Angiogenesis in Non-Hodgkin's Lymphoma: An Intercategory Comparison of Microvessel Density

Background. This study was aimed at comparing angiogenesis, seen as microvessel density (MVD) in subtypes of non-Hodgkin's lymphoma (NHL). Methods. In this study, 64 cases of NHL diagnosed over a three-year period were included along with 15 lymph node biopsies of reactive hyperplasia. NHLs were classified using REAL classification, and immunohistochemistry was performed for CD34 in all cases. CD34-stained sections were evaluated for “hot spots,” where MVD was assessed and expressed as per mm2. Appropriate statistical methods were applied. Results. There were 6 cases of well-differentiated lymphocytic lymphoma (SLL), 21 diffuse large B-cell lymphoma (DLBCL), 15 follicular lymphoma, 10 lymphoblastic lymphoma, 7 MALToma, and 5 peripheral T-cell lymphoma (PTCL). Mean MVD was highest in reactive hyperplasia (191.92 ± 12.16 per mm2) compared to all NHLs. Among NHLs, PTCL demonstrated the highest MVD (183.42 ± 8.24) followed by DLBCL (149.91 ± 13.68). A significant difference was found in MVD between reactive and individual lymphoma groups. SLL had significantly lower MVD than other lymphoma subtypes. Conclusion. Angiogenesis, assessed by MVD, showed significant differences among subtypes of NHL, especially the indolent types like SLL. The higher MVD in aggressive lymphomas like PTCL and DLBCL can potentially be utilized in targeted therapy with antiangiogenic drugs

Accuracy of Intraoral Scanner for Recording Completely Edentulous Arches-A Systematic Review.

Scanning edentulous arches during complete denture fabrication is a crucial step; however, the quality of the resulting digital scan is still questionable. The purpose of this study is to systematically review studies (both clinical and in vitro) and determine whether intraoral scanners have clinically acceptable accuracy when recording completely edentulous arches for the fabrication of removable complete dentures. An electronic search in medical databases like PubMed, Scopus, and Web of Science (WOS), using a combination of relevant keywords, retrieved 334 articles. After full-text evaluation, twelve articles fulfilled the inclusion criteria for this review (eight clinical studies and four in vitro studies). A quality analysis of the included studies was carried out using the QUADAS-2 tool. The accuracy values varied between different intraoral scanners. Different regions of the edentulous arches showed differences in trueness and precision values in both in vitro and clinical studies. Peripheral borders, the inner seal, and poorly traceable structures like the soft palate showed maximum discrepancies. The accuracy of intraoral scanners in recording clear anatomic landmarks like hard tissues with attached mucosa was comparable to conventional edentulous arch impressions. However, higher discrepancies were recorded when digitizing mobile and poorly traceable structures. Intraoral scanners can be used to digitize denture-bearing areas, but the interpretation of the peripheral border and the soft palate should be carefully carried out

Utilisation, equity and determinants of full antenatal care in India: analysis from the National Family Health Survey 4

Objectives: We examined the utilisation, equity and determinants of full antenatal care (ANC), defined as 4 or more antenatal visits, at least one tetanus toxoid (TT) injection and consumption of iron folic acid (IFA) for a minimum of 100 days, in India. Methods: We analysed a sample of 190,898 women from India’s National Family Health Survey 4. Concentration curves and concentration index were used to assess equity in full ANC utilisation. Multivariable logistic regression model was used to examine the factors associated with full ANC utilisation. Results: In India, 21% of pregnant women utilised full ANC, ranging from 2.3–65.9% across states. Overall, 51.6% had 4 or more ANC visits, 30.8% consumed IFA for atleast 100 days, and 91.1% had one or more doses of tetanus toxoid. Full ANC utilisation was inequitable across place of residence, caste and maternal education. Registration of pregnancy, utilisation of government’s Integrated Child Development Services (ICDS) and health insurance coverage were associated with higher odds of full ANC utilisation. Lower maternal education, lower wealth quintile(s), lack of father’s participation during antenatal visits, higher birth order, teenage and unintended pregnancy were associated with lower odds of full ANC utilisation. Conclusions: Full ANC utilisation in India was inadequate and inequitable. Although half of the women did not receive the minimum recommended ANC visits, the utilisation of TT immunisation was almost universal. The positive association of full ANC with ICDS utilisation and child’s father involvement may be leveraged for increasing the uptake of full ANC. Strategies to address the socio-demographic factors associated with low and inequitable utilisation of full ANC are imperative for strengthening India’s maternal health program.publishedVersio

Baseline information of reproduction parameters of an amphidromous croaker Johnius coitor (Hamilton, 1822) from Ganga river basin, India with special reference to potential influence of climatic variability

Reproductive biology of female amphidromous croaker Johnius coitor (Hamilton, 1822) was studied for the first time from various freshwater stretches of Ganga river basin, India in relation to climatic variability. The species showed high spatial variation in reproductive phenology and capable of breeding during pre-monsoon, monsoon, post-monsoon and winter. Water temperature is the most crucial environmental parameter influencing gonadal maturation and breeding. Generalized additive model (GAM) models revealed water temperature near 23–25 °C as optimum and threshold GSI above 3 units necessary for breeding. Pre-spawning fitness (Kspawn50) and size at 50% maturity (LM50) benchmarked through Kaplan-Meier survival fit estimates were in the range 1.27–1.37 units and 19–24.5 cm respectively. First maturity of females was encountered at 11.4 cm within the size range 7.2–28.5 cm. Egg parameters in mature-ripe females ranged between 0.29–0.80 mm (diameter), 0.05–0.19 mg (weight) and 5687–121 849 eggs (absolute fecundity). Mapping of climate preferendum through LOESS smoothing technique hinted water temperatures 32 °C to be detrimental for attainment of pre-spawning fitness while no dependence on rainfall was observed. Based on the climato-hydrological influence on breeding and regional trends of changing climate along river Ganga, we infer minimal climate driven changes in breeding phenology of this amphidromous fish species. Results of this study may serve as baseline information for future studies assessing climate driven changes and evolutionary adaptations in croakers from river Ganga

Sustained proliferation in cancer: mechanisms and novel therapeutic targets

Proliferation is an important part of cancer development and progression. This is manifest by altered expression and/or activity of cell cycle related proteins. Constitutive activation of many signal transduction pathways also stimulates cell growth. Early steps in tumor development are associated with a fibrogenic response and the development of a hypoxic environment which favors the survival and proliferation of cancer stem cells. Part of the survival strategy of cancer stem cells may manifested by alterations in cell metabolism. Once tumors appear, growth and metastasis may be supported by overproduction of appropriate hormones (in hormonally dependent cancers), by promoting angiogenesis, by undergoing epithelial to mesenchymal transition, by triggering autophagy, and by taking cues from surrounding stromal cells. A number of natural compounds (e.g., curcumin, resveratrol, indole-3-carbinol, brassinin, sulforaphane, epigallocatechin-3-gallate, genistein, ellagitannins, lycopene and quercetin) have been found to inhibit one or more pathways that contribute to proliferation (e.g., hypoxia inducible factor 1, nuclear factor kappa B, phosphoinositide 3 kinase/Akt, insulin-like growth factor receptor 1, Wnt, cell cycle associated proteins, as well as androgen and estrogen receptor signaling). These data, in combination with bioinformatics analyses, will be very important for identifying signaling pathways and molecular targets that may provide early diagnostic markers and/or critical targets for the development of new drugs or drug combinations that block tumor formation and progression

A multi-targeted approach to suppress tumor-promoting inflammation

Cancers harbor significant genetic heterogeneity and patterns of relapse following many therapies are due to evolved resistance to treatment. While efforts have been made to combine targeted therapies, significant levels of toxicity have stymied efforts to effectively treat cancer with multi-drug combinations using currently approved therapeutics. We discuss the relationship between tumor-promoting inflammation and cancer as part of a larger effort to develop a broad-spectrum therapeutic approach aimed at a wide range of targets to address this heterogeneity. Specifically, macrophage migration inhibitory factor, cyclooxygenase-2, transcription factor nuclear factor-κB, tumor necrosis factor alpha, inducible nitric oxide synthase, protein kinase B, and CXC chemokines are reviewed as important antiinflammatory targets while curcumin, resveratrol, epigallocatechin gallate, genistein, lycopene, and anthocyanins are reviewed as low-cost, low toxicity means by which these targets might all be reached simultaneously. Future translational work will need to assess the resulting synergies of rationally designed antiinflammatory mixtures (employing low-toxicity constituents), and then combine this with similar approaches targeting the most important pathways across the range of cancer hallmark phenotypes

Work-Life Balance and Occupational Stress of the Non-Gazetted Central Reserve Police Force Jawans in Chandauli

Background: A good work life balance is essential for the employees of any organization because it emphasize on balancing the personal and professional life. However there is scarcity of studies focusing work-life balance of defense force employees in India. Aims & Objectives: The present study explores the Work-Life Balance and Occupational Stress of the Non-Gazetted Central Reserve Police Force (CRPF) Jawans. The main objective behind conducting this study is to investigate the relationship between Work Life Balance and Occupational Stress among the Non-Gazetted CRPF Jawans. Methods: The present study is a quantitative cross-sectional study based on data collected from 354 non-gazetted officers of 148th battalion in Chandauli, Uttar Pradesh, India. Data was collected from after receiving written consent from the respondents. A semi-structured questionnaire was designed to collect the data which included questions related to socio-demographic characteristics, 13 self-developed questions related to work life balance and 46 items Occupational Stress scale developed by Srivastava & Singh. Result: Most of the CRPF Jawans had moderate occupational stress and high work-life balance. The study found moderate negative correlation between Work Life Balance score and Occupational Stress score among the non-gazetted CRPF Jawans

Production of Bio-insecticide Azadirectin by Plant Cell Culture of Neem (<i>Azadirecta india</i>)

81-85Neem is one of the most important and useful trees of India. It is the member of the family Meliaceae and distributed over the tropical plain of Asia and Africa and also found at an altitude of 5000 ft. It is a medicinally important plant besides, the chemicals obtained from this plant have insecticidal properties. The chemical obtained from the seeds is the most important insecticide