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Recent changes to US research funding are having far-reaching consequences that imperil the integrity of science and the provision of care to vulnerable populations. Resisting these changes, the BJPsych Portfolio reaffirms its commitment to publishing mental science and advancing psychiatric knowledge that improves the mental health of one and all.
In this study, we use an integrative taxonomic approach to redescribe Schyzocotyle nayarensis (Malhotra, 1983) (Cestoda: Bothriocephalidae), based on newly collected specimens from the type-host Raiamas bola (Hamilton, 1822) (Cypriniformes: Danionidae) in Fulbari, Siliguri, West Bengal, India. The detailed morphological assessment, from whole mounts, histology and scanning electron microscopy, offers additional insights into the scolex structure, vitelline follicles, and egg morphology. Molecular data from this and previous studies corroborate the identity and systematics of S. nayarensis as a bothriocephalid closely related to the Asian Fish Tapeworm, Schyzocotyle acheilognathi (Yamaguti, 1934). This study elucidates the historical context and taxonomic ambiguities surrounding S. nayarensis, emphasizing the key role of the scolex in both generic and species identification. Amendments to the diagnosis of Schyzocotyle Akhmerov, 1960 are proposed. A differential diagnosis of the two valid species within the genus, namely S. acheilognathi and S. nayarensis, is also provided. An evaluation of the taxonomic status of Bothriocephalus teleostei Malhotra, 1984, and Capooria barilii Malhotra, 1985 suggests that they may be S. nayarensis. Finally, we posit that none of the ten species of Ptychobothrium Lönnberg, 1889 described from Indian freshwater teleosts belong to this genus but instead appear to be a mix of species belonging to Schyzocotyle, Senga Dollfus, 1934, and possibly even Proteocephalidae La Rue, 1911; all require further study based on newly collected, properly fixed specimens and an integrated taxonomic approach. Finally, future survey studies may reveal hidden diversity of Schyzocotyle species in Indian cyprinoids.
Rhino-orbito-cerebral mucormycosis is a rapidly progressive disease with high mortality rates of about 60 per cent. The increasing incidence of rhino-orbito-cerebral mucormycosis in coronavirus disease 2019 patients in India and worldwide has become a matter of concern owing to the case fatality rate. This study explored the use of low dose aspirin in decreasing the mortality rate of coronavirus disease 2019 associated mucormycosis.
Method
This was a retrospective observational study. Patients suffering from post-coronavirus disease 2019 mucormycosis were included in the study. Each patient was treated with surgical debridement and systemic amphotericin B. Low dose aspirin was added, and mortality rates were compared with the patients who did not receive aspirin.
Results
The demographic data and rhino-orbito-cerebral mucormycosis staging between the two groups were not significantly different. There was a statistically significant difference in mortality outcomes between the two groups (p = 0.029) and a 1.77 times higher risk of dying for patients not receiving aspirin. Kaplan–Meier survival indicated that patients receiving aspirin had better survival rates (p = 0.04).
A new genus, Mystocestus, is proposed to accommodate a new species, Mystocestus anindoi n. g., n. sp. from Mystus vittatus (Bloch) (type host) in West Bengal and Mystus cavasius (Hamilton) (Siluriformes: Bagridae) in Maharashtra, India. The new genus is most similar to Lucknowia Gupta, 1961 in the shape of the body, which is elongate, slightly tapering towards the anterior end, and scolex, which is digitiform, but differs in the shape of the ovary, which is H-shaped (vs. inverted A-shaped in Lucknowia), the absence of a seminal receptacle (present in Lucknowia) and exclusively cortical vitelline follicles (vs. some follicles in the medulla in the latter genus). Molecular data support the erection of the new genus and place it close to Bovienia Fuhrmann, 1931, species of which can be easily distinguished by exclusively lateral vitelline follicles (lateral and median in the new genus), the presence of a seminal receptacle (absent in Mystocestus) and scolex shape (digitiform, with blunt or slightly concave anterior edge in the new genus vs. small, unspecialized or spatulate in Bovienia). The convoluted taxonomy of tapeworms placed in Mystoides Mathur, 1992 is critically reviewed to clean up taxonomic chaos in Indo-Malayan caryophyllideans. Mystoides was erected in an unpublished PhD thesis and thus its generic name becomes unavailable and also, its type species is conspecific with Lucknowia fossilisi Gupta, 1961 from the stinging catfish, Heteropneustes fossilis (Bloch). Other species of this genus are also conspecific with L. fossilisi. In addition, specific names of most of these taxa are unavailable because they were described in unpublished theses or conference abstracts. Based on recent revisions of Indo-Malayan caryophyllideans, the following nine genera with 15 species are considered valid (numbers of species of individual genera are provided in parentheses): Bovienia (3), Djombangia (1), Lucknowia (2), Lytocestus (2), Mystocestus (1), Pseudocaryophyllaeus (2) (all family Lytocestidae); Adenoscolex (1), Lobulovarium (2), Paracaryophyllaeus (1) (all family Caryophyllaeidae).
To determine the demographic pattern of juvenile-onset parkinsonism (JP, <20 years), young-onset (YOPD, 20–40 years), and early onset (EOPD, 40–50 years) Parkinson’s disease (PD) in India.
Materials and Methods:
We conducted a 2-year, pan-India, multicenter collaborative study to analyze clinical patterns of JP, YOPD, and EOPD. All patients under follow-up of movement disorders specialists and meeting United Kingdom (UK) Brain Bank criteria for PD were included.
Results:
A total of 668 subjects (M:F 455:213) were recruited with a mean age at onset of 38.7 ± 8.1 years. The mean duration of symptoms at the time of study was 8 ± 6 years. Fifteen percent had a family history of PD and 13% had consanguinity. JP had the highest consanguinity rate (53%). YOPD and JP cases had a higher prevalence of consanguinity, dystonia, and gait and balance issues compared to those with EOPD. In relation to nonmotor symptoms, panic attacks and depression were more common in YOPD and sleep-related issues more common in EOPD subjects. Overall, dyskinesias were documented in 32.8%. YOPD subjects had a higher frequency of dyskinesia than EOPD subjects (39.9% vs. 25.5%), but they were first noted later in the disease course (5.7 vs. 4.4 years).
Conclusion:
This large cohort shows differing clinical patterns in JP, YOPD, and EOPD cases. We propose that cutoffs of <20, <40, and <50 years should preferably be used to define JP, YOPD, and EOPD.
A matched case-control study was conducted in Bangladesh by enrolling case smallholdings of cattle affected with anthrax in the period of October 2010 to December 2014. The cases were initially reported by mass media and/or in surveillance reports from authorities concerned in the country. In total, 43 case smallholdings were enrolled. For each case, a control was matched by similarity in herd-size and rearing of animals, selected from a distantly located (within 3–10 km) place but within the same sub-district of the case farm. Data collected by administering a prototype questionnaire were analysed by matched-pair analysis and multivariable conditional logistic regression. Out of the 43 smallholdings, 41 were located in three adjoining districts: Pabna, Sirajganj and Tangail, apparently forming a spatial cluster, could be termed ‘anthrax hot spot’ in Bangladesh. Sick animal on farm or a nearby farm slaughtered in the recent past (odds ratio (OR) 12.2, 95% confidence interval (CI) 1.6–93.4, P = 0.016)), history of heavy rains occurring in the last 2 weeks preceding an outbreak (OR 13.1, 95% CI 1.2–147.1, P = 0.037) and disposing of dead animal into nearby water body (OR 11.9, 95% CI 1.0–145.3, P = 0.052) were independent risk factors for anthrax in cattle in the country.
Although hypofractionated radiotherapy has been standardised in early breast cancer, even in post-mastectomy no such consensus has been developed for locally advanced breast cancer (LABC), probably due to complex planning and field matching. This study is directed towards dosimetric evaluation and comparison of toxicity, response and disease-free survival (DFS) comparison between hypofractionation and conventional radiotherapy in post-mastectomy LABC.
Methodology:
In total, 222 female breast cancer patients were randomly assigned to be treated with either hypofractionated radiotherapy (n = 120) delivering 40 Gy in 15 fractions over 3 weeks or conventional radiotherapy (n = 102) with 50 Gy in 25 fractions over 5 weeks after modified radical mastectomy (MRM) along with neoadjuvant and/or adjuvant chemotherapy. All patients were planned with treatment planning software and assessed regularly during and after treatment.
Results:
Median follow-up period was 178 weeks in conventional arm (CRA) and 182 weeks in hypofractionation arm (HFA). There exists a dosimetric difference between the two arms of treatment, in spite of similar dose coverage [planning treatment volume (PTV) D90 92·04% in CRA versus 92·5% in HFA; p = 0·49], average dose in HFA is less than that of CRA (p < 0·001); so is the maximum clinical target volume (CTV) dose (p < 0·001). Similarly, average lung dose in HFA arm is significantly lower than CRA (9·9 versus 10·84; p = 0·06), but the V20Gy of lung and V30Gy of heart had no difference. The toxicity of radiation was comparable with similar mean time to produce toxicity [CRA: 7 W, HFA: 10 W; hazard ratio 0·64, 95% confidence interval (CI) = 0·28–1·45]. Three-year recurrence event was alike in two arms (CRA: 4·9%, HFA: 5·8%; p = 0·76). Mean DFS in CRA is 230 weeks and that of HFA is 235 weeks with hazard ratio 1·01 (95% CI = 0·32–3·19; p = 0·987).
Conclusion:
Though biologically effective dose (BED) in hypofractionation is lesser than that of conventional fractionation, there are indistinguishable toxicity, locoregional recurrence, distant failure rate and DFS between the two modalities.
Duck production has the potential to play a major role in agricultural economy. Asian countries alone contribute 84.2% of total duck meat produced in the world. Driven by the demand of processed foods among consumers, the global duck meat market is expected to grow at a steady pace, reaching a value of about $11.23 billion in the coming years. Duck meat has higher muscle fibre content in breast meat compared to chicken, and is considered as red meat. Moreover, due to a higher fat content (13.8%) than chicken and a stronger gamey flavour, duck meat can be less appreciated by the consumer. Development and diversification of ready-to-eat duck meat products is expected to increase consumption levels. Hence, the status of duck meat production, physicochemical properties, processing, including traditional products, and development of novel value-added ready-to-eat products from spent duck meat is discussed in detail to explore its importance as an alternative to chicken.
The occurrence of asymbiotic nitrogen fixing bacteria in the rhizosphere of twenty weed species has been investigated. Using the roll tube method root-rhizosphere soil samples were diluted and added to test tubes containing low N media. Tubes were flushed with nitrogen, stoppered, and rolled to form a thin film of media on the inner wall. After 7 days incubation the nitrogen fixation rates were estimated using the acetylene reduction technique. Rates ranged from 38 to 783 nmoles acetylene reduced per hour. Of twenty species tested, three showed high rhizosphere populations of asymbiotic nitrogen fixing bacteria.
Seeds of Pennsylvania smartweed (Polygonum pennsylvanicum L.), quackgrass (Agropyron repens L. Beauv.), yellow foxtail (Setaria lutescens L. Beauv.), and wild mustard (Brassica kaber (DC) L. C. Wheeler) were studied to determine if histochemical differences existed in seeds of dormant and non-dormant weed species. The hulls (seedcoat) of yellow foxtail and seedcoats of wild mustard and quackgrass had distinct inhibitory effects on germination. Endosperm tissue in wild mustard and Pennsylvania smartweed also inhibited embryo growth in these species. Results obtained from specific staining techniques on seed sections 10μ thick for identification and determination of distribution of proteins, lipids, carbohydrates, and lignin in dormant and germinating seeds suggested that possible mechanisms of seed dormancy are: (a) lower protein content in seed tissues of wild mustard; (b) higher lignification in hull of foxtail and endosperm of Pennsylvania smartweed; (c) lower sterol content in embryo of wild mustard and Pennsylvania smartweed; (d) high cellulose content in hull of foxtail and endosperm of Pennsylvania smartweed. Excised embryos from dormant seeds of Pennsylvania smartweed showed a measurable amount of growth in White's standard agarnutrient. Germinating embryos of wild mustard and quackgrass were larger than those in dormant seeds; therefore, immaturity of embryos might contribute to dormancy in these species.
An attempt is made to investigate some techniques of experimentation, based on data from uniformity trials and experiments on tea conducted in different regions of north-east India. The study showed that:
i. Adjustment of yield due to covariance generally ceased to be efficient after the first four years of experimentation in manurial trials and after two years in pruning trials. Adjustment based on average yield over a period of four to six years resulted in an increase in efficiency.
ii. Among the ancillary variables of pretreatment yield and pruning weight, the former proved to be generally more efficient, but when cost of operation is taken into account the latter was economical and, therefore, preferable. The two variables together, in a multiple regression, did not show any extra gain. Use of the pretreatment late crop, from September to December, was generally more efficient than using the whole season's crop.
iii. Coefficient of variation showed a declining tendency with age, the fall being more marked up to six years of age. This suggests that, for a given degree of precision, more replication would be required for experiments with young tea than with mature tea.
iv. Increase in plot size, up to 48 bushes, resulted in an increase in information per replicate in Darjeeling, though plots of smaller size would be more economical.
v. On the basis of five uniformity trials in the Assam valley, Darjeeling and Cachar district, it was observed that for the same values of cost components proportional to number of replications and total area under experiment, the optimum plot size in Darjeeling and Cachar was about half that for the Assam valley.
vi. Long and narrow plots, oriented with their longer sides extending along the contour lines, within blocks of which the longer sides ran down the slope, proved more efficient than other alternatives in Darjeeling district.
vii. Systematic plucking of 1 in 2 out of the totality of plucking rounds, for experiments running for two or more years, provided estimates of treatment contrasts within 5 per cent of the population mean (P = 0-05). For a higher margin of error, of 10 per cent of the mean, systematic pluckings of 1 in 3 or even 1 in 4 would suffice if the treatment comparisons were based on five or more years.
We describe a study of the E–W-trending South Wagad Fault (SWF) complex at the eastern part of the Kachchh Rift Basin (KRB) in Western India. This basin was filled during Late Cretaceous time, and is presently undergoing tectonic inversion. During the late stage of the inversion cycle, all the principal rift faults were reactivated as transpressional strike-slip faults. The SWF complex shows wrench geometry of an anastomosing en échelon fault, where contractional and extensional segments and offsets alternate along the Principal Deformation Zone (PDZ). Geometric analysis of different segments of the SWF shows that several conjugate faults, which are a combination of R synthetic and R’ antithetic, propagate at a short distance along the PDZ and interact, generating significant fault slip partitioning. Surface morphology of the fault zone revealed three deformation zones: a 500 m to 1 km wide single fault zone; a 5–6 km wide double fault zone; and a c. 500 m wide diffuse fault zone. The single fault zone is represented by a higher stress accumulation which is located close to the epicentre of the 2001 Bhuj earthquake of Mw 7.7. The double fault zone represents moderate stress at releasing bends bounded by two fault branches. The diffuse fault zone represents a low-stress zone where several fault branches join together. Our findings are well corroborated with the available geological and seismological data.
Agriculture in the Texas High Plains depends entirely on the Ogallala Aquifer. Texas enacted water conservation legislation to address declining reserves in the aquifer. We developed an integrated regional water policy model that links a hydrology model with an economic optimization model to estimate policy impacts with respect to economic cost and water conservation. Testing the effectiveness of two policies, a groundwater extraction tax and extraction quotas, we observe that neither significantly inhibits groundwater use. Although both policies conserve similar amounts of groundwater, the regional cost of the tax policy to agriculture is more than the quota policy.
Unprecedented high rates of anthrax outbreaks have been observed recently in cattle and humans in Bangladesh, with 607 human cases in 2010. By enrolling 15 case and 15 control cattle smallholdings in the spatial zone in July–September 2010, we conducted a case-control study, data of which were analysed by matched-pair analysis and multivariable conditional logistic regression. Feeding animals with uprooted and unwashed grass [odds ratio (OR) 41·2, 95% confidence interval (CI) 3·7–458·8, P=0·003], and feeding water hyacinth (Eichhornia crassipes) (OR 22·2, 95% CI 1·2–418·7, P=0·039) were independent risk factors for anthrax in cattle.
We present an extremely rare case of isolated angiokeratoma of the tongue.
Method:
Case report and review of related literature.
Results:
An 18-year-old, male adolescent presented with a fleshy, intermittently bleeding mass in the posterior third and base of the tongue. The lesion was initially suspected to be a lingual thyroid or haemangioma, but histopathological features were consistent with angiokeratoma. Magnetic resonance imaging revealed that the lesion extended up to the vallecula and involved the lamina propria and superficial tongue musculature. No similar lesions were found elsewhere in the body. No metabolic derangements were identified in the patient or his family. The 2.6 × 1.5 × 0.5 cm mass was excised under general anaesthesia.
Conclusion:
We present the 1st case of isolated lingual angiokeratoma in a male, the 4th such case overally, the largest ever documented. The lesion was situated in the posterior third and base of the tongue, a position not previously described.
In this paper, we report on the growth and fabrication of thin film Si photovoltaic devices on photonic structures which were fabricated on steel and PEN and Kapton substrates. Both amorphous Si and thin film nanocrystalline Si devices were fabricated. The 2 dimensional photonic reflector structures were designed using a scattering matrix theory and consisted of appropriately designed holes/pillars which were imprinted into a polymer layer coated onto PEN, Kapton and stainless steel substrates. The photonic structures were coated with a thin layer of Ag and ZnO. Both single junction and tandem junction (amorphous/amorphous and amorphous/nanocrystalline) cells were fabricated on the photonic layers. It was observed that the greatest increase in short circuit current and efficiency in these cells due to the use of photonic reflectors was in nanocrystalline Si cells, where an increase in current approaching 30% (compared to devices fabricated on flat substrates) was obtained for thin (∼ 1 micrometer thick i layers) films of nano Si deposited on steel structures. The photonic structures (which were nanoimprinted into a polymer) were shown to stand up to temperatures as large as 300 C, thereby making such structures practical when a steel (or glass) of kapton substrate is used. Detailed measurements and discussion of quantum efficiency and device performance for various photonic back reflector structures on steel, kapton and PEN substrates will be presented in the paper.
To consolidate the key features of carcinoma showing thymus-like element, including its management.
Method:
We present our experience of the difficult diagnosis and management of this rare tumour. We also present the results of an extensive literature search, documenting those aspects of the clinical picture, natural history and management of carcinoma showing thymus-like element which are relevant to head and neck surgeons.
Result:
Intrathyroidal, epithelial carcinoma showing thymus-like element is a rare, malignant tumour of the thyroid gland, with histopathological features similar to squamous cell carcinoma but a more favourable prognosis. It is usually treated surgically using a combination of total thyroidectomy and selective neck dissection, with radiotherapy and chemotherapy in selected cases.
Conclusion:
Carcinoma showing thymus-like element of the thyroid gland is a rare condition. Head and neck surgeons with a thyroid interest should be aware of this tumour, because of its close histological resemblance to other, commoner malignancies of the thyroid gland.