Prognostic value of serum albumin and C-reactive protein levels in the elderly for assessing morbidity and mortality in a tertiary care center

Introduction: There is an increased population of elderly globally due to advancement of technology in health care. Elderly individuals are susceptible to various diseases, owing to deficits in nutrition or healthy lifestyle. Serum albumin and C‑reactive protein (CRP) are found to be sensitive to nutritional status as well as inflammation. This study is an attempt to analyze the prognostic value of CRP and serum albumin and analyze its usefulness as a prognostic marker in assessing morbidity and mortality in elderly patients. Methodology: One hundred patients above the age of 65 years and were admitted to the emergency care facilities of our tertiary care center were recruited for the study. Serum albumin and CRP estimation was done on the day of admission along with Charlson Comorbidity Index (CCI), and was follow-up till discharge. Statistical analysis was performed to evaluate relationship between the serum values and CCI scores. Results: It was observed that 83.3% (10/12) of deaths occurred in those with low serum albumin levels, and 91.6% (11/12) with high CRP levels. The hazard ratio shows a 6% increased probability of death with one unit increase in CRP, whereas a one unit increase in serum albumin value decrease the probability of death. Conclusion: The present study concludes that low serum albumin and high CRP levels at the time of admission in the elderly population are associated with high CCI scores, longer hospital stay, and increased risk of mortality, demanding their estimation in the elderly in emergency and acute care facilities.

A haplotype in the dipeptidyl peptidase 4 gene impacts glycemic-related traits of Brazilian older adults

Dipeptidyl peptidase 4 (DPP4) regulates various physiological pathways and has a pivotal role in glucose homeostasis. The objective of this study was to verify the association of a haplotype constituted by two single nucleotide polymorphisms (rs2268894 and rs6741949) in the DPP4 gene with type 2 diabetes mellitus (T2DM) and fasting glycemia-related variables in a sample of Brazilian older adults, taking serum levels and enzymatic activity of DPP4 into account. Clinical, biochemical, and anthropometric characteristics as well as DPP4 serum levels and enzymatic activity were determined in 800 elderly (≥60 years old) individuals. Assessment of polymorphic sites was performed by real-time PCR whereas haplotypes were inferred from genotypic frequencies. Statistical analyses compared measures and proportions according to T2DM diagnosis and DPP4 haplotypic groups. The most common haplotype consisted of the T-rs2268894/G-rs6741949 string, which was 20% more frequent among non-diabetics. Considering non-diabetic patients alone, carriers of the T/G haplotype had significantly lower levels of blood glucose, insulin, HOMA-IR index, and DPP4 activity. Among diabetic patients, the T/G haplotype was associated with lower DPP4 levels whereas glycemic scores were not affected by allelic variants. Our results suggested that the genetic architecture of DPP4 affects the glycemic profile and DPP4 serum levels and activity among elderly individuals according to the presence or absence of T2DM, with a possible implication of the T/G haplotype to the risk of T2DM onset.

Malignant transformation of oral leukoplakia to squamous cell carcinoma

Oral leukoplakia is a potentially malignant lesion found more in the middle-aged and elderly, with an estimated global prevalence of 2.60%. Most oral squamous cell carcinomas develop on the background of oral leukoplakia. The risk of malignant transformation increases with the clinical type of leukoplakia, affected sites, immunosuppressive states of affected patients, alcohol and tobacco consumption, human papilloma virus infection, and chewing betel leaf and areca nut. Regular monitoring of patients with oral leukoplakia is very important for early detection of any mucosal and dysplastic change. This will aid early intervention and improve patient's survival.

Use of essential oil on digestive health and blood parameters of maintenance horses / [Uso de óleo essencial na saúde digestiva e nos parâmetros sanguíneos de cavalos em manutenção]

Essential oils (EO) such as carvacrol represent a wide range of mainly volatile aromatic plant compounds which hold antioxidant, antibacterial and antifungal potential, in addition to other properties of interest to animal health, such as the ability to modulate the microbiome. Current horse care commonly involves an intensive management system with an excessive use of concentrated feed, which can lead to severe digestive and metabolic disorders. Studies with EO in horses are limited, but the use of carvacrol essential oil (CEO) can promote benefits in microbial fermentation. The objective was to investigate the effect of different quantities of CEO on the apparent total digestibility of nutrients, microbial profile in the feces and postprandial blood glucose and insulin response when added to the equine diet. Eight Mini-Horse geldings were used (42±6 months; 135±15 kg BW) and fed with a proportion of 60% concentrate and 40% grass hay. The treatments were: 0, 100, 200 and 300 ppm of CEO. The addition of CEO up to 300 ppm did not influence the apparent digestibility of nutrients or the postprandial plasma glucose and insulin response. The use of CEO maintained the fermentative digestive health of horses fed with concentrate diets.(AU)

Os óleos essenciais (EO), como o carvacrol, são descritos por representarem ampla gama de compostos principalmente voláteis de plantas aromáticas, com potencial antioxidante, antibacteriano, antifúngico, entre outras propriedades de interesse para a saúde animal, como a modulação do microbioma. Atualmente, os cavalos são submetidos a manejo intensivo, com uso excessivo de ração concentrada, o que pode causar graves distúrbios digestivos e metabólicos. Em cavalos, estudos com EO são limitados, mas o uso de óleo essencial de carvacrol (CEO) poderia promover benefícios na fermentação microbiana. O objetivo da presente pesquisa foi investigar o efeito de diferentes quantidades de óleo essencial de carvacrol, adicionadas à dieta de equinos, sobre a digestibilidade aparente total de nutrientes, o perfil microbiano por meio das fezes e a resposta sanguínea pós-prandial de glicose e insulina. Foram utilizados oito cavalos castrados, da raça Mini-Horse (42±6 meses), 135±15kg PV, alimentados na proporção de 60% concentrado e 40% feno de capim. Os tratamentos foram: 0, 100, 200 e 300ppm de CEO. A adição de CEO até 300ppm não influencia a digestibilidade aparente dos nutrientes e a resposta de glicose e insulina plasmática pós-prandial. O uso de EO demonstra manter a saúde digestiva fermentativa quando os cavalos são alimentados com dieta rica em concentrado.(AU)

Identification of a predominant genotype of Mycobacterium tuberculosis in Brazilian indigenous population

After nearly a century of vaccination and six decades of drug therapy, tuberculosis (TB) kills more people annually than any other infectious disease. Substantial challenges to disease eradication remain among vulnerable and underserved populations. The Guarani-Kaiowá people are an indigenous population in Paraguay and the Brazilian state of Mato Grosso do Sul. This community, marginalized in Brazilian society, experiences severe poverty. Like other South American indigenous populations, their TB prevalence is high, but the disease has remained largely unstudied in their communities. Herein, Mycobacterium tuberculosis isolates from local clinics were whole genome sequenced, and a population genetic framework was generated. Phylogenetics show M. tuberculosis isolates in the Guarani-Kaiowá people cluster away from selected reference strains, suggesting divergence. Most cluster in a single group, further characterized as M. tuberculosis sublineage 4.3.3. Closer analysis of SNPs showed numerous variants across the genome, including in drug resistance-associated genes, and with many unique changes fixed in each group. We report that local M. tuberculosis strains have acquired unique polymorphisms in the Guarani-Kaiowá people, and drug resistance characterization is urgently needed to inform public health to ensure proper care and avoid further evolution and spread of drug-resistant TB

Larvicidal activity of the skin secretion of Rhinella marina and Rhaebo guttatus (Anura: Bufonidae) against the Brazilian malaria vector, Anopheles darlingi (Diptera: Culicidae)

@#Malaria, a mosquito-borne disease, is caused by protozoa of the genus Plasmodium and constitutes a serious public health problem. Because current insecticides used to control malaria face resistance due to continuous use, new alternatives are prompted. Considering this context, and the insecticidal potential of vertebrate venoms/secretions, crude and methanolic extracts from two frog species were tested as larvicides against Anopheles darlingi. Skin secretions of Rhinella marina and Rhaebo guttatus were obtained by manual stimulation. Then, methanol was added to obtain steroidal fractions from both venoms. Mosquitos were captured in suburban areas of Porto Velho and An. darlingi females were later fed with blood and stimulated to oviposit. The larvae were fed with fish food until the 3rd and 4th instars. For the larvicidal assays, crude secretions and methanolic fractions of both frog species were evaluated, and larvae mortality was recorded after 48 hours. Crude extracts and steroidal fractions from both species had larvicidal effects, with an LC50 of 127.5 and 133 ppm for the crude extract and steroidal fraction of R. marina, and an LC50 of 37.5 and 35.8 ppm for the crude extract and steroidal secretion of R. guttatus, respectively. The present work reports for the first time the larvicidal effects of the skin secretions from bufonid species occurring in the western Amazon region. Further studies should be carried out to investigate the purified components responsible for the observed activity.

Horses fed meal contaminated with mycotoxins performing short-term exercises / Efeitos das micotoxinas na performance de equinos submetidos a exercícios de curta duração

This research was carried out to evaluate the effect of mycotoxins on the performance of horses through physiological parameters, and hematology and serum biochemistry analyses. The essay lasted 40 days, with 12 days for adaptation and 28 days of experimentation. In the experimental stage, the horses were distributed in a completely randomized design, with three treatments with four animals each. The treatments used were 0 (control), 50 ppb and 100 ppb of Aflatoxin B1 (AFB1) added to a concentrate in a basal diet. The basal diet contained mycotoxins from feedstuffs naturally contaminated. The exercise test was performed over the 21th day of the experimental stage. The exercise consisted in an interval training test with a warm-up of 17 mins at a trot followed by three gallops of 450m/min. The heart rate was monitored between the gallops. Before the exercise test and immediately after the third gallop, the physiological and blood parameters were evaluated, and continued up to 48 hours after the exercise. The results of the physiological, hematological and biochemical parameters were submitted to analysis of variance (ANOVA) and compared by the Tukey test at 5% of significance. The presence of AFB1 in the diet influenced the alkaline phosphatase activity, which presented higher values in horses fed diet with inclusion of 100 ppb AFB1, suggesting a hepatotoxic activity associated with the others mycotoxins naturally present in the feedstuffs.(AU)

Esta pesquisa foi conduzida para avaliar o efeito de micotoxinas no desempenho de equinos com avaliações fisiológicas e análises hematológicas e da bioquímica sérica. O ensaio durou 40 dias, com 12 dias de adaptação e 28 dias de experimentação. Na fase experimental, os equinos foram distribuídos em delineamento inteiramente casualizado em três tratamentos, com quatro animais cada. Os tratamentos utilizados foram 0 (controle), 50 ppb e 100 ppb de Aflatoxina B1 (AFB1) adicionada ao concentrado de uma dieta basal. A dieta basal continha alimentos naturalmente contaminados por micotoxinas. O teste de desempenho foi executado no 21º dia da fase experimental por meio de teste intervalado consistindo em aquecimento ao trote por 17 minutos, seguido de três galopes de 450m/min. A frequência cardíaca (FC) foi monitorada entre os galopes. Antes do exercício e imediatamente após o terceiro galope, os parâmetros fisiológicos e sanguíneos foram avaliados e continuaram sendo monitorados até 48 horas após o exercício. Os resultados dos parâmetros fisiológicos, hematológicos e bioquímicos foram submetidos à análise de variância (ANOVA) e comparados pelo teste de Tukey a 5% de significância. A presença de AFB1 na dieta influenciou a atividade da fosfatase alcalina, que apresentou valores mais elevadas na dieta com inclusão de 100 ppb de AFB1, sugerindo uma atividade hepatotóxica associada às outras micotoxinas naturalmente presentes nos alimentos.(AU)

Potential of the Ethanol Extract of Aerial Parts of Diplazium esculentum (Retz) SW. AS Larvicide against Anopheles gambiae Giles and Culex quinquefasciatus Say

Plant products have been tested as insecticides against mosquitoes as they are promising candidates to replace conventional insecticides. This study was carried out to evaluate the larvicidalpotential of ethanol extract of the aerial parts of Diplazium esculentumagainst Anopheles gambiaeand Culex quinquefasciatus. Ethanol extract of the aerial parts of D. esculentumwas screened for its phytochemical constituents and used for larvicidal assay. A stock solution of the extract (5g in Original Research Article Umohata et al.; IJTDH, 41(3): 40-47, 2020; Article no.IJTDH.5566841100ml of water) was prepared. From the stock solution, 0.45, 0.60, 0.75, 0.90 and 1.05%w/v concentrations of the extract were obtained for the study. Each concentration of the extract had 3 replicates. The control was also replicated. Twenty (20) third instar larvae each of Anopheles gambiae andCulex quinquefasciatuswere separately exposed to each extract concentration for a duration of 48 hours. Larval nutrient was added to each experimental set up. Observations were made after 24 and 48 hours exposure period.Phytochemical screening revealed the presence of some plant metabolites. Mortality of larvae exposed to the extract increased with increased concentration and exposure time. This study revealed a differential susceptibility of larvae of the two mosquito species to the extract as evident by the 24h LC50values obtained which were 0.355 and 2.468%w/v for An. gambiaeand Cx.quinquefasciatus respectively. Exposure of An. gambiaelarvae to the extract resulted in 100% mortality even with the least concentration of 0.45%w/v after 48 hours exposure period while the highest concentration of extract (1.05%w/v) resulted in 53.33% mortality of Cx.quinquefasciatuslarvae, after an exposure period of 48 hours. Results obtained from this study suggest that the aerial parts of D. esculentumif further explored would be useful in the control of An. gambiae andCx.quinquefasciatus.

Ascorbate Effect of Lithium on Protein and Lipid Metabolism in Pigs

The aim of the study was to investigate the effect of a new anti-stress drug on protein and lipid metabolism in thecultivation and fattening of pigs. The experiment was carried out on 5 groups of pigs of Irish Landrace breed (4experimental and 1 control) with 10 heads in each in the period from 60 to 210 days of age. Animals of 1, 2, 3and 4 experimental groups daily during the entire period of rearing and fattening received lithium ascorbate inthe form of powder at a dose of 10, 5, 2 and 0.5 mg/kg of live weight, respectively. Weighing was carried outbefore the introduction of the drug, for the 4th month and before slaughter. Before setting the animals in theexperiment and on the 180th day of the experiment, blood samples were taken. Triacylglycerols, total protein andglobulins, and fractions of lipoproteins were determined in blood plasma. Acting on protein and lipid metabolism,lithium ascorbate activates the functions associated with the participation of α-, β - globulins in the transport oflipids, as well as in the performance of γ-globulins protective functions. Lithium ascorbate has a positive effecton lipid-cholesterol metabolism and, as a result, contributes to the increase in live weight and quality of meat.With the introduction of feed lithium ascorbate from the 60th day prior to slaughter at a dosage of 10, 5 and 2mg/kg of body weight, lithium ascorbate exhibits a pronounced adaptogenic and stress-protection properties,prevents the accumulation of lipoproteins of low and very low density and activates the production of high-densitylipoproteins. And in the control animals, it is is observed in the reverse reaction. The use of lithium ascorbateaffects protein synthesis. Given that γ-and β-globulins serve as raw materials for the production ofimmunoglobulins, it can be noted that the animals treated with lithium ascorbate had the best opportunities forhumoral specific protection for 180 days of experience, which contributes to the increase of nonspecific immunityand resistance. The revealed effects of lithium ascorbate indicate the prospects for the development of neweffective ways to increase stress resistance, nonspecific resistance and productivity of animals using drugs basedon organic lithium salts.

Ocorrência de ectoparasitas no roedor Oligoryzomys microtis em regiões ao norte do Departamento de La Paz, Bolívia / Occurrence of ectoparasites in rodents of the species Oligoryzomys microtis in northern La Paz Department, Bolivia

O objetivo deste trabalho foi mapear e descrever a ocorrência de roedores e seus ectoparasitas nas regiões norte do departamento de La Paz, Bolívia. De abril a maio e julho a agosto de 2017, 80 indivíduos da espécie Oligoryzomys microtis foram capturados em armadilhas vivas. Uma amostra aleatória de 36 indivíduos foi analisada quanto à presença de ectoparasitas, encontrando um total de 458 ectoparasitas. Os roedores foram capturados em dois tipos de ambientes: floresta secundária e áreas cultivadas, sendo a área cultivada a área com maior captação de roedores. Dos ectoparasitas, Laelaps sp. foi o gênero com maior abundância e Mysolaelaps sp. o mais prevalente; o gênero Polygenis sp. é aparentemente descrito pela primeira vez na selva amazônica, exigindo estudos adicionais para entender melhor os patógenos que são transmitidos no parasitismo desta pulga em roedores devido à sua importância no ecossistema e para a saúde pública.(AU)

The objective of this work was to map and describe the occurrence of rodents and their ectoparasites in regions to the North of the department of La Paz in Bolivia. From April to May and July to August 2017, 80 Oligoryzomys microtis rodents were captured and 36 random samples of their ectoparasites were analyzed, totaling 458 ectoparasites. Rodents were captured in two types of environments: secondary forest and crops areas, being the second one with greater amount of capture of rodents. Among the ectoparasites, Laelaps sp was the genus with the highest abundance and Mysolaelaps sp with the highest prevalence; the genus Polygenis sp is apparently described for the first time in the Amazon rainforest, requiring more studies to better understand the pathogens transmitted in the parasitism of this flea in rodents due to their importance in the ecosystem and public health.(AU)

The prevalence and risk factors of canine demodicosis: A retrospective long-term study of 409 cases

@#Canine demodicosis is a common skin disorder with multiple risk factors, including age and breed predisposition. There is relatively limited information about the risk factors for canine demodicosis in large canine populations. This retrospective case-control study was conducted by searching the electronic records of dogs with skin lesions for the presence of Demodex mites in skin scrapings. Diagnosis of demodicosis was based on the presence of skin lesions and mites in skin scrapings. Multivariate analysis was conducted using logistic regression analysis to estimate the relative risk and odds ratio of variables hypothesized to influence the risk of canine demodicosis, such as age, sex, breed, season, and parasitic infection. The results of multivariate logistic regression analysis showed a positive correlation between the dogs’ age and demodicosis. Dogs older than three years, as well as puppies, had a high risk of demodicosis (P<0.05). However, no significant association was found between sex and demodicosis (P>0.05). Breeds with the greatest association (odds ratio) with demodicosis included the American Staffordshire Terrier (OR=0.9) and Moscow Watchdog (OR=0.2). The presence of intestinal parasites, such as Diphyllobothrium latum, was significantly associated with demodicosis.

Psychological Satisfaction of Parents of Young Football Players with a Mosaic Form of Down Syndrome by the Quality of Sports Training

Physical culture and sports are still an effective means of rehaabilitation and social integration of persons with weakened health. They allow people with disabilities to fully discover all their functional reserves and be active members of society. In this regard, the further development of physical culture and sports work with people with various health problems is very promising. One of the types of such activities are footbal groups, where children and young people with Down's syndrome are becoming more active. For athletes with a mosaic form of Down's syndrome, it is very important, first of all, that there are conditions for practicing football, that is, a gym with inventory, as evidencedby high marks to the quality of the classes. The use of visual training methods (instructions, drawings, schemes) in training improves the interaction of athletes with the coach, facilitates the assimilation of the training material and thereby increases the motor density of the session. It is clear that the personality of the coach plays the leading role in the training process. From how competently he interacts with his athletes, how attentive to the, how uch he carries them into playing sports ultimately depends the result of his activities ad the success of the students. It is also very important attention to the success of young athletes with a mosaic form of Down syndrome. Promotion of football among them and their active encouragement for sportes success is a serious incentive form their further employment in football and increases the popularity not only of this sport, but also of a healthy lifestyle (AU)

Effect of Cultural Conditions on Biosurfactant Production by Candida sp. Isolated from the Sap of Elaeis guineensis

Aims: This study is aimed at determining the effect of cultural condition on biosurfactant production by Candida sp. isolates from saps of Elaeis guineensis. Methodology: Chemical analysis of the sap was carried out. Yeast isolates from the sap were screened for biosurfactant production based on emulsification index (E24), emulsification assay, haemolytic assay, oil displacement test, CTAB and tilted glass slide ability. The best biosurfactant-producing yeast isolate was identified based on its phenotypic, microscopic, and biochemical characteristics. The emulsification capacity of the produced biosurfactant on selected oils was studied. Optimum cultural and nutritional requirements (temperature, pH, inoculum concentration, nitrogen sources and carbon sources) for biosurfactant production by the isolate were determined. Results: The characteristics of the sap from Elaeis guineensis were reducing sugar (0.51 ± 0.03 mg/ml), alcohol (14.04 ± 0.15%), specific gravity (0.827±0.024), and pH (5.68±0.03). The crude biosurfactant produced displaced a thin film of crude oil on petri dish by 55 mm, and revealed high emulsification index (E24) of 52.5% using Olive oil as substrate compared to E24 of 60.6% by sodium dodecyl sulphate (SDS). Based on colonial, microscopic, and biochemical characteristics, the isolate SA2 was identified as Candida sp. The crude biosurfactant showed varying capacity in emulsifying the different oils that were examined. Optimization data revealed maximum biosurfactant production after 7 days of incubation, inoculum concentration of 10%, at temperature of 20ºC, pH of 2 with cassava peel as substrate. Conclusion: The study has demonstrated the capacity of Candida sp. from the sap of Elaeis guineensis to produce biosurfactant utilizing cassava peel as substrate. The use of cassava peel, which represents a low-cost substrate, is important in reducing the cost of biosurfactant production. Moreover, using yeasts from Elaeis guineensis make the production process ecologically friendly.

Histopathology and immunohistochemistry of peripheral neural sheath tumor and perivascular wall tumor in dog / Histopatologia e imuno-histoquímica de tumor de bainha de nervo periférico e de tumor de parede perivascular em cães

Soft tissue sarcomas (STS) comprise a heterogeneous group of malignancies derived from extra-skeletal mesenchymal tissues that may show similar histopathological changes. Histopathologic patterns suggestive of perivascular wall tumors (PWT) and peripheral nerve sheath tumors (PNST) have been described. This study investigated the histogenesis in a series of 71 cases of canine STS that showed morphological compatibility with what is described for PWT and PNST. Immunohistochemistry analysis were done to CD56, S100, SMA, Desmin, Von Willebrand Factor, NSE and GFAP. Twenty-one cases (29.6%) showed histopathologic features compatible with PWT, 23 cases (32.4%) with PNST and 27 cases (38.0%) shared both histopathological features. By immunohistochemistry, 59 (83.1%) cases showed positivity only for neural markers and 12 (16.9%) had simultaneous positivity for both neural and muscle markers. PNST was the most prevalent neoplasm and none of the cases were positive for muscle markers only. The histopathologic features were not useful to define the diagnosis of PWT, since most tumors were negative for muscle markers but positive for neural markers. Due to this immunoreactivity and the morphologic features, future studies may propose guidelines for the classification of these neoplasms.(AU)

Sarcoma de tecidos moles (STM) compreende um grupo heterogêneo de neoplasias malignas, derivadas de tecidos extraesqueléticos, que podem apresentar alterações histopatológicas similares. Os padrões histopatológicos sugestivos de tumor de parede perivascular (TPP) e de tumor de bainha de nervo periférico (TBNP) têm sido descritos. Este estudo investigou a histogênese de uma série de 71 STM caninos, que apresentavam compatibilidade morfológica com o que é descrito para TPP e TBNP. A análise imuno-histoquímica foi feita para CD56, S100, SMA, Desmina, Fator Von Willebrand, NSE e GFAP. Vinte e um casos (29,6%) apresentaram características histopatológicas compatíveis com TPP, 23 casos (32,4%) com TBNP e 27 casos (38,0%) apresentaram características histopatológicas de ambos. Na imuno-histoquímica, 59 (83,1%) casos apresentaram positividade somente para marcadores neurais e 12 (16,9%) tiveram positividade simultânea tanto para marcadores neurais como para marcadores musculares. TBNP foi a neoplasia mais prevalente e nenhum dos casos foi positivo para somente para marcadores musculares. As características histopatológicas não foram úteis para definir o diagnóstico de TPP, uma vez que a maioria foi negativa para marcadores musculares, mas positiva para marcadores neurais. Devido a essa imunorreatividade e às características morfológicas, pesquisas futuras poderão propor orientações para a classificação dessas neoplasias.(AU)

Effect of a multimodality Ayurveda treatment in a case of Visphota kushta

Visphota kushta (blistering skin disease) is characterized by transparent blisters with thin skin covering.Management of Visphota Kushta in Ayurveda is rarely reported. The case reported here showed significant regression in the condition in short span of time and could completely stop the use of anti histamines and corticosteroids. A 32 year old female, presented with complaints of blisters over both upperand lower extremities associated with edema, burning sensation, pain, severe itching and oozing sincethree months. The treatments were given after ascertaining the involved dosha and the samprapti(pathogenesis). The involved dosha were and Pitta (metabolic factor) and Kapha (binding factor) dosha.Pitta - kapha dosha hara line of treatment was adopted in terms of mitigating and purificatory therapy. Ithelped in arresting the progression of the condition and a complete healing of blisters. Photographs weretaken during and after the treatment for records. The blister completely resolved and the skin wasnormal as before. The patient was back to her normal routine with no signs of relapse. The outcome wasa combined effect of both shamana and shodhana chikitsa along with pathya sevana.© 2018 Transdisciplinary University, Bangalore and World Ayurveda Foundation. Publishing Services byElsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

A study of serum magnesium level in hypothyroid cases in a tertiary care hospital, Perambalur

Magnesium is an incredibly vital mineral found in the human body. Magnesium clearly affects the entire body and naturally will interact with thyroid functions, both directly and indirectly. Objectives: To assess the levels of serum magnesium in patients with hypothyroidism and its correlation with TSH levels. Methodology: An observational study consists of 174 cases of hypothyroidism were selected. All patients with hypothyroidism, newly diagnosed with age above 18years were included, all patients with malignancy, multiple endocrine disorder, CKD and patients supplemented with minerals were excluded in the study. Thyroid function and serum magnesium levels were done and analyzed in these patients. Results: In our study mean serum magnesium level in hypothyroid cases was 2.18±0.02 mg/dl. Our study done with a follow up of thyroid function and serum magnesium level in hypothyroidism after supplementation with thyroid hormone and diet supplementation for magnesium showed a significant improvement which reciprocate the incidence of hypo magnesium in hypothyroidism and which is inversely proportionate to TSH levels which was not statistically significant. Conclusion: The alteration of serum magnesium level in hypothyroidism was not established in our study statistically.

Quantificação do colágeno dérmico equino por duas técnicas morfométricas: contagem de pontos e segmentação de cor / Quantification of equine dermal collagen by two morphometric techniques: point counting and color segmentation

Os colágenos tipos I e III apresentam diferentes tonalidades de birrefringência em cortes histológicos corados com Picrosirius red e analisados em microscópio sob luz polarizada. Com base nessa propriedade, os colágenos podem ser quantificados por histomorfometria. Entretanto, são muitas as variáveis que podem afetar a distribuição das cores na imagem histológica, e a escolha adequada dos parâmetros de análise têm grande influência no resultado final. O objetivo deste trabalho foi comparar a quantificação histomorfométrica de colágeno em pele equina pela morfometria por contagem de pontos e pela segmentação de cor com diversas configurações, a fim de se determinar o melhor método de avaliação. Para a morfometria por contagem de pontos, foram utilizadas três gratículas diferentes (391, 588 e 792 pontos de interseções) e, para a segmentação de cor, seis combinações de hue e brightness no software ImageJ. Os valores foram submetidos ao teste de Friedman, seguido pelo teste de Tukey com 5% de significância. Os resultados demonstraram que a quantificação dos colágenos na gratícula de 792 pontos foi equivalente aos resultados da segmentação de cor com brightness de 1-255 e hue de 0-42 e 43-120 para os colágenos tipos I e III, respectivamente. Dessa forma, conclui-se que a análise automática da segmentação de cor, utilizando configuração adequada para brightness e hue, pode substituir a morfometria por contagem de pontos de forma confiável e segura.(AU)

The types I and III collagens present different tonalities of birefringence in histological sections stained with Picrosirius red, that can be analyzed under a polarized light microscope. Based on this property, collagens can be quantified by histomorphometry. However, many variables can affect the color distribution in the histological image, and the appropriate choice of the analysis parameters have a significant influence on the final result. The objective of this study was to compare the histomorphometric quantification of collagen in the equine skin by counting points planimetry and color segmentation with different configurations to determine the best method of evaluation. For planimetry, three different graticules (391, 588 and 792 intersections) were used and, for color segmentation, six combinations of hue and brightness in ImageJ software. The values were submitted to the Friedman test followed by Tukey with 5% significance. The results showed that the quantification of collagens in the graticule of 792 intersections was equivalent to the results of color segmentation with a brightness of 1-255 and hue of 0-42 and 43-120 for collagens type I and III, respectively. Automatic analysis of the color segmentation, using suitable configuration for brightness and hue can replace the counting points planimetry reliably and safely.(AU)

Specifics of psychological and pedagogic correction of deviani behavior in younger adolescents with intellectual disability

Problem and aim. Deviant behavior is not only an alarming phenomenon but also a multitude of social, pedagogic and psychological problems that threaten the society and that became particularly relevant for the young adolescents with intellectual disability. Therefore, the aim of the present article is to reveal the specifics of correctional and developmental work with such children that would provide appropriate interpersonal interaction in the adolescence and the further positive socialization. Methods. The presented study was conducted in three stages (exploratory-preparatory, experimental and control-generalizing stages) with the use of the Buss-Durkee Hostility Inventory. Results and discussion. The results showed that the predominant from of the deviant behavior was hostility and violence, as well as a tendency for addictive behavior. Diagnostics of the dominant indices of hostility and aggressiveness demonstrated that the aggressiveness index dominated in the majority of adolescents. The majority of adolescents had a very high or high level of indirect hostility and assault, along with suspicion. The correctional program provides correctional effect for the adolescents with low and medium level of proneness to the deviant behavior

Clinical outcome and response of treatment in asymptomatic bacteriuria in type I and type II diabetes in women

Back Ground: Asymptomatic bacteriuria is common in neonates, preschool children, in pregnant women, in elderly people, in diabetes mellitus, in catheterized patients and in patients with abnormal urinary tracts or renal disease. Few data, however, are available about the potential complications arising from asymptomatic bacteriuria for various populations and for various medical conditions. The aim of the study: To study clinical outcome and response of treatment in asymptomatic bacteriuria in Type 1 and Type II Diabetes in women. Materials and methods: 150 Diabetes mellitus patients without any urinary complaints such as dysuria, frequency, urgency, strangury, tenesmus, nocturia, nocturnal enuresis, incontinence, urethral pain, bladder pain, renal colic, who attended Diabetology Department as outpatients and in patients in various wards of Govt. Government Mohan Kumuramanglam Medical College, Between 2015- 2016 were enrolled for this study. Results: 30% of the culture-positive cases occurred in 1 to 3 years duration group 24% of positive cases occurred in 5 to 10 years duration group. Of the 15 new cases, 5 cases were culture positive; the percentage of culture positive in new cases was 33.33%. 40% of culture-positive cases had random blood sugar value in the range of 201 mg% to 250 mg%. 24% of cases had random blood sugar value in the range of 151 mg% to 200 mg%. 15% of patients had a random blood sugar range of 251 mg% to 300 mg%. Of the 6 patients with diabetic nephropathy, 4 cases were culture positive, the positive culture percentage was 66.66%. Both cases of diabetic retinopathy are culture was positive. Both cases were grown E.coli. Of the 4 cases with ischemic heart disease, 2 cases were culture positive. S. Palanivel Rajan, I.V. Priyamvadha. Clinical outcome and response of treatment in asymptomatic bacteriuria in type I and type II diabetes in women. IAIM, 2019; 6(4): 26-30. Page 27 E.Coli was grown in culture positive cases in the study group was mostly highly sensitive to quinolones viz norfloxacin and ciprofloxacin and gentamicin. Other commonly used antibiotics like tetracycline, ampicillin, co-trimoxazole, cephalexin, nalidixic acid etc. were non-sensitive to E.coli. Klebsiella were grown in culture positive cases in the study group were 100% highly sensitive to quinolones. Conclusion: Quinolones are used widely for the treatment of E coli causing UTIs and may also be used to treat other infections caused by other members of the Enterobacteriaceae family. There has been a significant increase in quinolone-resistant uropathogenic E. coli strains isolated from patients with UTI in several countries and therapeutic failures have been reported

Comparative study of common organism growth in urinary tract infection in type I and type II diabetes mellitus among womens in Salem District

Background: Specifically asymptomatic bacteriuria occurring in diabetes mellitus can cause serious complications like renal and perirenal abscess, gas forming infections such as emphysematous pyelonephritis and cystitis, fungal infections, xanthogranulomatous pyelonephritis, and renal papillary necrosis. Though there is no consensus on the treatment of asymptomatic bacteriuria in various population groups, it is reasonable to treat asymptomatic bacteriuria in diabetes mellitus patients because of its potential complications. The aim of the study: To compare the common organism growth in type I and type II diabetes mellitus among womens. Materials and methods: 150 Diabetes mellitus patients without any urinary complaints such as dysuria, frequency, urgency, strangury, tenesmus, nocturia, nocturnal enuresis, incontinence, urethral pain, bladder pain, renal colic, who attended diabetology department as outpatients and in patients in various wards of Govt. Government Mohan Kumuramanglam Medical College, between 2015- 2016 were enrolled for this study. Results: Of the total 150 patients in study group 44 patients had a positive urine culture in two consecutive urine samples. Most of the patients had blood sugar levels between 151 mg% to 250 mg%. 60% of patients had blood sugar in that range. Another 20% of patients had blood sugar valve between 251 mg% to 300 mg%. In the study group, 25 cases were Escherichia coli isolates. Next S. Palanivel Rajan, I.V. Priyamvadha. Comparative study of common organism growth in urinary tract infection in type I and type II diabetes mellitus among womens in Salem District. IAIM, 2019; 6(4): 9-13. Page 10 common pathogen was Klebsiella (15 cases). There was no significant correlation in renal profile in type 1 and type 11 diabetes mellitus. Conclusion: High incidence of asymptomatic bacteriuria has been observed in Diabetic woman. High incidence of asymptomatic bacteriuria occur in both Type I Diabetes Mellitus and Type Diabetes Mellitus. Causative organisms in diabetic and non-diabetic asymptomatic bacteriuria are similar. E.coli is the commonest organism.