A comparative hospital-based observational study of mono- and co-infections of malaria, dengue virus and scrub typhus causing acute undifferentiated fever.

Positive serology for dengue and/or scrub typhus infection with/without positive malarial smear (designated as mixed or co-infection) is being increasingly observed during epidemics of acute undifferentiated febrile illnesses (AUFIs). We planned to study the clinical and biochemical spectrum of co-infections with Plasmodium sp., dengue virus and scrub typhus and compare these with mono-infection by the same organisms. During the period from December 2012 to December 2013, all cases presenting with AUFIs to a single medical unit of a referral centre in Garhwal region of the north Indian state of Uttarakhand were retrospectively selected and categorised aetiologically as co-infections, malaria, dengue or scrub typhus. The groups thus created were compared in terms of demographic, clinical, biochemical and outcome parameters. The co-infection group (n = 49) was associated with milder clinical manifestations, fewer, milder and non-progressive organ dysfunction, and lesser need for intensive care, mechanical ventilation and dialysis as compared to mono-infections. When co-infections were sub-grouped and compared with the relevant mono-infections, there were differences in certain haematological and biochemical parameters; however, this difference did not translate into differential outcomes. Scrub typhus mono-infection was associated with severe disease in terms of both morbidity and mortality. Malaria, dengue and scrub typhus should be routinely tested in all patients with AUFIs. Co-infections, whether true or due to serological cross-reactivity, appear to be a separate entity so far as presentation and morbidity is concerned. Further insight is needed into the mechanism and identification of the protective infection.

Decorporation potential of lansoprazole against radiothallium (201Tl) in internally contaminated BALB/c mice and New Zealand White rabbits.

INTRODUCTION:: This study examined the decorporation potential of lansoprazole (LNP) as radioactivity decorporation agent for radiothallium (201Tl) in internally contaminated BALB/c mice and New Zealand White rabbits using radiometry and gamma scintigraphy. METHODS:: Animals were divided into three groups, that is, control, pretreatment-1 (1X LNP), and pretreatment-2 (2X LNP). Mice received LNP intraperitoneally, while in rabbits LNP was given through oral route 0.5 and 1.5 h before radiothallium administration, respectively. Mice and rabbits used in the experiment were administered 1.48 and 11.1 MBq radiothallium (201TlCl) through intravenous and oral route, respectively. Once started as prophylactic, LNP was continued as therapeutic twice a day till the end of study period. Radiometry and gamma scintigraphy were used to monitor radiothallium retention and uptake patterns in animals. Gamma scintigraphic images of rabbits were taken at different time intervals up to 72 h and were analyzed for comparative uptake pattern of 201TlCl in all the groups. RESULTS:: LNP treatment significantly increased the 201Tl elimination over untreated control and considerably reduced the retention of 201Tl in various tissues and organs. Decrease in radiothallium uptake up to 40% was observed in LNP-treated mice as compared to untreated control. While in rabbits, whole-body radioactivity burden at 72 h was found to be 31.24%, 26%, and 18.54% in untreated control, 9 and 18 mg/kg LNP-treated groups, respectively. CONCLUSION:: LNP exhibited dose-dependent decorporation potential to effectively enhance the elimination of 201Tl in mice and rabbits experimentally contaminated with 201TlCl.

Inactivation of human pathogens and spoilage bacteria on the surface and internalized within fresh produce by using a combination of ultraviolet light and hydrogen peroxide.

AIMS: To evaluate the efficacy of ultraviolet (UV) light (254 nm) combined with hydrogen peroxide (H(2)O(2)) to inactivate bacteria on and within fresh produce. METHODS AND RESULTS: The produce was steep inoculated in bacterial cell suspension followed by vacuum infiltration. The inoculated samples were sprayed with H(2)O(2) under constant UV illumination. The log count reduction (LCR) of Salmonella on and within lettuce was dependent on the H(2)O(2) concentration, temperature and treatment time with UV intensity being less significant. By using the optimized parameters (1.5% H(2)O(2) at 50 degrees C, UV dose of 37.8 mJ cm(-2)), the surface Salmonella were reduced by 4.12 +/- 0.45 and internal counts by 2.84 +/- 0.34 log CFU, which was significantly higher compared with H(2)O(2) or UV alone. Higher LCR of Escherichia coli O157:H7, Pectobacterium carotovora, Pseudomonas fluorescens and Salmonella were achieved on leafy vegetables compared with produce, such as cauliflower. In all cases, the surface LCR were significantly higher compared with the samples treated with 200 ppm hypochlorite. UV-H(2)O(2)-treated lettuce did not develop brown discolouration during storage but growth of residual survivors occurred with samples held at 25 degrees C. CONCLUSIONS: UV-H(2)O(2) reduce the bacterial populations on and within fresh produce without affecting the shelf-life stability. SIGNIFICANCE OF THE STUDY: UV-H(2)O(2) represent an alternative to hypochlorite washes to decontaminate fresh produce.

PLGA nanoparticles for oral delivery of hydrophobic drugs: influence of organic solvent on nanoparticle formation and release behavior in vitro and in vivo using estradiol as a model drug.

The aim of present investigation was to screen different solvents for optimizing nanoparticle preparation in terms of particle size, entrapment efficiency, and finally, release behavior using a model drug estradiol. Nanoparticles were prepared following emulsion-diffusion-evaporation method using didodecyldimethyl ammonium bromide (DMAB) or polyvinyl alcohol (PVA) as stabilizers. Ethyl acetate (EA), acetone (ACE), chloroform (CHL), and dichloromethane (DCM) were used as organic solvents either individually or in combinations. DMAB when used as surfactant led to smaller particle size as compared to PVA irrespective of the solvents and combinations used, but on the other hand, PVA produced particles with higher entrapment when combinations of solvents used. DCM in combination with EA resulted in highest entrapment with both the stabilizers. All the formulations exhibited similar in vitro release profile (Zero order) irrespective of stabilizer (DMAB or PVA) used, however, the average release per day was higher in case of DCM formulations due to greater entrapment. In situ uptake studies suggest that smaller the particle size better is the uptake. The bioavailability from nanoparticles was assessed in male Sprague Dawley (SD) rats at a dose of 1 mg drug/rat. EA/DMAB (size 116.0 +/- 2.6 nm) and DCM:EA 70:30/DMAB (size 253.0 +/- 5.5 nm) showed the release for 9 and 5 days, respectively, whereas EA/PVA (size 279.3 +/- 2.5 nm) released the drug over the periods of 3 days suggesting that particle size has significant role in determining the fate of nanoparticles in vivo. Histopathological examination revealed absence of any inflammatory response with the formulations under the studied period.

Inactivation of MS2 F(+) coliphage on lettuce by a combination of UV light and hydrogen peroxide.

The efficacy of a produce decontamination method based on a combination of UV light (254 nm) and hydrogen peroxide (H2O2) to inactivate the MS2 F(+) coliphage inoculated onto iceberg lettuce was evaluated. Lettuce inoculated with 6.57 log PFU of MS2 was reduced by 0.5 to 1.0 log unit when illuminated with UV light alone for 20 to 60 s (12.64 to 18.96 mJ/cm2). In contrast, a 3-log reduction in MS2 was achieved with 2% (vol/vol) H2O2 spray delivered at 50 degrees C. No significant increase in log count reduction (LCR) was observed when H2O2 and UV light were applied simultaneously. However, H2O2 sprayed onto lettuce samples for 10 s, followed by a further 20-s UV illumination, resulted in an LCR of 4.12 that compares with the 1.67 obtained with 200 ppm of calcium hypochlorite wash. No further increase in MS2 inactivation was achieved by the use of either longer H2O2 spray or UV illumination times. The extent of MS2 reduction was significantly (P < 0.05) decreased when the H2O2 spray was delivered at 10 or 25 degrees C compared with 50 degrees C. In the course of aerobic storage at 4 degrees C, lettuce treated with UV light and H2O2 (10 or 25 degrees C) developed discoloration (polyphenol accumulation) within 6 days. In contrast, lettuce treated with UV light and H2O2 at 50 degrees C developed less discoloration within this time period and was comparable to untreated controls. This study demonstrated that the combination of UV light and H2O2 represents an alternative to hypochlorite-based washes to reduce the carriage of viruses on fresh produce.

Protective role of dietary fibre on N-nitrosopyrrolidine-induced toxicity in hypercholesterolemic rats.

N-nitrosopyrrolidine (NPYR) is an important carcinogen, frequently present in the environment and food chain. Oral administration of NPYR to experimental rats evoked severe biochemical and pathological changes. In the present investigation, the protective role of dietary fibre on NPYR-induced toxicity in hypercholesterolemic rats was studied. Supplementation of chickpea seed coat fibre in the diet reduced the hepato-toxic effects of NPYR, as evident from the decreased hepatic degeneration and improved liver weight index compared to control. Administration of NPYR resulted in an increase in the osmotic fragility of erythrocytes in the experimental animals. The antioxidant potential of experimental animals decreased in the NPYR-fed group, which was evident from the increased in vitro lipid peroxidation (LPO) of erythrocytes. However, chickpea seed coat fibre considerably reduced the peroxidative damage done by NPYR. Administration of NPYR resulted in a substantial and significant increase in LPO in all tissues, to a varying degree, though the effect was maximum in the case of the liver. Inclusion of chickpea seed coat fibre considerably reduced the peroxidative damage caused by NPYR in all tissues. The effect of NPYR administration on antioxidant potential was variable in different tissues, but the effect was reduced considerably on inclusion of chickpea seed coat fibre in the diet, providing reasonable protection against NPYR-induced oxidative stress, and, hence, its toxicity. Histopathological analysis of different tissues (heart, liver, lungs, spleen and kidneys) showed mild to severe pathological changes among the control and experimental groups. However, the pathological effects of NPYR administration were markedly reduced with the addition of chickpea seed coat fibre in the diet.

Salivary biochemical markers as potential acute toxicity parameters for acute radiation injury: A study on small experimental animals.

Researchers have been evaluating several biodosimetric/screening approaches to assess acute radiation injury, related to mass causality. Keeping in mind this background, we hypothesized that effect of whole-body irradiation in single fraction in graded doses can affect the secretion of various salivary components that could be used as acute radiation injury/toxicity marker, which can be used in screening of large population at the time of nuclear accidents/disaster. Thirty Sprague Dawley rats treated with whole-body cobalt-60 gamma irradiation of dose 1-5 Gy (dose rate: 0.95 Gy/min) were included in this study. Whole mixed saliva was collected from all animals before and after radiation up to 72 h postradiation. Saliva was analyzed for electrolytes, total protein, urea, and amylase. Intragroup comparison of salivary parameters at different radiation doses showed significant differences. Potassium was significantly increased as the dose increased from 1 Gy to 5 Gy (p < 0.01) with effect size of difference (r > 0.5). Sodium was significantly altered after 3-5 Gy (p < 0.01, r > 0.5), except 1 and 2 Gy, whereas changes in sodium level were nonsignificant (p > 0.5). Urea, total protein, and amylase levels were also significantly increased as the radiation dose increased (p < 0.01) with large effect size of difference (r > 0.5). This study suggests that salivary parameters were sensitive toward radiation even at low radiation dose which can be used as a predictor of radiation injury.

Carcinoid tumor of bile duct.

We report a 38-year-old lady with carcinoid tumor of the extrahepatic biliary tract who presented with recurrent obstructive jaundice and previous surgery for suspected choledocholithiasis. MRCP revealed a large bile duct tumor extending from the confluence up to the superior aspect of the pancreas; this was completely excised, with bilio-enteric anastomosis. These tumors are characteristically slow growing and, therefore, are amenable to aggressive surgical excision, which offers the best chance of cure.

Estimation of ultrasound attenuation and dispersion using short time Fourier transform.

Determination of the acoustic attenuation and dispersion has important applications in ultrasound tissue characterization and non-destructive material testing. Current signal processing methods Fourier transform of ultrasound signals to get the spectra of amplitude and phase to estimate respectively the attenuation and dispersion of a given medium. These methods are frequency domain method and obsessed with ambiguity issue in the phase unwrapping calculation. Conventional ultrasound velocity measuring method detects the time of arrival of a pulse (or echo) signal, which is a time domain method to compute group velocity (not phase velocity). This paper presents a novel approach based on the short time Fourier transform (STFT)--a time-frequency analysis, to estimate the ultrasonic dispersion and attenuation. Only the amplitude information of the pulse-signal spectra is used. Based on the time-frequency presentation, the attenuation coefficient of the signal is obtained by computing the amplitude decay of pulse spectrum in time domain, while phase velocities are obtained based on the "time-of-flight" (TOF) of the mono frequency component of the pulse signals. As a result, we eliminate the ambiguity issue in phase angle calculation. Furthermore, the proposed method makes the phase velocity pedagogically intuitive for novice users. The paper presents experiments to evaluate demonstrate the performance of the proposed method.

Faecal Escherichia coli isolates show potential to cause endogenous infection in patients admitted to the ICU in a tertiary care hospital.

Nosocomial infections are acquired during hospital treatment or in a hospital environment. One such infecting agent, Escherichia coli, harbours many virulence genes that enable it to become pathogenic, causing damage to the host. The mechanism of the E. coli virulence factors provenance to cause infection in host environments is not clearly elucidated. We investigated the virulence and pathogenicity of E. coli affected by the host environment. For this, blood (n = 78) and faecal (n = 83) E. coli isolates were collected from patients with and without sepsis, respectively, who had been admitted to the intensive care unit. The E. coli genomic DNA was isolated; the phylogenetic grouping was conducted by triplex PCR. The occurrence of nine virulence genes among the all the isolates was confirmed by gene-specific PCR. The prevalence of E. coli in blood isolates was more in phylogenetic groups B2 and D compared to groups A and B1. However, in faecal isolates, there was no significant difference. The prevalence of adhesin and toxin (papG, sfa, afa, cnf1, hlyA) genes was higher in blood compared to faecal E. coli isolates. However, the prevalence of aer, traT and PAI was similar as well as higher among both of these groups. These observations indicate a role of external environment (hospital setting) on host susceptibility (development of infection) in the faecal E. coli isolates, thereby making the patient prone to a sepsis condition.

Study of antiulcer activity of aqueous extract of leaves of Pyrenacantha staudtii (family Icacinaceae) using various models of experimental gastric ulcer in rats.

The antiulcer activity of an aqueous extract of Pyrenacantha staudtii was studied in rats and was compared with that of cimetidine. Ulcers were induced in rats by means of various experimental models: aspirin, indomethacin, serotonin and reserpine. The extract was found to have significant antiulcer activity against all the models studied. Cimetidine was found to be ineffective against serotonin- and reserpine-induced ulcers.

Prediction of food thermal process evaluation parameters using neural networks.

Two neural networks (ANN) were developed to predict thermal process evaluation parameters g and f(h)/U (the ratio of heating rate index to the sterilizing value), respectively. The temperature change required for the thermal destruction curve to traverse one log cycle (z), cooling lag factor (j(c)) andf(h)/U were input variables for predicting g and z, while j(c) and g were inputs for predicting f(h)/U. The data used to train and verify the ANN were obtained from reported values. Shrinking of input and output variables using natural logarithm function improved the prediction accuracy. The use of "Wardnets" with three slabs of 14 nodes in each slab, with a learning rate of 0.7 and momentum of 0.9 provided the best predictions. The g (unshrunk values) was predicted with a mean relative error of 1.25 +/- 1.77%, and a mean absolute error of 0.11 +/- 0.16 degrees F. The f(h)/U was predicted with a mean relative error of 1.41 +/- 3.40%, and a mean absolute error of 2.43 +/- 15.97, using 10 nodes in each slab. The process time calculated using the g from the ANN models closely followed the time calculated from the tabulated gvalues (RMS=0.612 min, average absolute error=0.466 min with an S.D. of 0.400 min).

Reduction in levels of Escherichia coli O157:H7 in apple cider by pulsed electric fields.

Many studies have demonstrated that high voltage pulsed electric field (PEF) treatment has lethal effects on microorganisms including Escherichia coli O157:H7; however, the survival of this pathogen through the PEF treatment is not fully understood. Fresh apple cider samples inoculated with E. coli O157:H7 strain EC920026 were treated with 10, 20, and 30 instant charge reversal pulses at electric field strengths of 60, 70, and 80 kV/cm, at 20, 30, and 42 degrees C. To accurately evaluate the lethality of apple cider processing steps, counts were determined on tryptic soy agar (TSA) and sorbitol MacConkey agar (SMA) to estimate the number of injured and uninjured E. coli O157:H7 cells after PEF treatment. Cell death increased significantly with increased temperatures and electric field strengths. A maximum of 5.35-log10 CFU/ml (P < 0.05) reduction in cell population was achieved in samples treated with 30 pulses and 80 kV/cm at 42 degrees C. Cell injury measured by the difference between TSA and SMA counts was found to be insignificant (P > 0.05). Under extreme conditions, a 5.91-log10 CFU/ml reduction in cell population was accomplished when treating samples with 10 pulses and 90 kV/cm at 42 degrees C. PEF treatment, when combined with the addition of cinnamon or nisin, triggered cell death, resulting in a reduction in E. coli O157:H7 count of 6 to 8 log10 CFU/ml. Overall, the combination of PEF and heat treatment was demonstrated to be an effective pasteurization technique by sufficiently reducing the number of viable E. coli O157:H7 cells in fresh apple cider to meet U.S. Federal Drug Administration recommendations.

Abortifacient effects of the roots of Momordica angustisepala.

Aqueous extract of the root of Momordica angustisepala (Cucurbitaceae) has been studied for abortifacient effects in albino female mice. The aqueous extract containing 0.8 mg dry matter/ml at dosages of 3.5 ml and 4 ml per kg body wt. of the female mice and guinea pig, respectively, was administered i.p. Several hours after administration, the pregnant animals aborted their fetuses. The drug appears to be effective at all stages of pregnancy confirming its use by herbalists to induce abortion in humans in some parts of Nigeria. The mechanism of action appears to be similar to the actions of oxytocics and ergot alkaloids. However, hormonal influence may be implicated.

Preliminary pharmacological study of some Nigerian medicinal plants. 1.

Herbalists in Nigeria use a variety of herbal remedies to treat various types of illness. Thirteen commonly used herbal plants in the Anambra State of Nigeria were identified and collected. Extracts were prepared and studied pharmacologically on various isolated and intact preparations. Toxicological and phytochemical studies were also conducted on most of these plants.

Effects of salt reduction on the rheological and gelation properties of beef, pork and poultry meat batters.

The gelation and rheological properties of beef, pork and poultry meat batters as affected by salt reduction (2·50, 1·25 and 0·00%) were studied by using a Haake rotational viscometer and a thermal scanning rigidity monitor. Beef batters showed a decrease in shear stress with the decrease in salt levels at both high and low shear rates. Pork batter showed a mixed behavior (no definite trend in shear stress versus shear rate) and the poultry meat batters showed a Bingham pseudoplastic behavior, except for the no-salt treatment. During heating the beef batters showed the highest G values followed by the pork and the poultry meat batters. The rigidity modulus profiles exhibited two major transition temperatures at 47-53°C and at 64-76°C. Beef batter with 2·50% salt developed the highest average G value (16·6 kPa) and the poultry batter with 2·50% salt the lowest (7·3 kPa).

Prediction of temperature and moisture content of frankfurters during thermal processing using neural network.

An artificial neural network (ANN) was developed to predict temperature and moisture content of frankfurters during smokehouse cooking. Fat protein ratio (FP), initial moisture content, initial temperature, radius of frankfurter, ambient temperature, relative humidity and process time were input variables. Temperature at the frankfurter centre, average temperature of the frankfurter and average moisture content (d.b) of the frankfurter were outputs. Network training data were obtained from validated heat and mass transfer models simulating temperature and moisture profiles of a frankfurter. Backpropagation method was used for ANN training. Selection of hidden nodes, learning rate, momentum and range of input variables were important to ANN prediction. The FP was not an important factor in predictions.

Effects of Kramer-shear-press-test conditions on the shear properties of beef products.

Tenderness parameters of bologna, salami, and pastrami were measured by Kramer-shear tests. Three levels of sample size and crosshead speed were used. The initial yield force did not change significantly as the sample size changed. The friction between the sample and press, and the sample's stress and strain changes, were studied to explain the effect of sample size on shear properties. Peak-force distance (PD) increased proportionally to the increase in fill percentage. Peak force (PF) and initial-yield distance (IYD) increased partly as the fill percentage increased. The slope changed with the change in IYD, and break area (BA) changed proportionally to the changes in PF and PD. Recommended test conditions for bologna are 50% fill percentage at any crosshead speed; those for salami are 25% fill percentage at 150-mm/min crosshead speed; and those for pastrami are 75% fill percentage at 250-mm/min crosshead speed.

Changes in colour of beef m. longissimus dorsi muscle during ageing.

The effects of vacuum packaging, chilling rate (slow or fast), and fat cover thickness (⩽4 mm or 7-8 mm) on the colour parameters of beef m. longissimus dorsi muscle were assessed during ageing. The m. longissimus dorsi muscle was aged on the carcass or in vacuum packaging. Muscle samples for analysis were taken on days 0 (24 hr post mortem), 2, 4, 8, 12 and 16 to ascertain the parameters. Ageing time influenced all colour parameters, while chilling rate affected lightness ('L'), yellowness ('b'), and hue angle difference (HD), and fat cover thickness influenced 'L' and 'b' only.

Meat emulsion functionality related to fat-protein ratio and selected dairy and cereal products.

The influence of fat-protein ratio, moisture content, buttermilk powder, modified wheat flour, corn starch and modified waxy maize flour in processed meat emulsions upon their sensory attributes, textural profile parameters, and selected functional properties were investigated. These properties were optimized using regression models, canonical analysis, response surface methodology, and a multidimensional optimization algorithm.