Acute abdomen in pregnancy: a case series on clinical presentation and diagnostic dilemma

Acute abdomen in pregnancy remains one of the most challenging situation in regard with the diagnosis and management. Pregnancy is a unique state in which the female body undergoes both anatomical and physiological changes which can pose a challenge in diagnosis. This may result in delay in management and increase in maternal and fetal morbidity and mortality. This study was to identify the spectrum of causes, the clinical presentation and diagnostic dilemma of acute abdomen in pregnancy. It was an observational study was done over a period of 3 years which included all the pregnant women who presented with acute abdomen. In this study, eighteen pregnant women presented with acute abdomen. Among the study group, 5.5%, 50% and 44.5% presented in first, second and third trimester respectively. The diagnosis included acute appendicitis in 11.1%, acute cholecystitis in 16.6%, acute pancreatitis in 16.6%, malrotation in 11.1%, uterine rupture 11.1%, rudimentary horn rupture in 22.4% and ovarian cyst torsion in 11.1%. The clinical presentation included pain abdomen (16.6%), pain abdomen and vomiting (44.4%), pain abdomen in shock (39%) and abdominal tenderness (33.3%). The diagnosis was confirmed with ultrasonography in 55.6%, 11.1% women required higher imaging like magnetic resonance imaging (MRI) and 33.3% women were diagnosed on table. Majority of them had good outcome, but there was one maternal mortality (6%). Diagnosis and treatment of acute abdomen in pregnancy should be individualized. Good clinical acumen is essential for ordering early diagnostic test in acute abdomen in pregnancy. Appropriate intervention should be undertaken at the earliest to reduce the maternal and fetal complications.

UFASOMES: UNSATURATED FATTY ACID BASED VESICULAR DRUG DELIVERY SYSTEM

Various novel drug delivery systems have been developed encompassing several administration routes to deliver drugs at a rate decided as per the need of the body during the course of treatment and to achieve targeted therapy, also decreases undesirable side effects. Different types of vesicular drug delivery systems were developed, such as liposomes, niosomes, ufasomes etc. Ufasomes are unsaturated fatty acid vesicles which is a suspension of closed lipid bilayer formed from fatty acid and their ionized species having limited, narrow pH ranging from 7-9. Composition of fatty acid molecules is such that the hydrocarbon tails are pointed towards the inner core of the membrane and the carboxyl group are in touch with water. Stable ufasomes preparation mainly relies on appropriate choice of fatty acid, cholesterol quantity, range of the pH, buffer and lipoxygenase amount. Recent innovation provides very efficient features such as stability considerations, dynamic features and microscopic features of ufasomes. The article furthermore provides the difference between ufasomes with liposomes. For this review, the complete databases have been collected from various search engines such as researchgate, elsevier, pubmed, sciencedirect, google scholar, scopus etc., from the year 1965-2020 using the following keywords

Giant Pleomorphic Adenoma of Parotid Gland: A Rare Cytological Diagnosis

Pleomorphic adenoma is the most common salivary gland neoplasm, which affects both major and minor salivary glands. It is also the most common neoplasm arising in the parotid. In minor salivary glands, it most commonly involves the palate and rarely involves the lips, cheek and gingiva. It is also called Benign Mixed Tumour (BMT), since it is composed of a variable amount of epithelial and mesenchymal elements. Diagnostic modalities include Ultrasonography (USG), Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). MRI provided the most precise structural information of the tumour as well as surrounding structures. A 60-year-old female presented with a massive right-sided infra-auricular swelling, since 20 years. On Contrast Enhanced Computed Tomography (CECT), a huge lobular exophytic lesion with thin enhancing septation and few calcific foci was visualised in the right parotid region. The Fine Needle Aspiration Cytology (FNAC) yielded the diagnosis of Pleomorphic Adenoma (PA). Giant PA with an indolent course is a rare entity in itself. This is a case of giant PA of the parotid gland growing insidiously over a period of 20 years

Antioxidant, Antibacterial Activities and GC-MS Analysis of Fresh Rose Petals Aqueous Extract of Rosa damascena Mill L.

A rose (Rosa damascena) is a woody perennial plant of the genus Rosa within the family Rosaceae. The leaves of the plant are alternate to each other on the stem. Best known for its ornamental values, most of the rose plants are deciduous except a few from the South East Asia that are evergreen. The aggregate fruit of the rose is a pot-like structure containing the seeds in it called the rose hip. The sharp objects along the stem of a rose plant are outgrowths of the epidermis called as prickles. The flowers to prepare a drink which acts as an energy stimulant, blood tonic and also works in case of digestive irregularities. The extract of rose plant especially act as an antidepressant, antibacterial, antifungal, antiseptic, antiinflammatory, digestive stimulant, kidney tonic and menstrual regulator. The maximum DPPH˙ radical and superoxide (O2˙-) radical scavenging activities of fresh rose petals aqueous extract were 52.84±0.20% and 89.36±0.31% at 120 µg/mL concentration. The IC50 values of DPPH˙ radical and superoxide (O2˙-) radical scavenging activities were 113.55 µg/mL and 40.62 µg/mL concentration respectively. The maximum Mo6+ reduction and Fe3+ reduction of fresh rose petals aqueous extract were 82.52±0.13% and 81.54±0.42% at 120 µg/mL concentration and the RC50 values of Mo6+ reduction and Fe3+ reduction were 46.67 µg/mL 32.25 µg/mL concentration respectively. The fresh aqueous extract of Rosa damascena possessed active molecules such as E,E-6,8-Tridecadien-2-ol, acetate, 8-Carbethoxy-1-methyl-1,4,5,6,7,8-hexahydropyrrolo [2,3-b]azepin-4-one-3-carboxylic acid and 9-Octadecynoic acid, methyl ester exhibiting antioxidant, antimicrobial activities. Keywords: Rosa damascena, Antioxidant, Free radical, DPPH˙, Antibacterial activity, GC-MS

Prospective nutritional, therapeutic, and dietary benefits of camel milk making it a viable option for human consumption: Current state of scientific knowledge

For over five thousand years, people in Asia and Africa have known about the health benefits of camel milk. Thus, it is used not only as a food source but also as a medicine. The similarities between camel milk and human milk have been scientifically proven. Camel milk is unique among ruminant milk because it is high in vitamins C and E and low in sugar and cholesterol. Still, it contains a wide variety of beneficial minerals (including sodium, potassium, iron, copper, zinc, and magnesium), besides being rich in several nutrients, including monounsaturated and polyunsaturated fatty acids, serum albumin, lactoferrin, immunoglobulins, lysozyme and the hormone insulin. Because of these components, many medical professionals now recommend camel milk as a treatment for various human ailments. It has been demonstrated to be effective in treating gastrointestinal issues, Type 1 diabetes, and food allergies. As a bonus, camel milk has been utilized to cure autism, lower cholesterol, prevent psoriasis, heal inflammation, aid tuberculosis patients, boost the body's natural defences, and impede the spread of cancer cells. Those who have problems digesting lactose may still be able to tolerate it. Conversely, camel milk can also help reduce an excessively high bilirubin, globulin, and granulocyte count. Drinking camel milk does not affect the erythrocyte sedimentation rate, hemoglobin concentration, and leukocyte count. The proteins in camel milk have an adequate ratio of critical amino acids. Immunoglobulins, which fight disease, are contained inside, and their small size allows antigens to penetrate and boosts the immune system's efficacy. This article highlights the health benefits and medicinal uses of camel milk

Search for new particles in events with energetic jets and large missing transverse momentum in proton-proton collisions at root s=13 TeV

A search is presented for new particles produced at the LHC in proton-proton collisions at root s = 13 TeV, using events with energetic jets and large missing transverse momentum. The analysis is based on a data sample corresponding to an integrated luminosity of 101 fb(-1), collected in 2017-2018 with the CMS detector. Machine learning techniques are used to define separate categories for events with narrow jets from initial-state radiation and events with large-radius jets consistent with a hadronic decay of a W or Z boson. A statistical combination is made with an earlier search based on a data sample of 36 fb(-1), collected in 2016. No significant excess of events is observed with respect to the standard model background expectation determined from control samples in data. The results are interpreted in terms of limits on the branching fraction of an invisible decay of the Higgs boson, as well as constraints on simplified models of dark matter, on first-generation scalar leptoquarks decaying to quarks and neutrinos, and on models with large extra dimensions. Several of the new limits, specifically for spin-1 dark matter mediators, pseudoscalar mediators, colored mediators, and leptoquarks, are the most restrictive to date.Peer reviewe

Combined searches for the production of supersymmetric top quark partners in proton-proton collisions at root s=13 TeV

A combination of searches for top squark pair production using proton-proton collision data at a center-of-mass energy of 13 TeV at the CERN LHC, corresponding to an integrated luminosity of 137 fb(-1) collected by the CMS experiment, is presented. Signatures with at least 2 jets and large missing transverse momentum are categorized into events with 0, 1, or 2 leptons. New results for regions of parameter space where the kinematical properties of top squark pair production and top quark pair production are very similar are presented. Depending on themodel, the combined result excludes a top squarkmass up to 1325 GeV for amassless neutralino, and a neutralinomass up to 700 GeV for a top squarkmass of 1150 GeV. Top squarks with masses from 145 to 295 GeV, for neutralino masses from 0 to 100 GeV, with a mass difference between the top squark and the neutralino in a window of 30 GeV around the mass of the top quark, are excluded for the first time with CMS data. The results of theses searches are also interpreted in an alternative signal model of dark matter production via a spin-0 mediator in association with a top quark pair. Upper limits are set on the cross section for mediator particle masses of up to 420 GeV

Probing effective field theory operators in the associated production of top quarks with a Z boson in multilepton final states at root s=13 TeV

Peer reviewe

Observation of tW production in the single-lepton channel in pp collisions at root s=13 TeV

A measurement of the cross section of the associated production of a single top quark and a W boson in final states with a muon or electron and jets in proton-proton collisions at root s = 13 TeV is presented. The data correspond to an integrated luminosity of 36 fb(-1) collected with the CMS detector at the CERN LHC in 2016. A boosted decision tree is used to separate the tW signal from the dominant t (t) over bar background, whilst the subleading W+jets and multijet backgrounds are constrained using data-based estimates. This result is the first observation of the tW process in final states containing a muon or electron and jets, with a significance exceeding 5 standard deviations. The cross section is determined to be 89 +/- 4 (stat) +/- 12 (syst) pb, consistent with the standard model.Peer reviewe