ABSTRACT Biliary adenofibroma (BAF) is an uncommon liver tumor with a high propensity for malignant transformation. The histomorphology of BAF with malignant transformation can show a spectrum of changes ranging from benign, dysplastic to frank malignancy. Thus, the diagnosis of BAF imposes the pursuit of dysplasia/ malignancy focus. We presented a case of intrahepatic cholangiocarcinoma arising from BAF in a 49-year-old woman with detailed histomorphology. We also performed a PubMed database search and tabulated all previously reported cases of BAF with dysplasia/ malignant transformation. A statistic comparison of age, sex ratio, size of the tumor, and survival following complete resection between BAFs with and without dysplasia/ malignancy from the retrieved data is presented. Our analysis did not highlight any statistically significant difference between BAFs with and without dysplasia/ malignancy in age, sex ratio, tumor size, and survival following complete surgical resection. Our study highlights the histopathology and immunohistochemistry of a case of BAF with malignant transformation and highlights the importance of this diagnosis in management. Further longitudinal studies on a larger cohort of patients are required to validate our findings.

Abstract Diffuse hepatic hemangiomatosis (DHH) is an uncommon vascular lesion, though hemangiomas are the commonest benign tumors of the liver. The etiology is largely unknown to date; however, its association with giant cavernous hemangiomas (GCH) has been reported in the literature. We present herein, the case of a 37-year-old hypothyroid woman with abdominal fullness for 2 months. The contrast-enhanced computed tomography revealed multiple well-encapsulated lesions involving the liver lobes and was diagnosed as giant cavernous hemangiomas. Most of them, except the deep-seated ones, were enucleated. Histopathological examination highlighted the presence of GCH with irregular margin, replacement of hepatic parenchyma, and presence of multiple micro-hemangiomas suggesting the possibility of DHH further substantiated by retrospective radiological assessment. No extrahepatic vascular lesion was noted, and the post-operative recovery and follow-up were uneventful. Adult DHH is an uncommon entity. The diagnosis of DHH and its distinction from GCH are important from the management and prognostic point of view as recurrence, extrahepatic manifestations, features of consumption coagulopathy, and death from the complications are not uncommon.

Abstract: The present study was carried out to evaluate the effects of microwave (MW) radiation on viability of wood decaying fungi. The white rot (Trametes versicolor) and brown rot (Rhodonia placenta) fungi were grown on bamboo culm-samples. The mycelium growths were observed in controlled as well as microwave treated samples. The results showed that the viability of fungi decreased according to the applied MW time. This study proved the ability of the microwaves and exposure time MW3 (180 seconds) to kill the fungal colonies and do not allow for the growth of fungal spores, means the rate of growth of fungal colonies is inversely proportional to time of microwave exposure.

RESUMO Introdução: Crianças com síndrome nefrótica apresentam maior risco de infecções devido ao próprio status da doença e ao uso de vários agentes imunossupressores. Em grande parte, as infecções desencadeiam recidivas que exigem hospitalização, com risco aumentado de morbidade e mortalidade. Este estudo teve como objetivo determinar a incidência, o espectro e os fatores de risco para infecções graves em crianças hospitalizadas com síndrome nefrótica. Métodos: Todas as crianças hospitalizadas consecutivamente entre 1 e 12 anos de idade com síndrome nefrótica foram incluídas no estudo. Crianças com nefrite aguda, síndrome nefrótica secundária, bem como aquelas admitidas para biópsia renal diagnóstica e infusão intravenosa de ciclofosfamida ou rituximabe foram excluídas. Resultados: Foram cadastradas 148 crianças com 162 internações. A incidência de infecções graves em crianças hospitalizadas com síndrome nefrótica foi de 43,8%. A peritonite foi a infecção mais comum (24%), seguida por pneumonia (18%), infecção do trato urinário (15%) e celulite (14%), contribuindo com dois terços das principais infecções. Streptococcus pneumoniae (n = 9) foi o organismo predominantemente isolado em crianças com peritonite e pneumonia. Na análise de regressão logística, a albumina sérica < 1,5gm / dL foi o único fator de risco independente para todas as infecções (OR 2,6; 95% CI, 1,2-6; p = 0,01), especialmente para peritonite (OR 29; IC95% 3 -270, p = 0,003). Houve quatro mortes (2,5%) em nosso estudo, todas devido a sepse e falência de múltiplos órgãos. Conclusões: A infecção continua sendo uma importante causa de morbimortalidade em crianças com síndrome nefrótica. Como o Pneumococo foi a causa mais prevalente de infecção nessas crianças, deve-se atentar para a imunização pneumocócica em crianças com síndrome nefrótica.

ABSTRACT Introduction: Children with nephrotic syndrome are at increased risk of infections because of disease status itself and use of various immunosuppressive agents. In majority, infections trigger relapses requiring hospitalization with increased risk of morbidity and mortality. This study aimed to determine the incidence, spectrum, and risk factors for major infections in hospitalized children with nephrotic syndrome. Methods: All consecutive hospitalized children between 1-12 years of age with nephrotic syndrome were enrolled in the study. Children with acute nephritis, secondary nephrotic syndrome as well as those admitted for diagnostic renal biopsy and intravenous cyclophosphamide or rituximab infusion were excluded. Results: A total of 148 children with 162 admissions were enrolled. Incidence of major infections in hospitalized children with nephrotic syndrome was 43.8%. Peritonitis was the commonest infection (24%), followed by pneumonia (18%), urinary tract infection (15%), and cellulitis (14%), contributing with two thirds of major infections. Streptococcus pneumoniae (n = 9) was the predominant organism isolated in children with peritonitis and pneumonia. On logistic regression analysis, serum albumin < 1.5gm/dL was the only independent risk factor for all infections (OR 2.6; 95% CI, 1.2-6; p = 0.01), especially for peritonitis (OR 29; 95% CI, 3-270; p = 0.003). There were four deaths (2.5%) in our study, all due to sepsis and multiorgan failure. Conclusions: Infection remains an important cause of morbidity and mortality in children with nephrotic syndrome. As Pneumococcus was the most prevalent cause of infection in those children, attention should be paid to the pneumococcal immunization in children with nephrotic syndrome.

ABSTRACT The first ever long-term measurement of black carbon (BC) aerosols over an urban location at the central Indo-Gangetic Plain (IGP) is presented. Both short- and long-term variations in BC during the period 2009-2013 are discussed with specific emphasis on variation in BC sources, meteorology, trend and possible transport pathways across the IGP. High BC mass loading was noted with a 5-yr composite mean (± SD) of 11.8 (± 8.6) µg m-3, having strong and consistent seasonal variations (median: 8.8; range: 1.4-48.0 µg m-3). Winter (21.5 ± 9.9µ gm-3) and post-monsoon (17.4 ± 10.2 µg m-3) specific rises in BC mass were consistent with the increase in household emissions, and from agricultural residue burning. The BC mass concentration was mostly influenced by local sources, while sudden change in BC was consistent with the change in Delta-C, indicating emissions primarily from biomass burning. Beside sources, atmospheric boundary layer height was noted to considerably influence short-term variations in BC concentration. A statistically significant monotonic increasing trend in BC concentration (0.9 µg m-3 yr-1) was computed along with its 95% uncertainty bounds (0.38-1.52 µ gm-3 yr-1). Increase in BC concentration was consistent with a rise in BC sources across the IGP and over India. Furthermore, clear evidence of local and regional scale transport of BC aerosols was found using the particle Lagrangian model.

RESUMEN Se presentan las primeras mediciones a largo plazo de aerosoles de carbono negro (CN) en una ubicación urbana de la llanura indogangética media (IGP, por sus siglas en inglés). Tanto las variaciones a corto como a largo plazo en CN de 2009 a 2013 se analizan con énfasis específico en la variación de las fuentes de CN, la meteorología, la tendencia y el posible mecanismo de transporte a través de la IGP. Se observó una carga de CN excepcionalmente alta con una media (± DE) de 11.8 (± 8.6), con un patrón estacional fuerte y constante (mediana: 8.8; rango: 1.4-48.0 μg m-3). El aumento específico en el invierno (21.5 ± 9.9 μg m-3) y la temporada post monzón (17.4 ± 10.2 μg m-3) fue consistente con el aumento de las emisiones domésticas y la quema de residuos agrícolas. La masa de CN fue influenciada principalmente por fuentes locales, mientras que el cambio repentino en la concentración de CN fue consistente con el cambio en Delta-C, lo cual indica que las emisiones provienen principalmente de fuentes biogénicas de CN. Además de las fuentes, la altura de la capa límite atmosférica influyó considerablemente en la carga de CN. También se calculó una tendencia creciente monotónica estadísticamente significativa en la concentración de CN (0.9 μg m-3 yr-1) junto con sus correspondientes límites de incertidumbre de 95% (0.38-1.52 μg m-3 yr-1). Tal aumento gradual en CN fue consistente con el aumento potencial en sus fuentes. Además, se encontró evidencia clara del transporte local y regional de aerosoles de utilizando el modelo lagrangiano de partículas.

ABSTRACT In search of lead molecules for use in disease prevention and as food additive from natural sources, two flavanols were isolated from leaves of Anthocephalus cadamba (Roxb.) Miq., Rubiaceae. Their structures were established as 6-hydroxycoumarin-(4"→8)-(-)-epicatechin and 6-hydroxycoumarin-(4"→8)-(-)-epicatechin-(4→6‴)-(-)-epicatechin on the basis of spectroscopic data. Both the compounds exhibited potent antioxidant and antigenotoxic activity. 6-Hydroxycoumarin-(4"→8)-(-)-epicatechin scavenged DPPH, ABTS+.and superoxide anion radicals with IC50 values of 6.09 µg/ml, 5.95 µg/ml and 42.70 µg/ml respectively whereas the IC50 values for 6-hydroxycoumarin-(4"→8)-(-)-epicatechin-(4→6‴)-(-)-epicatechin were 6.62 µg/ml for DPPH free radicals, 6.93 µg/ml for ABTS radical cations and 49.08 µg/ml for superoxide anion radicals. Both the compounds also exhibited potent reducing potential in reducing power assay and protected the plasmid DNA (pBR322) against the attack of hydroxyl radicals generated by Fenton's reagent in DNA protection assay. In SOS chromotest, 6-hydroxycoumarin-(4"→8)-(-)-epicatechin decreased the induction factor induced by 4NQO (20 µg/ml) and aflatoxin B1 (20 µg/ml) by 31.78% and 65.04% respectively at a concentration of 1000 µg/ml. On the other hand, 6-hydroxycoumarin-(4"→8)-(-)-epicatechin-(4→6‴)-(-)-epicatechin decreased the genotoxicity of these mutagens by 37.11% and 47.05% respectively. It also showed cytotoxicity in COLO-205 cancer cell line with GI50 of 435.71 µg/ml. Both the compounds showed moderate cyclooxygenase-2 inhibitory activity.