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1.
Sci Rep ; 14(1): 15118, 2024 07 02.
Artículo en Inglés | MEDLINE | ID: mdl-38956171

RESUMEN

The use of novel active ingredients for the functional modification of chitosan nanoformulations has attracted global attention. In this study, chitosan has been functionalized via histidine to craft novel chitosan-histidine nanoformulation (C-H NF) using ionic gelation method. C-H NF exhibited elite physico-biochemical properties, influencing physiological and biochemical dynamics in Tomato. These elite properties include homogenous-sized nanoparticles (314.4 nm), lower PDI (0.218), viscosity (1.43 Cps), higher zeta potential (11.2 mV), nanoparticle concentration/ml (3.53 × 108), conductivity (0.046 mS/cm), encapsulation efficiency (53%), loading capacity (24%) and yield (32.17%). FTIR spectroscopy revealed histidine interaction with C-H NF, while SEM and TEM exposed its porous structure. Application of C-H NF to Tomato seedling and potted plants through seed treatment and foliar spray positively impacts growth parameters, antioxidant-defense enzyme activities, reactive oxygen species (ROS) content, and chlorophyll and nitrogen content. We claim that the histidine-functionalized chitosan nanoformulation enhances physico-biochemical properties, highlighting its potential to elevate biochemical and physiological processes of Tomato plant.


Asunto(s)
Quitosano , Histidina , Nanopartículas , Solanum lycopersicum , Solanum lycopersicum/metabolismo , Solanum lycopersicum/crecimiento & desarrollo , Quitosano/química , Histidina/química , Nanopartículas/química , Especies Reactivas de Oxígeno/metabolismo , Antioxidantes/química , Antioxidantes/farmacología , Clorofila/metabolismo , Clorofila/química , Plantones/crecimiento & desarrollo , Plantones/efectos de los fármacos , Plantones/metabolismo , Espectroscopía Infrarroja por Transformada de Fourier
2.
Antimicrob Agents Chemother ; : e0008424, 2024 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-38758004

RESUMEN

When using amikacin to treat Mycobacterium avium complex pulmonary disease (MAC-PD), a minimum inhibitory concentration resistance breakpoint of ≥64 mcg/mL is recommended. We explored whether amikacin resistance characterized by phenotypic drug susceptibility testing was associated with clinical outcomes or mutational resistance in a retrospective cohort of patients with MAC-PD. Despite little aminoglycoside exposure, amikacin resistance was common in our MAC-PD patients but was not associated with worse outcomes or rrs gene mutations.

3.
Theor Appl Genet ; 137(1): 32, 2024 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-38270625

RESUMEN

KEY MESSAGE: Mapping and fine mapping of bean anthracnose resistance genes is a continuous process. We report fine mapping of anthracnose resistance gene Co-18 which is the first anthracnose gene mapped to Pv10. The discovery of resistance gene is a major gain in the bean anthracnose pathosystem research. Among the Indian common bean landraces, KRC-5 exhibit high levels of resistance to the bean anthracnose pathogen Colletotrichum lindemuthianum. To precisely map the anthracnose resistance gene, we used a Recombinant Inbred Line (F2:9 RIL) population (KRC-5 × Jawala). The inheritance test revealed that KRC-5 carries a dominant resistance gene temporarily designated as Co-18. We discovered two RAPD markers linked to Co-18 among 287 RAPD markers. These RAPD markers were eventually developed into SCARs (Sc-OPR15 and Sc-OPF6) and flank Co-18 on chromosome Pv10 at a distance of 5.3 and 4.2 cM, respectively. At 4.0-4.1 Mb on Pv10, we detected a SNP (single-nucleotide polymorphism) signal. We synthesized 58 SSRs and 83 InDels from a pool of 135 SSRs and 1134 InDels, respectively. Five SSRs, four InDels, and two SCARs were used to generate the high-density linkage map, which led to the identification of two SSRs (SSR24 and SSR36) that are tightly linked to Co-18. These two SSRs flank the Co-18 to 178 kb genomic region with 13 candidate genes including five NLR (nucleotide-binding and leucine-rich repeat) genes. The closely linked markers SSR24 and SSR36 will be used in cloning and pyramiding of the Co-18 gene with other R genes to develop durable resistant bean varieties.


Asunto(s)
Phaseolus , Phaseolus/genética , Cicatriz , Técnica del ADN Polimorfo Amplificado Aleatorio , Mapeo Cromosómico , Genes Dominantes
5.
Environ Monit Assess ; 193(7): 424, 2021 Jun 16.
Artículo en Inglés | MEDLINE | ID: mdl-34132904

RESUMEN

The low ionic concentration meltwaters of the rivers originating from the Himalayan glaciers play a significant role in diluting the high solute load emanating from Ganga plain catchments. Hence, any change in the qualitative and quantitative characteristics of the Himalayan tributaries of River Ganga under the changing climatic scenario will impact the hydrochemical parameters of River Ganga as well. Hydrochemical investigations have been carried out in the River Alaknanda, a tributary of River Ganga during the period September 2016-May 2018 and revealed that TSS and COD values were observed above the prescribed criteria limit of 10 mg/L for drinking purpose for river as prescribed by CPCB. The anions for all sampling sites and seasons were observed to be in decreasing order of HCO3- > SO42- > Cl- > NO3- and cations Ca2+ > Mg2+ > Na+ > K+. The weathering of rock forming minerals of drainage basin is responsible for the chemical composition of river water. HCO3- being the dominant anion in the study area accounts for its presence due to carbonate and silicate weathering. Ion exchange process controls the major ion chemistry of the river water. The assessment and management of non-point sources (NPS) pollution are difficult by any deterministic method and require a vast amount of data to compensate for their extent of contamination, in the account of their prevailing nature in response to hydrological processes and land use patterns. In the present investigation, the application of a simple chemical mass balance approach based on law of conservation of mass/matter has been applied on River Alaknanda, a tributary of River Ganga for measuring the chemical mass loadings of some selected water quality constituents, viz., major cations (sodium, potassium, calcium, magnesium, and ammonium) and major anions (chloride, sulfate, nitrate, and phosphate) at upstream and downstream of different point source locations for examining the contribution made by non-point sources of pollution to the river. Time series analysis of various ion concentrations at point source sites and upstream/downstream sites inferred that the fluvial variations pertaining to ion concentration and flux are strongly dependent on the seasonal changes. More contribution (> 30-50%) for almost all constituents from uncharacterized sources was observed in the months of November to February, which may be attributed to intensified agricultural activities during the winter months particularly cereals and vegetables.


Asunto(s)
Monitoreo del Ambiente , Contaminantes Químicos del Agua , India , Ríos , Contaminantes Químicos del Agua/análisis , Calidad del Agua , Tiempo (Meteorología)
6.
Appl Soft Comput ; 105: 107285, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33723486

RESUMEN

This paper presents a model based on mediative fuzzy logic in this COVID-19 pandemic. COVID-19 (novel coronavirus respiratory disease) has become a pandemic now and the whole world has been affected by this disease. Different methodologies and many prediction techniques based on various models have been developed so far. In the present article, we have developed a mediative fuzzy correlation technique based on the parameters for COVID-19 patients from different parts of India. The proposed mediative fuzzy correlation technique provides the relation between the increments of COVID-19 positive patients in terms of the passage of increment with respect to time. The peaks of infected cases in connection with the other condition are estimated from the available data. The mediative fuzzy logic mathematical model can be utilized to find a good fit or a contradictory model for any pandemic model. The proposed approach to the prediction in COVID-19 based on mediative fuzzy logic has produced promising results for the continuous contradictory prediction in India.

7.
Appl Radiat Isot ; 172: 109677, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33711586

RESUMEN

Inorganic scintillator-based gamma spectrometry is typically carried out under laboratory conditions by using systems that require AC mains supply and dedicated computers for their operation. In this study, an in-house grown CsI(Tl) single crystal scintillator is optically coupled to a bialkali photomultiplier tube (PMT). The output of the PMT is fed to a pulse processing chain consisting of a preamplifier followed by an in-house designed and developed field programmable gate array (FPGA) based multichannel analyzer (MCA). Spectral data from this MCA is sent via serial communication to a microcontroller. A global system for mobile communications (GSM) modem transmits this data in the form of short message service (SMS) packets to a central receiving station, where the spectrum is reconstructed. The requirement of on-site data logging computer to store large spectral data has thereby been eliminated, which, in turn, has eliminated the requirement of AC power supply, reduced the overall power consumption and size of the system, and made it possible to develop a standalone solar-powered unit. For further reduction of overall power consumption, the spectrometer is turned-on only when a Geiger Mueller (GM) counter based gross gamma detection circuit, also included in the system, detects an ambient gamma dose rate beyond a pre-set threshold level. A mathematical methodology has also been implemented for restoration of recorded spectra, shifted due to temperature variations in the environment. All these features have been integrated and a standalone, solar-powered and battery operated field-deployable environmental gamma spectrometry system (EGSS) has been developed and tested for open field deployment. Presence of 41Ar in ambient air was successfully detected by the system.

8.
Appl Radiat Isot ; 169: 109556, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33338832

RESUMEN

We demonstrate the capability of Regularized Particle Filter (RPF) based algorithm to localise and quantify an orphan gamma-ray source situated in an unknown area using a single radiation detection system. The radiological measurements are made in the form of gamma spectra at multiple locations using an in-house developed backpack gamma spectrometer based on a 2″ x 2″ NaI(Tl) scintillation detector. We developed an Android application based on RPF which processes the gamma spectra received from the backpack over Bluetooth along with location information acquired from the smart phone's GPS in real time to show the source location in latitude, longitude format and source strength. To examine the performance of the algorithm, the radiological source search operation is carried out with 5.74 GBq 137Cs and 2.66 GBq 60Co in two independent experiments. The sources are located within an error of 10 m in location and 10% in source strength during the multiple experiments. The experiments are conducted in an open field where the attenuating medium for gamma rays would appear homogeneous at all the measurement points. Further improvements in the methodology are required for the localisation and quantification of source in an urban environment with a single detector.

10.
Environ Monit Assess ; 192(2): 74, 2020 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-31897853

RESUMEN

Most abundant form of sulphur in the geosphere has been sulphate. Sulphate, with sulphur in the plus six oxidation state is very stable. Sources of sulphate in groundwater include mineral dissolution, atmospheric deposition and other anthropogenic sources (mining, fertilizer, etc.). Gypsum is an important contributor to the high levels of sulphate in many aquifer of the world. Sulphate is not as much as toxic, but it can cause catharsis, dehydration and diarrhoea, and when ingested in higher amount through dietary absorption, the levels of methaemoglobin and sulphaemoglobin are changed in human and animal body. The role of sulphate in aqueous phase and sedimentary phase has been discussed. There is only limited work on sulphate pollution remediation in groundwater at national and international level; therefore, in the light of rising attention in sulphate as a contaminant, different sources of sulphate, its distribution and available different remediation techniques for groundwater system reported so far have been discussed in the present paper. Abiologic processes' thermochemical sulphate reduction (TSR) also plays significant role in reduction of sulphate.


Asunto(s)
Monitoreo del Ambiente , Restauración y Remediación Ambiental , Agua Subterránea/química , Sulfatos/análisis , Contaminantes Químicos del Agua/análisis , Animales , Humanos , Minería
11.
Environ Monit Assess ; 191(3): 182, 2019 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-30798363

RESUMEN

Water quality indices are mathematical equations that transform water quality data into a particular number which describe the status of water. A number of water quality indices have been developed by various researchers for categorizing the water quality for different uses. These indices are developed based on classification criteria, sub-indices, and aggregation function. In the present study, a generalized Composite Water Quality Index (CWQI) is developed to classify the water into five categories, viz excellent, good, fair, poor, and polluted. For this purpose, the concentration ranges have been categorized on the basis of the Indian Standards (IS) and Central Pollution Control Board (CPCB) standards and considering International standards of World Health Organization (WHO) and European Commission (EC). Twenty-five water quality parameters are selected based on the social and environmental impacts, and weights are computed using the Saaty's Analytic Hierarchy Process (AHP) Multiple Criteria Decision Analysis (MCDA) tool. These parameters are selected such that the same indices can be used to assess the quality of both surface and ground water. The computed weights minimize the subjectivity in assigning the parameter weights. The proposed index improves understanding of water quality issues by integrating complex data and generates a score which describes the status of water quality. The index will be very useful for the water management authorities to maintain good health of surface water resources.


Asunto(s)
Monitoreo del Ambiente/normas , Contaminantes Químicos del Agua/análisis , Técnicas de Apoyo para la Decisión , Agua Dulce/química , Agua Subterránea/química , India , Contaminación del Agua/análisis , Calidad del Agua/normas , Recursos Hídricos , Abastecimiento de Agua/normas , Abastecimiento de Agua/estadística & datos numéricos
12.
Sci Total Environ ; 662: 842-851, 2019 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-30708299

RESUMEN

The study examine the major ion chemistry and p(CO2) variations of Ganga headwater stream for a stretch of 18 km from Gangotri glacier snout at Gomukh to Gangotri for characterising the open and closed system conditions and its temporal variations. The study has been carried out at three locations along the stream continuum, at the glacier snout (0 km), Bhojwasa (4 km) and Gangotri (18 km) covering three consecutive melt seasons from the year 2014 to 2016 and reveals the persistence of closed system conditions along the stream stretch. The year 2014 and 2016 melt seasons experience high p(CO2) closed system conditions associated with high suspended sediment flux, whereas the year 2015 experienced low p(CO2) closed system condition associated with low sediment flux suggesting in-stream sulphide oxidation during high sediment flux years and results into low values of the C-ratio. On the other hand, the melt season with low sediment flux such as the year 2015 showed dominance of HCO3- over SO42- and higher C-ratio. The study shows that the headwater reach of River Bhagirathi from Gomukh to Gangotri has prevalence of high p(CO2) closed system characteristics associated with high sediment flux and dominance of SO42- during the seasonal peak flow. This is suggested as a unique characteristic of the meltwaters of the upper Bhagirathi basin.

13.
Transbound Emerg Dis ; 65(2): e404-e415, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29205858

RESUMEN

Foot-and-mouth disease (FMD) is an important transboundary disease with substantial economic impacts. Although between-herd transmission of the disease has been well studied, studies focusing on within-herd transmission using farm-level outbreak data are rare. The aim of this study was to estimate parameters associated with within-herd transmission, host physiological factors and FMD virus (FMDV) persistence using data collected from an outbreak that occurred at a large, organized dairy farm in India. Of 1,836 regularly vaccinated, adult dairy cattle, 222 had clinical signs of FMD over a 39-day period. Assuming homogenous mixing, a frequency-dependent compartmental model of disease transmission was built. The transmission coefficient and basic reproductive number were estimated to be between 16.2-18.4 and 67-88, respectively. Non-pregnant animals were more likely to manifest clinical signs of FMD as compared to pregnant cattle. Based on oropharyngeal fluid (probang) sampling and FMDV-specific RT-PCR, four of 36 longitudinally sampled animals (14%) were persistently infected carriers 10.5 months post-outbreak. There was no statistical difference between subclinical and clinically infected animals in the duration of the carrier state. However, prevalence of NSP-ELISA antibodies differed significantly between subclinical and clinically infected animals 12 months after the outbreak with 83% seroprevalence amongst clinically infected cattle compared to 69% of subclinical animals. This study further elucidates within-herd FMD transmission dynamics during the acute-phase and characterizes duration of FMDV persistence and seroprevalence of FMD under natural conditions in an endemic setting.


Asunto(s)
Enfermedades de los Bovinos/transmisión , Brotes de Enfermedades/veterinaria , Transmisión de Enfermedad Infecciosa/veterinaria , Virus de la Fiebre Aftosa/aislamiento & purificación , Fiebre Aftosa/transmisión , Vacunación/veterinaria , Animales , Anticuerpos Antivirales/sangre , Portador Sano/veterinaria , Bovinos , Enfermedades de los Bovinos/epidemiología , Enfermedades de los Bovinos/prevención & control , Ensayo de Inmunoadsorción Enzimática/veterinaria , Femenino , Fiebre Aftosa/epidemiología , Fiebre Aftosa/prevención & control , Virus de la Fiebre Aftosa/inmunología , India , Masculino , Prevalencia , Estudios Seroepidemiológicos , Vacunas Virales/administración & dosificación
14.
Indian J Nephrol ; 28(6): 462-464, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30647501

RESUMEN

Hepatitis C virus (HCV) infection has been shown to affect kidneys with various histopathological pattern on the kidney biopsy. These commonly include a membranoproliferative glomerulonephritis (MPGN) pattern with mixed cryoglobulinemia (CG), thrombotic microangiopathy, membranous nephropathy, and vasculitis affecting medium and small vessels of the kidneys causing polyarteritis nodosa. It has been rarely associated with MPGN without detectable CG. We present one such patient who presented to us with HCV-associated MPGN without detectable CG, who recovered completely with directly acting antiviral therapy without any immunosuppression.

15.
Hepatol Int ; 11(5): 461-471, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28856540

RESUMEN

BACKGROUND AND AIMS: Acute-on-chronic liver failure (ACLF) is a progressive disease associated with rapid clinical worsening and high mortality. Early prediction of mortality and intervention can improve patient outcomes. We aimed to develop a dynamic prognostic model and compare it with the existing models. METHODS: A total of 1402 ACLF patients, enrolled in the APASL-ACLF Research Consortium (AARC) with 90-day follow-up, were analyzed. An ACLF score was developed in a derivation cohort (n = 480) and was validated (n = 922). RESULTS: The overall survival of ACLF patients at 28 days was 51.7%, with a median of 26.3 days. Five baseline variables, total bilirubin, creatinine, serum lactate, INR and hepatic encephalopathy, were found to be independent predictors of mortality, with AUROC in derivation and validation cohorts being 0.80 and 0.78, respectively. AARC-ACLF score (range 5-15) was found to be superior to MELD and CLIF SOFA scores in predicting mortality with an AUROC of 0.80. The point scores were categorized into grades of liver failure (Gr I: 5-7; II: 8-10; and III: 11-15 points) with 28-day cumulative mortalities of 12.7, 44.5 and 85.9%, respectively. The mortality risk could be dynamically calculated as, with each unit increase in AARC-ACLF score above 10, the risk increased by 20%. A score of ≥11 at baseline or persisting in the first week was often seen among nonsurvivors (p = 0.001). CONCLUSIONS: The AARC-ACLF score is easy to use, dynamic and reliable, and superior to the existing prediction models. It can reliably predict the need for interventions, such as liver transplant, within the first week.


Asunto(s)
Insuficiencia Hepática Crónica Agudizada/mortalidad , Puntuaciones en la Disfunción de Órganos , Humanos , Pronóstico , Sensibilidad y Especificidad , Análisis de Supervivencia
16.
SAR QSAR Environ Res ; 27(4): 265-92, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27094303

RESUMEN

Type 2 diabetes mellitus is described by insulin resistance and high fasting blood glucose. Increased levels of 11ß-hydroxysteroid dehydrogenase type 1 (11ß-HSD1) enzyme result in insulin resistance and metabolic syndrome. Inhibition of 11ß-HSD1 decreases glucose production and increases hepatic insulin sensitivity. Use of selective 11ß-HSD1 inhibitors could prove to be an effective strategy for the treatment of the disease. It was decided to identify the essential structural features required by any compound to possess 11ß-HSD1 inhibitory activity. A dataset of 139 triazoles and tetrazoles having 11ß-HSD1 inhibitory activity was used for the development of a 3D-QSAR model. The best comparative molecular field analysis (CoMFA) model was generated with databased alignment, which was further used for comparative molecular similarity indices analysis (CoMSIA). The optimal CoMSIA model showed [Formula: see text] = 0.809 with five components, [Formula: see text] = 0.931, SEE = 0.323 and F-value = 249.126. The CoMSIA model offered better prediction than the CoMFA model with [Formula: see text] = 0.522 and 0.439, respectively, indicating that the CoMSIA model appeared to be a better one for the prediction of activity for the newly designed 11ß-HSD1 inhibitors. The selectivity aspect of 11ß-HSD1 over 11ß-HSD2 was studied with the help of docking studies.


Asunto(s)
11-beta-Hidroxiesteroide Deshidrogenasa de Tipo 1/antagonistas & inhibidores , Simulación del Acoplamiento Molecular , Relación Estructura-Actividad Cuantitativa , Tetrazoles/química , Triazoles/química , 11-beta-Hidroxiesteroide Deshidrogenasa de Tipo 1/química , Simulación por Computador , Conformación Molecular
17.
Environ Monit Assess ; 187(5): 295, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25910721

RESUMEN

Migration pattern of organochloro pesticide lindane has been studied in groundwater of metropolitan city Vadodara. Groundwater flow was simulated using the groundwater flow model constructed up to a depth of 60 m considering a three-layer structure with grid size of 40 × 40 × 40 m(3). The general groundwater flow direction is from northeast to south and southwest. The river Vishwamitri and river Jambua form natural hydrologic boundary. The constant head in the north and south end of the study area is taken as another boundary condition in the model. The hydraulic head distribution in the multilayer aquifer has been computed from the visual MODFLOW groundwater flow model. TDS has been computed though MT3D mass transport model starting with a background concentration of 500 mg/l and using a porosity value of 0.3. Simulated TDS values from the model matches well with the observed data. Model MT3D was run for lindane pesticide with a background concentration of 0.5 µg/l. The predictions of the mass transport model for next 50 years indicate that advancement of containment of plume size in the aquifer system both spatially and depth wise as a result of increasing level of pesticide in river Vishwamitri. The restoration of the aquifer system may take a very long time as seen from slow improvement in the groundwater quality from the predicted scenarios, thereby, indicating alarming situation of groundwater quality deterioration in different layers. It is recommended that all the industries operating in the region should install efficient effluent treatment plants to abate the pollution problem.


Asunto(s)
Monitoreo del Ambiente , Agua Subterránea/química , Hexaclorociclohexano/análisis , Modelos Químicos , Contaminantes Químicos del Agua/análisis , Hidrología , India , Industrias , Peso Molecular , Ríos
18.
Indian J Med Microbiol ; 33(1): 96-100, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25560010

RESUMEN

PURPOSE: Hepatitis B surface Antigen (HBsAg) is the hallmark in diagnosing hepatitis B virus (HBV) infection. In India many commercial assays are available for detection of HBsAg but very few can measure it quantitatively. The present study presents the comparative evaluation of two methods and their correlation with serum HBsAg in chronic hepatitis B (CHB) patients. MATERIALS AND METHODS: Consecutive patients of CHB were included and there HBsAg levels were measured by two methods: (i) Elecsys, Roche Diagnostics, a qualitative assay and (ii) Architect, Abbott Diagnostics, a quantitative assay. The HBV DNA was measured by real-time polymerase chain reaction (qPCR). RESULTS: Total of 136 patients were included in the study and there was a significant overall correlation between both the assays (correlation coefficient [r] = 0.83; P < 0.001). Assays correlated well with each other across all subgroups of CHB: treatment naοve (r = 0.73; P < 0.001, n = 32), on treatment (r = 0.56; P < 0.05, n = 104), hepatitis Be (HBe) antigen positive (r = 0.67; P < 0.001, n = 62) and anti-HBe positive (r = 0.61; P < 0.05, n = 74) group. On correlation with serum HBV DNA, Architect assay demonstrated good correlation (r = 0.73; P < 0.001, n = 136) as compared to the Elecsys assay (r = 0.27; P = 0.068, n = 136). Architect HBsAg QT assay (A1) also correlated well with HBV DNA in the treatment naοve group (r = 0.69; P < 0.001, n = 32). CONCLUSIONS: Our study hence proved that both the assays are comparable and a simple qualitative assay with in-house modification can be used easily for quatitation of HBsAg in clinical samples.


Asunto(s)
Pruebas Diagnósticas de Rutina/métodos , Antígenos de Superficie de la Hepatitis B/sangre , Hepatitis B Crónica/diagnóstico , Mediciones Luminiscentes/métodos , Adolescente , Adulto , Anciano , Niño , Preescolar , ADN Viral/sangre , Femenino , Humanos , India , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Reacción en Cadena en Tiempo Real de la Polimerasa , Adulto Joven
19.
J Viral Hepat ; 21(6): 439-46, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24750522

RESUMEN

The role of quantitative hepatitis B surface antigen (HBsAg) levels in patients receiving highly potent oral antiviral therapy is controversial, and here, we determined the HBsAg response in 121 chronic hepatitis B patients treated with tenofovir 300 mg daily. During tenofovir treatment, HBsAg decline of ≥ 1.0 log from baseline was seen in 16.1%, 16.3%, 18.4%, 34.6%, 36.4% and 11.8%, 15.2%, 14.8%, 28.6%, 20% at years 1, 2, 3, 4, 5 for HBeAg-positive and HBeAg-negative patients, respectively. Early decline in HBsAg levels at week 4 was predictive of subsequent significant HBsAg level decline. HBeAg seroconversion occurred in 29.9% of HBeAg-positive patients. On multinomial logistic regression, HBsAg level decline from baseline at week 4 and week 12 or any time subsequently did not correlate with HBeAg seroconversion and HBV DNA level decline from baseline at week 4 and week 12 (OR = 3.704; 95% CI = 1.511-9.076; P = 0.006 and OR = 1.732; 95% CI = 1.032-2.867; P = 0.037, respectively) was significantly predictive of seroconversion. A small proportion of chronic HBV-infected patients treated with tenofovir exhibit a significant (≥ 1.0 log) decline in HBsAg levels. Early decline in HBsAg levels at week 4 was predictive of subsequent and significant HBsAg level decline. The HBsAg decline did not correlate with HBeAg seroconversion in HBeAg-positive patients. Reduction in HBV DNA levels at week 4 and 12 correlated with seroconversion.


Asunto(s)
Adenina/análogos & derivados , Antivirales/uso terapéutico , Antígenos de Superficie de la Hepatitis B/sangre , Hepatitis B Crónica/tratamiento farmacológico , Organofosfonatos/uso terapéutico , Adenina/uso terapéutico , Adolescente , Adulto , Anciano , ADN Viral/sangre , Monitoreo de Drogas , Femenino , Antígenos e de la Hepatitis B/sangre , Humanos , Masculino , Persona de Mediana Edad , Tenofovir , Factores de Tiempo , Adulto Joven
20.
Tuberc Res Treat ; 2014: 536976, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24523962

RESUMEN

Introduction. Tuberculosis (TB) is a chronic infectious disease and mainly caused by mycobacterium tuberculosis (MTB). It has been one of the major causes of mortality in Ethiopia. The objective of the study was to identify factors that affect the survival of the patients with tuberculosis who started treatment for tuberculosis. Methods. This was a retrospective study in six randomly selected health centres in Addis Ababa, Ethiopia. The data were obtained from medical records of TB patients registered from September 2012 to August 2013 and treated under directly observed treatment surgery (DOTS) strategy. Kaplan Meier plots, logrank tests, and Wilcoxon tests were used to assess the survival pattern. Cox proportional hazards model for multivariable analysis was discussed. Results. Out of the total 826 registered TB patients, 105 (12.71%) died during the study period and 712 (87.29%) were censored. Based on Kaplan Meier survival curves, logrank test, and Wilcoxon test, it was found that the patients had statistically significant differences in survival experience with respect to age, body weight at initiation of treatment, TB patient category, and HIV status. Multivariable Cox hazards regression analysis revealed that the covariates age, TB patient category, HIV, and age by HIV interaction were significant risk factors associated with death status in TB patients. Conclusion. Deaths of individuals with diseases especially HIV coinfected and nonnew TB cases were high. Therefore, this needs to strengthen the follow-up of patients with TB treatment from the day of anti-TB treatment initiation to completion days.

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