Background: High-density lipoprotein (HDL) has a reverse relation with incidence of coronary artery disease (CAD). Paraoxonase (PON) is an HDL associated enzyme responsible for antioxidant capacity of HDL. Oxidative modification of LDL results in formation of oxLDL. This can be reduced by Paraoxonase, which has anti-inflammatory and antioxidant function. Aim: To evaluate and compare the level of HDL, oxLDL and Paraoxonase (PON) activity in Coronary Artery Disease patients with controls. Effort was also made to correlate HDL with PON, also to correlate OxLDL with PON and HDL. Materials and Method: 60 clinically proven CAD patients within the age group of 35 to 70 were selected from OPD of Dr. Somervell Memorial CSI Medical College, Kerala. 60 controls within the same age group without any history of CAD was selected from subjects coming for Health Checkup. Results: HDL and PON were significantly lowered in CAD patients than in controls (P<0.05). OxLDL, Total Cholesterol, Triglyceride, LDL and VLDL were significantly higher in CAD patients than in controls (P<0.05). Correlation Analysis showed a positive correlation of HDL and PON. Statistically significant negative correlation was observed in case of oxLDL with PON and HDL.
Background: Human Papillomavirus causes various types of cancer in both men and women. Woman with HPV infection has a risk of developing invasive cervical cancer. Globally, HPV 16 and 18 were predominant. This study aims to find the distribution of various HPV types in South Andaman. Methods: A cross sectional study conducted among woman in South Andaman where cervical scrapes were collected after the collecting the written informed consent. Detection of HPV genotypes was carried out by using PCR assay. Further, sequencing analysis was performed using MEGA11 to identify various genotypes in this territory. Result: Of these 1000 samples, 32 were positive for HR-HPV16 and 4 were positive for HR-HPV18. Fifteen HPV genotypes were detected using molecular evolutionary analysis. Six cases were identified with multiple genotypes. Most prevalent genotype is HPV16 which belonged to Lineage-A and sub-lineage A2. HPV18 identified in South Andaman belonged to the lineage A1 to A5. Discussion: Various HPV types were identified among women in South Andaman. Global burden of cervical cancer associated with various HPV sub-lineages. HPV-16 A1 sub-lineage was globally widespread whereas sub-lineages A1, A2 and D1 was prevailing in South Andaman. Conclusion: High risk HPV identified in this study enlightening the importance of HPV vaccination among the woman in remote places. These findings will help to strengthen public health awareness programs and prevention strategies for the women in remote areas.
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