Eosinophilic gastroenteritis(EGE) is a rare disorder characterized by eosinophilic infiltration of the bowel wall with various gastrointestinal manifestations.Till date only 280 cases have been described in the litera...Eosinophilic gastroenteritis(EGE) is a rare disorder characterized by eosinophilic infiltration of the bowel wall with various gastrointestinal manifestations.Till date only 280 cases have been described in the literature.A high index of suspicion,by excluding other causes of peripheral eosinophilia,is a pre requisite for accurate diagnosis.EGE is an uncommon gastrointestinal disease affecting both children and adults.It was first described by Kaijser in 1937.Presentation may vary depending on location as well as depth and extent of bowel wall involvement and usually runs a chronic relapsing course.This condition can respond to low dose steroid therapy,thereby preventing grave complications like ascites and intestinal obstruction that might need surgical intervention.The natural history of EGE has not been well documented.Eosinophilic gastroenteritis is a chronic,waxing and waning condition.Mild and sporadic symptoms can be managed with reassurance and observation,whereas disabling gastrointestinal(GI) symptom flare-ups can often be controlled with oral corticosteroids.When the disease manifests in infancy and specific food sensitization can be identified,the likelihood of disease remission by late childhood is high.GI obstruction is the most common complication.Fatal outcomes are rare.展开更多
Primary idiopathic intestinal lymphangiectasia is an unusual disease featured by the presence of dilated lymphatic channels which are located in the mucosa, submucosa or subserosa leading to protein loosing enteropath...Primary idiopathic intestinal lymphangiectasia is an unusual disease featured by the presence of dilated lymphatic channels which are located in the mucosa, submucosa or subserosa leading to protein loosing enteropathy.Most often affected were children and generally diagnosed before third year of life but may be rarely seen in adults too. Bilateral pitting oedema of lower limb is the main clinical manifestation mimicking the systemic disease and posing a real diagnostic dilemma to the clinicians to differentiate it from other common systemic diseases like Congestive cardiac failure, Nephrotic Syndrome, Protein Energy Malnutrition, etc. Diagnosis can be made on capsule endoscopy which can localise the lesion but unable to take biopsy samples. Thus, recently double-balloon enteroscopy and biopsy in combination can be used as an effective diagnostic tool to hit the correct diagnosis. Patients respond dramatically to diet constituting low long chain triglycerides and high protein content with supplements of medium chain triglyceride. So early diagnosis is important to prevent untoward complications related to disease or treatment for the sake of accurate pathological diagnosis.展开更多
Primary splenic epithelial cyst is an unusual event in everyday surgical practice with about 800 cases reported until date in the English literature. Splenic cysts may be parasitic or non-parasitic in origin. Nonparas...Primary splenic epithelial cyst is an unusual event in everyday surgical practice with about 800 cases reported until date in the English literature. Splenic cysts may be parasitic or non-parasitic in origin. Nonparasitic cysts are either primary or secondary. Primary cysts are also called true,congenital,epidermoid or epithelial cysts. Primary splenic cysts account for 10% of all benign non-parasitic splenic cysts and are the most frequent type of splenic cysts in children. Usually,splenic cysts are asymptomatic and can be found incidentally during imaging techniques or on laprotomy. The symptoms are related to the size of cysts. When they assume large sizes,they may present with fullness in the left abdomen,local or referred pain,symptoms due to compression of adjacent structures(like nausea,vomiting,flatulence,diarrhoea) or rarely thrombocytopenia,and occasionally complications such as infection,rupture and/or haemorrhage. The preoperative diagnosis of primary splenic cysts can be ascertained by ultrasonography(USG),computed tomography or magnetic resonance imaging,although the wide use of USG today has led to an increase in the incidence of splenic cysts by 1%. However,careful histopathological evaluation along with immunostaining for presence of epithelial lining is mandatory to arrive at the diagnosis. The treatment has changed drastically from total splenectomy in the past to splenic preservation methods recently.展开更多
Ethiopia is one of the countries in the world endowed with rich biological resources. However, due to human impacts, the forest cover in Ethiopia has been decreasing rapidly. The study was carried out with the purpose...Ethiopia is one of the countries in the world endowed with rich biological resources. However, due to human impacts, the forest cover in Ethiopia has been decreasing rapidly. The study was carried out with the purpose of finding out the Regeneration Status, Population Structure and Floristic composition of Woody Plant Species in Sheleko Medihanialem Natural Forest in Gondar, North West Ethiopia, from October 2019 to September 2020. The systematic vegetation sampling method was used to collect data from Fifty plots of 20 m × 20 m (400 m2) along five line transects. In addition, five, 5 m × 5 m subplots were laid within the main plot to sample seedlings and saplings. The floristic composition and population structure of woody individuals of trees and shrubs with a diameter at breast height (DBH) ≥ 2.5 cm and height ≥ 2 m were measured. DBH ≤ 2.5 cm and less than 1 m height were considered as seedlings and DBH ≥ 2.5 cm and height of 1 - 2 m as saplings. Vegetation data of density, frequency, basal area, and importance value index were computed. A total of 65 woody plant species in 54 genera and 34 plant families were recorded. Fabaceae, Moraceae and Euphorbiaceae were the dominant families in terms of species richness. Woody species densities for mature individuals were 2202.5 stems∙ha−1, seedling 2419.2 stems∙ha−1 and sapling 1737.6 stems∙ha−1. The forest was dominated by small-sized/young trees and shrubs, indicating the status of secondary growth and/or regeneration.展开更多
Leaf extract of medicinally important plant Ocimurn sanctum （O. sanctum） has been used for the synthesis of nickel nanoparticles （NiGs） and extraction of quercetin （Qu）. Qu has been conjugated with NiGs for enha...Leaf extract of medicinally important plant Ocimurn sanctum （O. sanctum） has been used for the synthesis of nickel nanoparticles （NiGs） and extraction of quercetin （Qu）. Qu has been conjugated with NiGs for enhanced anticancer effect on human breast cancer MCF-7 cells. Extracted Qu was conjugated with polyethylene glycol （PEG） coated NiGs （Qu-PEG-NiGs） which was used as carriers for breast cancer treatment. Anticancer activity of Qu-PEG-NiGs was evaluated by assessing cell viability, reactive oxygen species （ROS） production, caspase activity, mitochondrial membrane potential （MMP） and changes in nuclear morphology （staining methods）. 0.85 mg of quercetin was extracted from I g of leaves with retention time （Rt） of 2.914 rain. Loading and encapsulation efficiency of quercetin onto PEG-NiGs was 15.04% and 82% respectively and Qu-PEG-NiGs has shown a sustained release of Qu of about 84% after 48 h. Qu and Qu-PEG-NiGs showed dose dependent （1.56-50 μg/mL） anticancer effect against MCF-7 cells with IC50 values of 50 and 6.25 μg/mL respectively which was mediated by oxidative stress due to ROS over-production that induced loss of mitochondrial membrane potential, capsase -9, -7 activities leading to apoptosis. The present study validates that Qu-PEG-NiGs can be used as a potential anticancer agent for cancer therapy.展开更多
The concept of inflammatory bowel disease(IBD),which encompasses Crohn’s disease and ulcerative colitis,represents a complex and growing global health concern resulting from a multifactorial etiology.Both dysfunction...The concept of inflammatory bowel disease(IBD),which encompasses Crohn’s disease and ulcerative colitis,represents a complex and growing global health concern resulting from a multifactorial etiology.Both dysfunctional autophagy and dysbiosis contribute to IBD,with their combined effects exacerbating the related inflammatory condition.As a result,the existing interconnection between gut microbiota,autophagy,and the host’s immune system is a decisive factor in the occurrence of IBD.The factors that influence the gut microbiota and their impact are another important point in this regard.Based on this initial perspective,this manuscript briefly highlighted the intricate interplay between the gut microbiota,autophagy,and IBD pathogenesis.In addition,it also addressed the potential targeting of the microbiota and modulating autophagic pathways for IBD therapy and proposed suggestions for future research within a more specific and expanded context.Further studies are warranted to explore restoring microbial balance and regulating autophagy mechanisms,which may offer new therapeutic avenues for IBD management and to delve into personalized treatment to alleviate the related burden.展开更多
Crohn's disease(CD) is a chronic idiopathic inflammatory disease of gastrointestinal tract characterizedby segmental and transmural involvement of gastrointestinal tract. Ileocolonic and colonic/anorectal is a mos...Crohn's disease(CD) is a chronic idiopathic inflammatory disease of gastrointestinal tract characterizedby segmental and transmural involvement of gastrointestinal tract. Ileocolonic and colonic/anorectal is a most common and account for 40% of cases and involvement of small intestine is about 30%. Isolated involvement of stomach is an extremely unusual presentation of the disease accounting for less than 0.07% of all gastrointestinal CD. To date there are only a few documented case reports of adults with isolated gastric CD and no reports in the pediatric population. The diagnosis is difficult to establish in such cases with atypical presentation. In the absence of any other source of disease and in the presence of nonspecific upper gastrointestinal endoscopy and histological findings, serological testing can play a vital role in the diagnosis of atypical CD. Recent studies have suggested that perinuclear anti-neutrophil cytoplasmic antibody and anti-Saccharomycescervisia antibody may be used as additional diagnostic tools. The effectiveness of infliximab in isolated gastric CD is limited to only a few case reports of adult patients and the long-term outcome is unknown.展开更多
Regeneration status of tree species along elevation gradient in temperate hill forest was not understood greatly.Present research examined the tree diversity and its regeneration patterns along an elevation gradient i...Regeneration status of tree species along elevation gradient in temperate hill forest was not understood greatly.Present research examined the tree diversity and its regeneration patterns along an elevation gradient in temperate hill forest,central Nepal.Data were collected from 300 sample plots within vertical elevation bands of 10,ranging from 1365 to 2450 m asl.A random sampling method was used for data collection in three seasons,winter,pre-monsoon and post monsoon seasons.Diameter at breast height(DBH)was used to broadly categorize the plant individual into trees,saplings and seedlings.The tree species richness ranged from 12 to 25 with density of 350 to 1200 individuals per hectare.Species richness of tree and sapling showed statistically significant unimodal pattern,which peaked at mid-elevation.Elevation showed a strong and positive linear correlation with the seedling density(Deviance=0.99,p<0.001)and a significant hump-shaped relationship with sapling density(Deviance=0.95,p<0.001).Similarly,elevations showed a statistically significant negative hump-shaped relationship with all trees,saplings and seedling stages(Deviances=0.89,0.87 and 0.57).The highest values of the Shannon-Wiener index and the lowest value of the Simpson index were found at mid-elevation for all growth forms.Nearly 92%of tree species were found at regenerating stage;49%in a good renewal regeneration status,32%in fair renewal regeneration,and 11%at a poor regenerating condition.Nevertheless,4%of tree species were reported as non-regenerating stages and 4%were newly introduced species.Hence,the regeneration status of the study area was considered fairly well since sapling(78.5%)>seedling(10.6%)≤mature(10.9%).Among tested environmental variables,elevation and annual mean rainfall were the most influential factors in the regeneration of tree species.展开更多
Cotton plays a crucial role in shaping Indian economy and rural livelihoods.The cotton crop is prone to numerous insect pests,necessitating insecticidal application,which increases production costs.The advent of the e...Cotton plays a crucial role in shaping Indian economy and rural livelihoods.The cotton crop is prone to numerous insect pests,necessitating insecticidal application,which increases production costs.The advent of the expression of Bacillus thuringiensis(Bt)insecticidal protein in cotton has significantly reduced the burden of pest without compromising environmental or human health.After the introduction of transgenic cotton,the cultivated area expanded to 22 million hectares,with a 64% increase in adoption by farmers worldwide.Currently,Bt cotton accounts for 93% of the cultivated cotton area in India.However,extensive use of Bt cotton has accelerated resistance development in pests like the pink bollworm.Furthermore,the overreliance on Bt cotton has reduced the use of broad-spectrum pesticides,favouring the emergence of secondary pests with significant challenges.This emphasizes the urgent necessity for developing novel pest management strategies.The high-dose and refuge strategy was initially effective for managing pest resistance in Bt cotton,but its implementation in India faced challenges due to misunderstandings about the use of non-Bt refuge crops.Although gene pyramiding was introduced as a solution,combining mono toxin also led to instances of cross-resistance.Therefore,there is a need for further exploration of biotechnological approaches to manage insect resistance in Bt cotton.Advanced biotechnological strategies,such as sterile insect release,RNA interference(RNAi)-mediated gene silencing,stacking Bt with RNAi,and genome editing using clustered regularly interspaced short palindromic repeats/CRISPR-associated protein(CRISPR-Cas),offer promising tools for identifying and managing resistance genes in insects.Additionally,CRISPR-mediated gene drives and the development of novel biopesticides present potential avenues for effective pest management in cotton cultivation.These innovative approaches could significantly enhance the sustainability and efficacy of pest resistance management in Bt cotton.展开更多
Alzheimer’s disease(AD)is a progressive neurodegenerative disorder and the predominant form of dementia.Since its initial description by Alois Alzheimer in 1906,several advances have been made in our understanding of...Alzheimer’s disease(AD)is a progressive neurodegenerative disorder and the predominant form of dementia.Since its initial description by Alois Alzheimer in 1906,several advances have been made in our understanding of the progression of the disease and its clinical consequences,yet the underlying etiology remains contentious.Given the stereotyped patterns of cortical and hippocampal neuronal loss and the progressive degeneration of key neurotransmitter pathways,research has traditionally been focused on factors affecting neuronal viability,including the contribution of glial dysfunction to neuronal degeneration.From a clinical perspective,the fruits of this work have been underwhelming.Key pathological markers of the disease,includingβ-amyloid(Aβ)plaque formation and tau hyperphosphorylation,have yielded no effective therapies,highlighted by the recent discontinuations of several high profile Aβimmunotherapy trials.The few current symptomatic therapies for AD are predicated on the amelioration of cholinergic or glutamatergic dysfunction.Aside from underscoring the inadequacy of current therapeutic approaches,this also points to the importance of alternative contributors to AD pathogenesis.In recent years,there has been a growing appreciation for the multimodal and multifactorial nature of the condition;the case for combinatorial therapies is thus strong.展开更多
Tonle Sap sedimentary basin was considered a favorable geological condition for hydrocarbon accumulation in the onshore Cambodia. Two exposure outcrops in Battambang province, called Somlout and Takream, were selected...Tonle Sap sedimentary basin was considered a favorable geological condition for hydrocarbon accumulation in the onshore Cambodia. Two exposure outcrops in Battambang province, called Somlout and Takream, were selected to represent sediments in this basin. The sedimentology and geochemistry studies provide insights into the depositional environment of sediments using field investigation, lithological, sedimentological, paleontological, and geochemical analysis. The redox condition, water column, and depositional setting were analyzed by plotting the ratio of V vs. Cr, Uauthigenic vs. V/Cr, Sr vs. Ba, Ca vs. (Fe + Ca), and Fe<sub>2</sub>O<sub>3</sub>/TiO<sub>2</sub> vs. Al<sub>2</sub>O<sub>3</sub>/(Al<sub>2</sub>O<sub>3</sub> + Fe<sub>2</sub>O<sub>3</sub>) diagram. Moreover, these diagrams can be used to predict depositional conditions as well. Based on the results, Somlout and Takream comprise calcareous shale and limestone facies. The geochemical analysis showed that Somlout calcareous shale samples were deposited in the dysoxic freshwater of the lake setting during the regression, while Somlout limestones and Takream were deposited in high salinity seawater, oxic condition of shallow-marine water. In addition, Somlout limestones consist of fragmental fusulinid foraminifera, bivalve shelve, and bryozoan, which suggest a barrier environment. Meanwhile, Teakream consists of fine-grained calcareous shale, and lime-mudstone, which are presented to form in the quiet marine setting of the lagoon environment. Therefore, the Tonle Sap basin sediments were deposited in the Somlout area’s barrier and lake environment, and the lagoon environment for Takream.展开更多
The aim of this study was to explore the perception of male nursing students’ experiences and challenges in maternity clinical practice. A quantitative cross-sectional survey design was used. The self-administered qu...The aim of this study was to explore the perception of male nursing students’ experiences and challenges in maternity clinical practice. A quantitative cross-sectional survey design was used. The self-administered questionnaire included 18 items 5-point Likert scale to identify the challenges experienced by male nursing students in their maternity clinical practice, and 14 items to assess comfort level in performing procedures in maternity clinical areas. Participants were 93 male nursing students who had completed their maternity clinical posting in different maternity clinical areas as a part of their nursing program, at the College of Nursing, Kuwait. Results showed that male nursing students are not very keen on undergoing maternity clinical training (Chi-square analysis χ<sup>2</sup> = 96.939;P χ<sup>2</sup> = 108.638;P χ<sup>2</sup> = 5.297;P = 0.021). In conclusion, this study showed that being treated differently and being refused to provide care to clients were the main challenges faced by male nursing students during their maternity practice. The participants had a strong belief that they will not be accepted by maternity clients because of the gender difference and cultural influence. There is a need to design strategies in both academic and clinical settings to overcome barriers to male nursing students’ engagement in the various maternity care areas. Our findings also indicate the need to embrace gender diversity in maternity clinical practice and call for professionalism, gender and cultural awareness creation, and advocacy.展开更多
Image processing,agricultural production,andfield monitoring are essential studies in the researchfield.Plant diseases have an impact on agricultural production and quality.Agricultural disease detection at a preliminar...Image processing,agricultural production,andfield monitoring are essential studies in the researchfield.Plant diseases have an impact on agricultural production and quality.Agricultural disease detection at a preliminary phase reduces economic losses and improves the quality of crops.Manually identifying the agricultural pests is usually evident in plants;also,it takes more time and is an expensive technique.A drone system has been developed to gather photographs over enormous regions such as farm areas and plantations.An atmosphere generates vast amounts of data as it is monitored closely;the evaluation of this big data would increase the production of agricultural production.This paper aims to identify pests in mango trees such as hoppers,mealybugs,inflorescence midges,fruitflies,and stem borers.Because of the massive volumes of large-scale high-dimensional big data collected,it is necessary to reduce the dimensionality of the input for classify-ing images.The community-based cumulative algorithm was used to classify the pests in the existing system.The proposed method uses the Entropy-ELM method with Whale Optimization to improve the classification in detecting pests in agricul-ture.The Entropy-ELM method with the Whale Optimization Algorithm(WOA)is used for feature selection,enhancing mango pests’classification accuracy.Support Vector Machines(SVMs)are especially effective for classifying while users get var-ious classes in which they are interested.They are created as suitable classifiers to categorize any dataset in Big Data effectively.The proposed Entropy-ELM-WOA is more capable compared to the existing systems.展开更多
As per strict criteria of Das Gupta et al, primary splenic lymphoma is very rare. Herein, we are reporting an unusual case of primary large cell splenic lymphoma of B lineage in a middle aged female presenting with ma...As per strict criteria of Das Gupta et al, primary splenic lymphoma is very rare. Herein, we are reporting an unusual case of primary large cell splenic lymphoma of B lineage in a middle aged female presenting with massive splenomegaly(3.8 kg) and hypersplenism. After performing therapeutic splenectomy for hypersplenism, a precise diagnosis of diffuse large B cell lymphoma was made on histopathology and confirmed by immunohistochemistry. The patient responded well to standard(Cyclophosphamide, Hydroxydaunorubicin, Oncovin(vincristine), Prednisone or prednisolone) regimen last year and is now in full remission. The splenectomy thereby has prevented the potential grave complications related to hypersplenism and splenic rupture. Our aim behind highlighting the topic is to specify that emergency splenectomy followed by anticoagulation therapy is an effective plan of management to prevent untoward complications related to disease and treatment.展开更多
Over 95% of plastid proteins are nuclear-encoded as their precursors containing an N-terminal extension known as the transit peptide （TP）. Although highly variable, TPs direct the precursors through a conserved, pos...Over 95% of plastid proteins are nuclear-encoded as their precursors containing an N-terminal extension known as the transit peptide （TP）. Although highly variable, TPs direct the precursors through a conserved, posttranslational mechanism involving translocons in the outer （TOC） and inner envelope （TOC）. The organelle import specificity is mediated by one or more components of the Toc complex. However, the high TP diversity creates a paradox on how the sequences can be specifically recognized. An emerging model of TP design is that they contain multiple loosely conserved motifs that are recognized at different steps in the targeting and transport process. Bioinformatics has demonstrated that many TPs contain semiconserved physicochemical motifs, termed FGLK. In order to characterize FGLK motifs in TP recognition and import, we have analyzed two well-studied TPs from the precursor of RuBisCO small subunit （SStp） and ferredoxin （Fdtp）. Both SStp and Fdtp contain two FGLK motifs. Analysis of large set mutations （-85） in these two motifs using in vitro, in organello, and in vivo approaches support a model in which the FGLK domains mediate interaction with TOC34 and possibly other TOC components. In vivo import analysis suggests that multiple FGLK motifs are functionally redundant. Furthermore, we discuss how FGLK motifs are required for efficient precursor protein import and how these elements may permit a convergent function of this highly variable class of targeting sequences.展开更多
Nickel nanoparticles as an eco-friendly adsorbent was biosynthesized using Ocimum sanctum leaf extract. The physiochemical properties of green synthesized nickel nanoparticles(Ni Gs) were characterized by UV–Vis spec...Nickel nanoparticles as an eco-friendly adsorbent was biosynthesized using Ocimum sanctum leaf extract. The physiochemical properties of green synthesized nickel nanoparticles(Ni Gs) were characterized by UV–Vis spectroscopy(UV–Vis), Fourier Transform Infrared Spectroscopy(FTIR), X-ray diffraction(XRD), Scanning Electron Microscope(SEM) and Transmission Electron Microscope(TEM). Ni Gs were used as adsorbent for the removal of dyes such as crystal violet(CV), eosin Y(EY), orange II(OR) and anionic pollutant nitrate(NO3-), sulfate(SO42-) from aqueous solution. Adsorption capacity of Ni Gs was examined in batch modes at different p H, contact time, Ni G dosage, initial dye and pollutant concentration. The adsorption process was p H dependent and the adsorption capacity increased with increase in contact time and with that of Ni G dosage, whereas the adsorption capacity decreased at higher concentrations of dyes and pollutants. Maximum percentage removal of dyes and pollutants were observed at 40, 20,30, 10 and 10 mg·L-1initial concentration of CV, EY, OR, NO3-and SO42-respectively. The maximum adsorption capacities in Langmuir isotherm were found to be 0.454, 0.615, 0.273, 0.795 and 0.645 mg·g-1at p H 8, 3, 3, 7and 7 for CV, EY, OR, NO3-and SO42-respectively. The higher coef ficients of correlation in Langmuir isotherm suggested monolayer adsorption. The mean energies(E), 2.23, 3.53, 2.50, 5.00 and 3.16 k J·mol-1for CV, EY, OR, NO3-and SO42-respectively, calculated from the Dubinin–Radushkevich isotherm showed physical adsorption of adsorbate onto Ni Gs. Adsorption kinetics data was better fitted to pseudo-second-order kinetics with R2 N 0.870 for all dyes and pollutants. Ni Gs were found to be an effective adsorbent for the removal of dyes and pollutants from aqueous solution and can be applied to treat textile and tannery ef fluents.展开更多
The primary splenic lymphoma is extremely uncommon, can present with grave complications like hypersplenismand splenic rupture. In view of vague clinical presentation, it is difficult to arrive at the diagnosis. In su...The primary splenic lymphoma is extremely uncommon, can present with grave complications like hypersplenismand splenic rupture. In view of vague clinical presentation, it is difficult to arrive at the diagnosis. In such circumstances, histopathological diagnosis is very important. A precise diagnosis can only be made on histopathology and confirmed on immunohistochemistry.Emergency splenectomy is preferred as an effective therapeutic and diagnostic tool in cases with giant splenomegaly. Core biopsy is usually not advised due to a high risk of post-core biopsy complications in view of its high vascularity and fragility. Aim behind highlighting the topic is to specify that core biopsy/ fine needle aspiration cytology can be used as an effective diagnostic tool to arrive at correct diagnosis to prevent untoward complications related to disease and treatment. Anticoagulation therapy is vital after splenectomy to avoid portal splenic vein thrombosis.展开更多
A two-input boost converter with voltage multiplier cell is proposed in this paper. Then a family of two-input converters with and without voltage multiplier cell are derived and their results are compared to achieve ...A two-input boost converter with voltage multiplier cell is proposed in this paper. Then a family of two-input converters with and without voltage multiplier cell are derived and their results are compared to achieve high voltage gain, low duty cycle, and reduced voltage stress. From the analysis of different topologies, a modified two-input converter with two-stage voltage multiplier cell has good operating characteristics. The switch voltage stress and duty cycle of the modified converter is significantly very less than that of the other converter topologies. The modified DC-DC converter with 50% duty cycle achieves a voltage gain of 10 and the results are verified by using MATLAB/Simulink software.展开更多
文摘Eosinophilic gastroenteritis(EGE) is a rare disorder characterized by eosinophilic infiltration of the bowel wall with various gastrointestinal manifestations.Till date only 280 cases have been described in the literature.A high index of suspicion,by excluding other causes of peripheral eosinophilia,is a pre requisite for accurate diagnosis.EGE is an uncommon gastrointestinal disease affecting both children and adults.It was first described by Kaijser in 1937.Presentation may vary depending on location as well as depth and extent of bowel wall involvement and usually runs a chronic relapsing course.This condition can respond to low dose steroid therapy,thereby preventing grave complications like ascites and intestinal obstruction that might need surgical intervention.The natural history of EGE has not been well documented.Eosinophilic gastroenteritis is a chronic,waxing and waning condition.Mild and sporadic symptoms can be managed with reassurance and observation,whereas disabling gastrointestinal(GI) symptom flare-ups can often be controlled with oral corticosteroids.When the disease manifests in infancy and specific food sensitization can be identified,the likelihood of disease remission by late childhood is high.GI obstruction is the most common complication.Fatal outcomes are rare.
文摘Primary idiopathic intestinal lymphangiectasia is an unusual disease featured by the presence of dilated lymphatic channels which are located in the mucosa, submucosa or subserosa leading to protein loosing enteropathy.Most often affected were children and generally diagnosed before third year of life but may be rarely seen in adults too. Bilateral pitting oedema of lower limb is the main clinical manifestation mimicking the systemic disease and posing a real diagnostic dilemma to the clinicians to differentiate it from other common systemic diseases like Congestive cardiac failure, Nephrotic Syndrome, Protein Energy Malnutrition, etc. Diagnosis can be made on capsule endoscopy which can localise the lesion but unable to take biopsy samples. Thus, recently double-balloon enteroscopy and biopsy in combination can be used as an effective diagnostic tool to hit the correct diagnosis. Patients respond dramatically to diet constituting low long chain triglycerides and high protein content with supplements of medium chain triglyceride. So early diagnosis is important to prevent untoward complications related to disease or treatment for the sake of accurate pathological diagnosis.
文摘Primary splenic epithelial cyst is an unusual event in everyday surgical practice with about 800 cases reported until date in the English literature. Splenic cysts may be parasitic or non-parasitic in origin. Nonparasitic cysts are either primary or secondary. Primary cysts are also called true,congenital,epidermoid or epithelial cysts. Primary splenic cysts account for 10% of all benign non-parasitic splenic cysts and are the most frequent type of splenic cysts in children. Usually,splenic cysts are asymptomatic and can be found incidentally during imaging techniques or on laprotomy. The symptoms are related to the size of cysts. When they assume large sizes,they may present with fullness in the left abdomen,local or referred pain,symptoms due to compression of adjacent structures(like nausea,vomiting,flatulence,diarrhoea) or rarely thrombocytopenia,and occasionally complications such as infection,rupture and/or haemorrhage. The preoperative diagnosis of primary splenic cysts can be ascertained by ultrasonography(USG),computed tomography or magnetic resonance imaging,although the wide use of USG today has led to an increase in the incidence of splenic cysts by 1%. However,careful histopathological evaluation along with immunostaining for presence of epithelial lining is mandatory to arrive at the diagnosis. The treatment has changed drastically from total splenectomy in the past to splenic preservation methods recently.
文摘Ethiopia is one of the countries in the world endowed with rich biological resources. However, due to human impacts, the forest cover in Ethiopia has been decreasing rapidly. The study was carried out with the purpose of finding out the Regeneration Status, Population Structure and Floristic composition of Woody Plant Species in Sheleko Medihanialem Natural Forest in Gondar, North West Ethiopia, from October 2019 to September 2020. The systematic vegetation sampling method was used to collect data from Fifty plots of 20 m × 20 m (400 m2) along five line transects. In addition, five, 5 m × 5 m subplots were laid within the main plot to sample seedlings and saplings. The floristic composition and population structure of woody individuals of trees and shrubs with a diameter at breast height (DBH) ≥ 2.5 cm and height ≥ 2 m were measured. DBH ≤ 2.5 cm and less than 1 m height were considered as seedlings and DBH ≥ 2.5 cm and height of 1 - 2 m as saplings. Vegetation data of density, frequency, basal area, and importance value index were computed. A total of 65 woody plant species in 54 genera and 34 plant families were recorded. Fabaceae, Moraceae and Euphorbiaceae were the dominant families in terms of species richness. Woody species densities for mature individuals were 2202.5 stems∙ha−1, seedling 2419.2 stems∙ha−1 and sapling 1737.6 stems∙ha−1. The forest was dominated by small-sized/young trees and shrubs, indicating the status of secondary growth and/or regeneration.
文摘Leaf extract of medicinally important plant Ocimurn sanctum （O. sanctum） has been used for the synthesis of nickel nanoparticles （NiGs） and extraction of quercetin （Qu）. Qu has been conjugated with NiGs for enhanced anticancer effect on human breast cancer MCF-7 cells. Extracted Qu was conjugated with polyethylene glycol （PEG） coated NiGs （Qu-PEG-NiGs） which was used as carriers for breast cancer treatment. Anticancer activity of Qu-PEG-NiGs was evaluated by assessing cell viability, reactive oxygen species （ROS） production, caspase activity, mitochondrial membrane potential （MMP） and changes in nuclear morphology （staining methods）. 0.85 mg of quercetin was extracted from I g of leaves with retention time （Rt） of 2.914 rain. Loading and encapsulation efficiency of quercetin onto PEG-NiGs was 15.04% and 82% respectively and Qu-PEG-NiGs has shown a sustained release of Qu of about 84% after 48 h. Qu and Qu-PEG-NiGs showed dose dependent （1.56-50 μg/mL） anticancer effect against MCF-7 cells with IC50 values of 50 and 6.25 μg/mL respectively which was mediated by oxidative stress due to ROS over-production that induced loss of mitochondrial membrane potential, capsase -9, -7 activities leading to apoptosis. The present study validates that Qu-PEG-NiGs can be used as a potential anticancer agent for cancer therapy.
文摘The concept of inflammatory bowel disease(IBD),which encompasses Crohn’s disease and ulcerative colitis,represents a complex and growing global health concern resulting from a multifactorial etiology.Both dysfunctional autophagy and dysbiosis contribute to IBD,with their combined effects exacerbating the related inflammatory condition.As a result,the existing interconnection between gut microbiota,autophagy,and the host’s immune system is a decisive factor in the occurrence of IBD.The factors that influence the gut microbiota and their impact are another important point in this regard.Based on this initial perspective,this manuscript briefly highlighted the intricate interplay between the gut microbiota,autophagy,and IBD pathogenesis.In addition,it also addressed the potential targeting of the microbiota and modulating autophagic pathways for IBD therapy and proposed suggestions for future research within a more specific and expanded context.Further studies are warranted to explore restoring microbial balance and regulating autophagy mechanisms,which may offer new therapeutic avenues for IBD management and to delve into personalized treatment to alleviate the related burden.
文摘Crohn's disease(CD) is a chronic idiopathic inflammatory disease of gastrointestinal tract characterizedby segmental and transmural involvement of gastrointestinal tract. Ileocolonic and colonic/anorectal is a most common and account for 40% of cases and involvement of small intestine is about 30%. Isolated involvement of stomach is an extremely unusual presentation of the disease accounting for less than 0.07% of all gastrointestinal CD. To date there are only a few documented case reports of adults with isolated gastric CD and no reports in the pediatric population. The diagnosis is difficult to establish in such cases with atypical presentation. In the absence of any other source of disease and in the presence of nonspecific upper gastrointestinal endoscopy and histological findings, serological testing can play a vital role in the diagnosis of atypical CD. Recent studies have suggested that perinuclear anti-neutrophil cytoplasmic antibody and anti-Saccharomycescervisia antibody may be used as additional diagnostic tools. The effectiveness of infliximab in isolated gastric CD is limited to only a few case reports of adult patients and the long-term outcome is unknown.
基金the University grant Commission, Kathmandu Nepal for partial financial assistance (Sand T 23-2076/77)
文摘Regeneration status of tree species along elevation gradient in temperate hill forest was not understood greatly.Present research examined the tree diversity and its regeneration patterns along an elevation gradient in temperate hill forest,central Nepal.Data were collected from 300 sample plots within vertical elevation bands of 10,ranging from 1365 to 2450 m asl.A random sampling method was used for data collection in three seasons,winter,pre-monsoon and post monsoon seasons.Diameter at breast height(DBH)was used to broadly categorize the plant individual into trees,saplings and seedlings.The tree species richness ranged from 12 to 25 with density of 350 to 1200 individuals per hectare.Species richness of tree and sapling showed statistically significant unimodal pattern,which peaked at mid-elevation.Elevation showed a strong and positive linear correlation with the seedling density(Deviance=0.99,p<0.001)and a significant hump-shaped relationship with sapling density(Deviance=0.95,p<0.001).Similarly,elevations showed a statistically significant negative hump-shaped relationship with all trees,saplings and seedling stages(Deviances=0.89,0.87 and 0.57).The highest values of the Shannon-Wiener index and the lowest value of the Simpson index were found at mid-elevation for all growth forms.Nearly 92%of tree species were found at regenerating stage;49%in a good renewal regeneration status,32%in fair renewal regeneration,and 11%at a poor regenerating condition.Nevertheless,4%of tree species were reported as non-regenerating stages and 4%were newly introduced species.Hence,the regeneration status of the study area was considered fairly well since sapling(78.5%)>seedling(10.6%)≤mature(10.9%).Among tested environmental variables,elevation and annual mean rainfall were the most influential factors in the regeneration of tree species.
文摘Cotton plays a crucial role in shaping Indian economy and rural livelihoods.The cotton crop is prone to numerous insect pests,necessitating insecticidal application,which increases production costs.The advent of the expression of Bacillus thuringiensis(Bt)insecticidal protein in cotton has significantly reduced the burden of pest without compromising environmental or human health.After the introduction of transgenic cotton,the cultivated area expanded to 22 million hectares,with a 64% increase in adoption by farmers worldwide.Currently,Bt cotton accounts for 93% of the cultivated cotton area in India.However,extensive use of Bt cotton has accelerated resistance development in pests like the pink bollworm.Furthermore,the overreliance on Bt cotton has reduced the use of broad-spectrum pesticides,favouring the emergence of secondary pests with significant challenges.This emphasizes the urgent necessity for developing novel pest management strategies.The high-dose and refuge strategy was initially effective for managing pest resistance in Bt cotton,but its implementation in India faced challenges due to misunderstandings about the use of non-Bt refuge crops.Although gene pyramiding was introduced as a solution,combining mono toxin also led to instances of cross-resistance.Therefore,there is a need for further exploration of biotechnological approaches to manage insect resistance in Bt cotton.Advanced biotechnological strategies,such as sterile insect release,RNA interference(RNAi)-mediated gene silencing,stacking Bt with RNAi,and genome editing using clustered regularly interspaced short palindromic repeats/CRISPR-associated protein(CRISPR-Cas),offer promising tools for identifying and managing resistance genes in insects.Additionally,CRISPR-mediated gene drives and the development of novel biopesticides present potential avenues for effective pest management in cotton cultivation.These innovative approaches could significantly enhance the sustainability and efficacy of pest resistance management in Bt cotton.
文摘Alzheimer’s disease(AD)is a progressive neurodegenerative disorder and the predominant form of dementia.Since its initial description by Alois Alzheimer in 1906,several advances have been made in our understanding of the progression of the disease and its clinical consequences,yet the underlying etiology remains contentious.Given the stereotyped patterns of cortical and hippocampal neuronal loss and the progressive degeneration of key neurotransmitter pathways,research has traditionally been focused on factors affecting neuronal viability,including the contribution of glial dysfunction to neuronal degeneration.From a clinical perspective,the fruits of this work have been underwhelming.Key pathological markers of the disease,includingβ-amyloid(Aβ)plaque formation and tau hyperphosphorylation,have yielded no effective therapies,highlighted by the recent discontinuations of several high profile Aβimmunotherapy trials.The few current symptomatic therapies for AD are predicated on the amelioration of cholinergic or glutamatergic dysfunction.Aside from underscoring the inadequacy of current therapeutic approaches,this also points to the importance of alternative contributors to AD pathogenesis.In recent years,there has been a growing appreciation for the multimodal and multifactorial nature of the condition;the case for combinatorial therapies is thus strong.
文摘Tonle Sap sedimentary basin was considered a favorable geological condition for hydrocarbon accumulation in the onshore Cambodia. Two exposure outcrops in Battambang province, called Somlout and Takream, were selected to represent sediments in this basin. The sedimentology and geochemistry studies provide insights into the depositional environment of sediments using field investigation, lithological, sedimentological, paleontological, and geochemical analysis. The redox condition, water column, and depositional setting were analyzed by plotting the ratio of V vs. Cr, Uauthigenic vs. V/Cr, Sr vs. Ba, Ca vs. (Fe + Ca), and Fe<sub>2</sub>O<sub>3</sub>/TiO<sub>2</sub> vs. Al<sub>2</sub>O<sub>3</sub>/(Al<sub>2</sub>O<sub>3</sub> + Fe<sub>2</sub>O<sub>3</sub>) diagram. Moreover, these diagrams can be used to predict depositional conditions as well. Based on the results, Somlout and Takream comprise calcareous shale and limestone facies. The geochemical analysis showed that Somlout calcareous shale samples were deposited in the dysoxic freshwater of the lake setting during the regression, while Somlout limestones and Takream were deposited in high salinity seawater, oxic condition of shallow-marine water. In addition, Somlout limestones consist of fragmental fusulinid foraminifera, bivalve shelve, and bryozoan, which suggest a barrier environment. Meanwhile, Teakream consists of fine-grained calcareous shale, and lime-mudstone, which are presented to form in the quiet marine setting of the lagoon environment. Therefore, the Tonle Sap basin sediments were deposited in the Somlout area’s barrier and lake environment, and the lagoon environment for Takream.
文摘The aim of this study was to explore the perception of male nursing students’ experiences and challenges in maternity clinical practice. A quantitative cross-sectional survey design was used. The self-administered questionnaire included 18 items 5-point Likert scale to identify the challenges experienced by male nursing students in their maternity clinical practice, and 14 items to assess comfort level in performing procedures in maternity clinical areas. Participants were 93 male nursing students who had completed their maternity clinical posting in different maternity clinical areas as a part of their nursing program, at the College of Nursing, Kuwait. Results showed that male nursing students are not very keen on undergoing maternity clinical training (Chi-square analysis χ<sup>2</sup> = 96.939;P χ<sup>2</sup> = 108.638;P χ<sup>2</sup> = 5.297;P = 0.021). In conclusion, this study showed that being treated differently and being refused to provide care to clients were the main challenges faced by male nursing students during their maternity practice. The participants had a strong belief that they will not be accepted by maternity clients because of the gender difference and cultural influence. There is a need to design strategies in both academic and clinical settings to overcome barriers to male nursing students’ engagement in the various maternity care areas. Our findings also indicate the need to embrace gender diversity in maternity clinical practice and call for professionalism, gender and cultural awareness creation, and advocacy.
文摘Image processing,agricultural production,andfield monitoring are essential studies in the researchfield.Plant diseases have an impact on agricultural production and quality.Agricultural disease detection at a preliminary phase reduces economic losses and improves the quality of crops.Manually identifying the agricultural pests is usually evident in plants;also,it takes more time and is an expensive technique.A drone system has been developed to gather photographs over enormous regions such as farm areas and plantations.An atmosphere generates vast amounts of data as it is monitored closely;the evaluation of this big data would increase the production of agricultural production.This paper aims to identify pests in mango trees such as hoppers,mealybugs,inflorescence midges,fruitflies,and stem borers.Because of the massive volumes of large-scale high-dimensional big data collected,it is necessary to reduce the dimensionality of the input for classify-ing images.The community-based cumulative algorithm was used to classify the pests in the existing system.The proposed method uses the Entropy-ELM method with Whale Optimization to improve the classification in detecting pests in agricul-ture.The Entropy-ELM method with the Whale Optimization Algorithm(WOA)is used for feature selection,enhancing mango pests’classification accuracy.Support Vector Machines(SVMs)are especially effective for classifying while users get var-ious classes in which they are interested.They are created as suitable classifiers to categorize any dataset in Big Data effectively.The proposed Entropy-ELM-WOA is more capable compared to the existing systems.
文摘As per strict criteria of Das Gupta et al, primary splenic lymphoma is very rare. Herein, we are reporting an unusual case of primary large cell splenic lymphoma of B lineage in a middle aged female presenting with massive splenomegaly(3.8 kg) and hypersplenism. After performing therapeutic splenectomy for hypersplenism, a precise diagnosis of diffuse large B cell lymphoma was made on histopathology and confirmed by immunohistochemistry. The patient responded well to standard(Cyclophosphamide, Hydroxydaunorubicin, Oncovin(vincristine), Prednisone or prednisolone) regimen last year and is now in full remission. The splenectomy thereby has prevented the potential grave complications related to hypersplenism and splenic rupture. Our aim behind highlighting the topic is to specify that emergency splenectomy followed by anticoagulation therapy is an effective plan of management to prevent untoward complications related to disease and treatment.
文摘Over 95% of plastid proteins are nuclear-encoded as their precursors containing an N-terminal extension known as the transit peptide （TP）. Although highly variable, TPs direct the precursors through a conserved, posttranslational mechanism involving translocons in the outer （TOC） and inner envelope （TOC）. The organelle import specificity is mediated by one or more components of the Toc complex. However, the high TP diversity creates a paradox on how the sequences can be specifically recognized. An emerging model of TP design is that they contain multiple loosely conserved motifs that are recognized at different steps in the targeting and transport process. Bioinformatics has demonstrated that many TPs contain semiconserved physicochemical motifs, termed FGLK. In order to characterize FGLK motifs in TP recognition and import, we have analyzed two well-studied TPs from the precursor of RuBisCO small subunit （SStp） and ferredoxin （Fdtp）. Both SStp and Fdtp contain two FGLK motifs. Analysis of large set mutations （-85） in these two motifs using in vitro, in organello, and in vivo approaches support a model in which the FGLK domains mediate interaction with TOC34 and possibly other TOC components. In vivo import analysis suggests that multiple FGLK motifs are functionally redundant. Furthermore, we discuss how FGLK motifs are required for efficient precursor protein import and how these elements may permit a convergent function of this highly variable class of targeting sequences.
文摘Nickel nanoparticles as an eco-friendly adsorbent was biosynthesized using Ocimum sanctum leaf extract. The physiochemical properties of green synthesized nickel nanoparticles(Ni Gs) were characterized by UV–Vis spectroscopy(UV–Vis), Fourier Transform Infrared Spectroscopy(FTIR), X-ray diffraction(XRD), Scanning Electron Microscope(SEM) and Transmission Electron Microscope(TEM). Ni Gs were used as adsorbent for the removal of dyes such as crystal violet(CV), eosin Y(EY), orange II(OR) and anionic pollutant nitrate(NO3-), sulfate(SO42-) from aqueous solution. Adsorption capacity of Ni Gs was examined in batch modes at different p H, contact time, Ni G dosage, initial dye and pollutant concentration. The adsorption process was p H dependent and the adsorption capacity increased with increase in contact time and with that of Ni G dosage, whereas the adsorption capacity decreased at higher concentrations of dyes and pollutants. Maximum percentage removal of dyes and pollutants were observed at 40, 20,30, 10 and 10 mg·L-1initial concentration of CV, EY, OR, NO3-and SO42-respectively. The maximum adsorption capacities in Langmuir isotherm were found to be 0.454, 0.615, 0.273, 0.795 and 0.645 mg·g-1at p H 8, 3, 3, 7and 7 for CV, EY, OR, NO3-and SO42-respectively. The higher coef ficients of correlation in Langmuir isotherm suggested monolayer adsorption. The mean energies(E), 2.23, 3.53, 2.50, 5.00 and 3.16 k J·mol-1for CV, EY, OR, NO3-and SO42-respectively, calculated from the Dubinin–Radushkevich isotherm showed physical adsorption of adsorbate onto Ni Gs. Adsorption kinetics data was better fitted to pseudo-second-order kinetics with R2 N 0.870 for all dyes and pollutants. Ni Gs were found to be an effective adsorbent for the removal of dyes and pollutants from aqueous solution and can be applied to treat textile and tannery ef fluents.
文摘The primary splenic lymphoma is extremely uncommon, can present with grave complications like hypersplenismand splenic rupture. In view of vague clinical presentation, it is difficult to arrive at the diagnosis. In such circumstances, histopathological diagnosis is very important. A precise diagnosis can only be made on histopathology and confirmed on immunohistochemistry.Emergency splenectomy is preferred as an effective therapeutic and diagnostic tool in cases with giant splenomegaly. Core biopsy is usually not advised due to a high risk of post-core biopsy complications in view of its high vascularity and fragility. Aim behind highlighting the topic is to specify that core biopsy/ fine needle aspiration cytology can be used as an effective diagnostic tool to arrive at correct diagnosis to prevent untoward complications related to disease and treatment. Anticoagulation therapy is vital after splenectomy to avoid portal splenic vein thrombosis.
文摘A two-input boost converter with voltage multiplier cell is proposed in this paper. Then a family of two-input converters with and without voltage multiplier cell are derived and their results are compared to achieve high voltage gain, low duty cycle, and reduced voltage stress. From the analysis of different topologies, a modified two-input converter with two-stage voltage multiplier cell has good operating characteristics. The switch voltage stress and duty cycle of the modified converter is significantly very less than that of the other converter topologies. The modified DC-DC converter with 50% duty cycle achieves a voltage gain of 10 and the results are verified by using MATLAB/Simulink software.
