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1.
Int J Biometeorol ; 67(6): 1063-1076, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37119318

ABSTRACT

Water buffalo (Bubalus bubalis) is the mainstay of milk production in Asian countries including India. However, the hot climate of the country remains the biggest bottleneck to exploit the potential of this species. Therefore, a study was conducted to assess the effect of heat ameliorative measures on microclimate, thermal comfort, and behavior of Murrah buffalo heifers during summer. Buffalo heifers (n = 24) between the age of 15 and 20 months with a mean body weight of 363.75 ± 11.27 kg were randomly grouped into four treatments based on their age and body weight. The heifers kept in the shed without any cooling served as CON (control), while the animals of group CJ were tied with a cooling jacket. The buffalo heifers of the CJF group were subjected to the cooling jacket with forced air ventilation, whereas the intermittent (10 min at 2-h intervals) sprinkling followed by forced air ventilation was practiced in group SF between 900 and 1800 h throughout the experiment. The microclimatic variables were low in the sheds of groups CJ, CJF, and SF than the CON. The physiological responses such as rectal temperature, skin temperature, respiration rate, and pulse rate were reduced in groups CJ, CJF, and SF than the CON at 1400 h. The serum cortisol was less in the CJF and SF than those of CON group. The animals of the CJ, CJF, and SF groups spent more time for feeding and rumination with less frequent longer bouts. The extended periods of lying followed by shorter standing and idling were observed in groups CJ, CJF, and SF when compared with the CON. It may be therefore concluded that cooling jacket and intermittent sprinkling in combination with forced air ventilation might be helpful in improving the micro-environment, thermal comfort, and behavior of buffalo heifers particularly under tropical climates during summer.


Subject(s)
Buffaloes , Hot Temperature , Female , Animals , Cattle , Microclimate , Tropical Climate , Body Weight
2.
J Therm Biol ; 104: 103163, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35180957

ABSTRACT

The present investigation evaluated the effect of microclimate modification on feed intake, growth performance, and hemato-biochemical profile of Murrah buffalo (Bubalus bubalis) heifers during summer. Twenty-four buffalo heifers, between 15 and 20 months of age with an average body weight of 363.75 ± 11.27 kg, were randomly assigned to 4 groups based on their age and body weight. The heifers of the T0 (control) group were kept under the shed without any cooling treatment, while the animals in group T1 were tied with a cooling jacket. Buffalo heifers of group T2 were subjected to a cooling jacket with forced ventilation and animals in group T3 were treated with intermittent sprinkling (10 min., at 2 h intervals) and forced ventilation between 9.00 AM and 6.00 PM during the experiment. The ambient temperature inside the shed and core body temperature were reduced in groups T1, T2, and T3 compared to T0. Heifers had higher dry matter intake when subjected to cooling treatments T1, T2, and T3, whereas water intake was reduced in T2 and T3 groups. The animals in T2 and T3 groups attained higher average daily weight gain, while the feed conversion was better in the T3 group compared to T0. The hematological measures such as hemoglobin, total erythrocyte count, and total leucocyte count were found higher in T0. The serum glucose, sodium, and potassium levels increasedand alkaline phosphatase activity decreased in groups T1, T2 and T3 when compared with T0. It can be concluded that the provision of intermittent sprinkling and cooling jacket in combination with forced ventilation could improve the microclimate, which in turn could enhance the performance of Murrah heifers during hot summer days in the tropics.


Subject(s)
Buffaloes/physiology , Cold Temperature , Microclimate , Air Conditioning , Animals , Buffaloes/growth & development , Eating , Female , Protective Clothing , Seasons , Skin Temperature , Weight Gain
3.
Nanoscale Adv ; 3(23): 6739-6749, 2021 Nov 24.
Article in English | MEDLINE | ID: mdl-36132648

ABSTRACT

Improved dispersion together with enhanced interfacial adhesion of the reinforcement is the key to superior structural properties in polymer nanocomposites. Herein, graphene oxide (GO) is employed to reinforce epoxy, and in order to improve the interfacial adhesion, epoxy chains were grafted directly onto GO prior to composite preparation. The functionalized GO sheets were systematically characterized using FTIR, TEM, Raman spectroscopy, XRD, and XPS. The epoxy composites with GO and epoxy grafted graphene oxide (Ep-g-GO) were prepared with the addition of only a small amount (0.5 wt%) of GO using a mechanical stirrer coupled to a bath sonicator. This strategy resulted in an impressive increase in mechanical properties, 40% in storage modulus, 70% in hardness, 39% in fracture toughness, and 8% in tensile strength, as compared to neat epoxy. In addition, the modified composites were thermally stable up to 300 °C as inferred from the thermogravimetric analysis. The enhanced properties of the composites further led to investigating the effect of Ep-g-GO on epoxy/carbon fiber (CF) laminates. Interestingly, incorporation of 0.5 wt% Ep-g-GO resulted in improved interfacial adhesion between GO and the epoxy matrix, which enhanced the tensile strength by 12% and inter-laminar shear strength by 9% as compared to neat epoxy/CF laminates. This study clearly demonstrates the positive effect of the tailored interface, offered by Ep-g-GO, on the mechanical properties of epoxy composites and epoxy/CF laminates.

4.
J Nematol ; 52: 1-7, 2020.
Article in English | MEDLINE | ID: mdl-32692024

ABSTRACT

In Haryana, India, only carbofuran is registered for the management of root-knot nematodes. The objective of this study was to investigate the potential of cruciferous bio-fumigants for the management of root-knot nematodes (Meloidogyne incognita) in okra. The experiments were conducted at research area Department of Nematology in 2017 to 2018 and 2018 to 2019. During this investigation, cruciferous bio-fumigants such as cabbage leaves and cauliflower leaves were used as bio-fumigant sources to protect Okra cv. Hisar Unnat. Fresh and chopped leaf mass of cabbage and cauliflower was incorporated uniformly into a naturally infested field. The initial nematode population in both years was 224 and 256 J2/200 cc soil, respectively. The results of our investigation showed that in both the years okra yield was enhanced significantly by the measures of nematode management. In addition, both of the tested bio-fumigant plants leaves proved to be potentially promising for the management of root-knot nematodes. Among the bio-fumigants, the highest decrease in nematode population, root gall index and increase in yield was observed in cabbage leaves @ 50 t/ha in both years, consecutively.In Haryana, India, only carbofuran is registered for the management of root-knot nematodes. The objective of this study was to investigate the potential of cruciferous bio-fumigants for the management of root-knot nematodes (Meloidogyne incognita) in okra. The experiments were conducted at research area Department of Nematology in 2017 to 2018 and 2018 to 2019. During this investigation, cruciferous bio-fumigants such as cabbage leaves and cauliflower leaves were used as bio-fumigant sources to protect Okra cv. Hisar Unnat. Fresh and chopped leaf mass of cabbage and cauliflower was incorporated uniformly into a naturally infested field. The initial nematode population in both years was 224 and 256 J2/200 cc soil, respectively. The results of our investigation showed that in both the years okra yield was enhanced significantly by the measures of nematode management. In addition, both of the tested bio-fumigant plants leaves proved to be potentially promising for the management of root-knot nematodes. Among the bio-fumigants, the highest decrease in nematode population, root gall index and increase in yield was observed in cabbage leaves @ 50 t/ha in both years, consecutively.

5.
Eur Ann Allergy Clin Immunol ; 50(2): 59-65, 2018 03.
Article in English | MEDLINE | ID: mdl-29384111

ABSTRACT

Summary: Parthenium dermatitis is a chronic immuno-inflammatory, distressing skin disease and is mediated by activated T-lymphocyte which is primarily manifested on the exposed sites of the face, neck, hand and flexures. Parthenium hysterophorus is ubiquitous, hence it is diffi-cult to avoid the aero-allergenic antigen parthenin, responsible for the contact dermatitis. The pathogenesis of parthenium dermatitis is characterized by infiltration of T-lymphocytes into challenged skin sites and the development of a cutaneous inflammation due to altered regulatory network of pro and anti-inflammatory cytokines. Regulation of inflammatory events perpetuated by cytokines continues to complicate efforts to analyze both the function of individual cytokine and the influence of candidate gene polymorphism on expression and disease severity. The genetic polymorphisms in these cytokines are significantly affecting immunological parameters and, subsequently, modulation and polarization of immune responses. This review has focused mainly on understanding of the mechanisms of genetic susceptibility of cytokine genes in this disease and, further, this process is likely to achieve significant advances in the diagnosis and management of parthenium dermatitis.


Subject(s)
Cytokines/genetics , Dermatitis, Allergic Contact/genetics , Dermatitis, Allergic Contact/immunology , T-Lymphocytes/immunology , Tanacetum parthenium/immunology , Allergens/immunology , Cytokines/immunology , Dermatitis, Allergic Contact/pathology , Polymorphism, Genetic/genetics , Sesquiterpenes/immunology
7.
Clin Exp Dermatol ; 41(7): 717-22, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27663145

ABSTRACT

BACKGROUND: Azathioprine is a potent immunosuppressive drug that has been used in many immune-mediated diseases. There are a few reports of its use in psoriasis; however, azathioprine weekly pulse doses have not been evaluated in this disease. AIM: The objective of this study was to evaluate the therapeutic effectiveness of weekly oral pulse doses of azathioprine for the treatment of chronic plaque psoriasis, and to determine the side effects of this regimen both clinically and biochemically. METHODS: In this open-label clinical trial, a 300 mg bolus dose of azathioprine was given once every week orally for 24 weeks to patients with chronic plaque psoriasis having body surface area involvement of ≥ 10% and Psoriasis Area and Severity Index (PASI) of ≥ 10. Patients were evaluated every 4 weeks for 24 weeks to determine the response to treatment and any adverse effects (AEs), and then followed up for a further period of 12 weeks to determine any relapse of the disease. RESULTS: There were 50 patients in the study, of whom 28 (56%) completed the 24 weeks of treatment and 27 (54%) completed the 12-week post-treatment follow-up. Azathioprine 300 mg weekly pulse was effective in achieving PASI 75 in 42% of patients, PASI 90 in 36% of patients and PASI 100 in 22% of patients. In five patients (10%), the therapy had to be withdrawn due to AEs. CONCLUSION: Weekly azathioprine pulse appears to be an effective treatment for chronic plaque psoriasis, and can be used as an alternative therapy to other available therapeutic agents.


Subject(s)
Azathioprine/administration & dosage , Immunosuppressive Agents/administration & dosage , Psoriasis/drug therapy , Administration, Oral , Adolescent , Adult , Aged , Chronic Disease , Drug Administration Schedule , Female , Humans , Male , Middle Aged , Prospective Studies , Psoriasis/pathology , Severity of Illness Index , Treatment Outcome , Young Adult
8.
Clin Transl Sci ; 9(5): 252-259, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27346789

ABSTRACT

The protein kinase C (PKC) signaling system plays a role in mood disorders and PKC inhibitors such as endoxifen may be an innovative medicine for bipolar disorder (BP) patients. In this study we show for the first time the antimanic properties of endoxifen in patients with bipolar I disorder (BPD I) with current manic or mixed episode. In a double-blind, active-controlled study, 84 subjects with BPD I were randomly assigned to receive endoxifen (4 mg/day or 8 mg/day) or divalproex in a 2:1 ratio. Patients orally administered 4 mg/day or 8 mg/day endoxifen showed significant improvement in mania assessed by the Young Mania Rating Scale as early as 4 days. The effect remained significant throughout the 21-day period. At study end point, response rates were 44.44% and 64.29% at 4 mg/day and 8 mg/day of endoxifen treatment, respectively. Thus, endoxifen has been shown as a promising novel antimanic or mood stabilizing agent.

9.
Vet World ; 8(5): 690-4, 2015 May.
Article in English | MEDLINE | ID: mdl-27047157

ABSTRACT

AIM: The aim was to study the associated factors and extent of short lactations in Sahiwal cattle maintained under organized herd. MATERIALS AND METHODS: The present study was conducted on Sahiwal cattle (n=530), utilizing 1724 lactation records with respect to lactation length (LL), spread over a period of 15 years (1997-2011), maintained at Livestock Research Center, National Dairy Research Institute, Karnal. Observations of LL were analyzed by descriptive statistical analysis in order to know the extent of short lactation of animals in the herd. Paternal Half sib method was used to estimate the genetic parameters, i.e., heritability, genetic, and phenotypic correlation. The influence of various non-genetic factors (season of calving, the period of calving, parity, type of calving, and season of drying) on LL was studied by least squares analysis of variance technique. RESULTS: The least squares means for LL was found to be 215.83±3.08 days. Only 32.48% of total lactation records were fell in the range of 251-350 days of LL, while more than three-fourth (76%) of total observations were failed to reach the standard level of 305 milking days. LL class ranges from 251 to 300 days accommodated maximum number of observations (19.2%). The heritability estimate of LL was 0.22±0.07. Positive correlations were found between LL and service period, LL and 305 or less days milk yield, LL and calving interval; whereas dry period was negatively correlated with the LL. The least squares analysis had shown that LL was significantly (p<0.01) influenced by the period of calving, type of calving, and season of drying. Significantly higher LL (276.50±7.21 days) was found in animals calved in the first period than those calved in other periods. The cows dried during summer season had the shortest LL (188.48±7.68 days) as compared to other seasons. CONCLUSION: Present findings regarding short lactations occurrence may be alarming for the indigenous herd, demanding comprehensive study with the larger data set. Since LL was influenced by various environmental factors suggesting better managerial tools, besides special attention on the milch animals going to dry during the summer season.

10.
J Perinatol ; 35(4): 274-7, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25474552

ABSTRACT

OBJECTIVE: To determine the efficacy of heparinized saline administered as intermittent flush on functional duration of the peripheral intravenous catheter (PIVC) in neonates. STUDY DESIGN: Randomized, double-blind and placebo-controlled trial. SETTING: Neonatal intensive care unit of a teaching hospital. PARTICIPANTS: Term and preterm neonates born at >32 weeks of gestation who required PIVC only for intermittent administration of antibiotics. INTERVENTION: Eligible neonates were randomized to receive 1 ml of either heparinized saline (10 U ml(-1)) (n=60) or normal saline (n=60) every 12 h before and after intravenous antibiotics. MAIN OUTCOME MEASURE: Functional duration of first peripheral intravenous catheter. RESULT: A total of 120 neonates were randomized to two groups of 60 neonates each. The mean (s.d.) of age of babies in case and control group was 5.7 (2.5) days and 4.6 (3.1) days, respectively. The average weight of babies in both the groups was 2.1 kg. Mean functional duration of first catheter was more in heparinized saline group, mean (s.d.) of 71.68 h (27.3) as compared with 57.7 h (23.6) in normal saline group (P<0.005). The mean (95% confidence interval) difference in functional duration in the two groups was 13.9 h (4.7-23.15). Mean duration of patency for any catheter was also significantly more in heparinized saline group than control group. CONCLUSION: Heparinized saline flush increases the functional duration of peripheral intravenous catheter.


Subject(s)
Anticoagulants/administration & dosage , Catheterization, Peripheral/methods , Heparin/administration & dosage , Sodium Chloride/administration & dosage , Anti-Bacterial Agents/therapeutic use , Anticoagulants/adverse effects , Double-Blind Method , Female , Heparin/adverse effects , Hospitals, Teaching , Humans , India , Infant, Newborn , Infusions, Intravenous , Intensive Care Units, Neonatal , Male , Treatment Outcome
11.
J Eur Acad Dermatol Venereol ; 27(10): 1222-7, 2013 Oct.
Article in English | MEDLINE | ID: mdl-22946492

ABSTRACT

BACKGROUND: Parthenium dermatitis is a common chronic inflammatory disease with activated T lymphocytes that recognize the antigens, which leads to proliferation and differentiation. Telomeres and telomerase play an important role in the regulation of life span of the cell. Telomere length maintained by telomerase, are specialized repeats present at the end of chromosomes which protect it from degradation, end-to-end fusion and are important for integrity of chromosomes. OBJECTIVES: The aim of this study was to measure telomerase activity and telomere length in Peripheral blood mononuclear cell (PBMC), CD4(+) and CD8(+) T lymphocytes from parthenium dermatitis patients. METHODS: The study includes 50 patients of parthenium dermatitis confirmed by patch testing and 50 healthy controls. Telomerase activity was measured using the telomere repeat amplification protocol using PCR-ELISA kit. Telomere length was measured by using Telo TAGGG Telomere Length Assay Kit. RESULTS: Significantly elevated levels of telomerase activity was observed in PBMC, CD4(+) and CD8(+) T cells of parthenium dermatitis patients as compared with healthy controls. However, significantly reduced telomere length in PBMC, CD4(+) and CD8(+) T cells have been found in patients than healthy subjects, but there was no difference between CD4(+) and CD8(+) T cells in patients. CONCLUSION: This study might have provided insight into the role of telomerase in parthenium dermatitis that is characterized by the recruitment of T lymphocytes, which play an important role in this inflammatory disease. The augmented telomerase activity and reduced terminal restriction fragment length might be explored as a potential diagnostic/prognostic marker for parthenium dermatitis in future.


Subject(s)
Dermatitis, Contact/metabolism , Dermatitis, Contact/pathology , Plant Extracts/adverse effects , Telomerase/metabolism , Telomere Shortening , Adult , Aged , Biomarkers/metabolism , CD4-Positive T-Lymphocytes/metabolism , CD4-Positive T-Lymphocytes/pathology , CD4-Positive T-Lymphocytes/ultrastructure , CD8-Positive T-Lymphocytes/metabolism , CD8-Positive T-Lymphocytes/pathology , CD8-Positive T-Lymphocytes/ultrastructure , Case-Control Studies , Female , Humans , Leukocytes, Mononuclear/metabolism , Leukocytes, Mononuclear/pathology , Leukocytes, Mononuclear/ultrastructure , Male , Middle Aged , Parthenogenesis , Prognosis , Telomere/ultrastructure
12.
Br J Dermatol ; 165(1): 115-22, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21332458

ABSTRACT

BACKGROUND: Parthenium dermatitis is an activated T cell-mediated type IV hypersensitivity. Its pathogenesis is well characterized, with interindividually varying serum levels of pro- and anti-inflammatory and regulatory T-cell cytokines and coherently perturbed cross-regulation between them. The functional single nucleotide polymorphisms (SNPs) in these cytokine genes might function as risk/susceptibility factors for the disease. OBJECTIVES: We analysed the serum levels of interferon (IFN)-γ and interleukin (IL)-10 cytokines in cases vs. controls and investigated whether IFN-γ (+) 874 A>T and IL-10 (-) 1082 G > A and (-) 819 C>T are associated with serum levels and genetically predispose to the disease. METHODS: The study included 60 patch test-confirmed patients and 60 age- and sex-matched controls. The serum levels of cytokines were estimated by high-sensitivity enzyme-linked immunosorbent assay kits. SNP genotyping was performed by amplification refractory mutational system-polymerase chain reaction. RESULTS: In patients, the serum level of IFN-γ was significantly increased and that of IL-10 was significantly decreased, with no difference in IgE concentration. Genetically no IFN-γ (+) 874 A>T alleles/genotypes were associated with the disease, but a strong predisposition was found due to lower-producing genotypes of IL-10 (-) 1082 G>A and (-) 819 C>T SNPs, with 2·1 and 3·5 times more risk, respectively, while intermediate IL-10-producing genotypes provided resistance. CONCLUSIONS: High serum IFN-γ might play a role in disease pathogenesis, but this is genetically not endowed by the IFN-γ SNP studied. In contrast, low serum IL-10 was very much connected, with the genetics of both studied IL-10 loci. These might be key managing factors concerning pathogenesis/susceptibility.


Subject(s)
Dermatitis, Contact/genetics , Genetic Predisposition to Disease/genetics , Interferon-gamma/genetics , Interleukin-10/genetics , Adult , Asteraceae/adverse effects , Cohort Studies , Dermatitis, Contact/immunology , Enzyme-Linked Immunosorbent Assay , Female , Genotype , Humans , Immunoglobulin E/blood , India , Interferon-gamma/blood , Interleukin-10/blood , Male , Patch Tests
13.
Clin Chim Acta ; 411(23-24): 2024-8, 2010 Dec 14.
Article in English | MEDLINE | ID: mdl-20816788

ABSTRACT

BACKGROUND: Parthenium contact dermatitis is a major health problem caused by a cosmopolitan weed Parthenium hysterophorus. It is a T cell-mediated immune injury and disease manifests as itchy erythematous papules, papulovesicular and plaque lesions on exposed areas of the body. We studied the involvement of T(H)1/T(H)2/T(H)17/Treg type responses by assaying various cytokines in Parthenium dermatitis. METHODS: The study includes 50 patients of Parthenium dermatitis confirmed by patch testing and 50 healthy subjects. The serum levels of T(H)1, T(H)2, T(H)17 and Treg cytokines were estimated by high sensitivity sandwich ELISA and were compared statistically between groups using ANOVA. RESULTS: The mean concentration of T(H)1 cytokines (p<0.001) and IL-17 (p<0.001) were increased significantly as compared to controls. In contrast, decrease in levels of IL-10 (p<0.002) and TGF-ß (p<0.001) were significant and levels of IL-4 (p<0.262) were insignificant whereas no alterations in the total IgE concentrations (p<0.976) was observed. CONCLUSION: The induction of T(H)1 and T(H)17 cytokines reinforce the need of detailed analysis of immune dysregulation in Parthenium dermatitis and might add some insight in the pathogenesis, diagnosis and current treatment modalities of this disease.


Subject(s)
Cytokines/metabolism , Dermatitis, Contact/immunology , Dermatitis, Contact/metabolism , Plant Extracts/immunology , T-Lymphocytes, Helper-Inducer/metabolism , Adult , Aged , Case-Control Studies , Dermatitis, Contact/etiology , Female , Humans , Male , Middle Aged , Parthenogenesis , T-Lymphocytes, Helper-Inducer/immunology , T-Lymphocytes, Regulatory/immunology , T-Lymphocytes, Regulatory/metabolism
14.
Clin Exp Dermatol ; 34(5): e37-9, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19508473

ABSTRACT

Conventional total skin electron irradiation (TSEI) for mycosis fungoides (MF) causes radiation toxicity, requiring treatment interruptions that prolong the treatment period, making patient compliance poor. We evaluated an alternate daily treatment schedule of TSEI, using a high dose rate (HDR) to minimize radiation toxicity and shorten the treatment duration. Four patients (aged 45-73 years with MF duration of 7-22 months) were treated by TSEI using HDR. The treatment was given on 5 days/week for 2 weeks followed by treatment on alternate days to deliver a total dose of 36 Gy. All the patients completed treatment in 10 weeks and had complete remission. Radiation toxicity was much less common with this schedule, requiring no treatment interruption. All the patients were until in remission after 60-84 months of follow-up. This schedule of TSEI treatment caused minimal radiation toxicity and allowed completion of treatment over a shorter period, giving good clinical remission and prolonged disease-free survival.


Subject(s)
Electrons/therapeutic use , Mycosis Fungoides/radiotherapy , Skin Neoplasms/radiotherapy , Aged , Dose Fractionation, Radiation , Follow-Up Studies , Humans , Male , Middle Aged , Radiation Injuries/prevention & control , Radiotherapy Dosage , Radiotherapy, High-Energy/adverse effects , Radiotherapy, High-Energy/methods , Treatment Outcome
15.
J Eur Acad Dermatol Venereol ; 22(9): 1089-93, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18484970

ABSTRACT

BACKGROUND: Intralesional immunotherapy with skin test antigens and vaccines has been found to be effective in the management of genital and extragenital warts. OBJECTIVE: To evaluate the efficacy and safety of intralesional Mycobacterium w (Mw) vaccine monotherapy for the treatment of ano-genital warts. PATIENTS AND METHODS: Ten patients clinically diagnosed to have external ano-genital warts, including three with giant ano-genital warts (Buschke Löwenstein tumour), were included in this open-label pilot study. Two patients were human immunodeficiency virus seropositive, and one was on iatrogenic immunosuppression for renal transplantation. Mw vaccine (0.1 mL) was initially injected intradermally in the deltoid region on both the sides, followed 2 weeks later by intradermal intralesional injection into the genital warts. Intralesional injections were repeated weekly until either complete clearance or a maximum of 10 injections was achieved. RESULTS: One patient was lost to follow-up after the first intralesional injection. In 8 out of remaining 9 patients (88.9%), the genital warts cleared completely. In one patient with giant perianal wart, the lesion was reduced to less than 5% of its volume after 10 intralesional injections, which was later electrosurgically excised. The treatment was well tolerated by the majority of the patients. The adverse reactions were noted in four patients, which were reversible. No recurrence was seen after a mean follow-up of 5.1 months. CONCLUSION: Intralesional immunotherapy of ano-genital warts with Mw vaccine seems to be a promising new approach, which needs to be evaluated in the randomized controlled trials.


Subject(s)
Condylomata Acuminata/therapy , Immunotherapy , Mycobacterium/immunology , Vaccines/administration & dosage , Adolescent , Adult , Humans , Injections, Intralesional , Male , Pilot Projects , Vaccines/adverse effects
16.
Singapore Med J ; 49(2): e29-32, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18301821

ABSTRACT

A 55-year-old Indian woman with newly-diagnosed diabetes mellitus presented with acute onset right upper limb proximal weakness. This was followed three weeks later by pain, weakness and sensory loss in the left upper limb. Electrodiagnosis showed patchy multiple proximal and distal axonal neuropathies in both upper limbs, consistent with bilateral brachial neuritis. Laboratory investigations, cerebrospinal fluid analysis, and imaging studies were normal except for an antinuclear antibody titre of 1:640. Sural nerve and quadriceps biopsy did not show vasculitis. Brachial plexopathy has seldom been associated with diabetes mellitus and could represent a rare subtype of the diabetic neuropathies.


Subject(s)
Brachial Plexus Neuropathies/etiology , Diabetic Neuropathies/complications , Diabetes Mellitus/diagnosis , Diabetic Neuropathies/diagnosis , Female , Humans , Middle Aged , Neural Conduction
17.
Br J Dermatol ; 158(3): 603-6, 2008 Mar.
Article in English | MEDLINE | ID: mdl-18070213

ABSTRACT

We describe five children with ichthyosis and rickets. The association of ichthyosis and rickets is very rare. Four children had lamellar ichthyosis and one child had nonbullous ichthyosiform erythroderma/psoriasis with atopy. All had biochemical and radiological evidence of rickets. Three had clinically evident rickets, of whom two had very severe skeletal deformities. Such a severe skeletal involvement due to rickets in association with ichthyosis is exceptionally rare. We suggest that children with severe ichthyosis, in particular those with pigmented skin, need to be evaluated for rickets, especially in developing countries where there is a background prevalence of vitamin D deficiency.


Subject(s)
Ichthyosiform Erythroderma, Congenital/complications , Rickets/complications , Adolescent , Child , Child, Preschool , Humans , Ichthyosiform Erythroderma, Congenital/pathology , Male
19.
Int J Geriatr Psychiatry ; 22(11): 1101-5, 2007 Nov.
Article in English | MEDLINE | ID: mdl-17357180

ABSTRACT

BACKGROUND: Morbidity among elderly people has an important influence on their psychological well-being. Evaluation of the morbidity profile and its determinants, which have implications for management of medical problems of elderly people, are scarce in developing countries. Even the physicians' detection rate of mental distress in elderly populations is low in medical outpatient clinics. This could be due to the large caseloads and also, importantly, underestimation of psychological concerns of the elderly. The objective of this study was to study the psychiatric co-morbidity and life events among elderly medical outpatients. METHODS: One hundred medically ill elderly (>60 years) patients attending the Geriatric Clinic at Bikaner (North India) constituted the study population. The physical diagnosis was made by a physician based on reported illness, clinical examination and medical records. Psychiatric diagnosis was made by detailed clinical psychiatric interview using ICD-10 guidelines. Life events were assessed by the Indian adaptation of Presumptive Stressful Life Events Scale. RESULTS: Hypertension was the most commonly reported physical diagnosis (50%), other specific medical illnesses were osteoarthritis (15%), diabetes (13%) and constipation (8%). The study found 18% subjects had depression and 11% had other mental disorders. Patients with mental disorders had suffered more recent stressful life events. Among life events, conflicts in family (16%); unemployment of self or children (9%) was reported by elderly psychiatric patients. Other reported life events in psychiatric diagnosed elderly were conflict in family (7%), illness of self (6%) or family members (5%) and death of family members (5%) or close relatives (4%). CONCLUSION: Mental disorders are common among medically ill elderly patients, but they are poorly recognized and treated. Assessment of the psychiatric morbidity will help in strengthening psycho-geriatric services and thus, improve the quality of life of the elderly.


Subject(s)
Chronic Disease/psychology , Developing Countries , Life Change Events , Mental Disorders/etiology , Aged , Depressive Disorder/etiology , Female , Geriatric Assessment/methods , Humans , India , Male , Outpatient Clinics, Hospital , Risk Factors , Socioeconomic Factors
20.
Mini Rev Med Chem ; 7(12): 1186-205, 2007 Dec.
Article in English | MEDLINE | ID: mdl-18220974

ABSTRACT

Combretastatin A-4 (CA-4) is one of the most potent antimitotic and antiangiogenic agents of natural origin. It has displayed potent antitumor effect in a wide variety of preclinical tumor models. Till date various CA-4 analogs have been synthesized and evaluated for anticancer activity. This review is an attempt to compile the medicinal chemistry of various synthesized CA-4 analogs.


Subject(s)
Antineoplastic Agents/pharmacology , Stilbenes/chemistry , Stilbenes/pharmacology , Animals , Antineoplastic Agents/chemistry , Cell Line, Tumor , Drug Screening Assays, Antitumor , Humans , Structure-Activity Relationship
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