Information and communication technology developments in asthma management: a systematic review

This review aims to explain the progress of information and communication technology (ICT) applications in asthma management. Appropriate literature was printed out from the bibliographic databases and library source using relevant key phrases of ICT and asthma. The ICT developments from simple to complex modules to augment the conventional methods of asthma care with a caution of excessive reliance upon technology were discussed. However, it should be noted ICTs are for maximizing the human clinician's own ability to receive and process information as well as providing unique opportunities for patients, physicians, pharmacists and researchers.     

Role of individual and household level factors on stunting: a comparative study in three Indian states

BACKGROUND: Status of growth especially in early childhood is not only the most important determinant of health of a child but also a reflection of the well-being of the entire society. The extent of malnutrition in India is very high, but the exact magnitude varies considerably depending on which indicator is used. Child health in this paper is measured through chronic malnutrition (termed as stunting). Three states were selected, namely Bihar, West Bengal and Kerala. These three states represent the three stages of development. Bihar is one of the least and Kerala is one of the most developed states in India. AIM: The present paper aims to investigate the degree of chronic malnutrition in the context of socio-economic, demographic and other characteristics of the children and their households in the three selected states in India. SUBJECTS AND METHODS: The data for this study were taken from the National Family Health Survey (NFHS-2) conducted by the International Institute for Population Sciences (IIPS), Mumbai, in 1998-1999. The NFHS-2 sample covers ever-married women in the age group 15-49 years from 26 states in India. Besides collecting information on health, the survey collects data on socio-economic and demographic characteristics at individual and household level. RESULTS: The percentage of stunting of children in Bihar, West Bengal and Kerala was found to be 54, 39 and 23%, respectively. Regression analysis showed that the major factors that significantly influenced the status of health in the children in all three states were women's education and the household condition index. Months of breastfeeding and birth interval also had some association with health status. The effect of the above-mentioned variables was most prominent in Bihar and least in Kerala in terms of statistical significance. CONCLUSION: There is a close positive link between the nutritional status of pre-school children and the stages of development of the states. Mothers' education and household condition are important influences on children's health status irrespective of the stage of development.     

Roles of PCNA-binding and ubiquitin-binding domains in human DNA polymerase η in translesion DNA synthesis

Treatment of yeast and human cells with DNA-damaging agents elicits Rad6–Rad18-mediated monoubiquitination of proliferating cell nuclear antigen (PCNA) at its Lys-164 residue [ubiquitin (Ub)-PCNA], and this PCNA modification is indispensable for promoting the access of translesion synthesis (TLS) polymerases (Pols) to PCNA. However, the means by which K164-linked Ub modulates the proficiency of TLS Pols to bind PCNA and take over synthesis from the replicative Pol has remained unclear. One model that has gained considerable credence is that the TLS Pols bind PCNA at 2 sites, to the interdomain connector loop via their PCNA-interacting protein (PIP) domain and to the K164-linked Ub moiety via their Ub-binding domain (UBD). Specifically, this model postulates that the UBD-mediated binding of TLS Pols to the Ub moiety on PCNA is necessary for TLS. To test the validity of this model, we examine the contributions that the PIP and Ub-binding zinc finger (UBZ) domains of human Polη make to its functional interaction with PCNA, its colocalization with PCNA in replication foci, and its role in TLS in vivo. We conclude from these studies that the binding to PCNA via its PIP domain is a prerequisite for Polη''s ability to function in TLS in human cells and that the direct binding of the Ub moiety on PCNA via its UBZ domain is not required. We discuss the possible role of the Ub moiety on PCNA in TLS.     

Molecular Evolution of Peste des Petits Ruminants Virus

Despite safe and efficacious vaccines against peste des petits ruminants virus (PPRV), this virus has emerged as the cause of a highly contagious disease with serious economic consequences for small ruminant agriculture across Asia, the Middle East, and Africa. We used complete and partial genome sequences of all 4 lineages of the virus to investigate evolutionary and epidemiologic dynamics of PPRV. A Bayesian phylogenetic analysis of all PPRV lineages mapped the time to most recent common ancestor and initial divergence of PPRV to a lineage III isolate at the beginning of 20th century. A phylogeographic approach estimated the probability for root location of an ancestral PPRV and individual lineages as being Nigeria for PPRV, Senegal for lineage I, Nigeria/Ghana for lineage II, Sudan for lineage III, and India for lineage IV. Substitution rates are critical parameters for understanding virus evolution because restrictions in genetic variation can lead to lower adaptability and pathogenicity.     

Atypical Mycobacterial Infection in Hairy Cell Leukemia Treated with Cladribine

We report a case of hairy cell leukemia who improved after cladribine but succumbed to disseminated atypical mycobacterial infection 2 months after completing cladribine.     

Circulating Vimentin Over-Expression in Patients with Oral Sub Mucosal Fibrosis and Oral Squamous Cell Carcinoma

Oral squamous cell carcinoma (OSCC) is one of the most common (90%) types of oral carcinomas in the world. It is the 2nd most common and 3rd deadliest cancer in India. The lack of early detection marker is one of the major causes of worst prognosis. The vimentin belongs to intermediate filament family proteins which plays significant role in maintaining cellular integrity. Over-expression of vimentin has been widely reported in many epithelial cancers however the information regarding its prevalence in the oral cancers still needs further scientific intervention. The expression level of circulating vimentin protein in serum samples (n = 30) of oral submucous fibrosis (OSMF), OSCC patients and healthy controls were measured by performing ELISA. The serum level of vimentin was significantly higher in OSMF (p < 0.01) and OSCC (p < 0.003) patients as compared to healthy subjects. The circulating vimentin levels showed a gradual increase with increasing disease status (normal < OSMF < OSCC). Circulatory levels of vimentin may ba useful indicator of disease progression and as a suitable target for therapeutic intervention of oral submucous fibrosis and oral carcinoma.