Central Pancreatectomy - A Novel Surgical Technique Single Institution Experience

Aims

Children evaluated for abdominal pain are increasingly recognized to have pancreatic lesions by imaging modalities. Malignant lesions of the pancreas have also been diagnosed at regular intervals, the most common being solid cystic pseudopapillary neoplasm (SPT) - Borderline (uncertain malignant potential). Surgical resection of this tumor should provide adequate tumor free margins and also should preserve pancreatic tissue. Radical resection of the pancreas will lead to pancreatic insufficiency. Herein, we describe the technique of central pancreatectomy wherein tumor excision gives adequate clearance but preserves the pancreatic tissue, thereby reducing significant morbidity.

Materials and Methods

Three children ages ranging between 11 to 12 years diagnosed to have SPT were included in the study.

Results

All children underwent successful central pancreatectomy and had an uneventful post operative recovery.

Conclusion

Central pancreatectomy offers a good volume of remanant pancreas preserving near normal pancreatic function making it an ideal procedure for select cases.

Optimised feature selection-driven convolutional neural network using gray level co-occurrence matrix for detection of cervical cancer

Cervical cancer is one of the most dangerous and widespread illnesses afflicting women throughout the globe, particularly in East Africa and South Asia. In industrialised nations, the incidence of cervical cancer has consistently decreased over the past few decades. However, in developing countries, the reduction in incidence has been considerably slower, and in some instances, the incidence has increased. Implementing routine screenings for cervical cancer is something that has to be done to protect the health of women. Cervical cancer is famously difficult to diagnose and cure due to the slow rate at which it spreads and develops into more advanced stages of the disease. Screening for cervical cancer using a Pap smear, more often referred to as a Pap test, has the potential to detect the illness in its earlier stages. For the purpose of selecting features for this article, a gray level co-occurrence matrix (GLCM) technique was used. Following this step, classification is performed with methods such as convolutional neural network (CNN), support vector machine, and auto encoder. According to the findings of this experiment, the GLCM-CNN classifier proved to be the one with the highest degree of precision.

A New Wavelet Collocation Algorithm for Solving a Nonlinear Boundary Value Problem of the Human Corneal Shape

The Hermite wavelet method (HWM) is introduced in this study to solve a nonlinear differential equation determining the human corneal morphology. The changes in curvature of the human cornea in hypotony, normal intraocular pressure, glaucoma, and other conditions are discussed. The Hermite wavelet operational matrices of derivatives are used to generate wavelet solutions based on this technique. The solutions of the nonlinear differential equation are determined for various values of constant parameters that can appear in the diverse physical situations. The proposed wavelet solutions are more accurate than the other approximate analytical solutions listed in the literature. The HWM solutions are compared to homotopy perturbation method, Taylor series, pertur-bation technique and artificial neural network solutions. There is broad consensus. This illustrates that HWM is a useful and appropriate strategy for handling difficulties with nonlinear boundary value problems that emerge in corneal geometry.

Characteristics, Surgical Management, and Outcomes of Parotid Gland Masses in the Pediatric Age Group: A Single Tertiary Institute Experience

Context

Parotid gland lesions in children requiring surgical management are not common. Neoplastic lesions of the parotid glands are also less common. Parotid tumors in children have different characteristics from those that occur in adults. When they occur in the pediatric age group, malignancy has to be ruled out.

Subjects and Methods

This is a retrospective study of children who presented to our institute, a tertiary care referral hospital for children <12 years, with parotid swellings during the 5-year period between April 2018 and March 2023. The children who underwent surgical management for parotid lesions, in the form of parotidectomy, were included in the study. Children who were treated by nonoperative management were excluded from the study.

Results

Twelve children were included. Of the 12 children, three (25.0%) children had malignancy, four (33.33%) children had benign tumors, three (25.0%) children had vascular malformations, and the remaining two (16.67%) children had inflammatory etiology. All children underwent superficial/total parotidectomy, depending on the involvement of superficial and/or deep lobe. Of the three malignant parotid tumors, two were of mucoepidermoid carcinoma and one was myoepithelial carcinoma. One of the children with mucoepidermoid carcinoma had recurrence.

Conclusions

Facial nerve-sparing parotidectomy is the treatment for neoplastic and inflammatory lesions. Initially, lymphovascular tumors were treated aggressively with parotidectomy. Neck node dissection should be performed only in children with fine-needle aspiration cytology-confirmed nodal metastases during primary surgery. Adjuvant treatment may be required in selected cases.

Anthropogenic marine litter: An approach to environmental quality for India's southeastern Arabian Sea coast

Anthropogenic marine litter (AML), mainly plastic, is a global concern that is persistent and widespread. To prevent and mitigate this threat, we need to understand the magnitude and source of AML. There is limited knowledge about AML pollution on the Indian Coast. In this context, the present study examined the distribution, abundance, typology, and beach quality based on AML along 22 beaches on the southeastern coast of the Arabian Sea. A total of 4911 AML items were classified into 9 categories, weighing 16.79 kg, and retrieved from a total area of 8000 m². The mean abundance and weight of AML in the current study were 0.45 ± 0.34 items/m² and 1.53 ± 0.92 g/m², respectively. Thottapally showed the most abundant AML among the studied beaches with 0.96 items/m², followed by Azheekkal with 0.73 items/m². Plastic, being the most common item, accounts for 77.6 % of all items and has a mean density of 0.35 items/m² comprising hard plastic (22 %), thermocol (13 %), food wrappers (7 %), cigarette butts (7 %), plastic rope (6 %), and plastic cutlery (6 %). Hazardous anthropogenic litter (HAL) was maximum at Thottapally (17.71 %; 85 out of 480 items collected). Based on the cleanliness of beaches, they are graded "moderately clean" (63 %) by the General Index (GI), "clean" (54 %), and "moderately clean" (40 %) as calculated by the Clean Coast Index (CCI). Hazardous Anthropogenic Beach Litter Index (HABLI) classifies 72 % of beaches as "moderately safe", while the Environmental Status Index (ESI) rates 68 % of beaches as "mediocre". Besides, model simulations demonstrated the pathways of AML propagation, which correlate to the littoral and coastal current flow patterns over the region. Land-based activities were the crucial factors influencing AML distribution. The study highlighted the need for effective regional litter management strategies, policy instruments for the litter impact pathways, economic, regulatory, and behavioural management tools, which were also discussed.

Ingestion and toxic impacts of weathered polyethylene (wPE) microplastics and stress defensive responses in whiteleg shrimp (Penaeus vannamei)

Weathered plastic litter is recognized as hazardous secondary microplastics(MPs) in the coastal and marine ecosystems, which are of high concern due to their greater impact on the environment. The present study aims to elucidate the impacts of environmentally weathered polyethylene (wPE) MPs on ingestion, growth and enzymatic responses in Penaeus vannamei. The Penaeus vannamei was chronically exposed to five varying concentration (0.1 mg-0.5 mg) of wPE particles in the size range between 43 and 32 μm for a period of 25days, followed by 5days depuration. At the end of exposure, a considerable number of wPE particles were observed from <2 to 14 per individual organism. However, around 60% of the wPE particles were removed after the depuration phase. The toxic exposure on P. vannamei resulted in significant changes in the enzymatic and growth responses with increasing concentration and duration. In addition, growth assessment confirmed that wPE exposure inhibited the growth of organism, and the effect was particularly evident at increasing concentrations and prolonged exposure. Also observed an elevated levels of lipid peroxidation, glutathione-S-transferases, whereas lower levels of reduced-glutathione and catalase at all exposed concentrations. This study confirmed that the ingestion of wPE was completely influenced by exposure duration, rather than the concentrations of administered. The present biomarker assay might act as an appropriate oxidative stress index for wPE toxicity. Findings of this study is useful in providing the basic biological information for environmental risk assessments of MPs, which are of high concern due to the rising input of microplastics into the environment.

Microplastic pollution in fragile coastal ecosystems with special reference to the X-Press Pearl maritime disaster, southeast coast of India

Microplastics (MPs) are a global environmental concern and pose a serious threat to marine ecosystems. This study aimed to determine the abundance and distribution of MPs in beach sediments (12 beaches), marine biota (6 beaches) and the influence of microbes on MPs degradation in eco-sensitive Palk Bay and Gulf of Mannar coast. The mean MP abundance 65.4 ± 39.8 particles/m² in beach sediments; 0.19 ± 1.3 particles/individual fish and 0.22 ± 0.11 particles g^-1 wet weight in barnacles. Polyethylene fragments (33.4%) and fibres (48%) were the most abundant MPs identified in sediments and finfish, respectively. Histopathological examination of fish has revealed health consequences such as respiratory system damage, epithelial degradation and enterocyte vacuolization. In addition, eight bacterial and seventeen fungal strains were isolated from the beached MPs. The results also indicated weathering of MPs due to microbial interactions. Model simulations helped in tracking the fate and transboundary landfall of spilled MPs across the Indian Ocean coastline after the X-Press Pearl disaster. Due to regional circulations induced by the monsoonal wind fields, a potential dispersal of pellets has occurred along the coast of Sri Lanka, but no landfall and ecological damage are predicted along the coast of India.

COVID-19 restrictions and their influences on ambient air, surface water and plastic waste in a coastal megacity, Chennai, India

Anthropogenic activities experienced a pause due to the nationwide lockdown, imposed to contain the rapid spread of COVID-19 in the third week of March 2020. The impacts of suspension of industrial activities, vehicular transport and other businesses for three months (25 March-30 June) on the environmental settings of Chennai, a coastal megacity was assessed. A significant reduction in the key urban air pollutants [PM_2.5 (66.5%), PM₁₀ (39.5%), NO₂ (94.1%), CO (29%), O₃ (45.3%)] was recorded as an immediate consequence of the reduced anthropogenic activities. Comparison of water quality of an urban river Adyar, between pre-lockdown and lockdown, showed a substantial drop in the dissolved inorganic N (47%) and suspended particulate matter (41%) during the latter period. During the pandemic, biomedical wastes in India showed an overall surge of 17%, which were predominantly plastic. FTIR-ATR analysis confirmed the polymers such as polypropylene (25.4%) and polyester (15.4%) in the personal protective equipment.

Spatiotemporal variations in anthropogenic marine litter pollution along the northeast beaches of India

Marine litter is widely distributed in marine environments and has been a severe concern worldwide, due to the disposal of waste from diverse sources. The severity of this threat has garnered increasing attention in India over the last decade, but the full consequences of this pollution are yet to be quantified. To estimate the spatiotemporal distribution, composition and beach quality of marine litter pollution, 17 beaches along the Hooghly estuary, a part of the Gangetic delta was studied. Marine litter was collected from 100 m long transects during two seasons (monsoon and post-monsoon). The OSPAR monitoring standard was applied to the 16,597 litter items collected, then grouped under 6 types and 44 categories. In terms of number, litter abundance was higher during monsoon (1.10 ± 0.39 items/m²) than that of post-monsoon (0.86 ± 0.32 items/m²). Most of the beaches were categorized as low cleanliness as computed by the general index and clean coast index and the good for the pellet pollution index. Hazardous litter constituted 6.5% of the total collected litter items. The model prediction revealed that the influence of high discharge from Hooghly, Rasulpur and Subarnarekha River carried enormous anthropogenic litter to the northeast beaches. The litter flux decreases with an increase in distance from the shore, and act as a sink to the sea-floor. The results denote that the distribution and typology of marine litter were representatives of household, tourism and fishing, which in turn highlights the need for better regional litter management measures. Suggested management practices include source reduction, mitigation, management of beach environment and change in littering behaviour through environmental education.

Accumulation and ecotoxicological risk of weathered polyethylene (wPE) microplastics on green mussel (Perna viridis)

Recent studies have shown that organisms including humans are exposed to microplastics directly or indirectly. The present study aims to examine the ingestion of these microplastics and the consequences of the same by studying the accumulation behavior of weathered Polyethylene (wPE) microplastics. The Perna viridis were exposed chronically to three different environmentally relevant concentrations of wPE for 30 days, followed by a one-week depuration phase. There was no mortality observed in the control and exposed groups, but the feeding rate was observed to have substantially decreased in the group exposed to higher concentration (3 μgL^-1) of wPE. It was also observed that a higher number of wPE particles accumulated in the intestine of exposed organisms. Interestingly, the present study revealed the presence of the substantial number of wPE particles in exposed organisms, which may adversely affect the internal organs as well as growth and reproduction. This study perceived that accumulation is marginally influenced by size of wPE. Similarly, biomarker analysis showed that wPE exposure significantly altered both the metabolism and histology of the internal organs of the exposed organisms. Overall, the study confirmed that the intestine was the most sensitive organ followed by gills, adductor muscles, and foot tissue adding new insights into the adverse effects of wPE in the marine ecosystem.

An efficient wavelet-based optimization algorithm for the solutions of reaction-diffusion equations in biomedicine

In this paper, a mathematical model of nonlinear reaction-diffusion equation with Michaelis-Menten kinetics in a solid of planar and spherical shape is discussed. The proposed model is based on non-stationary diffusion equation containing a non-linear term related to Michaelis-Menten kinetics of the enzymatic reaction. An efficient wavelet-based spectral method has been developed for the analytical expressions pertaining to substrate concentration for all parameter values. The efficiency of the proposed wavelet method is confirmed by mean of the computational CPU time. The proposed wavelet-based results are compared with Adomian Decomposition Method (ADM). Satisfactory agreement with ADM results is observed. Moreover, the use of the wavelet method is found to be simple, efficient, flexible, and straight forward. Also, it requires less computation costs.

Microplastics along the beaches of southeast coast of India

Occurrence of microplastics (plastic debris <5 mm) along the coast is a growing concern worldwide, due to increased input of discarded wastes from various sources. In order to evaluate the extent of microplastic pollution on the sandy beaches (25 locations) along Tamil Nadu coast (1076 km), India, microplastic debris were quantified and categorized into four different size classes. The beaches were classified according to potential sources of pollution i.e. riverine, tourism and fisheries. Beach samples collected from the high tide line contained significantly higher abundance of microplastic than at the low tide line. Beaches adjacent to rivers exhibited relatively higher microplastic abundance compared to those influenced by tourism and fishing activities. Out of the total detected debris, plastic fragments were the maximum (47-50%), followed by line/fibres (24-27%) and foam (10-19%) materials. Fourier Transform Infrared Spectroscopy (FTIR) analysis revealed that polyethylene, polypropylene, and polystyrene were the main types of microplastics present in these beaches. Gut content analysis of commercially important fishes, collected from the coastal waters, revealed microplastics ingestion in 10.1% of fishes. The results indicate that microplastics accumulation in the coastal environment, especially close to the river mouths, may be a serious concern, due to its ability to enter into the marine food web and highlights the necessity of microplastics screening from estuarine, coastal waters and other potential sources.

A New Spectral Approach on Steady-State Concentration of Species in Porous Catalysts Using Wavelets

In this paper, a mathematical model of steady-state reaction-diffusion (RD) model for estimating the concentration of species is discussed. We have applied a new wavelet-based operational matrix of derivative method to obtain the approximate solutions for nonlinear RDEs. The proposed method is a powerful and easy-to-use analytical tool for linear and nonlinear problems. Some illustrative examples are given to validate our results with exact solutions. Satisfactory agreement with the exact solution is noticed. Moreover, the use of Legendre wavelets is found to be simple, accurate, efficient and requires small computation costs.

Evaluation of the multiple biomarkers on identification of the vulnerable coastal pollution hotspots

This paper presents multiple biomarkers on metal accumulation and its impacts along the Chennai to Puducherry, southeast coast of India using bivalves as bioindicators. In this regard, water samples and Perna viridis were collected from three stations and the accumulation of metals and its biological impacts were assessed. Among the three sampling stations, the maximum accumulation was noticed in Ennore (S1) than the Puducherry (S3) followed by Kovalam (S2). Mean accumulation pattern of metals in Perna viridis was found to be in the following order Zn > Cu > Ni > Cr > Pb > Cd, which were in close match with the metal concentration in seawater at respective site. The ambient metal concentration and behavior of multiple biomarkers were positively correlated indicating that the uptake of metals might induce biological changes, particularly in the internal organs, thus significantly affecting health of the aquatic organisms. P. viridis provides reliable information concerning the adverse effects and reflects the integrated effects of all contaminants. Thus, study confirmed that Ennore (S1) coast is highly vulnerable for significant pollution, in terms of metal toxicity in the study area. Overall investigation revealed that metal enrichment was observed close to the major urban areas in the S1 and S2 which were associated with industrialized areas. The assessment of multiple biomarkers on metal accumulation was the first step in determining the trophic transfer factors on marine foot web, which can be evaluated in the future based on this study.

Environmental safety level of lead (Pb) pertaining to toxic effects on grey mullet (Mugil cephalus) and tiger perch (Terapon jarbua)

Acute and chronic bioassay toxicity test of Lead (Pb) in Grey Mullet (Mugil cephalus), and Tiger perch (Terapon jarbua) was conducted. LC50 values (Lethal Concentration) from acute tests and chronic values were calculated by the geometric mean of the No-Observed-Effect Concentration (NOEC) and the Lowest-Observed-Effect Concentration (LOEC) in a study period of 30 days. This research was conducted to evaluate the quantitative relationship between toxicity test statistics and correlation between toxicant and the organisms exposed. Three test average LC50 was analyzed for 24, 48, 72, and 96 h and the 96 h average LC50 of M. cephalus and T. jarbua is 2.57 ± 0.47 and 2.99 ± 0.23 mg/L of Pb, respectively. Significant correlation is observed with the increased time duration and exposure concentration. The NOEC and LOEC values were calculated based on survival of test organisms for M. cephalus and T. jarbua and the values are 0.014 and 0.029 and 0.011 and 0.022 mg/L, respectively. The chronic value is found to be 0.011 mg/L for M. cephalus and 0.021 mg/L for T. jarbua. The intensity of biochemical and histological alterations increased gradually with increased Pb concentration and the exposure time. Toxicity testing is the primary step to determine the water quality safe limit on marine organisms. The outcome of the study indicates that the sensitivity of juvenile organisms to Pb, persistence of toxic effects and biomarkers as a tool capable of revealing the toxic effects of heavy metals on the environment and aquatic biota.

Wavelet Based Analytical Expressions to Steady State Biofilm Model Arising in Biochemical Engineering

In this paper, we have developed an efficient wavelet based approximation method to biofilm model under steady state arising in enzyme kinetics. Chebyshev wavelet based approximation method is successfully introduced in solving nonlinear steady state biofilm reaction model. To the best of our knowledge, until now there is no rigorous wavelet based solution has been addressed for the proposed model. Analytical solutions for substrate concentration have been derived for all values of the parameters δ and SL. The power of the manageable method is confirmed. Some numerical examples are presented to demonstrate the validity and applicability of the wavelet method. Moreover the use of Chebyshev wavelets is found to be simple, efficient, flexible, convenient, small computation costs and computationally attractive.

An efficient wavelet-based approximation method to gene propagation model arising in population biology

In this paper, we have applied an efficient wavelet-based approximation method for solving the Fisher's type and the fractional Fisher's type equations arising in biological sciences. To the best of our knowledge, until now there is no rigorous wavelet solution has been addressed for the Fisher's and fractional Fisher's equations. The highest derivative in the differential equation is expanded into Legendre series; this approximation is integrated while the boundary conditions are applied using integration constants. With the help of Legendre wavelets operational matrices, the Fisher's equation and the fractional Fisher's equation are converted into a system of algebraic equations. Block-pulse functions are used to investigate the Legendre wavelets coefficient vectors of nonlinear terms. The convergence of the proposed methods is proved. Finally, we have given some numerical examples to demonstrate the validity and applicability of the method.

An efficient Legendre wavelet-based approximation method for a few Newell-Whitehead and Allen-Cahn equations

In this paper, a wavelet-based approximation method is introduced for solving the Newell-Whitehead (NW) and Allen-Cahn (AC) equations. To the best of our knowledge, until now there is no rigorous Legendre wavelets solution has been reported for the NW and AC equations. The highest derivative in the differential equation is expanded into Legendre series, this approximation is integrated while the boundary conditions are applied using integration constants. With the help of Legendre wavelets operational matrices, the aforesaid equations are converted into an algebraic system. Block pulse functions are used to investigate the Legendre wavelets coefficient vectors of nonlinear terms. The convergence of the proposed methods is proved. Finally, we have given some numerical examples to demonstrate the validity and applicability of the method.

An efficient wavelet based approximation method to steady state reaction-diffusion model arising in mathematical chemistry

The mathematical model of Rahamathunissa and Rajendran (J Math Chem 44:849-861, 2008) in an amperometric biosensor response is discussed. In this paper, we have applied the shifted second kind Chebyshev wavelets (CW) to obtain the numerical solutions of reaction-diffusion equations containing a nonlinear term related to Michaelis-Menton kinetics of the enzymatic reaction. The application of the shifted second kind CW operational matrices for solving initial and boundary value problems is presented. The obtained numerical results demonstrate efficient and applicability of the proposed method. The power of the manageable method is confirmed. Moreover the use of shifted second kind CW method is found to be simple, efficient, accurate, small computation cost, and computationally attractive.

Toxic effects of lead on biochemical and histological alterations in green mussel (Perna viridis) induced by environmentally relevant concentrations

Acute and chronic toxicity tests were conducted on green mussel (Perna viridis) to determine the adverse effects of lead (Pb). Exposure of organisms to acute toxicity test for 96 h and lethal concentration (LC(50)) was the endpoint of the test. Acute toxicity for 96-h LC(50) and 95% confidence intervals of P. viridis was 2.62 ± 0.12 (2.62-3.24) mg/L Pb. Chronic toxicity tests revealed that survival of exposed organisms decreased with elevated exposure concentrations. No-observed-effect concentration (NOEC) and lowest-observed-effect concentration (LOEC) were calculated based on survival of test organisms. Results of this study demonstrated an increase in toxicity in test organisms with rise in exposure time and concentration. In this study, histology and biochemical enzymes, namely, catalase, reduced glutathione, glutathione S-transferase, and lipid peroxides, were correlated with chronic value and survival endpoints of P. viridis after chronic exposure to Pb. Biochemical and histological responses to different concentrations of Pb were assessed and significant differences were observed between control and increasing exposure concentrations. Biomarker studies in internal organs confirmed that the observed changes are due to adverse effects of Pb. This assessment of toxicity was the first step to determining the seawater quality criteria for marine organisms.

An integrated use of multiple biomarkers to investigate the individual and combined effect of copper and cadmium on the marine green mussel (Perna viridis)

The present study documents individual and combined sub-lethal effect of one redox active (copper) and one non-redox active (cadmium) metal on green mussel (Perna viridis). The mussels were exposed to 60 μg L(-1) of Cu and 150 μg L(-1) of Cd (individually and in combination) for 21 days. Histopathological and ultrastructural studies revealed significant metal induced alterations such as vacuolization, fusion of gill lamellae, enhance mucous deposition, hyperplasia and necrosis in gills. Antioxidant enzyme assays revealed significant increase in superoxide dismutase (SOD), glutathione S-transferase (GST) and glutathione peroxidase (GPx) activity. Similarly, single exposure to Cd and Cu caused significant induction in Malate dehydrogenase (MDH) activity. However, combined Cu+Cd exposure modulated suppression in MDH activity. Unlike MDH, Cu and Cd individual exposure resulted in a decrease in esterase (EST) activity, but their combined exposure caused an induction. Non-enzymatic biomarkers such as lipid peroxidation (LPO) and metallothionein (MT) levels showed no significant change in response to Cu exposure, whereas, individual Cd exposure or Cd exposure in combination with Cu caused significant changes in their levels. Comet assay revealed a significant increase in DNA damage upon metal exposure. These results indicate that Cu (redox active) and Cd (non-redox active) can induce measurable physiological, biochemical as well as genotoxic perturbations in mussels even at sub-lethal concentrations. A monitoring programme based on the biomarkers discussed here would be useful to study the effect of metal pollutants reaching the coastal waters.

Heavy metal assessment using geochemical and statistical tools in the surface sediments of Vembanad Lake, Southwest Coast of India

The geochemical distribution and enrichment of ten heavy metals in the surface sediments of Vembanad Lake, southwest coast of India was evaluated. Sediment samples from 47 stations in the Lake were collected during dry and wet seasons in 2008 and examined for heavy metal content (Al, Fe, Mn, Cr, Zn, Ni, Pb, Cu, Co, Cd), organic carbon, and sediment texture. Statistically significant spatial variation was observed among all sediment variables, but negligible significant seasonal variation was observed. Correlation analysis showed that the metal content of sediments was mainly regulated by organic carbon, Fe oxy-hydroxides, and grain size. Principal component analysis was used to reduce the 14 sediment variables into three factors that reveal distinct origins or accumulation mechanisms controlling the chemical composition in the study area. Pollution intensity of the Vembanad Lake was measured using the enrichment factor and the pollution load index. Severe and moderately severe enrichment of Cd and Zn in the north estuary with minor enrichment of Pb and Cr were observed, which reflects the intensity of the anthropogenic inputs related to industrial discharge into this system. The results of pollution load index reveal that the sediment was heavily polluted in northern arm and moderately polluted in the extreme end and port region of the southern arm of the lake. A comparison with sediment quality guideline quotient was also made, indicating that there may be some ecotoxicological risk to benthic organisms in these sediments.

Bioaccumulation of heavy metals in mullet (Mugil cephalus) and oyster (Crassostrea madrasensis) from Pulicat lake, south east coast of India

The accumulation of six heavy metals (Cr, Cd, Cu, Zn, Pb and Ni) in sediment, water and in tissue parts of Mugil cephalus and Crassostrea madrasensis was studied in two locations of Pulicat lake, Southeast coast of India, which receives considerable quantity of effluents from industries located in North Chennai coastal region. The results reveal that the metal concentration in water is decreasing in the following order of Zn > Ni > Cu > Cr > Pb > Cd both in lake and barmouth and highest concentration was observed for Zn (32.5 μg L-1 in lake and 25.2 μg L-1 in bar mouth). Metals were highly concentrated in sediments when compared to water and biota. Metals abundance in sediments has following sequential order of Cr > Ni > Zn > Cu > Pb > Cd and the accumulation pattern in barmouth showed minor variation indicating the following pattern of Zn > Ni > Cr > Cu > Pb > Cd. The geoaccumulation index (Igeo) for Pulicat lake sediments indicate that the sediments are extremely contaminated with Cd and moderately contaminated with Cu and Ni. Bioaccumulation of heavy metals in Mugil cephalus and Crassostrea madrasensis showed marked differences in the accumulation patterns. It is observed that Zn, Cu and Pb are accumulated in elevated concentrations in various parts of the fish and oyster when compared with other metals.

Natural radioactivity and associated dose rates in soil samples from Kalpakkam, South India

The activity concentration of naturally occurring radioactive elements such as 226Ra, 232Th and 40K were measured for 46 soil samples collected in the vicinity of the Madras atomic power station, Kalpakkam, South India using gamma-ray spectroscopy. The average activity concentration of 226Ra, 232Th and 40K in soil samples were found to be 22.6 ± 12.6, 92.8 ± 44.3 and 434.1 ± 131.1 Bq kg(-1), respectively. The activity concentration of natural radionuclides is higher than the world average except for (226)Ra. The external absorbed gamma dose rates due to 226Ra, 232Th and 40K are observed to be 74.6 ± 30.8 nGy h(-1) with a corresponding annual effective dose of 91.5 ± 37.8 µSv y(-1), which are also above the world average. The values of radium equivalent activity and external hazard index are less than the world average. Whereas, the values of the radioactivity level index (I(γ)) and the total gamma dose rate were found to be above the required criterion.

Evidence for the role of highly leukotoxic Actinobacillus actinomycetemcomitans in the pathogenesis of localized juvenile and other forms of early-onset periodontitis

BACKGROUND

Actinobacillus actinomycetemcomitans leukotoxin is thought to be an important virulence factor in the pathogenesis of localized juvenile and other forms of early-onset periodontitis. Some highly leukotoxic A. actinomycetemcomitans strains produce 10 to 20 times more leukotoxin than other minimally leukotoxic strains. The distribution, clonality, and intrafamilial transmission of highly leukotoxic A. actinomycetemcomitans were examined in order to determine the importance of leukotoxin in the pathogenesis of periodontitis.

METHODS

The polymerase chain reaction (PCR) was used to differentiate highly leukotoxic from minimally leukotoxic strains in examining 1,023 fresh A. actinomycetemcomitans isolates and strains from our culture collection. These were obtained from 146 subjects including 71 with localized juvenile periodontitis (LJP), 4 with early-onset periodontitis, 11 with post-localized juvenile periodontitis, 41 with adult periodontitis, and 19 periodontally normal subjects. The arbitrarily primed polymerase chain reaction (AP-PCR) analysis of 30 oral isolates from each of 25 subjects was used to determine the intraoral distribution of A. actinomycetemcomitans clones. AP-PCR was also used to examine the transmission of A. actinomycetemcomitans in 30 members of 6 families. The clonality of 41 highly leukotoxic A. actinomycetemcomitans strains was evaluated by both AP-PCR and ribotyping.

RESULTS

Highly leukotoxic A. actinomycetemcomitans was found only in subjects with localized juvenile and early-onset periodontitis. Fifty-five percent of the LJP subjects harbored highly leukotoxic A. actinomycetemcomitans isolates. Seventy-three percent of the A. actinomycetemcomitans isolates in these subjects were highly leukotoxic. Highly leukotoxic A. actinomycetemcomitans infected younger subjects (mean age 13.95 years, range 5 to 28 years) than minimally leukotoxic (mean age 35.47 years, range 6 to 65 years). Most subjects were infected with only one A. actinomycetemcomitans genotype. However, PCR of whole dental plaques and subsequent analysis of up to 130 individual oral isolates suggested a possible shift in A. actinomycetemcomitans over time in that a few subjects harbored both highly leukotoxic and minimally leukotoxic strains. AP-PCR analysis was consistent with intrafamilial A. actinomycetemcomitans transmission. Ribotyping and AP-PCR analysis confirmed a previous report that highly leukotoxic A. actinomycetemcomitans consists of a single clonal type.

CONCLUSIONS

This study suggests that localized juvenile and other forms of Actinobacillus-associated periodontitis are primarily associated with the highly leukotoxic clone of A. actinomycetemcomitans.

Comparison of questionnaires and laboratory tests in the detection of excessive drinkers and alcholics

225 alcoholics in village and 149 alcoholics in a mental hospital outpatients were administered screening questionnaires for alcoholics status (MAST) dependence (SADD), and consumption data (Q.F. Index). All of them underwent GGT and MCV estimation within 48 hours of last drinking. Comparison of laboratory test with the questionnaires revealed that questionnaires were more useful in community and the laboratory test in hospital where they could also be used in diagnosing monitoring and follow-up assessment of patients.

The hazard of starting smoking: estimates from a split population duration model

Understanding the determinants of the hazard of starting smoking is of great importance in developing policy to reduce the number of smokers. This paper develops a split population duration model of the decision to start smoking. Using data from the 1978 and 1979 Smoking Supplements to the National Health Interview Survey, we find some evidence that lifetime educational attainment, gender, and race are important determinants of both whether and when the smoking habit is initiated. The study finds no evidence that higher cigarette prices would have a significant impact on teenage decisions to pick up the smoking habit.

A study of somatization disorder in an industrial hospital

A group of psychiatric outpatients who satisfied the DSM-IIIR criteria for Somatization Disorder (n=33) were compared with a group of other Somatisers (n=32). The results show that somatization disorder was found predominantly in females. Their mean age was 31 and they had a lower income and poor educational level, with more life events and stress in the family. The main symptoms were gastrointestinal, cardiopulmonary, pain and conversion followed by menstrual and sexual symptoms. They were more extroverted, neurotic and anxious depressed with significant basic neurotic traits. These results are discussed.