PurposeOcular trauma is one of the most common causes of acquired blindness in children. It measures about 8%-14% of total childhood injuries. This study aims to determine the epidemiological profile of ocular trauma in the pediatric age group attending a tertiary hospital in northern India.MethodsA retrospective study was conducted in our hospital between June 2014 to July 2015 and all the children aged 0-16 years presenting with ocular trauma in eye outpatient department and emergency were enrolled in the study. Various epidemiological parameters like age, sex distribution, duration of presentation, mode of injury, type of injury and final visual outcome were analyzed.ResultsOf total 357 patients, 271 (76%) were below the age of 12 years; 41.1% of children with ocular trauma belonged to age group 2-6 years. The male to female ratio was 2.9:1. Out of total patients, 242 (67.8%) presented with closed globe injury. Among the closed globe injury, the history of fall was present in about 35% of children, followed by trauma while playing with bat/ball (15.7%) and finger nail trauma (13.2%). Among open globe injury, trauma with needle, knife, glass and pen were common causes. Home was the most common place of injury (47.8%), followed by streets (17.9%) and playground (14.9%).ConclusionChildren are vulnerable to ocular trauma and need more supervision. Sharp objects like needles, knives, household chemicals like acids should be out of reach of children.

Pb 2+ and Zn 2+ inhibition of photosystem I1 (PSII) activity was reported to be mediated via displacement of native inorganic cofactors (CI-, Ca 2+ and Mn 2+) from the oxygen evolving complex, OEC [Rashid and Popovic (1990) FEBS Lett. 271, 181-184; Rashid et al. (1991) Photosynth. Res. 30, 123-130]. Since the binding sites of these cofactors are protected by a shield of three extrinsic polypeptides (17, 23 and 33 kDa), we investigated whether these metal ions affect the extrinsic polypeptide shield of OEC. By immunoblotting with antibodies recognizing the 23 and 33 kDa polypeptides, we showed that both the metal ions significantly dissociated the 23 kDa (+17 kDa) polypeptide, and partially dissociated the 33 kDa. Ca 2+, one of the important inorganic cofactors of oxygen evolution, strongly prevented the dissociating action of Pb 2+ but did not prevent the action of Zn 2+. The probable molecular mechanism of action of Pb 2+ and Zn 2+ on PSII OEC is discussed.

The inhibitory effect of Zn(2+) on photosynthetic electron transport was investigated in native and CaCl2-treated (depleted in extrinsic polypeptides) Photosystem II (PS II) submembrane preparations. Inhibition of 2,6-dichlorophenolindophenol photoreduction by Zn(2+) was much stronger in protein-depleted preparations in comparison to the native form. It was found that Ca(2+) significantly reduced the inhibition in the native PS II preparations, as did Mn(2+) in a combination with H2O2 in the protein-depleted counterparts. No other tested monovalent or divalent cations could replace Ca(2+) or Mn(2+) in the respective experiments. Diphenylcarbazide could partially relieve (40-45%) the inhibition in both types of preparations. The above indicates the presence of an active Zn(2+) inhibitory site on the donor side of PS II. However, neither Ca(2+) nor Mn(2+) could completely prevent inhibition by high concentrations of Zn(2+) (>1 mM). We propose that elevated levels of Zn(2+) strongly perturb the conformation of the PS II core complex and might also affect the acceptor side of the photosystem.

The Pb2+ treatment of Photosystem II (PS II) membrane fragments, either intact or depleted in 17 and 23 kDa extrinsic polypeptides, inhibits PS II activity. When CaC1, was present in the assay, the Pbz+ inhibition was significantly reduced in both types of PS II membranes, suggesting a protective role of CaCI, against Pb2+ inhibition. However, in either case, the degree of PS II inhibition by Pbz+ was higher in the protein depleted than in intact PS II. It showed that the loss of endogenous Ca*+ induced by p 01 yp p e tide depletion causes the PS II to be more susceptible to Pbz+ The interaction of Pb2+ with CaCl, in protein-depleted PS II was competitive.Our results suggest that Pbz+ competes for binding to the CaZ+-and Cl-active sites in the water-splitting complex. Since Pb2+ inhibition of PS II activity cannot be reversed by CaCl, but can be reversed by diphenylcarbazide, we conclude that Pb2+ induced inhibition of PS II activity was mediated via the water-splitting system.

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The aim of the current study was to evaluate the effect of apple peel polyphenol extract (APPE) on the physicochemical and microbiological properties of probiotic yoghurt. Five concentrations of APPE were added in probiotic yoghurt as: (1) CTL, control without APPE; (2) AE1, addition of 1% APPE; (3) AE2, addition of 2% APPE; (4) AE3, addition of 3% APPE; (5) AE4, addition of 4% APPE; and (6) AE5, addition of 5% APPE. The prepared probiotic yoghurt was stored at 4 °C for 21 days and analyzed for physicochemical and microbiological properties. The initial viable count of L. bulgaricus, S. thermophilus, B. lactis and L. acidophilus were similar in all yoghurt samples at day 1. The maximum viability loss of probiotics was observed in CTL (p < 0.05). The lowest viability loss of probiotics was observed in AE5 samples (p < 0.05). The acidity, water holding capacity and viscosity were increased with the addition of APPE. No significant effects were observed on milk fat and total solid contents of probiotic yoghurt with the addition of APPE. The total phenolic contents of probiotic yoghurt increased significantly as 0.59, 0.71, 0.97, 1.18, 1.35 in AE1, AE2, AE3, AE4 and AE5, samples respectively. It was observed that AE3 and AE4 samples had better taste, flavour and colour with good texture. The survival of probiotics and antioxidant activity of the yoghurts were enhanced with the addition of APPE. In conclusion, apple peels could be successfully used as prebiotic in yoghurt with increased viable counts of probiotics.

PurposeThis prospective study aimed to investigate the epidemiologic parameters of supracondylar humeral fractures in children admitted to a teaching institution of a developing country primarily catering to rural population, to find any preventable cause of such injuries.MethodsAll suspected cases of supracondylar humeral fracture reporting to emergency or outpatients department were analysed for various epidemiologic parameters including age, sex, laterality, time of presentation, associated injuries, neurovascular complications and classification over a period of four years.ResultsWe analysed a total of 263 patients and most of the fractures were seen in 5–8-year age group with a mean of 7.9 years. A total of 157 cases were males and non-dominant extremity was involved in 65% of fractures in our series. Fall on outstretched hand was the predominant cause of injury and fall from rooftop was the predominant mode. In all patients, 36.12% reported to our hospital 1 week after injury, 39.92% presented to hospital within 48 h after trauma and the remaining 23.95% presented 48 h to 1 week after trauma. None had a bilateral injury. Gartland type 3 fractures constituted 54.37% of patients, followed by type 1 (23.95%) and type 2 (21.67%).ConclusionAlmost one fourth of supracondylar humeral fractures in children can be prevented by installing railing of rooftops and stairs. It is necessary to educate people on hazards of treatment by traditional bonesetters. Moreover, the children with supracondylar humeral fractures should be screened for associated injuries.

The manifestation of aflatoxins in feed and food is a major issue in the world as its presence leads to some health problems. This study investigates the incidence of aflatoxin M1 (AFM1) contamination in raw milk samples which were collected from Punjab, Pakistan. The Cluster Random Sampling technique was used to collect 960 milk samples from five different regions, and samples were collected every month. The AFM1 level in raw milk was analyzed by the ELISA technique. The findings demonstrate that 70% of samples exceeded the United States permissible maximum residue limits (MRL 0.50 µg/L), with an overall AFM1 level that ranged from 0.3 to 1.0 µg/L. AFM1 contamination varied with the season: The highest average contamination was detected in winter (0.875 µg/L), followed by autumn (0.751 µg/L), spring (0.654 µg/L), and summer (0.455 µg/L). The Eastern region exhibited the highest average AFM1 contamination (0.705 µg/L). Milk samples from the Northern region were found to be widely contaminated, as 86.9% samples exceeded the US MRL, followed by the Eastern region, with 72.3% samples being contaminated with >0.5 µg/L AFM1. The study indicated that the raw milk supply chain was heavily contaminated. Recommendations and remedial measures need to be developed by regulatory authorities to improve the raw milk quality.