252 research outputs found

    Synergistic Effect of Cypermethrin and Sodium Fluoride on Kidney Histo Pathology of Albino Mice

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    The aim of the resent study is to understand the renal toxicity, induced by cypermethrin and sodium fluoride (NaF) separately and combined in albino mice. Albino mice were treated with cypermethrin and sodium fluoride (NaF), separately and in combination, with 1/10th of the LD50 dosage of cypermethrin and NaF for individual administration by oral gavage (i.e., 8.5 mg/kg bw and 5.6 mg/kg bw, respectively) and 1/20th of the LD50dose of cypermethrin and NaF for combined administration (i.e., 4.25 mg/kg bw and 2.8 mg/kg bw, respectively). Separate or combined treatment resulted in histopathological changes in the kidney tissue such as degenerative changes in bowman’s capsule (DGBC), distal convoluted tubules (DGDCT),necrotic changes in glomerulus (NCG), atrophied glomerulus (ATG), necrotic change in distal convoluted tubules (NCDCT), necrotic change in bowman’s capsule (NCBC) and necrosis in proximal convoluted tubules (NCPCT), severe necrotic changes in proximal convoluted tubules (SNCPCT) and distal convoluted tubules ( SNCDCT) were observed. The changes were more in combination than individual treatment, this may be because of a synergistic effect of cypermethrin and NaF

    A comparative study between HoLEP and bipolar TURP in the treatment of benign prostatic hyperplasia

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    Introduction: Benign Prostatic Hyperplasia (BPH) is one of the most frequent diseases in men. The laser treatment for BPH has challenged TURP due to advances in laser technology, a better understanding of tissue-laser interactions and rowing clinical experience. Objective: To evaluate the safety and efficacy of HoLEP, comparing it to Bipolar TURP. Material and methods: This was a prospective study to evaluate the outcomes in BPH patients undergoing surgery by HOLEP and Bipolar TURP done between January 2018 to December 2019. A total of 80 Patients were enrolled, 40 undergoing HoLEP and the other 40 Bipolar TURP for BPH. The procedures were performed by a single surgeon. All patients with symptomatic BPH and who were candidates for surgical treatment were included. Patients with previous prostate surgery, urethral surgery, history of prostate cancer or neurogenic bladder were excluded. Results: Baseline parameters were almost similar between both the groups in terms of age, IPSS, QOL, Q max, PVR, and gland size. Operative time and resected gland weight were more in HoLEP arm (p<0.001). Catheter time and Hospital stay were significantly low in the HoLEP group (p<0.0001). Hemoglobin drop was not significant (p=0.148). IPSS at three months was similar in both groups (p=0.608). Qmax improved significantly in both groups, with 18.87 ml/s in TURP and 17.87 ml/s in HoLEP with a p-value of 0.261. PVR and QOL were similar between the two groups (P=0.914 and P=0.781). Conclusion: Both Bipolar TURP and HoLEP were effective in relieving BOO. HoLEP has equal efficacy compared to conventional bipolar TURP, with decreased hospital stay and catheter indwelling time. The learning curve of HoLEP is steep; however, it can be overcome gradually

    Evaluation of Trait-based and Empirical Selections for Drought Resistance at ICRISAT Centre, Patancheru, Andhra Pradesh, India

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    The performance of 192 groundnut lines selected following trait-based and empirical selection approaches was evaluated in Patancheru, Andhra Pradesh, India, during 2000 rainy season and 2000/01 post-rainy seasons. In 2000 under irrigated conditions, the genetic variation for kernel yield, harvest index (HI), transpiration efficiency (TE) and transpiration were highly significant. The top 20 genotypes (kernel yield basis) consisted of 11 trait-based and 9 empirical selections. The variation between the genotypes and the parent with the best parent (ICGS 76) was not significant for all traits except transpiration, for which 4 genotypes showed superiority over ICGS 76. Under rainfed conditions, the top 20 genotypes consisted of 12 trait-based and 8 empirical selections. The variation between these genotypes and ICGS 76 was not significant except for TE, for which 4 genotypes were inferior to ICGS 76. In 2000/01 under irrigated conditions, the 20 top genotypes were not superior to ICGS 76 for all traits except HI, for which 7 genotypes (3 trait-based and 4 empirical selections) were superior to ICGS 76. Under mid-season drought conditions (irrigation was withheld from 40 to 80 days after sowing), the top 20 genotypes (12 trait-based and 8 empirical selections) did not significantly vary from ICGS 76 for all traits except HI, for which 7 genotypes showed superiority. Under all conditions, no selection method showed superiority in the selection of genotypes for kernel yield, HI, TE and transpiration. The combined analysis over all experiments indicated that 3 trait-based selections and one empirical selection for HI, and one trait-based genotype for transpiration showed significant gains ever ICGS 7

    Tumor Evolution in Two Patients with Basal-like Breast Cancer: A Retrospective Genomics Study of Multiple Metastases

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    Metastasis is the main cause of cancer patient deaths and remains a poorly characterized process. It is still unclear when in tumor progression the ability to metastasize arises and whether this ability is inherent to the primary tumor or is acquired well after primary tumor formation. Next-generation sequencing and analytical methods to define clonal heterogeneity provide a means for identifying genetic events and the temporal relationships between these events in the primary and metastatic tumors within an individual

    Impact of “Sambhav” Program (Financial Assistance and Counselor Services) on Hepatitis C Pegylated Interferon Alpha Treatment Initiation in India

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    Abstract Background: Financial constraints, social taboos and beliefs in alternative medicine are common reasons for delaying or not considering treatment for hepatitis C in India. The present study was planned to analyze the impact of non-banking interest free loan facility in patients affected with hepatitis C virus (HCV) in North India. Methods: This one year observational, retrospective study was conducted in Department of Gastroenterology (January 2012-December 2013), Dayanand Medical College and Hospital Ludhiana, to evaluate the impact of program titled “Sambhav” (which provided non-banking financial assistance and counselor services) on treatment initiation and therapeutic compliance in HCV patients. Data of fully evaluated patients with chronic hepatitis, and/or cirrhosis due to HCV infection who were treated with Peginterferon alfa and ribavirin (RBV) combination during this duration (2012- 2013) was collected from patient medical records and analyzed. In the year 2012, eligible patients who were offered antiviral treatment paid for treatment themselves, while in 2013, ‘Sambhav’ program was launched and this provided interest free financing by non-banking financial company (NBFC) for the treatment of HCV in addition to free counselor services for disease management. The treatment initiation and compliance rates were compared between the patients (n = 585) enrolled in 2013 who were offered ‘Sambhav’ assistance and those enrolled in 2012 (n = 628) when ‘Sambhav’ was not available. Results: Introduction of Sambhav program improved the rates of treatment initiation (59% in 2013 vs. 51% in 2012, P=.004). Of the 585 eligible patients offered ‘Sambhav’ assistance in 2013, 233 patients (39.8%) applied but 106/233 (45.4%) received assistance. Antiviral therapy was started in 93/106 (87.7%) of these patients, while only 52 (42.5%) of 127 patients whose applications were rejected underwent treatment. Compliance to antiviral therapy also improved with the introduction of ‘Sambhav’ program (87.7% vs. 74.1%, P=.001). Conclusion: ‘Sambhav’ program had significant impact on the initiation of antiviral therapy by overcoming the financial hurdles. The free counselor services helped to mitigate social taboos and imparted adequate awareness about the disease to the patients. Initiatives like ‘Sambhav’ can be utilized for improving healthcare services in developing countries, especially for chronic diseases

    An Integrated TCGA Pan-Cancer Clinical Data Resource to Drive High-Quality Survival Outcome Analytics

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    For a decade, The Cancer Genome Atlas (TCGA) program collected clinicopathologic annotation data along with multi-platform molecular profiles of more than 11,000 human tumors across 33 different cancer types. TCGA clinical data contain key features representing the democratized nature of the data collection process. To ensure proper use of this large clinical dataset associated with genomic features, we developed a standardized dataset named the TCGA Pan-Cancer Clinical Data Resource (TCGA-CDR), which includes four major clinical outcome endpoints. In addition to detailing major challenges and statistical limitations encountered during the effort of integrating the acquired clinical data, we present a summary that includes endpoint usage recommendations for each cancer type. These TCGA-CDR findings appear to be consistent with cancer genomics studies independent of the TCGA effort and provide opportunities for investigating cancer biology using clinical correlates at an unprecedented scale. Analysis of clinicopathologic annotations for over 11,000 cancer patients in the TCGA program leads to the generation of TCGA Clinical Data Resource, which provides recommendations of clinical outcome endpoint usage for 33 cancer types

    Integrated analysis of germline and somatic variants in ovarian cancer

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    We report the first large-scale exome-wide analysis of the combined germline-somatic landscape in ovarian cancer. Here we analyze germline and somatic alterations in 429 ovarian carcinoma cases and 557 controls. We identify 3,635 high confidence, rare truncation and 22,953 missense variants with predicted functional impact. We find germline truncation variants and large deletions across Fanconi pathway genes in 20% of cases. Enrichment of rare truncations is shown in BRCA1, BRCA2, and PALB2. Additionally, we observe germline truncation variants in genes not previously associated with ovarian cancer susceptibility (NF1, MAP3K4, CDKN2B, and MLL3). Evidence for loss of heterozygosity was found in 100% and 76% of cases with germline BRCA1 and BRCA2 truncations respectively. Germline-somatic interaction analysis combined with extensive bioinformatics annotation identifies 237 candidate functional germline truncation and missense variants, including 2 pathogenic BRCA1 and 1 TP53 deleterious variants. Finally, integrated analyses of germline and somatic variants identify significantly altered pathways, including the Fanconi, MAPK, and MLL pathways

    Genomic, Pathway Network, and Immunologic Features Distinguishing Squamous Carcinomas

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    This integrated, multiplatform PanCancer Atlas study co-mapped and identified distinguishing molecular features of squamous cell carcinomas (SCCs) from five sites associated with smokin
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