Effects of diabetes mellitus on retreatment of Tuberculosis: A multi-centered case-control study from Bangladesh.

Objectives: Several studies suggested that diabetes mellitus (DM) worsens the tuberculosis (TB) treatment outcome. But information regarding the association of DM with retreatment of TB is very scarce in Bangladesh. Present study aimed to assess the effects of DM on retreatment of TB. Methods: This case-control study was conducted among 254 patients (127 cases and 127 controls) from January 2022 - December 2022. Patients were recruited by purposive sampling from 92 centers of the Diabetic Association of Bangladesh (BADAS). Data were collected by face-to-face interview and record reviewing with the help of semi-structured questionnaire and checklist respectively. Quality of data was maintained in all stages of the study. Data were analyzed by using IBM SPSS software. Informed written consent was taken from each patient prior to the study. Ethical issues were maintained strictly. Results: Present study matched the age and sex of cases and controls. The study revealed that majority of case (89.0) and controls (97.6) were married. Among cases 78.0 % had DM and among controls 64.6 % had DM. Among diabetic patients, 78.8 % cases' and 64.6 % controls' HbA1C level was not within normal range. The study found that, the number of episodes of previous TB (AOR = 3.088, ρ = 0.019), presence of DM (AOR = 2.817, ρ = 0.012) and uncontrolled HbA1C level (AOR = 2.500, ρ = 0.028) were independently associated with retreatment of TB. Conclusion: The study found that presence of DM, uncontrolled HbA1C level and multiple episodes of previous TB were the risk factors for retreatment of TB. So, a separate guideline for treatment of TB-DM patients should be established to prevent retreatment cases.

Assessment of antibacterial activity and cytotoxic effects of in vitro and in vivo plant parts of a medicinal plant Gynura procumbens (Lour.) Merr.

The goal of this study was to evaluate the antibacterial and cytotoxic effects of both the in vitro and in vivo plant part extracts of the medicinal plant Gynura procumbens. An effective protocol for regeneration and callus formation was developed using nodal segments and regenerated leaf explants, respectively. The highest fresh and dry weight calli were produced after four weeks of culture on Murashige and Skoog (MS) medium containing 2.0 mg/L BAP and 2.0 mg/L NAA, while the most shoots were produced on MS medium containing 1.0 mg/L BAP and 0.5 mg/L IAA. The in vitro shoots developed roots on MS media with 0.1 mg/L IBA. The antibacterial activity of extracts against various bacteria was examined to determine their significance (p < 0.05). The least significant difference (LSD) test results showed that the regenerated leaf extract had the highest antibacterial activity while the callus extract had the lowest. The minimum bactericidal concentration (MBC) and the minimum inhibitory concentration (MIC) were also established. Regenerated leaf extract had the highest toxicity and the lowest lethal concentration (LC50) value (1.21 ± 0.03 µg/mL) in a brine shrimp lethality bioassay. In contrast, callus extract had the lowest toxicity and the highest LC50 (11.09 ± 0.4 µg/mL). In addition, the in vitro cytotoxicity test results revealed that the callus and field leaf extracts had anti-cell-proliferative properties. The regenerated leaf and stem extract, however, could induce cell growth.

Isolation and Identification of Endophytic Fungi from Syzygium cumini Linn and Investigation of Their Pharmacological Activities.

This study was conducted to isolate and identify the endophytic fungi from the bark and leaves of the Syzygum cumini plant and investigate the pharmacological activities of endophytic fungi along with plant parts. After isolation, endophytic fungi were identified based on morphological characteristics and molecular identification. Antimicrobial, antioxidant, and cytotoxic activities were studied by a disc diffusion method, free radical scavenging DPPH assay, and brine shrimp lethality bioassay, respectively. A total of eight endophytic fungi were isolated and identified up to the genus level based on morphological characteristics and confirmed by molecular identification techniques. Among the eight isolates, three isolates were identified as Colletotrichum sp. (SCBE-2, SCBE-7, and SCLE-9), while the rest of the isolates belonged to Diaporthe sp. (SCBE-1), Pestalotiopsis sp. (SCBE-3), Penicillium sp. (SCBE-4), Phyllosistica sp. (SCLE-7), and Fusarium sp. (SCLE-8). The presence of flavonoids, anthraquinones, coumarins, and isocoumarins was assumed by the preliminary screening of the fungal and plant extracts by a thin-layer chromatographic technique under UV light. Fungal extracts of Pestalotiopsis sp. Penicillium sp. were found sensitive to all test bacteria, but only extracts from the leaf and bark showed significant antifungal activity along with their antimicrobial activity. Penicillium sp. The fungal extract showed the highest free radical scavenging activity (2.43 µg/mL) near that of ascorbic acid (2.42 µg/mL). Some fungal extracts showed cytotoxic activity that, in general, suggests their probable abundance of biological metabolites. This is the first approach to investigate the endophytic fungi of Syzygium cumini Linn. in Bangladesh, to find the pharmacological potential of endophytes, and to explore novel compounds from those endophytes.

Physicochemical, Pharmacokinetic and Cytotoxicity of the Compounds Isolated from an Endophyte Fusarium oxysporum: In Vitro and In Silico Approaches.

The present study was intended to characterize the secondary metabolites of the endophyte Fusarium oxysporum isolated from the plant Aglaonema hookerianum Schott. And to investigate the cytotoxic and other pharmacological properties of the isolated compounds as part of the drug discovery and development process. Different chromatographic techniques were adopted to isolate the bioactive compounds that were identified by spectroscopic techniques. The cytotoxic properties of the compounds were assessed in the Vero cell line via the trypan blue method. Moreover, physicochemical, pharmacokinetic, bioactivity and toxicity profiles of the compounds were also investigated through in silico approaches. After careful spectral analysis, the isolated compounds were identified as 3ß,5α-dihydroxy-ergosta-7,22-dien-6-one (1), 3ß,5α,9α-trihydroxy-ergosta-7,22-dien-6-one (2), p-hydroxybenzaldehyde (3), 3-(R)-7-butyl-6,8-dihydroxy-3-pent-11-enylisochroman-1-one (4) and beauvericin (5). An in vitro study in the Vero cell line revealed that the presence of the compounds reduced the number of cells, as well as the percentage of viable cells, in most cases. An in silico cytotoxic analysis revealed that compounds 1, 2 and 5 might be explored as cytotoxic agents. Moreover, compounds 3 and 4 were found to be highly mutagenic. The present study suggested that further thorough investigations are necessary to use these molecules as leads for the cytotoxic drug development process.

The Epidemiology of Melioidosis and Its Association with Diabetes Mellitus: A Systematic Review and Meta-Analysis.

Melioidosis is an under-recognized fatal disease in humans, caused by the Gram-negative bacterium Burkholderia pseudomallei. Globally, more than 35,000 human melioidosis cases have been reported since 1911. Soil acts as the natural reservoir of B. pseudomallei. Humans may become infected by this pathogen through direct contact with contaminated soil and/or water. Melioidosis commonly occurs in patients with diabetes mellitus, who increase the occurrence of melioidosis in a population. We carried out a systematic review and meta-analysis to investigate to what extent diabetes mellitus affects the patient in getting melioidosis. We selected 39 articles for meta-analysis. This extensive review also provided the latest updates on the global distribution, clinical manifestation, preexisting underlying diseases, and risk factors of melioidosis. Diabetes mellitus was identified as the predominant predisposing factor for melioidosis in humans. The overall proportion of melioidosis cases having diabetes was 45.68% (95% CI: 44.8-46.57, p < 0.001). Patients with diabetes mellitus were three times more likely to develop melioidosis than patients with no diabetes (RR 3.40, 95% CI: 2.92-3.87, p < 0.001). The other potential risk factors included old age, exposure to soil and water, preexisting underlying diseases (chronic kidney disease, lung disease, heart disease, and thalassemia), and agricultural activities. Evidence-based clinical practice guidelines for melioidosis in patients with diabetes mellitus may be developed and shared with healthcare professionals of melioidosis endemic countries to reduce morbidity.

Investigation on the effect of cotton-tencel (50:50) siro yarn twist multipliers on fabric stiffness.

The properties of fabrics are mainly affected by constituent fiber properties and yarn structures. The yarn structures are primarily dependent on the spinning technique. The twist multiplier is a leading factor influencing yarn structure which directly correlates with fabric stiffness and mechanical properties due to structural behavior. In this study, siro spun yarn has been prepared using different twist multipliers (3.6, 4, 4.4, and 5.0) by blending cotton and tencel fiber at the spinning stage to investigate the effect of twist multipliers on fabric stiffness and the flexural rigidity of woven fabrics. The 1/1 plain, 2/2 twill, and 8-end satin fabrics have been woven using prepared yarns in warp and weft directions. The fabric stiffness has been measured using the ASTM D1388-2018 method. The results reveal that fabric stiffness increased with the increasing twist multiplier. Furthermore, a comparative study on different weave structures shows significant differences in stiffness. Overall, the experimental results present a close relationship between twist multiplier, spinning triangle, float length, fabric stiffness, and rigidity, and also show the optimum twist level for cotton-tencel siro yarn to attain maximum stiffness and strength.

Study on mechanical property of woven fabrics made from 50/50 cotton-tencel blended siro yarn.

The main objective of this study is to examine the tensile properties of a sustainable woven fabric made of cotton-tencel siro-spun yarn, which is widely used in the apparel industry. Tencel fibers incorporate several excellent sustainability features into their manufacturing process, such as recycling water and chemicals to reduce waste and extracting the trees to sustainably harvested forests. Similarly, cotton is durable, recyclable, and biodegradable, making it an excellent choice as an eco-friendly fabric throughout its product life. 3.8, 4.0, and 4.2 twist multiplier yarns were used in this experiment. The rotational multiplier is a factor that determines how many times the yarn is spun during the spinning process. This refers to yarn strength used in weaving or knitting, as well as the appearance of the finished fabric. All fabrics were made in plain, twill, and satin weaves with warp densities of 100, 95, and 90 ends/inch and weft densities of 60, 55, and 50 picks/inch, respectively. To determine the tensile strength of woven fabric made from 50/50 cotton - tencel siro yarn, elongation at maximum force and force at rupture tests were performed in the greige state as well as after desizing, scouring, and bleaching. The twist multiplier and woven structure were revealed to be largely responsible for the strength of woven fabrics in greige as well as after desizing, scouring, and bleaching. A comparison has made to investigate the rupture force and elongation of proposed technique with ring spun yarn fabrics. In reality, this work demonstrated comprehensive information about the woven fabric properties of 50/50 cotton - tencel siro yarn, which could be useful in understanding their mechanical behavior.

Attachment hierarchies in Bangladeshi women in couple-initiated and arranged marriages.

Attachment theory posits that in adulthood, romantic partners typically fill the role of primary attachment figure, yet few studies have examined whether these findings hold in cultures that practice arranged marriage or that emphasise collectivistic values and filial piety. In the current study, we compared attachment hierarchies in 116 Bangladeshi women engaged to be married or in the first 3 years of couple-initiated (also known as love) marriages and arranged marriages. Women in couple-initiated marriages reported greater use of their partners for the attachment functions of safe haven and secure base than women in arranged marriages. However, women in both groups were more likely to identify one of their parents than their partner as their primary attachment figure. Although replication is necessary, these findings suggest that partners may not be universally prioritised above parents in the attachment hierarchy and that attachment theory's assumptions of individuation from parents in adulthood may not apply cross-culturally. Findings are discussed in terms of cultural differences from samples previously represented in attachment research, such as kinship structures, the meaning of marriage and filial piety.

Marital quality in arranged and couple-initiated marriages: The role of perceived influence over partner selection.

Previous comparisons of relationship quality between individuals in couple-initiated and arranged marriage have yielded inconsistent findings. One factor which may help to explain this inconsistency is variability in the way in which arranged and couple-initiated marriages are practiced. To test this, we recruited 116 Bangladeshi women engaged to be married or within the first 3 years of couple-initiated and arranged marriages. We tested to see which of three models (type of marriage only, perceived influence over partner selection only, and a model that included both relationship type and influence over partner selection) best accounted for variance in self-reported intimacy, passion, commitment as well as positive and negative relationship quality. Results suggest that influence over partner selection is a better predictor of these outcomes than marriage type, with marriage type offering little if any information beyond that provided by perceived influence. Regardless of marriage type, women with greater influence over their partner selection reported higher levels of intimacy, passion, commitment and positive marital quality. Negative marital quality was unrelated. Future research may benefit from reconceptualising the arranged/couple-initiated marriage dichotomy as a continuum.

Endophytic Fusarium solani: A rich source of cytotoxic and antimicrobial napthaquinone and aza-anthraquinone derivatives.

This study reports the chemical investigation and bioactivity of the secondary metabolites produced by the endophytic fungus Fusarium solani isolated from Cassia alata Linn. growing in Bangladesh. This plant was collected from conservation forest in Bangladesh and belongs to the Caesalpiniaceae family. The endophytic fungus Fusarium solani was isolated from the tissue of root of this plant. The fungal strain was identified by morphological characters and DNA sequencing. The crude organic extract of the fungal strain was proven to be active when tested for cytotoxicity against Brine Shrimp Lethality Bioassay, antimicrobial and antioxidant activity. The bioactivity guided fractionation of the ethyl acetate extract leads to the isolation of seven secondary metabolites in pure form. The structures of the isolated compounds were determined by the analysis of NMR and mass spectroscopic data. Bioassay investigation of the isolated secondary metabolites suggested aza-anthraquinones are more potent bioactive compounds as anticancer and antimicrobial agent.

Rapamycin induces the expression of heme oxygenase-1 and peroxyredoxin-1 in normal hepatocytes but not in tumorigenic liver cells.

Rapamycin (sirolimus) is employed as an immunosuppressant following liver transplant, to inhibit the re-growth of cancer cells following liver resection for hepatocellular carcinoma (HCC), and for the treatment of advanced HCC. Rapamycin also induces the expression of antioxidant enzymes in the liver, suggesting that pretreatment with the drug could provide a potential strategy to reduce ischemia reperfusion injury following liver surgery. The aim of this study was to further investigate the actions of rapamycin in inducing expression of the antioxidant enzymes heme oxygenase-1 (HO-1) and peroxiredoxin-1 (Prx-1) in normal liver and in tumorigenic liver cells. A rat model of segmental hepatic ischemia and reperfusion, cultured freshly-isolated rat hepatocytes, and tumorigenic H4IIE rat liver cells in culture were employed. Expression of HO-1 and Prx-1 was measured using quantitative PCR and western blot. Rapamycin pre-treatment of normal liver in vivo or normal hepatocytes in vitro led to a substantial induction of mRNA encoding HO-1 and Prx-1. The dose-response curve for the action of rapamycin on mRNA expression was biphasic, showing an increase in expression at 0 - 0.1 µM rapamycin but a decrease from maximum at concentrations greater than 0.1 µM. By contrast, in H4IIE cells, rapamycin inhibited the expression of HO-1 and Prx-1 mRNA. Oltipraz, an established activator of transcription factor Nrf2, caused a large induction of HO-1 and Prx-1 mRNA. The dose response curve for the inhibition by rapamycin of HO-1 and Prx-4 mRNA expression, determined in the presence of oltipraz, was monophasic with half maximal inhibition at about 0.01 µM. It is concluded that, at concentrations comparable to those used clinically, pre-treatment of the liver with rapamycin induces the expression of HO-1 and Prx-1. However, the actions of rapamycin on the expression of these two antioxidant enzymes in normal hepatocytes are complex and, in tumorigenic liver cells, differ from those in normal hepatocytes. Further studies are warranted to evaluate preconditioning the livers of patients subject to liver resection or liver transplant with rapamycin as a viable strategy to reduce IR injury following liver surgery.

Evidence that decreased expression of sinusoidal bile acid transporters accounts for the inhibition by rapamycin of bile flow recovery following liver ischemia.

Rapamycin is employed as an immunosuppressant following organ transplant and, in patients with hepatocellular carcinoma, to inhibit cancer cell regrowth following liver surgery. Preconditioning the liver with rapamycin to induce the expression of antioxidant enzymes is a potential strategy to reduce ischemia reperfusion (IR) injury. However, pre-treatment with rapamycin inhibits bile flow, especially following ischemia. The aim was to investigate the mechanisms involved in this inhibition. In a rat model of segmental hepatic ischemia and reperfusion, acute administration of rapamycin by intravenous injection did not inhibit the basal rate of bile flow. Pre-treatment of rats with rapamycin for 24 h by intraperitoneal injection inhibited the expression of mRNA encoding the sinusoidal influx transporters Ntcp, Oatp1 and 2 and the canalicular efflux transporter Bsep, and increased expression of canalicular Mrp2. Dose-response curves for the actions of rapamycin on the expression of Bsep and Ntcp in cultured rat hepatocytes were biphasic, and monophasic for effects on Oatp1. In cultured tumorigenic H4IIE liver cells, several bile acid transporters were not expressed, or were expressed at very low levels compared to hepatocytes. In H4IIE cells, rapamycin increased expression of Ntcp, Oatp1 and Mrp2, but decreased expression of Oatp2. It is concluded that the inhibition of bile flow recovery following ischemia observed in rapamycin-treated livers is principally due to inhibition of the expression of sinusoidal bile acid transporters. Moreover, in tumorigenic liver tissue the contribution of tumorigenic hepatocytes to total liver bile flow is likely to be small and is unlikely to be greatly affected by rapamycin.

Separation control over a grooved surface inspired by dolphin skin.

Over many decades the biological surfaces of aquatic swimmers have been studied for their potential as drag reducing surfaces. The hydrodynamic benefit of riblets, or grooves embedded parallel to the flow which appear on surfaces such as shark skin, have been well documented. However the skin of dolphins is embedded with sinusoidal grooves that run perpendicular or transverse to the flow over their bodies. It is theorized that the transverse grooves present on dolphin skin trap vortices between them, creating a partial slip condition over the surface and inducing turbulence augmentation in the boundary layer, thus acting as a potential mechanism to reduce flow separation and thus pressure drag. In an attempt to test this hypothesis and study these effects, an adverse pressure gradient was induced above a flat plate resulting in a controlled region of flow separation occurring within a tripped, turbulent boundary layer. Small transverse grooves of both rectangular and sinusoidal shape were 3D printed and mounted to the plate to measure their effect on the boundary layer flow. The results were compared to a flat plate without grooves using digital particle image velocimetry (DPIV). The strength of the adverse pressure gradient was varied, and the observed control in flow separation and other effects upon the boundary layer are discussed.

Experimental study of laminar and turbulent boundary layer separation control of shark skin.

The Shortfin Mako shark (Isurus oxyrinchus) is a fast swimmer and has incredible turning agility, and has flexible scales known to bristle up to 50° in the flank regions. It is purported that this bristling capability of the scales may result in a unique pass flow control method to control flow separation and reduce drag. It appears that the scales have evolved to be only actuated when the flow over the body is reversed; thereby inducing a method of inhibiting flow reversal close to the surface. In addition, bristled scales form cavities which could induce boundary layer mixing and further assist in delaying flow separation. To substantiate the hypothesis, samples of skin from the flank region of the mako have been tested in a water tunnel facility under various strengths of adverse pressure gradient (APG). Laminar and turbulent separation over the skin was studied experimentally using time-resolved digital particle image velocimetry, where the APG was generated and varied using a rotating cylinder. Shark skin results were compared with that of a smooth plate data for a given amount of APG. Both the instantaneous and time-averaged results reveal that shark skin is capable of controlling laminar as well as turbulent separation. Under laminar conditions, the shark skin also induces an early transition to turbulence and reduces the degree of laminar separation. For turbulent separation, the presence of the shark skin reduces the amount of backflow and size of the separation region. Under both flow conditions, the shark skin also delayed the point of separation as compared to a smooth wall.