A Cross-Sectional Study on the Estimation of Urine Albumin for the Early Diagnosis of Diabetic Nephropathy Among Patients With Diabetes Mellitus at a Tertiary Care Hospital in Central India.

Background Diabetic nephropathy is a significant concern among individuals with diabetes mellitus, warranting early diagnosis for effective management. This study focuses on the potential of urine albumin estimation as an early diagnostic tool for diabetic nephropathy among patients in central India. Methods A cross-sectional methodology involved 65 individuals diagnosed with diabetes mellitus at a tertiary care hospital. Demographic factors, including age, gender, family history, duration of diabetes, and dietary patterns, were gathered. Urine albumin levels were categorized as "normal," "microalbuminuria," and "macroalbuminuria." The collected data were analyzed using IBM SPSS Statistics, version 24.0 (IBM Corp., Armonk, NY). Qualitative variables were presented as percentages and counts. The comparison between groups was conducted using the chi-square exact test. Quantitative variables were described as mean (±standard deviation) and median. Results The study reveals that 78.5% of cases exhibited normal levels below 30 mg, with a mean value of 1.00 ± 0.414. Microalbuminuria, characterized by 30-300 mg levels, was observed in 21.5% of cases. Importantly, no instances of macroalbuminuria, with levels exceeding 300 mg, were detected among the participants. There are associations between demographic variables and diabetic nephropathy findings. Age and gender displayed non-significant associations. Family history of diseases, particularly diabetes, showed significance. Diabetes duration demonstrated a significant link, while diet patterns displayed no significant associations. Conclusion This study contributes insights into the complex interactions of demographic factors in diabetic nephropathy. Early identification and intervention, guided by the associations observed, could enhance patient outcomes and mitigate the burden of diabetic nephropathy-related complications. Further research is warranted to validate and extend these findings to diverse populations.

Comprehensive Impacts of Climate Change on Rice Production and Adaptive Strategies in China.

The rice production system is one of the most climate change sensitive agro-ecosystems. This paper reviews the effects of current and future climate change on rice production in China. In recent decades, thermal resources have increased during the rice growing season, while solar radiation resources have decreased, and precipitation heterogeneity has increased. The increasing frequency of high-temperature stress, heavy rainfall, drought, and flood disasters may reduce the utilization efficiency of hydrothermal resources. Climate change, thus far, has resulted in a significant northward shift in the potential planting boundaries of single- and double-cropping rice production systems, which negatively affects the growth duration of single-, early-, and late-cropping rice. Studies based on statistical and process-based crop models show that climate change has affected rice production in China. The effects of climate change on the yield of single rice (SR), early rice (ER), and late rice (LR) were significant; however, the results of different methods and different rice growing areas were different to some extent. The trend of a longer growth period and higher yield of rice reflects the ability of China's rice production system to adapt to climate change by adjusting planting regionalization and improving varieties and cultivation techniques. The results of the impact assessment under different climate scenarios indicated that the rice growth period would shorten and yield would decrease in the future. This means that climate change will seriously affect China's rice production and food security. Further research requires a deeper understanding of abiotic stress physiology and its integration into ecophysiological models to reduce the uncertainty of impact assessment and expand the systematicness of impact assessment.

Exploring Suitability of Salsola imbricata (Fetid Saltwort) for Salinity and Drought Conditions: A Step Toward Sustainable Landscaping Under Changing Climate.

In context of the climate change, major abiotic stresses faced by plants include salt stress and drought stress. Though, plants have similar physiological mechanisms to cope with these salt and drought stresses. The physiological and biochemical response of native plants to the combined application of salinity and drought stresses are still not well-understood. Thus, to investigate the combined effect of salinity and drought stresses, an experiment was conducted on Salsola imbricata with four levels of salinity and four drought intensities under the arid climatic conditions. The experiment was conducted in a randomized complete block design with a split-plot arrangement replicated three times. S. imbricata had been found resistant to different levels of individual and combined salt and drought stresses. S. imbricata survived till the end of the experiment. Salt and water stress did not show any significant effects on shoot weight, shoot length, and root length. The drought stress affected the photosynthetic rate, ion uptake and leaf water potential. However, salt stress helped to counter this effect of drought stress. Thus, drought stress did not affect plant growth, photosynthesis rate, and ion uptake when combined with salt stress. Increased Na+ and Cl- uptake under the salt stress helped in osmotic adjustment. Therefore, the leaf water potential (LWP) decreased with increasing the salt stress from 5 dSm-1 until 15 dSm-1 and increased again at 20 dSm-1. At lower salt stress, ABA and proline content declined with increasing the drought stress. However, at higher salt stress, ABA content increased with increasing the drought stress. In conclusion, the salt stress had been found to have a protective role to drought stress for S. imbricata. S. imbricata utilized inorganic ion for osmotic adjustment at lower salinity stress but also accumulate the organic solutes to balance the osmotic pressure of the ions in the vacuole under combined stress conditions. Due to the physical lush green appearance and less maintenance requirements, S. imbricata can be recommended as a native substitute in landscaping under the salt and drought stresses conditions.

Gene mapping in an anophthalmic pedigree of a consanguineous Pakistani family opened new horizons for research.

Clinical anophthalmia is a rare inherited disease of the eye and phenotype refers to the absence of ocular tissue in the orbit of eye. Patients may have unilateral or bilateral anophthalmia, and generally have short palpebral fissures and small orbits. Anophthalmia may be isolated or associated with a broader syndrome and may have genetic or environmental causes. However, genetic cause has been defined in only a small proportion of cases, therefore, a consanguineous Pakistani family of the Pashtoon ethnic group, with isolated clinical anophthalmia was investigated using linkage mapping. A family pedigree was created to trace the possible mode of inheritance of the disease. Blood samples were collected from affected as well as normal members of this family, and screened for disease-associated mutations. This family was analyzed for linkage to all the known loci of clinical anophthalmia, using microsatellite short tandem repeat (STR) markers. Direct sequencing was performed to find out disease-associated mutations in the candidate gene. This family with isolated clinical anophthalmia, was mapped to the SOX2 gene that is located at chromosome 3q26.3-q27. However, on exonic and regulatory regions mutation screening of the SOX2 gene, the disease-associated mutation was not identified. It showed that another gene responsible for development of the eye might be present at chromosome 3q26.3-q27 and needs to be identified and screened for the disease-associated mutation in this family.

Antimicrobial resistance among aerobic biofilm producing bacteria isolated from chronic wounds in the tertiary care hospitals of Peshawar, Pakistan.

OBJECTIVE: Chronic wound infections impose major medical and economic costs on health-care systems, cause significant morbidity, mortality and prolonged hospitalisation. The presence of biofilm producing bacteria in these wounds is considered as an important virulence factor that leads to chronic implications including ulceration. The undertaken study aimed to isolate and identify the biofilm aerobic bacterial pathogens from patients with chronic wound infections, and determine their antibiotics resistance profiles Method: During this study, swab specimens were collected from patients with chronic wounds at teaching hospitals of Peshawar, Pakistan between May 2013 and June 2014. The isolated aerobic bacterial pathogens were identified on the basis of standard cultural characteristics and biochemical tests. Antibiotics resistance profiles of biofilm producing bacteria against selected antibiotics were then determined. RESULTS: Among the chronic wound infections, diabetic foot ulcers were most common 37 (37%), followed by surgical ulcers 27 (27%). Chronic wounds were common in male patients older than 40 years. Among the total 163 isolated bacterial pathogens the most prevalent bacterial species were Pseudomonas aeruginosa 44 (27%), Klebsiella pneumoniae 26 (16%), Staphylococcus species 22 (14%) and Streptococcus spp. 21 (13%). The isolation rate of bacterial pathogens was high among patients with diabetic foot ulcers 83 (50.9%). Among bacterial isolates, 108 (66.2%) were observed as biofilm producers while 55 (33.8%) did not form biofilm in our model. The investigated biofilm producing bacterial isolates showed comparatively high resistance against tested antibiotics compared to non-biofilm producing bacterial isolates. The most effective antibiotics were amikacine and cefepime against all isolates. CONCLUSION: Increased multidrug resistance in biofilm producing bacteria associated with chronic wounds was observed in this study. Judicious use of antibiotics is needed to control the wound associated biofilm associated pathogens.

Two new diarylheptanoids from Alnus nitida.

Two new diarylheptanoids, trivially named nitidone A and nitidone B, have been isolated from Alnus nitida. The structure elucidation of the compounds was based primarily on 2D-NMR spectroscopic techniques and by comparison with literature data.