Multiorgan dysfunction (MOD) in falciparum malaria in children: a study from high endemic area of Southern Odisha

Background: To find out the prevalence of multiorgan dysfunction in cases of severe falciparum malaria in children, correlating the organ dysfunction in different age group and relationship with case fatality rate (CFR).Methods: This prospective cross-sectional study was conducted from Jan 2014 to June 2016 in the Department of Pediatrics, Maharaja Krushna Chandra Gajapati medical college and hospital (MKCG MCH), Berhampur, Odisha, India. Total 340 cases belonging to 5yr age group. Hyperparasitemia (>10%) was detected in 12.35% cases. Cerebral malaria was most common organ dysfunction found in 1-5 years, followed by anaemia in 5-10 years, acute renal failure (ARF) in 10-14 years age group. Multiorgan dysfunction (MOD) was detected in 32.94% cases of severe malaria. Overall CFR was 8.82%, being directly proportional to no. of organ involvement, 31.81% with 4 organs and 100 % with five organs involvement respectively which was statistically significant.Conclusions: MOD is of grave outcome in severe Pf malaria increasing the case fatality rate proportionate to number of organs involved

A Design of Digital Microfluidic Biochip along with Structural and Behavioural Features in Triangular Electrode Based Array

AbstractDigital microfluidic based biochip manoeuvres on the theory of microfluidic technology, having a broad variety of applications in chemistry, biology, environmental monitoring, military etc. Being concerned about the technological advancement in this domain, we have focused on equilateral triangular electrodes based DMFB systems. Accepting the associated design issues, here, we have addressed many facets of such electrodes regarding their structural and behavioural issues in comparison to the existing square electrodes. As the requisite voltage reduction is a key challenging design issues, to implement all the tasks using triangular electrodes that are possible in square electrode arrays as well, is a tedious job. Furthermore, to deal with this new design deploying triangular electrodes, we have analyzed all the necessary decisive factors including fluidic constraints to ensure safe droplet movements and other modular operations together with mixing and routing. Moreover, an algorithm has been developed to find a route for a given source and destination pair in this newly designed DMFB. Finally, we have included a comparative study between this new design and the existing one while encountering the above mentioned issues

Neem seed oil and gum arabic-based oil-in-water emulsions as potential ocular drug delivery system

The present study deciphers the synthesis and characterization of the neem seed oil (NSO) and gum arabic (GA) based emulsion. The synthesized emulsions were thoroughly characterized for probable application in ocular drug delivery. The synthesized emulsions were white in color. The FTIR spectroscopy divulged that the glycoprotein complex of GA retained its functional architecture. The formation of the oil-in-water emulsion was confirmed by confocal microscopy. The NSO droplets in the emulsions behaved as capacitive elements whose properties altered as the composition of the emulsions were varied. The mechanical studies suggested that the interactions within the emulsion components tailored the polymer-polymer integrity under stress. The drug release and corneal permeation studies using ciprofloxacin HCl-loaded emulsions indicated that the ciprofloxacin molecules were released from the emulsions, and the emulsions were able to deliver the drug across the corneal tissue. The prepared emulsions were nonirritant to the ocular tissues. The released drug was capable of inhibiting the growth of the model bacteria (Staphylococcus aureus). In gist, the prepared emulsions were suitable for ocular drug delivery applications. [GRAPHICS] .N