ABSTRACT
Abstract Ischemic heart disease is the leading cause of death in postmenopausal women. The activity of heart ACE increases whereas the activity of ACE-2 decreases after menopause. The present study was designed to investigate the role of ACE and ACE-2 in the abrogated cardioprotective effect of IPC in OVX rat heart. The heart was isolated from OVX rat and mounted on Langendorff's apparatus for giving intermittent cycles of IPC. The infarct size was estimated using TTC stain, and coronary effluent was analyzed for LDH, CK-MB, and nitrite release. IPC induced cardioprotection was significantly attenuated in the ovariectomized rat heart as compared to the normal rat heart. However, this attenuated cardioprotection was significantly restored by perfusion of DIZE, an ACE-2 activator, and captopril, an ACE inhibitor, alone or in combination noted in terms of decrease in myocardial infarct size, the release of LDH and CK-MB, and also increase in the release of NO as compared to untreated OVX rat heart. Thus, it is suggested that DIZE and captopril, alone or in combination restore the attenuated cardioprotective effect of IPC in OVX rat heart which is due to an increase in ACE-2 activity and decrease in ACE activity after treatment.
Subject(s)
Animals , Female , Rats , Ovariectomy/classification , Myocardial Ischemia , Heart/physiopathology , Infarction/pathology , Myocardial Infarction/pathology , Women , Angiotensin-Converting Enzyme Inhibitors/adverse effects , Captopril/pharmacologyABSTRACT
Background: Chikungunya virus, an alphavirus belonging tothe Togaviridae family, caused large scale outbreaks in severalparts of southern, western and eastern India in 2006. Wereport Chikungunya outbreak in Jamshedpur region in 2011.Objective: To know the seroprevalence and seasonal trendsof Chikungunya infection among the patients of the diseasewho attended to MGM Medical College, Jamshedpur, A tertiarycare hospital during 2011 to 2014.Materials & Methods: Present retrospective observationalstudies were conducted in the Microbiology Department ofMahatma Gandhi Medical College, Jamshedpur from August2011 to December 2014.Result: Serum samples of 323 patients presenting with fever,arthralgia, rash etc. were tested for anti-Chikungunya IgMantibody using MAC ELISA. 148/324 (47.9%) samples werepositive for anti Chikungunya IgM antibody. More males wereaffected compared to females. The most common age groupaffected was 29-49 year. Characteristically, pediatrics agegroup was least affected. The number of cases increased withincreasing age group.Conclusion: Screening for Chikungunya infection in theendemic areas, especially in monsoon season would improvethe quality of arboviral surveillance and potentially aid in clinicalmanagement of the disease.
ABSTRACT
Background: Cancer of uterine cervix is one of the commoncarcinoma among females. The global incidence of cervicalcancer varies (5 lakhs new cases/year), highest in developingcountries with >50% dying. In India, cervical cancer contributesto approximately 6–29% of all cancers in women. Prevention ofcervical cancer, whether primary or secondary requires activeparticipation of the community. This study is to assess thePrevalence, Pap screening, knowledge, attitude practice andprevention regarding cervical cancer. Identification of riskfactors is necessary to curb the disease.Methods: A cross-sectional study was conducted in differentCHC, PHC and MGM Medical college Jamshedpur area ofKolhan region of Jharkhand. A sample of 499 women aged 15-70 years was taken from January 2017- August 2019 and wasselected and subjected to Pap smear test of cervix andabnormal smears, Histopathological report of HSIL/invasivecarcinoma, Factors like menarche, coitarche, age at marriage,parity, contraception, smoking habit and socio-economic statuswere noted.Results: In our study, HSIL was 0.2% and invasive cancer was2.8%. Out of the 499 respondents most of them belonged tothe 15-39 years age group. About 81.96% were Hindu, morethan all the other religion respondents 79.75% of the womenwere educated in primary level. Around 85.17% of therespondents were housewives by occupation. Majority of thembelonged to the lower socio-economic strata. The awarenessabout Pap smear where p>0.05 not significant.Conclusions: Early menarche, early coitarche, early marriage,high parity, use of contraception other than barrier, lowsocioeconomic status, poor habitat and HPV infection, carrieda high risk of developing cervical cancer. HPV infection wasthe most important risk factor. Improvement of socioeconomicstatus, education and cervical cancer screening of the high-riskgroup can reduce cervical cancer mortality and morbiditysignificantly.
ABSTRACT
Background: Japanese Encephalitis is one of the mostimportant causes of viral encephalitis worldwide, with anestimated 50,000 cases and 15,000 deaths annually. Thepresent study was undertaken to investigate theSeroprevalence and Seasonal Trend of Japanese Encephalitisin Jamshedpur.Methods: It was a hospital-based retrospective studyconducted from August 2011 to December 2017. A total of 571consecutive non-repetitive patients, satisfying the clinical casedefinition of JE as per the WHO guidelines, were included inthe study. Cerebrospinal fluid (CSF) and serum samples weretested for JEV-specific IgM antibodies by the NIV JE IgMCapture ELISA Kit.Results: Out of which 166/571 (29.07%) were JE positivediagnosed by IgM Mac ELISA antibody kit. We have observedthat in a period of six years, the JE positivity rate hassignificantly reduced from 39.84% in 2011 to 7.29% in 2017.Conclusions: A declining trend of JE was seen in this study,however further research work needs to be done to lookfor non-JE causes of JE. Surveillance & effective vaccinationshould be carried out regularly for early detection of animpending outbreak and to initiate timely preventive and controlmeasures.
ABSTRACT
Background: Anaemia is a global public health problem. InIndia, Jharkhand state is one of the state where under nutritionis highly prevalent. Most of the health problems like lowimmunity, Anaemia, hypoprotienemia arise due to low proteinintake. During erythropoiesis, Haemoglobin synthesis requiresprotein, Vitamin B12, Folic acid, Vitamin C as well as mineralslike Fe, Cu etc. Adequate nutrition is of prime importance andthis is reflected in plasma also.Objectives: To assess the level of Hb and plasma proteinamong study subjects with a co-relation of Hb with plasmaprotein.Materials and Methods: Present study was undertaken atMGM Medical College, Jamshedpur. 177 participants wereselected for the study and the data were obtained on differentvariables. Blood samples were also taken from the participants.Results: Most of the study subjects were anaemic. Anaemiawas more common among female subjects in comparison withmales. The present study found a positive co-relation betweenHb and Plasma protein.Conclusion: There is a strong co-relation observed betweenplasma protein, daily protein intake, and BMI withhaemoglobin.
ABSTRACT
Background: Gallstone disease is common gastrointestinalproblem encountered in day to day practice. Super saturationof bile in cholesterol, enhanced nucleation of cholesterol,impaired gallbladder emptying and intestinal hypo motilityfavors the formation of gallstones. Consumption of diet rich incarbohydrates but deficient in iron alters hepatic metabolism ofcholesterol and promotes cholesterol crystal formation.Objective: To correlate iron deficiency anemia with gallstonedisease in Kolhan region of Jharkhand.Materials & Methods: A prospective study was conductedduring period of one year in department of surgery MahatmaGandhi Memorial Medical College Hospital, Jamshedpur. 50patients with ultrasonographically proven gallstone diseaseadmitted in surgery department during this period wereincluded in the study. 50 individuals admitted in surgerydepartment, not suffering from gall stone diseases were takenas control group. Subjects were divided into two groups anemicand non-anemic based on Hemoglobin% and serum iron.Serum cholesterol of both the groups was estimated.Results: Female was affected more in case and control groupwith mean age 39.72±15.382.Conclusion: Iron deficiency anemia plays a significant role insuper saturation of bile with cholesterol leading to gallstoneformation.
ABSTRACT
Background: Type II Diabetes mellitus has emerged as aglobal public health problem with more effect on developingworld. India is considered to become epicentre of DM in nearfuture. Serum uric acid is a by-product of purine metabolism.Most of the studies provide a positive relationship betweenhyperglycemia & hyperuricemia.Objectives: To co-relate the level of serum uric acid ineuglycemic persons having family history of DM and in personshaving no family history of DM and to assess the level ofHbA1c among these two groups.Materials and Methods: Present study was undertaken atMGM Medical College, Jamshedpur and Sadar Hospital,Jamshedpur with a sample size of 60 (30 in each group).Results: The present study didn’t find any significantdifference in serum uric acid between two groups although asignificant difference was observed in HbA1c in both groups.
ABSTRACT
Background: Dengue fever and Dengue Haemorrhagic feveris an acute viral disease caused by Dengue virus. The infectionis transmitted by female mosquito- Aedes aegypti. The presentstudy was undertaken to investigate the trend of Dengue andthe seasonal effect associated with it. During late August 2010,outbreak of dengue symptomatic patients was admitted toMGM Medical college hospital Jamshedpur. ELISA for antidengue antibodies confirmed the case as Dengue.Objective: This retrospective study was done to analyze thecirculating dengue virus seroprevalence and seasonal trendamong the patients of the disease who attended to MGMMedical College, Jamshedpur, A tertiary care hospital during2010 to 2015.Methods: It was a hospital-based retrospective studyconducted from September 2010 to December 2015. A total of342 consecutive non-repetitive patients, satisfying the clinicalcase definition of Dengue as per the WHO guidelines, wereincluded in the study. Serum samples were tested for Denguespecific IgM antibodies by NIV Dengue IgM Capture ELISA Kit.Results: Of the 342 patients attended, 110(32.16%) caseswere positive for Dengue IgM antibodies. There was asignificant reduction in the Dengue positivity rate from 31% in2010 to no cases in 2015. The majority of cases occurredduring the monsoon and post-monsoon season.Conclusions: A declining trend of Dengue was seen in thisstudy, however further research work needs to be done to lookfor non-Dengue causes of Dengue fever. Surveillance shouldbe carried out regularly for early detection of an impendingoutbreak and to initiate timely preventive and controlmeasures.
ABSTRACT
Oroxylum indicum (family: Bignoniaceae) or Broken bones tree, which is distributed throughout India and South East Asia. Oroxylum indicum is known by such regional names as Bhatghila, Tona, Bhut-vriksha, Shyonaka, and Hanyu pinyin. Over the past two decades, many reports have appeared in mainstream scientific journals describing its nutritional and medicinal properties. While much of this recent enthusiasm indeed appears to be justified, it is critical to separate rigorous scientific evidence from anecdote. The present review provides the complete information about literatures of Oroxylum indicum as botanical descriptions, vernacular names, biological activity of plant parts, ethanomedicinal uses and current status of research with scope of investigation of Oroxylum indicum for future research. The structures of twenty eight isolated compounds from different parts of Oroxylum indicum with IUPAC names, molecular formula, formula weight, melting points were also reported in this study.
ABSTRACT
Objectives: To compare the levels of homocysteine, vitamin B12 and folic acid before and after 6 months of carbamazepine therapy and to correlate them with carbamazepine level at 6 months. Design: Prospective comparative study. Setting: Tertiary care centre in North India. Participants: 51 children (2-12 years of age) presenting with motor partial seizures. Intervention: Carbamazepine (10-20 mg/μ/day) for 6 months. Main outcome measure: Change in serum homocysteine, B12, folic acid level. Methods: Fasting venous samples were collected before carbamazepine therapy and after six months. Homocysteine was analyzed using homocysteine enzyme immunoassay. Vitamin B12 and folic acid were estimated using electrochemiluminesence technique. Carbamazepine levels were measured at 6 months. Results: Of the 51 children, 36 (males-21), were followed up and their data analyzed. Mean homocysteine level was 11.51±3.95 μmol/L at recruitment and 11.77±6.65 μmol/L at six months (P=0.785). At recruitment 6(16%) children had homocysteine level above 15 μmol/L which increased to 10(27%) at 6 months. Mean vitamin B12 at recruitment was 292.1±111.2 pg/mL and 297.8±82.9 pg/mL at 6 months (P=0.764). Mean folic acid at recruitment was 9.98±3.45 ng/mL and 10.66±3.97 ng/mL at 6 months (P=0.358). There was no correlation between carbamazepine levels with homocysteine, vitamin B12 and folic acid (P>0.05). There was no effect of age, sex or dietary pattern on homocysteine levels. Conclusion: Hence 6 months of carbamazepine therapy did not cause significant change in serum levels of homocysteine, vitamin B12 and folic acid.
ABSTRACT
The Cymbopogon jwarancusa (Jones.) leaves extracts were explored for their antioxidant and antimicrobial activity. The ethanol extract showed highest antioxidant activity in DPPH (31.99 ± 0.50 % inhibition) and FRAP (38.79 ± 0.54 Fe (II) micromole per litre) assay while water extract showed highest antioxidant activity in βCL (54.76 ± 1.37 %) at 1mg/10ml concentration. BHT and ascorbic acid were used as standards. During antimicrobial assay, the ethanol extract found was very effective against Fusarium oxyporium f.sp-lini (85.31 ± 0.25 mm) and Staphylococcus aureus (94.37 ± 0.28 mm) at 500 ppm while water extract was found less effective against Aspergillus flavus (03.72 ± 0.19 mm) at 100 ppm concentration. The ethanol extract can be used for the applications such as food preservation as a remedy and against dental diseases.
ABSTRACT
Dengue hemorrhagic fever leading to hemorrhage in pituitary adenoma is not reported till date: We herein report the first case of bilateral visual loss secondary to pituitary adenoma hemorrhage associated with dengue hemorrhagic fever. Urgent transnasal trans sphenoidal decompression of the macroadenoma prevented permanent visual loss in this patient. Pituitary apoplexy should be considered as differential diagnosis of visual deterioration apart from retinal hemorrhage, maculopathy, and optic neuropathy in cases of dengue hemorrhagic fever. Early decompression of optic nerves helped in the restoration of vision.