ACR Appropriateness Criteria® Hodgkin Lymphoma-Favorable Prognosis Stage I and II

This topic addresses the treatment of newly diagnosed patients with favorable prognosis stage I and II Hodgkin lymphoma. In most cases, combined modality therapy (chemotherapy followed by involved site radiation therapy) constitutes the current standard of care. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. By combining the most recent medical literature and expert opinion, this revised guideline can aid clinicians in the appropriate use of combined modality therapy for favorable prognosis stage I and II Hodgkin lymphoma. Increasing information about the late effects of treatment has led to attempts to decrease toxicity by using less chemotherapy (decreased duration and/or intensity or different agents) and less radiation therapy (reduced volume and/or dose) while maintaining excellent efficacy

ACR Appropriateness Criteria® Recurrent Hodgkin Lymphoma

This topic addresses the management of recurrent Hodgkin lymphoma. While autologous stem cell transplantation may be appropriate for select cases of recurrent disease following comprehensive combined-modality therapy, other options exist for patients treated with lower-dose therapy for early-stage disease. Additionally, innovative targeted therapies provide newer salvage options to consider. The American College of Radiology Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation, or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. By combining the most recent medical literature and expert opinion, this revised guideline can aid clinicians in the complex decisionmaking associated with the management of recurrent Hodgkin lymphoma

Infrequent use of medicinal plants from India in snakebite treatment

Snakes have fascinated humankind for millennia. Snakebites are a serious medical, social, and economic problem that are experienced worldwide; however, they are most serious in tropical and subtropical countries. The reasons for this are 1) the presence of more species of the most dangerous snakes, 2) the inaccessibility of immediate medical treatment, and 3) poor health care. The goal of this study was to collect information concerning rare, less utilized, and less studied medicinal plants. More than 100 plants were found to have potential to be utilized as anti-snake venom across India. Data accumulated from a variety of literature sources revealed useful plant families, the parts of plants used, and how to utilize them. In India, there are over 520 plant species, belonging to approximately 122 families, which could be useful in the management of snakebites. This study was conducted to encourage researchers to create herbal antidotes, which will counteract snake venom. These may prove to be an inexpensive and easily assessable alternative, which would be of immense importance to society. Plants from families such as Acanthaceae, Arecaceae, Apocynaceae, Caesalpiniaceae, Asteraceae, Cucurbitaceae, Fabaceae, Euphorbiaceae, Lamiaceae, Rubiaceae, and Zingiberaceae are the most useful. In India, experts of folklore are using herbs either single or in combination with others. Keywords: Appraise traditional medicinal plants, Ethnomedicine, India, Snake antiveno

Experimental and modelling studies on a laboratory scale anaerobic bioreactor treating mechanically biologically treated municipal solid waste

The performance of an anaerobic bioreactor in treating mechanically biologically treated municipal solid waste was investigated using experimental and modelling techniques. The key parameters measured during the experimental test period included the gas yield, leachate generation and settlement under applied load. Modelling of the anaerobic bioreactor was carried out using the University of Southampton landfill degradation and transport model. The model was used to simulate the actual gas production and settlement. A sensitivity analysis showed that the most influential model parameters are the monod growth rate and moisture. In this case, pH had no effect on the total gas production and waste settlement, and only a small variation in the gas production was observed when the heat transfer coefficient of waste was varied from 20 to 100kJ/(mdK)(-1). The anaerobic bioreactor contained 1.9kg (dry) of mechanically biologically treated waste producing 10L of landfill gas over 125days

Geochemical assessment of groundwater quality for its suitability for drinking and irrigation purpose in rural areas of Sant Ravidas Nagar (Bhadohi), Uttar Pradesh

This study is aimed to assess the groundwater excellence within the rural areas of Sant Ravidas Nagar (Bhadohi), Uttar Pradesh, India. In the current work, estimation of groundwater excellence indices has been done to recognize the water quality for the appropriateness of groundwater resource for drinking and agricultural use. Twenty groundwater samples were collected and investigated for diverse geochemical parameters viz, pH, total dissolved solids (TDS), total hardness, cations and anions. The groundwater of the study region is neutral to slightly alkaline in nature. Piper’s diagram classification shows that majority of the samples belong to CaMgHCO3 hydrochemical facies. Gibbs plot specifies that majority of samples falls in rock dominance. The water quality index shows that the entire sample is under excellent water category. On the basis of TDS, all the samples are within the range of desirable to permissible for drinking and agriculture purpose. Forty percent samples of the study region are having nitrate content more than permissible limit (>50 mg/l) which is not fine for individual use. Poor drainage, domestic waste and use of N fertilization on farming land may be the main sources of nitrate in groundwater of the study region. On the basis of different water quality indices, groundwater of the study region is fit for agricultural use