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Background: Diabetes Mellitus Type 2 (DMT2), which is characterized by the raised blood sugar level due to insulin resistance in body cells, has now become global epidemic. This study was aimed to compare the efficacy of metformin and repaglinide monotherapy in patients with newly diagnosed DMT2. Methods: This randomized comparative prospective study was performed in a tertiary care hospital of Lahore. 108 Patients’ enrollment was made via simple random sampling technique and a developed inclusion and exclusion criteria. Patients were divided into metformin and repaglinide groups via lottery method. Self-designed proforma was applied for data collection. Data analysis was done in SPSS version 25.0. Results: There was no significant difference in the means of pretreatment (p=0.08) and posttreatment (p=0.10) fasting blood sugar levels between two groups, while significant differences between the means of pretreatment and posttreatment fasting blood sugar levels within metformin group (p=0.02) and repaglinide group (p=0.01) were noted. Likewise, there was no significant difference in the means of pretreatment (p=0.07) HbA1C levels of two groups; however, significant difference was observed in the means of posttreatment (p=0.04) HbA1C of two groups. Moreover, significant differences were also seen between the means of pretreatment and posttreatment HbA1C levels in both metformin group (p=0.03) and repaglinide group (p=0.01). Conclusions: This study suggests that although both metformin and repaglinide are effective in the new-onset T2DM managementz; however, reduction in fasting blood sugar level and HbA1c was more in repaglinide group.
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Background: Benign prostatic hyperplasia (BPH) is common amongst the elderly. Even after transurethral resection of prostate (TURP), retention of urine may persist in some leading to significant morbidity adversely affecting the quality of life. The role of alpha blockers in this situation as a combination is unclear. The present study was conducted to evaluate and compare the efficacy of tamsulosin versus tamsulosin and deflazacort in relieving the postoperative retention of urine following TURP. Methods: After obtaining ethics approval and written informed consent, 72 patients satisfying the eligibility criteria were included. After TURP, patients with urinary retention following catheter removal were randomized into group A (tamsulosin hydrochloride) and group B (tamsulosin hydrochloride and deflazocort). baseline international prostate symptom score (IPSS) score was done to assess quality of life and findings of radiological investigations were noted. Thereafter, medical therapy was done as per assigned group and postoperative findings were documented and analyzed. Results: Both the groups were similar in terms of demographic characteristics and baseline characteristics. The relief of symptoms was significantly more in group B along with lower IPSS score and residual volume. Conclusions: We recommend addition of deflazacort to tamsulosin hydrochloride as medical therapy for the management of postoperative retention of urine (POUR), especially following TURP.
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Background: Retrograde intrarenal surgery (RIRS) is the standard of care for renal stones of less than 1.5 cm and less than 1000 Hounsfield units (HU). Most virgin ureters do not allow the flexible ureteroscope in the first setting. Placement of a D-J stent in the ureter dilates the ureter. Therefore, our study aimed to compare stone clearance rates and symptom complex of passive ureteral dilation following 4.5 French/Fr versus 6 French/Fr double J (DJ) stent placement. Methods: After obtaining ethics approval and written informed consent, 100 patients satisfying the inclusion and exclusion criteria were included and data recorded. patients were randomized into group A (4.5 Fr) and group B (6 Fr). Stent was placed. After 4 weeks, symptoms were assessed by the ureteral stent symptom questionnaire (USSQ). Following retrograde intrarenal surgery (RIRS) successful passage of ureteric access sheath (UAS) and stone clearance rates were assessed. Results: The surgical success rate, stone clearance rate was similar in the two groups (p value: more than 0.05). The USSQ score was significantly lower in group A (p value: 0.001). Conclusions: Stent of smaller diameter (4.5 Fr) is associated with less patient discomfort with similar surgical completion rates and stone clearance.
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Background: Child under nutrition is the leading cause in more than one third of infant and child death globally especially in developing countries. Various social and environmental factors affect child nutrition and result in under nutrition. Maternal knowledge, their attitude, and practices all can have an effect in changing the child’s nutritional pattern. It is thus essential that mothers have proper knowledge on dietary practices in prevention of malnutrition, which, in turn, can help them to have good attitude toward the dietary practices so that they can change their behaviour and harmful practices. Methods: Information obtained from the mothers of children admitted to nutrition rehabilitation centre (NRC) during the period from January 2020 to June 2021 using the questionnaire with direct interview method. Used a predesigned questionnaire on respective mothers. Results: 42.8% of mothers had an overall good knowledge. 91.96% of mothers had a positive attitude and good practices towards feeding practices of children admitted to NRC. Conclusions: Education occupation and socio-economic class does not influence the knowledge attitude and practices of mothers regarding feeding practices whereas number of ANC visits has a significant effect.
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The goal of this study was to digitally evaluate the development of maxillary dental arches of children with unilateral cleft lip and palate treated with one- and two-stage palatal closure. One hundred and sixty-eight digitized dental models of cheiloplasty and one-stage palatoplasty (G1) and cheiloplasty and two-stage palatoplasty (G2) were evaluated at preoperative time 1 (T1), preoperative time 2 (T2), and postoperative (T3). The following surface distances were evaluated: across surface distance; cleft widths anterior (P-P′) and posterior (U-U′) cleft widths, intercanine width (C-C′), and intertuberosity width (T-T′); smallest (P′-T′) and largest (P-T) segment lengths; and smallest (C′-D′) and largest (C-D) segment cleft depths. In G1, P-P′, U-U′, and C-C′ reduced at T2, unlike P′-T′ (P<0.05). P-T and C′-D′ distances increased at T3 (P<0.05), while C-D increased at all stages (P<0.001). In G2, U-U′ and C-C′ reduced at T2 (P<0.05), while P′-T′, P-T, C′-D′, and C-D′ increased at T3 (P<0.001). In an intergroup analysis of growth rate, G2 showed higher growth percentages compared to G1, in which C′-D′ was significant (P=0.038). Furthermore, C′-D′ presented a coefficient of determination of 0.076 (P=0.039). In conclusion, dental arch development is influenced by the rehabilitation protocol. However, in the sample evaluated, the comparison suggested that individuals whose palate was operated on in two stages had the most favorable palatal growth.
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The chemical structure of piperidine has a unique ability to combine with other molecular fragments. This fact makes it possible to actively use it as an effective basis for the creation of new drug-like substances. Thus, the aim of the current investigation was to study the acute toxicity, local anesthetic potency, and antiarrhythmic activity of the two new synthesized piperidine derivatives under laboratory codes LAS-286 and LAS-294 (local anesthetic substances). The Bulbring & Wajda animal model and method of determining the nociception threshold during electrical stimulation was used to investigate the action of the substance during infiltration anesthesia. An antiarrhythmic activity was observed by the aconitine-induced rat arrhythmia model. Additionally, these compounds were studied in relation to molecular docking to delineate the structure-activity relationships. The tested piperidine derivatives had a low toxicity in the subcutaneous and intravenous administration routes. The experimental results showed a higher prolonged and pronounced local anesthetic activity for LAS-286 at a 0.5% concentration, compared to the reference preparations. The low dosage of 0.1 mg/kg of LAS-294 demonstrated a pronounced preventive antiarrhythmic effect in 90% of cases on the development of mixed arrhythmia, caused by aconitine. The results of molecular docking confirmed a higher binding affinity of the tested piperidines with the Nav1.4 and Nav1.5 macromolecules. The results of the present study are very promising, because these piperidines have shown a high biological activity, which can suggest a potential therapeutic application in the future.
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Considering the lack of consensus related to the impact of selective IL-6 receptor inhibition on bone remodeling and the scarcity of reports, especially on large bone defects, this study proposed to evaluate the biological impact of the selective inhibitor of interleukin-6 receptor (tocilizumab) in an experimental model of critical calvarial defect in rats. In this preclinical and in vivo study, 24 male Wistar rats were randomly divided into two groups (n=12/group): defect treated with collagen sponge (CG) and defect treated with collagen sponge associated with 2 mg/kg tocilizumab (TCZ). The defect in the parietal bone was created using an 8-mm diameter trephine drill. After 90 days, the animals were euthanized, and tissue samples (skull caps) were evaluated through micro-CT, histological, immunohistochemistry, cytokines, and RT-qPCR analyses. Tocilizumab reduced mononuclear inflammatory infiltration (P<0.05) and tumor necrosis factor (TNF)-α levels (P<0.01) and down-regulated tissue gene expression of BMP-2 (P<0.001), RUNX-2 (P<0.05), and interleukin (IL)-6 (P<0.05). Moreover, it promoted a stronger immunostaining of cathepsin and RANKL (P<0.05). Micro-CT and histological analyses revealed no impact on general bone formation (P>0.05). The bone cells (osteoblasts, osteoclasts, and osteocytes) in the defect area were similar in both groups (P>0.05). Tocilizumab reduced inflammatory cytokines, decreased osteogenic protein, and increased proteases in a critical bone defect in rats. Ninety days after the local application of tocilizumab in the cranial defect, we did not find a significant formation of bone tissue compared with a collagen sponge.
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The aim was to investigate the long-term effects of metformin ingestion on high-intensity interval training on performance, glycogen concentration (GC), GLUT-4 content, and metabolomics outcomes in rats. Fifty male Wistar rats were randomly divided into baseline, metformin (500 mg daily), and control groups. Training consisted of 4 sets of 10 jumps with 30 s of passive recovery per day, 5 days/week for 8 weeks. The intensity equivalent was 50% of body mass (BM) in the first four weeks and 70% of BM in the last four weeks. The animals were submitted to a weekly jump test until exhaustion at 50% of BM. Serum and tissues were collected at baseline and after 4 and 8 weeks for biochemical and metabolomics analysis. The number of jumps increased in the Control group without a significant difference between groups at 4 and 8 weeks. GLUT4 was lower in the gastrocnemius muscle in the Metformin at the fourth week compared to Control (P=0.03) and compared to Metformin (P=0.02) and Control (P=0.01) at eight weeks. Hepatic and soleus GC were not altered by metformin. Gastrocnemius GC was lower after 8 weeks in the Metformin group compared to Control (P=0.01). Significantly lower levels of pyruvate and phenylalanine and higher levels of ethanol, formate, betaine, very low-density lipoprotein, low-density lipoprotein, and creatine were found in the Metformin compared to the Control. Although chronic administration of metformin decreased food intake and negatively influenced the synthesis of muscle glycogen, it did not significantly change physical performance compared to the Control.
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Dentin sensitivity is a problem characterized by brief sharp pain that occurs in response to things like changes in temperature, sweet or sour substances and mechanical factors. This condition significantly affects the lives of patients leading to restrictions and changes in oral hygiene routines. It is crucial for care to understand the causes, symptoms, diagnosis and management of dentin sensitivity. The development of dentin sensitivity is closely related to the structure of teeth which involves the exposure of tubes in the dentin that contain nerve endings sensitive to stimuli. Different theories, such as the theory and direct innervation theory provide insights into how this pain occurs. Diagnosis involves an evaluation of signs and symptoms along with patient history and specific tests to confirm sensitivity. Management options include adjusting behaviors using desensitizing toothpaste or fluoride applications utilizing bonding agents or even undergoing procedures like gingival grafts. These approaches aim to reduce pain and improve the quality of life for individuals affected by dentin sensitivity. Dental professionals play a role, in diagnosing, treating and educating patients about this condition to ensure results and better oral health.
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Background: Diabetes Mellitus Type 2 (DMT2) is one of the commonest disorders of endocrinology which is characterized by the raised blood glucose level due to insulin resistance in body cells. This study was aimed to determine the correlation between the glycated hemoglobin (HbA1c) and serum uric acid (SUA) in patients with DMT2. Methods: This cross-sectional study was conducted in a tertiary care hospital of Lahore. 73 Patients’ recruitment was made via convenient sampling technique and a developed inclusion and exclusion criteria. Self-structured proforma was used for data collection. Data analysis was done in SPSS version 25.0. Results: From total patients, 40 (54.79%) were women while 33 (45.21%) were men. Means of different variables like age, HbA1c, and serum uric acid level were 54.98 years with standard deviation (SD) of ±11.67 years, 7.90 with SD of ±1.85%, and 7.51 with SD of ±0.81 respectively. 32 (43.83%) patients had good glycemic control whereas 41 (56.17%) patients had poor glycemic control. The frequencies of hyperuricemia and normal SUA in study population were 35 (47.94%) and 38 (52.06%) respectively. The means of the HbA1c across gender had statistically significant difference. Difference in the means of the SUA level, across gender and between patients with hyperuricemia and normal SUA level, was also statistically significant. Moreover, correlation between the HbA1c and SUA was positive and statistically significant. Conclusions: In a nutshell, this study suggests that increase in SUA level, worsen the glycemic control by raising glycated hemoglobin level among patients with DMT2.
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Background: About 1.3 billion people around the world are living with disabilities, facing challenges such as premature death, mental conditions and other diseases. In South Africa, over 3.5 million people live with disabilities, making up about 6.6% of the total population. People with disabilities face numerous challenges of prejudice, and increasingly, digital exclusion is also becoming a concern. Objectives: The objective of this study was to determine the extent and challenges that People with disabilities (PwD) have in accessing digital technology, assess the level of the digital divide, and propose measures to narrow this gap. Data were collected using survey questions, and the target population were people with disabilities located in various districts of KwaZulu-Natal province, South Africa. Method: The study utilised a quantitative approach and analysed the findings using the Statistical Package for the Social Sciences (SPSS). Results: The results indicated that people with disabilities are marginalised and have limited or no access to technology. The research concludes that there needs to be a targeted approach towards assisting people with disabilities, and stakeholders involved need to combat the digital divide for disadvantaged individuals to promote positive social change.Conclusion: More needs to be done to increase society's sensibilities towards people living with disabilities. Technology penetration seems to be a challenge and individuals with disabilities are left with a significant gap that needs to be addressed. Contribution: This article contributes to bridging the technology inequality for people with disabilities in historically disadvantaged societies.
Subject(s)
Access to Essential Medicines and Health Technologies , Discrimination, PsychologicalABSTRACT
The bioecology and infestation aspects of Neotuerta platensis Berg, 1882 (Lepidoptera: Noctuidae) on plants are poorly known. This insect fed on the leaves of common purslane, Portulaca oleracea L. (Portulacaceae) for two consecutive years, which triggered its study in the following five years in Januária, Minas Gerais State, Brazil. The objective of this work was to study the bioecology and infestation aspects of N. platensis on P. oleracea plants in the field and laboratory. The mean duration (± SD) of the egg, larva and pupa stages was 3.6 ± 0.89, 11.5 ± 2.81 and 10.7 ± 1.97 days, respectively. The mean numbers of egg masses and eggs per female (± SD) were 3.8 ± 1.16 and 891.6 ± 116.83, respectively. The percentage of infested plants was 59, 74, 0, 78 and 75% and the mean numbers of larvae per plant (± SD) ranged from 0.7 ± 0.45 to 1.6 ± 0.49 individuals, respectively from 2015 to 2019. Neotuerta platensis larvae infested P. oleracea plants in four out of five years evaluated.
Os aspectos de bioecologia e infestação de Neotuerta platensis Berg, 1882 (Lepidoptera: Noctuidae) em plantas são pouco conhecidos. Esse inseto se alimentou das folhas de beldroega comum, Portulaca oleracea L. (Portulacaceae) por dois anos consecutivos, o que desencadeou seu estudo nos cinco anos seguintes em Januária, Minas Gerais, Brasil. O objetivo deste trabalho foi estudar a bioecologia e os aspectos da infestação de N. platensis em plantas de P. oleracea em campo e laboratório. A duração média (± DP) dos estágios de ovo, larva e pupa foi de 3,6 ± 0,89, 11,5 ± 2,81 e 10,7 ± 1,97 dias, respectivamente. Os números médios de posturas e ovos por fêmea (± DP) foram de 3,8 ± 1,16 e 891,6 ± 116,83, respectivamente. A porcentagem de plantas infestadas foi de 59, 74, 0, 78 e 75% e os números médios de larvas por planta (± DP) variaram de 0,7 ± 0,45 a 1,6 ± 0,49 indivíduos, respectivamente de 2015 a 2019. Larvas de N. platensis infestaram plantas de P. oleracea em quatro dos cinco anos avaliados.
Subject(s)
Animals , Portulaca/parasitology , Larva , LepidopteraABSTRACT
Anredera cordifolia (Ten.) Steenis is a vine species native to Brazil that is considered an unconventional food plant and a medicinal species whose phenolic compounds exert antioxidant activity. Since the production of metabolites is determined by environmental factors and leaf maturity, it is important to track these changes in order to determine the best time to harvest. This study aimed to verify whether leaf phenology and seasonality cause variations in the amount of phenolic compounds and in the antioxidant activity of this species. The leaves were collected in different seasons between September 2018 and April 2019, and separated according to maturity: young, mature, and senescent. Daily atmospheric temperature and rainfall data were used to characterize the collection period. The total phenolic content (TPC), determined by Folin-Ciocalteu method, was significantly higher in the young leaves collected in winter, a season of lower temperatures. These leaves showed 54.4 mg of gallic acid equivalents per 100 g of dry matter (mg GAE 100 g-1DM). Other results averaged 25.6 mg GAE 100 g-1DM. The highest antioxidant activity, assessed via the 2,2-diphenyl-1-picrylhydrazyl (DPPH) method, regardless of leaf phenology, was observed in leaves harvested in autumn (73.7%) and winter (71.1%), seasons with lower rainfall. Leaves harvested in summer and spring had lower antioxidant action rates (54.3 e 37.5%, respectively). There was no significant correlation between the total phenolic content and antioxidant activity. Thus, the phenolic composition of A. cordifolia, and consequently its activity on free radicals, varies seasonally in response to temperature and rainfall, and may or may not interact with the age of the leaves.
Anredera cordifolia (Ten.) Steenis é uma trepadeira nativa do Brasil considerada uma planta alimentícia não convencional e uma espécie medicinal, cujos compostos fenólicos exercem ação antioxidante. Como a produção de metabólitos é determinada por fatores ambientais e pela maturidade das folhas, é importante acompanhar essas mudanças a fim de determinar a época de colheita. Neste estudo objetivou-se verificar se a fenologia foliar e a sazonalidade ocasionam variação na quantidade de compostos fenólicos e na ação antioxidante dessa espécie. As folhas foram coletadas em diferentes estações, entre setembro de 2018 e abril de 2019, e separadas conforme a maturidade: jovens, maduras e senescentes. Os dados diários de temperatura atmosférica e pluviosidade foram usados para caracterizar o período de coleta. O conteúdo de fenólicos totais (TPC), determinado pelo método Folin-Ciocalteu, foi significativamente maior nas folhas jovens coletadas no inverno, período caracterizado por temperaturas mais baixas. Estas folhas apresentaram 54,4 mg equivalentes de ácido gálico por 100 g de matéria seca (mg GAE 100 g-1DM) . A média dos outros resultados foi de 25,6 mg GAE 100 g-1DM. A maior ação antioxidante, avaliada pelo método do radical livre 2,2-difenil-1-picrilhidrazil (DPPH), foi observada em folhas colhidas no outono (73,7%) e inverno (71,1%), independentemente da fenologia foliar. Nestes períodos a pluviosidade foi menor. Folhas colhidas no verão e na primavera apresentaram menores percentuais de ação antioxidante (54,3 e 37,5%, respectivamente). Não houve correlação significativa entre o conteúdo de fenólicos totais e a atividade antioxidante. Conclui-se que a composição fenólica de A. cordifolia e, consequentemente, sua ação sobre radicais livres, varia sazonalmente em resposta à temperatura e pluviosidade, podendo ou não interagir com a idade das folhas.
Subject(s)
Plants, Medicinal/growth & development , Seasons , Phenolic Compounds , AntioxidantsABSTRACT
Abstract Anredera cordifolia (Ten.) Steenis is a vine species native to Brazil that is considered an unconventional food plant and a medicinal species whose phenolic compounds exert antioxidant activity. Since the production of metabolites is determined by environmental factors and leaf maturity, it is important to track these changes in order to determine the best time to harvest. This study aimed to verify whether leaf phenology and seasonality cause variations in the amount of phenolic compounds and in the antioxidant activity of this species. The leaves were collected in different seasons between September 2018 and April 2019, and separated according to maturity: young, mature, and senescent. Daily atmospheric temperature and rainfall data were used to characterize the collection period. The total phenolic content (TPC), determined by Folin-Ciocalteu method, was significantly higher in the young leaves collected in winter, a season of lower temperatures. These leaves showed 54.4 mg of gallic acid equivalents per 100 g of dry matter (mg GAE 100 g-1DM). Other results averaged 25.6 mg GAE 100 g-1DM. The highest antioxidant activity, assessed via the 2,2-diphenyl-1-picrylhydrazyl (DPPH) method, regardless of leaf phenology, was observed in leaves harvested in autumn (73.7%) and winter (71.1%), seasons with lower rainfall. Leaves harvested in summer and spring had lower antioxidant action rates (54.3 e 37.5%, respectively). There was no significant correlation between the total phenolic content and antioxidant activity. Thus, the phenolic composition of A. cordifolia, and consequently its activity on free radicals, varies seasonally in response to temperature and rainfall, and may or may not interact with the age of the leaves.
Resumo Anredera cordifolia (Ten.) Steenis é uma trepadeira nativa do Brasil considerada uma planta alimentícia não convencional e uma espécie medicinal, cujos compostos fenólicos exercem ação antioxidante. Como a produção de metabólitos é determinada por fatores ambientais e pela maturidade das folhas, é importante acompanhar essas mudanças a fim de determinar a época de colheita. Neste estudo objetivou-se verificar se a fenologia foliar e a sazonalidade ocasionam variação na quantidade de compostos fenólicos e na ação antioxidante dessa espécie. As folhas foram coletadas em diferentes estações, entre setembro de 2018 e abril de 2019, e separadas conforme a maturidade: jovens, maduras e senescentes. Os dados diários de temperatura atmosférica e pluviosidade foram usados para caracterizar o período de coleta. O conteúdo de fenólicos totais (TPC), determinado pelo método Folin-Ciocalteu, foi significativamente maior nas folhas jovens coletadas no inverno, período caracterizado por temperaturas mais baixas. Estas folhas apresentaram 54,4 mg equivalentes de ácido gálico por 100 g de matéria seca (mg GAE 100 g-1DM) . A média dos outros resultados foi de 25,6 mg GAE 100 g-1DM. A maior ação antioxidante, avaliada pelo método do radical livre 2,2-difenil-1-picrilhidrazil (DPPH), foi observada em folhas colhidas no outono (73,7%) e inverno (71,1%), independentemente da fenologia foliar. Nestes períodos a pluviosidade foi menor. Folhas colhidas no verão e na primavera apresentaram menores percentuais de ação antioxidante (54,3 e 37,5%, respectivamente). Não houve correlação significativa entre o conteúdo de fenólicos totais e a atividade antioxidante. Conclui-se que a composição fenólica de A. cordifolia e, consequentemente, sua ação sobre radicais livres, varia sazonalmente em resposta à temperatura e pluviosidade, podendo ou não interagir com a idade das folhas.
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Abstract The bioecology and infestation aspects of Neotuerta platensis Berg, 1882 (Lepidoptera: Noctuidae) on plants are poorly known. This insect fed on the leaves of common purslane, Portulaca oleracea L. (Portulacaceae) for two consecutive years, which triggered its study in the following five years in Januária, Minas Gerais State, Brazil. The objective of this work was to study the bioecology and infestation aspects of N. platensis on P. oleracea plants in the field and laboratory. The mean duration (± SD) of the egg, larva and pupa stages was 3.6 ± 0.89, 11.5 ± 2.81 and 10.7 ± 1.97 days, respectively. The mean numbers of egg masses and eggs per female (± SD) were 3.8 ± 1.16 and 891.6 ± 116.83, respectively. The percentage of infested plants was 59, 74, 0, 78 and 75% and the mean numbers of larvae per plant (± SD) ranged from 0.7 ± 0.45 to 1.6 ± 0.49 individuals, respectively from 2015 to 2019. Neotuerta platensis larvae infested P. oleracea plants in four out of five years evaluated.
Resumo Os aspectos de bioecologia e infestação de Neotuerta platensis Berg, 1882 (Lepidoptera: Noctuidae) em plantas são pouco conhecidos. Esse inseto se alimentou das folhas de beldroega comum, Portulaca oleracea L. (Portulacaceae) por dois anos consecutivos, o que desencadeou seu estudo nos cinco anos seguintes em Januária, Minas Gerais, Brasil. O objetivo deste trabalho foi estudar a bioecologia e os aspectos da infestação de N. platensis em plantas de P. oleracea em campo e laboratório. A duração média (± DP) dos estágios de ovo, larva e pupa foi de 3,6 ± 0,89, 11,5 ± 2,81 e 10,7 ± 1,97 dias, respectivamente. Os números médios de posturas e ovos por fêmea (± DP) foram de 3,8 ± 1,16 e 891,6 ± 116,83, respectivamente. A porcentagem de plantas infestadas foi de 59, 74, 0, 78 e 75% e os números médios de larvas por planta (± DP) variaram de 0,7 ± 0,45 a 1,6 ± 0,49 indivíduos, respectivamente de 2015 a 2019. Larvas de N. platensis infestaram plantas de P. oleracea em quatro dos cinco anos avaliados.
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Background: Wrinkles on the face and aging of the skin are an undesirable effect of photodamage and ultraviolet radiation. Serum has a quick absorption and ability to penetrate deep layers of the skin, as well as a non-oily finish and a deep formula with a very high amount of active ingredients. Methods: In this study, we have formulated and evaluated a face serum containing combination of aqueous extract of fenugreek seed and lemon oil. Results: Facial serum was tested for its pH, physical appearance, viscosity, microbial testing, cyclic temperature test, etc. The results of the stability study show that there was no change in visual acuity, homogeneity. Conclusions: Serum containing Fenugreek extract have been able to cure bacterial infections and inflammations of facial skin, and other signs also moistens the skin without any side effects making skin soft, smooth and supple.
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A Field experiment was conducted during Rabi 2022-23 at Agricultural and Horticultural Research Station, Kathalagere, KSNUAHS, Shivamogga, to study the effect of crop specific blended fertilizers on the growth and yield of maize. The experiment was laid out in Randomized Complete Block Design with ten treatments replicated thrice. Nutrient composition of blended fertilizer used for basal application was 16:18:11:4:1 N:P2O5:K2O:S:Zn and for top dress was 27: 0:13 N:P2O5:K2O. The treatments T1, T2, T3 consisted of application of basal blended fertilizer @ 312.5, 412.5 and 515 kg ha-1, respectively and top dress blended fertilizer @ 237.5, 312.5 and 390 kg ha-1, respectively. Basal blended fertilizer @ 412.5 kg ha-1 + top dress of urea at 30 and 45 DAS (T4), Package of practice (PoP) through straight fertilizer (T5), PoP through complex fertilizer (T6), recommended dose through Urea, DAP, MOP and ZnSO4 + top dress of nano urea @ 0.4% at 30 and 45 DAS (T7), physical blending of Urea, SSP, MOP and ZnSO4 (16:18:11:4:1 N:P:K:S:Zn) for basal and Urea and MOP (27:0:13 N:P:K) for top dress (T8), farmers' practice (T9) and absolute control (T10). Among all treatments, the application of basal blended fertilizer @ 515 kg ha-1 + Top dress of blended fertilizer @ 390 kg ha-1 recorded the maximum plant height (222.4 cm), number of leaves (10.3 plant-1), total dry matter accumulation (285.86 g plant-1), cob length (21.31 cm), cob girth (18.31 cm), number of kernels per cob (516.57) and test weight (24.22 g) at harvest as compared to PoP through straight and complex fertilizer and absolute control. The same treatment recorded significantly higher kernel and straw yield (69.51 and 89.36 q ha-1, respectively) in comparison to other treatments but it was on par with T2, T5 and T6. The treatment T3 recorded 27.8 % higher yield compared to T9. In study area the application of basal blended fertilizer @ 515 kg ha-1 + Top dress of blended fertilizer @ 390 kg ha-1 is recommended to achieve higher growth and yield of maize.
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Background: Moringa oleifera (MO) has been used in the treatment of the Diabetes Mellitus (DM) all over the world. However, studies in Pakistan which show impact of MO on the blood glucose are lacking. This study was aimed to assess the impact of the MO leaf powder capsules on post-prandial blood glucose levels in diabetic and non-diabetic participants. Methods: This pilot study was conducted in a health care center, Rawalpindi, Pakistan among 14 diabetic and 14 non-diabetic participants for one year from January 2021 to December 2022. All participants were asked to fast for 12 hours on two occasions and each time their blood glucose levels were assessed via glucometer after giving bread. On first visit without MO capsules and on next visit with MO capsules. Data analysis was done by applying descriptive and paired t-test via SPSS version 25. Results: The mean values for study population of age, fasting blood glucose level, and post-prandial blood glucose level without giving MO capsules were, 51.50 with SD±5.28 year, 136.94 with SD±39.64 mg/dL, and 306.31 SD±151.35 mg/dL respectively. After 90 minutes of Intake of MO leaf powder capsule, the reduction in post-prandial blood glucose level in diabetic patients was significant (p=0.03), however, in non-diabetic healthy participants, it was statistically insignificant (p=0.08). No side-effects of MO were observed in any participant. Conclusions: In short, this study showed that Moringa oleifera ingestion decreases post-prandial blood glucose level significantly among diabetic, while not in non-diabetic. Moreover, intake of MO has no side effects.
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Background: Diabetes mellitus (DM) is most common endocrine disorder all over the world. Metformin has been used as a first line drug, however, it has several gastrointestinal side effects. This study aims to determine the frequency of metformin induced gastrointestinal side effects among type 2 diabetic patients and role of prebiotics and probiotics in the prevention of the metformin-induced GI side effects. Methods: This cross-sectional study was performed in a tertiary care hospital, Rawalpindi, among 130 for one year from January 2021 to December 2022. Data was collected by applying a self-structured questionnaire. Descriptive statistics were used for the data analysis. Data analysis was performed via statistical package for the social sciences (SPSS) version 25.0. Results: The means for study variables like age, dose, and duration of therapy were 54.09 years, 1000 mg and 3.6 years respectively. Female patients had more GI side effects than male patients. Similarly, GI side effects frequency was also higher among the patients who were on metformin alone than the patients who were using metformin and combination of prebiotics and probiotics. Patients with higher dose of metformin and shorter duration of metformin therapy had higher frequency of GI symptoms. The most common GI symptom was constipation followed by diarrhea, bloating, abdominal pain, vomiting/nausea, dyspepsia, loss of appetite and flatulence. Conclusions: Metformin induced GI symptoms were common among study population. Use of prebiotics and probiotics combination with metformin, low dose of metformin, and longer duration of metformin use were found protective against the metformin-induced GI side effects.
ABSTRACT
Background: Nurses play a pivotal role in our healthcare. It is therefore crucial to assess the job satisfaction levels of nurses for the proper functioning of the healthcare system. The present study was to assess the job satisfaction levels among nurses in Alappuzha district. Assessment of Job satisfaction levels will help to implement ergonomically beneficial policies in the healthcare system. Methods: A hospital based cross sectional study was conducted among the nurses during the months of October- November, 2022. Convenient sampling was done and persons who were willing to take part in the study were distributed with a pretested questionnaire. Job satisfaction was analysed using the Minnesota job satisfaction scale. Data was collected and entered in Microsoft Excel. It was analysed using SPSS version 26. Chi square test was used to find out the association between variables. Results: Totally 63 nurses responded to the questionnaire. Of the total study participants, 73% were satisfied with their job and 23% were having neutral level of job satisfaction. Level of job satisfaction was associated with sleep satisfaction, met financial needs, assault or abuse faced at work and perceived workload. The results also showed that there is no association between the level of job satisfaction and demographic factors. Conclusions: From this study, three-fourth of the participants were satisfied with their job. Only small portion of participants were satisfied with responsibility, advancement, moral values, working conditions, institutional policies and practices. They were dissatisfied with independence and compensation provided at job.