Immunophenotypic expression profile of multiple myeloma cases at a tertiary hospital in Nairobi Kenya

Introduction: Multiple myeloma (MM) is a plasma cell neoplasm that constitutes 10–15% of all hematopoietic neoplasms. Kenya is placed among the top five African countries for MM incidence and MM-related mortality. Prior studies have suggested that the aberrant expression of Cyclin D1, CD56, CD117 and Ki-67 on neoplastic plasma cells is useful in disease prognostication. The prevalence and significance of expression of these markers in a cohort of MM cases in Kenya has not been studied previously. Methods: A retrospective cross-sectional study was carried out at the Aga Khan University Hospital, Nairobi. The study population included 83 MM cases with available trephine blocks archived between 1st of January 2009 and 31st of March 2020. Immunohistochemical expression of Cyclin D1, CD56, CD117, and Ki-67 was analyzed and scored. The biomarkers were described using frequencies based on the positive and negative results. Fisher’s exact test was used to determine the association between the immunophenotypic markers and categorical variables. Results: Of the 83 selected cases, expression of Cyclin D1, CD56, CD117 and Ki- 67 was identified in 28.9, 34.9, 7.2, and 50.6%, respectively. Cyclin D1 positivity was significantly associated with hypercalcemia. Absence of CD117 expression was noted to be associated with adverse risk parameters including an IgA isotype or light chain disease, International Staging System (ISS) stage III disease, abnormal baseline serum free light chains (sFLC) and a high plasma cell burden. Conclusion: Cyclin D1 expression was congruent with previously reported studies. The frequency of CD56 and CD117 expression was lower than previously reported. This may be due to differences in disease biology between the study populations. Approximately half of cases were Ki-67 positive. Our data showed limited associations between the expression of studied markers and clinicopathologic variables. However, this could be attributed to the small study sample size. We would recommend further characterization of the disease in a larger prospective study with the inclusion of survival outcomes and cytogenetic studies

Inhibitory effect of Polyram DF and Capsicum annum on leaf spot of rose caused by Curvularia lunata in vitro and in planta

Rose plants are affected by several diseases caused by fungi, nematode, bacteria, viruses, and other pests. Among all of these, Curvularia lunata causes significant losses to Roses. Present study was focused on In-vitro and In-vivo management of the “Curvularia leaf spot of Rose” caused by Curvularia lunata by using different fungicides and phyto-extracts. Diseased samples were collected from floriculture area of University of Agriculture, Faisalabad for isolation of pathogen. Five fungicides i.e., Cabrio-Top, Curzate-M, Aliette, Polyram-DF and Recado @ (50ppm, 100ppm and 150ppm) and five plant extracts i.e., Allium cepa, Capsicum annuum, Aloe vera, Menthaand Calotropis gigantean with three concentrations @ (5%, 10% and 15%) were evaluated under lab conditions through poisoned food technique by using Complete Randomized Design (CRD), where C. annuum gave best results (9.129mm) followed by Calotropis gigantea (13.003mm), and Polyram-DF was effective (2.218mm) followed by Curzate-M (6.542mm). Best performing fungicides and plant-extracts were subjected to In-vivo management trials. Under green-house conditions, combination of Capsicum annuum + Calotropis gigantean and Polyram-DF + Curzate-M were shown least disease incidence (14.517 and 3.224%). LSD was used for comparing variations between treatments at 5% probability. The results of these experiments were to aid in the evaluation of fungicides and Phyto-extracts, which are the most effective chemicals and phyto-extracts against leaf Spot disease of Rose

Estimation of biocidal potential of desert phytopowders for the management of citrus canker

Citrus is one of the most important fruit crops, throughout the world. It is a rich source of antioxidants and vitamin C. Citrus canker is a potential threat to its successful production. In current study, ten desert phytopowders including Xanthium strumarium, Dipterygium galucun, Leptadenia pyrotechnica, Haloxylon recurvum, Suaeda fruticosa, Salsola baryosma, Citrulus colocynthis, Abutilon indicum, Aerva javanica, and Calotropis procera at three different concentrations (5.0, 7.5 and 10.0%) were evaluated under in vitro conditions against Xanthomonas citri pv. citri. Among all phytopowders, X. strumarium and S. fruticosa, showed maximum inhibition zone (40 mm) followed by S. baryosma (38.50 mm) C. colocynthis (37 mm), Abutilon indicum (34 mm), H. recurvum (32 mm), D. galucun (30.5 mm), A. javanica, (29.50 mm), L. pyrotechnica, (29.5 mm) and C. procera (28 mm) as compared to control. Then, effective phytopowders were applied under greenhouse and field conditions @ 5.0, 7.5 and 10.0% against citrus canker. Combination of X. strumarium + S. baryosma showed minimum disease severity (22%) followed by X. strumarium (26%), X. strumarium + S. fruticosa (27%), S. fruticosa (27%), X. strumarium + S. baryosma (27%), and S. baryosma (29%) as compared to control. While in field experiment, the combination of X. strumarium + S. fruticosa showed significant results with minimum disease severity (32%) followed by S. fruticosa + S. baryosma (32%), X. strumarium + S. baryosma (33%), S. baryosma (35%), X. strumarium (36%) and S. fruticosa (36%) as compared to control. It is concluded that application of X. strumarium + S. baryosma phytopowders will be helpful for farmers to combat citrus canker

The state of ambient air quality in Pakistan—a review

Background and purpose: Pakistan, during the last decade, has seen an extensive escalation in population growth, urbanization, and industrialization, together with a great increase in motorization and energy use. As a result, a substantial rise has taken place in the types and number of emission sources of various air pollutants. However, due to the lack of air quality management capabilities, the country is suffering from deterioration of air quality. Evidence from various governmental organizations and international bodies has indicated that air pollution is a significant risk to the environment, quality of life, and health of the population. The Government has taken positive steps toward air quality management in the form of the Pakistan Clean Air Program and has recently established a small number of continuous monitoring stations. However, ambient air quality standards have not yet been established. This paper reviews the data being available on the criteria air pollutants: particulate matter (PM), sulfur dioxide, ozone, carbon monoxide, nitrogen dioxide, and lead. Methods: Air pollution studies in Pakistan published in both scientific journals and by the Government have been reviewed and the reported concentrations of PM, SO2, O3, CO, NO2, and Pb collated. A comparison of the levels of these air pollutants with the World Health Organization air quality guidelines was carried out. Results: Particulate matter was the most serious air pollutant in the country. NO2 has emerged as the second high-risk pollutant. The reported levels of PM, SO2, CO, NO2, and Pb were many times higher than the World Health Organization air quality guidelines. Only O3 concentrations were below the guidelines. Conclusions: The current state of air quality calls for immediate action to tackle the poor air quality. The establishment of ambient air quality standards, an extension of the continuous monitoring sites, and the development of emission control strategies are essential. © Springer-Verlag 2009

Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BACKGROUND Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of causes of death globally and over time, providing a nuanced understanding of the effect of these causes on global populations. METHODS The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 cause-of-death analysis estimated mortality and years of life lost (YLLs) from 288 causes of death by age-sex-location-year in 204 countries and territories and 811 subnational locations for each year from 1990 until 2021. The analysis used 56 604 data sources, including data from vital registration and verbal autopsy as well as surveys, censuses, surveillance systems, and cancer registries, among others. As with previous GBD rounds, cause-specific death rates for most causes were estimated using the Cause of Death Ensemble model-a modelling tool developed for GBD to assess the out-of-sample predictive validity of different statistical models and covariate permutations and combine those results to produce cause-specific mortality estimates-with alternative strategies adapted to model causes with insufficient data, substantial changes in reporting over the study period, or unusual epidemiology. YLLs were computed as the product of the number of deaths for each cause-age-sex-location-year and the standard life expectancy at each age. As part of the modelling process, uncertainty intervals (UIs) were generated using the 2·5th and 97·5th percentiles from a 1000-draw distribution for each metric. We decomposed life expectancy by cause of death, location, and year to show cause-specific effects on life expectancy from 1990 to 2021. We also used the coefficient of variation and the fraction of population affected by 90% of deaths to highlight concentrations of mortality. Findings are reported in counts and age-standardised rates. Methodological improvements for cause-of-death estimates in GBD 2021 include the expansion of under-5-years age group to include four new age groups, enhanced methods to account for stochastic variation of sparse data, and the inclusion of COVID-19 and other pandemic-related mortality-which includes excess mortality associated with the pandemic, excluding COVID-19, lower respiratory infections, measles, malaria, and pertussis. For this analysis, 199 new country-years of vital registration cause-of-death data, 5 country-years of surveillance data, 21 country-years of verbal autopsy data, and 94 country-years of other data types were added to those used in previous GBD rounds. FINDINGS The leading causes of age-standardised deaths globally were the same in 2019 as they were in 1990; in descending order, these were, ischaemic heart disease, stroke, chronic obstructive pulmonary disease, and lower respiratory infections. In 2021, however, COVID-19 replaced stroke as the second-leading age-standardised cause of death, with 94·0 deaths (95% UI 89·2-100·0) per 100 000 population. The COVID-19 pandemic shifted the rankings of the leading five causes, lowering stroke to the third-leading and chronic obstructive pulmonary disease to the fourth-leading position. In 2021, the highest age-standardised death rates from COVID-19 occurred in sub-Saharan Africa (271·0 deaths [250·1-290·7] per 100 000 population) and Latin America and the Caribbean (195·4 deaths [182·1-211·4] per 100 000 population). The lowest age-standardised death rates from COVID-19 were in the high-income super-region (48·1 deaths [47·4-48·8] per 100 000 population) and southeast Asia, east Asia, and Oceania (23·2 deaths [16·3-37·2] per 100 000 population). Globally, life expectancy steadily improved between 1990 and 2019 for 18 of the 22 investigated causes. Decomposition of global and regional life expectancy showed the positive effect that reductions in deaths from enteric infections, lower respiratory infections, stroke, and neonatal deaths, among others have contributed to improved survival over the study period. However, a net reduction of 1·6 years occurred in global life expectancy between 2019 and 2021, primarily due to increased death rates from COVID-19 and other pandemic-related mortality. Life expectancy was highly variable between super-regions over the study period, with southeast Asia, east Asia, and Oceania gaining 8·3 years (6·7-9·9) overall, while having the smallest reduction in life expectancy due to COVID-19 (0·4 years). The largest reduction in life expectancy due to COVID-19 occurred in Latin America and the Caribbean (3·6 years). Additionally, 53 of the 288 causes of death were highly concentrated in locations with less than 50% of the global population as of 2021, and these causes of death became progressively more concentrated since 1990, when only 44 causes showed this pattern. The concentration phenomenon is discussed heuristically with respect to enteric and lower respiratory infections, malaria, HIV/AIDS, neonatal disorders, tuberculosis, and measles. INTERPRETATION Long-standing gains in life expectancy and reductions in many of the leading causes of death have been disrupted by the COVID-19 pandemic, the adverse effects of which were spread unevenly among populations. Despite the pandemic, there has been continued progress in combatting several notable causes of death, leading to improved global life expectancy over the study period. Each of the seven GBD super-regions showed an overall improvement from 1990 and 2021, obscuring the negative effect in the years of the pandemic. Additionally, our findings regarding regional variation in causes of death driving increases in life expectancy hold clear policy utility. Analyses of shifting mortality trends reveal that several causes, once widespread globally, are now increasingly concentrated geographically. These changes in mortality concentration, alongside further investigation of changing risks, interventions, and relevant policy, present an important opportunity to deepen our understanding of mortality-reduction strategies. Examining patterns in mortality concentration might reveal areas where successful public health interventions have been implemented. Translating these successes to locations where certain causes of death remain entrenched can inform policies that work to improve life expectancy for people everywhere. FUNDING Bill & Melinda Gates Foundation

Sugarcane Smut: Current Knowledge and the Way Forward for Management

Whip smut of sugarcane is the most serious and widely spread disease of sugarcane and causes a significant reduction in cane quantity and quality. The severity of this disease often depends on the pathogen races, environmental conditions, cultivar genotype and the interaction among these three factors. Under optimum climatic conditions, this disease has the potential to cause total crop failure. Resistance screening is an ongoing process due to the variability among smut pathogen isolates. Multiple races and mutation ability of smut pathogen makes the breeding task more complex. A number of studies on various aspects of the disease epidemiology and management have been published. Due to many overlapping characteristics within the species complex, there is a dearth of information on early detection and strategies to control the smut pathogen. Furthermore, there is a need to coordinate these findings to expedite its research and control. In this paper, we summarize the disease etiology, especially disease impact on the qualitative and quantitative parameters of sugarcane. We also gathered research progress on molecular-based detection and available information on genetic variability in S.scitamineum. The research on the set of management options needed to effectively cope with the disease are reviewed herein. The present review is expected to be helpful for the further investigation on smut resistance in sugarcane

Management of Phytopathogens by Antagonistic <em>Bacillus spp</em> in Tomato Crop

Bacillus is a genus of gram-positive bacteria that is widely distributed in the environment. The species of this genus present in the endosphere, phyllosphere and rhizosphere in the plant and perform as a beneficial biocontrol agent and promote plant health. These strains exhibit diverse capabilities, including the potentiality to directly suppress the germination of microbial, stimulate plant development, reduce pathogen infections, degrade different types of hydrocarbons, function effectively across a wide temperature range, and induce immune resistance in host plants. The species/strains of Bacillus genus have proven promising biocontrol agents against a large number of fungal and bacterial causal organism, as well as plant-damaging insects. They induce a wide range of composites with antifungal properties, such as iturin, surfactin, cyclic lipopeptides, bacillomycin, bacteriocins, polyketide, lentibiotics, phospholipid, polyketide microlectine, isocosmarin and amino sugar. These compounds play a crucial role in preventing and controlling diseases in plants. The synthesis of these compounds is initiated in response to the presence of bacterial and fungal pathogen biomass and their cell walls. The purpose of this review is to offer a thorough exploration of the disease suppression mechanisms utilized by Bacillus, with a specific emphasis on their function as plant growth-promoting rhizobacteria (PGPR)

Effect of Dietary Supplementation of Compound Enzymes on Endogenous Digestive Enzymes in Cherry Valley Ducks Fed Miscellaneous Meal Diet

Abstract. The study was conducted to investigate the effect of dietary supplementation of compound enzymes on the endogenous digestive enzymes activity in cherry valley ducks fed miscellaneous meal diet. The compound enzymes consist of xylanase (10000 U/g), mannanase (18000 U/g) and glucanase (3000 U/g). One hundred and seventy-six 1-day-old healthy ducklings were randomly divided in a control and treatment group with four replicates of 22 birds each. The dietary treatments consisted the basal diet (control group) and 100 mg/kg diet of compound enzymes supplemented to the basal diet (treatment group). The levels of protease and trypsinase, amylopsin and pancrelipase were determined during starter period (7, 14 and 21 d) and growing period (28 and 42 d). The results showed that protease levels were initially increased and reached at peak level on day 21st, and then gradually decreased with age. The protease level of enzyme supplemented group was higher during starter period, but significantly lowered at growing period as compared to control group. The peak level of amylopsin activity was recorded in enzyme supplemented ducks at starter period and in control group ducks at growing period. Pancrelipase activity of enzyme supplemented ducks was initially higher but later comparatively lower than control group. Interestingly, only the trypsinase level of enzyme-supplemented ducks was significantly higher during growing period compared to control group. The obtained results suggested that dietary supplementation of compound enzymes stimulate some endogenous digestive enzymes at starter period, in cherry valley ducks fed miscellaneous meal diet

Impact of Sporisorium scitamineum infection on the qualitative traits of commercial cultivars and advanced lines of sugarcane.

Whip smut disease of sugarcane, caused by Sporisorium scitamineum, is considered one of the main constraints in the successful cultivation of sugarcane. The pathogen infection can decrease the quantity and quality of the produce. Cultivation of resistant varieties is the most feasible strategy to combat the harms of this devastating disease. Development of varieties having disease-resistance together with improved important traits such as brix, pol, purity, CSS, and low fiber contents are desirable. Therefore, we documented the variances in quality traits of 104 sugarcane cultivars under disease pressure in split-plot design with 6 replications. The split ANOVA revealed a highly significant impact (p4.032) in brix, pol, purity, and CSS of more than 40% of the cultivars used, as compared to the uninoculated ones. On the other hand, the smut infection caused a highly significant (t>4.032) increase in fiber percentage of 41 cultivars. We found significant positive correlations between smut rating and reduction of brix, pol, purity, and CSS contents. The cultivars that were caught with greater disease severity, compromised a higher reduction of their useful contents. Similarly, a significant positive correlation was found between increased fiber percent and smut rating. Remarkably, cultivars that showed immune reactions to whip smut disease were not statistically different from uninoculated ones in brix, pol, purity, CSS, and fiber contents. Variable effects of whip smut infection to quality parameters of different cultivars depict the importance of further improvement through breeding programs