Pain, Physical and Social Functioning, and Quality of Life in Individuals with Multiple Hereditary Exostoses in the Netherlands

Background: This study aimed to assess pain and quality of life in a large cohort of patients with multiple hereditary exostoses. Methods: All 322 known patients with multiple hereditary exostoses in the Netherlands were asked to participate. An age-specific questionnaire was sent to children (less than eighteen years old) and adults. The questionnaire focused on pain, daily activities, and school and/or professional situation. Adults also filled out the RAND-36 questionnaire.Results were statistically analyzed with use of the SPSS 15.0 software and with the chi-square test and multiple logistic regression. A p value of <0.05 was regarded as significant. Results: Two hundred and eighty-three patients (88%), including 184 adults (65%) and ninety-nine children (35%), completed the questionnaire. Multiple hereditary exostoses resulted in various physical and social consequences. The majority of adults (119) were employed; however, thirty-three (28%) had changed jobs because of the symptoms of multiple hereditary exostoses and twenty-five (21%) required adjustments in their working environment. Of the sixty-five adults who were not employed, thirteen were medically unfit to work. Of eighty-five children attending school, forty-five (53%) experienced problems at school. The symptoms of multiple hereditary exostoses caused twenty-seven children (27%) and eighty-five adults (46%) to stop participating in sporting activities. Pain was the greatest problem, with sixty-two children (63%) and 152 adults (83%) who reported recent pain. On multivariate analysis, pain in adults was correlated most significantly with age and problems at work, and pain in children was correlated with the perception of the disease and problems at school. Adult patients with multiple hereditary exostoses had a lower quality of life than the Dutch reference groups, with lower scores on six of eight RAND-36 subscales. Conclusions: Our study confirms that multiple hereditary exostoses is a chronic disease causing a profound impact on quality of life. The results suggest that pain is not the only problem associated with multiple hereditary exostoses, as it has an extensive influence on daily activities, as well as on social and psychological well-being, causing significant disability

A New Mint1 Isoform, but Not the Conventional Mint1, Interacts with the Small GTPase Rab6

Small GTPases of the Rab family are important regulators of a large variety of different cellular functions such as membrane organization and vesicle trafficking. They have been shown to play a role in several human diseases. One prominent member, Rab6, is thought to be involved in the development of Alzheimer’s Disease, the most prevalent mental disorder worldwide. Previous studies have shown that Rab6 impairs the processing of the amyloid precursor protein (APP), which is cleaved to β-amyloid in brains of patients suffering from Alzheimer’s Disease. Additionally, all three members of the Mint adaptor family are implied to participate in the amyloidogenic pathway. Here, we report the identification of a new Mint1 isoform in a yeast two-hybrid screening, Mint1 826, which lacks an eleven amino acid (aa) sequence in the conserved C-terminal region. Mint1 826, but not the conventional Mint1, interacts with Rab6 via the PTB domain. This interaction is nucleotide-dependent, Rab6-specific and influences the subcellular localization of Mint1 826. We were able to detect and sequence a corresponding proteolytic peptide derived from cellular Mint1 826 by mass spectrometry proving the absence of aa 495–505 and could show that the deletion does not influence the ability of this adaptor protein to interact with APP. Taking into account that APP interacts and co-localizes with Mint1 826 and is transported in Rab6 positive vesicles, our data suggest that Mint1 826 bridges APP to the small GTPase at distinct cellular sorting points, establishing Mint1 826 as an important player in regulation of APP trafficking and processing

Security in the Age of Systemic Risk: Strategies, Tactics and Options for Dealing with Femtorisks and Beyond

The world today is increasingly confronted with systemic threats and challenges, in which femtorisks - small-scale dangers that are inherent to system structures and function and which pose asymmetrically catastrophic risks - can build in consequence, spreading uncontrollably like epidemics in both natural and social systems in such diverse areas as ecology, epidemiology, finance, the Internet, terrorism, and international relations. They have been successfully modeled in ecology in the context of complex adaptive systems: systems made up of individual agents, whose interactions have macroscopic consequences that feed back to influence individual behavior. While acknowledging challenges, this paper argues for the value of applying to societal systems the approaches that natural scientists have developed in quantifying and modeling biological interactions and ecosystems

ROLE OF PANCHAKARMA IN MYASTHENIA GRAVIS - A CASE STUDY

Myasthenia Gravis&nbsp;(MG) is a long-term&nbsp;neuromuscular disease&nbsp;that leads to varying degrees of skeletal&nbsp;muscle weakness. The underlying defect is a decrease in the number of available acetylcholine receptors (AChRs) at neuromuscular junctions due to an antibody mediated autoimmune attack. The most commonly affected muscles are those of the&nbsp;eyes, face and swallowing.&nbsp;The cause of this disease can be understood in view of Upahata Dhatu Ushma, Srotas and Marutha respectively. The present observation was conducted with an objective to find out the efficacy of Ayurvedic management in Myasthenia gravis. Here is a case of 50years old Hindu female who was diagnosed as myasthenia gravis (MG) reported with complaining of slurred speech, low pitch of voice, difficulty to open the mouth and to swallow food and weakness in the both upper limbs since 4months was registered in OPD of SKAMCH&amp;RC, Bengaluru. Considering the signs and symptoms patient was treated on the line of Ardita Vata chikitsa, Sarvanga Abhyanga with Moorchita tila taila, Nasya with Yashtimadhu taila, Gandusha with Erimedadi taila, Jihwa nirlekhana with Vacha churna were done. Treatment shows significant improvement in the symptoms without any side effects

Pharmacoeconomics of allergic rhinitis drugs treatment in tertiary care hospital

Background: Allergic rhinitis also called hay fever; it is a very common in India. Harmless exposing substances cause an allergic reaction. Allergic rhinitis is of the two types, one is the seasonal occurred with the change of seasons, second is the perennial means any time during the year.Methods: This was a cross-sectional study to determine the cost analysis allergic rhinitis drugs used in treatment of ENT OPD in a tertiary care teaching hospital, Kamothe, Navi Mumbai. The patients were interviewed; prescriptions were analyzed number of medicines prescribed.Results: Incidence of polypharmacy two drugs per prescriptions were prescribed 140 and three drugs per prescriptions 60. In the total number of 200 prescriptions, the cost of 43 prescriptions were in between 251-300 Indian rupees and 18 prescriptions were 301-350 Indian rupees. Patient knowledge about the drug use in this study, out of 200 pts 37% of allergic rhinitis patients knew the correct dosage of the prescribed drugs while 63% were not aware.Conclusions: Majority of the participants drugs were prescribed two to three drugs, per prescription cost was high because all the drugs prescribed by brand name and no drugs were prescribed by generic name. Improvement in knowledge about generic medicines is important factor to prefer generic medicine. Reduction in cost of drug will improve compliance

EFFICACY OF IMAZETHAPYR AND QUIZALOFOP-ETHYL HERBICIDES ON GROWTH AND YIELD OF CHICKPEA

A field experiment was conducted during rabi 2009-10- and 2010-11 to study the response of post–emergence herbicides on growth and yield of chickpea grown in clayey soil. Among herbicides highest yield and yield attributes, viz. branches/plant, pods/plant, seed weight/plant and 100-seed weight were recorded with application of imazethapyr and quizalofop-ethyl @ 75 g/ha at 25 and 35 DAS, respectively, over weedy check. However, application of higher dose of imazethapyr @ 100 g/ha at 25 and 35 DAS significantly reduced the plant height (54.28), branches/plant (21.61), pods/plant (48), seed weight/plant (16.3) and root nodules (8.5) over lower dose of herbicides (50 g/ha), on the contrary 100-seed weight (38.946) increased over application of reduced doses. The post-emergence application of imazethapyr and quizalofop-ethyl @ 50 g/ha at 25 and 35 DAS was inefficient in effective control of weeds but at higher rate of application 75 and 100 g/ha was effective but phytotoxic on chickpea. Among the herbicides imazethapyr and quizalofop-ethyl at each dose rates decreased the grain yield, however, the intensity was more at higher rate of application i.e. 100 g/ha. It has been observed that imazethapyr and quizalofop-ethyl were injurious to the chickpea and injury increased with increase in the concentration of both these herbicides. Toxicity was more with imazethapyr as compared to quizalofop-ethyl at all rates of application. Chickpea injury was minimal at 35 days after application at all rates, which was insignificant with lower dose of 50 g/ha, however, which was inefficient for effective weed control. The results implied that a higher concentration of imazethapyr resulted in a decline in growth, yield attributes and yield of chickpea. There is need to change in herbicide selection or application method in order to have better weed contro

Rab27a and Rab27b control different steps of the exosome secretion pathway

Exosomes are secreted membrane vesicles that share structural and biochemical characteristics with intraluminal vesicles of multivesicular endosomes (MVEs). Exosomes could be involved in intercellular communication and in the pathogenesis of infectious and degenerative diseases. The molecular mechanisms of exosome biogenesis and secretion are, however, poorly understood. Using an RNA interference (RNAi) screen, we identified five Rab GTPases that promote exosome secretion in HeLa cells. Among these, Rab27a and Rab27b were found to function in MVE docking at the plasma membrane. The size of MVEs was strongly increased by Rab27a silencing, whereas MVEs were redistributed towards the perinuclear region upon Rab27b silencing. Thus, the two Rab27 isoforms have different roles in the exosomal pathway. In addition, silencing two known Rab27 effectors, Slp4 (also known as SYTL4, synaptotagmin-like 4) and Slac2b (also known as EXPH5, exophilin 5), inhibited exosome secretion and phenocopied silencing of Rab27a and Rab27b, respectively. Our results therefore strengthen the link between MVEs and exosomes, and introduce ways of manipulating exosome secretion in vivo

PRIVATE AND SECURED MEDICAL DATA TRANSMISSION AND ANALYSIS FOR WIRELESS SENSING HEALTH CARE SYSTEM

The rapid use of net and implementation, further to the improvement of a scientific sensor for healthcare packages, Internet of Things (IoT), has obtained raising popularity. IoT is the paradigm of connectivity, a sensor connected to the embedded machine. All sensor and device associated with every distinct so transmission and communication some of the handiness’s sensors end up without problem. In the healthcare tool, the scientific records are touchy in nature so without considering safety and privateness is worthless. Cloud computing is the maximum essential paradigm in IT-fitness. All the scientific information of the affected character in addition to the medical doctor and affected individual personal facts stored in a close-by mode further to cloud, so every time it desired the statistics is probably available. Patient medical facts is saved within the gadget further to cloud, so malicious attack and unwanted get right of access to can also moreover reason a harmful to affected individual health. Security is the most vital and essential part of healthcare. The get access to control policy is primarily based totally on the proper to get admission to of clinical facts and privilege to a certified entity it's proper away and in a roundabout manner related to the affected character health