The impact of COVID-19 on neonatal hearing in a tertiary care hospital

Introduction: Coronavirus disease 2019 (COVID-19) outbreak in China has had far reaching repercussions on mankind. Its effects on pregnant women and neonates have been intricate. The aim of the study was to assess the impact of gestational COVID-19 on neonatal hearing with the objectives of determining the factors affecting hearing and to estimate the prevalence of hearing loss in neonates whose mothers had gestational COVID-19. Materials and methods: The hospital-based cross-sectional study included 60 neonates whose mothers had gestational COVID-19 infection and 60 neonates of healthy mothers as controls in a rural tertiary care hospital for a duration of 1 year from September 2020 to August 2021. The study and control groups were compared in terms of continuous and non continuous variables. Maternal age, birth week and birth weight were categorized as continuous variables. Trimester of RT-PCR positivity, parity, mode of delivery, gender and results of transient evoked otoacoustic emissions (TEOAE) were categorized as non continuous variables. All neonates were screened with TEOAE within the first 5 days of birth. Results: The demographic and clinical characteristics of the study and control groups on comparison did not reveal any statistically significant differences. All neonates passed the screening test in the first attempt. Conclusion: Otologic manifestations in COVID-19 has been diverse and is a cause of concern. Neonatal hearing loss was not observed in the study. A better understanding of this entity calls for further research as early detection can help to mitigate the aftermath of the infection if any

Estimation of the size and structure of the broad line region using Bayesian approach

Understanding the geometry and kinematics of the broad line region (BLR) of active galactic nuclei (AGN) is important to estimate black hole masses in AGN and study the accretion process. The technique of reverberation mapping (RM) has provided estimates of BLR size for more than 100 AGN now; however, the structure of the BLR has been studied for only a handful number of objects. Towards this, we investigated the geometry of the BLR for a large sample of 57 AGN using archival RM data. We performed systematic modelling of the continuum and emission line light curves using a Markov chain Monte Carlo method based on Bayesian statistics implemented in PBMAP (Parallel Bayesian code for reverberation - MAPping data) code to constrain BLR geometrical parameters and recover velocity integrated transfer function. We found that the recovered transfer functions have various shapes such as single-peaked, double-peaked, and top-hat suggesting that AGN have very different BLR geometries. Our model lags are in general consistent with that estimated using the conventional cross-correlation methods. The BLR sizes obtained from our modelling approach is related to the luminosity with a slope of 0.583 +/- 0.026 and 0.471 +/- 0.084 based on H beta and H alpha lines, respectively. We found a non-linear response of emission line fluxes to the ionizing optical continuum for 93 per cent objects. The estimated virial factors for the AGN studied in this work range from 0.79 to 4.94 having a mean at 1.78 +/- 1.77 consistent with the values found in the literature

Dust reverberation mapping of Z229-15

We report results of the dust reverberation mapping (DRM) on the Seyfert 1 galaxy Z229-15 at z = 0.0273. Quasi-simultaneous photometric observations for a total of 48 epochs were acquired during the period 2017 July to 2018 December in B, V, J, H and K-s bands. The calculated spectral index (α) between B and V bands for each epoch was used to correct for the accretion disc (AD) component present in the infrared light curves. The observed α ranges between -0.99 and 1.03. Using cross-correlation function analysis we found significant time delays between the optical V and the AD corrected J, H and Ks light curves. The lags in the rest frame of the source are 12.52(-9.55)(+10.00) d (between V and J), 15.63-5.11+5.05 d (between V and H) and 20.36-5.68 +5.82 d (between V and Ks). Given the large error bars, these lags are consistent with each other. However, considering the lag between V and K-s bands to represent the inner edge of the dust torus, the torus in Z229-15 lies at a distance of 0.017 pc from the central ionizing continuum. This is smaller than that expected from the radius luminosity (R-L) relationship known from DRM. Using a constant α = 0.1 to account for the AD component, as is normally done in DRM, the deduced radius (0.025 pc) lies close to the expected R-L relation. However, usage of constant a in DRM is disfavoured as the alpha of the ionizing continuum changes with the flux of the source

Polyphenols Sensitization Potentiates Susceptibility of MCF-7 and MDA MB-231 Cells to Centchroman

Polyphenols as “sensitizers” together with cytotoxic drugs as “inducers” cooperate to trigger apoptosis in various cancer cells. Hence, their combination having similar mode of mechanism may be a novel approach to enhance the efficacy of inducers. Additionally, this will also enable to achieve the physiological concentrations facilitating significant increase in the activity at concentrations which the compound can individually provide. Here we propose that polyphenols (Resveratrol (RES) and Curcumin (CUR)) pre-treatment may sensitize MCF-7/MDA MB-231 (Human Breast Cancer Cells, HBCCs) to Centchroman (CC, antineoplastic agent). 6 h pre-treated cells with 10 µM RES/CUR and 100 µM RES/30 µM CUR doses, followed by 10 µM CC for 18 h were investigated for Ser-167 ER-phosphorylation, cell cycle arrest, redox homeostasis, stress activated protein kinase (SAPKs: JNK and p38 MAPK) pathways and downstream apoptosis effectors. Low dose RES/CUR enhances the CC action through ROS mediated JNK/p38 as well as mitochondrial pathway in MCF-7 cells. However, RES/CUR sensitization enhanced apoptosis in p53 mutant MDA MB-231 cells without/with involvement of ROS mediated JNK/p38 adjunct to Caspase-9. Contrarily, through high dose sensitization in CC treated cells, the parameters remained unaltered as in polyphenols alone. We conclude that differential sensitization of HBCCs with low dose polyphenol augments apoptotic efficacy of CC. This may offer a novel approach to achieve enhanced action of CC with concomitant reduction of side effects enabling improved management of hormone-dependent breast cancer

Effects of Protein Deficiency on Perinatal and Postnatal Health Outcomes

There are a variety of environmental insults that can occur during pregnancy which cause low birth weight and poor fetal health outcomes. One such insult is maternal malnutrition, which can be further narrowed down to a low protein diet during gestation. Studies show that perinatal protein deficiencies can impair proper organ growth and development, leading to long-term metabolic dysfunction. Understanding the molecular mechanisms that underlie how this deficiency leads to adverse developmental outcomes is essential for establishing better therapeuticstrategies that may alleviate or prevent diseases in later life. This chapter reviews how perinatal protein restriction in humans and animals leads to metabolic disease, and it identifies the mechanisms that have been elucidated, to date. These include alterations in transcriptional and epigenetic mechanisms, as well as indirect means such as endoplasmic reticulum (ER) stress and oxidative stress. Furthermore, nutritional and pharmaceutical interventions are highlighted to illustrate that the plasticity of the underdeveloped organs during perinatal life can be exploited to prevent onset of long-term metabolic disease