A study on the clinical, biochemical and hormonal profile of polycystic ovary syndrome patients attending tertiary care hospital

Background: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorder of reproductive age affecting 5% to 10% of women worldwide. It is a heterogenous, multifactorial, complex genetic disorder. PCOS receives a considerable attention because of its high prevalence and metabolic, reproductive and cardiovascular consequences.Methods: A cross sectional observation study of 100 PCOS patients was carried out between January 2014 to July 2015 in Gynaecology out-patient and Infertility OPD, Justice K. S. Hegde charitable hospital, Mangalore. The clinical, biochemical and hormonal profile of these patients were analysed and correlation was done between clinical features and biochemical and hormonal profile.Results: The prevalence of PCOS was 6.3% in the Gynaecology out-patient visits and 37.14% among infertile women. Menstrual irregularity was the most common complaint accounting for 31% followed by infertility (23%). Elevated leutinizing hormone and elevated LH: FSH was significant in irregular menstrual group. The prevalence of metabolic syndrome in our study was 21.3%. Spearmans correlation between various clinical and laboratory parameters showed menstrual cycle and body mass index(BMI) had a fair positive correlation and was significant. WHR (waist hip ratio) showed 21 times risk for metabolic syndrome.Conclusions: The study showed that most of our polycystic ovary syndrome subjects were hirsute, with central obesity and overweight or obese. Oligomenorrhea was the most common presentation. Among the various risk factors studied, WHR (waist hip ratio) showed 21 times risk for metabolic syndrome. Obese women with PCOS had more severe ovulatory dysfunction and need more attention for their appropriate management

Timescale for equilibration of N/Z gradients in dinuclear systems

Equilibration of N/Z in binary breakup of an excited and transiently deformed projectile-like fragment (PLF*), produced in peripheral collisions of 64Zn + 27Al, 64Zn, 209Bi at E/A = 45 MeV, is examined. The composition of emitted light fragments (3<=Z<=6) changes with the decay angle of the PLF*. The most neutron-rich fragments observed are associated with a small rotation angle. A clear target dependence is observed with the largest initial N/Z correlated with the heavy, neutron-rich target. Using the rotation angle as a clock, we deduce that N/Z equilibration persists for times as long as 3-4 zs (1zs = 1 x 10^-21 s = 300 fm/c). The rate of N/Z equilibration is found to depend on the initial neutron gradient within the PLF*.Comment: 6 pages, 4 figure

Nitrobenzene poisoning with methemoglobinemia

Nitrobenzene is a rarely encountered poison in clinical practice. Methemoglobinemia associated with the poisoning can be fatal. Early identification of methemoglobinemia and treatment with methylene blue and supportive measures can prevent mortality. However, hemolysis can be an outcome of treatment with methylene blue. Here, we report the case of nitrobenzene poisoning in a 35-year-old male which was treated successfully

Nevirapine induced Stevens-Johnson syndrome: a case report

Stevens-Johnson syndrome (SJS) is a severe mucocutaneous skin reaction with extensive necrosis and detachment of the epidermis. Nevirapine is one of the high risk agents implicated in development of SJS. Here, we present a case of 27 years old male with HIV infection who was diagnosed to have SJS following administration of nevirapine

Preliminary results of high fibular osteotomy (HFO) and cartilage regeneration procedure for medial compartment osteoarthritis of knee with varus deformity

Purpose: High fibular osteotomy (HFO) is a simple surgical technique to reduce pain and improve function in patients with osteoarthritis via fibular osteotomy. We report short-term results of HFO and mesenchymal cell induced chondrogenesis (MCIC) for the treatment of osteoarthritis of knee with varus deformity. Patients and methods: 45 symptomatic patients with 14 males and 31 females age ranging from 40 to 75 years were treated by HFO and MCIC. Main lesions involved medial compartment of knee and lateral compartment with normal to mild lesions of lateral meniscus and articular cartilage, amenable to treatment via partial meniscectomy or observation. Results: Knee injury and Osteoarthritis Outcome score and Lysholm showed a statistically significant increase and VAS, varus angle in X-ray showed a statistically significant decrease. A statistically significant difference between preoperative and postoperative scores was detected in male and female patients without any sexual differences. Conclusion: High fibular osteotomy and mesenchymal cell induced chondrogenesis can be considered as a good treatment option for medial compartment osteoarthritis of knee with varus deformity

Screening for plant growth promoting fungi and their ability for growth promotion and induction of resistance in pearl millet against downy mildew disease

A total of forty nine plant growth promoting fungi (PGPF) were successfully isolated from the rhizosphere of various grass species in Karnataka State, India. All the PGPF isolates were tested for their ability to enhance pearl millet seed quality parameters and to induce resistance against downy mildew disease in pearl millet. Susceptible pearl millet seeds 7042S were treated with PGPFs conidial suspension (1 x 108 cfu ml-1) and barley grain inocula (BGI) at 5%, 10% and 20% concentrations. Only six isolates among the forty nine tested recorded significant (P &lt; 0.001) enhancement of seed germination and vigor when compared with the untreated control. Of the PGPF, Penicillium sp. (UOM PGPF 27) at 5% (w/w) concentration recorded highest seed germination of 92% and 1701.9 seedling vigor. The in planta colonization of the six PGPF isolates determined successfully in re-isolating the fungus from the basal root segments of 6 cm and 4 cm plated on PDA plates and also from the rhizosphere serial dilution of 10 3 to 10 5. Among the PGPFs tested in two modes, in BGI treatments, Penicillium sp. (UOM PGPF 27) at 5% (w/w) and Pythium sp. (UOM PGPF 41) at 10% (w/w) showed maximum disease protection of 67% and 61% respectively against downy mildew disease of pearl millet In case of conidial suspension treatments Penicillium sp. (UOM PGPF 27) and Trichoderma sp. (UOM PGPF 37) recorded highest disease protection of 71% and 66%, respectively under greenhouse conditions. Thus, the present study suggests that the tested PGPF, both as BGI inocula and conidial suspensions, can be used for pearl millet downy mildew disease management and also for plant growth.&nbsp;&nbsp

Analysis of fragment yield ratios in the nuclear phase transition

The critical phenomena of the liquid-gas phase transition has been investigated in the reactions 78,86Kr+58,64Ni at beam energy of 35 MeV/nucleon using the Landau free energy approach with isospin asymmetry as an order parameter. Fits to the free energy of fragments showed three minima suggesting the system to be in the regime of a first order phase transition. The relation m =-{\partial}F/{\partial}H, which defines the order parameter and its conjugate field H, has been experimentally verified from the linear dependence of the mirror nuclei yield ratio data, on the isospin asymmetry of the source. The slope parameter, which is a measure of the distance from a critical temperature, showed a systematic decrease with increasing excitation energy of the source. Within the framework of the Landau free energy approach, isoscaling provided similar results as obtained from the analysis of mirror nuclei yield ratio data. We show that the external field is primarily related to the minimum of the free energy, which implies a modification of the source concentration \Delta used in isospin studies