STUDY OF CLINICAL AND LABORATORY PROFILE OF PATIENTS WITH ADRENAL MASS.

Aims and objectives: AIM of this study was to observe and correlate clinical and laboratory profile of patients with adrenal mass. The objective was to study clinical and laboratory profile of patients with adrenal mass with the secondary objective to establish the etiological diagnosis with adrenal mass Methods: This observational study was carried out at tertiary care government hospital in north India from Jul 2020 to June 2022. Based on prevalence 4.4 of the disease as per previous study sample size for 95% confidence level & 5% precision works out 43. The inclusion Criteria were patients detected to have adrenal mass or symptoms related with adrenal mass. The exclusion criteria were any pre-existing known malignancy other than adrenal gland. Subsequent to enrolment the demographic data, clinical data, laboratory data, hormonal assays and radiological data was recorded as per predesigned proforma. The adrenal CT imaging protocol consists of three phases together are used for calculating absolute percentage washout and/or relative percentage washout to differentiate lipid-poor adenomas from primary carcinoma and metastases. Results: The mean age was 39± 15.41. Majority of patients were males 35(77.8%). 86.7% subjects had no comorbidity, 7.9 % had HTN. 6.7% patients were noted to have clinical cushings whereas in 4.4% subject acanthosis nigricans and goiter was seen. On Overnight dexamethasone suppression test, 16/45 patients were observed with value higher than <2.01 ug/dl, similar was the case with low dose dexamethasone suppression test. There was a significant rise in the mean plasma free metanephrine and urinary metanephrine noted in 12/ 45 patients. The minimum size of adrenal mass detected in the USG abdomen was 2.5 cm. The minimum size of adrenal mass detected in the CT abdomen was 1.21 cm. There is a significant association noted between absolute percentage washout (APW) outcome and hormonal activity with p-value <0.001. Conclusion: 6.7 % had features of cushing's disease and 4.4 % had acanthosis nigricans. On hormonal assays elevated metanephrine levels were seen in 26% subjects. On hormonal assays of ONDST and LDDST 35.5 % subjects were seen with elevated levels. Other hormonal assays aldosterone, renin and ACTH were normal. CECT was sensitive to identify a small adrenal mass up to 0.633 cm. 34 % of adrenal mass were hyper functional and 2 % were found malignant in this study.

Efficacy of aggregation nano gel pheromone traps on the catchability of Rhynchophorus ferrugineus (Olivier) in Egypt / Eficácia das armadilhas de feromônio de nano gel de agregação na capturabilidade de Rhynchophorus ferrugineus (Olivier) no Egito

Field experiments were carried out in the reclaimed land east of Cairo-Alexandria Desert Road, Village of Wardan, Giza Governorate, Egypt, to evaluate the impact of using nano-gels pheromone for the first time on the attraction of the RPW adults by pheromone traps compared to the control which is normal pheromone during two successive seasons in 2018 and 2019. Also, this study aimed to compare the efficacy of two types of trap, traditional trap (type 1) and dry funnel trap (type 2) in capturing of RPW adults. Results revealed that the nano gel pheromone traps attracted significantly more adults with an average of (4.26 and 3.56) adults/trap and total of (55.33 and 46.33) adults/trap compared to control with an average (2.69 and 2.46) and total of (35.00 and 32.00) adults/trap for the two seasons 2018 and 2019 respectively. Results indicated that the use of nano gel pheromone for the first time in field improved the trap catchability to RPW adults by 22.51 and 18.30% of total number of RPW adults captured throw out the two successive seasons respectively. In addition, there was no significant difference between the total numbers of RPW adults collected by the two tested type of traps over the two successive seasons. Furthermore, the sex ratio between males and females of total collected RPW adults found to be1: 1.43 and 1: 1.94 at 2018 and 2019 respectively.

Experimentos de campo foram realizados na terra recuperada a leste da estrada do deserto de Cairo-Alexandria, vila de Wardan, província de Giza, Egito, para avaliar o impacto do uso de feromônio de nano géis pela primeira vez na atração de adultos RPW por armadilhas de feromônio comparado ao controle que é o feromônio normal durante duas temporadas sucessivas em 2018 e 2019. Além disso, este estudo teve como objetivo comparar a eficácia de dois tipos de armadilha, armadilha tradicional (tipo 1) e armadilha de funil seco (tipo 2) na captura de RPW adultos. Os resultados revelaram que as armadilhas de nano gel de feromônio atraíram significativamente mais adultos, com uma média de (4,26 e 3,56) adultos/armadilha e total de (55,33 e 46,33) adultos/armadilha em comparação ao controle com uma média (2,69 e 2,46) e total de (35.00 e 32.00) adultos/armadilha para as duas temporadas 2018 e 2019, respectivamente. Os resultados indicaram que o uso de feromônio nano gel pela primeira vez em campo melhorou a capturabilidade de armadilhas para adultos com RPW em 22,51 e 18,30% do número total de adultos com RPW capturados durante as duas estações sucessivas, respectivamente. Além disso, não houve diferença significativa entre o número total de adultos RPW coletados pelos dois tipos de armadilhas testados ao longo das duas estações sucessivas. Além disso, a proporção sexual entre homens e mulheres do total de adultos coletados de RPW foi de 1: 1,43 e 1: 1,94 em 2018 e 2019, respectivamente.

Efficacy of aggregation nano gel pheromone traps on the catchability of Rhynchophorus ferrugineus (Olivier) in Egypt

Abstract Field experiments were carried out in the reclaimed land east of Cairo-Alexandria Desert Road, Village of Wardan, Giza Governorate, Egypt, to evaluate the impact of using nano-gels pheromone for the first time on the attraction of the RPW adults by pheromone traps compared to the control which is normal pheromone during two successive seasons in 2018 and 2019. Also, this study aimed to compare the efficacy of two types of trap, traditional trap (type 1) and dry funnel trap (type 2) in capturing of RPW adults. Results revealed that the nano gel pheromone traps attracted significantly more adults with an average of (4.26 and 3.56) adults/trap and total of (55.33 and 46.33) adults/trap compared to control with an average (2.69 and 2.46) and total of (35.00 and 32.00) adults/trap for the two seasons 2018 and 2019 respectively. Results indicated that the use of nano gel pheromone for the first time in field improved the trap catchability to RPW adults by 22.51 and 18.30% of total number of RPW adults captured throw out the two successive seasons respectively. In addition, there was no significant difference between the total numbers of RPW adults collected by the two tested type of traps over the two successive seasons. Furthermore, the sex ratio between males and females of total collected RPW adults found to be1: 1.43 and 1: 1.94 at 2018 and 2019 respectively.

Resumo Experimentos de campo foram realizados na terra recuperada a leste da estrada do deserto de Cairo-Alexandria, vila de Wardan, província de Giza, Egito, para avaliar o impacto do uso de feromônio de nano géis pela primeira vez na atração de adultos RPW por armadilhas de feromônio comparado ao controle que é o feromônio normal durante duas temporadas sucessivas em 2018 e 2019. Além disso, este estudo teve como objetivo comparar a eficácia de dois tipos de armadilha, armadilha tradicional (tipo 1) e armadilha de funil seco (tipo 2) na captura de RPW adultos. Os resultados revelaram que as armadilhas de nano gel de feromônio atraíram significativamente mais adultos, com uma média de (4,26 e 3,56) adultos/armadilha e total de (55,33 e 46,33) adultos/armadilha em comparação ao controle com uma média (2,69 e 2,46) e total de (35.00 e 32.00) adultos/armadilha para as duas temporadas 2018 e 2019, respectivamente. Os resultados indicaram que o uso de feromônio nano gel pela primeira vez em campo melhorou a capturabilidade de armadilhas para adultos com RPW em 22,51 e 18,30% do número total de adultos com RPW capturados durante as duas estações sucessivas, respectivamente. Além disso, não houve diferença significativa entre o número total de adultos RPW coletados pelos dois tipos de armadilhas testados ao longo das duas estações sucessivas. Além disso, a proporção sexual entre homens e mulheres do total de adultos coletados de RPW foi de 1: 1,43 e 1: 1,94 em 2018 e 2019, respectivamente.