Leprosy and tuberculosis concomitant infection: a poorly understood, age-old relationship

Historically, archaeological evidence, post-mortem findings and retro- spective analysis of leprosy institutions’ data demonstrates a high observed incidence of concomitant infection with leprosy and tuberculosis (TB). However, reports of concomitant infection in the modern literature remain scarce, with estimates of annual new case detection rates of concomitant infection at approximately 0·02 cases per 100,000 population. Whilst the mechanism for this apparent decline in concomitant infections remains unclear, further research on this topic has remained relatively neglected. Modelling of the interaction of the two organisms has suggested that the apparent decline in observations of concomitant infection may be due to the protective effects of cross immunity, whilst more recently others have questioned whether it is a more harmful relationship, predisposing towards increased host mortality. We review recent evidence, comparing it to previously held understanding on the epidemiological relationship and our own experience of concomitant infection. From this discussion, we highlight several under-investigated areas, which may lead to improvements in the future delivery of leprosy management and services, as well as enhance understanding in other fields of infection management. These include, a) highlighting the need for greater understanding of host immunogenetics involved in concomitant infection, b) whether prolonged courses of high dose steroids pre-dispose to TB infection? and, c) whether there is a risk of rifampicin resistance developing in leprosy patients treated in the face of undiagnosed TB and other infections? Longitudinal work is still required to characterise these temporal relationships further and add to the current paucity of literature on this subject matter

Rebels on trial! The configuration of the enemy in the Comentarios of Álvar Núñez Cabeza de Vaca

En 1545, el segundo gobernador de la provincia del Río de la Plata, Álvar Núñez Cabeza de Vaca, regresa a España engrillado y con catorce pliegos de acusaciones a sus espaldas. Tras un largo pleito, que acaba con la absolución del imputado, Cabeza de Vaca decide contar su versión de los hechos publicando sus Comentarios (1555). Este texto supone el punto final de su defensa, pero también un juicio público que vuelve las tornas y sienta en el banquillo de los acusados a sus enemigos capitales. En este artículo se analizará cómo se configura la imagen de los rebeldes desde una perspectiva que se presenta como única portadora de los valores civilizadores en aquellas lejanas tierras carentes de todo orden conocido.En 1545, el segundo gobernador de la provincia del Río de la Plata, Álvar Núñez Cabeza de Vaca, regresa a España engrillado y con catorce pliegos de acusaciones a sus espaldas. Tras un largo pleito, que acaba con la absolución del imputado, Cabeza de Vaca decide contar su versión de los hechos publicando sus Comentarios (1555). Este texto supone el punto final de su defensa, pero también un juicio público que vuelve las tornas y sienta en el banquillo de los acusados a sus enemigos capitales. En este artículo se analizará cómo se configura la imagen de los rebeldes desde una perspectiva que se presenta como única portadora de los valores civilizadores en aquellas lejanas tierras carentes de todo orden conocido.In 1545, the second governor of the province of the Rio de la Plata, Álvar Núñez Cabeza de Vaca, returns in shackles to Spain with fourteen sheets full of accusations. After a long litigation that finally ends with the absolution of the accused, Cabeza de Vaca decides to share his version publishing his Comentarios (1555). This text is the final point of his defense, but also a public process that turn the tables on his foremost enemies sending them to the bench of the accused. This paper will analyze how the rebels' image is set from the point of view that represents the only owner of civilizing powers in those far away lawless lands

Формы взаимоотношений между субъектами экономики моногорода с позиции малого бизнеса

Настоящая работа посвящена вопросам видов взаимоотношений между субъектами моногорода. Приводятся различные виды классификации форм отношений в зависимости от их влияния на малые предприятия. Дается описание наиболее значимых взаимоотношений с позиции малого бизнеса. The present work is devoted to the types of relations between subjects of a single-industry town. Various types of classification of forms of relations are given depending on their influence on small enterprises. A description of the most significant relationships from the position of small business is given

Aerosol optical depth, ozone and water vapor measurements over Gadanki, a tropical station in peninsular India

This paper reports the results of a study related to the optical and physical characteristics of columnar aerosols and variation in total column ozone (TCO) and precipitable water content (PWC) over Gadanki (13.45°N, 79.18°E), a tropical station in peninsular India, for the first time, using MICROTOPS-II (Microprocessor-based Total Ozone Portable Spectrometer), comprising of both sun photometer and ozonometer. Results show wavelength dependence of AOD, having mean value of �0.4 (± 0.09) at 500 nm optical channel. Daily mean aerosol size spectra shows, most of the time, power-law distribution. However, its diurnal variations show significant changes in aerosol size spectra modulated by a combination of both power-law and bi-modal distributions. To characterize AOD, the Angstrom parameters (i.e., a and β) were used. The day-to-day variations in TCO were found to be in fair agreement with that derived from TOMS satellite data for all the experimental days, having mean observed value of ~253 (± 8) DU over the station. Interestingly, an inverse relationship between TCO and AOD or PWC was observed over the station, on some times of the day, which could be attributed to the mixing of significant fraction of ozone with aerosol and water vapor-rich air mass. However, a significant positive correlation was observed between AOD and PWC

Design and Development of Halogenated Chalcone Derivatives as Potential Anticancer Agents

Purpose: To design and develop halogenated chalcone derivatives and evaluate them as anticancer agents using different cancer cell lines.Methods: Based on in silico design and docking on known target, crystal structure of the complex of interleukin-1beta converting enzyme (ICE) with a peptide based inhibitor, (3S )-N-Methanesulfonyl-3- ({1-[N-(2-naphtoyl)-l-valyl]-l-prolyl}amino)-4-oxobutanamide (1BMQ), novel halogenated chalcone derivatives were designed (7a-h) employing LigandFit module of Accelrys (Discovery Studio, 2.1 version). Standard protocols for ligand and protein preparation were employed and their binding orientation validated using (3S)-N-Methanesulfonyl-3-({1-[N-(2-naphtoyl)-l-valyl]-l-prolyl}amino)-4-oxobutanamide (MNO 601), a caspase inhibitor as reference standard. Energy minimized conformers with best dock scores were considered for the identification of interacting amino acid residues with ligands. Selected derivatives were synthesized and analyzed by melting point, 1H NMR, IR and mass spectroscopy. Their evaluation for anticancer activity was carried out using adriamycin, paclitaxel and 5-fluorouracil as reference standards on prostrate (PC-3), colon (COLO-205), ovary (OVCAR-5), liver (HEP-2) and neuroblastoma (IMR-32) cancer cell lines, and % growth inhibition and half maximal inhibitory concentration (IC50) values were calculated.Results: Among synthesized compounds, 7b showed the most promising cytotoxic activity with an IC50 of 49.9 ìM on colon cancer cell lines (Colo-205), followed by 7d with an IC50 of 66.6 ìM against ovarian cancer cell lines (OVCAR-5).Conclusion: We report the successful synthesis, spectral characterization and in vitro anticancer evaluation of a series of novel halogenated chalcone derivatives against a number of human cancer cell lines. The findings indicate the emergence of new anticancer compounds.Keywords: Halogenated chalcones, Dock scores, Anticancer activity,  Interleukin-1beta converting enzyme

Detrimental effect of cardiopulmonary bypass(CPB) on malignant disease

Patients with coronary artery disease associated with malignancy are a difficult group of patients to treat. The ideal approach to manage them is still controversial. Both problems can be manage by either a combined or staged operation. The use of CPB during revascularization of the myocardium among patients with malignant disease, may have an effect on dissimination of malignant cells. This was observed among two of our patients. We believe that the use of off-pump technique to revascularize the myocardium is a safe approach and can be performed either in combined or staged surgery to resect malignant disease

An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Epiploic appendagitis is a rare cause of focal abdominal pain which, depending on its localisation, can mimic a variety of abdominal diseases. We describe a patient with an inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis mimicking acute appendicitis. Considering the rare localization, this is the first report of this kind in the literature.</p> <p>Case presentation</p> <p>We present the case of a 50-year-old Caucasian man who presented with classic signs of acute appendicitis. On clinical exam, McBurney and Blumberg signs were positive. Additionally he had fever, leucocytosis (12/nl) and a slight increase in C-reactive protein (1 mg/dl). Based on the clinical presentation, the patient was taken to the operating room to perform an appendicectomy. Surprisingly, we found an inflamed necrotic appendix epiploicum, located immediately on a non-inflamed appendix vermiformis, which was ligated and excised.</p> <p>Conclusion</p> <p>This case report demonstrates that epiploic appendagitis can mimic acute appendicitis on clinical exam and should be considered in the broad spectrum of abdominal disease presenting with right lower quadrant pain.</p

Mode I fracture toughness of optimized alkali-treated Bambusa Vulgaris bamboo by Box-Behnken design.

Alkaline treatment is widely being used to treat natural fibres and it improves the fibre surface for better bonding with the polymer matrix. The aim of this study is to optimize the alkaline treatment variables such as sodium hydroxide (NaOH) concentration, soaking and drying time that influence the strength of natural fibres, including bamboo. In this study, Box-Behnken design (BBD) of the response surface method was employed to set an experimental parameter of alkaline treatment for the bamboo specimen. In order to investigate the effect of treatment conditions on crack propagation behaviour of the bamboo along the longitudinal direction, Mode I interlaminar fracture toughness (GIC) test was carried out. It can be suggested from the statistical analysis approach (ANOVA) that bamboo treated with 1wt% concentration of NaOH is able to reach fracture toughness value up to 365.86J/m2, which differs by only 0.82% from the experimental finding. It is also shown that all proposed variables for treatment in this study i.e. the concentration of the NaOH is highly significant with the soaking and drying time

Women's Experiences and Views about Costs of Seeking Malaria Chemoprevention and other Antenatal Services: A Qualitative Study from two Districts in Rural Tanzania.

The Tanzanian government recommends women who attend antenatal care (ANC) clinics to accept receiving intermittent preventive treatment against malaria during pregnancy (IPTp) and vouchers for insecticide-treated nets (ITNs) at subsidized prices. Little emphasis has been paid to investigate the ability of pregnant women to access and effectively utilize these services. To describe the experience and perceptions of pregnant women about costs and cost barriers for accessing ANC services with emphasis on IPTp in rural Tanzania. Qualitative data were collected in the districts of Mufindi in Iringa Region and Mkuranga in Coast Region through 1) focus group discussions (FGDs) with pregnant women and mothers to infants and 2) exit-interviews with pregnant women identified at ANC clinics. Data were analyzed manually using qualitative content analysis methodology. FGD participants and interview respondents identified the following key limiting factors for women's use of ANC services: 1) costs in terms of money and time associated with accessing ANC clinics, 2) the presence of more or less official user-fees for some services within the ANC package, and 3) service providers' application of fines, penalties and blame when failing to adhere to service schedules. Interestingly, the time associated with travelling long distances to ANC clinics and ITN retailers and with waiting for services at clinic-level was a major factor of discouragement in the health seeking behaviour of pregnant women because it seriously affected their domestic responsibilities. A variety of resource-related factors were shown to affect the health seeking behaviour of pregnant women in rural Tanzania. Thus, accessibility to ANC services was hampered by direct and indirect costs, travel distances and waiting time. Strengthening of user-fee exemption practices and bringing services closer to the users, for example by promoting community-directed control of selected public health services, including IPTp, are urgently needed measures for increasing equity in health services in Tanzania