46 research outputs found

    Rucaparib: a PARP inhibitor for the treatment of advanced ovarian cancer

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    Ovarian cancers arise from the uncontrolled growth and replication of epithelial cells of the surface of ovary which constitutes 90% of cases. PARP (poly ADP-ribose polymerase) inhibitors are a novel type of therapy that prevents cancer cells from repairing their DNA which have been damaged by other chemotherapeutic agents. Rucaparib is a novel drug that was approved by the US FDA in 2016 for the treatment of patients with deleterious BRCA mutation associated advanced ovarian cancer. Inhibition of the PARP enzymes leads to the increased formation of PARP-DNA complexes which results in DNA damage, apoptosis and cell death. Nausea, fatigue including asthenia, vomiting, anemia, abdominal pain, constipation, decreased appetite, diarrhea, thrombocytopenia and dyspnea were the common adverse effects seen among rucaparib users. Even though, the drug may cause myleodysplastic syndrome/ acute myeloid leukemia (MDS/AML) it remains as novel therapeutic target for the treatment of advanced ovarian cancer involving BRCA mutation

    Safety Predictors in Performance of Activities of Daily Living in Patients with Parkinson’s Disease

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    BACKGROUND: Safety is recognized as an important factor in personal independence. Studies have found a significant relationship between ADL safety and fatigue, disease severity, and age and considered them to be predictors of performance safety in ADL among patients with PD. But they didn’t consider the cognitive, motor skill; motivation and mental state for safety performance of ADL and suggested further research in this area. AIM OF THE STUDY: Therefore the aim was to determine safety predictors for ADL in persons with Parkinson's’ Disease. METHODS: An observational association-analysis design was applied for the study. Thirty three patients with PD participated in this study. Cognition was assessed using SCOPA, motor and mental scores were assessed using UPDRSI and III scale, motivation was assessed using AES scale, while performance safety was examined with the performance assessment of self-care skills (PASS). RESULTS: A significant relationship was observed between ADL safety and cognition (r, 0.645; P < 0.001), mental state (r, -0.512; P < 0.001), and motor (r, -0.607; P < 0.001).But no correlation with apathy (r,-.312; P=0.78). CONCLUSION: Cognition, mental state and motor performance are predictors of performance safety in ADL among patients with PD. For implementing more effective interventions on safe ADL performance, rehabilitation teams should conduct more detailed safety assessments with a special focus on the effects of cognitive, mental state and motor on the performance of each activity

    Discovery of a new Steinernema sp. (Rhabditida: Steinernematidae) with higher shelf life and better efficacy against red palm weevil under laboratory conditions

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    Entomopathogenic nematodes (EPN) are excellent bio-control agents for the management of insect pests of soil and cryptic habitat. One of the greatest challenges in the successful utilization of EPN is the poor shelf life of infective juveniles (IJs) under ambient temperature. The present study aimed to evaluate the survival and virulence of different EPN species for determining a superior one in the bio-suppression of red palm weevil (RPW). Among the five species of Steinernematids and two Heterorhabditid isolates evaluated, Steinernema sp. (S0804) sustained up to 13 months, with a desirable survival of 100 per cent during the first five months to about 64 per cent ten months after storage at ambient temperature. Virulence of Steinernema sp. (S0804) sustained up to ten months of storage, was confirmed using Galleria mellonella inoculation test. However, the viable IJs were observed only up to one month in both the Heterorhabditids and up to a period of four to six months of storage in all other Steinernematids. The Steinernema sp. (S0804) was also found to be efficacious against the grubs of RPW in filter paper bio-assay inducing 100 per cent larval mortality in 72 h when applied @ 200 IJs per grub and confirmed further by leaf petiole bioassay. The study thus revealed higher survival and virulence of Steinernema sp. (S0804) and also found to be a potential bio-control agent against RPW. To the best of our knowledge, this is the first EPN isolate reported, which could survive for more than one year at ambient temperature without any additives

    Community-level management of bio-resources for augmenting income from coconut-based farming systems in Kerala state, India

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    On-farm management of farm residues for mass multiplication of beneficial microbes plays an important role in organic farming as well as integrated nutrient management by improving soil health. Community-level production of organic inputs from crop residues can be a potential source of income for farmers’ groups also. A large scale operational research on community-based bio-resource management, along with soil test based nutrient management, was undertaken by ICAR-CPCRI with financial support from NABARD in the major organic tract of Kerala in the coastal belt - Kanjikuzhy block during 2014-2016. The bio-resource management components under technology integration included farm-level production of organics from crop residues, enrichment using bio-agents, utilization of enriched organics for soil and plant health management and production of bio-primed planting materials. For enhancing the efficiency of Trichoderma-enriched organic manure, two ideal media viz., coir pith compost + neem cake (4:1) and coir pith compost + neem cake + poultry manure + cow dung (2:1:1:1) were standardized. Coconut seedlings produced through bio-priming with Trichoderma sp. showed early germination (90%), higher recovery percentage (79.5%), higher collar girth (17 cm), more number of fronds (9) and height (160 cm). Farm-based participatory action management integrating cost-effective bio-resource management interventions in coconut-based farming systems resulted in improvements in income from coconut by 26 per cent and intercrops by 142.9 per cent, contributing to an increase in the average farm income by 149.8 per cent. The average knowledge index of the respondents related to bio-resource management increased by 115.8 per cent and that of integrated nutrient management by 74.5 per cent

    Concurrent emergence of exotic whitefly incursions on arecanut (Areca catechu L.) in India

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    Field incidence of exotic whitefly complex comprising two Neotropical nesting whiteflies viz., Paraleyrodes bondari Peracchi and Paraleyrodes minei Iaccarino, in association with invasive rugose spiralling whitefly Aleurodicus rugioperculatus Martin and native areca whitefly, Aleurocanthus arecae David &amp; Manjunatha, on arecanut was reported from Karnataka, India during 2020. These arecanut palms were previously infested by A. arecae which was earlier reported from Karnataka during 2003. To our knowledge, this is the first report on the infestation of P. bondari and P. minei on arecanut as highlighted in this current investigation. Morphological identification based on pupal taxonomy and male genitalia as well as molecular characterization of the mitochondrial cytochrome oxidase I (COI) gene confirmed the identity of nesting whiteflies. The Bondar’s nesting whitefly, P. bondari is the most predominant whitefly species with 87.5 per cent active colonies followed by the nesting whitefly, P. minei (13.64%) and the rugose spiralling whitefly, A. rugioperculatus (6.25%). Co-occurrence of these three non-native whitefly species on arecanut in synergy with the native A. arecae indicates a kind of competitive regulation of one species over the other upsetting biodiversity. Due to the polyphagous nature of the pest coupled with increased trade and transport in a climate change scenario, this whitefly complex may become a serious threat to arecanut production in India and elsewhere. This requires strict quarantine protocols to avert its spread to other arecanut growing areas

    SOLUTION OF ELD PROBLEM WITH VALVE POINT EFFECTS AND MULTI FUELS USING IPSO ALGORITHM

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    ABSTRACT: This project presents a novel and improved method for solving the Non Convex Economic Dispatch (ELD) problems with valve-point effects and Multiple Fuels, by integrating the particle swarm optimization (PSO) with the chaotic sequences and Cross over Operations. The results of the IPSO were compared with previous methods and the conventional Genetic Algorithm (GA), revealing that the results clearly show that the proposed IPSO outperforms other state-of-the-art algorithms in solving ELD problems with the valve-point effect

    Contact tracing for COVID-19 in a healthcare institution: Our experience and lessons learned

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    During the initial phases of the COVID-19 pandemic contact tracing was used to control spread of the disease. It played a key role in health care institute which continued to work even during lockdown. In this piece of work, we share the lessons learnt from the contact tracing activity done in the health care institution during April to July 2020. The training needs of persons involved in contact tracing, the follow of activities, use of technology, methods to fill the missing gaps were the key lessons learnt. Its documentation supports in setting up contact tracing activity for any emerging infectious disease outbreaks in future

    Global burden of chronic respiratory diseases and risk factors, 1990–2019: an update from the Global Burden of Disease Study 2019

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    Background: Updated data on chronic respiratory diseases (CRDs) are vital in their prevention, control, and treatment in the path to achieving the third UN Sustainable Development Goals (SDGs), a one-third reduction in premature mortality from non-communicable diseases by 2030. We provided global, regional, and national estimates of the burden of CRDs and their attributable risks from 1990 to 2019. Methods: Using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we estimated mortality, years lived with disability, years of life lost, disability-adjusted life years (DALYs), prevalence, and incidence of CRDs, i.e. chronic obstructive pulmonary disease (COPD), asthma, pneumoconiosis, interstitial lung disease and pulmonary sarcoidosis, and other CRDs, from 1990 to 2019 by sex, age, region, and Socio-demographic Index (SDI) in 204 countries and territories. Deaths and DALYs from CRDs attributable to each risk factor were estimated according to relative risks, risk exposure, and the theoretical minimum risk exposure level input. Findings: In 2019, CRDs were the third leading cause of death responsible for 4.0 million deaths (95% uncertainty interval 3.6–4.3) with a prevalence of 454.6 million cases (417.4–499.1) globally. While the total deaths and prevalence of CRDs have increased by 28.5% and 39.8%, the age-standardised rates have dropped by 41.7% and 16.9% from 1990 to 2019, respectively. COPD, with 212.3 million (200.4–225.1) prevalent cases, was the primary cause of deaths from CRDs, accounting for 3.3 million (2.9–3.6) deaths. With 262.4 million (224.1–309.5) prevalent cases, asthma had the highest prevalence among CRDs. The age-standardised rates of all burden measures of COPD, asthma, and pneumoconiosis have reduced globally from 1990 to 2019. Nevertheless, the age-standardised rates of incidence and prevalence of interstitial lung disease and pulmonary sarcoidosis have increased throughout this period. Low- and low-middle SDI countries had the highest age-standardised death and DALYs rates while the high SDI quintile had the highest prevalence rate of CRDs. The highest deaths and DALYs from CRDs were attributed to smoking globally, followed by air pollution and occupational risks. Non-optimal temperature and high body-mass index were additional risk factors for COPD and asthma, respectively. Interpretation: Albeit the age-standardised prevalence, death, and DALYs rates of CRDs have decreased, they still cause a substantial burden and deaths worldwide. The high death and DALYs rates in low and low-middle SDI countries highlights the urgent need for improved preventive, diagnostic, and therapeutic measures. Global strategies for tobacco control, enhancing air quality, reducing occupational hazards, and fostering clean cooking fuels are crucial steps in reducing the burden of CRDs, especially in low- and lower-middle income countries

    The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019

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    Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe
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