Essential Palatal Myoclonus

Introduction: Palatal myoclonus is a rare condition presenting with clicking sound in ear or muscle tremor in pharynx. There are two varieties: essential and symptomatic. Various treatment options exists ranging from watchful observation to botulinum toxin injection. We have not found any reported case of palatal myoclonus from our country. Here we present a case of essential palatal myoclonus managed with clonazepam. Case report: A young female presented in Ear Nose and Throat clinic with complain of auditory click and spontaneous rhythmic movement of throat muscles for eight months. On examination, there was involuntary, rhythmic contraction of bilateral soft-palate, uvula, and base of tongue. Neurological, eye, and peripheral examination were normal. A diagnosis of essential palatal myoclonus was made. It was managed successfully with clonazepam; patient was still on low dose clonazepam at the time of making this report. Conclusion: Essential palatal myoclonus can be clinically diagnosed and managed even in settings where MRI is not available or affordable

Otomycosis and its Predisposing Factors in Out-Patient Department of Otorhinolaryngology in a Tertiary Care Center

Introduction: Otomycosis is a fungal infection of external auditory canal frequently encountered by otorhinolaryngologists. It causes discomfort to patients with varied symptoms of pruritus, otorrhea, aural fullness and earache. People with a habit of using unnecessary ear drops, cleaning ear with unsterilized objects and those who use mustard oil are all prone to otomycosis. This study aims to find out the association between otomycosis and its predisposing factors. Methods: This study was undertaken in the Department of Otorhinolaryngology of a tertiary hospital from March 2018 to February 2019 and a total of 300 clinically diagnosed cases of otomycosis were enrolled for the study. Results: The mean age ±SD of the patients was 37.7 ± 18.8 years. Females (n=172, 57.3%) were more prone to otomycosis than males (n=128, 42.7%). The most common presenting symptom was pruritus only (n=95, 31.7%) with unilateral involvement being more common. The most common predisposing factor was mustard oil instillation (n=124, 41.3%). Aspergillus niger  was the most common fungus causing otomycosis in this study (n=104, 34.7%). Positive fungal cultures were observed in 285 specimens (95%). The fungal growth (n=285) was high in patients with the history of instilling mustard oil (42.8%) into the ear, 34.0% in topical steroid containing ear drops and 23.2% in self-cleaning group. Conclusion: Otomycosis is common in people using unnecessary steroid containing ear drops, cleaning ear with unsterilized objects and instillation of mustard oil

Effect of scion varieties and wrapping materials on success of tongue grafting in Kiwifruit (Actinidia deliciosa) in Dolakha, Nepal

This study was conducted at Boch, Bhimeshwor-8, Dolakha, Nepal from January to May, 2019 to study the effect of scion variety and wrapping materials on growth performance of kiwi seedling rootstock. The field experiment was carried out in Factorial Randomized Complete Block Design using four replications. The treatments consisted of four scion varieties (Monty, Bruno, Hayward, Allison) grafted onto one year old kiwi seedling (Actinidia deliciosa) and two types of wrapping material (Grafting tape and Polyethylene plastic). The measured traits included sprout length, diameter, number of leaves, and number of sprouted bud per graft, graft success, mortality and survival percentage of grafts. The success rate of kiwi grafting was significantly affected by the scion variety and the wrapping materials. Allison variety showed the minimum days (61.72 days) to first sprouting and the maximum length of sprouts, diameter, number of leaves and number of sprouted bud per graft at the final observation. Monty variety showed the lowest growth performance. The maximum graft success (96.87%) and survival percentage of grafts (93.75%) was observed in Allison variety statistically at par with Bruno and Hayward and the lowest graft success(73.44%) and survivability(64.21%) was observed in Monty due to high mortality of the sprouted grafts. Grafting tape was superior to polyethylene plastic in terms of days to first sprouting (64.08 days), number of sprouted buds per grafts, number of leaves, graft success (92.18%) and survival of the grafts (87.01%) at the final observation. Interactive effect was found non-significant. In a nutshell, Allison is the best scion variety for grafting under the climatic condition of Dolakha and the grafting tape was the suitable tying material

Effect of Different Edible Coatings on Postharvest Quality of Mandarin Orange (Citrus reticulata Blanco)

Although Nepal produces a large amount of mandarin it faces huge postharvest losses due to improper postharvest practices. Treating fruits with different edible coatings can minimize postharvest losses. The experiment was carried out in the horticulture lab of Prithu Technical College, Dang, Nepal to evaluate the effects of different edible coating materials on the postharvest quality of mandarin. The experiment was laid in Complete Randomized Design (CRD) with three replications and seven treatments  in each replication. Mandarins were coated with different edible coating materials i.e. paraffin wax (100%, 75% and 50%), mustard oil, Aloe vera, turmeric paste and control (non-coated). After coating with different edible materials, mandarins were kept at ambient room conditions (18±2℃ and 52.41±14.35%). The lowest physiological loss in weight at 7, 14and 21 days was recorded in mandarin coated with 75% paraffin wax which was 3.10%, 4.83% and 10.33%, respectively. The highest titratable acidity (0.68%), juice content (46.33%) and marketable fruit percentage (81.73%) were recorded in 75% paraffin wax. The highest total soluble solid (14.00 ˚Brix) was recorded in control. Based on the result obtained from our research, it is suggested to use 75% paraffin wax for the storage of mandarin at ambient room conditions (18±2℃ and 52.41±14.35% RH) as it gives a high percentage of marketable fruits and juice content and also minimizes the physiological loss in weight

Pleiotropic morphological and abiotic stress resistance phenotypes of the hyper-abscisic acid producing Abo<SUP>&#8722;</SUP> mutant in the periwinkle Catharanthus roseus

The pleiotropic properties of aabo abo (Abo&#8722;) &#947;-ray induced mutant ofCatharanthus roseuscv. Nirmal, selected among the M2 generation seeds for ability to germinate at 45&#176;C, are described. The mutant produced seeds possessing tricotyledonous embryos, unlike the typically dicotyledonous embryos present in the wild type Abo+ seeds. In comparison to Abo+ adults, the mutant plants had short stature and lanceolate leaves. The vascular bundles in the leaves and stem were poorly developed. Leaf surfaces were highly trichomatous, epidermal, cortex and mesophyll cells were small sized and a large majority of stomata were closed. Besides high temperature, the mutant was salinity and water-stress tolerant. The abscisic acid (ABA) content in the leaves was about 500-fold higher. The genetic lesionabo responsible for the above pleiotropy was recessive and inherited in Mendelian fashion. The seedlings and adult plants of the mutant accumulated higher proline than Abo+ plants. The phenotypes ofabo abo mutants permitted the conclusions that (i) the mutant synthesizes ABA constitutively, (ii) both ABA-dependent and ABA independent pathways for proline and betaine accumulation are functional in the mutant, and (iii) cell division, elongation and differentiation processes in embryo and adult plant stages are affected in the mutant

Phytochemical Profiling and Antioxidant Potential of Ailanthus Excelsa Roxb. Extracts

Abstract The stem bark of Ailanthes excelsa Roxb., known as Aralu, is commonly used as a substitute in trade and raw drug market for several other important medicinal plants like Oroxylum indicum and Holarrhena antidysenterica. In the present study, its physicochemical parameters, preliminary phytochemical screening, HPTLC fingerprinting and assessment of its antioxidant potential were carried out. The different extracts were analyzed for their total phenolic and flavonoid contents and subjected to phytochemical analysis using HPTLC and the chemical markers lupeol and stigmasterol were quantified. Lupeol and stigmasterol were found to be present only in the methanolic extract (5.3 µg/mg and 8.1 µg/mg extract respectively). Results indicated that the 50% aqueous methanolic extract contained the highest content of phenolics and flavonoids. The methanolic extract exhibited the best antioxidant potential in both the in vitro test models used viz. DPPH radical scavenging activity as well as the Total Antioxidant Capacity. The analysis results may thus be used for the routine analysis of the raw drug samples and formulations for the presence of A. excelsa. The HPTLC fingerprint profiles are especially useful as they provide a fingerprint of the various phytoconstituents present in the crude drug and can be essentially used for quality control and assessment. They may also be used for confirming the presence of authentic plant material and monitoring the consistency of different batches of finished products where A. excelsa has been used as an ingredient

Effectiveness of Same-Day Human Ear Wax Removal as an Office Procedure and Factors Associated with its Successful Removal

Introduction: There are various methods of ear wax extraction and there are no specific guidelines on this subject. Many times we ask patients to instil some wax softening product for a few days and revisit for wax removal. These revisits result in increased cost, discomfort and loss of time. We conducted this study to determine the effectiveness of same-day ear wax removal as an office procedure with one or more techniques. Our secondary objective was to find the association between various factors and successful wax removal. Methods: During the study period, all patients with ear wax managed by a single ENT surgeon were included. History and examination were done and findings noted. One or more methods including probe, forceps, hooks, curette, suction, wax softening with wax softening agents, syringing were applied for wax removal. Complete wax removal was noted as success. Results: There were a total of 63 cases of ear wax among 34 participants. Wax was successfully removed in 52 (82.5%) cases in the same day. Presence of ear ache, narrow canal, complete obstruction and hard dry wax were adversely associated with successful wax removal. Presence of ear fullness, ear discharge, or use of ear drops in home was not significantly associated with successful ear wax removal. Conclusion: We were able to extract wax from a large proportion of patients on the same day of visit, thereby reducing their cost of revisit, however there were 17.5% of cases who could not be treated successfully on the same day