ABSTRACT
Background and Aims: Lifestyle (exercise and dietary) modification is the mainstay of treatment for non-alcoholic fatty liver disease (NAFLD). However, there is paucity of data on effect of intensity of exercise in management of NAFLD, and we aimed to study the effect of variable intensities of exercise on NAFLD. Methods: The study was performed in the Department of Gastroenterology of the SCB Medical College, Cuttack and the Biju Patnaik State Police Academy, Bhubaneswar. The subjects were police trainees [18 in a moderate intensity exercise group (MIG) and 19 in a low intensity exercise group (LIG)] recruited for a 6-month physical training course (261.8 Kcalorie, 3.6 metabolic equivalent in MIG and 153.6 Kcalorie, 2.1 metabolic equivalent in LIG). NAFLD was diagnosed by ultrasonography, with exclusion of all secondary causes of steatosis. All participants were evaluated by anthropometry (weight, height, body mass index (BMI), waist circumference), assessed for blood pressure and biochemical parameters (blood glucose, liver function test, lipid profile, serum insulin), and subjected to transabdominal ultrasonography before and after 6 months of physical training, and the results were compared. Results: Both the groups had similar BMI, fasting plasma glucose, AST, gamma-glutamyl transpeptidase, insulin, and homeostatic model assessment-insulin resistance (known as HOMA-IR) (p>0.05). However, subjects in the LIG were older and had lower alanine transaminase, higher triglycerides and lower high-density lipoproteins than MIG subjects. There was a significant reduction in BMI (27.0±2.1 to 26.8±2.0; p=0.001), fasting blood glucose (106.7±21.6 to 85.8±19.0; p<0.001), serum triglycerides (167.5±56.7 to 124.6±63.5; p=0.017), total cholesterol (216.8±29.2 to 196.7±26.6; p=0.037), low-density lipoprotein cholesterol (134.6±21.4 to 130.5±21.9; p=0.010), serum aspartate transaminase (39.3±32.2 to 30.9±11.4; p<0.001), serum alanine transaminase (56.6±28.7 to 33.0±11.3; p<0.001) and HOMA-IR (2.63±2.66 to 1.70±2.59; p<0.001) in the MIG. However, changes in these parameters in the LIG were non-significant. Hepatic steatosis regressed in 66.7% of the NAFLD subjects in the MIG but in only 26.3% of the LIG NAFLD subjects (p=0.030). Conclusions: Moderate rather than low intensity physical activity causes significant improvement in BMI, serum triglycerides, cholesterol, serum transaminases and HOMA-IR, and regression of ultrasonographic fatty change in liver among NAFLD subjects.
ABSTRACT
Duodenal obstruction is an infrequent but potentially fatal complication of strongyloidiasis infection. Strongyloides stercoralis can clinically manifest in a broad variety of ways and lacks a classic clinical syndrome, which makes the diagnosis of strongyloidiasis difficult. The diagnosis is usually delayed and made by duodenal aspirate, duodenal biopsy, and/or postoperative biopsy specimen of the resection stricture segment. We present a case of partial duodenal obstruction caused by S. stercoralis. A 46-year-old man had presented with repeated bilious vomiting for 12 days. Upper gastrointestinal endoscopy showed ulceronodular mucosa with luminal compromise at the second part of the duodenum. Abdominal computed tomography scan also showed a wall thickening with luminal narrowing of the second and third part of the duodenum. Duodenal mucosal biopsy revealed larval forms of S. stercoralis.
ABSTRACT
In this report, we have investigated the magnetoresistance (MR) and Hall effect of the ferrimagnetic composites containing LaNiO3 and CoFe2O4 (CFO) (with CFO content 15% and 20%) which exhibit orbital two-channel Kondo (2CK) effect and therefore pronounced resistivity upturn at low temperature. Both composites manifest a negative to positive crossover in MR with increasing temperature. The MR is described by the Khosla and Fisher model of spin fluctuations scattering of conduction electrons and the two-band theory based on hybridized p-d sub-bands. The Hall resistivity of the composites consists of both ordinary and anomalous part. The negative sign of the ordinary Hall coefficient suggests electrons as the dominating charge carriers. The coefficient of anomalous Hall resistivity ([Formula: see text]) follows the scaling relation ([Formula: see text]) with longitudinal resistivity ([Formula: see text]) at high temperature above the resistivity upturn. However, at low temperature [Formula: see text] shows non-monotonous behaviour and deviates from the scaling relation where orbital 2CK effect takes place. More detailed study below the resistivity upturn of the composite with 20% CFO reveals that this deviation occurs around the Kondo temperature. This breakdown of scaling relation around the Kondo temperature indicates the possible influence of orbital 2CK on the anomalous Hall effect.
ABSTRACT
We report the tuning from spin one channel to orbital two-channel Kondo (2CK) effect by varying CoFe2O4 (CFO) content in the composites with LaNiO3 (LNO) along with the presence of ferrimagnetism. Although there is no signature of resistivity upturn in the case of pure LNO, all the composites exhibit a distinct upturn in the temperature range of 30-80 K. For composites with lower percentage of CFO (10%), the electron spin plays the key role in the emergence of resistivity upturn which is affected by external magnetic field. On the other hand, when the CFO content is increased (⩾15%), the upturn shows strong robustness against high magnetic field (⩽14 T) and a crossover in temperature variation from [Formula: see text] to T 1/2 at the Kondo temperature, indicating the appearance of orbital 2CK effect. The orbital 2CK effect originates due to the scattering of conduction electrons from the structural two-level systems which is created at the interfaces between the two phases (LNO and CFO) of different crystal structures as well as inside the crystal planes. The specific heat data at low temperature (⩽40 K), deviates from the usual linear temperature variation of the electronic contribution. With higher CFO content it shows more deviation which also indicates the increasing amount of two-level system. A negative magnetoresistance (MR) is observed at low temperature (<30 K) for composites containing both lower (10%) and higher percentage (15%) of CFO. We have analyzed the negative MR using Khosla and Fisher semi-empirical model based on spin dependent scattering of conduction electrons from localized spins.
