Phenotypic amikacin resistance may not indicate poor response to amikacin in Mycobacterium avium complex pulmonary disease

When using amikacin to treat Mycobacterium avium complex pulmonary disease (MAC-PD), a minimum inhibitory concentration resistance breakpoint of ≥64 mcg/mL is recommended. We explored whether amikacin resistance characterized by phenotypic drug susceptibility testing was associated with clinical outcomes or mutational resistance in a retrospective cohort of patients with MAC-PD. Despite little aminoglycoside exposure, amikacin resistance was common in our MAC-PD patients but was not associated with worse outcomes or rrs gene mutations.

Fine mapping of a new common bean anthracnose resistance gene (Co-18) to the proximal end of Pv10 in Indian landrace KRC-5

KEY MESSAGE

Mapping and fine mapping of bean anthracnose resistance genes is a continuous process. We report fine mapping of anthracnose resistance gene Co-18 which is the first anthracnose gene mapped to Pv10. The discovery of resistance gene is a major gain in the bean anthracnose pathosystem research. Among the Indian common bean landraces, KRC-5 exhibit high levels of resistance to the bean anthracnose pathogen Colletotrichum lindemuthianum. To precisely map the anthracnose resistance gene, we used a Recombinant Inbred Line (F2:9 RIL) population (KRC-5 × Jawala). The inheritance test revealed that KRC-5 carries a dominant resistance gene temporarily designated as Co-18. We discovered two RAPD markers linked to Co-18 among 287 RAPD markers. These RAPD markers were eventually developed into SCARs (Sc-OPR15 and Sc-OPF6) and flank Co-18 on chromosome Pv10 at a distance of 5.3 and 4.2 cM, respectively. At 4.0-4.1 Mb on Pv10, we detected a SNP (single-nucleotide polymorphism) signal. We synthesized 58 SSRs and 83 InDels from a pool of 135 SSRs and 1134 InDels, respectively. Five SSRs, four InDels, and two SCARs were used to generate the high-density linkage map, which led to the identification of two SSRs (SSR24 and SSR36) that are tightly linked to Co-18. These two SSRs flank the Co-18 to 178 kb genomic region with 13 candidate genes including five NLR (nucleotide-binding and leucine-rich repeat) genes. The closely linked markers SSR24 and SSR36 will be used in cloning and pyramiding of the Co-18 gene with other R genes to develop durable resistant bean varieties.

Alpine plant species converge towards adopting elevation-specific resource-acquisition strategy in response to experimental early snow-melting

Snow-melt is one of the important factors limiting growth and survival of alpine plants. Changes in snow-melt timing have profound effects on eco-physiological characteristics of alpine plant species through alterations in growing season length. Here, we conducted a field experiment and studied species response to experimentally induced early snow-melting (ES) (natural vs. early) at an alpine site (Rohtang) in the western Himalaya region. Eco-physiological response of eight snow-bed restricted alpine plant species from different elevations (lower: 3850 m and upper: 4150 m amsl) and belonging to contrasting resource acquisition strategies (conservative and acquisitive) were studied after 2-years (2019 & 2020) of initiating ES field experiment. We estimated the functional traits related to leaf economic spectrum and physiological performance and assessed their pattern of phenotypic plasticity. Analysis by linear mixed effect model showed that both the 'conservative' and 'acquisitive' species had responded to ES with significant effects on species specific leaf area, leaf dry matter content, leaf thickness, leaf water content and sugar content. Our results also revealed that ES treatment induced significant increase in leaf C/N ratio (10.57 % to 13.65 %) and protein content (15.85 % to 20.76 %) at both the elevations, irrespective of species groups. The phenotypic plasticity was found to be low and was essentially species-specific. However, for leaf protein content, the upper elevation species exhibited a higher phenotypic plasticity (0.43 ± 0.18) than the lower elevation species (0.31 ± 0.21). Interestingly, we found that irrespective of species unique functional strategy, species adapt to perform more conservative at lower elevation and more acquisitive at upper elevation, in response to ES. We conclude that plants occurring at contrasting elevations respond differentially to ES. However, species showed capacity for short-term acclimation to future environmental conditions, but may be vulnerable, if their niche is occupied by new species with greater phenotypic plasticity and a superior competitive ability.

Projected network performance for next generation aerosol monitoring systems

Aerosol monitoring for radioactivity is a mature and proven technology. However, by improving key specifications of aerosol monitoring equipment, more samples per day can be collected and analyzed with the same minimum detectable concentrations as current systems. This work models hypothetical releases of ¹⁴⁰Ba and ¹³¹I over a range of magnitudes corresponding to the inventory produced from the fission of about 100 g to 1 kiloton TNT-equivalent of ²³⁵U. The releases occur over an entire year to incorporate the natural variability in atmospheric transport. Sampling equipment located at the 79 locations for radionuclide stations identified in the Comprehensive Nuclear-Test-Ban Treaty (CTBT) for the International Monitoring System are used to determine the detections of the individual releases. Alternative collection schemes in next generation equipment that collect 2, 3, or 4 samples per day, rather than the current 1 sample per day, would result in detections in many more samples at more stations with detections for a given release level. The authors posit that next generation equipment will result in increased network resilience to outages and improved source-location capability for lower yield source releases. The application of dual-detector and coincidence measurements to these systems would significantly boost sensitivity for some isotopes and would further enhance the monitoring capability.

Emerging Roles and Potential Applications of Non-Coding RNAs in Cervical Cancer

Cervical cancer (CC) is a preventable disease using proven interventions, specifically prophylactic vaccination, pervasive disease screening, and treatment, but it is still the most frequently diagnosed cancer in women worldwide. Patients with advanced or metastatic CC have a very dismal prognosis and current therapeutic options are very limited. Therefore, understanding the mechanism of metastasis and discovering new therapeutic targets are crucial. New sequencing tools have given a full visualization of the human transcriptome's composition. Non-coding RNAs (NcRNAs) perform various functions in transcriptional, translational, and post-translational processes through their interactions with proteins, RNA, and even DNA. It has been suggested that ncRNAs act as key regulators of a variety of biological processes, with their expression being tightly controlled under physiological settings. In recent years, and notably in the past decade, significant effort has been made to examine the role of ncRNAs in a variety of human diseases, including cancer. Therefore, shedding light on the functions of ncRNA will aid in our better understanding of CC. In this review, we summarize the emerging roles of ncRNAs in progression, metastasis, therapeutics, chemo-resistance, human papillomavirus (HPV) regulation, metabolic reprogramming, diagnosis, and as a prognostic biomarker of CC. We also discussed the role of ncRNA in the tumor microenvironment and tumor immunology, including cancer stem cells (CSCs) in CC. We also address contemporary technologies such as antisense oligonucleotides, CRISPR-Cas9, and exosomes, as well as their potential applications in targeting ncRNAs to manage CC.

Modeling of fission and activation products in molten salt reactors and their potential impact on the radionuclide monitoring stations of the International Monitoring System

Molten Salt Reactors (MSRs) are one of six Generation IV reactor designs currently under development around the world. Because of the unique operating conditions of MSRs, which include molten fuel and the continuous removal of gaseous fission products during operation, work was performed to model the production of activation and fission products and analyze the potential impact of emissions on the International Monitoring System (IMS) of the Comprehensive Nuclear-Test-Ban Treaty (CTBT). Simulations were performed to predict the production of IMS-relevant radionuclides in four MSR designs operating under two scenarios: (1) a sealed reactor with releases only during operational shutdown, and (2) continuous reprocessing or sparging of the fuel salt. From these production estimates the radioxenon and radioiodine signatures were extracted and compared to three current reactor designs (Boiling Water Reactor, Pressurized Water Reactor, High-Power Channel-Type Reactor). In cases where continuous reprocessing of the fuel salt occurred, both the radioxenon and radioiodine signatures were nearly indistinguishable from a nuclear explosion. Estimates were also made of the potential emission rate of radioxenon for three reactor designs and it was found that MSRs have the potential to emit radioxenon isotopes at a rate of 10¹⁵-8×10¹⁶ Bq/d for ¹³³Xe, which may adversely affect nuclear explosion monitoring, if no abatement is used. An assessment was made of activation products using a candidate fuel salt (FLiBe) mixed with corrosion products for the Thorium Molten Salt Reactor (TMSR-LF1).

Assessment of non-point source of pollution using chemical mass balance approach: a case study of River Alaknanda, a tributary of River Ganga, India

The low ionic concentration meltwaters of the rivers originating from the Himalayan glaciers play a significant role in diluting the high solute load emanating from Ganga plain catchments. Hence, any change in the qualitative and quantitative characteristics of the Himalayan tributaries of River Ganga under the changing climatic scenario will impact the hydrochemical parameters of River Ganga as well. Hydrochemical investigations have been carried out in the River Alaknanda, a tributary of River Ganga during the period September 2016-May 2018 and revealed that TSS and COD values were observed above the prescribed criteria limit of 10 mg/L for drinking purpose for river as prescribed by CPCB. The anions for all sampling sites and seasons were observed to be in decreasing order of HCO₃^-  > SO₄^2-  > Cl^-  > NO₃^- and cations Ca²⁺  > Mg²⁺  > Na⁺  > K⁺. The weathering of rock forming minerals of drainage basin is responsible for the chemical composition of river water. HCO₃^- being the dominant anion in the study area accounts for its presence due to carbonate and silicate weathering. Ion exchange process controls the major ion chemistry of the river water. The assessment and management of non-point sources (NPS) pollution are difficult by any deterministic method and require a vast amount of data to compensate for their extent of contamination, in the account of their prevailing nature in response to hydrological processes and land use patterns. In the present investigation, the application of a simple chemical mass balance approach based on law of conservation of mass/matter has been applied on River Alaknanda, a tributary of River Ganga for measuring the chemical mass loadings of some selected water quality constituents, viz., major cations (sodium, potassium, calcium, magnesium, and ammonium) and major anions (chloride, sulfate, nitrate, and phosphate) at upstream and downstream of different point source locations for examining the contribution made by non-point sources of pollution to the river. Time series analysis of various ion concentrations at point source sites and upstream/downstream sites inferred that the fluvial variations pertaining to ion concentration and flux are strongly dependent on the seasonal changes. More contribution (> 30-50%) for almost all constituents from uncharacterized sources was observed in the months of November to February, which may be attributed to intensified agricultural activities during the winter months particularly cereals and vegetables.

An environmental gamma spectrometry system with CsI(Tl) scintillator and FPGA based MCA for open field deployment

Inorganic scintillator-based gamma spectrometry is typically carried out under laboratory conditions by using systems that require AC mains supply and dedicated computers for their operation. In this study, an in-house grown CsI(Tl) single crystal scintillator is optically coupled to a bialkali photomultiplier tube (PMT). The output of the PMT is fed to a pulse processing chain consisting of a preamplifier followed by an in-house designed and developed field programmable gate array (FPGA) based multichannel analyzer (MCA). Spectral data from this MCA is sent via serial communication to a microcontroller. A global system for mobile communications (GSM) modem transmits this data in the form of short message service (SMS) packets to a central receiving station, where the spectrum is reconstructed. The requirement of on-site data logging computer to store large spectral data has thereby been eliminated, which, in turn, has eliminated the requirement of AC power supply, reduced the overall power consumption and size of the system, and made it possible to develop a standalone solar-powered unit. For further reduction of overall power consumption, the spectrometer is turned-on only when a Geiger Mueller (GM) counter based gross gamma detection circuit, also included in the system, detects an ambient gamma dose rate beyond a pre-set threshold level. A mathematical methodology has also been implemented for restoration of recorded spectra, shifted due to temperature variations in the environment. All these features have been integrated and a standalone, solar-powered and battery operated field-deployable environmental gamma spectrometry system (EGSS) has been developed and tested for open field deployment. Presence of ⁴¹Ar in ambient air was successfully detected by the system.

Mediative fuzzy logic mathematical model: A contradictory management prediction in COVID-19 pandemic

This paper presents a model based on mediative fuzzy logic in this COVID-19 pandemic. COVID-19 (novel coronavirus respiratory disease) has become a pandemic now and the whole world has been affected by this disease. Different methodologies and many prediction techniques based on various models have been developed so far. In the present article, we have developed a mediative fuzzy correlation technique based on the parameters for COVID-19 patients from different parts of India. The proposed mediative fuzzy correlation technique provides the relation between the increments of COVID-19 positive patients in terms of the passage of increment with respect to time. The peaks of infected cases in connection with the other condition are estimated from the available data. The mediative fuzzy logic mathematical model can be utilized to find a good fit or a contradictory model for any pandemic model. The proposed approach to the prediction in COVID-19 based on mediative fuzzy logic has produced promising results for the continuous contradictory prediction in India.

Sulphate contamination in groundwater and its remediation: an overview

Most abundant form of sulphur in the geosphere has been sulphate. Sulphate, with sulphur in the plus six oxidation state is very stable. Sources of sulphate in groundwater include mineral dissolution, atmospheric deposition and other anthropogenic sources (mining, fertilizer, etc.). Gypsum is an important contributor to the high levels of sulphate in many aquifer of the world. Sulphate is not as much as toxic, but it can cause catharsis, dehydration and diarrhoea, and when ingested in higher amount through dietary absorption, the levels of methaemoglobin and sulphaemoglobin are changed in human and animal body. The role of sulphate in aqueous phase and sedimentary phase has been discussed. There is only limited work on sulphate pollution remediation in groundwater at national and international level; therefore, in the light of rising attention in sulphate as a contaminant, different sources of sulphate, its distribution and available different remediation techniques for groundwater system reported so far have been discussed in the present paper. Abiologic processes' thermochemical sulphate reduction (TSR) also plays significant role in reduction of sulphate.

Assessment of system characteristics of Gangotri glacier headwater stream

The study examine the major ion chemistry and p(CO₂) variations of Ganga headwater stream for a stretch of 18 km from Gangotri glacier snout at Gomukh to Gangotri for characterising the open and closed system conditions and its temporal variations. The study has been carried out at three locations along the stream continuum, at the glacier snout (0 km), Bhojwasa (4 km) and Gangotri (18 km) covering three consecutive melt seasons from the year 2014 to 2016 and reveals the persistence of closed system conditions along the stream stretch. The year 2014 and 2016 melt seasons experience high p(CO₂) closed system conditions associated with high suspended sediment flux, whereas the year 2015 experienced low p(CO₂) closed system condition associated with low sediment flux suggesting in-stream sulphide oxidation during high sediment flux years and results into low values of the C-ratio. On the other hand, the melt season with low sediment flux such as the year 2015 showed dominance of HCO₃^- over SO₄^2- and higher C-ratio. The study shows that the headwater reach of River Bhagirathi from Gomukh to Gangotri has prevalence of high p(CO₂) closed system characteristics associated with high sediment flux and dominance of SO₄^2- during the seasonal peak flow. This is suggested as a unique characteristic of the meltwaters of the upper Bhagirathi basin.

Development of indices for surface and ground water quality assessment and characterization for Indian conditions

Water quality indices are mathematical equations that transform water quality data into a particular number which describe the status of water. A number of water quality indices have been developed by various researchers for categorizing the water quality for different uses. These indices are developed based on classification criteria, sub-indices, and aggregation function. In the present study, a generalized Composite Water Quality Index (CWQI) is developed to classify the water into five categories, viz excellent, good, fair, poor, and polluted. For this purpose, the concentration ranges have been categorized on the basis of the Indian Standards (IS) and Central Pollution Control Board (CPCB) standards and considering International standards of World Health Organization (WHO) and European Commission (EC). Twenty-five water quality parameters are selected based on the social and environmental impacts, and weights are computed using the Saaty's Analytic Hierarchy Process (AHP) Multiple Criteria Decision Analysis (MCDA) tool. These parameters are selected such that the same indices can be used to assess the quality of both surface and ground water. The computed weights minimize the subjectivity in assigning the parameter weights. The proposed index improves understanding of water quality issues by integrating complex data and generates a score which describes the status of water quality. The index will be very useful for the water management authorities to maintain good health of surface water resources.

Beam Energy Dependence of Jet-Quenching Effects in Au+Au Collisions at sqrt[s_{NN}]=7.7, 11.5, 14.5, 19.6, 27, 39, and 62.4 GeV

We report measurements of the nuclear modification factor R_{CP} for charged hadrons as well as identified π^{+(-)}, K^{+(-)}, and p(p[over ¯]) for Au+Au collision energies of sqrt[s_{NN}]=7.7, 11.5, 14.5, 19.6, 27, 39, and 62.4 GeV. We observe a clear high-p_{T} net suppression in central collisions at 62.4 GeV for charged hadrons which evolves smoothly to a large net enhancement at lower energies. This trend is driven by the evolution of the pion spectra but is also very similar for the kaon spectra. While the magnitude of the proton R_{CP} at high p_{T} does depend on the collision energy, neither the proton nor the antiproton R_{CP} at high p_{T} exhibit net suppression at any energy. A study of how the binary collision-scaled high-p_{T} yield evolves with centrality reveals a nonmonotonic shape that is consistent with the idea that jet quenching is increasing faster than the combined phenomena that lead to enhancement.

Beam-Energy Dependence of Directed Flow of Λ, Λ[over ¯], K^{±}, K_{s}^{0}, and ϕ in Au+Au Collisions

Rapidity-odd directed-flow measurements at midrapidity are presented for Λ, Λ[over ¯], K^{±}, K_{s}^{0}, and ϕ at sqrt[s_{NN}]=7.7, 11.5, 14.5, 19.6, 27, 39, 62.4, and 200 GeV in Au+Au collisions recorded by the Solenoidal Tracker detector at the Relativistic Heavy Ion Collider. These measurements greatly expand the scope of data available to constrain models with differing prescriptions for the equation of state of quantum chromodynamics. Results show good sensitivity for testing a picture where flow is assumed to be imposed before hadron formation and the observed particles are assumed to form via coalescence of constituent quarks. The pattern of departure from a coalescence-inspired sum rule can be a valuable new tool for probing the collision dynamics.

Hepatitis C Virus-associated Membranoproliferative Glomerulonephritis Treated with Directly Acting Antiviral Therapy

Hepatitis C virus (HCV) infection has been shown to affect kidneys with various histopathological pattern on the kidney biopsy. These commonly include a membranoproliferative glomerulonephritis (MPGN) pattern with mixed cryoglobulinemia (CG), thrombotic microangiopathy, membranous nephropathy, and vasculitis affecting medium and small vessels of the kidneys causing polyarteritis nodosa. It has been rarely associated with MPGN without detectable CG. We present one such patient who presented to us with HCV-associated MPGN without detectable CG, who recovered completely with directly acting antiviral therapy without any immunosuppression.

Foot-and-mouth disease virus transmission dynamics and persistence in a herd of vaccinated dairy cattle in India

Foot-and-mouth disease (FMD) is an important transboundary disease with substantial economic impacts. Although between-herd transmission of the disease has been well studied, studies focusing on within-herd transmission using farm-level outbreak data are rare. The aim of this study was to estimate parameters associated with within-herd transmission, host physiological factors and FMD virus (FMDV) persistence using data collected from an outbreak that occurred at a large, organized dairy farm in India. Of 1,836 regularly vaccinated, adult dairy cattle, 222 had clinical signs of FMD over a 39-day period. Assuming homogenous mixing, a frequency-dependent compartmental model of disease transmission was built. The transmission coefficient and basic reproductive number were estimated to be between 16.2-18.4 and 67-88, respectively. Non-pregnant animals were more likely to manifest clinical signs of FMD as compared to pregnant cattle. Based on oropharyngeal fluid (probang) sampling and FMDV-specific RT-PCR, four of 36 longitudinally sampled animals (14%) were persistently infected carriers 10.5 months post-outbreak. There was no statistical difference between subclinical and clinically infected animals in the duration of the carrier state. However, prevalence of NSP-ELISA antibodies differed significantly between subclinical and clinically infected animals 12 months after the outbreak with 83% seroprevalence amongst clinically infected cattle compared to 69% of subclinical animals. This study further elucidates within-herd FMD transmission dynamics during the acute-phase and characterizes duration of FMDV persistence and seroprevalence of FMD under natural conditions in an endemic setting.

Liver failure determines the outcome in patients of acute-on-chronic liver failure (ACLF): comparison of APASL ACLF research consortium (AARC) and CLIF-SOFA models

BACKGROUND AND AIMS

Acute-on-chronic liver failure (ACLF) is a progressive disease associated with rapid clinical worsening and high mortality. Early prediction of mortality and intervention can improve patient outcomes. We aimed to develop a dynamic prognostic model and compare it with the existing models.

METHODS

A total of 1402 ACLF patients, enrolled in the APASL-ACLF Research Consortium (AARC) with 90-day follow-up, were analyzed. An ACLF score was developed in a derivation cohort (n = 480) and was validated (n = 922).

RESULTS

The overall survival of ACLF patients at 28 days was 51.7%, with a median of 26.3 days. Five baseline variables, total bilirubin, creatinine, serum lactate, INR and hepatic encephalopathy, were found to be independent predictors of mortality, with AUROC in derivation and validation cohorts being 0.80 and 0.78, respectively. AARC-ACLF score (range 5-15) was found to be superior to MELD and CLIF SOFA scores in predicting mortality with an AUROC of 0.80. The point scores were categorized into grades of liver failure (Gr I: 5-7; II: 8-10; and III: 11-15 points) with 28-day cumulative mortalities of 12.7, 44.5 and 85.9%, respectively. The mortality risk could be dynamically calculated as, with each unit increase in AARC-ACLF score above 10, the risk increased by 20%. A score of ≥11 at baseline or persisting in the first week was often seen among nonsurvivors (p = 0.001).

CONCLUSIONS

The AARC-ACLF score is easy to use, dynamic and reliable, and superior to the existing prediction models. It can reliably predict the need for interventions, such as liver transplant, within the first week.

Dijet imbalance measurements in Au+Au and pp collisions at sqrt[s_{NN}]=200 GeV at STAR

We report the first dijet transverse momentum asymmetry measurements from Au+Au and pp collisions at RHIC. The two highest-energy back-to-back jets reconstructed from fragments with transverse momenta above 2  GeV/c display a significantly higher momentum imbalance in heavy-ion collisions than in the pp reference. When reexamined with correlated soft particles included, we observe that these dijets then exhibit a unique new feature-momentum balance is restored to that observed in pp for a jet resolution parameter of R=0.4, while rebalancing is not attained with a smaller value of R=0.2.

Measurement of D^{0} Azimuthal Anisotropy at Midrapidity in Au+Au Collisions at sqrt[s_{NN}]=200 GeV

We report the first measurement of the elliptic anisotropy (v_{2}) of the charm meson D^{0} at midrapidity (|y|<1) in Au+Au collisions at sqrt[s_{NN}]=200  GeV. The measurement was conducted by the STAR experiment at RHIC utilizing a new high-resolution silicon tracker. The measured D^{0} v_{2} in 0%-80% centrality Au+Au collisions can be described by a viscous hydrodynamic calculation for a transverse momentum (p_{T}) of less than 4  GeV/c. The D^{0} v_{2} as a function of transverse kinetic energy (m_{T}-m_{0}, where m_{T}=sqrt[p_{T}^{2}+m_{0}^{2}]) is consistent with that of light mesons in 10%-40% centrality Au+Au collisions. These results suggest that charm quarks have achieved local thermal equilibrium with the medium created in such collisions. Several theoretical models, with the temperature-dependent, dimensionless charm spatial diffusion coefficient (2πTD_{s}) in the range of ∼2-12, are able to simultaneously reproduce our D^{0} v_{2} result and our previously published results for the D^{0} nuclear modification factor.

Charge-Dependent Directed Flow in Cu+Au Collisions at sqrt[s_{NN}]=200 GeV

We present the first measurement of charge-dependent directed flow in Cu+Au collisions at sqrt[s_{NN}]=200  GeV. The results are presented as a function of the particle transverse momentum and pseudorapidity for different centralities. A finite difference between the directed flow of positive and negative charged particles is observed that qualitatively agrees with the expectations from the effects of the initial strong electric field between two colliding ions with different nuclear charges. The measured difference in directed flow is much smaller than that obtained from the parton-hadron-string-dynamics model, which suggests that most of the electric charges, i.e., quarks and antiquarks, have not yet been created during the lifetime of the strong electric field, which is of the order of, or less than, 1  fm/c.

Measurement of the Transverse Single-Spin Asymmetry in p^{↑}+p→W^{±}/Z^{0} at RHIC

We present the measurement of the transverse single-spin asymmetry of weak boson production in transversely polarized proton-proton collisions at sqrt[s]=500  GeV by the STAR experiment at RHIC. The measured observable is sensitive to the Sivers function, one of the transverse-momentum-dependent parton distribution functions, which is predicted to have the opposite sign in proton-proton collisions from that observed in deep inelastic lepton-proton scattering. These data provide the first experimental investigation of the nonuniversality of the Sivers function, fundamental to our understanding of QCD.

Development of a credible 3D-QSAR CoMSIA model and docking studies for a series of triazoles and tetrazoles containing 11β-HSD1 inhibitors

Type 2 diabetes mellitus is described by insulin resistance and high fasting blood glucose. Increased levels of 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) enzyme result in insulin resistance and metabolic syndrome. Inhibition of 11β-HSD1 decreases glucose production and increases hepatic insulin sensitivity. Use of selective 11β-HSD1 inhibitors could prove to be an effective strategy for the treatment of the disease. It was decided to identify the essential structural features required by any compound to possess 11β-HSD1 inhibitory activity. A dataset of 139 triazoles and tetrazoles having 11β-HSD1 inhibitory activity was used for the development of a 3D-QSAR model. The best comparative molecular field analysis (CoMFA) model was generated with databased alignment, which was further used for comparative molecular similarity indices analysis (CoMSIA). The optimal CoMSIA model showed [Formula: see text] = 0.809 with five components, [Formula: see text] = 0.931, SEE = 0.323 and F-value = 249.126. The CoMSIA model offered better prediction than the CoMFA model with [Formula: see text] = 0.522 and 0.439, respectively, indicating that the CoMSIA model appeared to be a better one for the prediction of activity for the newly designed 11β-HSD1 inhibitors. The selectivity aspect of 11β-HSD1 over 11β-HSD2 was studied with the help of docking studies.

Correlation between two chemiluminescence based assays for quantification of hepatitis B surface antigen in patients with chronic hepatitis B infection

PURPOSE

Hepatitis B surface Antigen (HBsAg) is the hallmark in diagnosing hepatitis B virus (HBV) infection. In India many commercial assays are available for detection of HBsAg but very few can measure it quantitatively. The present study presents the comparative evaluation of two methods and their correlation with serum HBsAg in chronic hepatitis B (CHB) patients.

MATERIALS AND METHODS

Consecutive patients of CHB were included and there HBsAg levels were measured by two methods: (i) Elecsys, Roche Diagnostics, a qualitative assay and (ii) Architect, Abbott Diagnostics, a quantitative assay. The HBV DNA was measured by real-time polymerase chain reaction (qPCR).

RESULTS

Total of 136 patients were included in the study and there was a significant overall correlation between both the assays (correlation coefficient [r] = 0.83; P < 0.001). Assays correlated well with each other across all subgroups of CHB: treatment naοve (r = 0.73; P < 0.001, n = 32), on treatment (r = 0.56; P < 0.05, n = 104), hepatitis Be (HBe) antigen positive (r = 0.67; P < 0.001, n = 62) and anti-HBe positive (r = 0.61; P < 0.05, n = 74) group. On correlation with serum HBV DNA, Architect assay demonstrated good correlation (r = 0.73; P < 0.001, n = 136) as compared to the Elecsys assay (r = 0.27; P = 0.068, n = 136). Architect HBsAg QT assay (A1) also correlated well with HBV DNA in the treatment naοve group (r = 0.69; P < 0.001, n = 32).

CONCLUSIONS

Our study hence proved that both the assays are comparable and a simple qualitative assay with in-house modification can be used easily for quatitation of HBsAg in clinical samples.

Beam Energy Dependence of the Third Harmonic of Azimuthal Correlations in Au+Au Collisions at RHIC

We present results from a harmonic decomposition of two-particle azimuthal correlations measured with the STAR detector in Au+Au collisions for energies ranging from sqrt[s_{NN}]=7.7 to 200 GeV. The third harmonic v_{3}^{2}{2}=⟨cos3(ϕ_{1}-ϕ_{2})⟩, where ϕ_{1}-ϕ_{2} is the angular difference in azimuth, is studied as a function of the pseudorapidity difference between particle pairs Δη=η_{1}-η_{2}. Nonzero v_{3}^{2}{2} is directly related to the previously observed large-Δη narrow-Δϕ ridge correlations and has been shown in models to be sensitive to the existence of a low viscosity quark gluon plasma phase. For sufficiently central collisions, v_{3}^{2}{2} persist down to an energy of 7.7 GeV, suggesting that quark gluon plasma may be created even in these low energy collisions. In peripheral collisions at these low energies, however, v_{3}^{2}{2} is consistent with zero. When scaled by the pseudorapidity density of charged-particle multiplicity per participating nucleon pair, v_{3}^{2}{2} for central collisions shows a minimum near sqrt[s_{NN}]=20  GeV.

Centrality and Transverse Momentum Dependence of Elliptic Flow of Multistrange Hadrons and ϕ Meson in Au+Au Collisions at √[sNN]=200 GeV

We present high precision measurements of elliptic flow near midrapidity (|y|<1.0) for multistrange hadrons and ϕ meson as a function of centrality and transverse momentum in Au+Au collisions at center of mass energy √[sNN]=200  GeV. We observe that the transverse momentum dependence of ϕ and Ω v2 is similar to that of π and p, respectively, which may indicate that the heavier strange quark flows as strongly as the lighter up and down quarks. This observation constitutes a clear piece of evidence for the development of partonic collectivity in heavy-ion collisions at the top RHIC energy. Number of constituent quark scaling is found to hold within statistical uncertainty for both 0%-30% and 30%-80% collision centrality. There is an indication of the breakdown of previously observed mass ordering between ϕ and proton v2 at low transverse momentum in the 0%-30% centrality range, possibly indicating late hadronic interactions affecting the proton v2.

Observation of Transverse Spin-Dependent Azimuthal Correlations of Charged Pion Pairs in p^{↑}+p at sqrt[s]=200 GeV

We report the observation of transverse polarization-dependent azimuthal correlations in charged pion pair production with the STAR experiment in p^{↑}+p collisions at RHIC. These correlations directly probe quark transversity distributions. We measure signals in excess of 5 standard deviations at high transverse momenta, at high pseudorapidities η>0.5, and for pair masses around the mass of the ρ meson. This is the first direct transversity measurement in p+p collisions.

Azimuthal Anisotropy in U+U and Au+Au Collisions at RHIC

Collisions between prolate uranium nuclei are used to study how particle production and azimuthal anisotropies depend on initial geometry in heavy-ion collisions. We report the two- and four-particle cumulants, v_{2}{2} and v_{2}{4}, for charged hadrons from U+U collisions at sqrt[s_{NN}]=193  GeV and Au+Au collisions at sqrt[s_{NN}]=200  GeV. Nearly fully overlapping collisions are selected based on the energy deposited by spectators in zero degree calorimeters (ZDCs). Within this sample, the observed dependence of v_{2}{2} on multiplicity demonstrates that ZDC information combined with multiplicity can preferentially select different overlap configurations in U+U collisions. We also show that v_{2} vs multiplicity can be better described by models, such as gluon saturation or quark participant models, that eliminate the dependence of the multiplicity on the number of binary nucleon-nucleon collisions.

Modelling of lindane transport in groundwater of metropolitan city Vadodara, Gujarat, India

Migration pattern of organochloro pesticide lindane has been studied in groundwater of metropolitan city Vadodara. Groundwater flow was simulated using the groundwater flow model constructed up to a depth of 60 m considering a three-layer structure with grid size of 40 × 40 × 40 m(3). The general groundwater flow direction is from northeast to south and southwest. The river Vishwamitri and river Jambua form natural hydrologic boundary. The constant head in the north and south end of the study area is taken as another boundary condition in the model. The hydraulic head distribution in the multilayer aquifer has been computed from the visual MODFLOW groundwater flow model. TDS has been computed though MT3D mass transport model starting with a background concentration of 500 mg/l and using a porosity value of 0.3. Simulated TDS values from the model matches well with the observed data. Model MT3D was run for lindane pesticide with a background concentration of 0.5 μg/l. The predictions of the mass transport model for next 50 years indicate that advancement of containment of plume size in the aquifer system both spatially and depth wise as a result of increasing level of pesticide in river Vishwamitri. The restoration of the aquifer system may take a very long time as seen from slow improvement in the groundwater quality from the predicted scenarios, thereby, indicating alarming situation of groundwater quality deterioration in different layers. It is recommended that all the industries operating in the region should install efficient effluent treatment plants to abate the pollution problem.

Relevance of hepatitis B surface antigen levels in patients with chronic hepatitis B during 5 year of tenofovir treatment

The role of quantitative hepatitis B surface antigen (HBsAg) levels in patients receiving highly potent oral antiviral therapy is controversial, and here, we determined the HBsAg response in 121 chronic hepatitis B patients treated with tenofovir 300 mg daily. During tenofovir treatment, HBsAg decline of ≥ 1.0 log from baseline was seen in 16.1%, 16.3%, 18.4%, 34.6%, 36.4% and 11.8%, 15.2%, 14.8%, 28.6%, 20% at years 1, 2, 3, 4, 5 for HBeAg-positive and HBeAg-negative patients, respectively. Early decline in HBsAg levels at week 4 was predictive of subsequent significant HBsAg level decline. HBeAg seroconversion occurred in 29.9% of HBeAg-positive patients. On multinomial logistic regression, HBsAg level decline from baseline at week 4 and week 12 or any time subsequently did not correlate with HBeAg seroconversion and HBV DNA level decline from baseline at week 4 and week 12 (OR = 3.704; 95% CI = 1.511-9.076; P = 0.006 and OR = 1.732; 95% CI = 1.032-2.867; P = 0.037, respectively) was significantly predictive of seroconversion. A small proportion of chronic HBV-infected patients treated with tenofovir exhibit a significant (≥ 1.0 log) decline in HBsAg levels. Early decline in HBsAg levels at week 4 was predictive of subsequent and significant HBsAg level decline. The HBsAg decline did not correlate with HBeAg seroconversion in HBeAg-positive patients. Reduction in HBV DNA levels at week 4 and 12 correlated with seroconversion.

Sutureless and glue free limbal conjunctival auto graft for primary pterygium surgery

Nepal J Ophthalmol 2013; 5(9):139-140 DOI: http://dx.doi.org/10.3126/nepjoph.v5i1.7845

A profile of low vision among the blind school students in Lumbini Zone of Nepal

INTRODUCTION

There is an increasing awareness about the needs of students with low vision, particularly in developing countries where programs of integrated education are being developed. However, the appropriate low vision services are usually neither available, nor affordable.

OBJECTIVES

To study the profile of students with low vision in Lumbini Zone of Nepal.

MATERIALS AND METHODS

A cross-sectional study included students with low vision from 8 integrated schools. The reading performance was measured using their own text-books with optical low vision devices prescribed for near reading. The reading rates were measured on a range of print sizes. The Standard Clinical Low Vision Assessment Form and the National Low Vision Program protocol were used. SPSS software was used in data analysis.

RESULTS

Of 46 students enrolled, 23 had a mild visual impairment, 18 had severe visual impairment and 5 were blind. Spectacles were needed for 29 (63 %) students. Of the 11 students who had been wearing glasses, the visual acuity improved in 4 with a change in prescription. 91 % of the students had near vision better or equal to 1.5 M with optical low vision services for near reading. The reading rate was 24 WPM at the age of 5 years, whereas at the age of 21 years, it was 55 WPM.

CONCLUSION

The majority of the students with low vision need optical low vision services. Accurate refraction is important in these students. The reading rate increases significantly with improved near visual acuity.

A comprehensive study of early outcome (at the time of discharge from the hospital) after lumber discectomy for degenerative spine disease

AIM

To find out early outcomes after lumbar discectomy in patients with degenerative spine disease at discharge (10-12 days after surgery) from the hospital.

METHODS

The study was performed on 50 patients who have undergone lumbar discectomy for degenerative disc/spine disease in their pre- and post-operative stages of treatment. The study included 50 patients, taking into account both anamnesis and postoperative follow-up data. The outcomes were evaluated using modified Oswestry Disability Index (ODI), Visual Analogue Scale (VAS) and location of pain.

RESULTS

The study group consisted of 50 patients who completed the questionnaire in the pre- and post-operative period. The mean age of the patients was 50.0±2.1 years (male-27, female-23). The questionnaire contained questions about severity of pain (VAS), pain tolerance, well-being, walking, standing, sitting and sleeping. The data was compared in the pre- and post-operative stage, differences were evaluated using paired 't' test. There was a significant difference pain severity, walking, standing and sleeping among pre- and post-operative patients. Forty two percent of patients noted significant reduction of pain in the post-operative period. 48% of patients showed normalization of sleep without analgesics and hypnotics. About 72% of patients on the onset of the disease noted pain in both back and leg, and 6% had only low back pain, at the pre-operative stage. 52% of patients had no pain soon after surgery.

CONCLUSION

The majority of patients noted an improvement - rapid reduction of pain and restoration of sleep without analgesics and hypnotics in the post-operative period.

Unprecedented Mn(II) - Phosphate 3D Coordination Polymer with Novel pkb1 Topological Network Showing Spin-Canted Antiferromagnetism

A novel Mn(II)phosphate coordination polymer, {Mn2.5(HPO4PO4)H2O)2}n, has been synthesized under solvothermal conditions. This is the first phosphate-based Mn(II) complex, which is obtained in excellent yield without using any external organic amine as a structure directing agent. The complex has a 3D non-interpenetrated unprecedented 5-nodal (5,5,6,6,7)-connected pkb1 topological network. It has been characterized by single-crystal X-ray diffraction, IR spectroscopy, elemental analysis (CHN analyzer and energy-dispersive X-ray spectroscopy), and thermogravimetry. Variable temperature magnetic susceptibility measurements indicate that the complex exhibits spin-canted antiferromagnetic behaviour at low temperature. The electron paramagnetic resonance measurements, at ambient and at low temperature, of the complex are also consistent with magnetic behaviour.

Aberrant methylation and associated transcriptional mobilization of Alu elements contributes to genomic instability in hypoxia

Hypoxia is an integral part of tumorigenesis and contributes extensively to the neoplastic phenotype including drug resistance and genomic instability. It has also been reported that hypoxia results in global demethylation. Because a majority of the cytosine-phosphate-guanine (CpG) islands are found within the repeat elements of DNA, and are usually methylated under normoxic conditions, we suggested that retrotransposable Alu or short interspersed nuclear elements (SINEs) which show altered methylation and associated changes of gene expression during hypoxia, could be associated with genomic instability. U87MG glioblastoma cells were cultured in 0.1% O₂ for 6 weeks and compared with cells cultured in 21% O₂ for the same duration. Real-time PCR analysis showed a significant increase in SINE and reverse transcriptase coding long interspersed nuclear element (LINE) transcripts during hypoxia. Sequencing of bisulphite treated DNA as well as the Combined Bisulfite Restriction Analysis (COBRA) assay showed that the SINE loci studied underwent significant hypomethylation though there was patchy hypermethylation at a few sites. The inter-alu PCR profile of DNA from cells cultured under 6-week hypoxia, its 4-week revert back to normoxia and 6-week normoxia showed several changes in the band pattern indicating increased alu mediated genomic alteration. Our results show that aberrant methylation leading to increased transcription of SINE and reverse transcriptase associated LINE elements could lead to increased genomic instability in hypoxia. This might be a cause of genetic heterogeneity in tumours especially in variegated hypoxic environment and lead to a development of foci of more aggressive tumour cells.

Stress and coping behaviors among smokers

Positive association has been seen between stress and smoking behavior. This relationship has not been explored in relation to one's coping behavior and desire to quit smoking. The present study examined stress, coping and readiness to change among smokers. 50 smokers were selected using a cross sectional design. Assessment Proforma, Fagerstrom test for Nicotine Dependency, General Health Questionnaire, Perceived Stress Scale, Coping Checklist and Readiness to Change Questionnaire were administered on them. Stress was related to smoking behavior as well as initiation and maintenance of smoking. Individuals in the early adulthood stage were using maladaptive coping strategies. Perceived stress was higher among the middle age group. Stress and maladaptive coping behaviors were found to be associated with initiation and maintenance of smoking. It has implications for psychosocial interventions in tobacco cessation.

Surgical outcome of pars plana vitrectomy: a retrospective study in a peripheral tertiary eye care centre of Nepal

BACKGROUND

Trans-pars plana vitrectomy (TPPV) is an effective surgical procedure to retain the useful vision in vitreoretinal diseases.

OBJECTIVE

To evaluate the surgical outcome of pars plana vitreoretinal surgery.

STUDY DESIGN

Retrospective non-comparative interventional case series.

MATERIALS AND METHODS

A hospital-based retrospective interventional study of series of cases was carried out in retina clinic of Lumbini Eye Institute, Nepal, over a period of one-and-a-half years. Records of 64 patients who underwent vitreo-retina surgeries were reviewed. Demography, duration of symptoms, risk factors and indications, preoperative and post-operative visual acuity, intra-operative and post-operative complications were analyzed.

OUTCOME MEASUREMENT

The parameters studied were post-operative visual acuity and complications.

RESULTS

Of 64 patients, 61% presented 2 months after the onset of symptoms. Preoperatively, 65.5% had visual acuity of hand motions to 3/60 followed by perception of light only in 26.6%. The main indication for TPPV was vitreous haemorrhage (VH), in 53%. The visual acuity improved to better than 6/60 in patients with VH (68%), whereas, overall, in 72% of the subjects, it improved by 2 lines postoperatively. The commonest intra-operative complications were iatrogenic retinal break (5, 7.8%) at the sclerostomy site.

CONCLUSION

The main indication for TPPV is vitreous haemorrhage. Useful vision can be restored by pars plana vitrectomy in the majority of the patients. Retinal break is the commonest complication of TPPV.

Molecular cloning and characterization of cDNA encoding buffalo (Bubalus bubalis) cytochrome P450 aromatase in the ovary

One of the predominant causes of poor reproduction in buffaloes is low levels of ovarian estrogens. A rate limiting enzyme in estrogen biosynthesis is cytochrome P450 aromatase (P450 AROM), the product of CYP19 gene. In the present study CYP19 cDNA was cloned and its 5'UTR was characterized by 5'RACE in granulosa cells of large follicles. CYP19 transcripts with four different 5'UTRs (206, 114, 90 and 3 bases) were found in buffalo granulosa cells of large ovarian follicles. Interestingly, a predominant aromatase transcript with short 5'UTR (3 nucleotides) was found. Further studies are required to understand the relevance of these transcripts and their translational efficiency in granulosa cells of large follicles during folliculogenesis of buffalo ovary.