Multiple molecular markers MAGE-1, MAGE-3 and AFP mRNAs expression nested PCR assay for sensitive and specific detection of circulating hepatoma cells: Enhanced detection of hepatocellular carcinoma

Hepatocellular Carcinoma is a multifactorial, multistep and complex process. Its prognosis is poor and early diagnosis and monitoring of metastasis of HCC is of utmost importance. Circulating alpha-fetoprotien mRNA has been proposed as a marker of HCC cells disseminatedinto the circulation but the specificity of this molecular marker and its correlation with the main HCC clinico-pathological parameters remain controversial. In recent years; several different multi-marker assays have been developed for the detection of hepatoma cells in the peripheral bloodof patients with HCC. In this study 58 patients and 15 matched healthy volunteers were included; the patients were divided into three groups; group A: patients with primary HCC (n =32), group B: patients withcirrhosis with no evidence of HCC (n= 12), group C: patients with metastatic cancer in liver (n= 14). Group D: 15 healthy volunteers age and sex matched. The staging of HCC was carried out according to the Tumor/Node/Metastasis (TNM) classification. Peripheral blood samples were obtained from all subjects; MAGE-1 and MAGE-3 and AFP mRNAs were detected by nested RT-PCR. The positive rates of MAGE-1, MAGE-3 and AFP mRNAs were 18/32 (56.3%), 15/32 (46.9%) and 19/32 (59.4%) respectively in the primary HCC patients. In the cirrhotic group only 4/12 (33.3%) patients were positive for AFP mRNA, whereas in the metastatic group 5/14 (35.7%) and 4/14 (28.6%) were positive to MAGE-1 and MAGE-3 mRNAs respectively. MAGE-1 and MAGE-3 mRNAs were correlated with TNM clinical stages; tumor number and tumor size (p<0.05).Our results indicate that a multi-marker nested RT-PCR assay with cancer-specific markers such as MAGE-1 and MAGE-3 in combination with a hepatocyte-specific AFP marker may be a promising diagnostic tool for monitoring hepatocellular carcinoma patients. Nested PCR exhibits highersensitivity, stronger specificity and lower false-positive occurrence as compared to single RT

Characterization of inter-seasonal climatic variability through dry-season rice productivity in the north-west region of Bangladesh

Inter-annual climatic variability in Bangladesh is significant and the probability of occurrence of extreme episodic/ climatic events has increased in the last couple of decades and thus threatening food security. Impact of inter-seasonal climatic va riability on Boro rice (dry season) yield in north-western parts of Bangladesh was analyzed using the historic weather datasets for 1971 to 2010 and MAKESENS model. Boro rice yield increased from 1980 onwards and the growth rate picked up with time. Inter-annual and inter-seasonal climatic variability was noticed through maximum and minimum temperatures, rainfall and sunshine hours. In general, temperatures and rainfall showed increasing trends but sunshine hours were decreasing gradually during the study period. Growth rates in average annual maximum, minimum and mean air temperatures were 0.001, 0.016 and 0.009°C year-1, respectively. On regional scale, Boro-rice seasonal maximum temperature was decreasing by 0.013°C year-1 but minimum and mean temperatures were increasing by 0.024 and 0.006°C year-1, respectively. Annual average sunshine hours in the study location were in decreasing trend by 0.027 hr year-1, but reduction in seasonal sunshine hours was 0.035 hr year-1. Inter-seasonal climatic variability was characterized through the Boro-rice yields in four test regions of north-west region of Bangladesh. Trend line equations were evolved for assessing the impact of climatic variations on Bororice yield. If maximum temperature changes by 1oC, Boro rice yield could be increased by 0.13 t ha-1, but it would reduce by 0.34 t ha-1 with one degree rise in minimum temperature. If sunshine hour decreases by 1 hr, Boro rice yield would decrease by 0.70 t ha-1 in study locations. Combined effects of maximum and minimum temperatures and sunshine hours showed significant influence on grain yields of Boro rice. These imply that temperature tolerant and solar radiation use-efficient rice varieties need to be bred for combating climate change impact in Bangladesh. There is a need to identify optimum sowing/transplanting window for the region, choice of suitable cultivars/ideo-types, and adoption of appropriate water and nutrients management strategies and adoption of appropriate resource conservation technologies for sustainable Boro rice production in Bangladesh

Postural control and central motor pathway involvement in type 2 diabetes mellitus: Dynamic posturographic and electrophysiologic studies

Background: Postural instability causes limitations in daily activities of diabetic patients. There is paucity of data regarding central motor pathway involvement in these patients and its relation to postural control.Aim: To evaluate postural control and centralmotor pathway involvement in type 2 diabetic patients. Subjects and methods: The study included 30 type 2 diabetic patients and 15 healthy, age and sexmatched control subjects. Both groups were subjected to physical and full neurological examination, in addition to electrophysiological study including peripheral conduction study and MEPs recorded fromthe feetmuscles.Total neuropathy scorewas calculated. In addition, dynamic posturographic tests were performed including sensory organization test and MCT.Results: Most of the dynamic posturographic parameters were significantly impaired in diabetic patient group. There were significant abnormalities inmost of the parameters of the peripheral conduction study of the patients compared to the controls.According to theTotal neuropathy score, 20 patients had peripheral neuropathy. In addition, there was significant prolongation of the leftCMCT, decreased leftMEP amplitude and increasedMEP resting motor threshold on both sides in the patients compared to the control group. Dynamic posturographic parameters showed correlation with most of the parameters of the peripheral conduction study and few of the MEP parameters. Logistic regression analysis showed peripheral neuropathy as the main factor implicated in postural instability in these patients. However, significant correlation was found between MEP amplitude and MCT composite score in patients without peripheral neuropathy.Conclusion: Although type 2 diabetic patients had prolonged CMCT, decreased amplitude and increased resting motor threshold of the MEP response, peripheral neuropathy was the main factor implicated in postural instability. However, the central motor pathway changes documented could be implicated as a possible cause.Keywords: Diabetic postural control; Central motor pathways; Diabetic neuropathy; Central motor conduction time; Motor evoked potentia

Determination of antioxidant activity in methanolic and chloroformic extracts of Momordica charantia

The aim of this study was to determine and compare the antioxidant activity of methanolic and chloroformic extracts of Momordica charantia (MC) fruit. In this study, the total antioxidant and free radical scavenging activities in methanolic and chloroformic were measured by ferric thiocyanate (FTC), thiobarbituric acid (TBA) and 1, 1-diphenyl-2-picryl-hydrazyl (DPPH) methods. Total phenol and flavonoid contents of the MC extracts were also evaluated. The total antioxidant activity results indicated that, the inhibition percent of methanolic extract was significantly higher than the inhibition percent of chloroformic extract in the FTC and TBA methods. A higher IC50 value for free radical scavenging was found for methanolic extract when compared with chloroformic extract. Methanolic extract contained a significantly higher concentration of total phenols and flavonoids when compared with chloroformic extract. Methanolic extract contained more potent antioxidant and high polyphenol compounds when compared with chloroformic extract. The present study, confirmed that, the type of solvent has an important role in detecting plant compounds. The natural plant antioxidants and phenolics compounds in MC have the capability of being used in food systems to preserve food quality.Key words: Momordica charantia, antioxidant activity, polyphenol compounds, phenolics, flavonoids

Methods of sputum processing for cell counts, immunocytochemistry and in situ hybridisation.

Since the first attempts to use standardised methods for sampling induced airways sputum, two methods for processing the expectorate have evolved. The first involves selecting all viscid or denser portions from the expectorated sample with the aid of an inverted microscope. This method has been extensively evaluated and reported in detail. The second approach involves processing the entire expectorate, comprising sputum plus variable amounts of saliva. Recent modifications to this method include collecting saliva and sputum separately in order to reduce salivary contamination. Both methods have advantages and disadvantages. The advantages of using selected sputum are: squamous cell contamination is v5%, making cell counting easier and quicker to perform, the total cell count (TCC) can be expressed per gram of lower airway secretions, and concentrations of chemicals in the fluid phase are unaffected by the confounding influence of saliva, and can be accurately corrected for dilution. The disadvantage is that selection takes a few minutes longer to perform and requires an inverted microscope. The advantage of using the entire expectorate is that the technique is quicker to perform, but there are some disadvantages that require consideration. The expectorate contains a variable mixture of sputum plus saliva which maydilute the sputum and confound its analysis. The reproducibility of cell counts has been reported to be lower if squamous cell contamination represents w20% of all recovered cells. There is conflicting data as to whether or not differential cell counts (DCCs) differ between the two methods. One study reported a higher percentage of eosinophils in sputum processed by the selection method compared to the entire expectorate but this has not been confirmed in other studies. Although, both the selected sputum and the entire expectorate methods have the same ability to distinguish asthmatics or bronchitics from healthy subjects, they are not interchangeable, and, once a technique has been adopted for a given study, it should always be applied

PERANCANGAN MEDIA PROMOSI EMPEROR PELOPOR JASA KONVERSI SEPEDA KONVENSIONAL Muchamad Amar Hamid:176010048

Emperor merupakan pelopor konversi sepeda listrik di Kota Bandung. Memiliki potensi yang kuat untuk menjadi tempat utama konversi sepeda. Mempunyai pengalaman lebih dari 5 tahun dan katalog serta bengkel yang mumpuni.Tetapi jika dilihat dari segi media promosi perusahaan, di Emperor masih minim media promosi yang dirancang oleh pihak pengelola melalui media cetak maupun media digital. Sehingga perlu adanya perancangan media promosi untuk memperkenalkan daya tarik kepada masyarakat Kota Bandung secara lebih luas. Untuk pengumpulan data yang penulis lakukan dalam penelitian ini yaitu menggunakan metode wawancara, observasi lapangan, kuisioner, dan studi literatur. Dari data yang didapat maka dibuat media perancangan video promosi Emperor sebagai media komunikasi utama untuk menginformasikan dan membujuk Target sasaran untuk berkunjung ke Emperor.. Kata Kunci : Konversi Sepeda, Media Promosi, Sepeda Electric Empero

Reliability analysis of moment redistribution in reinforced concrete beams

Design codes allow a limited amount of moment redistribution in continuous reinforced concrete beams and often make use of lower bound values in the procedure for estimating the moment redistribution factors. Here, based on the concept of demand and capacity rotation, and by means of Monte Carlo simulation, a probabilistic model is derived for the evaluation of moment redistribution factors. Results show that in all considered cases, the evaluated mean and nominal values of moment redistribution factor are greater than the values provided by the ACI code. On the other hand, the 5th percentile value of moment redistribution factor could be lower than those specified by the code. Although the reduction of strength limit state reliability index attributable to uncertainty in moment redistribution factors is not large, it is comparable to the reduction in reliability index resulting from increasing the ratio of live to dead load

Seroprevalence and associated risk factors of chikungunya, dengue, and Zika in eight districts in Tanzania

Background: This study was conducted to determine the seroprevalence and risk factors of chikungunya (CHIKV), dengue (DENV), and Zika (ZIKV) viruses in Tanzania. Methods: The study covered the districts of Buhigwe, Kalambo, Kilindi, Kinondoni, Kondoa, Kyela, Mvomero, and Ukerewe in Tanzania. Blood samples were collected from individuals recruited from households and healthcare facilities. An ELISA was used to screen for immunoglobulin G antibodies against CHIKV, DENV, and ZIKV. Results: A total of 1818 participants (median age 34 years) were recruited. The overall CHIKV, DENV, and ZIKV seroprevalence rates were 28.0%, 16.1%, and 6.8%, respectively. CHIKV prevalence was highest in Buhigwe (46.8%), DENV in Kinondoni (43.8%), and ZIKV in Ukerewe (10.6%) and Mvomero (10.6%). Increasing age and frequent mosquito bites were significantly associated with CHIKV and DENV seropositivity (P < 0.05). Having piped water or the presence of stagnant water around the home (P < 0.01) were associated with higher odds of DENV seropositivity. Fever was significantly associated with increased odds of CHIKV seropositivity (P < 0.001). Visiting mines had higher odds of ZIKV seropositivity (P < 0.05). Conclusions: These findings indicate that DENV, CHIKV, and ZIKV are circulating in diverse ecological zones of Tanzania. There is a need to strengthen the control of mosquito-borne viral diseases in Tanzania

Antimicrobial resistance preparedness in sub-Saharan African countries

Background: Antimicrobial resistance (AMR) is of growing concern globally and AMR status in sub-Saharan Africa (SSA) is undefined due to a lack of real-time data recording, surveillance and regulation. World Health Organization (WHO) Joint External Evaluation (JEE) reports are voluntary, collaborative processes to assess country capacities and preparedness to prevent, detect and rapidly respond to public health risks, including AMR. The data from SSA JEE reports were analysed to gain an overview of how SSA is working towards AMR preparedness and where strengths and weaknesses lie. Methods: SSA country JEE AMR preparedness scores were analysed. A cumulative mean of all the SSA country AMR preparedness scores was calculated and compared to the overall mean SSA JEE score. AMR preparedness indicators were analysed, and data were weighted by region. Findings: The mean SSA AMR preparedness score was 53% less than the overall mean SSA JEE score. East Africa had the highest percentage of countries reporting having AMR National Action Plans in place, as well as human and animal pathogen AMR surveillance programmes. Southern Africa reported the highest percentage of countries with training programmes and antimicrobial stewardship. Conclusions: The low mean AMR preparedness score compared to overall JEE score, along with the majority of countries lacking implemented National Action Plans, suggests that until now AMR has not been a priority for most SSA countries. By identifying regional and One Health strengths, AMR preparedness can be fortified across SSA with a multisectoral approach

Symptomatic Acute Hepatitis C in Egypt: Diagnosis, Spontaneous Viral Clearance, and Delayed Treatment with 12 Weeks of Pegylated Interferon Alfa-2a

The aim of this study was to estimate the proportion of spontaneous viral clearance (SVC) after symptomatic acute hepatitis C and to evaluate the efficacy of 12 weeks of pegylated interferon alfa-2a in patients who did not clear the virus spontaneously.Patients with symptomatic acute hepatitis C were recruited from two "fever hospitals" in Cairo, Egypt. Patients still viremic three months after the onset of symptoms were considered for treatment with 12 weeks of pegylated interferon alfa-2a (180 microg/week).Between May 2002 and February 2006, 2243 adult patients with acute hepatitis were enrolled in the study. The SVC rate among 117 patients with acute hepatitis C was 33.8% (95%CI [25.9%-43.2%]) at three months and 41.5% (95%CI [33.0%-51.2%]) at six months. The sustained virological response (SVR) rate among the 17 patients who started treatment 4-6 months after onset of symptoms was 15/17 = 88.2% (95%CI [63.6%-98.5%]).Spontaneous viral clearance was high (41.5% six months after the onset of symptoms) in this population with symptomatic acute hepatitis C. Allowing time for spontaneous clearance should be considered before treatment is initiated for symptomatic acute hepatitis C