Comparative study of anaphylaxis incidence in patients receiving anti-snake venom with or without prophylactic adrenaline: a prospective, randomized, blinded study

Background: Anti-snake venom serum (ASV) administered for snake-bite patients is the most specific treatment available. Unfortunately, it can cause severe anaphylaxis which can be fatal sometimes.Methods: Fifty patients were included in the study and randomly divided into group A, who received sub-cutaneous adrenaline before administration of anti-venom serum and group B who did not. Each group comprised of twenty-five patients. The incidences as well as the severity of anaphylaxis in both groups and also the effects of subcutaneous adrenaline on the hemodynamic were analysed.Results: Anaphylactic reactions were significantly less in group A than group B population (p0.05) implying that administration of sub-cutaneous adrenaline is safe.Conclusions: Prophylactic subcutaneous adrenaline before anti snake venom administration is highly efficacious and safe in reducing the incidence as well as severity of anaphylactic reactions

Clinical study of patients presenting to Low vision clinic in a Tertiary Eye Care Hospital

AIMS AND OBJECTIVES: To study the clinical profile of patients presenting to low vision clinic in a tertiary eye care hospital and to assess the change in the quality of life of patients using low vision devices. MATERIALS AND METHODOLOGY: The study is a hospital based Prospective observational study from July 2013 to June 2014. Totally 1049 patients were included in the study after considering the inclusion and exclusion criteria. On the first visit, a detailed history, ocular examination, visual acuity and quality of life assessment with a questionnaire is done and recorded. The patients who bought the advised low vision devices were followed up at 6 months and during the follow up visit, the similar details are obtained. The changes in the quality of life of patients who utilise the assistance with low vision device is analysed. RESULTS: Most of the patients were males (63.9%). 23.9% of patients were of less than 10 years age group. Majority of the patients were from Tamilnadu state (49.1%) and from a rural (40.3%) background. The range of Best corrected visual acuity of the better eye in 35.4% of patients was between 6/18 and 6/60. Most common etiology being Retinitis Pigmentosa. The overall acceptance rate of low vision aid is only 19.5% with the maximum for the magnifiers.There was statistically significant improvement in the quality of life of patients using low vision devices. CONCLUSION: In case of pre – school children and infants, early identification and rehabilitation is needed. For school going children, Proper guidance, co-operation with school teacher in proper identification and management. Special training about early identification for selected teachers in all schools. To incorporate an Integrated education in schools. To include in Primary eye care programs about the effective measures to make and early identification and referral of patients who would benefit from the rehabilitation services. Educate people about services and rehabilitative measures available for the low vision people. To promote self and family motivation and confidence. To promote Community based rehabilitation

Anomalous cooling of the parallel velocity in seeded beams

We have measured the parallel velocity distribution of a lithium supersonic beam produced by seeding lithium in argon. The parallel temperature for lithium is considerably lower than the calculated parallel temperature of the argon carrier gas. We have extended the theory of supersonic cooling to calculate the parallel temperature of the seeded gas, in the limit of high dilution. The theoretical result thus obtained is in good agreement with ourobservations.Comment: 01 june 200

Free energy barrier for melittin reorientation from a membrane-bound state to a transmembrane state

An important step in a phospholipid membrane pore formation by melittin antimicrobial peptide is a reorientation of the peptide from a surface into a transmembrane conformation. In this work we perform umbrella sampling simulations to calculate the potential of mean force (PMF) for the reorientation of melittin from a surface-bound state to a transmembrane state and provide a molecular level insight into understanding peptide and lipid properties that influence the existence of the free energy barrier. The PMFs were calculated for a peptide to lipid (P/L) ratio of 1/128 and 4/128. We observe that the free energy barrier is reduced when the P/L ratio increased. In addition, we study the cooperative effect; specifically we investigate if the barrier is smaller for a second melittin reorientation, given that another neighboring melittin was already in the transmembrane state. We observe that indeed the barrier of the PMF curve is reduced in this case, thus confirming the presence of a cooperative effect

The Ctf18 RFC-like complex positions yeast telomeres but does not specify their replication time

Peer reviewedPreprin

In utero exposure to transient ischemia-hypoxemia promotes long-term neurodevelopmental abnormalities in male rat offspring

The impact of transient ischemic-hypoxemic insults on the developing fetal brain is poorly understood despite evidence suggesting an association with neurodevelopmental disorders such as schizophrenia and autism. To address this, we designed an aberrant uterine hypercontractility paradigm with oxytocin to better assess the consequences of acute, but transient, placental ischemia-hypoxemia in term pregnant rats. Using MRI, we confirmed that oxytocin-induced aberrant uterine hypercontractility substantially compromised uteroplacental perfusion. This was supported by the observation of oxidative stress and increased lactate concentration in the fetal brain. Genes related to oxidative stress pathways were significantly upregulated in male, but not female, offspring 1 hour after oxytocin-induced placental ischemia-hypoxemia. Persistent upregulation of select mitochondrial electron transport chain complex proteins in the anterior cingulate cortex of adolescent male offspring suggested that this sex-specific effect was enduring. Functionally, offspring exposed to oxytocin-induced uterine hypercontractility showed male-specific abnormalities in social behavior with associated region-specific changes in gene expression and functional cortical connectivity. Our findings, therefore, indicate that even transient but severe placental ischemia-hypoxemia could be detrimental to the developing brain and point to a possible mitochondrial link between intrauterine asphyxia and neurodevelopmental disorders

Comprehensive characterization of molecular interactions based on nanomechanics

Molecular interaction is a key concept in our understanding of the biological mechanisms of life. Two physical properties change when one molecular partner binds to another. Firstly, the masses combine and secondly, the structure of at least one binding partner is altered, mechanically transducing the binding into subsequent biological reactions. Here we present a nanomechanical micro-array technique for bio-medical research, which not only monitors the binding of effector molecules to their target but also the subsequent effect on a biological system in vitro. This label-free and real-time method directly and simultaneously tracks mass and nanomechanical changes at the sensor interface using micro-cantilever technology. To prove the concept we measured lipid vesicle (approximately 748*10(6) Da) adsorption on the sensor interface followed by subsequent binding of the bee venom peptide melittin (2840 Da) to the vesicles. The results show the high dynamic range of the instrument and that measuring the mass and structural changes simultaneously allow a comprehensive discussion of molecular interactions

Hepatitis C Virus (HCV)-Specific Immune Responses of Long‐Term Injection Drug Users Frequently Exposed to HCV

BACKGROUND: Injection drug users (IDUs) who successfully clear hepatitis C virus (HCV) have a reduced risk of developing chronic reinfection, despite their continuing exposure to the virus. To identify immunological correlates for this apparent protection, we studied HCV-specific immune responses in long-term IDUs (duration, >10 years). METHODS: HCV-specific T cell responses were assessed in proliferation, enzyme-linked immunospot (ELISPOT), interferon (IFN)–γ secretion, and cytotoxicity assays, whereas HCV-specific antibodies were assessed in enzyme immunoassays (EIAs), chemiluminescent assays, and in vitro neutralization assays. RESULTS: HCV-specific T cell proliferation and IFN-γ production were more common in nonviremic EIA-positive IDUs (16 [94%] of 17 IDUs) than in viremic EIA-positive IDUs (9 [45%] of 20 IDUs) (P = .003). They were also noted in 16 (62%) of 26 nonviremic EIA-negative IDUs. In contrast, 19 (90%) of 21 viremic IDUs displayed neutralizing antibodies (nAbs), compared with 9 (56%) of 16 nonviremic EIA-positive IDUs (P = .04) and 0 of 24 nonviremic EIA-negative IDUs. Nonviremic IDUs with nAbs were older (P = .0115) than those without nAbs, but these groups did not differ in terms of either injection drug use duration or HCV-specific T cell responses. CONCLUSION: The reduced risk of HCV persistence in IDUs previously recovered from HCV infection correlated with T cell responses, and prolonged antigenic stimulation appears to be required to maintain humoral responses

Asymptotic Safety, Emergence and Minimal Length

There seems to be a common prejudice that asymptotic safety is either incompatible with, or at best unrelated to, the other topics in the title. This is not the case. In fact, we show that 1) the existence of a fixed point with suitable properties is a promising way of deriving emergent properties of gravity, and 2) there is a sense in which asymptotic safety implies a minimal length. In so doing we also discuss possible signatures of asymptotic safety in scattering experiments.Comment: LaTEX, 20 pages, 2 figures; v.2: minor changes, reflecting published versio