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Present study was conducted in 240 day-old broiler chicks to assess the effect of condensed tannins (CT) containing guava leaf meal (GLM) supplemented diet on nutrient composition, litter metabolites viz. pH, moisture and ammonia concentration) and microbial counts after completion of feeding trial of 42 days. Chicks were randomly allocated into 4 dietary treatments, with 4 replicates of 15 chicks in each pen in a completely randomized block design (CRD). Chicks were fed basal diets supplemented with GLM @ 1.5, 2.5 and 3.5 percent, in T1, T2 and T3 groups, respectively, while, T0 group fed only basal diet. Litter materials of chicks showed good nutrient profiles and properly sterilized litter material act as alternative feed ingredient for ruminants feed. Supplementation of GLM in the diets of chicks significantly (P<0.05) reduced moisture, pH, NH3 concentration, harmful Eschericia coli and Clostridia spp. counts in the litter materials and reduced environmental pollution. The litter material of GLM supplemented (T1, T2 and T3) chicken showed significantly higher (P<0.05) CP contents as compared to un-supplemented control. It can be concluded that properly sterilized litter material of GLM supplemented chicks act as cheaper alternative feedstuffs for ruminant’s ration and reduce environmental pollution by lowering NH3 concentration, harmful E. coli and Clostridia counts in broiler litter material
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Present study was conducted in 120 day-old unsexed broiler chicks. They were randomly distributed into 4 dietary treatments (T1, T2, T3 and T4) supplemented with leaf meal mixture (LMM) of Eugenia jambolana and Psidium guajava@ 0, 2.5, 5.0 and 7.5 % of diet, respectively of 30 birds per treatment, each having 3 replicates (10 chicks per replicate) in a complete randomized block design (CRD). Significantly (P<0.05) higher mean body weight was observed in T1 as compared to T2, T3 and T4 groups. Carcass yields viz. live weight, de-feathered weight, slaughtered weight and eviscerated weights (in gram and % LWt.) were statistically non significant (P>0.05) with and without LMM supplemented diets. However, weights of spleen and liver were significantly (P<0.000, P<0.026) higher in LMM supplemented groups as compared to un-supplemented control (T1). Dietary supplementation significantly reduced abdominal fat content in T4 compared to T1, whereas, T2 and T3 have an intermediate values between T1 and T4 and increased the net profit, it ranged from ` 30.41 to 34.24 per bird
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Present study was undertaken in 120 day-old broiler chicks, randomly distributed into 4 dietary treatments (T1, T2, T3 and T4 supplemented with leaf meal mixture (LMM) of Eugenia jambolana and Psidium guajava @ 0, 2.5, 5.0 and 7.5 % of diet, respectively) each having 3 replicates (10 chicks/ replicate) in a complete randomized block design (CRD). Experimental chicks were fed basal diets (starter and finisher) supplemented with graded levels of LMM. Feed intake, body weight gain and feed conversion ratio (FCR) were recorded at weekly intervals. Two birds from each replicate were slaughtered at the end of feeding trial (42 days). Blood samples were collected and serum separated for biochemical profiles. For histopathological examination, representative tissue samples were collected in 10% neutral buffer formalin and then processed for paraffin embedding employing alcohol as dehydrating agent and xylene as clearing agent. Sections were cut at 4-5µm thickness and stained by routine haematoxylin and eosin method. On histopathological examination of liver, kidney, heart and intestine of T1 and T2 groups showed normal integrity, mild to moderate histopathological changes in T3 group, while, T4 showed drastic histopathological changes. It was concluded that E. jambolana and P. guajava LMM supplementation (2.5% or even 5%) maintained birds performance, minor histopathological changes and producing healthy low cholesterol broiler meat. The LMM incorporation (2.5%) in the diet of broiler chicks may be recommended as socioeconomic, alternative functional feed resource
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Background: Dyslipidemia is very much common in chronic kidney disease patients and is responsible for cardiovascular disease (CKD) which is most common cause of mortality in them. So, it is necessary to study the lipid profile in CKD patients to prevent morbidity and mortality.Methods: Subjects each of 50 in number are grouped into healthy controls (group-1), CKD patients without hemodialysis (group-2), CKD patients with hemodialysis (group-3). After fasting of 12 hours, lipid profile is assessed in all cases.Results: In this study, there is increase in Total cholesterol (TC), Low Density lipoprotein (LDL), very Low-Density lipoprotein (VLDL) and Triglycerides (TG) and decrease in High Density Lipoprotein (HDL) in all CKD patients compared to healthy controls (p-value for each parameter <0.001). There is increase in TC, TG and VLDL in diabetic CKD patients compare to non-diabetic CKD patients and p-value for each parameter is <0.05. It was found that TG and VLDL increase and HDL decrease in group-3 compare to group-2 is statistically significant (p-value for each <0.05) and no significant variation in TC and LDL in these groups.Conclusions: Present study demonstrated that there is dyslipidemia in CKD patients irrespective of mode of management, but the derangement is much more common and significant in CKD with hemodialysis group and they are at risk of cardiovascular disease. It is better to start lipid lowering drugs which decreases disease progression and dyslipidemia.
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Standardization is an important step for the establishment of a consistent biological activity, a consistent chemical profile, or simply a quality assurance program for production and manufacturing of herbal drugs preparation of any herbal formulation identification, evaluation and standardization is rudimentary identification involves the morphology, microscopy parameter of plants, evaluation and standardization of herbal drugs includes physical, chemical and biological parameters. These parameters are crucial for preparation of accurate and potent formulation. The present communication attempts to investigate pharmacognostical and phytochemical details of Cucurbita maxima, (Cucurbitaceae). The Preliminary phytochemical analysis revealed presence of carbohydrates, alkaloids, flavonoids, saponins, proteins and amino acids in alcoholic extract. HPTLC studies reveal that alcoholic extract gives 3 spots and alcoholic extract depicts 5 spots on the TLC plate in Butanol: acetic: water solvent system with Ninhydrin as spraying agent and 3 spots with vanillin as spraying agent and with butanol: phenol: water (6:1:1) 4 spots were seen with Ninhydrin as spraying agent and 2 spots were seen with vanillin as spraying agents. The GC/MS of pet ether methyl ester showed number of peaks. Out of which 3 highest peaks in descending order were taken into consideration. OSAZONE were formed which showed needle shaped crystals of glucaosazone. The study revealed specific identities for which may play a key role in identification of plant and can be useful in standardization of the herbal drugs.
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Two small round opaque shadows of metallic densities opined as that the injury was not a firearm injury but was self inflicted one by the first Medical Board under the Chairmanship of Chief Medical Officer. Opinion of another Medical Board comprising Forensic Medicine expert considered it as a: Clear cut case of firearm wound. Based on two contradictory opinions, Allahabad Court held that the Charge: sheet submitted under sections 323, 504, and 506 IPC, ought to have been submitted under some graver sections too. This paper deals with a critical review of case where two Medical Boards were constituted in the interest of justice. Views of various other relevant judgments of Hon’ble Supreme Court and various High Courts emphasizes the importance of Forensic Medicine in the administration of justice and need for refresher courses and training for medical officers suggested to avoid future recurrences of such nature are discussed in brief.
Subject(s)
Expert Testimony/legislation & jurisprudence , Forensic Medicine/education , Forensic Medicine/legislation & jurisprudence , Forensic Medicine , Forensic Medicine/methods , Humans , India , Judicial RoleABSTRACT
INTRODUCTION: Quality of life (QOL), and pulmonary and nutritional parameters are important outcome measures during treatment of lung cancer; however, the effect of chemotherapy on these factors and their relationship with clinical response is unclear. METHODS: Patients with non-small cell lung cancer (NSCLC) were evaluated for symptom profile, nutritional status (using anthropometry), pulmonary functions by spirometry and six minute walk distance (6 MWD), and QOL using the WHO-QOL Bref 26 questionnaire, before and after chemotherapy. RESULTS: Forty-four patients were studied (mean (SD) age, 55 (10) years, 75% males). The majority (98%) had stage III or IV disease and 72% were current / ex-smokers with median pack-years of 27.0 (range, 0.5-90). Some 61% had a Karnofsky Performance Scale (KPS) 70 or 80. The commonest symptoms were coughing, dyspnea, chest pain, anorexia and fever (79%, 72%, 68%, 57% and 40%, respectively). The mean (SD) 6 MWD was 322.5 (132.6) meters. The mean (SD) percentage forced vital capacity (FVC %), and forced expiratory volume in one second (FEV1 %) were 64.7 (18.8) and 57.8 (19.4), respectively. The mean (SD) QOL scores for the physical, psychological, social, and environmental domains were 52.9 (20.5), 56.1 (17.9), 64.5 (21.8), 57.1 (16.6), respectively. Fourteen patients (32%) responded to chemotherapy. Non-responders had significantly higher baseline occurrence of fever, anorexia, and weight loss, higher pack-years of smoking and poorer KPS compared to responders. Overall, chemotherapy caused significant decline in the frequency of coughing, dyspnea, chest pain, fever, anorexia, weight loss, and improvement in hemoglobin and albumin levels. There was no significant improvement in pulmonary functions, nutritional status, or QOL scores after treatment. CONCLUSIONS: Lung cancer patients have a poor QOL. Although chemotherapy provides significant symptomatic benefit, this does not translate into similar benefit in respiratory and nutritional status or QOL. Patients with constitutional symptoms, higher smoking burden, and poor KPS are less likely to respond to chemotherapy. Management of NSCLC must include strategies to improve various aspects of QOL, nutritional status and pulmonary reserve to achieve comprehensive benefit.
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BACKGROUND: Predictors of survival and response to treatment in patients with small cell lung cancer (SCLC) are ill-defined and unclear. In an attempt to assess the impact of common presenting symptoms and laboratory values on survival, we undertook this retrospective review of patients with SCLC. To our knowledge, there is no study on survival in SCLC patients from the Indian subcontinent. DESIGN: Retrospective Cohort study. MATERIALS AND METHODS: All newly diagnosed small cell lung cancer cases from December 2001 through December 2004, were identified and clinical data on presenting symptoms and laboratory findings from their hospital records, noted. The influence of various pretreatment factors on survival was investigated using Kaplan-Meier plots and Cox multivariate regression model. RESULTS: 76 subjects were included (84% males, 91% smokers). 57% patients had five or more symptoms at presentation. Cumulative symptom burden was strongly associated with survival (P =0.02). Survival was also significantly related with Karnofsky performance status (KPS) (P =0.04), disease extent (P =0.03) and symptomatic response to treatment (P< 0.001). Patients with higher hemoglobin (P =0.02), serum sodium (P =0.04) and serum globulin (P =0.02), survived significantly longer. By multivariate regression analysis, hemoglobin, KPS and brain metastases, were significant predictors of survival (P =0.01, P =0.02, P< 0.01 respectively). CONCLUSION: Cumulative symptom burden, KPS, disease extent and symptomatic assessment of improvement after treatment, are useful predictors of survival. This has important clinical implications, keeping in view, the infrastructure and cost involved in more objective tests like CT scan, for evaluation of disease extent and prognosis. These findings can provide a simple basis for predicting prognosis in small cell lung cancer, especially in developing countries like ours.
Subject(s)
Aged , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Bone Neoplasms/mortality , Brain Neoplasms/mortality , Carcinoma, Small Cell/mortality , Cohort Studies , Combined Modality Therapy , Female , Humans , India/epidemiology , Liver Neoplasms/mortality , Lung Neoplasms/mortality , Male , Middle Aged , Neoplasm Staging , Prognosis , Radiotherapy Dosage , Retrospective Studies , Survival RateABSTRACT
The incidence of lung cancer is rising dramatically and it is now the commonest cause of mortality and morbidity not only in the industrialised countries, but in developing nations like India as well. Tobacco smoking has consistently been demonstrated to be an important aetiological factor, though lung cancer occurs in non-smokers also. In spite of great advances in radiological and molecular diagnostic techniques, the ideal screening marker for early detection of lung cancer has still not been found. Histological diagnosis and staging is essential for selecting the mode of therapy in patients with lung cancer. Stages I and II are amenable to surgery. However, advanced stage III and IV need an individualised combination of surgery, chemotherapy and radiotherapy. With a better understanding of the cellular mechanisms operating in carcinogenesis, newer target specific modalities are being developed and tested in order to stem this disease, which threatens to assume epidemic proportions.