A review on biology and possible management strategies of tomato leaf miner, Tuta absoluta (Meyrick), Lepidoptera: Gelechiidae in Nepal.

Tuta absoluta (Meyrick) (Lepidoptera: Gelechiidae), Tomato Leaf Miner (TLM) moth, is one of the notorious oligophagous pests of solanaceous crops that mines primarily on mesophyll of leaves as well bore tomato fruits. In Nepal, T. absoluta, the pest that has a potential to create loss up to 100%, was detected in 2016 in a commercial tomato farm at Kathmandu. So, the farmers and researchers must heed for effective management contrivance to improve the yield of tomato in Nepal. The devastating nature of T. absoluta causes its unusual proliferation so that it needs dire study of its host range, potential damage and sustainable management strategies. We discussed the data and information on T. absoluta available in several research papers comprehensively and provided succinct information on occurrence of T. absoluta in the world, its biology, life cycle, host plants, yield loss due to T. absoluta and several novel control tactics which helps farmers, researchers, policy makers to sustainably rise the tomato production in Nepal as well as in global context to attain food security. Sustainable pest management strategies such as Integrated Pests Management (IPM) approaches incorporating and prioritizing biological control methods with usage of chemical pesticides with less toxic active ingredient can be encouraged to the farmers for controlling the pests sustainably.

Megacraniectomy for Malignant Intracranial Hypertension: No Time for Caution.

Malignant intracranial hypertension (IHT) intracranial tension (ICT) is a surgical emergency. Routine decompressive craniectomy may not be sufficient in reducing the malignant IHT. At present, we do not have the exact solution to this ominous situation. Authors came across a similar scenario where we had to go forward with modification of a previously known described procedure, removing bifrontal, temporal, and parietal bones including midline bone strip over a superior sagittal sinus in a case of resistant malignant ICT, following coiling of an anterior communicating artery aneurysm. This radical technique, named as megacraniectomy, was used as a last resort in a rapidly deteriorating patient. The patient survived the stormy phase of malignant ICT and showed significant improvement in neurological status. Authors here describe this approach as a novel idea to be explored in resource-stricken situations.

Pituitary dysfunction in survivors of spontaneous subarachnoid hemorrhage of anterior communicating artery and middle cerebral artery aneurysms: A comparative study.

BACKGROUND: The data on incidence of hypopituitarism after SAH are conflicting. Furthermore, it is still not known whether there is any difference in hormonal deficiencies between SAH due to anterior communicating artery (A-com) and middle cerebral artery (MCA) aneurysms. MATERIALS AND METHODS: This study includes both retrospective and prospective arms. The data collected included baseline demographic profile, clinical severity on admission to the hospital by the Hunt and Hess grading system and World Federation of Neurological Surgeons (WFNS) grading, radiological severity of bleed by the Fisher's classification, and treatment details. All the patients underwent detailed hormonal evaluation at baseline and 6 months in prospective group while at the end of 1 year in the retrospective group. Hormonal deficiencies between patients with A-com and MCA aneurysmal SAH were compared using appropriate statistical tests. RESULTS: Of 60 patients studied, 47 patients (A-com: 28 and MCA: 19) were in the retrospective group, while 13 patients (A-com-9, MCA-4) were in the prospective group. The baseline data were comparable between the two groups. At or after 6 months follow-up, 19 (31.6%) patients, 10 patients with A-com and 9 patients with MCA aneurysmal SAH, had some form of hormone deficiency. Furthermore, there was no difference in endocrine dysfunctions between the two groups. There was no correlation between the severity of hormonal deficiency and the clinical severity of SAH grade by Hunt and Hess and radiological grade of SAH by Fisher's grade. CONCLUSION: Hormonal deficiencies are not uncommon in patients with SAH. There is no difference in hormonal deficiencies and severity of hypopituitarism in patients with SAH due to A-com and MCA bleed.

Antidiabetic activity of Adina cordifolia (Roxb) leaves in alloxan induced diabetic rats

Objective: To investigate the antidiabetic activity of hydro-alcoholic extract of Adina cordifolia (Roxb.) leaves (HAEACL) in alloxan induced diabetic rats at 250 and 500 mg/kg doses. Methods:Glibenclamide (10 mg/kg, s.c.) was used as the standard which produced a significant reduction in blood glucose levels. The blood glucose levels of experimental animals were determined at 0, 2, 4 and 6 h after treatment with the plant extract by using glu-oxidase peroxidise reactive strips and glucometer. Results: Treatment with HAEACL at 500 mg/kg dose decreased the blood glucose level significantly. However, the lower doses (250 mg/kg) of HAEACL produced a little decrease in blood glucose level. It showed that there was a dose dependent decrease in blood glucose level in the alloxan induced diabetic rats as compared to the control group. Conclusions: The present study shows that HAEACL possessed significant antidiabetic activity.