Review of 113 cases of autoimmune disorders in pregnancy

Background: Autoimmune disorders are chronic multisystem disorders affecting women of their reproductive age. Pregnancy among these women is complicated by the disease itself. Flaring up of disease, uteroplacental insufficiency due to vasculitis and drugs used for treatment are main reason for unfavourable pregnancy outcomes. The objective of this study was to analyze the pregnancy complications and outcome among 113 cases of autoimmune disorders.Methods: This study is a retrospective analysis of case records of pregnant women with autoimmune disorders. This study was conducted at PSG IMSR and Hospital, Coimbatore, and Tamil Nadu from July 2012 to June 2018. The case sheets were retrieved from medical record department and the details such as type of disease, maternal age, parity, status of disease at conception, treatment taken during pregnancy, maternal complications and fetal complications were collected and analyzed.Results: During 6-year period there were 113 pregnant women with autoimmune disorders, and they were studied of their previous and present pregnancy outcome. The disease incidence was 7.01% per 1000 deliveries. 40.7% were less than 25 years age group and 71.6% were multigravidae. We had forty-one patients (36%) who were positive for APLA syndrome which were the maximum number of patients with auto immune disorder in pregnancy and 37 patients (32.7) with SLE. We had significant numbers of maternal and fetal complications for common disorders. Most of the rare auto immune disorders were diagnosed before pregnancy and these pregnancies were managed by multi-disciplinary approach, and continued on immunomodulators throughout pregnancy, hence maternal and fetal complications were less for them.Conclusions: Adequate pre-conceptional counseling, vigilant monitoring during pregnancy and post-partum will avoid pregnancy related complications and have favorable outcomes

Information needs of farmers on cultivation of salad cucumber Cucumis sativus under polyhouse

The conventional practice of crop production is now giving its way to hi-tech farming practices. Salad cucumber (Cucumis sativus), is a relatively new crop in Kerala and has proven yield benefit under polyhouse conditions. The study intended to assess the information needs of farmers regarding various technical and cultivation aspects of salad cucumber production under polyhouse. Kendall’s coefficient of concordance (W) and mean values were used to identify the information needs. Most of the cultivation aspects fell under either the ‘highly essential’ or ‘moderately needed’ information category. The technical aspects of construction, maintenance and repair of polyhouse were the most critical information need of farmers along with the specifics of fertilizers for polyhouse and fertigation system. Pests, diseases and nutrient deficiency problems were also the main concerns of farmers. Weed management and pollination, with low mean scores were among the least felt information need. Hence, these aspects are also found to be among essential needs. The study elucidated that an efficient information delivery system through appropriate channels is required to boost polyhouse cultivation of vegetables in Kerala

Analysis of various types of ectopic pregnancies: a five-year review

Background: Ectopic pregnancy (EP) is a common, life threatening emergency during the first trimester and a significant cause for maternal morbidity and mortality. In any woman of reproductive age presenting with abdominal pain and vaginal bleeding, ectopic pregnancy should be considered. The objectives of the present study is to determine the incidence, risk factors, clinical presentation, type of ectopic pregnancy, treatment, morbidity and mortality.Methods: Retrospective analysis of case sheets of patients admitted with ectopic pregnancy at PSGIMSR, Coimbatore during the period July 2011 to June 2016 was done. The details noted were age, parity, risk factors {previous abortion, previous EP, previous pelvic surgery, intrauterine contraceptive device, tubectomy, history of pelvic inflammatory disease}, treatment for infertility, clinical presentation, ultrasound findings, investigations including beta HCG value and hemoglobin level, treatment offered, need for blood transfusion, operative findings and morbidity.Results: During the five year, there were 12,407 deliveries at our hospitals and 88 cases of ectopic pregnancies were managed. The incidence is 6.6/1000 deliveries. Among them 44% belonged to the age group of 25-30 years and multi gravida were 73.8%. Most common risk factors were previous abortion (23.8%) and previous surgeries including caesarean section, tubectomy, appendicectomy, tubal microsurgery (23.8%). Most common presentation was pain abdomen (85.2%). Out of the 88 cases, 73 patients were managed surgically (82.9%) and 11 cases were managed successfully with methotrexate (12.5%). Three of them underwent conservative management and one had Uterine Artery Embolization.Conclusions: Early diagnosis based on risk factors and timely intervention plays a main role in reducing morbidity and mortality associated with ectopic pregnancy

Antimicrobial and Antioxidant Potential of Streptomyces sp. RAMPP- 065 isolated from Kudremukh soil, Karnataka, India

Actinomycetes are among the industrially and therapeutically relevant microorganisms and are known to produce useful products such as antibiotics, enzymes, vitamins etc.  Among actinomycetes, genus  Streptomyces is known to produce a great array of products. In the present study, we have recovered a Streptomyces species RAMPP-065 from Western ghats soil of Kudremukh, Karnataka, India and determined its  antimicrobial and antioxidant activity. The isolate was recovered on Starch  casein agar and identified as Streptomyces species on the basis of  cultural, microscopic, staining and biochemical characteristics. Fermentation was carried out in Starch casein broth for 7 days and filtered. The culture filtrate was extracted with ethyl acetate and the solvent was evaporated to get the extract. Antimicrobial activity of extract was tested against 8 bacteria and 2 fungi by agar well diffusion method. Gram positive bacteria were more sensitive to extract than Gram negative bacteria. Among fungi, susceptibility to extract was higher in Candida albicans than Cryptococcus neoformans. The extract showed a dose dependent scavenging of DPPH free radical as revealed by bleaching of DPPH radical color with increase in concentration of extract. In ferric reducing assay, the absorbance was  found to increase with increase in extract concentration. Total phenolic content of extract, as estimated by Folin-Ciocalteau method, was 59mg Gallic acid equivalents/gram. The scavenging and reducing activity of extract were lesser when compared to reference compounds. The soils of Western ghats are rich sources for microorganisms with potent biological activities. To the best of our knowledge, this is the first report on  bioactivity of Streptomyces species from Kudremukh soil. Further studiesare to be carried out to characterize the Streptomyces isolate and the active principles present in the extract

Unusual Presentation of Rare Case of Papillary Adenofibroma of Cervix in a Young Woman

Adenofibroma is an extremely rare benign biphasic neoplasm that is classified into the mixed epithelial and mesenchymal tumor group. These tumors tend to occur in postmenopausal and elderly women. We report the case of a large polypoidal mass per vagina occupying the whole pelvis in a young woman. Preoperative biopsy showed benign epithelial and mullerian mesenchymal components suggestive of mullerian adenofibroma. Total hysterectomy with bilateral salpingectomy was done. The diagnosis of papillary adenofibroma of cervix was made. The total surgery assured complete excision and permitted adequate sampling to exclude malignancy

Stormwater Pond Maintenance, and Wetland Management for Phosphorus Retention

(c) 1036202Reduction in phosphorus is critical because phosphate, a dissolved form of phosphorus, sustains algal and cyanobacteria growth and causes a wide range of water-quality impairments in the ponds and downstream waters including algal blooms, excess floating plants, taste, and odor problems. Many stormwater ponds and wetlands that treat stormwater appear to be less effective than expected or originally intended in phosphorus retention, a key function of these ponds in urban environments. There is evidence that many old ponds are releasing phosphorus from bottom sediments at high rates and likely exporting phosphorus to downstream surface water bodies. A major outcome of this project is a pond Assessment Tool to assess the risk of high phosphorus concentrations in ponds and sediment release of phosphorus. The tool is based on 20 ponds with detailed water quality and phosphorus release measurements and a meta-analysis of 230 ponds in the Twin Cities metro area. Other outcomes included a working definition of a constructed stormwater pond and a wetland treating stormwater in the framework of water-body regulations, the development of recommendations for stormwater pond maintenance and wetland management, and an update to the sections on the constructed stormwater ponds section of the 2009 Stormwater Maintenance BMP Guide

Identification of Prophages in Bacterial Genomes by Dinucleotide Relative Abundance Difference

BACKGROUND: Prophages are integrated viral forms in bacterial genomes that have been found to contribute to interstrain genetic variability. Many virulence-associated genes are reported to be prophage encoded. Present computational methods to detect prophages are either by identifying possible essential proteins such as integrases or by an extension of this technique, which involves identifying a region containing proteins similar to those occurring in prophages. These methods suffer due to the problem of low sequence similarity at the protein level, which suggests that a nucleotide based approach could be useful. METHODOLOGY: Earlier dinucleotide relative abundance (DRA) have been used to identify regions, which deviate from the neighborhood areas, in genomes. We have used the difference in the dinucleotide relative abundance (DRAD) between the bacterial and prophage DNA to aid location of DNA stretches that could be of prophage origin in bacterial genomes. Prophage sequences which deviate from bacterial regions in their dinucleotide frequencies are detected by scanning bacterial genome sequences. The method was validated using a subset of genomes with prophage data from literature reports. A web interface for prophage scan based on this method is available at http://bicmku.in:8082/prophagedb/dra.html. Two hundred bacterial genomes which do not have annotated prophages have been scanned for prophage regions using this method. CONCLUSIONS: The relative dinucleotide distribution difference helps detect prophage regions in genome sequences. The usefulness of this method is seen in the identification of 461 highly probable loci pertaining to prophages which have not been annotated so earlier. This work emphasizes the need to extend the efforts to detect and annotate prophage elements in genome sequences