Colposcopic evaluation and papanicolaou smear in high risk groups and its correlation with histology

Background: Cervical cancer is one of the most common gynaecologic neoplasms. PAP smear and colposcopy are used for its early detection. This study aims to find the correlation of colposcopic evaluation with Pap smear in cervical cancer screening and with histology. Methods: All women attending the OPD with unhealthy cervix and abnormal symptoms, who gave written informed consent were included in the study. Pap smear cytological grading, colposcopic findings were recorded. Pap smear and colposcopy findings was compared with histopathology. Results: The study included 73 patients. Pap smear was negative in more than half of the patients (56.2%), followed by atypical squamous cells of undetermined significance in 12 (16.4%), low-grade squamous intraepithelial lesion in 17 (23.3%), high-grade squamous intraepithelial lesion in 2 (2.7%) and squamous cell carcinoma in 1 patient (1.4%).  The histopathology showed normal findings in 46 patients (63%), followed by CIN 1 in 11 (15.1%), CIN 2 in 6 patients (8.2%), CIN 3 and squamous cell carcinoma in 5 patients each (6.8%). Pap smear’s predictability of cervical malignancy showed that it had a sensitivity of 48.15, it’s specificity for identifying patients without cervical malignancy was 84.78%. Colposcopy’s predictability of cervical malignancy showed that it had a sensitivity of 88.89%, it’s specificity for identifying patients without cervical malignancy was 95.65%. Conclusions: Colposcopy does seem to be better than Pap smear in diagnosing cervical carcinoma and also identifying patients without it

Performance investigation of ANFIS and PSO DFFP based boost converter with NICI using solar panel

The modeling and development of the boost DC to DC converter with Partial Swarm Optimization with Distinctive Feed Forward Propagation (PSO-DFFP) controller for hybrid power systems including solar panels. The static and dynamic investigation of the developed PSO DEEP controller is presented. The PSO-DFFP controller has been designed to improve the operating efficiency and reduces the input converter current ripple. The PSO DFFP controller is developed and performance is compared with ANFIS and FLC. The developed system reduces the switching losses and voltage drops in switching modes. The designed system is demonstrated and developed with 200W, 100kHz model. The investigation results is exposed that the developed PSO DEEP system is an acceptable for SOLAR applications

A Mathematical Model for Micropolar Fluid Flow Through an Artery with the effect of Stenosis and Post Stenotic Dilatation

The effects of both stenosis and post stenotic dilatation have been studied on steady flow of micropolar fluid through an artery. Assuming the stenosis to be mild, the equations governing the flow of the proposed model are solved. Closed form expressions for the flow characteristics such as velocity, pressure drop, and volumetric flow rate, resistance to the flow and wall shear stress are derived. The effects of various parameters on resistance to the flow and wall shear stress have been analyzed through the graphs. It is found that the resistance to the flow increases with the height and length of the stenosis, but the resistance to the flow decreases with stenotic dilatation. With the increase of the coupling number the resistance to the flow increases. However, the effect of coupling number is not very significant. The resistance to the flow decreases with the micropolar fluid parameter. The wall shear stress increases with coupling number and stenosis height, but it decreases with micropolar fluid parameter and stenotic dilatation

1-[2-(2,4-Dinitro­benzyl­ideneamino)phen­yl]-3-phenyl­thio­urea

In the title compound, C20H15N5O4S, the central benzene ring makes dihedral angles of 59.5 (1) and 51.7 (1)°, respectively, with the terminal phenyl and benzene rings. The mol­ecular structure exhibits weak intra­molecular N—H⋯N and C—H⋯S inter­actions. In the crystal structure, mol­ecules are linked by weak inter­molecular N—H⋯S and C—H⋯O inter­actions, forming a chain along [11]

Sero Diagnosis of Tuberculosis in Children Using Two ELISA Kits

The diagnosis of childhood tuberculosis is based on circumstantial evidence in the absence of a gold standard in the majority of cases. Sero-diagnosis offers scope for an early diagnosis in a variety of clinical conditions and is simple to perform. A number of mycobacterial antigens have been used for antibody detection assays and several are available as kits in the market. This study was done to evaluate the value of antibody detection kits (ELISA) against the A60 antigen and 38kDa antigen of Mycobacterium tuberculosis in the diagnosis of childhood tuberculosis at the outpatient department of the Institute of Social Paediatrics, Government Stanley Hospital in collaboration with Tuberculosis Research Centre, Chennai. Thirty five children with pulmonary tuberculosis, 7 with TB lymphadenitis and 22 healthy controls were studied. In addition to routine investigations including gastric lavage for AFB culture, serum antibodies against the A60 and 38kDa antigens were assayed using commercially available ELISA kits. With A60, IgM serum levels were positive in 74% of pulmonary TB cases, 57% of TB lymphadenitis cases and 50% of controls. A60 IgG was positive in 17% of pulmonary TB, 86% of TB lymphadenitis and 14% of controls. The 38 kDa IgG antibody was positive in 37% of pulmonary and 86% of TB lymphadenitis cases and 27% of controls. Among 10 culture confirmed cases, A60 IgM was positive in 8, A60 IgG in 3 and 38kDa IgG in 5 patients. The sensitivity of the tests ranged between 29% and 71% and specificity between 50% and 86%. Although the numbers are small, the results suggest that serodiagnosis using the currently available antigens of M. tuberculosis is unlikely to be a confirmatory test for tuberculosis in children

Diethyl 3,4-bis­(2,5-dimethoxy­benz­yl)thieno[2,3-b]thio­phene-2,5-di­car­boxylate

In the title compound, C30H32O8S2, the dihedral angle between the two benzene rings is 18.8 (1)°. The mol­ecular structure is stabilized by weak intra­molecular C—H⋯O hydrogen bonds. In the crystal structure, the mol­ecules are linked via weak inter­molecular C—H⋯O hydrogen bonds and π–π inter­actions between two benzene rings [centroid–centroid distance = 3.672 (1) Å]

N-[(3-Phenyl­sulfanyl-1-phenyl­sulfonyl-1H-indol-2-yl)meth­yl]propionamide

In the title compound, C24H22N2O3S2, the phenyl rings form dihedral angles of 75.2 (1) and 86.1 (1)° with the indole ring system. The mol­ecular structure is stabilized by intra­molecular C–H⋯O and N—H⋯O hydrogen bonds. The crystal structure exhibit inter­molecular N—H⋯O and C—H⋯O hydrogen bonds, C—H⋯π and π–π [centroid–centroid distance = 3.748 (1) Å] inter­actions

Genetic diversity and evidence for acquired antimicrobial resistance in Mycobacterium tuberculosis at a large hospital in South India

AbstractObjectives: To assess genetic diversity and drug resistance of Mycobacterium tuberculosis isolates collected at Christian Medical College Hospital (CMCH), Vellore, India, between July 1995 and May 1996.Materials and Methods: Isolates were subjected to IS6110-based restriction fragment length polymorphism (RFLP) analysis and tested for resistance to isoniazid, rifampin, ethambutol, streptomycin, and pyrazinamide, and DNA from selected strains was sequenced in regions associated with drug resistance.Results: One hundred and one M. tuberculosis isolates were collected from 87 patients with pulmonary tuberculosis. Charts of 69 patients were reviewed for history of tuberculosis illness and treatment. DNA from 29 strains was sequenced in katG, rpoB, and gyrA, and sometimes pncA regions. Analysis by RFLP revealed a high degree of genetic diversity, with no identifiable clusters of infection. Of the strains tested, 51 % were resistant to at least one antibiotic, and 43% were resistant to more than one drug. There was a high rate of resistance observed in patients whose charts indicated a history of improperly administered tuberculosis treatment, whereas little drug resistance was observed in patients never previously treated for tuberculosis. Sequencing of genes associated with drug resistance revealed several previously unreported mutations in resistant strains.Conclusions: This analysis suggests that the cases of tuberculosis in the sample are largely reactivation of long-standing infections and that the drug resistance among patients in CMCH is largely acquired or secondary rather than attributable to the spread of drug-resistant strains