Interleukin-11 Overexpression and M2 Macrophage Density are Associated with Angiogenic Activity in Proliferative Diabetic Retinopathy

ABSTRACT

Purpose

To investigate the expression of IL-11 and its receptor IL-11Rα and to quantify density of CD163⁺ M2 macrophages in proliferative diabetic retinopathy (PDR).     

The emancipation of testosterone from niche hormone to multi-system player

It is no exaggeration to say that our conceptualization of the (patho-) physiological functions of testosterone has undergone a revolutionary development over the last three decades. The traditional thinking was that the biological functions of testosterone were restricted mainly to the area of reproduction and male sexuality. However, scientific research has clearly demonstrated that testosterone is a multi-system hormone serving a wide range of hitherto unsuspected biological functions.In line with this, it will be argued in this contribution that the physiological role of testosterone has been underestimated, while the risks of testosterone administration have been overstated. Space does not permit to elaborate extensively on all new insights of the role of testosterone in the biology of the male. Three areas will be addressed: (1) the role that testosterone can play in body weight management of hypogonadal men; (2) the role of testosterone in inflammatory processes; (3) the strategy required to let patients benefit from the recent insights that testosterone is a multi-system hormone whose use should not be limited to reproductive/sexual medicine.     

Aztreonam for treating meningitis caused by gram-negative rods

10 patients with meningitis due to unusual gram-negative organisms (Pseudomonas, Proteus, Salmonella and Klebsiella) were effectively treated with aztreonam. A detailed history and a thorough physical examination combined with careful laboratory testing resulted in accurate diagnosis and cure of all patients.     

Dexamethasone adjunctive treatment for tuberculous meningitis

During a 5-year period, 280 of 2010 patients admitted to the meningitis ward of a referral hospital in Cairo, Egypt, were clinically diagnosed as having tuberculous meningitis and were treated with either antituberculous chemotherapy and dexamethasone or antituberculous chemotherapy alone. Fatality rates and neurologic sequelae were compared for the 2 treatment groups in the 160 patients who had cerebrospinal fluid cultures positive for Mycobacterium tuberculosis. The overall mortality rate of 51% reflects the delay in receiving appropriate therapy (79% with symptoms for more than 2 weeks) and the severity of illness on admission (56% in coma, 39% drowsy). The fatality rate was significantly lower in the group receiving dexamethasone (43% vs. 59%, P less than 0.05), particularly in the drowsy patients (15% vs. 40% P less than 0.04), and in patients surviving long enough to receive at least 10 days of treatment (14% vs. 33%, P less than 0.02). Development of neurologic complications after initiation of therapy (4 vs. 10) and permanent sequelae (6 vs. 13) were significantly lower in the dexamethasone-treated group (P less than 0.02).     

Effects of coal-fired thermal power plant discharges on agricultural soil and crop plants

The physicochemical properties of the upstream and downstream waters from the Upper Ganga canal, discharged cooling tower water, machine washings, and scrubber and bottom ash effluents of a 530 MW Kasimpur coal-fired thermal power plant have been determined, and their effects directly on fertile soil and indirectly on pea (Pisum sativam) and wheat (Triticum aestivum) crops have also been studied. The effluents were found to be alkaline in nature. The scrubber and bottom ash effluent was found to contain large amounts of solids and had high biochemical and chemical oxygen demands. All the effluents were found to be responsible for altering the chemical composition of the soil. The soils irrigated with the different effluents exhibited an increase in pH, organic matter, calcium carbonate, water-soluble salts, cation exchange capacity, electrical conductivity, and nitrogen and phosphorus contents while potassium content decreased, probably due to being leached to the lower layers of the soil. The effects of 100, 50, and 0% (tap water control) dilutions of cooling tower, machine washings, and scrubber and bottom ash effluents on the germination and growth of pea and wheat crops were also monitored. Using the undiluted effluents, there was 100% germination for both the crops when the irrigation was done with cooling tower effluent. The germination was restricted to 90% for the two crops when irrigated with machine washings effluent, and to 80 and 70% for pea and wheat, respectively, when irrigated with scrubber and bottom ash effluent. The samples of upstream and downstream canal water were also used for irrigating soils with and without crop plants in order to ascertain the impact of the effluents on the canal water and its subsequent effect on the crops. The soils irrigated with downstream canal water were found to contain slightly more calcium carbonate, phosphorus, and ammonia-nitrogen than those receiving upstream canal water. Though 100% germination was obtained in both the cases, the growth of the plants irrigated with the downstream canal water was found to be slightly reduced.