Agro-morphological characterization of local garlic (Allium sativum L.) germplasm accessions collected from different regions of Jammu and Kashmir

Garlic (Allium sativum L.) is increasingly becoming an essential component in human diet due to tremendous health-promoting benefits; its traditional local types are preferred for their taste. Garlic clones have specific adaptations to different agro-climatic regions; some have adapted to specific environments through artificial and natural selection. The study was undertaken to assess the variation in some agro-morphological characters of 17 local garlic germplasm accessions collected from different regions of Jammu and Kashmir including far-flung areas of Karthaie Padder Kishtwar and Balot Bhaderwah Doda. Most of these local garlic germplasm accessions are characterized by more pungent smell and distinctive taste often with pigmented coat layers. Some of these accessions have been cryo-preserved in National Gene Bank at ICAR-NBPGR New Delhi. The results have demonstrated the existence of a good amount of agro-morphological diversity in these local garlic germplasm accessions. Different ecotypes exhibit considerable variation among themselves in agronomic characteristics. Therefore, there is a need for concerted efforts for exploration, collection and maintenance of locally available garlic germplasm possessing quality traits including disease and pest resistance besides good storability characteristics for future garlic crop improvement programmes in the region

Exploration, collection and conservation of multicrop germplasm from Kishtwar district of Jammu and Kashmir, India

Systematic exploration and germplasm collection trips were conducted across Kishtwar district of Jammu and Kashmir state covering Chatroo valley, Padder valley and Kishtwar main including areas of Dachan, Surror, Sarthal, Bhonjwa and Drabshala during 2013, 2015 and 2018. A total of 113 germplasm accessions belonging to 29 species of crops and wild relatives from as many as 40 collection sites were collected at altitudes ranging from 1340-2670 m. Several areas in Sarthal, Bhonjwa, Dachan and Gulabgarh Padder were first time explored. Crop group wise accessions collected are pulses (39) mostly common beans, cereals (30) mostly maize, vegetables and spices (25), pseudocereals and millets (16), besides one accession each of Glycine max, Solanum pseudocapsicum and Nicotiana tabacum. The germplasm has been conserved in National Gene Bank (NGB), New Delhi. This study highlights information on the germplasm collected/observed and threats leading to biodiversity loss/genetic erosion in the highly fragile region of Kishtwar

Studies on physiological and biochemical changes associated with flower senescence in some ornamental members of family Amaryllidaceae.

The present study was undertaken on some ornamental members of Amaryllidaceae (Daffodil or Amaryllis family) a cosmopolitan, predominantly pantropical family of petaloid monocots. Family Amaryllidaceae represents a huge stock of ornamental plants comprising of 59 genera (850 species) with major centres of diversity in South America (28 genera) and South Africa (18 genera) (Simpson, 2006). Amaryllidaceae was first described by Jean Henri Jaume St. Hilaire in 1805, the family is named after “Amaryllis”, a pretty shepherdess mentioned by Theocritus, Virgil and Ovid. Amaryllidaceae members are close relatives of Alliaceae (the onion family) and Agapanthaceae (the agapanthus family). Majority flowers of Amaryllidacea qualify as beautiful cut flowers because of delicacy and in some cases fragrance such as, Amaryllis (belladonna lily), Crinum, Galanthus (snowdrop), Hippeastrum (amaryllis), Leucojum (snowflake), Lycoris (spider-lily) and Narcissus (daffodil). The potential value of family Amaryllidaceae has not been exploited as yet. These plants are commonly grown and have become well adapted to the climatic conditions of the Valley. It is in this perspective that the present study has been undertaken to unravel the mechanism of senescence, to develop adequate storage and handling techniques as also formulations for holding solutions to enhance the vase life of some ornamental plants of family Amaryllidaceae.Digital copy of Thesis.University of Kashmir

The HYLAN M Study: Efficacy of 0.15% High Molecular Weight Hyaluronan Fluid in the Treatment of Severe Dry Eye Disease in a Multicenter Randomized Trial

The aim of the HYLAN M study was to investigate if symptoms and/or signs of patients suffering from severe dry eye disease (DED) can be improved by substituting individually optimized artificial tear therapy by high molecular weight hyaluronan (HMWHA) eye drops. In this international, multicenter study, patients with symptoms of at least ocular surface disease index (OSDI) 33 and corneal fluorescein staining (CFS) of at least Oxford grade 3 were included. A total of 84 per-protocol patients were randomized in two study arms. The control group continued to use their individual optimum artificial tears over the study period of eight weeks; in the verum group, the artificial tears were substituted by eye drops containing 0.15% HMWHA. At the week 8 visit, the average OSDI of the verum group had improved by 13.5 as compared to the control group (p = 0.001). The best corrected visual acuity (BCVA) had improved by 0.04 logMAR (p = 0.033). CFS, tear film break-up time (TBUT), Schirmer I, lid wiper epitheliopathy (LWE), mucocutaneous junction (Yamaguchi score), and tear osmolarity were not significantly different between the verum and control groups (p > 0.050). We conclude that for most patients with severe DED, 0.15% HMWHA eye drops provide excellent improvement of symptoms without impairment of dry eye signs

Deletion variants of middle east respiratory syndrome coronavirus from humans, Jordan, 2015

We characterized Middle East respiratory syndrome coronaviruses from a hospital outbreak in Jordan in 2015. The viruses from Jordan were highly similar to isolates from Riyadh, Saudi Arabia, except for deletions in open reading frames 4a and 3. Transmissibility and pathogenicity of this strain remains to be determined

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

The need for national medical licensing examination in Saudi Arabia

<p>Abstract</p> <p>Background</p> <p>Medical education in Saudi Arabia is facing multiple challenges, including the rapid increase in the number of medical schools over a short period of time, the influx of foreign medical graduates to work in Saudi Arabia, the award of scholarships to hundreds of students to study medicine in various countries, and the absence of published national guidelines for minimal acceptable competencies of a medical graduate.</p> <p>Discussion</p> <p>We are arguing for the need for a Saudi national medical licensing examination that consists of two parts: Part I (Written) which tests the basic science and clinical knowledge and Part II (Objective Structured Clinical Examination) which tests the clinical skills and attitudes. We propose this examination to be mandated as a licensure requirement for practicing medicine in Saudi Arabia.</p> <p>Conclusion</p> <p>The driving and hindering forces as well as the strengths and weaknesses of implementing the licensing examination are discussed in details in this debate.</p

Multihospital Outbreak of a Middle East Respiratory Syndrome Coronavirus Deletion Variant, Jordan: A Molecular, Serologic, and Epidemiologic Investigation

Background An outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) in Jordan in 2015 involved a variant virus that acquired distinctive deletions in the accessory open reading frames. We conducted a molecular and seroepidemiologic investigation to describe the deletion variant’s transmission patterns and epidemiology. Methods We reviewed epidemiologic and medical chart data and analyzed viral genome sequences from respiratory specimens of MERS-CoV cases. In early 2016, sera and standardized interviews were obtained from MERS-CoV cases and their contacts. Sera were evaluated by nucleocapsid and spike protein enzyme immunoassays and microneutralization. Results Among 16 cases, 11 (69%) had health care exposure and 5 (31%) were relatives of a known case; 13 (81%) were symptomatic, and 7 (44%) died. Genome sequencing of MERS-CoV from 13 cases revealed 3 transmissible deletions associated with clinical illness during the outbreak. Deletion variant sequences were epidemiologically clustered and linked to a common transmission chain. Interviews and sera were collected from 2 surviving cases, 23 household contacts, and 278 health care contacts; 1 (50%) case, 2 (9%) household contacts, and 3 (1%) health care contacts tested seropositive. Conclusions The MERS-CoV deletion variants retained human-to-human transmissibility and caused clinical illness in infected persons despite accumulated mutations. Serology suggested limited transmission beyond that detected during the initial outbreak investigation

Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised