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Endogenous damage to mitochondrial DNA by free radicals is believed to be a major contributory factor to aging. The current study examined the effects of the extracts of two important anti-fatigue and rejuvenating medicinal herbs Ganoderma lucidum and Trichopus zeylanicus for their free-radical scavenging property and for their effects on liver mitochondrial antioxidant activity in aged mice. Both extracts were administrated orally to aged BALB/c mice at doses of 50 and 250 mg/kg body weight for 15 days. Super oxide dismutase (SOD) and catalase (CAT) activity and levels of reduced glutathione (GSH) and lipid peroxidation as equivalents of malondialdehyde (MDA) formed were determined. Groups of young mice and aged mice (more than 15 months old) were taken as controls. Both G. lucidum and T. zeylanicus extracts increased antioxidant status in liver mitochondria of aged mice compared with the aged control. Higher levels of GSH, increased activity of SOD and CAT, and decreased level of MDA in both treated groups compared with the controls were evident. Both extracts possessed significant 2,2-diphenyl-1-picrylhydrazil (DPPH), 2, 2'-azinobis (3-ethylbenzothiazolin-6-sulphonic acid) (ABTS) radical scavenging activities and ferric reducing antioxidant power (FRAP). The DPPH, ABTS, and FRAP activities were higher in G. lucidum extract than in T. zeylanicus. G. lucidum extract also showed superoxide and hydroxyl radical scavenging activities. T. zeylanicus had significantly higher lipid peroxidation inhibiting activity than G. lucidum. Thus, we conclude that the antioxidative effect of the G. lucidum extract was higher than that of T. zeylanicus. Our findings suggest a potential therapeutic efficacy of G. lucidum extract to protect against aging and to a certain extent against age-related degenerative diseases.

Burkholderia cepacia complex (BCC) is a significant opportunistic pathogen in hospitalized and immunocompromised patients, particularly in cystic fibrosis. It is widely distributed in natural habitats such as soil and water and frequently encountered in nosocomial outbreaks due to contaminated disinfectants and medical devices. However reports on outbreaks due to this organism are lacking from the Indian subcontinent. We report here a sporadic outbreak due to BCC which occurred in the pediatric Intensive Care Unit of our institute, the probable source being contaminated distilled water. The isolate from three babies and environmental sources including distilled water were identical and confirmed as BCC. Strict infection control measures were instituted to prevent the spread of infection. This report highlights the potential role of B.cepacia in causing sporadic outbreaks especially in ICUs, associated with water.

Calcification of soft tissues occur, secondary to trauma sustained in the course of neonatal intensive care. They can present with swelling and inflammatory signs, which mimic serious infections of bone, joints and soft tissues. The etiology of the presenting inflammatory response is often unknown and the clinical picture is variable. Hence babies get subjected to more invasive procedures and medications. Recognition is by awareness and radiography the key to diagnosis. Masterly inactivity and vigilance during followup is suggested.

No abstract

Sixteen cases of external hydrocephalus (EH) were seen from January 1993 to June 1995. There were 13 (81.3 per cent) male and three female children. Fourteen (87.5 per cent) were under 12 months of age. Three siblings with EH were seen in one family. All but three of the 16 recovered over time without medical or surgical intervention. These three needed cerebral decongestants in the acute phase.

Purpose: Rauwolfia serpentina (L.) Benth, from the family, Apocynaceae, is an important medicinal plant due to the alkaloid content of its root. The purpose of this study was to obtain roots directly from leaf explant using growth regulators. Methods: The leaf explant was inoculated on MS (Murashige and Skoog) medium supplemented with single and combinations of growth regulators. Root growth was also observed on liquid MS medium and under dark conditions. The reserpine content of the roots obtained was determined by HPLC.Results: Two combinations of auxins namely, para-amino benzoic acid (PABA) + α-naphthalene acetic acid ( NAA), and 3-Indole butyric acid (IBA) + NAA, promoted better root growth compared to single auxin treatment. The highest number of roots and regeneration response was observed on leaf explant cultured on MS media supplemented with PABA (1 mg l -1 ) + NAA (4 mg l -1 ). Liquid MS media gave slower growth, reduced number of roots, shorter root length as well as absence of reserpine, using the same combination of growth regulators, compared to solid MS media. The culture incubated under dark conditions produced thin roots. HPLC analysis of the regenerated roots indicated low alkaloid (reserpine) content (0.01 -0.03). However, higher alkaloid content (0.03%) was observed in cultures with fewer numbers of roots. Conclusion: A simple and reliable protocol for direct induction of roots from leaf explant of R. serpentina using plant growth regulators has been developed.

<p class="abstract"><strong>Background:</strong> Epistaxis is one the common emergencies in Oto-rhino-laryngology. It may occur in any age and in either gender. Cause of epistaxis range from simple self-limiting condition to more sinister malignancy which needs a radical approach. Hence, one should evaluate these patients appropriately and identify the cause to treat them accordingly. The present work was undertaken with the aim of studying the demographic profile of patients with epistaxis, its causes and management.</p><p class="abstract"><strong>Methods:</strong> The present study consisted of 60 patients who came with complaint of epistaxis. The patient’s detailed history was obtained. Detailed systemic examination and ENT examination was performed on patients in the study. Patients were investigated and treated as per the standard hospital protocol.  </p><p class="abstract"><strong>Results:</strong> Out of the total 60 cases of epistaxis, 65% were males and 35% were females. Most of our cases were aged more than 50 years (31.7%) with mean age of 38.56 years. Most common etiology of epistaxis in present study was hypertension (20%), followed by acute rhino-sinusitis (15%). Commonest cause in children was deviated nasal septum and acute rhinosinusitis while in young adults, trauma was the common cause. Most common cause in elderly was hypertension. Medical management was done in most of the cases (65%) while anterior and posterior packing was done in 20% and 10% cases respectively. Three cases underwent electro-cauterization of bleeding point.</p><p><strong>Conclusions:</strong> Epistaxis can be seen in anyage. However the etiology of this condition varies with age. Understanding of the etiology helps in better evaluation and treatment of the case. </p>