97 results on '"Khan ZR"'
Search Results
2. Clinical Presentation and Complications of Chronic Calcific Pancreatitis
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Khan Zr, Mahfuzur Rahman Khan, Zabiul Islam, Mostafa Mamoon Warid, and Mohammad Saief Uddin
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medicine.medical_specialty ,business.industry ,General surgery ,medicine ,Pancreatitis ,General Medicine ,Presentation (obstetrics) ,medicine.disease ,business - Published
- 2020
3. Quality of Life after Liver Transplantation
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Bidhan C. Das, Khan Zr, and Mohammed Mostafizur Rahman
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medicine.medical_specialty ,Quality of life (healthcare) ,business.industry ,medicine.medical_treatment ,medicine ,Liver transplantation ,Intensive care medicine ,business ,humanities - Abstract
We have searched articles published in various journals world wide on quality of life (Qol) after liver transplantation through internet; 38 articles were available through our searching process. After reviewing all papers we have found that there is no transplant specific assessment tool for measuring Qol after liver transplantation. General tools are used for assessment of Qol of these patients. PretransplantationQol are severely affected when compared to normal healthy volunteers. Hepatocellular carcinoma and cholestatic etiologies have higher Qol scores than those related to alcohol or viral hepatitis. Post-transplantation Qol scores are not affected by the etiology of the original liver cirrhosis, but transplant recipient scores continue to remain significant!)'. lower than those of healthy patient controls. The Qol scores improve during initial time after liver transplantation, but decreases in the long term. It may be due to decreases in the physical function and bodily pain domains as the patient's age increases, develops osteoporosis from long-term intake of steroids, and chronic rejection process. It is also addressed that Qol is not good in patients with Hepatitis C after liver transplantation. The development of a Qol assessment tool specific to transplantation could help to more accurately assess factors that alter post-transplantation Qol. Journal of Surgical Sciences (2014) Vol. 18 (2) : 67-77
- Published
- 2019
4. Fascioliasis-An Uncommon Cause of Recurrent Cholangitis
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Khan Zr, Bidhan C. Das, Arif Khan, Saief Uddin, and Mohsen Chowdhury
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medicine.medical_specialty ,business.industry ,Internal medicine ,parasitic diseases ,medicine ,Recurrent cholangitis ,business ,Gastroenterology - Abstract
We report a case of Fascioliasis presented with recurrent cholangitis in a female necessitating multiple consultations and hospitalizations over a period of two years. Investigative profile failed to confirm any definite diagnosis prior to her admission in Hepato-Biliary-Pancreatic Surgery Division of the Department of Surgery of Bangabandhu Sheikh Mujib Medical University where she was provisionally diagnosed as a case suffering from extrahepatic cholagiocarcinoma. With the intent of extrahepatic excision with Rouxen-Y hepaticojejunostomy abdomen was explored and surprisingly 28 mature liver flukes (fasciola hepatica) were found lodged in the extra and intrahepatic biliary tree. Although fasciola hepatica infestation is more common in far East Asia, this case may represent the tip of an iceberg of endemic infestation of this trematode in Bangladesh which warrants further investigations. Journal of Surgical Sciences (2015) Vol. 19 (1) : 35-38
- Published
- 2019
5. 10526 The World's First Proof of Concept of the Practical Potential in Artificially Intelligent Digital Twins in Advanced Laparoscopic Training
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Khan, ZR
- Published
- 2023
- Full Text
- View/download PDF
6. Development of Artificial Intelligence Utilizing Neural Network-Based Language Prediction Models in Early Diagnosis of Endometriosis
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Khan, ZR
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- 2023
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7. Effect of early and delay starting of enteral feeding in post-pancreaticoduodenectomy patients
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Md. Nur-E-Elahi, Mozammel Haque, Mohammad Saief Uddin, Khan Zr, and Bidhan C. Das
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medicine.medical_specialty ,biology ,Pancreatoduodenectomy ,Bilirubin ,business.industry ,medicine.medical_treatment ,Group ii ,Enteral feeding ,Serum albumin ,Pancreaticoduodenectomy ,medicine.disease ,Early and delay ,Enteral administration ,Gastroenterology ,chemistry.chemical_compound ,chemistry ,Cholestasis ,Internal medicine ,Immunological status ,medicine ,biology.protein ,Alkaline phosphatase ,General Materials Science ,Original Article ,business - Abstract
Backgrounds/aims This study was undertaken to see the effect of early starting of enteral feeding after pancreatoduodenectomy (PD). The results were compared with existing nutritional practice in which enteral feeding started, usually after 7 to 8 postoperative day (PODs) in our institute. Methods Thirty patients whome underwent a PD from January 2016 to December 2016 were included in the study. They were divided into two groups, I and II. In group I (n=15), enteral feeding was started from the 2nd POD through the nasojejunal feeding tube along with parenteral partial nutrition support. In group II (n=15), no enteral feeding was given up to seventh and eighth PODs, except the perenteral feeding. Post-operatively, serum albumin levels, total lymphocyte count, total bilirubin levels, serum alkaline phosphate levels were measured for two weeks postoperatively in all the patients for assessing nutritional, immunological and cholestasis status. The mortality, morbidity and lengths of post-operative hospital stay were also recorded. Results Postoperatively, the serum albumin level and lymphocyte count decreased from the pre-operative level on the third POD and it gradually increased from the seventh POD onwards in both groups. However, they remained persistently higher in group I than group II. The total bilirubin and alkaline phosphatase decreased to normal levels within the seventh POD in Group I. However, they remained higher than normal levels on POD 14 in Group II. The morbidity and hospital stay was significantly lower in group I than group II. Conclusions Early enteral feeding should be considered after PD. This is because it will improve nutritional, immunological status and cholestasis. Therefore, it reduces morbidity and shortens the hospital stay.
- Published
- 2019
8. Causes of Delayed Hospitalization In Periampullary Carcinoma and Its Correlation With Perioperative Outcome
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Khan Zr, Sarwar Ahmed Sobhan, Mohsen Chowdhury, Farzana Sharmin, Bidhan C. Das, and Arif Salam Khan
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Oncology ,medicine.medical_specialty ,business.industry ,Internal medicine ,General surgery ,medicine ,Perioperative ,Periampullary carcinoma ,business ,Outcome (game theory) - Abstract
not availableJ Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 17-23
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- 2016
9. Gender appropriateness of field days in knowledge generation and adoption of push-pull technology in eastern Africa
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Murage, AW, primary, Pittchar, JO, additional, Midega, CAO, additional, Onyango, CO, additional, Pickett, JA, additional, and Khan, ZR, additional
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- 2019
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10. Re-operative Surgery for Choledochal Cyst
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Khan Zr, M M Chowdhury, and Rezaul Karim
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medicine.medical_specialty ,business.industry ,medicine ,Choledochal cysts ,Operative surgery ,medicine.disease ,business ,Surgery - Abstract
Evasion of a choletiothal cyst i.e possible and desirable even n/ne a precious shwinage procedure. he severely ill pasterns with complication of choledochal Cyst. menial thydnage may be a preferable initial mat:either. &lethal drainage of choledochal cyst is a safe option and seconds), excision can he clone later. The presence of external catheter ensures the patient to roam for definitive surgety. This is a retrospective suede with seventy patients andMee" had a previous cyst thythathe operation. Eight patients had undergone mental drainage 4 the choledochal cyst, fire had chalcdocholefienosionty and Iwo had received a choledocho.cysto. duodenal anashothosis. Later, re-operative surgery was doneprat! these patients.
- Published
- 2007
11. Molecular Determination and Characterization of Phytoplasma 16S rRNA Gene in Selected Wild Grasses from Western Kenya
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Adam Oj, Midega Cao, Runo S, and Khan Zr
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biology ,Host (biology) ,Phytoplasma ,Genotype ,Botany ,otorhinolaryngologic diseases ,food and beverages ,Pennisetum purpureum ,Ribosomal RNA ,Cynodon dactylon ,16S ribosomal RNA ,biology.organism_classification ,Pennisetum - Abstract
Napier grass (Pennisetum purpuruem) production for zero grazing systems has been reduced to rates of up to 90% in many smallholder fields by the Napier stunt (Ns) disease caused by phytoplasma sub-group 16SrXI in western Kenya. It is hypothesized that several other wild grasses in Kenya could be infected by phytoplasmas that would otherwise pose a significant threat to Napier, other important feeds and food crops. This study therefore sought to detect and identify phytoplasma strains infecting wild grasses in western Kenya using 16S ribosomal RNA (ribonucleic acid) gene as well as identify wild grass species hosting phytoplasmas in 646 wild grass samples that were collected in October 2011 and January 2012 during a random crossectional survey conducted in Bungoma and Busia counties of western Kenya. DNA was extracted and nested polymerase reaction (nPCR) used to detect phytoplasmas. Two sub-groups of phytoplasmas were detected in eight grass species observed to grow near infected Napier fields. Only one of the two phytoplasmas reported was related to the Ns phytoplasma. There was a strong association between proportions of phytoplasma infection and the grass species collected (p = 0.001). C. dactylon, D. scalarum, B. brizantha, poverty grass and P. maximum had high proportions of infection and were abundantly distributed in western Kenya hence considered wild phytoplasma hosts. E. indica and C. ciliaris were scarcely distributed and had low infection rates. There was statistically significant difference in proportions of infection per location of survey (p = 0.001). Phytoplasma subgroups 16SrXI and 16SrXIV were the only phytoplasma genotypes distributed among wild grasses in western Kenya. Phytoplasma subgroup 16SrXIV predominantly infects only C. dactylon and B. brizantha grasses while phytoplasma subgroup 16SrXI is broad spectrum and infects a large number of wild grasses. In general, there is a diversity of wild grasses hosting phytoplasmas in western Kenya. These host grasses may be the reason for the high rates observed in the spread of Ns disease in western Kenya by acting as reservoirs for Ns phytoplasma.
- Published
- 2015
12. Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy
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Khan Zr, Arif Salam Khan, Md. Abul Kalam Azad, Saif Uddin Ahmed, Bidhan C. Das, and Sarwar Ahmed Sobhan
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medicine.medical_specialty ,Gastric emptying ,business.industry ,General Arts and Humanities ,Fistula ,lcsh:R ,lcsh:Medicine ,Anastomosis ,Dehiscence ,medicine.disease ,Surgery ,Pancreato-jejunostomy ,medicine ,Anastomotic leak ,Duct-to-mucosa technique ,business ,Feeding tube ,Hospital stay - Abstract
Background: A duct-to-mucosa pancreatojejunostomy is technically difficult to perform than Dunking procedure after pancreatoduodenectomy. In contrast, the incidence of anastomotic dehiscence is more in Dunking than duct-to-mucosa procedure. Duct-to-mucosa technique is rarely practiced in our country because of technical difficulties and lack of experiences. Objectives: This study was undertaken to evaluate the safety of duct-to-mucosa procedure in our patients with pancreatoduodenectomy. Methods: We have performed pancreatojejunostomy in 14 consecutive patients using a duct-to-mucosa technique and the result was assessed. Results: No patients developed pancreato-jejunal leakage; however, 6 of 14 patients developed complications not related to operative techniques (wound infections; 3,jejunal fistula following removal of jejunal feeding tube; 1, renal dysfunction; 1, delayed gastric emptying; 1) which were managed conservatively. There were no postoperative deaths in the present series and the median postoperative hospital stay was 20.3 days. The follow-up period ranged from 1 to 12 months and all patients are surviving with good health during this period. Conclusion: Pancreatojejunostomy by duct-to-mucosal technique is a safe method of pancreatojejunostomy after pancreatoduodenecytomy.
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- 2016
13. Host range for stemborers and associated natural enemies in different farming systems of Kenya
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Muyekho, FN, Barrion, AT, and Khan, ZR
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No Abstract.
- Published
- 2009
14. Celiac Plexus Neurolysis Using Three Different Techniques for Upper Abdominal Metastatic Pain: Comparison the Effectiveness of the Block
- Author
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Khandoker, MR, primary, Khan, ZR, primary, Kawsar, S, primary, Khademul, MI, primary, and Azad, KAK, primary
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- 2014
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15. Study of EEG Findings in Patients Referred from Psychiatrists
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Chowdhury, RN, primary, Daisy, S, primary, Rahman, KM, primary, Khan, SU, primary, Hasan, ATMH, primary, Khan, ZR, primary, Haque, B, primary, Hoque, MA, primary, Mondol, BA, primary, Habib, M, primary, and Mohammad, QD, primary
- Published
- 2012
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16. 47 SPECTRUM OF LIVER DISEASE AND EXPERIENCE OF LIVER RESECTION IN BANGABANDHU SHEIKH MUJIB MEDICAL UNIVERSITY (BSMMU) AND PROSPECTS OF LIVER TRANSPLANTATION IN BANGLADESH
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Uddin, Mh S, primary and Khan, ZR, additional
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- 2011
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17. Solid-Pseudopapillary Tumor of the Pancreas: Our Experience in Bangladesh
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A Taher, Khan Zr, Mohsen Chowdhury, Shakhawat Hossain, Uddin, and Bidhan C. Das
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medicine.medical_specialty ,Abdominal pain ,business.industry ,Head of pancreas ,Disease ,Debulking ,Complete resection ,Surgery ,Solid pseudopapillary tumor ,medicine.anatomical_structure ,medicine ,medicine.symptom ,business ,Pancreas ,Rare disease - Abstract
Background: Solid-pseudopapillary tumors of the pancreas (SPTPs) have been reported as rare lesions with “low malignant potential” occurring mainly in young women. This study was designed to understand clinicopathological characteristics of the disease, management strategy and outcome of this rare disease in Bangladesh. Methods: A retrospective review from January 2001 to December 2009 was performed. Clinicopathological, peroperative, postoperative and survival data were obtained from record file. Our cases were discussed in the light of published literature. Results: During this period, 31 patients were diagnosed as having SPTPs (6.9%). Twenty-four (77.4%) females and seven (22.6%) males were identified, with a median age of 24 years (range, 14–44). The median size of the lesions was 7.0 cm (range, 4.8–18). More than 90% presented with vague abdominal pain and lump. Twenty five patients had their primary tumors within the head of pancreas, the rest were in body and tail region. A total of 30 patients presented with local disease and underwent complete resection. One patient was found to have a very large tumor in the head with vascular invasion and underwent debulking of the tumor; which clinically reappear 1 year after debulking but still alive with episodic attacks of abdominal pain. All patients are surviving till date at a follow-up of 2 months to 9 years. Conclusions: SPTP occurs predominantly in women although it can occur in men. Young and middle aged groups are affected. Complete resection or debulking of locally invasive tumor is associated with long-term survival. DOI: http://dx.doi.org/10.3329/jbcps.v29i3.9434 JBCPS 2011; 29(3): 138-142
- Published
- 1970
18. Solid-Pseudopapillary Tumor of the Pancreas: Our Experience in Bangladesh
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Khan, ZR, primary, Das, BC, primary, Chowdhury, M, primary, Uddin, MS, primary, Taher, A, primary, and Hossain, SM, primary
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- 1970
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19. Associational Effects of Desmodium Intercropping on Maize Resistance and Secondary Metabolism.
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Bass E, Mutyambai DM, Midega CAO, Khan ZR, and Kessler A
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- Animals, Secondary Metabolism, Volatile Organic Compounds metabolism, Volatile Organic Compounds pharmacology, Benzoxazines metabolism, Benzoxazines pharmacology, Larva physiology, Larva growth & development, Fabaceae metabolism, Fabaceae physiology, Female, Plant Roots metabolism, Moths physiology, Moths growth & development, Zea mays metabolism, Zea mays physiology, Herbivory, Oviposition drug effects
- Abstract
Intercropping is drawing increasing attention as a strategy to increase crop yields and manage pest pressure, however the mechanisms of associational resistance in diversified cropping systems remain controversial. We conducted a controlled experiment to assess the impact of co-planting with silverleaf Desmodium (Desmodium uncinatum) on maize secondary metabolism and resistance to herbivory by the spotted stemborer (Chilo partellus). Maize plants were grown either in the same pot with a Desmodium plant or adjacent to it in a separate pot. Our findings indicate that co-planting with Desmodium influences maize secondary metabolism and herbivore resistance through both above and below-ground mechanisms. Maize growing in the same pot with a Desmodium neighbor was less attractive for oviposition by spotted stemborer adults. However, maize exposed only to above-ground Desmodium cues generally showed increased susceptibility to spotted stemborer herbivory (through both increased oviposition and larval consumption). VOC emissions and tissue secondary metabolite titers were also altered in maize plants exposed to Desmodium cues, with stronger effects being observed when maize and Desmodium shared the same pot. Specifically, benzoxazinoids were strongly suppressed in maize roots by direct contact with a Desmodium neighbor while headspace emissions of short-chain aldehydes and alkylbenzenes were increased. These results imply that direct root contact or soil-borne cues play an important role in mediating associational effects on plant resistance in this system., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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- 2024
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20. Discovery of Potent Multikinase Type-II Inhibitors Targeting CDK5 in the DFG-out Inactive State with Promising Potential against Glioblastoma.
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Khan ZR, Welsby PJ, Stasik I, and Hayes JM
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Kinases have proven valuable targets in successful cancer drug discovery projects, but not yet for malignant brain tumors where type-II inhibition of cyclin-dependent kinase 5 (CDK5) stabilizing the DFG-out inactive state has potential for design of selective and clinically efficient drug candidates. In the absence of crystallographic evidence for a CDK5 DFG-out inactive state protein-ligand complex, for the first time, a model was designed using metadynamics/molecular dynamics simulations. Glide docking of the ZINC15 biogenic database identified [pyrimidin-2-yl]amino-furo[3,2- b ]-furyl-urea/amide hit chemical scaffolds. For four selected analogues ( 4 , 27 , 36 , and 42 ), potent effects on glioblastoma cell viability in U87-MG, T98G, and U251-MG cell lines and patient-derived cultures were generally observed (IC
50 s ∼ 10-40 μM at 72 h). Selectivity profiling against 11 homologous kinases revealed multikinase inhibition (CDK2, CDK5, CDK9, and GSK-3α/β), most potent for GSK-3α in the nanomolar range (IC50 s ∼ 0.23-0.98 μM). These compounds may therefore have diverse anticancer mechanisms of action and are of considerable interest for lead optimization.- Published
- 2024
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21. Antimicrobial, antioxidant, and cytotoxic properties of endophytic fungi isolated from Thysanolaena maxima Roxb., Dracaena spicata Roxb. and Aglaonema hookerianum Schott.
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Hoque N, Khan ZR, Rashid PT, Begum MN, Sharmin S, Hossain MJ, Rana MS, and Sohrab MH
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- Antioxidants pharmacology, Bacteria, Fungi chemistry, Dracaena, Anti-Infective Agents pharmacology
- Abstract
Background: Endophytic fungi have recently been recognized as an impressive source of natural biomolecules. The primary objective of the research was to isolate fungal endophytes from Thysanolaena maxima Roxb., Dracaena spicata Roxb. and Aglaonema hookerianum Schott. of Bangladesh and assess their pharmacological potentialities focusing on antimicrobial, antioxidant, and cytotoxic properties., Methods: The fungal isolates were identified up to the genus level by analyzing their macroscopic and microscopic characteristics. Ethyl acetate extracts of all the fungal isolates were screened for different bioactivities, including antimicrobial (disc diffusion method), antioxidant (DPPH scavenging assay), and cytotoxic (brine shrimp lethality bioassay) activities., Results: Among the thirteen isolates, Fusarium sp. was the most recognized genus, while the others belonged to Colletotrichum sp. and Pestalotia sp. Comparing the bioactivity of all the extracts, Fusarium sp. was shown to be the most effective endophyte, followed by Colletotrichum sp. and Pestalotia sp. In the antimicrobial study, two isolates of Fusarium sp. (internal strain nos. DSLE-1 and AHPE-4) showed inhibitory activity against all the tested bacteria and the highest zone of inhibition (15.5 ± 0.4 mm) was exerted by AHPE-4 against Bacillus subtillis. All the fungal isolates produced mild to moderate free radical scavenging activity, where the highest antioxidant activity was revealed by one isolate of Fusarium sp. (internal strain no. AHPE-3) with an IC
50 value of 84.94 ± 0.41 µg/mL. The majority of Fusarium sp. isolates exhibited notable cytotoxic activity, where AHPE-4 exhibited the highest cytotoxicity, having the LC50 value of 14.33 ± 4.5 µg/mL., Conclusion: The findings of the study endorsed that the fungal endophytes isolated from T. maxima, D. spicata, and A. hookerianum hold potential as valuable origins of bioactive substances. Nevertheless, more comprehensive research is warranted, which could develop novel natural compounds from these endophytes to treat various infectious and cancerous diseases., (© 2023. BioMed Central Ltd., part of Springer Nature.)- Published
- 2023
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22. Salmonella meningitis in a young child from Pakistan: a case report.
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Majeed I, Khan SU, Khan ZR, Hayat S, Ullah I, and Ali A
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- Male, Infant, Child, Humans, Child, Preschool, Pakistan, Ceftriaxone therapeutic use, Salmonella typhi, Anti-Bacterial Agents therapeutic use, Fever, Salmonella Infections diagnosis, Salmonella Infections drug therapy, Meningitis, Bacterial diagnosis, Meningitis, Bacterial drug therapy
- Abstract
Background: Salmonella meningitis is a rare but serious complication of Salmonella infection, primarily affecting infants, children, and immunocompromised individuals., Case Presentation: We present a case of a two-and-a-half-year-old Asian boy who developed Salmonella meningitis along with pneumonia and respiratory failure. Initially, he experienced symptoms of loose motions, fever, and irritability, which progressed to neck stiffness and brisk reflexes. Cerebrospinal fluid (CSF) analysis confirmed Salmonella typhi in the CSF. Due to the worsening condition, the patient was admitted to the intensive care unit, intubated, and switched to meropenem as the antibiotic of choice after an initial empiric therapy with ceftriaxone and vancomycin. With appropriate treatment, the patient showed significant improvement, including resolution of fever and respiratory symptoms., Conclusion: Management of Salmonella meningitis is often challenging primarily because of the fact that the empiric therapy for meningitis may not always provide coverage to the multi-drug resistant Salmonella species found in South Asia. Prompt administration of appropriate antibiotics based on sensitivity testing is crucial for successful management. This case emphasizes the importance of early recognition and effective management of this uncommon yet severe complication of Salmonella infection., (© 2023. BioMed Central Ltd., part of Springer Nature.)
- Published
- 2023
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23. Highlighting the adsorption mechanism of dyes onto activated carbon derived from sludge by theoretical physical analysis.
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Sellaoui L, Said S, Bouzidi M, Alshammari AS, Khan ZR, Gandouzi M, Schnorr C, Dotto GL, Silva L, Streit AF, Lamine AB, and Erto A
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- Sewage, Charcoal, Adsorption, Kinetics, Hydrogen-Ion Concentration, Coloring Agents, Water Pollutants, Chemical analysis
- Abstract
An activated carbon (AC) deriving from sludge is used in this research for the adsorption of two water pollutants, namely Reactive Black 5 (RB5) and Green Alizarin (GA) dyes, at different temperatures. The adsorption capacities varied from 277.2 to 312.69 mg/g for GA and from 225.82 to 256.02 mg/g for RB5. Comparatively, this adsorbent presents good performances in removing these dyes from wastewater. The application of physical models to adsorption experiments is advantageous to provide new insights into the dyes' adsorption mechanism. A dedicated physical adsorption model suggests that RB5 and GA dyes are adsorbed in a monolayer. Moreover, the orientation of RB5 and GA dyes on AC resulted in an angled position, determining a multi-molecular process. In addition, both dyes are adsorbed by the occurrence of an aggregation process, forming a dimer. The impact of temperature can be also interpreted, allowing concluding that it plays a relevant role in removing these dyes. The calculation and interpretation of adsorption energies show that the dyes are removed via an endothermic process, and physical forces are involved., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Published
- 2023
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24. Role of Intraoperative Coeliac Plexus Neurolysis on Postoperative Pain Management for Chronic Pancreatitis.
- Author
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Shahriar S, Khan ZR, Chowdhury MM, Das BC, Ahmed A, Hoque KR, and Alam SF
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- Humans, Bangladesh, Analgesics therapeutic use, Pain, Postoperative etiology, Celiac Plexus surgery, Pancreatitis, Chronic complications, Pancreatitis, Chronic surgery
- Abstract
Control of pain in patients with chronic pancreatitis is difficult because 30.0% to 50.0% of patients still experience persistence or recurrence of pain even after surgery. So a combined approach of surgery and coeliac plexus neurolysis was carried out in this study to see the relief of pain and reduce the requirement of analgesics in these patients. This prospective observational comparative study was carried out in the Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from November 2017 to October 2018. Forty one (41) study participants with the diagnosis of chronic pancreatitis were included consecutively in this study. The participants were divided into two groups. Group I (n=18) underwent pancreatic surgery with coeliac plexus neurolysis by infiltration of 20ml of 100% alcohol in the loose areolar tissue 10ml each into right and left para-aortic space at the level of coeliac trunk and Group II (n=23) underwent pancreatic surgery only. Participants' preoperative data were collected from patient record file. Number, frequency and intensity of pain and requirement of amount of analgesics for the last 3 months were recorded from patients' history. The intensity of pain was categorized by visual analog scale (VAS) preoperatively. The participants of both groups were followed up at 1, 2 and 3 months interval and asked for disappearance or reduction of pain, frequency of attack and requirement of analgesics. Again visual analog scale was used for categorization of pain. Pain free period was recorded after the end of follow up period. Pain reduction occurred after surgery in both groups. But when pain relief was compared on the basis of VAS (Visual Analogue Scale), it was significantly better in Group I after 1 month of surgery than Group II (p=0.05). But 2 and 3 months after surgery this difference became insignificant (p=0.246 and 0.264). No statistical difference was found in terms of analgesic usage, severe acute attack or hospital admission (p=0.511, 0.439 and 0.495) at the end of 3 months follow up. Participants in Group I had significantly longer pain free period than Group II (p=0.025). Regarding complications, postural hypotension developed in 5.6% (1) patients. Diarrhea developed in 11.1% (2) patients in Group I and wound infection developed in 2 patients in each groups respectively. No patients developed any major complications like anastomotic leakage, deep or organ or space infection. Intraoperative coeliac plexus neurolysis reduces pain immediately after surgery and provides longer pain free period in patients with chronic pancreatitis after surgery.
- Published
- 2023
25. Ecological Chemistry of Pest Control in Push-Pull Intercropping Systems: What We Know, and Where to Go?
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Lang J, Chidawanyika F, Khan ZR, and Schuman MC
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- Crops, Agricultural, Edible Grain, Agriculture methods, Pest Control methods
- Abstract
Push-pull technology (PPT) employs mixed cropping for sustainable intensification: an intercrop repels or suppresses pests of the focal crop (push), while a trap crop attracts pests out of the field (pull), where they may be targeted for control. Underlying chemical-ecological mechanisms have been demonstrated in controlled settings, primarily for some of the best-established cereal PPT systems developed in east Africa. Yet, many questions remain regarding mechanisms, and strategies to adapt PPT for different crops and locations. We conducted a systematic review of scientific literature on PPT and related practices for biological control of pests of food and fodder. Of 3335 results, we identified 45 reporting on chemistry of trap- or intercropping systems for pest control, of which 30 focused on cereals or African pests. Seven of these reported primary chemical data: measurements from glasshouse and laboratory studies (5), or of field-collected samples (2). From these 30, we provide a database of compounds, discussing degrees of evidence for their mediation of push-pull. We depict hypothesized spatial distributions of selected compounds in PPT fields from physical properties and emission/exudation rates, and design of the east African cereal PPT system, and discuss influences on activity in field settings likely to affect success., (Copyright 2022 Jakob Lang, Frank Chidawanyika, Zeyaur R. Khan, Meredith Christine Schuman. License: This work is licensed under a Creative Commons Attribution 4.0 International License.)
- Published
- 2022
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26. Biogeography of cereal stemborers and their natural enemies: forecasting pest management efficacy under changing climate.
- Author
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Mutamiswa R, Chikowore G, Nyamukondiwa C, Mudereri BT, Khan ZR, and Chidawanyika F
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- Animals, Climate Change, Edible Grain, Pest Control, Moths physiology, Wasps physiology
- Abstract
Background: Climate warming presents physiological challenges to insects, manifesting as loss of key life-history fitness traits and survival. For interacting host-parasitoid species, physiological responses to heat stress may vary, thereby potentially uncoupling trophic ecological relationships. Here, we assessed heat tolerance traits and sensitivity to prevailing and future maximum temperatures for the cereal stemborer pests, Chilo partellus, Busseola fusca and Sesamia calamistis and their endo-parasitoids, Cotesia sesamiae and Cotesia flavipes. We further used the machine learning algorithm, Maximum Entropy (MaxEnt), to model current and potential distribution of these species., Results: The mean critical thermal maxima (CT
max ) ranged from 39.5 ± 0.9°C to 44.6 ± 0.6°C and from 46.8 ± 0.7°C to 48.5 ± 0.9°C for parasitoids and stemborers, with C. sesamiae and Ch. partellus exhibiting the lowest and highest CTmax respectively. From the current climate to the 2050s scenario, parasitoids recorded a significant reduction in warming tolerance compared with their hosts. Habitat suitability for all stemborer-parasitoid species was spatially heterogeneous under current and future climatic scenarios. Cotesia sesamiae C. flavipes and B. fusca exhibited significant habitat loss, whereas Ch. partellus and S. calamistis showed a significant habitat gain under future 2050s predictions. Model metrics based on mean area under the curve ranged from 0.72 to 0.84 for all species, indicating a good predictive performance of the models., Conclusion: These results suggest C. sesamiae and C. flavipes may face survival constraints or extirpation compared with their pest hosts when environmental temperature reaches their upper thermal limits earlier, likely reducing pest regulation through density-mediated effects. The results demonstrate potential destabilization of stemborer-parasitoid trophic systems potentially compromising biocontrol efficacy under climate warming. © 2022 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry., (© 2022 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.)- Published
- 2022
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27. Mitochondrial neurogastrointestinal encephalomyopathy in a Pakistani female: a case report.
- Author
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Khan ZR, Karam A, Ul Haq MA, Aman A, and Karam AS
- Subjects
- Adult, Female, Humans, Ophthalmoplegia congenital, Pakistan, Thymidine Phosphorylase genetics, Young Adult, Intestinal Pseudo-Obstruction complications, Intestinal Pseudo-Obstruction diagnosis, Intestinal Pseudo-Obstruction therapy, Mitochondrial Encephalomyopathies diagnosis, Mitochondrial Encephalomyopathies genetics, Mitochondrial Encephalomyopathies therapy, Muscular Dystrophy, Oculopharyngeal complications, Muscular Dystrophy, Oculopharyngeal diagnosis
- Abstract
Background: Mitochondrial neurogastrointestinal encephalopathy is a rare multisystem autosomal recessive disease caused by mutations in the TYMP gene, that encodes for thymidine phosphorylase. Mitochondrial neurogastrointestinal encephalopathy is a progressive degenerative disease characterized by a distinctive tetrad of gastrointestinal dysmotility, peripheral neuropathy, ophthalmoplegia with ptosis, and asymptomatic leukoencephalopathy. It provides a diagnostic dilemma to physicians in regions like Pakistan because of a lack of genetic study availability and associated financial constraints of the population. However, with careful examination and a few basic investigations, mitochondrial neurogastrointestinal encephalopathy can be diagnosed by ruling out most of the close differentials., Case Presentation: We report the case of a 23-year-old Asian female whose chief complaints were epigastric pain, bilious emesis, weight loss for 3 months, and bilateral lower limb weakness for 20 days. All clinical signs and symptoms along with relevant investigations including nerve conduction studies, electromyography, and magnetic resonance imaging of the brain were highly suggestive of mitochondrial neurogastrointestinal encephalopathy syndrome. Because of financial constraints, genetic studies could not be performed. The patient was managed with a multidisciplinary approach involving gastroenterology, physiotherapy, and nutrition departments. Currently, therapeutic options for the disease include allogeneic hematopoietic stem cell transplant and carrier erythrocyte entrapped thymidine phosphorylase; however, these could not be provided to the patient owing to certain limitations., Conclusions: As misdiagnosis and delayed diagnosis are quite common in this disease, the prime objective of this case report is to increase the basic understanding of this disease, especially its signs and symptoms, and address the limitations regarding the diagnostic investigations and management of patients with mitochondrial neurogastrointestinal encephalopathy., (© 2022. The Author(s).)
- Published
- 2022
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28. Analysing root roughness and smear layer relationship by comparing contemporary dental curettes with conventional dental curettes: a randomised controlled trial.
- Author
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Riaz S, Ahmed S, Shabbir S, Khan ZR, Zaidi SJA, Naeem MM, and Farooqui WA
- Subjects
- Dental Scaling methods, Humans, Microscopy, Electron, Scanning, Root Planing, Tooth Root surgery, Chronic Periodontitis, Smear Layer
- Abstract
Background: Root debridement procedures for the treatment of periodontal diseases, produces root surface irregularities and smear layer on the root surface that can adversely affect the healing of periodontal tissues. The objective of the present study was to evaluate the surface texture of root after hand instrumentation with Gracey curette, After Five curette, and Mini Five curette., Methods: A randomised, controlled clinical trial was conducted with 120 participants clinically diagnosed with chronic periodontitis. Participants were equally randomised into four groups, with parallel treatment assignment of scaling and root planning using Gracey Curettes, After five and Mini five curette, and a control group with no instrumentation. Mobile teeth of these patients were then extracted atraumatically and analysed under a Scanning Electron Microscope and graded for "Roughness and Loss of Tooth substance index" and "Smear layer index." Cross Tabulation was made between the test groups (Control, Gracey Curette, After five, and Mini Five) versus "Roughness and Loss of Tooth substance Index" and "Smear Layer Index." A Chi-square test with Bonferroni correction was used to determine the graded distribution among the groups., Results: In the control group, 73.3% of the teeth showed grade 1 roughness. In the Gracey group, 56.7% showed grade 2 roughness; in the After 5 group, 70% showed grade 3 roughness; in the Mini 5 group, 76.7% showed grade 3 roughness. A significant association was found between roughness scores and the use of individual instruments. Regarding smear layer formation, 46.7% of teeth showed a grade 4 smear layer in the control group. 50% of teeth showed grade 2 smear layer thickness in the Gracey group. In the After 5 group, 73.3% of teeth showed a grade 1 smear layer, while in the Mini 5 group, 80.0% showed a grade 1 smear layer. The use of individual instruments was significantly associated with the smear layer scores., Conclusion: Gracey curettes produced relatively smoother root surfaces with less smear layer formation than After Five and Mini Five curettes, which produced relatively more roughened root surfaces with thicker smear layer formation., Trial Registration: ID: ClinicalTrials.gov Identifier: NCT04216966 Date of Registration: January 3, 2020., (© 2022. The Author(s).)
- Published
- 2022
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29. Management of Choledocholithiasis: Should We Remove the Bile Duct?
- Author
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Das BC, Elahi NE, Uddin MS, Ansary AA, Rahman MM, Haque N, Sobhan SA, Mahmud R, and Khan ZR
- Subjects
- Adolescent, Adult, Anastomosis, Surgical, Cholangiopancreatography, Endoscopic Retrograde, Common Bile Duct surgery, Female, Humans, Male, Middle Aged, Retrospective Studies, Sphincterotomy, Endoscopic, Treatment Outcome, Young Adult, Choledocholithiasis diagnosis, Choledocholithiasis surgery, Laparoscopy
- Abstract
Retrieval of stone by endoscopic papillotomy, laparoscopic choledochotomy or open choledochotomy is the treatment of choice for choledocholithiasis. Published literature shows that the recurrence rate is 4% to 24% with existing method of treatment. We have treated 8 patients who admitted with recurrent choledocholithiasis in the department of Hepato-Biliary-Pancreatic and Liver Transplant Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh in the period of January 2016 to December 2019. None had intrahepatic duct abnormality or stones. All patients underwent either ERCP stenting, open choledocholithotomy or both 16 to 84 months back. Management policy is designed and outcome is observed on these patients. There were 3 males and 5 females; age ranges 18 to 60 years. The common bile duct (CBD) diameter of all patient ranges from 15 to 24mm. The shape of CBD is different from normal variant; S shaped, saculated, grossly dilated with terminal narrowing. Considering the anatomical abnormality and recurrence of disease we have removed the abnormal part of common bile duct along with stones and the operation was completed by Roux-en-Y hepaticojejunostomy. All patients were completely symptom free for 6 to 48 months after surgery. Removal of abnormal part of common bile duct with reconstruction in the form of Roux-en-Y hepatico-jejunostomy may be considered for treating choledocholithiasis with abnormal CBD (abnormally dilated, abnormally shaped, angulated or sacculated) however, long-term follow up is required for final comment.
- Published
- 2022
30. Potential roles of selected forage grasses in management of fall armyworm ( Spodoptera frugiperda ) through companion cropping.
- Author
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Cheruiyot D, Chiriboga Morales X, Chidawanyika F, Bruce TJA, and Khan ZR
- Abstract
Production of maize, Zea mays L. (Poaceae), in sub-Saharan Africa is threatened by a new invasive pest, fall armyworm (FAW), Spodoptera frugiperda (JE Smith) (Lepidoptera: Noctuidae). To mitigate this threat, push-pull companion cropping, a system originally developed for management of lepidopteran stemborers, may be used to control FAW. The original system involved trap crops that functioned as a 'pull' component to attract moths away from the main crop. How grass species can be used as trap crops in a push-pull system to control FAW is a question that remains to be answered, because maize is already a highly preferred host plant. Therefore, we tested oviposition preference of FAW female moths in no-choice and two-choice experiments and larval performance on six selected grasses (Poaceae) to assess their roles as trap crop 'pull' plants in the system. In no-choice tests, numbers of eggs deposited on Brachiaria brizantha (Hochst. ex A. Rich.) R. Webster cv. 'Piata', cv. 'Mulato II', and cv. 'Xaraes', and Napier grass ( Pennisetum purpureum K. Schumach) cv. 'South Africa' were not statistically different from those deposited on maize. In two-choice tests between grasses and maize, there were no significant differences in number of eggs laid when the plants were of the same size. However, in two-choice tests with maize plants half of the size of the grasses, significantly more eggs were laid on B. brizantha cv. Xaraes and P. purpureum cv. South Africa than on maize, suggesting that crop phenology could make a difference. Numbers of larvae arrested on grass leaf cuts were considerably lower than those on maize leaf cuts after 48 h. In two-choice tests with maize, molasses grass ( Melinis minutiflora P. Beauv.) was the only grass that was significantly preferred to maize for larval settlement after 24 h. After 48 h in the two-choice test, it was the only grass that retained larvae, although the larval count was significantly lower than on maize. Our data show that none of the grasses tested were strongly preferred to maize, but the results indicate plants attractive to FAW adults and larvae that could be utilized in a multiple trap crop approach to target various stages of the pest. Furthermore, results indicate the importance of planting these companion plants earlier than maize., (© 2021 ICIPE. Entomologia Experimentalis et Applicata published by John Wiley & Sons Ltd on behalf of Netherlands Entomological Society.)
- Published
- 2021
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31. Genome wide association analysis of a stemborer egg induced "call-for-help" defence trait in maize.
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Tamiru A, Paliwal R, Manthi SJ, Odeny DA, Midega CAO, Khan ZR, Pickett JA, and Bruce TJA
- Subjects
- Animals, Cyclopentanes metabolism, Genome-Wide Association Study, Herbivory physiology, Moths parasitology, Moths physiology, Oviposition, Oxylipins metabolism, Seeds genetics, Seeds metabolism, Zea mays parasitology, Moths anatomy & histology, Plant Defense Against Herbivory genetics, Volatile Organic Compounds metabolism, Wasps physiology, Zea mays physiology
- Abstract
Tritrophic interactions allow plants to recruit natural enemies for protection against herbivory. Here we investigated genetic variability in induced responses to stemborer egg-laying in maize Zea mays (L.) (Poaceae). We conducted a genome wide association study (GWAS) of 146 maize genotypes comprising of landraces, inbred lines and commercial hybrids. Plants were phenotyped in bioassays measuring parasitic wasp Cotesia sesamiae (Cameron) (Hymenoptera: Braconidae) attraction to volatiles collected from plants exposed to stemborer Chilo partellus (Swinhoe) (Lepidoptera: Crambidae) eggs. Genotyping-by-sequencing was used to generate maize germplasm SNP data for GWAS. The egg-induced parasitoid attraction trait was more common in landraces than in improved inbred lines and hybrids. GWAS identified 101 marker-trait associations (MTAs), some of which were adjacent to genes involved in the JA-defence pathway (opr7, aos1, 2, 3), terpene biosynthesis (fps3, tps2, 3, 4, 5, 7, 9, 10), benzoxazinone synthesis (bx7, 9) and known resistance genes (e.g. maize insect resistance 1, mir1). Intriguingly, there was also association with a transmembrane protein kinase that may function as a receptor for the egg elicitor and other genes implicated in early plant defence signalling. We report maize genomic regions associated with indirect defence and provide a valuable resource for future studies of tritrophic interactions in maize. The markers identified may facilitate selection of indirect defence by maize breeders.
- Published
- 2020
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32. Molasses Grass Induces Direct and Indirect Defense Responses in Neighbouring Maize Plants.
- Author
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Tolosa TA, Tamiru A, Midega CAO, Van Den Berg J, Birkett MA, Woodcock CM, Bruce TJA, Kelemu S, Pickett JA, and Khan ZR
- Subjects
- Acyclic Monoterpenes chemistry, Acyclic Monoterpenes metabolism, Animals, Crops, Agricultural, Female, Gas Chromatography-Mass Spectrometry methods, Herbivory, Host-Parasite Interactions, Molasses, Moths parasitology, Oviposition drug effects, Volatile Organic Compounds metabolism, Wasps physiology, Zea mays parasitology, Volatile Organic Compounds chemistry, Zea mays metabolism
- Abstract
Plants have evolved intricate defence strategies against herbivore attack which can include activation of defence in response to stress-related volatile organic compounds (VOCs) emitted by neighbouring plants. VOCs released by intact molasses grass (Melinis minutiflora), have been shown to repel stemborer, Chilo partellus (Swinhoe), from maize and enhance parasitism by Cotesia sesamiae (Cameron). In this study, we tested whether the molasses grass VOCs have a role in plant-plant communication by exposing different maize cultivars to molasses grass for a 3-week induction period and then observing insect responses to the exposed plants. In bioassays, C. partellus preferred non-exposed maize landrace plants for egg deposition to those exposed to molasses grass. Conversely, C. sesamiae parasitoid wasps preferred volatiles from molasses grass exposed maize landraces compared to volatiles from unexposed control plants. Interestingly, the molasses grass induced defence responses were not observed on hybrid maize varieties tested, suggesting that the effect was not simply due to absorption and re-emission of VOCs. Chemical and electrophysiological analyses revealed strong induction of bioactive compounds such as (R)-linalool, (E)-4,8-dimethyl-1,3,7-nonatriene and (E,E)-4,8,12-trimethyl-1,3,7,11-tridecatetraene from maize landraces exposed to molasses grass volatiles. Our results suggest that constitutively emitted molasses grass VOCs can induce direct and indirect defence responses in neighbouring maize landraces. Plants activating defences by VOC exposure alone could realize enhanced levels of resistance and fitness compared to those that launch defence responses upon herbivore attack. Opportunities for exploiting plant-plant signalling to develop ecologically sustainable crop protection strategies against devastating insect pests such as stemborer C. partellus are discussed.
- Published
- 2019
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33. Removing constraints to sustainable food production: new ways to exploit secondary metabolism from companion planting and GM.
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Pickett JA, Midega CA, Pittchar J, and Khan ZR
- Subjects
- Crops, Agricultural growth & development, Plants, Genetically Modified growth & development, Crop Production methods, Crops, Agricultural metabolism, Plants, Genetically Modified metabolism, Secondary Metabolism
- Abstract
The entire process of agricultural and horticultural food production is unsustainable as practiced by current highly intensive industrial systems. Energy consumption is particularly intensive for cultivation, and for fertilizer production and its incorporation into soil. Provision of nitrogen contributes a major source of the greenhouse gas, N
2 O. All losses due to pests, diseases and weeds are of food for which the carbon footprint has already been committed and so crop protection becomes an even greater concern. The rapidly increasing global need for food and the aggravation of associated problems by the effects of climate change create a need for new and sustainable crop protection. The overall requirement for sustainability is to remove seasonal inputs, and consequently all crop protection will need to be delivered via the seed or other planting material. Although genetic modification (GM) has transformed the prospects of sustainable crop protection, considerably more development is essential for the realisation of the full potential of GM and thereby consumer acceptability. Secondary plant metabolism offers wider and perhaps more robust new crop protection via GM and can be accomplished without associated yield loss because of the low level of photosynthate diverted for plant defence by secondary metabolism. Toxic mechanisms can continue to be targeted but exploiting non-toxic regulatory and signalling mechanisms should be the ultimate objective. There are many problems facing these proposals, both technical and social, and these are discussed but it is certainly not possible to stay where we are in terms of sustainability. The evidence for success is mounting and the technical opportunities from secondary plant metabolism are discussed here. © 2019 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry., (© 2019 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.)- Published
- 2019
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34. Influence of socio-economic and agronomic factors on aflatoxin and fumonisin contamination of maize in western Kenya.
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Njeru NK, Midega CAO, Muthomi JW, Wagacha JM, and Khan ZR
- Abstract
Consumption of maize contaminated with mycotoxins has been associated with detrimental health effects. A farm survey covering 116 push-pull and 139 non-push-pull cropping systems was conducted to determine the socio-economic and agronomic factors that influence farmers' knowledge on incidence and contamination of maize by ear rots and associated mycotoxins in western Kenya. All the respondents were smallholder farmers between the ages of 23 and 80 years, with 50% of them being female. Maize samples were collected from the standing crop in the field of each interviewed farmer and analyzed for aflatoxin and fumonisin. Only a small proportion of farmers had knowledge of aflatoxin and ear rots in maize. Overall, less than 20% of maize samples were contaminated with both aflatoxin and fumonisin, and more maize samples were contaminated with fumonisin as compared to aflatoxin. Proportions of maize samples containing higher than the acceptable Kenyan regulatory threshold (10 µg/kg) for aflatoxin and European Commission regulatory threshold (1,000) µg/kg for fumonisin were lower in maize samples from push-pull cropping system. Age of farmer and county of residence were significantly and positively associated with knowledge of aflatoxin, while cropping system, county of residence, and level of education were positively associated with knowledge of maize ear rots. There was strong correlation between knowledge of maize ear rots and knowledge of aflatoxin. Levels of both aflatoxin and fumonisin were significantly and positively associated with the use of diammonium phosphate (DAP) fertilizer at planting. Aflatoxin levels were also positively associated with stemborer damage. Agronomic practices were not significantly different between push-pull and non-push-pull farmers. However, use of DAP fertilizer was the most important agronomic factor since it was associated with both aflatoxin and fumonisin contamination of maize. These results imply that creating awareness is key to mitigation of ear rots and mycotoxin contamination of maize. The results also suggest that the levels of aflatoxin and fumonisin in maize in western Kenya were influenced both by pre-harvest agronomic practices and by the cropping system adopted, push-pull or not., Competing Interests: The authors declare that they do not have any conflict of interest.
- Published
- 2019
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35. Effect of early and delay starting of enteral feeding in post-pancreaticoduodenectomy patients.
- Author
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Das BC, Haque M, Uddin MS, Nur-E-Elahi M, and Khan ZR
- Abstract
Backgrounds/aims: This study was undertaken to see the effect of early starting of enteral feeding after pancreatoduodenectomy (PD). The results were compared with existing nutritional practice in which enteral feeding started, usually after 7 to 8 postoperative day (PODs) in our institute., Methods: Thirty patients whome underwent a PD from January 2016 to December 2016 were included in the study. They were divided into two groups, I and II. In group I (n=15), enteral feeding was started from the 2
nd POD through the nasojejunal feeding tube along with parenteral partial nutrition support. In group II (n=15), no enteral feeding was given up to seventh and eighth PODs, except the perenteral feeding. Post-operatively, serum albumin levels, total lymphocyte count, total bilirubin levels, serum alkaline phosphate levels were measured for two weeks postoperatively in all the patients for assessing nutritional, immunological and cholestasis status. The mortality, morbidity and lengths of post-operative hospital stay were also recorded., Results: Postoperatively, the serum albumin level and lymphocyte count decreased from the pre-operative level on the third POD and it gradually increased from the seventh POD onwards in both groups. However, they remained persistently higher in group I than group II. The total bilirubin and alkaline phosphatase decreased to normal levels within the seventh POD in Group I. However, they remained higher than normal levels on POD 14 in Group II. The morbidity and hospital stay was significantly lower in group I than group II., Conclusions: Early enteral feeding should be considered after PD. This is because it will improve nutritional, immunological status and cholestasis. Therefore, it reduces morbidity and shortens the hospital stay.- Published
- 2019
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36. Surgical Treatment of Hepatolithiasis: Our Experience in Bangabandhu Sheikh Mujib Medical University.
- Author
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Das BC, Rahman MM, Biswas AK, Shahriar S, Ahmed A, and Khan ZR
- Subjects
- Adolescent, Adult, Bangladesh, Female, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Treatment Outcome, Universities, Young Adult, Lithiasis surgery, Liver Diseases surgery
- Abstract
Recurrent cholangitis and sepsis are common complications after surgical treatment for hepatolithiasis as total clearance is not always possible. This retrospective study is designed to see the effect of our treatment for hepatolithiasis on stone clearance and post operative complications. We have treated 60 patients with hepatolithiasis surgically from September 2010 to September 2016 in the Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Various operative procedures were applied on the basis of location of stone and status of biliary tree. Choledocoscopic examination was performed during surgery for checking and cleaning of intrahepatic duct. Regular follow up was given and outcome was assessed. The chronological changes of treatment methods for patients with hepatolithiasis were analyzed for appropriate treatments for particular type. There were 22 males and 38 females with age ranges from 15 to 60 years. The stone were located in left duct (56.6%), right duct (10%) and both duct (33.4%). The most commonly performed operation was extended choledocholithotomy and hepatolithotomy and it was performed in 28 patients (46.7%). Segmentectomy and lobectomy was performed in 17 patients (28.3%). Common bile duct (CBD) excision, hepatolithotomy and hepaticojejunostomy with or without segmentectomy, lobectomy and Houston access loop formation was performed in rest of the patients. Stones could be removed completely in all patients who underwent lobectomy or segmentectomy. In contrast stone clearance was possible only in 57.2% and 55.5% who underwent extended choledocholithotomy and hepatolithotomy, and excision of CBD, hepatolithiasis with hepaticojejunostomy for unilateral or bilateral hepatolithiasis respectively. Houston's access loop to stomach was made in 2 patients for future endoscopic removal of stone. There was no mortality in the present series but morbidity occurred in 18 patients; wound infection (n=15, 25%), bile leakage (n=1, 1.7%), and renal dysfunction (n=1, 1.7%), septicemia (n=1, 1.7%). Patients who underwent lobectomy or segmentectomy did not develop cholangitis or sepsis on 1 to 3 years follow up. In contrast who underwent extended choledocholithotomy and hepatolithotomy, 70.8% patients developed cholangitis and sepsis, and the patients who underwent excision of CBD, hepatolithotomy with hepaticojejunostomy 50% developed cholangitis and sepsis within 1 to 3 years of follow up, required re-operations or conservative treatment. The difference of developing postoperative cholangitis and sepsis is significant (p<0.05) between patient who underwent extended choledocolithotomy and hepatolithotomy, and who underwent excision of CBD, hepatolithotomy and Roux-en-Y hepaticojejunostomy. In conclusion, lobectomy or segmentectomy is the best option for hepatolithiasis if the stones are limited to a lobe or segment. Excision of CBD, hepatolithotomy with hepaticojejunostomy is better than extended choledocholithotomy and hepatolithotomy for bilateral hepatolithiasis. Huston's access loop formation associated with other procedures may be considered for bilateral hepatolithiasis for future minimal invasive stone retrieval procedure as residual stones and recurrent stone formation is common.
- Published
- 2017
37. Drought-tolerant Desmodium species effectively suppress parasitic striga weed and improve cereal grain yields in western Kenya.
- Author
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Midega CAO, Wasonga CJ, Hooper AM, Pickett JA, and Khan ZR
- Abstract
The parasitic weed Striga hermonthica Benth. (Orobanchaceae), commonly known as striga, is an increasingly important constraint to cereal production in sub-Saharan Africa (SSA), often resulting in total yield losses in maize ( Zea mays L.) and substantial losses in sorghum ( Sorghum bicolor (L.) Moench). This is further aggravated by soil degradation and drought conditions that are gradually becoming widespread in SSA. Forage legumes in the genus Desmodium (Fabaceae), mainly D. uncinatum and D. intortum , effectively control striga and improve crop productivity in SSA. However, negative effects of climate change such as drought stress is affecting the functioning of these systems. There is thus a need to identify and characterize new plants possessing the required ecological chemistry to protect crops against the biotic stress of striga under such environmental conditions. 17 accessions comprising 10 species of Desmodium were screened for their drought stress tolerance and ability to suppress striga. Desmodium incanum and D. ramosissimum were selected as the most promising species as they retained their leaves and maintained leaf function for longer periods during their exposure to drought stress conditions. They also had desirable phenotypes with more above ground biomass. The two species suppressed striga infestation, both under controlled and field conditions, and resulted in significant grain yield increases, demonstrating the incremental capability of Desmodium species in striga suppression. These results demonstrate beneficial effects of Desmodium species in enhancing cereal productivity in dry areas.
- Published
- 2017
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38. A maize landrace that emits defense volatiles in response to herbivore eggs possesses a strongly inducible terpene synthase gene.
- Author
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Tamiru A, Bruce TJA, Richter A, Woodcock CM, Midega CAO, Degenhardt J, Kelemu S, Pickett JA, and Khan ZR
- Abstract
Maize ( Zea mays ) emits volatile terpenes in response to insect feeding and egg deposition to defend itself against harmful pests. However, maize cultivars differ strongly in their ability to produce the defense signal. To further understand the agroecological role and underlying genetic mechanisms for variation in terpene emission among maize cultivars, we studied the production of an important signaling component ( E )-caryophyllene in a South American maize landrace Braz1006 possessing stemborer Chilo partellus egg inducible defense trait, in comparison with the European maize line Delprim and North American inbred line B73. The ( E) - caryophyllene production level and transcript abundance of TPS23, terpene synthase responsible for ( E) - caryophyllene formation, were compared between Braz1006, Delprim, and B73 after mimicked herbivory. Braz1006-TPS23 was heterologously expressed in E. coli , and amino acid sequences were determined. Furthermore, electrophysiological and behavioral responses of a key parasitic wasp Cotesia sesamiae to C . partellus egg-induced Braz1006 volatiles were determined using coupled gas chromatography electroantennography and olfactometer bioassay studies. After elicitor treatment, Braz1006 released eightfold higher ( E) -caryophyllene than Delprim, whereas no ( E) -caryophyllene was detected in B73. The superior (E)- caryophyllene production by Braz1006 was positively correlated with high transcript levels of TPS23 in the landrace compared to Delprim. TPS23 alleles from Braz1006 showed dissimilarities at different sequence positions with Delprim and B73 and encodes an active enzyme. Cotesia sesamiae was attracted to egg-induced volatiles from Braz1006 and synthetic (E)- caryophyllene. The variation in ( E) -caryophyllene emission between Braz1006 and Delprim is positively correlated with induced levels of TPS23 transcripts. The enhanced TPS23 activity and corresponding ( E) -caryophyllene production by the maize landrace could be attributed to the differences in amino acid sequence with the other maize lines. This study suggested that the same analogous genes could have contrasting expression patterns in different maize genetic backgrounds. The current findings provide valuable insight not only into genetic mechanisms underlying variation in defense signal production but also the prospect of introgressing the novel defense traits into elite maize varieties for effective and ecologically sound protection of crops against damaging insect pests.
- Published
- 2017
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39. A rare case of Erdheim-Chester disease in the breast.
- Author
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Binyousef RF, Al-Gahmi AM, Khan ZR, and Rawah E
- Subjects
- Female, Humans, Middle Aged, Breast Diseases diagnostic imaging, Erdheim-Chester Disease diagnostic imaging, Mammography
- Abstract
Erdheim-Chester disease (ECD) is rare non-Langerhans histiocytosis with distinctive radiologic and pathologic entities. We report a rare case of which ECD was involving the breast with only eight similar cases reported in the English literature. Our patient was a 52-year-old female patient with ECD involving the breast, mesentery, left kidney, retroperitoneum and the skeleton. The diagnosis was based on distinctive imaging and histopathological findings. The patient received a new novel treatment as part of a clinical trial in the United States and showed clinical and radiological improvement. SIMILAR CASES PUBLISHED: 8
- Published
- 2017
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40. Morbidity and Mortality after Pancreatoduodenectomy: A Five Year Experience in Bangabandhu Sheikh Mujib Medical University.
- Author
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Das BC, Khan AS, Elahi NE, Uddin MS, Debnath BC, and Khan ZR
- Subjects
- Humans, Postoperative Complications, Prospective Studies, Retrospective Studies, Universities, Ampulla of Vater surgery, Pancreatic Neoplasms surgery, Pancreaticoduodenectomy mortality
- Abstract
Mortality and morbidity was assessed after adoption of a systematic care for patient with pancreatoduodenectomy starting from patient selection and preparation, operative technique, and postoperative care. In this prospective study seventy patients who underwent pancreatoduodenectomy for periampullary carcinoma with curative intent between January 2010 and December 2014 were carefully analyzed prospectively. Patients were selected those who had ampullary carcinoma, lower bile duct carcinoma and small size carcinoma head of pancreas without local invasion and distant metastasis, and the patient who did not have any major disabling comorbid diseases. All patients were assessed uniformly before surgery and deficiency were corrected up to normal level before operation. Pancreatoduodenectomy and standard lymphadenectomy was performed meticulously with minimum blood loss. The pancreatojejunal reconstruction was performed using duct-to-mucosa method mostly. A nasojejunal feeding tube was placed in most patients for starting postoperative early oral feeding. Broad spectrum antibiotics and the epidural analgesia were mostly prescribed for good control infection and pain. Proper nutrition was maintained in calculative way through central venous line and nasojejunal feeding tube in the early postoperative period. General care, early mobilization and chest physiotherapy were given routinely in each patient. Seventy-seven percent (n=54) patients did not have any postoperative complications and they were discharged from hospital within 12-14 postoperative days. The morbidity occurred in 16 patients (23%) and most common complication was wound infection (18%, n=9). The rest complications were pancreatojejunal anastomotic leakage - 2, hepaticojejunal anastomosis leakage - 1, melaena - 1, intra-abdominal abscess - 1, intra-abdominal hemorrhage - 1, and renal dysfunction - 1. The mortality rate was 5.7% (n=4), causes of death were massive myocardial infarction; 1, failure of reversal from anesthesia; 1, massive intraabdominal bleeding; 1 and CV catheter related severe sepsis; 1. Review of recent published literature revealed that mortality and morbidity our series is better than low volume center and almost similar with high volume center of pancreatoduodenectomy surgery. Our systematic management policy of careful patient selection, planned approach in the form of proper work up, meticulous conduction of the procedure, appropriate postoperative care provides an acceptable morbidity and mortality after pancreatoduodenectomy.
- Published
- 2017
41. Plant volatile-mediated signalling and its application in agriculture: successes and challenges.
- Author
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Pickett JA and Khan ZR
- Subjects
- Plants, Genetically Modified, Signal Transduction, Soil, Agriculture, Plants metabolism, Volatile Organic Compounds metabolism
- Abstract
856 I. 856 II. 857 III. 858 IV. 859 V. 860 VI. 862 VII. 863 VIII. 864 IX. 866 866 References 866 SUMMARY: The mediation of volatile secondary metabolites in signalling between plants and other organisms has long been seen as presenting opportunities for sustainable crop protection. Initially, exploitation of interactions between plants and other organisms, particularly insect pests, foundered because of difficulties in delivering, sustainably, the signal systems for crop protection. We now have mounting and, in some cases, clear practical evidence for successful delivery by companion cropping or next-generation genetic modification (GM). At the same time, the type of plant signalling being exploited has expanded to signalling from plants to organisms antagonistic to pests, and to plant stress-induced, or primed, plant-to-plant signalling for defence and growth stimulation., (© 2016 The Authors. New Phytologist © 2016 New Phytologist Trust.)
- Published
- 2016
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42. An Indirect Defence Trait Mediated through Egg-Induced Maize Volatiles from Neighbouring Plants.
- Author
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Mutyambai DM, Bruce TJ, van den Berg J, Midega CA, Pickett JA, and Khan ZR
- Subjects
- Animals, Gas Chromatography-Mass Spectrometry, Oviposition physiology, Plant Oils chemistry, Volatile Organic Compounds chemistry, Wasps pathogenicity, Zea mays chemistry, Zea mays parasitology
- Abstract
Attack of plants by herbivorous arthropods may result in considerable changes to the plant's chemical phenotype with respect to emission of herbivore-induced plant volatiles (HIPVs). These HIPVs have been shown to act as repellents to the attacking insects as well as attractants for the insects antagonistic to these herbivores. Plants can also respond to HIPV signals from other plants that warn them of impending attack. Recent investigations have shown that certain maize varieties are able to emit volatiles following stemborer egg deposition. These volatiles attract the herbivore's parasitoids and directly deter further oviposition. However, it was not known whether these oviposition-induced maize (Zea mays, L.) volatiles can mediate chemical phenotypic changes in neighbouring unattacked maize plants. Therefore, this study sought to investigate the effect of oviposition-induced maize volatiles on intact neighbouring maize plants in 'Nyamula', a landrace known to respond to oviposition, and a standard commercial hybrid, HB515, that did not. Headspace volatile samples were collected from maize plants exposed to Chilo partellus (Swinhoe) (Lepidoptera: Crambidae) egg deposition and unoviposited neighbouring plants as well as from control plants kept away from the volatile emitting ones. Behavioural bioassays were carried out in a four-arm olfactometer using egg (Trichogramma bournieri Pintureau & Babault (Hymenoptera: Trichogrammatidae)) and larval (Cotesia sesamiae Cameron (Hymenoptera: Braconidae)) parasitoids. Coupled Gas Chromatography-Mass Spectrometry (GC-MS) was used for volatile analysis. For the 'Nyamula' landrace, GC-MS analysis revealed HIPV production not only in the oviposited plants but also in neighbouring plants not exposed to insect eggs. Higher amounts of EAG-active biogenic volatiles such as (E)-4,8-dimethyl-1,3,7-nonatriene were emitted from these plants compared to control plants. Subsequent behavioural assays with female T. bournieri and C. sesamiae parasitic wasps indicated that these parasitoids preferred volatiles from oviposited and neighbouring landrace plants compared to those from the control plants. This effect was absent in the standard commercial hybrid we tested. There was no HIPV induction and no difference in parasitoid attraction in neighbouring and control hybrid maize plants. These results show plant-plant signalling: 'Nyamula' maize plants emitting oviposition-induced volatiles attractive to the herbivore's natural enemies can induce this indirect defence trait in conspecific neighbouring undamaged maize plants. Maize plants growing in a field may thus benefit from this indirect defence through airborne signalling which may enhance the fitness of the volatile-emitting plant by increasing predation pressure on herbivores.
- Published
- 2016
- Full Text
- View/download PDF
43. Biosynthesis of natural and novel C-glycosylflavones utilising recombinant Oryza sativa C-glycosyltransferase (OsCGT) and Desmodium incanum root proteins.
- Author
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Hao B, Caulfield JC, Hamilton ML, Pickett JA, Midega CA, Khan ZR, Wang J, and Hooper AM
- Subjects
- Flavones chemistry, Glycosides chemistry, Molecular Structure, Flavones metabolism, Glycosides metabolism, Glycosyltransferases metabolism, Oryza chemistry, Oryza enzymology, Oryza genetics, Plant Roots metabolism
- Abstract
The rice C-glycosyltransferase (OsCGT) is one of only a small number of characterised plant C-glycosyltransferases (CGT) known. The enzyme C-glucosylates a 2-hydroxyflavanone substrate with UDP-glucose as the sugar donor to produce C-glucosyl-2-hydroxyflavanones. We tested substrate specificity of the enzyme, using synthetic 2-hydroxyflavanones, and showed it has the potential to generate known natural CGFs that have been isolated from rice and also other plants. In addition, we synthesised novel, unnatural 2-hydroxyflavanone substrates to test the B-ring chemical space of substrate accepted by the OsCGT and demonstrated the OsCGT capacity as a synthetic reagent to generate significant quantities of known and novel CGFs. Many B-ring analogues are tolerated within a confined steric limit. Finally the OsCGT was used to generate novel mono-C-glucosyl-2-hydroxyflavanones as putative biosynthetic intermediates to examine the potential of Desmodium incanum biosynthetic CGTs to produce novel di-C-glycosylflavones, compounds implicated in the allelopathic biological activity of Desmodium against parasitic weeds from the Striga genus., (Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
44. Detection, Identification, and Significance of Phytoplasmas in Wild Grasses in East Africa.
- Author
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Asudi GO, Van den Berg J, Midega CAO, Schneider B, Seemüller E, Pickett JA, and Khan ZR
- Abstract
Plant-pathogenic phytoplasmas found in wild grasses in East Africa could pose a serious threat to the cultivation of Napier grass, Pennisetum purpureum, the most important livestock fodder in the region. To asses this threat, leaves from plants of 33 grass species were sampled from Mbita, Bungoma, and Busia districts in western Kenya; Tarime district in northern Tanzania; and Busia and Bugiri districts in the eastern Uganda to determine which species host phytoplasmas, the identity of the phytoplasmas, and their relationship with disease symptoms. Phytoplasmas were detected using universal primers based on conserved phytoplasma-specific 16S rDNA sequences from 11 grass species collected. Sequence and phylogenetic analysis revealed the presence of Napier grass stunt-related phytoplasmas in 11 grass species, 'Candidatus Phytoplasma cynodontis' in three, and goosegrass white leaf phytoplasma in 2 wild grass species. This study showed that the geographical distribution, diversity of phytoplasmas, and their grass host species in East Africa is greater than antecedently thought and that typical disease symptoms, including white leaf or stunting alone, are not reliable indicators of the presence of phytoplasma. It also shows the need to identify insect vectors responsible for phytoplasma transmission from native grasses to Napier grass or other cereals present in the region.
- Published
- 2016
- Full Text
- View/download PDF
45. The biosynthesis of allelopathic di-C-glycosylflavones from the roots of Desmodium incanum (G. Mey.) DC.
- Author
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Hao B, Caulfield JC, Hamilton ML, Pickett JA, Midega CA, Khan ZR, Wang JR, and Hooper AM
- Subjects
- Glycosylation, Molecular Structure, Spectrometry, Mass, Electrospray Ionization, Allelopathy, Fabaceae chemistry, Flavones biosynthesis, Flavones chemistry, Plant Roots chemistry
- Abstract
The allelopathic root exudate of the drought-tolerant subsistence cereal intercrop D. incanum, protecting against the parasitic weed Striga hermonthica, comprises a number of di-C-glycosylflavones specifically containing C-glucosyl, C-galactosyl and C-arabinosyl moieties. Here we demonstrate that the biosynthesis of all compounds containing a C-glucose involves C-glucosylation of 2-hydroxynaringenin with subsequent C-galactosylation, C-glucosylation or C-arabinosylation. In addition, the crude soluble enzyme extract converts two fluorinated 2-hydroxyflavanone analogues to corresponding mono- and di-C-glycosylflavones demonstrating that some differences in C-ring substitution can be tolerated by the plant enzymes. Elucidating the biosynthesis of these C-glycosylflavones (CGFs) has the potential to open up opportunities for transferring the enzymic and genetic basis for the S. hermonthica inhibiting allelopathic trait to food crop plants.
- Published
- 2015
- Full Text
- View/download PDF
46. Isolation and identification of Desmodium root exudates from drought tolerant species used as intercrops against Striga hermonthica.
- Author
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Hooper AM, Caulfield JC, Hao B, Pickett JA, Midega CAO, and Khan ZR
- Subjects
- Chromatography, High Pressure Liquid, Crops, Agricultural, Droughts, Fabaceae chemistry, Flavonoids analysis, Flavonoids chemistry, Flavonoids isolation & purification, Mass Spectrometry methods, Pheromones isolation & purification, Pheromones pharmacology, Exudates and Transudates chemistry, Pheromones chemistry, Plant Roots chemistry, Striga drug effects
- Abstract
Plants from the genus Desmodium, in particular D. uncinatum, are used on sub-Saharan small-holder farms as intercrops to inhibit parasitism of cereal crops by Striga hermonthica and Striga asiatica via an allelopathic mechanism. The search for Desmodium species which are adapted to more arid conditions, and which show resilience to increased drought stress, previously identified D. intortum, D. incanum and D. ramosissimum as potential drought tolerant intercrops. Their potential as intercrops was assessed for resource poor areas of rain-fed cereal production where drought conditions can persist through normal meteorological activity, or where drought may have increasing impact through climate change. The chemical composition of the root exudates were characterised and the whole exudate biological activity was shown to be active in pot experiments for inhibition of Striga parasitism on maize. Furthermore, rain fed plot experiments showed the drought tolerant Desmodium intercrops to be effective for Striga inhibition. This work demonstrates the allelopathic nature of the new drought tolerant intercrops through activity of root exudates and the major compounds seen in the exudates are characterised as being C-glycosylflavonoid. In young plants, the exudates show large qualitative differences but as the plants mature, there is a high degree of convergence of the C-glycosylflavonoid exudate chemical profile amongst active Desmodium intercrops that confers biological activity. This defines the material for examining the mechanism for Striga inhibition., (Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
47. Ecological management of cereal stemborers in African smallholder agriculture through behavioural manipulation.
- Author
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Midega CA, Bruce TJ, Pickett JA, and Khan ZR
- Abstract
1. Africa faces serious challenges in feeding its rapidly growing human population owing to the poor productivity of maize and sorghum, the most important staple crops for millions of smallholder farmers in the continent, with yields being among the lowest in the world. 2. A complex of lepidopterous stemborers attack cereals in Africa. However, their effective control is difficult, largely as a result of the cryptic and nocturnal habits of moths, and protection provided by host stem for immature pest stages. Moreover, current control measures are uneconomical and impractical for resource-poor farmers. 3. An ecological approach, based on companion planting, known as 'push-pull', provides effective management of these pests, and involves combined use of inter- and trap cropping systems where stemborers are attracted and trapped on trap plants with added economic value ('pull'), and are driven away from the cereal crop by antagonistic intercrops ('push'). 4. Novel defence strategies inducible by stemborer oviposition have recently been discovered, leading to the attraction of egg and larval parasitoids, in locally adapted maize lines but not in elite hybrids. We also established that landscape complexity did not improve the ecosystem service of biological control, but rather provided a disservice by acting as a 'source' of stemborer pests colonising the crop. 5. Here we review and provide new data on the direct and indirect effects of the push-pull approach on stemborers and their natural enemies, including the mechanisms involved, and highlight opportunities for exploiting intrinsic plant defences and natural ecosystem services in pest management in smallholder farming systems in Africa.
- Published
- 2015
- Full Text
- View/download PDF
48. New directions for improving crop resistance to insects by breeding for egg induced defence.
- Author
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Tamiru A, Khan ZR, and Bruce TJ
- Abstract
Plant defence responses to insect oviposition, including tritrophic interactions with natural enemies of herbivores, have rarely been targeted in crop breeding programmes. Emission of herbivore induced plant volatiles (HIPVs) that attract natural enemies early on at the egg-laying stage of herbivore attack could provide timely biological control of pests and deter subsequent oviposition. This is needed in an agroecological context where the third trophic level often does not keep pace with the growth rate of pests. Our very recent data, using maize as an example, show that herbivore egg induced volatile emission is very rare in commercial hybrids but common in farmer selected landraces. Strategies for crop genetic improvement to enhance such responses to insect attack are considered., (Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
49. Responses of parasitoids to volatiles induced by Chilo partellus oviposition on teosinte, a wild ancestor of maize.
- Author
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Mutyambai DM, Bruce TJ, Midega CA, Woodcock CM, Caulfield JC, Van Den Berg J, Pickett JA, and Khan ZR
- Subjects
- Animals, Female, Host-Parasite Interactions, Moths parasitology, Olfactometry, Olfactory Perception, Random Allocation, Moths physiology, Oviposition, Pheromones metabolism, Volatile Organic Compounds metabolism, Wasps physiology, Zea mays chemistry
- Abstract
Maize, a genetically diverse crop, is the domesticated descendent of its wild ancestor, teosinte. Recently, we have shown that certain maize landraces possess a valuable indirect defense trait not present in commercial hybrids. Plants of these landraces release herbivore-induced plant volatiles (HIPVs) that attract both egg [Trichogramma bournieri Pintureau & Babault (Hymenoptera: Trichogrammatidae)] and larval [Cotesia sesamiae Cameron (Hymenoptera: Braconidae)] parasitoids in response to stemborer egg deposition. In this study, we tested whether this trait also exists in the germplasm of wild Zea species. Headspace samples were collected from plants exposed to egg deposition by Chilo partellus Swinhoe (Lepidoptera: Crambidae) moths and unexposed control plants. Four-arm olfactometer bioassays with parasitic wasps, T. bournieri and C. sesamiae, indicated that both egg and larval parasitoids preferred HIPVs from plants with eggs in four of the five teosinte species sampled. Headspace samples from oviposited plants released higher amounts of EAG-active compounds such as (E)-4,8-dimethyl-1,3,7-nonatriene. In oviposition choice bioassays, plants without eggs were significantly preferred for subsequent oviposition by moths compared to plants with prior oviposition. These results suggest that this induced indirect defence trait is not limited to landraces but occurs in wild Zea species and appears to be an ancestral trait. Hence, these species possess a valuable trait that could be introgressed into domesticated maize lines to provide indirect defense mechanisms against stemborers.
- Published
- 2015
- Full Text
- View/download PDF
50. Pylorus Preserving Pancreaticoduodenectomy vs. Standard Whipple's Procedure in Case of Carcinoma head of the Pancreas and Periampullary Carcinoma.
- Author
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Taher MA, Khan ZR, Chowdhury MM, Nur-E-Elahi M, Chowdhury AK, Faruque MS, Wahiduzzaman M, and Haque MA
- Subjects
- Abdominal Abscess, Ampulla of Vater, Humans, Pancreaticoduodenectomy, Postoperative Complications, Prospective Studies, Pylorus, Pancreatic Neoplasms
- Abstract
Pancreatic carcinoma is a life threatening condition. Surgical resection is the only hope of cure. Advances in surgical technique have reduced the mortality rate. Nevertheless, operative complications related with morbidity still remains high. Two operation techniques in the treatment of periampullary and pancreatic head cancer: the Standard Whipple operation (SW) and Pylorus Preserving Pancreaticoduodenectomy (PPPD) are performed predominantly. This study was performed to compare the results of Pylorus Preserving Pancreaticoduodenectomy (PPPD) with that of the Standard Whipple's (SW) procedure. This prospective study was carried out in the Department of General Surgery, BSMMU in two years duration. All admitted patient's with periampullary carcinoma and carcinoma of the head of the pancreas were included and randomized for a SW or a PPPD resection. Data regarding patients demographics, preoperative assessment, intraoperative and postoperative findings were collected and analyzed. Less blood loss (2.67±0.65 units in Group I and 2.88±0.64 units in Group II), fewer need of blood transfusions and shorter hospital stay in the PPPD group were observed. Gastrointestinal leakage was similar in both groups of patients (1:1). One pancreatic fistula (8.3% in Group I) was observed in PPPD group and one intra-abdominal abscess developed in Standard Whipple's procedure (00.0% in Group I and 12.5% in Group II). Bile leakage was higher in standard Whipple procedure (8.3% in Group I and 37.5% in Group II). Morbidity was more or less similar in both groups (58.0% in Group I and 50.0% in Group II) but one patient (12.5% in Group II) died in standard Whipple's resection. PPPD procedure is more effective treatment for periampullary carcinoma and cancer of the pancreatic head region than the standard Whipple's operation.
- Published
- 2015
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