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1.
J Phys Chem Lett ; 15(21): 5586-5593, 2024 May 30.
Article in English | MEDLINE | ID: mdl-38754086

ABSTRACT

Herein, MoS2 quantum dots (QDs) with controlled optical, structural, and electronic properties are synthesized using the femtosecond pulsed laser ablation in liquid (fs-PLAL) technique by varying the pulse width, ablation power, and ablation time to harness the potential for next-generation optoelectronics and quantum technology. Furthermore, this work elucidates key aspects of the mechanisms underlying the near-UV and blue emissions the accompanying large Stokes shift, and the consequent change in sample color with laser exposure parameters pertaining to MoS2 QDs. Through spectroscopic analysis, including UV-visible absorption, photoluminescence, and Raman spectroscopy, we successfully unraveled the mechanisms for the change in optoelectronic properties of MoS2 QDs with laser parameters. We realize that the occurrence of a secondary phase, specifically MoO3-x, is responsible for the significant Stokes shift and blue emission observed in this QD system. The primary factor influencing these activities is the electron transfer observed between these two phases, as validated by excitation-dependent photoluminescence and XPS and Raman spectroscopies.

2.
J Orthop Case Rep ; 14(5): 184-189, 2024 May.
Article in English | MEDLINE | ID: mdl-38784895

ABSTRACT

Introduction: Conventional radiography has always been cited as the gold standard for assessing the structural changes associated with osteoarthritis (OA) of the knee. The purpose of the study was to compare the joint space width between both leg-standing and one-leg-standing radiographs in an assessment of the severity of OA of the knee. Materials and Methods: Fifty patients with medial compartment OA were deployed for the study. Patients underwent both leg standing radiographs and one-leg standing radiograph on the affected leg. Kellgren-Lawrence (KL) radiographic classification was used to assess the severity of OA using joint space width. Conclusion: The mean medial joint space width decreased from 3.26 mm in both legs of the standing radiograph to 1.98 mm in the one-leg standing radiograph. Patients on both leg standing radiographs appreciated an increase in grade during the single leg radiograph. Nearly 52% of patients with both leg standing radiographs have changed the KL grading to a more severe grade when undergone a single leg standing radiograph. One-leg standing radiograph was found to be a better representation of joint space width than both-leg standing radiographs.

3.
Mar Pollut Bull ; 202: 116325, 2024 May.
Article in English | MEDLINE | ID: mdl-38569303

ABSTRACT

This study assesses macrominerals (Na, K, Ca, Mg, P) and heavy metals (As, Cd, Cr, Cu, Ni, Pb, Se, Sn, Mn, Co, Fe, and Zn) content of deep-sea fish bycatch in the Arabian Sea, offering insights into their nutritional value, toxicant levels and health implications. Variations in Ca, K, P, Mg, and Na levels across species highlight mineral diversity. Setarches guentheri has the highest Ca (7716 mg/kg ww), K (2030.5 mg/kg ww), and P (13,180 mg/kg ww) concentrations. Dactyloptena orientalis exceeds the Cd limit (0.1284 mg/kg ww). Elevated Se levels in fishes were noted, with Dactyloptena orientalis (0.8607 mg/kg ww), Satyrichthys laticeps (0.7303 mg/kg ww), and Snyderina guentheri (0.6193 mg/kg ww). Fish like Pterygotrigla hemisticta contains high Zn (32 mg/kg ww), meeting Recommended Dietary Allowance limits. Deep-sea fish have safe heavy metal levels, but Cd, Se, and Zn exceed acceptable limits. It has been concluded that the consumption of fish species will not pose a potential health risk to humans.


Subject(s)
Environmental Monitoring , Fishes , Metals, Heavy , Water Pollutants, Chemical , Animals , Metals, Heavy/analysis , Fishes/metabolism , Water Pollutants, Chemical/analysis , Minerals
4.
Heliyon ; 9(2): e12645, 2023 Feb.
Article in English | MEDLINE | ID: mdl-36793964

ABSTRACT

Extremozymes are innovative and robust biocatalysts produced by various microorganisms from harsh environments. As thermophilic organisms can only develop in a few places, studying them in geothermal environments has provided new insights into the origins and evolution of early life and access to significant bio-resources with potential biotechnology applications. The work aimed to isolate and identify likely multiple extracellular enzyme-producing thermophilic bacteria from an Addis Ababa landfill (Qoshe). The streaking approach was used to purify 102 isolates acquired by serial dilution and spread plate method. The isolates were morphologically and biochemically characterized. Thirty-five cellulases, 22 amylase, 17 protease, and nine lipase-producing bacteria were identified using primary screening methods. Further secondary screening using Strain safety evaluation; two bacterial strains (TQ11 and TQ46) were identified. Based on morphological and biochemical tests, they were found to be gram-positive and rod-shaped. Furthermore, molecular identification and phylogenic analysis of selected promising isolates confirmed the identity of the isolates, Paenibacillus dendritiformis (TQ11) and Anoxybacillus flavithermus (TQ46). The results indicated that, multiple extracellular enzyme-producing thermophilic bacteria isolated from a waste dumping area in Addis Ababa offer useful features for environmental sustainability in a wide range of industrial applications due to their biodegradability and specialized stability under extreme conditions, increased raw material utilization, and decreased waste.

5.
J Neuroophthalmol ; 43(3): 399-405, 2023 09 01.
Article in English | MEDLINE | ID: mdl-36255114

ABSTRACT

BACKGROUND: There is ongoing debate about whether the oculomotor (III), trochlear (IV), or abducens (VI) nerve paresis in patients with migraine is directly attributable to migraine (ophthalmoplegic migraine [OM]) or is due to an inflammatory neuropathy (recurrent painful ophthalmoplegic neuropathy [RPON]). As migraine is associated with elevated serum calcitonin gene-related peptide (CGRP) levels, we studied serum CGRP levels among patients with OM/RPON to determine whether they are elevated during and between attacks. This is the first study assessing CGRP levels in the serum of patients with OM/RPON. METHODS: The aim of this case-control study was to assess serum CGRP levels in patients with ophthalmoplegia and a headache consistent with migraine according to ICHD-3 criteria. Serum CGRP levels were measured during the ictal and interictal phases in 15 patients with OM/RPON and compared with age-matched and sex-matched controls without migraine (12 patients). RESULTS: The median serum CGRP levels were significantly elevated ( P = 0.021) during the ictal phase (37.2 [36.4, 43.6] ng/L) compared with controls (32.5 [30.1, 37.3] ng/L). Serum CGRP levels during the attack correlated with the total duration of ophthalmoplegia. A CGRP level of 35.5 ng/L in the ictal phase of the attack had a sensitivity of 86.7% and specificity of 75.0% in diagnosing a patient with OM/RPON. CONCLUSIONS: Elevated serum CGRP levels during the ictal phase of OM/RPON favor migraine as the underlying cause of episodic headache with ophthalmoplegia.


Subject(s)
Migraine Disorders , Ophthalmoplegia , Ophthalmoplegic Migraine , Humans , Calcitonin Gene-Related Peptide , Case-Control Studies , Migraine Disorders/complications , Migraine Disorders/diagnosis , Ophthalmoplegia/diagnosis , Ophthalmoplegic Migraine/diagnosis , Headache/diagnosis
6.
J Indian Assoc Pediatr Surg ; 28(6): 517-519, 2023.
Article in English | MEDLINE | ID: mdl-38173626

ABSTRACT

Idiopathic intussusception is the most common form of intussusception in infants and young children. In older children and adults, intussusception being rare, the lead point is usually an underlying bowel pathology (Meckel's diverticulum, hemangioma, carcinoids, polyps, submucous lipomas, etc.) and these are called pathological lead points (PLP's). The management of an obese child with recurrent abdominal pain for over 2 years, diagnosed with ileo-ileal intussusception due to submucosal lipoma is reported here.

7.
Cureus ; 14(11): e31771, 2022 Nov.
Article in English | MEDLINE | ID: mdl-36569678

ABSTRACT

Background Treatment options for traumatic optic neuropathy (TON) are limited and the role of steroids in the treatment of TON is still controversial. Hence this study was planned to highlight the role of steroids in the treatment of TON. Purpose The study aims to highlight the epidemiological and clinical characteristics, as well as the role of steroids, in TON cases seen during a three-year period at a tertiary care center in India. Methods This was a retrospective study that reviewed records of all cases of TON between January 2018 to January 2020. Results Twenty-three cases of TON were seen representing 1.26% cases of head injuries. The median age was 18 years. One patient (4.34%) had bilateral TON and 18 patients (78.26%) were referred from accident and trauma care. None of the patients presented directly to an ophthalmologist. The most common cause of injury was automobile accident (69.56%). Visual acuity at presentation was 20/80-20/100 in six (26.08%) cases. Fifteen (65.4%) patients had associated closed globe injury. Seven (30.43%) patients had ocular adnexal involvement and 10 (43.47%) patients had orbital fractures. Seventeen (73.91%) received steroid treatment and six of these patients showed visual improvement. Conclusions The study showed that there was no significant association between presenting visual acuity and treatment. The presence of significant ocular injury and orbital injury increased the likelihood of treatment. There was no difference between the treated and untreated groups with respect to final visual acuity.

8.
J Maxillofac Oral Surg ; 21(2): 608-615, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35712405

ABSTRACT

Aim: The purpose of this study was to compare the efficacy of platelet-rich fibrin (PRF) and platelet-rich fibrin (PRF) with hydroxyapatite (HA) on postoperative pain, swelling, soft tissue healing and osseous regeneration in mandibular third molar extraction socket in human patient. Materials and Methods: This prospective study included total 40 patients who reported to the Department of Oral and Maxillofacial Surgery (OMFS), Teerthanker Mahaveer Dental College and Research Centre (TMDC&RC), Moradabad (U.P.). Twenty patients each in both the groups of PRF and PRF with HA were included for the management of impacted mandibular 3rd molar extraction sockets and were evaluated for effectiveness. Evaluation was done on the basis of following parameters pain and swelling at time interval of 1st, 3rd, 7th day, soft tissue healing at time interval of 3rd, 7th, 14th day and osseous regeneration at time intervals of 1st, 3rd, 6th month postoperatively. Results: Pain and swelling were less in the PRF with HA group when compared to PRF group. Soft tissue healing was better in the PRF with HA group compared to the PRF group. The result of the study shows rapid bone regeneration in the extraction socket treated with the PRF with HA group when compared with the PRF group. Also there was less postoperative discomfort in the PRF with HA-treated group. Conclusion: PRF a mitogenic promoter together with a bone graft forms a scaffolding, promotes early healing thus being creating beneficial for the patient and is also economic.

9.
J Parasit Dis ; 45(4): 1090-1095, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34789994

ABSTRACT

Canine babesiosis is a tick-borne disease caused by apicomplexan intraerythrocytic hemoprotozoan parasites. It is caused by the small (Babesia gibsoni, B. conradae, and B. vulpes) and large (B. vogeli, B. canis, and B. rossi) Babesia groups. As per the recent reports, the most prominent Babesia species encountered in the Kerala state are the small Babesia, B. gibsoni followed by the large Babesia, B. vogeli. The latter is regarded as mildly pathogenic, causing subclinical or mild disease; however severe complications like systemic inflammatory response syndrome, multiple organ dysfunction syndrome, etc. have also been reported. The information on the status of hematological alterations in naturally infected dogs with large Babesia is lacking, particularly from the state of Kerala. The present study involves a retrospective study of clinical cases of large Babesia infection in dogs. The complete haematological profile from well-documented laboratory records of 4039 dogs suspected for babesiosis presented to District Veterinary Centre, Kannur during the period from December 2018 to October 2020 was analyzed for the study. Natural infections were recorded in 35 (0.87%) dogs based on the presence of intraerythrocytic piroplasm of large Babesia spp. by light microscopic examination of Giemsa-stained blood smears. The most consistent features observed were mild to moderate regenerative, normocytic and normochromic anemia, lowered to normal neutrophil count and thrombocytopenia. In comparison to hemolytic anemia, thrombocytopenia was the most frequent clinicopathological finding in the study with an increased presence of large activated platelets or macro-platelets.

10.
Indian J Surg Oncol ; 12(3): 454-459, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34658570

ABSTRACT

OBJECTIVE: The clinical profile of colorectal cancers (CRC) in India is different from that described in western countries. Microsatellite instability and APC mutation explain the molecular biology of up to 50% of colorectal cancers. Global genome hypermethylation may be the cause in at least 20% of cases. Few studies from India have examined the epigenetic profile of colorectal cancers. This study was designed to study aberrant promoter hypermethylation of two select tumour suppressor genes (p16, RASSF1a) in patients with colorectal cancer and their association with clinicopathologic features. METHODS: A total of 41 samples including controls were collected from colorectal cancer patients. DNA was isolated from tumour tissue, and methylation-specific PCR was performed for the 2 genes. RESULTS: p16 and RASSF1a promoter hypermethylation was found in 26% and 48% of CRC cases, respectively. RASSF1a promoter hypermethylation was more often seen in young CRC patients aged 40 years or less, and this was found to be statistically significant (p value = 0.037). CONCLUSION: RASSF1a hypermethylation is peculiar to rectal cancers and left-sided colonic tumours in young patients. Large-scale population-based studies with extensive genetic and epigenetic characterization are required for a better understanding and further validation of our findings. For individuals diagnosed with sporadic CRC, these studies on specimen might help predict prognosis and response to therapy.

11.
Indian J Surg Oncol ; 12(3): 554-560, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34658585

ABSTRACT

Biliary drainage before pancreaticoduodenectomy was introduced to decrease morbidity from obstructive jaundice. Recent retrospective and randomised data show that preoperative biliary drainage (PBD) increases perioperative infectious complications. Most patients presenting to our tertiary care centre have undergone drainage procedures prior to surgical consultation. We analysed the impact of PBD, specifically endoscopic stent placement, on the postoperative outcome of pancreaticoduodenectomy at our centre. A cohort of 87 patients undergoing pancreaticoduodenectomy from 2012 to 2016 was identified. Data was collected retrospectively and a comparative analysis of stented and nonstented patients was done. Comparison of the 23 stented patients was done with 23 nonstented patients after matching them for age, sex and bilirubin levels. Median total bilirubin level in stented patients was 10.2 mg/dl versus 7.7 mg/dl in nonstented patients. The infectious complication rate in the stented group was 39.1% versus 12.7% in the nonstented group (P value < 0.05). There was no difference in the anastomotic leak rate between the two groups. Time to curative surgery in the stented group was significantly more than in the nonstented group. Stented patients are at a higher risk for postoperative infectious complications. Patients with obstructive jaundice awaiting surgery should undergo selective biliary drainage after careful planning and discussion between the operating surgeon and the endoscopist.

12.
Lancet Infect Dis ; 21(12): 1665-1676, 2021 12.
Article in English | MEDLINE | ID: mdl-34399090

ABSTRACT

BACKGROUND: SARS-CoV-2 has spread substantially within India over multiple waves of the ongoing COVID-19 pandemic. However, the risk factors and disease burden associated with COVID-19 in India remain poorly understood. We aimed to assess predictors of infection and mortality within an active surveillance study, and to probe the completeness of case and mortality surveillance. METHODS: In this prospective, active surveillance study, we used data collected under expanded programmatic surveillance testing for SARS-CoV-2 in the district of Madurai, Tamil Nadu, India (population of 3 266 000 individuals). Prospective testing via RT-PCR was done in individuals with fever or acute respiratory symptoms as well as returning travellers, frontline workers, contacts of laboratory-confirmed COVID-19 cases, residents of containment zones, patients undergoing medical procedures, and other risk groups. Standardised data collection on symptoms and chronic comorbid conditions was done as part of routine intake. Additionally, seroprevalence of anti-SARS-CoV-2 immunoglobulin G was assessed via a cross-sectional survey recruiting adults across 38 clusters within Madurai District from Oct 19, 2020, to Nov 5, 2020. We estimated adjusted odds ratios (aORs) for positive RT-PCR results comparing individuals by age, sex, comorbid conditions, and aspects of clinical presentation. We estimated case-fatality ratios (CFRs) over the 30-day period following RT-PCR testing stratified by the same variables, and adjusted hazard ratios (aHRs) for death associated with age, sex, and comorbidity. We estimated infection-fatality ratios (IFRs) on the basis of age-specific seroprevalence. RESULTS: Between May 20, 2020, and Oct 31, 2020, 13·5 diagnostic tests were done per 100 inhabitants within Madurai, as compared to 7·9 tests per 100 inhabitants throughout India. From a total of 440 253 RT-PCR tests, 15 781 (3·6%) SARS-CoV-2 infections were identified, with 8720 (5·4%) of 160 273 being positive among individuals with symptoms, and 7061 (2·5%) of 279 980 being positive among individuals without symptoms, at the time of presentation. Estimated aORs for symptomatic RT-PCR-confirmed infection increased continuously by a factor of 4·3 from ages 0-4 years to 80 years or older. By contrast, risk of asymptomatic RT-PCR-confirmed infection did not differ across ages 0-44 years, and thereafter increased by a factor of 1·6 between ages 45-49 years and 80 years or older. Seroprevalence was 40·1% (95% CI 35·8-44·6) at age 15 years or older by the end of the study period, indicating that RT-PCR clinical testing and surveillance testing identified only 1·4% (1·3-1·6%) of all infections in this age group. Among RT-PCR-confirmed cases, older age, male sex, and history of cancer, diabetes, other endocrine disorders, hypertension, other chronic circulatory disorders, respiratory disorders, and chronic kidney disease were each associated with elevated risk of mortality. The CFR among RT-PCR-confirmed cases was 2·4% (2·2-2·6); after age standardisation. At age 15 years or older, the IFR based on reported deaths was 0·043% (0·039-0·049), with reported deaths being only 11·0% (8·2-14·5) of the expected count. INTERPRETATION: In a large-scale SARS-CoV-2 surveillance programme in Madurai, India, we identified equal risk of asymptomatic infection among children, teenagers, and working-age adults, and increasing risk of infection and death associated with older age and comorbidities. Establishing whether surveillance practices or differences in infection severity account for gaps between observed and expected mortality is of crucial importance to establishing the burden of COVID-19 in India. FUNDING: The Bill & Melinda Gates Foundation, the National Science Foundation, and the National Institute of General Medical Sciences. TRANSLATION: For the Hindi translation of the abstract see Supplementary Materials section.


Subject(s)
COVID-19/epidemiology , SARS-CoV-2/isolation & purification , Adolescent , Adult , Aged , Aged, 80 and over , Asymptomatic Infections/epidemiology , COVID-19/diagnosis , COVID-19/mortality , Child , Child, Preschool , Cross-Sectional Studies , Female , Humans , India/epidemiology , Infant , Infant, Newborn , Male , Middle Aged , Population Surveillance , Prospective Studies , Risk Factors , SARS-CoV-2/genetics , SARS-CoV-2/immunology , Seroepidemiologic Studies , Young Adult
14.
Environ Sci Pollut Res Int ; 28(34): 47306-47326, 2021 Sep.
Article in English | MEDLINE | ID: mdl-33893581

ABSTRACT

Lung cancer is the most aggressive as well as deadly form of cancer and most of the lung cancer cases are involved in direct smoking or passive smoking. Oxidative stress and pulmonary inflammation regulated by some transcription factors like Nrf2, NF-κB etc. play important roles in lung cancer. Various combinations of therapies are currently attributed to lung cancer treatment. A plethora of evidence supports that the consumption of plant-derived foods can prevent chronic diseases like cancer. Leaves of olive (Olea europaea L.) are rich in phenolic compounds which are having antioxidant and anti-inflammatory property. Also, bromelain from pineapple juice and from pineapple stem is a potent anti-inflammatory agent. We took a pragmatic approach to prevent carcinogenesis by supplementing the combination of these two extracts. In this study, we have tried to evaluate the amelioration of various hallmarks associated with benzo(a)pyrene-induced lung carcinogenesis upon the combinatorial treatment of ethanolic olive leaf extract (EOLE) and bromelain. We have studied the role of EOLE in amelioration of BaP-induced oxidative stress in the lung. As several reports of anticancer activity of bromelain are available, we have combined EOLE with bromelain to study their protective role against BaP-mediated lung damage. Changes in DNA integrity, LPO level in lung after EOLE-treated animal were examined. Then, we have evaluated the synergistic role of EOLE and bromelain. We have found that EOLE in combination with bromelain was able to increase the translocation of Nrf2 from cytoplasm to nucleus and decrease the translocation of NF-κB from cytoplasm to nucleus. Combination of treatment also reduced the expression of TNFα, IL-6, and some matrix metalloproteinases in lung tissue. Our findings suggest that EOLE and bromelain can synergistically reduce the BaP-induced lung carcinogenesis associated with inflammation and oxidative stress via regulating the expression of various inflammatory markers and also modulating the activity of pulmonary antioxidant armories.


Subject(s)
Lung Neoplasms , Olea , Animals , Antioxidants , Benzo(a)pyrene/toxicity , Bromelains , Lung Neoplasms/chemically induced , Lung Neoplasms/drug therapy , NF-E2-Related Factor 2 , NF-kappa B , Plant Extracts/pharmacology , Plant Leaves
15.
Arch Razi Inst ; 76(6): 1589-1606, 2021 12.
Article in English | MEDLINE | ID: mdl-35546985

ABSTRACT

Peste des petits ruminants (PPR) or goat plague is considered a leading, highly contagious, and most lethal infectious viral disease of small ruminants affecting the worldwide livestock economy and international animal trade. Although sheep and goats are the primarily affected, the PPR Virus (PPRV) host range has expanded to other livestock (large ruminants) and wildlife animals over the last few decades, resulting in serious concern to the ongoing PPR global eradication program, which is primarily optimized, designed, and targeted towards accessible sheep and goat population. A systematic review and meta-analysis study was conducted to estimate the prevalence and spill-over infection of PPRV in large ruminants (bovine and camel) and wildlife. Published articles from 2001 to October 2021 on the "PPR" were searched in four electronic databases of PubMed, Scopus, Science direct, and Google Scholars. The articles were then selected using inclusion criteria (detection/prevalence of PPRV in bovine, camel, and wildlife population), exclusion criteria (only sheep or goats, lack of prevalence data, experimental trial, test evaluation, and reviews written in other languages or published before 2001), and the prevalence was estimated by random effect meta-analysis model. In the current study, all published articles belonged to Africa and Asia. The overall pooled prevalence of PPR estimates was 24% (95% CI: 15-33), with 30% in Asia (95% CI: 14-49) and 20% in Africa (95% CI: 11-30). The overall estimated pooled prevalence at an Africa-Asia level in bovine and camel was 13% (95% CI: 8-19), and in wildlife, it was 52% (95% CI: 30-74) with significant heterogeneity (I2 = 97%) in most pooled estimates with a high prevalence in atypical hosts and wildlife across Asia and Africa. Over the last two decades, the host range has increased drastically in the wildlife population, even for prevalent PPR in the unnatural hosts only for a short time, contributing to virus persistence in multi-host systems with an impact on PPR control and eradication program. This observation on the epidemiology of the PPRV in unnatural hosts demands appropriate intervention strategies, particularly at the livestock-wildlife interface.


Subject(s)
Cattle Diseases , Goat Diseases , Peste-des-Petits-Ruminants , Peste-des-petits-ruminants virus , Sheep Diseases , Animals , Animals, Wild , Camelus , Cattle , Goat Diseases/epidemiology , Goats , Livestock , Peste-des-Petits-Ruminants/epidemiology , Prevalence , Sheep , Sheep Diseases/epidemiology
16.
Indian J Med Res ; 151(1): 42-46, 2020 01.
Article in English | MEDLINE | ID: mdl-32134013

ABSTRACT

Background & objectives: Thyrotoxic periodic paralysis (TPP) is an endocrine emergency presenting with acute-onset flaccid paralysis in a patient having thyrotoxicosis accompanied by hypokalaemia. This study was conducted to evaluate the clinical profile of patients with TPP presenting to three centres in India. Methods: This retrospective, observational study was conducted at three tertiary care Armed Forces medical centres, located at Lucknow, Kolkata and Delhi. The history, clinical features, treatment details and outcomes were evaluated. Results: Of the 244 patients with thyrotoxicosis, 15 were diagnosed with TPP and included in the study. These 15 patients (14 male and 1 female) had 32 episodes of TPP which were analyzed. The mean age was 30.2±6.2 yr (range: 21-39), and overt thyrotoxicosis was seen in all patients except one who had subclinical hyperthyroidism. Graves' disease was the most common cause of thyrotoxicosis (13/15) and the remaining two patients had subacute thyroiditis and gestational thyrotoxicosis. Hypokalaemia (serum potassium <3.5 mmol/l) was seen in 12 patients, and the mean serum potassium was 3.2±0.9 mmol/l (range: 2.1-4.9). All patients had flaccid weakness, predominantly involving the lower limb with no bulbar, respiratory or cranial nerve involvement. The average duration of paralysis was 10.6±5.7 h (range: 3-28 h). Interpretation & conclusions: Our study demonstrated an early age of presentation and presence of clinical and biochemical thyrotoxicosis in majority of patients with TPP. Hypokalaemia may not always be evident in patients with TPP.


Subject(s)
Graves Disease/physiopathology , Thyroid Crisis/physiopathology , Thyroid Diseases/physiopathology , Thyrotoxicosis/physiopathology , Adult , Female , Graves Disease/diagnosis , Graves Disease/epidemiology , Humans , Hyperthyroidism/diagnosis , Hyperthyroidism/epidemiology , Hyperthyroidism/physiopathology , India/epidemiology , Male , Paralysis/diagnosis , Paralysis/physiopathology , Potassium/metabolism , Thyroid Crisis/diagnosis , Thyroid Crisis/epidemiology , Thyroid Diseases/classification , Thyroid Diseases/diagnosis , Thyroid Diseases/epidemiology , Thyrotoxicosis/diagnosis , Thyrotoxicosis/epidemiology , Young Adult
17.
Med J Armed Forces India ; 76(1): 4-7, 2020 Jan.
Article in English | MEDLINE | ID: mdl-32020961

ABSTRACT

Insulin is a potent anabolic hormone, and binding to its receptor activates downstream intracellular signaling pathways that regulate the nutrient metabolism, fluid homeostasis, growth, ionic transport, maintenance of vascular tone, and other functions. Insulin resistance (IR) is a condition characterized by subnormal cellular response to physiological levels of insulin. The IR is divided into three types (prereceptor, receptor, and postreceptor) based on the site of pathology. Beta cells attempt to overcome the IR by increasing the release of insulin, leading to hyperinsulinemia. IR is the predisposing factor for many metabolic and cardiovascular disorders. From the evolutionary perspective, the presence of IR offers a survival advantage in the face of starvation or stress. In this brief review, we discuss the different facets of insulin resistance and appraise the readers about the hitherto neglected beneficial advantages.

18.
RSC Adv ; 10(35): 20494-20503, 2020 May 27.
Article in English | MEDLINE | ID: mdl-35517755

ABSTRACT

Semiconducting nanomaterials play an important role in the photocatalytic removal of aqueous pollutants like heavy metals, organic compounds, pathogens and antibiotics. In this study, we prepared ZnO quantum dots (QD) by the precipitation method and ZnO/rGO materials with varying percentages (0.5-2 wt%) of ZnO were prepared by the hydrothermal method. The synthesized catalysts were characterized by various physicochemical techniques, such as powder X-ray diffraction (XRD), Raman spectroscopy, ultraviolet-visible-diffuse reflectance spectroscopy (UV-VIS-DRS), Transmission Electron Microscopy (TEM), Fourier-transform infrared spectroscopy (FT-IR) and Brunauer-Emmett-Teller (BET) analysis to determine the structural as well as textural and surface properties. The photocatalytic activity of the prepared catalysts was analyzed during the individual and simultaneous removal of tetracycline (TC) and hexavalent chromium [Cr(vi)] in aqueous medium. Among all the catalysts, 1.5 wt% ZnO/rGO showed the highest visible light activity, where 68% tetracycline and 84% Cr(vi) abatement was observed after 120 min irradiation time. Moreover, tetracycline showed 70% mineralization. The photocatalytic activity is explained based on the photo-generated electron transfer from the conduction band (CB) of ZnO to the surface of rGO which prevents the recombination of excitons and produces OH˙ and O2 -˙; these radicals play an important role in degrading the TC and Cr(vi). The mechanism suggested that the co-existence of oxidizable and reducible species such as TC and Cr(vi) ensured the effective use of the photo-generated electrons and holes that leads to the efficient oxidation of TC and Cr(vi) reduction.

19.
J Neurosci Rural Pract ; 10(4): 588-591, 2019 Oct.
Article in English | MEDLINE | ID: mdl-31831976

ABSTRACT

Background The data on the epidemiology of epilepsy are limited for developing countries including India. We estimated the incidence of epilepsy in a cohort of service personnel from India followed for over two decades. Materials and Methods The data for this epidemiological study were derived from the electronic medical records (EMRs) of the male service personnel. The participants (age < 18 years) were enrolled into active service between 1990 and 2015 in good health. The data pertaining to the diagnosis of epilepsy were derived from the EMR using the prevalent International Classification of Diseases codes. We calculated the incidence rate as per person-years (py) using appropriate statistical methods. Results Our data included 51,217 participants (median age: 33 years, range: 17-54) with a mean follow-up of 12.5 years, giving a cumulative follow-up duration of 613,925 py. A total of 291 patients developed epilepsy during the study, giving an incidence rate of 0.47 per 1000 py (95% confidence interval: 0.42-0.53). Undifferentiated spondyloarthropathy, central nervous system disorders, and alcohol dependence syndrome were the common comorbid ailments in patients with epilepsy. Conclusion Our cohort had a comparable incidence rate of epilepsy with other studies from India and abroad.

20.
Zootaxa ; 4688(2): zootaxa.4688.2.9, 2019 Oct 22.
Article in English | MEDLINE | ID: mdl-31719454

ABSTRACT

A new species of argentinid fish, Glossanodon macrocephalus Bineesh Endo, from the Arabian Sea, off the southwestern coast of India, is described on the basis of four specimens (129-164 mm SL). The new species clearly differs from its congeners in the following combination of characters: dorsal-fin rays 10-11; pectoral-fin rays 21-23; anal-fin rays 12-13; pelvic-fin rays 11-12; branchiostegal rays 5; gill rakers on first arch 30-36; vertebrae 47-48; a patch of small conical teeth on middle of lower jaws; predorsal 49-51% SL; prepectoral 36-39% SL; prepelvic 57-58% SL; distance from pelvic to anal-fin origin 26-28% SL; head length 35-39% SL; eye diameter 22-26% HL; snout length 28-30% HL; location of anus immediately anterior to anal-fin origin; broad longitudinal black stripe above lateral line; dark spot on the base to half of pectoral fin; and no teeth on tongue. The new species is a benthopelagic dweller on muddy bottoms in depths of around 300-600 m.


Subject(s)
Fishes , Heteroptera , Animals , Gills , Head , India
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