Comparison of diode laser-assisted surgery and conventional surgery in the management of hereditary ankyloglossia in siblings: a case report with scientific review

Laser-assisted surgery is common nowadays and most of the oral soft tissue surgical procedures are done with lasers. Among the commonly available lasers today, the diode laser is the one frequently used one in dentistry. Bleeding control, visibility, and better tissue manipulation are some of the advantages of the laser. This article addresses the management of hereditary ankyloglossia using the diode laser and conventional surgery in siblings.     

The HIV-1 proviral landscape reveals that Nef contributes to HIV-1 persistence in effector memory CD4+ T cells

Despite long-term antiretroviral therapy (ART), HIV-1 persists within a reservoir of CD4⁺ T cells that contribute to viral rebound if treatment is interrupted. Identifying the cellular populations that contribute to the HIV-1 reservoir and understanding the mechanisms of viral persistence are necessary to achieve an effective cure. In this regard, through Full-Length Individual Proviral Sequencing, we observed that the HIV-1 proviral landscape was different and changed with time on ART across naive and memory CD4⁺ T cell subsets isolated from 24 participants. We found that the proportion of genetically intact HIV-1 proviruses was higher and persisted over time in effector memory CD4⁺ T cells when compared with naive, central, and transitional memory CD4⁺ T cells. Interestingly, we found that escape mutations remained stable over time within effector memory T cells during therapy. Finally, we provided evidence that Nef plays a role in the persistence of genetically intact HIV-1. These findings posit effector memory T cells as a key component of the HIV-1 reservoir and suggest Nef as an attractive therapeutic target.     

Mosquito larvicidal, ovicidal, and repellent properties of botanical extracts against Anopheles stephensi, Aedes aegypti, and Culex quinquefasciatus (Diptera: Culicidae)

Mosquito-borne diseases have an economic impact, including loss in commercial and labor outputs, particularly in countries with tropical and subtropical climates; however, no part of the world is free from vector-borne diseases. In mosquito control programs, botanical origin may have the potential to be used successfully as eggs, larvae, and adult. The larvicidal, ovicidal, and repellent activities of crude benzene and ethyl acetate extracts of leaf of Ervatamia coronaria and Caesalpinia pulcherrima were assayed for their toxicity against three important vector mosquitoes, viz., Anopheles stephensi, Aedes aegypti, and Culex quinquefasciatus (Diptera: Culicidae). The larval mortality was observed after 24 h of exposure. All extracts showed moderate larvicidal effects; however, the highest larval mortality was found in benzene extract of E. coronaria against the larvae of Anopheles Stephensi, Aedes aegypti, and Culex quinquefasciatus with the LC₅₀ and LC₉₀ values were 79.08, 89.59, and 96.15 ppm and 150.47, 166.04, and 174.10 ppm, respectively. Mean percent hatchability of the ovicidal activity was observed 48 h posttreatment. The percent hatchability was inversely proportional to the concentration of extract and directly proportional to the eggs. The leaf extract of E. coronaria was found to be most effective than Caesalpinia pulcherrima against eggs/egg rafts of three vector mosquitoes. For E. coronaria, the benzene extract exerted 300, 250, and 200 ppm against Anopheles stephensi, Aedes aegypti, and Culex quinquefasciatus, respectively. The results of the repellent activity of benzene and ethyl acetate extract of E. coronaria and Caesalpinia pulcherrima plants at three different concentrations of 1.0, 2.5, and 5.0 mg/cm² were applied on skin of fore arm in man and exposed against adult female mosquitoes. In this observation, these two plant crude extracts gave protection against mosquito bites without any allergic reaction to the test person, and also, the repellent activity is dependent on the strength of the plant extracts. These results suggest that the leaf solvent plant extracts have the potential to be used as an ideal ecofriendly approach for the control of mosquitoes. This is the first report on the mosquito larvicidal, ovicidal, and repellent activities of the reported E. coronaria and Caesalpinia pulcherrima plants.     

Incidence of burn wound sepsis in 600 burned patients treated in a developing country

Infection is the most important problem in the treatment of burns in a developing country. A burn compromises a major body protective mechanism, namely the skin. Hence, the susceptibility to local infection increases at these sites. The incidence of burn wound sepsis is very high in south India as the socio-economic conditions and the standard of personal hygiene are poor and the hot moist climatic conditions encourage bacterial growth. These three factors are rarely present in the temperate zone countries of Europe and North America. This study was undertaken to identify more clearly the factors that are responsible for the higher incidence of burn wound infection and to formulate methods of treatment which are appropriate for our patient population living in a tropical country.     

Effects of Pygidial Secretion (Zoopesticide) on Histopathological Changes in the Male Accessory Reproductive Glands of Adult Male Insect Odontopus varicornis in Relation to Reproduction

Indiscriminate use of pesticides for the eradication of pests causes tremendous changes to the environment and also to other nontarget organisms. To prevent such contamination of the environment and save nontarget species, zoopesticides are increasingly used as they are cost effective, eco-friendly, safe, and sustainable in the field of agriculture. The present study was undertaken to find out the effect of pygidial secretion (zoopesticide) on Odontopus varicornis. The insects were exposed to pygidial secretion for 24, 48, 72, and 96 hours and its sublethal concentration was found to be about 2.8% for 48 hours. When the insects were injected with sublethal concentration 2.8% for 48 hours, the study revealed certain remarkable changes in the histopathology of the male accessory reproductive glands (MARGs) such as disintegration of epithelial cell wall, swollen nucleus, vacuolization of cytoplasm, highly pycnotic and necrotic epithelium, enlargement of epithelial cells, and disorganized tissues. It is suggested that zoopesticide causes several histopathological damages in the MARGs of O. varicornis and affects the reproductive potentiality of O. varicornis.     

Analysis of Metals Concentration in the Soils of SIPCOT Industrial Complex, Cuddalore, Tamil Nadu

Phytoremediation is a promising area of new research, both for its low cost and great benefit to society in the clean retrieval of contaminated sites. Phytoremediation is the use of living green plants for in situ risk reduction and/or removal of contaminants from contaminated soil, water, sediments, and air. Specially selected or engineered plants are used in the process. The soil samples were taken from Cuddalore Old Town (OT) and the samples from SIPCOT industrial complex, which was the study area and analyzed for various metals concentrations. Fifteen metals have been analyzed by adopting standard procedure. The detection limits of metal concentration are drawn as control. The various (15) metal concentrations in the soil samples were found higher in soil taken from SIPCOT industrial complex, compared with samples taken from Cuddalore OT. In all the observations, it was found that most of the metals like calcium, cadmium, chromium, cobalt, nickel, and zinc showed maximum concentrations, whereas arsenic, antimony, lead, magnesium, sodium have shown minimum concentrations, both when compared with control. From the present study, it was found that the soil collected from SIPCOT complex area were more polluted due to the presence of various industrial effluents, municipal wastes, and sewages when compared with the soil collected from Cuddalore OT.     

Remifentanil as single agent to facilitate awake fibreoptic intubation in the absence of premedication

Remifentanil is increasingly being used as the primary agent to provide sedation during awake fibreoptic nasal intubation. In this observational study, we aimed to determine the optimal effect site concentration of remifentanil, using a target controlled infusion based on the Minto pharmacological model, to provide optimal safe intubation conditions without the use of other sedatives/premedication and/or spray-as-you-go local anaesthesia. Twenty patients with anticipated difficult airway participated in the study. Good intubating conditions were achieved in all patients with mean (SD) effect site concentration of 6.3 (3.87) ng.ml(-1) of remifentanil recorded at nasal endoscopy and 8.06 (3.52) ng.ml(-1) during tracheal intubation. No serious adverse event occurred during any of these procedures. These preliminary findings suggest that this is a feasible and safe technique for awake fibreoptic nasal intubation.