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In this study, a fungal plant growth promoter Penicillium oxalicum T4 isolated from non-rhizosphere soil of Arunachal Pradesh, India, was screened for different plant growth promoting traits in a gnotobiotic study. Though inoculation improved the overall growth of the plants, critical differences were observed in root architecture. Confocal Laser Scanning Microscope, Scanning electron microscope and the stereo microscopic study showed that inoculated wheat plants could develop profuse root hairs as compared to control. Root scanning indicated improvement in cumulative root length, root area, root volume, number of forks, links, crossings, and other parameters. A confocal scanning laser microscope indicated signs of endophytic colonization in wheat roots. Gene expression studies revealed that inoculation of T4 modulated the genes affecting root hair development. Significant differences were marked in the expression levels of TaRSL4, TaEXPB1, TaEXPB23, PIN-FORMED protein, kaurene oxidase, lipoxygenase, ACC synthase, ACC oxidase, 9-cis-epoxycarotenoid dioxygenase, and ABA 8'-hydroxylase genes. These genes contribute to early plant development and ultimately to biomass accumulation and yield. The results suggested that P. oxalicum T4 has potential for growth promotion in wheat and perhaps also in other cereals.
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Penicillium , Triticum , Reguladores del Crecimiento de las Plantas/metabolismo , Raíces de Plantas/genética , Raíces de Plantas/microbiología , Penicillium/genéticaRESUMEN
Type 2 diabetes drug tablets containing voglibose having dose strengths of 0.2 and 0.3 mg of various brands have been examined, using laser-induced breakdown spectroscopy (LIBS) technique. The statistical methods such as the principal component analysis (PCA) and the partial least square regression analysis (PLSR) have been employed on LIBS spectral data for classifying and developing the calibration models of drug samples. We have developed the ratio-based calibration model applying PLSR in which relative spectral intensity ratios H/C, H/N and O/N are used. Further, the developed model has been employed to predict the relative concentration of element in unknown drug samples. The experiment has been performed in air and argon atmosphere, respectively, and the obtained results have been compared. The present model provides rapid spectroscopic method for drug analysis with high statistical significance for online control and measurement process in a wide variety of pharmaceutical industrial applications.
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Rayos Láser , Preparaciones Farmacéuticas/análisis , Análisis Espectral/métodos , Aire , Algoritmos , Argón , Inositol/análogos & derivados , Inositol/análisis , Análisis de los Mínimos Cuadrados , Modelos Lineales , Análisis Multivariante , Análisis de Componente PrincipalRESUMEN
Synthetic fertilizers and livestock manure are nowadays widely used in agriculture to improve crop yield but nitrogen and phosphorous runoff resulting from their use compromises water quality and contributes to eutrophication phenomena in waterbeds within the countryside and ultimately in the ocean. Alternatively, algae could play an important role in agriculture where they can be used as biofertilizers and soil stabilizers. To examine the possible reuse of the detritus generated by dead algae as fertilizer for crops, we develop three mathematical models building upon each other. A system is proposed in which algae recover waste nutrients (nitrogen and phosphorus) for reuse in agricultural production. The results of our study show that in so doing, the crop yield may be increased and simultaneously the density of algae in the lake may be reduced. This could be a way to mitigate and possibly solve the environmental and economic issues nowadays facing agriculture.
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Agricultura , Eutrofización , Modelos Teóricos , FertilizantesRESUMEN
The proliferation of algal bloom in water bodies due to the enhanced concentration of nutrient inflow is becoming a global issue. A prime reason behind this aquatic catastrophe is agricultural runoff, which carries a large amount of nutrients that make the lakes more fertile and cause algal blooms. The only solution to this problem is curtailing the nutrient loading through agricultural runoff. This could be achieved by raising awareness among farmers to minimize the use of fertilizers in their farms. In view of this, in this paper, we propose a mathematical model to study the effect of awareness among the farmers of the mitigation of algal bloom in a lake. The growth rate of awareness among the farmers is assumed to be proportional to the density of algae in the lake. It is further assumed that the presence of awareness among the farmers reduces the inflow rate of nutrients through agricultural runoff and helps to remove the detritus by cleaning the bottom of the lake. The results evoke that raising awareness among farmers may be a plausible factor for the mitigation of algal bloom in the lake. Numerical simulations identify the most critical parameters that influence the blooms and provide indications to possibly mitigate it.
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Agricultura , Eutrofización , Lagos/química , Modelos Teóricos , Eutrofización/efectos de los fármacos , Fertilizantes/toxicidad , Contaminantes Químicos del Agua/toxicidadRESUMEN
The 60kDa heat shock protein (Hsp60) or chaperonin is one among the highly conserved families of heat shock proteins, known to be involved in variety of cellular activities, including protein folding, thermal protection, etc. In this study we sequence characterized hsp60 gene homologue of Lucilia cuprina, isolated and cloned from the genomic library as well as by genomic PCR, followed by RACE- PCR. The L. cuprina hsp60 gene/protein expression pattern was analyzed in various tissues, either at normal temperature (25±1°C) or after exposure to heat stress (42°C). The analysis of nucleotide sequence of Lchsp60 gene revealed absence of intron and the nuclear localizing signal (NLS). The deduced amino acid sequence showed presence of unique conserved sequences, such as those for mitochondrial localization, ATP binding, etc. Unlike Drosophila, Lucilia showed presence of only one isoform, i.e., hsp60A. Phylogenetic analysis of hsp60 gene homologues from different species revealed Lchsp60 to have >88.36% homology with D. melanogaster, 76.86% with L. sericata, 58.31% with mice, 57.99% with rat, and 57.72% with human. Expression analysis using Real Time PCR and fluorescence imaging showed significant enhancement in the expression level of Lchsp60 upon heat stress in a tissue specific manner, indicating its likely role in thermo-tolerance as well as in normal cellular activities.
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Chaperonina 60/genética , Dípteros/fisiología , Regulación de la Expresión Génica/genética , Regulación de la Expresión Génica/fisiología , Adenosina Trifosfato/metabolismo , Secuencia de Aminoácidos , Animales , Núcleo Celular/metabolismo , Núcleo Celular/fisiología , Chaperonina 60/biosíntesis , Clonación Molecular , Respuesta al Choque Térmico/genética , Respuesta al Choque Térmico/fisiología , Calor , Intrones , Larva/metabolismo , Mitocondrias/metabolismo , Datos de Secuencia Molecular , Filogenia , Reacción en Cadena de la Polimerasa , TemperaturaRESUMEN
OBJECTIVE: To estimate the prevalence of pulmonary tuberculosis (TB) in a high-risk rural area of central India. STUDY DESIGN: Retrospective analysis of primary data. METHODS: In total, 10,963 sputum smears were screened from Hindu tribes (n = 4032), Hindu non-tribal (n = 5445) and Muslim communities (n = 1486) between 2004 and 2009. Smears were recorded as positive or negative for tubercle bacilli following staining with acid-fast bacilli, in accordance with the guidelines of the World Health Organization. Age- and gender-specific prevalence rates and relative risks (RR) were calculated using Statistical Package for the Social Sciences Version 13.0. RESULTS: The prevalence of TB was found to be significantly higher in Hindu tribes compared with Hindu castes and Muslims (P < 0.005). The overall RR of developing smear-positive disease was 1.4-fold higher (95% confidence interval 1.1-1.7; P < 0.005) in males than females in all the study groups. The highest prevalence of TB was observed in subjects aged 15-34 years. CONCLUSIONS: Hindu tribes and males of working age are still at high risk of smear-positive TB.
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Jerarquia Social , Tuberculosis Pulmonar/etnología , Tuberculosis Pulmonar/epidemiología , Adolescente , Adulto , Anciano , Niño , Preescolar , Etnicidad/estadística & datos numéricos , Femenino , Hinduismo , Humanos , India/epidemiología , Lactante , Islamismo , Masculino , Persona de Mediana Edad , Prevalencia , Salud Pública , Población Rural , Adulto JovenRESUMEN
The HSP90 family is one of the highly conserved chaperone families, varying between eubacteria to higher vertebrates. The HSP90 protein has been assigned different functions including thermal protection, but having major role in development. The present study is a detailed analysis of the structural characteristics of hsp90 gene (lchsp90) of sheep blowfly, Lucilia cuprina. The gene isolated by PCR revealed absence of intron. The nucleic acid and amino acid comparison revealed significant level of sequence similarity among species of various taxa. Significantly, the analysis of the amino acid sequence revealed that the HSP90 of L. cuprina belongs to hsp90ß class.
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Dípteros/genética , Proteínas HSP90 de Choque Térmico/genética , Proteínas de Insectos/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Genes de Insecto , Datos de Secuencia Molecular , FilogeniaRESUMEN
This study has investigated the effect of two highly toxic pesticides, monocrotophos (organophosphate) and endosulphan (organochlorine), on the inducibility of two major heat shock proteins, the HSP60 and HSP70, essential for cell survival, in the house fly Musca domestica. The LC50 values of the two pesticides for larva and adult (monocrotophos: 0.05 ppm for larva and 0.025 ppm for adult; endosulphan: 15 ppm for larva and 2 ppm for adult) revealed monocrotophos to be potentially more toxic than endosulphan. The relative susceptibility (lethality) of adult to either of these pesticides appeared much higher than that of larva. The expression patterns of HSP60 and HSP70 were analysed in various larval and adult tissues, exposed to varying sub-acute doses of monocrotophos (0.00010 ppm - 0.00075 ppm for larva and 0.00010 ppm - 0.00050 ppm for adult) and endosulphan (0.5ppm - 2.0ppm for larva and 0.01ppm-0.10 ppm for adult). The immunoblots revealed significant correlation between the pattern of HSP's expression and the pesticides-induced tissue injury/ mortality, visualized by trypan blue dye exclusion test. Both the pesticides caused significant induction of these HSPs in a tissue and dosedependent manner, suggesting their importance as molecular indicators (biomarker) in the assessment of cellular toxicity caused by endosulphan and monocrotophos.
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Chaperonina 60/metabolismo , Endosulfano/toxicidad , Proteínas HSP70 de Choque Térmico/metabolismo , Moscas Domésticas/efectos de los fármacos , Insecticidas/toxicidad , Monocrotofos/toxicidad , AnimalesRESUMEN
DAZL (deleted in azoospermia-like) 260A > G and MTHFR (methylene tetrahydrofolate reductase) 677C > T are two important autosomal variants associated with impaired spermatogenesis. In this study, we investigated DAZL 260A > G and MTHFR 677C > T variants in sperm DNA and their frequency in oligozoospermic infertile men of Indian origin. The study on sperm DNA was performed, since it is more prone to oxidative stress-induced damage and mutation. One hundred oligozoopsermic infertile men having normal chromosomal complement with intact Y chromosome and 100 age- and ethnically-matched fertile controls were investigated for these variants in their sperm genome. Spermatozoa were separated by gradient centrifugation and DNA was isolated and analyzed for the single nucleotide polymorphisms (SNPs) by polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). The results showed no significant differences in the frequency of DAZL AG (P = 0.58) and MTHFR CT (P = 0.44) between oligozoospermic infertile men and controls. However, 8% (8/100) oligozoospermic infertile men harbored both the variants and showed significantly (P < 0.0001) lower sperm count (3.28 +/- 1.1 vs 12.50 +/- 4.09) compared to infertile men with either of the single variant. None of the fertile controls showed the presence of the both variants. In conclusion, the combined effect of both DAZL 260A > G and MTHFR 677C > T variants may have role in compromised sperm count. However, further studies are required to find the pathological role of these combined variants in male infertility.
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Infertilidad Masculina/genética , Metilenotetrahidrofolato Reductasa (NADPH2)/genética , Proteínas de Unión al ARN/genética , Espermatozoides/ultraestructura , Secuencia de Bases , Cartilla de ADN , Humanos , Masculino , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de RestricciónRESUMEN
The present study was carried out in the Sahariya tribe of Central India, which reportedly have high prevalence of pulmonary tuberculosis. Total serum LDH and its tissue specific isoforms were estimated in TB patients and matched healthy controls to test the utility of LDH as diagnostic marker for tuberculosis. About 210 sputum positive cases and 328 age and sex matched sputum negative controls were recruited. The spectrophotometeric and densitometric analysis of each LDH isoform was carried out in both cases and controls. The mean values of serum LDH were estimated and compared for each class by t-test. The statistical comparisons were made between sputum negative controls and sputum positive cases by Mann-Whitney's U test. The spectrophotometric estimation of serum LDH revealed significant (P=0.0016) increase in its level in cases (290 IU/L) as compared to controls (248 IU/L). The densitometric analysis of individual LDH isoforms in cases and controls demonstrated significant elevation in LDH1 (P>0.05), LDH2 (P>0.05) and LDH3 (P<0.005) in sputum positive cases in comparison to sputum negative controls. Our study revealed a positive correlation between serum LDH level and the presence of mycobacteria and their load, suggesting utility of LDH as an important diagnostic marker of tuberculosis induced stress, at least in tribal areas lacking access to modern clinical tests.
RESUMEN
Protein malnutrition (PMN) is a global health issue but most prevalent in Africa and Asia. It exerts detrimental effect on structural and physiological aspects of hippocampal circuitry. Despite accumulating evidence for PMN induced changes in nervous system, relatively very little is known about how maternal nutritional supplementation during malnutrition affects glial cells and neurons. Herein, we aimed to investigate the effects of maternal Spirulina supplementation against PMN induced oxidative stress, reactive gliosis and neuronal damage in hippocampus of F1 progeny. Three months old healthy Sprague Dawley females (n = 24) were shifted to normoprotein (NC; 20% protein) and low protein (LP; 8% protein) diets 15 days before conception. The NC and LP group females were subdivided into two groups according to Spirulina supplementation (400 mg/kg/b.wt. orally throughout gestation and lactation period): normal control with Spirulina (NC SPI) and low protein with Spirulina supplemented group (LP SPI). F1 progeny born were used in present study. Thus, building on earlier results of ameliorated neurobehavioral and cognitive abilities in Spirulina supplemented protein deprived rats, the present study incorporates neurochemical and morphometric analysis of glial cells and neurons and revealed that maternal Spirulina consumption partially prevented the PMN associated neuropathological alterations in terms of attenuated oxidative brain damage, reduced reactive gliosis and apoptotic cell population, improved dendritic branch complexity with few damaged neurons and enhanced mushroom shaped spine density. The results suggest that cellular changes in hippocampus after PMN are partially restored after maternal Spirulina supplementation and one could envision intervention approaches using Spirulina against malnutrition.
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Lactancia/efectos de los fármacos , Activación de Macrófagos/efectos de los fármacos , Neuroglía/efectos de los fármacos , Neuronas/patología , Estrés Oxidativo/efectos de los fármacos , Desnutrición Proteico-Calórica/patología , Desnutrición Proteico-Calórica/psicología , Spirulina , Animales , Conducta Animal , Suplementos Dietéticos , Femenino , Gliosis/patología , Gliosis/prevención & control , Hipocampo/patología , Embarazo , Ratas , Ratas Sprague-DawleyRESUMEN
The effect of two most commonly used and highly toxic organic pesticides, endosulphan (organochlorine) and monocrotophos (organophosphate), was studied in a blowfly, Lucilia cuprina, to test whether these pesticides induce the stress response and, if so, whether the intensity of the response, in terms of induction of heat shock proteins (HSPs), HSP60 and HSP70 in particular, is pesticide concentration dependent. The in vitro exposure of larval and adult tissues to varying concentrations of these pesticides (endosulphan: 1.0-4.0 ppm for larva and 0.05-0.50 ppm for adult; monocrotophos: 0.0005-0.0050 ppm for larva and 0.0001-0.0010 ppm for adult) revealed that both compounds were able to induce the expression of HSP60 and HSP70 proteins. Western blot analysis of these HSPs indicated that the induction of expression was tissue-specific. The trypan blue staining of pesticide-exposed tissues demonstrated monocrotophos to exert more severe effect than endosulphan, as the former compound induced both HSP60 and HSP70 significantly at a much lower concentration than that of the later. The pattern of expression of these HSPs, in general, appeared in direct correlation with the pesticide concentration. Gut tissues were found relatively more sensitive to pesticide toxicity than other tissues, as revealed by trypan blue staining, and hence, they might serve as primary targets for early detection of pesticide toxicity. The results indicated that either of these HSPs or both could serve as a potential biomarker toward assessment and monitoring of toxicity induced by these pesticides.
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Chaperonina 60/metabolismo , Dípteros/efectos de los fármacos , Endosulfano/toxicidad , Proteínas HSP70 de Choque Térmico/metabolismo , Insecticidas/toxicidad , Monocrotofos/toxicidad , Animales , Biomarcadores/metabolismo , Dípteros/metabolismo , Cuerpo Adiposo/efectos de los fármacos , Cuerpo Adiposo/metabolismo , Tracto Gastrointestinal/efectos de los fármacos , Tracto Gastrointestinal/metabolismo , Dosificación Letal Mediana , Túbulos de Malpighi/efectos de los fármacos , Túbulos de Malpighi/metabolismo , Glándulas Salivales/efectos de los fármacos , Glándulas Salivales/metabolismoRESUMEN
OBJECTIVES: The objective of this investigation was to find out if sputum-positive (AFB test) test, which is performed to assess mycobacterial infection status, is anyway correlated with any of the LDH isoforms. And if so, can it be used, either alone or together with sputum test, as a rapid on-the-spot marker for field diagnosis of tuberculosis. DESIGN AND METHODS: To analyze the relationship between sputum test results and the level of LDH isozyme (isoforms), 157 individuals were randomly selected from a Sahariya tribal population, with a known history of tuberculosis, for sputum and blood collection. The Ziehl-Neelsen's staining of sputum smear was done as per RNTCP (Revised National Tuberculosis Control Programme) protocol. In all the samples, serum LDH level was estimated spectrophotometrically while the levels of individual isoforms were assessed on native PAGE. RESULTS: The LDH content was significantly higher in blood sera of sputum-positive (three positive) individuals (444+/-270 IU) as compared to sputum-negative samples (242+/-125 IU). Analysis on the association of different LDH isoforms (LDH1, 2, 3, 4 and 5) with sputum test revealed significantly higher frequency of LDH2 and LDH3 in sputum-positive samples as compared to sputum-negative samples. In sputum three positive cases, however, the frequency of LDH3 appeared much higher (in 60% cases) than LDH2 (in 33% cases), which was found to be almost same in sputum negative but higher in two positive samples (44.4%). CONCLUSIONS: The present data suggests a strong association of LDH3 with sputum three positive or severe cases of mycobacterial infection, indicating a likely possibility of using LDH3 as a supporting diagnostic marker in, at least, cases of chronic tuberculosis.
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L-Lactato Deshidrogenasa/análisis , L-Lactato Deshidrogenasa/sangre , Esputo/química , Tuberculosis/metabolismo , Biomarcadores/análisis , Biomarcadores/sangre , Biomarcadores/metabolismo , Enfermedad Crónica , Femenino , Humanos , India , Isoenzimas/análisis , Isoenzimas/sangre , Isoenzimas/metabolismo , L-Lactato Deshidrogenasa/metabolismo , Masculino , Mycobacterium/aislamiento & purificación , Grupos de Población , Tuberculosis/sangre , Tuberculosis/diagnósticoRESUMEN
The production of toxins by some species of phytoplankton is known to have several economic, ecological, and human health impacts. However, the role of toxins on the spatial distribution of phytoplankton is not well understood. In the present study, the spatial dynamics of a nutrient-phytoplankton system with toxic effect on phytoplankton is investigated. We analyze the linear stability of the system and obtain the condition for Turing instability. In the presence of toxic effect, we find that the distribution of nutrient and phytoplankton becomes inhomogeneous in space and results in different patterns, like stripes, spots, and the mixture of them depending on the toxicity level. We also observe that the distribution of nutrient and phytoplankton shows spatiotemporal oscillation for certain toxicity level.
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Ecosistema , Toxinas Marinas , Modelos Teóricos , FitoplanctonRESUMEN
BACKGROUND: We have reported here the 5-year incidence (2004-2008) of gallbladder cancer (GBC) in North Central India along with its descriptive epidemiology. This provides potential clues for better prevention. The present study has also evaluated the association of ABO blood groups with GBC. PATIENTS AND METHODS: The study comprised 742 GBC cases referred to the regional cancer hospital, Gwalior, during 2004-2008. The demographic statistics of Gwalior district was considered to calculate the relative risk and incidence rates. ABO blood group distribution amongst 90,000 healthy subjects registered in the local blood bank during 2002-2007 was taken as controls to study the association of blood groups with GBC. RESULTS: The age-standardized total incidence rate of GBC was calculated to be 7.16/1,00,000. The relative risk of females getting GBC was 2.693 at 95% confidence interval of 2.304-3.151 (P < 0.0001). The females formed 69.5% of total cancer cases, with age-standardized incidence rate of 10/1,00,000. The mean age of male and female GBC cases was found to be 55.4 years (SD = 13, SE = 0.77) and 51.5 years (SD = 12.3, SE = 0.50), respectively. The blood groups A (P = 0.0022) and AB (P < 0.0001) had a positive association with GBC with significant level of differences in comparison to controls. CONCLUSION: Our study provided an estimate of a 5-year incidence of GBC in North Central India for the first time. With regard to the association of risk factors like obesity, age, and urban living with GBC, the findings of the present study are contradictory to the general opinion. Blood groups A and AB were found to be associated with GBC, which would be provisional for further investigations.
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Neoplasias de la Vesícula Biliar/epidemiología , Sistema del Grupo Sanguíneo ABO , Femenino , Humanos , Incidencia , India/epidemiología , Masculino , Persona de Mediana Edad , Factores de Riesgo , Factores de TiempoRESUMEN
The bicarbonate, calcium, and magnesium values of a single pass, batch system, bicarbonate based hemodialysate were found to be stable during a period of 5 hours, whether the solution was extensively covered by a floating polystyrene lid or not. The pH and PCO2 of the dialysate that had been covered with a floating lid remained stable during the 5 hours, whereas the corresponding values of the dialysate that had not been so covered did show changes that were secondary to the loss of carbon dioxide. The changes were not marked enough to preclude the clinical use of the latter uncovered dialysate.
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Soluciones para Hemodiálisis/química , Riñones Artificiales , Bicarbonatos/análisis , Calcio/análisis , Dióxido de Carbono/análisis , Humanos , Concentración de Iones de Hidrógeno , Magnesio/análisisRESUMEN
Continuous ambulatory peritoneal dialysis was successfully carried out in 6 end-stage renal failure patients using self-made, ultrafiltration-sterilized dialysis solutions. A Y-set was used to deliver the above solutions to sterile plastic bags.
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Fallo Renal Crónico/terapia , Lactatos/normas , Diálisis Peritoneal Ambulatoria Continua , Esterilización/normas , Biomarcadores/sangre , Análisis Químico de la Sangre , Femenino , Hematócrito , Humanos , Lactatos/química , Ácido Láctico , Masculino , Persona de Mediana Edad , Soluciones , UltrafiltraciónRESUMEN
OBJECTIVE: To study the contribution of UGT1A1 gene variants and clinical risk factors in modulating hyperbilirubinemia risk in newborns. STUDY DESIGN: Seven UGT1A1 gene variants and clinical risk factors were studied in 113 hyperbilirubinemia cases and 218 control newborns. Hyperbilirubinemia was defined as the total serum bilirubin levels >95th percentile of the American Academy of Pediatrics nomogram. The study population included term (37 to 41 weeks) newborns below 2 weeks of age. RESULT: UGT1A1 gene variants, namely, c.211G>A, g.-3279T>G, TATA box polymorphism and CAT insertion were identified as independent molecular risk factors for neonatal hyperbilirubinemia, whereas c.686C>A, c.1091C>T and c.1456T>G were not detected in study cohort. Among clinical risk factors, excessive weight loss, sepsis and ABO incompatibility emerged as independent risk factors. Co-expression of UGT1A1 variants and clinical risk factors further accentuated the risk of neonatal hyperbilirubinemia. CONCLUSION: Multiple risk factors, whether genetic or clinical, are instrumental in modulating hyperbilirubinemia risk in newborns. Disordered bilirubin conjugation through interactions of UG1TA1 gene variants contributes to the clinical phenotype of neonatal hyperbilirubinemia.
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Glucuronosiltransferasa/genética , Hiperbilirrubinemia Neonatal/genética , Adulto , Bilirrubina/sangre , Incompatibilidad de Grupos Sanguíneos/complicaciones , Estudios de Casos y Controles , Femenino , Humanos , Hiperbilirrubinemia Neonatal/sangre , Hiperbilirrubinemia Neonatal/etiología , Hipotiroidismo/complicaciones , Recién Nacido , Modelos Logísticos , Masculino , Fenotipo , Fototerapia , Polimorfismo Genético , Estudios Prospectivos , Factores de Riesgo , Sepsis/complicacionesRESUMEN
Guided Fine-Needle Aspiration Cytology (FNAC) as the first line investigation is not only useful in diagnosis of space occupying lesions but can also help in choosing appropriate management. This technique is most useful in diagnosing metastasis but is also helpful in excluding malignancy in some cases. Aim of this study is to analyze the spectrum of cytological diagnosis, adequacy, and clinicoradiological correlation of guided FNAC. The study was carried out in the departments of pathology and radiology for a period from January 2000 to November 2011. All the data were retrieved from hospital medical record section and departmental data bank and were analyzed. We have performed a total of 500 FNACs, including 234 under CT guidance and 266 under USG guidance. Among the CT-guided FNACs, 87.6% (205 cases) had adequate material which included 152 malignant cases, 38 inflammatory cases and 15 benign cases. Among the cases under USG, 91.7% (244 cases) had adequate material comprising of 112 malignant cases, 44 inflammatory cases, and 88 benign lesions. It was noted that increased number of inadequate aspirate was from lesions with smaller size and increased depth. Out of total 264 malignant cases diagnosed on FNAC, 160 cases were identified as malignant on clinical and radiological findings. Guided FNAC is useful in deep seated lesions as well as in suspicious superficial lesions and is a safe diagnostic tool. If performed properly and correlated well with clinical and radiological findings, FNAC provides correct diagnosis in most cases.
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Biopsia con Aguja Fina/métodos , Biopsia Guiada por Imagen/métodos , Neoplasias/diagnóstico por imagen , Neoplasias/patología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos X , Ultrasonografía , Adulto JovenRESUMEN
AIM OF STUDY: To investigate the trend of expression of liver function test enzymes and other biochemical changes during gallbladder carcinogenesis. MATERIALS AND METHODS: Eight hundred and seventy-eight gallbladder disease patients were selected to study the liver function test enzymes and routine blood biochemical changes in the last five years (2004-08). Statistical analysis was performed using Graph Pad prism 5.02 software. RESULTS: The liver function test enzymes showed significant correlations among themselves, and with glucose in gallbladder cancer and gallstone disease patients (N = 878). Out of 878 gallbladder cases, 46 (5.24%) showed significantly higher glucose level of 216.66 mg/dL (P < 0.0001). All the three pathological conditions of gallbladder, gallbladder cancer with stones (GBCS), gallbladder cancer without stones (GBC) and calculus cholecystitis (CC), showed highly significant positive correlation (Pearson) between Serum Glutamic Oxaloactetic Transaminase (SGOT) and Serum Glutamic Pyruvic Transaminase (SGPT) [P < 0.0001, (GBCS); P < 0.0001, (GBC), and P < 0.0001, (CC)]. SGOT and SGPT also showed positive correlation with higher glucose level independently, in both GBCS and CC (P < 0.0001 and P < 0.0001), respectively. CONCLUSION: Simultaneous elevation of glucose and liver function test enzymes in GBC makes the diagnosis complex. Any patient of gallbladder diseases with higher level of glucose may have the possibility of developing gallbladder cancer.