Gall bladder stones and the associated histopathology– a tertiary care centre study

Background: Gall stones form one of the main reasons for recurrent upper abdomen pain. Cholecystectomy has turned out to be one of the commonest laparoscopic procedures done all over the world. The objectives of the study were to analyse the histopathological changes in gallstone disease and to study the clinical and biochemical factors that are seen in gall stone disease.Methods: This was a hospital based cross sectional study conducted at a tertiary care centre from January 2013 to December 2014. 108 patients admitted with diagnosis of cholelithiasis and posted for cholecystectomy were studied. Their clinical and biochemical data and post-operative stone analysis results and histopathological reports were collected and analyzed.Results: 63% of the patients were females with a female to male ratio of 1.7:1. Of the group, 64.8% had a BMI between 25 and 29.9. 65.7% patients got operated within one year of the onset of symptoms. Serum cholesterol levels were found elevated in majority of patients. 61% patients had multiple gall stones. 62% had stones composed of cholesterol, bilirubin, calcium carbonate and calcium oxalate. 102 out of the 108 specimens showed histological features of chronic cholecystitis only. One case showed a premalignant change in the form of pyloric metaplasia.Conclusions: Cholelithiasis is seen mostly in females, most of them having elevated cholesterol levels. The commonest histopathological change associated with cholelithiasis is chronic cholecystitis. Premalignant lesions are seen only in a small minority only. Hence early elective cholecystectomy can prevent malignant transformation in asymptomatic gall stones

A DFT study on the interaction of small molecules with alkali metal ion-exchanged ETS-10

In this paper, we present a systematic quantum-mechanical density functional theory (DFT) study of adsorption of small gas molecules in cation-exchanged Engelhard titanosilicate ETS-10 crystalline materials. Adsorbates with a range of polarities were considered, ranging from polar (H2O), quadrupolar (CO2 and N2), to apolar (CH4) atmospheric gases. Starting from the base-case of Na-ETS-10, other extra framework cations such as Li+, K+, Rb+ and Cs+ were considered. The DFT calculations were performed with the M06-L functional and were corrected for basis set superposition error with the counterpoise method in order to provide accurate and robust geometries and adsorption energies. For all adsorbates, the adsorption enthalpies decrease in the order Li+>Na+>K+>Rb+>Cs+, while adsorbate – cation interaction distances increase along the same order. For the two extreme cases, the enthalpies calculated at the M06-L/6-31++G** level of theory for CH4, N2, CO2, and H2O interaction with Li+(Cs+) exchanged materials are −21.8 (−1.7) kJ·mol−1, −19.0 (−10.7) kJ·mol−1, −34.4 (−21.3) kJ·mol−1, and −70.5 (−36.1) kJ·mol−1, respectively. Additionally, the calculated vibrational frequencies are found to be in quite good agreement with the characteristic vibrational modes of alkali metal cation-exchanged ETS-10 and also with the available experimental frequencies for CH4, N2, CO2, and H2O interactions with alkali metal cations in the 12-membered channel of ETS-10

The flexibility of modified-linker MIL-53 materials

The flexibility of eight aluminium hydroxo terephthalates [Al(OH)(BDC–X)]·n(guest) (BDC = 1,4-benzene-dicarboxylate; X = –H, –CH3, –Cl, –Br, –NH2, –NO2, –(OH)2, –CO2H) crystallising in the MIL-53-type structure was investigated upon thermal dehydration of as-made samples, superhydration and methanol adsorption/desorption using in situ powder X-ray diffraction (PXRD). Profile fitting was used to determine lattice parameters as a function of time and/or temperature to describe their structural evolution. It has thus been shown that while methanol vapour adsorption induces an opening of all the modified frameworks, except the –NH2 material, superhydration only leads to open structures for Al-MIL-53–NO2, –Br and –(OH)2. All the MIL-53 solids, except Al-MIL-53–(OH)2 are present in the open structures upon thermal dehydration. In addition to the exploration of the breathing behavior of this MIL-53 series, the issue of disorder in the distribution of the functional groups between the organic linkers was explored. As a typical illustration, density functional theory calculations were carried out on different structures of Al-MIL-53–Cl, in which the distribution of –Cl within two adjacent BDC linkers is varied. The results show that the most energetically stable configuration leads to the best agreement with the experimental PXRD pattern. This observation supports that the distribution of the selected linker substituent in the functionalised solid is governed by energetics and that there is a preference for an ordering of this arrangement

Effectiveness of Life Skills Education (LSE) Training for School Teachers in a Post Disaster Scenario

Measuring the effectiveness of the training in life skills education imparted to the school teachers in the aftermath of tsunami disaster was the broader aim of the study. Twenty five teachers from St. James High School, Vaniakudy, Government Middle School, Colachel and St. Alex Middle School, Kottilpadu were selected for the training programme with the permission of the Education Department officials at Kanniyakumari District. Profile of the participants was collected using a performa designed for the purpose. Pre-post administration of (1) Knowledge Assessment Scale (Sekar, 2007) and (3) Life Skills - Opinion Questionnaire (Bharat, Kishore Kumar & Vranda, 2005) was done to measure the effectiveness of the training. Results showed a significant knowledge difference (‘t’ value = 26.6, df – 24 ‘p’ <0.001) before and after training, indicating that the training was beneficial for the participants

A novel bacteriophage Tail-Associated Muralytic Enzyme (TAME) from Phage K and its development into a potent antistaphylococcal protein

<p>Abstract</p> <p>Background</p> <p><it>Staphylococcus aureus </it>is a major cause of nosocomial and community-acquired infections. However, the rapid emergence of antibiotic resistance limits the choice of therapeutic options for treating infections caused by this organism. Muralytic enzymes from bacteriophages have recently gained attention for their potential as antibacterial agents against antibiotic-resistant gram-positive organisms. Phage K is a polyvalent virulent phage of the <it>Myoviridae </it>family that is active against many <it>Staphylococcus </it>species.</p> <p>Results</p> <p>We identified a phage K gene, designated <it>orf</it>56, as encoding the phage tail-associated muralytic enzyme (TAME). The gene product (ORF56) contains a C-terminal domain corresponding to cysteine, histidine-dependent amidohydrolase/peptidase (CHAP), which demonstrated muralytic activity on a staphylococcal cell wall substrate and was lethal to <it>S. aureus </it>cells. We constructed N-terminal truncated forms of ORF56 and arrived at a 16-kDa protein (Lys16) that retained antistaphylococcal activity. We then generated a chimeric gene construct encoding Lys16 and a staphylococcal cell wall-binding SH3b domain. This chimeric protein (P128) showed potent antistaphylococcal activity on global clinical isolates of <it>S. aureus </it>including methicillin-resistant strains. In addition, P128 was effective in decolonizing rat nares of <it>S. aureus </it>USA300 in an experimental model.</p> <p>Conclusions</p> <p>We identified a phage K gene that encodes a protein associated with the phage tail structure. The muralytic activity of the phage K TAME was localized to the C-terminal CHAP domain. This potent antistaphylococcal TAME was combined with an efficient <it>Staphylococcus</it>-specific cell-wall targeting domain SH3b, resulting in the chimeric protein P128. This protein shows bactericidal activity against globally prevalent antibiotic resistant clinical isolates of <it>S. aureus </it>and against the genus <it>Staphylococcus </it>in general. <it>In vivo</it>, P128 was efficacious against methicillin-resistant <it>S. aureus </it>in a rat nasal colonization model.</p

Endocrine Autoimmunity in Association with Female Infertility

Infertility is the inability to conceive after a year of regular unprotected sexual intercourse, affecting 10-15% of couples. Advanced age, obesity, and certain medications can hinder fertility. Endocrine autoimmunity is increasingly recognized as a significant contributor to female infertility, often complicating various gynecological conditions. Autoimmune issues involving the hypothalamus, pituitary gland, thyroid, adrenal glands, and ovaries can impact fertility. A multidisciplinary approach is essential for diagnosing infertility, with a crucial focus on identifying potential endocrine disorders. Here we discuss how to identify endocrine autoimmune patients with ovulatory dysfunction. Women must be advised about limiting factors to be avoided, to protect their fertility. A comprehensive understanding of the underlying mechanisms, coupled with appropriate diagnostic and therapeutic approaches, is crucial for effectively managing this complex condition and helping women achieve their reproductive goals

MIL-91(Ti), a small pore metal-organic framework which fulfils several criteria : an upscaled green synthesis, excellent water stability, high CO2 selectivity and fast CO2 transport

The research leading to these results has received funding from the European Community Seventh Framework Program (FP7/2007-2013) [grant agreement number 608490] (project M4CO2) and from the ANR ‘CHESDENS’ (ANR-13-SEED-0001-01).A multidisciplinary approach combining advanced experimental and modelling tools was undertaken to characterize the promises of a small-pore type Ti-based metal-organic framework, MIL-91(Ti) for CO2 capture. This material was prepared using two synthesis strategies, i.e. under hydrothermal conditions and under reflux, and its single component adsorption behaviour with respect to CO2, CH4 and N2 was first revealed by gravimetry measurements. This hydrophilic and highly water stable MOF is characterized by a relatively high CO2 adsorption enthalpy. Molecular simulations combined with in situ powder X-ray diffraction evidenced that this is due to the combined interaction of this probe with N-H and P-O groups in the phosphonate linker. High CO2 selectivities in the presence of either N2 or CH4 were also predicted and confirmed by co-adsorption measurements. The possibility to prepare this sample under reflux represents an environmentally friendly route which can easily be upscaled. This green synthesis route, excellent water stability, high selectivities and relatively fast transport kinetics of CO2 are significant points rendering this sample of utmost interest for CO2 capture.PostprintPostprintPeer reviewe