A randomized,placebo controlled,trial of preoperative sustained release Betamethasone plus non-controlled intraoperative Ketorolac or Fentanyl on pain after diagnostic laparoscopy or laparoscopic tubal ligation [ISRCTN52633712

BACKGROUND: Gynecological laparoscopic surgery procedures are often complicated by postoperative pain resulting in an unpleasant experience for the patient, delayed discharge, and increased cost. Glucocorticosteroids have been suggested to reduce the severity and incidence of postoperative pain. METHODS: This study examines the efficacy of a sustained release betamethasone preparation to reduce postoperative pain and the requirement for pain relief drugs after either diagnostic laparoscopy or tubal ligation. Patients were recruited, as presenting, after obtaining informed consent. Prior to surgery, patients were randomly selected by a computer generated table to receive either pharmacy-coded betamethasone (12 mg IM Celestone trade mark ) or an optically identical placebo injection of Intralipid trade mark and isotonic saline mixture. The effect of non-controlled prophylactic intraoperative treatment with either fentanyl or ketorolac per surgeon's orders was also noted in this study. Blood samples taken at recovery and at discharge times were extracted and analyzed for circulating betamethasone. Visual analog scale data on pain was gathered at six post-recovery time points in a triple blind fashion and statistically compared. The postoperative requirement for pain relief drugs was also examined. RESULTS: Although the injection achieved a sustained therapeutic concentration, no beneficial effect of IM betamethasone on postoperative pain or reduction in pain relief drugs was observed during the postoperative period. Indeed, the mean combined pain scores during the 2 hour postoperative period, adjusted for postoperative opioids as the major confounding factor, were higher approaching statistical significance (P = 0.056) in the treatment group. Higher pain scores were also observed for the tubal ligation patients relative to diagnostic laparoscopy. Intraoperative fentanyl treatment did not significantly lower the average pain score during the 2 hour postoperative period. Intraoperative ketorolac treatment significantly lowered (P = 0.027) pain scores and reduced the postoperative requirement for additional pain relief drugs. CONCLUSIONS: There was a lack of efficacy of preoperative sustained release betamethasone in reducing postoperative pain despite maintaining a therapeutic concentration during the postoperative period. Intraoperative Ketorolac did afford some short-term pain relief in the postoperative period and reduced the need for additional pain relief drugs.     

Simian virus 40 late proteins possess lytic properties that render them capable of permeabilizing cellular membranes

Many nonenveloped viruses have evolved an infectious cycle that culminates in the lysis or permeabilization of the host to enable viral release. How these viruses initiate the lytic event is largely unknown. Here, we demonstrated that the simian virus 40 progeny accumulated at the nuclear envelope prior to the permeabilization of the nuclear, endoplasmic reticulum, and plasma membranes at a time which corresponded with the release of the progeny. The permeabilization of these cellular membranes temporally correlated with late protein expression and was not observed upon the inhibition of their synthesis. To address whether one or more of the late proteins possessed an inherent capacity to induce membrane permeabilization, we examined the permeability of Escherichia coli that separately expressed the late proteins. VP2 and VP3, but not VP1, caused the permeabilization of bacterial membranes. Additionally, VP3 expression resulted in bacterial cell lysis. These findings demonstrate that VP3 possesses an inherent lytic property that is independent of eukaryotic signaling or cell death pathways.     

Effect of floral orifice width and shape on hummingbird-flower interactions

Nectar guides are common among insect-pollinated plants, yet are thought to be rare or absent among hummingbird-pollinated plants. We hypothesize that the lower lips and trumpet-shaped orifices of many hummingbird flowers act as nectar guides to direct hummingbirds to the flowers' nectar and orient the birds for pollination. To test this hypothesis we conducted laboratory experiments using flowers of Monarda didyma (bee balm) and M. fistulosa (wild bergamot), which have orifice widths of about 4 mm and 2 mm, respectively, and latex flowers with orifice widths of 4 mm and 2 mm and three orifice shapes (trumpet, lipped, and lipless). Rubythroated hummingbirds (Archilochus colubris) made fewer errors during bill insertion and spent a smaller proportion of their feeding visit in error at M. didyma flowers than at M. fistulosa flowers, and at unaltered flowers of both species than at flowers with lower lips removed. Handling times were longer at both lipped and lipless flowers of M. didyma than at those of M. fistulosa, and at lipped than at lipless flowers of M. didyma. The average duration of contact between a hummingbird and a flower's anthers and stigma was longer at M. didyma than at M. fistulosa for both lipped and lipless flowers, and at lipped than at lipless M. didyma flowers. Hummingbirds missed the openings of latex flowers with their bills more frequently and spent a greater percentage of their total feeding visit in error at (i) 2-mm than at 4-mm flowers of all three shapes, (ii) lipless flowers than at trumpet or lipped flowers, and (iii) lipped flowers than at trumpet flowers of both widths. The duration of hummingbird/anther contact was longer at (i) 2-mm than at 4-mm flowers of all shapes, (ii) lipped than at trumpet or lipless flowers, and (iii) lipless than at trumpet flowers for both widths. No significant differences in handling times of hummingbirds were observed among any of the latex flower shapes or widths. Our results demonstrate that orifice shapes can act as guides by reducing the frequency of feeding errors by visiting hummingbirds, and that effects of orifice shape on pollination must be considered in conjunction with flower widths and locations of anthers and stigmas.     

DNA barcoding Indian marine fishes

DNA barcoding has been adopted as a global bio-identification system for animals in recent years. A major national programme on DNA barcoding of fish and marine life was initiated in India by the authors during 2006 and 115 species of marine fish covering Carangids, Clupeids, Scombrids, Groupers, Sciaenids, Silverbellies, Mullids, Polynemids and Silurids representing 79 Genera and 37 Families from the Indian Ocean have been barcoded for the first time using cytochrome c oxidase I gene (COI) of the mtDNA. The species were represented by multiple specimens and a total of 397 sequences were generated. After amplification and sequencing of 707 base pair fragment of COI, primers were trimmed which invariably generated a 655 base pair barcode sequence. The average Kimura two parameter (K2P) distances within species, genera, families, orders were 0.30%, 6.60%, 9.91%, 16.00%, respectively. In addition to barcode-based species identification system, phylogenetic relationships among the species have also been attempted. The neighbour-joining tree revealed distinct clusters in concurrence with the taxonomic status of the species.     

The Viroporin Activity of the Minor Structural Proteins VP2 and VP3 Is Required for SV40 Propagation

For nonenveloped viruses such as Simian Virus 40, the mechanism used to translocate viral components across membranes is poorly understood. Previous results indicated that the minor structural proteins, VP2 and VP3, might act as membrane proteins during infection. Here, purified VP2 and VP3 were found to form pores in host cell membranes. To identify possible membrane domains, individual hydrophobic domains from VP2 and VP3 were expressed in a model protein and tested for their ability to integrate into membranes. Several domains from the late proteins supported endoplasmic reticulum membrane insertion as transmembrane domains. Mutations in VP2 and VP3 were engineered that inhibited membrane insertion and pore formation. When these mutations were introduced into the viral genome, viral propagation was inhibited. This comprehensive approach revealed that the viroporin activity of VP2 and VP3 was inhibited by targeted disruptions of individual hydrophobic domains and the loss of membrane disruption activity impaired viral infection.