Preliminary phytochemistry and antimicrobial activity of bark of Bauhinia racemosa Lamk.

The bark of Bauhinia racemosa are reported to have great medicinal value. Phytochemical screening of the plant bark reveals the presence of carbohydrates, alkaloids, steroids and tannins. the methanol, ethanol, aqueous, acetone and petroleum ether extracts of bark of B. racemosa Lamk. prepared and antimicrobial activity were studied by agar well diffusion method against enteric bacterial pathogens such as E. coli, S. aureus, B. subtilis, P. aeruginosa and fungi A. niger and C.albicans. The methanol extracts had wide range of antimicrobial activity against enteric microbes than ethanol extracts, where as ethanol extract were slightly higher antibacterial activity than aqueous extract. Antimicrobial activity of various extracts of bark of B. racemosa was carried in attempt to develop a new pharmaceutical drug from natural origin for prevention of enteric infection

Isolation of L-asparginase from marine bacterium Bacillus subtilis and its characterization

Microbial L-asparginases has wide range of applications as therapeutic agents and in industries. In the present study, 57 bacterial isolates from Konark beach, Bhubaneshwar were screened for L-asparginase production and KBI-13 isolate was found to be potential producer strain. KBI-13 was identified as Bacillus subtilis at molecular levels. During production optimization, pH (8.0), temperature (40 ºC), carbon and nitrogen sources (dextrose- 0.5 %; yeast extract 1 %), aeration conditions, metal salts (FeSO4) and NaCl (4 %) were found to be optimum. The enzyme was produced under optimized conditions and was purified by sephadex G-50 column and the purification was obtained upto 61.54 fold. The activity of enzyme was increased upto pH 8.0 and temperature 40 ºC and its stability was observed upto 16 hrs at 40 ºC temperature and pH 8.0. Pretreatment of 0.5 mM CaCl2 increased the enzyme activity upto 20 % while, 250 mM concentration of L-aspargine was suitable for optimum activity of enzyme which was further confirmed by values of Vmax (1.25 µM/min) and Km (0.05 mM). The reaction end products did not show any significant change in enzyme activity

Isolation of L-asparginase from marine bacterium Bacillus subtilis and its characterization

97-106Microbial L-asparginases has wide range of applications as therapeutic agents and in industries. In the present study, 57 bacterial isolates from Konark beach, Bhubaneshwar were screened for L-asparginase production and KBI-13 isolate was found to be potential producer strain. KBI-13 was identified as Bacillus subtilis at molecular levels. During production optimization, pH (8.0), temperature (40 ºC), carbon and nitrogen sources (dextrose- 0.5 %; yeast extract 1 %), aeration conditions, metal salts (FeSO4) and NaCl (4 %) were found to be optimum. The enzyme was produced under optimized conditions and was purified by sephadex G-50 column and the purification was obtained upto 61.54 fold. The activity of enzyme was increased upto pH 8.0 and temperature 40 ºC and its stability was observed upto 16 hrs at 40 ºC temperature and pH 8.0. Pretreatment of 0.5 mM CaCl2 increased the enzyme activity upto 20 % while, 250 mM concentration of L-aspargine was suitable for optimum activity of enzyme which was further confirmed by values of Vmax (1.25 µM/min) and Km (0.05 mM). The reaction end products did not show any significant change in enzyme activity. 

Outcome trends in people with heart failure, type 2 diabetes mellitus and chronic kidney disease in the UK over twenty years

Background: Heart failure (HF) together with type 2 diabetes (T2D) and chronic kidney disease (CKD) are major pandemics of the twenty first century. It is not known in people with new onset HF, what the distinct and combined associations are between T2D and CKD comorbidities and cause-specific hospital admissions and death, over the past 20 years. Methods: An observational study using the UK Clinical Practice Research Datalink linked to the Hospital Episode Statistics in England (1998-2017). Participants were people aged >= 30 years with new onset HF. Exposure groups were HF with: (i) no T2D and no CKD (reference group); (ii) CKD-only (estimated glomerular filtration rate (eGFR) Findings: In 87,709 HF patients (mean age, 78 years; 49% female), 40% had CKD-only, 12% T2D-only, and 16% both. Age-standardised first-year CVD hospitalisation rates were significantly higher in HF patients with CKD-only (46.4; 95% CI 44.9,47.9 per 100 person years) and T2D-only (49.2; 46.7,58.8) than in the reference group (35.1; 34.0,36.1); the highest rate was in patients with T2D-CKD-5: 89.1 (65.8,112.4). Similar patterns were observed for non-CVD hospitalisations and deaths. Group differences remained significant after adjustment for potential confounders. Median survival was highest in the reference (4.4 years) and HF-T2D-only (4.1 years) groups, compared to HF-CKD-only (2.2 years). HF-T2D-CKD group survival ranged from 2.8 (CKD-3a) to 0.7 years (CKD-5). Over time, CVD hospitalisation rates significantly increased for HF-CKD-only (+26%) and reduced (-24%) for HF-T2D-only groups; no reductions were observed in any of the HF-T2D-CKD groups. Trends were similar for non-CVD hospitalisations and death: whilst death rates significantly reduced for HF-T2D-only (-37%), improvement was not observed in any of the T2D-CKD groups. Interpretation: In a cohort of people with new onset HF, hospitalisations and deaths are high in patients with T2D or CKD, and worst in those with both comorbidities. Whilst outcomes have improved over time for patients with HF and comorbid T2D, similar trends were not seen in those with comorbid CKD. Strategies to prevent and manage CKD in people with HF are urgently needed. [reference: NIHR 30011] (C) 2021 The Author(s). Published by Elsevier Ltd

Retrospective analysis of necropsy findings in patients of H1N1 and their correlation to clinical features

India reported its first case of H1N1 in July 2009 in Pune and since then, the number of reported cases and deaths exploded in India. Since very little data is available about histopathological findings in patients of H1N1 fatal cases in India, a retrospective chart analysis of necropsy findings of 15 cases of 2009 H1N1 fatal cases was performed. Common clinical features were fever, cough , and breathlessness followed by sore throat and rhinorrhea. Common lung findings were mononuclear cell infiltration, thick alveolar septae, intraalveolar hemorrhage . The other findings were congested pulmonary blood vessels, pulmonary edema, cytomegaly, fibrin accumulation and formation of eosinophilic membrane. These findings are suggestive of diffuse alveolar damage ( DAD) and DAD with hemorrhage. All patients who underwent necropsy had radiographic findings suggestive of unilobar or multilobar pneumonia. This clinical finding can be correlated pathologically in these patients as all of them had either polymorphonuclear or mononuclear infiltrate. Furthermore, necrotizing pneumonitis pattern seen on these patients is the likely cause of mortality in these patients. Although clinical ARDS pattern was noted in all these patients, it was well correlated in lung pathology in all these cases

ALMA and VLA Observations of EX Lupi in its Quiescent State

Extreme outbursts in young stars may be a common stage of pre-main-sequence stellar evolution. These outbursts, caused by enhanced accretion and accompanied by increased luminosity, can also strongly impact the evolution of the circumstellar environment. We present ALMA and VLA observations of EX Lupi, a prototypical outburst system, at 100 GHz, 45 GHz, and 15 GHz. We use these data, along with archival ALMA 232 GHz data, to fit radiative transfer models to EX Lupi's circumstellar disk in its quiescent state following the extreme outburst in 2008. The best fit models show a compact disk with a characteristic dust radius of 45 au and a total mass of 0.01 M$_{\odot}$. Our modeling suggests grain growth to sizes of at least 3 mm in the disk, possibly spurred by the recent outburst, and an ice line that has migrated inward to $0.2-0.3$ au post-outburst. At 15 GHz, we detected significant emission over the expected thermal disk emission which we attribute primarily to stellar (gyro)synchrotron and free-free disk emission. Altogether, these results highlight what may be a common impact of outbursts on the circumstellar dust.Comment: Accepted to ApJ, 15 pages, 8 figure

Genome-wide analysis of cAMP-response element binding protein occupancy, phosphorylation, and target gene activation in human tissues

Hormones and nutrients often induce genetic programs via signaling pathways that interface with gene-specific activators. Activation of the cAMP pathway, for example, stimulates cellular gene expression by means of the PKA-mediated phosphorylation of cAMP-response element binding protein (CREB) at Ser-133. Here, we use genome-wide approaches to characterize target genes that are regulated by CREB in different cellular contexts. CREB was found to occupy approximate to 4,000 promoter sites in vivo, depending on the presence and methylation state of consensus cAMP response elements near the promoter. The profiles for CREB occupancy were very similar in different human tissues, and exposure to a cAMP agonist stimulated CREB phosphorylation over a majority of these sites. Only a small proportion of CREB target genes was induced by cAMP in any cell type, however, due in part to the preferential recruitment of the coactivator CREB-binding protein to those promoters. These results indicate that CREB phosphorylation alone is not a reliable predictor of target gene activation and that additional CREB regulatory partners are required for recruitment of the transcriptional apparatus to the promoter

Chronic musculoskeletal pain predicted hospitalisation due to serious medical conditions in a 10 year follow up study

BACKGROUND: The aim was to examine if self reported chronic regional pain (CRP) and chronic widespread pain (CWP) predicted inpatient care due to serious medical conditions such as cerebrovascular diseases, ischemic heart diseases, neoplasms and infectious diseases in a general population cohort over a ten year follow-up period.METHODS: A ten-year follow up of a cohort from the general adult population in two health care districts with mixed urban and rural population in the south of Sweden, that in 1995 participated in a survey on health and musculoskeletal pain experience. Information on hospitalisation for each subject was taken from the regional health care register. Multiple logistic regression analyses were used to study the associations between chronic musculoskeletal pain and different medical conditions as causes of hospitalisation.RESULTS: A report of CRP (OR = 1.6; p < 0.001) or CWP ( OR = 2.1; p < 0.001) predicted at least one episode of inpatient care over a ten year period, with an increased risk in almost all diagnostic subgroups, including cerebrovascular diseases, ischemic heart diseases, and infectious diseases. There was however no increased risk of hospitalisation due to neoplasms.CONCLUSIONS: The presence of especially CWP was associated with hospital inpatient care due to several serious medical disorders. This may imply a general vulnerability to different medical conditions that has to be addressed in the assessment and management of subjects with chronic musculoskeletal pain

Does age modify the relationship between morbidity severity and physical health in English and Dutch family practice populations?

PURPOSE: To investigate the co-influences of age and morbidity severity on physical health in adult family practice populations. METHODS: Morbidity data in a 12-month period for 7,833 older English consulters aged 50 years and over and 6,846 Dutch consulters aged 18 years and over was linked to their physical health status obtained from cross-sectional health surveys. Individual patients were categorised using 78 consulting morbidities classified by a chronicity measure (acute, acute-on-chronic and chronic) into an ordinal scale of morbidity severity ranging from single to multiple chronicity groups. Associations between morbidity severity, age and SF-12 Physical Component Summary (PCS) score were assessed using linear regression methods. RESULTS: Increased age and higher morbidity severity were significantly associated with poorer physical health. Of the explained total variance in adjusted PCS scores, an estimated 43% was attributed to increasing age, 40% to morbidity severity and 17% to deprivation for English consulters; the figures were 21, 42 and 31%, respectively for Dutch consulters. The largest differences in PCS scores between severity categories were observed in the younger age groups. CONCLUSIONS: Morbidity severity and age mainly act separately in adversely influencing physical health. In ageing populations who will experience higher multimorbidity, this study underlines the importance that health care and public health will need to address morbidity severity and ageing as related but distinct issue