A hospital-based study of severe anemia in adults in Eastern India

Background: Anemia remains a crucial health problem in developing countries. Cardiac compromise and fatal complications usually occur at Hb of <5g/dL. The aim of the study was to determine possible etiologic and clinical profile in adult patients with very severe anemia (Hb of <5g/dL).Methods: A prospective observational study was conducted in a teaching hospital of Odisha over a period of 12months. A total of 70 patients of both men and non-pregnant women admitted to the medicine wards were included after exclusion. Detailed history, clinical examination and investigation findings were recorded. Independent ‘t’ test, Wilcoxon rank sum test, Pearson chi-square test and Fisher exact test were used as applicable, to compare the variables.Results: The mean Hb (g/dL) was 3.73 ±0.85 and the mean age of the study group was 53.34±17.75years. No significant difference was observed in the severity of anemia between the female (mean Hb of 3.56±0.93) and male patients (mean Hb of 3.87±0.77) (p=0.130). The most frequent etiology found was absolute iron deficiency (44.3%, n=31) and mostly (41.9%) found in the age group of ≥65years (p<0.001). Congestive cardiac failure was found in 20% (n=14) of patients and majority of patients (64.2%, n=9) were males (p<0.001).Conclusions: Iron deficiency is the principal cause of very severe anemia in adults rather than malignancy or anemia of chronic disease and only about one fourth of patients develop heart failure even with very severe anemia

Isolation and morphological identification of fungi from endometrial samples of postpartum dairy cows

Numerous studies on endometritis of postpartum dairy cows describe the bacterial aetiology of the condition. However, studies on fungal agents causing inflammatory conditions of the reproductive tract are limited. The objective of the present study was to identify the mycotic isolates from the reproductive tract of postpartum dairy cows and analyse their susceptibility to antifungal agents. In this study, 70 endometrial cytobrush samples were collected from dairy cows 40 - 120 days postpartum (dpp) and cultured in Sabouraud dextrose agar (SDA). The isolated fungal cultures were identified by Lactophenol Cotton Blue staining and were subjected to antifungal susceptibility testing. The frequency of isolation of fungi from endometrial samples was 15.71 per cent (11/70). Aspergillus niger was isolated from four (33.33%) samples, followed by Penicillium spp. (25%), Aspergillus fumigatus (16.67%), Mucor spp. (16.67%) and Absidia spp. (8.33%). Antifungal susceptibility testing revealed that 50 per cent of the isolates were susceptible to fluconazole, whereas only 25 per cent of the isolates were completely resistant to amphotericin-B. The prevalence of fungal infection in reproductive tract was higher in cows with an age of ≥ 5 years and a parity of ≥ 2, though this was not significant. A significantly higher number of cattle with history of intrauterine antibiotic therapy were positive for fungal culture. However, the association between prevalence of fungi and reproductive complications was statistically non-significant. Keywords: Postpartum dairy cows, fungal infections, Aspergillus niger, mycotic infection

Dimethylacetamide - an alternative to glycerol as cryoprotectant of Malabari buck semen

The key role of a cryoprotectant is to minimize the chemical and physical stress which occurs during cooling, freezing and thawing of semen. The difference between the cryoprotectant (CPA) occurs in their permeability coefficient and the structural model of the cryogenic agent. The beneficial effect of dimethylacetamide (DMA) as a cryoprotectant especially for sperms had been observed in several studies. The aim of the study was to study the cryoprotective effect of DMA in freezing the Malabari buck semen compared to glycerol. Ten ejaculates were taken from fourMalabaribucks . After preliminary evaluation sample split technique was followed with Tris based extender containing glycerol (6.7 per cent) as cryoprotectant (control) and Trisextender containing DMA (3 per cent) as cryoprotectant (treatment group). The semen straws (0.25mL) after filling were subjected for equilibration and manual freezing. Sperm kinetics was studied using computer-aided sperm analyzer. Pre-freeze and post-thaw evaluation included sperm viability, sperm abnormality, hypo osmotic test, acrosome integrity test and DNA fragmentation. Results indicated that inclusion of 6.7 per cent glycerol had significantly higher (p<0.05) post-thaw values than DMA. From our study we conclude that 6.7 per cent glycerol was better than 3 per cent DMA in cryopreservation of Malabari buck semen

Relationship between the sonographic foetal lung-to-liver ratio of mean grey level and progesterone concentration in canine late gestation

A study was conducted to perform the quantitative analysis of canine foetal lung and liver sonographic images in the late term of gestation (58-67 days) and to evaluate its association with serum progesterone concentration. Thirty-two pregnant bitches were selected for the study. Lung development of foetus occurs in three different stages viz the pseudo glandular (40-48), canalicular (49-56 d) and saccular phase (57-63 d) of pregnancy. Lungs of the foetus at the time of parturition are in saccular phase of development and the alveolar phase occurs in the neonatal period. In the present study, sonographic changes occurring in the lung during the saccular phase of foetal lung development was evaluated. Mean grey level of the foetal lung and liver sonographic images were estimated using dedicated image analysis software Image J. The lung-to-liver ratio (LLR) of mean grey level (MGL) was recorded. Corresponding progesterone concentrations were also estimated for each animal. Correlation statistical analysis revealed a significant correlation between LLR of MGL and progesterone concentration in the animals selected for the study. LLR of MGL is a prognostic indicator of foetal survival and since LLR of MGL and progesterone are positively correlated, it can be used as an indicator of foetal maturity in place of progesterone concentration. Keywords: Lung-to-liver ratio of mean grey level, ultrasonography, progesteron

Expression study of pro-inflammatory cytokines and acute phase proteins in post-partum crossbred dairy cows with subclinical endometritis

Subclinical endometritis (SCE) is one of the causes of poor reproductive performance in dairy cows. The objective of the study was to evaluate the expression of pro-inflammatory cytokines [PICs; Interleukin -1 beta (IL-1β), Interleukin -6 (IL-6), and Tumor necrosis factor- alpha (TNF-α)] and Acute phase proteins [APPs; Serum Amyloid- A (SAA) and Haptoglobin (HP)] in blood and uterine flushings of postpartum dairy cows with subclinical endometritis (SCE). Animals (n=49) were screened for SCE at 60 days postpartum (dpp) using the endometrial cytobrush cytology, and those with PMN cell percentage ≥ 18% were identified as SCE cows. The blood samples and uterine flushings from SCE (n=15) and the control group (n=15) were assessed for mRNA expressions of PICs and APPs using the Real-Time PCR method (RT-PCR). The PICs and APPs except TNF-α were non-significant (p>0.05) in blood samples whereas a significant difference (p<0.05) was found in uterine flushings. The PICs and APPs were significantly up-regulated in the uterine endometrium indicating that collection of uterine flushings at 60 dpp could be used as a diagnostic method for evaluating gene expressions of inflammatory mediators in dairy cows with SCE

Early diagnosis of pseudopregnancy in goats by ultrasonography and response to treatment using cloprostenol sodium

Pseudopregnancy is a state of temporary infertility in goats characterised by the accumulation of sterile fluid in the uterus in the absence of a foetus with persistent corpus luteum. B-mode ultrasonographic examination of goats on day 60 post-breeding was conducted for differential diagnosis of pregnancy, non-pregnancy and pseudopregnancy. Pseudopregnant does diagnosed on day 60 (day 0) post-breeding (Group I, n=8) were treated with three doses of 125μg of cloprostenol sodium (i/m) 10 days apart and were bred by natural service on induced oestrus after the third dose of treatment. The response to treatment was evaluated and compared with normal cycling does (Group II, n=8) which were mated on spontaneous oestrus. The uterine wall thickness measured ultrasonographically on day 0 in group I and on day 60 post-breeding in pregnant does of group II were 0.63 ± 0.02 and 0.66±0.03 cm, respectively (P >0.05). Serum progesterone concentration estimated on day 0, day of the evacuation of uterine fluid, days 10 and 20 in group I and on day 60 post-breeding in group II were 2.73 ± 0.19, 0.78± 0.19, 1.67 ± 0.10, 1.72 ± 0.19 and 3.64± 0.16 ng/mL, respectively. A statistically significant difference was observed between day 0 in group I and day 60 in group II; within group I, between day 0 and the day of evacuation and between the day of evacuation and day 10. Pregnancy diagnosis on day 60 post-breeding revealed a conception rate of 50 and 75 per cent in groups I and II, respectively (P>0.05)

Temporal fossa arachnoid cyst presenting with bilateral subdural hematoma following trauma: two case reports

<p>Abstract</p> <p>Introduction</p> <p>Intracranial arachnoid cysts are considered to be congenital malformations with a predilection for the temporal fossa. They are often asymptomatic but can sometimes be symptomatic due to enlargement or hemorrhage. There are multiple case reports of arachnoid cysts becoming symptomatic with hemorrhagic complications following head trauma. In such cases, the bleeding is often confined to the side ipsilateral to the arachnoid cyst. Occurrence of contralateral subdural hematomas in patients with temporal fossa arachnoid cysts has rarely been observed and is reported less frequently in the medical literature.</p> <p>Case presentation</p> <p>We report two cases of people (a 23-year-old man and a 41-year-old man) with temporal fossa arachnoid cysts complicated by a subdural hematoma following head injury. Both patients developed a subdural hematoma contralateral to the side of a temporal fossa arachnoid cyst. It is likely that lack of adequate intracranial cushioning in the presence of an intracranial arachnoid cyst may result in injury not only to ipsilateral but also to contralateral bridging veins, following head trauma.</p> <p>Conclusion</p> <p>It is important to identify and report such rare complications with intracranial arachnoid cysts, so that asymptomatic patients with an intracranial arachnoid cyst can be counseled about such possibilities following head trauma.</p