Prevalence of oral soft tissue lesions in Vidisha

<p>Abstract</p> <p>Background</p> <p>The purpose of this study was to determine the prevalence of oral soft tissue lesions in patients and to assess their clinicopathological attributes. 3030 subjects belonging to a semi-urban district of Vidisha in Central India were screened. Patients were examined with an overhead examination light and those who were identified with a questionable lesion underwent further investigations. Statistical analysis was done using the SPSS software.</p> <p>Findings</p> <p>8.4 percent of the population studied had one or more oral lesions, associated with prosthetic use, trauma and tobacco consumption. With reference to the habit of tobacco use, 635(21%) were smokers, 1272(42%) tobacco chewers, 341(11%) smokers and chewers, while 1464(48%) neither smoked nor chewed. 256 patients were found to have significant mucosal lesions. Of these, 216 cases agreed to undergo scalpel biopsy confirmation. 88 had leukoplakia, 21 had oral submucous fibrosis, 9 showed smoker's melanosis, 6 patients had lichen planus, 17 had dysplasia, 2 patients had squamous cell carcinoma while there was 1 patient each with lichenoid reaction, angina bullosa hemorrhagica, allergic stomatitis and nutritional stomatitis.</p> <p>Conclusions</p> <p>The findings in this population reveal a high prevalence of oral soft tissue lesions and a rampant misuse of variety of addictive substances in the community. Close follow up and systematic evaluation is required in this population. There is an urgent need for awareness programs involving the community health workers, dentists and allied medical professionals.</p

Lipid profile in oral submucous fibrosis

<p>Abstract</p> <p>Background</p> <p>Changes in lipid profile have long been associated with malignancies as lipids play a key role in maintenance of cell integrity. This study evaluated the alterations in extended lipid profile in untreated patients of oral submucous fibrosis (OSMF) and studied the correlation between lipid levels with tobacco consumption.</p> <p>Materials and methods</p> <p>In this hospital-based study, 65 clinically diagnosed and histopathologically proven patients of OSMF and 42 age and sex matched controls were studied. In these samples serum lipids including: (i) Total cholesterol, (ii) LDL cholesterol (LDLC), (iii) HDL cholesterol (HDLC) (iv) VLDL cholesterol (VLDLC) (v) triglycerides (vi) Apo-A1 (viii) Apo-B and (viii) LPa were analyzed.</p> <p>Results</p> <p>A significant decrease in plasma total cholesterol, HDLC and Apo-A1 was observed in patients with OSMF as compared to the controls. Thus an inverse relationship between plasma lipid levels and patients was found in OSMF.</p> <p>Conclusion</p> <p>The lower levels of plasma cholesterol and other lipid constituents in patients might be due to their increased utilization. The findings strongly warrant an in-depth study of alterations in plasma lipid profile in patients with oral precancerous conditions.</p

Comparative study between the Hybrid Capture II test and PCR based assay for the detection of human papillomavirus DNA in oral submucous fibrosis and oral squamous cell carcinoma

<p>Abstract</p> <p>Background</p> <p>Oral malignancy is a major global health problem. Besides the main risk factors of tobacco, smoking and alcohol, infection by human papillomavirus (HPV) and genetic alterations are likely to play an important role in these lesions. The purpose of this study was to compare the efficacy of HC-II assay and PCR for the detection of specific HPV type (HPV 16 E6) in OSMF and OSCC cases as well as find out the prevalence of the high risk HPV (HR-HPV) in these lesions.</p> <p>Methods and materials</p> <p>Four hundred and thirty patients of the potentially malignant and malignant oral lesions were taken from the Department of Otorhinolaryngology, Moti Lal Nehru Medical College, Allahabad, India from Sept 2007-March 2010. Of which 208 cases were oral submucous fibrosis (OSMF) and 222 cases were oral squamous cell carcinoma (OSCC). The HC-II assay and PCR were used for the detection of HR-HPV DNA.</p> <p>Result</p> <p>The overall prevalence of HR-HPV 16 E6 DNA positivity was nearly 26% by PCR and 27.4% by the HC-II assay in case of potentially malignant disorder of the oral lesions such as OSMF. However, in case of malignant oral lesions such as OSCC, 32.4% HPV 16 E6 positive by PCR and 31.4% by the HC-II assay. In case of OSMF, the two test gave concordant result for 42 positive samples and 154 negative samples, with an overall level of agreement of 85.4% (Cohen's kappa = 66.83%, 95% CI 0.553-0.783). The sensitivity and specificity of the test were 73.7% and 92.05% (p < 0.00). In case of OSCC, the two test gave concordant result for 61 positive samples and 152 negative samples, with an overall level of agreement of 88.3% (Cohen's kappa = 79.29, 95% CI 0.769-0.939) and the sensitivity and specificity of the test were 87.14% and 92.76% (p < 0.00).</p> <p>Conclusion</p> <p>This study concluded that slight difference was found between the positivity rate of HR-HPV infection detected by the HC-II and PCR assay in OSMF and OSCC cases and the HC II assay seemed to have better sensitivity in case of OSCC.</p

HTLV-1 Tax Mediated Downregulation of miRNAs Associated with Chromatin Remodeling Factors in T Cells with Stably Integrated Viral Promoter

RNA interference (RNAi) is a natural cellular mechanism to silence gene expression and is predominantly mediated by microRNAs (miRNAs) that target messenger RNA. Viruses can manipulate the cellular processes necessary for their replication by targeting the host RNAi machinery. This study explores the effect of human T-cell leukemia virus type 1 (HTLV-1) transactivating protein Tax on the RNAi pathway in the context of a chromosomally integrated viral long terminal repeat (LTR) using a CD4+ T-cell line, Jurkat. Transcription factor profiling of the HTLV-1 LTR stably integrated T-cell clone transfected with Tax demonstrates increased activation of substrates and factors associated with chromatin remodeling complexes. Using a miRNA microarray and bioinformatics experimental approach, Tax was also shown to downregulate the expression of miRNAs associated with the translational regulation of factors required for chromatin remodeling. These observations were validated with selected miRNAs and an HTLV-1 infected T cells line, MT-2. miR-149 and miR-873 were found to be capable of directly targeting p300 and p/CAF, chromatin remodeling factors known to play critical role in HTLV-1 pathogenesis. Overall, these results are first in line establishing HTLV-1/Tax-miRNA-chromatin concept and open new avenues toward understanding retroviral latency and/or replication in a given cell type

Evaluation of various Ayurvedic formulations for Migraine (Ardhavbhedak) – A review

Introduction: Migraine, is a primary headache disorder characterized by moderate to severe intensity recurrent headaches, starts at puberty and worsens uring middle age. Approximately 15% of people are affected by the problem globally. Aim: To review clinical works carried out on Migraine. Materials and Methods: Clinical works carried out on Migraine from 1978 to 2018 at various departments of IPGT&amp;RA, GAU, Jamnagar were compiled and analyzed as secondary data collection method. Results: In this article total of eight works, were included and reviewed, duration of which ranged from 7-60 days, almost all the Ayurvedic formulations i.e. different types of Nasya like Pradhamana, Avapeeda and Sneha; and some formulations like Pathyadi Kwath, Sutsekhara Rasa, Laghu Sutsekhara Rasa, etc. were given orally. Conclusion: Different Ayurvedic formulations used in different trials almost remained highly significant/significant on various subjective and objective criteria of the disease Migraine.</jats:p

Bridging the Digital Divide in Agriculture: An Investigation to ICT Adoption for Sustainable Farming Practices in Banaskantha District of Gujarat, India

This article&nbsp;investigates the difficulties farmers encounter in adopting and utilising ICT technologies for sustainable agriculture, with a particular emphasis on bridging the digital divide. To assess the digital divide among farmers, the study examines access to technology, digital literacy levels, and internet connectivity. Affordability, awareness, and complexity are highlighted and analysed as barriers to ICT adoption. To address these barriers, customised ICT solutions, including user-friendly tools, are being developed. The influence of these solutions on long-term farming practises were assessed. The interpretations emphasise solutions such as cost reduction, subsidisation, improved power supply, information delivery in local languages, the establishment of service centres, and the provision of training programmes. Implementing these solutions can help to bridge the digital divide, improve information access, and promote sustainable agriculture. This article examines the challenges that farmers encounter when adopting and utilizing ICT (Information and Communication Technology) solutions for sustainable agriculture, with a particular focus on addressing the digital divide. The research investigates the accessibility of technology, levels of digital literacy, and internet connectivity to determine the extent of the digital divide among farmers. It identifies and examines affordability, awareness, and complexity as obstacles to ICT adoption. To overcome these barriers, customized ICT solutions are being developed, including user-friendly tools. The long-term impact of these remedies on farming practices is being studied. The findings highlight the importance of cost-cutting measures, subsidies, improved electricity supply, information dissemination in local languages, the establishment of service centres, and the provision of training programs. Implementing these solutions can help bridge the digital divide and enhance farming practices