Correlation of SARS-Cov2 viral load with severity of COVID-19 disease in pregnant women at term: an observational study

Background: COVID-19 disease raised global health concerns especially for the pregnant women who are more susceptible to respiratory viral illnesses due to their bodily immunological and physiological changes to accommodate the foetus. The aim of the study is to evaluate the relationship between the SARS-CoV 2 specific RdRp gene Ct values ??and the severity of the COVID-19 disease in SARS-CoV2 positive pregnant women at term. Methods: A retrospective cohort study was conducted in the Department of Microbiology, Government Medical College, Amritsar on a subset of 46 COVID-19 positive, ante natal mothers, who presented in the labour room for delivery from August 2020 to January 2022. Results: A cohort of 4.8% (46/949) women tested positive in the RT-PCR test for viral RNA. Average age of the group was 25.5years and 89.1% were asymptomatic. 10.9% women reported mild symptoms and 95% had no pre-existing co morbidities. Obstetric complications like premature rupture of membranes were 4.3%, pre-term births 17.33%. Miscarriage and IUD was recorded in 4.34% and 2.17% patients respectively. When compared to values seen in symptomatic women with fever (Ct 25.8), dyspnoea (Ct 28.7), and respiratory distress (Ct 29.1), the mean Ct value reported in asymptomatic women (27.49 SD+5.4) was identical. SARS-CoV2 was not present in any newborns. Despite 24% having low birth weights for their gestational ages, 93% of babies were asymptomatic. Conclusions: The severity of the COVID-19 illness did not correspond with the SARS CoV2 virus RdRp gene Ct levels. The presence of SARS-CoV2 did not appear to independently cause poor maternal and new-born outcomes.

Microbial decolorization and bioremediation of melanoidin containing molasses spent wash.

Molasses spent wash from cane-molasses based distilleries contains a brown coloured recalcitrantpolymer melanoidin, which if disposed untreated poses a great threat to environment. Microbial decolorization and chemical oxygen demand (COD) reduction was found to be dependent on specific carbon and nitrogen source. Under optimal condition of pH, carbon and nitrogen concentration for each treatment, it was found that Bacillus sp isolated from soil was capable of removing COD (85. 35%) and colour (81.10%) from distillery waste to the maximum extent after 9 days atpH 7 in the medium containing 0.5% peptone, 2% glucose and 10% (v/v), followed by Phanerochaete chrysosporium and lowest reduction was obtained by using native microbial consortium.

Receiver operating characteristic curve analysis of BMI and percentage body fat in type 2 diabetics of Punjab.

The present study attempted to establish appropriate cut off levels of Body Mass Index (BMI) for defining overweight as a risk for the development of type 2 diabetes considering percentage body fat (BF) as standard. A total of 300 patients of known type 2 diabetes participated in the study (150 males and 150 females, all > or = 40 years of age). Clinical examination was done. Anthropometric measurements as BMI, Waist Circumference (WC) and Waist-hip ratio (WHR) were calculated. Percentage BF was calculated using skinfold thickness method from the equation of Durnin and Womersley. Mean BMI for males was 24.97 (SD 4.3) kg/m2 and for females was 27.56 (SD 5.14) kg/m2. Mean percentage BF for males was 28.19 (SD 0.74) and for females was 38.22 (SD 5.29). A comparison of BF and BMI data with various ethnic groups revealed conspicuous differences. Receiver operating characteristic (ROC) curve analysis showed a low sensitivity of conventional cut off value of BMI (25 kg/m2) in identifying subjects with overweight as compared to the cut off values based on percentage BF (males > 25, females > 30). This results in substantial misclassification. Based on the ROC curve, a lower cut off value of BMI 22.3 kg/m2, displayed the optimal sensitivity and specificity, and less misclassification in identification of type 2 diabetics with high percentage BF. BF: BMI was calculated and was found to be higher in females.

Acanthamoeba adherence to soft contact lens and human corneal stroma.

In the present study, the adhesibility of Acanthamoeba castellani trophozoites and cysts to hydrogel contact lenses and to human cornea was investigated. Segments of unworn contact lenses were prepared (120 segments in total). In addition, 8 corneal buttons were obtained from 8 enucleated eyes. And each cornea cut into 8 radial segments. To these lens and corneal segments, 1.2 x 106/ml and 1.3 x 106/ml of cysts and trophozoites respectively were added under varying conditions. The adhesion was checked at 0, 3 and 24 hours after the exposure. Adhesion analysis showed that the trophozoites adhered equally well to lens or cornea. There is an increase in the number of trophozoites adhering to contact lenses as well as cornea. This difference is more significant for contact lenses. Washing of contact lenses significantly decreased the adherence of the trophozoites after 3 hours of incubation. When the comparison of adhesion was done between the unwashed worn and unwashed unworn contact lenses, it was observed that there was a significant difference in adherence to new lenses where the adherence was much lower. The study shows that washing of contact lenses does decrease the chances of colonization by Acantamoeba catellani and also that older lenses have higher chances of getting colonized probably due to the occurrence of scratches et. on the surface which may help in colonization.

Effect of Giardia lamblia on duodenal disaccharidase levels in humans.

The study was conducted to detect the effect of giardiasis on human disaccharidase levels. Forty patients attending the medical outpatient department of PGIMER, Chandigarh were enrolled. Twenty patients, positive for Giardia lamblia comprised the study group while 20 patients negative for Giardia lamblia were taken as controls. Upper gastrointestinal endoscopy was performed in all patients. Estimation of lactase, sucrase, maltase and trehalase was done in biopsies. Histopathological investigation was carried out in all biopsy specimens after Haematoxylin and Eosin staining. Complaints of pain abdomen and bloating occurred commonly in giardiasis. Four biopsy samples in study group showed mild increase in lymphomononuclear infiltrate. Giardia lamblia was detected in 7 biopsies. Lactase levels were decreased significantly (p < 0.05) in giardiasis. Rest of the enzymes were comparable to the controls. No differences in the enzyme activities were observed between males and females in either group and with the duration of symptoms.

Pulmonary function tests in healthy male Punjabi children [10-19 years of age]

We performed spirometry on 177 male healthy children from Patiala, North India between 10 to 19 years age. The best fit regression equations for different functions were determined for each parameter. A linear relationship of lung function was observed with age, height, weight and BSA. Our results have been higher than the South Indian studies but closer to other North Indian studies. Similar comparison with western studies reveals that their subjects have higher lung function values than our subjects. It is clear that grossly erroneous conclusions may be reached unless prediction equations for lung function tests for a given ethnic group are derived from studies upon the same ethnic group.