Delineating shallow saline groundwater zones from Southern India using geophysical indicators

A geophysical survey was conducted over an industrial belt encompassing 80 functional leather factories in Southern India. These factories discharge untreated effluents which pollute shallow groundwater where electrical conductivity (EC) value had a wide range between 545 and 26,600 μS/cm (mean, 3, 901 μS/cm). The ranges of Na(+) and Cl(-) ions were from 46 to 4,850 mg/L (mean, 348 mg/L) and 25 to 10,390 mg/L (mean, 1,079 mg/L), respectively. Geoelectrical layer parameters of 37 vertical electrical soundings were analyzed to demarcate fresh and saline water zones. However, the analysis not did lead to a unique resolution of saline and fresh waters. It was difficult to assign a definitive value to the aquifer resistivity of any area. Thus, geophysical indicators, namely longitudinal unit conductance (S), transverse unit resistance (T), and average longitudinal resistivity (Rs), were calculated for identifying fresh and saline waters. Spatial distributions of S, T, and R s reflected widely varying ranges for the saline and fresh water zones. Further, the empirical relation of formation factor (F) was established from pore-water resistivity and aquifer resistivity for fresh and saline aquifers, which may be used to estimate local EC values from the aquifer resistivity, where well water is not available.

A prospective multi-centric open clinical trial of homeopathy in diabetic distal symmetric polyneuropathy

OBJECTIVES

To evaluate homeopathic treatment in the management of diabetic distal symmetric polyneuropathy.

METHODS

A prospective multi-centric clinical observational study was carried out from October 2005 to September 2009 by Central Council for Research in Homeopathy (CCRH) (India) at its five institutes/units. Patients suffering from diabetes mellitus (DM) and presenting with symptoms of diabetic polyneuropathy (DPN) were screened, investigated and were enrolled in the study after fulfilling the inclusion and exclusion criteria. Patients were evaluated by the diabetic distal symmetric polyneuropathy symptom score (DDSPSS) developed by the Council. A total of 15 homeopathic medicines were identified after repertorizing the nosological symptoms and signs of the disease. The appropriate constitutional medicine was selected and prescribed in 30, 200 and 1 M potency on an individualized basis. Patients were followed up regularly for 12 months.

RESULTS

Out of 336 patients (167 males and 169 females) enrolled in the study, 247 patients (123 males and 124 females) were analyzed. All patients who attended at least three follow-up appointments and baseline curve conduction studies were included in the analysis.). A statistically significant improvement in DDSPSS total score (p = 0.0001) was found at 12 months from baseline. Most objective measures did not show significant improvement. Lycopodium clavatum (n = 132), Phosphorus (n = 27) and Sulphur (n = 26) were the medicines most frequently prescribed. Adverse event of hypoglycaemia was observed in one patient only.

CONCLUSION

This study suggests homeopathic medicines may be effective in managing the symptoms of DPN patients. Further studies should be controlled and include the quality of life (QOL) assessment.

Effect of elevated CO2 on degradation of azoxystrobin and soil microbial activity in rice soil

An experiment was conducted in open-top chambers (OTC) to study the effect of elevated CO2 (580 ± 20 μmol mol(-1)) on azoxystrobin degradation and soil microbial activities. Results indicated that elevated CO2 did not have any significant effect on the persistence of azoxystrobin in rice-planted soil. The half-life values for the azoxystrobin in rice soils were 20.3 days in control (rice grown at ambient CO2 outdoors), 19.3 days in rice grown under ambient CO2 atmosphere in OTC, and 17.5 days in rice grown under elevated CO2 atmosphere in OTC. Azoxystrobin acid was recovered as the only metabolite of azoxystrobin, but it did not accumulate in the soil/water and was further metabolized. Elevated CO2 enhanced soil microbial biomass (MBC) and alkaline phosphatase activity of soil. Compared with rice grown at ambient CO2 (both outdoors and in OTC), the soil MBC at elevated CO2 increased by twofold. Elevated CO2 did not affect dehydrogenase, fluorescein diacetate, and acid phosphatase activity. Azoxystrobin application to soils, both ambient and elevated CO2, inhibited alkaline phosphates activity, while no effect was observed on other enzymes. Slight increase (1.8-2 °C) in temperature inside OTC did not affect microbial parameters, as similar activities were recorded in rice grown outdoors and in OTC at ambient CO2. Higher MBC in soil at elevated CO2 could be attributed to increased carbon availability in the rhizosphere via plant metabolism and root secretion; however, it did not significantly increase azoxystrobin degradation, suggesting that pesticide degradation was not the result of soil MBC alone. Study suggested that increased CO2 levels following global warming might not adversely affect azoxystrobin degradation. However, global warming is a continuous and cumulative process, therefore, long-term studies are necessary to get more realistic assessment of global warming on fate of pesticide.

Bile acids induce pancreatic acinar cell injury and pancreatitis by activating calcineurin

Biliary pancreatitis is the leading cause of acute pancreatitis in both children and adults. A proposed mechanism is the reflux of bile into the pancreatic duct. Bile acid exposure causes pancreatic acinar cell injury through a sustained rise in cytosolic Ca(2+). Thus, it would be clinically relevant to know the targets of this aberrant Ca(2+) signal. We hypothesized that the Ca(2+)-activated phosphatase calcineurin is such a Ca(2+) target. To examine calcineurin activation, we infected primary acinar cells from mice with an adenovirus expressing the promoter for a downstream calcineurin effector, nuclear factor of activated T-cells (NFAT). The bile acid taurolithocholic acid-3-sulfate (TLCS) was primarily used to examine bile acid responses. TLCS caused calcineurin activation only at concentrations that cause acinar cell injury. The activation of calcineurin by TLCS was abolished by chelating intracellular Ca(2+). Pretreatment with 1,2-bis(o-aminophenoxy)ethane-N,N,N',N'-tetraacetic acid (acetoxymethyl ester) (BAPTA-AM) or the three specific calcineurin inhibitors FK506, cyclosporine A, or calcineurin inhibitory peptide prevented bile acid-induced acinar cell injury as measured by lactate dehydrogenase leakage and propidium iodide uptake. The calcineurin inhibitors reduced the intra-acinar activation of chymotrypsinogen within 30 min of TLCS administration, and they also prevented NF-κB activation. In vivo, mice that received FK506 or were deficient in the calcineurin isoform Aβ (CnAβ) subunit had reduced pancreatitis severity after infusion of TLCS or taurocholic acid into the pancreatic duct. In summary, we demonstrate that acinar cell calcineurin is activated in response to Ca(2+) generated by bile acid exposure, bile acid-induced pancreatic injury is dependent on calcineurin activation, and calcineurin inhibitors may provide an adjunctive therapy for biliary pancreatitis.

UV-B induced differential effect on growth and nitrogen metabolism in two cyanobacteria under copper toxicity

In the present study, impact of low (UV-B(L): 0.1 μmol m(-2) s(-1)) and high (UV-BH: 1.0 μmol m(-2) s(-1)) fluence rates of ultraviolet-B on growth and nitrogen metabolism in two cyanobacteria: Phormidium foveolarum and Nostoc muscorum under copper toxicity (2 and 5 μM) was investigated after 24 and 72 h of experiments. Copper and UV-BH treatment suppressed growth but more in N. muscorum which was accompanied by significant accumulation of Cu. Nitrate and nitrite uptake rates and activities of nitrogen assimilating enzymes i.e. nitrate reductase (NR), nitrite reductase (NiR), glutamine synthetase (GS) and glutamate synthase (GOGAT) except glutamate dehydrogenase activity (GDH; aminating) were decreased following treatments of Cu and UV-BH, and under combined treatments the effect was greater. On contrary, UV-BL declined Cu toxicity significantly. The study concludes that Cu and UV-BH suppressed the activity of NR, NiR, GS and GOGAT (except GDH) hence decreased growth. However, UV-BL showed cross tolerance in test organisms against Cu toxicity up to certain extent. Phormidium foveolarum is comparatively less sensitive against UV-BH and excess Cu, a situation likely exists in nature, hence it may be used as a biofertilizer for sustainable agriculture.

IP3 receptor type 2 deficiency is associated with a secretory defect in the pancreatic acinar cell and an accumulation of zymogen granules

Acute pancreatitis is a painful, life-threatening disorder of the pancreas whose etiology is often multi-factorial. It is of great importance to understand the interplay between factors that predispose patients to develop the disease. One such factor is an excessive elevation in pancreatic acinar cell Ca²⁺. These aberrant Ca²⁺ elevations are triggered by release of Ca²⁺ from apical Ca²⁺ pools that are gated by the inositol 1,4,5-trisphosphate receptor (IP3R) types 2 and 3. In this study, we examined the role of IP3R type 2 (IP3R2) using mice deficient in this Ca²⁺ release channel (IP3R2^−/−). Using live acinar cell Ca²⁺ imaging we found that loss of IP3R2 reduced the amplitude of the apical Ca²⁺ signal and caused a delay in its initiation. This was associated with a reduction in carbachol-stimulated amylase release and an accumulation of zymogen granules (ZGs). Specifically, there was a 2-fold increase in the number of ZGs (P<0.05) and an expansion of the ZG pool area within the cell. There was also a 1.6- and 2.6-fold increase in cellular amylase and trypsinogen, respectively. However, the mice did not have evidence of pancreatic injury at baseline, other than an elevated serum amylase level. Further, pancreatitis outcomes using a mild caerulein hyperstimulation model were similar between IP3R2^−/− and wild type mice. In summary, IP3R2 modulates apical acinar cell Ca²⁺ signals and pancreatic enzyme secretion. IP3R-deficient acinar cells accumulate ZGs, but the mice do not succumb to pancreatic damage or worse pancreatitis outcomes.

Guidelines and recommendations for studies on psychosocial aspects of patients with craniofacial anomalies

In recent years there has been a few numbers of studies on psychosocial aspects of patients with craniofacial anomalies in the world. Current research surrounding psychological aspects of craniofacial anomalies suffers from various inconsistencies as reported by the results which may be due to differences in methodology that has made interpretation of findings very difficult. This article aims to present an evaluation of methodological errors and inconsistent findings in such studies. A thorough search based on electronic data base was done utilizing the following words: "craniofacial anomalies", "psychosocial impact". The resultant studies were evaluated based on the methodology and various lacunae, pitfalls were summed up. The results indicated that most of the studies suffer from various methodological errors. Several guidelines were fabricated so as to minimize error and maximize accuracy. The authors recommend these guidelines for future research design of studies related to psychosocial aspects of patients with craniofacial anomalies.

Homeopathy in chronic sinusitis: a prospective multi-centric observational study

OBJECTIVE

The primary objective was to ascertain the therapeutic usefulness of homeopathic medicine in the management of chronic sinusitis (CS).

MATERIALS AND METHODS

Multicentre observational study at Institutes and Units of the Central Council for Research in Homoeopathy, India. Symptoms were assessed using the chronic sinusitis assessment score (CSAS). 17 pre-defined homeopathic medicines were shortlisted for prescription on the basis of repertorisation for the pathological symptoms of CS. Regimes and adjustment of regimes in the event of a change of symptoms were pre-defined. The follow-up period was for 6 months. Statistical analysis was done using SPSS version 16.

RESULTS

628 patients suffering from CS confirmed on X-ray were enrolled from eight Institutes and Units of the Central Council for Research in Homoeopathy. All 550 patients with at least one follow-up assessment were analyzed. There was a statistically significant reduction in CSAS (P = 0.0001, Friedman test) after 3 and 6 months of treatment. Radiological appearances also improved. A total of 13 out of 17 pre-defined medicines were prescribed in 550 patients, Sil. (55.2% of 210), Calc. (62.5% of 98), Lyc. (69% of 55), Phos. (66.7% of 45) and Kali iod. (65% of 40) were found to be most useful having marked improvement. 4/17 medicines were never prescribed. No complications were observed during treatment.

CONCLUSION

Homeopathic treatment may be effective for CS patients. Controlled trials are required for further validation.

Ryanodine receptors contribute to bile acid-induced pathological calcium signaling and pancreatitis in mice

Biliary pancreatitis is the most common etiology for acute pancreatitis, yet its pathophysiological mechanism remains unclear. Ca(2+) signals generated within the pancreatic acinar cell initiate the early phase of pancreatitis, and bile acids can elicit anomalous acinar cell intracellular Ca(2+) release. We previously demonstrated that Ca(2+) released via the intracellular Ca(2+) channel, the ryanodine receptor (RyR), contributes to the aberrant Ca(2+) signal. In this study, we examined whether RyR inhibition protects against pathological Ca(2+) signals, acinar cell injury, and pancreatitis from bile acid exposure. The bile acid tauro-lithocholic acid-3-sulfate (TLCS) induced intracellular Ca(2+) oscillations at 50 μM and a peak-plateau signal at 500 μM, and only the latter induced acinar cell injury, as determined by lactate dehydrogenase (LDH) leakage. Pretreatment with the RyR inhibitors dantrolene or ryanodine converted the peak-plateau signal to a mostly oscillatory pattern (P < 0.05). They also reduced acinar cell LDH leakage, basolateral blebbing, and propidium iodide uptake (P < 0.05). In vivo, a single dose of dantrolene (5 mg/kg), given either 1 h before or 2 h after intraductal TLCS infusion, reduced the severity of pancreatitis down to the level of the control (P < 0.05). These results suggest that the severity of biliary pancreatitis may be ameliorated by the clinical use of RyR inhibitors.

Ryanodine receptors contribute to bile acid-induced pathological calcium signaling and pancreatitis in mice

Biliary pancreatitis is the most common etiology for acute pancreatitis, yet its pathophysiological mechanism remains unclear. Ca(2+) signals generated within the pancreatic acinar cell initiate the early phase of pancreatitis, and bile acids can elicit anomalous acinar cell intracellular Ca(2+) release. We previously demonstrated that Ca(2+) released via the intracellular Ca(2+) channel, the ryanodine receptor (RyR), contributes to the aberrant Ca(2+) signal. In this study, we examined whether RyR inhibition protects against pathological Ca(2+) signals, acinar cell injury, and pancreatitis from bile acid exposure. The bile acid tauro-lithocholic acid-3-sulfate (TLCS) induced intracellular Ca(2+) oscillations at 50 μM and a peak-plateau signal at 500 μM, and only the latter induced acinar cell injury, as determined by lactate dehydrogenase (LDH) leakage. Pretreatment with the RyR inhibitors dantrolene or ryanodine converted the peak-plateau signal to a mostly oscillatory pattern (P < 0.05). They also reduced acinar cell LDH leakage, basolateral blebbing, and propidium iodide uptake (P < 0.05). In vivo, a single dose of dantrolene (5 mg/kg), given either 1 h before or 2 h after intraductal TLCS infusion, reduced the severity of pancreatitis down to the level of the control (P < 0.05). These results suggest that the severity of biliary pancreatitis may be ameliorated by the clinical use of RyR inhibitors.

Lipotoxicity causes multisystem organ failure and exacerbates acute pancreatitis in obesity

Obesity increases the risk of adverse outcomes during acute critical illnesses such as burns, severe trauma, and acute pancreatitis. Although individuals with more body fat and higher serum cytokines and lipase are more likely to experience problems, the roles that these characteristics play are not clear. We used severe acute pancreatitis as a representative disease to investigate the effects of obesity on local organ function and systemic processes. In obese humans, we found that an increase in the volume of intrapancreatic adipocytes was associated with more extensive pancreatic necrosis during acute pancreatitis and that acute pancreatitis was associated with multisystem organ failure in obese individuals. In vitro studies of pancreatic acinar cells showed that unsaturated fatty acids were proinflammatory, releasing intracellular calcium, inhibiting mitochondrial complexes I and V, and causing necrosis. Saturated fatty acids had no such effects. Inhibition of lipolysis in obese (ob/ob) mice with induced pancreatitis prevented a rise in serum unsaturated fatty acids and prevented renal injury, lung injury, systemic inflammation, hypocalcemia, reduced pancreatic necrosis, and mortality. Thus, therapeutic approaches that target unsaturated fatty acid-mediated lipotoxicity may reduce adverse outcomes in obese patients with critical illnesses such as severe acute pancreatitis.

Extra-adrenal phaeochromocytoma-a case report of refractory hypertension

There are at least 5% of all hypertensive patients whose blood pressure (BP) remains elevated despite adequate treatment. In these cases, the clinician is forced to search for a secondary cause of the chronic BP elevation. Certain environmental factors are known to induce resistant-hypertension. Additionally, there may be pseudo-resistance occurring or the patient may be suffering from a secondary form of hypertension such as renovascular or endocrinological hypertension (phaeochromocytoma, Cushing's syndrome, etc.). We report a case of extra-adrenal phaeochromocytoma who was on adequate antihypertensive medications but remained refractory to treatment prior to the exact diagnosis.

ADP-ribosylation factor 1 protein regulates trypsinogen activation via organellar trafficking of procathepsin B protein and autophagic maturation in acute pancreatitis

Several studies have suggested that autophagy might play a deleterious role in acute pancreatitis via intra-acinar activation of digestive enzymes. The prototype for this phenomenon is cathepsin B-mediated trypsin generation. To determine the organellar basis of this process, we investigated the subcellular distribution of the cathepsin B precursor, procathepsin B. We found that procathepsin B is enriched in Golgi-containing microsomes, suggesting a role for the ADP-ribosylation (ARF)-dependent trafficking of cathepsin B. Indeed, caerulein treatment increased processing of procathepsin B, whereas a known ARF inhibitor brefeldin A (BFA) prevented this. Similar treatment did not affect processing of procathepsin L. BFA-mediated ARF1 inhibition resulted in reduced cathepsin B activity and consequently reduced trypsinogen activation. However, formation of light chain 3 (LC3-II) was not affected, suggesting that BFA did not prevent autophagy induction. Instead, sucrose density gradient centrifugation and electron microscopy showed that BFA arrested caerulein-induced autophagosomal maturation. Therefore, ARF1-dependent trafficking of procathepsin B and the maturation of autophagosomes results in cathepsin B-mediated trypsinogen activation induced by caerulein.

Chloride migration in groundwater for a tannery belt in Southern India

Groundwater in a tannery belt in Southern India is being polluted by the discharge of untreated effluents from 80 operating tanneries. Total dissolved solids and chloride (Cl(-)) measurements in open wells in the tannery cluster vary from 27,686 to 39,100 and 12,000 to 13,652 mg/l, respectively. A mass transport model was constructed using Visual MODFLOW Premium 4.4 software to investigate the chloride migration in an area of 75.56 km(2). Input to the chloride migration model was a groundwater flow model that considered steady and transient conditions. This model was calibrated with field observations; and sensitivity analysis was carried out whereby model parameters, viz., conductivity, dispersivity, and source concentration were altered slightly, and the effect on calibration statistics was evaluated. Results indicated that hydraulic conductivity played a more sensitive role than did dispersivity. The Cl(-) migration was mainly through advection rather than dispersion. It was found that even if the pollutant load reduced to 50% of the present level, the Cl(-) concentration in groundwater, even after 6 years, would not be reduced to the permissible limit of drinking water in the tannery belt.

β-catenin is essential for ethanol metabolism and protection against alcohol-mediated liver steatosis in mice

The liver plays a central role in ethanol metabolism, and oxidative stress is implicated in alcohol-mediated liver injury. β-Catenin regulates hepatic metabolic zonation and adaptive response to oxidative stress. We hypothesized that β-catenin regulates the hepatic response to ethanol ingestion. Female liver-specific β-catenin knockout (KO) mice and wild-type (WT) littermates were fed the Lieber-Decarli liquid diet (5% ethanol) in a pairwise fashion. Liver histology, biochemistry, and gene-expression studies were performed. Plasma alcohol and ammonia levels were measured using standard assays. Ethanol-fed (EtOH) KO mice exhibited systemic toxicity and early mortality. KO mice exhibited severe macrovesicular steatosis and 5 to 6-fold higher serum alanine aminotransferase and aspartate aminotransferase levels. KO mice had a modest increase in hepatic oxidative stress, lower expression of mitochondrial superoxide dismutase (SOD2), and lower citrate synthase activity, the first step in the tricarboxylic acid cycle. N-Acetylcysteine did not prevent ethanol-induced mortality in KO mice. In WT livers, β-catenin was found to coprecipitate with forkhead box O3, the upstream regulator of SOD2. Hepatic alcohol dehydrogenase and aldehyde dehydrogenase activities and expression were lower in KO mice. Hepatic cytochrome P450 2E1 protein levels were up-regulated in EtOH WT mice, but were nearly undetectable in KO mice. These changes in ethanol-metabolizing enzymes were associated with 30-fold higher blood alcohol levels in KO mice.

CONCLUSION

β-Catenin is essential for hepatic ethanol metabolism and plays a protective role in alcohol-mediated liver steatosis. Our results strongly suggest that integration of these functions by β-catenin is critical for adaptation to ethanol ingestion in vivo.

First branchial cleft anomaly: clinical insight into its relevance in otolaryngology with pediatric considerations

First branchial cleft anomalies (FBCA) represent a small subset of congenital malformations in neck. Prime objective of this study is to share our experience with FBCA, emphasize its relevance in otolaryngology and deal with its pediatric perspective. Embryology, pathologic anatomy and varied spectra of clinical presentations of FBCA are discussed. Along with this we have illustrated three different cases; all of them were of pediatric age group and were misdiagnosed by their treating specialists elsewhere. In this article we have also laid special emphasis on its pediatric considerations. FBCA are mostly misdiagnosed due to their unfamiliar clinical signs and symptoms. Swellings may masquerade as other neck masses. Majority of patients give a history of previous incision and drainage. While dealing with pediatric patients the important factors to be kept in mind are the age of child, superficial course of facial nerve, any associated agenesis of parotid gland. Alteration in surgical technique may be required in children. A thorough medical examination with high index of clinical suspicion should be kept in mind while dealing with such anomalies. Owing to their complex presentation and close relation with facial nerve they are challenging lesions for surgeons.

Prevalence of cleft lip and cleft palate in a tertiary hospital in Eastern Nepal

The aim of this investigation was to determine the birth prevalence of cleft lip and palate in a tertiary health care centre of Dharan, Eastern Nepal and to ascertain whether the birth prevalence in this region differs significantly from birth prevalence reported in similar populations and other racial groups. A retrospective study was conducted from June 2005 to December 2010. The maternity records which included a record of the examination of the newborn child for the prescribed period were analyzed. Fifty one clefts were identified among 30,952 live births during 2005 to 2010. The total birth prevalence of cleft of the lip ± cleft of the palate (CL±P) was 1.64/1000 live births per year. There were 19 clefts of the lip alone (birth prevalence 0.61/1000 per year), 21 cleft lip and palate (0.67/1000 per year), and 11 cleft palate only (0.35/1000 per year). The birth prevalence was higher than what is reported for Caucasian and African populations. Cleft of the lip and palate (CLP) was the most common pattern followed by cleft of the lip (CL) and cleft of the palate (CP). Overall there was a male predominance whereas individually CLP and CL were more common in males while CP was more common in females.

Epilepsy surgery in India

Modern epilepsy started in India in 1995 at Sri Chitra Tirunal Institute of Medical Science and Technology, Trivandrum and at All India Institute of Medical Sciences, New Delhi. At both centres the attempt was to get the program going with patients having surgically remediable epilepsy syndromes -who could be evaluated with non invasive investigations. The mainstay of the evaluation was a good quality epilepsy specific MRI and video EEG coupled with a SPECT study and a neuropsychological evaluation. Concordance of the focus on all investigations was critical to a good outcome. There were several problems on the way - but they were managed keeping in consideration our local needs and requirements. Intraoperative electocorticography was done and good outcomes attained. The critical determinants of success were the formation of a team with various interdisciplinary specialists and a strong will to succeed.

Effects of upper body resistance training on pulmonary functions in sedentary male smokers

Background:

Cigarette smoking is well correlated with lung diseases such as chronic obstructive pulmonary disease. It is common among men than women in India. In addition, sedentary lifestyle is associated with less efficient pulmonary function. Effectiveness of upper body resistance training (UBRT) in improving pulmonary function is unclear. Keeping all these factors in view, this study aims to examine the effect of UBRT on pulmonary function in male sedentary smokers.

Materials and Methods:

This study recruited 36 sedentary male smokers, of which 30 were randomized into two groups after fulfilling eligibility criteria-an exercising experimental group (EG) (N=15) or non-exercising control group (CG) (N=15). The EG group were assigned to exercise for 4 weeks, 3 times weekly on non-consecutive days using UBRT program and breathing exercise. In the CG, only breathing exercise was given for 10 min. Both groups were equivalent in baseline characteristics.

Results:

The improvement in forced expiratory volume in one second (FEV₁) and FEV₁/forced vital capacity (FVC) values were seen significant in EG after 4 weeks of UBRT: from 3.62±0.56 to 3.96±0.51 (P=0.000) and 0.88±0.11 to 0.96±0.13 (P<0.001), respectively. But FVC did not show significant change in the EG (P=0.430). There were no significant changes in FEV₁, FVC, and FEV₁/FVC values in CG after 4 weeks of intervention. On intergroup comparison, significant difference was found between CG and EG for FEV₁ and FEV₁/FVC values.

Conclusion:

Four weeks of UBRT program brought about significant changes in the pulmonary function in male sedentary smokers.

Papillon-Lefevre syndrome

Papillon-Lefevre syndrome is a very rare syndrome of autosomal recessive inheritance characterized by palmoplanter hyperkeratosis of the skin and severe periodontal disease extending to destruction of the alveolar bone surrounding deciduous and permanent teeth as they erupt leading to precocious loss of dentition. Although the exact pathogenesis of this syndrome is still unknown immunologic, microbiologic, and genetic bases have been proposed. Here we report a case of Papillon-Lefevre syndrome. The patient had generalized plaque accumulation along with halitosis, mobile teeth with periodontal pocket with pus exudation. Blood & biochemical report was within normal limit with a low CD3+ and CD4+.

Changes in BiSpecteral Index (BiS) Values During Cardiopulmonary Bypass (CPB)

BACKGROUND

BiSpecteral Index (BiS) monitoring is standard monitoring regimen in anaesthesia practice. It has also been used in cardiac surgery. It is especially important due to the high incidence of neurological injury or dysfunction that occurs following CPB. This is a retrospective study of 33 cases that were monitored with BiS during the course of coronary artery or valvular surgery, including the period of CPB.

METHODS

Thirty three cases monitored with BiS were studied retrospectively.

RESULT

From the recordings it was determined that the value of BiS which was ranging between 40 to 60 after induction, dropped below 25 at the onset of CPB. This change was statistically significant (p<0.05).

CONCLUSION

This decrease in the BiS value is probably a result of hypo-perfusion and due to clear, oxygen - poor priming fluid reaching the brain. Other periods of hypotension also correlated with the low values of BiS. This cerebral hypoxia which would occur at this time could be the cause of the incidence of neurological dysfunction that is known to occur following CPB.

Conventional Versus Endoscopic Powered Adenoidectomy: A Comparative Study

BACKGROUND

Adenoidectomy is a commonly performed ENT surgery. It is conventionally performed using the curettage method. This present article aims to evaluate endoscopic powered adenoidectomy as an alternative.

METHODS

Sixty consecutive cases requiring adenoidectomy were randomized into two groups of thirty each. Group A underwent conventional adenoidectomy using the curettage method and Group B underwent endoscopic assisted micro-debrider adenoidectomy. The parameters studied were intra-operative time, intra-operative bleeding and completeness of resection, collateral damage, post operative pain and recovery time.

RESULT

Sixty cases of adenoidectomy were done using conventional surgery and powered endoscopic adenoidectomy in the study period from Aug 04 to Dec 05. The time taken in Group A (conventional surgery) varied from 22-39 minutes (95% Confidence Interval (CI) -27.7 - 30.9)and in Group B (powered endoscopic surgery) from 27-55 minutes(95% CI 36.6 - 41.9) (p<0.05). The average blood loss in Group A was 21 ml (range 10-50) as compared to 31.67 ml (range 10-60) in Group B (p<0.05). The resection was invariably complete in Group B whereas seven(23%) cases had more than 50% residual adenoid tissue in Group A. Three cases in group A had collateral damage whereas in Group B, there were no added injuries. Post operative pain was studied only in cases undergoing adenoidectomy alone. Group A (n=8) demonstrated a pain score of 1.64-2.63-3.63 (95% CI) whereas Group B (n=11) demonstrated a pain score of 1.19-2.13-3.06 (95% CI). This difference was not statistically significant. In group A, the mean recovery period was 3.5 days and 2.93 days in Group B(p<0.05).

CONCLUSION

Endoscopic powered adenoidectomy was found to be a safe and effective tool for adenoidectomy. The study parameters where endoscopic powered adenoidectomy fared better were completeness of resection, accurate resection under vision, lesser collateral damage and faster recovery time. On the other hand, conventional adenoidectomy scored in matter of lesser operative time and intra-operative bleeding.

Gastric Tonometry as a Prognostic Index of Mortality in Sepsis

BACKGROUND

Splanchnic hypoperfusion in sepsis leads to translocation of bacteria from gut and development of multi-organ dysfunction syndrome (MODS), with increased mortality in critically ill patients. Gastric tonometry can detect this hypoperfusion by measuring carbon dioxide tension (PgCO2) and intramucosal pH (pHi) from gastric mucosa. Therapeutic intervention aimed at improving gut perfusion can improve the outcome and prognosticate the mortality in sepsis patients.

METHODS

100 patients with clinical diagnosis of sepsis were included and divided into two groups of 50 each. Group A patients were managed traditionally without gastric tonometry and in Group B gastric tonometry was used for therapeutic intervention. The intramucosal PCO2, pHi, end tidal carbon dioxide tension (EtCO2) and (PgCO2-EtCO2) differences were monitored at 0, 12 and 24 hours interval.

RESULT

Overall mortality in Group A was 64 % and 54 % in Group B. In Group B 45% patients developed MODS and 54 % died with low pHi. As an index of mortality low pHi had a sensitivity of 70% and specificity of 65%.

CONCLUSION

There is a good correlation between mortality prediction on the basis of pHi and PgCO2-EtCO2 difference and actual mortality in critically ill patients. The gastric tonometer should be used to predict mortality and guide resuscitation in septicemia.

Assessment of seawater impact using major hydrochemical ions: a case study from Sadras, Tamilnadu, India

The impact of seawater intrusion was investigated using major hydrogeochemical ions to evaluate the origin of salinity in Sadras watershed located between Buckingham Canal and Bay of Bengal in the southeastern coast of India. From empirical data collected twice during pre- and post-monsoon seasons, it was found that groundwater was slightly acidic to mildly alkaline, and more than 44% of groundwater samples had EC > 3,000 μS/cm in both the seasons. Results of principle component analysis (PCA) showed that Na( + ), Cl( - ), Mg(2 + ), and SO[Formula: see text] concentrations had the highest loading factor and the samples affected by saline/seawater were separated from the cluster. Hydrochemical processes that accompany the saline/seawater were identified using ionic changes. It was observed during sampling periods that the mixing due to saline/seawater intrusion varied from 4.82-7.86%. Negative values of ionic change (e (change)) for Na( + ) and K( + ) decreased with the increasing fraction of seawater. Furthermore, salinity, sodium adsorption ratio, percentage of sodium Na (%), and exchangeable sodium percentage in well samples showed that groundwater was unsuitable for irrigation purposes.

MWCNT-polymer composites as highly sensitive and selective room temperature gas sensors

Multi-walled carbon nanotubes (MWCNTs)-polymer composite-based hybrid sensors were fabricated and integrated into a resistive sensor design for gas sensing applications. Thin films of MWCNTs were grown onto Si/SiO(2) substrates via xylene pyrolysis using the chemical vapor deposition technique. Polymers like PEDOT:PSS and polyaniline (PANI) mixed with various solvents like DMSO, DMF, 2-propanol and ethylene glycol were used to synthesize the composite films. These sensors exhibited excellent response and selectivity at room temperature when exposed to low concentrations (100 ppm) of analyte gases like NH(3) and NO(2). The effect of various solvents on the sensor response imparting selectivity to CNT-polymer nanocomposites was investigated extensively. Sensitivities as high as 28% were observed for an MWCNT-PEDOT:PSS composite sensor when exposed to 100 ppm of NH(3) and - 29.8% sensitivity for an MWCNT-PANI composite sensor to 100 ppm of NO(2) when DMSO was used as a solvent. Additionally, the sensors exhibited good reversibility.

Cadmium sulfide nanowires for the window semiconductor layer in thin film CdS-CdTe solar cells

Thin film CdS/CdTe heterojunction device is a leading technology for the solar cells of the next generation. We report on two novel device configurations for these cells where the traditional CdS window layer is replaced by nanowires (NW) of CdS, embedded in an aluminum oxide matrix or free-standing. An estimated 26.8% improvement in power conversion efficiency over the traditional device structure is expected, primarily because of the enhanced spectral transmission of sunlight through the NW-CdS layer and a reduction in the junction area/optical area ratio. In initial experiments, nanostructured devices of the two designs were fabricated and a power conversion efficiency value of 6.5% was achieved.

Hydrochemical characteristic of coastal aquifer from Tuticorin, Tamil Nadu, India

This article deals with a systematic hydrochemical study carried out in coastal aquifers, Tuticorin, Tamil Nadu, to assess groundwater quality. A total of 29 groundwater samples were collected and analyzed. Results showed that total dissolved solids (TDS), sodium (Na+), magnesium (Mg2+), chloride (Cl-), and sulfate (SO₄²⁻) significantly damaged groundwater systems. The degree of salinization due to seawater mixing in a well or a given area could be indicated by an increase in nearly all major cations and anions. Toxic elements (i.e., Pb and As) were higher than the maximum permissible limits of drinking water. Cross plot of HCO₃⁻/Cl- (molar ratios) versus TDS indicated that about 62% of the analyzed samples were saline. Factor analysis showed that groundwaters, affected by seawater intrusion/industrial activity, were separated from the clusters. An attempt was made to identify the hydrochemical processes that accompany current intrusion of seawater using ionic changes. It was estimated that the mixing rate of seawater intrusion was about 5.81% during April 2007. An index, called 'Seawater Mixing Index' (SMI), was also adopted and its value was SMI>1.18 with EC>3,000 μS/cm about 62% of the sampled waters, were saline. Further, a few trace elements (i.e., Sr, B, and Li) were used as indicators for responding to the change in fresh to saline groundwater environments in coastal aquifers.

Transcriptional regulation of CXC-ELR chemokines KC and MIP-2 in mouse pancreatic acini

Neutrophils and their chemoattractants, the CXC-ELR chemokines keratinocyte cytokine (KC) and macrophage inflammatory protein-2 (MIP-2), play a critical role in pancreatitis. While acute pancreatitis is initiated in acinar cells, it is unclear if these are a source of CXC-ELR chemokines. KC and MIP-2 have NF-κB, activator protein-1 (AP-1) sites in their promoter regions. However, previous studies have shown increased basal and reduced caerulein-induced AP-1 activation in harvested pancreatic tissue in vitro, which limits interpreting the caerulein-induced response. Moreover, recent studies suggest that NF-κB silencing in acinar cells alone may not be sufficient to reduce inflammation in acute pancreatitis. Thus the aim of this study was to determine whether acinar cells are a source of KC and MIP-2 and to understand their transcriptional regulation. Primary overnight-cultured murine pancreatic acini were used after confirming their ability to replicate physiological and pathological acinar cell responses. Upstream signaling resulting in KC, MIP-2 upregulation was studied along with activation of the transcription factors NF-κB and AP-1. Cultured acini replicated critical responses to physiological and pathological caerulein concentrations. KC and MIP-2 mRNA levels increased in response to supramaximal but not to physiological caerulein doses. This upregulation was calcium and protein kinase C (PKC), but not cAMP, dependent. NF-κB inhibition completely prevented upregulation of KC but not MIP-2. Complete suppression of MIP-2 upregulation required dual inhibition of NF-κB and AP-1. Acinar cells are a likely source of KC and MIP-2 upregulation during pancreatitis. This upregulation is dependent on calcium and PKC. MIP-2 upregulation requires both NF-κB and AP-1 in these cells. Thus dual inhibition of NF-κB and AP-1 may be a more successful strategy to reduce inflammation in pancreatitis than targeting NF-κB alone.

Asymptomatic infection with visceral leishmaniasis in a disease-endemic area in bihar, India

A prospective study was carried out in a cohort of 355 persons in a leishmaniasis-endemic village of the Patna District in Bihar, India, to determine the prevalence of asymptomatic persons and rate of progression to symptomatic visceral leishmaniasis (VL) cases. At baseline screening, 50 persons were positive for leishmaniasis by any of the three tests (rK39 strip test, direct agglutination test, and polymerase chain reaction) used. Point prevalence of asymptomatic VL was 110 per 1,000 persons and the rate of progression to symptomatic cases was 17.85 per 1,000 person-months. The incidence rate ratio of progression to symptomatic case was 3.36 (95% confidence interval [CI] = 0.75-15.01, P = 0.09) among case-contacts of VL compared with neighbors. High prevalence of asymptomatic persons and clinical VL cases and high density of Phlebotomus argentipes sand flies can lead to transmission of VL in VL-endemic areas.

Efficacy of electrical resistivity and induced polarization methods for revealing fluoride contaminated groundwater in granite terrain

The accumulation of fluoride (F) in groundwater is a common phenomenon in India and worldwide. Its location can be identified through a direct hydrochemical analysis, which was carried out in Kurmapalli watershed (located 60 km SE of Hyderabad city), Nalgonda district, Andhra Pradesh, India affected by F contamination. The results of the hydrochemical analysis showed that F varied from 0.71 to 19.01 mg/l and its concentration exceeded the permissible limit (i.e., 1.5 mg/l) in 78% of the total 32 samples analyzed. The highest F value (19.01 mg/l) was found near Madnapur village, which is located in the central part of the watershed. Resistivity and induced polarization (IP) surveys were also carried out to reveal the zones where elevated F-contaminated groundwater exists. The objective of this paper was to highlight the utility of resistivity and IP surveys, using hydrochemical constituents as constraint, for the successful delineation of such contaminated/polluted groundwater zones in the granite area.