An asymptomatic 11 year child with ruptured sinus of Valsalva

Ruptured sinus of Valsalva (RSOV) is a rare lesion in a paediatric age group. A right sinus of Valsalva aneurysm usually ruptures into the right ventricle, while aneurysms of non-coronary sinus do so into the right atrium. RSOV usually presents in the third decade of life with congestive heart failure and is more common among Asians with male predominance. It may present as acute cardiogenic shock and sudden death or may remain completely asymptomatic with incidental detection by a murmur. Surgery is indicated as early as possible, once the diagnosis is made as without surgery, most cases will eventually succumb to uncontrollable congestive heart failure. This article reports an 11 year old child with the diagnosis of ruptured sinus of Valsalva.peer-reviewe

Green twist to an old theme. An eco-friendly approach

Owing to present environmental awareness, attempts are being made toward the evolution of environmentally benign processes using solid-supported reagents and microwave-assisted reactions. A newly developed, nonmetallic oxidative reagent, "clayan", has been exploited for various reactions such as deprotection, oxidation, oxidative coupling, and nitration and bromination of activated and deactivated arenes. In another green chemistry endeavor, reactions such as reduction and cyclization have been successfully carried out in dry media under microwave irradiation. The nonsolvent reaction, experimental simplicity, and enhanced selectivity are the main attractive features of the approach

RCC prolapse causing Aortic regurgitation in a restrictive VSD

The incidence of aortic right coronary cusp (RCC) prolapse in outlet ventricular septal defect (VSD) is reported at 5%- 16%. Detection of RCC prolapse is critical in patients with outlet VSD because this complication may cause permanent aortic regurgitation. Aortic regurgitation occurs due to a poorly supported RCC combined with the venturi effect due to the VSD jet resulting in cusp prolapse. This is an indication for VSD closure even if VSD is small and restrictive.peer-reviewe

Effect of dietary supplementation of marigold oleoresin on growth, survival and total muscle carotenoid of Koi carp, Cyprinus carpio L.

The experiment was conducted to evaluate the effect of dietary supplementation of carotenoid (marigold oleoresin) on growth, survival and total body carotenoid of Koi carp (Cyprinus carpio). The experiment was carried out in 12 fiber aquarium tanks of size 12"×6"×6"(20l capacity). Each tank was stocked with15 fishes of uniform size. The marigold oleoresin were as dietary supplement at levels 60, 120, 180, 240, 300 ppm/kg of the feed and designated as treatment T1, T2, T3, T4 and T5 respectively and diet without marigold oleoresin supplementationserved as a control (T0). The result of the experiment showed that there was significant difference found in absolute growth rate and specific growth rate of the fish (P >0.05). However, 180ppm marigold oleoresin fed fishes showed higher mean weight gain of 3.98±0.22g and lower feed conversion ratio (FCR) of 2.81±0.04 than the other treatment groups. The body coloration and total carotenoid concentration of muscle tissue (30.16±0.60?g/g) was significantly higher in fish fed with 180 ppm marigold oleoresin diet. The study showed that incorporation of 180ppm of marigold oleoresin in diet was found better to enhance the growth and coloration in C. carpio

Understanding Root Biology for Enhancing Cotton Production

Cotton is an important commercial crop grown in India. It occupies an area of about 12.7 million hectares and is grown both in irrigated as well as rainfed tracts. In such situations, roots are very important organ for plant growth and development, since they act as anchors, providing mechanical support, and chemical extractors for the growing plant. Root length density sets the proportion of water uptake both under wet conditions and dry soils. Cotton plants with efficient root system capture water and nutrients from soil having these features of longer tap root. It is widely accepted that breeding efforts on aboveground traits are not sufficient to the necessary yield advantage. Shifting the emphasis to analyzing the root system would provide an additional means to enhance yield under changing climatic condition. Belowground image analysis studies point to the importance of root system architecture for optimizing roots and rhizosphere dynamics for sustainable cotton production. In this review, we describe the cotton root biological context in which root-environment interactions providing an overview of the root growth morphology species wise, phytohormone action that control root growth, root anatomical significance in drying soils, biotic and abiotic stresses involved in controlling root growth and environmental responses

Diminishing benefits of urban living for children and adolescents’ growth and development

Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world

Incident type 2 diabetes attributable to suboptimal diet in 184 countries

The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.814.4 million) incident T2D cases, representing 70.3% (68.871.8%) of new cases globally. Largest T2D burdens were attributable to insufficient whole-grain intake (26.1% (25.027.1%)), excess refined rice and wheat intake (24.6% (22.327.2%)) and excess processed meat intake (20.3% (18.323.5%)). Across regions, highest proportional burdens were in central and eastern Europe and central Asia (85.6% (83.487.7%)) and Latin America and the Caribbean (81.8% (80.183.4%)); and lowest proportional burdens were in South Asia (55.4% (52.160.7%)). Proportions of diet-attributable T2D were generally larger in men than in women and were inversely correlated with age. Diet-attributable T2D was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern Europe and central Asia, where burdens were larger in rural residents and in lower educated individuals. Compared with 1990, global diet-attributable T2D increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. These findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce T2D globally. (c) 2023, The Author(s)