Effectiveness Of Yoga Versus Exercise on Lipid Profile, BMI, And Blood Pressure Among Patients with Type II Diabetes Mellitus - A Community Based Randomised Control Trial

Context/Background: Lifestyle interventions have proven to reduce the incidence of type 2 diabetes mellitus and prevent the complications. Yoga is considered safe, simple to learn, and can be practiced even by ill, obese, elderly, or disabled persons at home. The present study was conducted to assess the effect of one year of yoga therapy on lipid profile, BMI, and blood pressure in subjects with type 2 diabe-tes mellitus. Methodology: This randomized controlled trial was conducted in an Urban Health center, Belagavi from July 2018 to December 2019. Around 120 participants diagnosed with type 2 diabetes mellitus were randomized into “Yoga” and “Exercise” groups. Fasting lipid profile, BMI, and blood pressure were exam-ined at baseline, six months, and after one year of intervention. Results: GEE model analysis showed that there were significant effects of Intervention × Time on Cho-lesterol (p=0.001), LDL (p=0.006) and VLDL (p=0.000). It was identified that the exercise intervention was found to decrease cholesterol and TG significantly more than the yoga group. Also, there was a sig-nificant reduction in BMI in both the exercise and yoga groups at the end of six months and one year (p=0.247). Conclusions: Yoga can be a complementary therapy for type 2 diabetes, along with medications and ex-ercise.

Comparative assessment of commercial enzyme-linked immunosorbent assay & rapid diagnostic tests used for dengue diagnosis in India

Background & objectives: Dengue diagnosis is routinely carried out by detection of dengue virus (DENV) antigen NS1 and/or anti-DENV IgM antibodies using enzyme-linked immunosorbent assays (ELISAs) and rapid diagnostic tests (RDTs). This study was aimed at evaluation of quality of diagnostic assays currently in use in India for the identification of DENV infection. Methods: During 2016 dengue season (July-November) in Pune, India, comparative assessment of a few immunoassays was undertaken using (i) WHO-approved Panbio-Dengue-Early-(NS1)-ELISA and Panbio-Dengue-IgM-Capture-ELISA as reference tests, and (ii) Bayesian latent class analysis (BLCA) which assumes that no test is perfect. The assays included J.Mitra-Dengue-NS1-Ag-MICROLISA (JME-NS1), J.Mitra-Dengue-IgM-MICROLISA (JME-IgM), and two RDTs, namely, J.Mitra-Dengue-Day-1-Test (JM-RDT) and SD-BIOLINE-Dengue-Duo (SDB-RDT). Serum samples from patients seeking dengue diagnosis (n=809) were tested using the diagnostic kits. The presence of NS1 and/or IgM was taken as evidence for dengue-positive diagnosis. Results: Panbio-NS1/IgM-ELISAs identified 38.6 per cent patients as dengue positive. With Panbio-ELISA as reference, all the tests were less sensitive for IgM detection, while for NS1, JM-RDT was less sensitive. For combined diagnosis (both markers), sensitivity of all the tests was low (55.7-76.6%). According to BLCA, Panbio-ELISA was 84 per cent sensitive for NS1, 86 per cent specific for IgM and 87 per cent specific for combined diagnosis. Accordingly, performance of the other tests was substantially improved with BLCA; however, sensitivity of both the RDTs for IgM detection remained unacceptable. The NS1 ELISAs and RDTs detected all four DENV serotypes, JME being most efficient. All IgM tests exhibited higher sensitivity in secondary infections. Interpretation & conclusions: These results confirmed superiority of ELISAs, and testing for both NS1 and IgM markers for dengue diagnosis, and emphasized on improvement in sensitivity of RDTs.

The prevalence of occult hepatitis B infection among the blood donors in a tertiary care hospital, Puducherry

Occult hepatitis B infection (OBI) is a cause of concern while screening the blood donors to prevent transfusion-related transmission of infection. This study was conducted to assess the prevalence of OBI using total anti-HBc by ELISA and DNA detection by real time polymerase chain reaction (PCR). The samples included were negative for HBs Ag by ELISA. Out of 1102 samples tested, 156 were positive for total anti-hepatitis B core antigen and 52/156 by real-time PCR. Overall, the prevalence was found to be 4.71% (52/1102). The results indicate that nucleic acid-based testing should be an essential part of screening procedure to prevent missing of OBI.

Trend of human brucellosis over a decade at tertiary care centre in North Karnataka.

Background: Brucellosis is an important zoonotic disease. India having a major agrarian population is expected to have a higher prevalence. However, due to lack of laboratory facility or awareness among clinicians, the disease is largely underreported. The aim of this study was to know the prevalence and trend of human brucellosis over a decade, in patients attending a teaching hospital in North Karnataka, and to understand their geographical distribution. Materials and Methods: The study was conducted from January 2006 to December 2015 at a tertiary care teaching hospital in North Karnataka. A total of 3610 serum samples were evaluated from suspected cases of brucellosis. All serum samples were initially screened by Rose Bengal plate test, and positive samples were further analysed by Serum agglutination test (SAT) using standard Brucella abortus antigen from Indian Veterinary Research Institute, Izatnagar, Uttar Pradesh, India. A titre above or equal to 1:80 IU/ml was considered as positive. Demographic data such as age, sex and native place of these patients were also analysed. Results: We observed that human brucellosis is present in North Karnataka. The overall seropositivity of brucellosis in suspected cases was 5.1%. The positive titres ranged from 1:80 to 163,840 IU/ml. The majority of the patients were from Gadag, Koppal and Haveri districts of North Karnataka. Conclusion: Our study confirms the presence of human brucellosis in the northern part of Karnataka. Further studies to understand the prevalence of animal brucellosis in these areas will help in implementing prevention measures.

Clinical Profile of the H1N1 Influenza.

The H1N1 influenza A infection initially pandemic started in Mexico in March 2009 and spread as per WHO phases of pandemic alert all over the world. It was in late march 2009 an outbreak of a respiratory illness and later to proved to be caused by novel swine origin influenza A (S-OIV) identified in Mexico. Aims & Objectives : The aim of the present study was to describe first clinical presentation, various organ damage, treatment outcome duration of hospital stay and mortality and impact on high risk group patients. This is retrospective study hospital based Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli. Material and Methods: During post-pandemic period in 2010 the patients were admitted in hospitals which were suspected cases of H1N1 influenza “A” infection. 118 cases were studied August 2010 to 31st January 2011. Results : One hundred eighteen (118) patients were admitted in hospital. Of the 118 patients 32 patients were H1N1 positive and 86 patients H1N1 negative. RT- PCR test was done for confirmation of infection. X- Ray chest in positive cases of H1N1 influenza “A” infection bilateral extensive Pneumonititis other organ damage suggestive ECG, STT were changes renal failure common symptoms cough, fever, breathlessness in 28 cases sex-wise and age-wise distribution is not significant. Hospital stay all admitted patients and hospital stay in expired patients p value < 0.00 and < 0.005 highly significant. Statistics – percentage, ratio Chi- square tests used. Conclusion : Mortality in risk (Comorbid condition) with and without risk (ventilator required) The Mortality was 18.50 % more during the winter season (Chilly and cold atmosphere August to October during this season feverable for viability of the virus) significantly mortality is seen in young age group. This infection can be prevented by vaccination. The tablet tamiflu 75 mg 1 BD for 10 days no other adverse effects observed in our study the drug is safe and no resistance was observed.

Crossed renal ectopia associated with malrotation of intestine- A rare case report.

Background: Kidneys and ureters demonstrate a wide range of anomalies due to its complex development. One such anomaly would be the crossed renal ectopia which is fusion of both kidneys on to one side and malpositioned at the pelvis. The occurrence of these anomalies, though rare, is due to multifactorial reasons. The renal anomaly was observed in a formalin fixed adult cadaver during the undergraduate medical dissection. The abdominal cavity, on opening, revealed malrotation of the gut with the large intestine on the left side and the small intestinal loops on the right side. The left renal fossa was empty due to fusion of the left kidney with the right kidney forming a lump kidney. The ureter of the left kidney was draining in to its normal position into the urinary bladder. The position of the lump kidney was in the right iliac fossa. It was having arterial feeders from the abdominal aorta and the common iliac arteries and was draining into the inferior vena cava and the right common iliac veins by 5 renal veins. Crossed renal ectopia rarely may be associated with malrotation of the gut. Awareness of such anomalies could be due to incidental finding and helps the surgeons and radiologists in their diagnosis and planning and preventing postoperative complications.

Preparation, Characterization and In-vitro Evaluation of Microcapsules for Controlled Release of Diltiazem Hydrochloride by Ionotropic Gelation Technique.

The problems of frequent administration and variable low bioavailability after oral administration of conventional dosage forms of diltiazem can be attenuated by designing it in the form of microcapsules which would facilitate intimate contact with the absorption surface and thereby improve and enhance the bioavailability. Diltiazem-loaded microcapsules were successfully prepared by ionotropic gelation technique employing Sodium carboxy methylcellulose, Xanthan gum as rate controlling polymers and Aluminium chloride as cross linking agent. Microcapsules obtained were discrete, spherical, free flowing and showed a maximum encapsulation efficiency of 91.20 ± 0.08%. Particle size of the microcapsules was found to be in the range of 1009 – 1311 μm. Interaction studies performed using FTIR spectroscopy revealed that there were no drug and polymer interactions. The drug remained dispersed in the polymer matrix in amorphous state, which was confirmed by X-ray diffraction analysis. The in vitro drug release follows matrix-diffusion controlled release and the release mechanism was non-Fickian type controlled by swelling and relaxation of polymer. There was no significant change in drug content and cumulative drug release of drug-loaded microcapsules stored at different storage condition after 90 days. From the study, it was concluded that diltiazem loaded microcapsules could be successfully prepared by ionotropic gelation technique with high entrapment efficiency and prolonged release characteristics.

Association of platelet count and serological markers of dengue infection- importance of NS1 antigen.

Introduction: Dengue is an acute viral infection with potential fatal complications. Specific antibody detection has been the mainstay of diagnosis which is prone for both false positive and false negative reactions. The newer parameter NS1 appears to be highly specific and reliable for diagnosis of dengue infection from the first day of fever. Platelet count is the only accessory test for diagnosis of dengue infection in the peripheral laboratories. Therefore, we tried to evaluate the association of platelet counts against NS1 and IgM/IgG in dengue infections. Materials and Methods: Serum samples from clinically suspected dengue cases were tested for NS1, IgM and IgG by immunochromatography-based test. Platelet counts were obtained for all positive cases and 150 dengue seronegative cases of fever that served as controls. Test results of dengue-specific parameters were compared against platelet counts. The proportions obtained were compared by Standard error of the difference between the proportions (SEP test). Results: Of 2104 samples tested, 320 were positive for one or more dengue parameters. Of the 320, 95 were positive for NS1 only, 161 showed IgM only while 9 showed IgG only. More than one marker was detected in the remaining 55 samples. Thrombocytopenia was more consistently associated whenever NS1 was detected compared to antibody detection (P value <0.001). Conclusions: Inclusion of NS1 in the diagnosis of dengue increases the detection rate significantly. In cases of fever, thrombocytopenia is more consistently found in dengue positive rather than dengue negative subjects. It correlates well when NS1 and IgM are detected simultaneously.

Comparative study of Candida in oral submucous fibrosis and healthy individuals / Estudo comparativo de Candida em fibrose submucosa oral e indivíduos saudáveis

PURPOSE: Oral submucous fibrosis (OSMF) is a high-risk precancerous condition that predominantly affects Indian youngsters due to the habit of gutkha chewing. Candida may play a role in the etiopathogenesis of premalignant and malignant lesions. The aim of this study is to compare the incidence, intensity, and species of Candida found in OSMF patients and healthy individuals. METHODS: This study included 20 OSMF patients and 20 healthy controls. A detailed history of each patient was recorded along with a clinical examination. Samples were collected with the oral rinse technique and cultured on Sabouraud's agar medium. The isolated yeast species were counted and identified based on Gram staining, a germ tube test, chlamydospore formation and a sugar assimilation test. RESULTA: In total, 40 percent of OSMF patients and 15 percent of healthy controls yielded Candida organisms on culture. C. albicans was the predominant species isolated, but C. krusei and C. tropicalis were also identified. Gender, gutkha habit and clinical staging had no influence on the candidal carriage in OSMF patients. CONCLUSION: The incidence and intensity of Candida (primarily C. albicans) was greater in OSMF patients than in healthy controls, but these findings were within the normal limit (3-47 percent). Therefore, Candida may not be an etiologic factor in malignant transformation. However, controversy still exists over whether the chewing of betel quid in cases of OSMF has an inhibitory effect or promotes the adherence and invasion of Candida.

OBJETIVO: Fibrose submucosa oral (FSO) é uma condição pré-maligna de alto risco que predominantemente afeta jovens da Índia devido ao hábito de mascar 'gutkha'. Candida pode ter um papel importante na etiopatogenia de lesões pré-malignas e malignas. O objetivo deste estudo foi comparar a incidência, intensidade e Candida spp encontradas em pacientes com FSO e em indivíduos saudáveis. METODOLOGIA: Este estudo incluiu 20 pacientes com FSO e 20 controles saudáveis. Obteve-se de cada sujeito uma história detalhada e exame clínico. As amostras foram coletadas com uma técnica de enxágue bucal e cultivadas em meio Agar Sabouraud. As espécies isoladas foram contadas e identificadas com base em coloração Gram, teste de tubo de ensaio e teste de assimilação de açúcar. RESULTADOS: No total, 40 por cento dos pacientes com FSO e 15 por cento dos controles saudáveis apresentaram resultado positivo de cultura para Candida. C. albicans foi a espécie predominante isolada, mas C. krusei e C. tropicalis também foram identificados. O sexo, hábito de mascar 'gutkha' e estadiamento clínico não influenciaram a presença de fungos nos pacientes com FSO. CONCLUSÃO: A incidência e intensidade de Candida (primariamente C. albicans) foi maior nos pacientes com FSO que nos sujeitos controle, mas estes achados estavam dentro dos limites normais (3-47 por cento). Portanto, Candida pode não ser um fator etiológico na transformação maligna. Entretanto, ainda há controvérsias se o hábito de mascar 'betel' em casos de FSO teria um efeito inibidor ou promoveria a aderência e invasão de Candida.

Comparative study of adherence of oral Candida albicans isolates from HIV sero-positive individuals and HIV sero-negative individuals to human buccal epithelial cells.

Aim: Candida albicans occurs as a commensal of the gastrointestinal tract. Under predisposing conditions, candida can produce a broad array of infections. HIV seropositive individuals show increased oral colonization compared to the HIV seronegative healthy individuals. C. albicans shows a variety of pathogenic factors. We have studied one such factor here; the adherence property of C. albicans isolated from HIV seropositive individuals and HIV seronegative to Human Buccal Epithelial Cells (HBEC) of normal healthy individuals. Materials and Methods: Concentrated oral rinse specimen were collected from 50 healthy volunteers (control group) and 25 HIV positive individuals (test group) and used for isolation of C. albicans. Adherence assay was done using C. albicans isolates from both groups on HBEC collected from HIV sero-negative, normal individuals. The adherence assay method described by Kimura and Pearsall was used with minor modification. Statistical Analysis Used: The results of Adhesion assay were subjected to statistical analysis using student "t" test. Results: C. albicans isolated from both the groups were tested for their adherence property to normal HBEC. The isolates from test group showed more adherence to HBEC compared to those of the control group, with average rate of adherence being 56.6%. The control group showed average adherence rate of 29.1%. This was statistically significant with p value equal to 0.05. Conclusion: C. albicans from HIV infected individuals showed significant rise in degree of adhesion to the buccal epithelial cells than the isolates from healthy controls, suggesting the enhancement of virulence factors such as adherence in the presence of predisposing condition.

A study of the levels of serum malondialdehyde, alpha tocopherol, beta carotene and vitamin c after micronutrient supplementation during alcohol rehabilitation.

This study was undertaken to test the effect of a 21-day supplementation of antioxidant nutrients on biochemical indicators of lipid peroxidation, and vitamin levels in alcohol-dependent patients during a program of alcohol rehabilitation. A randomized double-blind trial was performed comparing two groups receiving daily either a combination of micronutrients (vitamin A 5000 IU, vitamin D3 400 IU, vitamin E 15 mg, vitamin B1 IP 5mg, vitamin B2 IP 5mg, nicotinamide IP 45mg, D-panthenol IP 5mg, vitamin B6 IP 2mg, vitamin C IP 75 mg, folic acid 1000mcg, vitamin B12 IP 5mcg, dibasic calcium phosphate IP 70 mg, copper sulphate BP 0.1mg, zinc sulphate monohydrate USP 28.7, potassium iodide IP 0.025 mg, light magnesium oxide IP 0.15 mg) or a non-supplemented group. 160 male alcohol-dependent patients, 25–45 years of age without severe liver disease, hospitalized for a 21-day rehabilitation program were included. Serum malondialdehyde, α-tocopherol, β-carotene and vitamin C were measured in serum, initially and after supplementation. In the non-supplemented group, serum concentrations of malondialdehyde decreased significantly (p<0.05) and vitamin C significantly increased (p<0.001), whereas α-tocopherol and β-carotene concentrations were unaffected. At the end of the hospital stay, serum indicators were significantly improved in the supplemented group as compared to the non-supplemented group for α-tocopherol, β-carotene and serum malondialdehyde (p<0.001). The results indicate that a short-term supplementation with physiological doses of antioxidant vitamins during alcohol rehabilitation clearly improves micronutrient status indicators, and reduces oxidative stress.

Isolation of Salmonella enterica serotype Isangi from a suspected case of enteric encephalopathy.

Nontyphoidal salmonella species are thought to be potentially infectious to humans and many are documented to cause human diseases. We isolated S. Isangi from the blood of a 30-year-old man with complaints of diarrhoea, fever, and altered sensorium. The serotype of the isolate was confirmed at National Salmonella Centre (Vet.), Division of Bacteriology and Mycology, Indian Veterinary Research Institute, Izzatnagar, India. The isolate was not an extended spectrum beta-lactamase (ESBL) producer and the patient responded well to ceftriaxone. We reviewed the literature concerning infections caused by salmonella; however, did not find any report related to S. Isangi infection in human beings from India.

Delayed diagnosis for undescended testes.

Delayed diagnosis of undescended testes is a major problem. A retrospective review of 298 testes units was performed to assess the age at referral, age at operation, complications and final outcome. The mean age at referral was 57 months. Only 24% of cases were operated below 2 years. A similar pattern of delayed orchidopexy has been reported by many other centres. As orchidopexy is recommended soon after 6-7 months of age, there is an urgent need for increased awareness of undescended testes and its consequences at all levels of child health care.

Role of cortisol on condition factor in the female freshwater fish, Notopterus notopterus during four reproductive phases.

The condition of the female fish, Notopterus notopterus was studied during four phases of the reproductive cycle in control and after cortisol hormone treatment. The condition of the fish including condition factor (K) and somatic condition factor (Ks) was determined based on weight of the body, length of the fish and gonad weight. In control fish the condition of the fish improve during prespawning phase compared to other phases. The hormone cortisol level estimated by radioimmunoassay (RIA) technique was found to be increased in preparatory and decreased during prespawning phase, may be because of the hormone involvement in metabolic activity, vitellogenesis. In cortisol treatment, the condition of the fish decrease during prespawning phase, compared to other phase may be because of extra expenditure of energy for progressing reproductive activity such as vitellogenesis.

Tissue cholesterol and serum cortisol level during different reproductive phases of the female freshwater fish Notopterus notopterus (Pallas).

In the present study tissue cholesterol and serum cortisol changes during two reproductive phases have been correlated in the freshwater fish Notopterus notopterus. The reproductive cycle of N. notopterus has two phases such as breeding phase (April - August) and non breading phase (October - December). The cholesterol content of the ovary and liver increased during breeding phase. The serum cortisol estimated by radio immuno assay (RIA) technique indicates that the level of the hormone was high during breeding phase compared to non breading phase. The increase in cholesterol during breeding phase may be because of increase in cortisol synthesis needed for ovarian growth and vitellogenesis. The gonadosomatic index (GSI) also increases during breeding phase.

Effect of cortisol on female freshwater fish Notopterus notopterus.

In the present study, effect of cortisol on the ovary of the freshwater fish Notopterus notopterus was studied during four phases of the reproductive cycle. The hormone was injected 60microg/fish for ten days. Cortisol in fish is known to increase the metabolic activity. After the hormone treatment the ovarian somatic index and the hepatosomatic index increases during non breeding phase. The young oocytes transferred into vitellogenic oocytes in all the phases after cortisol treatment. The cortisol induced increased ovarian activity may be due to increase in the metabolic activity through the involvement of hepatic cells specially during non-breeding period providing support for energy production for reproductive activity in the freshwater fish N. notopterus.

A study of leucorrhoea in reproductive age group women of Nagpur City.

A community based cross-sectional study was conducted in reproductive age group women in an urban community of Nagpur, to assess the prevalence of leucorrhoea and the factors influencing the same in these women. The study participants included 506 females, out of which 149 were unmarried and 357 were married. Detailed history and clinical examination was done in all the females including gynecological examination in all the married females. Leucorrhoea was present in 139 (27.47%) females. Leucorrhoea was found significantly more in married females as compared to unmarried (p < 0.001), pregnant as compared to non-pregnant (OR = 2.10, 95% C.I. = 1.02-4.32), and women of lower socioeconomic status (p < 0.001), women with high parity (p < 0.001). Use of Cu-T was not associated with Leucorrhoea (p > 0.05).

Changes in tissue cholesterol and serum cortisol level during four reproductive phases of the male freshwater fish, Notopterus notopterus.

The tissue cholesterol and serum cortisol changes during four reproductive phases has been studied in the freshwater fish Notopterus notopterus of male sex during four phases, preparatory (January - March), prespawning (April - May), spawning (August - September) and post spawning (November - December). The cholesterol content of the testis and liver increased during preparatory phase and maximum content of cholesterol was during spawning phase. The serum cortisol estimated by radioimmunoassay (RIA) technique which indicated that the level of the hormone was high during pre-spawning and spawning phases compared to other two phases. The increase in cholesterol during preparatory and spawning phases may be because of increase in cortisol synthesis needed for testicular growth and spermetogenesis during these phases. The gonadosomatic index (GSI) also increased during these phases.