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We aimed to study the seroconversion rate in two arms of intradermal (ID) route: low dose with high-frequency and high dose with low-frequency hepatitis B (HB) vaccination in dialysis patients. A total of 56 patients, on either hemodialysis or peritoneal dialysis, were included. Patients were enrolled and randomized into two groups. The first group was immunized through the ID route and received weekly 10 μg of vaccine at 0, 1, 2, 3, 4, 5, 6, and 7 weeks (low-dose with high frequency). The second group was immunized through the ID route and received two doses of 40 μg at one-month interval (high dose with low frequency). Anti-HBs antibody titers were measured at one month and one month after completion of the vaccination, i.e., at three months in each group. At one month, each group had received 40 μg of vaccine. The seroconversion rate was 28.57% in each group. At one month after completion of vaccination, seroconversion rate in low-dose ID and high-dose ID was 60% and 58.33%, respectively (P = 0.911) at 80 μgm of total vaccine dose. The overall "good" responders in low-dose versus high-dose ID route were 30% and 50%, respectively (P = 0.179). However, among responders, anti-HBs antibody titers ≥100 mIU/mL in low-dose and high-dose ID route were 50% and 85.7%, respectively (P = 0.049). The rate of seroconversion is comparable in both low dose with high-frequency and high dose with low-frequency ID route.

Introduction: For kidney, patients' socioeconomic status (SES) and employment significantly contribute to their general well-being, mental health (MH), and quality of life (QoL). Due to the scarcity of the literature, the present study was conducted to analyze the interrelationship between QoL, employment, and sociodemographic factors postkidney transplant and to identify the possible predictors of employment. Materials and Methods: This cross-sectional study was conducted on 90 kidney transplant patients during follow-up visits from July 2018 to June 2019 in the tertiary care government institute in North India. Employment before and after transplant was evaluated using a sociodemographic schedule. Short-form health survey 36 was used for the QoL. Results: Lower SES was not found in any of the subject's prekidney transplants, whereas it was revealed in 27.8% of the subject's postkidney transplant with a statistically significant difference. Unemployed status was also increased from 23.3% to 47.8% postkidney transplant. Employment posttransplant (EPT) is not associated with a good perception of psychophysical well-being: EPT/general health, r = −01.6; EPT/MH, r=-0.08, and EPT/ Mental component summary score (MCS), r = −0.34. It emerged that job return depends on the highest education, exercise, and insurance, while it is inversely proportional to the residence in a rural area and lower SES. Conclusion: Maintaining employment pretransplant and posttransplant should be actively supported and in case employment is lost, return to work should be integrated into the transplant planning. It may be useful to organize psychological support for these patients and to cure any psychological fragility in the posttransplant condition.

Tin oxide (SnO 2 ) thin films were deposited on quartz and Si substrates by thermal evaporation method. These films were irradiated by 100 MeV Ag ions at different fluences ranging from 1 × 10 12 to 1 × 10 13 ions/cm 2 . Pristine and irradiated films were characterized using X-ray diffraction (XRD) for structural analysis, UV–Vis spectroscopy for optical properties and atomic force microscopy (AFM) for morphological changes to study the modifications induced by irradiation. As deposited films showed the amorphous nature on both the substrates, which crystallized after irradiation as inferred from XRD spectra. It is also observed that the crystallization is better in the films grown on Si substrate rather than the films on quartz substrate. UV–Vis study showed red shift at the lower fluences up to 3 × 10 12 and blue shift at the fluence of 1 × 10 13 ions/cm 2 . The pristine films on both the substrates are featureless as observed in AFM micrograph. Surface structures are randomly distributed and have broader size distribution. Roughness of the films were increased at initial fluences up to 3 × 10 12 ions/cm 2 and then decreased with further increase in fluence. Moreover, irradiation has induced the formation of regular shape structures with narrow size distribution. The results may be attributed to the energy deposited by swift heavy ion (SHI) in the film.

Introduction: Asymptomatic bacteriuria (AB) is not uncommon after renal transplantation with limited data from developing countries; we did this study to assess the microbiological spectrum and its short-term graft outcome in our tertiary care center. Materials and Methods: It is a prospective observational study. We included all the patients who underwent renal transplantation over a period of 18 months, from January 2016 to June 2017. Patients who had indwelling urinary catheter beyond 5 days posttransplant and those with persistent graft dysfunction within 6 months of transplant were excluded from the study. Results: A total of 67 patients were included in the study with a mean age of 33.78 ± 8.91 years and a male-to-female ratio of 7:1; live-related donors were 36 (53.73%), live unrelated were 19 (28.35%), and 12 (17.91%) were cadaveric renal allograft recipients (RARs). Twenty-eight (41.79%) patients had 42 episodes of AB over 6 months of follow-up. The maximum episodes occurred within 1 month of postrenal transplantation, and 42 out of 67 (62.68%) RARs had bacterial growth in their double-J ureteral stents (USs). The most frequently isolated pathogen from urine was Escherichia coli (n = 14, 33.33%), whereas Pseudomonas aeruginosa (n = 10, 23.80%) was in US culture (USC). The prevalence of AB was higher in cadaveric RARs compared to live RARs (83.33% vs. 32.72%, P = 0.001) and with bacterial growth in the USC compared to those who did not show any growth in USs (57.14% vs. 16.0%, P = 0.001). However, the estimated glomerular filtration rate between those with AB and those without at 6 months of follow-up (66.36 ± 14.98 vs. 66.10 ± 13.83 ml/min/1.73 m2, P = 0.943) was not different. Conclusion: AB is not uncommon in RARs and it is more common in cadaveric RARs and those with growth in US culture without compromise in allograft function at 6 months postrenal transplant.

We report recurrent hypokalemic periodic quadriparesis in a 30-year-old woman. Patient had also symptoms of multiple large and small joint pain, recurrent oral ulceration, photosensitivity and hair loss that were persisting since last 6 months and investigations revealed systemic lupus erythematosus (SLE) with distal tubular acidosis. Our patient was successfully treated with oral potassium chloride, sodium bicarbonate, hydroxychloroquine and a short course of steroids. Thus, tubular dysfunction should be carefully assessed in patients with SLE.

C3 glomerulopathy has recently been described as a distinct entity. The underlying mechanism is unregulated activation of the alternate pathway of the complement system. The most common presentation is with an acute nephritic syndrome. The diagnosis is made on immunofluoroscence by the presence of isolated or dominant C3 staining. In this retrospective study, renal biopsy data were collected from 2010 to 2013 patients with C3 glomerulopathy identified and their clinical and biochemical parameters analyzed. Out of 514 biopsies available for analysis, the incidence of C3 glomerulopathy was 1.16% ( n = 6). The mean age of the presentation was 26 years and the average estimated glomerular filtration rate was 30.65 ml/min/1.73 m 2 . The most common histopathological pattern was membranoproliferative glomerulonephritis ( n = 4).

Histoplasmosis is a progressive granulomatous disease caused by the intracellular dimorphic fungus Histoplasma capsulatum. We report a rare case of esophageal histoplasmosis in a renal allograft recipient. A 55-year-old male who received a live, unrelated renal allograft 20 years ago presented with complaints of recurrent fever for ten to 12 months, weight loss over six months, progressive dysphagia more for solids for five to six months and joint pain and swelling involving the bilateral metacarpo-phalangeal and proximal interphalangeal joints. Biopsy from the esophageal ulcers revealed dense inflammation infiltrated with lymphocytes and macrophages with clusters of strongly positive intracellular fungal spores with a clear area or "halo-like" zone suggestive of Histoplasma capsulatum invasion. The patient was treated with intravenous liposomal amphotericin B for ten days and later switched over to oral itraconazole. Repeated endoscopy revealed significant improvement of the lesions.

This paper deals with the studies of the mode conversion problems involved in the H-plane semicircular waveguide bent. Expressions for the conversion coefficient for different modes have been derived and calculated as a function of bent angle and the radius of the waveguide.

The paper deals with the lateral deviation of radio waves reflected from ionosphere and specifically the effect of collisions on it has been studied for frequency range 1–9 kc/s. It is shown that collisions have negligible effect on the lateral deviation of magnetoionic components.

This paper deals with the study of light transmission through multi-layered dielectric slab. It is Seen that W type structure is quite suitable. Some important computations for such a structure are presented.