The risks for thromboembolism following caesarean section

Background: Maternal mortality can be due to various reasons. Maternal mortality following thromboembolism is a cause for concern. Venous thromboembolism is a very serious condition following caesarean section. Thromboprophylaxis should be given to the mothers with high risk for thromboembolism, who deliver by caesarean section. The objective of this study was to do to assess the risk status for thromboembolism among women delivered by caesarean section.Methods: A hospital based cross- sectional study was conducted among four hundred mothers who delivered by caesarean section. The study was conducted for a period of eight months from January to August 2017. The risks for thromboembolism was assessed and as per the guideline and hospital policy, thromboprophylaxis was given.Results: Out of four hundred patients, medical comorbidities were present for three patients. Patients who were overweight were 122. Two had systemic infection. The number of patients with high, intermediate and low risk of venous thromboembolism were 4,65 and 331.Conclusions: The study suggests that thromboprophylaxis is to be given for all the patients with any risk for thromboembolism, after caesarean section

Representation of Compact Operators between Banach spaces

In this article, we give a representation for compact operators acting between reflexive Banach spaces, which generalizes the representation given by Edmunds et al. for compact operators between reflexive Banach spaces with strictly convex duals. Further, we give a representation for operators on Banach spaces that are comparable to compact normal operators on Hilbert spaces and illustrate our result with an example.Comment: 16 Pages, submitted to a journal. Comments/suggestions are welcom

Characteristic abnormalities in cerebrospinal fluid biochemistry in children with cerebral malaria compared to viral encephalitis

BACKGROUND: In developing countries where Plasmodium falciparum malaria is endemic, viral encephalitis and cerebral malaria are found in the same population, and parasitemia with Plasmodium falciparum is common in asymptomatic children. The objective of this study was to investigate the cerebrospinal fluid (CSF) biochemistry in children with cerebral malaria compared to those with presumed viral encephalitis. METHODS: We studied the following CSF parameters: cell count, glucose, protein, lactic dehydrogenase (LDH) and adenosine deaminase (ADA) levels, in children with cerebral malaria, with presumed viral encephalitis, and in control subjects who had a lumbar puncture after a febrile convulsion with postictal coma. RESULTS: We recruited 12 children with cerebral malaria, 14 children with presumed viral encephalitis and 20 controls prospectively, over 2 years in the Government General Hospital in Kakinada, India. Patients with cerebral malaria had significantly lower CSF glucose, and higher protein, LDH, CSF/blood LDH ratio and CSF ADA levels but a lower CSF/serum ADA ratio compared to controls (p < 0.01). Patients with cerebral malaria had lower CSF white cell count, glucose, protein, LDH levels and CSF/serum ADA ratio compared to patients with presumed viral encephalitis. CSF/serum ADA ratio was lower in patients with cerebral malaria due to the fact that serum ADA levels were significantly higher in patients with cerebral malaria compared to the other two groups. A CSF/serum ADA ratio of <0.38 and a CSF glucose level of <3.4 mmol/l were selected as the cut-off values with the highest sensitivities and specificities for comparing the two conditions. CONCLUSION: CSF/serum ADA ratio and CSF glucose levels were the best discriminators of cerebral malaria from presumed viral encephalitis in our study. Further studies are needed to explore their usefulness in epidemiological studies

ANTIMICROBIAL ACTIVITY OF STREPTOMYCES VARIABILIS STRAIN-VITUMVB03 ISOLATED FROM KANYAKUMARI MARINE SEDIMENTS

Objective: This study was focused on an evaluation of antimicrobial activity of actinobacterial isolated from Kanyakumari marine sediments.Methods: This study includes sample collection from Kanyakumari beach, followed by isolation of marine actinobacteria, screening for antibacterial activity and antifungal activity. Finally, the most active isolate was identified using 16S rRNA sequencing. Results: Marine actinobacteria are one of the leading microbes of the ocean known for producing excellent secondary metabolites and having a broad spectrum of anti-microbial activity, hence they are very important from an industrial point of view. The marine sediment sample used was collected from Kanyakumari beach, in the month of July, falling in the latitudinal range of 8.5074°N and in the longitude of 76.9730°E. A total of 8 actinobacterial colonies were isolated by spread plate technique on Actinomycetes isolation agar, Kuster's agar and Starch casein agar. The isolate cultures were designated as UST1- UST8. Among them, UST3 showed a maximum zone of inhibition against clinical pathogens Salmonella typhi and Aspergillus niger with a zone of inhibition of 22mm and 20mm respectively. In solvent extraction study ethyl acetate and hexane was found as best solvents for extraction. Potential isolate UST3 was identified as Streptomyces variabilis using morphological studies and 16S rRNA sequencing. Potential strain was submitted as Streptomyces variabilis- VITUMVB03Conclusion:  Results obtained in this study concluded that marine actinobacteria have broad-spectrum antimicrobial activity and can be used in the pharmaceutical industry.Keywords: Anti-fungal activity, Anti-bacterial activity, Salmonella typhi, Aspergillus niger, Streptomyces variabili

Isolation, Purification, and Characterization of Fungal Laccase from Pleurotus sp.

Laccases are blue copper oxidases (E.C. 1.10.3.2 benzenediol: oxygen oxidoreductase) that catalyze the one-electron oxidation of phenolics, aromatic amines, and other electron-rich substrates with the concomitant reduction of O2 to H2O. They are currently seen as highly interesting industrial enzymes because of their broad substrate specificity. A positive strain was isolated and characterized as nonspore forming Basidiomycetes Pleurotus sp. Laccase activity was determined using ABTS as substrate. Laccase was purified by ionexchange and gel filtration chromatography. The purified laccase was a monomer showed a molecular mass of 40 ± 1 kDa as estimated by SDS-PAGE and a 72-fold purification with a 22% yield. The optimal pH and temperature were 4.5 and 65°C, respectively. The Km and Vmax values are 250 (mM) and 0.33 (μmol/min), respectively, for ABTS as substrate. Metal ions like CuSO4, BaCl2, MgCl2, FeCl2, ZnCl2 have no effect on purified laccase whereas HgCl2 and MnCl2 moderately decrease enzyme activity. SDS and sodium azide inhibited enzyme activity, whereas Urea, PCMB, DTT, and mercaptoethanol have no effect on enzyme activity. The isolated laccase can be used in development of biosensor for detecting the phenolic compounds from the effluents of paper industries

IS MULLIGAN'S SUSTAINED NATURAL APOPHYSEAL GLIDES (SNAGS) OR MUSCLE ENERGY TECHNIQUE IS EFFECTIVE IN THE NON-SURGICAL MANAGEMENT OF CERVICOGENIC HEADACHE? A TWO-GROUP PRETEST-POSTTEST RANDOMIZED CONTROLLED TRIAL

Objective: The purpose of this study is to compare the efficacy of Mulligan's Glides like sustained natural apophyseal glides and muscle energy technique (MET) in the management of individual with cervicogenic headache (ICH).Methods: A total of 30 ICH were recruited by the simple random sampling to participate in this two-group pretest-posttest, single-blinded randomized clinical study. Recruited ICH was randomly allocated into two groups, Group A and Group B. ICH in Group A was provided with Mulligan's SNAGs of 3 glides/session/day×5 days/week×4-week duration, while in Group B, ICH received MET for suboccipital muscles for 6 times/session/day×5 days/ week×4 weeks. Both the groups received the common intervention of stretching and strengthening for cervical muscles for 4 weeks. Pain scores (visual analog score [VAS]), disability (headache disability index [HD]), and cervical extension range of motion (ROM) were documented at baseline and 4th week after intervention and analyzed.Results: Group B demonstrated significance difference (p&lt;0.05) in HDI, VAS, and cervical extension ROM when compared to Group A.Conclusion: 4 week MET has the sufficient potential to decrease neck pain, disability, and increase cervical mobility among ICH as a non-surgical management

ANTIMICROBIAL AND ANTIOXIDANT ACTIVITY OF METHANOLIC ROOT EXTRACT OF TABERNAEMONTANA ALTERNIFOLIA L

Objective: The infectious diseases caused by bacteria are a major problem and most of them are resistant to the present antibiotics. Also the free radicals act on structural and functional architecture of the cell in turn lead to cytotoxicity and genotoxicity of the cell. In this regard plants would have molecules alternative to antibiotics with higher safety, efficiency and will play a key role in maintaining human health.Methods: In this study antimicrobial activity of methanolic crude extract of Tabernaemontana alternifolia root extract was determined by an agar gel diffusion method against Bacillus flexus, Pseudomonas aeruginosa, Staphylococcus aureus and Proteus aureus and E. coli bacteria, Aspergillus terreus and Scopulariopsis sp. fungi. Antioxidant potential of root extract was determined by ABTS assay and DPPH method.Results: The methanolic root extracts of T. alternifolia posses significant antibacterial activity and reducing power. The significant inhibition was observed at 250, 500, 750, 1000µg/ml for Bacillus flexus, Proteus aureus bacteria. Staphylococcus aureus was inhibited at 1000µg/ml concentration of the plant extracts. Crude extract inhibited DPPH with IC50 value 250 µg/ml and ABTS with IC50 value 600 µg/ml. No antifungal activity was observed.Conclusion: The overall result can conclude that T. alternifolia root posses marked antibacterial activity and anti oxidant activity at lower concentration of plant extract.Â

Clinical Dengue Data Analysis and Prediction using Multiple Classifiers: An Ensemble Techniques

The dengue infection is caused by the mosquito Aedes aegypti According to WHO 50 to 100 million dengue infections will occur every year Data-miming techniques will extract information from the raw data Dengue symptoms are fever severe headache body pain vomiting diarrhea cough pain in abdomen etc The research work is carried out on real data and the patient data is collected from the Department of General Medicine PESIMSR Kuppam Andrapradesh Dataset consists of 18 attributes and one target value Research work has been done on binary classification to classify dengue positive DF and dengue negative NDF cases using different ML techniques The proposed work demonstrates that ensemble techniques bagging boosting and stacking gives better results than other models The Extreme Gradient Boost XGB Random Forest by majority voting and stacking with different meta classifiers are the ensemble techniques used for the binary classification The dataset is divided into 80 training and 20 testing dataset Performance parameters used for the analysis are accuracy precision recall and f1 score and compared the proposed model with other ML models The experimental results shows that the accuracy of extended boost random forest and stacking is 98 99 99 for training dataset and 97 94 98 testing dataset respectively The extended metrics ROC Precision -Recall curve and AUC better analysi

A SHORT REVIEW ON POLYCYSTIC OVARY SYNDROME

Polycystic ovary syndrome (PCOS) is said to be the commonest endocrine disorder in women of reproductive age with a heterogeneous presentation, which includes hyperandrogenism and ovulatory dysfunction. Polycystic ovary syndrome usually has a peri-pubertal onset;the present review discuss about the causes,complications,risck factors,dianosis and treatment.Key words:Polycystic ovary syndrome (PCOS),Hyperandrogenism,Treatmen