Sickle Cell Anomaly Meets Leukemic Challenge: A Case Report.

This case report delves into the rare occurrence of sickle cell disease (SCD) and acute myeloid leukemia (AML) coexisting in a 36-year-old patient. The initial presentation, marked by escalating fatigue, pallor, and recurrent episodes initially attributed to sickle cell disease, unveiled an unexpected discovery of AML upon bone marrow examination. The diagnostic hurdles stemming from overlapping clinical features necessitated a thorough approach incorporating hematological, molecular, and imaging studies. Managing both conditions concurrently entailed navigating complexities addressed by a multidisciplinary team, tailoring chemotherapy regimens, and implementing personalized strategies to tackle complications associated with SCD. This case underscores the significance of tailored and comprehensive approaches in diagnosing and managing patients with overlapping hematological disorders. The insights gleaned from this instance contribute to the evolving comprehension of such intricate interplays, guiding future research endeavors and enhancing the care provided to patients simultaneously grappling with SCD and acute myeloid leukemia (AML). This case study investigates the unusual medical history of a 36-year-old male patient who concurrently has acute myeloid leukemia and sickle cell disease. Since childhood, the patient has endured severe anemia, necessitating frequent red blood cell transfusions or exchange blood therapy. Additionally, the patient was prescribed hydroxyurea (HU) for approximately 26 months.

Synthesis of novel 5-[3-(4-chlorophenyl)-substituted-1,3-dimethylpyrimidine-2,4,6(1H,3H,5H)-trione derivatives as potential anti-diabetic and anticancer agents.

In this work, we developed a series of novel 5-[3-(4-chlorophenyl)-substituted-1,3-dimethylpyrimidine-2,4,6(1H,3H,5H)-trione derivatives 4(a-e) via a one-pot multicomponent reaction. The structures of the compounds were confirmed using analytical and spectroscopic techniques. Also, the synthesized compounds were screened for their anti-diabetic activity, cytotoxicity and in silico studies. The activity results suggested that the compound 4e exhibited least IC50 values of 0.055 ± 0.002 µM, 0.050 ± 0.002 µM and 0.009 ± 0.001 µM for α-amylase, α-glucosidase and cytotoxicity respectively. Further, in silico molecular docking results revealed that all the obtained compounds effectively interacted with exo-ß-D-glucosaminidase and P38 MAP kinase proteins with good binding energies. In that, 4e compound established the least binding energy of -9.6 and -9.1 kcal/mol, respectively. Moreover, our synthesized compounds were subjected to ADME studies, which suggested that all the synthesized compounds obeyed all five rules with good bioavailability and were suitable as drug leads against anti-diabetic and anticancer treatment.

A novel, extreme low-cost poly (Erythrosine) modified pencil graphite electrode for determination of Adrenaline.

A simple, novel, and less cost yellow (Erythrosine) modified pencil graphite electrode (Po-ERY/MGPE) was successfully fabricated via electropolymerization method using cyclic voltammetric techniques. The fabricated Po-ERY/MGPE opted as a sensor for the detection of Adrenaline (ADR) in 0.2 M PBS (7.4 pH). This reported senor displayed excellent electrocatalytic activity, increased sensitivity, high stability, superior electron transfer kinetics in the oxidation of ADR once relative to BGPE. The significance of pH, scan rate, and impact of concentration was assessed at the sensor. As per the pH and scan rate study, redox routes carry the same number of electrons and protons, and electro-oxidation of ADR was adsorption controlled respectively. The LOD of ADR was found to be 0.499 µM. The DPV data indicate that there is a significant peak divergence among ADR and uric acid (UA) which could make it easier to determine them alone and simultaneously on the sensor. The described method has been employed for the determination of ADR in injection sample. Good recovery values indicate the efficacy and applicability of the sensor in detecting ADR.

Application of radon (222Rn) as an environmental tracer in hydrogeological and geological investigations: An overview.

Radon (222Rn) is a colourless, odourless, inert, and radioactive noble gas (t1/2 = 3.8 days) that emanates from rocks and soils as a result of the alpha decay of its parent, radium (226Ra) in the decay series of uranium-238, is the focus of this study. Radon is produced in the crystal lattice of the minerals and emanates out through alpha recoil. It dissolves in water, and is also found in soil and air. Its distribution in water is more pertinent for scientific investigations. It can be measured by various methods. Certain properties of radon enable it to serve as an ideal tracer, viz., short-half life, inertness, high abundance in groundwater than surface water, preferential partitioning, sensitivity to sudden changes in subsurface conditions, non-invasiveness etc. This paper reviews the state-of-the-art techniques on the measurement of dissolved radon in water and its potential applications as a tracer and precursor in several hydrogeological and geological applications like understanding the surface water - groundwater interactions, hydrograph separation of streams, estimation of Submarine Groundwater Discharge (SGD), study of hydrodynamics and water balance of lakes, earthquake predictions, locating geological structures (faults/lineaments), geochemical explorations, NAPL contamination studies etc. Among the various applications presented, radon based approach is found to be more reliable in water resources domain than seismic precursory studies. The interpretations based on radon study in the above applications will pave the way for the improved understanding of the hydrological processes, and thus, help the planners and water managers for the sustainable development and management of water resources.

Poly (Orange CD) sensor for paracetamol in presence of folic acid and dopamine.

In the present work, Orange CD was chosen as an intriguing modifier for the electropolymerization on the surface of CPE by the CV technique. A novel, sensitive, and cost-effective poly (Orange CD) MCPE (PoOCD/MCPE) sensor was utilized for the selective detection of paracetamol (PA) in 0.2 M phosphate buffer solution (PBS) of pH 7.4. The oxidation peak current of PA was vastly enhanced at the sensor. The scan rate study is suggested that electro-oxidation of PA was adsorption-controlled. The pH study testifies the redox pathways transport with the same quantity of electrons and protons. The detection limit of PA is found to be 2.64 µM. DPV results show that substantial peak separation between PA, folic acid (FA), and dopamine (DA) could be facilitating their individual and simultaneous determination on the sensor. The decorated sensor demonstrates high sensitivity, stability, reproducibility, repeatability and has been successfully exploited for the detection of PA in a tablet with promising results.

Factors controlling the distribution of radon (222Rn) in groundwater of a tropical mountainous river basin in southwest India.

Studies on occurrence of radon in the environment are receiving growing attention worldwide due to its adverse impact on human health. Despite that, the dissolved radon in water is found to be a useful tracer in many hydrogeological studies. Although, several studies focused on the occurrence of high 222Rn in groundwater, the processes responsible for its variation is still not well understood. Hence, an attempt has been made in the present study to elucidate the underlying factors influencing the abundance 222Rn in hard rock (gneissic) aquifers of Karamana River Basin, southwest India. 222Rn in groundwater was analyzed in 71 dug wells during the pre-monsoon period of 2017. A large variability in 222Rn activities (170-68,350 Bq/m3) was noticed in groundwater and high activities were mainly seen in the khondalite formation. No significant dependencies between 222Rn activity and depth to water table, groundwater temperature and electrical conductivity were observed. However, majority of the presence of high 222Rn activity in groundwater matches with the location of lineaments. Furthermore, radium content in the host rock, degree of weathering and fracturing and the emanation coefficient of the rock were found to have an important bearing on the occurrence of radon in groundwater. The underlying factors influencing the abundance of radon in hard rock aquifers were also conceptualized. Thus, the study highlights the usefulness of 222Rn as a potential tool in delineating the macro-structural features like fractures/lineaments that are significant repositories of groundwater, which could be explored for groundwater development in hard rock terrains.

Evaluation of radiation dose from radon ingestion and inhalation in groundwater of a small tropical river basin, Kerala, India.

A comprehensive study was conducted to understand the radon (222Rn) distribution and associated radiation doses to the public in a small tropical river basin partly set in the western slope of the Southern Western Ghats of Kerala, India. Radon, though detected in all the 71 monitored wells (0.17-68.3 Bq L-1), exceeded the maximum contamination level (MCL) of 11.1 Bq L-1 for drinking water recommended by United States Environmental Protection Agency (USEPA) in eight samples from isolated pockets of highland, midland and lowland of the Karamana River Basin (KRB) and found to be well within 100 Bq L-1, the parametric value suggested by the World Health Organization (WHO) and the European Union (EU). The age-wise total annual effective doses (AEDs) of groundwater radon activity ranged from 0.5-208.4 µSv a-1 for infants, 0.4-172.2 for children and 0.5-189.7 µSv a-1 for adults. The results reveal that effective doses due to groundwater radon pose no potential public health risk in the study region. Since there is no previous background information on radon-induced radiation dose in the KRB, this work is a newfangled attempt from a public health point of view.

Experience of a rapid access falls and syncope service at a teaching hospital in Kuala Lumpur.

No abstract available.

Development of a Brief Multicultural Version of the Test of Mobile Phone Dependence (TMDbrief) Questionnaire.

UNLABELLED: The Test of Mobile Phone Dependence (TMD) questionnaire (Chóliz, 2012) evaluates the main features of mobile phone dependence: tolerance, abstinence syndrome, impaired impulse control, associated problems, excessive use, etc. OBJECTIVE: The objective of this study was to develop a multicultural version of the TMD (TMDbrief) adapted to suit the novel communication tools of smartphones. PROCEDURE: In this study, the TMD was completed by 2,028 young respondents in six distinct world regions: Southern Europe, Northwest Europe, South-America, Mesoamerica, Pakistan, and India. RESULTS: Psychometric analysis of the reliability of the instrument and factor analysis were performed to adapt the TMDbrief for use in these regions. Differences among regions with respect to TMD Mobile Phone Dependence scores were obtained. CONCLUSION: A brief questionnaire for the evaluation of mobile phone addiction in cross-cultural studies was successfully developed.

Serous Cystadenoma and Fibrothecoma: A Rare Combination in Collision Tumor of Ovary with Pseudo-Meigs Syndrome

No abstract available.

Statistical studies on high molecular weight pullulan production in solid state fermentation using jack fruit seed.

The purpose of the work was to optimize the medium variables for maximizing pullulan production using jack fruit seed as a low cost substrate by Aureobasidium pullulans in solid state fermentation. Effects of K2HPO4, KH2PO4, ZnSO4·5H2O, MgSO4·7H2O, NaCl, (NH4)2SO4·5H2O, yeast extract, moisture content (%, w/w) in the production medium on pullulan production were studied using Plackett-Burman design. Production of pullulan was significantly affected by the medium variables namely KH2PO4, ZnSO4·5H2O, NaCl and moisture content (%, w/w). Then screened variables were optimized by Box Behnken experiment design. The pullulan obtained was characterized and confirmed by FTIR, (1)H NMR and (13)C NMR. Molecular weight of pullulan was found to be 1.733×10(6) g/mol by gel permeation chromatography (GPC).

Interaction of HIPPI with putative promoter sequence of caspase-1 in vitro and in vivo.

To investigate the mechanism of increased expression of caspase-1 in Hippi expressing HeLa and Neuro 2A cells, reported earlier, we report here that HIPPI directly interacted with upstream sequence of caspase-1 gene (-700 to +17, 717 bp). Deletion of this 717 bp sequence and further analysis by electrophoretic mobility shift assay and fluorescence quenching revealed that HIPPI interacted with 60 bp (-151 to -92) upstream sequence of caspase-1. We also observed by chromatin immunoprecipitation assay that HIPPI interacted with the 717 bp sequence in vivo. In luciferase assay, when expression of the reporter gene was driven by either 717 bp or 60 bp caspase-1 upstream sequences, luciferase activity was increased in GFP-Hippi expressing HeLa cells in comparison to that obtained with parental HeLa cells with the same constructs. Similar result was obtained in Neuro2A cells with 717 bp caspase-1 upstream sequence. In summary, we showed that HIPPI could interact with the putative promoter sequence of caspase-1 and increased the expression of the downstream gene suggesting that HIPPI could act as transcription regulator.