The Effect Of Polyherbal Formulation -PHF On Experimentally Induced Reflux Esophagitis In Rats

ABSTRACT The science of life-Ayurveda is practiced in India since time immemorial. Besides being cheap and easily available, Ayurvedic drugs are considered as safe. Moreover, there is surge in the interest in Ayurveda due to quest of alternative medicines. In Ayurvedic system of medicine, Polyherbal formulations were frequently used to enhance the activity or counteract the toxic effect of compounds, from other plants, but may also act synergistically with other constituents from the same plants. Gastro esophageal reflux disease is a disorder of defense mechanism at the esophageal junction, caused by regurgitation of the gastric contents especially of gastric acid. The purpose of the study was to investigate the effect of Poly Herbal Formulation (PHF) on experimentally induced reflux esophagitis and gastrointestinal motility in animals. The PHF consists of seven medicinal plants namely Aegle marmelos, Elettaria cardamomum, Glycyrrhiza glabra , Citrus aurantifolia, Rosa damascena, Cissus quadrangularis and Saccharum officinarum. Based on acute toxicity study the PHF was considered as safe and 3 dose (100, 200 and 400 mg/kg) levels were employed for pharmacological evaluation. The test drugs were administered orally by suspending in 1% carboxy methyl cellulose solution. The PHF exhibited (P<0.001) significant decrease in lesion index and enhance the % protection of lesion in experimentally induced reflux esophagitis at all the 3 doses in rats. In charcoal meal gastrointestinal transit test, PHF dose-dependently propelled the charcoal meal travel through the small intestines in mice. The study indicates that the PHF has protective effect against surgically induced reflux esophagitis

Circadian pacemaker coupling by multi-peptidergic neurons in the cockroach Leucophaea maderae

Lesion and transplantation studies in the cockroach, Leucophaea maderae, have located its bilaterally symmetric circadian pacemakers necessary for driving circadian locomotor activity rhythms to the accessory medulla of the optic lobes. The accessory medulla comprises a network of peptidergic neurons, including pigment-dispersing factor (PDF)-expressing presumptive circadian pacemaker cells. At least three of the PDF-expressing neurons directly connect the two accessory medullae, apparently as a circadian coupling pathway. Here, the PDF-expressing circadian coupling pathways were examined for peptide colocalization by tracer experiments and double-label immunohistochemistry with antisera against PDF, FMRFamide, and Asn13-orcokinin. A fourth group of contralaterally projecting medulla neurons was identified, additional to the three known groups. Group one of the contralaterally projecting medulla neurons contained up to four PDF-expressing cells. Of these, three medium-sized PDF-immunoreactive neurons coexpressed FMRFamide and Asn13-orcokinin immunoreactivity. However, the contralaterally projecting largest PDF neuron showed no further peptide colocalization, as was also the case for the other large PDF-expressing medulla cells, allowing the easy identification of this cell group. Although two-thirds of all PDF-expressing medulla neurons coexpressed FMRFamide and orcokinin immunoreactivity in their somata, colocalization of PDF and FMRFamide immunoreactivity was observed in only a few termination sites. Colocalization of PDF and orcokinin immunoreactivity was never observed in any of the terminals or optic commissures. We suggest that circadian pacemaker cells employ axonal peptide sorting to phase-control physiological processes at specific times of the day

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05-1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4-7 days or ≥ 8 days of 1.25 (1.04-1.48), p = 0.015 and 1.31 (1.11-1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care

Application of TOPSIS Method for Prediction of Optimum Design Parameters of Micro Hole Textured Cutting Inserts in Turning of Al-MMC

Metal Matrix Composite (MMC) has better mechanical properties and it is possible to produce near net shape. Aluminum-based MMC (Al-MMC) has challenges in terms of machinability studies and estimation of its optimum process parameters. Alternative cutting fluid research is a challenging area in machining. To avoid, existing hydrocarbon oil-based cutting fluid, textured inserts embedded with a solid lubricant are one of the alternative solutions. Micro hole textured inserts make a hole on the rake face of the cutting tool inserts. Texture includes various important design parameters namely hole diameter, hole depth and pitch between the holes. These optimum parameters influence the machining process. In this work, the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method is used to find the optimum design parameters (hole diameter, hole depth and pitch between holes) during turning of Al- MMC. The objective parameters considered are minimization of surface roughness, power consumption and tool flank wear. The optimum combination of these design parameters is obtained by the higher relative closeness value of the TOPSIS method. The result of the investigation revealed that these design parameters are important to obtain improved machining performance. Also, it is understood that the TOPSIS method has an appropriate procedure to solve multiple objective optimization problems in manufacturing industries.</jats:p