z</italic> 173 in the Biofield Energy Treated sample were significantly decreased compared with the control sample. The isotopic abundance ratio of P<sub>M+1</sub>/P<sub>M</sub> (<sup>2</sup>H/<sup>1</sup>H or <sup>13</sup>C/<sup>12</sup>C or <sup>15</sup>N/<sup>14</sup>N or <sup>17</sup>O/<sup>16</sup>O) and P<sub>M+2</sub>/P<sub>M</sub> (<sup>18</sup>O/<sup>16</sup>O) in the Biofield Energy Treated metronidazole were significantly altered compared to the control sample. From the results it can be hypothesized that the changes in isotopic abundance could be due to changes in nuclei possibly through the interference of neutrino particles <italic>via</italic> the Trivedi Effect<sup>®</sup> - Consciousness Energy Healing Treatment. The new form of Biofield Energy Treated metronidazole would be better designing novel pharmaceutical formulations that might offer better therapeutic response against bacterial and protozoal infection in the vagina (bacterial vaginosis), stomach (giardiasis, trichomoniasis, pseudomembranous colitis), joints (pelvic inflammatory disease), liver, skin, brain, and respiratory tract, aspiration pneumonia, rosacea, intra-abdominal infections, lung abscess, fungating wounds, periodontitis, amoebiasis, oral infections, <italic>etc.</italic></p>
    </sec>
  </body>
  <back>
    <ack>
      <p>The authors are grateful to Sophisticated Instrumentation Centre for Applied Research &amp; Testing (SICART) India, Trivedi Science, Trivedi Global, Inc., Trivedi Testimonials, and Trivedi Master Wellness for their assistance and support during this work.</p>
    </ack>
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