Germination patterns and seedling growth of congeneric native and invasive Mimosa species: Implications for risk assessment.

Comparisons of plant traits between native and invasive congeners are useful approaches for identifying characteristics that promote invasiveness. We compared germination patterns and seedling growth of locally sympatric populations of native Mimosa himalayana and two varieties of invasive M. diplotricha (var. diplotricha and var. inermis) growing in southeastern Nepal. Seeds were germinated under a 12-h photoperiod or complete dark, low (25/15°C day/night) and high (30/20°C) temperatures, different water stress levels (0, -0.1, -0.25, -0.5, -0.75 and -1.0 MPa), and soil depths (0, 2, and 4 cm). Plant height, biomass allocations, and relative growth rate (RGR) of seedlings were measured. Invasive M. diplotricha had higher germination percentage, rate, and shorter germination time compared with the native species. Germination of both congeners declined as water stress increased, but the decline was more pronounced in native species. Seedling emergence declined with increasing depth in all taxa. The seedlings of invasive species were taller with higher leaf number and allocated greater proportion of biomass to shoot, whereas the native congener allocated greater biomass to root. The RGR was nearly twice as high in invasive species as it was in the native congener. Seedling height and number of leaves were always higher in invasive than in native species, and the native-invasive differences increased over time. Better germination and higher growth performance of invasive species than the congeneric native one suggests that seed germination and seedling growth can be useful traits for the prediction of species' invasiveness in their introduced range during risk assessment process.

Risk Factors Associated with Surgical Site Infection following Cesarean Section in Tertiary Care Hospital, Nepal.

Background: Cesarean section (CS) is one of the most performed surgeries in obstetrics. Surgical site infection is the major cause of morbidity and mortality causing an increase in the duration of hospitalization as well as the cost of admission for the patient. Objective: To determine incidence of surgical site infection following cesarean section, classify them according to CDC criteria, and identify the different risk factors. Methodology. This is a case-control study conducted at the Department of Obstetrics and Gynecology at Tribhuvan University Teaching Hospital (TUTH), main campus of Institute of Medicine (IOM), Kathmandu, Nepal. Surgical site infections (SSI) in patients who underwent cesarean sections from February 2019 to August 2019 were taken as cases, while the patients who underwent cesarean section before or after the procedure and did not develop SSI comprised the controls. Visual inspection during ward rounds, reports from laboratory, and postprocedure follow-ups for up to 30 days formed the basis of identifying infections on the patients. Risk factors were identified by bivariate and multivariate logistic regression. Results: Out of 1135 cases of cesarean sections, 97 of them developed SSI with incidence rate of 8.54%. Among them, 94.85% were superficial incisional and 5.15% were deep incisional type of SSI with no organ space type. Cases had higher mean age 26.88 ± 4.38 years compared to 24.81 ± 5.08 years in controls. Host-related risk factors which led to higher odds of developing surgical site infection (SSI) were obesity with adjusted odds ratio (AOR) 15.72 (confidence interval (CI): 4.60-53.67), diabetes/hypertension in pregnancy with AOR 4.75(CI 1.69-13.32), and other medical diseases with AOR 9.38 (CI 2.89-30.46). Duration of the rupture of membrane for more than 18 hours with AOR 8.38 (CI 1.48-47.35), more than five per vaginal (PV) examination with AOR 1.93 (95% CI 1.03-3.64), and in labor status with AOR 6.52 (CI 1.17-36.38) were some procedure-related factors resulting into higher odds of infection. Conclusion: Multiple risk factors like age, obesity, medical complications during pregnancy, occurrence of labor status during cesarean section, prolonged duration of rupture of membrane for more than 18 hours, and more than five vaginal examinations before the procedure increases the chance of surgical site infection (SSI) following cesarean section.

Sertoli Leydig Cell Tumour Initially Misdiagnosed as Polycystic Ovarian Syndrome and Congenital Adrenal Hyperplasia: A Case Report.

Sertoli-Leydig cell tumor of the ovary is an unusual neoplasm that belongs to a group of sex cord-stromal tumors of the ovary and accounts for less than 0.5% of all primary ovarian neoplasms. They are often characterized by the presence of mass with androgen production and signs of virilization. Due to the substantially low incidence of Sertoli-Leydig cell tumors, information on clinical behavior, prognostic factors, and optimal management arelimited. Here in, we report a case of aprimary ovarian Sertoli-Leydig cell tumor in a 21-year-old student, previously diagnosed to have polycystic ovarian syndrome and subsequently congenital adrenal hyperplasia, who presented with a large abdominal mass and features of virilization along with elevated serum testosterone levels. Fertility sparing unilateral salpingo-oophorectomy was done and adjuvant chemotherapy was given after histopathology showed moderate to poorly differentiated Sertoli-Leydig cell tumor. Following surgery, her features of hyperandrogenism resolved and serum testosterone levels returned to normal.