Sero-prevalence of leptospirosis and differentiation in blood parameters between positive and negative cases in dogs of Kathmandu Valley

Background

Leptospirosis is a zoonotic disease with worldwide distribution. It affects both humans and animals. Dogs may serve as a sentinel as well as a potential carrier for Leptospira infection in human. This study was conducted with the aim of investigating the sero-prevalence of leptospirosis, and differentiation in blood parameters in positive and negative cases of dogs.

Methods

A cross-sectional study was carried out from August 2016 to December 2016 in Kathmandu valley. A total of 70 blood samples were collected from street dogs and tested against Leptospira infection using Immunocomb Canine Leptospira Antibody Test Kit.

Results

Out of 70 blood samples tested, eight samples (11.4%) were positive. The average mean and SD of total leucocyte count of positive and negative cases were 79 750±12 090/mm3 and 11 026.98±4316.742/mm3, respectively. Levels of blood parameters (total leukocyte count (TLC), blood glucose, serum glutamic pyruvic transaminase (SGPT), serum glutamic oxaloacetic transaminase (SGOT), and calcium and phosphorus) were found to be increased, and significant between positive and negative cases p<0.05, where blood urea and protein remained constant and non-significant.

Conclusion

Detection of Leptospira antibody in non-vaccinated dogs indicates a significant threat to human population and demand unique strategic action plan for the control and prevention of disease.

The abundance of epiphytic liverworts on the bark of Cryptomeria japonica in relation to different physical and biochemical attributes, found in Senchal Wildlife Sanctuary, Darjeeling, Eastern Himalaya

BACKGROUND

Maintenance of biodiversity is an integral part of sustainable forest management. Epiphytic bryophytes are an important element of biodiversity. Thus, this work aims to study the role of different physical and biochemical factors in affecting the growth and proliferation of epiphytic liverworts. Fifty trees in three different plots, distributed in Senchal wildlife sanctuary, Darjeeling, were surveyed. Factors such as light intensity, moisture, and diameter at breast height (DBH) of the tree were studied to evaluate their possible role in affecting epiphytic liverworts. The effect of bark biochemical characteristics on the abundance of epiphytic liverworts was also studied by undertaking a quantitative test of pH, phenol, flavonoid, ortho-dihydric phenol, terpene, total sugar, and tannin. Multiple regression analysis and principal component analysis (PCA) were carried out to test the effects of these parameters.

RESULTS

Light intensity, moisture, and DBH highly influenced the abundance of liverworts. Old trees had higher epiphytic liverwort cover than younger ones. Bark biochemical properties like pH, phenol, flavonoid, ortho-dihydric phenol, tannin and sugar did not have a significant effect on the epiphytic liverwort cover, while the terpenoid content of the bark reduced liverworts cover.

CONCLUSION

To sustain the occurrence of epiphytic liverworts in ecosystems, forest management should ensure the presence of old trees. Light intensity and moisture had a large effect on the distribution and abundance of liverworts, so it is important to maintain tree cover, shrub layer, and tree density.

Development of a Composite Hydrologic Index for Semi-Arid Region of India

Rainfall is the major source for groundwater recharge in basins areas of central region of India. Now a day, the river basins are experiencing acute shortage of water which has resulted in lowering of groundwater level and drying up of water bodies. In order to maintain water sustainability; a composite hydrologic index was developed in the Betwa basin of Madhya Pradesh and Uttar Pradesh states, India. The index was developed using principal component analysis through hydrologic, topographic as well as geographic parameters derived from the Soil and Water Assessment Tool and MODFLOW model. The geomorphological parameters were categorized, on the basis of groundwater recharge potential and weight ranged from 1 to 4. The geomorphologic parameters, that is, soil type (T), slope (S), runoff ratio (R), and evapotranspiration (ET) were integrated into a single indicator of composite hydrologic index. Soil type and ET were the major factors that directly affected the groundwater recharge. These two parameters together explained 86% of total variability in the data. Based on the analysis of the four parameters that affected groundwater recharge, composite hydrologic index (CHI) was classified into very good, good, moderate, and low grade. The CHI was statistically validated using standardization methods. The index was developed as a water management tool to measure a sustainability state relative to a groundwater recharge potential, which allows for spatial and temporal comparison. This index will be helpful in natural resource management and will improve socioeconomic status of human population inhibiting in the semi-arid region.

Abacavir-based Regimen for HIV-infected Children and Adolescents

We studied 48 children receiving abacavir-based HAART regimen, over a period of one-year for side effects and failure rates. None of the children developed hypersensitivity reaction. The CD4 count significantly improved from the time of enrolment till 12 months of therapy while the failure rate was 14.5%.

Tracheostomy: Open Surgical or Percutaneous? An Effort to Solve the Continued Dilemma

Due to lack of globally standardized guidelines and clarity on indications, patient selection, intra-operative preparations, technique, complications, postoperative care and decannulation protocols, percutaneous tracheostomy (PT) has come in vogue as compared to standard open surgical tracheostomy (OST). PercuTwist and guide wire dilatational method (GWDF), techniques of PT, offer lesser operative time and ease of surgery being a bedside procedure. There seems to be paucity of Indian literature on rising trend of increasing indications, post-operative care, management of complications and outcomes of tracheostomy. And thus, there arises a felt need to envisage a study in tertiary care setup targeting these issues and to question the so far unchallenged acceptance of new techniques and technology. Our aim is to study the recent trend of indications, complications, and outcomes of both OST and PT in a cohort of Indian patients who underwent tracheostomy. 80 patients with mean age of 59.0 ± 15 years underwent tracheostomy (OST: 48 (60%), PT: 32 (40%), and among PT, PercuTwist: 16 (50%), GWDF: 16 (50%)) for various indications with objectives to compare operative time, complications and decannulation rates of tracheostomy surgery, within the follow up period of 3 months. Most common indication of elective tracheostomy was prolonged ventilation, and for emergency ones, upper airway obstruction. Mean operative time taken by all the three techniques was comparable, i.e., 16.3 v/s 15 v/s 15.3 min (Open v/s PT GWDF v/s PT PercuTwist). Most common intra-operative complication of OST was haemorrhage (16.3%) and that of PT was false passage (8.8%). Early post-operative complications were haemorrhage (OST: 3.75%, PT: 1.25%) and tube blockage and dislodgement (equal distribution among OST and PT). Late post-operative complications were stomal granulations in PT: 7.5%. Outcomes of tracheostomy were significantly better with OST (36 (45%)) than PT (14 (17.5%)). In PT group, PercuTwist fared better than GWDF in terms of lesser complications (PercuTwist: 10%, GWDF: 18.6%) and better decannulation rates (PercuTwist: 13.6%, GWDF: 3.75%). Most common indication for tracheostomy remains prolonged intubation; complication of OST is intra and early post-operative haemorrhage and that of PT being tube dislodgement and blockage. Outcomes in form of successful decannulation are with OST.

Numerical simulation to assess potential groundwater recharge and net groundwater use in a semi-arid region

Accurate assessment of deep percolation (potential groundwater recharge) under different field crops is essential for sustainable management of scarce water resources and proper planning of crop rotation in irrigated, semi-arid regions of the world. The potential recharge from commonly grown field crops in semi-arid Indo-Gangetic Plain (IGP) of India was estimated using HYDRUS-1D model, where, irrigation, evapotranspiration, and soil moisture dynamics were simulated. Simultaneously, net groundwater use by different cropping patterns was also calculated. Among the hydraulic parameters, n was found most sensitive for water percolation. During rainy season, 293.8 and 159.1 mm water was percolated below the root zone of cotton and soybean, respectively, which accounted for 39.4 and 32.9% of the water input. During winter season, 66.8 and 30.3 mm water was percolated below the root zone of winter maize and mustard, respectively, accounting for 20.5 and 10.6% of added water. It was observed that net groundwater use was positive for cotton, soybean, and summer maize with the values of 168.8, 159.1, and 18.0 mm year^-1, respectively, and negative for rice, wheat, winter maize, and mustard. For the eight most important cropping patterns of semi-arid IGP, the net groundwater use was negative and varied between - 4.4 mm year^-1 for cotton-maize and -423 mm year^-1 for rice-wheat. With these cropping patterns, the overall rate of decline of groundwater was 231 mm year^-1. It was found that maize-wheat and soybean-wheat cropping patterns consume much less water than rice-wheat cropping pattern and therefore are suitable to arrest the declining trend of groundwater in semi-arid IGP of India.

Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography

Introduction Various studies have shown high incidence of subjective vestibular dysfunction in cases of chronic otitis media (COM). Evaluation of vestibular dysfunction in chronic otitis media patients is becoming an integral part of comprehensive management of COM. In our study, we have evaluated vestibular dysfunction in patients with COM, using computerized static posturography, an objective technique in contrast to other subjective tests of vestibular dysfunction. Materials and Methods In this prospective case control study done over a period of 1.5 years, 50 cases of COM and 50 healthy controls were included and they underwent Computerized Static Posturography. Parameters taken were Somaesthetic, visual and vestibular scores in both antero-posterior (AP) and medio-lateral (ML) axis; and in combined axis (Antero-posterior +Medio-lateral) and these scores were compared with those of healthy controls. Results Total 50 cases of COM (average disease period - 5.7 years), of both sexes, with age range of 15-60 years and mean age of 31.58 years were taken. On analyzing above mentioned parameters using SPSS software, we found no significant difference in vestibular function in cases of COM as compared with healthy individuals.  Discussion The outcome of computerized static posturography can be quantified with respect to changes in center-of-force sway amplitude, distance, or velocity, which, by virtue of not being burdened by subjective interpretation, its results can be, documented both graphically and numerically. Conclusion This study, further solidified with objective evidence, raises a question on COM without complications being directly responsible for vestibular dysfunction.

Implementation of a practical and effective pilot intervention against transmission of Taenia solium by pigs in the Banke district of Nepal

Taenia solium is a zoonotic cestode parasite which causes human neurocysticercosis. Pigs transmit the parasite by acting as the intermediate host. An intervention was implemented to control transmission of T. solium by pigs in Dalit communities of Banke District, Nepal. Every 3 months, pigs were vaccinated with the TSOL18 recombinant vaccine (Cysvax, IIL, India)) and, at the same time, given an oral treatment with 30mg/kg oxfendazole (Paranthic 10% MCI, Morocco). The prevalence of porcine cysticercosis was determined in both an intervention area as well as a similar no intervention control area, among randomly selected, slaughter-age pigs. Post mortem assessments were undertaken both at the start and at the end of the intervention. Participants conducting the post mortem assessments were blinded as to the source of the animals being assessed. At the start of the intervention the prevalence of porcine cysticercosis was 23.6% and 34.5% in the control and intervention areas, respectively. Following the intervention, the prevalence of cysticercosis in pigs from the control area was 16.7% (no significant change), whereas no infection was detected after complete slicing of all muscle tissue and brain in animals from the intervention area (P = 0.004). These findings are discussed in relation to the feasibility and sustainability of T. solium control. The 3-monthly vaccination and drug treatment intervention in pigs used here is suggested as an effective and practical method for reducing T. solium transmission by pigs. The results suggest that applying the intervention over a period of years may ultimately reduce the number of tapeworm carriers and thereby the incidence of NCC.

Neurocysticercosis is a disease caused by a parasitic infection of the brain. The parasite responsible, Taenia solium, is transmitted by pigs where human sanitation is poor and pigs roam freely. Neurocysticercosis is responsible for many cases of epilepsy in people living in poor, developing countries. The feasibility and sustainability of implementing control measures have been major impediments to reducing the incidence of neurocysticercosis. Recently, two new commercial products have become available which together offer the possibility of interrupting the parasite’s transmission by pigs–the TSOL18 vaccine (Cysvax, IIL, India) and an oxfendazole formulation (Paranthic 10%, MCI, Morocco) licensed for use in pigs for the treatment of cysticercosis. Here we describe the impact of implementing vaccination plus drug treatment of pigs in the Banke district of Nepal. The intervention eliminated the risk of transmission of T. solium by the animals vaccinated and treated during the trial. Application of the vaccination and drug treatment program used here, possibly with strategic use of anthelmintics also in the human population, is an effective option for reducing the incidence of neurocysticercosis in Nepal and elsewhere.

Glucose-6-phosphate dehydrogenase is critical for suppression of cardiac hypertrophy by H2S

Hydrogen Sulfide (H2S), recently identified as the third endogenously produced gaseous messenger, is a promising therapeutic prospect for multiple cardio-pathological states, including myocardial hypertrophy. The molecular niche of H2S in normal or diseased cardiac cells is, however, sparsely understood. Here, we show that β-adrenergic receptor (β-AR) overstimulation, known to produce hypertrophic effects in cardiomyocytes, rapidly decreased endogenous H2S levels. The preservation of intracellular H2S levels under these conditions strongly suppressed hypertrophic responses to adrenergic overstimulation, thus suggesting its intrinsic role in this process. Interestingly, unbiased global transcriptome sequencing analysis revealed an integrated metabolic circuitry, centrally linked by NADPH homeostasis, as the direct target of intracellular H2S augmentation. Within these gene networks, glucose-6-phosphate dehydrogenase (G6PD), the first and rate-limiting enzyme (producing NADPH) in pentose phosphate pathway, emerged as the critical node regulating cellular effects of H2S. Utilizing both cellular and animal model systems, we show that H2S-induced elevated G6PD activity is critical for the suppression of cardiac hypertrophy in response to adrenergic overstimulation. We also describe experimental evidences suggesting multiple processes/pathways involved in regulation of G6PD activity, sustained over extended duration of time, in response to endogenous H2S augmentation. Our data, thus, revealed H2S as a critical endogenous regulator of cardiac metabolic circuitry, and also mechanistic basis for its anti-hypertrophic effects.

Intranasal curcumin regulates chronic asthma in mice by modulating NF-ĸB activation and MAPK signaling

BACKGROUND

Curcumin, a natural product found in the plant Curcuma longa, has been reported to have diverse range of molecular targets that influence numerous biochemical and molecular cascades including anti-inflammatory and antioxidant properties.

PURPOSE

The aim of the study was to investigate the therapeutic potential of intranasal curcumin on ovalbumin (OVA)-induced chronic asthma and to elucidate underlying molecular mechanisms.

STUDY DESIGN/METHOD

Mice were sensitized and exposed to 2% OVA aerosol for 2 times in a week for five consecutive weeks to study effect of intranasal curcumin on various MAPK pathway enzymes involved in chronic asthma and its effect on the activation of nuclear factor kB (NF-kB).

RESULTS

Curcumin treatment decreased the ROS level in BALF and nitrite level in blood serum of chronic asthmatic mice. Curcumin treatment had significantly decreased the phosphorylation of JNK, ERK1/2, and p38 and COX-2 expression thereby nuclear factor κB (NF-κB) activation and expression in lung tissues.

CONCLUSION

These results suggest that intranasal curcumin protects against asthma via action on mitogen-activated protein kinase (MAPK)/NF-κB signaling pathways.

Immunomodulatory effect of Stinging nettle (Urtica dioica) and Aloe vera (Aloe barbadensis) in broiler chickens

A study was conducted to identify the immunomodulatory effect of Stinging nettle (Urtica dioica) and Aloe vera (Aloe barbadensis) in broiler chicken. A total of 240 birds were divided into 4 treatment groups with 4 replications in each group, each replication containing 15 birds. Treatments were comprised of no Nettle and Aloe vera (T₀); Nettle 5% (T₁), Aloe vera @5 ml/lit drinking water (T₂) and Nettle 5% and Aloe vera @5 ml/lit drinking water (T₃). The study was conducted under a randomized design. The immunomodulating effect was evaluated by measuring antibody titer against NDV vaccine; and by estimating the albumin, globulin and total protein upto 40 days of age. The effect on liver was estimated by measuring liver enzymes alanine aminotransferase (ALT). The hypoglycemic effect was estimated by measuring glucose level in the serum, and morphological changes in the spleen and bursa were estimated by measuring the ratio score of the respective organs to the body weight. Throughout the experiment, the value for HI titer, albumin, globulin, total protein, spleen weight ratio score, bursa weight ratio score, liver function test and blood glucose of all treatment group were non significant (p > 0.05) except for albumin on 10th day, globulin on 0th day, total protein on 0th day and ratio score of spleen were found to be significant (p ≤ 0.05) at 30 days in all treatment compared to control group. Histopathology of spleen and bursa appeared normal in all treatment and control groups. Result thus suggests that nettle and Aloe vera have non-significant immunomodulatory effects.

From Ising Resonant Fluctuations to Static Uniaxial Order in Antiferromagnetic and Weakly Superconducting CeCo(In_{1-x}Hg_{x})_{5}(x=0.01)

CeCo(In_{0.990}Hg_{0.010})_{5} is a charge doped variant of the d-wave CoCoIn_{5} superconductor with coexistent antiferromagnetic and superconducting transitions occurring at T_{N}=3.4 and T_{c}=1.4  K, respectively. We use neutron diffraction and spectroscopy to show that the magnetic resonant fluctuations present in the parent superconducting phase are replaced by collinear c-axis magnetic order with three-dimensional Ising critical fluctuations. No low-energy transverse spin fluctuations are observable in this doping-induced antiferromagnetic phase and the dynamic resonant spectral weight predominately shifts to the elastic channel. Static (τ>0.2  ns) collinear Ising order is proximate to superconductivity in CeCoIn_{5} and is stabilized through hole doping with Hg.

Draft genome sequence of field isolate Brucella melitensis strain 2007BM/1 from India

OBJECTIVES

Brucellosis is among one of the most widespread important global zoonotic diseases that is endemic in many parts of India. Brucella melitensis is supposed to be the most pathogenic species for humans. Here we report the draft genome sequence of B. melitensis strain 2007BM/1 isolated from a human in India.

METHODS

Genomic DNA was extracted from Brucella culture and was sequenced using an Illumina MiSeq platform. The generated reads were assembled using three de novo assemblers and the draft genome was annotated.

RESULTS

This monoisolate, with a genome length of 3268756bp, was found to be resistant to azithromycin and trimethoprim/sulfamethoxazole but susceptible to tetracycline, ofloxacin, rifampicin, ciprofloxacin and doxycycline. The presence of virulence genes in the strain was identified.

CONCLUSIONS

The results obtained will help in understanding drug resistance mechanisms and virulence factors in highly zoonotic B. melitensis and suggest the need for judicious use of antibiotics in livestock health and management practices.

Enhanced atrazine removal by hydrophyte-bacterium associations and in vitro screening of the isolates for their plant growth-promoting potential

Emergent hydrophytes Acorus calamus, Typha latifolia, and Phragmites karka and epiphytic root bacteria isolated from their rhizoplanes were exposed to atrazine (5 and 10 mg l^-1) individually and in plant-bacterium combination for 15 days hydroponically. It was observed that A. calamus-Pseudomonas sp. strain, the ACB combination, was best in decontamination, showing 91% and 87% removal of 5 and 10 mg l^-1 atrazine. Plant-bacterium association led to significant increase in atrazine decontamination as compared to decontamination by either plant or bacterium alone, indicating a synergistic action of the hydrophytes and isolates which led to enhanced atrazine removal. To the best of our knowledge this is the first report on the potential of plant-bacterium combinations for atrazine decontamination. The isolates showed augmented growth in the presence of plants and were able to alleviate atrazine stress in them. These isolates exhibited plant growth-promoting traits such as auxin, siderophore, Poly(3-hydroxybutyric acid)/succinogycan, ammonia, catalase production and solubilization of inorganic phosphate in vitro. The use of plant-bacterium mutualistic symbiosis for atrazine mitigation is a relatively simple, inexpensive, and clean technique and this phytoremediation-rhizoremediation combination is suggested to be tried on field to establish their potential for clean-up of contaminated sites.

Prevalence and risk factors associated with Giardia duodenalis infection in dairy cattle of Chitwan, Nepal

Livestock farming has been an integral part of Nepalese agriculture systems since time immemorial. Giardia duodenalis is a cosmopolitan intestinal parasite present in a wide range of hosts. Very little or no information is reported on the prevalence of giardiasis in livestock of Nepal. This study was done during Jan 18 to July 19, 2014 to determine the prevalence and associated risk factors of Giardia duodenalis infection in dairy cattle of Chitwan, Nepal. A total of 96 fresh fecal samples were collected from various dairy pocket areas and were transferred to collection bottles with 10% formalin. Wet smears of the samples were prepared, stained with lugol's iodine and then viewed under microscope at 400× magnification. The overall prevalence was found to be 44.79% (43/96). Based on the risk factors assessment survey, age was found to be significantly associated with the prevalence of Giardia duodenalis. The prevalence was found significantly (P < 0.05) higher in 1-6 months age group compared to > 3 years. Similarly, higher prevalence was found in diarrheic animals compared to their counterparts (P < 0.05). Though higher prevalence was recorded in unhygienically housed animals, it was statistically non-significant (P < 0.05). Giardiasis should be considered as an important cause of diarrhea and further advanced diagnostic approaches should be employed for the confirmation of giardiasis in dairy cattle.

Hydrodynamic Signatures of Stationary Marangoni-Driven Surfactant Transport

We experimentally study steady Marangoni-driven surfactant transport on the interface of a deep water layer. Using hydrodynamic measurements, and without using any knowledge of the surfactant physicochemical properties, we show that sodium dodecyl sulphate and Tergitol 15-S-9 introduced in low concentrations result in a flow driven by adsorbed surfactant. At higher surfactant concentration, the flow is dominated by the dissolved surfactant. Using camphoric acid, whose properties are a priori unknown, we demonstrate this method's efficacy by showing its spreading is adsorption dominated.

New Description of Evolution of Magnetic Phases in Artificial Honeycomb Lattice

Artificial magnetic honeycomb lattice provides a two-dimensional archetypal system to explore novel phenomena of geometrically frustrated magnets. According to theoretical reports, an artificial magnetic honeycomb lattice is expected to exhibit several phase transitions to unique magnetic states as a function of reducing temperature. Experimental investigations of permalloy artificial honeycomb lattice of connected ultra-small elements, [Formula: see text] 12 nm, reveal a more complicated behavior. First, upon cooling the sample to intermediate temperature, [Formula: see text] 175 K, the system manifests a non-unique state where the long range order co-exists with short-range magnetic charge order and weak spin ice state. Second, at much lower temperature, [Formula: see text] 6 K, the long-range spin solid state exhibits a re-entrant behavior. Both observations are in direct contrast to the present understanding of this system. New theoretical approaches are needed to develop a comprehensive formulation of this two dimensional magnet.

Allelic and genotypic frequencies in polymorphic Booroola fecundity gene and their association with multiple birth and postnatal growth in Chhotanagpuri sheep

AIM

Chhotanagpuri breed of sheep reared for mutton in Jharkhand, India, having problem of low litter size and body weight. The response of genetic improvement for traits with low heritability through traditional selection method is time-consuming. Therefore, marker-assisted selection based on a polymorphism study of suitable candidate gene can response quickly. Thus, this study was aimed at identification of different allelic and genotypic frequencies of Booroola fecundity (FecB) gene and its association with multiple birth and postnatal growth in Chhotanagpuri sheep.

MATERIALS AND METHODS

DNA isolation and gene-specific amplification of FecB gene was performed from blood samples of from 92 Chhotanagpuri lambs maintained under similar feeding and management conditions. Custom nucleotide sequencing and single-strand conformational polymorphism analysis were performed to identify different genotypes with respect to the target gene. Statistical analysis was performed for determination of allelic and genotypic frequencies of FecB gene polymorphisms and its association with multiple birth and postnatal growth of lambs from birth to 52 weeks age.

RESULTS

"AA," "AB," and "BB" genotypes were found at locus-1 as it is polymorphic for FecB gene while locus-2 was found to be monomorphic for FecB gene. Higher frequency of "A" allele at locus-1 was found in single born lambs, whereas "B" allele was predominant among multiple born lambs. The lambs having "BB" genotype weighed significantly (p≤0.01) heavier than those of "AB" and "AA" genotype at 52 weeks of age.

CONCLUSION

"BB" genotype has emerged as favored genotype for multiple births and better growth indicator. Therefore, homozygous lambs for "B" allele should be selected and utilized in breeding program for better growth rate.

A Traditional NSAID Aspirin along with Clofazimine in Erythema Nodosum Leprosum Reaction: Study of Six Cases

Six male patients of lepromatous leprosy with erythema nodosum leprosum reaction (ENL) reactions diagnosed clinically and by slit skin smear were treated with aspirin and clofazimine. Aspirin was given in the daily dosage of 75mg/kg body weight up to a maximum of 2.8 grams in four divided doses, along with daily 300mg clofazimine in three divided doses and dapsone 100mg daily with rifampicin 600mg once a month. Aspirin was continued in the same dosage for a month before being tapered and stopped at the end of third month when clofazimine was also reduced to 50 mg daily. All the six cases had an excellent response in 15 days.

Comparative Effect of Insulin Sensitizers and Statin on Metabolic Profile and Ultrasonographical Score in Non Alcoholic Fatty Liver Disease

INTRODUCTION

Non Alcoholic Fatty Liver Disease (NAFLD) is a metabolic disorder involving fat accumulation in the liver. The initial management for patients with NAFLD includes lifestyle modification and weight loss in overweight or obese patients.

AIM

The present study was conducted to compare the efficacy of insulin sensitizers and statin in the patients of NAFLD.

MATERIALS AND METHODS

The study included 98 patients diagnosed with NAFLD on USG (Ultrasonography) abdomen, divided into three Groups randomly and administered Metformin (Group I), Rosuvastatin (Group II) or Pioglitazone (Group III) along with dietary intervention and lifestyle modification. Their Body Mass Index (BMI), liver function tests, fasting lipid profile, USG scores for fatty liver were done and followed up at 4 weeks, 12 weeks and 24 week for change in above parameters.

RESULTS

Out of the three Groups, Group II showed a maximum improvements in usg scores for NAFLD (p<0.001) and fasting lipid profile. Group II also showed maximum derangement of liver enzymes at 24 weeks though none of the subjects had more than three times elevation of liver enzymes.

CONCLUSION

Rosuvastatin may be an effective therapy as add on treatment to dietary and lifestyle intervention in patients of NAFLD. As an add-on treatment Rosuvastatin was superior to Pioglitazone or Metformin and acute decompensation is unlikely with this drug. Metformin was not effective as add on therapy for NAFLD, rather rapid weight loss in short period of time resulted in worsening of hepatic steatosis.

Comparative Advantage of Keyhole Right Flank Laparotomy and Ventral Midline Celiotomy for Ovariohysterectomy in Bitches

The objective was to compare the relative advantage of adopting two ovariohysterectomy techniques: keyhole right flank laparotomy or ventral midline celiotomy, for ovariohysterectomy in bitches. Clinically healthy non pregnant bitches (n = 20; 2 ± 0.5 year age; 25 ± 5 kg weight) were used for the study. Bitches were randomly divided into two groups: group A (n = 10) bitches were ovariohysterectomized adopting keyhole right flank laparotomy, whereas in group B (n = 10) bitches were ovariohysterectomized adopting ventral midline celiotomy. Time required for completion of surgery, and length of suturing materials required was recorded, blood hematology and fibrinogen levels were analyzed, and post-operative wound healing was monitored. Length of chromic cat gut No. 1-0 (Ethicon; P < 0.01), and vicryl No. 3-0 (Ethicon; P < 0.001) used was more in ventral midline celiotomy compared with keyhole right flank laparotomy; however, similar length of chromic cat gut No. 2-0 (Ethicon; P = 0.47) was used in both the surgical techniques. Longer time (P < 0.001) was required to complete surgical procedure following ventral midline celiotomy compared with keyhole right flank laparotomy. Blood packed cell volume (PCV), total white blood cells (WBC), neutrophils, monocytes, and fibrinogen levels were statistically similar between the two surgical techniques. Wound healing was better in keyhole right flank laparotomy compared with ventral midline celiotomy.  Conclusion: Keyhole right flank laparotomy required less time for surgery, less suturing materials and better wound healing compared with ventral midline celiotomy for ovariohysterectomy in bitches. Int J Appl Sci Biotechnol, Vol 4(2): 198-202 

ANTHELMINTIC ACTIVITY OF CHLOROPHYLLIN AGAINST DIFFERENT LARVAL STAGES OF Fasciola gigantica

Fasciolosis is a food borne zoonosis, caused by the digenetic trematode Fasciola. Freshwater lymnaeid snails are the intermediate host of the trematodes. Chlorophyllin, a semi-synthetic derivative of chlorophyll and its formulations obtained from freeze dried cow urine (FCU) had their toxicity tested against redia and cercaria larvae of F. gigantica. The larvicidal activity of chlorophyllin and its formulations were found to depend on both, time and concentration used against the larvae. Toxicity of chlorophyllin + FCU (1:1 ratio) in sunlight against redia larva (8 h LC₅₀: 0.03 mg/mL) was more pronounced than using just chlorophyllin (8 h LC₅₀: 0.06 mg/mL). Toxicity of chlorophyllin + FCU in sunlight against redia (8 h LC₅₀: 0.03 mg/mL) was higher than against cercaria (8 h LC₅₀: 0.06 mg/mL). The larvicidal activity of chlorophyllin in sunlight (redia/cercaria larvae: 8 h LC₅₀: 0.06 mg/mL) was more pronounced than under laboratory conditions (redia: 8 h LC₅₀: 22.21 mg/mL/, cercaria 8 h LC₅₀: 96.21 mg/mL). Toxicity of FCU against both larvae was lower than that of chlorophyllin and chlorophyllin + FCU. Chlorophyllin and its formulations + FCU were 357.4 to 1603.5 times more effective against redia/cercaria larvae in sunlight than under laboratory conditions. The present study has shown that chlorophyllin formulations may be used as potent larvicides against fasciolosis.