Knowledge and Practices on Prevention of COVID-19 among Traditional Medical Practitioners in Sri Lanka

Introduction: An outbreak of pneumonia of unknown reason was named as COVID-19 by WHO and declared as pandemic. It was observed as most people infected with the COVID-19 virus is mild to moderate respiratory illness and recover without getting treatment. Older people with chronic diseases are more likely to develop serious illness. There is no effective modern medicine available so far for the treatment of COVID-19. Objectives: To assess the Knowledge on prevention of COVID-19 Epidemic in among the Traditional Doctors. Methodology: Descriptive study was conducted among the 20 Traditional Practitionerson Knowledge and prevention of Corona Epidemic by purposively selected, open ended questionnaire that used a 5-point Likert scale for the response option. Recoding in to different variable and Analysis each question. According to that frequency distribution as 1-3 responses in to1 - Inadequate knowledge 4-5 responses in to 2- Adequate knowledge. The questionnaire included socio demographic characteristics, questions regarding the Knowledge and prevention of Corona Epidemic (Q1 toQ10). SPSS Software (16 version) used for Statistical analyzing. Descriptive statistics such as frequencies, mean mode, Slandered deviation and percentage were used to describe variables. Results: According to the present study mean age was 49.6+1.2737(SD). Considering all the questions Q1 to Q10 Adequate knowledge vary in 50 -80% and Inadequate knowledge vary in 15-50%. In our study 80% of them were mentioned that corona infection was mainly affected to the respiratory tract, most common symptoms were sore throat in 70%, transmission of the Corona infection through air 50%, reduce social distance less than one meter 80% was the main cause for the infection transmission through the society, the precautions for prevent the corona infection through the society that Keeping social distance more than one meter in 85%, The advises given by them in the management lived separately from others until cure the diseases in 45%,The treatment protocol followed them in the treatment Administration of immunity enhancement drugs 30%, wholesome foods and behaviors suitable for corona infection were reducing Kaphadosha (one of the body humor) 35%. Conclusion: In the present study Considering all the questions Q1 to Q10 most of them have adequate knowledge. Although they were not expressed much details of the treatment protocol in the management. It is recommended that further large scale studies are needed to confirm the knowledge and Prevention of Corona epidemic.

Chronobiological Effect on the Reproductive Behavior of Chrysomya megacephala (Diptera: Calliphoridae)

The most widely used entomological method of determining the time since death (minimum postmortem interval, mPMI) has been calculating the developmental time of blow flies (Diptera: Calliphoridae) on the deceased body. However, because blow flies are known to be diurnal, nocturnal oviposition has been excluded from standard mPMI calculations. This has been challenged by recent studies demonstrating nocturnal oviposition due to an unknown reason. Therefore, this study investigated the role of chronobiology. We recorded the locomotion amount and pattern of Chrysomya megacephala (Fabricius, 1794) (Diptera: Calliphoridae) under different chronobiological conditions and examined whether Ch. megacephala can oviposit under nighttime conditions in field and laboratory settings. Subjects were found to have a daily activity pattern under normal darkness conditions (12:12 L:D) and under continuous darkness (DD), but they exhibited no pattern under continuous light (LL). Free-running period was approximately 1,341 min/d (22.35 h/d). In the field, no flies were observed during nighttime. Oviposition occurred in the laboratory setting during daytime with no lights and during nighttime with artificial lights. Free-running subjects oviposited in both active and resting periods, with more eggs laid during active than resting periods. The result of this study indicates it is possible to induce oviposition behavior during evening hours on Ch. megacephala. However, this was only observed in the laboratory setting and could only happen during the flies’ subjective day.

Molecular Insights into SARS-CoV2-Induced Alterations of the Gut/Brain Axis

For a yet unknown reason, a substantial share of patients suffering from COVID-19 develop long-lasting neuropsychiatric symptoms ranging from cognitive deficits to mood disorders and/or an extreme fatigue. We previously reported that in non-neural cells, angiotensin-1 converting enzyme 2 (ACE2), the gene coding for the SARS-CoV2 host receptor, harbors tight co-expression links with dopa-decarboxylase (DDC), an enzyme involved in the metabolism of dopamine. Here, we mined and integrated data from distinct human expression atlases and found that, among a wide range of tissues and cells, enterocytes of the small intestine express the highest expression levels of ACE2, DDC and several key genes supporting the metabolism of neurotransmitters. Based on these results, we performed co-expression analyses on a recently published set of RNA-seq data obtained from SARS-CoV2-infected human intestinal organoids. We observed that in SARS-CoV2-infected enterocytes, ACE2 co-regulates not only with DDC but also with a specific group of genes involved in (i) the dopamine/trace amines metabolic pathway, (ii) the absorption of microbiota-derived L-DOPA and (iii) the absorption of neutral amino acids serving as precursors to neurotransmitters. We conclude that in patients with long COVID, a chronic infection and inflammation of small intestine enterocytes might be indirectly responsible for prolonged brain alterations.

Vegetation conditions in various plant communities and their performance in district Tharparkar, Sindh, Pakistan

Six villages were registered for the experimental purpose/plantation where more than 25,000 plants were planted to develop range forest. These plants were developed at Marvi nursery PARC-Arid Zone Research Institute, Umerkot and some were purchased from private nursery situated at Mirpurkhas. Results revealed that maximum plants mortality rate was found at village Ratnore and lowest mortality of plants was observed at Mithrio Charan. Plants damaged due to unknown reason (natural), termite attack and diseases. In various locations most of plants were affected by termites than others biotic and abiotic factors. The most influenced plant was Prosopis cinerera. Maximum plants survived numbers of grafted ber was found at village Ratnore, the biomass production of green and dry grasses was taken after harvesting. A highest green grass weight 21812.58 kg and dry 3439.83 kg were observed from elephant grass stock and lowest green weight 5001.92 kg from Gatten grass and dry weight 477.57 kg per acre were recorded from Rhode grass 1 (Sabri). Gatten grass and Rhode grass 1 (Sabri) were found lower weight. All these seven grasses showed excellent performance except Elephant grass and Gatten grass. These two grasses needed more water as compared to remaining five species. These grasses when fed by goats their milk production was increased and goats like to feed these grasses. The pictures of these grasses showed their appearance and health irrigated by underground brackish water with more than 2200 ppm. Keywords: grown, plants, performance, Tharparkar.

Genomic comparison of non-photosynthetic plants from the family Balanophoraceae with their photosynthetic relatives

The plant family Balanophoraceae consists entirely of species that have lost the ability to photosynthesize. Instead, they obtain nutrients by parasitizing other plants. Recent studies have revealed that plastid genomes of Balanophoraceae exhibit a number of interesting features, one of the most prominent of those being a highly elevated AT content of nearly 90%. Additionally, the nucleotide substitution rate in the plastid genomes of Balanophoraceae is an order of magnitude greater than that of their photosynthetic relatives without signs of relaxed selection. Currently, there are no definitive explanations for these features. Given these unusual features, we hypothesised that the nuclear genomes of Balanophoraceae may also provide valuable information in regard to understanding the evolution of non-photosynthetic plants. To gain insight into these genomes, in the present study we analysed the transcriptomes of two Balanophoraceae species (Rhopalocnemis phalloides and Balanophora fungosa) and compared them to the transcriptomes of their close photosynthetic relatives (Daenikera sp., Dendropemon caribaeus, and Malania oleifera). Our analysis revealed that the AT content of the nuclear genes of Balanophoraceae did not markedly differ from that of the photosynthetic relatives. The nucleotide substitution rate in the genes of Balanophoraceae is, for an unknown reason, several-fold larger than in the genes of photosynthetic Santalales; however, the negative selection in Balanophoraceae is likely stronger. We observed an extensive loss of photosynthesis-related genes in the Balanophoraceae family members. Additionally, we did not observe transcripts of several genes whose products function in plastid genome repair. This implies their loss or very low expression, which may explain the increased nucleotide substitution rate and AT content of the plastid genomes.

Chronic Recurrent Traumatic Tongue Ulcer

Ulcerations are characterized by defects in the epithelium, underlying connective tissue, or both. Due to diversity of causative factors and presenting features, diagnosis of oral ulcerative lesions might be quite challenging. Tongue ulcers are open sores or cuts on the tongue. Tongue ulcers can be painful and raw and can be irritated by eating and drinking. One of the most common types of tongue ulcers is the canker sore, which may arise for an unknown reason or be linked to a number of different irritants. This article is an attempt to elaborate the treatment protocols with couple of case reports

A phase I clinical trial investigating the telomerase vaccine UV1 in combination with pembrolizumab in patients with advanced melanoma.

2620 Background: UV1, a telomerase peptide-based vaccine, consists of 3 long peptides (15-30 aa) representing a 54 aa sequence in the catalytic unit of the reverse transcriptase subunit of telomerase (hTERT). UV1 contains both CD4 and CD8 epitopes, and immunogenicity is shown in 78% of HLA unselected patients (pts.) in prior studies. UV1 induced expansion of hTERT specific CD4+ T cells that might be relevant in tumors expressing telomerase, theoretically enabling enhanced checkpoint efficacy in pts. with insufficient spontaneously primed T cells. Reciprocally, checkpoint inhibitor may support the UV1-induced T cells and provide increased effector activity, as these cells may be restricted by intrinsic and tumor-induced suppressor mechanisms. Methods: UV1 was combined with standard of care pembrolizumab in pts. with advanced melanoma. The primary objective of this phase I, multicenter study (NCT03538314), was to evaluate safety and tolerability of UV1 in combination with standard pembrolizumab. Secondary objective was evaluation of response rate (RR) according to iRECIST. Pts. received, in a serial manner, adjuvant GM-CSF and UV1 (300μg) intradermally followed by pembrolizumab. The first 3 UV1/GM-CSF doses were given during week 1, and from week 2 in combination with pembrolizumab (Q3W). Two different doses of GM-CSF were investigated: 37.5μg (20 pts. cohort 1) and 75μg (10 pts. cohort 2). Totally 8 UV1/GM-CSF vaccinations per pt. were planned (14 weeks). Results: In total 30 pts. were enrolled; cohort 1 (N = 20); cohort 2 (N = 10). The abstract reports cohort 1 results. The majority of adverse events (AEs) reported was grade 1 or 2 (48%, 41%). Main AEs were fatigue (8%), injection site reaction (5%), diarrhea (4%) and pyrexia (3%). 18% and 30% of AEs were possibly/definitely related to UV1 or pembrolizumab, respectively. Three patients experienced SAE, one (inflammatory arthritis) was considered possibly related to UV1. No severe allergic reactions were observed. Pembrolizumab was continued after completion of UV1 treatment in 14 pts. for a mean of 8.2 months (range 3-21). Four pts. discontinued pembrolizumab due to PD, one for irAE and one for unknown reason. The RR was 60%, with 5 CRs, and the 1-year survival rate 85 %. Conclusions: Results from cohort 1 (N = 20) show that the treatment of UV1 together with pembrolizumab was safe and well tolerated in patients with advanced melanoma. Updated data with minimum 18 months follow-up will be presented at the conference. Cohort 2 results will be presented at a later stage. Clinical trial information: NCT03538314. [Table: see text]

Longitudinal association between sleep features and refractive errors in preschoolers from the EDEN birth-cohort

Refractive errors are common, especially in children and adolescents, leading to global health issues, academic implications and economic costs. Circadian rhythm and sleep habits may play a role. The study included 1130 children from the EDEN birth-cohort. Data were collected through parental questionnaires at age 2 and 5 for sleep duration and timing, and at age 5 for refractive error. At 5 years, 20.4% were prescribed glasses (2% for myopia, 11.9% for hyperopia and 6.8% for unknown reason). Children slept on average (SD) 11h05/night (± 30 min) and 10h49/night (± 48 min) at age 2 and 5, respectively. Average bedtime and midsleep was 8.36 pm (± 30 min), 2.06 am (± 36 min), and 8.54 pm (± 30 min), 2.06 am (± 24 min) at age 2 and 5, respectively. A U-shaped association was observed between sleep duration at age 2 and eyeglass prescription at age 5. Later midsleep and bedtime at age 2 were associated with an increased risk of eyeglass prescription at age 5. Associations became borderline significant after adjustment for confounding factors. Sleep duration and timing at age 2 were associated with subsequent refractive errors in preschoolers from general population. Sleep hygiene might be a target for refractive errors prevention.

Interspecies Genomic Variation and Transcriptional Activeness of Secondary Metabolism-Related Genes in Aspergillus Section Fumigati

Filamentous fungi produce various bioactive compounds that are biosynthesized by sets of proteins encoded in biosynthesis gene clusters (BGCs). For an unknown reason, many BGCs are transcriptionally silent in laboratory conditions, which has hampered the discovery of novel fungal compounds. The transcriptional reactiveness of fungal secondary metabolism is not fully understood. To gain the comprehensive view, we conducted comparative genomic and transcriptomic analyses of nine closely-related species of Aspergillus section Fumigati (A. fumigatus, A. fumigatiaffinis, A. novofumigatus, A. thermomutatus, A. viridinutans, A. pseudoviridinutans, A. lentulus, A. udagawae, and Neosartorya fischeri). For expanding our knowledge, we newly sequenced genomes of A. viridinutans and A. pseudoviridinutans, and reassembled and reannotated the previously released genomes of A. lentulus and A. udagawae. Between 34 and 84 secondary metabolite (SM) backbone genes were identified in the genomes of these nine respective species, with 8.7–51.2% being unique to the species. A total of 247 SM backbone gene types were identified in the nine fungi. Ten BGCs are shared by all nine species. Transcriptomic analysis using A. fumigatus, A. lentulus, A. udagawae, A. viridinutans, and N. fischeri was conducted to compare expression levels of all SM backbone genes in four different culture conditions; 32–83% of SM backbone genes in these species were not expressed in the tested conditions, which reconfirmed that large part of fungal SM genes are hard to be expressed. The species-unique SM genes of the five species were expressed with lower frequency (18.8% in total) than the SM genes that are conserved in all five species (56%). These results suggest that the expression tendency of BGCs is correlated with their interspecies distribution pattern. Our findings increase understanding of the evolutionary processes associated with the regulation of fungal secondary metabolism.

Neurological Deterioration Following Bilateral Burr-Hole Drainage for Chronic Subdural Hematoma: A Case Report

Background: Spontaneous intracranial hypotension (SIH) is a relatively rare but known pathology that results in brain herniation or sagging due to CSF hypovolemia. SIH can commonly be misdiagnosed when occurring with other pathologies including chronic subdural hematoma (CSDH). Neurological decline caused by SIH is rare, but is often rapid and much more severe. Case description: A 69-year-old man was delivered to the emergency department for loss of consciousness and mild left hemiparesis. Brain computed tomography (CT) revealed increased density over basal cisterns suggestive of subarachnoid hemorrhage (SAH), and CSDH. Cerebral angiography showed dural arteriovenous fistula, but there was no apparent cerebral aneurysm. We first performed trans-arterial embolization using n-butyl cyanoacrylate, followed by bilateral hematoma evacuation. A postoperative CT showed that CSDH was evacuated, but the subdural space was filled with free air. A subsequent CT examination revealed mild re-accumulation of CSDH without significant brain compression. On postoperative day 14 the patient became progressively lethargic, for which he was transferred to the intensive care unit. As gadolinium-enhanced magnetic resonance imaging and radionuclide cisternography suggested the leakage of cerebrospinal fluid, an epidural catheter was inserted in the head- down positioned patient and an epidural infusion of saline was given for 3 days. The patient stabilized and regained consciousness over 2 weeks. The patient became neurologically intact with imaging showing almost complete parenchymal expansion and resolution of subdural fluid collection. Conclusion: This is an instructive case because the patient deteriorated after the surgery for CSDH, but it is also a unique case because the deterioration occurred over 14 days. This report emphasizes the possibility that SIH should be taken into consideration when there is an unknown reason for early CSDH recurrence and neurological deterioration.