ABSTRACT
Background: Minerals and trace element content of human milk have been a matter of concern among nutritionist in relation to the availability of the essential elements to the new born. Mineral and trace elements occur in the body in a number of chemical forms, such as inorganic ions and salts, or as constituents of organic molecules, for example proteins, fats, carbohydrates and nucleic acids. There is a paucity of data on the effect of nutrition on the composition of trace elements in milk and its effect on the infant. Hence a comparison made between the trace element and mineral such as sodium, potassium, magnesium, iron, zinc, copper, calcium in milk of malnourished and well-nourished mothers in order to determine the effect of maternal nutrition on the quality of milk and its effect on the growth and physical development of the new-born.Methods: Around 100 mothers were enrolled in the study after obtaining prior informed consent. They were divided into 2 groups-group I had 50 malnourished mothers and group II had 50 well-nourished mothers. The pre-fed milk sample which was collected was stored at - 20℃ until it was processed. It was thawed and analysed for copper, zinc, iron, magnesium, sodium, potassium and calcium.Results: The mean levels of trace elements (iron and zinc) and minerals (sodium, potassium, calcium, magnesium) were slightly more among well-nourished than malnourished women. Values of only copper were significantly higher in the colostrum of well-nourished as compared to that of the malnourished mothers.Conclusions: The parameters of weight, height weight/height ratio and hemoglobin varied significantly between the well-nourished and malnourished mothers. The difference in milk content of malnourished and well-nourished mothers is not significant for sodium, potassium, calcium, iron, magnesium, zinc. However, copper levels were significantly higher in well-nourished mothers.
ABSTRACT
Aims Difficulties in diagnosis of phyllodes tumour are well known. Our aim was to observe whether the expressions of satb1, survivin, and ki-67 were helpful in differentiating fibroadenoma and phyllodes tumour. Settings and design Retrospective. Methods and material Paraffin embedded tissue samples from 60 female patients with phyllodes tumour and 60 female patients with fibroadenoma were studied. Expression of the gene products was studied and confirmed using immunohisto chemical and western blot analysis. Statistical analysis used The statistical analysis was performed using Fisher's exact test to find out the significant changes. Results Statistically significant difference was observed in Satb1, survivin expression between fibroadenoma and benign phyllodes cases. The difference between the Ki-67 expression in fibroadenoma and benign phyllodes cases was not statistically significant. Conclusions Our finding of strong stromal expression of satb1 and survivin in phyllodes as compared to fibroadenoma can be helpful for the development of additional diagnostic and prognostic indicators for otherwise difficult cases. Such immunochemical markers can be used to elucidate cellular basis of tumour behaviour. Validation of such immunochemical test in future will reduce diagnostic uncertainty in this rare tumour. In addition to that such parameters may serve as a therapeutic target that could increase effectiveness of chemotherapy or radiation therapy. A study with large number of samples along with clinical and follow-up data is required for confirmation.