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1.
Trop Med Infect Dis ; 9(6)2024 May 30.
Article in English | MEDLINE | ID: mdl-38922038

ABSTRACT

The World Health Organization (WHO) recommends the use of annual mass drug administration (MDA) as the strategy for controlling and eliminating the five preventive chemotherapy neglected tropical diseases (PC-NTDs). The success of MDAs hinges on community acceptance, active participation, and compliance. This study aimed to explore the experiences and perceptions of community members, to obtain a more thorough understanding of their openness and willingness to participate in MDA and other NTD elimination activities. A mixed-methods approach was employed, utilizing qualitative and quantitative methods for comprehensive data collection. Eighteen key informant interviews (KIIs) and sixteen focus group discussions (FGDs) were conducted to explore community engagement, participation, medication utilization, and programme perception. Triangulation of findings from interviews and discussions with household survey results was performed to gain a deeper understanding of emerging themes. The household survey involved interviewing 1220 individuals (Abaji: 687; Bwari: 533). Audio tapes recorded KIIs and FGDs, with interview transcripts coded using Nvivo 12.0 software based on predefined themes. Descriptive analysis using SPSS version 21 was applied to quantitative data. Results indicated high awareness of mass drug administration (MDA) campaigns in both area councils (Abaji: 84.9%; Bwari: 82.9%), with a small percentage claiming ignorance (15.1%), attributed to lack of information or absence during health campaigns. Respondents primarily participated by taking medication (82.5%), with minimal involvement in other MDA campaigns. Perception of medicines was generally positive, with a significant association between participation level and performance rating (p < 0.05). The study recommends leveraging high awareness and community responsiveness to enhance engagement in various MDA activities, ensuring sustainability and ownership of the programme.

2.
J Cardiovasc Dev Dis ; 8(2)2021 Feb 19.
Article in English | MEDLINE | ID: mdl-33669699

ABSTRACT

Cardiovascular diseases are the leading cause of death worldwide in different cohorts. It is well known that miRNAs have a crucial role in regulating the development of cardiovascular physiology, thus impacting the pathophysiology of heart diseases. MiRNAs also have been reported to be associated with cardiac reactions, leading to myocardial infarction (MCI) and ultimately heart failure (HF). To prevent these heart diseases, proper and timely diagnosis of cardiac dysfunction is pivotal. Though there are many symptoms associated with an irregular heart condition and though there are some biomarkers available that may indicate heart disease, authentic, specific and sensitive markers are the need of the hour. In recent times, miRNAs have proven to be promising candidates in this regard. They are potent biomarkers as they can be easily detected in body fluids (blood, urine, etc.) due to their remarkable stability and presence in apoptotic bodies and exosomes. Existing studies suggest the role of miRNAs as valuable biomarkers. A single biomarker may be insufficient to diagnose coronary artery disease (CAD) or acute myocardial infarction (AMI); thus, a combination of different miRNAs may prove fruitful. Therefore, this review aims to highlight the role of circulating miRNA as diagnostic and prognostic biomarkers in cardiovascular diseases such as coronary artery disease (CAD), myocardial infarction (MI) and atherosclerosis.

3.
J Pak Med Assoc ; 64(3): 247-51, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24864593

ABSTRACT

OBJECTIVE: To find out the frequency of co-existence of malaria and dengue fever in patients presenting with acute febrile illness. METHODS: The descriptive cross-sectional study was conducted at the Military Hospital Rawalpindi from June to November 2012. A total of 500 patients with complaint of acute febrile illness were selected after applying the inclusion and exclusion criteria. Preliminary data was collected on a pretested proforma. Blood samples of patients were tested for dengue serology and malaria parasite. Results were entered in respective proforma. Co-existence was considered present when a patient had both dengue serology and malaria parasite slide positive. SPSS 20 v was used for data analysis. RESULT: Of the total, 349 (69.8%) were males and 151 (30.2%) females. Dengue serology was positive in 16 (3.2%); 81(16.2%) had malaria parasite slide positive; 403 (80.4%) had none of the two findings. Co-existence of both dengue and malaria was nil among the whole sample. In males, 67 (13.4%) had malaria, while 11 (2.2%) had dengue. In females, 14 (2.8%) had malaria, while 5 (1%) suffered from dengue fever. CONCLUSION: Co-existence of dengue and malaria was zero per cent in 500 patients visiting Military Hospital Rawalpindi. More studies shall be conducted to find out whether the reason of having zero per cent co-existence is that dengue or/and malaria epidemic did not occur in 2012 or whether there are some other factors involved.


Subject(s)
Dengue/complications , Malaria/complications , Acute Disease , Adult , Cross-Sectional Studies , Dengue/blood , Dengue/epidemiology , Female , Fever , Humans , Malaria/blood , Malaria/epidemiology , Male , Pakistan/epidemiology , Risk Factors
4.
BMC Plant Biol ; 14: 84, 2014 Apr 01.
Article in English | MEDLINE | ID: mdl-24690446

ABSTRACT

BACKGROUND: The production and use of biologically derived soil additives is one of the fastest growing sectors of the fertilizer industry. These products have been shown to improve crop yields while at the same time reducing fertilizer inputs to and nutrient loss from cropland. The mechanisms driving the changes in primary productivity and soil processes are poorly understood and little is known about changes in secondary productivity associated with the use of microbial products. Here we investigate secondary metabolic responses to a biologically derived soil additive by monitoring changes in the phenlypropanoid (PP) pathway in Arabidopsis thaliana. RESULTS: This study was designed to test the influence of one of these products (Soil Builder™-AF, SB) on secondary metabolism after being applied at different times. One time (TI) application of SB to Arabidopsis increased the accumulation of flavonoids compared to multiple (TII) applications of the same products. Fourteen phenolic compounds including flavonols and anothocyanins were identified by mass spectrometry. Kaempferol-3,7-O-bis-α-L-rhamnoside and quercetin 3,7-dirhamnoside, the major compounds, increased 3-fold and 4-fold, respectively compared to control in the TI treatment. The most abundant anthocyanin was cyanidin 3-rhamnoglucoside, which increased 3-fold and 2-fold in TI compared to the control and TII, respectively. Simultaneously, the expression of genes coding for key enzymes in the PP pathway (phenylalanine ammonia lyase, cinnamate 4-hydroxylase, chalcone synthase, flavonoid-3'-O-hydroxylase, flavonol synthase1 and dihydroflavonol-4-reductase) and regulatory genes (production of anthocyanin pigment2, MYB12, MYB113, MYB114, EGL3, and TT8) were up-regulated in both treatments (TI and TII). Furthermore, application of TI and TII induced expression of the lignin pathway genes (hydroxyl cinamyl transferase, caffeyl-CoA O-methyl transferase, cinnamyl alcohol dehydrogenase, cinnamyl-CoA reductase, secondary wall-associated NAC domain protein1, MYB58 and MYB63 resulting in higher accumulation of lignin content compared to the control. CONCLUSIONS: These results indicate that the additions of microbially based soil additives have a perceptible influence on phenylpropanoid pathway gene regulation and its production of secondary metabolites. These findings open an avenue of research to investigate the mode of action of microbially-based soil additives which may assist in the sustainable production of food, feed, fuel and fiber.


Subject(s)
Arabidopsis/genetics , Bacteria/chemistry , Flavonoids/metabolism , Gene Expression Profiling , Genes, Plant , Lignin/metabolism , Plant Leaves/genetics , Propanols/metabolism , Arabidopsis/enzymology , Arabidopsis/metabolism , Arabidopsis Proteins/genetics , Arabidopsis Proteins/metabolism , Biosynthetic Pathways/genetics , Gene Expression Regulation, Plant , Metabolome/genetics , Phenylalanine Ammonia-Lyase/genetics , Plant Leaves/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Soil , Transcription, Genetic
6.
Planta ; 231(5): 1037-47, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20145949

ABSTRACT

Vitis vinifera (grapevine) is the most economically important deciduous fruit crop, but cultivated grapevine varieties lack adequate innate immunity to a range of devastating diseases. To identify genetic resources for grapevine innate immunity and understand pathogen defense pathways in a woody perennial plant, we focus in this study on orthologs of the central Arabidopsis thaliana defense regulator ENHANCED DISEASE SUSCEPTIBILITY1 (EDS1). The family of EDS1-like genes is expanded in grapevine, and members of this family were previously found to be constitutively upregulated in the resistant variety 'Norton' of the North American grapevine species Vitis aestivalis, while they were induced by Erysiphe necator, the causal agent of grapevine powdery mildew (PM), in the susceptible V. vinifera variety 'Cabernet Sauvignon'. Here, we determine the responsiveness of individual EDS1-like genes in grapevine to PM and salicylic acid, and find that EDS1-like paralogs are differentially regulated in 'Cabernet Sauvignon', while two are constitutively upregulated in 'Norton'. Sequencing of VvEDS1 and VaEDS1 cDNA and genomic clones revealed high conservation in the protein-encoding sequence and some divergence of the promoter sequence in the two grapevine varieties. Complementation of the Arabidopsis eds1-1 mutant showed that the EDS1-like gene with highest predicted amino acid sequence similarity to AtEDS1 from either grapevine varieties is a functional ortholog of AtEDS1. Together, our analyses show that differential susceptibility to PM is correlated with differences in EDS1 expression, not differences in EDS1 function, between resistant 'Norton' and susceptible 'Cabernet Sauvignon'.


Subject(s)
Arabidopsis Proteins/chemistry , Arabidopsis/genetics , Ascomycota/physiology , DNA-Binding Proteins/chemistry , Gene Expression Regulation, Plant , Plant Diseases/immunology , Plant Proteins/genetics , Vitis/microbiology , Amino Acid Sequence , Arabidopsis/drug effects , Arabidopsis Proteins/genetics , Arabidopsis Proteins/metabolism , Ascomycota/drug effects , DNA, Complementary/genetics , DNA-Binding Proteins/genetics , DNA-Binding Proteins/metabolism , Gene Expression Regulation, Plant/drug effects , Genetic Complementation Test , Genome, Plant/genetics , Immunity, Innate/drug effects , Molecular Sequence Data , Mutation/genetics , Phylogeny , Plant Diseases/genetics , Plant Diseases/microbiology , Plant Proteins/chemistry , Plant Proteins/metabolism , Promoter Regions, Genetic/genetics , RNA, Messenger/genetics , RNA, Messenger/metabolism , Salicylic Acid/pharmacology , Sequence Homology, Amino Acid , Vitis/drug effects , Vitis/genetics , Vitis/immunology
7.
Ophthalmic Epidemiol ; 16(1): 2-7, 2009.
Article in English | MEDLINE | ID: mdl-19191175

ABSTRACT

PURPOSE: To identify children aged 0-72 months with blinding xerophthalmia in the North West Frontier Province (NWFP) and its adjoining Federally Administered Tribal Areas (FATA) in Pakistan, using a new surveillance system, and to describe socio-economic and other characteristics of reported cases. METHODS: All ophthalmologists in district headquarter hospitals in NWFP and agency headquarter hospitals in FATA were requested to participate in a surveillance programme for the detection of blinding xerophthalmia (corneal xerosis, corneal ulcers, keratomalacia and corneal scars related to vitamin A deficiency) for children aged 0-72 months. The surveillance included reporting of each case of blinding xerophthalmia presenting to the participating eye units over a period of 12 months and recording their socio-economic and other related characteristics. RESULTS: Seventy six cases of blinding xerophthalmia were reported and there was almost no gender difference. Children came from 19 of 31 districts and agencies in NWFP and FATA with a working ophthalmologist. The commonest age at presentation was 25-48 months and almost half of them belonged to households with a monthly income of < Pak Rs. 1200 (US $ < 20). Precipitating systemic illnesses were diarrhea and fever with cough in 63.2% and 56.6% cases, respectively. Almost a third of children aged > 9 months had not been immunized against measles. A quarter of all children had not been adequately breast-fed, and 7 children (9%) had never been breastfed. Majority of the cases presented during summer and autumn months. CONCLUSIONS: Our surveillance data provide evidence that blinding xerophthalmia does occur in children in NWFP and its adjoining FATA. The surveillance system identified high risk age groups, systemic illnesses, seasons and community groups. The detection system detects minimal numbers of cases and it is likely that the problem is even more severe.


Subject(s)
Blindness/ethnology , Vitamin A Deficiency/ethnology , Xerophthalmia/ethnology , Age Distribution , Child , Child, Preschool , Female , Humans , Incidence , Infant , Male , Pakistan/epidemiology , Seasons , Sex Distribution
8.
Molecules ; 12(3): 607-21, 2007 Mar 23.
Article in English | MEDLINE | ID: mdl-17851415

ABSTRACT

To investigate the enzyme variations responsible for the synthesis of phenolics, 40 day-old adventitious roots of Panax ginseng were treated with 200 microM methyl jasmonate (MJ) or salicylic acid (SA) in a 5 L bioreactor suspension culture (working volume 4 L). Both treatments caused an increase in the carbonyl and hydrogen peroxide (H2O2) contents, although the levels were lower in SA treated roots. Total phenolic, flavonoid, ascorbic acid, non-protein thiol (NPSH) and cysteine contents and 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical reducing activity were increased by MJ and SA. Fresh weight (FW) and dry weight (DW) decreased significantly after 9 days of exposure to SA and MJ. The highest total phenolics (62%), DPPH activity (40%), flavonoids (88%), ascorbic acid (55%), NPSH (33%), and cysteine (62%) contents compared to control were obtained after 9 days in SA treated roots. The activities of glucose 6-phosphate dehydrogenase, phenylalanine ammonia lyase, substrate specific peroxidases (caffeic acid peroxidase, quercetin peroxidase and ferulic acid peroxidase) were higher in MJ treated roots than the SA treated ones. Increased shikimate dehydrogenase, chlorogenic acid peroxidase and beta-glucosidase activities and proline content were observed in SA treated roots than in MJ ones. Cinnamyl alcohol dehydrogenase activity remained unaffected by both MJ and SA. These results strongly indicate that MJ and SA induce the accumulation of phenolic compounds in ginseng root by altering the phenolic synthesis enzymes.


Subject(s)
Acetates/pharmacology , Bioreactors , Cyclopentanes/pharmacology , Oxidative Stress/drug effects , Panax/drug effects , Phenols/metabolism , Plant Roots/drug effects , Salicylic Acid/pharmacology , Cell Culture Techniques , Enzymes/metabolism , Hydrogen Peroxide/metabolism , Oxylipins , Panax/enzymology , Plant Roots/enzymology , Plant Roots/growth & development , Proline/metabolism , Protein Carbonylation/drug effects
9.
Plant Cell Rep ; 25(10): 1122-32, 2006 Oct.
Article in English | MEDLINE | ID: mdl-16807751

ABSTRACT

Roots of Panax ginseng exposed to various concentrations of Cu (0.0, 5, 10.0, 25.0, and 50.0 microM) accumulated high amounts of Cu in a concentration-dependent and duration-dependent manner. Roots treated with 50 microM Cu resulted in 52% and 89% growth inhibition after 20 and 40 days, respectively. Saponin synthesis was stimulated at a Cu concentration between 5 and 25 muM but decreased at 50 microM Cu. Malondialdehyde content (MDA), lipoxygenase activity (LOX), superoxide ion (O2*-) accumulation, and H2O2 content at 5 and 10 microM Cu-treated roots were not increased but strongly increased at 50 microM Cu resulting in the oxidation of ascorbate (ASC) and glutathione (GSH) to dehydroascorbate (DHA) and glutathione disulfide (GSSG), respectively indicating a clear oxidative stress. Seven well-resolved bands of superoxide dismutase (SOD) were detected in the gel and an increase in SOD activity seemed to be mainly due to the induction of Fe-SOD 3. Five to 10 microM Cu slightly induced activity of ascorbate peroxidase (APX) and dehydroascorbate reductase (DHAR), guaiacol peroxidase (G-POD) but inhibited monodehydroascorbate reductase (MDHAR) and glutathione reductase (GR) enzyme activities. No changes in catalase (CAT) activity and in activity gel were found up to 25 microM Cu, but both G-POD and CAT activities were inhibited at 50 microM Cu. Glutathione metabolism enzymes such as gamma-glutamylcysteine synthetase (gamma-GCS), glutathione-S-transferase (GST), and glutathione peroxidase activities (GPx) were activated at 5 and 10 microM Cu but were strongly inhibited at 50 microM Cu due to the Cu accumulation in root tissues. The strong depletion of GSH at 50 microM Cu was associated to the strong induction of gamma-glutamyltranspeptidase (gamma-GGT) activity. These results indicate that plant could grow under Cu stress (5-25 microM) by modulating the antioxidant defense mechanism for combating Cu induced oxidative stress.


Subject(s)
Bioreactors , Copper/pharmacology , Oxygen/metabolism , Panax/drug effects , Plant Roots/drug effects , Plant Roots/growth & development , Saponins/biosynthesis , Cell Culture Techniques , Dehydroascorbic Acid/metabolism , Glutathione Disulfide/metabolism , Isoenzymes/metabolism , Malondialdehyde/metabolism , Oxidation-Reduction/drug effects , Panax/cytology , Panax/growth & development , Panax/metabolism , Plant Proteins/metabolism , Plant Roots/cytology , Superoxides/metabolism
10.
Ophthalmic Epidemiol ; 13(2): 115-9, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16581615

ABSTRACT

PURPOSE: To assess the annual number of glaucoma operations and admissions in the public sector tertiary care hospitals in Pakistan. METHODS: Eye departments in all 18 public tertiary care centers in the country were requested to provide data on the number of glaucoma operations and admissions during 1998. Of these, 13 hospitals agreed to participate. Eye departments' log books or patients' records were used to collect data retrospectively on the total number of eye admissions, the total number of glaucoma admissions, the type of glaucoma, and the total number and type of glaucoma operations. RESULTS: Glaucoma accounted for 8.1% (1,942/23,931) of all eye admissions. Open-angle glaucoma was responsible for 37.6% or 731 glaucoma admissions followed by secondary glaucoma (35.0%) and angle-closure glaucoma (18.2%). During 1998, 1,407 glaucoma-related operations were performed in the selected hospitals. The mean (+/-SD) and the median number of operations performed were 108.2 (+/-59.6) and 112 (range: 17-206), respectively. Trabeculectomies accounted for 1,043 (74.1 %) of all procedures. Their number ranged from 16 to 170 (median: 84) in the selected hospitals. CONCLUSIONS: We believe that the annual number of glaucoma operations performed in the public tertiary care hospitals in Pakistan is far less than required. In-depth research is therefore needed to explain if this is because of gaps in service provision or a genuine shift to medical management of glaucoma on an outpatient basis.


Subject(s)
Filtering Surgery/statistics & numerical data , Glaucoma/epidemiology , Hospitals, Public/statistics & numerical data , Patient Admission/statistics & numerical data , Population Surveillance , Glaucoma/surgery , Humans , Incidence , Pakistan/epidemiology , Retrospective Studies
11.
BMC Ophthalmol ; 6: 8, 2006 Mar 02.
Article in English | MEDLINE | ID: mdl-16512897

ABSTRACT

BACKGROUND: Research exploring children's and their teachers' perceptions of eye health is lacking. This paper reports for the first time on perceptions of primary schoolchildren and their teachers of healthy and diseased eyes, things that keep eyes healthy and damage them, and what actions to be taken in case of an eye injury. METHODS: Using draw and write technique, 160 boys and girls (9-12 years old) attending four primary schools in Abbottabad district, northern Pakistan, were invited to draw pictures in response to a set of semi-structured questions and then label them. Sixteen teachers who were currently teaching the selected students were interviewed one-on-one. RESULTS: Analysis of text accompanying 800 drawings and of the interview scripts revealed that most children and teachers perceived healthy eyes to be those which could see well, and diseased eyes to be those which have redness, watering, dirty discharge, pain, and itching; or those which have "weak eyesight" and blindness. Among things that students and teachers thought damage the eyes included sun, television, and sharp pointed objects, particularly pencils. Teachers noted that children with eye problems "have difficulty seeing the blackboard well", "screw up their eyes", and "hold their books too close". CONCLUSION: We conclude that schoolchildren and their teachers had a good knowledge of eye health, but many of them had serious misconceptions e.g., use of kohl, medicines and eye drops keeps eyes healthy. Kohl is an important source of lead and can reduce children's intelligence even at low blood levels. Health education in schools must take into account children's existing knowledge of and misconceptions about various aspects of eye health. Such steps if taken could improve the relevance of eye health education to schoolchildren.


Subject(s)
Eye , Faculty , Health Knowledge, Attitudes, Practice , Health , Schools , Students/psychology , Art , Child , Eye Diseases/pathology , Eye Diseases/physiopathology , Female , Humans , Interviews as Topic , Male , Pakistan
12.
Plant Cell Rep ; 25(6): 613-20, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16463159

ABSTRACT

The effects of methyl jasmonate (MJ) and salicylic acid (SA) on changes of the activities of major antioxidant enzymes, superoxide anion accumulation (O2-), ascorbate, total glutathione (TG), malondialdehyde (MDA) content and ginsenoside accumulation were investigated in ginseng roots (Panax ginseng L.) in 4 l (working volume) air lift bioreactors. Single treatment of 200 microM MJ and SA to P. ginseng roots enhanced ginsenoside accumulation compared to the control and harvested 3, 5, 7 and 9 days after treatment. MJ and SA treatment induced an oxidative stress in P. ginseng roots, as shown by an increase in lipid peroxidation due to rise in O2- accumulation. Activity of superoxide dismutase (SOD) was inhibited in MJ-treated roots, while the activities of monodehydroascorbate reductase (MDHAR), dehydroascorbate reductase (DHAR), SOD, guaiacol peroxidase (G-POD), glutathione peroxidase (GPx) and glutathione reductase (GR) were induced in SA-treated roots. A strong decrease in the activity of catalase (CAT) was obtained in both MJ- and SA-treated roots. Activities of ascorbate peroxidase (APX) and glutathione S transferase (GST) were higher in MJ than SA while the contents of reduced ascorbate (ASC), redox state (ASC/(ASC+DHA)) and TG were higher in SA- than MJ-treated roots while oxidized ascorbate (DHA) decreased in both cases. The result of these analyses suggests that roots are better protected against the O2- stress, thus mitigating MJ and SA stress. The information obtained in this work is useful for efficient large-scale production of ginsenoside by plant-root cultures.


Subject(s)
Acetates/pharmacology , Antioxidants/metabolism , Cyclopentanes/pharmacology , Ginsenosides/metabolism , Panax/metabolism , Plant Roots/enzymology , Salicylic Acid/pharmacology , Bioreactors , Lipid Peroxidation , Oxidoreductases/metabolism , Oxylipins , Panax/drug effects , Panax/enzymology , Plant Roots/drug effects
13.
J Ayub Med Coll Abbottabad ; 18(3): 40-3, 2006.
Article in English | MEDLINE | ID: mdl-17348311

ABSTRACT

BACKGROUND: Population-based data on the prevalence of diabetic retinopathy in Pakistan are lacking. We determined the prevalence of diabetic retinopathy among individuals screened positive for diabetes in five community-based eye camps in northern Karachi, Pakistan. METHODS: In summer 2002, five community-based eye camps were set up in Karachi, Pakistan's largest city. All individuals aged 30 years or older who visited the camps were requested to participate in the study. Those who agreed were screened for diabetes and those found to have the disease were referred to an eye hospital for diabetic retinopathy screening. Verbal informed consent was obtained from all participants at the examination site. Our main outcome measure was diabetic retinopathy, which was classified as non-proliferative diabetic retinopathy (NPDR), severe NPDR, and proliferative diabetic retinopathy (PDR). Our grading was based on clinical examination. RESULTS: A total of 912 subjects were screened for diabetes mellitus. Of these, 160 (17.5%) had diabetes- 1.8% had type I diabetes and 15.9% had type II diabetes. One hundred and eight individuals visited the hospital for ophthalmic examination. Of them, 15.7% had diabetic retinopathy. The prevalence of diabetic retinopathy was higher among individuals with type I diabetes, with greater duration of diabetes, and among women. The commonest form of diabetic retinopathy was non-proliferative (76.5% [mild: 35.3%, moderate: 29.4%, and severe: 11.8%]), followed by maculopathy (17.6%) and proliferative diabetic retinopathy (5.9%). CONCLUSION: More systematic and population-based research is needed to estimate the prevalence of and identify risk factors for diabetic retinopathy in Pakistan.


Subject(s)
Diabetic Retinopathy/epidemiology , Adult , Age Distribution , Aged , Community Health Centers , Female , Humans , Male , Middle Aged , Pakistan/epidemiology , Prevalence , Sex Distribution
14.
Plant Physiol Biochem ; 43(5): 449-57, 2005 May.
Article in English | MEDLINE | ID: mdl-15878284

ABSTRACT

The effects of different concentrations of CO(2) (1%, 2.5% and 5%) on the antioxidant capacity, total phenols, flavonoids, protein content and phenol biosynthetic enzymes in roots of Panax ginseng were studied in bioreactor (working volume 4 l) after 15, 30 and 45 days. CO(2) induced accumulation of total phenolics in a concentration and duration dependent manner. Total phenols, flavonoids and 1,1-diphenyl-2-picrylhydrazyl (DPPH) activity increased 60%, 30% and 20% at 2.5% CO(2) after 45 days compared to control in P. ginseng roots which indicated that phenolics compounds played an important role in protecting the plants from CO(2). Hypothesizing that increasing the phenolic compounds in roots of P. ginseng may increase its nutritional functionality; we investigated whether pentose phosphate pathway (PPP), shikimate/phenylpropanoid pathway enzymes have a role in phenolics mobilization in P. ginseng roots. Fresh weight (FW), dry weight (DW) and growth ratio was increased at 1% and 2.5% CO(2) only after 45 days, however, unaffected after 15 and 30 days. Results also indicated that high CO(2) progressively stimulated the activities of glucose 6 phosphate dehydrogenase (G6PDH, E.C. 1.1.1.49), shikimate dehydrogenase (SKDH, E.C. 1.1.1.25), phenylalanine ammonia lyase (PAL, E.C. 4.3.1.5), cinnamyl alcohol dehydrogenase (CAD, E.C. 1.1.1.195), caffeic acid (CA) peroxidase and chlorogenic acid (CGA) peroxidase after 15, 30 and 45 days. Increased CO(2) levels resulted in increases in accumulation of total protein (45%), non-protein thiol (NP-SH) (30%) and cysteine contents (52%) after 45 days compared to control and increased activities of beta-glucosidase (GS, E.C. 3.2.1.21) and polyphenol oxidase (PPO, E.C. 1.10.3.2) in P. ginseng roots indicated that they played an important role in protecting the plants from CO(2). These results strongly suggest that high concentration of CO(2) delivered to ginseng root suspension cultures induced the accumulation of total phenolics possessing high antioxidant properties probably useful for human health. Therefore, roots of P. ginseng are considered as a good source of phenolics compounds with high antioxidants capacity and can be produced on a large scale.


Subject(s)
Carbon Dioxide/pharmacology , Panax/drug effects , Phenols/metabolism , Plant Roots/drug effects , Alcohol Oxidoreductases/metabolism , Bioreactors , Cysteine/metabolism , Flavonoids/metabolism , Glucosephosphate Dehydrogenase/metabolism , Panax/growth & development , Panax/metabolism , Phenylalanine Ammonia-Lyase/metabolism , Plant Proteins/metabolism , Plant Roots/cytology , Plant Roots/growth & development , Tissue Culture Techniques
15.
Ophthalmic Epidemiol ; 12(1): 19-23, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15848917

ABSTRACT

PURPOSE: To determine the prevalence and causes of blindness and visual impairment in people 40 years of age and older in Budni, Peshawar, Pakistan. METHODS: A population-based cross-sectional study was carried out involving 1,106 men and women 40 years of age and older in a rural area in Pakistan's North West Frontier Province (NWFP). All subjects with a presenting visual acuity < 6/18 in either eye were referred to a centralized clinic for a standardized eye examination that included refraction and dilated fundal examination. The main outcome was blindness (presenting visual acuity < 3/60 in the better eye) and low vision (presenting VA < 6/18-3/60 in the better eye). RESULTS: Of 1,106 people examined, 21 (1.9%; 95% CI: 1.1-2.7%) were blind, while another 27 (2.4%) and 62 (5.5%) subjects had severe visual impairment (< 6/60-3/60) and visual impairment (< 6/18-6/60), respectively. Women, as compared to men, had a higher prevalence of visual impairment and severe visual impairment; but they had a lower prevalence of blindness (1.6 vs. 2.2%); however, the difference was not statistically significant (0.6%; 95% CI: -0.9-2.1%). Similarly farmers had the highest prevalence of blindness. The leading cause of blindness and low vision was cataract, which accounted for 14 of 21 (66.6%) cases of blindness and 49 of 89 (55.5%) cases of low vision. The second leading cause of blindness was uncorrected aphakia. CONCLUSION: Much of the blindness was due to unoperated cataract and uncorrected aphakia. Thus, there is an urgent need to develop ways in which cataract surgical output could be increased, and glasses provided to those who need them.


Subject(s)
Blindness/epidemiology , Rural Population , Vision, Low/epidemiology , Adult , Aged , Blindness/etiology , Blindness/physiopathology , Cataract/complications , Cataract/epidemiology , Cataract/physiopathology , Female , Humans , Male , Middle Aged , Pakistan/epidemiology , Prevalence , Retrospective Studies , Vision, Low/etiology , Vision, Low/physiopathology , Visual Acuity
16.
Plant Physiol Biochem ; 43(3): 213-23, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15854829

ABSTRACT

Higher plants growing in natural environments experience various abiotic stresses. The aim of this study was to determine whether exposure to temperature-stress would lead to oxidative stress and whether this effect varied with different exposure periods. The thermal dependencies of the activities of protective enzymes, photosynthetic efficiency (Fv/Fm), protein, non-protein thiol (NP-SH), cysteine content, lipoxygenase (LOX) activity (EC 1.13.11.12) and malondialdehyde (MDA) content at 25-40 degrees C were determined for 4, 24 and 48 h in leaf and root segments of Phalaenopsis. The increase in MDA level and LOX activity may be due to temperature-associated oxidative damage to leaf and root segments. Temperature-stress induced not only activities of active oxygen species (AOS) scavenging enzymes but also protein, NP-SH and cysteine content in both leaf and root segments at 30 degrees C for 4 and 24 h (except for 48 h in some cases) compared to 25 degrees C-and greenhouse-grown leaf and root segments indicating that antioxidants enzymes played an important role in protecting plant from temperature-stress. However, activities of dehydroascorbate reductase (DHAR, EC 1.8.5.1), glutathione peroxidase (GPX, EC 1.11.1.9) and glutathione-S-transferase (GST, EC 2.5.1.18) in leaf and root, glutathione reductase (GR, EC 1.6.4.2) in leaf and guaiacol peroxidase (G-POD, 1.11.1.7) in root segments were induced significantly at 40 degrees C compared to 25 degrees C and greenhouse-grown plants suggesting that these enzymes play protective roles at high temperature. In contrast, activities of superoxide dismutase (SOD, EC 1.15.1.1) and monodehydroascorbate reductase (MDHAR, EC 1.6.5.4) in leaf and root, catalase (CAT, EC 1.11.1.6) in root, GR in root, and protein, cysteine, NP-SH content in both root and leaf and Fv/Fm ratio were diminished significantly at 40 degrees C compared to 25 degrees C-and greenhouse-grown plants. These indicate that these enzymes were apparently not involved in detoxification process and sensitive at higher temperature. Also, the close relation between activities of enzymes with their metabolites at 30 degrees C than 40 degrees C indicated that the antioxidants enzymes and metabolites both may play an important role in protecting cells against the temperature-stress.


Subject(s)
Lipid Peroxidation/physiology , Lipoxygenase/metabolism , Orchidaceae/physiology , Oxidative Stress/physiology , Plant Leaves/physiology , Plant Roots/physiology , Hot Temperature
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