Role of propranolol in the management of infantile hemangioma

Background: Infantile hemangiomas are the most common benign soft tissue tumor of infancy and childhood occurring 4-10% of all infants. It is more frequent in premature children (23% of infants <1200g) and females (3:1 to 5:1). For many hemangiomas treatment is not required, however hemangioma in some locations need treatment to prevent complication. The Present study was done with an Aim to assess the efficacy and safety of oral Propranolol in management of infantile heamangioma in our set-up.Methods: This study was conducted from May 2016 to Nov 2017 at Department of Surgery and Pediatrics, M.L.B. Medical College, Jhansi after obtaining Ethical permission. Patients having confirmed were recruited & admitted for initiation of Oral Propranolol therapy for 5 days under the observation of Paediatrician. Oral Propranolol treatment was continued till the age of 11/2 years. A clinical assessment was made at each visit to the Outpatients Clinic every four weeks.Results: The incidences of infantile hemangioma were more in age group (0-7 months) i.e 55% (22 patients) followed by age group of (8-15 days) i.e. 30% (12 patients). As age advances presentation gradually decreases as after 30 days incidence is only 5%. Infantile hemangioma were more common in females’ patients (55% patients) & mostly 90% (36 patients) present as single lesion and only 10% (4 patients) present as multiple lesions. Most of hemangiomas presented as reddish in color 80% (32 patients) which reflected lesions are mostly superficial & only 10% were brownish red and 10% skin color indicated incidence of deeper penetration.Conclusion: Authors found that drug (Propranolol) to be effective even at low dose of 1mg/kg/day. In our study group it was effective and safe in almost all patients

Formulation of Ramipril Tablets Containing Solid Dispersion Employing Selective Polymers to Enhance Dissolution Rate

Objective: The present work based on formulation of Ramipril tablets containing solid dispersion employing selective polymers. The objective of the preparation is to prepare the solid dispersion of the Ramipril, which has more responsive value in terms of the dissolution rate. Method: Solid dispersion complex was prepared with two different carriers PEG 6000 and PVP K30. Nine formulations were developed and each formulation were subjected to pre compression and post compression parameters. Result and Discussion:&nbsp; Pre-compression and post compression parameters were studied which had shown good flow property and compiled the standard data. In-vitro dissolution studies shows more than 90 % drug release in phosphate buffer pH 6.8 in 30 min. Out of all formulation F4 showed 92.55±0.67 % drug release with in 30min which was the best result rest of the formulation. Conclusion: Ramipril tablets were successfully prepared and evaluated. F4 formulation shows the greater dissolution rate in phosphate buffer pH 6.8 as compared to other formulations. When compared with marketed formulation it also shows better results. Therefore, Ramipril solid dispersion tablets enhanced the dissolution rate and can be more efficacious for improving oral bioavailability of Ramipril. Keywords: Solid dispersion, Ramipril, Solvent Evaporation Technique

Assessment of genetic diversity in pigeon pea (Cajanus cajan) using micro satellite markers

An effective way to use germplasm for genetic improvement is to be aware of the genetic variation among crop genotypes. The objective of the present study was to assess the genetic diversity and population structure of 30 genotypes of pigeonpea from populations that were collected from various sources. In order to show a new structure within the pigeonpea genetic pool and to give crucial information for pigeonpea breeding operations, the predetermined study's goal was to define pigeonpea genotypes using a microsatellite marker technique. The genomic DNA of 30 pigeon pea genotypes were amplified with 20 SSR primers that produced 46 amplified bands, out of which 30 band were polymorphic (65.21%) and 16 bands were monomorphic (34.82%). Primer CcM 2977 generated a maximum number of amplified bands, of which 2 bands were polymorphic. Among 20 primers, only 8 primers showed the highest polymorphism (100%) and 5 primers were monomorphic in nature. Average of 2.30 bands per primer was amplified. The dendrogram constructed from the pooled data revealed six distinct clusters of which five were solitary.  Cluster analysis of pigeon pea genotypes was based on Unweighted Pair Group Method with the Arithmetic average (UPGMA) method and the 30 pigeon pea genotypes were classified into six main groups. The present study indicated that the performance of SSR markers for the evaluation of genetic diversity could be beneficial for pigeon pea breeding. They could additionally be useful in genomic mapping research, developing pigeon pea cultivars with various genetics and reaping advanced crop productivity.

EFFECT OF DIFFERENT CONCENTRATIONS OF GLYCEROL IN CRYOPRESERVATION OF GADDI GOAT SEMEN

Goats have greater importance under small familiar systems in India. The unabated decline in Gaddi males of superior genetic merit due to extensive culling and unplanned breeding (inbreeding) accentuates the importance of conserve superior males and their use for artificial insemination. The available literature is unequivocal about the importance of glycerol during sperm cryopreservation. However, the optimal level seems to vary between species and breeds. The present study aimed to evaluate the effect of different concentrations of glycerol (6, 7, and 8%) on the quality of thawed semen from Gaddi bucks. A total of 180 ejaculates from six Gaddi buck were frozen in Tris citrate extender containing 10% of Egg Yolk with 6, 7, or 8% of glycerol. Sperm quality parameters in thawed semen (morphological abnormalities, sperm viability, progressive motility, and HOST response) were compared; in addition, the percentage of change in thawed semen with respect to fresh was determined. No effect of concentration of glycerol was observed on progressive motility and HOST response. Sperm viability was better in semen frozen at 6 and 8% (45.26±1.32% and 45.10±2.81% respectively) in comparison with 7% of glycerol (34.81±2.78%, P<0.05). Lower sperm morphological abnormalities were observed in semen frozen at 6% of glycerol (7.93±0.28, P<0.05) in comparison with 7% (9.18±0.69%) and 8% (9.90±0.55%). A fertility rate of 41.25% was achieved following AI with semen frozen containing 6% of glycerol. In conclusions, 6% of glycerol was a valid option to cryopreservation of semen from Gaddi buck, resulting in better viability and lower abnormalities. In addition, a good fertility response was observed.RESUMENLas cabras están teniendo mayor importancia en los pequeños sistemas familiares en India. Sin embargo, la disminución deliberada de machos Gaddi de alto merito genético debido a la eliminación excesiva y a los cruzamientos no planificados (consanguinidad) acentúan la importancia de conservar machos superiores y su uso para inseminación artificial. La literatura disponible ha confirmado la importancia del glicerol durante la criopreservación espermática. Sin embargo, el nivel óptimo parece variar entre especies y razas. El propósito de este estudio fue evaluar el efecto de diferentes concentraciones de glicerol (6, 7 y 8%) sobre la calidad del semen descongelado de machos de raza Gaddi. Un total de 180 eyaculados de seis machos fueron congelado en diluyente a base de Tris citrato conteniendo 10% de yema de huevo con 6, 7 u 8% de glicerol. Los parámetros de calidad espermática en el semen descongelado (motilidad progresiva, viabilidad, anomalías morfológicas y respuesta a HOST) fueron comparadas, además el porcentaje de cambio de cada parámetro con respecto al semen fresco fue determinado. No se observó un efecto del nivel de glicerol sobre la motilidad progresiva y la respuesta al HOST. La viabilidad espermática fue mejor en el semen congelado con 6 y8% de glicerol (45,26±1,32% y 45,10±2,81% respectivamente) en comparación con el semen congelado con 7% de glicerol (34,81±2,78%, P<0,05). Menos morfoanomalías fueron observadas en el semen congelado con 6% de glicerol (7,93±0,28, P<0,05) en comparación con el congelado con 7% (9,18±0,69%) y 8% (9,90±0,55%). Una tasa de 41,25% de fertilidad fue alcanzada luego de la inseminación con semen congelado con &% de glicerol. En conclusión, 6% de glicerol es una opción validad para la criopreservación de semen de machos cabríos Gaddi, resultando en una mayor viabilidad y menos morfoanomalías espermáticas. Además, una buena fertilidad fue observada.

Validation of the use of POSSUM score in enteric perforation peritonitis - results of a prospective study

Introduction: The objective of the study was to present our last 5-years experience of peritonitis and validate POSSUM score in predicting mortality and morbidity in patients of enteric perforation (EP) peritonitis. Methods: Data was collected prospectively for all peritonitis cases admitted in single surgical unit from January 2005 to December 2009. Parameters for calculating POSSUM were also retrieved; in these patients, O:E (Observed vs. Expected) ratio of mortality and morbidity were estimated after calculating predicted mortality and morbidity by exponential regression equations. Results: 887 patients with peritonitis were admitted and treated in this unit during the 5 years of study period. Duodenal (n=431; 48%) followed by ileal (n=380; 42.8%) perforations were the commonest. Mean age of the patients was 34 years and 86% were males. Mean delay in presentation was 78.5 hrs. Mean duration of hospital and ICU stay was 13 and 7.2 days. Postoperative complications were seen in 481 (54%) patients, and 90 (10%) patients died. POSSUM scores and predicted mortality/morbidity were calculated in 380 patients of ileal perforation peritonitis; O:E ratio of mortality and morbidity were 0.47 and 0.85 in these patients. Conclusion: POSSUM and P-POSSUM are accurate tools for predicting morbidity and mortality respectively in EP patients. Though they may sometime over or under predict morbidity as well as mortality.Key words: Enteric perforation, Peritonitis, POSSUM , P-POSSU

A rare case report of hysterotomy for retained placenta accreta in bicornuate uterus

Retained placenta is a common third stage complication. Placenta accreta is due to abnormal invasive placental implantation. Many cases of Post-partum haemorrhage (PPH) are caused by placenta accreta and may lead to peripartum hysterectomy. We here report a case of placenta accreta in a patient following two failed attempts of manual removal of retained placenta followed by conservative management with methotrexate in stable patient. Both attempts were unsuccessful and led to septicaemia, requiring delivery of placenta by hysterotomy

SYNTHESIS AND INVESTIGATION OF ANTHELMINTIC, ANTIBACTERIAL AND ANTIFUNGAL ACTIVITY OF 3,3-DIPHENYL PROPANAMIDE DERIVATIVES

Objective: A novel series of substituted 3,3-diphenyl propanamide derivatives (I-VIII) were synthesized by reacting 3,3-diphenyl propanoyl chloride with different amines/amino acids, and all the derivatives were investigated for anthelmintic, antibacterial, and antifungal activity.Methods: All the compounds were characterized by infrared (IR) and1H- nuclear magnetic resonance spectrometry data. The synthesized derivatives were investigated for their anthelmintic activity employing housefly worms method and earthworm species model. The antibacterial and antifungal activity was performed employing cup plate method.Results: The synthesized compounds (VII and VIII) exhibited maximum anthelmintic activity as compared with standard drug albendazole at doses of 50 and 100 mg/mL, due to minimal paralyzing and death time in both housefly and earthworm models. The compounds (IV, VII, and VIII) at 50 μg/mL exhibited maximum activity against Gram-negative bacterial strains, namely, Escherichia coli, Pseudomonas aeruginosa as compared with ciprofloxacin and same compounds exhibited maximum antifungal activity against Candida albicans and Aspergillus niger in comparison with standard drug griseofulvin at 50 μg/mL.Conclusion: The synthesized compounds bearing amino acid moiety in their structure (VII-VIII) exhibited impressive anthelmintic activity in comparison with albendazole. This suggests that amino acid/peptide derivative of diphenyl propanamides can act as great anthelmintic agents. Further, the research can be performed to design potent antimicrobial diphenyl propanamide derivatives.Â

IN VITRO ANTI-INFLAMMATORY AND ANTIOXIDANT ACTIVITIES OF HINGULESWARA RASABASED HERBOMINERAL FORMULATIONS

Objective: The aims of the present investigation were to develop the herbal and/or herbomineral formulations of Hinguleswara rasa and to compare their anti-inflammatory and antioxidant activities, in vitro, with that of standard drug samples.Methods: This study was an interventional investigation in three samples: In the first sample, Hinguleswara rasa (HR1) was prepared as per methodology described in Rasatarangini using Shuddha Hingula (10 g), Shuddha Vatsanabha (10 g), and Pippali (10 g). In the second and third sample, respectively, Hinguleswara rasa was prepared by replacing Shuddha Hingula with Kajjali where Kajjali made from Hingulotha parada and Sodhita parada constitutes two varieties of Hinguleswara rasa, i.e. HR2 and HR3. In vitro antioxidant activity was studied using 2,2-diphenyl-1-picrylhydrazyl, and the absorbance was recorded at 517 nm. For evaluating the in vitro anti-inflammatory studies, the inhibition of albumin denaturation technique was performed.Results: The results showed that the formulation of Hinguleswara rasa has shown dose-dependent activity which was observed in 100 μg concentration. HR1, HR2, and HR3 showed 36.11, 17.22, and 16.11% radical scavenging activity.Conclusion: It could be concluded that the changes made in the formulations did not affect the in vitro anti-inflammatory and antioxidant effects of the herbomineral formulations

Correlating multi-functional role of cold shock domain proteins with intrinsically disordered regions

Cold shock proteins (CSPs) are an ancient and conserved family of proteins. They are renowned for their role in response to low-temperature stress in bacteria and nucleic acid binding activities. In prokaryotes, cold and non -cold inducible CSPs are involved in various cellular and metabolic processes such as growth and development, osmotic oxidation, starvation, stress tolerance, and host cell invasion. In prokaryotes, cold shock condition re-duces cell transcription and translation efficiency. Eukaryotic cold shock domain (CSD) proteins are evolved form of prokaryotic CSPs where CSD is flanked by N-and C-terminal domains. Eukaryotic CSPs are multi-functional proteins. CSPs also act as nucleic acid chaperons by preventing the formation of secondary structures in mRNA at low temperatures. In human, CSD proteins play a crucial role in the progression of breast cancer, colon cancer, lung cancer, and Alzheimer's disease. A well-defined three-dimensional structure of intrinsically disordered re-gions of CSPs family members is still undetermined. In this article, intrinsic disorder regions of CSPs have been explored systematically to understand the pleiotropic role of the cold shock family of proteins

Design, Synthesis and Biological Evaluation of novel Hedgehog Inhibitors for treating Pancreatic Cancer

Hedgehog (Hh) pathway is involved in epithelial-mesenchymal transition (EMT) and cancer stem cell (CSC) maintenance resulting in tumor progression. GDC-0449, an inhibitor of Hh pathway component smoothened (Smo) has shown promise in the treatment of various cancers including pancreatic cancer. However, the emergence of resistance during GDC-0449 treatment with numerous side effects limits its use. Therefore, here we report the design, synthesis and evaluation of novel GDC-0449 analogs using N-[3-(2-pyridinyl) phenyl] benzamide scaffold. Cell-based screening followed by molecular simulation revealed 2-chloro-N1-[4-chloro-3-(2-pyridinyl)phenyl]-N4,N4-bis(2-pyridinylmethyl)-1,4- benzenedicarboxamide (MDB5) as most potent analog, binding with an extra interactions in seventransmembrane (7-TM) domain of Smo due to an additional 2-pyridylmethyl group than GDC-0449. Moreover, MDB5 was more efficient in inhibiting Hh pathway components as measured by Gli-1 and Shh at transcriptional and translational levels. Additionally, a significant reduction of ALDH1, CD44 and Oct-3/4, key markers of pancreatic CSC was observed when MIA PaCa-2 cells were treated with MDB5 compared to GDC-0449. In a pancreatic tumor mouse model, MDB5 containing nanoparticles treated group showed significant inhibition of tumor growth without loss in body weight. These evidence highlight the enhanced Hh pathway inhibition and anticancer properties of MDB5 leaving a platform for mono and/or combination therapy