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1.
Heliyon ; 10(9): e30447, 2024 May 15.
Article in English | MEDLINE | ID: mdl-38720720

ABSTRACT

We report an efficient sample preparation method (freezing) for onsite fat and meat analysis via a specially designed thermoelectric cooling and temperature-controlling system. This investigation also focused on the effect of phase change on the sensitivity and reproducibility of LIBS emission signals and plasma parameters. The plasma emissions of animal fats (lard) were recorded when the sample was frozen (-2 °C), fluid (15 °C), and in a liquid state (37 °C) with a thermoelectric cooling system. At each temperature, the plasma emissions were acquired at laser pulse energy from 50 to 300 mJ and detector gate delay (DGD) from 0.5 to 5 µs. With increasing sample temperature, the DGD, where the optical emission intensity reached a maximum, decreased. At a laser pulse energy of 200 mJ and a sample temperature of -2 °C, the emission signals increased fourfold, the signal-to-noise ratio (SNR) improved tenfold, and the self-absorption in the emission lines decreased significantly. The repeatability of the emission signals and plasma parameters of frozen and liquid fat samples was determined using the relative standard deviation (RSD) of Se I (473.08 nm) and K I (766.48 nm) emission lines. The RSDs of the emission signals improved from 40 to 18 % and 37 to 16 %, whereas the shot-to-shot RSDs of the electron temperature and electron number density get improved from 11 to 6 % and 12 to 6.8 %, respectively.

2.
Mymensingh Med J ; 32(4): 1084-1090, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37777905

ABSTRACT

Rheumatoid arthritis (RA) is the most common inflammatory arthritis affecting 0.5-1.0% of the general population worldwide and although RA is properly considered a disease of the joints, it can cause a variety of extra-articular manifestations. This study was performed to find out any discrepancy in fracture risk estimates with and without bone mineral density (BMD) in rheumatoid arthritis (RA) patients. This observational cross-sectional study was carried out in the Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh from July 2013 to July 2015. Total 65 consecutive patients with RA fulfilling ACR/EULAR criteria aged 40-90 year were recruited. Ten year fracture risk of these patients was evaluated by the FRAX score with and without BMD and differences were observed. FRAX score without BMD revealed that major fracture risk was low in 58(89.2%) patients, moderate in 7(10.8%) patients but re-estimation with BMD revealed that 55(84.6%) patients remained in low risk group, 8(12.3%) patients in moderate risk group and 2(3.1%) patients went to the high risk group. In case of hip fracture risk without BMD, risk was low in 58(89.2%) patients, high in 7(10.8%) patients; but with BMD, 50(76.9%) patients remained in low risk group but risk of 15(23.1%) patients became high. Almost all the high risk patients (93.3%) were ≥55 years of age. Increasing age, female sex, disease duration and use of steroid were positively correlated with increased FRAX score where as high BMI and high BMD were associated with low FRAX score. But in multivariate analysis it was found that only relation with age was at statistically significant level. Significant numbers of patients with rheumatoid arthritis have high risk of fracture especially hip fracture. The mean of FRAX score increased in both major & hip osteoporotic fracture risk after adding BMD. More than half of the patients above fifty five years or more had high risk of fracture. So, BMD should be done in patients aged more than fifty five.


Subject(s)
Arthritis, Rheumatoid , Hip Fractures , Osteoporotic Fractures , Humans , Female , Middle Aged , Bone Density , Risk Assessment , Arthritis, Rheumatoid/complications , Osteoporotic Fractures/etiology , Osteoporotic Fractures/complications , Risk Factors , Hip Fractures/etiology , Hip Fractures/complications , Absorptiometry, Photon/adverse effects
3.
Hist Sci ; 61(2): 123-178, 2023 06.
Article in English | MEDLINE | ID: mdl-37249016

ABSTRACT

This roundtable brings together contributions from nine senior, mid-career and junior scholars who work on the history of science in pre-1800 Islamicate societies. The contributions reflect upon some of the challenges that have historically constrained the subfield, how they have sought to overcome them, and what they see as some of the more productive and fruitful turns the field has taken and/or should take in the future. A central trend in all contributions is how they seek to confront the combined weight of colonialism, Orientalism, and the teleological history of science that continues to haunt contemporary discussions in both academia and the general public with regards to science in pre-1800 Islamicate societies. Without diminishing the pioneering achievements of the generations of historians who have preceded us, and upon whose work we continue to rely, this combined weight has tended a) to marginalize the study of occult sciences in Islamicate societies; b) to emphasize investigations of content from an etic perspective of how we got to the present, which is primarily seen as how the scientific content is connected to the rise of modern science in Europe; and c) to concomitantly marginalize the study of science in post-1200 Islamicate societies, particularly those with little to no connection to the rise of "Western" science. The contributions build upon conversations that took place among participants in December 2019 at a workshop at New York University (NYU), Abu Dhabi Institute in New York City, funded by a grant from NYU Abu Dhabi.


Subject(s)
Occultism , Societies , Humans , Europe , Colonialism , New York City
4.
Heliyon ; 8(11): e11493, 2022 Nov.
Article in English | MEDLINE | ID: mdl-36468087

ABSTRACT

The elemental composition, mineral phases, and crystalline structure of nephrite jade were investigated using calibration-free laser-induced breakdown spectroscopy (CF-LIBS), Raman spectroscopy, and X-ray diffraction (XRD). For compositional analysis, the laser-induced plasma was generated on the surface of nephrite jade. The plasma emissions were then acquired and analyzed, which revealed several elements in the sample, including Si, Mg, Ca, Li, Fe, Al, Na, K, and Ni. The plasma temperature was extracted from the Boltzmann plot before and after two-step self-absorption correction, and used in CF-LIBS calculations to get the elemental concentration. After self-absorption correction, the quantitative results obtained using CF-LIBS were found to be in close agreement with ICP-OES. The Raman spectrum of nephrite jade exhibits Si-O and M-OH stretching vibrations in the regions of 100 cm-1 to 1200 cm-1 and 3600 cm-1 to 3700 cm-1, respectively, whereas the XRD spectrum revealed the monoclinic crystalline phase of tremolite.

6.
Eur Rev Med Pharmacol Sci ; 25(8): 3162-3172, 2021 04.
Article in English | MEDLINE | ID: mdl-33928602

ABSTRACT

Naegleria fowleri is a deadly human pathogen that causes primary amoebic meningoencephalitis (PAM). In this study, in silico investigations of two important N. fowleri cathepsin B paralogs, i.e., copies of genes resulting from a gene duplication event, were carried out using comparative modeling and molecular dynamics (MD) simulations. Comparative models of both paralogs showed significant architectural similarity with their template, i.e., rat cathepsin B. However, in N. fowleri cathepsin B (UniProt ID: X5D761) and putative cathepsin B (UniProt ID: M1HE19) enzymes, eleven and fifteen residues in the occluding loop regions were deleted, respectively, suggesting that these enzymes have a short occluding loop. Thus, it is concluded that N. fowleri cathepsin B and putative cathepsin B enzymes lack exopeptidase activity but possess enhanced endopeptidase activity and an affinity for macromolecular inhibitors. MD simulations further confirmed that prosegments (macromolecular inhibitors) bond more tightly with both enzymes than with wild-type cathepsin B. Additionally, a mutation was identified at an important N-glycosylation site; this mutation is believed to affect cathepsin B targeting inside the cell and make cathepsin B available in the extracellular environment. Due to this important N-glycosylation site mutation, these enzymes are secreted in the extracellular environment via an alternative, still unknown, posttranslational processing strategy. The present study is the first to predict the three-dimensional folds of N. fowleri cathepsin B paralogous enzymes, including a detailed description of the active site architecture and information about propeptide binding mode. This information can contribute to the discovery of novel and selective treatments that are effective against N. fowleri.


Subject(s)
Antiprotozoal Agents/pharmacology , Central Nervous System Protozoal Infections/drug therapy , Naegleria fowleri/drug effects , Central Nervous System Protozoal Infections/parasitology , Molecular Dynamics Simulation , Naegleria fowleri/metabolism , Parasitic Sensitivity Tests
8.
Mymensingh Med J ; 29(1): 129-135, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31915348

ABSTRACT

Tetanus is a potentially preventable neurological infectious disorder with paucity of literature in Bangladesh. We aimed to see the demography and symptom profile of tetanus cases managed at the Infectious disease Hospital Sylhet. This hospital based cross-sectional descriptive study was conducted within the time period of January to December 2012 among 50 consecutive admitted patients in the Infectious Disease Hospital, Sylhet, Bangladesh who were diagnosed as a case of tetanus and fulfilling the inclusion criteria and exclusion criteria. Neonatal tetanus was considered as exclusion criteria and clinical diagnosis of tetanus was considered as the tetanus. Data were collected purposively with pretested predesigned questionnaire. Data were processed manually and analyzed with the help of SPSS Version 16.0. The mean±SD age was 33.00±16.8 years, ranging from 10 to 70 years. Among the 50 respondents, 72.0% were male, 50% from lower class, 34% were students and 30.0% had their educational status of primary level, 60.0% from rural social background. Trismus was found in 98.0% of the cases, rigidity in 96.0% cases, body ache in 94.0% cases, dysphagia in 92.0% cases, neck pain in 78.0% cases, dysarthria in 92.0% cases, reflex spasm in 66.0% cases, opisthotonus in 46.0% cases and urinary retention in 26.0% cases. In this study rural male people with lower socioeconomic status individuals were mostly affected with trismus, rigidity, body ache and dysphagia symptoms.


Subject(s)
Deglutition Disorders/etiology , Tetanus/diagnosis , Trismus/etiology , Urban Population/statistics & numerical data , Adolescent , Adult , Aged , Bangladesh/epidemiology , Child , Cross-Sectional Studies , Deglutition Disorders/epidemiology , Demography , Female , Humans , Male , Middle Aged , Retrospective Studies , Rural Population , Sex Distribution , Socioeconomic Factors , Tetanus/complications , Tetanus/epidemiology , Tetanus/therapy , Treatment Outcome , Trismus/epidemiology , Young Adult
9.
J Vector Borne Dis ; 56(4): 303-307, 2019.
Article in English | MEDLINE | ID: mdl-33269729

ABSTRACT

BACKGROUND & OBJECTIVES: Interspecific competition occurs between members of two or more different species and can often have an influence on mosquito populations. Both Aedes aegypti and Anopheles stepehensi are container breeding mosquitoes and co-exist which may result in larval competition. In this study, interspecific competition between the above two species has been monitored under the laboratory conditions. METHODS: Three sets of experiments were conducted with different stages of Ae. aegypti and An. stephensi larvae. First two experiments were set up with I/II instar and III/IV instar larvae of Ae. aegypti and An. stephensi respectively in the ratios of 20:20, 20:40 and 40:20 in plastic bowls. For third set of experiment 20 IV instar larvae of Ae. aegypti were put with equal number of I instar larvae of An. stephensi. RESULTS: In the presence of food, 12.5-15 % mortality was recorded in I/II stage larvae of Ae. aegypti while in An. stephensi mortality ranged from 21-55%. Pupation commenced from Day 6 onwards in Ae. aegypti while in An. stephensi it commenced from Day 11 onwards. In the absence of food, there was no pupation in both the species but Ae. aegypti survived up to longer duration (7.5-18.5 days with 50% mortality) in comparison to An. stephensi (2-7 days with 50% mortality). When younger stages of An. stephensi (I/II) were put together with older stages of Ae. aegypti (III/IV) in the presence of food, pupation was completed in 85% Ae. aegypti population while there was 100% mortality in An. stephensi population. INTERPRETATION & CONCLUSION: The better survival and development of Ae. aegypti than An. stephensi under the same conditions exhibits interspecies competition showing competitive advantage of Ae. aegypti over An. stephensi. Further research is required to have a thorough understanding of the interaction between these two container inhabiting mosquito species in the nature.


Subject(s)
Aedes/physiology , Anopheles/physiology , Larva/growth & development , Aedes/growth & development , Animals , Anopheles/growth & development , Female , Larva/physiology , Male , Predatory Behavior
10.
Mymensingh Med J ; 26(4): 939-943, 2017 Oct.
Article in English | MEDLINE | ID: mdl-29208888

ABSTRACT

Pachydermoperiostosis or primary hypertrophic osteoarthropathy, also known as Touraine-Solente-Gole syndrome, is a rare process, frequently inherited. In its complete form it is characterized by pachydermia (thickening of the skin), skeletal changes (periostosis) and acropachia (digital clubbing). Diagnosis can be made considering the typical clinical features and the histological feature. We report a patient of 25-year old man presented with joint pain involving in multiple joints for last 7 years and progressive enlargement of his hands and feet with profuse sweating of palms and soles for last 4 years. Physical examination revealed thickened skin with excessive furrowing of his forehead, dropping of both eyelids, clubbing of all fingers, toes and enlargement of his hands and feet with pamoplantar hyperhidrosis. Laboratory investigation shows raised CRP, X-ray feet lateral view showed normal heel pad thickness, new bone formation and periosteal elevation in lower end of tibia and fibula and skin biopsy showed dense fibrocollagenous tissue in dermis and subcutis and mild acanthosis. With this scenario he was diagnosed as primary hypertrophic osteoarthropathy (Pachydermoperiostosis). After diagnosis he was treated with cholchicine (0.6mg) twice daily, naproxen (500mg) twice daily, and risedronate (150mg) monthly. After one year his skin texture became less thickened, joint pain improved, there was no further enlargement of acral part of fore arm. In this report we review the characteristic features of this syndrome. We highlight the importance of ruling out secondary forms of hypertrophic osteoarthropathy and of a close follow-up of these patients because of complications that might develop on long-term. Although no treatment was satisfactory, we wanted to emphasize that NSAIDs, Cholchicine and risedronate could be an effective treatment option.


Subject(s)
Arthritis , Osteoarthropathy, Primary Hypertrophic , Osteoarthropathy, Secondary Hypertrophic , Adult , Arthritis/etiology , Humans , Male , Osteoarthropathy, Primary Hypertrophic/complications , Osteoarthropathy, Primary Hypertrophic/diagnosis , Osteoarthropathy, Secondary Hypertrophic/complications , Osteoarthropathy, Secondary Hypertrophic/diagnosis , Skin/pathology , Syndrome
12.
Mymensingh Med J ; 25(4): 681-685, 2016 10.
Article in English | MEDLINE | ID: mdl-27941730

ABSTRACT

The objective of the study was to determine the efficacy of vitamin C in reducing serum uric acid (UA). This study was a double-blind placebo-controlled randomized trial conducted in the Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka, Bangladesh from July 2007 and August 2008. Study participants were included from out patient department (OPD) of Rheumatology of BSMMU suffering from various Rheumatological problems other than gouty arthritis. All of the participants were non-smokers, non-alcoholics, and randomized to take either placebo or vitamin C (500 mg/day) for 12 weeks. A total of 98 subjects were enrolled in the study; 71 completed the trial, with 34 in the placebo group and 37 receiving vitamin C. Serum uric acid levels were not significantly reduced in the experimental group and they increased in the placebo group. In the vitamin C group, the mean change was -0.32mg/dl [95% confidence interval -0.73, 0.77], whereas in the placebo group, the mean change was +0.12mg/dl [95% confidence interval was -0.22, 0.47]. Subgroups were defined by sex, body mass index, and quartiles of baseline serum uric acid levels. In a subgroup analysis, vitamin C lowered serum uric acid significantly in those who had comparatively higher baseline uric acid levels. Although vitamin C did not lower serum uric acid significantly, participants with higher baseline serum uric acid levels experienced a significant uric acid lowering effect, but as the sample size was very small, it is difficult to draw any definitive conclusion.


Subject(s)
Ascorbic Acid/pharmacology , Bangladesh , Double-Blind Method , Humans , Uric Acid , Vitamins
13.
Sci Rep ; 6: 29363, 2016 07 15.
Article in English | MEDLINE | ID: mdl-27416815

ABSTRACT

Recently, a great deal of interest has been re-emerged on the possibility to manipulate surface waves, in particular, towards the THz and optical regime. Both concepts of Transformation Optics (TO) and metamaterials have been regarded as one of key enablers for such applications in applied electromagnetics. In this paper, we experimentally demonstrate for the first time a dielectric surface wave cloak from engineered gradient index materials to illustrate the possibility of using nanocomposites to control surface wave propagation through advanced additive manufacturing. The device is designed analytically and validated through numerical simulations and measurements, showing good agreement and performance as an effective surface wave cloak. The underlying design approach has much wider applications, which span from microwave to optics for the control of surface plasmon polaritons (SPPs) and radiation of nanoantennas.

14.
Mymensingh Med J ; 24(3): 606-9, 2015 Jul.
Article in English | MEDLINE | ID: mdl-26329963

ABSTRACT

Buschke Scleredema is a rare connective tissue disorder of unknown aetiology and characterized by thickening of the dermis. It resembles systemic sclerosis, eosinophilic fasciitis and cutaneous amyloidosis. Scleredema may be associated with a history of an antecedent febrile illness, diabetes mellitus, or blood dyscrasia. It may be classified into three clinical groups, each has a different history, course, and prognosis. Histology of skin is characterized by thickened dermis and increased spaces between large collagen bundles due to increased deposition of mucopolysaccharide in the dermis. Differential diagnosis can be made considering the typical clinical features and the histological peculiarity. No therapy is effective. In this communication we have presented a 54 year old man with scleredema successfully treated by PUVA and methotrexate. We reviewed associated diseases, clinical and histopathological characteristics, evolution and response to treatment.


Subject(s)
Dermatologic Agents/administration & dosage , Diabetes Mellitus, Type 2 , Methotrexate/administration & dosage , Scleredema Adultorum/diagnosis , Combined Modality Therapy , Diagnosis, Differential , Humans , Male , Middle Aged , PUVA Therapy , Scleredema Adultorum/therapy
15.
J Chem Phys ; 142(10): 101916, 2015 Mar 14.
Article in English | MEDLINE | ID: mdl-25770505

ABSTRACT

Adsorption of thymine on a defined Cu(110) surface was studied using reflection-absorption infrared spectroscopy (RAIRS), temperature programmed desorption (TPD), and scanning tunnelling microscopy (STM). In addition, density functional theory (DFT) calculations were undertaken in order to further understand the energetics of adsorption and self-assembly. The combination of RAIRS, TPD, and DFT results indicates that an upright, three-point-bonded adsorption configuration is adopted by the deprotonated thymine at room temperature. DFT calculations show that the upright configuration adopted by individual molecules arises as a direct result of strong O-Cu and N-Cu bonds between the molecule and the surface. STM data reveal that this upright thymine motif self-assembles into 1D chains, which are surprisingly oriented along the open-packed [001] direction of the metal surface and orthogonal to the alignment of the functional groups that are normally implicated in H-bonding interactions. DFT modelling of this system reveals that the molecular organisation is actually driven by dispersion interactions, which cause a slight tilt of the molecule and provide the major driving force for assembly into dimers and 1D chains. The relative orientations and distances of neighbouring molecules are amenable for π-π stacking, suggesting that this is an important contributor in the self-assembly process.


Subject(s)
Copper/chemistry , Quantum Theory , Thymine/chemistry , Adsorption , Molecular Structure , Surface Properties , Vibration
16.
Rheumatol Int ; 35(6): 997-1003, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25510291

ABSTRACT

The aim of this study was to develop and to validate a Bengali version of the Western Ontario and McMaster Osteoarthritis (WOMAC) index in Bangladesh. The WOMAC was translated into the local language of Bangladesh (Bengali) and adapted in the local sociocultural context, following the standard guidelines by Beaton et al. Content validity of the preliminary Bengali version was assessed by using the index of content validity (ICV) and floor and ceiling effects. Patients were assessed at the Department of Rheumatology of Bangabandhu Sheikh Mujib Medical University and were diagnosed to have knee OA by American College of Rheumatology criteria and recruited according to the requirements of the validation study. Convergent and divergent validity were measured by comparing with Health Assessment Questionnaire (HAQ) and the Short Form-36 (SF-36), and internal consistency was assessed using Cronbach's alpha coefficient. The questionnaire was readministered to 40 patients within a week for assessing reliability by using intra-class correlation coefficient (ICC) and Spearman's rank correlation coefficient. In addition, factor analysis of Bengali WOMAC questionnaire was performed to examine the number of factors influencing a common set of items. A Bengali version was developed with changes in three items to suit local practices. The ICV of the content validity was 1 for all items. The Bengali WOMAC had similar construct validity when compared to the HAQ (ρ 0.74, n = 70) and SF-36 bodily pain and physical functioning. It had dissimilar construct validity to SF-36 mental health domain except WOMAC pain. Factor analysis revealed five factors with eigenvalues of more than 1.0. Cronbach's alpha and ICC exceeded 0.7 in all domains. In the test-retest reliability testing, Spearman's ρ for all items exceeded 0.4 (n = 40). This study has demonstrated that the Bengali version of WOMAC is a valid tool for assessing quality of life of patients with knee osteoarthritis in Bangladesh and is reliable.


Subject(s)
Osteoarthritis, Knee/diagnosis , Surveys and Questionnaires , Activities of Daily Living , Arthralgia/diagnosis , Arthralgia/ethnology , Arthralgia/physiopathology , Bangladesh/epidemiology , Comprehension , Cultural Characteristics , Factor Analysis, Statistical , Female , Health Status , Humans , Knee Joint/physiopathology , Male , Mental Health , Middle Aged , Osteoarthritis, Knee/ethnology , Osteoarthritis, Knee/physiopathology , Osteoarthritis, Knee/psychology , Pain Measurement , Predictive Value of Tests , Principal Component Analysis , Psychometrics , Quality of Life , Reproducibility of Results , Severity of Illness Index , Translating
17.
Ann Rheum Dis ; 73(1): 56-61, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24067785

ABSTRACT

OBJECTIVE: The primary objective of the study was to explore safety and tolerability of hyperimmune caprine serum (AIMSPRO) in established diffuse cutaneous systemic sclerosis (SSc). Secondary objectives included assessment of potential efficacy and biological activity and exploration of candidate biomarkers. METHODS: This was a double-blind parallel group randomised placebo-controlled clinical trial. After informed consent 20 patients with established diffuse cutaneous SSc of greater than 3 years duration not receiving immunosuppressive therapy were randomised to receive either active (n=10) or placebo formulation (n=10) by subcutaneous twice weekly injection over 26 weeks. Clinical assessments were evaluated over 26 weeks. RESULTS: There were no safety concerns during this study. Frequency of adverse events was not different between active and placebo groups. Mean modified Rodnan Skin Score (mRSS) fell by 1.4±4.7 units with active treatment but increased by 2.1±6.4 units on placebo when baseline values were compared with 26 weeks and responder analysis showed clinically meaningful improvement in mRSS at 26 weeks in 5 (50%) of actively treated patients compared with 1 (10%) in the control group (p=0.062). PIIINP (µg/L) showed a comparatively larger increase in the treatment group compared with the placebo group, (p=0.0118). CONCLUSIONS: These results confirm tolerability and safety of this novel biological agent in established diffuse SSc. The value of a placebo treated control group in small clinical trials evaluating skin disease in SSc is confirmed. Potential improvement in mRSS and changes in PIIINP in cases receiving active therapy suggest that this intervention may be of clinical benefit and warrants further evaluation.


Subject(s)
Immune Sera/administration & dosage , Immunologic Factors/administration & dosage , Scleroderma, Diffuse/drug therapy , Scleroderma, Diffuse/immunology , Adult , Aged , Animals , Biomarkers/blood , Feasibility Studies , Female , Goats , Humans , Immune Sera/adverse effects , Immunologic Factors/adverse effects , Male , Middle Aged , Pilot Projects , Scleroderma, Diffuse/pathology , Treatment Outcome
18.
Mymensingh Med J ; 22(4): 736-41, 2013 Oct.
Article in English | MEDLINE | ID: mdl-24292305

ABSTRACT

This study was designed to assess cardiac abnormalities in patients with systemic lupus erythematosus (SLE) by echocardiography. It was an analytic type of cross sectional study, conducted in lupus clinic, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2008 to June 2009. Fifty lupus patients, diagnosed on the basis of ACR criteria, without cardiovascular symptoms, were enrolled in the study and were evaluated by standard echocardiography with color Doppler. SLEDAI was applied for assessment of disease activity. Out of 50 patients 80% had abnormal echocardiographic findings. Pericardial thickening was found in 38% patients, pericardial effusion 20%, diastolic dysfunction 72%, hypokinesia of ventricular wall 8%, overall valvular abnormalities 20%, commonest being aortic regurgitation (12%), followed by mitral regurgitation (8%), and 6% had pulmonary hypertension. Males (100%) were more vulnerable to cardiac involvement than females (68.2%) and later age of disease onset (31-40 years) was associated with higher (87.5%) chance of echo abnormalities. The differences, however, were not statistically significant (p>0.05). There was significant relationship between disease duration and cardiac abnormalities (p<0.01). Active disease (80.08%) was associated with higher frequency of cardiac involvement than disease in remission (62.50%) but the result was not statistically significant (p=0.151). Cardiac abnormalities are very common in lupus patients even when clinically asymptomatic from cardiac aspect. Echocardiography is an excellent non-invasive tool for cardiac evaluation. These observations emphasize a need for further assessment of early intervention to reduce subsequent cardiac morbidity and mortality among the lupus patients.


Subject(s)
Echocardiography , Heart Diseases/diagnostic imaging , Lupus Erythematosus, Systemic/diagnostic imaging , Adolescent , Adult , Child , Cross-Sectional Studies , Female , Humans , Lupus Erythematosus, Systemic/complications , Male
19.
Mymensingh Med J ; 22(3): 483-8, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23982537

ABSTRACT

This prospective study was conducted in rheumatology clinic under the department of medicine of Bangabandhu Sheikh Mujib Medical University from December 2004 to December 2005 to asses the efficacy, safety and compliance of subcutaneous methotrexate (MTX) in active rheumatoid arthritis (RA) patients. A total of 92 active rheumatoid arthritis patients according to American College of Rheumatology (ACR) criteria were recruited for the trial for six months. Among them 46 cases belonged to injectable MTX group and 46 cases belonged to oral MTX group. Mean±SD age of patients was 45.54±12.42 vs. 44.63±13.99 years in subcutaneous group and oral group respectively. In the subcutaneous group 41 were female and 5 male; in the oral group 34 were female and 12 male. Mean duration of the disease was 49.74 months in subcutaneous group and 49 months in oral group. RA test was positive in 35 cases in both groups whereas Rose Waaler test was positive in 19 patients in subcutaneous group and 14 patients in oral group. At 24 week, response rate of ACR 20 was significantly higher in subcutaneous MTX than oral MTX group (93% vs. 80%, p=0.02). Similarly ACR 50 response was significantly higher in subcutaneous MTX than in oral group (89% vs. 72%, p=0.03). ACR 70 response was not significantly higher in SCMTX group then oral group (11% vs. 9 %, p=0.72). Adverse effects were relatively less in subcutaneous MTX and most common side effects were nausea (37% vs. 63%), vomiting (11% vs. 30%), dyspepsia (29% vs. 48%), dizziness (4l% vs. 52%) and alopecia (72% vs. 85%). The results of the study demonstrated that subcutaneous MTX was significantly more effective than oral MTX at the same dosage in active Rheumatoid arthritis patients with no increase in side effects.


Subject(s)
Antirheumatic Agents/administration & dosage , Arthritis, Rheumatoid/drug therapy , Methotrexate/administration & dosage , Administration, Cutaneous , Administration, Oral , Adult , Antirheumatic Agents/adverse effects , Female , Humans , Male , Methotrexate/adverse effects , Middle Aged , Prospective Studies , Treatment Outcome
20.
Structure ; 21(7): 1193-1202, 2013 Jul 02.
Article in English | MEDLINE | ID: mdl-23810696

ABSTRACT

The affinity and specificity of protein-ligand interactions are influenced by energetic crosstalk within the protein domain. However, the molecular details of such intradomain allostery are still unclear. Here, we have experimentally detected and computationally predicted interaction pathways in the postsynaptic density 95/discs large/zonula occludens 1 (PDZ)-peptide ligand model system using wild-type and circularly permuted PDZ proteins. The circular permutant introduced small perturbations in the tertiary structure and a concomitant rewiring of allosteric pathways, allowing us to describe how subtle changes may reshape energetic signaling. The results were analyzed in the context of other members of the PDZ family, which were found to contain distinct interaction pathways for different peptide ligands. The data reveal a fascinating scenario whereby several energetic pathways are sampled within one single domain and distinct pathways are activated by specific protein ligands.


Subject(s)
Adaptor Proteins, Signal Transducing/chemistry , Membrane Proteins/chemistry , Adaptor Proteins, Signal Transducing/genetics , Allosteric Site , Amino Acid Sequence , Amino Acid Substitution , Animals , Discs Large Homolog 1 Protein , Humans , Hydrogen Bonding , Kinetics , Membrane Proteins/genetics , Mice , Models, Molecular , Molecular Sequence Data , Mutagenesis, Site-Directed , PDZ Domains , Protein Binding , Protein Structure, Secondary , Thermodynamics
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