Efficacy of newer modalities in the management of indirect hyperbilirubinaemia at a secondary care hospital: A prospective study from 2015-2018.

OBJECTIVE: To evaluate the efficacy of current practices and new modalities for the management of neonatal indirect hyperbilirubinaemia. METHODS: The prospective study was conducted at King Khalid Hospital, Al Majmaah, Saudi Arabia, from September 2015 to September 2018, and copmprised neonates with hyperbilirubinaemia who were managed using the National Institute for Health and Clinical Excellence 2010 guidelines. The outcomes were measured in terms of decrease in total serum bilirubin and clinical improvement. Data was analysed using SPSS 25. RESULTS: Of the 233 subjects, there were 119(51%) girls and 114(49%) boys. Phototherapy was used in 162(69.5%) cases, intensive phototherapy in 36(15.5%) and intravenous immunoglobulin in 35(15%). Exchange transfusion was done in 2(0.85%) patients. All the 233(100%) patients improved with the management and total serum bilirubin significantly reduced (p<0.05). CONCLUSIONS: Newer techniques were found to have a vital role in the management of neonatal hyperbilirubinaemia.

Protective role of ginseng against gentamicin induced changes in kidney of albino mice.

BACKGROUND: Use of gentamicin is now limited due to its toxic effects, mainly on kidney and vestibular system. Herbal products including ginseng has been reported to possess protective effects against drugs induced nephrotoxicity in experimental animals. The current investigation was designed to evaluate the effects of ginseng on gentamicin induced nephrotoxicity. METHODS: Eighteen male albino mice of 6-8 weeks age, were divided into 3 groups. Group-A served as control and was given normal mouse diet; Group-B was given 80 mg/Kg/day of gentamicin intraperitoneally dissolved in 1 ml of distilled water for fifteen days. Group-C was given 80 mg/Kg/day of gentamicin intraperitoneally dissolved in 1 ml of distilled water along with 100 mg/Kg/day of ginseng orally dissolved in 1 ml of distilled water, also for fifteen days. At the end of the experiment, blood was drawn from each animal by cardiac puncture for renal function tests. Each animal was then sacrificed and kidneys removed for routine histological studies. RESULTS: In group B, weight of the animals and kidneys decreased and there was significant increase in mean serum urea, creatinine and intraluminal diameter (p < 0.001) of proximal convoluted tubules as compared to the controls (group-A). Moderate to severe necrotic and degenerative changes in proximal convoluted tubules were seen in this group. When the Ginseng and gentamicin were given together (group-C), a statistically significant improvement in the mean body and kidney weight along with improvement in renal function tests and tubular diameter were seen (p < 0.001). CONCLUSION: It appears that Ginseng has some protective role against gentamicin induced nephrotoxicity.

Histological effects of Eugenia jambolana seed extract on liver of adult albino rats.

BACKGROUND: The therapeutic value of Eugenia jambolana, commonly known as 'Jamun' in Hindi, has been recognized in different system of traditional medicine for the treatment of various conditions. Its seeds are used for the treatment of diabetes mellitus and hyperlipedemia by reducing the lipid levels in the body; this action is presumed to be due to blocking the action of enzyme 3-hydroxyl methyl glutaryl (HMG-CoA reductase in the liver. Herbal drugs are getting into use with the notion that these are relatively harmless; the practice has shown that many of them also have toxic effects. Since hardly any work is available on the toxic aspect of Eugenia Jamblana, the present study was planed to see the effect-of ethanolic extract of Eugenia Jamblana on liver using albino rats as an experimental model. METHODS: The animals were divided into three groups A, B and C. Group A served as a control and received only distilled water comparable to the experimental animals calculated according to their body weight, where as B and C served as experimental groups. 100 and 200 mg of ethanolic extract of Eugenia Jamblana was dissolved in one ml of distilled water each and was given orally for 30 days/kg body weight. RESULTS: liver enzyme ALT and gamma GT were significantly raised when compared to the control group, p-value being < 0.05. Histological studies showed ballooning degeneration of hepatocytes, focal areas of hepatocytes necrosis with lymphocytic infiltration, providing supportive evidence for biochemical findings indicative of functional derangement. The effect of the extract was not dose dependent. Statistical analysis using ANOVA and chi-square showed statistically significant difference when the values from experimental animals were compared with those from the control, indicating that the ethanolic extract of Eugenia Jamblana seed possesses hepatotoxic effect. CONCLUSION: The ethanolic extract of Eugenia jambolana seed extract is toxic to liver as evident by derangement in liver enzyme levels and disturbed liver histology.