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Background: Bezold Jarisch reflex (BJR) is mediated by peripheral serotonin receptor 5-HT 3 type. BJR and sympathetic blockade are important causes of hypotension and bradycardia after spinal anaesthesia. Premedication with serotonin receptor antagonists has a role in the attenuation of hemodynamic disturbances., Aim: To compare the effect of intravenous granisetron and ondansetron on the hemodynamic and sensory-motor block after spinal anaesthesia with hyperbaric bupivacaine in patients undergoing elective surgery., Methodology: Ninety patients posted for elective surgery under spinal anaesthesia were randomly divided into three groups of 30 each. Group A patients received ondansetron 4mg, group B received granisetron 1mg, and group C received normal saline intravenously. Hemodynamic variables such as heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and peripheral oxygen saturation, were recorded at baseline and then 2 minutes intervals for 20 minutes and thereafter every 5 minutes till the end of the surgery. The onset and duration of sensory and motor block were recorded at baseline and then every 2 minutes till the complete block was achieved., Result: No patient was excluded from our study. During the intergroup comparison, heart rate and mean arterial pressure remained stable in group A compared to groups B and C. Time to reach peak sensory block level T4 was faster in group A compared to group B and group C. The rate of sensory block regression to two segments (T4 to T6) and thereafter up to T10, T12, and S1 was faster in group B compared to groups A and C. The attainment of complete motor block, Modified Bromage Score (MBS)=4 was faster in group A compared to group B and group C. The rate of motor block regression to MBS=3 and MBS=0 was faster in group B compared to group A and group C., Conclusion: Premedication with ondansetron 4mg and granisetron 1mg intravenously significantly reduces ephedrine use. Ondansetron provides better hemodynamic stability, earlier onset of the sensory and motor blocks as well as prolonged duration of sensory and motor blocks, and duration of analgesia compared to granisetron., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Shukla et al.)

Background: Cancellations of elective surgeries on the day of surgery (DOS) can lead to added financial burden and wastage of resources for healthcare facilities; as well as social and emotional problems to patients. These cancellations act as barriers to delivering efficient surgical services. Optimal utilisation of the available resources is necessary for resource-constrained low-and-middle-income countries (LMIC). This study investigates the rate and causes of cancellations of elective surgeries on the DOS in various surgical departments across ten hospitals in India., Methods: A research consortium 'IndSurg' led by World Health Organisation Collaboration Centre (WHOCC) for Research in Surgical Care Delivery in LMICs, India conducted this multicentre retrospective cross-sectional study to analyse the cancellations of elective/planned surgical operations on DOS across urban secondary and tertiary level hospitals. We audited surgical records of a pre-decided period of six weeks for cancellations, documented relevant demographic information and reasons for cancellations., Results: We analysed records from the participating hospitals, with an overall cancellation rate of 9.7% (508/5231) on the DOS for elective surgical operations. Of these, 74% were avoidable cancellations. A majority (30%) of these 508 cancellations were attributed to insufficient resources, 28% due to patient's refusal or failure to show-up, and 22% due to change in patient's medical status., Conclusion: We saw a preponderance of avoidable reasons for elective surgery cancellations. A multidisciplinary approach with adequate preoperative patient counselling, timely communication between the patients and caregivers, adequate preoperative anaesthetic assessment, and planning by the surgical team may help reduce the cancellation rate., (© 2021. The Author(s).)

Background: Musculoskeletal tuberculosis forms 10-25% of extrapulmonary tuberculosis which mainly involves the spine or weight-bearing joints. Tuberculous involvement of the sternum is a rare clinical entity even in countries where tuberculosis has high prevalence. Primary tuberculous sternal osteomyelitis accounts for approximately 0.3% of all types of tubercular osteomyelitis and the probable source appears to be extension from paratracheal or hilar lymph nodes. Despite tuberculosis being a common disease in endemic countries and worldwide, a thorough literature search of the PubMed database for keywords "primary tuberculosis of sternum" and "primary tuberculous osteomyelitis of sternum" yielded 30 and 22 articles, respectively., Case Presentation: We present an unusual case of a large dumb-bell-shaped cold abscess arising due to infection of the sternum. A 23-year-old immunocompetent Asian woman presented with a gradually progressing painless swelling on anterior chest wall for the last 5 months. She had a large visible swelling on anterior chest wall which was 12.5 cm in diameter, soft, non-tender, temperature was not raised, and fluctuant. Magnetic resonance imaging showed a large dumb-bell-shaped hyperintense collection in upper anterior chest wall with marrow edema and cortical irregularity in left side of manubrium. Pus was positive for nucleic acid testing (cartridge-based nucleic acid amplification test) for Mycobacterium tuberculosis and later culture was also positive. She was started on anti-tubercular therapy and aspirated twice. Currently, she has completed 6 months of therapy and the swelling has now disappeared., Discussion: Swelling, pain localized to sternum, or ulceration of the skin with discharging sinus along with or without constitutional symptoms are the usual presentation. A high element of suspicion is needed for early diagnosis and treatment to prevent its complications. Sternal mycobacterial infections are categorized as primary, secondary, and/or acquired postoperatively. Although radiological investigations aid in diagnosis, the diagnosis is established by positive culture or histopathological examination. Anti-tubercular therapy is the mainstay of treatment with standard four-drug regimen for 6-9 months. Surgical drainage of the abscess should be considered only if it does not resolve by aspiration and anti-tubercular therapy.

Cucumber mosaic virus (CMV) is an important virus since it causes severe losses to many economically important crops worldwide. Five new isolates of CMV were isolated from naturally infected Hippeastrum hybridum, Dahlia pinnata, Hemerocallis fulva, Acorus calamus and Typhonium trilobatum plants, all exhibiting severe leaf mosaic symptoms. For molecular identification and sequence analyses, the complete coat protein (CP) gene of these isolates was amplified by RT-PCR. The resulting amplicons were cloned and sequenced and isolates were designated as HH (KP698590), DP (JF682239), HF (KP698589), AC (KP698588) and TT (JX570732). For study of genetic diversity among these isolates, the sequence data were analysed by BLASTn, multiple alignment and generating phylogenetic trees along with the respective sequences of other CMV isolates available in GenBank Database were done. The isolates under study showed 82-99% sequence diversity among them at nucleotide and amino acid levels; however they showed close relationships with CMV isolates of subgroup IB. In alignment analysis of amino acid sequences of HH and AC isolates, we have found fifteen and twelve unique substitutions, compared to HF, DP and TT isolates, suggesting the cause of high genetic diversity.

Two hundred twenty-four steers (initial BW = 363 ± 1.57 kg) were used in a 2 × 3 + 1 factorial arrangement of treatments to evaluate the interactive effects of concentration of wet corn gluten feed (WCGF) and bulk density (BD) of steam-flaked corn (SFC) on feedlot performance, carcass characteristics, and apparent total tract digestibility. Diets consisted of 0, 15, or 30% WCGF (DM basis) with a BD of SFC at 283 or 360 g/L. The additional treatment consisted of 15% WCGF, SFC at 283 g/L, and a 6% inclusion of alfalfa hay vs. 9% for all other treatments. Steers were fed once daily for an average of 163 d. During a 5-d digestion period, DMI was measured, and fecal samples were collected for measurement of nutrient digestibility using dietary acid insoluble ash as a marker. There were few WCGF × BD interactions for feedlot performance, carcass characteristics, and digestibility. Similarly, contrasts between the treatment containing 15% WCGF/360 g/L SFC and 15% WCGF/360 g/L with 6% hay yielded few differences for performance and carcass data. Final BW responded quadratically (P ≤ 0.02) to WCGF inclusion and showed increased (P ≤ 0.007) BW for greater BD. As WCGF inclusion increased, G:F and calculated NE values (P ≤ 0.03) decreased quadratically. Steers consuming 360 g/L SFC had greater (P < 0.05) G:F than those fed 283 g/L SFC. Marbling score, HCW, 12th-rib fat thickness, and calculated yield grade increased quadratically (P ≤ 0.04) with increased inclusion of WCGF. Percentage of cattle grading premium Choice or greater responded quadratically (P = 0.04) to WCGF concentration. Increasing BD increased (P ≤ 0.01) HCW, dressing percent, marbling score, and 12th-rib fat thickness and decreased calculated yield grade and percentage of cattle grading Select; however, lower BD tended (P = 0.09) to increase LM area. Intake of DM, OM, CP, and NDF and fecal output during the digestibility period increased linearly (P ≤ 0.01) with increasing WCGF, and greater BD increased (P ≤ 0.04) intake of DM, OM, starch, and CP. Starch digestibility decreased quadratically (P = 0.008) as WCGF increased; however, digestibility of CP and NDF increased (P ≤ 0.02) linearly as WCGF increased. The 283 g/L BD increased (P ≤ 0.02) starch and CP digestibility compared with 360 g/L. These data suggest that increasing WCGF in feedlot diets with a greater BD of SFC can increase performance and carcass characteristic, but it might not be ideal for starch digestibility.

Association of Cucumber mosaic virus (CMV) with severe mosaic disease of eggplant (Solanum melongena L.) collected from Lucknow and Kanpur, India was initially detected by host reaction and serological assay and confirmed by RT-PCR employing coat protein gene specific primers. Further, molecular identification of the virus isolates was done by cloning and sequence analysis of the complete RNA3 genome. Based on 97-99 % identities and phylogenetic relationships, the virus isolates infecting eggplant were identified as members of CMV subgroup IB.

The effects of varying bulk density of steam-flaked corn (SFC) in diets containing wet corn gluten feed (WCGF; Sweet Bran; Cargill Corn Milling, Blair, NE) have not been defined. In Exp. 1, yearling steers (n = 108; initial BW = 367 ± 1.18 kg) were housed in 27 pens (4 steers/pen) and received 1 of 3 different SFC bulk density treatments in a randomized complete block design. Bulk density treatments were 283, 335, or 386 g/L SFC in diets containing 25% WCGF (% of DM). Steers were fed once daily to provide ad libitum access to feed for an average of 163 d. For a 5-d period before d 70 of the experiment, DMI was measured, and fecal samples were collected from each pen for measurement of nutrient digestibility using dietary acid insoluble ash as a marker. Varying bulk densities of SFC did not affect (P ≥ 0.233) overall DMI, ADG, or G:F on a live- or carcass-adjusted basis. Dressing percent and LM area increased linearly (P ≤ 0.05) as bulk density increased, but other carcass traits were not affected by treatments. Intake of DM, OM, and CP during the 5-d digestion phase did not differ among bulk densities; however, starch intake increased linearly (P = 0.004) as bulk density of SFC increased. Digestibility of DM, OM, and CP tended (P ≤ 0.065) to decrease and starch digestibility decreased (P = 0.002) linearly as bulk density of SFC increased. In Exp. 2, a 3 × 3 Latin square design was used for collection of ruminal fluid from 3 ruminally cannulated Jersey steers adapted to the same diets used in Exp. 1. Bulk density did not affect NH3 concentrations, VFA molar proportions, ruminal fluid osmolality, and IVDMD of the diets. Total gas production increased linearly (P = 0.003) as bulk density of SFC increased from 283 to 335 g/L, but it decreased (P = 0.002) at 386 g/L. Present data suggest that bulk density can be increased up to 386 g/L in finishing diets containing 25% (DM basis) WCGF without affecting cattle performance and with limited effects on ruminal fermentation; however, digestibility of starch seemed to be affected negatively by increased bulk density in these diets.

The aim of this study was to identify and compare the rugae pattern between males and females of two different communities in the city of Davangere, Karnataka, India, which may be an additional method of identification in cases of crimes or communal riots. Elastomeric impressions of the maxillary arch of 100 selected children were made; casts were poured in Type IV stone. The method of identification of rugae pattern followed was that of Lysell and Thomas and Kotze, which includes the number, shape, direction, and unification of rugae. The study revealed no significant difference in the total number or length of rugae between the two communities and sexes. However, with regard to shape and unification, females showed a significantly higher diverging rugae type while males had a significant number of circular and converging type of rugae. Also, discrimination function analysis allowed a moderate differentiation of the population. Hence, the rugae pattern can be an additional method of differentiation in conjunction with the other methods such as visual, fingerprints, and dental characteristics in forensic sciences., (© 2011 American Academy of Forensic Sciences.)

The lambing rate obtained following cervical artificial insemination (AI) with frozen semen in sheep is low mainly due to the inability of frozen-thawed sperm to traverse the tortuous nature of the cervical canal. Although acceptable fertility has been attained by circumventing the cervical barrier through laparoscope aided intrauterine AI, the emphasis is currently given on the development of alternate non-invasive transcervical AI procedures. The complex anatomy of the cervix does not facilitate easy transcervical passage for an insemination catheter. The aim of the present study was: (i) to examine the gross anatomy of the cervix in slaughtered ewe lambs and adult ewes of the native Malpura and Kheri breeds raised under semi-arid tropical environment; and (ii) to cast silicone moulds of the reproductive tracts for measuring the dimensions of the cervix. Eighty reproductive tracts were excised immediately from carcass of Malpura and Kheri ewes and the external os of each one was classified depending on their appearance as duckbill, spiral, rosette or flap. The cervical canal of each tract was filled with a silicone sealant for casting the mould. Fifty complete silicone moulds were obtained representing 25 from ewe lambs and 25 from adult ewes. The mean lengths of the cervical mould of ewe lambs and adult ewes were 3.8+/-0.12 and 5.3+/-0.15 cm, respectively. The average number of funnel shaped folds in the cervical mould of ewe lambs and adult ewes were 3.2+/-0.19 and 3.4+/-0.22. However, the second and third-folds from the os were observed to be accentric in both ewe lambs and adult ewes. The information generated in this study would be useful for increasing the success rate of penetration in ewes exhibiting estrus in order to improve the lambing rate of tropical ewes following transcervical AI.