Conversion of clinically isolated syndrome to multiple sclerosis: a prospective multi-center study in Eastern India

Background

In White populations more than 60% of clinically isolated syndrome (CIS) convert to multiple sclerosis (MS) on a long-term follow-up; several predictors for conversion have been identified.

Objective

This study aimed to determine the conversion rate and the predictors of conversion from CIS to MS (McDonald 2010) among Indians. The other objective was to evaluate the diagnostic accuracy of the new McDonald 2017 criteria in prediction of a second clinical attack.

Methods

Clinical and demographic data of CIS cohorts were collected. Baseline investigations included cerebrospinal magnetic resonance imaging (MRI) with contrast and cerebrospinal fluid (CSF) testing for oligoclonal band (OCB). Follow-up clinical and MRI examinations were performed annually for at least 24 months.

Results

Of the 82 subjects (age range 15-58 years), 36 (43.9%) converted to MS; 31/82 (37.8%) converted in 24 months. The predictors for conversion were earlier age of onset, CSF-OCB, cerebral MRI T2 lesion count, and periventricular and juxtacortical location of lesions. Twenty-two (26.83%) CIS fulfilled the McDonald MS 2017 criteria at baseline.

Conclusion

In this first prospective study of CIS in India, the risk factors for conversion are similar but the conversion rate to MS is lower than that in the western nations.

Physical and thermochemical characterization of rice husk char as a potential biomass energy source

The fixed bed pyrolysis of rice husk was studied under conventional conditions with the aim of determining the characteristics of the charcoal formed for its applicability as a solid fuel. Thermoanalytic methods were used to determine the kinetic parameters of its combustion. Palletisation using different binders and techniques to improve the time of sustained combustion of the char pallets were investigated. The optimum temperature for carbonization to obtain a char having moderately high heating value was found as 400 degrees C. For the active char combustion zone, the order of reaction was nearly 1, the activation energy 73.403 kJ/mol and the pre-exponential factor 4.97 x 10(4)min(-1). Addition of starch as a binder and 10% ferrous sulphate heptahydrate or sodium hypophosphite as an additive enhanced the ignitibility of the char pallets.