Transient ischaemic attacks: mimics and chameleons.

Suspected transient ischaemic attack (TIA) is a common diagnostic challenge for physicians in neurology, stroke, general medicine and primary care. It is essential to identify TIAs promptly because of the very high early risk of ischaemic stroke, requiring urgent investigation and preventive treatment. On the other hand, it is also important to identify TIA 'mimics', to avoid unnecessary and expensive investigations, incorrect diagnostic labelling and inappropriate long-term prevention treatment. Although the pathophysiology of ischaemic stroke and TIA is identical, and both require rapid and accurate diagnosis, the differential diagnosis differs for TIA owing to the transience of symptoms. For TIA the diagnostic challenge is greater, and the 'mimic' rate higher (and more varied), because there is no definitive diagnostic test. TIA heralds a high risk of early ischaemic stroke, and in many cases the stroke can be prevented if the cause is identified, hence the widespread dissemination of guidelines including rapid assessment and risk tools like the ABCD2 score. However, these guidelines do not emphasise the substantial challenges in making the correct diagnosis in patients with transient neurological symptoms. In this article we will mainly consider the common TIA mimics, but also briefly mention the rather less common situations where TIAs can look like something else ('chameleons')

Analysis of Heart Beat Rate through Video Imaging Techniques

Health is the condition of being free from disease or injury either in physically or mentally. To provide a general state of health, analysis of physiological parameters such as heart beat rate, blood pressure, respiratory rate, hemoglobin concentration and etc. are playing an important part. Among these physiological parameters, heart beat rate is the most essential indicator of people’s health state because it is the heart rhythms to circulate the blood flow in the human body. Hence, in clinical diagnosis or for the patient in an intensive care unit, heart beat rate is the parameter that must be recorded and examined. The standard equipment like stethoscope, electrocardiogram, pulse oximetry are normally used for measuring heart beat rate but those equipment required to contact sensors to the human skin. In order to overcome the discomforts caused by the long period attachment of sensors and difficulties faced by patients who have skin damages, this research proposed a noncontact technique to measure heart beat rate through video imaging captured by an ordinary RGB camera. The acquired results from video imaging techniques are achieved more than 90% in accuracy by comparing with the results obtained through biomedical toolkit of LabVIEW. The developed techniques are attractive and suitable for regularly health care monitoring purposes due to its contactless, low cost, convenience, multiple people assessments and continuous benefits

Achievements and prospects of genomics-assisted breeding in three legume crops of the semi-arid tropics

Advances in next-generation sequencing and genotyping technologies have enabled generation of large-scale genomic resources such as molecular markers, transcript reads and BAC-end sequences (BESs) in chickpea, pigeonpea and groundnut, three major legume crops of the semi-arid tropics. Comprehensive transcriptome assemblies and genome sequences have either been developed or underway in these crops. Based on these resources, dense genetic maps, QTL maps as well as physical maps for these legume species have also been developed. As a result, these crops have graduated from ‘orphan’ or ‘less-studied’ crops to ‘genomic resources rich’ crops. This article summarizes above mentioned advances in genomics and genomics-assisted breeding applications in the form of marker-assisted selection (MAS) for hybrid purity assessment in pigeonpea; marker-assisted backcrossing (MABC) for introgressing QTL region for drought-tolerance related traits, Fusarium wilt (FW) resistance and Ascochyta blight (AB) resistance in chickpea; late leaf spot (LLS), leaf rust and nematode resistance in groundnut. We critically present the case of use of other modern breeding approaches like marker-assisted recurrent selection (MARS) and genomic selection (GS) to utilize the full potential of genomics-assisted breeding for developing superior cultivars with enhanced tolerance to various environmental stresses. In addition, this article recommends the use of advanced- backcross (AB-backcross) breeding and development of specialized populations such as multi-parents advanced generation intercross (MAGIC) for creating new variations that will help developing superior lines with broadened genetic base. In summary, we propose the use of integrated genomics and breeding approach in these legume crops to enhance crop productivity in marginal environments ensuring food security in developing countries

Genomics-assisted breeding in four major pulse crops of developing countries: present status and prospects

The global population is continuously increasing and is expected to reach nine billion by 2050. This huge population pressure will lead to severe shortage of food, natural resources and arable land. Such an alarming situation is most likely to arise in developing countries due to increase in the proportion of people suffering from protein and micronutrient malnutrition. Pulses being a primary and affordable source of proteins and minerals play a key role in alleviating the protein calorie malnutrition, micronutrient deficiencies and other undernourishment-related issues. Additionally, pulses are a vital source of livelihood generation for millions of resource-poor farmers practising agriculture in the semi-arid and sub-tropical regions. Limited success achieved through conventional breeding so far in most of the pulse crops will not be enough to feed the ever increasing population. In this context, genomics-assisted breeding (GAB) holds promise in enhancing the genetic gains. Though pulses have long been considered as orphan crops, recent advances in the area of pulse genomics are noteworthy, e.g. discovery of genome-wide genetic markers, high-throughput genotyping and sequencing platforms, high-density genetic linkage/QTL maps and, more importantly, the availability of whole-genome sequence. With genome sequence in hand, there is a great scope to apply genome-wide methods for trait mapping using association studies and to choose desirable genotypes via genomic selection. It is anticipated that GAB will speed up the progress of genetic improvement of pulses, leading to the rapid development of cultivars with higher yield, enhanced stress tolerance and wider adaptability

Chickpea

The narrow genetic base of cultivated chickpea warrants systematic collection, documentation and evaluation of chickpea germplasm and particularly wild Cicer species for effective and efficient use in chickpea breeding programmes. Limiting factors to crop production, possible solutions and ways to overcome them, importance of wild relatives and barriers to alien gene introgression and strategies to overcome them and traits for base broadening have been discussed. It has been clearly demonstrated that resistance to major biotic and abiotic stresses can be successfully introgressed from the primary gene pool comprising progenitor species. However, many desirable traits including high degree of resistance to multiple stresses that are present in the species belonging to secondary and tertiary gene pools can also be introgressed by using special techniques to overcome pre- and post-fertilization barriers. Besides resistance to various biotic and abiotic stresses, the yield QTLs have also been introgressed from wild Cicer species to cultivated varieties. Status and importance of molecular markers, genome mapping and genomic tools for chickpea improvement are elaborated. Because of major genes for various biotic and abiotic stresses, the transfer of agronomically important traits into elite cultivars has been made easy and practical through marker-assisted selection and marker-assisted backcross. The usefulness of molecular markers such as SSR and SNP for the construction of high-density genetic maps of chickpea and for the identification of genes/QTLs for stress resistance, quality and yield contributing traits has also been discussed

Effects of fluoxetine on functional outcomes after acute stroke (FOCUS): a pragmatic, double-blind, randomised, controlled trial

Background Results of small trials indicate that fluoxetine might improve functional outcomes after stroke. The FOCUS trial aimed to provide a precise estimate of these effects. Methods FOCUS was a pragmatic, multicentre, parallel group, double-blind, randomised, placebo-controlled trial done at 103 hospitals in the UK. Patients were eligible if they were aged 18 years or older, had a clinical stroke diagnosis, were enrolled and randomly assigned between 2 days and 15 days after onset, and had focal neurological deficits. Patients were randomly allocated fluoxetine 20 mg or matching placebo orally once daily for 6 months via a web-based system by use of a minimisation algorithm. The primary outcome was functional status, measured with the modified Rankin Scale (mRS), at 6 months. Patients, carers, health-care staff, and the trial team were masked to treatment allocation. Functional status was assessed at 6 months and 12 months after randomisation. Patients were analysed according to their treatment allocation. This trial is registered with the ISRCTN registry, number ISRCTN83290762. Findings Between Sept 10, 2012, and March 31, 2017, 3127 patients were recruited. 1564 patients were allocated fluoxetine and 1563 allocated placebo. mRS data at 6 months were available for 1553 (99·3%) patients in each treatment group. The distribution across mRS categories at 6 months was similar in the fluoxetine and placebo groups (common odds ratio adjusted for minimisation variables 0·951 [95% CI 0·839–1·079]; p=0·439). Patients allocated fluoxetine were less likely than those allocated placebo to develop new depression by 6 months (210 [13·43%] patients vs 269 [17·21%]; difference 3·78% [95% CI 1·26–6·30]; p=0·0033), but they had more bone fractures (45 [2·88%] vs 23 [1·47%]; difference 1·41% [95% CI 0·38–2·43]; p=0·0070). There were no significant differences in any other event at 6 or 12 months. Interpretation Fluoxetine 20 mg given daily for 6 months after acute stroke does not seem to improve functional outcomes. Although the treatment reduced the occurrence of depression, it increased the frequency of bone fractures. These results do not support the routine use of fluoxetine either for the prevention of post-stroke depression or to promote recovery of function. Funding UK Stroke Association and NIHR Health Technology Assessment Programme

Host plant resistance against sesame leaf webber and capsule borer, Antigastra catalaunalis Duponchel (Pyraustidae: Lepidoptera)

A study was conducted to identify a resistance source against sesame leaf webber and capsule borer, Antigastra catalaunalis (Dup.) among 43 sesame genotypes under field and laboratory conditions. The reaction of genotypes was categorized using 0 to 9 scoring methodology. The genotypes KMR 14 and TKG 22 were found as moderately resistant with the score of 3 and grade 5 while SI 250, ES 22 and UMA were rated to be resistant with the score 1.6 and grade 3. Among 23 genotypes tested for biophysical (non-preference) and biochemical basis (antibiosis) of resistance three genotypes viz., ES 22, UMA, SI 250 and KMR 14 were identified as less preferred for oviposition with the lowest number of eggs laid on UMA. The egg laying of A. catalaunalis was positively correlated with the trichome density on the leaf. The low growth index of A. catalaunalis in the resistant genotypes ES 22, SI 250 and UMA indicates the presence of antibiosis mechanism in the genotypes. Hence, these genotypes could be used as resistant source in hybridization programmes for transferring leaf webber and capsule borer resistance

Evaluation of sesame genotypes for resistance to sesame leaf roller and capsule borer, Antigastra catalaunalis Duponchel (Pyraustidae: Lepidoptera)

In this study, 43 sesame genotypes were tested against the sesame leaf roller and capsule borer Antigastra catalaunalis (Dup) using 0–9 scale scoring technique. The differential response of the genotypes was noticed at the various crop growth stages. The genotypes, SI 250, ES 22 and UMA showed resistance at all the three stages, i.e. vegetative, flowering and pod maturity. However, TKG 309 and CST 2001-3 showed resistance only at the vegetative stage; KMR 14 and VRI 1 exhibited resistance only at the pod maturity stage. Based on the overall grading, SI 250 and UMA genotypes were found resistant, and ES 22 was highly resistant