Comparative study of pre-operative CT scan and per-operative findings in carcinoma ovary

Background: Initial therapy for ovarian carcinoma involves aggressive surgery to remove as much tumor as possible. However, this procedure is not beneficial for patients unless tumor is optimally debulked. This study was performed to compare the CT scan findings and per-operative findings and to determine whether CT can be used to predict the success of debulking surgery.Methods: A retrospective and prospective   study was conducted from 2011 to 2013 comparing pre operative CT scan findings and per operative findings of patients diagnosed with carcinoma ovary. 59 patients met the inclusion criteria. Five radiographic features were analysed and a  score of 0 to 2 was assigned to each. These scores were added and compared to the surgical results.Results: We found that CT was highly sensitive in the diagnosis of retroperitoneal lymph node, ascites and omental involvement with sensitivity of 85.7%, 100% and 73.6% respectively. Sensitivity to detect peritoneal deposits and sub diaphragm deposits was 60% and 16.6% respectively. Specificity was uniformly greater than 85% for all parameters except ascites and retro peritoneal lymph nodes which was 71.4% and 54.8%. On a 10-point preoperative CT scoring system, a score of ≥3 identified patients whose tumors were not successfully debulked with a sensitivity of 79% and a specificity of 93%.Conclusions: CT scan is highly sensitive and specific in identifying metastatic disease and can be used as a pre-operative tool in advanced carcinoma ovary to guide further management

A rare case of arteriovenous malformation following hysterectomy in a case of choriocarcinoma

A uterine arteriovenous malformation (AVM) is a rare cause of uterine bleeding. It may have varied presentations ranging from being completely asymptomatic; to features of congestive heart failure, to vaginal bleeding which may at times life be threatening. Clinical findings in such cases are often un-reliable; requiring a high index of suspicion to make the diagnosis. We report a case of a 46-year-old lady who presented with heavy vaginal bleeding. She has undergone hysterectomy with a histopathology of choriocarcinoma one and half months back. She has received chemotherapy and 8 fractions of radiotherapy for the same. AVM was diagnosed following a CT angiogram and was managed by embolization. We also discuss in brief about this uncommon but serious condition which the radiologist/gynaecologist may encounter in their practice. AV Malformation is a rare but potentially life-threatening cause of vaginal bleeding which must be kept in the differential diagnosis of sudden and massive vaginal bleeding. It requires a high index of clinical suspicion. Despite its rarity, early recognition of an AVM is imperative to enable timely diagnosis and intervention

Blood manufacturing methods affect red blood cell product characteristics and immunomodulatory activity

Transfusion of red cell concentrates (RCCs) is associated with increased risk of adverse outcomes that may be affected by different blood manufacturing methods and the presence of extracellular vesicles (EVs). We investigated the effect of different manufacturing methods on hemolysis, residual cells, cell-derived EVs, and immunomodulatory effects on monocyte activity. Thirty-two RCC units produced using whole blood filtration (WBF), red cell filtration (RCF), apheresis-derived (AD), and whole blood-derived (WBD) methods were examined (n = 8 per method). Residual platelet and white blood cells (WBCs) and the concentration, cell of origin, and characterization of EVs in RCC supernatants were assessed in fresh and stored supernatants. Immunomodulatory activity of RCC supernatants was assessed by quantifying monocyte cytokine production capacity in an in vitro transfusion model. RCF units yielded the lowest number of platelet and WBC-derived EVs, whereas the highest number of platelet EVs was in AD (day 5) and in WBD (day 42). The number of small EVs (<200 nm) was greater than large EVs (≥200 nm) in all tested supernatants, and the highest level of small EVs were in AD units. Immunomodulatory activity was mixed, with evidence of both inflammatory and immunosuppressive effects. Monocytes produced more inflammatory interleukin-8 after exposure to fresh WBF or expired WBD supernatants. Exposure to supernatants from AD and WBD RCC suppressed monocyte lipopolysaccharide-induced cytokine production. Manufacturing methods significantly affect RCC unit EV characteristics and are associated with an immunomodulatory effect of RCC supernatants, which may affect the quality and safety of RCCs

Role of anisotropy in the spin-dimer compound BaCuSi2O6

We present results of magnetisation and electron paramagnetic resonance experiments on the spin-dimer system BaCuSi2O6. Evidence indicates that the origin of anisotropic terms in the spin Hamiltonian is from magnetic dipolar interactions. Axial symmetry-breaking is on a very small energy scale of ~11 mK, confirming Bose Einstein condensation critical scaling over an extended temperature range in the vicinity of the quantum critical point.Comment: 4 pages, 4 figure

Atherogenic dyslipidemia in diabetic nephropathy: lipoprotein (a), lipid ratios and atherogenic index

Background: Atherogenic lipid profile is reported to become pronounced with onset of nephropathy. Lipid ratios also indicate atherogenic dyslipidemia. Lipoprotein (a) [(Lp(a)] considered as an independent risk factor for cardiovascular diseases (CVD), may play an important role in development and progression of nephropathy in type 2 diabetes mellitus (T2DM). The present study aimed to assess atherogenic dyslipidemia in T2DM and diabetic nephropathy patients. Methods: Total cholesterol (TC), triglycerides(Tgl), high density lipoprotein (HDL), low density lipoprotein (LDL), very low density lipoprotein (VLDL), Lp(a), lipid ratios: TC/HDL, Tgl/HDL, LDL/HDL, non-HDL cholesterol and atherogenic index (AI) was assessed in T2DM (n=35), diabetic nephropathy (n=30) and healthy individuals (n=30). Means of biochemical parameters were compared by ANOVA (analysis of variance). Pearson correlation was performed to study the association between parameters. Receiver operating characteristics (ROC) curve analysis was done to assess the predictive ability of the variables.Results: Atherogenic dyslipidemia with elevated Lp(a), TC, Tgl, VLDL, LDL, non-HDL cholesterol, lipid ratios, AI and low HDL levels were observed in both T2DM patients with and without nephropathy when compared to controls. Significantly high Tgl/HDL, TC/HDL and AI were observed in diabetic nephropathy when compared to T2DM. Conclusion: T2DM and diabetic nephropathy are associated with dyslipidemia which was more pronounced in diabetic nephropathy. Elevated Lp(a) levels may be considered as an independent CVD risk marker in T2DM and diabetic nephropathy patients along with atherogenic lipid ratio indicators

GENETIC INVOLVEMENT OF INTERLEUKIN 4 FOR ASTHMA AND IDENTIFICATION OF POTENTIAL PHYTOCHEMICAL SCAFFOLD THROUGH MOLECULAR DOCKING STUDIES

Objective: Interleukin 4, an important cytokine, has the major role in the immunomodulatory responses associated with asthma. The present study focused on the involvement of single nucleotide polymorphism variation (SNP) of interleukin 4 (IL4) in the development of disease, asthma and designing small molecules for the inhibition of IL4 through in silico strategy.Methods: Identification of disease causing SNP will be a wise approach towards the phenotype specific treatment. A human origin deleterious no synonymous SNP of IL4 were found out in the chromosome region 5q31-q33 (rs199929962) (T/C). Proteins of the corresponding nucleotide variation were identified and were subjected to characterization studies for selecting the most appropriate one for further mutational analysis and molecular docking studies.Results: Influence of microbes on SNP variation of IL4 gene leading to asthma was found to be insignificant by metagenomic studies. Gene responsive drugs were identified through environmental factor analysis. The drug candidates including corticosteroids were subjected to protein interaction studies by in silico means. The pharmacophoric feature derived from drug receptor interaction was utilized for virtual screening on a dataset of anti-inflammatory phytomolecules. The scaffolds of ellagic acid and quercetin were identified as potential nonsteroidal entities which can shield the asthmatic activities.Conclusion: Developing small molecules using these scaffolds taking interleukin 4 as a target will be an adequate solution for steroid resistant asthma

Effect of a single Dialysis session on plasma Lp(a) levels in patients on Maintenance haemodialysis

Background: &#xd;&#xa;Cardiovascular disease (CVD) is a major cause of mortality in End stage renal disease (ESRD) patients on Maintenance haemodialysis (MHD). Lp (a), is a specialized form of glycoprotein-LDL-cholesterol complex and is an independent risk factor for myocardial infarction. The risk is related to its atherogenic and thrombogenic properties. The present study was taken up to evaluate changes in Lp(a) and Lipid profile in patients undergoing hemodialysis session. &#xd;&#xa;&#xd;&#xa;Methodology: &#xd;&#xa;Twenty seven patients with end stage renal disease who were on maintenance hemodialysis were included. Plasma samples were collected hourly during a dialysis session with polysulfone membrane using bicarbonate dialysate. Plasma cholesterol, triglycerides, and Lp(a) were estimated on Beckmann CX9 Fully Automated Analyzer using commercial kits. Statistical analysis was performed using SPSS for windows version 11.5.&#xd;&#xa;&#xd;&#xa;Results: &#xd;&#xa;Results of analysis of variance for repeated measures after correction for hemoconcentration where necessary revealed a decrease in Lp(a) (p=0.022) and triglycerides (p=0.001) levels and no change in cholesterol (p=0.48) levels.&#xd;&#xa;&#xd;&#xa;Conclusion: &#xd;&#xa;Maintenance dialysis program is known to produce Dyslipidemia. Study of Lp(a) in dialysis patients is important as this is an independent risk marker. However there are very few reports on changes in Lp(a) due to the dialysis session. Our findings will be discussed in comparison with other reports.&#xd;&#xa

An X-Ray Survey of the Open Cluster NGC 6475 (M7) with ROSAT

A ROSAT x-ray survey, with complimentary optical photometry, of the open cluster NGC 6475 has enabled the detection of approx. 50 late-F to K0 and approx. 70 K/M dwarf new candidate members, providing the first reliable detection of low-mass stars in this low. galactic latitude, 220 Myr old cluster. The x-ray observations reported here have a typical limiting sensitivity of L(sub x) approx. equal to 10(exp 29) erg/s. The detection frequency of early type cluster members is consistent with the hypothesis that the x-ray emitting early type stars are binary systems with an unseen, low-mass secondary producing the x rays. The ratio between x-ray and bolometric luminosity among NGC 6475 members saturates at a spectral-type/color which is intermediate between that in much younger and in much older clusters, consistent with rotational spindown of solar-type stars upon their arrival on the ZAMS. The upper envelope of x-ray luminosity as a function of spectral type is comparable to that of the Pleiades, with the observed spread in x-ray luminosity among low-mass members being likely due to the presence of binaries and relatively rapid rotators. However, the list of x-ray selected candidate members is likely biased against low-mass, slowly rotating single stars. While some preliminary spectroscopic information is given in an appendix, further spectroscopic observations of the new candidate members will aid in interpreting the coronal activity among solar-type NGC 6475 members and their relation to similar stars in older and younger open clusters