A survey of nutritional practices for children with cancer in India.

BACKGROUND: Assessing nutritional status and delivering optimal nutritional care is a part of modern day treatment of children with cancer. The nutritional practices in India for these children have not been previously described. AIMS: To describe the existing nutrition assessment and management practices for children with cancer in India. METHODS: Attendees of the First International Society of Pediatric Oncology‑Pediatric Oncology in Developing Countries workshop on nutrition in children with cancer organized in September 2014 at Tata Memorial Hospital, Mumbai, India were invited to complete a self‑administered questionnaire related to three domains: nutritional assessment, intervention, and education. RESULTS: Hundred and eight respondents from 42 health institutions and background in the health sector participated in the survey. There was variability in nutritional assessment, practice and education. Lack of resources and time are contributory. CONCLUSIONS: This assessment of nutritional services in India provided useful information to plan development of national guidelines, policy, and delivery of services.

Posterior reversible encephalopathy syndrome: A rare entity.

Posterior reversible encephalopathy syndrome(PRES) is a proposed reversible cliniconeuroradiological entity characterized by headache, altered mental status, cortical blindness, seizures, focal neurological signs and a diagnostic magnetic resonance image showing multiple hyperintense signal in cortical and subcortical white matter. We report a case of 25 year female who presented 2 days postdelivery with posterior reversible encephalopathy syndrome. Early diagnosis with MRI showing bilateral parietal and occipital hyperintensities and treatment with manitol, antiepileptics and supportive measure, the syndrome was fully reversible. Clinicians as well as radiologists should be familiar with this clinically frightening, underdiagnosed condition to assure timely diagnosis and treatment to prevent persistent neurological deficits.

Impact of sewage irrigation on speciation of nickel in soils and its accumulation in crops of industrial towns of Punjab.

Analysis of soil samples collected from sewage and tube well irrigated soils of Ludhiana, Amritsar Jalandhar and Mandi Gobindgarh, revealed that Diethylene triamine pentaacetic acid extractable nickel ( DTPA-Ni) was found to be higher in sewage fed soils. Sewage irrigation increased soil DTPA-Ni content by 3.04 times over the tube well irrigated soils. The content of DTPA-Ni showed decreasing trend with depth. Hydrogen concentration (pH) was negatively and significantly correlated with DTPA-Ni nickel whereas, organic carbon and total Ni show positive and significant correlation. Sequential fractionation was carried out to partition Ni in to fractions namely exchangeable and water soluble, organic bound, carbonate bound, Mn oxides bound, amorphous Fe oxides, crystalline Fe oxides bound and residual. Plant availability of these fractions is believed to decrease in the above order. Sequential fractionation indicated that every extracted fraction exhibited increase in Ni content with sewage irrigation with most prominent increases occurring in the organic and oxide fractions. The lowest amount of Ni in exchangeable and water soluble and the highest in residual pools testify that plants grown on these soils may not suffer from Ni toxicity. Though all the crops irrigated with sewage water had appreciably higher concentration of Ni as compared to the crops raised with tube-well water yet raya (Brassica juncea) and toria (Brassica campestris) accumulated higher content of heavy metals as compared to other crops, with higher content in roots than shoots. Transport index suggested that major part of taken up Ni is translocated to top parts of plant. Based on values of transport indices, different crops maybe arranged as toria > raya = maize > bajra > lady finger. As the plants take up nickel readily and there is danger of its excessive accumulation in plant organs and devaluation of the plant products. This is topical issue particularly in crops used for direct consumption.

Lipid profile in smokers and tobacco chewers--a comparative study.

OBJECTIVE: The present study was undertaken to evaluate lipid profile in cigarette smokers and tobacco chewers and to see whether tobacco chewing causes same degree of alteration in lipid profile as done by smoking. METHODS: Serum lipid profile was studied in 30 smokers (Group A), 30 tobacco chewers (Group B) and 30 controls i.e., non-smokers and non-tobacco chewers (Group C). RESULTS: High density lipoprotein-cholesterol was lower both in smoker (P < 0.01) as well as in tobacco chewers (P < 0.001) than the controls. Both smokers and tobacco chewers had higher values of total cholesterol, low density lipoprotein cholesterol, very low density lipoprotein-cholesterol and, triglycerides as compared to non-smoker, non-tobacco chewer group whereas the differences in levels of lipids in smokers and tobacco chewers were not statistically significant. CONCLUSION: Though different mode of addictions, smoking and tobacco chewing have an equal and comparable adverse effects on lipid profile and therefore raising cardiovascular risk in same proportion.

Late onset adrenal hyperplasia due to 3 beta-hydroxy-delta 5-steroid dehydrogenase deficiency in north Indian hirsute women.

The presence of late onset 3 beta-hydroxy steroid dehydrogenase (3 beta-HSD) type of congenital adrenal hyperplasia was studied in 58 north Indian hirsute women. The age range of these patients was 15 to 42 yr. Fifty two per cent of these patients had body mass index > 25. Basal serum testosterone, luteinizing hormone, follicle stimulating hormone, dehydroepiandrosterone sulphate (DHEAS), and 17 hydroxy progesterone (17 OHP) were estimated. All the patients underwent adrenocorticotropin (ACTH) stimulation test after an overnight dexamethasone suppression for the estimation of DHEAS, 17 OHP, and 17 hydroxy pregnenolone (delta 5-17p). Five (8.6%) hirsute women showed an exaggerated 17 OHP response to ACTH indicating 21-hydroxylase deficiency. Eight (13.8%) hirsute women had elevated basal DHEAS and ACTH-stimulated DHEAS as well as delta 5-17P responses indicative of 3 beta-HSD deficiency. In one patient hirsutism was the presenting manifestation of tumoural hyperandrogenism. Our findings indicate the presence of both 21-hydroxylase and 3 beta-HSD deficiency in north Indian hirsute women, with, 3 beta-HSD deficiency being the major cause of hirsutism in this population.