Dermatological adverse drug reactions in tertiary care hospital: an analysis of causality and severity

Background: Dermatological adverse drug reactions (ADRs) are easily detected by patients and that precludes further usage of drugs. So, decided to study the pattern, causative drugs, severity of adverse drug reactions and their causality in tertiary care hospital.Methods: It was prospective non inventional cross sectional study. Patients attending OPD or admitted to IPD of all age group and both gender with suspected dermatological ADRs following drug intake were included and the ADRS were recorded on CDSCO’s Pharmacovigilance form. Collected data was analyzed for assessment of causality using WHO-UMC scale, for severity by using Modified Hartwig and Siegel. Morphological pattern, drug groups, gender and age distribution was analyzed.Results: 231 dermatological ADRs were recorded and analyzed. Maximum cases were found in 21-30 years age group (74 cases). Dermatological ADRs were found in 143 females and in 88 males. Three major classes of drugs found responsible for causing dermatological ADRs were -oral Antimicrobials-41 (17.75%) and Injectable Antimicrobials-40 (17.32%), NSAID's-40 (17.32%.) and Topical Betnovate-36 (15.58%.). Regarding the type, 95 cases were of maculopapular rashes (41.12%), steroid damaged face in 42 (18.18%) andacute urticaria in 20 (8.65%). In terms of Severity assessment, authors found 23 cases (9.95%) as Mild, 176 cases (76.19%) of moderate severity and 32 cases (13.85%) of Severe category. In terms of causality assessment: 3 cases as Certain, 68 cases as Probable and 160 cases as Possible.Conclusions: From this study, it was found maximum Dermatological ADRs of moderate severity and few cases of causality category as “Certain”

On b-chromatic Number of Prism Graph Families

A b-coloring of graph is a proper -coloring that verifies the following property: for every color class , 1≤≤, there exists a vertex , with color , such that all the other colors in are utilized in neighbors. The b-chromatic number of a graph , denoted by (), is the largest integer such that may have a b-coloring by colors. In this paper we discuss the b-coloring of prism graph , central graph of prism graph (), middle graph of prism graph () and the total graph of prism graph () and we obtain the b-chromatic number for these graphs

Biological control potential of North West Himalayan strains of heterorhabditid nematodes against the turnip moth, Agrotis segetum (Denis & Schiffermuller) (Lepidoptera: Noctuidae)

Himachal Pradesh is a northern state of India and is situated to the southern of the mighty Himalaya. The agro-climatic conditions are conducive for the production of off-season vegetables. Biological control by entomopathogenic nematodes (EPNs) is one of the alternatives to manage the turnip moth, Agrotis segetum (Denis & Schiffermuller) (Lepidoptera: Noctuidae). The present study was, therefore, undertaken with the objective to assess the virulence of local EPN isolates from Himachal Pradesh, Heterorhabditis sp., against pests to minimize the use of insecticides during crop protection. Against L3–L5 of A. segetum, Heterorhabditis indica was found highly effective, resulting in 33.33–93.33% mortality at 40 infective juveniles (IJs)/larva after 96 h of treatment. Among local isolates, Heterorhabditis sp. (HSG) influenced maximum mortality of L3 and L4, whereas in L5, H. bacteriophora (HRJ) influenced maximum mortality. The sensitivity of L3 to different EPNs was (7.0–16.6%) higher than that of L4. In soil bioassay carried out against L4 of A. segetum, H. bacteriophora (HRJ) was found highly effective, followed by Heterorhabditis sp. (HKM) and Heterorhabditis sp. (HSG) at 10,000 IJs/kg of soil. The mortality varied from 78.33 to 81.67% with local isolates after 7 days of treatment. The results suggested that EPNs can be used as one of the components for managing A. segetum under field and greenhouse conditions to reduce over dependence on insecticides

Pathogenicity of Heterorhabditis nematodes isolated from north-western Himalaya against the larvae of Plutella xylostella (L.) (Lepidoptera: Plutellidae)

The efficacy of three entomopathogenic nematodes (Heterorhabditis spp.), from north western Himalaya, India was studied against the diamondback moth, Plutella xylostella (Linnaeus, 1758) (Lepidoptera: Plutellidae), under laboratory conditions. The larvae were exposed to 10, 20, 30 and 40 infective juveniles (IJs) of each nematode species for different time periods and they were found to be susceptible to all the EPNs tested. However, the susceptibility of larvae to nematode infection varied according to the dosages of IJs and their exposure periods. The efficacy of these indigenous entomopathogenic nematodes was also evaluated against the commercially available entomopathogenic nematode H. indica. An indigenous isolate, H. bacteriophora (HRJ), along with the commercial isolate H. indica recorded 100.0% mortality of insect larvae in 96 h exposure time against third instar larvae of P. xylostella. However, it was noticed that with the advancement of larval stage its mortality rate reduces and vice versa with the exposure period. All the tested nematode species were also found to reproduce within the host and produced infective juveniles. In conclusion, the evidence obtained in this study suggests that all the three indigenous EPN species are virulent enough to produce 100% mortality of larvae of P. xylostella. These EPN species thus have potential for the management of P. xylostella under integrated management practices

Status of soluble vascular cell adhesion molecule-1 in knee osteoarthritis among type 2-diabetic postmenopausal women

Background: Knee osteoarthritis is the most common form of joint disorder and a leading cause of pain and functional disability among elderly female population.  Type 2-diabetes is frequently reported comorbidity in elderly female patients with knee osteoarthritis. VCAM-1 is emerging as a strong and independent predictor for severe osteoarthritis. VCAM-1 is an inducible cell surface sialo glycoprotein and mediates heterotypic cellular aggregation. Therefore, the aim of this study is to assess the role of soluble vascular cell adhesion molecule-1 at the onset of knee osteoarthritis among type 2 diabetic postmenopausal women.Methods: The present study includes 100 type 2-diabetic female subjects of age above 50 years as cases and 100 normal healthy female age matched individuals as controls. Osteoarthritis of knee was ascertained using the American college of rheumatology classification criteria. Serum soluble VCAM-1 concentration was measured by ELISA method in all 200 subjects. Biochemical parameters-Fasting blood sugar and lipid profile were measured using Mind ray BS-400 and HbA1c was measured by turbidimetric immunoassay method. Statistical analysis was made by student independent sample t-test. Correlation was determined by using spearman’s rank correlation coefficient.Results: Serum level of soluble VCAM-1 was found statistically highly significant (p<0.001) in type 2 diabetic postmenopausal women having early stage of knee osteoarthritis as compared to control healthy subjects. The mean levels of fasting blood sugar, HbA1c, total cholesterol, TG, LDL-C and VLDL-C were also found significantly increased while HDL-C was found significantly decreased in cases as compared to controls.Conclusions: The increased level of soluble VCAM-1 in type 2 diabetic subjects shows active inflammation or cartilage damage. Therefore, it can be used as an early biomarker for osteoarthritis among type 2 diabetic postmenopausal women

Irrigated pinto bean crop stress and yield assessment using ground based low altitude remote sensing technology

The pinto bean is one of widely consumed legume crop that constitutes over 42% of the U.S dry bean production. However, limited studies have been conducted in past to assess its quantitative and qualitative yield potentials. Emerging remote sensing technologies can help in such assessment. Therefore, this study evaluates the role of ground-based multispectral imagery derived vegetation indices (VIs) for irrigated the pinto bean stress and yield assessments. Studied were eight cultivars of the pinto bean grown under conventional and strip tillage treatments and irrigated at 52% and 100% of required evapotranspiration. Imagery data was acquired using a five-band multispectral imager at early, mid and late growth stages. Commonly used 25 broadband VIs were derived to capture crop stress traits and yield potential. Principal component analysis and Spearman’s rank correlation tests were conducted to identify key VIs and their correlation (rs) with abiotic stress at each growth stage. Transformed difference vegetation index, nonlinear vegetation index (NLI), modified NLI and infrared percentage vegetation index (IPVI) were consistent in accounting the stress response and crop yield at all growth stages (rs \u3e 0.60, coefficient of determination (R2): 0.50–0.56, P \u3c 0.05). Ten other VIs significantly accounted for crop stress at early and late stages. Overall, identified key VIs may be helpful to growers for precise crop management decision making and breeders for crop stress response and yield assessments