Establishment of SMS Dengue Severity Score

Background: Dengue infection is a disease that progresses rapidly to life-threatening conditions. Our goal was to develop a practical scoring system based on clinical profiles and routine tests to predict the severity of infection. Methods: This cross-sectional observational study included 500 patients with dengue infection. Patient demographics, clinical symptoms, regular laboratory tests, and results were collected. Dengue infections are divided into three classes, depending on their severity: dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS). Based on the total score, patients were divided into three severities. Results: Patients with DSS and DHF scored higher with worsening clinical features and routine laboratory tests compared to DF. Clinical predictors of severity include older age, increased white blood cell (WBC) count, increased hematocrit, increased prothrombin time, decreased platelet count, decreased blood pressure, presence of peri-gallbladder (GB) edema, third space loss, hepatomegaly, and other organ involvement. The severity range is 0–12, and the score is 0–3 for DF, 4–8 for DHF, and 9–12 for DSS. Based on the derived scores, patients were classified according to their original severity in 63% of cases. Conclusion: This dengue infection severity scores correctly classified patients according to their original severity grade of DF, DHF, or DSS. This scoring system helps to quickly assess dengue infections and start treatment according to the correct severity category.

Personality disorder and functioning in major depressive disorder: a nested study within a randomized controlled trial

Objective: This study aimed to determine if personality disorder (PD) predicted functional outcomes in patients with major depressive disorder (MDD). Methods: Data (n=71) from a double-blind, randomized, placebo-controlled 12-week trial assessing the efficacy of 200 mg/day adjunctive minocycline for MDD were examined. PD was measured using the Standardized Assessment of Personality Abbreviated Scale. Outcome measures included Clinical Global Impression - Improvement (CGI-I), Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), Social and Occupational Functioning Scale (SOFAS), and Range of Impaired Functioning (RIFT). Analysis of covariance was used to examine the impact of PD (dichotomized factor [≥ 3] or continuous measure) on the outcome measures-treatment group correlation. Results: PD was identified in 69% of the sample. After adjusting for age, sex, and baseline scores for each of the outcome measures, there was no significant difference between participants with and without PD on week 12 scores for any of the outcome measures (all p > 0.14). Conclusion: In this secondary analysis of a primary efficacy study, PD was a common comorbidity among those with MDD, but was not a significant predictor of functional outcomes. This study adds to the limited literature on PD in randomized controlled trials for MDD. Clinical trial registration: ACTRN12612000283875.

Radiographic Measurements Related With the Cardiac Size in Apparently Healthy Goats (Capra hircus)

Present study was conducted on twelve apparently healthy goats free from cardiothoracic diseases. The animals were divided into two groups each containing 6 animals to evaluate various the cardiothoracic parameters. Mean ± SE values of body weight and age were measured 11.83 ± 0.70 (range 10 - 15) kg, 3.75 ± 0.31 (range 3 - 5) month and 25.67 ± 1.73 (range 16-30) kg, 8.58 ± 0.95 (range 6.5 - 12) month in animals of the group-I and II, respectively. In thoracic radiographic examination, routinely used in cases which cardiac evaluation is indicated, quantitative assessment of the heart is a useful role to be used in combination with subjective analysis. The purpose of this study was to establish the standard values (range) for radiographic parameters of the heart and thorax. Cardiophrenic contact (cm), Cardiac inclination angle (degree), Tracheal angle (degree), Tracheal diameter (cm), Cardiac height/thoracic height, Cardiac width/thoracic height, Cardiac width / T3-T5, Cardiac height / R3-R5, Cardiac width / R3-R5, Cardiophrenic contact /cardiac height, Cardiac height + cardiac width/R3-R5, cardiac height + cardiac width /thoracic height and Tracheal diameter/T4, except cardiosternal contact (No. of sternabae), cardiac height/T3-T5, and cardiac height + cardiac width /T3-T5, were found to be non-significantly different between animals of the group-I and group-II. The standardized values of cardiothoracic parameters and their correlation with age and weight would be helpful to diagnose various cardio-thoracic illnesses in goats

Clinical profile of ACS patients and their outcome at tertiary centre in north-eastern Uttar Pradesh, India

Background: Coronary artery disease (CAD) is a major cause of death in India. This study determined the characteristics, treatment and outcomes of acute coronary syndrome (ACS) at tertiary centre in north eastern Uttar Pradesh in India.Methods: We carried out observational study with 60-days follow-up of 80 ACS patients. Data are collected on different variables including Blood pressure, pulserate, BNP, TROP I, CKMB, patient’s demography, risk factors, laboratory values at admission and repeated as and when required. Results: T In our study most common presentation was chest pain, majority of patients presented after 12 hour of onset of symptoms, elevation of TROP I was higher in STEMI than NSTEMI, most common complication in NSTEMI was recurrent angina and in STEMI patients was heart failure, total 15 patients expired during study 11 during hospitalization and 4 patients within 60days of follow up, thrombolysed patients has less chances of regional wall motion abnormality.Conclusions: In our study elevation of TROP I was more in STEMI and there was less chances of RWMA in thrombolysed patients.

Ovarian development in Labeo dyocheilus (McClelland) during active reproductive phase under captive and wild conditions.

Ovarian development in Labeo dyocheilus was assessed during active reproductive phase under ambient environmental conditions in captivity and wild. Increasing day length and water temperature seemed favourable for ovarian development in female L. dyocheilus under both conditions. Gonadosomatic index (GSI) was lower in May and higher in July in captivity (6.168 and 13.366) and wild (5.798 and 16.166) respectively Ovarian development started little bit in advance in captivity with late yolk vesicle stage oocyte in May when yolk globule stage oocytes were prominent in wild. Fully grown oocytes with germinal vesicle migration (GVM) and germinal vesicle breakdown (GVBD) stages were observed in July in both conditions. Degree of transformation of developing oogonials into advance stage oocytes was observed to be better in wild fish compared to captivity reared ones. The histophysiological changes in liver corresponded well to the progression of ovarian development. Successive granulation and vacuolization of hepatocyte cytoplasm were indicative of augmented synthetic activity and probably mobilization of energy content for oocyte growth. These observations indicated that normal ovarian development of L. dyocheilus under captivity in Tarai region of Uttarakhand would be useful for success of its seed production in captivity for stock augmentation in wild or species diversification in aquaculture.