Hibiscus rosa-sinensis leaves (family Malvaceae) were analyzed for their fatty acid, fatty alcohol, and hydrocarbon contents. Wax hydrocarbons ranging from C16 to C32 with C23, C25, C27, and C31 as major components and wax alcohols between C21 and C30 with C26, iso-C28, and iso-C30 as major components were found to be present in the petroleum ether fraction of the leaves. Fatty acids ranging from C8 to C28 with C8, C12, C14, CI 6, and C18:2 as major components were found in the combined form. Two cyclic acids, sterculic and malvalic, have also been identified.

Transabdominal repair of VVF in properly selected patients results in satisfactory treatment outcome.

Objectives: Metabolic syndrome (MetS) is a cluster of several metabolic disorders including hyperglycemia, reduced high-density lipoprotein cholesterol, and raised triglyceride level in serum, hypertension, and abdominal obesity. Glycated hemoglobin (HbA1c) is used as one of the diagnostic criteria for diabetes and diagnostic tool for MetS. Methods: The present study was conducted at Prasad Institute of Medical Sciences. The study includes 150 patients with MetS as a case and 150 healthy volunteers as a control. MetS was diagnosed according to National Cholesterol Education Program’s Adult Treatment Panel III criteria. HbA1c was assayed in various components of MetS. Results: It was found that HbA1c was significantly higher in MetS patients when compared to control group. Conclusion: Our study suggests that HbA1c might be used as a diagnostic criterion for MetS. Therefore, proper glycemic control should be maintained by maintaining HbA1c level <6.5% to prevent from diabetes and MetS.

We report the case of a 33-year-old woman returning from Haiti, presenting to our emergency department (ED) with fever, rash and arthralgia. Following a broad workup that included laboratory testing for dengue and malaria, our patient was diagnosed with Chikungunya virus, which was then reported to the Centers for Disease Control and Prevention for initiation of infection control. This case demonstrates the importance of the ED for infectious disease case identification and initiation of public health measures. This case also addresses public health implications of Chikungunya virus within the United States, and issues related to the potential for local spread and autochthonous cases.