Comparison of clinical and CSF profiles in children with tuberculous and pyogenic meningitis; role of CSF protein: Glucose ratio as diagnostic marker of tuberculous meningitis

Objectives: To compare the clinical and laboratory features of tuberculous meningitis with bacterial meningitis and to determine if protein glucose ratio in the cerebrospinal fluid can be predictive of the condition.Methods: It was a retrospective descriptive study at the Paediatric Ward of Aga Khan University Hospital, Karachi, for which records of 46 patients with tuberculous meningitis and 33 with bacterial meningitis were reviewed. All records related to the study period that was from January 2005 to October 2010. The records were retrieved in December 2010. Tuberculous meningitis was defined as illness \u3e or = 14 days, basal enhancement or tuberculoma on computerised tomography scan and response to anti-tuberculous therapy. Pyogenic meningitis was defined by the presence of a pathogenic isolate inthe cerebrospinal fluid (bacterial culture) or by positive latex particle agglutination or a pathogen on cerebrospinal fluid gram stain and clinical improvement with antibiotics. Logistic regression was used to model the probability of having tuberculous meningitis. To define the optimal protein-glucose ratio, cutoff point for the diagnosis of tuberculous meningitis, a receiver operating characteristic curve was applied. All analysis were done using SPSS 16.Results: Features predictive of a diagnosis of tuberculous meningitis were protein:glucose ratio of \u3e or = 2 (OR 21 95% CI 4.7-93); cerebrospinal fluid total leukocyte count \u3c 800 (OR 58, 95% CI 5-649); and the presence of hydrocephalus (OR 19, 95% CI 3.3-109).Conclusion: A set of simple clinical, laboratory and radiological criteria can help in predicting tuberculous meningitis. The value of cerebrospinal fluid protein:glucose ratio needs to be validated in larger studies with bacteriologically-confirmed cases of tuberculous meningitis

Synthesis, characterization and biological activities of monometallic and bimetallic nanoparticles using Mirabilis jalapa leaf extract

Monometallic ZnO and Ag nanoparticles (NPs) and bimetallic ZnO/Ag NPs were synthesized using leaves extract of Mirabilis jalapa. XRD analysis confirmed the crystalline nature of NPs with size range from 19.3 to 67.4 nm for bimetallic, and 12.9 and 32.8 nm for monometallic NPs. SEM images reveal varying shapes of the monometallic (needle like and spherical for ZnO and Ag, respectively) and bimetallic (plates, sheets, and spherical) NPs depending upon concentration of salts used. Biological characterization reveals that both mono and bi metallic nanoparticles demonstrate free radical scavenging, total antioxidant, and reducing power potentials. Phenolic and flavonoid like properties of NPs were also observed might be due to presence of different functional groups on the particles surface. Bimetallic NPs displayed astonishing antibacterial (up to 25 mm zone of inhibition) and antileishmanial properties. The results suggest that bimetallic ZnO/Ag nanoparticles hold greater potential then monometallic against bacteria and Leishmania. Other biomedical applications also varied depending upon concentration of precursors. Furthermore, ratio of salt concentrations used for synthesis of bimetallic NPs affect morphological and biochemical characteristics of NPs. Keywords: M. jalapa monometallic, Bimetallic, Biological properties, Nanoparticle

Cross-sectional study of mammographic breast density of Pakistani women and its association with breast cancer

Objectives: To explore if a positive association existed between breast cancer and increased breast density. Method: The retrospective cross-sectional study was conducted at Shifa International Hospital, Islamabad and comprised data from July 10, 2018, to July 10, 2020, of all patients who underwent mammography for screening or diagnostic purposes. Data was collected by reviewing patients’ charts, and was divided into diagnostic group A and screening group B according to mammography target. Breast Imaging Reporting and Data System category was also noted. Data was analysed using SPSS 21. Results: Of the 1,035 women with mean age 46.8±2.5 years (range: 35-82 years), 928(89.7%) were in group A and 107((10.3%) were in group B Prevalent breast densities overall were category A 67(6.3%), B 349(33.7%), C 530(51.2%) and D 89(8.5%). In group A, a lump was detected in 542(58.4%) patients. Of them, 367(67.7%) lesions were malignant and 175(32.3%) were benign. Breast density and malignant tumours had significant association (p<0.05). Conclusion: Mammographic breast density wsa found to have a significant association with breast cancer. Key Words: Breast density, Bcancer, BIRADS, Malignant, Mammography

Mucocele of appendix: a case report

Mucinous cystadenoma is a rare tumor of appendix it accounts for only 0.4% of the gastrointestinal tract malignancies and is reported rarely in literature. Therefore the surgical management is not yet established. Here we report a case of a 65 year old female who presented with a dragging sensation and a feeling of mass in right iliac fossa. Her computed tomography (CT) suggested an abscess formation of the parietal peritoneum. She was planned for laparotomy and upon exploration a mass was found arising from tip of retroperitoneal appendix. Whole of the appendix was studded with mucoid material. Limited right hemicolectomy was performed and histopathology of appendix showed mucinous cystadenoma with no evidence of malignant changes. Patient remained uneventful and was discharged on 4th post operative day. The unusual presentation of retroperitoneal pseudomyxoma without any intraperitoneal pathology, prompted us to report this case. Continuous..

Feathers, eggs, and blood as bioindicators of heavy metals and their impact on DNA damage in captive Pavo cristatus

ABSTRACTHeavy metals and their genotoxic effects in captive Indian Peafowl (Pavo cristatus) residing in various regions of Punjab, Pakistan, specifically, Wildlife Park Bahawalpur (WPB), Jallo Wildlife Park Lahore (JWPL), and Wildlife Park Murree (WPM) were evaluated in blood, feathers, eggshell and egg content samples. The Single-cell gel electrophoresis (Comet) assay was performed to evaluate DNA damage. The results showed that the concentration of Cr was significantly high (P < 0.05) in Blood (3.79 µg/g), Feather (4.87 µg/g), Egg shell (51.02 µg/g) and Egg Content (13.59 µg/g) samples of Jallo Wildlife Park Lahore followed by Pb, Mn, Ni and Co. The highest (P < 0.05) metal accumulation was found in eggshell samples due to its porous structure as compared to other samples. Likewise region-wise analysis showed that Jallo Wildlife Park Lahore appeared to be more polluted than WPB and WPM. Indian Peafowl kept at WPM and JWPL exhibited higher levels of genotoxicity compared to the birds kept at WPB. This disparity can be attributed to the increased exposure to pollution and heightened stress experienced by the peafowl in the former two locations. This study concluded that among all the three study sites of Punjab, the WPB is most suitable for housing captive animals and birds

Green bio-assisted synthesis, characterization and biological evaluation of biocompatible ZnO NPs synthesized from different tissues of milk thistle (Silybum marianum)

The purpose of the current study was green synthesis of ZnO-nanoparticles (NPs) from different tissues of Silybum marianum (L.) Gaernt. (i.e., seeds, wild plant, in vitro derived plantlets and callus cultures) followed by extensive characterization and evaluation of their biological potency. ZnO-NPs thus synthesized were subjected to characterization using standard techniques such as XRD, FTIR and SEM. Thermal stability of synthesized NPs was also evaluated using thermo-gravimetric analysis. Highly stable crystalline NPs with size ranging between 30.8 and 46.0 nm were obtained from different tissues of S. marianum. These NPs have revealed a wide range of biological applications showing antioxidant, moderate α-amylase inhibitor, antibacterial and cytotoxic potencies. The highest antibacterial activity (20 ± 0.98 mm) was shown by seed extract-mediated ZnO NPs against Staphylococcus aureus (ATCC-6538). Seed extract-mediated ZnO NPs also showed the most potent antioxidant activity (27.7 ± 0.9 µgAAE/mg, 23.8 ± 0.7 µgAAE/mg and 12.7 ± 1.9% total antioxidant capacity (TAC), total reducing power (TRP) and DPPH-free radical scavenging assay (FRSA), respectively). All of the synthesized ZnO NPs also showed cytotoxic activity against the hepato-cellular carcinoma (HepG2) human cells. Interestingly, these ZnO NPs were also highly biocompatible, as evidenced by the brine shrimp lethality and human red blood cells hemolytic assays. Among all of the NPs synthesized and used, the effect of seed extract-mediated NPs was found to be most promising for future applications

Facile biosynthesis of Ag-NPs using Otostegia limbata plant extract: Physical characterization and auspicious biological activities

Silver nanoparticles (Ag-NPs) synthesized through reduction by Otostegia limbata green extract are, hereby, reported for the first time. It is very interesting to observe that in this case, O. limbata plant extract acts as a strong chelating agent in Ag-NPs formation through AgNO3. Scanning electron microscope (SEM) studies expose that Ag-NPs formation is highly homogenous and spherical with mean particle size of 32±0.8 nm. A typical Ag absorption peak has been observed at 419 nm by ultra violet (UV)-visible spectroscopy which have endorsed the successful formation of single phase Ag-NPs. X-ray diffraction (XRD) and Fourier transform infrared spectroscopy (FTIR) examination further validates the crystalline pure phase structure of Ag-NPs. Promising results have been recorded against protein kinase inhibition assay and antibacterial assay having prominent pathogenic strains. Our present study explores that biosynthesized eco-friendly Ag-NPs have great potential, in the future, for anticancer drug development with wide range pharmaceutical applications

Polyphenolic characterization and evaluation of multimode antioxidant, cytotoxic, biocompatibility and antimicrobial potential of selected ethno-medicinal plant extracts

Introduction: Scientific evidence about biological profile of natural products can support their traditional uses. The current work was aimed to assess phytochemical and biological profile of nine medicinal plants collected from Herbalists. Methods: Extracts prepared in different solvents were subjected to phytochemical, antioxidant, enzyme inhibitory, cytotoxic, and antimicrobial activities. Reverse phase-high performance liquid chromatography (RP-HPLC) analysis was performed for the quantification of polyphenols. Results: Results showed methanol extract (M) being potent as compared to others. Gentian lutea M showed maximum extract recovery (15.00 ± 0.11 % w/w) and TFC (30.82 ± 0.21 μg QE/mg extract). Nigella sativa M displayed highest TPC (44.99 ± 0.43 μg GAE/mg extract) and TAC (334.72 ± 0.35 μg AAE/ mg extract). Results showed noteworthy quantities of vanillic acid, rutin, kaempferol, emodin in ethyl acetate (EA) and methanol (M) extracts of plants assessed by RP-HPLC. Gentisic acid was highest (11.75 µg/mg extract) in T. arjuna M extract. Similarly, maximum %FRSA (82.28 ± 0.03 %) and TRP (160.40 ± 0.38 μg AAE/ mg extract) were depicted by Terminalia chebula and Chamomilla recutita, respectively. Moreover, Mentha longifolia and G. lutea M demonstrated noteworthy (p < 0.05) antibacterial activity against Staphylococcus aureus (14 ± 0.7 mm) and Klebsiella pneumoniae (12 ± 0.3 mm), respectively. Curcuma amada, C. recutita, Murraya koenigii and G. lutea M had significant α-glucosidase activity. Another good solvent for extraction was ethyl acetate (EA), whose extracts were secondary to methanol in producing significant biological profile. For example, EA of N. sativa (TPC: 1.46 ± 0.45 µg GAE/ mg extract), G. lutea (TRP: 160.33 ± 0.52 μg AAE/mg extract: ZOI of 12 ± 0.5 mm in K. pneumoniae) and Mormodica charantia (α-amylase inhibition: 39.5 ± 0.10 %) showed significant bioactivities. All extracts displayed mild antifungal protein kinase inhibition activities and were significantly (greater than80 %: p < 0.05) cytotoxic to brine shrimps with negligible hemolytic activity. Conclusion: Briefly, variable polarity solvent extracts of studied plants will be processed for isolation of antioxidant, cytotoxic, carbohydrate enzyme inhibitory and antibacterial compounds

Interspecific heavy metal variations and bioaccumulation in peafowl (Pavo cristatus)

ABSTRACTThe present study was designed for biomonitoring of heavy metals such as lead (Pb), cadmium (Cd), chromium (Cr), zinc (Zn), nickel (Ni), manganese (Mn) and cobalt (Co) at three selected wildlife parks of Punjab. Soil, water and feed samples analysis revealed the high heavy metals contents in feed (21.59 ± 27.39 and 12.67 ± 23.13) followed by soil (11.80 ± 25.84 and 4.96 ± 10.95) and water (2.93 ± 4.48 and 1.11 ± 1.23) samples at Jallo Wildlife Park and Wildlife Park Bahawalnagar, respectively. At Wildlife Park Murree, heavy metals contamination was recorded highest in feed (10.45 ± 16.35), followed by water (6.26 ± 11.35) and soil samples (5.75 ± 9.54). Feathers samples at all sites showed the highest levels of heavy metals concentrations as 12.21 ± 25.69 at Jallo Wildlife Park, 11.50 ± 25.63 at Wildlife Park Bahawalnagar and 3.35 ± 4.81 at Wildlife Park Murree. Interspecific variation of heavy metals among samples and sites was recorded at P < 0.01, and bioaccumulation of heavy metals in the feathers of captive birds was found in high concentration, making them a good indicator of biomonitoring. In captivity, the birds feeding on homogenous diets and particular environmental conditions can better allow us to understand the bioaccumulation of polymetallic contamination, which can further be generalized to predict the risk of these toxic pollutants on public health