A comparative study on placebo and trenaxamic acid for the prophylaxis is of post-partum hemorrhage: a randomised double-blind control study

Background: Obstetric haemorrhage accounts for 20-25% of maternal mortality and morbidity. Anti-fibrinolytics are being widely used in field of surgery. It is also used to reduce heavy menstrual blood loss. The aim of this study was to analyse the effectiveness of TXA in reducing blood loss during normal vaginal delivery.Methods: The randomized double-blind control study was done in the Labour ward. It was conducted on 100 women undergoing Normal vaginal delivery. They were allocated to either Study or Control group by randomization. TXA was given during the Third stage of delivery in study group in addition to the routine care whereas the control group had routine care alone. Blood loss was measured in both groups by bag method.Results: The significant of reduction in blood loss calculated from placental delivery to 2hrs. 141.9 ml in study group versus 270.4 ml in control group. Among primi patients, the control group average blood loss was 325ml, the study group avg blood loss was 169ml. Among G2 patients, the control group average blood loss was 248.5ml. The study group average blood loss was 128.25ml. Among G3 patients, the control group average blood loss was 203ml, the study group average blood loss was 115ml.Conclusions: TXA significantly reduced the amount of blood loss during normal vaginal delivery. Thus, TXA can be used safely and effectively in subjects undergoing normal vaginal delivery.

Percutaneous intervention for restoration of patency of occluded lower limb arteriovenous dialysis access

Background Arteriovenous (AV) fistula thrombosis is a serious complication in patients undergoing hemodialysis, often presenting with symptoms of venous hypertension, failure to dialysis and uremic symptoms. Treatment is aimed to provide symptomatic relief and to maintain hemodialysis access site patency. Aim To describe our initial experience in the endovascular treatment of lower limb AV dialysis access (AV fistula) thrombosis and/or obstruction in patients undergoing hemodialysis. Settings and design This was a retrospective study carried out in a tertiary care center. Study duration was 24 months. Follow-up was variable. Materials and methods Two patients with chronic kidney disease with stage 5 renal failure undergoing hemodialysis presented with lower limb arteriovenous dialysis access (arteriovenous fistula) failure between July 2014 and September 2016. Both the patients underwent endovascular treatment and were analyzed retrospectively. Results and conclusion Both the patient underwent successful endovascular treatment for the failure of the lower limb AV dialysis access thrombosis and/or obstruction. One patient had minimal dye extravasation during manipulation of the guide wire, which ceased spontaneously. On follow-up, both patients maintained patency of the dialysis access and are undergoing successful hemodialysis. One patient had a recurrence of the thrombosis of the fistula at 9th month of the follow-up. Endovascular treatment was tried but we could not succeed. However, we found endovascular treatment safe and effective in treating AV fistula failures.

Population genetic structure of malaria vector Anopheles stephensi using mitochondrial Cytochrome oxidase II gene in Indian populations.

The genetic differentiation in A. stephensi based on haplotype diversity using Restriction Fragment Length Polymorphism and by sequencing of CO II gene across different localities in India has been analyzed. The presence of only one DraI restriction site in CO II gene conferred to haplotype B indicating that the gene is very much conserved and the gene flow is not affected even by a major geographical distance barrier. The sequencing and analysisof various population parameters revealed seven haplotypes in all populations. The West Bengal population was found to be more genetically diverse than others. The geographic distance between populations was found to be contributing to the genetic differentiation. The sign of demographic expansion were found in three of the five populations. The local geographic barriers were found to be ineffective in prevention of gene flow.

Oral Health Care For Pregnant Patients.

Pregnancy is a unique time in a woman’s life and is characterized by complex physiological changes. These changes can adversely affect oral health. pregnancy is also an opportune time to educate women about preventing dental caries in young children, a common childhood problem. Although multiple studies have shown an association between periodontal infection and adverse pregnancy outcomes, such as premature delivery and low birth weight, recent randomized. Pregnancy by itself is not a reason to defer routine dental care and necessary treatment for oral health problems. diagnosis and treatment, including needed dental x-rays, can be undertaken safely during the first trimester of pregnancy. Needed treatment can be provided throughout the remainder of the pregnancy; however, the time period between the 14th and 20th week is considered ideal.

Age composition of incriminated malaria vector in a rural foothills in West Bengal, India.

Two 1 yr surveys carried out at a gap of 10 yr revealed nine anopheline species from malaria endemic foothills area of Ayodhya - Baghmindi range of West Bengal, India, with 8.4 per cent populations of Anopheles culicifacies. An. culicifacies was incriminated as vector of Plasmodium falciparum with sporozoite rate of 1.23 per cent. Studies on age composition indicated that proportion parous and daily survival rate of An. culicifacies were assessed to be 0.50 and 0.84 respectively. The survival rate per gonotrophic cycle averaged over the two year was 0.61. Rainy season was found to be the favourable period for transmission.

Mosquito control by larvivorous fish.

There is growing of the effects of insecticide used controlling the vectors of human diseases. Manipulating or introducing an auto-reproducing predator into the ecosystem may provide sustained biological control of pest populations. The selection of a biological agent should be based on its self-replicating capacity, preference for the target pest population in the presence of alternate natural prey, adaptability to the introduced environment, and overall interaction with indigenous organisms. In order to achieve an acceptable range of control, a sound knowledge of various attributes of interactions between the pest population and the predator to be introduced is desirable. Biological larviciding for the control of mosquito borne diseases is feasible and effective only when breeding sites are relatively few or are easily identified and treated. Larval control appears to be promising in urban areas, given that the density of humans needing protection is higher than the limited number of breeding sites. Since 1937, fish have been employed for controlling mosquito larvae. Different types of fish have been used so far in this operational technique. However, use of fish of indigenous origin is found to be more appropriate in this operation. This review presents information on different larvivorous fish species and the present status of their use in mosquito control and provides a ready reference for workers involved and interested in mosquito research.

Role of some factors on the breeding of JE vector Culex vishnui group.

Vector of JE, Culex vishnui group, prefer to breed in rice field. During the present study, roles of some factors like irrigation, manuring, pesticide application, rainfall, temperature and pH of the breeding water, depth of breeding water and height of paddy plants on breeding of Culex vishnui group larvae have been studied. It is evident from the study that besides striking role of the factors like manuring and pesticide application, other factors have also some role on the breeding of JE vectors at their breeding sites.

Treatment of microfilaraemics with DEC and its effect on vector infection and infectivity in tribal and non-tribal areas of Bankura district, West Bengal, India.

Single course DEC treatment (6 mg/kg body weight/day for 12 days) was administered to 66 tribal and 442 non-tribal microfilaria (mf) carriers detected through a Filariasis survey in Bankura district, West Bengal, India. All the mf carriers remained amicrofilaraemic on 22nd, 180th and 365th post-treatment day. As a result of DEC treatment to the mf carriers, vector (Culex quinquefasciatus) infection rate in tribal study areas reduced from 2.06% to 1.07%. Infectivity rate was "nil" both before and after treatment. In non-tribal study areas, vector infection rate reduced from 4.33% to 2.22% and infectivity rate from 0.51% to 0.29%.

Role of satellite RNA of an Indian isolate of cucumber mosaic virus in inducing lethal necrosis of tobacco plants.

Lethal necrosis or systemic stem necrosis followed by death of Nicotiana benthamiana, severe leaf deformations of N. tabacum cv. white burley and blister formations on N. tabacum cv. samsun NN symptoms were induced by experimental inoculations of CMV RNA preparations containing satellite RNA (sat-RNA). Inoculations of RNA preparations without sat-RNA did not induce that severe symptoms on these plants, only late mild mosaic was observed. It is suggested that sat-RNA of CMV isolate has a certain role for enhancing severity of symptoms in tobacco plants. Local and systemic lethal necrosis of N. benthamiana is due to sat-RNA present with genome of CMV isolate. It is the first report of lethal necrosis induced in N. benthamiana by CMV satellite.

Some Indian strains of cucumber mosaic virus (CMV) lacking satellite RNA.

Virus strains isolated from Ocimum sanctum and Zinnia elegans were identified as cucumber mosaic virus (CMV) strains on the basis of non-persistant aphid transmission, 28 nm particles, 26 kDa coat protein subunits and serological relationships with CMV and chrysanthemum aspermy virus. The strains showed some biological, serological and satellite RNA based differentiation with other CMV strains isolated earlier from chrysanthemum, petunia and tobacco.

Susceptibility status of Phlebotomus argentipes to DDT, dieldrin and malathion in Hoogly, West Bengal.

Susceptibility tests were carried out with DDT (4%), dieldrin (0.4%) and malathion (5%) using the WHO test kits against Phlebotomus argentipes sandflies collected from Dankuni, situated in Hoogly district, 21 km from Calcutta, West Bengal. P. argentipes was found to be susceptible to all the three insecticides tested. LT 50 was calculated to be 10.6 minutes, 10.2 minutes and 2.8 minutes for DDT, dieldrin and malathion against the flies.

Studies on the filariasis vector--Culex quinquefasciatus at Kanchrapara, west Bengal (India).

A nine month entomological and parasitological study was conducted between December 1991 and August 1992, at Kanchrapara, a town of the district North 24-Parganas, West Bengal. The town was found to be endemic for bancroftian filariasis. Microfilaria rate among the human population was 1.9 per cent (35 of 1200 persons). Average man hour density of C. quinquefasciatus was considerably high (31.10) and a higher vector prevalence was seen in summer. The infection and infectivity rates of the natural population of the vector were 2.3 and 0.28 per cent respectively. 9.2 and 1.7 per cent of the human habitations were found to contain infected and infective C. quinquefasciatus. Both infection and infectivity rates were higher during the rainy season than the other seasons.

Longitudinal study on distribution of Phlebotomus argentipes sandflies at different heights in cattleshed.

Distribution of Ph. argentipes at three levels (level I, 0-0.91 m; level II, 0.91-1.82 m; and level III 1.82-2.74 m) above the ground in 6 cattlesheds was studied during July 1989 to June 1990. Of the 8044 Ph. argentipes caught, 3151 (39.2%), 3936 (48.9%) and 957 (11.9%) were from levels I, II, and III respectively. Both male and fed, half-fed, gravid and unfed female sandflies were found at all the three levels and in all the three seasons viz., rainy, winter and summer, of the year. The maximum height of occurrence of sandflies was 2.51 m (8.3 ft) above the ground level.

A simple method for cryopreservation of Leishmania donovani promastigotes.

Cryopreservation of promastigotes of L. donovani in NNN and Tobie's media was attempted. The media containing the promastigotes were kept directly at -80 degrees C. The cryopreserved media were examined for living promastigotes after 9, 12, 15, 20, 23, 26, 29, 32, 42, 56, 65 and 126 days after the culture tubes were brought directly from -80 degrees C to room temperature and examined after 30 min. All tubes showed living promastigotes which were used for further growth with no apparent morphological changes in subsequent subcultures. Viability was optimum. This method of short term cryopreservation is simple, reliable and reproducible for cryopreservation of culture adapted parasites and also important because different strains can be stocked without using any other chemical, or special equipment and liquid nitrogen chamber, for further use in immunological or other purposes.