Effect of Viscum album 30 CH on pre-diagnosed vis-a-vis diagnosed hypertensive individuals

The World Health Organization considers hypertension the most common health problem in today's growing population. Studies show that the rate of primary hypertension is about 85-95% and the rate of secondary hypertension is only 5%. However, homoeopathy is used as an alternative in such cases (i.e., HTN) but it has good clinical results in cases of HTN. Viscum album is a circulatory remedy and has been observed to lower blood pressure by acting on the circulation in many cases, but very little research has been done to prove this. This study aimed to determine whether the homoeopathic medicine Viscum album is effective in reducing blood pressure in participants with essential hypertension. Methods: This was a monocentric, Phase 2 clinical trial, single arm, single blind, and randomized, interventional study conducted in the outpatient department of Homoeopathic Hospital & Post-graduate Research Centre of Bharati Vidyapeeth (Deemed to be University), Pune. A total of 40 participants (male and female) between the ages of 20 and 75 were enrolled in this study. Blood pressure was measured in the sitting position using a sphygmomanometer according to standard procedures.  Result: The result was a decrease in blood pressure after 10-12 weeks of outpatient care. Significant reduction in blood pressure levels of hypertensive participants before and after treatment and in participants in remission. Of the 40 cases, Mean sBP before treatment is 150, in the same vein systolic blood pressure after treatment is 124.4; and Mean dBP before treatment is 94.9, where as in after treatment diastolic blood pressure is reduced with 79.2. The P-value is <0.0001. Conclusion: The homoeopathic medicine Viscum album produced a significant effect on lowering blood pressure levels in participants with essential hypertension. Further studies with control groups may provide a larger source of information to demonstrate that Viscum album is effective in the treatment of essential hypertensio

New approach towards imaging λ-DNA using scanning tunneling microscopy/spectroscopy (STM/STS)

A new methodology to anchor λ-DNA to silanized n-Si(111) surface using Langmuir Blodget trough was developed. The n-Si (111) was silanized by treating it with low molecular weight octyltrichlorosilane in toluene. Scanning tunneling microscopy (STM) image of λ-DNA on octyltrichlorosilane deposited Si substrate shows areas exhibiting arrayed structures of 700 nm length and 40 nm spacing. Scanning tunneling spectroscopy (STS) at different stages depict a broad distribution of defect states in the bandgap region of n-Si(111) which presumably facilitates tunneling through otherwise insulating DNA layer

Total and high-molecular-weight adiponectin levels in relation to insulin resistance among overweight/obese adults.

Objective: To determine whether baseline levels or intervention-associated changes in total and high molecular weight (HMW) adiponectin levels were associated with insulin resistance after six months of behavioral treatment for weight loss. Design: An ancillary study to a behavioral weight loss trial; the intervention was delivered in group sessions. Methods: Participants included 143 overweight/obese adults with a mean BMI of 33.7 kg/m2. The sample was 88% female, 67% white, and 44.2 ± 8.5 years old. Circulating adiponectin levels (total and HMW) and the homeostasis model assessment (HOMA) of insulin resistance were measured and evaluated. Results: At baseline, there was significant inverse associations between total adiponectin and HOMA (p < 0.001) and between HMW adiponectin and HOMA (p < 0.001) independent of weight. At 6-mo, there was a 17% improvement in HOMA, 8% increase in total adiponectin, 17% increase in HMW adiponectin levels, and 8.72% weight loss (p's for all< 0.001). There was also a significant inverse association between changes in total adiponectin and HOMA (p = 0.04) that was independent of baseline weight and weight loss. In contrast, the association between changes in HMW adiponectin and HOMA was attenuated after adjustment for weight loss. Conclusions: An increased level of total adiponectin was associated with improved insulin sensitivity, regardless of baseline weight and weight loss. However, baseline total and HMW adiponectin levels were more strongly associated with HOMA than changes in these measures at six months. HMW adiponectin level was not related more closely to insulin resistance than total adiponectin level

Associations between highly active antiretroviral therapy and the presence of HPV, premalignant and malignant cervical lesions in sub-Saharan Africa, a systematic review : current evidence and directions for future research

Objectives: In sub-Saharan Africa, substantial international funding along with evidence-based clinical practice have resulted in an unparalleled scale-up of access to antiretroviral treatment at a higher CD4 count. The role and timing of highly active antiretroviral therapy (HAART) in mediating cervical disease remains unclear. The aim of this article is to systematically review all evidence pertaining to Africa and identify research gaps regarding the epidemiological association between HAART use and the presence of premalignant/malignant cervical lesions. Method: Five databases were searched until January 2017 to retrieve relevant literature from sub-Saharan Africa. Publications were included if they addressed prevalence, incidence or clearance of human papillomavirus (HPV) infection in women undergoing HAART as well as cytological or histological neoplastic abnormalities. Results: 22 studies were included, of which seven were prospective studies. Women receiving HAART are less likely to develop squamous intraepithelial lesions (SILs). There is evidence that duration of HAART along with the CD4 count may reduce the prevalence of high-risk HPV (HR-HPV), suggesting that without HAART, severe immunosuppression increases the risk of becoming or remaining infected with HR-HPV. Furthermore, according to existent literature, the CD4 count, rather than HAART coverage or its duration, plays a central role in the prevalence of cervical intraepithelial neoplasia (CIN) 2 and CIN 3. Conclusion: Our findings suggest a positive impact of HAART duration, in conjunction and interaction with CD4 count, on reducing the prevalence of HR-HPV. The greatest treatment effect might be seen among women starting at the lowest CD4 count, which may have a more instrumental role in cervical oncogenesis than either HAART use or the treatment duration on the prevalence of CIN 2 and CIN 3. There is still insufficient evidence to show a clear association between HAART coverage and the incidence of invasive cervical cancer. Enhanced surveillance on the impact of HAART treatment is crucial

A human lung tumor microenvironment interactome identifies clinically relevant cell-type cross-talk.

BackgroundTumors comprise a complex microenvironment of interacting malignant and stromal cell types. Much of our understanding of the tumor microenvironment comes from in vitro studies isolating the interactions between malignant cells and a single stromal cell type, often along a single pathway.ResultTo develop a deeper understanding of the interactions between cells within human lung tumors, we perform RNA-seq profiling of flow-sorted malignant cells, endothelial cells, immune cells, fibroblasts, and bulk cells from freshly resected human primary non-small-cell lung tumors. We map the cell-specific differential expression of prognostically associated secreted factors and cell surface genes, and computationally reconstruct cross-talk between these cell types to generate a novel resource called the Lung Tumor Microenvironment Interactome (LTMI). Using this resource, we identify and validate a prognostically unfavorable influence of Gremlin-1 production by fibroblasts on proliferation of malignant lung adenocarcinoma cells. We also find a prognostically favorable association between infiltration of mast cells and less aggressive tumor cell behavior.ConclusionThese results illustrate the utility of the LTMI as a resource for generating hypotheses concerning tumor-microenvironment interactions that may have prognostic and therapeutic relevance

New approach towards imaging λ-DNA using scanning tunneling microscopy/spectroscopy (STM/STS)

Abstract. A new methodology to anchor λ-DNA to silanized n-Si(111) surface using Langmuir Blodget trough was developed. The n-Si (111) was silanized by treating it with low molecular weight octyltrichlorosilane in toluene. Scanning tunneling microscopy (STM) image of λ-DNA on octyltrichlorosilane deposited Si substrate shows areas exhibiting arrayed structures of 700 nm length and 40 nm spacing. Scanning tunneling spectroscopy (STS) at different stages depict a broad distribution of defect states in the bandgap region of nSi(111) which presumably facilitates tunneling through otherwise insulating DNA layer

Climate dynamics and fluid mechanics: Natural variability and related uncertainties

The purpose of this review-and-research paper is twofold: (i) to review the role played in climate dynamics by fluid-dynamical models; and (ii) to contribute to the understanding and reduction of the uncertainties in future climate-change projections. To illustrate the first point, we focus on the large-scale, wind-driven flow of the mid-latitude oceans which contribute in a crucial way to Earth's climate, and to changes therein. We study the low-frequency variability (LFV) of the wind-driven, double-gyre circulation in mid-latitude ocean basins, via the bifurcation sequence that leads from steady states through periodic solutions and on to the chaotic, irregular flows documented in the observations. This sequence involves local, pitchfork and Hopf bifurcations, as well as global, homoclinic ones. The natural climate variability induced by the LFV of the ocean circulation is but one of the causes of uncertainties in climate projections. Another major cause of such uncertainties could reside in the structural instability in the topological sense, of the equations governing climate dynamics, including but not restricted to those of atmospheric and ocean dynamics. We propose a novel approach to understand, and possibly reduce, these uncertainties, based on the concepts and methods of random dynamical systems theory. As a very first step, we study the effect of noise on the topological classes of the Arnol'd family of circle maps, a paradigmatic model of frequency locking as occurring in the nonlinear interactions between the El Nino-Southern Oscillations (ENSO) and the seasonal cycle. It is shown that the maps' fine-grained resonant landscape is smoothed by the noise, thus permitting their coarse-grained classification. This result is consistent with stabilizing effects of stochastic parametrization obtained in modeling of ENSO phenomenon via some general circulation models.Comment: Invited survey paper for Special Issue on The Euler Equations: 250 Years On, in Physica D: Nonlinear phenomen

SMART trial: A randomized clinical trial of self-monitoring in behavioral weight management-design and baseline findings.

BACKGROUND: The primary form of treatment for obesity today is behavioral therapy. Self-monitoring diet and physical activity plays an important role in interventions targeting behavior and weight change. The SMART weight loss trial examined the impact of replacing the standard paper record used for self-monitoring with a personal digital assistant (PDA). This paper describes the design, methods, intervention, and baseline sample characteristics of the SMART trial. METHODS: The SMART trial used a 3-group design to determine the effects of different modes of self-monitoring on short- and long-term weight loss and on adherence to self-monitoring in a 24-month intervention. Participants were randomized to one of three conditions (1) use of a standard paper record (PR); (2) use of a PDA with dietary and physical activity software (PDA); or (3), use of a PDA with the same software plus a customized feedback program (PDA + FB). RESULTS: We screened 704 individuals and randomized 210. There were statistically but not clinically significant differences among the three cohorts in age, education, HDL cholesterol, blood glucose and systolic blood pressure. At 24 months, retention rate for the first of three cohorts was 90%. CONCLUSIONS: To the best of our knowledge, the SMART trial is the first large study to compare different methods of self-monitoring in a behavioral weight loss intervention and to compare the use of PDAs to conventional paper records. This study has the potential to reveal significant details about self-monitoring patterns and whether technology can improve adherence to this vital intervention component

A prospective study of maternal, fetal and neonatal deaths in low- and middle-income countries

To quantify maternal, fetal and neonatal mortality in low- and middle-income countries, to identify when deaths occur and to identify relationships between maternal deaths and stillbirths and neonatal deaths