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

The Implications of living with Heart Failure; the impact on everyday life, family support, co-morbidities and access to healthcare: A secondary qualitative analysis

Background: The aim of this study was to use secondary analysis to interrogate a qualitative data set to explore the experiences of patients living with heart failure. Methods: The data-set comprised interviews with 11 patients who had participated in an ethnographic study of heart failure focusing on unplanned hospital admissions. Following an initial review of the literature, a framework was developed with which to interrogate the data-set. This was modified in light of analysis of the first two interviews, to focus on the rich data around patients’ perceptions of living with heart failure, managing co-morbidities, accessing healthcare and the role of their family and friends, during their illness journey. Results: Respondents described how the symptoms of heart failure impacted on their daily lives and how disruption of routine activity due to their symptoms caused them to seek medical care. Respondents disclosed the difficulties of living with other illnesses, in addition to their heart failure, particularly managing multiple and complex medication regimes and negotiating multiple appointments; all expressed a desire to return to their pre-morbid, more independent lives. Many respondents described uncertainty around diagnosis and delays in communication from their healthcare providers. The importance of family support was emphasised, but respondents worried about burdening relatives with their illness. Conclusion: Living with heart failure causes disruption to the lives of sufferers. Facilitation of access to healthcare, through good communication between services and having a strong support network of both family and clinicians can reduce the impact of heart failure on the lives of the patient and those around them

IMPACT ASSESSMENT OF JALYUKT SHIVAR ABHIYAN ON AWALAI VILLAGE OF ATPADI TEHSIL IN SANGLI DISTRICT (MAHARASHTRA)

The decision which is made to purchase perfume products is a complicated process that consumers have to experience. Different factors affect the consumer choice for perfumes. These factors include social factors, demographic factors and psychological factors. For example, some consumers choose their perfumes depending on the recommendation they get from a family member who used the brand or know someone who is using it. In addition, consumers’ age, income level, personality, self-concept, routine and values may affect their decision in choosing perfume products. This study aims to compare the perfume industry in India and Dubai and at the same time, studies to understand the consumer preference in terms of the factors influencing buying different fragrances. For the study, a total of 150 consumers from each country, thus 300 in all are considered. The survey was conducted in the digital mode and the responses were analyzed using statistical tools. It was seen that the Indian perfume market is overloaded with the consumer demand, however, performance of the perfume industry is better with the Dubai perfume market. The factors of perfume buying have a major impact on ratings of perfume

Synthesis and Biological Evaluation of Indolyl Bis-chalcones as Anti-Breast Cancer and Antioxidant Agents

A series of novel α-cyano substituted indolyl bis-chalcones (3a−l) has been synthesized and evaluated for their in vitro antitumor activity against the human breast cancer MCF7 (estrogen receptor-positive) and normal Vero cell lines using sulforhodamine B (SRB) assay method. Compounds 3a, 3c and 3d showed potent activity (GI50 = 11.7, 15.3 and 17.9 µM respectively) against the human breast cancer MCF7 cell line, which was almost as good as that of adriamycin (GI50 = < 0.1 µM) whereas, screening against the normal Vero Monkey cell line showed moderate selectivity. Furthermore, all the synthesized compounds screened for their antioxidant potential against DPPH, NO, SOR, and H2O2 radicals. Most of the bis-chalcones exhibited significant DPPH (51.09−12.72 %) and NO (64.11−34.43 %) radical scavenging activity and modest activity against SOR (88.08−43.14 %) and H2O2 (80.13−56.0 %) radicals compared to the reference standard ascorbic acid (40.78 %, 42.63 %, 87.05 %, and 79.42 % respectively). Current study provides impetus for the development of highly potent indolyl bis-chalcone derivatives as anticancer leads. This work is licensed under a Creative Commons Attribution 4.0 International License

Managing Patients With Heart Failure: A Qualitative Study of Multidisciplinary Teams With Specialist Heart Failure Nurses

PURPOSE The purpose of this study was to explore the perceptions and experiences of health care clinicians working in multidisciplinary teams that include specialist heart failure nurses when caring for the management of heart failure patients. METHODS We used a qualitative in-depth interview study nested in a broader ethnographic study of unplanned admissions in heart failure patients (HoldFAST). We interviewed 24 health care clinicians across primary, secondary, and community care in 3 locations in the Midlands, South Central, and South West of England. RESULTS Within a framework of the role and contribution of the heart failure specialist nurse, our study identified 2 thematic areas that the clinicians agreed still represent particular challenges when working with heart failure patients. The first was communication with patients, in particular explaining the diagnosis and helping patients to understand the condition. The participants recognized that such communication was most effective when they had a long-term relationship with patients and families and that the specialist nurse played an important part in achieving this relationship. The second was communication within the team. Multidisciplinary input was especially needed because of the complexity of many patients and issues around medications, and the participants believed the specialist nurse may facilitate team communication. CONCLUSIONS The study highlights the role of specialist heart failure nurses in delivering education tailored to patients and facilitating better liaison among all clinicians, particularly when dealing with the management of comorbidities and drug regimens. The way in which specialist nurses were able to be caseworkers for their patients was perceived as a method of ensuring coordination and continuity of care

Effect of post harvest treatments and harvesting stage on vase life and flower quality of cut Oriental lily

An investigation was carried out to study the effect of post harvest treatments and harvesting stage on vase life and flower quality of cut Oriental lily cv. Avocado. The results showed that highest vase life (15.83 days) and vase solution uptake (49.17 ml) was recorded with sucrose (2%) + 5-SSA (200ppm), whereas maximum flower diameter (15.17 cm) was recorded in vase solution containing sucrose (2%) + 5-SSA (100ppm). Earliest opening of florets (4.42 days) reported under sucrose (2%) + 5-SSA (200ppm). Effect of treatments was found non-significant in respect to opening of florets. Harvesting at green bud stage exhibited extended vase life (14.33 days) and higher vase solution uptake (40.43 ml), whereas maximum flower diameter (14.25 cm) recorded at 75% colour development stage. Based on the results it is concluded that 5-SSA could be an inexpensive and potential chemical for delaying senescence and for extending the keeping quality of cut liliums commercially

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