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1.
Kathmandu Univ Med J (KUMJ) ; 20(77): 7-11, 2022.
Article in English | MEDLINE | ID: mdl-36273283

ABSTRACT

Background Cardiovascular diseases (CVDs) are the major cause of morbidity and mortality, particularly in developing countries. Early diagnosis with the best diagnostic marker is highly desired for the prevention and timely treatment of CVDs. However, there is still a dearth of an ideal marker for the detection of CVDs. Objective To explore the diagnostic potential of liver aminotransferases (AST and ALT), and alkaline phosphatase for the diagnosis of CVDs without liver involvement. Method This was a cross-sectional study conducted among 200 adult patients with CVDs, who visited the cardiology and emergency units of Manipal Teaching Hospital, Pokhara, Nepal. The study was conducted from January 2018 to December 2020. The baseline data on family history, anthropometry, baseline biochemical parameters, liver enzymes, and cardiac biomarkers were collected using standard and validated methods. The data were analyzed using SPSS version 21 and MedCalc software 2021. Result The diagnostic sensitivity of aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase were 53.7%, 52.6%, and 33.7% and specificity were 99%, 90%, and 90% respectively. The area under the curve (AUC) of AST, ALT, and ALP were 0.78, 0.73, and 0.52 respectively. ROC curve indicated that serum AST and ALT activity was a better reliable marker than the serum ALP activities. Conclusion Our study suggests that serum aspartate aminotransferase and alanine aminotransferase but not alkaline phosphatase could have some diagnostic potential to diagnose the risk of CVDs. However, they could not replace the currently adopted cardiac biomarkers such as cTnI and CK-MB.


Subject(s)
Alkaline Phosphatase , Cardiovascular Diseases , Adult , Humans , Alanine Transaminase , Cardiovascular Diseases/diagnosis , Cross-Sectional Studies , Aspartate Aminotransferases , Liver , Biomarkers
2.
Kathmandu Univ Med J (KUMJ) ; 19(76): 429-435, 2021.
Article in English | MEDLINE | ID: mdl-36259184

ABSTRACT

Background Anthropometric parameters of individuals are good at predicting functional impairment, mortality, and future cardiometabolic diseases. The relationship between anthropometric parameters and lipid profiles have been studied in different parts of the world. But to date, no such studies have been conducted in Nepal. Objective To investigate the association between anthropometric parameters and lipid profile in the adult population of Kaski district, Nepal. Method This study was carried out at Manipal Teaching Hospital, Pokhara, Kaski, Nepal. The fasting lipid profiles were analyzed in a total of 400 subjects aged > 18 years with an automated OCD Vitros 350 dry chemistry analyzer. The Kolmogorov-Smirnov test was used to test the normality of the data. The mean values of fasting lipids were compared within the subjects with different body mass index groups using ANOVA and waist circumference, waist-hip ratios, waist-height ratios, and neck circumference using independent samples t-test. The anthropometric indices evaluated were body mass index, waist circumference, waist-hip ratio, waist-height ratio, head circumference, neck circumference, and mid-upper arm circumference. Pearson's correlation coefficients and multiple regression analysis were performed to identify the association between the lipid profile and anthropometric parameters. The difference was considered statistically significant when p values (two-tailed) were < 0.050. Result The mean values of the serum lipid parameters other than high-density lipoprotein cholesterol were found to be higher in the subjects with an above than normal BMI, waist circumference, waist-hip ratio, waist-height ratio, and neck circumference. Pearson's correlation coefficient and multiple regression analysis showed that waistheight ratio best predicts serum triglycerides (ß=0.622, p < 0.001) and high-density lipoprotein cholesterol (ß=-0.711, p < 0.001) among all measured anthropometric parameters. Conclusion Among all the studied anthropometric parameters, the WHtR was found to be the most powerful predictor of serum triglycerides and high-density lipoprotein cholesterol.


Subject(s)
Cholesterol , Waist-Height Ratio , Adult , Humans , Nepal , Waist Circumference , Body Mass Index , Triglycerides , Lipids , Lipoproteins, HDL , Risk Factors
3.
Graefes Arch Clin Exp Ophthalmol ; 258(4): 725-733, 2020 Apr.
Article in English | MEDLINE | ID: mdl-31989286

ABSTRACT

PURPOSE: To analyze the distribution of diabetic retinopathy (DR) lesions in an Indian population using ultra-wide field (UWF) fundus imaging. METHODS: Seven hundred fifteen subjects (1406 eyes) with diabetic retinopathy in India were enrolled in this multicenter, prospective, observational study using UWF pseudocolor imaging with Optos Daytona Plus (Optos plc, Dunfermline, Scotland, UK). Images were transmitted to Doheny Image Reading Center, Los Angeles, CA, for grading. The ETDRS grid was overlaid on stereographic projections of UWF images, and images were graded independently by 2 masked graders. Lesion distribution was graded as predominantly central (PCL) or predominantly peripheral (PPL) according to previous criteria, considering both lesion number and area. An image was graded as PPL if > 50% of the lesion area was seen in at least one peripheral field as compared with the corresponding ETDRS field. Diabetic retinopathy severity was also assessed based on the International Classification of Diabetic Retinopathy (ICDR) grading scale. The main outcome measures were lesion distribution (PPL versus PCL): overall and within specific fields in eyes with various grades of DR. RESULTS: Lesion distribution was rated to be PPL in 37% of eyes and PCL in 63% of eyes (P < 0.003). The frequency of a PPL distribution varied significantly across all ICDR severity levels, with frequencies of mild non-proliferative DR (NPDR) (30.9%), moderate NPDR (40.3%), severe NPDR (38.5%) and PDR (34.9%), P = 0.005. When assessing which individual fields were rated to show a PPL distribution, the frequency was greatest in field 4 and least in field 7. For any grade of DR, temporal fields showed the greatest PPL frequency, followed in order by the superior, inferior, and nasal fields (P < 0.001). Only 3.5% of eyes showed PPL distribution in all five peripheral fields. CONCLUSIONS: One-third of the UWF images showed a PPL distribution in this cohort with the temporal quadrant having the widest distribution of PPL. As the PPL distribution varied significantly between various grades of DR, UWF imaging may prove to be important for screening of referral warranted retinopathy.


Subject(s)
Diabetic Retinopathy/diagnosis , Mydriatics/pharmacology , Ophthalmoscopy/methods , Retina/diagnostic imaging , Slit Lamp Microscopy/methods , Adult , Diabetic Retinopathy/epidemiology , Disease Progression , Female , Follow-Up Studies , Humans , Incidence , India/epidemiology , Male , Middle Aged , Prospective Studies , Severity of Illness Index
4.
AAPS PharmSciTech ; 18(5): 1863-1880, 2017 Jul.
Article in English | MEDLINE | ID: mdl-27844417

ABSTRACT

Various preclinical/clinical studies support the effectiveness of ketoprofen in periodontitis; however, the literature reveals that novel delivery systems have been less explored for the drug in periodontitis. The current investigation aims to explore the potential of a pro-vesicular approach-based proniosomal drug delivery of ketoprofen for its effectiveness and validation in experimental periodontal disease (EPD). Formulations were developed using I-optimal mixture design. Developed formulations were characterized for entrapment efficiency, vesicle size, and in vitro drug release. Selected proniosomal gels were evaluated for mucoadhesiveness, ex vivo drug permeation, and retention studies. Optimized proniosomal gel was evaluated for surface morphology, rheological behavior, texture studies, and pharmacodynamic activity in EPD. The results showed that ketoprofen-loaded proniosomal formulations formed a mucoadhesive hydrogel comprising spherical and flexible vesicles. Viscosity and texture studies showed good adhesion and smoothness, which are desired for enhanced permeation. The disease condition was improved with preserved bone resorption process, that too with intact cementum vis-à-vis marketed gel formulation, when evaluated in the EPD model. The results lead to the conclusion that proniosomes can act as a promising carrier and can be effectively used for improved ketoprofen delivery in periodontal pockets.


Subject(s)
Drug Delivery Systems/methods , Ketoprofen/administration & dosage , Periodontitis/drug therapy , Prodrugs/administration & dosage , Skin Absorption/drug effects , Administration, Cutaneous , Animals , Chickens , Drug Compounding/methods , Drug Evaluation, Preclinical/methods , Drug Liberation , Ketoprofen/chemistry , Ketoprofen/metabolism , Liposomes , Male , Periodontitis/metabolism , Prodrugs/chemistry , Prodrugs/metabolism , Rats , Rats, Wistar , Skin Absorption/physiology , Swine
5.
PLoS One ; 11(12): e0166768, 2016.
Article in English | MEDLINE | ID: mdl-27918577

ABSTRACT

BACKGROUND AND OBJECTIVE: The study is based on hypothesis that whether continuous entomological surveillance of Ae. aegypti and simultaneous appropriate interventions in key containers during non-transmission (December-May) months would have any impact on breeding of Aedes and dengue cases during the following transmission months (June-November). The impact of the surveillance and intervention measures undertaken during non-transmission months were assessed by entomological indicators namely container index (CI), house index (HI), pupal index (PI) and breteau index (BI). METHODS: A total of 28 localities of West Zone of Delhi with persistent dengue endemicity were selected for the study. Out of these localities, 20 were included in study group while other 8 localities were in control group. IEC and various Aedes breeding control activities were carried out in study group in both non-transmission and transmission season whereas control group did not have any such interventions during non-transmission months as per guidelines of MCD. These activities were undertaken by a team of investigators from NIMR and SDMC, Delhi. In control group, investigators from NIMR carried out surveillance activity to monitor the breeding of Aedes mosquito in localities. RESULTS: Comparison of baseline data revealed that all indices in control and study group of localities were comparable and statistically non-significant (p>0.05). In both study and control groups, indices were calculated after pooling data on seasonal basis, i.e., transmission and non-transmission months for both years. The test of significance conducted on all the four indices, i.e., HI, PI, CI, and BI, revealed a significant difference (p<0.05) between the study group and control group during transmission and non-transmission months except in HI. Due to consistent intervention measures undertaken in non-transmission months in study group, reduction in CI, HI, BI and PI was observed 63%, 62%, 64% and 99% respectively during transmission months as compared to control group where increase of 59%, 102%, 73% and 71% respectively. As a result of reduction in larval indices, no dengue case (except one NS1) was observed in study group, whereas 38 dengue cases were observed in control group. CONCLUSION: Through this pilot study, it is concluded that proper intervention in non-transmission season reduces vector density and subsequently dengue cases in transmission season.


Subject(s)
Aedes/growth & development , Aedes/virology , Breeding/methods , Dengue Virus/pathogenicity , Dengue/prevention & control , Dengue/virology , Animals , Dengue/transmission , Humans , India , Insect Vectors/virology , Mosquito Control/methods , Pilot Projects , Seasons
6.
PLoS One ; 11(1): e0146539, 2016.
Article in English | MEDLINE | ID: mdl-26808518

ABSTRACT

BACKGROUND: Dengue is a major international public health concern, one of the most important arthropod-borne diseases. More than 3.5 billion people are at risk of dengue infection and there are an estimated 390 million dengue infections annually. This prolific increase has been connected to societal changes such as population growth and increasing urbanization generating intense agglomeration leading to proliferation of synanthropic mosquito species. Quantifying the spatio-temporal epidemiology of dengue in large cities within the context of a Geographic Information System is a first step in the identification of socio-economic risk factors. METHODOLOGY/PRINCIPAL FINDINGS: This Project has been approved by the ethical committee of Institut Pasteur. Data has been anonymized and de-identified prior to geolocalisation and analysis. A GIS was developed for Delhi, enabling typological characterization of the urban environment. Dengue cases identified in the Delhi surveillance system from 2008 to 2010 were collated, localised and embedded within this GIS. The spatio-temporal distribution of dengue cases and extent of clustering were analyzed. Increasing distance from the forest in Delhi reduced the risk of occurrence of a dengue case. Proximity to a hospital did not increase risk of a notified dengue case. Overall, there was high heterogeneity in incidence rate within areas with the same socio-economical profiles and substantial inter-annual variability. Dengue affected the poorest areas with high density of humans, but rich areas were also found to be infected, potentially because of their central location with respect to the daily mobility network of Delhi. Dengue cases were highly clustered in space and there was a strong relationship between the time of introduction of the virus and subsequent cluster size. At a larger scale, earlier introduction predicted the total number of cases. CONCLUSIONS/SIGNIFICANCE: DENV epidemiology within Delhi has a forest fire signature. The stochastic nature of this invasion process likely smothers any detectable socio-economic risk factors. However, the significant finding that the size of the dengue case cluster depends on the timing of its emergence emphasizes the need for early case detection and implementation of effective mosquito control. A better understanding of the role of population mobility in contributing to dengue risk could also help focus control on areas at particular risk of dengue virus importation.


Subject(s)
Dengue/epidemiology , Disease Outbreaks , Dengue Virus , Humans , India/epidemiology , Mosquito Control , Risk Factors , Socioeconomic Factors , Urbanization
7.
Acta Trop ; 153: 21-7, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26433076

ABSTRACT

Delhi, the capital of India, is an important metropolitan hub for major financial and sociocultural exchanges, offering challenging threats to current public health infrastructure. In recent past, an upsurge of dengue cases in Delhi posed a significant menace to the existing dengue control policies. To reform the control strategies and take timely intervention to prevent future epidemics, an epidemiological study on the proportion of both asymptomatic and symptomatic dengue infections in selected population was conducted. The aim of the study was to investigate and assess the epidemiology of dengue infection and to estimate the proportion of asymptomatic and symptomatic dengue infections in Delhi. In this study, around 50 confirmed dengue cases, a total of 2125 individuals as household and neighbourhood contacts, with or without dengue febrile illness, were finger pricked and serologically detected as dengue positive or negative using SD Duo Bioline Rapid Diagnostic Test (SD Inc, Korea) with NS1, IgM & IgG combo test, which detected dengue virus antigen and antibodies to dengue virus in human blood. Out of 2125 individuals, 768 (36.1%) individuals showed positive dengue test with past (25.5%), primary (1.88%) or secondary (8.8%) dengue infections. Higher percentage of IgG was found in age groups 15-24 years and 25-50 years (36% each). Infants (<1 year) presented higher incidence of new infections (22% of NS1+IgM positives) as compared to adults. Further analysis revealed that out of the 226 newly infected cases (including NS1 and IgM positives), 142 (63%) were asymptomatic and 84 (37%) were symptomatic, as per WHO guidelines. Our findings also suggest that out of the total population screened, 10.6% dengue infection was either primary or secondary. On the basis of these results, it may be hypothesized that there are large number of asymptomatic dengue infections in the community as compared to reported symptomatic cases in Delhi. For the effective control of dengue transmission in such community like Delhi where dengue epidemics have frequently been encountered, it is essential to ascertain the proportion of asymptomatic dengue infections which may act as a reservoir for dengue transmission, as well as threat for developing dengue haemorrhagic fever (DHF).


Subject(s)
Dengue Virus/isolation & purification , Dengue/epidemiology , Mass Screening/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Epidemiologic Studies , Female , Humans , Incidence , India/epidemiology , Infant , Male , Middle Aged , Young Adult
8.
J Drug Target ; 24(3): 257-71, 2016.
Article in English | MEDLINE | ID: mdl-26302815

ABSTRACT

Environmental stress and advancing age is considered as the main cause of skin aging. However, environmental stress (especially UV radiations) accelerates the process of skin aging by manifolds. Coenzyme Q10 (CoQ10), an essential compound of cellular bioenergetics also acts as a strong antioxidant and protects the body against aging. High molecular weight and structure specific lipophilic nature of this molecule is a bottle neck in effective delivery through topical route. Preparation of a novel proniosomal (PN) gel formulation of CoQ10 employing systematic design of experiment (DoE) approach is a step ahead in transcending the constraints of the topical delivery. I-optimal mixture design was employed for systematic optimization of proniosomal formulation and evaluation of experimental data was performed for entrapment efficiency and in vitro release. Hydration of PN gel formulation with phosphate buffer (pH 7.5) results in submicron niosomes vesicles of spherical shape, which appeared dark against bright surroundings in TEM study. Animal skin was treated with UV radiations followed by treatment of PN gel CoQ10 and conventional CoQ10 present in a gel base. The effectiveness of the treatment was evaluated on the basis of biochemical estimation and histopathological studies. By using CoQ10 PN gel formulation, levels of superoxide dismutase (SOD), catalase (CA), glutathione (GSH) and total proteins were restored by 81.3%, 72.1%, 74.8 and 77.1%, respectively to that of control group. Histopathological studies revealed better protection of skin treated with CoQ10 PN gel compared to free CoQ10. Prepared PN gel was found undisturbing with the normal histology hence, tolerated by animal skin compare to conventional gel.


Subject(s)
Skin Aging/drug effects , Skin Aging/radiation effects , Ubiquinone/analogs & derivatives , Administration, Topical , Animals , Catalase/metabolism , Chemistry, Pharmaceutical , Drug Liberation , Gels/administration & dosage , Gels/adverse effects , Gels/chemistry , Glutathione/metabolism , Liposomes , Materials Testing , Mice , Particle Size , Proteins/metabolism , Skin/metabolism , Skin Aging/pathology , Superoxide Dismutase/metabolism , Ubiquinone/administration & dosage , Ubiquinone/adverse effects , Ubiquinone/chemistry , Ubiquinone/pharmacology
9.
Virusdisease ; 26(3): 151-62, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26396982

ABSTRACT

Camelpox virus (CMLV), a close variant of variola virus (VARV) infects camels worldwide. The zoonotic infections reported from India signify the need to study the host-range genes-responsible for host tropism. We report sequence and phylogenetic analysis of five host-range genes: cytokine response modifier B (crmB), chemokine binding protein (ckbp), viral schlafen-like (v-slfn), myxomavirus T4-like (M-T4-like) and b5r of CMLVs isolated from outbreaks in India. Comparative analysis revealed that these genes are conserved among CMLVs and shared 94.5-100 % identity at both nucleotide (nt) and amino acid (aa) levels. All genes showed identity (59.3-98.4 %) with cowpox virus (CPXV) while three genes-crmB, ckbp and b5r showed similarity (92-96.5 %) with VARVs at both nt and aa levels. Interestingly, three consecutive serine residue insertions were observed in CKBP protein of CMLV-Delhi09 isolate which was similar to CPXV-BR and VACVs, besides five point mutations (K53Q, N67I, F84S, A127T and E182G) were also similar to zoonotic OPXVs. Further, few inconsistent point mutation(s) were also observed in other gene(s) among Indian CMLVs. These indicate that different strains of CMLVs are circulating in India and these mutations could play an important role in adaptation of CMLVs in humans. The phylogeny revealed clustering of all CMLVs together except CMLV-Delhi09 which grouped separately due to the presence of specific point mutations. However, the topology of the concatenated phylogeny showed close evolutionary relationship of CMLV with VARV and TATV followed by CPXV-RatGer09/1 from Germany. The availability of this genetic information will be useful in unveiling new strategies to control emerging zoonotic poxvirus infections.

10.
J Vector Borne Dis ; 52(3): 224-31, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26418653

ABSTRACT

BACKGROUND & OBJECTIVES: Aedes mosquito control has gained much importance nowadays in view of rise in number of reported cases of dengue and chikungunya in India and other countries. In the present study, C21 attracticide (containing a pheromone and an insect growth regulator­IGR, developed by Defence Research and Development Establishment (DRDE), Gwalior, India was tested for its feasibility for surveillance and control of Aedes mosquito in a multicentric mode from October 2007 to June 2012 in urban (Delhi, and Bengaluru district, Karnataka) and suburban (Alappuzha district, Kerala) settings of the country in three phases. METHODS: Across the randomly selected households in each study area, two to four containers treated with attracticide (experimental) and untreated (control) were placed and monitored by trained surveillance workers on weekly/ fortnightly basis for determining the presence of eggs, larvae and pupae. Container positivity, percent larvae, egg and pupae collected were determined during different phases and analyzed statistically using SPSS 18.0. RESULTS: Container positivity was found statistically significant at Bengaluru and Alappuzha, Kerala while in Delhi, it was found non-significant. Eggs collected from experimental containers were significantly higher in comparison to control at all the locations except Delhi. Also larvae collected from control containers were significantly higher at all the locations except Bengaluru. Pupae collected from control containers remained significantly higher at all the locations as no pupal formation was recorded from experimental containers. INTERPRETATION & CONCLUSION: The use of C21 attracticide hampered pupal formation, thus inhibiting adult population in the study areas. The study established that C21 attracticide was efficacious in the field conditions and has potential for use in surveillance and management of dengue and chikungunya mosquitoes.


Subject(s)
Aedes/drug effects , Aedes/growth & development , Insect Vectors , Juvenile Hormones/administration & dosage , Mosquito Control/methods , Pheromones/administration & dosage , Sex Attractants/administration & dosage , Animals , Chikungunya Fever/prevention & control , Chikungunya Fever/transmission , Dengue/prevention & control , Dengue/transmission , Female , India , Larva/drug effects , Larva/growth & development , Pupa/drug effects , Pupa/growth & development , Random Allocation
11.
J Vector Borne Dis ; 52(2): 129-33, 2015 Jun.
Article in English | MEDLINE | ID: mdl-26119544

ABSTRACT

BACKGROUND & OBJECTIVES: Delhi, the capital city of India, has so far witnessed several outbreaks of dengue fever since 1967 (last one reported in 2013). Improved virological and entomological surveillance are the only tools that can help in prevention of dengue as well as in the development of dengue control programmes. The aim of the study was to conduct a prospective field study to detect dengue virus in adult Aedes aegypti mosquitoes collected from various localities represented by different socioeconomic groups in Delhi. METHODS: The study areas were selected and categorized into high, medium and low income groups on the basis of socioeconomical characteristics of the resident population, where dengue cases were reported during the past three years by MCD. Dengue viral infection was detected in the head squash of each adult mosquito by immunofluorescent assay (IFA) employing monoclonal antibodies against dengue virus (DENV). A total of 2408 females and 1206 males of Ae. aegypti were collected and tested by IFA. RESULTS: Out of 2408 Ae. aegypti females, 14 were found positive, with minimum infection rate (MIR) of 5.8 per 1000 mosquitoes. Among the 18 study areas, 11 localities were found positive for dengue virus infection. Low income group (LIG) areas showed highest mosquito infectivity (9.8), followed by medium income group (MIG), i.e. 6.2; while least was observed in high income group (HIG), i.e. 1.3. No vertical transmission of dengue virus could be detected in 1206 Ae. aegypti males collected. INTERPRETATION & CONCLUSION: The study concludes that there was high MIR in the identified localities of low and medium income groups. Estimation of MIR in a female Aedes mosquito in the existing arsenals for dengue surveillance would be an added advantage for early warning of dengue outbreak. The presence of infected mosquitoes in identified localities of Delhi was alarming and require rigorous vector surveillance so that the severe outbreaks can be prevented.


Subject(s)
Aedes/virology , Dengue Virus/isolation & purification , Animals , Dengue/epidemiology , Dengue/transmission , Female , Humans , India/epidemiology , Risk Factors , Socioeconomic Factors , Urban Population
12.
Eye (Lond) ; 29(2): 258-64; quiz 265, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25613846

ABSTRACT

PURPOSE: To assess the safety and efficacy of a single session of subthreshold micropulse (SM) yellow laser (577 nm) in the treatment of chronic central serous chorioretinopathy (CSCR). METHODS: This was a retrospective analysis of 15 eyes of 13 patients with CSCR of >3 months duration who had been treated with SM yellow laser (577 nm). All patients had been treated using multiple spots of laser with a duty cycle of 10% over areas of focal and diffuse leak, as seen on fundus fluorescein angiography (FFA) and indocyanine green angiography (ICGA). Reduction in subretinal fluid height on spectral domain optical coherence tomography (SD-OCT) was used to measure the response to treatment. RESULTS: The mean follow-up was at 8 weeks (4-19 weeks). All eyes responded to treatment. The mean subretinal fluid height pre and post treatment was 232 and 49 µm, respectively, showing a 79% average reduction (P<0.001) in fluid height. There was no evidence of retinal pigment epithelium or retinal damage on SD-OCT, FFA, or fundus autofluorescence. Median visual improvement was one line on Snellen's visual acuity chart (P=0.015). Microperimetry was performed in eight eyes of which six eyes (75%) showed an improvement in the threshold values post treatment. CONCLUSION: SM yellow laser is an effective treatment option for chronic CSCR.


Subject(s)
Central Serous Chorioretinopathy/surgery , Laser Coagulation/methods , Lasers, Semiconductor/therapeutic use , Adult , Central Serous Chorioretinopathy/diagnosis , Central Serous Chorioretinopathy/physiopathology , Chronic Disease , Coloring Agents , Female , Fluorescein Angiography , Humans , Indocyanine Green , Male , Middle Aged , Retrospective Studies , Subretinal Fluid/metabolism , Tomography, Optical Coherence , Visual Acuity/physiology , Visual Field Tests , Visual Fields/physiology
13.
Mymensingh Med J ; 23(2): 361-5, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24858167

ABSTRACT

To estimate liver function tests in patients with alcoholic fatty liver disease, alcoholic hepatitis and alcoholic cirrhosis and to compare the levels of enzymes between the groups. A hospital based case control study was carried out at Nepalgunj Medical College, Nepal from January 2013 to June 2013. A total of 150 alcoholic associated liver disorders patients aged between 20-70 years and 50 sex age matched normal healthy controls were taken to assess liver function tests (LFTs) by measuring Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Alkaline phosphatase (ALP), Gamma glutamyltranspeptidase (GGT) & Albumin. The mean±SD of liver function tests (LFTs) of patients of alcoholic fatty liver disease is highest followed by alcoholic hepatitis patients. All the 3 groups of alcoholic associated liver disorders patients when compared to normal healthy control subjects showed statistically significant increase in the levels of AST (p<0.000), ALT (p<0.000), ALP (p<0.006), GGT (p<0.000), & Albumin (p<0.000). Liver function tests values for alcoholic associated liver disorders patients when compared to the healthy control subjects was significantly altered.


Subject(s)
Liver Diseases, Alcoholic/diagnosis , Liver Diseases, Alcoholic/epidemiology , Adult , Age Factors , Aged , Case-Control Studies , Clinical Enzyme Tests , Female , Humans , Liver Function Tests/methods , Male , Middle Aged , Nepal , Sex Factors , Young Adult
14.
Mini Rev Med Chem ; 14(4): 345-54, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24552264

ABSTRACT

The growth in chemical diversity has increased the need to adjudicate the toxicity of different chemical compounds raising the burden on the demand of animal testing. The toxicity evaluation requires time consuming and expensive undertaking, leading to the deprivation of the methods employed for screening chemicals pointing towards the need to develop more efficient toxicity assessment systems. Computational approaches have reduced the time as well as the cost for evaluating the toxicity and kinetic behavior of any chemical. The accessibility of a large amount of data and the intense need of turning this data into useful information have attracted the attention towards data mining. Machine Learning, one of the powerful data mining techniques has evolved as the most effective and potent tool for exploring new insights on combinatorial relationships among various experimental data generated. The article accounts on some sophisticated machine learning algorithms like Artificial Neural Networks (ANN), Support Vector Machine (SVM), k-mean clustering and Self Organizing Maps (SOM) with some of the available tools used for classification, sorting and toxicological evaluation of data, clarifying, how data mining and machine learning interact cooperatively to facilitate knowledge discovery. Addressing the association of some commonly used expert systems, we briefly outline some real world applications to consider the crucial role of data set partitioning.


Subject(s)
Algorithms , Data Mining , Animals , Artificial Intelligence , Computational Biology , Drug-Related Side Effects and Adverse Reactions , Neural Networks, Computer , Quantitative Structure-Activity Relationship , Support Vector Machine
16.
Kathmandu Univ Med J (KUMJ) ; 10(39): 44-7, 2012.
Article in English | MEDLINE | ID: mdl-23434961

ABSTRACT

BACKGROUND: Type-2 diabetes mellitus is an independent risk factor for coronary artery disease and risk of coronary disease is three to four fold increased in patients with diabetes compared with non-diabetic population and 60-80% 0f type-2 diabetics are obese. METHODS: This study was conducted in Nepalgunj Teaching Hospital, Kohalpur, Banke, Nepal, between 1st March, 2011 and 28th February, 2012. A total of 150 samples were taken to assess the lipid profile in type-2 diabetic patients associated with obesity and 25 obese controls for their lipid profile. Venous blood samples were taken from all the subjects in the morning after fasting overnight. Exclusion criteria included pregnancy, chronic infectious disease, heart failure; renal failure and drug allergy were confirmed from the subject's personal physician report and a detailed history. The data was analyzed using Excel 2003, R 2.8.0 Statistical Package for the Social Sciences (SPSS) for Windows Version 16.0 (SPSS Inc; Chicago, IL, USA) and the EPI Info 3.5.1 Windows Version. RESULTS: The mean ± SD age of diabetic patients with obesity was 53.76± 6.23 while the mean ± SD age of control was 49.61 ± 4.8. Out of 150 patients 105 (70%) were males and 45 (30%) were females. Among control subjects 16 (64%) were males and 9 (36%) were females. Obese type-2 diabetic patients when compared to obese control subjects showed statistically significant increase in the levels of serum total cholesterol (p < 0.001), serum triglycerides (p < 0.001), serum LDL-cholesterol (p < 0.001) while serum HDL-cholesterol levels did not show statistically significant difference in the two group (p > 0.05). CONCLUSION: This study showed obese diabetic individuals have dyslipidemia and more prone to develop cardiovascular diseases.


Subject(s)
Diabetes Mellitus, Type 2/blood , Dyslipidemias/blood , Lipids/blood , Obesity/blood , Adult , Aged , Diabetes Mellitus, Type 2/complications , Dyslipidemias/complications , Dyslipidemias/epidemiology , Female , Hospitals , Humans , Male , Middle Aged , Nepal , Obesity/complications , Risk Factors
20.
Indian J Exp Biol ; 35(4): 366-8, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9315236

ABSTRACT

Mutant of Rhodotorula glutinis MTCC 1151 was found to produce high level of lipid (63.6% of biomass) as compared to parent strain (56.7% biomass). The lipid synthesizing capacity of mutant of R. glutinis was evaluated with different glucose concentrations, nitrogen sources, incubation time, and aeration-agitation. Maximum lipid yield (63.6% of biomass) was found with 5% glucose using ammonium sulfate (0.2%) as a nitrogen source under shake-flask conditions (50 ml broth in 250 ml conical flask at 125 rpm) after 4 days of incubation at 28 degrees C. The ability of ammonium sulfate to replace comparatively very costly yeast extract is highly appreciable.


Subject(s)
Lipids/biosynthesis , Rhodotorula/metabolism , Aerobiosis , Ammonium Sulfate/metabolism , Culture Media , Glucose/metabolism , Mutation , Rhodotorula/genetics
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