Side effects of phenobarbital and carbamazepine in childhood epilepsy: randomised controlled trial

Objective: To compare the behavioural side effects associated with two commonly used antiepilepsy drugs--phenobarbital and carbamazepine--in children in Bangladesh. Design: Prospective randomised controlled single centre trial. Setting: Specialist children's hospital in Dhaka, Bangladesh. Participants: 108 children aged 2-15 with generalised tonic-clonic (n=51) or partial and secondary generalised seizures (n=57). Main outcome measures: Seizure control and behavioural side effects. Results: 91 children were followed up for 12 months. Six required a change of antiepilepsy drug. Side effects were compared in 85 children. In the last quarter of the 12 month follow-up, 71 children were seizure free after one year's treatment. Thirty two in the phenobarbital group and 39 in the carbamazepine group had no seizures in 74 and 102 days after randomisation, respectively. Ten children had increased behavioural problems, which were unacceptable in four (one in the phenobarbital group and three in the carbamazepine group). Independent t tests, however, showed no difference between the two trial drugs. Conclusion: There was no excess in behavioural side effects with phenobarbital in children with epilepsy in a country with limited resources

Bacterial Isolates and Antimicrobial Susceptibility in Children with Acute Diarrhea at Ibn Sina Medical College, Bangladesh

Backround: Infectious diarrhea is one of common cause of children diarrhea causing mortality and morbidity worldwide. This study was performed to identify the common bacteria and their antimicrobial susceptibility in children with diarrhea. Methods: A retrospective study was conducted from April 2014 to March 2016 at IBN SINA Medical College Hospital, Bangladesh. Stool samples were cultured on MacConkey agar and blood agar. A standard biochemical procedure was used for full identification of bacterial isolates. Antimicrobial susceptibility tests were done on Mueller-Hinton agar by using disc diffusion method. Data were entered and analyzed by using SPSS version 20 and a p-value of < 0.05 was considered statistically significant. Results: A total of 186 stool samples were tested for bacterial isolation and 55 (29.57%) cases were found to have bacterial isolates. From the total bacterial isolates, the predominant isolate was E. coli 39 (70.91%) followed by Salmonella 9 (16.36%) and Shigella Spp.7 (12.73%). As much as 84.62% E. coli were resistant to co-trimoxazole and cefuroxime while 92.31% E. coli were sensitive to amikacin and 71.79% were sensitive to cefepime and gentamicin. Salmonella were 100% sensitive to cefepime, ceftriaxone, cefixime, ceftazidime, and ciprofloxacin. Shigella were 85.71% sensitive to amikacin and cefepime. Conclusion: The results show that E. coli were the most frequently isolated pathogen in children. The majority of the bacterial isolates were resistant to multiple antibiotics. Hence, antibiotics susceptibility test is mandatory before prescribing any antibiotics

Understanding the role of sexual transmission in the spread of ZIKA virus using an individual-based interconnected population model

Citation: Tanver, F., Lee, C., Mcvey, D., & Scoglio, S. (2018). Understanding the role of sexual transmission in the spread of ZIKA virus using an individual-based interconnected population model. Pre-Print, Unpublished Manuscript.Zika virus has affected the world as a long-term threat. Modeling its transmission is important in order to facilitate forecasts and control measures. We propose a novel node-based interconnected population model to simulate both vectored and sexual transmission of Zika virus. Using a sexual contact network, we incorporate heterogeneous mixing in the host population with stochastic transmission for realistic predictions. We also incorporate climatic variations in our model, which affect the mosquito vector population and consequently the arbovirus transmission. We perform extensive simulations to understand the effects of sexual transmission rate and network topology on the spreading of infections. Sexual transmission contributes to the epidemic spread and under certain conditions, can sustain it up to several months without vectors. This can potentially lead to recurrences once the mosquitoes overwinter. We also find that sexual transmission can have a stronger effect when vectored transmission is relatively weaker due to climatic conditions. Our results show that vectored and sexual transmission affect the disease dynamics differently

Direct Amidation of Amino Acid Derivatives Catalyzed by Arylboronic Acids: Applications in Dipeptide Synthesis

The direct amidation of amino acid derivatives catalyzed by arylboronic acids has been examined. The reaction was generally slow relative to simple amine-carboxylic acid combinations though proceeded at 65–68 °C generally avoiding racemization. 3,4,5-Trifluorophenylboronic and o-nitrophenylboronic acids were found to be the best catalysts, though for slower dipeptide formations, high catalyst loadings were required and an interesting synergistic catalytic effect between two arylboronic acids was discovered

Corneal Confocal Microscopy Detects Small Fibre Neuropathy in Patients with Upper Gastrointestinal Cancer and Nerve Regeneration in Chemotherapy Induced Peripheral Neuropathy.

Published onlineThere are multiple neurological complications of cancer and its treatment. This study assessed the utility of the novel non-invasive ophthalmic technique of corneal confocal microscopy in identifying neuropathy in patients with upper gastrointestinal cancer before and after platinum based chemotherapy. In this study, 21 subjects with upper gastrointestinal (oesophageal or gastric) cancer and 21 healthy control subjects underwent assessment of neuropathy using the neuropathy disability score, quantitative sensory testing for vibration perception threshold, warm and cold sensation thresholds, cold and heat induced pain thresholds, nerve conduction studies and corneal confocal microscopy. Patients with gastro-oesophageal cancer had higher heat induced pain (P = 0.04) and warm sensation (P = 0.03) thresholds with a significantly reduced sural sensory (P<0.01) and peroneal motor (P<0.01) nerve conduction velocity, corneal nerve fibre density (CNFD), nerve branch density (CNBD) and nerve fibre length (CNFL) (P<0.0001). Furthermore, CNFD correlated significantly with the time from presentation with symptoms to commencing chemotherapy (r = -0.54, P = 0.02), and CNFL (r = -0.8, P<0.0001) and CNBD (r = 0.63, P = 0.003) were related to the severity of lymph node involvement. After the 3rd cycle of chemotherapy, there was no change in any measure of neuropathy, except for a significant increase in CNFL (P = 0.003). Corneal confocal microscopy detects a small fibre neuropathy in this cohort of patients with upper gastrointestinal cancer, which was related to disease severity. Furthermore, the increase in CNFL after the chemotherapy may indicate nerve regeneration

Allelopathic potential of mustard crop residues on weed management and performance of transplant Aman rice

Crop allelopathy may be useful to minimize serious problems in the present agricultural production such as environmental pollution, unsafe production, human health concerns, depletion of crop diversity, soil sickness and reduction of crop productivity. In this phenomenon an experiment was conducted at the Agronomy Field Laboratory, Bangladesh Agricultural University, Mymensingh to evaluate the effect of crop residues of mustard on weed management and crop performance of T. aman rice. The experiment consisted of three cultivars of T. aman rice viz., BR11, BR23 and BRRI dhan49 and five different level of mustard crop residues such as no crop residues, mustard crop residues @ 0.5, 1.0, 1.5 and 2.0 t ha–1. The experiment was laid out in a randomized complete block design with three replications. Five weed species belonging to three families infested the experimental plots. Weed population, weed dry weight and percent inhibition of weed were significantly influenced by mustard crop residues and cultivar. The maximum weed growth was noticed with the cultivar BR23 and the minimum was found in the cultivar BR11. The grain yield as well as the other yield contributing characters produced by BR11 was the highest among the studied varieties. The highest percent inhibition of 71.17, 69.19, 80.88, 70.48 and 86.97 was in Shama (Echinochlo acrusgalli), Panishapla (Nymphaea nouchali), Panichaise (Scirpus juncoides), Panikachu (Monochoria vaginalis) and Susnishak (Marsilea quadrifolia), respectively which was caused by the application of mustard crop residues @ 2 t ha–1. The highest loss of grain yield was obtained where no crop residues were incorporated. The highest numbers of tillers hill-1, numbers of grains panicle–1, 1000-grain weight, grain yield, straw yield were observed where mustard crop residues were incorporated @ 2.0 t ha–1. BR11 cultivar with all treatments produced the highest grain and straw yield among the treatment combination. The results of this study indicate that different amount of mustard crop residues showed potential activity to suppress weed growth

Evaluation of pharmacological and toxicological studies of an ayurvedic medicine Rasaraj Ras on biological system of the male Sprague-Dawley rats

Background: In this study, the pharmacological and toxicological effects along with possible side effects of the classical ayurvedic formulation Rasaraj Ras (RR) which is used as a traditional medicine in the treatment of hemiplegia in the rural population were evaluated.Methods: During this study, various experiments on body growth rate, organ-body weight ratio and tissue hydration indices were performed to evaluate its efficacy and toxicity. To find out the toxicological characteristic of RR, it was administered chronically to the male Sprague-Dawley rats at a dose of 40 mg/kg. After 28 days chronic administration of the RR preparation the following toxicological changes were noted.Results: All throughout the experimental period the RR treated animals were always maintaining negligible changes in body weight, but all throughout the experimental period no statistically significant increase or decrease was noted. There is a statistically significant decrease in the relative percent weight of the male rat heart. There is a statistically highly significant decrease in the absolute weight of the male rat liver. There is a statistically highly significant decrease in the relative percent weight of the male rat liver. There is a statistically significant decrease in the relative percent weight of the male rat kidney. In the tissue hydration index determination, no significant changes were noted in case of any organ.Conclusions: As RR decreases abnormally weight of several organs in body of treated rats, so it should not be administered chronically at a higher dose

Investigation of organic matter and biomarkers from Diepkloof Rock Shelter, South Africa: Insights into Middle Stone Age site usage and palaeoclimate

The file associated with this record is under embargo until 36 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.Diepkloof Rock Shelter (DRS) represents a site of major interest for reconstructing early human behaviours during the Middle Stone Age (MSA). Rock shelters such as DRS also potentially preserve information concerning the environmental context for such behaviours. In this respect the organic matter composition of rock shelter sediments has rarely been investigated in detail, particularly at the molecular level. Here, we used pyrolysis-gas chromatography/mass spectrometry (py-GC/MS) to systematically assess the organic matter composition of bulk sediments within the MSA and Later Stone Age (LSA) sequence at DRS. From this we sought to gain insights into site usage, taphonomy and burning practices. Additionally, we analysed the chain length distribution of leaf-wax n-alkanes as well as their hydrogen and carbon isotopic compositions (δDwax and δ13Cwax) to investigate their potential as hydroclimate and vegetation indicators. This constitutes the first leaf-wax isotopic data in a terrestrial context of this antiquity in South Africa. Py-GC/MS shows a dichotomy between stratigraphic units (SUs) of high organic matter content, producing a range of pyrolysis products, including homologous series of long chain n-alkene/n-alkane doublets and alkyl-nitriles, and SUs of low organic matter content, dominated by aromatic, heterocyclic N and polycyclic aromatic hydrocarbon (PAH) pyrolysis products; typical molecular burning products. Several SUs of the Intermediate Howiesons Poort interval exhibit the latter composition, consistent with micromorphological evidence. δ13Cwax remains stable throughout the MSA, but leaf-wax n-alkane chain length and δDwax increase during the Late Howiesons Poort interval. Comparison with such patterns in modern plants in the region suggests this represents a shift towards the input of more arid-adapted vegetation into the shelter, driven either by aridification at the site locale or a change in selection practices. Our results suggest that these techniques have further potential in southern Africa and globally at sites where organic matter preservation is high.Peer-reviewedPost-prin

Status and Social Evaluation towards Beggars in Bangladesh: Context of Sylhet City

Beggary is an important social phenomenon and one of the major social problems for all over the developed, underdeveloped and developing countries in the world. Bangladesh is a developing country in the South Asia, affected by the beggary problem due to the poor socio-economic conditions, poverty, lack of working opportunities etc. Sylhet city is an important city in Bangladesh as natural resource and foreign remittance are important part in the national economy, but is not free from beggary problems. Among the beggar’s family more than 60% are involved in begging  due to low income (Taka 1000-3000/$12.8-38.5- 14.3%) and inadequate property (62.86%) as such as- land, deposit money, investment and other exchangeable assets etc. to make-up the imbalance of monthly income and expenditure. This is why their family are incapable to maintain all the essential needs which push them to involve in beggary and various starve (74.29%) in their family life

DrugMiner: comparative analysis of machine learning algorithms for prediction of potential druggable proteins

Abstract not availableAli Akbar Jamali, Reza Ferdousi, Saeed Razzaghi, Jiuyong Li, Reza Safdari, and Esmaeil Ebrahimi