There is, I think, something ethereal about i —the square root of minus one. I remember first hearing about it at school. It seemed an odd beast at that time—an intruder hovering on the edge of reality.

Usually familiarity dulls this sense of the bizarre, but in the case of i it was the reverse: over the years the sense of its surreal nature intensified. It seemed that it was impossible to write mathematics that described the real world in …

I and i

This book is one of our contemporary medical bibles. It needs no introduction; those who have frequent need of it know it very well, and those who use it less often seek it out on the library shelf when problems arise. The book is truly encyclopedic. Everything relevant discovered during the six-year intervals between publication finds its way into these pages. By today's standards, its 1,778 closely packed small-print pages are a bargain. The mutant gene is both hero and villain in this book. It is reponsible for the biochemical abnormality that results in disease, no matter how rare a given abnormality may be. By the same token, however, it is truly an experiment of nature, shedding light on fundamental metabolic sequences and biologic mechanisms. This volume, more than most, explains the contributions of the laboratory to clinical medicine. Each chapter seems to have been rewritten, so that the exciting

The Metabolic Basis Of Inherited Disease.

Glucose-6-phosphate dehydrogenase deficiency is a genetic disorder that occurs almost exclusively in males. This condition mainly affects red blood cells, which carry oxygen from the lungs to tissues throughout the body. In affected individuals, a defect in an enzyme called glucose-6-phosphate dehydrogenase causes red blood cells to break down prematurely. This destruction of red blood cells is called hemolysis.

Glucose-6-phosphate dehydrogenase deficiency.

Occurrence, Biogenesis, and Synthesis of Biologically Active Carbazole Alkaloids

The autonomic nervous system.

Hepatocellular carcinoma (HCC) is one of the most common tumors affecting a large population worldwide, with the fifth and seventh greatest mortality rates among men and women, respectively, and the third prime cause of mortality among cancer victims. Dimethyl itaconate (DI) has been reported to be efficacious in colorectal cancer by decreasing IL-1β release from intestinal epithelial cells. In this study, diethylnitrosamine (DEN)-induced HCC in male albino Wistar rats was treated with DI as an anticancer drug. The function and molecular mechanism of DI against HCC in vivo were assessed using histopathology, enzyme-linked immunosorbent assay (ELISA), and Western blot studies. Metabolomics using 1H-NMR was used to investigate metabolic profiles. As per molecular insights, DI has the ability to trigger mitochondrial apoptosis through iNOS- and eNOS-induced activation of the NF-κB/Bcl-2 family of proteins, CytC, caspase-3, and caspase-9 signaling cascade. Serum metabolomics investigations using 1H-NMR revealed that aberrant metabolites in DEN-induced HCC rats were restored to normal following DI therapy. Furthermore, our data revealed that the DI worked as an anti-HCC agent. The anticancer activity of DI was shown to be equivalent to that of the commercial chemotherapeutic drug 5-fluorouracil.

https://www.frontiersin.org/articles/10.3389/fphar.2021.823285/pdf

Preclinical Evaluation of Dimethyl Itaconate Against Hepatocellular Carcinoma via Activation of the e/iNOS-Mediated NF-κB–Dependent Apoptotic Pathway

Background and aim Postoperative gastroesophageal reflux (GER) is one of the causes of post-cholecystectomy syndrome (PCS). Reports studying the effect of cholecystectomy on GER show conflicting results and only a few studies have used the more sensitive technique of combined impedance-pH monitoring. This study aimed to study the effect of laparoscopic cholestectomy on GER (acid/non-acid reflux) using impedance-pH monitoring. Methods Sixty three consecutive patients of symptomatic cholelithiasis were evaluated. All patients underwent esophageal mannometry and 24-hour impedance-pH monitoring pre- and postoperatively. Frequency scale for the symptoms of GERD (FSSG) scoring was also done in each patient pre- and postoperatively. Results Out of sixty three patients, four developed symptoms of reflux postoperatively as detected by FSSG scoring. However, no significant changes were observed in lower esophageal sphincter (LES) characteristics, acid and non-acid reflux characteristics, total number of reflux episodes, or in the physical character of the refluxate following laparoscopic cholecystectomy. Significant decrease in the proximal acid reflux episodes was observed. Conclusion The chemical characteristics (acid or non-acid reflux) as well as physical properties (liquid, gas or mixed) of reflux episodes remain unaffected following laparoscopic cholecystectomy. Cholecystectomy itself doesn't increases GER.

/pdf/evaluation-of-gastroesophageal-reflux-after-laparoscopic-4myjzby47v.pdf

Evaluation of gastroesophageal reflux after laparoscopic cholecystectomy using combined impedance-pH monitoring.

Quisqualis indica L., Syn. Combretum indicum (L.) DeFilipps., known as Rangoon creeper or Chinese Honeysuckle, is an abundant source of phenols and flavonoids thathave crucial role in free radical scavenging. Therefore, here we investigated whether extract of Q. indica flower has any role against esophagitis through scavenging of free radical oxygen species. In this study, we elucidated the effect of ethanolic flower extract of Q. indica on experimental esophagitis in albino Wister rats. The fasted animals divided into six groups and received carboxymethyl cellulose (CMC) (0.25%, 3 mL/kg, Sham control) or toxic control or pantoprazole (30 mg/kg) or flower extract of different doses (100, 200 and 300 mg/kg) were subjected to pylorus and fore stomach ligation. All the animals were sacrificed after 8 h and evaluated for various parameters such as total acidity, free acidity, gastric pH, volume of gastric juices and esophagitis index. Esophageal tissues were subjected to estimation of various oxidative stress parameters like malonaldehyde (MDA), glutathione (GSH), catalase (CAT), superoxide dismutase (SOD) and protein carbonyl (PC). In a separate experiment, in vitro antioxidant assays such as DPPH and H2O2 assays, total phenolic and flavonoid contents were also conducted. The results revealed that treatments with pantoprazole and flower extracts significantly inhibited the gastric secretion, total acidity and esophagitis index. Various oxidative stress parameters also restored to normal level in the treated groups. This action could be due to the presence of higher phenolic and flavonoid contents. All these findings collectively suggest that the flower extract of Q. indica possibly possess anti-esophagitis potential.

/pdf/effect-of-ethanolic-extract-of-quisqualis-indica-l-flower-on-72q1halddp.pdf

Effect of ethanolic extract of Quisqualis indica L. flower on experimental esophagitis in albino Wistar rats.

Dillenia indica Linn. (Dilleniaceae) is generally known as elephant apple and locally known as outenga. The vernacular names are chalta, chulta, bhavya, karambel, ouu, and ramphal. This evergreen deciduous tree is markedly disseminated in the seasonal tropics of many Asian countries, in India from Himalaya to south India. The different parts of this plant have been prevalently investigated for the plethora of biological activities including anticancer, antidiabetic, antihyperlipidemic, antileukemic, antioxidant, antimutagenic, antimicrobial, antinociceptive, antidiarrheal, and hairweaving activities. Differently prepared extracts of this plant have been reported mainly to contain a wide range of flavonoids, triterpenoids (lupene-type), phytosteroids, phenolics, alcohols, and ketones and an anthraquinone. Several phytochemical investigations revealed substantial presence of various types of active constituents including β-sitosterol, stigmasterol, betulin, betulinic acid, kaempferol, myricetin, quercetin, dillenetin and rhamnetin. Among these the major chemical constituents are betulin and betulinic acid (lupene-type triterpenoids) that show a wide spectrum of pharmacological activities like anti-HIV, anticancer, antimalarial, anti-inflammatory, etc. The present chapter thus approaches to highlight on phytochemistry, traditional and therapeutic uses, and biological activities of Dillenia indica.

Chemistry, Therapeutic Attributes, and Biological Activities of Dillenia indica Linn

Background: Surgical treatment options for thromboangitis obliterans (Burger's disease) and atherosclerosis where arterial reconstruction is not possible are limited. Omental transposition is one of the treatment modalities used in these patients. However, improvement in vascularity of the limb has been infrequently evaluated in previous studies. In this study, we evaluated the outcome of omental transposition in patients with chronic peripheral vascular disease in terms of clinical improvement and also objectively document the effect on limb vascularity using technetium 99 labeled methylene diphosphonate radionuclide scanning. Materials and Methods: This prospective study was conducted in the Department of Surgery in a Tertiary Care Hospital in North India. A total of 22 patients suffering from chronic peripheral vascular disease unsuitable for corrective arterial surgery underwent omental transposition. Patients were evaluated 1 month after the operation for the change in the clinical parameters and vascularity of the limb using radionuclide scan. Results: Five (22.7%) patients had complete relief, 12 (54.5%) patients had significant relief while 5 (22.7%) patients had no relief in the rest pain. Signs of healing of ulcer were present in 44.4% of patients having ulcers and coldness of the skin was decreased in 18 patients (81.8%). Radionuclide scan demonstrated increased vascularity in the thigh in 78.6% of patients, increased vascularity in calf in 86.4% and increased vascularity in the foot in 44.6%. Conclusions: Omental transposition increases the blood supply in the transposed limb and may be considered as an effective modality for management of chronic limb ischemia in cases where definitive revascularization cannot be carried out.

Sudipta Saha

Papers

Preclinical Evaluation of Dimethyl Itaconate Against Hepatocellular Carcinoma via Activation of the e/iNOS-Mediated NF-κB–Dependent Apoptotic Pathway

Evaluation of gastroesophageal reflux after laparoscopic cholecystectomy using combined impedance-pH monitoring.

Effect of ethanolic extract of Quisqualis indica L. flower on experimental esophagitis in albino Wistar rats.

Chemistry, Therapeutic Attributes, and Biological Activities of Dillenia indica Linn

Evaluation of the role of omental transposition in chronic limb ischemia: A prospective study