The management of adults and children with moderate severity asthma

Moderate severity asthma occurs in approximately 10 to 15% of patients with chronic reversible airway obstruction and is defined by more than four daytime symptoms per week, more than four night time symptoms per month and peak expiratory flow rates of between 60 and 80% of predicted values. Currently recommended first line chronic maintenance treatment for children and adults for moderate severity asthma is the use of combination therapy of inhaled corticosteroids and long acting beta-2 agonists. Other agents such as leukotriene receptor antagonist, theophyllines and soluble TNF alpha-receptor blockers could be considered in special circumstances when adequate control is not obtained. South African Family Practice Vol. 49 (4) 2007: pp. 28-3

A Novel Concept for a Positron Emission Tomography Scanner

Positron Emission Tomography (PET) allows physicians and researchers to visualize metabolic data in the human body and is widely used in cancer and neurological imaging. Traditional PET scanners consist of a thin ring of scintillators coupled to photo detectors but these scanners often take long periods of time to acquire an image, are very costly, and are too complex to fit inside other machinery such as MRI. In response to this, we are building a novel PET detector that utilizes non-traditional scintillators and photo detectors in an attempt to significantly decrease cost, allow combined PET/MRI modalities and reduce scan time

Mitogenomic architecture of the multivalent endemic black clam (Villorita cyprinoides) and its phylogenetic implications

The Indian black clam Villorita cyprinoides (Family: Cyrenidae), an extractive commercially exploited species with aquaculture importance contributing more than 70% of clam fishery in India, is endemic to the Indian peninsula. Currently, there is very sparse information, especially on the molecular data of Villorita. The present study aims to provide a comprehensive knowledge of mitogenome architecture and assess the phylogenetic status of Cyrenidae. This has resulted in reporting the first complete mitogenome of V. cyprinoides using next-generation sequencing technology. The A+T circular mitogenome was 15,880 bp long, exhibiting 13 protein-coding genes (PCGs) including ATP8 (absent in several bivalves), 22 transfer RNA, and two ribosomal RNA genes residing in the heavy strand in a clockwise orientation and a gene order akin to Corbicula fluminea. The molecular phylogeny inferred from a concatenated multi-gene sequence [14 mitochondrial (12 PCGs, rrnS and rrnL) and two nuclear genes (Histone H3, 18S rRNA)] from 47 representative species of superorder Imparidentia, clustered V. cyprinoides and Cyrenid clams to a single clade supporting the monophyly of Cyrenidae. The subsequent mitochondrial gene order analysis substantiates the close relationship of V. cyprinoides and C. fluminea, analogous to phylogenetic output. The multilocus tree topology calibrated with verified fossil data deciphered the origin and diversification of Cyrenid clams during late Triassic-early Jurassic. The data derived from this study shall contribute remarkably for further insights on cryptic species identification, molecular characterization of bivalve mitogenomes and mitochondrial evolutionary history of genus Villorita. Moreover, complete mitogenome can aid in potential marker development for assessing the genetic health of black clam populations

Risk factors for admission and the role of respiratory syncytial virus-specific cytotoxic T-lymphocyte responses in children with acute bronchiolitis

Background. Risk factors for admission of children with acute bronchiolitis have remained controversial. Technological advances in the measurements of cytotoxic T-lymphocyte (CTL) activity, enable respiratory syncytial virus (RSV)-specific CTL activity to be studied in infants with bronchiolitis for the first time. We evaluated risk factors for admission of children with acute bronchiolitis and determined the role of CTL responses in those infected with RSV.Method. Children between 3 and 24 months of age presenting with bronchiolitis to the paediatric outpatient department at King Edward VIII Hospital, Durban, over a 1-year period were enrolled. Management included clinical evaluation, nasopharyngeal aspiration, standard treatment and hospitalisation if indicated. Secretions were tested with monoclonal antibodies for RSV and pooled respiratory viruses; shell vial cultures were also established. Permission was requested from parents of RSV-infected subjects for blood draws for specific cytotoxic T-cell assays and CD4/CD8 cells on admission and repeat CTL on day 7.Results. Viruses were identified in 55 of the 114 subjects studied (48.2%). RSV was seen in 41 cases (74.5%). Twenty three infants (20.2%) required admission. Risk factors associated with inpatient admissions on univariate analysis included younger mean age (7.6 months v. 10.1 months), overcrowding (p < 0.01) and indoor exposure to products of combustion of cooking fuels (p = 0.05). Only the former two were significant on multivariate analysis. RSV-specific CTL responses were obtained in 21 children (51.2%). Responses were either very weak (N = 7) or negative (N = 14) on day 0 and did not alter significantly on day 7. The mean CD4/CD8 ratios in this group were 2.27:1. The highest frequency of CTL was directed against the proteins 'M4/5/6', with counts ranging from 100 to 400 spot forming cells (sfc)/million.Conclusion. Measures to address risk factors identified in this study may decrease the need for hospitalisation from bronchiolitis. The lack of RSV-specific CTL responses in peripheral blood of immunocompetent RSV-infected children suggest an alternative method of induction of immunity or compartmentalisation of immune cells

Paediatric spirometry guideline of the South African Thoracic Society: Part 1

Spirometry forms an important component in the diagnosis and management of pulmonary diseases in children. In the paediatric setting, there are different challenges in terms of performance and interpretation of good quality and reliable tests. An awareness of the physiological and developmental aspects that exist in children is necessary to improve the quality and reliability of spirometry. We reviewed the recommendations on the technical aspects of performing spirometry in children, from the available guidelines and clinical trials. The focus was on the indications, methods and the interpretation of lung function tests in children <12 years of age. Reliable lung function testing can be performed in children, but an awareness of the limitations, the use of incentives and a dedicated lung function technologist are necessary

Estimation of genetic diversity among sugarcane (Saccharum species complex) clones

he experimental materials consisted of 36 sugarcane clones including two checks (Co Pant 97222 and Co Pant 3220). Analysis of variance revealed significant differences among all the clones for all the traits under study namely no. of millable canes, cane height, single cane weight, juice sucrose percent , purity percent , cane yield and CCS yield except cane thickness, juice brix and juice extraction percent. The divergence studies through Mahalanobis D2 statistics grouped the 36 genotypes into eleven clusters. The maximum numbers of genotypes (21) were grouped in clusterI and the lowest (1) in cluster VI,VII,VIII,IX,X and XI. Members of cluster VII and XI (46.48) were found to be genetically most diverse on the basis of their inter cluster difference as opposite to clusters I and II (10.77) which are closely related. Cane height contributed maximum (15.397%) towards genetic divergence followed by Single cane weight (14.762%) and no. of millable cane (13.016%). These characters were considered to be most important for the genetic diversity. Lowest contribution was made by juice purity percent (4.286%) followed by Cane thickness(7.301%),Juice extraction percent (7.619%). Genetic diversity is important for sustainable production since greater losses of characteristics in any population limits its chances of survival. Little to no genetic diversity makes crops extremely susceptible to widespread biotic and abiotic stresses. Genetic diversity can be assessed by Mahalanobis D2 statistic, which is a morphometric method and a powerful tool in quantifying the degree of divergence at genotypic level