Association between obesity and chronic periodontitis: a cross-sectional study.

AIM: Chronic periodontitis is multifactorial and numerous risk factors have been identified to contribute in the disease progression. Current study aimed to conduct a cross-sectional study in a population of patients with cardiovascular diseases in order to correlate the association between obesity [body mass index (BMI) and waist circumference (WC)] and periodontal disease parameters. MATERIALS AND METHODS: The study was of a cross-sectional design and a total of 201 patients were examined after obtaining their informed consent. Subjects who had a history of cardiovascular diseases and under treatment were included in the study. Two indicators of obesity were used: BMI and WC. The following periodontal parameters were assessed: Probing depth, clinical attachment level. The oral hygiene status of the subjects was assessed by the oral hygiene index (OHI, simplified) given by John C Greene and Jack R Vermillion. The influence of the BMI and other confounding variables on periodontitis severity was assessed by multivariate logistic regression analysis. Data were analyzed using SPSS. RESULTS: Significant association was seen with low density lipoproteins (LDL) and severity of periodontitis (p < 0.005), triglyceride levels (TGL) and severity of periodontitis (p < 0.005), cholesterol and severity of periodontitis (p < 0.005), BMI and severity of periodontitis (p < 0.001), OHI and severity of periodontitis (p < 0.001). Significant association was seen with smoking and severity of periodontitis (p < 0.005), BMI and severity of periodontitis (p < 0.001), WC and severity of periodontitis (p < 0.001), cholesterol and severity of periodontitis (p < 0.001), OHI and severity of periodontitis (p < 0.001). CONCLUSION: Obesity has been implicated as a risk factor for several conditions including cardiovascular disease, diabetes, etc. In our study the relation between measures of overall and abdominal obesity (BMI and WC) and periodontal disease showed significant association in the multivariate logistic regression analysis independent of other confounding factors. CLINICAL SIGNIFICANCE: Obesity can act as a significant risk factor in progression of periodontitis.

Efficacy of pirimiphos-methyl (50% EC), as a larvicide for the control of Culex quinquefasciatus.

BACKGROUND & OBJECTIVE: Pirimiphos-methyl, an organophosphorus insecticide is known to overcome resistance mechanisms of mosquitoes to other organophosphates. Information on the duration of efficacy of pirimiphos-methyl (50% emulsifiable concentrate) for the control of immatures of Culex quinquefasciatus, the vector of bancroftian filariasis, is scanty and hence site specific field trials are necessary to determine the field dosage. Pirimiphos-methyl (50% EC) was tested for its efficacy in cesspits and drains against the immatures of Cx. quinquefasciatus at Puducherry, an endemic area for filariasis, south India. METHODS: In cesspits, Pirimiphos-methyl (50% EC) was tested at the dosage of 25, 50, 100 and 200 g(ai)/ ha and in drains at 50, 100 and 200 g(ai)/ha. Immature density during pre-treatment and post-treatment periods was recorded and the efficacy was determined by calculating percentage reduction in larval and pupal densities for a period of about one month. RESULTS: In cesspits, application of the insecticide at 25 and 50 g(ai)/ha reduced the density of larvae by >80 per cent for 2-4 days only, whereas at 100 and 200 g(ai)/ha, the efficacy lasted for 7-8 days. More than 80 per cent reduction was observed in pupal density for 4 days at 50 g(ai)/ha and for 10-12 days at 100 and 200 g(ai)/ha respectively. In drains treated with 50 g (ai)/ha, >or=80 per cent reduction in larval density was recorded up to 3(rd) day post-treatment. The efficacy showing >or=80 per cent reduction in larval density lasted for 12-13 days and the same in pupal density lasted for 10-12 days at 100 and 200 g(ai)/ha. INTERPRETATION & CONCLUSION: At the dosages of 100 and 200 g(ai)/ha, pirimiphos-methyl (50% EC) showed no difference in the control of larvae of Cx. quinquefasciatus in cesspits and drains. Pirimiphosmethyl may be applied at the field dosage of 100 g (ai)/ha at 10 day-intervals in the larval habitats of Cx. quinquefasciatus to achieve >80 per cent reduction in immature density.

High-risk behavior in patients with alcohol dependence.

CONTEXT: Severity of alcohol dependence is related to the high-risk behavior of alcohol dependents. AIM: To assess the high-risk behavior in patients with alcohol dependence and study the association between them. SETTINGS AND DESIGN: This is a descriptive study of high-risk behavior in patients with alcohol dependence, conducted over a period of 15-month duration that is from January 2011 to April 2012 on 200 alcohol-dependent patients (178 men and 22 women) in the Department of Psychiatry, Mamata Medical College and General Hospital, Khammam (TS), India. MATERIALS AND METHODS: Patients and their caregivers fulfilling the selection criteria were included in the study, and informed consent was obtained. Interview was carried out after 2 weeks to rule out the possibility of the presence of withdrawal symptoms in alcohol-dependent patients. Tools used for data collection include Sociodemographic and Clinical Profile Schedule, Clinical Institute of Withdrawal Assessment for Alcohol, Mini-Mental Status Examination, Severity of Alcohol Dependence Questionnaire, and High Risk Behavior Questionnaire. STATISTICAL ANALYSIS: Descriptive statistics, Chi-square test, and logistic regression test were used. RESULTS: The occurrence of high-risk behavior was substantial among patients with alcohol dependence syndrome. Event analysis method indicated that road traffic accidents associated with prior heavy drinking was the most frequently observed high-risk behavior. CONCLUSIONS: The study reiterates the relationship between alcohol and sexual behavior and also highlights that individuals dependent on alcohol are a specifically vulnerable group.

Determination of HBCD, PBDEs and MeO-BDEs in California sea lions (Zalophus californianus) stranded between 1993 and 2003.

Blubber samples from male California sea lions (Zalphophus californianus) stranded between 1993 and 2003 were analyzed for 27 polybrominated diphenyl ether (PBDE) congeners, three isomers of hexabromocyclododecane (HBCD) and 14 methoxylated polybrominated diphenyl ether (MeO-BDE) congeners. Total PBDEs ranged from 450 ng/g to 4740 ng/g wet mass and total HBCD ranged from < 0.3 ng/g to 12 ng/g wet mass. The concentration of HBCD increased from 0.7 ng/g to12.0 ng/g wet mass in sea lion blubber between 1993 and 2003. However, no significant temporal trend was observed for any of the other brominated compounds over this 10 year period. Only one of the 14 MeO-BDE congeners was detected in the blubber samples, 6-methoxy-2,2',4,4'-tetrabromodiphenyl ether (6-MeO-BDE 47), and concentrations ranged from < 0.2 ng/g to 12 ng/g wet mass. A bromo-, chloro-heterocyclic compound, 1,1'-dimethyl-tetrabromo-dichloro-2,2'-bipyrrole (DBP-Br4Cl2), previously reported in marine species along the Pacific coast, was also identified in the sea lion blubber. DBP-Br4Cl2 ranged from 44 ng/g wet mass to 660 ng/g wet mass and was present at concentrations rivaling the dominant PBDE congener, BDE 47 (2,2',4,4'-tetrabromodiphenyl ether). Concentrations of DBP-Br4Cl2 were positively correlated with 6-MeO-BDE 47 (r = 0.7; p < 0.05). Both of these compounds have been identified in marine algae and sponges, and studies suggest they are both produced from natural sources. This study demonstrates that brominated compounds from both anthropogenic and biogenic sources can accumulate to similar levels in marine mammals. In addition, HBCD concentrations appear to be increasing in California sea lion populations, whereas PBDE concentrations, between 1993 and 2003, were highly variable.

Diabetes and neutrophil chemotaxis.

The chemotaxis of PMN cells from adult and juvenile diabetics and proper control subjects was found to be comparable. Similarly, chemotactic activity generated from diabetic sera was not different from the activity generated from the normal sera.

Field evaluation of a formulation of Pseudomonas fluorescens against Culex quinquefasciatus larvae and pupae.

VCRC B426, 0.09% emulsifiable concentrate (EC) formulation developed from a metabolite of Pseudomonas fluorescens was tested for efficacy against Culex quinquefasciatus larvae and pupae. At application rates of 100, 200, 300 ml/m2, the formulation caused 100% elimination of larvae and pupae at day 1 after treatments and >80% reduction in pupal density for periods of 7, 12 and 11 days in cesspits and 5, 9 and 10 days in U-shaped drains. In both the habitats, the efficacy of the formulation against pupae was 1.7 times more at 200 ml/m2 than at 100 ml/m2. An increase in dosage to 300 ml/m2 did not improve the efficacy in cesspits but a marginal increase was observed in drains.

Maximum stimulation of insulin secretion in children with chemical diabetes and obesity.

The response of plasma insulin concentration to an oral glucose tolerance test (OGTT) and to the maximum stimulatory effect obtained with administration of glucose, glucagon and tolbutamide was studied in 24 siblings of diabetic children and in ten obese children. Five siblings of patients with diabetes sound to have chemical diabetes had hyperinsulinism during the OGTT. Serum insulin concentrations during the maximum stimulation of the beta cells in the children with chemical diabetes, although diminished at 15 minutes, were considered not significantly different from controls. Obese children had hyperinsulinism during the OGTT and the maximum stimulation of the beta cell. The data suggest that hyperinsulinism may precede or accompany carbohydrate intolerance in siblings of diabetic children.

Field evaluation of Spicbiomoss, a biolarvicidal formulation of Bacillus sphaericus against immatures of Culex quinquefasciatus & Anopheles species.

Spicbiomoss, an aqueous suspension formulation of Bacillus sphaericus was evaluated for its efficacy against immatures of Culex quinquefasciatus at the application rate of 120 l/ha in cement tanks, cesspits and drains in Pondicherry and in drains in Kochi, Kerala. The formulation was also tested against anophelines (Anopheles fluviatilis and An. culicifacies) breeding in stream pools in Malkangiri district, Orissa. In cement tanks and cesspits more than 80 per cent reduction in immature density was observed for a period of 6-13 days (mean 9.8 +/- 1.25 days) and 3-8 days (mean 5.2 +/- 0.7 days) respectively. The same level of reduction was found to last for 1-4 days (mean 2.2 +/- 0.52 days) in drains in Pondicherry and 2-9 days (mean 4.8 +/- 1.17 days) in Kochi. In bunded stream pools 40-79 per cent reduction in immature density of Anopheles was obtained for an average period of 1-7 (mean 3.83 +/- 0.98) days. There was no improvement in the efficacy of the formulation against anophelines even at the higher application rate (240 l/ha). Thus, Spicbiomoss can be used against Cx. quinquefasciatus in an integrated vector management programme.

The North Cape oil spill: hydrocarbons in Rhode Island coastal waters and Point Judith Pond.

On 19 January 1996, the North Cape oil barge ran aground near Moonstone Beach, RI, and spilled over 2700 metric tons of No. 2 fuel oil during a severe winter storm. High winds and rough seas drove the oil into the water column, and the oil spread throughout Block Island Sound and into several coastal salt ponds. Over 50 water samples were collected from Point Judith Pond (PJP) and the southern coast of Rhode Island for four months after the spill and analyzed for polycyclic aromatic hydrocarbons (PAHs) and total petroleum hydrocarbons (TPHs). These analyses revealed that at least 60 km2 of coastal waters were impacted from the spill. Maximum concentrations of sigmaPAHs and TPHs were 115 and 3940 microg l(-1), respectively. The percentage of sigmaPAHs relative to the TPHs for all samples varied from 0.2 to 43%, showing that there was no clear relationship between sigmaPAHs and TPHs for the whole dataset and likely resulting from spatial and temporal partitioning over the course of the spill. However, within the dataset, there were stronger correlations for distinct samples collected at similar locations and times. In PJP, water column concentrations of individual PAHs decreased at rates of 0.08-0.24 day(-1) and lower-molecular weight PAHs were removed faster than higher-molecular weight PAHs.

Endocrine disorders associated with mental retardation.

Endocrine disorders associated with mental retardation are described in relation to clinical characteristics, pathogenesis, diagnostic procedures, and treatment. Some endocrine disorders, particularly hypothyroidism, nephrogenic-diabetes insipidus, and hypoglycemic conditions, are frequently associated with mental retardation. Early diagnosis and prompt and proper management reduce mortality and the incidence of mental retardation associated with endocrine disorders.

Propylthiouracil and hepatitis: a case report.

A 10-year-old girl initially presented with clinical features and thyroid function tests consistent with hyperthyroidism. She was treated with propylthiouracil, 100 mg, three times a day. She developed jaundice and hepatitis following treatment with propylthiouracil for 40 days. Clinical features of hepatitis improved after the discontinuation of propylthiouracil and she became euthyroid. At this time, an immunofluorescent technique revealed antibodies consistent with autoimmune thyroiditis. From this report, it appears that hepatitis is one of the infrequent complications of treatment with propylthiouracil and transient hyperthyroidism may be associated with autoimmune thyroiditis.

Insulin and sodium bicarbonate treatment in diabetic ketoacidosis in children.

Nineteen patients, nine males and ten females had 24 episodes of diabetic ketoacidosis. Infection was the precipitating factor in the development of ketoacidosis. Recovery of ketoacidosis occurred with 0.7 units of crystalline insulin per kg of body weight. The insulin requirement is less than the generally recommended dose. Hypoglycemia, hypokalemia, and alkalosis were not developed in our children. Ketoacidosis was adequately corrected by 2.5 mEq of sodium bicarbonate per kg of body weight.

Diploid/tetraploid mosaicism in the offspring of a 46XX/47XXX mosaic mother.

A 10½-year-old boy with an IQ of 71, short stature, and isolated growth hormone deficiency was found to have diploid/tetraploid mosaicism. He was born to a 46xx/47xxx mosaic mother. The mother was found to be moderately mentally retarded but showed no other abnormalities. A review of literature pertinent to this case is presented.

Neonatal meningitis due to Enterobacter cloacae.

Enterobacter species, in recent years, have been divided into E aerogenes, E hafniae, E liquefaciens, and E cloacae. Early reviews of neonatal meningitis include some cases due to Klebsiella-Aerobacter,(1) and recent reviews(2,3) include Enterobacter which did not divide them into species of Enterobacter. Reported here is a case of neonatal meningitis due to a gram-negative organism, Enterobacter cloacae.

Sickle cell disease with complicated influenza B virus infection.

The Committee on Infectious Diseases of the American Academy of Pediatrics, and the Advisory Committee on Immunization Practices of the Center for Disease Control for many years have recommended the routine use of influenza vaccine in various hemoglobinopathies including sickle cell disease. This recommendation, however, has not been included in the patient care protocols of the Comprehensive Sickle Cell Centers program of NIHLB. Most clinicians have not used yearly influenza vaccine for their patients with sickle cell disease. This article reports a case of a 5-year-old boy with sickle cell disease who had not received influenza vaccine. He developed pneumonitis and acute myositis during a serologically confirmed influenza B virus infection. The incapacitating and protracted course of his illness presented diagnostic and management problems. His case strongly supports the recommendation of the two infectious disease committees.

A Critical Evaluation of Interlaboratory Data on Total, Elemental, and Isotopic Carbon in the Carbonaceous Particle Reference Material, NIST SRM 1649a.

Because of increased interest in the marine and atmospheric sciences in elemental carbon (EC), or black carbon (BC) or soot carbon (SC), and because of the difficulties in analyzing or even defining this pervasive component of particulate carbon, it has become quite important to have appropriate reference materials for intercomparison and quality control. The NIST "urban dust" Standard Reference Material(®) SRM 1649a is useful in this respect, in part because it comprises a considerable array of inorganic and organic species, and because it exhibits a large degree of ((14)C) isotopic heterogeneity, with biomass carbon source contributions ranging from about 2 % (essentially fossil aliphatic fraction) to about 32 % (polar fraction). A primary purpose of this report is to provide documentation for the new isotopic and chemical particulate carbon data for the most recent (31 Jan. 2001) SRM 1649a Certificate of Analysis. Supporting this is a critical review of underlying international intercomparison data and methodologies, provided by 18 teams of analytical experts from 11 institutions. Key results of the intercomparison are: (1) a new, Certified Value for total carbon (TC) in SRM 1649a; (2) (14)C Reference Values for total carbon and a number of organic species, including for the first time 8 individual PAHs; and (3) elemental carbon (EC) Information Values derived from 13 analytical methods applied to this component. Results for elemental carbon, which comprised a special focus of the intercomparison, were quite diverse, reflecting the confounding of methodological-matrix artifacts, and methods that tended to probe more or less refractory regions of this universal, but ill-defined product of incomplete combustion. Availability of both chemical and (14)C speciation data for SRM 1649a holds great promise for improved analytical insight through comparative analysis (e.g., fossil/biomass partition in EC compared to PAH), and through application of the principle of isotopic mass balance.

Evaluation of Bacillus sphaericus formulations against the vector of bancroftian filariasis.

Three different formulations of Bacillus sphaericus viz, Spherimos, Vectobac and Spherifix, were evaluated for their efficacy and residual activity against Culex quinquefasciatus breeding in polluted disused wells. Spherimos, a flowable concentrate formulation, exerted 96-100% control when treated at the dosage of 10 l/ha for 17 days, whereas the effective residual activity lasted up to 67 days at 15 l/ha. In the case of Vectolex, a granular formulation, the residual activity lasted up to 56 days with the dosage of 30 l/ha and up to 66-77 days with higher dosages of 45 and 60 l/ha. The residual activity of Spherifix, a floating controlled release formulation, lasted up to 67 days with a dosage of 10 kg/ha.

Brackish water mosquito problem of Vypeen Island, Cochin, Kerala.

A preliminary study has shown that the marshy terrain and brackish water bodies associated with mangrove forests contributed profuse breeding of mosquitos in Vypeen island, causing a severe menace to the island population. A total of 14 species belonging to four genera viz, Aedes, Anopheles, Armigeres and Culex was recorded from different habitats. Culex sitiens was found to be the predominant mosquito in all the perennial breeding habitats. The extent of different habitats in the production of mosquitos, and its possible abatement, using environmental and/or biocontrol methods are discussed.

Antispermatogenic and androgenic activities of various extracts of Hibiscus rosa sinesis in albino mice.

The benzene chloroform and alcoholic extracts of the flowers of H.r.sinensis were administered (i.p.) at two different dose levels of 125 and 250 mg/kg body weight to adult male albino mice for 20 days. The results have shown decrease in the spermatogenic elements of testis and epididymal sperm count. High content of testicular cholesterol may be due to lowered androgen synthesis. The increase in the weight of accessory reproductive organs indicates the androgenicity of the plant extract itself, which is proved in the present study by testing the benzene extract in immature mice.