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OBJECTIVE: To compare virtual autopsy using postmortem magnetic resonance imaging (MRI) with conventional autopsy with respect to phenotypic characterization of stillbirths and malformed fetuses, and acceptability to parents. METHODS: This was a prospective diagnostic evaluation study, conducted from June 2013 to June 2015, including stillbirths and pregnancies terminated owing to fetal malformation at ≥ 20 weeks' gestation, for which parental consent to both conventional autopsy and postmortem MRI was obtained. Cases of maternal and obstetric cause of fetal demise were excluded. Whole-body postmortem MRI (at 1.5 T) was performed prior to conventional autopsy. Taking conventional autopsy as the diagnostic gold standard, postmortem MRI findings alone, or in conjunction with other minimally invasive prenatal and postmortem investigations, were assessed and compared for diagnostic accuracy. RESULTS: Parental consent for both conventional autopsy and postmortem MRI was obtained in 52 cases of which 43 were included in the analysis. In 35 (81.4%) cases, the final diagnosis based on virtual autopsy with postmortem MRI was in agreement with that of conventional autopsy. With conventional autopsy as the reference standard, sensitivity, specificity, positive and negative predictive values of postmortem MRI were, respectively: 77.7%, 99.8%, 97.4% and 98.0% for whole-body assessment; 93.1%, 99.0%, 87.1% and 99.5% for the nervous system; 61.0%, 100.0%, 100.0% and 96.7% for the cardiovascular system; 91.1%, 100.0%, 100.0% and 98.0% for the pulmonary system; 80.6%, 99.8%, 96.7% and 98.7% for the abdomen; 96.2%, 99.7%, 96.2% and 99.7% for the renal system; and 66.7%, 100.0%, 100.0% and 97.2% for the musculoskeletal system. Virtual autopsy was acceptable to 96.8% of families as compared with conventional autopsy to 82.5%. CONCLUSIONS: Virtual autopsy using postmortem MRI and other minimally invasive investigations can be an acceptable alternative to conventional autopsy when the latter is refused by the parents. Postmortem MRI is more acceptable to parents and can provide additional diagnostic information on brain and spinal cord malformations. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.
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Autopsia/métodos , Anomalías Congénitas/patología , Muerte Fetal/etiología , Feto/patología , Imagen por Resonancia Magnética , Mortinato , Femenino , Feto/anomalías , Edad Gestacional , Humanos , India , Consentimiento Paterno , Valor Predictivo de las Pruebas , Embarazo , Estudios ProspectivosRESUMEN
Renal cell carcinoma (RCC) is derived from renal tubular epithelial cells and is among the 10 most common cancers worldwide. Incidence of renal cell carcinoma is 400,000 individuals worldwide per year. The age of diagnosis is approximately 60years, and twice as many men are diagnosed as women. African Americans have a slightly higher rate of RCC than do White peoples. The reasons for this are not clear. Inherited syndromes in family, long term dialysis, smoking individuals who had quit smoking >10 years prior had a lower risk when compared to those who had quit <10 years. 22.5 pack-year smokers had a more than 50.0% increased RCC risk compared to nonsmokers, high body mass index i.e. 5kg/m2 increase in body mass index (BMI) was found to be strongly associated with RCC. BMI >35kg/m2 is associated with higher incidence of Cancer raise blood pressure- Higher BMI and hypertension were independently shown to increase the long-term risk of RCC in men. A rise of blood pressure of 10mmHg is associated with 10-22 percent risk of RCC. Clear cell carcinoma is the most common variety of renal cell carcinoma as compared to other varieties of renal cell carcinomas (68.0-75.0%). It has also been found that CAIX is positive for all papillary renal cell carcinoma and negative for CK7, AMACR & TEF. We also found that CK7, EMA, CD117 and CAIX are most commonly positive for all chromophobe renal cell carcinoma. It has been found that clear cell carcinoma is the most common variety of renal cell carcinoma as compared to other varieties of renal cell carcinomas (68.0-75.0%). Again it has also been found that CAIX is positive for all papillary renal cell carcinoma and negative for CK7, AMACR and TEF. Here it has been found that chromophobe carcinoma is most commonly positive for CK7, EMA, CD117 and CAIX. In a patient coming with signs and symptoms of renal cell carcinoma can be confirmed with the help of histoimmunological markers and in that case one can plan for a proper planning of management.
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Carcinoma de Células Renales , Neoplasias Renales , Errores Innatos del Metabolismo Lipídico , Enfermedades del Sistema Nervioso , Racemasas y Epimerasas/deficiencia , Masculino , Humanos , Femenino , Persona de Mediana Edad , Carcinoma de Células Renales/diagnóstico , Neoplasias Renales/diagnóstico , Biomarcadores de Tumor , Diálisis Renal , Diagnóstico DiferencialRESUMEN
PURPOSE: Telomere length plays a significant role in various disorders; however, its role in idiopathic recurrent pregnancy loss (iRPL) is not known. The objective of this study was to assess telomere length in peripheral blood leukocytes in couples experiencing unexplained recurrent pregnancy loss (iRPL). METHODS: The study included 25 couples experiencing iRPL and 20 controls. The mean relative telomere length was measured by quantitative Real Time PCR (Q-PCR) based assay, which measures the average ratio of telomere repeat copy number to a single copy gene (36B4) copy number (T/S ratio) in each sample. RESULTS: The relative leukocyte mean telomere length (T/S) in both men and women from iRPL group was significantly lower (p < 0.05) when compared to controls. A significant (P < 0.05) negative correlation was found between age and leukocyte telomere length (T/S ratio). Among the sperm parameters seminal volume was found to be negatively (r = -0.4679) associated with the telomere T/S ratio. The DNA fragmentation index of sperm showed positive correlation (r = 0.4744) with telomere length. In this preliminary study, we found that shorter telomere length in both men and women may be associated with early pregnancy loss. CONCLUSION: In conclusion, shorter telomere length in both male and female partners appears to play a role in the idiopathic recurrent pregnancy loss. Loss of telomeric DNA due to oxidative stress needs further analysis. Analysis of telomere length in germ cells are needed to further substantiate the findings of this study.
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Aborto Habitual/genética , Leucocitos/citología , Homeostasis del Telómero/genética , Aborto Habitual/etiología , Aborto Habitual/patología , Adulto , Femenino , Humanos , Masculino , Estrés Oxidativo/genética , Embarazo , Espermatozoides/patología , Telómero/genéticaRESUMEN
BACKGROUND: Antiphospholipid antibody syndrome (APAS) is regarded as the most frequently acquired risk factor for thrombophilia. The obstetric manifestations of APAS include early or late pregnancy losses and complications like preeclampsia and fetal growth restriction. Its timely diagnosis and treatment can improve maternal and neonatal outcome. AIMS: To study the pregnancy outcome of patients with APAS treated with heparin and aspirin. SETTINGS AND DESIGN: This was a retrospective study of pregnancy outcome in 42 consecutive women with APAS, treated with heparin and aspirin. MATERIALS AND METHODS: The case records of 42 diagnosed cases of APAS with pregnancy, over a 3-year period, were studied. The pregnancy outcome in this group was compared before and after treatment with heparin and low-dose aspirin in terms of abortions, intrauterine deaths and live birth rate. The outcome of the present pregnancy in terms of fetal and maternal complications was analyzed. RESULTS: The mean age and average parity of women with APAS were 30.1±4.1 years and 3.2±1.2, respectively. Among the treated patients of APAS, 13 (30.9%) had preeclampsia and 9 (21.4%) had intrauterine growth restriction (IUGR). There were 2 (4.7%) intrauterine deaths, 4 (9.5%) missed abortions and 3 (7.1%) abruptio placentae. Women with APAS had a live birth rate of 4.6% before treatment and 85.7% in the index pregnancy after treatment. CONCLUSION: Treatment of pregnant women with APAS results in marked improvement in the live birth rate (4.6-85.7%). However, complications like preeclampsia and IUGR occur even after treatment, requiring strict monitoring and timely delivery.
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Síndrome Antifosfolípido/tratamiento farmacológico , Aspirina/uso terapéutico , Fibrinolíticos/uso terapéutico , Heparina/uso terapéutico , Complicaciones del Embarazo/tratamiento farmacológico , Resultado del Embarazo , Adulto , Síndrome Antifosfolípido/epidemiología , Tasa de Natalidad , Estudios de Cohortes , Femenino , Retardo del Crecimiento Fetal/tratamiento farmacológico , Edad Gestacional , Hospitales de Enseñanza , Humanos , India/epidemiología , Embarazo , Complicaciones del Embarazo/epidemiología , Estudios Retrospectivos , Resultado del Tratamiento , Adulto JovenRESUMEN
PURPOSE: Etiology in majority of couples experiencing recurrent spontaneous abortions (RSA) is still unknown. The aim of the study was to find the role of cytogenetic abnormalities, Y chromosome microdeletion, oxidative stress (OS) and sperm DNA fragmentation in male partners of couples experiencing RSA. METHODS: Forty-eight couples with history of RSA and 20 fertile controls were included in the study. The study subjects were divided into male partners of RSA couples with abnormal sperm parameters (SA) (N = 16), male partners of RSA couples with normal sperm parameters (NS) (N = 32) and age-matched fertile controls with normal sperm parameters (FC) (N = 20). RESULTS: One of 48 men (2%) showed 46, XY (1qh-) chromosomal complement. None of the cases including FC showed deletion in any of the 3 AZF loci on Y chromosome long arm. Sperm count was found be significantly lower in SA cases as compared to group NS cases (P < 0.0001) and FC (P < 0.005). Sperm forward motility was found to be significantly (P < 0.05) lower in SA cases as compared to NS and FC. Male partners of RSA couples with abnormal sperm parameters had higher reactive oxygen species (ROS) levels (P < 0.005) and sperm DNA damage (P < 0.0001), however, in male partners of RSA couples with normal sperm parameters had only increased (P < 0.0001) sperm DNA damage. CONCLUSION: Other than chromosomal anomalies, sperm DNA fragmentation and seminal OS may be the underlying pathology in RSA, thus screening for seminal ROS levels and DNA fragmentation has diagnostic and prognostic capabilities.
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Aborto Habitual/genética , Estrés Oxidativo , Trastornos de los Cromosomas Sexuales del Desarrollo Sexual/genética , Espermatozoides/ultraestructura , Aborto Habitual/etiología , Aborto Habitual/metabolismo , Adulto , Estudios de Casos y Controles , Cromatina/ultraestructura , Deleción Cromosómica , Cromosomas Humanos Y/genética , Cromosomas Humanos Y/metabolismo , Fragmentación del ADN , Femenino , Humanos , Infertilidad Masculina , Masculino , Especies Reactivas de Oxígeno/metabolismo , Aberraciones Cromosómicas Sexuales , Trastornos de los Cromosomas Sexuales del Desarrollo Sexual/metabolismo , Recuento de Espermatozoides , Espermatozoides/metabolismoRESUMEN
The findings of diploid-tetraploid mosaicism in cultured amniotic fluid cells is considered a culture artifact. On rare occasions its presence indicates a chromosomally abnormal fetus with multiple congenital defects. We present here a patient who in her previous pregnancies had delivered one hydrops and two macerated fetuses. The reported pregnancy also resulted in a fetus with severe hydrops. Cytogenetic analysis of cultured amniotic fluid cells revealed diploid-tetraploid mosaicism in the fetus also confirmed in fetal cord blood and skin fibroblasts. Chromosomal analysis of the parents revealed mixoploidy in the mother. These findings are extremely important for prenatal diagnosis and prompt us to not uniformly dismiss tetraploidy as artifactual but to confirm it especially in cases with ultrasound abnormalities.
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Anomalías Múltiples/genética , Edema , Feto/anomalías , Mosaicismo , Ploidias , Adulto , Líquido Amniótico/citología , Células Cultivadas , Trastornos de los Cromosomas/diagnóstico , Trastornos de los Cromosomas/genética , Edema/genética , Edema/inmunología , Resultado Fatal , Femenino , Sangre Fetal/citología , Feto/citología , Fibroblastos/citología , Humanos , Recién Nacido , Cariotipificación , Leucocitos Mononucleares/citología , Metafase , Embarazo , Diagnóstico Prenatal , Piel/citologíaRESUMEN
The present investigation was conducted to study the genetic heterogenicity and molecular polymorphism among the field isolates and vaccine strains of infectious bursal disease virus (IBDV). Samples of bursa of Fabricius from 15 suspected outbreaks of infectious bursal disease (IBD) were subjected to agar gel precipitation test (AGPT), virus isolation and reverse transcription-polymerase chain reaction (RT-PCR) combined with restriction fragment length polymorphism (RFLP). Nine out of 15 samples were found positive in AGPT while 14 were found positive both by virus isolation and RT-PCR. PCR amplified 474bp fragment from the variable region of VP2. Sac I, Stu I, Alu I, Ssp I and Mbo I restriction enzymes were used for characterization of all the 14 IBDV isolates and four reference vaccine strains. Sac I, Stu I, Alu I and Ssp I could differentiate classical virulent IBD (cvIBD) vaccine virus strains from very virulent IBD (vvIBD) field isolates by their varying restriction patterns. Based on above results two field isolates (VPL and VMK) were placed in cvIBD virus group and 12 field isolates were placed in vvIBD virus group. Virus neutralisation test (VNT) using rabbit raised Georgia strain anti-serum, however, could not differentiate between cvIBD virus and vvIBD virus. It was concluded that RT-PCR combined with RFLP assay using restriction enzymes Sac I, Stu I, Alu I and Ssp I can be used for rapid differentiation and classification of field isolates of IBDV.
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Infecciones por Birnaviridae/veterinaria , Pollos/virología , Virus de la Enfermedad Infecciosa de la Bolsa/clasificación , Virus de la Enfermedad Infecciosa de la Bolsa/aislamiento & purificación , Enfermedades de las Aves de Corral/virología , Vacunas Virales , Animales , Infecciones por Birnaviridae/virología , Virus de la Enfermedad Infecciosa de la Bolsa/genética , Polimorfismo GenéticoRESUMEN
Active transcriptional repression has been characterized as a function of many regulatory factors. It facilitates combinatorial regulation of gene expression by allowing repressors to be dominant over activators under certain conditions. Here, we show that the Engrailed protein uses two distinct mechanisms to repress transcription. One activity is predominant under normal transient transfection assay conditions in cultured cells. A second activity is predominant in an in vivo active repression assay. The domain mediating the in vivo activity (eh1) is highly conserved throughout several classes of homeoproteins and interacts specifically with the Groucho corepressor. While eh1 shows only weak activity in transient transfections, much stronger activity is seen in culture when an integrated target gene is used. In this assay, the relative activities of different repression domains closely parallel those seen in vivo, with eh1 showing the predominant activity. Reducing the amounts of repressor and target gene in a transient transfection assay also increases the sensitivity of the assay to the Groucho interaction domain, albeit to a lesser extent. This suggests that it utilizes rate-limiting components that are relatively low in abundance. Since Groucho itself is abundant in these cells, the results suggest that a limiting component is recruited effectively by the repressor-corepressor complex only on integrated target genes.
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Proteínas de Unión al ADN/metabolismo , Regulación de la Expresión Génica , Genes de Insecto , Proteínas de Homeodominio/metabolismo , Proteínas Represoras/metabolismo , Factores de Transcripción , Secuencia de Aminoácidos , Animales , Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico , Células Cultivadas , Secuencia Conservada , Análisis Mutacional de ADN , Proteínas de Unión al ADN/genética , Drosophila/citología , Proteínas de Homeodominio/genética , Fragmentos de Péptidos , Unión Proteica , Proteínas Represoras/genética , Eliminación de Secuencia , TransfecciónRESUMEN
A bacterium identified as Pseudomonas fluorescence was isolated from Taxus baccata rhizosphere. Ethyl acetate extract from its culture filtrate yielded an active antimicrobial compound that was purified by TLC. The active metabolites were resolved by column chromatography on silica gel (60-120 mesh). The compound was further characterized on the basis of spectral data (UV, IR and (1)HNMR), which indicated the presence of an aromatic ring and phenolic functionality. The compound showed significant antimicrobial activity against two-gram positive bacteria (B. subtilis and S. aureus), four-gram negative bacteria (E. coli, K. pneumoniae, S. flexneri and P. aeruginosa), and one pathogenic fungus (Candida albicans). The minimum inhibitory concentration (MIC) of the compound ranged between 75µg to 250 µg/ml.
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Hepatitis E virus (HEV) has two discrete epidemiological patterns: waterborne epidemics in developing countries only, caused by HEV genotype I, and sporadic zoonotic outbreaks in developing and developed countries caused by genotypes III and IV. This study was designed to investigate seroprevalence, molecular detection and the characterization of HEV by nested RT-PCR in swine as well as the occupational risk to exposed human population in Punjab state of north-western India. The occupational risk-exposed group comprised of swine farmers (organized - mixed feed feeders and unorganized - swill feeders), slaughterhouse workers, sewage workers and veterinary internes. During the study period, blood and faecal samples were collected from 320 swine and 360 humans with both high and low occupational exposure risks. The overall seroprevalence of swine HEV was 65.00%, with a significantly higher seropositivity in growing pigs (2-8 months of age). The prevalence of HEV RNA in swine faecal samples by nRT-PCR was 8.75% with a significantly higher detection in swill-fed pigs. With humans in the high occupational exposure risk population, significantly higher anti-HEV IgG seropositivity was observed (60.48%) as compared to control population (10.71%). Strong evidence of association between human anti-HEV IgG seropositivity and certain occupational exposure risk groups was observed (p < 0.05). This indicates that unorganized swine farmers, slaughterhouse workers and sewage workers have higher odds of HEV infection in this study region. Percentage of nucleotide similarity between swine and human HEV isolates was less than that found in countries with zoonotic HEV outbreaks. Molecular characterization revealed the circulation of G IV and G I genotypes among swine and human population in Punjab state, respectively.
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Virus de la Hepatitis E , Hepatitis E/veterinaria , Exposición Profesional , Enfermedades de los Porcinos/virología , Mataderos , Adulto , Animales , Agricultores , Heces/virología , Hepatitis E/epidemiología , Hepatitis E/virología , Virus de la Hepatitis E/genética , Humanos , India/epidemiología , Filogenia , Estudios Seroepidemiológicos , Porcinos , Enfermedades de los Porcinos/epidemiología , Veterinarios , Adulto Joven , ZoonosisRESUMEN
OBJECTIVE: To compare the acceptability, efficacy, adverse effects, and user satisfaction of a levonorgestrel intrauterine system (LNG-IUS) and transcervical resection of the endometrium (TCRE) for the treatment of dysfunctional uterine bleeding. METHOD: Of 50 women with a pictoral blood loss assessment chart (PBAC) score of 100 or greater, 25 had a LNG-IUS inserted (Mirena; Schering, Berlin, Germany) and 25 underwent TCRE. Procedure-related complications, PBAC score, hemoglobin levels, adverse effects, and rates of acceptability and satisfaction were recorded at 3-month intervals for a period of 12 months. RESULTS: At the end of 1 year there were a 97% and a 94% reduction in menstrual blood loss in the LNG-IUS and TCRE groups, respectively, and hemoglobin concentration had increased by 5.5% in the LNG-IUS group and 5.2% in the TCRE group. Adverse effects were similar in both groups except for systemic effects, which were seen only in the LNG-IUS group. Satisfaction rates were about 80% in the 2 groups. CONCLUSION: Both treatments were found to be equally effective but LNG-IUS placement requires less operator skill and entails no operative hazards, and the device provides effective contraception.
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Anticonceptivos Femeninos/administración & dosificación , Dilatación y Legrado Uterino , Implantes de Medicamentos/administración & dosificación , Dispositivos Intrauterinos Medicados , Levonorgestrel/administración & dosificación , Metrorragia/tratamiento farmacológico , Metrorragia/cirugía , Adulto , Dilatación y Legrado Uterino/efectos adversos , Femenino , Humanos , Histeroscopía , Dispositivos Intrauterinos Medicados/efectos adversos , Metrorragia/diagnóstico por imagen , Satisfacción del Paciente , Resultado del Tratamiento , UltrasonografíaRESUMEN
AIM: To know the prevalence of gastrointestinal nematode larvae (L3) in the grazing land of cattle in Guwahati, Kamrup district, Assam. MATERIALS AND METHODS: Pastures were collected and examined for the presence of nematode larvae (L3) from six localities of Guwahati at monthly interval from August 2012 to July 2013. The counted larvae were then expressed as per kg dry matter of herbage (L3/kg DM). RESULTS: Examination of pastures revealed presence of nematode larvae (L3) in pastures throughout the year which varied from 4.5 L3/kg DM in January to a maximum of 106.33 L3/kg DM in August. The L3 of Haemonchus contortus, Trichostrongylus spp., Oesophagostomum spp., Cooperia spp., and Mecistocirrus spp. were recovered from pastures. The average pasture larval burden (PLB) was 34.75±3.48 L3/kg DM. Season-wise PLB revealed the presence of 23.89±3.01, 67.54±5.41, 26.67±1.92, and 7.28±0.89 L3/kg DM during pre-monsoon, monsoon, post-monsoon, and winter seasons, respectively. Monsoon season has significant (p<0.05) effect on PLB. However, analysis of variance of different locations with respect to season revealed that there was no significant difference but season-wise it was highly significant (p<0.01). Pearson correlation of environmental variables (temperature, relative humidity, and rainfall) with PLB revealed correlation was statistically significant with rainfall (p<0.05). CONCLUSION: This study reveals the presence of five nematode larvae (L3) in the pastures of Guwahati, Assam throughout the year, statistically significant during monsoon season.
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Setting: Nine district-level microscopy centres in Assam and Tripura, India. Objective: Same-day sputum microscopy is now recommended for tuberculosis (TB) diagnosis. We compared this method against the conventional 2-day approach in routine programmatic settings. Methods: During October-December 2012, all adult presumptive TB patients were requested to provide three sputum samples (one at the initial visit, the second 1 h after the first sample, and the third the next morning) for examination by Ziehl-Neelsen smear microscopy. Detection of acid-fast bacilli with any sample was diagnostic. The first and second spot sample comprised the same-day approach, and the first spot sample and next-day sample comprised the 2-day approach. Results: Of 2168 presumptive TB patients, 403 (18.6%) were smear-positive according to the same-day method compared to 427 (19.7%) by the 2-day method (McNemar's test, P < 0.001). Of the total 429 TB patients, 26 (6.1%) were missed by the same-day method and 2 (0.5%) by the 2-day method. Conclusion: Same-day specimen collection for microscopy missed more TB than 2-day collection. In India, missing cases by using same-day microscopy would translate into a considerable absolute number, hindering TB control efforts. We question the indiscriminate switch to same-day diagnosis in settings where patients reliably return for testing the next day.
Contexte : Neuf centres de microscopie de district dans les états d'Assam et de Tripura, Inde.Objectif : On recommande maintenant une microscopie de frottis le même jour pour le diagnostic de la tuberculose (TB). Nous avons comparé cette méthode par rapport à l'approche conventionnelle en 2 jours dans un contexte de programme de routine.Méthodes : Entre octobre et décembre 2012, tous les patients adultes présumés atteints de TB ont été invités à fournir trois échantillons de crachats (lors de la visite initiale, 1 heure après le premier échantillon et le matin suivant) pour un examen par microscopie de frottis selon Ziehl-Neelsen. La détection de bacilles acido-alcoolo-résistants dans un quelconque échantillon constituait le diagnostic. Les premier et deuxième échantillons ont constitué l'approche du même jour et le premier échantillon plus celui du matin suivant constituaient l'approche en 2 jours.Résultats : Sur les 2168 patients présumés TB, 403 (18,6%) étaient frottis-positifs selon la méthode du même jour comparés à 427 (19,7%) par la méthode en 2 jours (test de McNemar P < 0,001). Sur ce total de 429 patients TB, 26 (6,1%) ont été manqués par la méthode du même jour et 2 (0,5%) par la méthode en 2 jours.Conclusion : Le recueil d'échantillons le même jour pour une microscopie a manqué plus de cas de TB que le recueil en 2 jours. En Inde, une stratégie de microscopie le même jour à ce taux se traduirait par un grand nombre absolu de cas manqués, entravant les efforts de lutte contre la TB. Nous remettons en question le fait de passer sans discrimination au diagnostic du jour même dans des contextes où les patients reviennent de manière fiable pour un test le jour suivant.
Marco de referencia: Nueve centros distritales de microscopia de Assam y Tripura en la India.Objetivo: Actualmente se recomienda en el diagnóstico de la tuberculosis (TB) practicar la baciloscopia del esputo el mismo día de la consulta. En el presente estudio se comparó este método con la estrategia corriente de baciloscopia en dos días que se aplica en las prácticas programáticas.Métodos: De octubre a diciembre del 2012 se solicitó a todos los adultos con presunción diagnóstica de TB que aportaran tres muestras de esputo (en el momento de la consulta inicial, una hora después y a la mañana siguiente), con el fin de practicar el examen microscópico con la coloración de Ziehl-Neelsen. El criterio diagnóstico fue la detección de bacilos acidorresistentes en cualquiera de las muestras. La primera y la segunda muestras inmediatas constituyeron la estrategia del mismo día y la primera muestra inmediata y la muestra del día siguiente constituyeron la estrategia de 2 días.Resultados: En los 2168 pacientes con presunción de TB, se confirmó el diagnóstico en 403 casos (18,6%) con el método del mismo día y en 427 (19,7%) con la estrategia de 2 días (prueba de McNemar P < 0,001). Del total de 429 pacientes con diagnóstico de TB, se pasaron por alto 26 casos cuando se recogieron las muestras el mismo día (6,1%) y 2 casos cuando se recogieron durante 2 días (0,5%).Conclusión: La recogida de muestras destinadas a la baciloscopia en el mismo día omitió el diagnóstico de más casos de TB que la recogida de muestras en 2 días. En la India, pasar por alto el diagnóstico de casos con el examen microscópico realizado el mismo día tendría como consecuencia omitir una cifra absoluta de pacientes muy alta, que entorpecería los resultados de las iniciativas de control de la TB. En el presente artículo se pone en duda la utilidad de un cambio indiscriminado hacia el método de diagnóstico en el mismo día, en los entornos donde se puede confiar en que los pacientes regresarán al día siguiente para completar las muestras de esputo.
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Serum samples from 51 apparently healthy breeding bulls were screened for bovine herpesvirus-1 (BHV-1) antibodies using an avidin-biotin enzyme-linked immunosorbent assay, revealing a sero-positive prevalence rate of 45.09%. Semen samples were then collected from 12 of the sero-positive and 12 of the sero-negative bulls and tested for BHV-1 antigen using both a virus isolation assay and a polymerase chain reaction (PCR) assay; PCR was applied to detect BHV-1 deoxyribonucleic acid by using primers selected from the relatively conserved sequence of the gl glycoprotein gene to amplify a 468 base pair fragment. The PCR-amplified products were confirmed as BHV-1 by restriction enzyme, Dde 1, which produced fragments of predictable sizes, namely 340 and 128 base pairs. Positive virus isolation test results, confirmed by virus neutralisation, found BHV-1 antigen in the semen of five sero-positive and six sero-negative bulls. In comparison, positive PCR results found BHV-1 genome in the semen of six sero-positive and eight sero-negative bulls. From the 24 semen samples tested, 14 were shown to be positive by PCR and 11 by virus isolation. The sensitivity and specificity of virus isolation were 57.14% and 70% respectively, and were significantly lower than PCR. In the semen samples taken from sero-negative bulls, BHV-1 was detected more often by PCR methods than by virus-isolation, suggesting that PCR is a more sensitive method for BHV-1 screening in bulls.
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Enfermedades de los Bovinos/diagnóstico , ADN Bacteriano/análisis , Infecciones por Herpesviridae/veterinaria , Herpesvirus Bovino 1/aislamiento & purificación , Reacción en Cadena de la Polimerasa/veterinaria , Semen/virología , Animales , Anticuerpos Antivirales/análisis , Cruzamiento , Bovinos , Enfermedades de los Bovinos/epidemiología , Ensayo de Inmunoadsorción Enzimática/métodos , Ensayo de Inmunoadsorción Enzimática/normas , Ensayo de Inmunoadsorción Enzimática/veterinaria , Infecciones por Herpesviridae/diagnóstico , Infecciones por Herpesviridae/epidemiología , Herpesvirus Bovino 1/genética , Herpesvirus Bovino 1/inmunología , India/epidemiología , Masculino , Reacción en Cadena de la Polimerasa/métodos , Reacción en Cadena de la Polimerasa/normas , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Estudios SeroepidemiológicosRESUMEN
Gliomatosis peritonei (GP), a rare condition related to ovarian teratomas, is characterized by miliary implants of mature glial tissues on the peritoneum or omentum. We report herein a case of mature teratoma of the ovary with GP with imaging features and pathological correlation.
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Neoplasias Ováricas/patología , Neoplasias Peritoneales/patología , Teratoma/patología , Adulto , Femenino , Humanos , Neoplasias Ováricas/fisiopatología , Neoplasias Peritoneales/fisiopatología , Pronóstico , Teratoma/fisiopatología , Tomografía Computarizada de EmisiónRESUMEN
Beta thalassemia and Hemophilia A are common genetic disorders for which prenatal diagnosis (PND) is an accepted option. Our aim was to evaluate cord blood analysis as a method for PND of these disorders. Cord blood samples at 18-26 weeks gestation from nine mothers with previous thalassemia major child and five families with previous hemophilia A were studied. In the former; HbF, HbA2 and HbF were determined by high performance liquid chromatography (HPLC) and in latter; Factor VIII and IX assays were done by one stage method. In HPLC studies for thalassemia, three out of nine fetuses were affected, five were carriers and one was normal. In hemophilia PND samples, 2 out of five fetuses were affected. Thus, HPLC and factor VIII assay in cord blood are feasible alternatives for PND in Beta thalassemia and hemophilia A respectively, especially when DNA analysis is uninformative or there are financial constraints.
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Sangre Fetal/química , Hemofilia A/diagnóstico , Diagnóstico Prenatal , Talasemia beta/diagnóstico , Femenino , Humanos , Recién Nacido , EmbarazoRESUMEN
AIM: To determine the prevalence and diversity of Eimeria spp. in dairy cattle present in and around Guwahati, Kamrup district, Assam, India. MATERIALS AND METHODS: A total of 2339 fecal samples of calves (535), heifer (641) and adult (1163) cattle were screened for 1 year present in and around Guwahati, Assam for detection of Eimeria oocysts by flotation techniques. Sporulation of the oocyst was done in 2.5% potassium dichromate solution for identification of the Eimeria species. RESULTS: Examination of fecal samples revealed an overall prevalence of 11.97% Eimeria infection in dairy cattle of Guwahati, Assam. Age-wise, 33.2%, 45.4%, and 21.4% infections were recorded in calves (<1 year), heifer (1-3 years) and adult (>3 years) cattle, respectively. Season-wise, infection was recorded highest during post-monsoon (16.29%), followed by monsoon (15%), winter (9.44%), and pre-monsoon (7.49%) season. Seven species of Eimeria were recorded viz. Eimeria bovis, Eimeria zuernii, Eimeria subspherica, Eimeria bukidnonensis, Eimeria auburnensis, Eimeria ellipsoidalis and Eimeria alabamensis. The oocyst count per gram of feces ranged from 50 to 1500 in infected cattle. CONCLUSION: This study indicates that there is the prevalence of seven species of Eimeria in dairy cattle of Guwahati, Assam and mostly prevalent during the post-monsoon season.
RESUMEN
The present study investigated the role of ATP-sensitive potassium (K(ATP)) channels in mediating relaxation to the nitric oxide (NO) donor, 3-morpholinosydnonimine (SIN-1) in goat coronary arteries. SIN-1 (10(-8)-10(-5) M) caused concentration-dependent relaxations of the coronary artery ring segments contracted with K+ (30 mM) with an EC50 of 6.61 x 10(-7) M. Methylene blue (3 x 10(-6) M) caused a rightward shift in the concentration-response curve of SIN-1 (10(-8)-3 X 10(-5) M) with a corresponding increase in the EC50 (3.62 x 10(-6) M) of the nitrovasodilator. While the K(ATP) channel blocker, glibenclamide (1 and 3 x 10(-6) M) caused dose-dependent inhibition of vasorelaxations produced by pinacidil (10(-8)-10(-4) M), it had no effect on the vasodilations elicited by SIN-1 (10(-8)-10(-5) M) in the coronary arterial smooth muscle. Increasing the extracellular K+ concentration from 30 mM to 80 mM to reduce the K+ gradient across the cell membrane, inhibited the relaxations elicited by pinacidil (10(-8)-10(-4) M). On the other hand, SIN-1 (10(-8)-10(-5) M)-induced relaxations were potentiated in high K+ (80 mM) compared to those observed at K+ (30 mM). These results suggest that goat coronary artery vasodilations caused by the NO donor, SIN-1, do not involve K(ATP) channels.