Evaluation of etiology and pregnancy outcome in recurrent miscarriage patients.

The purpose of this study was to evaluate etiology and pregnancy outcome of recurrent miscarriage women. The enrolled patients (280) were evaluated for Triiodothyronine, Thyroxine, Thyroid stimulating hormone, prolactin, chromosomal analysis, Haemoglobin A1C, blood sugar, Magnetic resonance imaging, 3D-ultrasound, auto-antibodies profile (antiphospholipid antibodies, anticardiolipin antibodies, lupus anticoagulant, antinuclear antibodies, anti-thyroid antibodies and ß2 glycoprotein1), torch profile (Toxoplasmo gondii, rubella, cytomegalo virus and herpes simplex virus), blood vitamin D3 levels, psychological factors, Body mass index and thrombotic factors (protein S and C deficiency, Prothrombin G20210A mutation, anti-thrombin III, Factor V Leiden and Methylenetetrahydrofolate reductase mutation), uterosalpingography (hysteronsalpingography) and hysteroscopy. The therapeutic regimens either singly or combined were employed for the treatment of recurrent miscarriage patients on the basis of etiology (single or multiple) and include intravenous immunoglobulin, low molecular weight heparin, low dose aspirin, levothyroxine, progesterone, folic acid, human chorionic gonadotrophin, vitamin D3, psychotherapy, genetic counselling. However, patients with idiopathic recurrent miscarriage were treated with progesterone supplementation, anticoagulation and/or immune modulatory agents. The incidence of primary recurrent miscarriage was highest and most of the women experienced recurrent miscarriage during first trimester. Endocrinological disorders (39%) were found as the major pathological factor for recurrent miscarriage. Other factors include uterine abnormalities (5.7%), vitamin D3 deficiency (3.5%), psychological factors (3.2%) infection (3.6%), autoimmune abnormalities (1.8%) and protein S deficiency (1.8%). However, 40% cases were idiopathic. The overall live birth rate achieved after the management of recurrent miscarriage patients was 75.7%. Enocrinopathy was the major cause of recurrent miscarriage. The overall live birth rate achieved was 75.7% with highest pregnancy outcome in secondary recurrent miscarriage patients after the management.

Low Doses of Cuscuta reflexa Extract Act as Natural Biostimulants to Improve the Germination Vigor, Growth, and Grain Yield of Wheat Grown under Water Stress: Photosynthetic Pigments, Antioxidative Defense Mechanisms, and Nutrient Acquisition.

The present study was conducted to investigate the effects of Cuscuta reflexa extract (CRE) on the activities of germination enzymes, seed germination vigor, biomass production, physio-biochemical attributes, and seed yield of water-stressed wheat plants. Different levels of CRE (0, 10, 20, 30, 40, and 50%), including water soaking, were used as seed priming. Water stress negatively affected the seed germination, germination enzyme activities, growth, yield, and different physio-biochemical attributes of wheat plants. Low doses of CRE (10, 20, and 30%) ameliorated the adverse effects of water stress on seed germination attributes, and activities of germination enzymes, but negative impacts were recorded at higher doses (40 and 50%) of CRE. Water-stressed wheat plants grown from seeds pre-treated with low doses of CRE also showed better growth and yield as compared with non-treated ones, and that was associated with an improvement in water relations, photosynthetic pigments, nutrient acquisition, reduced lipid peroxidation, and better antioxidative defense mechanisms. The maximum increase in seed yield was 14.77 and 12.32%, found in plants grown from seeds treated with 20% and 10% CRE, respectively. In conclusion, it is suggested that using low doses of CRE as seed priming can contribute to better wheat yield under water stress, especially in semi-arid and arid areas.

Aerobic and anaerobic biosynthesis of nano-selenium for remediation of mercury contaminated soil.

Selenium (Se) nanoparticles are often synthesized by anaerobes. However, anaerobic bacteria cannot be directly applied for bioremediation of contaminated top soil which is generally aerobic. In this study, a selenite-reducing bacterium, Citrobacter freundii Y9, demonstrated high selenite reducing power and produced elemental nano-selenium nanoparticles (nano-Se0) under both aerobic and anaerobic conditions. The biogenic nano-Se0 converted 45.8-57.1% and 39.1-48.6% of elemental mercury (Hg0) in the contaminated soil to insoluble mercuric selenide (HgSe) under anaerobic and aerobic conditions, respectively. Addition of sodium dodecyl sulfonate enhanced Hg0 remediation, probably owing to the release of intracellular nano-Se0 from the bacterial cells for Hg fixation. The reaction product after remediation was identified as non-reactive HgSe that was formed by amalgamation of nano-Se0 and Hg0. Biosynthesis of nano-Se0 both aerobically and anaerobically therefore provides a versatile and cost-effective remediation approach for Hg0-contaminated surface and subsurface soils, where the redox potential often changes dramatically.