In Vitro Antibacterial Activity of Honey against Gram Negative Bacterial Isolates

Topical application of honey results in disinfecting the wound infection promptly and also expedites healing. Being cheap and widely available, honey can be an excellent alternative to be used as a topical antimicrobial agent. This study observes the in vitro growth inhibitory activity of different concentration of honey for different bacterial strains. This experimental study had been carried out in the Department of Pharmacology and Therapeutics of Sir Salimullah Medical College and Mitford Hospital (SSMC), Dhaka, Bangladesh in collaboration with Microbiology, Department of Sir Salimullah Medical College and Mitford Hospital (SSMC), Dhaka, Bangldesh over a period of one year from July 2018 to June 2019. Using the Agar dilution method to detect the antimicrobial activity of honey on 18 bacterial isolates belong to enterobacteriaceae family namely, 8 bacterial isolates of Salmonella Enterica Serovar Typhi, Five (5) bacterial isolates of Escherichia coli and 5 bacterial isolates of Pseudomonas aeruginosa. The mean of the minimum inhibitory concentration (MIC) of honey for the isolates of Salmonella enterica serovar typhi was 15.35±12.39mg/ml, ranged between 3.56 and 41.6mg/ml (0.25% - 3.0% v/v). In case of the isolates of Escherichia coli the mean MIC of honey recorded at 28.53±16.18mg/ml and the growth was ranged between 7.10 and 48.3mg/ml (0.5% - 3.50% v/v). And the mean of the MIC of honey for the isolates of Pseudomonas aeruginosa was 20.31±13.20mg/ml, ranged between 10.63 and 41.6mg/ml (0.75% - 3.0% v/v). The brilliant antibacterial activity of honey against clinical bacterial isolates indicates the usefulness of honey in clinical practice against bacterial infection.

Incidence of typical and atypical hanging among 66 hanging cases

Present Study conducted prospectively to find out the position of knot in the neck in all hanging cases coming for post mortem examination at Mymensingh Medical College Mortuary in the year 2005. Hanging is a process in which the body is suspended with a ligature around the neck, which causes constriction of air passage preventing exchange of air between atmosphere & alveoli of lungs, leading to asphyxia & death. The constriction force is either the weight of the whole body or the weight of the head alone. A weight of 2Kg is sufficient for death in hanging. According to position of knot hanging is of two types-Typical hanging and Atypical hanging. In typical hanging the knot of the ligature should be at the nape of the neck and the knot of the ligature at any site other than the nape of the neck is Atypical hanging. A total of 557 postmortems were conducted in the year 2005 out of which 66 cases were of hanging. Among these, 66 cases (100%) position of knot on neck were on center of occiput (Typical hanging) in 14 cases (21.21%), on right side in 17 cases (25.75%), on left side in 21 cases (31.81%) and on front of neck in 14 cases (21.21%). Total of 52 cases are of Atypical hanging. This study suggests that Atypical hanging is more common (78.78%) than Typical hanging (21.21%) and more on left side of the neck (31.81%). Study at S.P. Medical College and A.G Hospitals, Bikaner in 2004 shows that out of 390 cases 35 (8.97%) were of hanging. Amongst those 35 cases in 33 cases position of knot on nape of the neck in 5 cases (15.15%), right side of neck 15 cases (45.45%), left side of neck in 11 cases (33.33%) and front of the neck 2 cases (6%). In their study, Typical hanging was found in 15.15% and Atypical hanging was in 84.85%; and Maximum on right side of the neck i.e. 45.45%. In both the studies Atypical hanging was more common but Maximum was on right side in their study and We found maximum on left side.

A case report of drinking glass in rectum

A fifty years old man was admitted in the Dept. of Surgery of Community Based Medical College, Bangladesh, Hospital with the history of pain and distension of lower abdomen for 4 days with obstipation for the same duration. He gave history of being assaulted and forceful introduction of some foreign body per-rectally 5 days back. History, clinical examination and abdominal X-rays diagnosed the case as impacted foreign body in rectum. He was undergone laparotomy and a big drinking glass was extracted from sigmoid colon. Patient developed subcutaneous stitch infection postoperatively and discharged from the hospital after controlling the infection.

Inotropic response of rabbit ventricular myocytes to endothelin-1: difference from isolated papillary muscles

Endothelin-1 (ET-1) increased cell shortening and Ca2+ transients over the concentration of 3 x 10(-11) M to 10(-9) M with EC50 of 8.3 x 10(-11) M in rabbit single ventricular myocytes. Thus ET-1 was approximately 60 times more potent in single myocytes than in papillary muscles (EC50 = 5.1 x 10(-9) M) of the same species. In single myocytes, ET-1 at 10(-8) M elicited an inhibitory response that counteracted the facilitatory response: the concentration-response curve (CRC) for ET-1 was bell shaped. The ET(A)-receptor antagonist BQ-485 shifted CRC for ET-1 to the right in parallel; however, the facilitatory response to 10(-8) M ET-1 was markedly enhanced by BQ-485 and also by the ET(B) antagonist BQ-788. The ET(A)/ET(B) antagonist TAK-044 abolished the ET-1-induced response. These findings indicate that the response to ET-1 of single myocytes is different from that of papillary muscles in concentration dependence, characteristics of the response, and susceptibility to ET-receptor antagonists. Anomalous pharmacological characteristics of ET-1-induced response in rabbit papillary muscles may be due to integrated regulatory mechanisms that may involve also various types of noncardiac cell in ventricular myocardium.

Superluminal to subluminal transition in the pulse propagation in a resonantly absorbing medium

We have examined the propagation of femtosecond laser pulses in an absorbing dye solution through a short to a long range of propagation distance. The transmitted pulses show strong spectral shift and a superluminal to subluminal transition in the propagation velocity keeping its initial shape almost intact. It is verified that the peak velocity is well described by a modified group velocity v(S) defined within the framework of the saddle-point method as well as by a recent prediction of the net group delay of surviving frequency.

Inotropic effects of OR-1896, an active metabolite of levosimendan, on canine ventricular myocardium

We performed experiments in dog ventricular trabeculae loaded with aequorin to elucidate the mechanism of positive inotropic effect of (R)-N-[4-(4-methyl-6-oxo-1,4,5, 6-tetrahydro-pyridazin-3-yl)-phenyl]-acetamide (OR-1896), an active metabolite of (R)-([4-(1,4,5, 6-tetrahydro-4-methyl-6-oxo-3-pyridazinyl)phenyl]-hydrazono)-pr opaned initrile (levosimendan). Concentration-response curve for OR-1896 was biphasic: positive inotropic effect of OR-1896 reached a plateau at 10(-5) M (1st phase) and the concentration-response curve became steeper at 10(-3) M and higher (2nd phase). Maximum response of the 1st phase was 29% of maximal response to isoproterenol and associated with an increase in Ca(2+) transients of 13% of the maximal response to isoproterenol. For a given increase in force, the increase in Ca(2+) transients by OR-1896 was lower than that induced by elevation of [Ca(2+)](o). The positive inotropic effect of OR-1896 was not associated with impairment of relaxation and it was abolished by carbachol. In conclusion, OR-1896 has a positive inotropic effect partly due to an increase in myofibrillar Ca(2+) sensitivity that is exerted via cross-talk with signal transduction mediated by cAMP.

Effects of OR-1896, an active metabolite of levosimendan, on contractile force and aequorin light transients in intact rabbit ventricular myocardium

We performed experiments in rabbit ventricular papillary muscles loaded with aequorin to elucidate the mechanism of positive inotropic effect (PIE) of OR-1896, an active metabolite of levosimendan. The concentration-response curve (CRC) for OR-1896 was biphasic: PIE of OR-1896 reached a plateau at 10(-5) M (first phase), and the CRC became steeper at 10(-3) M and higher (second phase). Maximal response of the first phase was 11% of the maximal response to isoproterenol (ISOmax) and associated with an increase in Ca2+ transients of 5% of ISOmax. For a given degree of PIE, the increase in Ca2+ transients by OR-1896 was lower than that induced by elevation of [Ca2+]o. The PIE of OR-1896 was not associated with impairment of relaxation, and it was abolished by carbachol. In conclusion, OR-1896 has a PIE partly due to an increase in myofibrillar Ca2+ sensitivity that is exerted through crosstalk with signal transduction mediated by cyclic adenosine monophosphate (cAMP).

Effects of levosimendan on myocardial contractility and Ca2+ transients in aequorin-loaded right-ventricular papillary muscles and indo-1-loaded single ventricular cardiomyocytes of the rabbit

Effects of levosimendan on myocardial contractility and Ca2+ transients were assessed in the ventricular myocardium of the rabbit. Levosimendan at and above 0.1 microM had a concentration-dependent positive inotropic effect (PIE) on isolated papillary muscles that had been loaded with aqeuorin. The maximum inotropic response to levosimendan at 3 microM was approximately 20% of the maximum response to isoproterenol (ISOmax), whereas the maximum increase in the amplitude of Ca2+ transients was approximately 11% of ISOmax. For a given PIE, levosimendan increased the amplitude of Ca2+ transients much less than an elevation of [Ca2+]o. Levosimendan did not prolong the relaxation time. Similar results were obtained in single ventricular cardiomyocytes that had been loaded with indo-1. In the presence of the muscarinic receptor agonist carbachol, both the PIE and the increase in the Ca2+ transient induced by levosimendan were markedly attenuated. During wash-out of both carbachol and levosimendan, the contractile force increased conspicuously with little change in the amplitude of Ca2+ transients, an indication that the increase in myofibrillar sensitivity to Ca2+ ions elicited by levosimendan was susceptible to carbachol. Levosimendan at and above 0.03 microM shifted the concentration-response curve for isoproterenol to the left. Levosimendan had a positive chronotropic effect at 0.01 microM and higher in the isolated right atrium of the rabbit. These findings indicate that, in addition to the increase by levosimendan of the sensitivity of contractile proteins to Ca2+ ions, the accumulation of cyclic AMP due to the phosphodiesterase-inhibitory action of levosimendan might contribute to the PIE of this drug.

Endothelin: receptor subtypes, signal transduction, regulation of Ca2+ transients and contractility in rabbit ventricular myocardium

Endothelin (ET) isopeptides, ET-1, ET-2 and ET-3, elicit a positive inotropic effect (PIE) in association with a negative lusitropic effect, essentially with identical efficacies and potencies in the isolated rabbit papillary muscle, but with different concentration-dependent properties. Pharmacological analysis indicates that the PIE of ET-1 is mediated by an ETA2 subtype that is less sensitive to BQ-123 and FR139317, whereas the PIE of ET-3 is mediated by an ETA1 subtype that is highly sensitive to these ETA antagonists. ETs increased the amplitude of intracellular Ca2+ transient (CaT) in indo-1 loaded rabbit ventricular myocytes, but the increase was much smaller than that produced by elevation of [Ca2+]o or isoproterenol for a given extent of PIE, an indication of increased myofibrillar Ca2+ sensitivity. ETs stimulate phosphoinositide (PI) hydrolysis, which leads to production of inositol 1,4,5-trisphosphate (IP3) and diacylglycerol (DAG). Evidence for the role of IP3-induced Ca2+ release in cardiac E-C coupling is tenuous. Generation of IP3 induced by ET-1 was transient and returned to the baseline level when the PIE reached an elevated steady level. Protein kinase C (PKC) that is activated by DAG and also via other pathways triggered by ETs stimulates Na+-H+ exchanger to lead to an increased [Na+]i and alkalinization. The former may contribute to an increase in the amplitude of CaT through Na+-Ca2+ exchanger, and the latter, to an increase in myofibrillar Ca2+ sensitivity. A number of PKC inhibitors, such as staurosporine, H-7, calphostin C and chelerythrine, consistently and selectively inhibited the PIE of ET-3 without affecting the PIE of isoproterenol and Bay k 8644. The maximum inhibition was 20-30% of the total response. A Na+-H+ exchange inhibitor, [5-(N-ethyl-N-isopropyl) amiloride (EIPA)] or a Ca2+ antagonist, verapamil, could not completely inhibit the PIE of ET-3, but the combination of both inhibitors totally abolished the PIE of ET-3. These findings indicate that activation of PKC and subsequent activation of Na+-H+ exchanger and/or L-type Ca2+ channels may play a crucial role in the cardiac action of ET isopeptides in the rabbit ventricular myocardium.

Pharmacological differentiation of synergistic contribution of L-type Ca2+ channels and Na+/H+ exchange to the positive inotropic effect of phenylephrine, endothelin-3 and angiotensin II in rabbit ventricular myocardium

The present study was designed to delineate pharmacologically the role of sarcolemmal L-type Ca2+ channels and Na+/H+ exchange in the positive inotropic effect (PIE) of phenylephrine mediated by alpha-1 adrenoceptors, endothelin (ET) and angiotensin II (Ang II) that stimulate phosphoinositide (PI) hydrolysis in the rabbit ventricular muscle. The PIE of these receptor agonists was compared with the PIE of isoprenaline that accumulates cyclic AMP. For this purpose, we investigated the influence of a Ca2+ antagonist, verapamil, and of an inhibitor of Na+/H+ exchange, 5-(N-ethyl-N-isopropyl) amiloride (EIPA), alone or in combination, on the cumulative concentration-response curve (CRC) for phenylephrine (with 0.3 microM bupranolol). ET-3 and Ang II in isolated right ventricular papillary muscles of the rabbit, which were electrically stimulated at 1 Hz in Krebs-Henseleit solution at 37 degrees C. Verapamil at 0.3 and 1 microM decreased the basal force of contraction to 37.0 +/- 4.0% and 13.2 +/- 1.1% of the control, respectively, while EIPA event at 10 microM affected the basal force to much less extent and decreased it to 87.0 +/- 1.4%. Verapamil (0.3 and 1 microM) and EIPA (1 and 10 microM), when used alone, each significantly attenuated but did not abolish the PIEs induced by phenylephrine, ET-3 and Ang II, while the simultaneous administration of verapamil (1 microM) and EIPA (10 microM) consistently and almost completely inhibited the PIE induced by these receptor agonists. By contrast, the PIE of isoprenaline was retained even in the presence of verapamil and EIPA. These results indicate that both the influx of Ca2+ ions through L-type Ca2+ channels and activation of Na+/ H+ exchange contribute synergistically to the PIE that is mediated by alpha-1 adrenergic, ET and Ang II receptor agonists, while these mechanisms are not essential for the beta-adrenoceptor-mediated PIE.

Prevalence of pathogenic bacteria in patients with sore throat

From 361 females and 452 males (527 primary care out-patients and 286 in-patients) a total of 813 throat swabs were examined for bacterial pathogens by conventional bacteriological techniques. Beta-haemolytic streptococci were grouped by the coagglutination method. Throat swabs from 14% of males and 15.6% of females were positive for bacterial pathogens; 75 (64% specimens grew BHS group A. All age groups of both sexes yielded a similar proportion of organisms. All pathogens were sensitive to penicillin, erythromycin and cephradine.

Alimentary tract presentations of brucellosis

A retrospective study was conducted to assess alimentary tract involvement in 140 Saudi patients with acute or chronic brucellosis. A brucella standard agglutination titer of 160 or over was considered to be positive evidence of brucella infection. The commonest symptoms were anorexia, weight loss, right hypochondrial pain, and constipation. A history of raw milk ingestion was obtained in 38 patients. Thirty-nine patients had hepatomegaly, 21 had splenomegaly, and six had signs of cholecystitis. Bilirubin was elevated in eight patients; one or more of the liver enzyme activities studied were elevated in 75 patients. Four of the 14 liver biopsies performed revealed Brucella microgranulomata. Abdominal ultrasound studies were abnormal in 29 of 46 patients. Thirty patients had a normal upper or lower gastrointestinal tract endoscopy. Blood cultures from 18 patients were incubated for six to eight weeks, with Brucella melitensis isolated from five. Sixty-seven patients (47.86%) received effective treatment for brucellosis with improvement in the symptoms, signs and liver functions. Brucellosis is relatively common in the Kingdom of Saudi Arabia, and efforts should be taken to control and possibly eradicate this disease.