Comparison of effect of nifedipine, labetalol and methyldopa in treatment of hypertension in pregnancy in a tertiary care government hospital

Background: To know the incidence & demographic aspects of hypertensive disorders in pregnancy and to compare effect of nifedipine, labetalol, methyldopa on various aspects of PIH such as control of BP, proteinuria, gestational age on admission & of delivery and maternal & perinatal outcome.Methods: Study was conducted in M.Y. Hospital, Indore for one year of period. Three groups each of 50 pts were given nifedipine, labetalol, and methyldopa. Groups were compared on basis of age, residence, parity, control of BP, proteinuria, gestational age of delivery maternal complication &perinatal outcome.Results: maximum patients were from younger age group and mostly are primigravida. Fall in systolic & diastolic BP is significant in all 3 groups. Incidence of decrease in albuminuria is max in labetalol group. Incidence of LSCS is maximum in nifedipine group. No statistically significant difference in three groups regarding foetal outcome.Conclusions: All three drugs are safe & effective drug in treatment of PIH. Labetalol is more effective in reducing albuminuria as compared to nifedipine & methyldopa

Tunnelling Characteristics of Stone-Wales Defects in Monolayers of Sn and Group-V Elements

Topological defects in ultrathin layers are often formed during synthesis and processing, thereby, strongly influencing their electronic properties . In this paper, we investigate the role of Stone-Wales (SW) defects in modifying the electronic properties of the monolayers of Sn and group-V elements. The calculated results find the electronic properties of stanene (monolayer of Sn atoms) to be strongly dependent on the concentration of SW-defects e.g., defective stanene has nearly zero band gap (~ 0.03 eV) for the defect concentration of 2.2 x 10^13 cm^-2 which opens up to 0.2 eV for the defect concentration of 3.7 x 10^13 cm^-2. In contrast, SW-defects appear to induce conduction states in the semiconducting monolayers of group-V elements. These conduction states act as channels for electron tunnelling, and the calculated tunnelling characteristics show the highest differential conductance for the negative bias with the asymmetric current-voltage characteristics. On the other hand, the highest differential conductance was found for the positive bias in stanene. Simulated STM topographical images of stanene and group-V monolayers show distinctly different features in terms of their cross-sectional views and distance-height profiles which can serve as fingerprints to identify the topological defects in the monolayers of group-IV and group-V elements in experiments.Comment: 18 pages, 5 figures, 1 tabl

Skin pigmentation, a window to diagnose Alkaptonuria: a very rare entity

Alkaptonuria (AKU) or endogenous ochronosis is a very rare inborn error of tyrosine metabolism inherited by autosomal recessive mode. There is complete absence of homogentisic acid oxidase enzyme which results in accumulation of homogentisic acid in cartilaginous connective tissue thus produces ochronotic clinical manifestations. Here we reported a 36 year old woman with bluish pigmentation of pinnae, index fingers (lateral aspect), nails, teeth and sclera. Detailed clinical and investigative workup was done to diagnose patient. Skin biopsy showed changes of ochronosis and urine examination revealed detectable level of homogentisic acid. Classical ocular findings, ochronosis on clinical and HPE and positive urinary tests for homogentisic acid confirmed the diagnosis of alkaptonuria. The highlight of our case is that an asymptomatic patient was detected early by ochronosis prior to development of musculoskeletal or cardiac complications

Contraceptive efficacy and antioxidant potential of Leptadenia reticulata bark extracts in male albino rats

Birth control measures available are primarily for women which are hormonal supplements that are increasing cancer risks and reproductive health issues. Male contraceptive options are effective and available, i.e. barrier methods and vasectomy. Condoms are failure-prone and single-use, while a vasectomy is a permanent sterilization method done surgically, and reversion is not always successful and expensive. A promising oral male contraceptive drug candidate is yet to be discovered. This study investigated the contraceptive efficacy and antioxidant potential of various extracts of Leptadenia reticulata bark in male rats. To study the effects of various extracts (ethanolic and petroleum ether) of L. reticulata bark in male rats, oral administration at the dose level of 250 mg/kg body weight/ day was done for 60 days. Observations were made for body and organ weight, hematology, serum biochemical chemistry, testosterone and antioxidants, lipid profile, sperm parameters (density and motility) and histological changes (reproductive organs). As compared to control in treated groups (TP and bark petroleum ether extract), a significant reduction (P ≤ 0.001) was perceived in sperm motility and density, as well as reproductive organ weight, serum testosterone, and serum antioxidant parameters like SOD. Histological observations revealed arrest in spermatogenesis and reduced seminiferous tubule diameter, mature Leydig cells, secondary spermatogonia, and spermatids which caused a substantial increase in LPO and GSH. From the research findings, it can be concluded that bark petroleum ether extract of L. reticulata possesses contraceptive potential in male albino rats and can serve as a safe and reversible oral contraceptive for males

Giant pressure sensitivity in piezo/ferro-electric ceramics

We report the fabrication of single-phase polycrystalline Pb0.85Bi0.10(Zr0.52Ti0.48)O-3 (PBiZT) ceramic which shows large polarization, i.e., similar to 40 mu C cm(-2) and piezoelectric coefficients similar to 130 pC N-1 and giant linear change in capacitive reactance and dielectric properties with increasing and decreasing pressure in the range of 1 kHz to 5 MHz. Nearly 70% change in dielectric constant and 56% change in capacitive reactance were obtained in the pressure range of 20-200 MPa, which makes it suitable for applications as a capacitive pressure sensor/gauge. The sensitivity of the device is calculated as 0.66 MPa-1 and 18.2 MPa-1 at 1 MHz and 5 MHz, respectively, which is the highest ever reported value so far for any bulk polycrystalline ceramic. The compressive stress of the device was tested according to the standard test method as a function of linear and volumetric strain, which yields the Young's modulus, Bulk modulus, and Poisson's ratio of the device. These values were further utilized to calculate actual stress in the sample and energy density using ANSYS software, which indicates at least four orders smaller pressure in the sample compared to the applied pressure

Comparative study of effectiveness of Papanicolaou smear and visual inspection using acetic acid and visual inspection using Lugol’s iodine for screening of premalignant and malignant lesions of cervix

Background: In developing and resource-limited countries alternative screening methods like VIA, VILI, and Pap smear are used in detection of premalignant and malignant lesions of cervix. The aim of our study was to compare the efficacies of VIA, VILI, and Pap smear in detection of premalignant and malignant lesions of cervix.Methods: The study was conducted for a period of one year in the department of obstetrics and gynaecology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh. Women who attended the outdoor patient department of obstetrics and gynecology were subjected to collection of Pap Smear, VIA followed by VILI and a thorough pelvic examination.Results: Among the 350 women studied, 59 women (16.9%) had abnormal VIA, 64 women (18.2%) had abnormal VILI. On pap smear, 10 women were reported as ASCUS, 11 as L-SIL and 1 as H-SIL. Cervical biopsy was done in 98 women, out of which 70 had one or more abnormality on VIA, VILI, or Pap, and 28 women who had normal results. Sixteen women (16.3%) reported as CIN-1 and 2 women (2.07%) as CIN-3. VIA and VILI had a higher sensitivity as compared to pap. However, pap was more specific. The PPV of pap was also much higher as compared to VIA and VILI, whereas there was no difference in NPV of the three.Conclusions: Authors observed that VIA presented the best sensitivity (88.8%), followed by VILI (83.3%), and Pap (72.2%). Pap smear had the highest specificity of 97.2%. The positive predictive value of Pap was higher as compared to VIA and VILI, whereas there was no difference in NPV of the three. VIA and VILI have good sensitivity, with reasonable specificity and because of their cost effectiveness and ease of availability, these can be an alternative screening modality for cervical cancer screening

Studies on plasma treatment and priming of seeds of bell pepper (Capsicum annuum L.)

The present investigation was carried out at Dr. Y.S. Parmar University of Horticulture and Forestry, Nauni, Solan during the year 2014 -2015 to study the “Effect of cold plasma treatment and priming on bell pepper (Capsicum annuum L. cultivar California Wonder) for seed germination and seedling vigour. The seeds were ex-posed to various durations of oxygen plasma treatment using glow discharge technique at FCIPT, Institute for Plas-ma Research, Gandhinagar, Gujarat, India. Seeds were pre-treated with power of 100 W for treatment durations of 0, 3, 6, 9, 12, 15 minutes for 0, 4, 8 and 12 month durations. The changes in surface morphology of plasma treated seeds were studied by Scanning Electron Microscopy (SEM) and Contact Angle Goniometer. Along with plasma treatment, seeds were also treated with standard priming method i.e osmoprimng for comparison. Results showed that plasma treatment alone as well as in combination with osmoprimng up to 6 minutes duration had positive effects on seed germination and seedling vigour. Germination and vigour indices significantly increased by 21.75% and 90.71% respectively. Characteristics of germination percentage, speed of germination, seedling vigour index-I & II, significantly increased by 13.92%, 1.39 cm, 0.38 mg, 322.07 respectively, compared with control. And it was found that immediately after plasma exposure the germination (84.41%) and vigour (228.50) was highest and it was reduced to (73.54%) and (174.27) after 12 months of storage. These results indicated that cold plasma treatment might promote the growth and modify the speed of germination i.e. higher speed of germination was observed in seeds exposed to plasma treat-ment for 6 minutes (59.82%), whereas, lowest germination speed (40.76%) was observed in untreated control

An Efficient Lightweight Provably Secure Authentication Protocol for Patient Monitoring Using Wireless Medical Sensor Networks

The refurbishing of conventional medical network with the wireless medical sensor network has not only amplified the efficiency of the network but concurrently posed different security threats. Previously, Servati and Safkhani had suggested an Internet of Things (IoT) based authentication scheme for the healthcare environment promulgating a secure protocol in resistance to several attacks. However, the analysis demonstrates that the protocol could not withstand user, server, and gateway node impersonation attacks. Further, the protocol fails to resist offline password guessing, ephemeral secret leakage, and gateway-by-passing attacks. To address the security weaknesses, we furnish a lightweight three-factor authentication framework employing the fuzzy extractor technique to safeguard the user’s biometric information. The Burrows-Abadi-Needham (BAN) logic, Real-or-Random (ROR) model, and Scyther simulation tool have been imposed as formal approaches for establishing the validity of the proposed work. The heuristic analysis stipulates that the proposed work is impenetrable to possible threats and offers several security peculiarities like forward secrecy and three-factor security. A thorough analysis of the preexisting works with the proposed ones corroborates the intensified security and efficiency with the reduced computational, communication, and security overheads