Association of Blood Lead (Pb) and Plasma Homocysteine: A Cross Sectional Survey in Karachi, Pakistan

Background: High blood lead (Pb) and hyperhomocysteinemia have been found to be associated with cardiovascular disease (CVD). Mean blood Pb and mean plasma homocysteine levels have been reported to be high in Pakistani population. The objective of the present study was to assess the relationship of blood Pb to the risk of hyperhomocysteinemia in a low income urban population of Karachi, Pakistan. Methodology/Principal Findings: In a cross sectional survey, 872 healthy adults (355 males, 517 females, age 18-60 years) were recruited from a low income urban population of Karachi. Fasting venous blood was obtained and assessed for blood Pb and plasma/serum homocysteine, folate, pyridoxal phosphate (PLP, a coenzymic form of vitamin B6) and vitamin B12. The study population had median (IQR) blood Pb of 10.82 microg/dL (8.29-13.60). Prevalence of high blood Pb (levels\u3e10 microg/dL) was higher in males compared to females (62.5% males vs 56% females, p value=0.05). Mean+/-SD/median (IQR) value of plasma homocysteine was significantly higher in the highest quartile of blood Pb compared to the lowest quartile 16.13+/-11.2 micromol/L vs 13.28+/-9.7micromol/L/13.15 (10.33-17.81) micromol/L vs 11.09 (8.65 14.31) micromol/L (p valu

Polymorphisms in MTHFR, MS and CBS Genes and Homocysteine Levels in a Pakistani Population

Background: Hyperhomocysteinemia (\u3e15 mol/L) is highly prevalent in South Asian populations including Pakistan. In order to investigate the genetic determinants of this condition, we studied 6 polymorphisms in genes of 3 enzymes--methylenetetrahydrofolate reductase (MTHFR, C677T, A1298C), methionine synthase (MS, A2756G), cystathionine-beta-synthase (CBS, T833C/844ins68, G919A) involved in homocysteine metabolism and investigated their interactions with nutritional and environmental factors in a Pakistani population. Methodology/Principal Findings: In a cross-sectional survey, 872 healthy adults (355 males and 517 females, age 18-60 years) were recruited from a low-income urban population in Karachi. Fasting venous blood was obtained and assessed for plasma/serum homocysteine, folate, vitamin B12, pyridoxal phosphate and blood lead. DNA was isolated and genotyping was performed by PCR-RFLP (restriction-fragment-length-polymorphism) based assays. The average changes in homocysteine levels for MTHFR 677CT and TT genotypes were positive [beta(SE beta), 2.01(0.63) and 16.19(1.8) mol/L, respectively]. Contrary to MTHFR C677T polymorphism, the average changes in plasma homocysteine levels for MS 2756AG and GG variants were negative [beta(SE beta), -0.56(0.58) and -0.83(0.99) mol/L, respectively]. The average change occurring for CBS 844ins68 heterozygous genotype (ancestral/insertion) was -1.88(0.81) mol/L. The combined effect of MTHFR C677T, MS A2756G and CBS 844ins68 genotypes for plasma homocysteine levels was additive (p valu

Effects of betel nut on cardiovascular risk factors in a rat model

Background: Areca nut (commonly known as betel nut) chewing has been shown to be associated with metabolic syndrome and cardiovascular disease (CVD). The mechanism by which betel nut ingestion could lead to development of CVD is not precisely known; however, dyslipidemia, hyperhomocysteinemia, hypertriglyceridemia and inflammation could be some of the potential risk factors. This study was undertaken to investigate the effects of two dosages of betel nut on homocysteinemia, inflammation and some of the components of metabolic syndrome, such as hypertriglyceridemia, low HDL-cholesterol, obesity and fasting hyperglycemia in a rat model.Methods: Thirty-six adult female Sprague Dawley rats, aged 10–12 weeks were divided into three equal groups. Group-1 served as the control group (n = 12) and received water, whereas groups 2 and 3 were given water suspension of betel nut orally in two dosages, 30 mg and 60 mg, respectively for a period of 5 weeks. At the end of the fifth week, the animals were weighed and sacrificed, blood was collected and liver, kidney, spleen and stomach were removed for histological examination. Plasma/serum was analyzed for glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, homocysteine, folate, vitamin B12 and N-acetyl-β-D-glucosaminidase (NAG) – a marker of inflammation.Results: When the mean concentration values of 3 groups were compared using one way ANOVA followed by Tukey’s HSD-test, there was a significant increase in the concentration of total cholesterol (p = 0.04) in the group receiving 30 mg/day betel nut compared to the control group. However, administration of a higher dose of betel nut (60 mg/day) had no significant effect on the serum concentrations of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and NAG. Histological examination of spleen revealed a dose-dependent extramedullary hematopoiesis. No other remarkable change in the tissues (liver, kidney and stomach) was observed. Mean serum/plasma levels of folate, vitamin B12 and homocysteine were not found to be significantly different in all the groups. Betel nut ingestion had no effect on the mean body weights of rats.Conclusions: Low dosage of betel nut is found to be associated with hypercholesterolemia. However, betel nut ingestion is not associated with hyperhomocysteinemia, hypertriglyceridemia, hyperglycemia, inflammation and increase in body weight in a rat model

Validation of a method to estimate direct normal irradiance of UVA and PAR bands from global horizontal measurements for cloudless sky conditions in Valencia, Spain, by a measurement campaign

A method is proposed to provide measurement of direct normal solar irradiance of bands with wavelength ranges (315-400 nm, 400-700 nm) from measurements of global horizontal band irradiance for cloudless sky conditions in Valencia. Global and normal direct irradiance data for every air mass were obtained by applying the SMART2 model to the atmosphere of Valencia. The direct normal to global irradiance ratio was parameterized versus the relative optical air mass. A measurement campaign of global horizontal and diffuse irradiance of UVA and PAR bands was carried out in Valencia, after which, the inferred direct normal irradiance was compared with those provided by the method. The result of the comparison shows that the method is acceptably accurate. The proposed model tends to underestimate the direct normal irradiance of the UVA band by 6%, although for values below 25 W/m2 the model overestimates the direct irradiance by 6%, while for values above 25 W/m2 the model underestimates it by 10%. The other two error estimators used ranging from 11% to 15% are similar in the defined interval measurements in relation to the whole UVA band. Regarding the PAR band, the model overestimates the direct normal irradiance of the PAR band by only 2.2%. With this, the results of the PAR band are more conclusive, as it has been found that for direct normal irradiance values higher than 280 W/m2 the MBE error is almost zero and the other two estimator errors are small, about 5%. © 2010 Springer-Verlag.This work was supported by the Spanish Government through MEC grant MAT2009-14625-C03-03, and is a part of the activities of the Grup d'Optoelectronica i Semiconductors of the Polytechnic University of Valencia. The translation of this paper was funded by the Universidad Politecnica de Valencia, Spain.Serrano Jareño, MA.; Boscá Berga, JV. (2011). Validation of a method to estimate direct normal irradiance of UVA and PAR bands from global horizontal measurements for cloudless sky conditions in Valencia, Spain, by a measurement campaign. Theoretical and Applied Climatology. 103(1):95-101. https://doi.org/10.1007/s00704-010-0284-9S951011031Barth J, Cadet J, Césarini JP, Fitzpatrick TB, McKinlay A, Mutzhas M, Pathak M, Peak M, Sliney D, Urbach F (1999) TC 6-26 report: Standardization of the terms UV-A1, UV-A2 and UV-B, CIE 134-1999 ISBN 3-900-734-94-1Batlles FJ, Olmo FJ, Alados-Arboledas L (1995) On shadowband correction methods for diffuse irradiance measurements. Solar Energy 54(5):105–114Drummond AJ (1956) On the measurement of sky radiation. Arch 602 Meteor Geophys Bioklim B 7:413–436Gueymard C (1995) SMARTS2: a simple model of the atmospheric radiative transfer of sunshine: algorithms and performance assessment. FSEC-PF-270-95, Florida Solar Energy CenterGueymard C (2003) SMARTS2 code, versión 2.9.2. User’s Manual, Solar Consulting Services Bailey CO. Available from http://rredc.nrel.gov/solar/models/SMARTS/smarts_index.htmlGueymard C (2004) The sun’s total and spectral irradiance for solar energy applications and solar radiation models. Solar Energy 76:423–453Häder DP, Lebert M, Marangoni R, Colombetti G (1999) ELDONET-European light dosimeter network hardware and software. J Photochem Photobiol B: Biol 52:51–58Häder DP, Lebert M, Colombetti G, Figueroa F (2001) European light dosimeter network (ELDONET). Helgol Mar Res 55:35–44Iqbal M (1983) An introduction to solar radiation. Academic, TorontoKudish AI, Evseev EG (2008) The assessment of four different correction models applied to the diffuse radiation measured with a shadow ring using global and normal beam radiation measurements for Beer Sheva, Israel. Solar Energy 82(2):144–156LeBaron BA, Michalsky JJ, Perez R (1990) A simple procedure for correcting shadowband data for all sky conditions. Solar Energy 44:249–256Marín Fernández MJ (2007) Estudio de la irradiancia solar ultravioleta y eritemática en la Comunidad Valenciana. Doctoral Thesis University of Valencia (Spain)Perez R, Ineichen P, Seals R, Michalsky JJ, Stewart R (1990) Modelling daylight availability and irradiance components from direct and global irradiance. Sol Energy 44:271–289Pinazo JM, Cañada J, Bosca JV (1995) A new method to determine Ångström's turbidity coefficient: its application for Valencia. Solar Energy 54:219–226Serrano MA, Boscá JV, Cañada J (2008) The determination of a band factor to express irradiance of UV and PAR wavelength ranges in a clean and dry atmosphere at Valencia (Spain). Int J Ambient Energy 29(4):171–180Utrillas MP, Boscà JV, Martinez-Lozano JA, Cañada J, Tena F, Pinazo JM (1998) A comparative study of Spectral2, and Smarts2 parameterised models based on spectral irradiance measurements at Valencia, Spain. Solar Energy 63:161–171Utrillas MP, Marín MJ, Esteve AR, Tena F, Cañada J, Estellés V, Martínez Lozano JA (2007) Diffuse UV erythemal radiation experimental values. J Geophy Res 112:387–39

Quantum W-symmetry in AdS_3

It has recently been argued that, classically, massless higher spin theories in AdS_3 have an enlarged W_N-symmetry as the algebra of asymptotic isometries. In this note we provide evidence that this symmetry is realised (perturbatively) in the quantum theory. We perform a one loop computation of the fluctuations for a massless spin $s$ field around a thermal AdS_3 background. The resulting determinants are evaluated using the heat kernel techniques of arXiv:0911.5085. The answer factorises holomorphically, and the contributions from the various spin $s$ fields organise themselves into vacuum characters of the W_N symmetry. For the case of the hs(1,1) theory consisting of an infinite tower of massless higher spin particles, the resulting answer can be simply expressed in terms of (two copies of) the MacMahon function.Comment: 23 pages; v2: References adde

Spatially homogeneous Lifshitz black holes in five dimensional higher derivative gravity

We consider spatially homogeneous Lifshitz black hole solutions in five dimensional higher derivative gravity theories, which can be possible near horizon geometries of some systems that are interesting in the framework of gauge/gravity duality. We show the solutions belonging to the nine Bianchi classes in the pure R^2 gravity. We find that these black holes have zero entropy at non-zero temperatures and this property is the same as the case of BTZ black holes in new massive gravity at the critical point. In the most general quadratic curvature gravity theories, we find new solutions in Bianchi Type I and Type IX cases.Comment: 15 pages, no figure; v2, refs added, version to appear in JHE

Pharmacists in Pharmacovigilance: Can Increased Diagnostic Opportunity in Community Settings Translate to Better Vigilance?

The pharmacy profession has undergone substantial change over the last two to three decades. Whilst medicine supply still remains a central function, pharmacist’s roles and responsibilities have become more clinic and patient focused. In the community (primary care), pharmacists have become important providers of healthcare as Western healthcare policy advocates patient self-care. This has resulted in pharmacists taking on greater responsibility in managing minor illness and the delivery of public health interventions. These roles require pharmacists to more fully use their clinical skills, and often involve diagnosis and therapeutic management. Community pharmacists are now, more than ever before, in a position to identify, record and report medication safety incidents. However, current research suggests that diagnostic ability of community pharmacists is questionable and they infrequently report to local or national schemes. The aim of this paper is to highlight current practice and suggest ways in which community pharmacy can more fully contribute to patient safety

Cellulolytic Bacteria in the foregut of the dromedary camel (Camelus dromedarius)

Foregut digesta from five feral dromedary camels were inoculated into three different enrichment media: cotton thread, filter paper, and neutral detergent fiber. A total of 283 16S rRNA gene sequences were assigned to 33 operational taxonomic units by using 99% species-level identity. LIBSHUFF revealed significant differences in the community composition across all three libraries

Clinicopathological Profile and Surgical Treatment of Abdominal Tuberculosis: A Single Centre Experience in Northwestern Tanzania.

Abdominal tuberculosis continues to be a major public health problem worldwide and poses diagnostic and therapeutic challenges to general surgeons practicing in resource-limited countries. This study was conducted to describe the clinicopathological profile and outcome of surgical treatment of abdominal tuberculosis in our setting and compare with what is described in literature. A prospective descriptive study of patients who presented with abdominal tuberculosis was conducted at Bugando Medical Centre (BMC) in northwestern Tanzania from January 2006 to February 2012. Ethical approval to conduct the study was obtained from relevant authorities. Statistical data analysis was performed using SPSS version 17.0. Out of 256 patients enrolled in the study, males outnumbered females. The median age was 28 years (range = 16-68 years). The majority of patients (77.3%) had primary abdominal tuberculosis. A total of 127 (49.6%) patients presented with intestinal obstruction, 106 (41.4%) with peritonitis, 17 (6.6%) with abdominal masses and 6 (2.3%) patients with multiple fistulae in ano. Forty-eight (18.8%) patients were HIV positive. A total of 212 (82.8%) patients underwent surgical treatment for abdominal tuberculosis. Bands /adhesions (58.5%) were the most common operative findings. Ileo-caecal region was the most common bowel involved in 122 (57.5%) patients. Release of adhesions and bands was the most frequent surgical procedure performed in 58.5% of cases. Complication and mortality rates were 29.7% and 18.8% respectively. The overall median length of hospital stay was 32 days and was significantly longer in patients with complications (p < 0.001). Advanced age (age ≥ 65 years), co-morbid illness, late presentation, HIV positivity and CD4+ count < 200 cells/μl were statistically significantly associated with mortality (p < 0.0001). The follow up of patients were generally poor as only 37.5% of patients were available for follow up at twelve months after discharge. Abdominal tuberculosis constitutes a major public health problem in our environment and presents a diagnostic challenge requiring a high index of clinical suspicion. Early diagnosis, early anti-tuberculous therapy and surgical treatment of the associated complications are essential for survival