Sundarban mangroves: diversity, ecosystem services and climate change impacts

The Bengal delta coast harboring the famous Sundarban mangroves is extremely vulnerable to climate change. Already, salinity intrusion, increasing cyclones and anomalies in rainfall, and temperature, are causing many social and livelihood problems. However, our knowledge on the diversified climate change impacts on Sundarban ecosystems services, providing immense benefits, including foods, shelters, livelihood, and health amenities, is very limited. Therefore, this article has systematically reviewed the major functional aspects, and highlights on biodiversity, ecosystem dynamics, and services of the Sunderban mangroves, with respect to variations in climatic factors. The mangrove ecosystems are highly productive in terms of forest biomass, and nutrient contribution, especially through detritus-based food webs, to support rich biodiversity in the wetlands and adjacent estuaries. Sundarban mangroves also play vital role in atmospheric CO2 sequestration, sediment trapping and nutrient recycling. Sea level rise will engulf a huge portion of the mangroves, while the associated salinity increase is posing immense threats to biodiversity and economic losses. Climate-mediated changes in riverine discharge, tides, temperature, rainfall and evaporation will determine the wetland nutrient variations, influencing the physiological and ecological processes, thus biodiversity and productivity of Sundarban mangroves. Hydrological changes in wetland ecosystems through increased salinity and cyclones will lower the food security, and also induce human vulnerabilities to waterborne diseases. Scientific investigations producing high resolution data to identify Sundarban‟s multidimensional vulnerabilities to various climatic regimes are essential. Sustainable plans and actions are required integrating conservation and climate change adaptation strategies, including promotion of alternative livelihoods. Thus, interdisciplinary approaches are required to address the future climatic disasters, and better protection of invaluable ecosystem services of the Sunderban mangroves.Fil: Neogi, Sucharit Basu. Coastal Development Partnership; Bangladesh. Osaka Prefecture University; Japón. Leibniz Center for Tropical Marine Ecology GmbH; AlemaniaFil: Dey, Mouri. University of Chittagong; BangladeshFil: Lutful Kabir, S. M.. Bangladesh Agricultural University; BangladeshFil: Masum, Syed Jahangir H.. Coastal Development Partnership; BangladeshFil: Kopprio, Germán Adolfo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto Argentino de Oceanografía. Universidad Nacional del Sur. Instituto Argentino de Oceanografía; Argentina. Leibniz Center for Tropical Marine Ecology GmbH; AlemaniaFil: Yamasaki, Shinji. Osaka Prefecture University; JapónFil: Lara, Ruben Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto Argentino de Oceanografía. Universidad Nacional del Sur. Instituto Argentino de Oceanografía; Argentin

CASUAL COMPARATIVE ANALYSIS OF INCIDENCE & EXTENT OF ERECTILE DYSFUNCTION AMONG SMOKERS & NON-SMOKERS PRESENTING AT A MALE SEXUAL HEALTH CLINIC IN HYDERABAD

Background: The term ‘‘erectile dysfunction’’ (ED) is defined as the inability to achieve and maintain an erection sufficient for satisfactory sexual performance. ED affects millions of men throughout the world, with a strong negative effect on the quality of life and well-being of men and couples. The etiology of ED once was considered to be mainly psychogenic. However, because of advances in the understanding of the physiology of erection and the development of modern diagnostic techniques, it is now generally agreed that the etiology of ED is often multifactorial, with psychological, neurological, endocrine, vascular, traumatic or iatrogenic causes.Objective: Smoking, among many other causes, is believed to be associated with smoking. This study hopes to compare the incidence and extent of erectile dysfunction (ED) among smokers and non-smokers presenting at a male sexual health clinic in an attempt to further understand the association. Methodology: This casual-comparative analysis was conducted upon a total of 64 male patients presenting with erectile dysfunction at a sexual health clinic. Inquiries regarding the habit of smoking were made using a structured interview based questionnaire and extent of erectile dysfunction was investigated using the “International Index of Erectile Function (IIEF-5) Questionnaire”. The data obtained was analyzed using MS. Excel 2017 and SPSS v. 21.0. Results: Smokers showed a markedly high incidence when compared to non-smokers. The extent of erectile dysfunction too was observed to be significantly high among smokers in comparison to non-smokers. Ex-smokers too showed a more worrisome IIEF-5 score, when compared to non-smokers. Conclusion: The results obtained, make it abundantly clear that, the association between the incidence and extent of erectile dysfunction and smoking is strong. Although, the research does not attempt to control co-founding variables, the results can be regarded as reliable due to the sheer difference in incidence and extent of erectile dysfunction between smokers and non-smokers. Keywords: Erectile Dysfunction, Smoking, The International Index of Erectile Function (IIEF-5) Questionnaire, Sexual Health & Sex Related Quality of Life

COMPARATIVE ANALYSIS OF ASTHMA SEVERITY & CONTROL AMONG PATIENTS PRESENTING WITH & WITHOUT CO-MORBID RHINITIS

Objective: This study hopes to compare the severity and control of asthma among patients presenting with and without co-morbid rhinitis. Methodology:This retrospective, comparative analysis was conducted upon a total of 377 asthmatic patients, presenting at the medical out-patient department with and without co-morbid rhinitis. The data was collected using a structured interview based questionnaire (after taking written informed consent) which included in-depth inquiries regarding the asthma severity and control for the past 4 week. The data obtained was analyzed using SPSS v. 21. 0. Results: Among the 377 subjects, 200 were males while 177 were females. Mean age of the subjects was 36 years. 172 asthmatic patients in the sample suffered from the co-morbid rhinitis, while the remaining did not have the said comorbidity. Asthmatic patients with co-morbid rhinitis experienced more frequent asthmatic attacks. The incidence of visits to the emergency room and frequency of hospital admissions too was high among asthmatic patients with co-morbid rhinitis. Conclusion: The results reveal that, all attempts to draw a comparison of asthma severity and control among patients with and without comorbid rhinitis yield clear and unidirectional results, leading to a transparent conclusion i.e. the asthma severity and control is considerably poorer in asthmatics with co-morbid rhinitis. Keywords: Asthma, Severity, Control, Rhinitis and Co-morbidity

Shigella isolates from the global enteric multicenter study inform vaccine development.

BACKGROUND: Shigella, a major diarrheal disease pathogen worldwide, is the target of vaccine development. The Global Enteric Multicenter Study (GEMS) investigated burden and etiology of moderate-to-severe diarrheal disease in children aged <60 months and matched controls without diarrhea during 3 years at 4 sites in Africa and 3 in Asia. Shigella was 1 of the 4 most common pathogens across sites and age strata. GEMS Shigella serotypes are reviewed to guide vaccine development. METHODS: Subjects' stool specimens/rectal swabs were transported to site laboratories in transport media and plated onto xylose lysine desoxycholate and MacConkey agar. Suspect Shigella colonies were identified by biochemical tests and agglutination with antisera. Shigella isolates were shipped to the GEMS Reference Laboratory (Baltimore, MD) for confirmation and serotyping of S. flexneri; one-third of isolates were sent to the Centers for Disease Control and Prevention for quality control. RESULTS: Shigella dysenteriae and S. boydii accounted for 5.0% and 5.4%, respectively, of 1130 Shigella case isolates; S. flexneri comprised 65.9% and S. sonnei 23.7%. Five serotypes/subserotypes comprised 89.4% of S. flexneri, including S. flexneri 2a, S. flexneri 6, S. flexneri 3a, S. flexneri 2b, and S. flexneri 1b. CONCLUSIONS: A broad-spectrum Shigella vaccine must protect against S. sonnei and 15 S. flexneri serotypes/subserotypes. A quadrivalent vaccine with O antigens from S. sonnei, S. flexneri 2a, S. flexneri 3a, and S. flexneri 6 can provide broad direct coverage against these most common serotypes and indirect coverage against all but 1 (rare) remaining subserotype through shared S. flexneri group antigens

Spatiotemporal variation in risk of Shigella infection in childhood : a global risk mapping and prediction model using individual participant data

BACKGROUND: Diarrhoeal disease is a leading cause of childhood illness and death globally, and Shigella is a major aetiological contributor for which a vaccine might soon be available. The primary objective of this study was to model the spatiotemporal variation in paediatric Shigella infection and map its predicted prevalence across low-income and middle-income countries (LMICs). METHODS: Individual participant data for Shigella positivity in stool samples were sourced from multiple LMIC-based studies of children aged 59 months or younger. Covariates included household-level and participant-level factors ascertained by study investigators and environmental and hydrometeorological variables extracted from various data products at georeferenced child locations. Multivariate models were fitted and prevalence predictions obtained by syndrome and age stratum. FINDINGS: 20 studies from 23 countries (including locations in Central America and South America, sub-Saharan Africa, and south and southeast Asia) contributed 66 563 sample results. Age, symptom status, and study design contributed most to model performance followed by temperature, wind speed, relative humidity, and soil moisture. Probability of Shigella infection exceeded 20% when both precipitation and soil moisture were above average and had a 43% peak in uncomplicated diarrhoea cases at 33°C temperatures, above which it decreased. Compared with unimproved sanitation, improved sanitation decreased the odds of Shigella infection by 19% (odds ratio [OR]=0·81 [95% CI 0·76-0·86]) and open defecation decreased them by 18% (OR=0·82 [0·76-0·88]). INTERPRETATION: The distribution of Shigella is more sensitive to climatological factors, such as temperature, than previously recognised. Conditions in much of sub-Saharan Africa are particularly propitious for Shigella transmission, although hotspots also occur in South America and Central America, the Ganges-Brahmaputra Delta, and the island of New Guinea. These findings can inform prioritisation of populations for future vaccine trials and campaigns. FUNDING: NASA, National Institutes of Health-The National Institute of Allergy and Infectious Diseases, and Bill & Melinda Gates Foundation.publishedVersionPeer reviewe

Green Synthesis, Characterization and Antibacterial Studies of Silver (Ag) and Zinc Oxide (Zno) Nanoparticles

Green synthesis nanoparticles were considered as an alternative effective resource instead of chemically engineered metal oxide nanoparticles. Using leaf extracts for green synthesis, essential for the reduction and oxidation process of the metals. Phyllanthus niruri (L.) and Aristolochia indica (L.) leaf extracts were used to synthesize yellowish brown coloured silver (Ag) and white coloured zinc oxide (ZnO) nanoparticles. Synthesized green nanoparticles characterized by different spectroscopic analysis (XRD, XPS, FTIR, PL) and TEM. Characterization results confirmed the particles morphology, size, structure and also their optical and photonic properties. Three different concentrations of Ag and ZnO NPs were analysed against three (gram positive) and five (gram negative) bacteria. Increased levels of green synthesized Ag and ZnO NPs showed increased zone of inhibition than amoxicillin (positive control). Our study proved that the green synthesized Ag and ZnO NPs showed similar unique physical and chemical properties with metal oxide nanoparticles but less toxic while their discharge into the ecosystem

In vivo Analysis of Clausena anisata (Willd.) Hook. f. ex Benth Crude and SNP Extracts Against Antioxidant and Hypoglycemic Activity

Type II diabetes mellitus which is a chronic metabolic disorder is characterized by insulin resistance. Due to the serious side effects of synthetic antidiabetic drugs, the search for safer and more efficacious hypoglycemic agents is still being continued. The study was carried out to evaluate the antioxidant and hypoglycemic effects of C. anisata (Rutaceae) leaf and root crude extracts and extracts mediated synthesized Silver Nanoparticles (SNPs) under in vivo conditions. The synthesis of SNPs from ethanolic leaf and root extract of C. anisata was characterized by UV-Vis, FTIR, FESEM, XRD and EDS. The average size was found to be 60.67 nm for SNP leaf and 32.75 nm for SNP root. Two different doses 100 mg/kg bw, 200 mg/kg bw of each crude leaf and root extracts and 5 mg/kg bw and 10 mg/kg bw of SNP leaf and root extracts were used to treat alloxan-induced diabetic rats for 30 days. On administration of different extracts of C. anisata the activities such as serum glucose, triglyceride, cholesterol, liver biomarkers, gluconeogenic enzymes, antioxidants were significantly reduced and the activity of glucokinase, protein, serum insulin level, body weight, liver and pancreas weight was significantly increased in alloxan-induced diabetic rats on the 30th day. Glibenclamide (1mg/kg bw) was used as a standard positive control. The extracts had a beneficial effect on regeneration of β-cells of the pancreas in alloxan-induced diabetic rats. Among the extracts, SNP root extract (10 mg/kg bw) was potent for in vivo hypoglycemic activity. This possible effect is due to natural bioactive compounds present in C. anisata extracts that acted synergistically or independently in enhancing the antioxidant and hypoglycemic activities