Expert Consensus Document on Management of ST-Elevation Myocardial Infarction: Adaptation of 2012 ESC Guidelines.

In 2012, the European Society of Cardiology (ESC) guidelines provided recommendations on the management of ST-elevation myocardial infarction (STEMI). The recommendation from these guidelines is restricted to the European subcontinent. To adapt the updated recommendations for Indian subset of STEMI patients, a panel of experts in the management of STEMI provided their expert opinions. This document provides expert consensus on adapting 2012 ESC STEMI guidelines recommendations in Indian setting. Document also discussed "India-specific" relevant literature to support the consensus opinions provided in the management of STEMI.

Prevalence and biology of goat warble fly infestation by Przhevalskiana silenus in Jammu province, India.

Examination of 3,960 goats brought from six districts of Jammu province and slaughtered at Jammu abattoir from July 2005 to June 2006 revealed 47.22% prevalence of larval stages of warble fly (Przhevalskiana silenus Brauer, 1858) in goats. Highest prevalence was recorded in Udhampur (56.44%) and lowest in Doda district (13.49%). Classification of the study area into four zones based on height (meters above sea level), viz., zone I (300-325 m asl), zone II (325-800 m asl), zone III (800-1,500 m asl), and zone IV (>1,500 m asl), revealed significant (p < 0.01) difference in infestation among animals of zone II (71.68%), zone III (40.12%), and zone IV (22.41%). However, animals of zone I did not reveal any infestation. Statistical analysis in relation to age showed significant (p < 0.01) difference among different age groups, i.e., <1 year (2.81%), 1-3 years (51.17%), and >3 years (43.16%). Breed-wise analysis also showed significantly (p < 0.01) higher infestation rate among Bakerwali (51.51%) goats as compared to Beetal (42.59%). But no significant difference was recorded among male (47.81%) and female (46.82%) animals. The overall mean larva count (L1, L2, and L3) was observed to be 14.72 ± 0.34, ranging from 4 to 72. It was significantly (p < 0.05) higher in animals of zone II (22.20 ± 0.21) as compared to goats of zones III (14.21 ± 0.41) and IV (7.73 ± 0.90). Age-wise analysis of mean larva count also showed significant (P < 0.05) difference between animals of 1-3 years (16.25 ± 0.37) and >3 years of age (13.18 ± 0.40). Mean larvae count in relation to sex and breed did not reveal any significant difference. First-instar larvae (L(1)) were recorded from May to mid-September, second larval stage (L(2)) from mid-September to mid-December, and third-stage larvae (L(3)) from mid-December to February. However, No larvae were recorded from March to April, which is suggestive of pupation period in this region. Thus, it is concluded that adult fly is active in April to June. The results further confirmed that internal life cycle of P. silenus is subcutaneous and no migration of larvae occurs. This is the first report from India, based on slaughter house study on the prevalence and biology of goat warble fly infestation. It will help in devising suitable prophylactic and eradication program to check the economic losses rendered by adult fly.

Prevalence of Hypoderma lineatum in cattle of Jammu region.

Clinicoparasitological examination of 750 cattle from Jammu region revealed prevalence of Hypoderma lineatum infestation in 9.73 %. Cattle from Jammu (plain irrigated area) district (397) did not reveal any infestation of hypodermosis, but in Samba district (semi hilly arid area) 20.63 % (73/353) animals harbored H. lineatum larvae. The warbles were recorded from October to March and the mean number of warbles per animal was 7.07 ± 0.45. Infestation significantly varied in different age groups and free grazing practice of animals was one of the risk factor for hypodermosis in cattle of Jammu region.

Cytotoxic epipolythiodioxopiperazine alkaloids from filamentous fungi of the Bionectriaceae.

Bioactivity-directed fractionation of the organic extracts of two filamentous fungi of the Bionectriaceae, strains MSX 64546 and MSX 59553 from the Mycosynthetix library, led to the isolation of a new dimeric epipolythiodioxopiperazine alkaloid, verticillin H (1), along with six related analogs, Sch 52900 (2), verticillin A (3), gliocladicillin C (4), Sch 52901 (5), 11'-deoxyverticillin A (6) and gliocladicillin A (7). The structures of compounds 1-7 were determined by extensive NMR and HRMS analyses, as well as by comparisons to the literature. All compounds (1-7) were evaluated for cytotoxicity against a panel of human cancer cell lines, displaying IC(50) values ranging from 1.2 µM to 10 nM. Compounds 1-5 were examined for activity in the NF-κB assay, where compounds 2 and 3 revealed activity in the sub-micromolar range. Additionally, compounds 1, 3 and 4 were tested for EGFR inhibition using an enzymatic assay, while compound 3 was examined against an overexpressing EGFR(+ve) cancer cell line.