Endoscopic third ventriculostomy in children: problems and surgical outcome: analysis of 34 cases

Background

Endoscopic third ventriculostomy (ETV) has been established as a viable treatment option for obstructive hydrocephalus of children over 6 weeks of age. ETV in pediatric groups may be unsuccessful due to the failure of absorption of cerebrospinal fluid (CSF) or reclosure of ventriculostomy stoma or due to infection. The exact cause is still debatable. Some issues like failure to eliminate the second membrane during the procedure or formation of the new arachnoid membrane at the stoma are still not clear. This study aims to assess the surgical failure of ETV and its predisposing factors.

Methods

Thirty-four pediatric patients with hydrocephalus were analyzed retrospectively. The patients’ age limit was between 2.5 months and 14 years. This is a retrospective study of 34 patients in a single private hospital between June 2012 and January 2018. Patients having hydrocephalus in pediatric groups more than 6 weeks of age were included in the study.

Results

The mean age of all patients was 51.25 ± 53.90 months and the mean follow-up period was 50.47 ± 20.84 months. Of 34 surgeries, the success rate was 79% and the failure rate was 21%. Within 2 years, the success rate was 68.42% and above 2 years’ success rate was 93.33%. In this series, 7 cases of ETV were re-explored and found ventriculostomy stoma closure in 3 cases, the presence of the second membrane in re-exploration 2 cases, and presence of inflammatory arachnoid membrane in re-exploration 2 cases. The use of dexamethasone around the stoma in inflammatory stoma was useful, having no recurrence. In one patient of the second membrane probably due to absorption failure in communicating hydrocephalus re-exploration was failed and was managed successfully with VP shunt.

Conclusions

Predisposing factors causing ETV failure are ventriculostomy stoma closure by new arachnoid granulation tissues, remnants of the second membrane inside the stoma, CSF absorption failure, infection/high protein in CSF and inappropriate patient selection.

Growth and Survival of Goldfish (Carassius auratus) Juveniles Fed Tubifex, Custard Meal and Commercial Feeds

An experiment was conducted to investigate suitable feed for Carassius auratus juveniles. 30-day-old juveniles (3.31±0.14 cm and 0.84±0.3 g) were reared in glass aquaria (50×30×30 cm3) at stocking density of 10 juveniles/aquaria in triplicates. The juveniles were fed four different feeds, Tubifex, egg custard, commercial feed, and aquarium feed, twice daily until satiation. After 28 days of trial, fish fed custard and Tubifex had significantly higher survival rates (91% and 88%) than those fed aquarium feed (81%, P < 0.05) and commercial fish feed (75%, P < 0.05). The final length, weight, absolute growth rate and metabolic growth rate were significantly varied among the treatments (P < 0.05). However, no significant differences were evident in weight gain and SGR (P > 0.05). The fish fed custard and Tubifex were comparable in terms of growth performance (P > 0.05) while a significantly lower growth rate was found in fish fed commercial feed (P < 0.05). Fish fed Tubifex and custard had significantly higher protein content (15.28% and 14.86%, respectively) than those fed commercial fish feed (13.41%) and aquarium feed (12.21%). The overall findings suggest that the formulated egg custard can promote growth and survival in goldfish.

Serum glucose, urea nitrogen, cholesterol, and total proteins in crossbred repeat breeder and normally cyclic cows

Objective:

This study was designed to determine and compare the serum glucose, urea nitrogen, cholesterol, and total protein (TP) level in crossbred repeat breeder (RB) and normally cyclic cows to find out the relationship of these metabolic factors with repeat breeding syndrome (RBS).

Materials and Methods:

A total of 592 breedable cows from 34 farms were examined from Mymensingh and Chittagong districts. Seventy cows were identified as RB cows and another 10 cows were randomly selected as normally cyclic control cows for this study. Blood sample from each cow was collected and the serum was separated. The serum samples were analyzed by auto blood analyzer.

Results:

Cows affected with RBS had significant variation in their glucose, urea, and cholesterol levels. Serum glucose (43.00 gm/dl) level was significantly lower than in normally cyclic cows. On the other hand, serum urea and cholesterol levels were significantly higher than in normally cyclic cows. However, the TP concentrations did not differ between RB and cyclic cows. RB cows had a lower trend (6.815 mg/dl) of serum TP than in normally cyclic cows.

Conclusion:

This research might help scientists and veterinarians to understand that the high serum urea and cholesterol level along with low glucose and TP level could have some effect in the development of RBS in crossbred cows. It will potentially help veterinary practitioners and farmers to take preventive measures against RBS of crossbred cows.

Dietary supplementation of host‐associated lactic acid bacteria modulates growth, metabolic activities, and immune‐related gene expression in giant freshwater prawn, Macrobrachium rosenbergii

The present study was carried out to evaluate the dietary effects of host‐associated lactic acid bacteria on growth performance, metabolic enzyme activities, and immune response of Macrobrachium rosenbergii juveniles. To formulate the test diets, a control (Con) diet was supplemented with a commercial probiotic and three host‐derived bacteria Enterococcus faecalis (EC), Lactococcus lactis I (LC‐I), and L. lactis II (LC‐II), which were previously isolated from the gastrointestinal tract of adult individuals of M. rosenbergii. Juvenile M. rosenbergii (0.65 ± 0.008 g) were randomly stocked at 20 individuals/100 L of fiberglass tanks with three replications for each test diet. After 50 days, juveniles fed the diets LC‐I and LC‐II showed significantly higher (p < .05) weight gain, specific growth rate, and the lowest feed conversion ratio. The analyses of glutamic oxaloacetate transaminase and glutamic pyruvate transaminase in muscle and hepatopancreas revealed significantly (p < .05) reduced values in LC‐I fed juveniles. The total hemocyte count and phenoloxidase activity were significantly increased (p < .05) in LC‐I and LC‐II fed juveniles. The relative mRNA expression patterns of immune‐related α2‐M, LGBP, ProPO, Cu, Zn‐SOD, TG, PE, AKP, and ACP genes were significantly (p < .05) upregulated in juveniles fed with LC‐I followed by the diet LC‐II. Finally, the study suggests that the growth performance and immune response of M. rosenbergii can be improved through supplementation of host‐associated L. lactis bacteria for its higher production.

Status and view toward COVID-19 and mental health among vulnerable group: A cross-sectional rapid survey among rickshaw pullers of Bangladesh

Bangladesh has experienced the hardest coronavirus disease 2019 (COVID-19) impact on the socioeconomic sector. The underprivileged group, rickshaw pullers, faced extreme situations due to the pandemic. This rapid cross-sectional study was conducted among 190 rickshaw pullers of Dhaka city. Knowledge, attitude, and practice (KAP) survey was carried out to evaluate their view and COVID-19 response level. Descriptive statistics were calculated. Statistical analyses such as Kruskal–Wallis or Mann–Whitney U tests, Spearman’s rank correlation, the linear regression model, Chi-square test, and Fisher’s exact test were performed where appropriate. The majority of them rated the high impact of COVID-19 on their income and mental health. Age, living with family, accommodation type, income, and COVID-19 infection history were found as associating factors with these impacts. A large number of the study population demonstrated low knowledge level (42.63 percent), moderate attitude level (57.37 percent), and moderate practice level (58.95 percent) toward COVID-19 and the vaccination. Positive attitude could reduce their mental health concern due to the pandemic. The study population mostly used their surrounding people as the main source of COVID-19 information. However, digital media have played a crucial role to disseminate authentic information. Ensuring better socioeconomic conditions can help these highly vulnerable people to be effectively prepared and respond against the pandemic.

pH induced stress enhances lipid accumulation in microalgae grown under mixotrophic and autotrophic condition

Production of biodiesel together with wastewater treatment and CO2 sequestration is a promising technology. The growing levels of carbon dioxide in the atmosphere increase the amount of dissolved CO2 in natural watercourses, triggering the increase in concentrations of bicarbonate and hydrogen ions while dropping those of carbonate and hydroxyl ions. The active carbon cycling in coastal areas, which can result in periodic and daily fluctuations in pH and CO2 concentrations that may surpass those anticipated for the extensive marine ecosystems, is regarded as one of the consequences of climate change. Studies were conducted to examine the effects of various pH levels on algal growth and lipid production in order to better understand how the growth of algae may be influenced in such conditions. In the present study, the influence of three different pH levels (6, 8, and 10) was studied to evaluate microalgae’s carbohydrate utilisation and lipid accumulation during the operation’s starvation phase (SP). Microalgae, in the study, were cultivated in two modes, namely mixotrophic [growth phase (GP)] and autotrophic [pH-induced (SP)] conditions. Enhancement in biomass formation, and intracellular carbohydrate accumulation were recorded during the GP operation, while noticeable lipid productivities (Total/neutral, 26.93/10.3%) were observed during SP operation at pH 8. Pigment analysis showed variations in both the procedures where higher Chl a concentration was noticed in GP, and higher Chl b was detected during SP. Nile red fluorescent staining strongly supports the existence of intracellular lipid bodies (LB). GC analysis of fatty acid methyl esters (FAME) showed the existence of a substantial amount of saturated fatty acids (SFA) compared with unsaturated fatty acids (USFA). Efficient wastewater treatment with nutrient assimilation was reported during the GP operation, demonstrating the phyco-remediation.

Captive Rearing of Longfin Smelt Spirinchus thaleichthys: First Attempt of Weaning Cultured Juveniles to Dry Feed

The rapid decline of longfin smelt Spirinchus thaleichthys, a threatened euryhaline forage fish in California, is a serious concern for scientists and resource managers. To recover and conserve this species, a captive culture program was initiated, focusing on the collection, captive rearing and breeding of wild broodstock, and the rearing of their offspring. Although progress has been made in the collection of broodstock and the production and culturing of larvae, no studies have evaluated the rearing of juvenile life stages in captivity. The present study examines methodological considerations for culturing F1 juvenile longfin smelt, specifically, the first efforts toward weaning juveniles to a dry commercial pellet feed. Cultured juvenile longfin smelt were fed live Artemia only or co-fed Artemia and dry feed for 62 days, and the effects of feed type on juvenile survival, growth, body condition, and fatty acid profiles were examined. No significant differences were observed between feeding treatments, despite an 80% reduction in Artemia in the co-feeding treatment. Furthermore, examination of fish stomach contents at the end of the trial confirmed the transition to dry feed. This is the first study to indicate successful feeding by longfin smelt on dry commercial pellets, and suggests that juvenile longfin smelt can be fully weaned onto dry feeds. Results of this study are critical for closing the lifecycle of longfin smelt in captivity and developing a successful conservation culture program for this imperiled species.

Spinal paraganglioma at the conus medullaris mimicking schwannoma: A case report

Background

Paragangliomas of the spine are extremely rare, and they should be considered in the differential diagnosis of spinal tumors due to its overlapping clinical and radiological features with many spinal tumors.

Case report

In this article, we present a 30-year-old lady who presented with low back pain and radicular neuropathic pain at L1 dermatome which was intractable to medical surgery. Her magnetic resonance imaging (MRI) of the lumbosacral spine revealed a T1 isointense, T2 heterogeneously hyperintense intradural extramedullary lesion at the conus medullaris with strong homogenous enhancement on contrast administration. The lesion was surgically excised completely with L1 laminectomy, and the histopathological picture was suggestive of paraganglioma. The patient's complaints resolved fully postoperatively, and there was no evidence of recurrence on long-term follow-up.

Conclusion

Due to the absence of pathognomonic clinical or radiological features of paragangliomas, they should be taken into consideration in the differential diagnosis of spinal tumors. They share similar clinical and radiological features of schwannomas, ependymomas, and hemangioblastomas. The diagnosis is usually made postoperatively based on histopathological examination.

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Paragangliomas overlap the clinical and radiological features with other tumors.

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Diagnosis is made postoperatively based on histopathological examination.

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It should be considered in the differential diagnosis of spinal tumors.

Continuous Practice of Conservation Agriculture for 3–5 Years in Intensive Rice-Based Cropping Patterns Reduces Soil Weed Seedbank

When farmers first shift from conventional tillage (CT) to conservation agriculture (CA) practices, the control of weeds may be more difficult, due to the absence of tillage. However, continuous CA, over several years, may alter the weed seedbank. The nature of the weed seedbank changes over time, in intensively cropped rice-based rotations that are typical of the Eastern Gangetic Plain, are not well understood. Two on-farm CA experiments were sampled (in Beluapara after 3 years and Digram after 5 years) in Bangladesh for the effects of strip planting (SP) and bed planting (BP) at both the sites, plus no-tillage (NT) in Beluapara, and increased retention of the residue of previous crops (20% vs. 50%). The conventional tillage (CT) and 20% residue was the control treatment. The weed seedbank in 0–15 cm soil was quantified by assessing the emergence of weeds from soils collected from the field after irrigation, (Boro) rice in Digram and wheat in Beluapara, and they were allowed to emerge in trays in a shade-house experiment. The year-round count of emerged weeds at both the locations revealed the fewest number of weed species (especially broadleaf weeds), and the lowest weed density and biomass in SP, followed by CT, BP, and NT, with 50% crop residue mulch. Relative to CT, the SP, BP, and NT produced relatively more perennials weeds, as follows: Alternanthera denticulata ((R.) Brown.), Cyperus rotundus (L.), Dentella repens (L.), Jussia deccurence (Walt.), Leersia hexandra (L.), and Solanum torvum (Sw.), which was the opposite of CT that was enriched with the following annual weeds: Cyperus iria (L.), Digitaria sanguinalis (L.), Euphorbia parviflora (L.), Fimbristylis miliacea (L.), Lindernia antipoda (L.), L. hyssopifolia (L.), and Monochoria hastata (L.). The soil weed seed bank reduced by 13% in SP, while it increased by 19% and 76% in BP and NT, respectively, compared with CT. The species diversity reduced in SP and NT, by 24% and 11%, respectively, but increased by 2% in BP. In 50% residue, the soil weed seed bank and species diversity reduced by 16% and 14%, respectively, relative to that of 20% residue. The continuous practice of CA, for 3 or more years, in two rice-based crop rotations, decreased the size of the weed seedbank, but increased the relative proliferation of specific perennial weeds.