Comparison of the Minimum Fungicidal Concentration of Clotrimazole, Ketoconazole, Miconazole and Terbinafine Against Clinical Isolates of Dermatophytes.

Superficial fungal infections affect millions of people worldwide. Earlier most dermatophyte strains had relatively restricted geographical distribution. But currently, dermatophytosis has become one of the most common human infectious diseases worldwide. Fungal infections are common in hot and humid climate of tropical countries like India. Topical and systemic therapies are commonly used to treat dermatophyte infections.Clotrimazole is one of the most commonly used topical antifungal drugs. This study compared the minimum fungicidal concentration (MFC) of Clotrimazole with Miconazole, Ketoconazole and Terbinafine in skin dermatophytes. The study demonstrated that Clotrimazole had lower MFCs as compared to Ketoconazole and Miconazole against Trichophyton rubrum, Trichophyton mentagrophytes and Microsporum canis. Clotrimazole had comparable MFCs versus Terbinafine against Trichophyton rubrum but it had lower MFCs against Trichophyton mentagrophytes and Microsporum canis. Thus, Clotrimazole is an effective antifungal agent for dermatophytosis even today.The efficacy of Clotrimazole even against strains with intermediate resistance or resistance to the older azole anti fungal drugs reiterate the current decisions of empirical treatment with topical Clotrimazole for the management of superficial dermatophyte infections.

Assessment of Efficacy and Safety of Fixed Dose Combination of 3% Biophytex LS 8740 and 5% Proteasyl TP LS 8657 Cream in the Treatment of Under Eye Dark Circles (Infra-orbital Hyperchromia).

Background: Under Eye Dark Circles is attributed to multiple factors. The treatment should address the various pathologies involved to provide the best possible effects. Aims: To assess the efficacy and safety of Wunder eye cream (a combination of 3% Biophytex LS 8740 and 5% Proteasyl TP LS 8657) in patients with under eye dark circles. Study Design: Open label, prospective, single arm and multicentric post marketing surveillance clinical study. Materials and Methods: 142 patients (125 males and 17 females) were evaluated in the study. Wunder Eye cream was applied twice daily on the affected under eye dark circle area for eight weeks. Parameters evaluated were area of under eye pigmentation, improvement in luminance of under eye skin, reduction in under eye puffiness and reduction in under eye wrinkles using a digital camera photographs after four and eight weeks of treatment. Safety evaluation was also done on the same time. The values were compared using Chi-Square test. Results: Early response was seen in 40% of patients with four weeks of treatment where 50% improvement in all the parameters was seen. With eight weeks of therapy about 92.3% of patients showed 50 to 100% improvement in the area of under eye pigmentation; 50% to 75% improvement was seen in 87.3% of patients for under eye pigmentation, in 80.1% patients for luminance of under eye skin, in 68% patients for under eye puffiness and in 67.4% of patients for under eye wrinkles. Conclusion: Wunder eye cream is a combination of botanical and yeast extracts was found to be effective against under eye dark circles.

Tracheobronchial amyloidosis masquerading as bronchial asthma.

A case of localized tracheobronchial primary amyloidosis masquerading as "bronchial asthma" is presented. Computed tomography of the chest and fiberoptic bronchoscopy image are included. Tracheobronchial primary amyloidosis is a rare, but potentially curable cause of airway obstruction mimicking asthma.

Toxicity of a rice field herbicide in a nitrogen fixing alga, Cylindrospermum sp.

Supplementation of paraquat into the culture medium proved to be highly toxic for a blue-green alga Cylindrospermum sp. A concentration of 15 microg/ml proved algicidal for the test alga. Various concentrations (0.5 microg/ml - 15 microg/ml) of the herbicide affected the growth and reduced chlorophyll and phycocyanin contents of the alga. In addition, it inhibited differentiation of heterocysts and akinetes. The inhibition of algal growth was found to be partially relieved on addition of 500 microg/ml of glucose.

Radioiodine kinetics and thyroid function following the universal salt iodization policy.

BACKGROUND: Universal salt iodization was introduced in Delhi in 1989. The present study quantifies the change in iodine kinetics as a result of this. The previous values were reported 10-30 years earlier, when Delhi was iodine deficient. METHODS: Thirty subjects (18 men and 12 women, 17-48 years of age) who were residents of Delhi and had no thyroid disorder, were recruited from our outpatient clinic in 1999. The 24-hour urinary excretion of iodine and the iodine content of salt consumed at home by these subjects were estimated. Kinetic studies of iodine using radiotracer 131I were done to determine thyroid iodine clearance, renal iodine clearance, percentage uptake and absolute iodine uptake by the thyroid gland, and plasma inorganic iodine. RESULTS: The median 24-hour urinary iodine excretion was 341.3 micrograms. The mean (SD) thyroid uptake of radioactive iodine was 4.9 (2.3)% at 2 hours and 19.1 (8.0)% at 24 hours. The median calculated plasma inorganic iodine was 1.36 micrograms/dl, absolute iodine intake 6.5 micrograms/hour and thyroid iodine clearance was 4.8 ml/minute (geometric means 1.68 micrograms/dl, 8.5 micrograms/hour and 8.1 ml/minute, respectively). The serum thyroid hormones and thyroid stimulating hormone were within normal limits. CONCLUSION: Compared to the values reported 10-30 years ago when the population was iodine deficient, the present urinary iodine excretion, plasma inorganic iodine and absolute iodine intake have increased, while the percentage thyroid uptake of iodine ingested and thyroid clearance have decreased. The lack of change in the serum thyroid hormone levels after 10 years of universal salt iodization indicates that iodine consumption has had no adverse effect on thyroid function in these normal individuals. These changes are consistent with the increase in iodine consumption. Since the iodine ingestion in a community may change with time, assessment of iodine kinetics should be done periodically in different regions of the country.

Chromatic adaptation and photoreversal in blue-green alga Calothrix clavata West.

Complementary chromatic adaptation, a well-established phenomenon in some blue-green algae, has been observed in Calothrix clavata, a heterocystous blue-green alga of the family Rivulariaceae. The chromatic adaptation has been observed for fluorescent and incandescent light by measuring the absorption spectra. The material grown in fluorescent light forms more of phycoerythrin whereas more of phycocyanin tends to be formed in incandescent light. Besides this, photoreversal was observed by transferring the incandescent light grown alga to fluorescent light conditions and vice-versa. Effect of photoreversal and chromatic adaptation has also been discussed for this alga under different monochromatic light conditions. The influence of different light conditions on morphological changes, heterocysts and hormogonia formation has also been investigated. Both chromatic adaptation and photomorphogentic phenolmena in this alga show the involvement of some photoreversible (red:green) pigment.