Isoniazid preventive therapy among child contacts of TB patients, India

BACKGROUND: Isoniazid preventive therapy (IPT) for child contacts of TB patients, a globally accepted intervention, needs to be evaluated in diverse geographical regions.OBJECTIVES: To assess the extent of IPT coverage and adherence, to ascertain its sociodemographic and programmatic correlates and to explore existing constraints from service providers and beneficiaries´ perspectives.METHODS: A mixed-method study was conducted in January-June 2021 in Paschim Bardhaman District, West Bengal, India. Quantitative assessment was done among 280 child contacts of TB cases registered between January and December 2020 in all TB units in the district. Primary caregivers were interviewed using a pre-designed questionnaire. Two focus group discussions with all senior treatment supervisors of the district and in-depth interviews with 12 purposively selected caregivers of the children were undertaken. Qualitative data were analysed thematically.RESULTS: Only 48.9% (137/280) of child contacts were screened; 58.9% (165/280) were initiated on IPT and 40% (66/165) adhered to a full course. Coverage of the full 6-month IPT among total study participants was 23.6% (66/280). Household visits by health personnel and initial screening significantly predicted increased coverage. Programmatic inadequacies, poor understanding, social stigma and COVID situation were major constraints.CONCLUSION: Coverage of IPT remains unacceptably low and requires health system strengthening for effectively implementing current recommendations of TB preventive treatment.

Interactive effect of elevated tropospheric ozone and carbon dioxide on radiation utilisation, growth and yield of chickpea (Cicer arietinum L.)

An experiment was conducted in the Free Air Ozone and Carbon dioxide Enrichment (FAOCE) facility to study the impact of elevated O₃, CO₂ and their interaction on chickpea crop (cv. Pusa-5023) in terms of phenology, biophysical parameters, yield components, radiation interception and use efficiency. The crop was exposed to elevated O₃ (EO:60ppb), CO₂ (EC:550 ppm) and their combined interactive treatment (ECO: EC+EO) during the entire growing season. Results revealed that the crop's total growth period was shortened by 10, 14 and 17 days under elevated CO₂, elevated O₃ and the combined treatment, respectively. Compared to ambient condition, the leaf area index (LAI) under elevated CO₂ was higher by 4 to 28%, whilst it is reduced by 7.3 to 23.8% under elevated O₃. The yield based radiation use efficiency (RUE_y) was highest under elevated CO₂ (0.48 g MJ^-1), followed by combined (0.41 g MJ^-1), ambient (0.38 g MJ^-1) and elevated O₃ (0.32 g MJ^-1) treatments. Elevated O₃ decreased RUE_y by 15.78% over ambient, and the interaction results in a 7.8% higher RUE_y. The yield was 31.7% more under elevated CO₂ and 21.9% lower in elevated O₃ treatment as compared to the ambient. The combined interactive treatment recorded a higher yield as compared to ambient by 9.7%. Harvest index (HI) was lowest under elevated O₃ (36.10%), followed by ambient (39.18%), combined (40.81%), and highest was under elevated CO₂ (44.18%). Chickpea showed a positive response to elevated CO₂ resulting a 5% increase in HI as compared to ambient condition. Our findings quantified the positive and negative impacts of elevated O₃, CO₂ and their interaction on chickpea and revealed that the negative impacts of elevated O₃ can be compensated by elevated CO₂ in chickpea. This work promotes the understanding of crop behaviour under elevated O₃, CO₂ and their interaction, which can be used as valuable inputs for radiation-based crop simulation models to simulate climate change impact on chickpea crop.

Mechanistic Studies on N-Heterocyclic Carbene-Catalyzed Umpolung of β,γ-Unsaturated α-Diketones

The mechanism of N-heterocyclic carbene-catalyzed umpolung of β,γ-unsaturated α-diketone was studied using both density functional theory (DFT) calculations and experimental methods. In contrast to the originally proposed mechanism, the calculations revealed a more complicated process involving both nucleophilic O-acylated homoenolate and electrophilic α,β-unsaturated acyl azolium intermediates. The experimental studies confirmed the existence of the aforementioned two key intermediates. A revised mechanism has been proposed to demonstrate the detailed mechanistic insights into the product formation.

BF3·OEt2-Catalyzed Vinyl Azide Addition to in Situ Generated N-Acyl Iminium Salts: Synthesis of 3-Oxoisoindoline-1-acetamides

BF₃·OEt₂-catalyzed nucleophilic addition of vinyl azides to in situ generated N-acyl iminium salts obtained from 3-hydroxyisoindolinones is described in this article. The procedure is operationally simple, mild, additive, and metal-free. The reaction proceeds smoothly at ambient temperature with a wide range of 3-hydroxyisoindol-1-ones and vinyl azides to afford 3-oxoisoindoline-1-acetamides (32 examples) in high yields (up to 97%). Furthermore, the synthetic utility of this methodology is depicted by exploiting the reactivity of an amide functionality in the products.

Copper catalyzed photoredox synthesis of α-keto esters, quinoxaline, and naphthoquinone: controlled oxidation of terminal alkynes to glyoxals

Controlled oxidation of the terminal C Created by potrace 1.16, written by Peter Selinger 2001-2019 ]]> C triple bond using O₂ (1 atm) as an oxidant and reagent.

Herein, we report a facile visible light induced copper catalyzed controlled oxidation of terminal C Created by potrace 1.16, written by Peter Selinger 2001-2019 ]]> C alkynes to α-keto esters and quinoxalines via formation of phenylglyoxals as stable intermediates, under mild conditions by using molecular O₂ as a sustainable oxidant. The current copper catalysed photoredox method is simple, highly functional group compatible with a broad range of electron rich and electron poor aromatic alkynes as well as aliphatic alcohols (1°, 2° and 3° alcohols), providing an efficient route for the preparation of α-keto esters (43 examples), quinoxaline and naphthoquinone with higher yields than those in the literature reported thermal processes. Furthermore, the synthetic utility of the products has been demonstrated in the synthesis of two biologically active molecules, an E. coli DHPS inhibitor and CFTR activator, using the current photoredox process. In addition, we applied this methodology to the one-pot synthesis of a heterocyclic compound (quinoxaline, an FLT3 inhibitor) by trapping the intermediate phenylglyoxal with O-phenylenediamine. The intermediate phenylglyoxal can also be isolated and further reacted with an internal alkyne to form naphthoquinone. This process can be readily scaled up to the gram scale.

Chest wall lymphomas: Fine needle aspiration cytodiagnosis and review of the literature

OBJECTIVE

Compared to other chest wall malignancies, lymphoma is a common disease. However, published literature on a series of lymphoma cases involving the chest wall is scarce. The aim of the present study, was to describe experience with chest wall swellings diagnosed as lymphoid neoplasms on fine needle aspiration (FNA) cytology.

METHODS

Eleven chest wall swellings were diagnosed as lymphoid neoplasms on FNA over a period of 15 years (January 2000-December 2014). The age of patients ranged from 19 to 73 years (median, 46). The male-to -emale ratio was 7:4. Ten cases had an anterior or lateral chest wall mass, and one swelling was in the scapular region. Six cases had concurrent lymphadenopathy, and one had bone involvement. The FNA smears were reviewed and classified under WHO Classification of Hematopoietic Neoplasms. The histopathological diagnoses were available in eight cases.

RESULTS

The preliminary cytodiagnoses in 11 cases of chest wall lymphoid neoplasms were anaplastic large cell lymphoma (ALCL) in two cases, and ALCL/malignant melanoma, ALCL/T-cell-rich-B-cell lymphoma (TCRBCL)/Hodgkin's lymphoma (HL), plasmacytoma/neuroendocrine carcinoma, Hodgkin's lymphoma, small cell NHL/CLL, NHL, suggestive of NHL, post-transplant peripheral T-cell lymphoma (PTCL), and a malignant plasma cell tumour in one case each. The reviewed cytodiagnoses of lymphoid neoplasms were as follows: ALCL ( five cases), centroblastic lymphoma (two cases), and small cell lymphoma/CLL, post-transplant peripheral T-cell lymphoma, Hodgkin's lymphoma and plasmacytoma (one case each). Histopathological diagnoses available in eight cases confirmed the presence of lymphoid neoplasms.

CONCLUSION

A variety of lymphoid neoplasms involved the chest wall, and among them, ALCL was a common form.

MRF-ANN: a machine learning approach for automated ER scoring of breast cancer immunohistochemical images

Molecular pathology, especially immunohistochemistry, plays an important role in evaluating hormone receptor status along with diagnosis of breast cancer. Time-consumption and inter-/intraobserver variability are major hindrances for evaluating the receptor score. In view of this, the paper proposes an automated Allred Scoring methodology for estrogen receptor (ER). White balancing is used to normalize the colour image taking into consideration colour variation during staining in different labs. Markov random field model with expectation-maximization optimization is employed to segment the ER cells. The proposed segmentation methodology is found to have F-measure 0.95. Artificial neural network is subsequently used to obtain intensity-based score for ER cells, from pixel colour intensity features. Simultaneously, proportion score - percentage of ER positive cells is computed via cell counting. The final ER score is computed by adding intensity and proportion scores - a standard Allred scoring system followed by pathologists. The classification accuracy for classification of cells by classifier in terms of F-measure is 0.9626. The problem of subjective interobserver ability is addressed by quantifying ER score from two expert pathologist and proposed methodology. The intraclass correlation achieved is greater than 0.90. The study has potential advantage of assisting pathologist in decision making over manual procedure and could evolve as a part of automated decision support system with other receptor scoring/analysis procedure.

Enantioselective intermolecular all-carbon [4+2] annulation via N-heterocyclic carbene organocatalysis

The challenge of asymmetric intermolecular all-carbon [4+2] annulation via α,β-unsaturated acyl azoliums was addressed with 2-acyloxy-3-butenones as suitable dienolate precursors, and a variety of highly functionalized cyclohexene products were delivered at a high level of enantioselectivity.

N-Heterocyclic carbene-catalyzed desymmetrization of functionalized 1,4-dienes via Stetter Reaction

The asymmetric desymmetrization of 1,4-dienes via chiral N-heterocyclic carbene catalyzed Stetter-type umpolung reaction was demonstrated.

Genetic and morphological features of human iPSC-derived neurons with chromosome 15q11.2 (BP1-BP2) deletions

BACKGROUND

Copy number variation on chromosome 15q11.2 (BP1-BP2) causes deletion of CYFIP1, NIPA1, NIPA2 and TUBGCP5; it also affects brain structure and elevates risk for several neurodevelopmental disorders that are associated with dendritic spine abnormalities. In rodents, altered cyfip1 expression changes dendritic spine morphology, motivating analyses of human neuronal cells derived from iPSCs (iPSC-neurons).

METHODS

iPSCs were generated from a mother and her offspring, both carrying the 15q11.2 (BP1-BP2) deletion, and a non-deletion control. Gene expression in the deletion region was estimated using quantitative real-time PCR assays. Neural progenitor cells (NPCs) and iPSC-neurons were characterized using immunocytochemistry.

RESULTS

CYFIP1, NIPA1, NIPA2 and TUBGCP5 gene expression was lower in iPSCs, NPCs and iPSC-neurons from the mother and her offspring in relation to control cells. CYFIP1 and PSD95 protein levels were lower in iPSC-neurons derived from the CNV bearing individuals using Western blot analysis. At 10 weeks post-differentiation, iPSC-neurons appeared to show dendritic spines and qualitative analysis suggested that dendritic morphology was altered in 15q11.2 deletion subjects compared with control cells.

CONCLUSIONS

The 15q11.2 (BP1-BP2) deletion is associated with reduced expression of four genes in iPSC-derived neuronal cells; it may also be associated altered iPSC-neuron dendritic morphology.

Comparative evaluation of actinide ion uptake by polymer inclusion membranes containing TODGA as the carrier extractant

Polymer inclusion membranes (PIM) containing TODGA (N,N,N',N'-tetra-n-octyl diglycolamide) were evaluated for the separation of actinide ions such as Am(3+), Pu(4+), UO2(2+) and Th(4+) from acidic feeds. The PIMs were prepared using cellulose triacetate (CTA) as the polymer matrix and 2-nitrophenyloctyl ether (NPOE) as the plasticizer along with the diglycolamide carrier extractants and were characterized by conventional techniques such as XRD, thermal analysis and AFM. The PIM composition was optimized by a series of studies which involved variation in the CTA, NPOE and carrier concentration which suggested 58% TODGA, 30% NPOE and 12% CTA to be optimum. The uptake studies were carried out using feed solutions containing varying concentrations of nitric acid and showed the trend: Am(3+)>Pu(4+)>Th(4+)>UO2(2+). Transport studies were carried out in a two-compartment cell where nitric acid concentration the feed was varied (1-3M) while the receiver compartment contained alpha-hydroxy-iso-butyric acid (AHIBA). The actinide ion transport efficiencies with TODGA containing PIMs followed the same trend as seen in the uptake studies. The AFM patterns of the PIMs changed when loaded with Eu(3+) carrier (used as a surrogate for Am(3+)) while the regenerated membranes have displayed comparable morphologies. Diffusion coefficient values were experimentally obtained from the transport studies and were found to be 8.89×10(-8) cm(2)/s for Am(3+) transport.

Metal accumulation, biochemical response and yield of Indian mustard grown in soil amended with rural roadside pond sediment

This present study aims to discern the effect of roadside pond sediments on Brassica juncea (L.) Czern. (cv. Rohini) by examining heavy metal uptake by different parts of the plant and its influence on biochemical properties, biomass, yield and oil content in plant. Although the treated soils were clearly contaminated with heavy metals (HMs) after application of pond sediments and chemical fertilizers, but the metal content in mustard leaves and seeds are below the permissible limit of consumable food. HMs accumulation was proportionally lesser in grains than in shoots and roots. All the biochemical characteristics were significantly (p<0.05) responded to the pond sediments application as compared to the control. Increase in photosynthetic pigment was also observed during growing period while pond sediment was used as amendment. This study revealed that Brassica juncea is well adapted to tolerate and accumulate high quantities of HMs due to increased level of antioxidants (cysteine and ascorbic acid) in roots, shoots and leaves. Multivariate techniques like principal component analysis and cluster analysis (CA) were used as classification techniques. On the basis of factor loadings and principal component scores, different parameters were grouped based on their similarity or closeness, separately in leaves, roots and seeds. A very similar grouping was also obtained using CA. However, pond sediment did not thwart the enhancement of mustard yield and oil content. Therefore, pond sediment would be a valuable resource for mustard as an alternative soil amendment for nutrients, but long-term use may require the cessation to restrict HMs contamination in soils.

Quantitative microscopy approach for shape-based erythrocytes characterization in anaemia

Anaemia is one of the most common diseases in the world population. Primarily anaemia is identified based on haemoglobin level; and then microscopically examination of peripheral blood smear is required for characterizing and confirmation of anaemic stages. In conventional approach, experts visually characterize abnormality present in the erythrocytes under light microscope, and this evaluation process is subjective in nature and error prone. In this study, we have proposed a methodology using machine learning techniques for characterizing erythrocytes in anaemia associated with anaemia using microscopic images of peripheral blood smears. First, peripheral blood smear images are preprocessed based on grey world assumption technique and geometric mean filter for reducing unevenness of background illumination and noise reduction. Then erythrocyte cells are segmented using marker-controlled watershed segmentation technique. The erythrocytes in anaemia, such as, tear drop, echinocyte, acanthocyte, elliptocyte, sickle cells and normal erythrocytes cells have been characterized and classified based on their morphological changes. Optimal subset of features, ranked by information gain measure provides highest classification performance using logistic regression classifier in comparison with other standard classifiers.

Role of cytokines in myocardial ischemia and reperfusion

Mediators of myocardial inflammation, predominantly cytokines, have for many years been implicated in the healing processes after infarction. In recent years, however, more attention has been paid to the possibility that the inflammation may result in deleterious complications for myocardial infarction. The proinflammatory cytokines may mediate myocardial dysfunction associated with myocardial infarction, severe congestive heart failure, and sepsis. A growing body of literature suggests that inflammatory mediators could play a crucial role in ischemia–reperfusion injury. Furthermore, ischemia–reperfusion not only results in the local transcriptional and translational upregulation of cytokines but also leads to tissue infiltration by inflammatory cells. These inflammatory cells are a ready source of a variety of cytokines which could be lethal for the cardiomyocytes. At the cellular level it has been shown that hypoxia causes a series of well documented changes in cardiomyocytes that includes loss of contractility, changes in lipid metabolism and subsequent irreversible cell membrane damage leading to cell death. For instance, hypoxic cardiomyocytes produce interleukin-6 (IL-6) which could contribute to the myocardial dysfunction observed in ischemia reperfusion injury. Ischemia followed by reperfusion induces a number of other multi-potent cytokines, such as IL-1, IL-8, tumor necrosis factor-α (TNF-α), transforming growth factor-β1 (TGF-β1) as well as an angiogenic cytokine/ growth factor, vascular endothelial growth factor (VEGF), in the heart. Intrestingly, these multipotent cytokines (e.g. TNF-α) may induce an adaptive cytoprotective response in the reperfused myocardium. In this review, we have included a number of cytokines that may contribute to ventricular dysfunction and/or to the cytoprotective and adaptive changes in the reperfused heart.

Chirp and polarization control of femtosecond molecular fragmentation

We explore the simultaneous effect of chirp and polarization as the two control parameters for non-resonant photo-dissociation of n-propyl benzene. Experiments performed over a wide range of laser intensities show that these two control knobs behave mutually exclusively. Specifically, for the coherently enhanced fragments (C3H3+, C5H5+) with negatively chirped pulses and C6H5+ with positively chirped pulses, polarization effect is the same as compared to that in the case of transform-limited pulses. Though a change in polarization affects the overall fragmentation efficiency, the fragmentation pattern of n-propyl benzene molecule remains unaffected in contrast to the chirp case.

Poisoning, stings and bites in children-- what is new? An experience from a tertiary care hospital in Kolkata

Poisonings, stings and bites continue to be important cause of pediatric morbidity and hospitalization. The toxic product involved in the poisoning varies in different geographical areas and in same area over time. A retrospective study was conducted amongst the children of the age group up to 12 years admitted to a tertiary care hospital in Kolkata from January 2005 to December 2008. Total number of admissions was 17019 and that for accidental poisoning was 451 (2.65%). Kerosene constituted the largest group (54.55%). Mosquito coil and refill liquid were the new additions to the list of poisons and their ingestion was cause for admission of 15 (3.33%) children. The number of admissions due to stings and bites was 108 (0.63% of all admissions) during the above period. Of all the cases, 9 (1.83%) cases of accidental poisoning and 4 (3.7%) cases of stings and bites died.

Elimination of iodine deficiency disorders--current status in Purba Medinipur district of West Bengal, India

BACKGROUND AND OBJECTIVES

Towards sustainable elimination of iodine deficiency disorders (IDD), the existing programme needs to be monitored through recommended methods and indicators. Thus, we conducted the study to assess the current status of IDD in Purba Medinipur district, West Bengal.

METHODS

It was a community based cross-sectional study; undertaken from October 2006-April 2007. 2400 school children, aged 8-10 years were selected by '30 cluster' sampling technique. Indicators recommended by the WHO/UNICEF/ICCIDD were used. Subjects were clinically examined by standard palpation technique for goitre, urinary iodine excretion was estimated by wet digestion method and salt samples were tested by spot iodine testing kit.

RESULTS

The total goitre rate (TGR) was 19.7% (95% CI = 18.1-21.3 %) with grade I and grade II (visible goitre) being 16.7% and 3% respectively. Goitre prevalence did not differ by age but significant difference was observed in respect of sex. Median urinary iodine excretion level was 11.5 mcg/dL and none had value less than 5 mcg/dL. Only 50.4% of the salt samples tested were adequately iodised (> or = 15 ppm).

CONCLUSION

The district is in a phase of transition from iodine deficiency to iodine sufficiency as evident from the high goitre prevalence (19.7%) and median urinary iodine excretion (11.5 mcg/dL) within optimum limit. But, salt iodisation level far below the recommended goal highlights the need for intensified efforts towards successful transition.

Molecular characterization of toll-like receptor 2 of ruminants and comparative expression in nilgai (Boselaphus tragocamelus) vs. buffalo (Bubalus bubalis)

Toll-like receptors play role in the innate immune responses and orchestrate the adaptive immunity by induction of proinflammatory cytokines and up-regulation of costimulatory molecules. The present study has characterized TLR2 cDNA in nilgai, buffalo, sheep and goat that recognizes the peptidoglycan of Gram-positive bacteria. TLR2 coding sequences were amplified from monocytes cDNA and cloned in pGEMT-easy vector for nucleotide sequencing. Sequence analysis revealed 2355-bp-long TLR2 open reading frame encoding 784 amino acids in all the species studied. Nilgai TLR2 has 97.8% to 95.1% identity at nucleotide level and 96.2% to 92.7% identity at amino acid level with other ruminant species studied. Nonsynonymous substitutions exceeding synonymous substitutions indicated evolution of this receptor through positive selection among ruminants. Furthermore, basal TLR2 messenger RNA expression in different immune cells and tissues quantified by real-time polymerase chain reaction revealed highest level in in vitro derived dendritic cells followed by peripheral blood mononuclear cells. Skin and testes also expressed significant level in both nilgai and buffalo. Comparatively, nilgai immune cells and tissues expressed more TLR2 transcript than buffalo, thus elucidating stronger armamentarium of antibacterial immunity in nilgai as compared to buffalo.

Identification by a differential proteomic approach of the induced stress and redox proteins by resveratrol in the normal and diabetic rat heart

A recent study showed cardioprotective effects of resveratrol on the diabetic heart. The present study sought to compare the protein profiles of the normal versus diabetic hearts after resveratrol treatment using differential proteomic analysis. Rats were randomly divided into two groups: control and diabetic. Both groups of rats were fed resveratrol (2.5 mg/kg/day) for 7 days, and then the rats were sacrificed, hearts were isolated and cytoplasmic fraction from left ventricular tissue was collected to carry out proteomic profiling as well as immunoblotting. Compared to normal hearts, diabetic hearts show increased myocardial infarct size and cardiomy-ocyte apoptosis upon ex vivo global ischaemia of 30 min. followed by 2 hrs of reperfusion. Resveratrol reduced infarct size and apop-totic cell death for both the groups, but the extent of infarct size and apoptosis remained higher for the diabetic group compared to the normal group. The left ventricular cytoplasmic proteins were analysed by 2D-DIGE and differentially displayed bands were further analysed by nano Liquid Chromatography-Mass Spectroscopy (LC-MS/MS). The results showed differential regulation of normal versus diabetic hearts treated with resveratrol of many proteins related to energy metabolism of which several were identified as mitochondrial proteins. Of particular interest is the increased expression of several chaperone proteins and oxidative stress and redox proteins in the diabetic group including Hsc70, HSPp6, GRP75, peroxiredoxin (Prdx)-1 and Prdx-3 whose expression was reversed by resveratrol. Western blot analysis was performed to validate the up- or down-regulation of these stress proteins. The results indicate the differential regulation by resveratrol of stress proteins in diabetic versus normal hearts, which may explain in part the beneficial effects of resveratrol in diabetic induced cardiovascular complications.

Persistence of gaps in implementation of revised national tuberculosis control program in an area of West Bengal

A study was conducted to evaluate the RNTCP in Habra TB, unit North 24 Parganas district, in February 2004. We collected both primary and secondary data, cross-checked registers and records. The TB unit was catering 23% more population; 54% of patients belonged to backward section. All patients received free drugs and free microscopy services; 90% received DOT during intensive phase and 67% during continuation phase; DOT time was inconvenient to 20% patients and 30% in attending DOT; 14% patients did not give three sputum samples at diagnosis; 28.3% centers lacked expected facilities; inconsistency in 27.8% drug boxes; records lacking in address verification (74.4%) and defaulter retrieval activity (47.2%). Delay in diagnosis and initiation of treatment was also prevailed.

Characterisation of peacock (Pavo cristatus) mitochondrial 12S rRNA sequence and its use in differentiation from closely related poultry species

1. Poaching of peacocks, the national bird of India, is illegal. People kill this beautiful pheasant bird for tail feathers and mix the meat with chicken or turkey. Differentiation of the meat of these species is essential in order to address the ambiguity about the origin of the sample. 2. The present study was carried out to investigate the use of polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) of mitochondrial 12S rRNA gene for identification of these species. 3. Peacock mitochondrial 12S rRNA partial gene was amplified using universal primers, cloned and characterised. It was found to be 446 nucleotides long. 4. Sequence analysis revealed 86.8 and 84.1% similarity with reported turkey and chicken sequences, respectively. Sequence and phylogenetic analysis showed that the peacock is much closer to the turkey than the chicken. 5. PCR-RFLP of 446 bp amplicon using commonly available restriction enzymes AluI and Sau3AI produced a differential pattern for identifying these poultry species unambiguously.

Cytomorphology of hyaline-vascular Castleman's disease: a diagnostic challenge

OBJECTIVE

Hyaline-vascular Castleman's disease (CD) is difficult to diagnose on fine needle aspiration and may be mistaken to be a lymphoreticular malignancy because of the presence of large cells having nuclei showing atypical features. The cytomorphological findings in three histopathologically documented cases of hyaline-vascular CD were evaluated to a set of cytomorphological criteria which could help in the identification of this condition on aspirate smears.

METHODS

The Papanicolaou and Diff-Quik stained smears from three cases of histologically documented hyaline-vascular CD were reviewed by one author. After review the following cytomorphological criteria were suggested to be indicators of the lesion. (i) The presence of large oval to round cells having ill-defined cytoplasmic margins and large nuclei with irregular nuclear outlines having fine or coarse chromatin giving a crumpled tissue paper appearance. (ii) A polymorphous population of lymphoid cells predominantly of small lymphocytes in the background. The smears from these three cases were then mixed with smears from four cases of reactive lymphoid hyperplasia and three cases of Hodgkin's lymphoma. These ten cases were blindly evaluated by two other cytopathologists in order to evaluate the utility of the proposed criteria in identifying CD.

RESULTS

The cytomorphological criteria seen in the methodology section were present in all the cases. These features were helpful in distinguishing CD from reactive lymphoid hyperplasias and Hodgkin's Lymphomas in all cases except one case.

CONCLUSION

Although hyaline-vascular CD is a difficult diagnostic entity on aspirate material the presence of large histiocytic cells with a crumpled tissue paper appearance of the nuclei in a background of small lymphocytes are useful indicators for suspecting this lesion. However, these findings should be analysed in larger studies to determine if they could in anyway reduce the diagnostic dilemma in cases of CD.

Cytomorphological and immunocytochemical study of non-Hodgkin's lymphoma in pleural effusion and ascitic fluid

INTRODUCTION

Non-Hodgkin's lymphoma (NHL) is often complicated by pleural effusion and ascites. The present study is an attempt to categorize the lymphomatous effusions according to the WHO classification, using archival material.

METHODS

May-Grünwald-Giemsa and Papanicolaou-stained smears of 31 lymphomatous effusion specimens were reviewed. Of these, detailed cytological assessment was done on 12 pleural effusions and ten ascitic fluid specimens from 22 patients using the WHO lymphoma classification system. Immunocytochemical studies were performed in 21 specimens.

RESULTS

Based on cytomorphological features, the 22 lymphomatous effusion specimens were categorized into lymphoplasmacytoid lymphoma (1), follicle centre cell (FCC) grade-1 (centrocytic) lymphoma (3), FCC grade-2 (centrocytic-centroblastic) lymphoma (3), FCC grade-3 (centroblastic) lymphoma (4), large cell immunoblastic lymphoma (4), lymphoblastic lymphoma (2), anaplastic large cell lymphoma (3) and miscellaneous types (2). Immunocytochemically, the lymphoma cells were T-cell (positive for CD3) and B-cell type (CD20 positive) in five and six cases respectively.

CONCLUSION

Cytological examination of pleural effusion and ascitic fluid samples, supported by immunocytochemical studies, may be useful for the classification of lymphomas under the WHO system.

Interaction of arsenic with zinc and organics in a rice (Oryza sativa L.)--cultivated field in India

A laboratory experiment on an Inceptisol with pH 7.6, organic carbon 6.8 g kg(-1), and 0.5 M NaHCO3 extractable arsenic 0.4 mg kg(-1) was conducted to study the interaction effect of graded levels of arsenic (0, 5, and 10 mg kg(-1)) with zinc (0, 10, and 20 mg kg(-1)) and organics (0, 1, and 2% on soil weight basis) separately on the mobilization of arsenic in soils. The results show that the amount of 0.5 M NaHCO3 extractable arsenic at pH 8.5 increased with the progress of submergence up to 35 days. However, the increase in arsenic concentration was correlated with decreasing application of graded levels of Zn as zinc sulfate. The intensity of reduction varied with varying levels of Zn, being higher (0.73-2.72 mg kg(-1)) in the treatment where Zn was at 10 mg kg(-1) and lower (0.70-1.08 mg kg(-1)) with Zn at 20 mg kg(-1) application. The amount of arsenic content in the soil significantly decreased with the application of varying levels of organics. However, such depressive effect was found more pronounced with well-decomposed farm yard manure than that of vermicompost. The results of field experiments showed that the grain yield between continuous flooding (4.84 t ha(-1)) and intermittent flooding up to 40 days after transplanting then continuous flooding (4.83 t ha(-1)) with the application of ZnSO4 at 25 kg ha(-1) did not vary. The lowest grain yield (3.65 t ha(-1)) was recorded in the treatment where intermittent flooding was maintained throughout the growth period without the application of Zn. The amount of arsenic content was, however, recorded much lower in the treatment where intermittent flooding throughout the growth period was maintained with ZnSO4.

Simulation of fertilizer requirement for irrigated wheat in eastern India using the QUEFTS model

Crop modeling can provide us with information about fertilizer dose to achieve the target yield, crop conditions, etc. Due to conventional and imbalanced fertilizer application, nutrient use efficiency in wheat is low. Estimation of fertilizer requirements based on quantitative approaches can assist in improving yields and nutrient use efficiency. Field experiments were conducted at 20 sites in eastern India (Nadia district of West Bengal) to assess the soil supply, requirement, and internal efficiency of N, P, K, and Zn in wheat. The data were used to calibrate the QUEFTS (Quantitative Evaluation of the Fertility of Tropical Soils) model for site-specific, balanced fertilizer recommendations. The parameters of maximum accumulation (a) and maximum dilution (d) in wheat were calculated for N (35, 100), P (129, 738), K (17, 56), and Zn (21502, 140244). Grain yield of wheat showed statistically significant correlation with N (R2 = 0.937**), P (R2 = 0.901**), and K uptake (R2 = 0.801**). The NPK ratio to produce 1 tonne grain yield of wheat was calculated to be 4.9:1.0:8.9. The relationships between chemical properties and nutrient-supplying capacity of soils were also established. The model was validated using the data from four other experiments. Observed yields with different amounts of N, P, K, and Zn were in good agreement with the predicted values, suggesting that the validated QUEFTS model can be used for site-specific nutrient management of wheat.

The introduction of the stilbene synthase gene enhances the natural antiradical activity of Lycopersicon esculentum mill

Tomato (Lycopersicon esculentum) is a vegetable rich in antioxidants, such as lycopene, lutein, and zeaxanthin. Their presence is responsible for the characteristic ability of this product to inhibit the formation of reactive oxygen species, including singlet oxygen. The grapes and wines derived from grapes also contain powerful antioxidants. The antioxidant effect is derived from the polyphenols such as resveratrol and proanthocyanidin. Resveratrol is phytoalexin that is synthesized via the activation of the gene, stilbene synthase (STS). We decided to determine if the introduction of this gene into Lycopersicon esculentum Mill could modify its antioxidant activity. Using Electronic Paramagnetic Resonance (EPR) spectroscopy, which permits the detection of antiradical activity, especially *OH (hydroxyl radical), we showed that the antioxidant activity of the products, into which the gene STS had been introduced, was almost double than that of natural products and that their activity was especially pronounced due to ripening. Moreover, resveratrol concentrations in modified tomatoes were much higher than that found in the individual fruit. In the isolated hearts subjected to ischemia/reperfusion, the rats fed with modified tomato exhibited better cardiac performance, reduced myocardial infarct size and decreased number of apoptotic cardiomyocytes, and reduced oxidative stress compared to unmodified tomato or resveratrol alone indicating superior cardioprotective abilities of modified tomatoes.

Balanced nitrogen economy as a flexible strategy on yield stabilizing and quality of aquatic food crops in wetland ecosystem

In wetland ecosystem, nitrogen along with other elements and its management is most imperative for the production of so many aquatic food, non-food and beneficial medicinal plants and for the improvement of soil and water characteristics. With great significant importance of INM (integrated nutrient management) as sources, emphasizing on management on nitrogen as a key element and its divergence, a case study was undertaken on such aquatic food crops (starch and protein-rich, most popular and remunerative) in the farmers' field of low-lying 'Tal' situation of New Alluvial Zone of Indian subtropics. The study was designed in factorial randomized block design, where, three important aquatic food crops (water chestnut (Trapa bispinosa Roxb.), makhana (Euryale ferox Salisb.) and water lily (Nymphaea spp.) as major factor and eleven combinations of organic and inorganic sources of nutrients as sub-factor was considered in the experiment. It revealed from the results that the production of fresh kernels or nuts of water chestnut (8.57 t ha(-1)), matured nut yield of makhana (3.06 t ha(-1)) and flower stalks of water-lily as vegetables (6.38 t ha(-1)) including its nutritional quality (starch, protein, sugar and minerals) was remarkably influenced with the application of both organic (neem oilcake @ 0.2 t ha(-1)) and inorganic sources (NPK @ 30:20:20 kg ha(-1) along with spraying of NPK @ 0.5% each over crop canopy at 20 days interval after transplanting) than the other INM combinations applied to the crops. Among the crops, highest WCYE (water chestnut yield equivalence) exhibited in makhana due to its high price of popped-form in the country, which is being exported to other countries at now. Sole application of both (organic and inorganic sources) with lower range did not produce any significant outcome from the study and exhibited lower value for all the crops. Besides production of food crops, INM also greatly influenced the soil and water characterization and it was favourably reflected in this study. The physico-chemical characteristics of soil (textural class, pH, organic carbon, organic matter, ammoniacal nitrogen, nitrate nitrogen, available nitrogen, phosphorus and potassium) are most important and contributed a significant improvement due to cultivation of these aquatic crops. Analysis of such wet bodies represented the water characteristics (pH, BOD, COD, CO3-, HCO3-, NO3-N, SO4-S and Cl-) were most responsive, adaptable and quite favourable for the cultivation of these crops in this vast waste unused wetlands for the mankind without any environmental degradation.

Agricultural practices and personal hygiene among agricultural workers in a rural area of Howrah district, West Bengal

The study attempted to assess agricultural practices and personal hygiene among 100 agricultural workers in a rural area of West Bengal in 1999. 69% of the study population was marginal farmer with less than 2 acres of land. Organophosphorus group of pesticides were most commonly used pesticides (68%); spraying was irregular in nature (98%), through semiautomatic sprayer (99%) and only 5% used any special dress while spraying pesticides. 40% of workers used to store pesticides either in living room or in food storage area. 88% of them did not take any food during work with pesticides, only 37% used to take regular bath after working with pesticides but regular hand washing was practiced by all of them.

Cytoplasmic colloid inclusions in thyroid lesions: a cytomorphological study based on fine needle aspiration

INTRODUCTION

Intracytoplasmic lumens (ICL) with or without magenta material and transgressing vessels are features of Hürthle cell neoplasms (HCN). After detection of intracytoplasmic colloid inclusions (CIs) including targetoid (magenta) body-like structures in the Hürthle cells (HC) in a case of Hashimoto's thyroiditis (HT), we reviewed cases of HT, thyroid neoplasms, hyperplastic nodules (HN) and colloid goitres to determine the frequency of these structures. Further, an attempt was made to find out the significance of CIs.

METHODS

FNA smears of 120 HT, 101 colloid goitres, 11 HN, and 76 neoplastic goitres were examined. The presence of CIs and empty ICL were noted in epithelial cells in these lesions. An attempt was made to find out the difference between HT with and without CIs in respect of various cytomorphologic features. The groups were compared using the Fisher's exact test of probability.

RESULTS

The CIs were present in 36 (30.0%) of HT, 26 (34.2%) of neoplastic goitres, 3 (27.3%) of HN, and 4 (4.0%) colloid goitres. As compared to colloid goitres, CIs were present in a significant higher number of cases in HN (P = 0.0202), neoplastic goitres (P < 0.0001), and HT (P < 0.0001). Among neoplasms the frequency of CIs in HCN (75.0%) was significantly higher than that of papillary thyroid carcinoma (PTC) (33.3%, P = 0.0466), and follicular neoplasm (14.3%, P = 0.0083). The CIs were more frequent in HC in HT and HCN but in follicular cells (FC) in other lesions. The HT cases with CIs differed significantly from those without CIs in respect of HC and their cellularity, cellularity of reactive lymphoid cells, extracellular colloid and empty ICL.

CONCLUSION

Care should be taken not to diagnose HT cases with an excessive Hürthle cell component and CIs, and PTC cases with Hürthlization and CIs, as HCN in FNA smears. Based on review of the literature and our findings, it is suggested that the Hürthle cell metaplasia in HT is a survival response of FC and the presence of CIs in Hürthle cell may represent their limited ability to synthesize colloid.

Balanced nitrogen economy as a flexible strategy on yield stabilizing and quality of aquatic food crops in wetland ecosystem

In wetland ecosystem, nitrogen along with other elements and its management is most imperative for the production of so many aquatic food, non-food and beneficial medicinal plants and for the improvement of soil and water characteristics. With great significant importance of INM (integrated nutrient management) as sources, emphasizing on management on nitrogen as a key element and its divergence, a case study was undertaken on such aquatic food crops (starch and protein-rich, most popular and remunerative) in the farmers' field of low-lying 'Tal' situation of New Alluvial Zone of Indian subtropics. The study was designed in factorial randomized block design, where, three important aquatic food crops (water chestnut (Trapa bispinosa Roxb.), makhana (Euryale ferox Salisb.) and water lily (Nymphaea spp.) as major factor and eleven combinations of organic and inorganic sources of nutrients as sub-factor was considered in the experiment. It revealed from the results that the production of fresh kernels or nuts of water chestnut (8.57 t ha(-1)), matured nut yield of makhana (3.06 t ha(-1)) and flower stalks of water-lily as vegetables (6.38 t ha(-1)) including its nutritional quality (starch, protein, sugar and minerals) was remarkably influenced with the application of both organic (neem oilcake @ 0.2 t ha(-1)) and inorganic sources (NPK @ 30:20:20 kg ha(-1) along with spraying of NPK @ 0.5% each over crop canopy at 20 days interval after transplanting) than the other INM combinations applied to the crops. Among the crops, highest WCYE (water chestnut yield equivalence) exhibited in makhana due to its high price of popped-form in the country, which is being exported to other countries at now. Sole application of both (organic and inorganic sources) with lower range did not produce any significant outcome from the study and exhibited lower value for all the crops. Besides production of food crops, INM also greatly influenced the soil and water characterization and it was favourably reflected in this study. The physico-chemical characteristics of soil (textural class, pH, organic carbon, organic matter, ammoniacal nitrogen, nitrate nitrogen, available nitrogen, phosphorus and potassium) are most important and contributed a significant improvement due to cultivation of these aquatic crops. Analysis of such wet bodies represented the water characteristics (pH, BOD, COD, CO(3)(=), HCO(3)(-), NO(3)(-)N, SO(4)(-)S and Cl(-)) were most responsive, adaptable and quite favourable for the cultivation of these crops in this vast waste unused wetlands for the mankind without any environmental degradation.

Use of flyash and biogas slurry for improving wheat yield and physical properties of soil

This study explores the potential use of by-products of energy production, i.e., (i) flyash from coal-powered electricity generation and (ii) biogas slurry from agricultural waste treatment, as nutrient sources in agriculture. These residues are available in large amounts and their disposal is a major concern for the environment. As both residues contain considerable amounts of plant nutrients, their use as soil amendment may offer a promising win-win opportunity to improve crop production and, at the same time, preventing adverse environmental impacts of waste disposal. Effect of flyash and biogas slurry on soil physical properties and growth and yield of wheat (Triticum aestivum) was studied in a field experiment. Leaf area index, root length density and grain yield of wheat were higher in plots amended with flyash or biogas slurry compared to unamended plots. Both types of amendments reduced bulk density, and increased saturated hydraulic conductivity and moisture retention capacity of soil. The study showed that flyash and biogas slurry should be used as soil amendments for obtaining short-term and long-term benefits in terms of production increments and soil amelioration.

Cytomorphological spectrum in scar endometriosis: a study of eight cases

OBJECTIVE

Endometriosis due to ectopic endometrial tissue that responds to hormonal stimulation and is extremely rare in a surgical scar appearing in 0.1% of women who have undergone Caesarean section. Fine needle aspiration cytology (FNAC) can be a valuable diagnostic aid in the evaluation of these subcutaneous abdominal masses.

METHODS

We present the cytomorphological spectrum in eight cases of abdominal wall endometriosis diagnosed by FNAC over a 6-year period (June 1998-June 2004) in Mubarak Al-Kabeer Hospital (Kuwait). The patients ranged from 27 to 56 years of age. Seven had a prior Caesarean section and one had a hysterectomy for fibroid. They presented 3-8 years later with nodules in/near the abdominal scar. Five cases presented with a painful nodule, fluctuant with the menstrual cycle.

RESULTS

Cytological findings comprised epithelial clusters and fusiform stromal cells with numerous haemosiderin-laden macrophages. Mild to moderate epithelial atypia was observed in three cases. A diagnosis of endometriosis was rendered in all the eight cases and tissue was available in four cases.

CONCLUSIONS

Endometriotic nodules need to be differentiated from other benign/malignant masses and evaluated for possible malignant transformation. FNAC provides a safe and effective tool for diagnosis thereby obviating the need for other procedures.

Iodine deficiency disorders among school children of Dakshin Dinajpur District, West Bengal

Iodine deficiency disorders (IDD) are major public health problems in India, including West Bengal. Existing programme to control IDD needs to be continuously monitored through recommended methods and indicators. Thus we undertook the study to assess the prevalence of goiter, status of urinary iodine excretion (UIE) level and to estimate iodine content of salts at the household level in Dakshin Dinajpur district, West Bengal. We conducted a community-based, cross-sectional study in 2004; among 2250 school children, aged 8-10 years. The '30 cluster' sampling methodology and indicators for assessment of IDD, as recommended by the joint WHO/UNICEF/ICCIDD consultation, were used for the study. Goitre was assessed by standard palpation technique, UIE was analyzed by wet digestion method and salt samples were tested by spot iodine testing kit. Of the 2250 children, 419 (18.6%) had goitre (95% CI = 17.0 - 20.2%). Total goitre rate (TGR) was not significantly different in respect of gender, age and religion. Visible goitre rate was 2.5%. Median urinary iodine excretion level was 16 mcg/dL (normal: > or = 10 mcg/dl.) and 16.5% children had value less than 5 mcg/dL. Only 67.4% of the salt samples tested had adequate iodine content of > or = 15 ppm, with significant difference between Hindus and Muslims (chi2 = 12.68, d.f. = 1, p < 0.01). TGR of 18.6% indicate the district is still endemic for IDD, but median urinary iodine within normal range reflects no current iodine deficiency. The district is in the transition phase from iodine-deficient to iodine-sufficient. Measures are to be sustained for successful transition towards elimination.

Pleomorphic adenoma of salivary gland: to what extent does fine needle aspiration cytology reflect histopathological features?

OBJECTIVE

The histological diversity encountered in pleomorphic adenoma may cause diagnostic difficulty in fine needle aspiration (FNA) cytology due to limited and selective sampling. The present study based on 25 histologically confirmed pleomorphic adenoma cases attempts to find out to what extent FNA cytology reflects the histopathological features.

METHODS

May-Grunwald-Giemsa and Papanicolaou stained smears, and haematoxylin and eosin stained paraffin sections of 25 pleomorphic adenomas of parotid and submandibular glands were reviewed. The cellularity, which was assessed in a sliding scale of 1+ to 4+, and proportions of epithelial to mesenchymal components in FNA smears and histology was determined and compared. The frequency of morphological features such as squamous metaplastic cells, cells with oncocytic change, acinus formation, mucus globules, papilla formation, giant cells, myxoid and chondroid matrix as well as specific nuclear features was compared between the two diagnostic methods, and the statistical significance was determined using Fisher's exact test of probability.

RESULTS

There was complete concordance between cytology and histology with respect to overall cellularity in 14 (56.0%) cases and in the proportions of epithelial to mesenchymal components in 13 (52.0%). Epithelial cells and myxoid matrix were present in all cases. There was no significant difference between smear and tissue section with respect to frequency of squamous metaplasia, oncocytic change, acinus formation, papilla formation, mucus globules, giant cells, nuclear pleomorphism, nuclear chromatin pattern, and mitotic figures. Morphological parameters that were significantly higher in FNAC compared with histology included intranuclear cytoplasmic inclusions (36.0% versus 8.0%, p = 0.0374), nuclear grooves (84.0% versus 48.0%, p = 0.0090), and reniform nuclei (20.0% versus 0.0%, p = 0.0502). Chondroid matrix was the only parameter which was significantly more common in histology than in cytology (44.0% versus 4.0%, p = 0.019).

CONCLUSION

FNA cytology demonstrates well most of the histological features of pleomorphic adenoma of salivary gland and may be considered a useful tool in initial assessment of the tumour.

Role of various extractants in removing group-IIB elements of soils incubated with EDTA

This paper presents the results of an experimental investigation undertaken to evaluate different extractant solutions viz. HCl, Mg(NO₃)², and DTPA with the range of concentration from 0.001 to 0.1N after incubation with group-IIB metals (Zn, Cd, and Hg) and EDTA to understand the capability to remove Zn, Cd, and Hg from soils. Two noncontaminated soils, one acidic (GHL) and the other alkaline (KAP), in reaction were taken from an agricultural field of West Bengal, India for this investigation. Experiments were conducted on these two soils spiked with Zn^II, Cd^II, and Hg^II in concentrations of 612, 321, and 215 mg/kg for soil GHL and 778, 298, and 157 mg/kg for soil KAP, respectively, which simulate typical electroplating waste contamination. The removal of Zn, Cd, and Hg in soil GHL within the range of HCl concentrations was 8.2—16.5, 12.2—19.1, and 4.3—6.9 whereas these were 6.5—7.6, 8.5—14.1, and 3.2—5.2 in soil KAP. The removal of Zn, Cd, and Hg in soil GHL within the range of Mg(NO₃)² concentrations were 12.2—28.5, 19.1—24.6, and 18.2—19.1 whereas these were 9.1—12.1, 8.3—12.1, and 10.6—48.1 in soil KAP. For DTPA extractant, the percent removal of metal was found to be significantly higher than the other two extractants, which corroborates that DTPA is a better extractant for soil cleaning.

Management of nitrogen through the use of leaf color chart (LCC) and soil plant analysis development (SPAD) or chlorophyll meter in rice under irrigated ecosystem

A field experiment was conducted in a farmers field in the district of Nadia, West Bengal, India to study the management of N through leaf color chart (LCC) and soil plant analysis development (SPAD) or chlorophyll meter in rice (cv. IET-4094) during the Kharif (wet season) of 2001—2002 and 2002—2003 by taking the treatment combinations based on different levels of N at fixed schedule and through LCC and SPAD. The experimental soil (0—15 cm) had pH 7.33; organic C 0.43%; available N 408.70 kg ha⁻¹; available P 6.92 kg ha⁻¹; and available K 66.31 kg ha⁻¹. The results of LCC and SPAD or chlorophyll meter for the N management in rice show that values of both LCC and SPAD significantly increased with an increasing level of N. The mean values of LCC and SPAD varied from 3.19—5.31 and 27.36—39.26, respectively, in rice. The results show that the amount of N can be saved as 20—42.5 and 27.5—47.5 kg N ha⁻¹ through the use of LCC and SPAD in rice over the fixed-timing N treatment T₇ where 150 kg N ha⁻¹ was applied in three (3) splits without reduction in the yield. The SPAD- and LCC-treated N plot showed higher N-use efficiency over fixed-scheduling N treatment in rice. The results further show that SPAD value of 37 and LCC value of 5 have been proved to be superior treatments over SPAD (35) and LCC (4) for the best management of N in rice in an Inceptisol.

Status of maternal and new born care at first referral units in the state of West Bengal

A study was conducted in 12 First Referral Units (FRUs), selected through multistage sampling, from 6 districts of West Bengal. Infrastructure facilities, record keeping, referral system and MCH indicators related to newborn care were documented. Data was collected by review of records, interview and observation using a pre-designed proforma. Inadequate infrastructure facilities (e.g. no sanctioned posts of specialists, no blood bank at rural hospitals declared as First Referral Units etc.); poor utilization of equipment like neonatal resuscitation sets, radiant warmer etc, lack of training of the service providers were evident. Records/registers were available but incomplete. Referral system was found to be almost nonexistent. Most of the deliveries (86.1%) were normal delivery. Deliveries (87.71%) and immediate neonatal resuscitation (94.9%) were done mostly by nursing personnel. Institution based maternal, perinatal and early neonatal mortality rates were found to be 5.6, 62.4 and 25.2 per 1000 live births respectively. Eclampsia (48.9%), hemorrhage (17.7%), puerperal sepsis (7.1%) were reported to be major causes of maternal mortality. Common causes of early neonatal mortality were birth asphyxia (54.3%), sepsis (14.6%) and prematurity/LBW (12.4%).

Conversion of Death Signal into Survival Signal by Redox Signaling

Reperfusion of ischemic myocardium produces reactive oxygen species (ROS) and results in apoptotic cell death and DNA fragmentation. Several redox-sensitive anti- and pro- apoptotic transcription factors including nuclear factor kappaB (NF-kappaB) and heterodimeric transcription factor AP-1 progressively and steadily increase in the heart as a function of the duration of ischemia and reperfusion. When the heart is adapted to ischemic stress by repeated short-term ischemia and reperfusion, NF-kappaB remains high, while AP-1 is lowered to almost baseline value. The anti-apoptotic gene Bcl-2 is downregulated in the ischemic/reperfused heart, while it is upregulated in the adapted myocardium. Cardioprotective abilities of the adapted myocardium are abolished when heart is pre-perfused with N-acetyl cysteine to scavenge ROS, suggesting a role of redox signaling. Mammalian heart is protected by several defense systems, which include, among others, the redox-regulated protein thioredoxin. Reperfusion of ischemic myocardium results in the downregulation of thioredoxin 1 (Trx 1) expression, which was upregulated in the adapted myocardium. The increased expression of Trx 1 is completely blocked with an inhibitor of Trx 1, cis-diammine-dichloroplatinum, which also abolished cardioprotection afforded by ischemic adaptation. The cardioprotective role of Trx 1 is further confirmed with transgenic mouse hearts overexpressing Trx 1. The Trx 1 mouse hearts displayed significantly improved post-ischemic ventricular recovery and reduced myocardial infarct size and apoptosis compared to the corresponding wild-type mouse hearts. The results of this study implicate a crucial role of redox signaling in transmitting anti-death signal.

Cardioprotection with sildenafil, a selective inhibitor of cyclic 3',5'-monophosphate-specific phosphodiesterase 5

The effects of sildenafil (Viagra), a specific inhibitor of phosphodiesterase 5, on ischemic myocardium was examined using an isolated rat heart model. Rats were pretreated with sildenafil at doses ranging from 0.001 mg to 0.5 mg/kg body weight. After 60 min, isolated hearts were subjected to ischemia for 30 min followed by 2 h of reperfusion. The results demonstrated that at 0.05 mg/kg (and to some extent at 0.01 mg/kg), sildenafil provided significant cardioprotection as evidenced by improved ventricular recovery, a reduced incidence of ventricular fibrillation and decreased myocardial infarction. At higher doses, it caused a significant increase in the incidence of ventricular fibrillation while at very low doses it had no effect on cardiac function. As expected, sildenafil increased cyclic 3',5'-monophosphate (cGMP) content in the heart. The results demonstrate for the first time that within a narrow dose range, sildenafil can protect the heart from ischemia/reperfusion injury, probably through a cGMP-signaling pathway.

Intent of therapy in metastatic breast cancer with isolated ipsilateral supraclavicular lymph node spread--a therapeutic dilemma

AIMS OF THE STUDY

Isolated ipsilateral supraclavicular lymph nodal (IISCLN) metastasis was considered part of locally advanced breast cancer (LABC) previously but the recent staging system categorised this group to metastatic disease (stage IV). There is no clear consensus on intent of therapy in patients with IISCLN. A retrospective comparative analysis of IISCLN and LABC patients treated with a curative multimodality approach was performed to evolve guidelines on treatment approach in patients with IISCLN spread.

METHODOLOGY

A total number of 670 patients with breast cancer treated in the Department of Surgical Oncology, IRCH, AIIMS, during the period between January, 1993 to December, 2000 were studied retrospectively. Out of these 16 (2.4%) patients with cytology proven isolated metastasis to ipsilateral SCLN without any other distant disease and 299 LABC patients were analysed. All patients received neoadjuvant anthracycline based chemotherapy, surgery, postoperative radiotherapy (50 Gy) including supraclavicular fossa. The relapse patterns and survival in both the groups were compared.

RESULTS

At a median follow up of 36 months (range 9-72 months) the total recurrence in the IISCLN group was 31% and in the LABC group was 26%, the systemic recurrence was equal at 25% in each group while the locoregional recurrence was 12% and 7% in the IISCLN and LABC groups respectively. The overall survival (OS) was 81% and 91% whereas the disease-free survival (DFS) was 12% and 7% in the IISCLN and LABC groups, respectively.

CONCLUSION

Intent of therapy in metastatic breast cancer is palliative. However, patients with IISCLN metastasis have a relatively less aggressive biologic behaviour as compared to patients with spread to other distant sites. Results of the current study shows that the relapse patterns and survival of IISCLN group and LABC are comparable. Hence, despite being staged as metastatic disease, patients with IISCLN spread should be treated with combined modality approach for prolonged survival.

High-frequency somatic embryo production and maturation into normal plants in cotton (Gossypium hirsutum) through metabolic stress

A highly efficient somatic embryo production and maturation procedure has been developed to regenerate plantlets from cotton ( Gossypium hirsutum). This procedure involves the acceleration of differentiation through manipulations of nutrient and microenvironment conditions. Embryogenic calli, initiated from hypocotyls or cotyledonary leaf sections on MS medium containing 0.1 mg/l 2,4 dichlorophenoxyacetic acid, 0.5 mg/l kinetin, and 3% maltose produced globular-stage somatic embryos when transferred to hormone-free MS medium supplemented with high concentrations of nitrate. Subculture of globular embryos on hormone-free MS medium led to the development of torpedo- and cotyledonary-stage at a low frequency (two to four per plate) with the majority of embryos lacking further growth or entering into the dedifferentiation stage. Significant improvement in embryogenesis (two- to threefold) was achieved when calli were cultured on 1/5-strength MS medium irrespective of stress treatment. However, the frequency of globular embryos developing into normal plantlets improved considerably (20-24 per plate) when cultured on filter paper placed on MS medium. In this procedure, about 33% of globular embryos not only developed into the cotyledonary stage but rooted simultaneously, eliminating a separate rooting step. More than 70% of cotyledonary embryos developed into normal plantlets when cultured on full- strength MS medium containing 0.05 mg/l gibberellic acid.

Cardioprotection with white wine

The cardioprotective effects of red wine have been attributed to several polyphenolic antioxidants including resveratrol and proanthocyanidins. The goal of the present study was to determine whether white wines could also provide cardioprotection. Three different white wines (white wine #1, #2 and #3) were chosen for this study. Ethanol-free extracts of the wines were prepared by vacuum evaporation. Rats weighing approximately 200 g were given either 50 mg/kg or 100 mg/kg of each wine extract for 3 weeks. The rats were anesthetized and sacrificed and their hearts were excised for the preparation of isolated working rat heart. All hearts were subjected to 30 min of global ischemia followed by 2 h of reperfusion. Cardiac function including heart rate, left ventricular developed pressure (LVDP), maximum first derivative of developed pressure (LVdp/dtmax), left ventricular systolic pressure (LVSP), left ventricular end diastolic pressure (LVEP), aortic flow (AF) and coronary flow (CF) were continuously monitored and myocardial infarct size was measured at the end of the experiments. The results of our study demonstrated that among the three different white wines, only white wine #2 conferred cardioprotection as evidenced by improved postischemic ventricular recovery compared with controls. The same white wine at a dose of 50 mg/kg also showed improvement in postischemic contractile recovery but the differences compared with controls were not significant. The amount of malondialdehyde production from these hearts was lower than that found in control hearts, indicating reduced formation of reactive oxygen species in white wine #2-treated rats. In vitro studies using a chemiluminescence technique revealed that white wine #2 scavenged both superoxide anions and hydroxyl radicals. The results of our study demonstrate that white wine #2 provided cardioprotection and the cardioprotective effect of the wine can be attributed, at least in part, to its ability to function as an in vivo antioxidant.