Synthesis of Unusual Trimers in 1,3-Indandione

Dimethyl Sulphoxide-acetic anhydride reagent converts 1,3-indandione to the ylide (2) and a much awaited dimer (3) at room temperature. However , when 1,3-indandione was interacted with pre- heated  DMSO-acetic anhydride  at  waterbath temperature it affords an unusual trimer (4) and a novel compound (5), methine-tris-1,3-indandione  along with the ylide (2) Key words: DMSO, Acetic anhydride, Indandione,Ylide Trimer

Ciprofloxacin in multi-resistant infections in childhood: An audit

Ciprofloxacin is a new orally administrable fluoroquinolones, with considerable efficacy against multiresistant organisms. Its use in the paediatric age group however, is controversial because of the risk of potential articular toxicity. We retrospectively reviewed ciprofloxacin usage over a 32 week periods (June, 1991-September, 1993) in paediatric inpatients at The Aga Khan University Hospital. Ciprofloxacin was used in 21 cases, singly in 11 (52%) and in combination with other antibiotics in a further 10 (48%). The response to therapy was adjudged as \u27good\u27 or \u27fair\u27 in 13 (62%) cases. Ciprofloxacin was the only sensitive antibiotic in 4 (19%) and resistance to it was detected in another 4 (19%) cases. Despite all efforts, adequate follow-up could only be achieved in a third of the patients. Although no toxic or side effects were detected, in view of poor follow-up and emergence of ciprofloxacin resistant strains, our experience highlights the need to regulate ciprofloxacin use in the paediatric age group

Are estimates of socioeconomic inequalities in chronic disease artefactually narrowed by self-reported measures of prevalence in low-income and middle-income countries? Findings from the WHO-SAGE survey

Background: The use of self-reported measures of chronic disease may substantially underestimate prevalence in low-income and middle-income country settings, especially in groups with lower socioeconomic status (SES). We sought to determine whether socioeconomic inequalities in the prevalence of non-communicable chronic diseases (NCDs) differ if estimated by using symptom-based or criterion-based measures compared with self-reported physician diagnoses. Methods: Using population-representative data sets of the WHO Study of Global Ageing and Adult Health (SAGE), 2007–2010 (n=42 464), we calculated wealth-related and education-related concentration indices of self-reported diagnoses and symptom-based measures of angina, hypertension, asthma/chronic lung disease, visual impairment and depression in three ‘low-income and lower middle-income countries’—China, Ghana and India—and three ‘upper-middle-income countries’—Mexico, Russia and South Africa. Results: SES gradients in NCD prevalence tended to be positive for self-reported diagnoses compared with symptom-based/criterion-based measures. In China, Ghana and India, SES gradients were positive for hypertension, angina, visual impairment and depression when using self-reported diagnoses, but were attenuated or became negative when using symptom-based/criterion-based measures. In Mexico, Russia and South Africa, this distinction was not observed consistently. For example, concentration index of self-reported versus symptom-based angina were: in China: 0.07 vs −0.11, Ghana: 0.04 vs −0.21, India: 0.02 vs −0.16, Mexico: 0.19 vs −0.22, Russia: −0.01 vs −0.02 and South Africa: 0.37 vs 0.02. Conclusions: Socioeconomic inequalities in NCD prevalence tend to be artefactually positive when using self-report compared with symptom-based or criterion-based diagnostic criteria, with greater bias occurring in low-income countries. Using standardised, symptom-based measures would provide more valid estimates of NCD inequalities

Exceptional diversity of Stefania (Anura, Cryptobatrachidae) II: six species from Mount Wokomung, Guyana

Six species of Stefania were collected on Mount Wokomung, a tepui in the Pakaraima Mountains of Guyana. This unusually high diversity of Stefania is similar to that found on a neighbouring tepui, Mt. Ayanganna. The two tepuis support slightly different habitats. Conspecific Stefania from the two mountains differ somewhat in body size, toe disc size and colouration. Specimens from Mt. Wokomung are used to expand descriptions and distributions of some species

Screening of Soybean (Glycine Max (L.) Merrill) Genotypes for Resistance to Rust, Yellow Mosaic and Pod Shattering

Applied optic