Sample records for betel

  1. Pilot study of the pharmacokinetics of betel nut and betel quid biomarkers in saliva, urine, and hair of betel consumers (United States)

    Franke, Adrian A.; Li, Xingnan; Lai, Jennifer F.


    Approximately 600 million people worldwide practise the carcinogenic habit of betel nut/quid chewing. Carcinogenic N-nitroso compounds have been identified in saliva or urine of betel chewers and the betel alkaloid arecoline in hair from habitual betel quid chewers. However, the pharmacokinetic parameters of these compounds have been little explored. Assessment of betel use by biomarkers is urgently needed to evaluate the effectiveness of cessation programmes aimed at reducing betel consumption to decrease the burden of cancers in regions of high betel consumption. In the search for biomarkers of betel consumption, we measured by liquid chromatography-mass spectrometry (LC-MS) the appearance and disappearance of betel alkaloids (characteristic for betel nuts), N-nitroso compounds, and chavibetol (characteristic for Piper Betle leaves) in saliva (n=4), hair (n=2), and urine (n=1) of occasional betel nut/quid chewers. The betel alkaloids arecoline, guvacoline, guvacine, and arecaidine were detected in saliva of all four participants and peaked within the first 2 h post-chewing before returning to baseline levels after 8 h. Salivary chavibetol was detected in participants consuming Piper Betle leaves in their quid and peaked ~1 h post-chewing. Urinary arecoline, guvacoline, and arecaidine excretion paralleled saliva almost exactly while chavibetol glucuronide excretion paralleled salivary chavibetol. No betel nut related compounds were detected in the tested hair samples using various extraction methods. From these preliminary results, we conclude that betel exposure can only be followed on a short-term basis (≤8 h post-chewing) using the applied biomarkers from urine and saliva while the feasibility of using hair has yet to be validated. PMID:26619803

  2. Developmental Strategies of Betel Nut Industry in Hainan Province

    Institute of Scientific and Technical Information of China (English)


    The developmental status of the betel nut industry is introduced, including cultivation situation, processing and development situation, and consumer market situation. The result shows that the cultivation of betel nut in Hainan Province develops rapidly and the primary processing of betel nut has formed certain scale, but the deep processing of betel nut is backward. Except for the mino amount of the betel nuts consumed by Hainan Island, a large majority of the betel nuts are processed into dry fruit to sell to Hunan Province to reprocess. The problems exist in the development of betel nut industry in Hainan Province are analyzed, covering blind cultivation, extensive management, backward processing, lagged new product development and the single and concentrated consumer market. The strategic choice of developing the betel nut industry of Hainan Province is analyzed as well. Hainan Province should carry out the green, sustainable, diversified, cooperative and export-oriented industrial developmental strategy.

  3. Modes of betel leaf consumption in early India

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    Andrea Gutierrez


    Full Text Available In this article, I analyse some food practices surrounding betel in early Indian history. Betel consumption was not prescribed for everyone in Brahmanical society. Hence I examine texts referring to betel from the late pre-modern to early modern era (roughly 300–1800 ce in order to explain proscriptions of betel in the legal discourse that discusses religious practice. The literature I consider in my analysis of betel consumption ranges from the kāmaśāstra genre, influential works of tantra, texts detailing worship, and ascetic and renunciant guides. Material cultural studies aid my exploration of betel as a socio-religious identity marker and my development of three modes of betel consumption and one mode of non-consumption.

  4. Composition of betel specific chemicals in saliva during betel chewing for the identification of biomarkers (United States)

    Franke, Adrian A.; Mendez, Ana Joy; Lai, Jennifer F.; Arat-Cabading, Celine; Li, Xingnan; Custer, Laurie J.


    Betel nut chewing causes cancer in humans including strong associations with head and neck cancer in Guam. In the search for biomarkers of betel chewing we sought to identify chemicals specific for the 3 most commonly consumed betel preparations in Guam: nut (‘BN’), nut + Piper betle leaf (‘BL’), and betel quid (‘BQ’) consisting of nut+lime+tobacco+Piper betle leaf. Chemicals were extracted from the chewing material and saliva of subjects chewing these betel preparations. Saliva analysis involved protein precipitation with acetonitrile, dilution with formic acid followed by LCMS analysis. Baseline and chewing saliva levels were compared using t-tests and differences between groups were compared by ANOVA; p<0.05 indicated significance. Predominant compounds in chewing material were guvacine, arecoline, guvacoline, arecaidine, chavibetol, and nicotine. In chewing saliva we found significant increases from baseline for guvacine (BN, BQ), arecoline (all groups), guvacoline (BN), arecaidine (all groups), nicotine (BQ), and chavibetol (BL, BQ) and significant differences between all groups for total areca- specific alkaloids, total tobacco-specific alkaloids and chavibetol. From this pilot study, we propose the following chemical patterns as biomarkers: areca alkaloids for BN use, areca alkaloids and chavibetol for BL use, and areca alkaloids plus chavibetol and tobacco-specific alkaloids for BQ use. PMID:25797484

  5. Betel nut chewing and its deleterious effects on oral cavity

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    Richa Anand


    Full Text Available The habit of chewing betel nut has a long history of use. Betel nut and products derived from it are widely used as a masticatory product among various communities and in several countries across the world. Over a long period, several additives have been added to a simple betel nut preparation; thus, creating the betel quid (BQ and encompassing chewing tobacco in the preparation. Betel nut has deleterious effects on oral soft tissues. Its effects on dental caries and periodontal diseases, two major oral diseases are less well-documented. Betel-induced lichenoid lesions mainly on buccal mucosa have been reported at quid retained sites. In chronic chewers, a condition called betel chewers mucosa is often found where the quid is placed. Betel nut chewing is implicated in oral submucous fibrosis (OSF and its use along with tobacco can cause leukoplakia, both of which are potentially malignant in the oral cavity. Oral cancer often arises from such precancerous changes. Thus, public health measures to quit betel use are recommended to control disabling conditions such as OSF and oral cancer.

  6. Current Situation and Management Recommendations about Betel Nut Planting in Hainan

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    Huide HUANG; Haolun HUANG; Haiqing LIU


    The betel nut planting area and yield in Hainan have reached 94000 ha and 231000 t,respectively.There are some problems in betel nut planting such as dispersed cultivation,irrational planting layout,excessively dense planting and serious betel nut yellow leaf disease.For the sustainable development of Hainan betel nut,it is necessary to focus on building the disease-resistant betel nut plantation,so as to prevent and control the occurrence and spread of betel nut yellow leaf disease;transform the low-yield betel nut plantation,and strengthen betel nut production management,in order to improve betel nut yield and promote sustainable development of betel nut industry.

  7. Predictors of betel quid chewing behavior and cessation patterns in Taiwan aborigines

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    Chang Shun-Jen


    Full Text Available Abstract Background Betel quid, chewed by about 600 million people worldwide, is one of the most widely used addictive substances. Cessation factors in betel quid chewers are unknown. The present study explores prevalence and the quit rate of betel quid chewing in Taiwan aborigines. Our goal was to delineate potential predictors of chewing cessation. Methods A stratified random community-based survey was designed for the entire aborigines communities in Taiwan. A total of 7144 participants were included between June 2003 and May 2004 in this study. Information on sociodemographic characteristics, such as gender, age, obesity, education years, marital status, ethnicity, and habits of betel quid chewing, smoking and drinking was collected by trained interviewers. Results The prevalence of betel quid chewers was 46.1%. Betel quid chewing was closely associated with obesity (OR = 1.61; 95% CI: 1.40–1.85. Betel quid chewers were most likely to use alcohol and cigarettes together. Quit rate of betel quid chewers was 7.6%. Betel quid chewers who did not drink alcohol were more likely to quit (OR = 1.89; 95% CI: 1.43–2.50. Alcohol use is a significant factor related to cessation of betel quid chewing, but smoking is not. Conclusion Taiwan aborigines have a high prevalence of betel quid chewers and a low quit rate. Alcohol use is strongly association with betel quid chewing. Efforts to reduce habitual alcohol consumption might be of benefit in cessation of betel quid chewing.

  8. Betel nut chewing, oral premalignant lesions, and the oral microbiome (United States)

    Hernandez, Brenda Y.; Zhu, Xuemei; Goodman, Marc T.; Gatewood, Robert; Mendiola, Paul; Quinata, Katrina; Paulino, Yvette C.


    Oral cancers are attributed to a number of causal agents including tobacco, alcohol, human papillomavirus (HPV), and areca (betel) nut. Although betel nut chewing has been established as an independent cause of oral cancer, the mechanisms of carcinogenesis are poorly understood. An investigation was undertaken to evaluate the influence of betel nut chewing on the oral microbiome and oral premalignant lesions. Study participants were recruited from a dental clinic in Guam. Structured interviews and oral examinations were performed. Oral swabbing and saliva samples were evaluated by 454 pyrosequencing of the V3- V5 region of the 16S rRNA bacterial gene and genotyped for HPV. One hundred twenty-two adults were enrolled including 64 current betel nut chewers, 37 former chewers, and 21 with no history of betel nut use. Oral premalignant lesions, including leukoplakia and submucous fibrosis, were observed in 10 chewers. Within-sample bacterial diversity was significantly lower in long-term (≥10 years) chewers vs. never chewers and in current chewers with oral lesions vs. individuals without lesions. Between-sample bacterial diversity based on Unifrac distances significantly differed by chewing status and oral lesion status. Current chewers had significantly elevated levels of Streptococcus infantis and higher and lower levels of distinct taxa of the Actinomyces and Streptococcus genera. Long-term chewers had reduced levels of Parascardovia and Streptococcus. Chewers with oral lesions had significantly elevated levels of Oribacterium, Actinomyces, and Streptococcus, including Streptococcus anginosus. In multivariate analyses, controlling for smoking, oral HPV, S.anginosus, and S. infantis levels, current betel nut chewing remained the only predictor of oral premalignant lesions. Our study provides evidence that betel nut chewing alters the oral bacterial microbiome including that of chewers who develop oral premalignant lesions. Nonetheless, whether microbial changes

  9. Attention Inhibition Training Can Reduce Betel-Nut Chewing Time

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    Ming-Chou Ho


    Full Text Available Betel nut (or areca is the fourth most commonly used drug worldwide after tobacco, alcohol, and caffeine. Many chemical ingredients of betel nut are carcinogenic. We examined whether the manipulation of attentional inhibition toward the areca-related stimuli could affect betel-nut chewing time. Three matched groups of habitual chewers were recruited: inhibit-areca, inhibit-non-areca, and control. This study consisted of a Go/No-Go task for inhibition training, followed by a taste test for observing chewing behavior. The Go/No-Go task constituted three phases (pretest, training and posttest. In the taste test, the habitual chewers were asked to rate the flavors of one betel nut and one gum. The purpose (blind to the chewers of this taste test was to observe whether their picking order and chewing time were affected by experimental manipulation. Results from the Go/No-Go task showed successful training. Further, the training groups (the inhibit-areca and inhibit-non-areca groups showed a significant reduction in betel nut chewing time, in comparison to the control group. Since both training groups showed reduced chewing time, the inhibition training may affect general control ability, in regardless of the stimulus (areca or not to be inhibited. Reduced chewing time is important for reducing areca-related diseases.

  10. The phytochemistry, traditional uses and pharmacology of Piper Betel. linn (Betel Leaf): A pan-asiatic medicinal plant. (United States)

    Fazal, Farhan; Mane, Prajwal P; Rai, Manoj P; Thilakchand, Karadka R; Bhat, Harshith P; Kamble, Prathibha S; Palatty, Princy L; Baliga, Manjeshwar Shrinath


    Since antiquity, Piper betel. Linn, commonly known as betel vine, has been used as a religious, recreational and medicinal plant in Southeast Asia. The leaves, which are the most commonly used plant part, are pungent with aromatic flavor and are widely consumed as a mouth freshener. It is carminative, stimulant, astringent and is effective against parasitic worms. Experimental studies have shown that it possess diverse biological and pharmacological effects, which includes antibacterial, antifungal, larvicidal, antiprotozal, anticaries, gastroprotective effects, free radical scavenging, antioxidant, anti-inflammatory hepatoprotective, immunomodulatory, antiulcer and chemopreventive activities. The active principles hydroxychavicol, allylpyrocatechol and eugenol with their plethora of pharmacological properties may also have the potential to develop as bioactive lead molecule. In this review, an attempt is made to summarize the religious, traditional uses, phytochemical composition and experimentally validated pharmacological properties of Piper betel. Emphasis is also placed on aspects warranting detail studies for it to be of pharmaceutical/clinical use to humans.

  11. The Effects of Preventive Intervention for Betel Nut Chewing in School (United States)

    Wang, Su-Chen; Tsai, Chi-Cheng; Huang, Shun-Te; Hong, Yu-Jue


    Purpose: This study was to explore the effect of preventive health education intervention in the knowledge, attitude, practice of betel nut chewing, and self-efficacy of anti-betel nut chewing for adolescent students. Methods: One hundred eighty-six indigenous samples were recruited, and divided into experimental and control groups. The…

  12. Betel Nut Chewing Behavior among Adolescents in Eastern Taiwan: A Cluster Analysis (United States)

    Chen, Han-Ying; Waigandt, Alex C.


    The prevalence of betel nut chewing among junior high school students is highest in the eastern region of Taiwan (Lin, 1990). Although there is some research on the prevalence rate, little effort has been paid to developing a classification of betel nut chewing behavior applicable to adolescents. Eight-hundred and forty-three students, including…

  13. Evaluation of Surface anesthetic action of Aqueous Extract of Piper Betel leaf On Rabbit Cornea

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    Full Text Available Aim: Piper betel Linn. (Piperaceae commonly known as betel leaf and the habit of betel chewing is widely prevalent in most parts of India. It is claimed to have aphrodisiac, laxative, antimicrobial, mucolytic, antiinflammatory and euphoric properties and proven antimutagenic and anti-carcinogenic effect. It is commonly observed that chewing of betel leaf produces numbness in the mouth, suggesting a possible local anesthetic effect. This observation prompted us to take this study . The aim of the study was to evaluate the local anesthetic activity of betel leaf extract after autoclaving the extract of betel leaf. Materials and methods: Extract of plain betel leaf, was tested for surface anesthetic activity using rabbits. Aqueous extraction of Piper betel leaf (AEPBL done by Soxhelts apparatus .Twenty male Rabbit’s were taken and divided in to four groups each group contain 5 animals, Group I - Standard (2% xylocaine, Group II - Test 0.3% (AEPBL, Group III - Test 0.6 % (AEPBL,Group IV - Test 12 % (AEPBL was instilled in conjunctival sac of right eyes. Standard protocol was followed to elicit light reflex, corneal reflex and to measure pupillary size after instilling the test drugs in the eye. There was dose dependent increase in onset and duration of local anesthetic activity with 6% and 12% doses of alcoholic extract of Piper betel leaf. Results: Betel leaf showed significant surface anesthetic activity comparable to that of Xylocaine. Conclusion: As a surface anesthetic, the onset was as quick as xylocaine and the duration was shorter than xylocaine

  14. Betel Quid and Oral Potentially Malignant Disorders in a Periurban Township in Myanmar (United States)

    Zaw, Ko-Ko; Ohnmar, Mya; Hlaing, Moh-Moh; Oo, Yin-Thet-Nu; Win, Swe-Swe; Htike, Maung-Maung-Than; Aye, Phyu-Phyu; Shwe, Sein; Htwe, Moe-Thida; Thein, Zaw-Moe


    This study aims to describe betel quid chewing practice and compare oral potentially malignant disorders between chewers and non-chewers of betel quid among residents in Dagon Myothit (East) Township, Myanmar. The study used a cross-sectional design conducted with a representative sample of 542 adults aged 18 years and above in the township. The trained interviewers collected data using a pretested structured questionnaire. On-site oral examination was done for suspected oral lesions. The mean age of the respondents was 45 years and 59% were women. Fifty-two percent of the respondents were currently in the habit of chewing betel quids (72% of men and 39% of women). Among 284 current betel quid chewers, 240 (85%) chewed betel quids together with tobacco. Out of 284 current betel quid chewers, 24 (8.5%) were found to have oral potentially malignant disorders; out of 258 betel quid non-chewers, only 1 (0.4%) was found to have oral potentially malignant disorders. This highlights the growing importance of smokeless tobacco use as public health problem. PMID:27611195

  15. A qualitative study on tobacco smoking and betel quid use among Burmese refugees in Australia. (United States)

    Furber, Susan; Jackson, Janet; Johnson, Keryn; Sukara, Radmila; Franco, Lisa


    Anecdotal evidence suggests that there are high rates of smoking among Burmese men in Wollongong, Australia. A qualitative study was undertaken to explore the beliefs and experiences of Burmese refugees in Wollongong on smoking to guide the development of smoking cessation interventions. Three focus groups were conducted with Burmese refugees. Ten semi-structured interviews were conducted with service providers involved with Burmese refugees. Qualitative content analysis was used to categorise responses to the questions. Participants were aware of the health effects of tobacco smoking but had little knowledge of support for quitting. Many participants chewed betel quid and were unaware of the health consequences. Service providers noted the lack of resources on smoking and betel quid use for Burmese people. Smoking cessation interventions for Burmese people should consider the co-related use of betel quid due to the possibility of inadvertently encouraging use of betel nut as an alternative to tobacco.

  16. Phosphate-solubilizing microbes and their occurrence in the rhizospheres of Piper betel in Karnataka, India




    Low phosphate solubility is one of the most important factors limiting the plant growth in Indian soils. Many microorganisms can enhance phosphate solubility, but little is known about the magnitude of their phosphorus-solubilizing ability. The native populations of phosphate-solubilizing bacteria and fungi were studied in different rhizospheric soil samples obtained from betel vine plants (Piper betel L.) in order to compare the results. The present study focuses on the phosphate-solubilizin...

  17. Comparing factors affecting commencement and cessation of betel quid chewing behavior in Taiwanese adults

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    Kuo Hsiao-Ching


    Full Text Available Abstract Background Betel quid is the fourth most common used substance in the world after tobacco, alcohol and caffeine. Although factors related to betel quid chewing or cessation of behaviors were reported previously, few studies simultaneously compared both behaviors in the same population. In addition, it is essential to consider time-to-event concept, since the chance of developing or stopping habit may vary over time. The purpose of this study was to compare the risk factors for commencement and cessation of betel quid chewing behaviors in a time-to-event setting. Methods A stratified multi-stage cluster sampling with selection probabilities proportional to size (PPS was designed for Taiwanese adults with aged 18 years old and above. Kaplan-Meier estimates and Cox proportional hazard regression models were used to compare and calculate the hazard rate ratios for related factors to commencement or cessation of chewing habits. Results In Taiwan, men had a higher betel quid chewing rate (M: 20.9%, W: 1.2%, but woman chewers had a lower cessation rate (M: 27.5%, W: 12.7%. The hazard rate ratio (HRR of having chewing habit changed from 4.22 (men vs women univariately to 1.38 multivariablely, which indicated gender differences were confounded by other factors. In multivariable analysis, the risk factors of gender, education and ethnicity were significantly associated with both starting and cessation of betel quid chewing behavior. The factors of occupation, cigarette smoking and alcohol drinking were only associated with starting habit. Conclusion Commencement or cessation of chewing behavior involves a scenario of time, hence it is preferable to use a time-to-event approach for the comparison. The cessation rates of betel quid chewing were decreasingly associated with the daily consumption of betel quid. Hence, reducing of daily amount in betel quid cessation program may be associated with future stopping habit.

  18. Interaction of collagen-related genes and susceptibility to betel quid-induced oral submucous fibrosis. (United States)

    Chiu, Chung-Jung; Chang, Min-Lee; Chiang, Chun-Pin; Hahn, Liang-Jiunn; Hsieh, Ling-Ling; Chen, Chien-Jen


    Oral submucous fibrosis (OSF) is a precancerous condition of the oral cavity. It is a collagen-related disorder induced by betel quid chewing, a habit that is common in Taiwan. However, the cumulative exposure to betel quids varies in OSF patients. It seems that there is individual susceptibility to betel quid-induced OSF. This study compared the association of OSF and polymorphisms of six collagen-related genes, collagen 1A1 and 1A2 (COL1A1 and COL1A2), collagenase-1 (COLase), transforming growth factor beta1 (TGF-beta1), lysyl oxidase (LYOXase), and cystatin C (CST3), between patients with low and high exposure to betel quids. A total of 166 patients with OSF from a medical center and 284 betel quid chewers who were free of OSF and oral cancer, from the same hospital and five townships, were recruited. PCR-based restriction fragment length polymorphism assays were used to determine the genotypes of the six collagen-related genes situated on different chromosomes. We found that the genotypes associated with the highest OSF risk for collagen 1A1, collagen 1A2, collagenase-1, transforming growth factor beta1, lysyl oxidase, and cystatin C were CC, AA, TT, CC, AA, and AA, respectively, for the low-exposure group, and TT, BB, AA, CC, GG, and AA, respectively, for the high-exposure group. A trend was noted for an increased risk of OSF with increasing number of high-risk alleles for those with both high and low exposures for betel quid. The cell selection mechanism of oral fibroblasts is proposed to explain the effect of the modification of cumulative betel quid exposure on the risk profiles of collagen-related genes. These results imply that susceptibility to OSF could involve multigenic mechanisms modified by the betel quid-exposure dose.


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    K Vani


    Full Text Available Betel a branching vine, scientifically called as Piper betel, is used in a number of traditional remedies and known to have immune boosting as well as antibacterial properties. This study was conducted to assess the qualitative changes in the sub-gingival micro flora, after the chewing of betel leaves, in order to evaluate the antimicrobial effect of this medicinal plant on oral pathogens.Forty volunteers were made to chew betel leaves daily for 5-10 minutes for a period of two weeks and the sub gingival plaque samples were analyzed to identify the change in type organisms if any.We have identified a wide variation in the type of organisms in the sub gingival plaque samples after the study period. Many organisms had reduced while few increased and interestingly few organisms which were not observed in the plaque sample prior to the use of betel leaf have appeared after the use. Significant alteration observed was pertaining to Streptococcus viridans group of organisms which is the commonest oral pathogen.The analysis showed chewing of betel leaf can reduce the pathogenic organisms in the sub gingival microflora.

  20. Betel quid, chewing habits and difficult intubation: A case report and critical appraisal of evidence for practice


    Narendra, P. L.; Harihar V Hegde; Vijaykumar, T. K.; Nallamilli, Samson


    Betel quid is used by 10–20% of world of population. Oral submucus fibrosis (OSF) is a chronic premalignant disease common in South Asian countries where betel quid is chewed. It is characterized by juxtaepithelial fibrosis of oral cavity and limited mouth opening, which can cause difficult intubation. A recent study in Taiwan has revealed long-term betel nut chewing is not predictor of difficult intubation. We describe two cases of OSF and critically analyze this study and its implications f...

  1. The synergistic effect of cigarette taxes on the consumption of cigarettes, alcohol and betel nuts

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    Lee Jie-Min


    Full Text Available Abstract Background Consumption of cigarettes and alcoholic beverages creates serious health consequences for individuals and overwhelming financial burdens for governments around the world. In Asia, a third stimulant – betel nuts – increases this burden exponentially. For example, individuals who simultaneously smoke, chew betel nuts and drink alcohol are approximately 123 times more likely to develop oral, pharyngeal and laryngeal cancer than are those who do not. To discourage consumption of cigarettes, the government of Taiwan has imposed three taxes over the last two decades. It now wishes to lower consumption of betel nuts. To assist in this effort, our study poses two questions: 1 Will the imposition of an NT$10 Health Tax on cigarettes effectively reduce cigarette consumption? and 2 Will this cigarette tax also reduce consumption of alcoholic beverages and betel nuts? To answer these questions, we analyze the effect of the NT$10 tax on overall cigarette consumption as well as the cross price elasticities of cigarettes, betel nuts, and alcoholic beverages. Methods To establish the Central Bureau of Statistics demand function, we used cigarette, betel nut, and alcoholic beverage price and sales volume data for the years 1972–2002. To estimate the overall demand price elasticity of cigarettes, betel nuts, and alcoholic beverages, we used a seemingly unrelated regression analysis. Results We find that the NT$10 health tax on cigarettes will reduce cigarette consumption by a significant 27.22%. We also find that cigarettes, betel nuts, and alcoholic beverages have similar inherent price elasticities of -0.6571, -0.5871, and -0.6261 respectively. Because of this complementary relationship, the NT$10 health tax on cigarettes will reduce betel nut consumption by 20.07% and alcohol consumption by 7.5%. Conclusion The assessment of a health tax on cigarettes as a smoking control policy tool yields a win-win outcome for both government and

  2. Hypolipidemic activity ofPiper betel in high fat diet induced hyperlipidemic rat

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    Thirunavukkarasu Thirumalai; Narayanaswamy Tamilselvan; Ernest David


    Objective:To evaluate the hypolipidemic effect ofPiper betel(P. betel) in high fat diet induced hyperlipidemia rat.Methods:The methanol leaf extract was tested for hypolipidemic effect in the albino rats at the selected optimum dosage of250 mg/kg body weight and administered orally.Adult male albino rats of six numbers in each group were undertaken study and evaluated. Results:In groupII animals, the activity levels of serum total cholesterol(TC), triglycerides (TG), low density lipoprotein(LDL) and very low density lipoprotein-cholesterol(VLDL) were significantly enhanced when compared to that of normal rat.Conclusion:It could be said that the methanolic leaf extract ofP. betel exhibited a significant hypolipidemic effect.

  3. Betel quid, chewing habits and difficult intubation: A case report and critical appraisal of evidence for practice. (United States)

    Narendra, P L; Hegde, Harihar V; Vijaykumar, T K; Nallamilli, Samson


    Betel quid is used by 10-20% of world of population. Oral submucus fibrosis (OSF) is a chronic premalignant disease common in South Asian countries where betel quid is chewed. It is characterized by juxtaepithelial fibrosis of oral cavity and limited mouth opening, which can cause difficult intubation. A recent study in Taiwan has revealed long-term betel nut chewing is not predictor of difficult intubation. We describe two cases of OSF and critically analyze this study and its implications for clinical practice. OSF is now seen in Saudi Arabia and western countries with use of commercial betel quid substitutes. Although betel quid without tobacco is used in Taiwan, available evidence suggests rapid and early development of OSF where commercial chewing products like Pan Masala are used in India. Effects of betel quid may vary depending on the composition of quid and chewing habits. Studies where personal habits are involved must be analyzed carefully for external validity. Even though, Taiwan study is controlled, its validity outside Taiwan is highly questionable. Since OSF can cause unanticipated difficult intubation, thus during preanesthetic assessment, history of betel quid chewing, more importantly use of commercial chewing products is more likely to give clues to severity of OSF and possible difficult intubation. Further controlled trails in populations where commercial chewing products are used is necessary to detect association of chewing habits and difficult intubation.

  4. Plasma fibrinogen degradation products in betel nut chewers - with and without oral submucous fibrosis

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    G Kiran


    Full Text Available Context: Oral submucous fibrosis (OSMF has a multifactorial etiology. Recent studies have shown that there is an increased level of fibrinogen degradation products (FDP in plasma of OSMF patients suggesting its possible role in etiopathogenesis of OSMF. Aims: To detect the presence of FDP in the plasma of betel nut chewers with and without OSMF and in normal subjects without any habits, to correlate these levels with respect to the clinical and histological grading of OSMF and whether it can be used as a nonsurgical diagnostic aid in detection of suspected OSMF cases. Materials and Methods: Study comprised of 35 cases of betel nut chewers with OSMF, 10 patients with betel nut chewing habit but having apparently normal oral mucosa, and 10 normal patients without any habits. The patients were evaluated for plasma FDP levels. Results: All the betel nut chewers with OSMF showed the presence of plasma FDP. However, controls and subjects with habit, but without OSMF did not show FDP in the plasma. Spearman′s rank correlation was used to find the association between the clinical and histological grades and it was not statistically significant (P = 0.910 and the correlation being 0.020. Conclusion: Since only those patients with OSMF have showed the presence of FDP in plasma, we suggest that our test can be utilized as a nonsurgical diagnostic aid in suspected OSMF patients.

  5. Sociocultural Factors that Affect Chewing Behaviors among Betel Nut Chewers and Ex-Chewers on Guam. (United States)

    Murphy, Kelle L; Herzog, Thaddeus A


    Areca nut (betel nut) is chewed by an estimated 10% of the world's population which is equivalent to about 600 million people. It is classified as a Group 1 carcinogen by the World Health Organization (WHO) and has been linked to various types of oral cancer. Chewing areca predominates in South and South East Asia, East Africa, and the Western Pacific and has important social and cultural implications. The purpose of the pilot study was twofold: (1) to examine sociocultural factors that affect why people on Guam chew betel nut, their chewing behaviors, perceptions of risks, probability of changing behaviors, and methods that could be used to reduce use or quit; and (2) to pilot two surveys (one for chewers and one for ex-chewers) to be used in a larger study in the future. A mixed methods design was employed that included surveys pertaining to their status (chewer or ex-chewer) and in-depth interviews. A total of 30 adults participated in this pilot study: adult betel nut chewers (n = 15) and ex-chewers (n = 15). Chewing betel nut is a learned behavior, embedded within the culture, and is viewed as an important cultural identifier. Socially, chewing is viewed as positive. Chewers stated that they were not as aware of health issues; however, ex-chewers stated health reasons for quitting.

  6. Betel Nut Composition and Diabetes Mellitus in U.K. Asian Populations

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    Spyrou, N.M.; Ridge, C.; Boucher, B.J.


    We have instigated a pilot study to investigate the trace element status of selected type 2 Diabetes Mellitus (DM) populations of Caucasians and South Asians living in southeast England and matched controls. As part of this program, betel nut-based chewing substances, some with and others without tobacco leaves incorporated, have been analyzed using instrumental neutron activation analysis.

  7. Effect of orally administered betel leaf (Piper betle Linn.) on digestive enzymes of pancreas and intestinal mucosa and on bile production in rats. (United States)

    Prabhu, M S; Platel, K; Saraswathi, G; Srinivasan, K


    The influence of two varieties of betel leaf (Piper betle Linn.) namely, the pungent Mysore and non-pungent Ambadi, was examined on digestive enzymes of pancreas and intestinal mucosa and on bile secretion in experimental rats. The betel leaves were administered orally at two doses which were either comparable to human consumption level or 5 times this. The results indicated that while these betel leaves do not influence bile secretion and composition, they have a significant stimulatory influence on pancreatic lipase activity. Besides, the Ambadi variety of betel leaf has a positive stimulatory influence on intestinal digestive enzymes, especially lipase, amylase and disaccharidases. A slight lowering in the activity of these intestinal enzymes was seen when Mysore variety of betel leaf was administered, and this variety also had a negative effect on pancreatic amylase. Further, both the betel leaf varieties have shown decreasing influence on pancreatic trypsin and chymotrypsin activities.

  8. Effectivity of Betel Leaf (Piper betle L. Gel Extract in Shortening Bleeding Time After Deciduous Tooth Extraction

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    Regina Tedjasulaksana


    Full Text Available Background: As an Indonesian traditional medicine, betel leafis often used to stop nosebleed. Effective substances in betel leaves which serves to stop the bleeding is tannin. Objective: The aim of this study was to determine the effectiveness of the betel leaf ethanol extract gel shortened bleeding time after the revocation of deciduous teeth. Method: This research was conducted at the Department of Dental Nursing Clinic, Health Polytechnic Denpasar.This study is pure experimental research design with Completely Randomized Post Test Only Control Group Design. The total sample of 27 respondents were divided into a treatment group and two control groups. Anterior deciduous teeth on the physiological loose grade 3 or 4 is extracted, then the tooth socket is put pure gel for group 1 to group 2, epinephrine gel and gel ethanol extract of betel leaf for group 3. The bleeding time is calculated from the first moment the blood out until there is blood on filter paper that is placed on the tooth socket. Data were statistically analyzed with descriptive test and comparability test with One Way Anova. Result: The results showed bleeding time pure gel groups differ significantly with epinephrine group and the group of ethanol extract of betel leaf gel (p< 0.05. Bleeding time of epinephrine group did not differ significantly with betel leaf ethanol extract group (p>0.05. Conclusion: This means ethanol gel betel leaf extract can shorten bleeding after deciduous tooth extraction and it is suggested that the use of gel ethanol extract of betel leaves to cope with bleeding after tooth extraction.

  9. Financial viability and conservation role of betel leaf based agroforestry: an indigenous hill farming system of Khasia community in Bangladesh

    Institute of Scientific and Technical Information of China (English)

    Mizanur Rahman; Mohammad Mahfuzur Rahman; Mahmuda Islam


    A study was conducted to investigate the cultural and financial management techniques of betel leaf based agroforestry system practiced in or near homegardens of Khasia community in Jaintapur Upazila in the district of Sylhet, Bangladesh. The Khasia is an educated community where 100% of Khasia people were literate, a stunning fact for this ethnic community in Bangladesh. The average family size in the study area was 7.68, with a ration of male and females of 141:100. The homegardens of the Khasia are rich in species composition, which 15 timber species, 22 horticultural species, six medicinal species, 13 annual crops including leafy vegetables, seven species of spices and five species of bamboo were identified along with betel leaf. The Khasia is an economically prosperous community with the minimum family incomes of Tk 4000 per month (Tk. 70=1 US Dollar). Betel leaf based agroforestry is very common being a prevalent source of income. About 95.45% of the households are involved in betel leaf husbandry. The mean annual income from one hectare of betel leaf plantation was estimated to be Tk. 80979. This practice was proven to be a profitable business where the benefit cost ratio was calculated to be 4.47. Moreover, the species composition in the betel leaf plantation area (the forest area once utilized by Khasia for shifting cultivation) was found to be very promising to play the significant role in conservation of biological diversity making the practice a sustainable agroforestry system.

  10. Effect of Piper betel leaf stalk extract on protein metabolism in reproductive tissues of male albino rats

    Institute of Scientific and Technical Information of China (English)

    Vengaiah V; Govardhan Naik A; Changamma C


    Objective: To know the impact of Piper betel leaf stalk (P. betel) extract on Protein and energy metabolism and its role in male albino rats. Methods: Healthy adult (3-4 months old) male Wistar strain albino rats were administered with betel leaf stalk extract, at the dose of 50 mg/kg/day through oral gavages for 15 days. Twenty four hours after the last dose, the animals were autopsied. In order to assess antifertility effect in testis, epididymis, seminal vesicle and prostate gland, estimation of total, soluble and structural proteins, free amino acids and DNA, RNA were undertaken. Results: The accumulation in proteins indicates the anti-androgenic effect of extract. The reduction in free amino acids will affect the sertoli cell function, results in the damage of spermatogenesis. The significant elevation in testicular DNA content (hyperplasia) was observed. In the present study, P. betel leaf stalk extract decreases the concentration of RNA, in testes, seminal vesicle and prostate gland except in epididymis where it was elevated. It indicates the alterations in rate of protein synthesis and growth rate of tissues due to the administration of P. betel leaf stalk extraction. However, the RNA: DNA ratio was reduced except in prostate. Conclusions: P. betel leaf stalk extract exert its anti androgenic effect by alterations in rate of protein synthesis and cellular hypertrophy occur in prostate.

  11. Betel leaf toothpastes inhibit dental plaque formation on fixed orthodontic patients

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    Rizka Amelia Mayasari


    Full Text Available Background: Brackets, archwires, ligatures, and other fixed orthodontic appliance components complicate the use of conventional oral-hygiene measures. This often results in significant plaque accumulation around the bracket bases. The addition of betel leaf extract in toothpaste is expected to inhibit the growth of dental plaque. Purpose: The purpose of this study was to evaluate the effect of betel leaf toothpaste in inhibiting plaque formation on the fixed orthodontic patients. Methods: This study was done on dental student of Airlangga University aged 18–24 years, have been wearing fixed orthodontic appliances for 1–2 years, have no systemic diseases. The samples were divided into two groups, consisting of 20 samples. First group of samples brushed their teeth with betel group of samples brushed their teeth with betel brushed their teeth with betel leaf toothpaste and the second using placebo. The subjects were instructed to brush their teeth using Scrub method until reaching zero (0 scor of orthodontic plaque index (OPI. Plaque scores were taken again 4 hours after brushing. The statistical analysis was done by using paired t test. Results: The average of accumulated plaque on group that use betel leaf toothpaste was 25.54 and placebo was 41.09. The result showed that there was significant difference in plaque accumulation between the group with betel leaf toothpaste and placebo 4 hours after brushing (p = 0.001. Conclusion: In conclusion, betel leaf toothpaste is effective in inhibiting the dental plaque formation on the fixed orthodontic patients. Latar belakang: Bracket, kawat busur, kawat ligatur dan komponen peranti ortodonti cekat yang lain mempersulit pembersihan gigi secara konvensional. Hal ini sering menyebabkan terjadinya akumulasi plak di sekitar dasar braket. Penambahan ekstrak daun sirih yang mempunyai efek bakterisid pada pasta gigi diharapkan dapat menghambat pertumbuhan plak. Tujuan: Tujuan penelitian ini adalah untuk

  12. Health Beliefs About Tobacco With Betel Nut Use Among Adults in Yap, Micronesia. (United States)

    Tareg, Aileen Rosogmar Castaritas; Modeste, Naomi N; Lee, Jerry W; Santos, Hildemar Dos


    Tobacco use is high among Pacific Islanders in general and little tobacco research has been done in Yap, Micronesia. This study aimed to explore perceptions of tobacco use coupled with chewing of betel (areca) nut among adults in Yap using self-administered questionnaires based on the health belief model. A Likert scale (ranging from strongly disagree to strongly agree or very unlikely to very likely) was used to measure susceptibility, severity, benefits, barriers, cues to action, and self-efficacy among individuals aged 18 and older. Older adults felt quitting tobacco or betel nut use would be significantly more difficult because of social reasons and withdrawal problems. Most participants felt susceptible to tobacco-related diseases. These findings possibly indicate a receptive attitude toward any future tobacco use prevention and intervention program. Older Yapese population would need to be especially targeted. Health promotion programs should target smoking behaviors and risk reduction.

  13. Forest-based betel leaf and betel nut farming of the Khasia indigenous People in Bangladesh:approach to biodiversity conservation in Lawachara National Park (LNP)

    Institute of Scientific and Technical Information of China (English)

    Md. Jahirul Islam; Tapan Kumar Nath


    An exploratory survey was conducted among the Khasia living in Lawachara National Parkt (LNP) to investigate their depend-ency on the protected area (PA) for livelihoods, betel leaf hill farming, traditional forest conservation and perceptions of the PA. Field data were collected by interviewing 48 household heads from two villages (punjis) located inside the LNP and visiting their farms. The economy of the Khasia was forest-based. They were largely dependent on betel leaf hill farming in LNP and nearly 71% of their mean annual income was de-rived from this irrespective of farmer category. On average, about 14%of the incomes of the poorer farmers came from forest produce followed by 10%and 6%for medium and rich farmers respectively. Hills and forests were the foundations of their lives and livelihoods, and LNP was the life-blood of Khasia survival. As a sustainable production system, this farming practice plays a vital role in conserving biodiversity in LNP and might be replicated elsewhere.

  14. Aberrant proteins featured in the saliva of habitual betel quid chewers: an indication of early oral premalignancy? (United States)

    Jessie, Kala; Jayapalan, Jaime Jacqueline; Rahim, Zubaidah Haji Abdul; Hashim, Onn Haji


    Prolonged chewing of betel quid is known to cause oral diseases, including cancer. The present study was performed to screen for aberrant proteins in the saliva of habitual betel quid chewers compared to nonchewers. Saliva of female subjects (n = 10) who had been chewing betel quid for more than 20 years and nonbetel quid chewers (n = 10) of the same gender and range of age was analyzed by gel-based proteomics. Increased structural microheterogeneity of saliva haptoglobin beta chains indicated by shifts of focused spots similar to that earlier reported in patients with oral squamous cell carcinoma, and their relatively higher abundance compared to nonbetel quid chewers, were detected in saliva protein profiles of all chewers. In addition, the majority of the betel quid chewers also showed significant higher abundance of hemopexin, alpha-1B glycoprotein, alpha1-antitrypsin, complement C3, and transthyretin. These proteins had previously been associated with several different cancers. Our data demonstrated different forms of protein aberration in the saliva of betel quid chewers, which may be indicative of early oral precancerous conditions.

  15. The effective concentration of red betel leaf (Piper crocatum infusion as root canal irrigant solution

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    Fani Pangabdian


    Full Text Available Background: Smear layer is a debris consisting of organic and inorganic particles of calcified tissue, necrotic tissue, pulp tissue, and dentinoblast and microorganism processes that can close the entrance to the dentin tubuli. Smear layer, will not only inhibit the penetration of disinfection materials and sealers to the dentin tubuli, but will also reduce the attachment of root canal filling material so that root canal irrigation solution is needed to dissolve the smear layer. Red betel leaf (Piper crocatum infusion, on the other hand, contains saponin characterized as “surfactants” which can dissolve smear layer. Nevertheless, the effective concentration of the red betel leaf infusion has still not been known clearly. Purpose: This study is aimed to determine the effective concentration of the red betel leaf infusion for cleaning root canal walls from smear layer. Methods: Fiveteen extracted human teeth with straight single roots were randomized into 5 groups (n=3. The specimens were then shaped by using rotary instruments up to a size of 25/.07. During instrumentation, each canal was irrigated with 10, 20, 30 and, 40% red betel leaf infusion for treatment groups, while another was irrigated with aquadest for the control group. Root canal cleanliness was observed by using scanning electron microscope (SEM. Results: There were significant differences among treatment groups (p<0.05, except in the treatment groups irrigated with red betel leaf infusion with concentrations of 30% and 40% (p>0.05. Conclusion: It can be concluded that red betel leaf infusion with a concentration of 30% is effective for cleaning the root canal walls from the smear layer.Latar belakang: Smear layer adalah suatu debris yang mengandung partikel organik dan anorganik dari jaringan terkalsifikasi, jaringan nekrotik, proses dentinoblas, jaringan pulpa dan mikroorganisme yang dapat menutup jalan masuk ke tubuli dentin. Smear layer akan menghalangi penetrasi dari bahan

  16. Safrole-DNA adduct in hepatocellular carcinoma associated with betel quid chewing. (United States)

    Chung, Yu-Ting; Chen, Chiu-Lan; Wu, Cheng-Chung; Chan, Shan-An; Chi, Chin-Wen; Liu, Tsung-Yun


    Betel quid chewing, which contributes high concentration of safrole in saliva, is a popular oral habit in Taiwan. Safrole is a documented rodent hepatocarcinogen, yet its hepatocarcinogenic potential in human is not known. Here, we used LC/ESI-ITMS(n) and LC/QTOF-MS confirmed safrole-dGMP as reference standard to detect the safrole-DNA adduct in hepatic tissues from HBsAg-/HCV-seronegative hepatocellular carcinoma patients by (32)P-postlabeling. We first synthesized and confirmed safrole-dGMP by LC/MS. Two isomeric safrole-dGMPs were characterized as N(2)-(trans-isosafrol-3'-yl) deoxyguanosine and N(2)-(safrol-1'-yl) deoxyguanosine. This technique was able to detect hepatic safrole-DNA adduct in mice that were treated with safrole but not sensitive enough to detect safrole-DNA adduct in human samples. Using the nuclease P1 version of the (32)P-postlabeling technique, we detected the presence of safrole-DNA adduct in two out of 28 hepatic tissues from hepatocellular carcinoma patients, and only these two patients had a history of betel quid chewing lasting more than 10 years. From co-chromatography with the mass confirmed safrole-dGMPs, this safrole-DNA adduct was identified as N(2)-(trans-isosafrol-3'-yl) deoxyguanosine. These results suggest that betel quid-containing safrole might be involved in the pathogenesis of hepatocellular carcinoma in human beings and LC/MS has the potential to identify DNA adducts in clinical samples.

  17. Efficacy of vinegar, sorbitol and sodium benzoate in mitigation of Salmonella contamination in betel leaf

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    Al Asmaul Husna


    Full Text Available The present study was undertaken to mitigate Salmonella from betel leaf in Mymensingh. A total of 35 betel leaf samples were collected from 2 baroujes and 5 local markets in Mymensingh. The samples were sub-divided into two groups: (i phosphate buffer solution (PBS washed, and (ii grinded sample. There was control and treated (with 1.5% vinegar, sorbitol, and sodium benzoate sub-groups in both groups. Mitigation of Salmonella was determined by comparing Total Viable Count (TVC and Total Salmonella Count (TSAC of control with treated groups. No bacterial growth was observed in the betel leaf samples collected directly from barouj level. At market level, when grinded, there was no growth of bacteria in Plate Count Agar (PCA and Salmonella- Shigella (SS or Xylose Lysine De-oxy-chocolate (XLD in both treated and untreated groups. But when the PBS washed samples were used, the TVC (mean log CFU±SD/mL of betel leaf ranged from 5.16±0.82 to 5.96±1.11, whereas the TSAC value ranged from 4.87±0.58 to 5.56±1.00 for untreated group. In vinegar, there was no growth, but when treated with sorbitol, the TVC (mean log CFU±SD/mL value reduced to 5.00±0.54 to 5.66±1.09, and TSAC (mean log CFU±SD/mL value reduced to 4.28±0.71 to 4.78±0.64. When treated with sodium benzoate, the TVC (mean log CFU±SD/mL value reduced to 5.06±0.53 to 5.75±1.02, and TSAC (mean log CFU±SD/mL value reduced to 4.34±0.79 to 4.92±0.64. Data of this study indicates that all the three chemicals were effective in terms of reducing bacterial load but vinegar (1.5% was found to be the most effective against Salmonella as well as some other bacteria when treated for 10 min.

  18. The underlying mechanism of action for various medicinal properties of Piper betle (betel). (United States)

    Haslan, H; Suhaimi, F H; Thent, Zar Chi; Das, S


    Piper betle (betel) plant belongs to the Piperaceae family. Piper. betle is widely known for its potent medicinal properties. Various active compounds are present in Piper. betle such as allylpyrocatechol, hydroxychavicol, piperbetol, ethylpiperbetol, piperol A, piperol B, chavibetol, and alkaloids which account for these beneficial medicinal properties. In the present narrative review, we looked into the various active compounds present in the Piper betle and attempted to understand their underlying mechanism of action. Proper understanding of the molecular biology involving the mechanism of action may help in better drug formulation and provide better therapeutic actions in the field of alternative and complementary medicine.

  19. Toksisitas Ekstrak Daun Sirih Merah pada Tikus Putih Penderita Diabetes Melitus (TOXICITY OF RED BETEL EXTRACT IN DIABETIC WHITE RAT

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    Anak Agung Sagung Kendran


    Full Text Available The aim of this research was to study the toxicity of red betel  (Piper crocatum extract in diabeticwhite rat based on ALT and AST activities. This research used 20 male white rats, which randomlydivided into five groups, P1: given only aqua; P2: given alloxan 120mg/kg bw; P3: given alloxan 120 mg/kgbw and red betel leaf extract 50 mg/kg bw; P4: given alloxan 120 mg/kg bw and red betel leaf extract 100mg/kg bw; P5: given alloxan 120 mg/kg bw and glibenclamide suspension 1 mg/kg bw. ALT and ASTactivities were measured by using reflovet plus Machine. The collected data were analyzed by usinganalysis of covariance. The result showed no significant  effect (P>0.05 was observed on giving red betelleaf extract in diabetic white rat for ALT and AST activities.  It can be concluded that red betel leaf extractis potential for diabetic treatment in white rat  and it is not toxic for the rat’s ALT and AST activities.

  20. Association between betel nut consumption and folate deficiency among pregnant women in rural Bangladesh

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    Manzur Kader


    Full Text Available Background: Betel nut (BN or areca nut (AN chewing habits on its own or with other ingredients including chewing tobacco are highly prevalent in many South East Asian countries as well as among the migrants from these countries residing around the world. The major alkaloid arecoline in the BN has been found to carcinogenic and to be associated with a range of health risks, including negative effects on pregnancy outcomes. Pregnancy imposes stress on folate stores because of increased requirements for growth of maternal tissues, fetus, and placenta. Folate defi ciency during pregnancy is a major public health concern as is associated with many adverse health outcomes including neural tube defects, low birth weight, preterm birth, and delayed maturation of the nervous system, growth retardation, and megaloblastic anemia. Objective: To investigate any association between BN consumption and folate status among pregn ant women in rural Bangladesh. Materials and Methods: Data of 730 pregnant women aged 14-50 years from the Maternal and Infant Nutrition Intervention in Matlab (MINIMat trial in Bangladesh were included in this study. Logistic regression analysis and analyses of covariance (ANCOVA were used. Results were adjusted for potential confounders. Results and Interpretation: Two-third (63% of the women consumed BN and 17% had folate defi ciency. The women who consumed BN combined with chewing tobacco were 2.57 times more likely to have folate defi ciency (OR2.57; 95% CI1.23-5.36; P0.012; and the women who consumed BN 2-3 times/day were 2.51 times more likely to develop folate defi ciency among users (OR 2.51; 95% CI1.07-5.92; P0.035. Mean serum folate levels were signifi cantly lower among BN users as compared to nonusers. Conclusion: The results suggest that betel nut consumption combined with chewing tobacco is associated with lower serum folate level and folate defi ciency among pregnant

  1. Optimization of supercritical carbon dioxide extraction of Piper Betel Linn leaves oil and total phenolic content (United States)

    Aziz, A. H. A.; Yunus, M. A. C.; Arsad, N. H.; Lee, N. Y.; Idham, Z.; Razak, A. Q. A.


    Supercritical Carbon Dioxide (SC-CO2) Extraction was applied to extract piper betel linn leaves. The piper betel leaves oil was used antioxidant, anti-diabetic, anticancer and antistroke. The aim of this study was to optimize the conditions of pressure, temperature and flowrate for oil yield and total phenolic content. The operational conditions of SC-CO2 studied were pressure (10, 20, 30 MPa), temperature (40, 60, 80 °C) and flowrate carbon dioxide (4, 6, 8 mL/min). The constant parameters were average particle size and extraction regime, 355pm and 3.5 hours respectively. First order polynomial expression was used to express the extracted oil while second order polynomial expression was used to express the total phenolic content and the both results were satisfactory. The best conditions to maximize the total extraction oil yields and total phenolic content were 30 MPa, 80 °C and 4.42 mL/min leading to 7.32% of oil and 29.72 MPa, 67.53 °C and 7.98 mL/min leading to 845.085 mg GAE/g sample. In terms of optimum condition with high extraction yield and high total phenolic content in the extracts, the best operating conditions were 30 MPa, 78 °C and 8 mL/min with 7.05% yield and 791.709 mg gallic acid equivalent (GAE)/g sample. The most dominant condition for extraction of oil yield and phenolic content were pressure and CO2 flowrate. The results show a good fit to the proposed model and the optimal conditions obtained were within the experimental range with the value of R2 was 96.13% for percentage yield and 98.52% for total phenolic content.

  2. Association of Betel Nut with Carcinogenesis: Revisit with a Clinical Perspective (United States)

    Sharan, Rajeshwar N.; Mehrotra, Ravi; Choudhury, Yashmin; Asotra, Kamlesh


    Abstract Betel nut (BN), betel quid (BQ) and products derived from them are widely used as a socially endorsed masticatory product. The addictive nature of BN/BQ has resulted in its widespread usage making it the fourth most abused substance by humans. Progressively, several additives, including chewing tobacco, got added to simple BN preparations. This addictive practice has been shown to have strong etiological correlation with human susceptibility to cancer, particularly oral and oropharyngeal cancers. The PUBMED database was searched to retrieve all relevant published studies in English on BN and BQ, and its association with oral and oropharyngeal cancers. Only complete studies directly dealing with BN/BQ induced carcinogenesis using statistically valid and acceptable sample size were analyzed. Additional relevant information available from other sources was also considered. This systematic review attempts to put in perspective the consequences of this widespread habit of BN/BQ mastication, practiced by approximately 10% of the world population, on oral cancer with a clinical perspective. BN/BQ mastication seems to be significantly associated with susceptibility to oral and oropharyngeal cancers. Addition of tobacco to BN has been found to only marginally increase the cancer risk. Despite the widespread usage of BN/BQ and its strong association with human susceptibility to cancer, no serious strategy seems to exist to control this habit. The review, therefore, also looks at various preventive efforts being made by governments and highlights the multifaceted intervention strategies required to mitigate and/or control the habit of BN/BQ mastication. PMID:22912735

  3. Association of betel nut with carcinogenesis: revisit with a clinical perspective.

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    Rajeshwar N Sharan

    Full Text Available Betel nut (BN, betel quid (BQ and products derived from them are widely used as a socially endorsed masticatory product. The addictive nature of BN/BQ has resulted in its widespread usage making it the fourth most abused substance by humans. Progressively, several additives, including chewing tobacco, got added to simple BN preparations. This addictive practice has been shown to have strong etiological correlation with human susceptibility to cancer, particularly oral and oropharyngeal cancers.The PUBMED database was searched to retrieve all relevant published studies in English on BN and BQ, and its association with oral and oropharyngeal cancers. Only complete studies directly dealing with BN/BQ induced carcinogenesis using statistically valid and acceptable sample size were analyzed. Additional relevant information available from other sources was also considered.This systematic review attempts to put in perspective the consequences of this widespread habit of BN/BQ mastication, practiced by approximately 10% of the world population, on oral cancer with a clinical perspective. BN/BQ mastication seems to be significantly associated with susceptibility to oral and oropharyngeal cancers. Addition of tobacco to BN has been found to only marginally increase the cancer risk. Despite the widespread usage of BN/BQ and its strong association with human susceptibility to cancer, no serious strategy seems to exist to control this habit. The review, therefore, also looks at various preventive efforts being made by governments and highlights the multifaceted intervention strategies required to mitigate and/or control the habit of BN/BQ mastication.

  4. Exoproteome and secretome derived broad spectrum novel drug and vaccine candidates in Vibrio cholerae targeted by Piper betel derived compounds.

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    Debmalya Barh

    Full Text Available Vibrio cholerae is the causal organism of the cholera epidemic, which is mostly prevalent in developing and underdeveloped countries. However, incidences of cholera in developed countries are also alarming. Because of the emergence of new drug-resistant strains, even though several generic drugs and vaccines have been developed over time, Vibrio infections remain a global health problem that appeals for the development of novel drugs and vaccines against the pathogen. Here, applying comparative proteomic and reverse vaccinology approaches to the exoproteome and secretome of the pathogen, we have identified three candidate targets (ompU, uppP and yajC for most of the pathogenic Vibrio strains. Two targets (uppP and yajC are novel to Vibrio, and two targets (uppP and ompU can be used to develop both drugs and vaccines (dual targets against broad spectrum Vibrio serotypes. Using our novel computational approach, we have identified three peptide vaccine candidates that have high potential to induce both B- and T-cell-mediated immune responses from our identified two dual targets. These two targets were modeled and subjected to virtual screening against natural compounds derived from Piper betel. Seven compounds were identified first time from Piper betel to be highly effective to render the function of these targets to identify them as emerging potential drugs against Vibrio. Our preliminary validation suggests that these identified peptide vaccines and betel compounds are highly effective against Vibrio cholerae. Currently we are exhaustively validating these targets, candidate peptide vaccines, and betel derived lead compounds against a number of Vibrio species.

  5. Betel Leaf Extract (Piper betle L. Antihyperuricemia Effect Decreases Oxidative Stress by Reducing the Level of MDA and Increase Blood SOD Levels of Hyperuricemia Wistar Rats (Rattus norvegicus

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    I Made Sumarya


    Full Text Available Background: Betel leaf extracts (Piper betle L. antioxidant activity and enzyme inhibitors of XO. Hyperuricemia cause oxidative stress by increasing the formation of reactive oxygen species (ROS cause lipid peroxidation and oxygenation of low-density lipoprotein cholesterol (LDLc. Objective: The aim of this research was to determine the betel leaf extract as an anti hyperuricemia that can lower the blood uric acid levels and oxidative stress by lowering the levels of MDA and increase the SOD of hyperuricemia of the rat’s blood. Method: Experimental research was conducted with the design of The Randomized Post Test Only Control Group Design, on normal Wistar rats (Rattus norvegicus, administered with oxonic potassium (hyperuricemia and the hyperuricemia rats either given betel leaf extract and allopurinol. After the experiment of uric acid levels, MDA and SOD in rat blood determined. Results: The results showed that the betel leaf extract significantly (p <0.05 lower uric acid levels, MDA and increase levels of SOD in rat blood. There is a positive correlation between the levels of uric acid with MDA levels and a negative correlation, although not significantly with SOD (p >0.05. Conclusion: It can be concluded that the betel leaf extract as an anti-hyperuricemia can lower the uric acid levels and decreases oxidative stress by lowering the levels of MDA and increasing the SOD.

  6. Oral mucosal lesions associated with betel quid, areca nut and tobacco chewing habits: consensus from a workshop held in Kuala Lumpur, Malaysia, November 25-27, 1996. (United States)

    Zain, R B; Ikeda, N; Gupta, P C; Warnakulasuriya, S; van Wyk, C W; Shrestha, P; Axéll, T


    A variety of betel/areca nut/tobacco habits have been reviewed and categorized because of their possible causal association with oral cancer and various oral precancerous lesions and conditions, and on account of their widespread occurrence in different parts of the world. At a recent workshop in Kuala Lumpur it was recommended that "quid" be defined as "a substance, or mixture of substances, placed in the mouth or chewed and remaining in contact with the mucosa, usually containing one or both of the two basic ingredients, tobacco and/or areca nut, in raw or any manufactured or processed form." Clear delineations on contents of the quid (areca nut quid, tobacco quid, and tobacco and areca nut quid) are recommended as absolute criteria with finer subdivisions to be added if necessary. The betel quid refers to any quid wrapped in betel leaf and is therefore a specific variety of quid. The workshop proposed that quid-related lesions should be categorized conceptually into two categories: first, those that are diffusely outlined and second, those localized at the site where a quid is regularly placed. Additional or expanded criteria and guidelines were proposed to define, describe or identify lesions such as chewer's mucosa, areca nut chewer's lesion, oral submucous fibrosis and other quid-related lesions. A new clinical entity, betel-quid lichenoid lesion, was also proposed to describe an oral lichen planus-like lesion associated with the betel quid habit.

  7. Disrupted Resting-State Default Mode Network in Betel Quid-Dependent Individuals (United States)

    Zhu, Xueling; Zhu, Qiuling; Jiang, Canhua; Shen, Huaizhen; Wang, Furong; Liao, Weihua; Yuan, Fulai


    Recent studies have shown that substance dependence (addiction) is accompanied with altered activity patterns of the default mode network (DMN). However, the neural correlates of the resting-state DMN and betel quid dependence (BQD)-related physiopathological characteristics still remain unclear. Resting-state functional magnetic resonance imaging images were obtained from 26 BQD individuals and 28 matched healthy control subjects. Group independent component analysis was performed to analyze the resting state images into spatially independent components. Gray matter volume was examined as covariate with voxel-based morphometry to rule out its effect on the functional results. The severity of BQD was assessed by the BQD Scale (BQDS). We observed decreased functional connectivity in anterior part of the DMN including ventral medial prefrontal cortex, orbital MPFC (OMPFC)/anterior cingulate cortex (ACC). Furthermore, the functional connectivity within the OMPFC/ACC in BQD individuals was negatively correlated with BQDS (p = 0.01, r = -0.49). We reported decreased functional connectivity within anterior part of the DMN in BQD individuals, which provides new evidence for the role of the DMN in the pathophysiology of BQD. PMID:28194128

  8. The History and the Exploitation of the Piper Betel%蒟酱(蒌叶)的历史与开发

    Institute of Scientific and Technical Information of China (English)



    蒟酱是我国古代有名的栽培植物蒌叶(Piper betel L.)及其用于调味的产品,蒌叶的另一用途是与槟榔合嚼,可防治寄生虫病等传染性疾病,并蔚为风俗,构成云南、岭南古代地方文化内容之一.文章还考察了蒟酱开发的历史与地理分布,探讨了蒟酱现代开发的价值.

  9. A review of the systemic adverse effects of areca nut or betel nut

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    Apurva Garg


    Full Text Available Areca nut is widely consumed by all ages groups in many parts of the world, especially south-east Asia. The objective of this review is to systematically review and collate all the published data that are related to the systemic effects of areca nut. The literature search was performed by an electronic search of the Pubmed and Cochrane databases using keywords and included articles published till October 2012. We selected studies that covered the effect of areca nut on metabolism, and a total of 62 studies met the criteria. There is substantial evidence for carcinogenicity of areca nut in cancers of the mouth and esophagus. Areca nut affects almost all organs of the human body, including the brain, heart, lungs, gastrointestinal tract and reproductive organs. It causes or aggravates pre-existing conditions such as neuronal injury, myocardial infarction, cardiac arrhythmias, hepatotoxicity, asthma, central obesity, type II diabetes, hyperlipidemia, metabolic syndrome, etc. Areca nut affects the endocrine system, leading to hypothyroidism, prostate hyperplasia and infertility. It affects the immune system leading to suppression of T-cell activity and decreased release of cytokines. It has harmful effects on the fetus when used during pregnancy. Thus, areca nut is not a harmless substance as often perceived and proclaimed by the manufacturers of areca nut products such as Pan Masala, Supari Mix, Betel quid, etc. There is an urgent need to recognize areca nut as a harmful food substance by the policy makers and prohibit its glamorization as a mouth freshener. Strict laws are necessary to regulate the production of commercial preparations of areca nut.

  10. Dose-response relationships of oral habits associated with the risk of oral pre-malignant lesions among men who chew betel quid. (United States)

    Yen, Amy Ming-Fang; Chen, Shao-Ching; Chen, Tony Hsiu-Hsi


    Betel quid, cigarettes and alcohol are well-recognized risk factors for oral cancer. However, the combined effect of the frequency and duration of these oral habits on the risk for developing oral pre-malignancies among betel quid users has not been fully addressed. In this study, an oral screening programme for men chewing betel quid was carried out by well-trained dentists for early detection of oral pre-malignancy lesions. Using generalized logit model and proportional odds model, we found that, compared with the occasional user, the adjusted odds ratios of developing leukoplakia for men chewing one to 10 pieces of betel quid, 11-20 pieces, and more than 20 pieces per day were estimated as 2.14 (95% confidence interval [CI] 1.62-2.81), 2.99 (95% CI 2.06-4.27), and 5.37 (95% CI 3.76-7.47), respectively. The corresponding figures for erythroleukoplakia were 3.69 (95% CI 1.55-8.79), 13.78 (95% CI 5.76-32.98), and 36.64 (95% CI 15.94-84.16), respectively. Similar results were found while the duration was considered. The dose-response relationships were not as noteworthy for cigarette and alcohol drinking.

  11. Development of a novel cup cake with unique properties of essential oil of betel leaf (Piper betle L.) for sustainable entrepreneurship. (United States)

    Roy, Arnab; Guha, Proshanta


    Betel vine (Piper betle L.) is a root climber with deep green heart shaped leaves. It belongs to the Piperaceae family. There is a huge wastage of the leaves during glut season and it can be reduced by various means including extraction of medicinal essential oil which can be considered as GRAS (generally recognized as safe) materials. Therefore, attempts were made to develop a novel cup cake by incorporating essential oil of betel leaf. The textural properties of the cakes were measured by texture analyzer instrument; whereas the organoleptic properties were adjudged by human preferences using sensory tables containing 9-point hedonic scale. Price estimation was done considering all costs and charges. Finally, all parameters of the developed cake were compared with different cup cakes available in the market for ascertaining consumer acceptability of the newly developed product in terms of quality and market price. Results revealed that the Novel cup cake developed with 0.005 % (v/w) essential oil of betel leaf occupied the 1st place among the four developed novel cup cakes. However, it occupied 4th place among the nine cup cakes in the overall preference list prepared based on the textural and organoleptic qualities, though its market price was calculated to be comparable to all the leading cupcakes available in the market. This indicates that manufacturing of novel cup cake with essential oil of betel leaf would be a profitable and self-sustaining entrepreneurship.

  12. Gene expression profile of oral squamous cell carcinomas from Sri Lankan betel quid users. (United States)

    Suhr, Mai Lill; Dysvik, Bjarte; Bruland, Ove; Warnakulasuriya, Saman; Amaratunga, Asoka N; Jonassen, Inge; Vasstrand, Endre N; Ibrahim, Salah O


    Oral squamous cell carcinoma (OSCC) is one of the major health problems in Sri Lanka and the disease is associated with the habit of Betel Quid (BQ) chewing. Using 35k oligo microarrays, we analyzed the gene expression profile of 15 Sri Lankan patients diagnosed with OSCCs and pair-wised normal controls and correlated the findings with the clinicopathological data. Following the recording of the scanned array images and data analysis, results for selected candidate genes were verified using QRT-PCR. Upon analysis, a total of 263 genes [71 (27%) of unknown functions previously not reported in OSCCs and 192 (73%) of known functions] were found as differentially expressed between tumors and controls. For the genes with known functions, 66 (34%; such as COL4A1, MMP1, MMP3, PLAU, SPARC and KRT19) were previously reported in OSCC and for the remaining 126 (66%; such as CD47, APOL3, RRAGC, BPIL1 and AZGP1) this is the first report in OSCCs. Hierarchical clustering of the differentially expressed 263 genes grouped the samples into several clusters with the larger one being dominated by tumors of stage 3 and 4. Two cases (a verrucous SCC and an advanced SCC), did not cluster with any of the other samples. We found two main biological pathways (cell communication and integrin-mediated cell adhesion) and 5 gene ontology categories (transcription regulator activity, structural molecule activity, intracellular signaling, cytoskeleton and signal transduction) of relevance to the OSCCs examined. Results from the QRT-PCR verified the results from the microarray experiment. This study provides valuable information on gene expression profile of OSCCs of habitual users of BQ from Sri Lanka. Of particular interest were the list of genes of known and unknown functions and the two biological pathways that we suggest as candidate genes in oral cancers associated with BQ chewing in Southeast Asia, in particular Sri Lanka. The suggested candidate genes might be used as molecular biomarkers

  13. Hydroxychavicol, a betel leaf component, inhibits prostate cancer through ROS-driven DNA damage and apoptosis

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    Gundala, Sushma Reddy; Yang, Chunhua [Department of Biology, Georgia State University, Atlanta, GA 30303 (United States); Mukkavilli, Rao [Advinus Therapeutics, Karnataka (India); Paranjpe, Rutugandha; Brahmbhatt, Meera; Pannu, Vaishali; Cheng, Alice [Department of Biology, Georgia State University, Atlanta, GA 30303 (United States); Reid, Michelle D. [Department of Pathology, Emory University School of Medicine, Atlanta, GA (United States); Aneja, Ritu, E-mail: [Department of Biology, Georgia State University, Atlanta, GA 30303 (United States)


    Dietary phytochemicals are excellent ROS-modulating agents and have been shown to effectively enhance ROS levels beyond toxic threshold in cancer cells to ensure their selective killing while leaving normal cells unscathed. Here we demonstrate that hydroxychavicol (HC), extracted and purified from Piper betel leaves, significantly inhibits growth and proliferation via ROS generation in human prostate cancer, PC-3 cells. HC perturbed cell-cycle kinetics and progression, reduced clonogenicity and mediated cytotoxicity by ROS-induced DNA damage leading to activation of several pro-apoptotic molecules. In addition, HC treatment elicited a novel autophagic response as evidenced by the appearance of acidic vesicular organelles and increased expression of autophagic markers, LC3-IIb and beclin-1. Interestingly, quenching of ROS with tiron, an antioxidant, offered significant protection against HC-induced inhibition of cell growth and down regulation of caspase-3, suggesting the crucial role of ROS in mediating cell death. The collapse of mitochondrial transmembrane potential by HC further revealed the link between ROS generation and induction of caspase-mediated apoptosis in PC-3 cells. Our data showed remarkable inhibition of prostate tumor xenografts by ∼ 72% upon daily oral administration of 150 mg/kg bw HC by quantitative tumor volume measurements and non-invasive real-time bioluminescent imaging. HC was well-tolerated at this dosing level without any observable toxicity. This is the first report to demonstrate the anti-prostate cancer efficacy of HC in vitro and in vivo, which is perhaps attributable to its selective prooxidant activity to eliminate cancer cells thus providing compelling grounds for future preclinical studies to validate its potential usefulness for prostate cancer management. - Highlights: • HC perturbs cell-cycle progression by induction of reactive oxygen species (ROS). • HC mediated cytotoxicity by ROS-induced DNA damage leading to

  14. Effect of aqueous extracts of Mentha arvensis (mint) and Piper betle (betel) on growth and citrinin production from toxigenic Penicillium citrinum. (United States)

    Panda, Pragyanshree; Aiko, Visenuo; Mehta, Alka


    Due to growing concern of consumers about chemical residues in food products, the demand for safe and natural food is increasing greatly. The use of natural additives such as spices and herbal oil as seasoning agents for their antimicrobial activity has been extensively investigated. This paper discusses the efficacy of the aqueous extract of mint (Mentha arvensis) and betel (Piper betle) on the mycelial growth and citrinin production of Penicillium citrinum. The present investigation revealed that mint extract inhibited citrinin production up to 73 % without inhibiting the mycelium growth. The citrinin production decreased with increase in the concentration of mint extract as observed from the data obtained from High pressure liquid chromatography. The samples also showed reduced cytotoxicity on HeLa cells. On the other hand betel extract resulted in stimulatory effect on citrinin production and mycelial growth. The study showed that mint extract has the potential to be used safely for restraining citrinin contamination.

  15. In Vitro Rumen Fermentation and Anti Mastitis Bacterial Activity of Diet Containing Betel Leaf Meal (Piper betle L.

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    A. A. Yamin


    Full Text Available The aims of this experiment was to study the inhibition effect of betel leaf meal (BLM addition into concentrate diet on mastitis causing bacteria and on rumen fermentation condition. The study consisted of five dietary treatments of BLM level in concentrate feed, i.e., 0%, 2%, 4%, 6%, and 8% and four replicates of each treatment. The treatment diets together with napier grass in ratio of 40 : 60 were fermented using rumen liquor. All treatments were examined their antibacterial activity before and after fermentation. After four hours fermentation, supernatant of each samples were analyzed for VFA, NH3, number of bacteria and protozoa. Dry matter (DM and organic matter (OM digestibility were analyzed after 48 h fermentation. The results showed that before fermentation, 8% BLM addition caused the bigest (P<0.05 inhibition diameter of Staphylococcus spp. growth compared to other lower levels. However after fermentation there were no significant differences among the addition levels of BLM. Two per cent of BLM addition produced higher VFA (P<0.05 than the other addition levels. Ammonia concentration, dry matter (DM and organic matter (OM digestibility were not different among the treatments. Addition of BLM significantly (P<0.01 decreased protozoa number, but did not affect bacterial count. It is concluded that the addition of 2% BLM in concentrate feed can be used effectively to inhibit the growth of mastitis causing bacteria (Staphylococcus spp. and does not disturb rumen fermentation condition.

  16. Effect of lysozyme chloride on betel quid chewing aggravated gastric oxidative stress and hemorrhagic ulcer in diabetic rats

    Institute of Scientific and Technical Information of China (English)

    Chen-Road Hung


    AIM: To evaluate the protective effect of lysozyme chloride on betel quid chewing (BQC) aggravated gastric oxidative stress and hemorrhagic ulcer in rats with diabetes mellitus (DM).METHODS: Male Wistar rats were challenged intravenously with streptozotocin (65 mg/kg) to induce DM. Rats were fed with regular pellet food or BQC-containing diets. After 90 d, rats were deprived of food for 24 h. Rat stomachs were irrigated for 3 h with normal saline or simulated gastric juice. Rats were killed and gastric specimens were harvested.RESULTS: An enhancement of various gastric ulcerogenic parameters, including acid back-diffusion, mucosal lipid peroxide generation, as well as decreased glutathione levels and mucus content, were observed in DM rats. After feeding DM rats with BQC, an exacerbation of these ulcerogenic parameters was achieved. Gastric juice caused a further aggravation of these ulcerogenic parameters. Daily intragastric lysozyme chloride dose-dependently inhibited exacerbation of various ulcerogenic parameters in those BQC-fed DM rats.CONCLUSION: (1) Gastric juice could aggravate both DM and BQC-fed DM rat hemorrhagic ulcer; (2) BQC exacerbated gastric hemorrhagic ulcer in DM rats via enhancing oxidative stress and reducing defensive factors; (3) lysozyme chloride effectively protected BQC aggravated gastric damage in DM rats.

  17. The Influence of Monoamine Oxidase Variants on the Risk of Betel Quid-Associated Oral and Pharyngeal Cancer

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    Ping-Ho Chen


    Full Text Available Betel quid (BQ and areca nut (AN (major BQ ingredient are group I human carcinogens illustrated by International Agency for Research on Cancer and are closely associated with an elevated risk of oral potentially malignant disorders (OPMDs and cancers of the oral cavity and pharynx. The primary alkaloid of AN, arecoline, can be metabolized via the monoamine oxidase (MAO gene by inducing reactive oxygen species (ROS. The aim of this study was to investigate whether the variants of the susceptible candidate MAO genes are associated with OPMDs and oral and pharyngeal cancer. A significant trend of MAO-A mRNA expression was found in in vitro studies. Using paired human tissues, we confirmed the significantly decreased expression of MAO-A and MAO-B in cancerous tissues when compared with adjacent noncancerous tissues. Moreover, we determined that MAO-A single nucleotide polymorphism variants are significantly linked with oral and pharyngeal cancer patients in comparison to OPMDs patients [rs5953210 risk G-allele, odds ratio = 1.76; 95% confidence interval = 1.02-3.01]. In conclusion, we suggested that susceptible MAO family variants associated with oral and pharyngeal cancer may be implicated in the modulation of MAO gene activity associated with ROS.

  18. 壳聚糖和血桐提取液保鲜槟榔效果研究%Comparison on the Preservation Effect of Chitosan and Macaranga hemsleyana Extracts on Betel Nuts

    Institute of Scientific and Technical Information of China (English)

    张苏敏; 史载锋; 何秀花; 张小朋


    [目的]证实血桐提取液对槟榔的保鲜效果.[方法]分别用血桐提取液和壳聚糖溶液处理槟榔,通过储存试验研究两者对槟榔的保鲜效果.[结果]壳聚糖以及壳聚糖与血桐提取液联合保鲜槟榔的效果均好于对照组,但是低于血桐提取液组.采用壳聚糖或血桐提取液涂膜能有效防止水分的蒸发.槟榔汁呈酸性,其pH值在2~3变化.在试验期间,槟榔的pH值先升高后降低,然后再次升高.VC含量总的变化趋势为先升高后降低.血桐提取液浸泡后存放槟榔的VC含量变化最小.血桐提取液浸泡后密封存放的槟榔总糖含量的变化最小,其次是血桐提取液和壳聚糖混合液浸泡后密封存放的槟榔.25 d后,血桐提取液浸泡槟榔的好果率为38%,壳聚糖溶液浸泡槟榔的好果率为23%.[结论]血桐提取液对槟榔的保鲜效果优于壳聚糖溶液.%[ Objective] The study aimed to validate the preservation effect of Macaranga hemsleyana on betel nut. [ Method ] The betel nuts were treated with M. hemsleyana extracts and chitosan and their preservation effect on betel nuts was studied through storage experiment. [ Resuit] The preservation effect of both chitosan and mixture liquid of chitosan and M. hemsleyana extracts on betel nuts was better than that of control group, but worse than the group of M. hemsleyana extracts. Film coating with chitosan and M. hemsleyana extracts could prevent water from evaporation effectively. The juice of betel nuts was acidic and its pH value varied between 2 and 3. During experiment, the changing tendency of pH value of betel nuts was increasing-decreasing-increasing. The total changing trend of Vc content was first increasing and then decreasing and the change of Vc content in betel nuts ever soaked in M. hemsleyana extracts was least. In the betel nuts ever soaked in M.hemsleyana extracts and sealed for storage, the change of total sugar content was least and that of betel nuts ever

  19. High ERCC1 expression predicts cisplatin-based chemotherapy resistance and poor outcome in unresectable squamous cell carcinoma of head and neck in a betel-chewing area

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    Chien Chih-Yen


    Full Text Available Abstract Background This study was to evaluate the effect of excision repair cross-complementation group 1(ERCC1 expression on response to cisplatin-based induction chemotherapy (IC followed by concurrent chemoradiation (CCRT in locally advanced unresectable head and neck squamous cell carcinoma (HNSCC patients. Methods Fifty-seven patients with locally advanced unresectable HNSCC who received cisplatin-based IC followed by CCRT from January 1, 2006 through January 1, 2008. Eligibility criteria included presence of biopsy-proven HNSCC without a prior history of chemotherapy or radiotherapy. Immunohistochemistry was used to assess ERCC1 expression in pretreatment biopsy specimens from paraffin blocks. Clinical parameters, including smoking, alcohol consumption and betel nuts chewing, were obtained from the medical records. Results The 12-month progression-free survival (PFS and 2-year overall survival (OS rates of fifty-seven patients were 61.1% and 61.0%, respectively. Among these patients, thirty-one patients had low ERCC1 expression and forty-one patients responded to IC followed by CCRT. Univariate analyses showed that patients with low expression of ERCC1 had a significantly higher 12-month PFS rates (73.3% vs. 42.3%, p Conclusions Our study suggest that a high expression of ERCC1 predict a poor response and survival to cisplatin-based IC followed by CCRT in patients with locally advanced unresectable HNSCC in betel nut chewing area.

  20. Inhibitory effect of Piper betel leaf extracts on copper-mediated LDL oxidation and oxLDL-induced lipid accumulation via inducing reverse cholesterol transport in macrophages. (United States)

    Ma, Gwo-Chin; Wu, Pei-Fang; Tseng, Hsien-Chun; Chyau, Charng-Cherng; Lu, Hsiu-Chin; Chou, Fen-Pi


    Piper betel leaf (PBL) has the biological capabilities of detoxification and can work as an anti-inflammatory agent and an anti-oxidant. In this study, we evaluated the anti-oxidative activity of the extract of Piper betel leaves (PBLs) on the basis of Cu(2+)-mediated oxidation, and its ability to prevent foam cell formation in a model for oxidised low density lipoprotein (oxLDL)-induced lipid accumulation in macrophages. Our data demonstrated that PBLs were able to inhibit LDL oxidation in vitro and are able to reduce the lipid accumulation in macrophages. We showed the underlying mechanisms to be the following: PBLs up-regulated the protein levels of the class A and class B scavenger receptors, the membrane lipid transporter ABCA1, and its upstream regulator Liver X receptor (LXR) in the macrophages exposed to oxLDL. The results suggested that PBLs activated the reverse cholesterol transport mechanism to enhance the metabolism of the oxLDL that could prevent both lipid accumulation and foam cell formation and further minimise the possible damage of vessels caused by the oxLDL.

  1. Healing property of the Piper betel phenol, allylpyrocatechol against indomethacin-induced stomach ulceration and mechanism of action

    Institute of Scientific and Technical Information of China (English)

    S Bhattacharya; D Banerjee; AK Bauri; S Chattopadhyau; SK Bandyopadhyay


    AIM: To evaluate the protective activity of allylpyrocatechol (APC), the major antioxidant constituent of Piper betel,against the indomethacin-induced stomach ulceration in the rat model and correlates with its antioxidative and mucin protecting properties.METHODS: Male Sprague-Dawley rats were divided into five groups. Normal control rats (group Ⅰ ) were given the vehicle oral dose of gum acacia in distilled water (1 mL per rat); ulcerated control and treated rats (groups Ⅱ-Ⅴ) were given a single dose of indomethacin (30 mg/kg body wt.); group Ⅱ rats were sacrificed 4 h after indomethacin administration; groups Ⅲ-Ⅴ rats were given the vehicle (1 mL per rat) or APC (2 mg/kg body wt.) or misoprostol (1.43 μg/kg body wt.) once daily by oral intubation for 7 d starting from 4 h after the indomethacin administration. After 7 d, the stomach tissues were excised for histological examination and biochemical analysis.RESULTS: Treatment with APC (2 mg/kg body wt per day) and misoprostol (1.43 μg/kg body wt per day) for 7 d could effectively heal the stomach ulceration as revealed from the ulcer index and histopathological studies. Compared to the zero day ulcerated group,treatment with APC and misoprostol reduced the ulcer index by 93.4% and 85.4% respectively (P<0.05). Both APC and misoprostol accelerated ulcer healing observed in natural recovery (P<0.05), their respective healing capacities not being significantly different. The healing capacities of APC and misoprostol could be attributed to their antioxidant activity as well as the ability to enhance the mucin content of the gastric tissues. Compared to the ulcerated untreated rats, those treated with APC and misoprostol showed near normal MDA levels, while the protein levels were 86% and 78% of the normal value respectively (P<0.05). Likewise, both APC and misoprostol increased the SOD, catalase, and mucin levels significantly (P<0.05), the effect of APC being better.CONCLUSION: APC can protect

  2. Betel-quid chewing and its relationship with oral cancer%食用槟榔及其与口腔癌间的关系

    Institute of Scientific and Technical Information of China (English)

    邵小钧; 席庆


    食用槟榔在南亚和东南亚以及环太平洋地区的岛屿非常普遍,在中国亦有蔓延扩大的趋势。槟榔咀嚼块一般由槟榔、烟草、槟榔叶、蒌叶、花序和熟石灰以及一些特殊的调味剂组成,不同国家和地区的槟榔咀嚼块的组成及加工方法不一,但槟榔和烟草等是槟榔咀嚼块中最主要的组成部分。食用槟榔是导致口腔黏膜下纤维化的最主要原因,可增加口腔癌发病率且与口腔白斑和口腔扁平苔藓等癌前病变密切相关。食用槟榔之所以会导致口腔癌,是因为槟榔中的多种活性成分和代谢产物有细胞毒性、遗传毒性甚至直接致癌性,这些物质包括槟榔生物碱、槟榔鞣质、槟榔特异性亚硝胺和活性氧等。本文就食用槟榔的流行情况,食用槟榔的成分和致癌机制,食用槟榔与口腔癌前病变和口腔癌的关系等研究进展作一综述,旨在为做好食用槟榔引发的口腔相关病变风险程度的评价提供参考,为口腔癌的预防和宣教提供科学依据。% Betel-quid chewing is common in South Asia, South-east Asia, and the Pacific Islands, especially in our country. Betel-quid contains various ingredients, including areca-nut, tobacco, betel leaf, betel vine, inflorescence, slaked lime, and some special flavored substances. The composition and processing of betel-quid vary in different countries. However, areca-nut and tobacco are consistent main components. Areca-nut contains betel alkaloid, tannin betel nut, betel nut-specific nitrosamines, and reactive oxygen, which exerts cytotoxic, genotoxic, and carcinogen effects. Previous studies showed that betel-quid chewing is a significant factor contributing to oral submucous fibrosis and is related

  3. Altered Long- and Short-Range Functional Connectivity in Patients with Betel Quid Dependence: A Resting-State Functional MRI Study

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    Tao Liu


    Full Text Available Objective: Addiction is a chronic relapsing brain disease. Brain structural abnormalities may constitute an abnormal neural network that underlies the risk of drug dependence. We hypothesized that individuals with Betel Quid Dependence (BQD have functional connectivity alterations that can be described by long- and short-range functional connectivity density(FCD maps. Methods: We tested this hypothesis using functional magnetic resonance imaging (fMRI data from subjects of the Han ethnic group in Hainan, China. Here, we examined BQD individuals (n = 33 and age-, sex-, and education-matched healthy controls (HCs (n = 32 in a rs-fMRI study to observe FCD alterations associated with the severity of BQD. Results: Compared with HCs, long-range FCD was decreased in the right anterior cingulate cortex (ACC and increased in the left cerebellum posterior lobe (CPL and bilateral inferior parietal lobule (IPL in the BQD group. Short-range FCD was reduced in the right ACC and left dorsolateral prefrontal cortex (dlPFC, and increased in the left CPL. The short-range FCD alteration in the right ACC displayed a negative correlation with the Betel Quid Dependence Scale (BQDS (r=-0.432, P=0.012, and the long-range FCD alteration of left IPL showed a positive correlation with the duration of BQD(r=0.519, P=0.002 in BQD individuals. Conclusions: fMRI revealed differences in long- and short- range FCD in BQD individuals, and these alterations might be due to BQ chewing, BQ dependency, or risk factors for developing BQD.

  4. MicroRNA-17-5p post-transcriptionally regulates p21 expression in irradiated betel quid chewing-related oral squamous cell carcinoma cells

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    Wu, S.Y. [Taipei Medical Univ., Wan Fang Hospital, Taipei (China). Dept. of Radiation-Oncology; HungKuang Univ., Taichung (China). Dept. of Biotechnology; Lin, K.C. [Taipei Medical Univ., Wan Fang Hospital, Taipei (China). Dept. of Oral and Maxillofacial Surgery; Chiou, J.F. [Taipei Medical Univ., Taipei (China). Dept. of Radiology; Taipei Medical Univ. Hospital, Taipei (China). Dept. of Radiation Oncology; Taipei Medical Univ. Hospital, Taipei (China). Dept. of Hospice and Palliative Center; Taipei Medical Univ. Hospital, Taipei (China). Cancer Center; Jeng, S.C. [Taipei Medical Univ. Hospital, Taipei (China). Dept. of Radiation Oncology; Cheng, W.H.; Chang, C.I. [Taipei Medical Univ., Wan Fang Hospital, Taipei (China). Dept. of Hemato-Ongology; Lin, W.C. [Taipei Medical Univ., Wan Fang Hospital, Taipei (China). Div. of Thoracic Surgery; Wu, L.L. [National Taiwan Univ. Hospital, Taipei (China). Dept. of Ophthalmology; Lee, H.L. [Taipei Medical Univ., Wan Fang Hospital, Taipei (China). Dept. of Radiation-Oncology; Chen, R.J. [National Taiwan Univ. Hospital and National Taiwan Univ., Taipei (China). Dept. of Obstetrics and Gynecology


    Background and purpose: Betel nut chewing is associated with oral cavity cancer in Taiwan. OC3 is an oral carcinoma cell line that was established from cells collected from a long-term betel nut chewer who does not smoke. After we found that microRNA-17-5p (miR-17-5p) is induced in OC3 cells, we used this cell line to examine the biological role(s) of this microRNA in response to exposure to ionizing radiation. Materials and methods: A combined SYBR green-based real-time PCR and oligonucleotide ligation assay was used to examine the expression of the miR-17 polycistron in irradiated OC3 cells. The roles of miR-17-5p and p21 were evaluated with specific antisense oligonucleotides (ODN) that were designed and used to inhibit their expression. Expression of the p21 protein was evaluated by Western blotting. The clonogenic assay and annexin V staining were used to evaluate cell survival and apoptosis, respectively. Cells in which miR-17-5p was stably knocked down were used to create ectopic xenografts to evaluate in vivo the role of miR-17-5p. Results: A radiation dose of 5 Gy significantly increased miR-17-5p expression in irradiated OC3 cells. Inhibition of miR-17-5p expression enhanced the radiosensitivity of the OC3 cells. We found that miR-17-5p downregulates radiation-induced p21 expression in OC3 cells and, by using a tumor xenograft model, it was found that p21 plays a critical role in increasing the radiosensitivity of OC3 cells in vitro and in vivo. Conclusion: miR-17-5p is induced in irradiated OC3 cells and it downregulates p21 protein expression, contributing to the radioresistance of OC3 cells. (orig.)

  5. Larvicidal efficacy of essential oil of betel leaf ( Piper betle on the larvae of the old World screwworm fly, Chrysomya bezziana in vitro

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    Wardhana April


    Full Text Available Larvae of Chrysomya bezziana are the commonest cause of wound myiasis in some parts of the world. This obligatory parasite is important in humans and in commercial livestock. Kumarasinghe et al have reported that essential oil of betel leaf (EOBL is larvicidal to C. megacephala but there are no publications on its effect on C. bezziana . This study was done to evaluate the efficacy of essential oil of betel leaf ( Piper betle against the larvae of C. bezziana in vitro . EOBL was prepared at the Industrial Technology Institute Colombo, Sri Lanka, according to a standard protocol. The experiment on larvae was carried out at the Research Institute for Veterinary Sciences in Bogor, Indonesia. EOBL concentrations of 2%, 3% and 4% were prepared with Tween 80. Two ml of 4%, 3% and 2% EOBL in 1% Tween 80 (v/v/aq were poured into separate Petri dishes. Ten 1st and 2nd instar larvae were placed in each Petri dish. Asuntol (Chaumaphos 1% was used as positive control and distilled water with 1% tween 80 was the negative control. Larval mortality was assessed half-hourly. The experiment was repeated five times and averages were compared. Sustained immobility of the larvae, after exposure to the relevant substances was considered as death. The efficacy of EOBL depended on, the stages of C. bezziana larvae and the concentration. With 4% EOBL, all first instar larvae were killed within two hours and the second instar larvae were killed by four hours. The positive control showed no mortality until four hours but all larvae were weak, from the first 30 minutes. In the negative control, larvae were mobile and active. EOBL 3% killed all the first instar larvae by 150 minutes and 74% of the second instar at four hours. By 210 minutes, 2% preparation had killed 100% of the first instars. EOBL is an effective larvicidal for C. bezziana first and second instar larvae in vitro . This natural product has a great potential to be developed as a novel larvicide against this

  6. To Study the Prevalence of Premalignancies in Teenagers having Betel, Gutkha, Khaini, Tobacco Chewing, Beedi and Ganja Smoking Habit and Their Association with Social Class and Education Status. (United States)

    Kumar Srivastava, Vinay


    Premalignant oral lesions are usually associated with noxious oral addiction habits. These habits are common in both, high as well as low socioeconomic status but education status of parent and patients significantly affects the development of noxious oral addictions. A total of 872 patients (cases and controls) were included in the study. Social class was determined as per modified Prasad's classification (1970) with price index correction of 2004. Prevalence of lichen planus, to be only 0.4 and 2.6% present in groups III and IV of cases, and submucous fibrosis (SMF) - stromal one lanocytic foci - was 2.4% in male (group III) whereas it was not found in female cases (group IV). Teenagers having higher frequency and longer duration of noxious habits were more prone for development of premalignant lesions. 0.6% of leukoplakia, 0.3% erythroplakia, 0.7% lichen planus and 0.7% submucous fibrosis were present in 872 observed patients of control and cases. How to cite this article: Srivastava VK. To Study the Prevalence of Premalignancies in Teenagers having Betel, Gutkha, Khaini, Tobacco Chewing, Beedi and Ganja Smoking Habit and Their Association with Social Class and Education Status. Int J Clin Pediatr Dent 2014;7(2):86-92.

  7. 槟榔乙醇提取物对猪鸡五种致病菌的抑菌作用初探%Antimicrobial Activity of Raw Betel Nut Ethanol Extract against Several Pathogens of Pig and Chicken

    Institute of Scientific and Technical Information of China (English)

    周璐丽; 王定发; 周汉林; 侯冠彧; 李韦


    采用倍比稀释法,评价了槟榔青果的乙醇提取物对猪鸡养殖中常见致病菌的抗菌作用。结果表明:提取物对鸡大肠杆菌、鸡沙门氏菌、鸡金黄色葡萄球菌、猪大肠埃希菌、猪金黄色葡萄球菌等5种致病菌有一定的抑菌作用,最低抑菌浓度(MIC)分别为62.5、31.25、31.25、62.5、62.5 g/L,而最低杀菌浓度(MBC)分别为125、62.5、62.5、125、125 g/L。%The antimicrobial activity of raw betel nut ethanol extract to Eseheriehiaeoli, Salmonella, and Staphyloeoeeusaureus of pig and chicken in vitro were studied using dilution method. The results indicated that raw betel nut ethanol extract have some antibacterial effect to five pathogens of pig and chicken. The minimum inhibitory concentration (MIC) of raw betel nut ethanol extract to chicken Eseheriehiaeoli, chicken Salmonella, chicken Staphyloeoeeusaureus, pig Eseheriehiaeoli and pig Staphyloeoeeusaureus were 62.5, 31.25, 31.25, 62.5, 62.5 g/L, respectively. The minimum bactericidal concentration (MBC) were 125, 62.5, 62.5, 125, 125 g/L, respectively.

  8. The Role of Physical Activity in Harm Reduction among Betel Quid Chewers from a Prospective Cohort of 419,378 Individuals.

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    Feng En Lo

    Full Text Available To assess the benefits of regular exercise in reducing harms associated with betel quid (BQ chewing.The study cohort, 419,378 individuals, participated in a medical screening program between 1994 and 2008, with 38,324 male and 1,495 female chewers, who consumed 5-15 quids of BQ a day. Physical activity of each individual, based on "MET-hour/week", was classified as "inactive" or "active", where activity started from a daily 15 minutes/day or more of brisk walking (≥3.75 MET-hour/week. Hazard ratios for mortality and remaining years in life expectancy were calculated.Nearly one fifth (18.7% of men, but only 0.7% of women were chewers. Chewers had a 10-fold increase in oral cancer risk; and a 2-3-fold increase in mortality from lung, esophagus and liver cancer, cardiovascular disease, and diabetes, with doubling of all-cause mortality. More than half of chewers were physically inactive (59%. Physical activity was beneficial for chewers, with a reduction of all-cause mortality by 19%. Inactive chewers had their lifespan shortened by 6.3 years, compared to non-chewers, but being active, chewers improved their health by gaining 2.5 years. The improvement, however, fell short of offsetting the harms from chewing.Chewers had serious health consequences, but being physically active, chewers could mitigate some of these adverse effects, and extend life expectancy by 2.5 years and reduce mortality by one fifth. Encouraging exercise, in addition to quitting chewing, remains the best advice for 1.5 million chewers in Taiwan.

  9. Low-copy nuclear DNA, phylogeny and the evolution of dichogamy in the betel nut palms and their relatives (Arecinae; Arecaceae). (United States)

    Loo, Adrian H B; Dransfield, John; Chase, Mark W; Baker, William J


    For the betel nut palm genus Areca and the other seven genera in subtribe Arecinae (Areceae; Arecoideae; Arecaceae) we collected DNA sequences from two low-copy nuclear genes, phosphoribulokinase (PRK) and the second largest subunit of RNA polymerase II (RPB2). The data were used to evaluate monophyly of the subtribe and its component genera, explore the radiation of the group across its range, and examine evolution of protandry and protogyny, which is particularly diverse in Arecinae. The subtribe and some genera are not monophyletic. Three lineages of Arecinae are recovered: one widespread, but centered on the Sunda Shelf, another endemic to the islands east of Wallace's line and a third, comprising the Sri Lanka endemic Loxococcus, that is most closely related to genera from outside subtribe Arecinae. Strong support is obtained for broadening the circumscription of the genus Hydriastele to include Gronophyllum, Gulubia and Siphokentia. In clarifying phylogenetic relationships, we have demonstrated that a perceived bimodal distribution of the subtribe across Wallace's line does not in fact exist. Character optimizations indicate that the evolution of protogyny, an unusual condition in palms, is potentially correlated with a large radiation in the genus Pinanga and possibly also to dramatic diversification in pollen morphology and genome size. The evolution of dichogamy in the clade endemic to the east of Wallace's line is complex and reveals a pattern of numerous transformations between protandry and protogyny that is in marked contrast with other Arecinae. We suggest that this contrast is most likely a reflection of differing geological histories and pollinator spectra in each region.

  10. Modelling the effect of essential oil of betel leaf (Piper betle L.) on germination, growth, and apparent lag time of Penicillium expansum on semi-synthetic media. (United States)

    Basak, Suradeep; Guha, Proshanta


    The current study aimed at characterizing the chemical components of betel leaf (Piper betle L. var. Tamluk Mitha) essential oil (BLEO) and modelling its effect on growth of Penicillium expansum on semi-synthetic medium. Gas chromatography-mass spectrophotometry (GC-MS) analysis of BLEO revealed the presence of different bioactive phenolic compounds in significant amounts. Among 46 different components identified, chavibetol (22.0%), estragole (15.8%), β-cubebene (13.6%), chavicol (11.8%), and caryophyllene (11.3%) were found to be the major compounds of BLEO. A disc diffusion and disc volatilization method were used to evaluate antifungal activity of the oil against a selected food spoilage mould. The logistic model was used to study the kinetics of spore germination. Prediction and validation of antifungal effect of BLEO was performed on semi-synthetic medium (apple juice agar) using predictive microbiological tools. The Baranyi and Roberts model was used to estimate maximum growth rate (μmax in mm/day) and apparent lag time (λ in days) of the mould. Secondary modelling was performed using a re-parameterized Monod-type equation based on cardinal values to study the effect of different BLEO concentration on estimated growth parameters. Emax (minimum concentration of oil at which mould growth was inhibited) and MIC (minimum inhibitory concentration of BLEO at which lag time is infinite) value of BLEO against P. expansum was estimated to be 0.56 and 0.74 μl/ml, respectively, which was found to be similar on potato dextrose agar (PDA) as well as apple juice agar (AJA) medium. The correlation between estimated growth parameters of the mould on both the media was obtained with satisfactory statistical indices (R(2) and RMSE). This study revealed inhibitory efficacy of BLEO on spore germination, mycelial growth and apparent lag time of P. expansum in a dose-dependent manner. Hence, BLEO has potential to be used as a natural food preservative.

  11. Incidence of oral submucous fibrosis induced by betel nut chewing among the commissioned and enlisted in Sanya region%三亚驻地部队官兵咀嚼槟榔及口腔黏膜下纤维化发病情况调查

    Institute of Scientific and Technical Information of China (English)

    周洋; 陈明莉; 徐晓咪; 翟艳萍


    目的:了解三亚驻地部队官兵咀嚼槟榔情况及口腔黏膜下纤维化( oral submucous fibrosis ,OSF)发病情况。方法对三亚驻地2011年5302名参加体检的部队官兵的性别、年龄、学历、身份、咀嚼槟榔的频率、养成咀嚼槟榔习惯的时间、OSF的发病情况等资料进行分析。结果(1)5302名参检官兵中咀嚼槟榔者占44.1%,以男军人为主,18~28岁年龄组官兵咀嚼槟榔率最高(53.2%);士兵、士官(50.4%)及低学历者(54.6%)咀嚼槟榔率较高。(2)参检官兵OSF发病率为8.9%,均有咀嚼槟榔史,均为男性;到部队后养成咀嚼槟榔习惯的官兵OSF发病率较高(22.9%)。结论三亚驻地部队官兵咀嚼槟榔习惯盛行,OSF发病率高,应引起各级后勤卫生部门重视,及时制定相关预防措施。%Objective To investigate the prevalence of betel nut chewing and the incidence of oral submucous fibrosis (OSF) among the commissioned and enlisted in Sanya Region .Methods In the physical check-ups in 2011, the age, sex, educational back-ground, identity, the frequency of chewing betel nutS and the time of forming the habit , the incidence of OSF were studied among the 5302 commissioned and enlisted in Sanya Region .Results (1) Of the 5302 commissioned and enlisted , 2332 people had the habit of chewing betel nuts , accounting for 44.1%, with the male service men as its majority .The percentage of betel nut chewers was obvious-ly higher in the 18-28 year age group , and the percentage of chewers among the enlisted , petty officers and those with low educational background was also relatively higher .The age group of the 18-28 with a low educational background had higher rates of betel nut che-wing.Most of them were privates or non-commissioned officers.(2) Physical check-ups reveled that the commissioned and enlisted had an OSF incidence of 8.9%.They (all male), almost without exclusion, had

  12. Effects of Mongolian Pharmaceutical Betel Shisanwei Ingredients Pill on hypothalamic-pituitary-adrenal axis negative feedback function in rat models of chronic stress-induced depression%慢性应激抑郁模型大鼠下丘脑-垂体-肾上腺轴负反馈功能与蒙药槟榔十三味丸的干预

    Institute of Scientific and Technical Information of China (English)

    包伍叶; 范盎然; 白亮凤; 佟海英; 于雪; 乌吉斯古冷; 李婧; 胡日乐巴根; 张月


    BACKGROUND:Mongolian Pharmaceutical Betel Shisanwei Ingredients Pil has achieved good clinical efficacy, but the underlying mechanism remains unclear. OBJECTIVE: To study the effects of Mongolian Pharmaceutical Betel Shisanwei Ingredients Pil on the hypothalamic-pituitary-adrenal axis negative feedback function in the chronic depressed rats, and to explore anti-depression mechanisms of Mongolian Pharmaceutical Betel Shisanwei ingredients pil. METHODS: Eighty male Wistar rats were randomly divided into ten groups according to the sugar consumption test (with eight rats in each group): normal control group, model group, fluoxetine group, high-, medium- and low-dose Betel Shisanwei Ingredients Pil groups, RU486 group, high-, medium- and low-dose Betel Shisanwei Ingredients Pil plus RU486 groups. Except normal control group, the other groups were treated with the chronic unpredictable mild stress stimulation combined with lonely rising, to establish depression models. In the meantime, rats of the high-, medium- and low-dose Betel Shisanwei Ingredients Pil groups were given oral gavage of Betel Shisanwei Ingredients Pil (0.2, 0.4, 0.8 g/kg) for 28 days; rats of the normal control group and model group were intragstricaly administered with sodium carboxymethyl celulose; rats of RU486 group were given abdominal subcutaneous injection of RU486 from day 21 after modeling; rats of the high-, medium- and low-dose Betel Shisanwei Ingredients Pil plus RU486 groups were intragstricaly administered with Betel Shisanwei Ingredients Pil (0.2, 0.4, 0.8 g/kg) and subcutaneous injection of RU486 from day 21. RESULTS AND CONCLUSION:Compared with normal control group, cortisone content increased significantly (P < 0.05), the expression of glucocorticoid receptor mRNA in hippocampus, hypothalamus and pituitary gland decreased significantly, and hypothalamic corticotrophin releasing hormone mRNA expression increased significantly in the model group and RU486 group. Compared with model

  13. 嚼槟榔对妇科手术患者靶控输注依托咪酯意识消失EC50的影响%Effect of betel chewing on median effective effect-site concentration (EC50) of etomidate for loss of consciousness in gynecologic surgery

    Institute of Scientific and Technical Information of China (English)



    目的 观察嚼槟榔对妇科手术患者麻醉诱导靶控输注依托咪酯意识消失时半数有效效应室靶浓度(EC50)的影响.方法 择期妇科手术患者60例,ASA Ⅰ或Ⅱ级,年龄30~60岁.根据患者术前是否有嚼食槟榔史分为嚼食槟榔组和未嚼食槟榔组各30例.麻醉诱导时靶控输注依托咪酯,按序贯法确定依托咪酯的效应室靶浓度,第1例患者依托咪酯效应室靶浓度为0.25 mg/L,各相邻靶浓度之比为1.23.以睫毛反射消失及对言语指令无反应作为判断意识消失的标志,计算靶控输注依托咪酯意识消失时的EC50.结果 与未嚼食槟榔组比较,嚼食槟榔组靶控输注依托咪酯意识消失时的EC50明显提高(P<0.05).结论 长期嚼槟榔妇科患者可提高其靶控输注依托咪酯意识消失时的EC50.%Objective To investigate the effect of betel chewing on median effective effect-site concentration (EC50) of etomidate given by target controlled infusion (TCI), which produces loss of consciousness (LOC) for 50% patients in gynecologic surgery. Methods Sixty ASA I or II female patients, aged 30-60 years old, scheduled for elective gynecologic surgery were allocated into two groups: the betel chewing group (n=30) and the control group (n=30). During anesthesia induction, the EC50 of etomidate given by TCI was determined by up-and-down technique. The initial EC of etomidate was 0.25 mg/L and the ratio between the two successive EC was 1.23. Loss of response to verbal command and eyelash stimulation was used as sighs of LOC. The EC50 of etomidate was calculated. Results The EC50 of etomidate for LOC was significantly higher in the betel chewing group than that in the control group (P<0.05). Conclusion The patients with the habit of betel chewing have higher EC50 of etomidate for LOC in anesthesia induction in gynecologic surgery.

  14. Hydroxychavicol: a potent xanthine oxidase inhibitor obtained from the leaves of betel, Piper betle. (United States)

    Murata, Kazuya; Nakao, Kikuyo; Hirata, Noriko; Namba, Kensuke; Nomi, Takao; Kitamura, Yoshihisa; Moriyama, Kenzo; Shintani, Takahiro; Iinuma, Munekazu; Matsuda, Hideaki


    The screening of Piperaceous plants for xanthine oxidase inhibitory activity revealed that the extract of the leaves of Piper betle possesses potent activity. Activity-guided purification led us to obtain hydroxychavicol as an active principle. Hydroxychavicol is a more potent xanthine oxidase inhibitor than allopurinol, which is clinically used for the treatment of hyperuricemia.

  15. Antiovulatory and abortifacient effects of Areca catechu (betel nut in female rats

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    Shrestha Jyoti


    Full Text Available Objectives : To study the antiovulatory and abortifacient effects of ethanolic extract of Areca catechu in female rats. Materials and Methods : For antiovulatory effect, ethanolic extract of A. catechu at 100 and 300 mg/kg doses was administered orally for 15 days. Vaginal smears were examined daily microscopically for estrus cycle. Rats were sacrificed on 16 th day. Ovarian weight, cholesterol estimation, and histopathological studies were done. Abortifacient activity was studied in rats at 100 and 300 mg/kg doses administered orally from 6 th to 15 th day of pregnancy. Rats were laparotomised on 19 th day. The number of implantation sites and live fetuses were observed in both horns of the uterus. Results : The extract of A. catechu showed a significant decrease in the duration of estrus at 100 mg/kg (P = 0.015 and 300 mg/kg doses (P = 0.002 as compared with control. Metestrus phase was also significantly reduced at 100 mg/kg (P = 0.024 and 300 mg/kg doses (P = 0.002. There was a significant increase in proestrus (P < 0.001 phase. However, diestrus phase was unchanged. Histopathological study of the ovaries showed mainly primordial, primary, and secondary follicles in the test groups as compared to control. There was also a significant (P = 0.002 decrease in ovarian weight and a significant (P = 0.021 increase in ovarian cholesterol level at 100 mg/kg dose. In the study to evaluate abortifacient effect, the mean percentage of abortion with 100 and 300 mg/kg doses were 75.5% and 72.22%, respectively, which was significantly (P = 0.008 and P = 0.006, respectively increased when compared with control. Conclusion : The ethanolic extract of A. catechu at doses of 100 and 300 mg/kg has antiovulatory and abortifacient effects.

  16. On the Vietnamese Betel Nut Culture%越南槟榔文化初探

    Institute of Scientific and Technical Information of China (English)




  17. Study on the Chemical Composition on Piper Betel Leaves%蒌叶的化学成分研究

    Institute of Scientific and Technical Information of China (English)

    朱芸; 戴云; 黄相中; 程春梅; 梁辉; 关小丽


    目的:对采于云南保山的蒌叶(Piper betle L)叶子进行化学成分的研究.方法:从蒌叶叶子的乙酸乙酯提取部位经过多次硅胶柱色谱、凝胶柱分离化学成分,经理化常数测定、波谱分析和文献对照等鉴定出结构.结果:分离得到9个化合物,确定其结构分别为:halicerebroside(Ⅰ)、4-丙烯基-苯邻二酚(Ⅱ)、胡椒亭(Ⅲ)、胡椒碱(Ⅳ)、胡椒次碱(V)、N-isobutyl-2E,4E-octadienamide(Ⅵ)、β-香树脂醇(Ⅶ)、β-谷甾醇(Ⅷ)、胡萝卜苷(Ⅸ).结论:化合物Ⅰ、Ⅱ、Ⅲ、V、Ⅵ,Ⅶ为首次从蒌叶植物中分离得到.

  18. Conserved host-pathogen PPIs. Globally conserved inter-species bacterial PPIs based conserved host-pathogen interactome derived novel target in C. pseudotuberculosis, C. diphtheriae, M. tuberculosis, C. ulcerans, Y. pestis, and E. coli targeted by Piper betel compounds

    DEFF Research Database (Denmark)

    Barh, Debmalya; Gupta, Krishnakant; Jain, Neha;


    Although attempts have been made to unveil protein-protein and host-pathogen interactions based on molecular insights of important biological events and pathogenesis in various organisms, these efforts have not yet been reported in Corynebacterium pseudotuberculosis (Cp), the causative agent......-species bacterial PPI using conserved proteins in multiple pathogens (Y. pestis, M. tuberculosis, C. diphtheriae, C. ulcerans, E. coli, and all four Cp strains) and E. Coli based experimentally validated PPI data. Furthermore, the interacting proteins in the common conserved inter-species bacterial PPI were used...

  19. Green Antibiotic Daun Sirih (Piper betle l. Sebagai Pengganti Antibiotik Komersial untuk Penanganan Mastitis

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    Gabby Lutviandhitarani


    Full Text Available (Green antibiotic betel leaf (Piper betle l. as a substitute  for commercial antibiotic in mastitis treatment  ABSTRACT. The present study was carried out to investigate the possible antibacterial activity of betel leaf on the amount and microscopic appearance of mastitis-causing bacteria. The randomized block design with 5 treatment groups were : K group (mastitis milk only as negative control, Ab group (mastitis milk + antibiotic penicillin-dihydrostreptomycin as positive control,  S1 group (mastitis milk + 1,25 ml betel leaf water extract, S2 group (mastitis milk+ 2,5 ml betel leaf water extract, and S3 group (mastitis milk + 5 ml betel leaf water extract. The result showed that the amount of bacteria in the betel leaves groups (S1, S2, and S3 groups were lower (P 0,05. Moreover, this research showed that betel leaf water extract had the same effectiveness with commercial antibiotic penicillin-dihydrostreptomycin to inhibit the growth of bacteria as indicated by the same amount of bacteria (P>0,05 among the betel leaf groups (S1, S2, and S3 groups and the Ab group. Gram-positive and negative bacteria were seen in the K group. However, only Gram-negative bacteria were visible in the betel leaf groups (S1, S2, and S3 groups and in the Ab groups, indicating that betel leaf had the same effectiveness as penicillin-dihydrostreptomycin to inhibit the growth of Gram-positive bacteria.


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    Asep Sudarman


    Full Text Available The objective of the experiment was to find the best administration method of betel leaf meal in long term to prevent and to treat subclinical mastitis of lactating dairy cows. The experimental design used was a completely randomized design with four treatments and three replications and used twelve cows. The treatments were P0 (without betel leaf meal, as control, P1 (administration of betel leaf meal every day, P2 (administration of betel leaf meal with one week interval and P3 (administration of betel leaf meal in 3 weeks and 1 week off. Parameters measured were somatic cell count, milk composition, milk production, immunoglobulin (IgG, level of glucose and triglyceride. Data were analyzed by using analysis of variance (ANOVA and the differences amongst treatments were examined by Duncan multiple range test. Results showed that number of somatic cells in the control (P0 increased by 17.22%, whereas P1, P2 and P3 decreased somatic cell count by 95.74, 97.17 and 89.03%, respectively. Supplementation of betel leaves did not significantly affect milk composition, IgG, glucose and triglyceride. It was concluded that supplementation of betel leaf meal with one week interval (P2 was the best method in lowering the number of somatic cells and increasing milk production without changing the composition of milk.

  1. Chrome Tanning Leather of Giant Sea Perch Combined with Seed Extract Areca Nut on the Physical Characteristics

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    Bustami - Ibrahim


    Full Text Available Tanning is the process of converting raw hide protein to leather, which are stable, not easily decompose, and is suitable for a variety of uses. The use of vegetable based tanning materials in the leather tanning process has not been carried out. Vegetable based materials that were used are betel nuts. This plant contains tannin which is the main agent in the process of leather tanning. The aim of this study was to determine the physical characteristics of snapper leather treated with betel nut extract. Soxhlet extracting method with methanol as a solvent were used to obtain tannin from betel nuts. Tanned Snapper Leather were analyzed for physical quality, elongation strength, tensile strength, tear strength, and sewing strength. The result showed that methanol extracted betel nut with 10% concentration gives the optimum physical characteristics.Keywords: areca nut, chrome, snapper, snapper

  2. Analysis of various risk factors affecting potentially malignant disorders and oral cancer patients of Central India

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    Vidya Kadashetti


    Conclusions: Chewing tobacco/betel quid is a strong risk factor in the development of PMD and oral cancer. Also age, gender, SES, education, and occupation influence the development of PMD and oral cancer.

  3. Karakterisasi Simplisia, Skrining Fitokimia dan Uji Aktivitas Antibakteri Ekstrak Daun dari Dua Varietas Sirih (Piper betle L.) Terhadap Bakteri Streptococcus mutans Penyebab Karies Gigi


    Sitorus, Sulastri


    Leaf of betle (Piper betle L) has beeen used traditionally as medicine, for example as mouthwash, prevent caries and wound curing. This betle have many varieties which was differented by it colour, form and taste. Part of betle are different from colour, form, taste. Part of betle are red betle, Malay betel, black betel, silver betle, forest betle and prawn, but some people more used to sirih Melayu. It happened because almost people do not recordnice varieties of Piper betle. This observat...

  4. Perbedaan Daya Hambat Ekstrak Daun Sirih Hijau ( Piper betle L. dan Daun Sirih Merah ( Piper crocatum Ruiz & Pav terhadap Pertumbuhan Escherichia coli

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    Tristika Aulia Syahrinastiti


    Full Text Available AbstrakSirih hijau (Piper betle L. dan sirih merah (Piper crocatum Ruiz & Pav dipercaya memiliki khasiat mencegah penyakit infeksi saluran kemih yang disebabkan oleh Escherichia coli. Tujuan penelitian ini adalah untuk menjelaskan perbedaan daya hambat ekstrak daun sirih hijaudan daun sirih merah terhadap pertumbuhan Escherichia coli. Jenis penelitian ini adalah eksperimental dengan desain post test only control group. Penelitian dilakukan di laboratorium mikrobiologi Fakultas Kedokteran Universitas Andalas. Hasil penelitian adalah: 1. Efek daya hambat ekstrak daun sirih merah pada konsentrasi 2,5%, 5%, 7,5%, dan 10%, yaitu 0,6cm, 1,1cm, 1,2cm, dan 1,2cm; 2. Ekstrak daun sirih hijau tidak memiliki efek daya hambat pada konsentrasi 2,5%, 5%, 7,5%, dan 10%. Kesimpulan eksperimen ini adalah ekstrak daun sirih merah memiliki efek daya hambat lebih baik daripada ekstrak daun sirih hijau.Kata kunci: ekstrak daun sirih hijau, ekstrak daun sirih merah, escherichia coli, daerah bebas hambat AbstractGreen betel (Piper betle L. and red betel (Piper crocatum Ruiz & Pav are trusted of possessing an efficacy of preventing urinary tract infection caused by Eschericia coli. The objective of this study was to explain the difference of inhibition zones between the green betel and the red betel towards the growth of Eschericia coli. The type of this research was experimental study with post test only control group design. This research was carried out in Microbiology Laboratory, Faculty of Medicine Andalas University.The results of this research were: 1.The inhibition zones of red betel extract in concentration of 2.5%, 5%, 7.5%, and 10% were 0.6 cm, 1.1 cm, 1.2 cm, and 1.2 cm; 2. The extract of green betel had none of inhibition zones in concentration of of 2.5%, 5%, 7.5%, and 10%. In conclusion, the red betel extract has better inhibition zones than the green betel extrac.Keywords: green betel extract, red betel extract, eschericia coli, inhibition zone

  5. Perbandingan Daya Hambat Larutan Antiseptik Povidone iodine dengan Ekstrak Daun Sirih terhadap Candida albicans secara In Vitro

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    Septriana Putri


    Full Text Available Abstrak Candida albicansb (C. albicans adalah salah satu mikroorganisme penyebab masalah kesehatan reproduksi wanita, yaitu keputihan (fluor albus. Penggunaan larutan povidone iodine dan bahan alam seperti ekstrak daun sirih menjadi pilihan masyarakat sebagai pembersih alat kewanitaan. Tujuan penelitian ini adalah untuk membandingkandaya hambat larutan antiseptik povidone iodine dan ekstrak daun sirih terhadap jamur C. albicans secara in vitro. Penelitian dilakukan terhadap lima isolat jamur C. albicans dengan larutan kontrol akuades.Perlakuan terdiri dari povidone iodine, ekstrak daun sirih dengan konsentrasi 5%, 10%, dan 20%.Hasil penelitian menunjukkan bahwa povidone iodine memiliki daya hambat terhadap C. albicans. Ekstrak daun sirih dengan konsentrasi 5% dan 10% tidak memiliki daya hambat terhadap C. albicans, namun ekstrak daun sirih konsentrasi 20% memiliki daya hambat terhadap C. albicans. Analisis statistik dengan uji ANOVA yang dilanjutkan dengan uji Post-hoc menunjukkan perbedaan bermakna antara daya hambat larutan povidone iodine dan ekstrak daun sirih 20% terhadap kontrol(p < 0.05.Larutan povidone iodine memiliki daya hambat dua kali lebih besar terhadap pertumbuhan C. albicans dibandingkan ekstrak daun sirih 20%. Dari penelitian ini dapat disimpulkan bahwa larutan povidone iodine dan ekstrak daun sirih 20% dapat menghambat pertumbuhan jamur C. albicans secara in vitro. Kata kunci: povidone iodine, ekstrak daun sirih, Candida albicansAbstract Candida albicans (C. albicans is one of the frequent causes of  reproductive health problems in women, namely vaginal discharge (fluor albus. The antiseptic solution, povidone iodine, is still an option to overcome vaginal discharge. The use of natural materials such as betel (Piper betle L. leaves extract also become a popular choice as adouche for women. The objective of this study was to compare the inhibitory activity of povidone iodine solution and betel leaf extract against the growth of

  6. Oral submucous fibrosis: an update

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    Wollina U


    Full Text Available Uwe Wollina,1 Shyam B Verma,2 Fareedi Mukram Ali,3 Kishor Patil4 1Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany; 2Nirvana Skin Clinic, Vadodara, Gujarat, India; 3Departments of Oral and Maxillofacial Surgery, SMBT Dental College, Sangamner, Maharashtra, India; 4Departments of Oral Pathology and Microbiology, SMBT Dental College, Sangamner, Maharashtra, India Abstract: Oral submucous fibrosis (OSF is a premalignant condition caused by betel chewing. It is very common in Southeast Asia but has started to spread to Europe and North America. OSF can lead to squamous cell carcinoma, a risk that is further increased by concomitant tobacco consumption. OSF is a diagnosis based on clinical symptoms and confirmation by histopathology. Hypovascularity leading to blanching of the oral mucosa, staining of teeth and gingiva, and trismus are major symptoms. Major constituents of betel quid are arecoline from betel nuts and copper, which are responsible for fibroblast dysfunction and fibrosis. A variety of extracellular and intracellular signaling pathways might be involved. Treatment of OSF is difficult, as not many large, randomized controlled trials have been conducted. The principal actions of drug therapy include antifibrotic, anti-inflammatory, and antioxygen radical mechanisms. Potential new drugs are on the horizon. Surgery may be necessary in advanced cases of trismus. Prevention is most important, as no healing can be achieved with available treatments. Keywords: betel nut, betel quid, oral disease, squamous cell carcinoma, tobacco, fibrosis

  7. Profiling of Piper betle Linn. cultivars by direct analysis in real time mass spectrometric technique. (United States)

    Bajpai, Vikas; Sharma, Deepty; Kumar, Brijesh; Madhusudanan, K P


    Piper betle Linn. is a traditional plant associated with the Asian and southeast Asian cultures. Its use is also recorded in folk medicines in these regions. Several of its medicinal properties have recently been proven. Phytochemical analysis showed the presence of mainly terpenes and phenols in betel leaves. These constituents vary in the different cultivars of Piper betle. In this paper we have attempted to profile eight locally available betel cultivars using the recently developed mass spectral ionization technique of direct analysis in real time (DART). Principal component analysis has also been employed to analyze the DART MS data of these betel cultivars. The results show that the cultivars of Piper betle could be differentiated using DART MS data.

  8. Investigations on Piper betle grown in Sri Lanka. (United States)

    Arambewela, L S R; Arawwawala, L D A M; Kumaratunga, K G; Dissanayake, D S; Ratnasooriya, W D; Kumarasingha, S P


    Piper betle is an economically important plant cultivated in Sri Lanka. Although more than 12 cultivars of betel are reported in Sri Lanka, very few scientific investigations have been carried out on them. Studies on the chemical constituents indicated that safrole is the major constituent, followed by chavibitol acetate, in the essential oil of common betel leaves of Sri Lanka. Investigations on the bioactivities of P. betle revealed the presence of antimicrobial, insecticidal, antioxidant, antinociceptive, antidiabetic and gastroprotective activities. In addition, P. betle was found to be safe in terms of hepatotoxicity, renotoxicity, hematotoxicity, gross morphology, weights of organs, stress or aversive behaviors in rats. The above findings indicate the vast potential of P. betle yet to be harnessed for the benefit of mankind and the betel industry of Sri Lanka.

  9. Investigations on Piper betle grown in Sri Lanka

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    L.S.R Arambewela


    Full Text Available Piper betle is an economically important plant cultivated in Sri Lanka. Although more than 12 cultivars of betel are reported in Sri Lanka, very few scientific investigations have been carried out on them. Studies on the chemical constituents indicated that safrole is the major constituent, followed by chavibitol acetate, in the essential oil of common betel leaves of Sri Lanka. Investigations on the bioactivities of P. betle revealed the presence of antimicrobial, insecticidal, antioxidant, antinociceptive, antidiabetic and gastroprotective activities. In addition, P. betle was found to be safe in terms of hepatotoxicity, renotoxicity, hematotoxicity, gross morphology, weights of organs, stress or aversive behaviors in rats. The above findings indicate the vast potential of P. betle yet to be harnessed for the benefit of mankind and the betel industry of Sri Lanka.

  10. Antioxidant and Cytotoxic Phenolic Compounds of Areca Nut(Areca catechu)

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xing; WU Jiao; HAN Zhuang; MEI Wen-li; DAI Hao-fu


    @@ 1 Introduction Areca catechu L.(Palmae),commonly known as an important economical seed crop,is widely cultivated in tropical and subtropical areas,including India,Southeast Asia,East Africa and New Guinea.Areca nut(frequently known as betel nut) is the ripe fruit of the tree A.catechu.Areca nut can be chewed and it is a common masticatory in tropical and subtropical countries.It was estimated in the early 1990s that 10% to 20% of the world's population chewed betel quid daily.

  11. Women of De’ang Nationality

    Institute of Scientific and Technical Information of China (English)


    Older De’ang women in Yunnan retain some traditional customs, They still live in bamboo houses. They shave off their hair and wrap their heads with black cloth; chew the leaves of the betel tree, and wear rings made of rattan or thin bamboo strips.

  12. What Is the "Areca" in "Areca Nuts"? Extraction and Neuroactive Bioassay of Arecoline (United States)

    Locock, Katherine; Bakas, Tim; Sanai, Farid; Allan, Robin; Hinton, Tina


    A series of three practical sessions are designed to give students firsthand experience with the preparation of natural product extracts and assay using a live tissue preparation. Areca or betel nuts are the seeds from the fruit of the "Areca catechu" palm tree that is known to contain a number of pharmacologically active alkaloids. The…

  13. International Cancer of the Head and Neck, Genetics and Environment (InterCHANGE) Study (United States)


    Evaluate the Association Between Certain Environmental Exposures (e.g. Cigarette Smoking, Alcohol Drinking, Betel Nut Chewing…) and Head and Neck Cancers; Assess the Effect of Genetic Factors, Including Both SNP and Copy Number Variation (CNV) Through Analysis of Both Main Effect and Gene-gene Interaction

  14. Challenges of smokeless tobacco use in Myanmar

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    T Sein


    Full Text Available Myanmar Tobacco Control Law of 2006 covers the control of all forms of tobacco use. After 7-year, tobacco use among adults did not see a decrease. The paper aimed to study the prevalence, details of the products, trade, legislation, tax, marketing, advertising and evidence on morbidity and mortality, and to make recommendations for policy options. Personal communications by authors and colleagues, and searches by keywords in PubMed and on Google, literature review and research from published reports, and various studies and surveys conducted in Myanmar and other countries. Smokeless tobacco use in Myanmar is the highest among ASEAN countries. A variety of SLT products used together with betel chewing poses a challenge; betel quid chewing has been accepted as a cultural norm in both rural and urban areas. Betel quid chewing usually starts at younger ages. Sale, marketing, and advertising of SLT are not under control and thus, road-side kiosks selling betel quid with SLT are mushrooming. Considerable trade of SLT products by illegal and legal means created an increase in access and availability. Low cost of SLT product enables high volume of use, even for the poor families. Taxation for raw tobacco and tobacco products is half the values of the tax for cigarettes. Effective enforcement, amendment of the law, and action for social change are needed.

  15. Challenges of smokeless tobacco use in Myanmar. (United States)

    Sein, T; Swe, T; Toe, M M; Zaw, K K; Sein, T O


    Myanmar Tobacco Control Law of 2006 covers the control of all forms of tobacco use. After 7-year, tobacco use among adults did not see a decrease. The paper aimed to study the prevalence, details of the products, trade, legislation, tax, marketing, advertising and evidence on morbidity and mortality, and to make recommendations for policy options. Personal communications by authors and colleagues, and searches by keywords in PubMed and on Google, literature review and research from published reports, and various studies and surveys conducted in Myanmar and other countries. Smokeless tobacco use in Myanmar is the highest among ASEAN countries. A variety of SLT products used together with betel chewing poses a challenge; betel quid chewing has been accepted as a cultural norm in both rural and urban areas. Betel quid chewing usually starts at younger ages. Sale, marketing, and advertising of SLT are not under control and thus, road-side kiosks selling betel quid with SLT are mushrooming. Considerable trade of SLT products by illegal and legal means created an increase in access and availability. Low cost of SLT product enables high volume of use, even for the poor families. Taxation for raw tobacco and tobacco products is half the values of the tax for cigarettes. Effective enforcement, amendment of the law, and action for social change are needed.

  16. Peningkatan Ketebalan Epitel Mukosa Bukal setelah Aplikasi Ekstrak Daun Sirih

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    Winny Yohana


    epitel diuji menggunakan uji parametric uji T independen. Hasil penelitian menunjukkan peningkatan ketebalan epitel yang bermakna dicapai oleh kelompok ketiga (±15,61 μm, p=0,002, sedangkan pada kelompok pertama dan kedua tidak terdapat peningkatan ketebalan epitel (p=0,261. Aplikasi ekstrak daun sirih dapat meningkatkan ketebalan epitel mukosa bukal tikus wistar.   Increase in Buccal Mucous Epithelium Thickness after Application of Betel Leaf Extract. Betel leaf (Piper Betle Linn is a herbal ingredient. It is widely used because of its antibacterial power, anti-inflamatory and antioxidant properties. It is readily available in affordable price. The aim of this study is to determine of buccal mucous epithelium thickness of Wistar rats after the application of betel leaf extract. This was an experimental laboratory research which was performed in three groups of Wistar rats. The first group was the control group. The second and third group were those given betel leaf extract for 15 and 35 days. Each group contained nine rats. The rats were sacrificed at the time determined and made histological slide with HE staining for observation of epithelial thickness. The data of the size of epithelium were tested using independent parametric T test. The result shows a significant increase in buccal mucous epithelium thickness on the third group (15,61μm, p=0,002. Conversely, there is no increase in buccal mucous epithelium thickness on another group (p=0,261. In conclusion, the increase in buccal mucous epithelium thickness of Wistar rats occurred after the application of betel leaf extract.


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    Pratheepa Sivasankari. N


    Full Text Available Background: The three most common fatal cancers were oral, stomach, lung in men. Tobacco related cancers represented 42% in male and 18.3% in female cancer deaths. Poly cyclic aromatic hydrocarbons (PAH is the carcinogen present in tobacco leads to squamous cell carcinoma of oral cavity. Context and purpose of the study: To study the genotoxicity of tobacco and alcohol on the buccal mucosa of alchoholics, smokers and betel nut chewers which is indicated by increased Micro nuclei. 20 persons having the habit of consuming alcohol and smoking and betel nut chewing were compared with 20 controls. After getting the informed consent the material was collected and stained for MN Assay. Results: MN frequency in alcoholic, smokers, betel nut chewers were found to be significant with the ‘P’ value of <0.05 in our study. Conclusion: The present study has revealed that there is a correlation of significant increased frequency of micro nucleus present in users of (1 alcohol and smoking in combination (2 betel nut chewers as compared to normal counterparts, indicating strong cytogenetic damage which may lead to cancerous proliferation. Tobacco can be considered as a leading carcinogenic agent for causing DNA damage which is indicated by increased micro nucleus. Implication: The present micro nuclear study shows a feasible and economical method which could be used as a screening test in population having the habit of alcohol and smoking or betel nut chewing for identifying the effects of genomic instabilities and to introduce timely interventional strategy in order to treat and control the epidemic.

  18. Intercropping Mode and Prospect of Peanut Under Forest in Hainan%海南林下间作花生模式及展望

    Institute of Scientific and Technical Information of China (English)

    李东霞; 杨伟波; 付登强; 陈良秋; 石鹏; 刘小玉


    Combined with the growth characteristics of peanut and rubber,betel nuts,coconut,camellia an d oil palm and other important tropical crops,the rubber-peanuts,betel nuts-peanuts,coconut-peanuts,camellia-peanuts and oil palm-peanuts intercropping modes were introduced,and the development prospect of peanut intercropping in Hainan was forecasted.%结合花生与橡胶、槟榔、椰子、油茶和油棕等重-热带作物的生长特点,介绍了橡胶-花生、槟榔-花生、椰子-花生、油茶-花生、油棕-花生间作模式,并展望了海南林下间作花生的发展前景。

  19. Estimation of Uranium in Some Edible and Commercial Plants

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    S. Choudhury


    Full Text Available The trace contents of uranium have been estimated in some edible and commercial plants by PTA method. The groups of food plants studied are cereals, pulses, underground vegetables, leafy vegetables, and fruit vegetables. The commercial plants and ingredients taken are betel leaves, tobacco leaves, areca nuts, and lime. Among the different samples studied, the average uranium content, in general, is found to vary from 0.25 to 2.67 ppm

  20. Clinical pathological evaluation and risk factors of oral cancer cases of east coast of peninsular Malaysia


    Farini, M. S.; Azlina, A; Rushdan, I.; Manoharan, M; Zain, R. B.; Samsudin, A. R.


    Introduction: Oral cancer is one of the common cancers m Malaysia. Tile population of east coast of Peninsular Malaysia has a different hfestyle and Malay is the predominant race. Oral cancer research in this area started since the Malaysian National Oral Cancer group was established. The am: of this study is to evaluate the clinical pathological findings and to investigate the role of tobacco smoking, alcohol consurnption and betel quid chewing as tile risk factors among oral cancer cases m ...

  1. Polymorphisms and Plasma Levels of Tissue Inhibitor of Metalloproteinase-3: Impact on Genetic Susceptibility and Clinical Outcome of Oral Cancer. (United States)

    Su, Chun-Wen; Huang, Yi-Wen; Chen, Mu-Kuan; Su, Shih-Chi; Yang, Shun-Fa; Lin, Chiao-Wen


    Oral cancer, the fourth most common cancer among men in Taiwan, is associated with environmental carcinogens. Tissue inhibitor of metalloproteinase-3 (TIMP3), a member of the TIMP family, is the only protein that binds to the extracellular matrix for suppressing cancer cell growth, angiogenesis, migration, and invasion. The association of TIMP3 polymorphism with oral cancer susceptibility, however, has not yet been reported. In this study, 1947 participants-1200 healthy male controls and 747 male patients with oral cancer-were recruited. Allelic discrimination of TIMP3 -1296 T > C (rs9619311), TIMP3 C > T (rs9862), and TIMP3 C > T (rs11547635) polymorphisms were assessed through real-time polymerase chain reaction. The authors discovered that individuals carrying the polymorphic rs9862 allele are more susceptible to oral cancer [odds ratio (OR), 1.5; 95% confidence interval (CI), 1.2-1.9; adjusted OR (AOR), 1.6; 95% CI, 1.2-2.1] after adjustment for betel quid chewing, alcohol, and tobacco consumption. Among 601 betel quid chewers, the TIMP3 polymorphism rs9862 T/T carriers had a 32.2-fold (95% CI, 20.2-51.3) increased oral cancer risk compared with those carrying C/C and not chewing betel quid. In addition, the authors observed a significant association between rs9862 variants and large tumors (OR, 1.5; 95% CI, 1.0-2.3) development. Moreover, TIMP3 plasma levels significantly increased in oral cancer patients who have large tumor or carry T allele rs9862 polymorphism. In conclusion, these results suggest that gene-environment interactions between the TIMP3 rs9862 polymorphisms and betel quid may alter oral cancer susceptibility and tumor growth in Taiwanese men.

  2. Estimation and correlative study of salivary nitrate and nitrite in tobacco related oral squamous carcinoma and submucous fibrosis


    Vaishali Shende; Biviji, A. T.; Akarte, N


    Oral cancer is one of the ten leading cancers of the world. In India, it is one of the common cancers and is an important public health problem. Tobacco plays significant role in etiology of oral squamous carcinoma. Tobacco which is chewed or smoked contains many alkaloids which are known carcinogens. Oral submucous fibrosis (OSMF) is a disease of the Indian subcontinent, which through immigration has a worldwide distribution. Betel nut chewing plays significant role in etiology of OSMF. T...

  3. Molecular screening of lysyl oxidase G473A polymorphism in oral submucous fibrosis

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    Amit Thorawat


    Full Text Available Aim: To investigate the presence of lysyl oxidase (LOX G473A polymorphism in group 1 {Oral submucous fibrosis (OSMF patients}, group 2 (betel quid chewers without OSMF and group 3 (healthy individuals. Materials and Methods: A total of 60 patients were taken for the study, which included 20 OSMF patients (group 1, 20 betel quid chewers without OSMF (group 2 and 20 healthy individuals without OSMF and betel quid chewing habit (group 3. DNA was isolated using Qiagen kit. The isolated DNA was quantified using spectroscopic methods. Polymerase chain reaction (PCR was carried out at annealing temperature of 67 o C. PCR amplification was checked on 2% agarose gel. Further, the amplified PCR products were subjected to automated DNA sequencer, to assess LOX G473A polymorphism. Results: The gene sequence data generated from the automated DNA sequencer was received as colored electropherograms. These gene-sequencing results did not show LOX G473A polymorphism in any of the 3 groups. Conclusion: In our study, gene-sequencing results did not show LOX G473A polymorphism in OSMF patients. Since only one study in the literature has shown the association of LOX gene polymorphism and OSMF patients, we conclude that further studies are required to unveil the role of LOX gene polymorphism in OSMF.

  4. Interactions between environmental factors and melatonin receptor type 1A polymorphism in relation to oral cancer susceptibility and clinicopathologic development.

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    Feng-Yan Lin

    Full Text Available The purpose of this study was to explore the combined effect of melatonin receptor type 1A (MTNR1A gene polymorphisms and exposure to environmental carcinogens on the susceptibility and clinicopathological characteristics of oral cancer.Three polymorphisms of the MTNR1A gene from 618 patients with oral cancer and 560 non-cancer controls were analyzed by real-time polymerase chain reaction (PCR. The CTA haplotype of the studied MTNR1A polymorphisms (rs2119882, rs13140012, rs6553010 was related to a higher risk of oral cancer. Moreover, MTNR1A gene polymorphisms exhibited synergistic effects of environmental factors (betel quid and tobacco use on the susceptibility of oral cancer. Finally, oral-cancer patients with betel quid-chewing habit who had T/T allele of MTNR1A rs13140012 were at higher risk for developing an advanced clinical stage and lymph node metastasis.These results support gene-environment interactions of MTNR1A polymorphisms with smoking and betel quid-chewing habits possibly altering oral-cancer susceptibility and metastasis.

  5. Arecoline induced disruption of expression and localization of the tight junctional protein ZO-1 is dependent on the HER 2 expression in human endometrial Ishikawa cells

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    Sundar Shyam N


    Full Text Available Abstract Background Approximately 600 million people chew Betel nut, making this practice the fourth most popular oral habit in the world. Arecoline, the major alkaloid present in betel nut is one of the causative agents for precancerous lesions and several cancers of mouth among those who chew betel nut. Arecoline can be detected in the human embryonic tissue and is correlated to low birth weight of newborns whose mothers chew betel nut during pregnancy, suggesting that arecoline can induce many systemic effects. However, few reports exist as to the effects of arecoline in human tissues other than oral cancer cell lines. Furthermore, in any system, virtually nothing is known about the cellular effects of arecoline treatment on membrane associated signaling components of human cancer cells. Results Using the human Ishikawa endometrial cancer cell line, we investigated the effects of arecoline on expression, localization and functional connections between the ZO-1 tight junction protein and the HER2 EGF receptor family member. Treatment of Ishikawa cells with arecoline coordinately down-regulated expression of both ZO-1 and HER2 protein and transcripts in a dose dependent manner. Biochemical fractionation of cells as well as indirect immunofluorescence revealed that arecoline disrupted the localization of ZO-1 to the junctional complex at the cell periphery. Compared to control transfected cells, ectopic expression of exogenous HER2 prevented the arecoline mediated down-regulation of ZO-1 expression and restored the localization of ZO-1 to the cell periphery. Furthermore, treatment with dexamethasone, a synthetic glucocorticoid reported to up-regulate expression of HER2 in Ishikawa cells, precluded arecoline from down-regulating ZO-1 expression and disrupting ZO-1 localization. Conclusion Arecoline is known to induce precancerous lesions and cancer in the oral cavity of betel nut users. The arecoline down-regulation of ZO-1 expression and

  6. Developmental response of Spodoptera litura Fab. to treatments of crude volatile oil from Piper betle L. and evaluation of toxicity to earthworm, Eudrilus eugeniae Kinb. (United States)

    Vasantha-Srinivasan, Prabhakaran; Senthil-Nathan, Sengottayan; Thanigaivel, Annamalai; Edwin, Edward-Sam; Ponsankar, Athirstam; Selin-Rani, Selvaraj; Pradeepa, Venkatraman; Sakthi-Bhagavathy, Muthiah; Kalaivani, Kandaswamy; Hunter, Wayne B; Duraipandiyan, Veeramuthu; Al-Dhabi, Naif Abdullah


    Evaluations of biological effects of (Pb-CVO) the crude volatile oil of Piper betle leaves on the tobacco cutworm Spodoptera litura were conducted. Pb-CVO was subjected to GC-MS analysis and twenty vital compounds were isolated from the betel leaf oil. Pb-CVO was tested at four different concentrations (0.25, 0.5, 1.0 and 1.5%) against S. litura. The treated insects exhibited dose depended mortality. The mortality rate was significantly higher at the 1.0 and 1.5% Pb-CVO. The LC50 (Lethal concentration) were observed at 0.48% Pb-CVO. Larval and pupal durations increased in all treatment concentrations (0.25, 0.3, 0.4 and 0.5%) whereas, pupal weight decreased compared to control. Adult longevity of S. litura was reduced in all treatments but predominantly in the 0.4 and 0.5% Pb-CVO. Correspondingly, mean fecundity rate was reduced at all concentrations compared to control. Histological studies of larvae mid-gut profiles of S. litura were severely damaged in 1.0 and 1.5% and showed abnormalities in mid-gut cells with 0.25 and 0.5% Pb-CVO treatments. Earthworm toxicity illustrated that 0.1% of chemical insecticides (monocrotophos and cypermethrin) varied widely in their contact toxicities compared to 0.5 and 1.0% Pb-CVO and control in both contact filter paper and artificial soil test. These findings suggest that twenty essential compounds of betel leaf oil were significant inhibitors of the development and caused behavioral changes of S. litura. Treatment with betel leaf oil at these concentrations had no adverse effect on earthworm populations.

  7. Land use change and landslide characteristics analysis for community-based disaster mitigation. (United States)

    Chen, Chien-Yuan; Huang, Wen-Lin


    On August 8, 2009, Typhoon Morakot brought heavy rain to Taiwan, causing numerous landslides and debris flows in the Taihe village area of Meishan Township, Chiayi County, in south-central Taiwan. In the Taihe land is primary used for agriculture and land use management may be a factor in the area's landslides. This study explores Typhoon Morakot-induced landslides and land use changes between 1999 and 2009 using GIS with the aid of field investigation. Spot 5 satellite images with a resolution of 2.5 m are used for landslide interpretation and manually digitalized in GIS. A statistical analysis for landslide frequency-area distribution was used to identify the landslide characteristics associated with different types of land use. There were 243 landslides with a total area of 2.75 km(2) in the study area. The area is located in intrinsically fragile combinations of sandstone and shale. Typhoon Morakot-induced landslides show a power-law distribution in the study area. Landslides were mainly located in steep slope areas containing natural forest and in areas planted with bamboo, tea, and betel nut. Land covered with natural forest shows the highest landslide ratio, followed by bamboo, betel nut, and tea. Landslides thus show a higher ratio in areas planted with shallow root vegetation such as bamboo, betel nut, and tea. Furthermore, the degree of basin development is proportional to the landslide ratio. The results show that a change in vegetation cover results in a modified landslide area and frequency and changed land use areas have higher landslide ratios than non-changed. Land use management and community-based disaster prevention are needed in mountainous areas of Taiwan for hazard mitigation.

  8. Quantitative analysis of serum levels of trace elements in patients with oral submucous fibrosis and oral squamous cell carcinoma: A randomized cross-sectional study

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    Sreelatha S Hosthor


    Full Text Available Background and Objectives: Metabolic disorders, oral precancerous conditions and oral cancer are accompanied by alterations in the concentration of one or more trace elements like copper, iron, zinc, magnesium etc., in some body fluids, especially blood serum or plasma, which can help not only in the early diagnosis and treatment but also in prognosis. The objective of the study is to evaluate the levels of circulating trace elements (copper, iron, magnesium, zinc and calcium in serum of patients with Oral Submucous Fibrosis (OSF and Oral Squamous Cell Carcinoma (OSCC, to analyze the alteration and identify the best predictors amongst these parameters for disease occurrence and progression and their association with areca nut and betel quid chewing habits. Materials and Method: Serum levels of trace elements (copper, iron, magnesium, zinc and calcium were estimated using electronic absorption colorimetric method. These levels were compared with controls and statistically evaluated using ANOVA and POST-HOC TUKEY tests. Results: The data analysis revealed that serum copper levels increased gradually from precancer to cancer, as the duration of betel quid chewing habit increased. However, serum iron, magnesium, zinc levels were decreased significantly in both the groups. Serum calcium levels were increased in the cancer group owing to bone resorption in the later stages of the disease, whereas it was close to normal in OSF patients. Among all the trace elements, the best predictor for occurrence of both the lesions was copper. Conclusion: The present study shows that the above trace elements may be associated with the pathogenesis and progression of OSF and OSCC. Betel quid and areca nut chewing habits are frequently associated with both disease states and may play a role in altering the serum levels of these trace elements. Concerted efforts would, therefore, help in early detection, management and monitoring the efficacy of treatment.

  9. Specific intronic p53 mutation in esophageal squamous cell carcinoma in Southern Thailand

    Institute of Scientific and Technical Information of China (English)

    Paramee; Thongsuksai; Pleumjit; Boonyaphiphat; Puttisak; Puttawibul; Wanna; Sudhikaran


    AIM:To investigate p53 mutations in esophageal cancer in a high-risk population,and correlate them with smoking,alcohol consumption and betel chewing.METHODS:One hundred and sixty-five tumor samples of esophageal squamous cell carcinoma(ESCC) obtained from a university hospital in Songkhla province,Southern Thailand were investigated for p53 mutations in exons 5-8,using polymerase chain reaction-single strand conformation polymorphism analysis,followed by direct sequencing.A polymerase chain reactionrestric...

  10. Comparative study of Candida in oral submucous fibrosis and healthy individuals = Estudo comparativo de Candida em fibrose submucosa oral e indivíduos saudáveis

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    Anila, K.


    Conclusão: A incidência e intensidade de Candida (primariamente C. albicans foi maior nos pacientes com FSO que nos sujeitos controle, mas estes achados estavam dentro dos limites normais (3-47%. Portanto, Candida pode não ser um fator etiológico na transformação maligna. Entretanto, ainda há controvérsias se o hábito de mascar ‘betel’ em casos de FSO teria um efeito inibidor ou promoveria a aderência e invasão de Candida

  11. Oral cancer: Etiology and risk factors: A review

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    Malay Kumar


    Full Text Available Oral cancer is the sixth most common malignancy in the world. Oral cancer is of major concern in Southeast Asia primarily because of the prevalent oral habits of betel quid chewing, smoking, and alcohol consumption. Despite recent advances in cancer diagnoses and therapies, the 5.year survival rate of oral cancer patients has remained at a dismal 50% in the last few decades. This paper is an overview of the various etiological agents and risk factors implicated in the development of oral cancer.

  12. An unusual long standing tracheal foreign body – A rare incidence

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    Santosh Kumar Swain


    Full Text Available Foreign body (FB inhalation is often encountered by emergent otolaryngology services. A long standing undiagnosed FB in trachea is very rare and lethal. Inhalation of betel nut and presenting at the proximal trachea is rarer. As often in the airway FB gravitate to bronchi, long standing tracheal FB is a rare presentation and also rare in the literature. Children who are not given proper individual attention at an early age are more liable to inhale FB. FB aspiration is associated with significant morbidity.

  13. Potential topical natural repellent against Ae. aegypti, Culex sp. and Anopheles sp. mosquitoes

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    Dewi Nur Hodijah


    Full Text Available AbstrakLatar belakang:Minyak atsiri daun sirih diketahui mempunyai daya proteksi. Dibuatkan losion berdasarkan pengantar sediaan farmasi yang ditambahkan minyak atsiri daun nilam. Sediaan losion dipilih agar dapat menempel lebih lama di permukaan kulit. Tujuan penelitian ini untuk membandingkan daya proteksi antara losion dengan penambahan minyak nilam dan losion tanpa penambahan minyak nilam dibandingkan daya proteksi dengan DEET. Metode: Penelitian ini merupakan penelitian eksperimental laboratorium. Semua nyamuk uji berasal dari insektarium laboratorium penelitian kesehatan Loka litbang P2B2 Ciamis. Konsentrasi minyak atsiri daun sirih dalam losion adalah 4%; konsentrasi minyak nilam sebagai zat pengikat adalah 0,4%. Formula yang digunakan yaitu formula dasar yang ada pada pengantar sediaan farmasi. Uji repelensi dilakukan dengan menggunakan metoda yang direkomendasikan oleh Komisi pestisida.Hasil: Dihasilkan formulasi losion yang stabil dan masih memenuhi standar formulasi sediaan. Berdasarkan hasil, diperoleh data bahwa DEET dan losion hasil modifikasi memiliki rata-rata daya proteksi di atas 90% selama 6 jam terhadap nyamuk Ae.aegypti dan Culex sp. Kesimpulan: Penambahan minyak nilam pada losion sirih dapat meningkatkan daya proteksi terhadap hinggapan nyamuk Ae. aegypti dan Culex sp. (Health Science Indones 2014;1:44-8Kata kunci:repelen alamiah, minyak atsiri, daun sirih, daun nilam, Ae. aegypti, Culex sp.AbstractBackground: Betel leaf essential oil lotion has been known to have insect repellent properties. A lotion was made based on a pharmaceutical formula from a monograph where patchouli leaf essential oil was added. A lotion preparation was intended to enhance adherence of the formula on the surface of the skin. The purpose of this study was to compare protection percentage of lotion with patchouli oil and without patchouli oil lotion compared to DEET.Methods: This study is an experimental laboratory-based research. All mosquitoes

  14. Risk factors for oral cancer in northeast Thailand. (United States)

    Loyha, Kulchaya; Vatanasapt, Patravoot; Promthet, Supannee; Parkin, Donald Maxwell


    Oral cancer is a common site of head and neck cancer, and is relatively frequent in Northeast Thailand. The objective of this hospital-based, case-control study was to determine associations with risk factors. A total of 104 oral cancer cases diagnosed between July 2010 and April 2011 in 3 hospitals were matched with control subjects by age, sex and hospital. Data were collected by personal interview. There were significant associations between oral cancer and tobacco smoking (OR=4.47; 95%CI=2.00 to 9.99), alcohol use among women (OR=4.16; 95%CI=1.70 to 10.69), and betel chewing (OR=9.01; 95%CI=3.83 to 21.22), and all three showed dose-response effects. Smoking is rare among Thai women (none of the control women were smokers), but betel chewing, especially among older women, is relatively common. We did not find any association between practicing oral sex and oral cancer.

  15. Non-adherence to life-style modification and its factors among type 2 diabetic patients

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    Shirin Jahan Mumu


    Full Text Available Non-adherence to preventive and therapeutic life-style recommendations among patients with diabetes is special challenge in the management of these patients. This study aimed to measure the proportion of non-adherence to life-style modification and factors associated with these among a group of Bangladeshi type 2 diabetic patients. Under an analytical cross-sectional design 374 type 2 diabetic patients (age >20 years, diagnosed for at least 1 year, were selected from different health care centers operated by the Diabetic Association of Bangladesh. Non-adherence rate were assessed for: Diet (88%, exercise (25%, routine blood glucose testing (32%, foot care (70%, smoking (6% and betel quid chewing habit (25%. Binary logistic regression suggests that higher education group (P = 0.013, rural area (P = 0.013 and attendance to diabetes education classes (P = 0.043 showed good adherence to diet and non-attendance to diabetes education class (P = 0.014, older age (P = 0.037 are associated to non-adherence to exercise. Unemployed patients showed more non-adherence to blood glucose testing (P = 0.045 than others. Non-attendance to diabetes education class (P = 0.037 and business occupation group (P = 0.039 showed significant association to smoking and betel quid intake habit respectively.

  16. Detection of Human Papillomavirus 16-Specific IgG and IgM Antibodies in Patient Sera: A Potential Indicator of Oral Squamous Cell Carcinoma Risk Factor. (United States)

    Kerishnan, Jesinda P; Gopinath, Subash C B; Kai, Sia Bik; Tang, Thean-Hock; Ng, Helen Lee-Ching; Rahman, Zainal Ariff Abdul; Hashim, Uda; Chen, Yeng


    The association between human papillomavirus type 16 (HPV16) and oral cancer has been widely reported. However, detecting anti-HPV antibodies in patient sera to determine risk for oral squamous cell carcinoma (OSCC) has not been well studied. In the present investigation, a total of 206 OSCC serum samples from the Malaysian Oral Cancer Database & Tissue Bank System, with 134 control serum samples, were analyzed by enzyme-linked immunosorbant assay (ELISA) to detect HPV16-specific IgG and IgM antibodies. In addition, nested PCR analysis using comprehensive consensus primers (PGMY09/11 and GP5(+)/6(+)) was used to confirm the presence of HPV. Furthermore, we have evaluated the association of various additional causal factors (e.g., smoking, alcohol consumption, and betel quid chewing) in HPV-infected OSCC patients. Statistical analysis of the Malaysian population indicated that OSCC was more prevalent in female Indian patients that practices betel quid chewing. ELISA revealed that HPV16 IgG, which demonstrates past exposure, could be detected in 197 (95.6%) OSCC patients and HPV16-specific IgM was found in a total of 42 (20.4%) OSCC patients, indicating current exposure. Taken together, our study suggest that HPV infection may play a significant role in OSCC (OR: 13.6; 95% CI: 3.89-47.51) and HPV16-specific IgG and IgM antibodies could represent a significant indicator of risk factors in OSCC patients.

  17. Smokeless tobacco: A major public health problem in the SEA region: A review

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    Prakash C Gupta


    Full Text Available Smokeless tobacco use is on the upswing in some parts of the world, including parts of SEAR. It is therefore important to monitor this problem and understand the possible consequences on public health. Material for this review was obtained from documents and data of the World Health Organization, co-authors, colleagues, and searches on key words in PubMed and on Google. Smokeless tobacco use in SEAR, as betel quid with tobacco, declined with increased marketing of cigarettes from the early twentieth century. Smokeless tobacco use began to increase in the 1970s in South Asia, with the marketing of new products made from areca nut and tobacco and convenient packaging. As a consequence, oral precancerous conditions and cancer incidence in young adults have increased significantly. Thailand′s successful policies in reducing betel quid use through school health education from the 1920s and in preventing imports of smokeless tobacco products from 1992 are worth emulating by many SEAR countries. India, the largest manufacturing country of smokeless tobacco in the Region, is considering ways to regulate its production. Best practices require the simultaneous control of smokeless and smoking forms of tobacco. Governments in SEAR would do well to adopt strong measures now to control this problem.

  18. Determinants of low birth weight in rural Bangladesh

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    Manzur Kader


    Full Text Available Introduction: Low birth weight (LBW is an important risk factor for childhood morbidity and mortality. Thus, it is an important public health concern. The study was aimed to identify the important socioeconomic, anthropometric and nutritional determinants associated with LBW. Factors included maternal household wealth status, age, literacy, nutritional status, parity, stature, gestational age and chewing betel nut or tobacco. Methods: The study included data of 4436 enrolled pregnant women in the Maternal and Infant Nutrition Intervention Matlab (MINIMat trial from November 2001 to October 2003. A random subset of (n= 3267 single live birth infants born between May 2002 and June 2004 with complete information on birth weight was analyzed. Pearson’s chi square test and logistic regression analysis were done to assess the association between the factors and LBW. Results: Almost one third of the infants were born with LBW and mean birth weight was 2693 g. Maternal poor wealth status, BMI less than 18.5, short stature (height < 152 cm and preterm (<37 weeks birth were found to be strong predictors of LBW. Women’s age, hemoglobin status and chewing tobacco or betel nut were not found to be associated with LBW. Conclusion: Women’s wealth status, literacy, maternal nutrition and prevention of preterm birth are the key factors that need to be considered to improve birth weight of infants. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000: 130-134

  19. Evaluation of sanitizing efficacy of acetic acid on Piper betle leaves and its effect on antioxidant properties. (United States)

    Singla, Richu; Ganguli, Abhijit; Ghosh, Moushumi; Sohal, Sapna


    The sanitizing efficacy of acetic acid and its effect on health beneficial properties of Piper betle leaves were determined. Betel leaves artificially inoculated with Aeromonas, Salmonella and Yersinia were subjected to organic acid (citric acid, acetic acid and lactic acid) treatment. Pathogen populations reduced by 4 log upon individual inoculation and up to 2 log in a mixed cocktail following treatment with 2% acetic acid during storage up to 20 h at 28 degrees C, indicating a residual antimicrobial effect on pathogen during storage. Antioxidant potential ethanolic extracts of both raw and treated P. betle leaves were assayed for free radical scavenging activities against 2,2-diphenyl-1-picryhydrazyl. Polyphenols, flavonoids and the reducing power of treated and untreated P. betle were also compared. No significant (P>0.05) changes were observed in antioxidant status; flavonoids, polyphenols and reducing power of treated betel leaves. Results indicate the feasibility of a simple intervention strategy for inactivating pathogens in edible leaves of P. betle.

  20. Field Cancerisation of the Upper Aerodigestive Tract: Screening for Second Primary Cancers of the Oesophagus in Cancer Survivors

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    Güllü Cataldegirmen


    Full Text Available Tobacco, alcohol, and betel quid are the main causes of squamous cell cancers of the upper aerodigestive tract. These substances can cause multifocal carcinogenesis leading to multiple synchronous or metachronous cancers of the oesophagus, head and neck region, and lungs (‘field cancerisation’. Globally there are several million people who have survived either head and neck squamous cell cancer (HNSCC or lung cancer (LC. HNSCC and LC survivors are at increased risk of developing second primary malignancies, including second primary cancers of the oesophagus. The risk of second primary oesophageal squamous cell cancer (OSCC ranges from 8-30% in HNSCC patients. LC and HNSCC survivors should be offered endoscopic surveillance of the oesophagus. Lugol chromoendoscopy is the traditional and best evaluated screening method to detect early squamous cell neoplasias of the oesophagus. More recently, narrow band imaging combined with magnifying endoscopy has been established as an alternative screening method in Asia. Low-dose chest computed tomography (CT is the best evidencebased screening technique to detect (second primary LC and to reduce LC-related mortality. Low-dose chest CT screening is therefore recommended in OSCC, HNSCC, and LC survivors. In addition, OSCC survivors should undergo periodic pharyngolaryngoscopy for early detection of second primary HNSCC. Secondary prevention aims at quitting smoking, betel quid chewing, and alcohol consumption. As field cancerisation involves the oesophagus, the bronchi, and the head and neck region, the patients at risk are best surveilled and managed by an interdisciplinary team.

  1. Factors affecting commencement and cessation of smoking behaviour in Malaysian adults

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    Ghani Wan


    Full Text Available Abstract Background Tobacco consumption peak in developed countries has passed, however, it is on the increase in many developing countries. Apart from cigarettes, consumption of local hand-rolled cigarettes such as bidi and rokok daun are prevalent in specific communities. Although factors associated with smoking initiation and cessation has been investigated elsewhere, the only available data for Malaysia is on prevalence. This study aims to investigate factors associated with smoking initiation and cessation which is imperative in designing intervention programs. Methods Data were collected from 11,697 adults by trained recording clerks on sociodemographic characteristics, practice of other risk habit and details of smoking such as type, duration and frequency. Smoking commencement and cessation were analyzed using the Kaplan-Meier estimates and log-rank tests. Univariate and multivariate Cox proportional hazard regression models were used to calculate the hazard rate ratios. Results Males had a much higher prevalence of the habit (61.7% as compared to females (5.8%. Cessation was found to be most common among the Chinese and those regularly consuming alcoholic beverages. Kaplan-Meier plot shows that although males are more likely to start smoking, females are found to be less likely to stop. History of betel quid chewing and alcohol consumption significantly increase the likelihood of commencement (p Conclusions Gender, ethnicity, history of quid chewing and alcohol consumption have been found to be important factors in smoking commencement; while ethnicity, betel quid chewing and type of tobacco smoked influences cessation.

  2. 槟榔病虫害的研究进展%Review on the Diseases and Insects of Betelnut

    Institute of Scientific and Technical Information of China (English)



    槟榔属棕榈科热带珍贵药用植物,是中国古代居民治疗瘴气、消食化积的良药,且是东南亚和中国南方地区农民的重要经济来源.随着经济的发展和槟榔种植面积的扩大,对槟榔病虫害的研究显得尤为重要,本文特就槟榔病虫害及其防治方法进行综述,同时提出存在问题与展望.%Betelnut(Areca catechu L.)belongs to areca palm and is a valuable medicinal tropical plant. The betel nut is an ancient Chinese herb of inhabiting effect to malaria, beneficial to digestion. In Southeast Asia and southern regions of China, betel nut plays an important role in people's daily life and is an important source of income for farmers. With the development of economy and the expanding of betelnut planting area, the research on betelnut diseases and insect pests is particularly important and this article proposed the problems and prospects on the research.

  3. Smokeless tobacco use and perceptions of risk among students in Mumbai municipal schools

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    M L Rose


    Full Text Available Introduction: Nearly 15% of youth in India use tobacco. However, few studies have explored the use, knowledge, and attitudes of smokeless tobacco use among youth. AIM: To determine the patterns of use as well as knowledge and perceptions of smokeless tobacco among youth in Mumbai attending municipal schools. Materials and Methods: A cross-sectional survey was performed among 1053 students in the 8th and 9th grades in 16 municipal schools in Mumbai to determine the knowledge and perceptions about smokeless tobacco products as well as the patterns of use. Results and Conclusions: Ever use of smokeless tobacco was reported by 47 (4.7% students in the survey. Twenty-nine (2.9% students reported ever using smoked tobacco. Students were more likely to identify cigarettes and bidis as tobacco products compared to smokeless tobacco products such as gutkha, mishri, and khaini. Betel nut products were used by 178 (17.9% students. The high rate of smokeless tobacco and betel nut use coupled with low levels of knowledge about their contents and harms suggests that tobacco control programs targeting youth should ensure that these products are adequately explained and understood by students.

  4. Prevalence of oral potentially malignant disorders in workers of Udupi taluk

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    Yeturu Sravan Kumar


    Full Text Available Objective: The objective was to assess the prevalence and risk factors of oral potentially malignant disorders (PMD among industrial workers of Udupi taluk, Karnataka. Materials and Methods: The sample consisted of industrial workers aged >18 years from randomly selected industries in Udupi Taluk. A self-administered questionnaire was given to the participants to assess sociodemographic factors and abusive habits (Tobacco, Alcohol, and Betel quid followed by clinical oral examination by single trained and calibrated examiner. Results: A total of 396 completed all steps of the survey and were included for analysis. A total of 14, 11.4, and 14.4% were tobacco, alcohol, and betel quid users, respectively. A total of 8.6% (n = 34 have at least one PMD. A significantly higher number of participants with single (11.4% or combined habits (60.4% had oral lesions while none of the participants without habits reported any oral lesions (P = 0.001. Conclusion: Prevalence of abusive habits and oral premalignant lesions or conditions was substantial among the workers. The cause and effect relationship and dose-response were also shown to be significantly associated. Prevention and early diagnosis through workplace screening are the major cornerstones for the control of oral cancer.

  5. Anti-microbial principles of selected remedial plants from Southern India

    Institute of Scientific and Technical Information of China (English)

    Tirupathi Rao G; Suresh Babu K; Ujwal Kumar J; Sujana P; A Veerabhadr Raoa; Sreedhar AS


    Objective: To examine the anti-bacterial activity of leaf extracts of Morus alba L. (Moraceae) and Piper betel L. (Piperaceae), and seed extracts of Bombax ceiba L. (Borabacaceae). Methods:We have partially purified plant extracts by solvent extraction method, and evaluated the effect of individual fractions on bacterial growth using Escherichia coli (E. coli), Pseudomonas aeruginosa (P. aeruginosa) and Staphylococcus aureus (S. aureus) bacterial strains. Results: Compared withMorus and Bombax fractions, Piper fractions showed significant growth inhibition on all the three types of bacteria studied. The EtOAc-hexane fractions of Piper leaves exhibited significant anti-bacterial activity with minimum inhibitory concentrations (MIC) of 50 μg/mL culture against both gram-positive and gram-negative bacteria. The EtOAc-fractions I, II, and IV inhibited bacterial colony formation on soft agar in addition to growth inhibition. A combination treatment of piper fractions with ampicillin resulted in significant growth inhibition in E. coli and P. aeruginosa, and combination with anticancer drug geldanamycin (2μg/mL) showed selective growthinhibition against P. aeruginosa and S. aureus. Three major compounds, i.e., eugenol, 3-hexene-ol and stigmasterol, were primarily identified from Piper betel leaf extractions. Among the individual compounds, eugenol treatment showed improved growth inhibition compared with stigmasterol and 3-hexene-ol. Conclusions: We are reporting potential anti-bacterial compounds from Piperbetel against both gram-positive and gram-negative bacteria either alone or in combination with drug treatment.

  6. Detection of Human Papillomavirus 16-Specific IgG and IgM Antibodies in Patient Sera: A Potential Indicator of Oral Squamous Cell Carcinoma Risk Factor (United States)

    Kerishnan, Jesinda P.; Gopinath, Subash C.B.; Kai, Sia Bik; Tang, Thean-Hock; Ng, Helen Lee-Ching; Rahman, Zainal Ariff Abdul; Hashim, Uda; Chen, Yeng


    The association between human papillomavirus type 16 (HPV16) and oral cancer has been widely reported. However, detecting anti-HPV antibodies in patient sera to determine risk for oral squamous cell carcinoma (OSCC) has not been well studied. In the present investigation, a total of 206 OSCC serum samples from the Malaysian Oral Cancer Database & Tissue Bank System, with 134 control serum samples, were analyzed by enzyme-linked immunosorbant assay (ELISA) to detect HPV16-specific IgG and IgM antibodies. In addition, nested PCR analysis using comprehensive consensus primers (PGMY09/11 and GP5+/6+) was used to confirm the presence of HPV. Furthermore, we have evaluated the association of various additional causal factors (e.g., smoking, alcohol consumption, and betel quid chewing) in HPV-infected OSCC patients. Statistical analysis of the Malaysian population indicated that OSCC was more prevalent in female Indian patients that practices betel quid chewing. ELISA revealed that HPV16 IgG, which demonstrates past exposure, could be detected in 197 (95.6%) OSCC patients and HPV16-specific IgM was found in a total of 42 (20.4%) OSCC patients, indicating current exposure. Taken together, our study suggest that HPV infection may play a significant role in OSCC (OR: 13.6; 95% CI: 3.89-47.51) and HPV16-specific IgG and IgM antibodies could represent a significant indicator of risk factors in OSCC patients. PMID:27279791

  7. Faktor-faktor yang Mempengaruhi Perilaku Pemeliharaan Kebersihan gigi dan Mulut Ibu Hamil di Puskesmas Kabupaten Kupang

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    Applonia Applonia


    oral hygiene is not well maintained. The purpose of this study is to examine factors that influence the oral and dental hygiene maintaining behavior of pregnant women at Public Health Centre of Kupang Regency. An observational analytical study with cross sectional design was conducted on 97 pregnant women as the subject research. Independent variables were knowledge, attitude and betel chewing habit, and dependant variables were oral and dental hygiene maintaining behavior of pregnant women. Variables of attitude, oral and dental hygiene maintaining behavior of the pregnant women was assed using questionnaire with Likert Scale method. Questionnaire with two options (true and false was used to measure knowledge variable, and multiple choice questionnaires were used to measure betel chewing habitvariable. Questionnaire was tested its validity and reliability. The data were analyzed using the multiple regression analysis at the significant rate α< 0,05. The result of multiple regression analysis showed that knowledge, attitude and betel chewing habit correlated very significantly on oral and dental hygiene maintaining behavior (F = 22.052, p = 0.000., and those three variables gave collectively contributionof 41.6% on oral and dental hygiene maintaining behavior, while betel chewing habit correlated negatively on oral and dental hygiene maintaining behavior. Knowledge variable gave the greatest contribution on the oral and dental hygiene maintaining behavior. The better knowledge and attitude on oral and dental hygiene maintaining behavior and the less frequent betel chewing habit were, the better the oral and dental hygiene maintaining behavior will be.

  8. Lifestyle risk factors for oral cancer. (United States)

    Petti, Stefano


    The "style of life is the unique way in which individuals try to realize their fictional final goal and meet or avoid the three main tasks of life: work, community, love" (Alfred Adler, founder of the Individual Psychology). Lifestyle refers to the way individuals live their lives and how they handle problems and interpersonal relations. The lifestyle behaviours associated to oral cancer with convincing evidence are tobacco use, betel quid chewing, alcohol drinking, low fruit and vegetable consumption (the detrimental lifestyle is high fat and/or sugar intake, resulting in low fruit and/or vegetable intake). Worldwide, 25% of oral cancers are attributable to tobacco usage (smoking and/or chewing), 7-19% to alcohol drinking, 10-15% to micronutrient deficiency, more than 50% to betel quid chewing in areas of high chewing prevalence. Carcinogenicity is dose-dependent and magnified by multiple exposures. Conversely, low and single exposures do not significantly increase oral cancer risk. These behaviours have common characteristics: (i) they are widespread: one billion men, 250 million women smoke cigarettes, 600-1200 million people chew betel quid, two billion consume alcohol, unbalanced diet is common amongst developed and developing countries; (ii) they were already used by animals and human forerunners millions of years ago because they were essential to overcome conditions such as cold, hunger, famine; their use was seasonal and limited by low availability, in contrast with the pattern of consumption of the modern era, characterized by routine, heavy usage, for recreational activities and with multiple exposures; (iii) their consumption in small doses is not recognized as detrimental by the human body and activates the dopaminergic reward system of the brain, thus giving instant pleasure, "liking" (overconsumption) and "wanting" (craving). For these reasons, effective Public Health measures aimed at preventing oral cancer and other lifestyle-related conditions

  9. Search for β-Secretase Inhibitors from Natural Spices. (United States)

    Matsumura, Shinichi; Murata, Kazuya; Yoshioka, Yuri; Matsuda, Hideaki


    The growing number of Alzheimer's disease (AD) patients prompted us to seek effective natural resources for the prevention of AD. We focused on the inhibition of β-secretase, which is known to catalyze the production of senile plaque. Sixteen spices used in Asian countries were selected for the screening. Among the extracts tested, hexane extracts obtained from turmeric, cardamom, long pepper, cinnamon, Sichuan pepper, betel, white turmeric and aromatic ginger showed potent inhibitory activities. Their active principles were identified as sesquiterpenoids, monoterpenoids, fatty acid derivatives and phenylpropanoids using GC-MS analyses. The chemical structures and IC50 values of the compounds are disclosed. The results suggest that long-term consumption'of aromatic compounds from spices could be effective in the prevention of AD.

  10. Investigation of poly-herbal aqueous extract for potential anti-ulcer activity

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    Deepak S. K.


    Full Text Available The aqueous polyherbal extract of betel, clove, fennel and black catechu was evaluated for gastro-protective (antiulcer activity in rats using the aspirin and ethanol induced ulcer models. Efficacy was assessed by determination of ulcer index and percentage of ulcer protection.  Antioxidant activity of extract was evaluated by DPPH free radical scavenging procedure. Oral administration of the aqueous extract (250 mg/kg and (500 mg/kg showed dose dependent antiulcer activity and protected gastric lesions by about 65 to 75% respectively compared to standard drug Omeprazole (98%. The findings suggest that the polyherbal extract have significant gastro-protective activity.                                                                   

  11. The alternative choices of masticatory customs by local people in Wasur National Park, Merauke, Papua

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    Full Text Available The flora diversity and the interesting customs in East Indonesia, particularly in Papua, have not been explored intensively. This study encountered the relationship between traditional customs and usage of plant species by the local people in Wasur National Park Area, Merauke sub-district, Merauke district. One of them was masticatory. It has been well known by Indonesians in most parts of Indonesia, including societies in Wasur National Park. The major societies live in Wasur National Park are Kanum, Morori and Marind. Besides gambir (Uncaria gambir Roxburgh and sirih (Piper betle L., the young fruit of betel nut (Areca catechu L. is usually consumed it as masticatory materials, by man and women. Several plant species, usually used alternative choices by Kanum, Morori and Marind were openg (Exocarpus latifolius R.Br.; Santalaceae, tawal (Celastraceae, sambiwal (Erythroxylum ecarinatum Burck; Erythroxylaceae, ntuo (Cryptocaria nitida R.A.Philippi; Lauraceae and agya (Endiandra montana C.T. White; Lauraceae.

  12. Golden Heart of the Nature: Piper betle L.

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    Dr. K. A. Suri


    Full Text Available The heart shaped betel leaves are found in ancient Sanskrit texts, including Charaka, Sushruta Samhita and Astanga Hradayam. Piper betle L. have been used in chinese, Indian folk medicine for centuries. In this review, different research works related to Ayurvedic consequence, geographical distribution and cultivation, morphoanatomy, phytochemistry, biological activities, along with tradomedicinal uses which signify the tremendous potential of “Piper betle L.” to come out as Green medicine. The objective of it is to revels the potential effect of this plant in the development of therapeutically active herbal drugs against different microbial infections especially for oral cavity, which also gives the opportunity to pharmaceutical companies interested in formulation and production of natural product based drugs targeted towards specific aliments.

  13. Purification of Cu/Zn superoxide dismutase from Piper betle leaf and its characterization in the oral cavity. (United States)

    Liu, Yu-Ching; Lee, Miau-Rong; Chen, Chao-Jung; Lin, Yung-Chang; Ho, Heng-Chien


    The aim of this study was to purify protein(s) from Piper betle leaf for identification and further characterization. A functionally unknown protein was purified to apparent homogeneity with a molecular mass of 15.7 kDa and identified as Cu/Zn superoxide dismutase (SOD). The purified SOD appeared to be monomeric and converted to its dimeric form with increased enzymatic activity in betel nut oral extract. This irreversible conversion was mainly induced by slaked lime, resulting from the increase in pH of the oral cavity. Oral extract from chewing areca nut alone also induced SOD dimerization due to the presence of arginine. The enhanced activity of the SOD dimer was responsible for the continuous production of hydrogen peroxide in the oral cavity. Thus, SOD may contribute to oral carcinogenesis through the continuous formation of hydrogen peroxide in the oral cavity, in spite of its protective role against cancer in vivo.

  14. Foreign body aspiration masquerading as difficult asthma

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    Rai S


    Full Text Available It is important to assess patients of difficult/therapy resistant asthma carefully in order to identify whether there are any correctable factors that may contribute to their poor control. It is critical to make a diagnosis of asthma and to exclude other airway diseases. A 65-years-old lady presented with repeated acute episodes of dyspnoea and wheezing. She was on regular medication for bronchial asthma for 18 years. There was no history of foreign body aspiration or loss of consciousness. Her chest radiograph was normal. She showed poor response to corticosteroids and bronchodilators. Fibreoptic bronchoscopy (FOB showed intracordal cyst of the left vocal cord and 1cm size irregular piece of betel nut in right main bronchus, which was removed endoscopically with the help of dormia basket, following which her condition improved and asthma was controlled on inhaled bronchodilators.

  15. Estimation and correlative study of salivary nitrate and nitrite in tobacco related oral squamous carcinoma and submucous fibrosis

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    Vaishali Shende


    Oral submucous fibrosis (OSMF is a disease of the Indian subcontinent, which through immigration has a worldwide distribution. Betel nut chewing plays significant role in etiology of OSMF. The nut alkaloids have been shown experimentally to result in stimulation of collagen synthesis by fibroblasts in vitro, which can induce precancerous conditions. Materials and Methods: The present study was undertaken to detect nitrate and nitrite factor in saliva of cases with oral carcinoma, OSMF and normal individuals without any habits and to determine whether increased salivary nitrate and nitrite level is significant in oral carcinoma and submucous fibrosis using biochemical parameters. Conclusion: We conclude that the major inducer of oral squamous cell carcinoma (OSCC is exposure to tobacco. Recent studies have demonstrated that oxidative and nitrosative stress contributes to the development of oral carcinogenesis through deoxyribonucleic acid (DNA damage. Salivary composition of OSCC patients is substantially altered with respect to free radical-involved mechanisms.

  16. Psychoactive natural products: overview of recent developments

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    István Ujváry


    Full Text Available Natural psychoactive substances have fascinated the curious mind of shamans, artists, scholars and laymen since antiquity. During the twentieth century, the chemical composition of the most important psychoactive drugs, that is opium, cannabis, coca and "magic mushrooms", has been fully elucidated. The mode of action of the principal ingredients has also been deciphered at the molecular level. In the past two decades, the use of herbal drugs, such as kava, kratom and Salvia divinorum, began to spread beyond their traditional geographical and cultural boundaries. The aim of the present paper is to briefly summarize recent findings on the psychopharmacology of the most prominent psychoactive natural products. Current knowledge on a few lesser-known drugs, including bufotenine, glaucine, kava, betel, pituri, lettuce opium and kanna is also reviewed. In addition, selected cases of alleged natural (or semi-natural products are also mentioned.

  17. Oral submucous fibrosis in children: Report of three cases and review

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    Tulasi Lakshmi Duggirala


    Full Text Available Oral submucous fibrosis (OSMF is a chronic, insidious, generalized, and debilitating condition of the oral mucosa predominantly encountered in South-East Asian countries. Oral submucous fibrosis is etiologically linked to the consumption of the areca nut in flavored formulations or as an ingredient in the betel quid chewed by the communities in these countries. The sweet supari, in their multicolored attractive pouches, is the most common chewed product in children. It is considered a harmless mouth freshener and therefore is consumed in larger amount and is kept in the mouth for a longer time and swallowed by the ignorant children. Factors involved in the consumption of sweet supari are levels of awareness, household environment, peer pressure, low cost, easy availability, etc. Here, we report three cases of OSMF in a 9-year-old girl, 13-year-old boy and a 15-year-old girl and literature review.

  18. Oral hygiene risk indicators among 6- to 9-year-old Taiwanese aboriginal children. (United States)

    Hsieh, Hui-Ju; Huang, Shun-Te; Tsai, Chi-Cheng; Chiou, Meng-Jao; Liao, Cheng-Ta


    This study investigated the dental health status, dietary habits, oral hygiene levels, and caretaker risk indicators among Taiwanese children. This cross-sectional purposive sampling study included 256 aboriginal children, 6 to 9 years old, living in remote regions in southern Taiwan. Participants received dental examinations, and questionnaires were completed by caretakers. Data were analyzed using the χ(2) test, t test, and multiple logistic regressions. The deft (sum of decayed, extracted, and filled primary teeth) and defs (sum of the decayed, extracted, and filled primary dentition surfaces) indices were affected by the frequencies of drinking sweetened beverages (P = .0006) and daily toothbrushing (P = .0032). Caretakers' toothbrushing frequency was a significant predictor of children's oral hygiene status (P oral hygiene was 2.04 (P = .0184). Oral hygiene among aboriginal children in this study was inadequate. Caretakers' toothbrushing frequency and betel quid habit were significant predictors of poor children's oral hygiene.

  19. Psychoactive natural products: overview of recent developments. (United States)

    Ujváry, István


    Natural psychoactive substances have fascinated the curious mind of shamans, artists, scholars and laymen since antiquity. During the twentieth century, the chemical composition of the most important psychoactive drugs, that is opium, cannabis, coca and "magic mushrooms", has been fully elucidated. The mode of action of the principal ingredients has also been deciphered at the molecular level. In the past two decades, the use of herbal drugs, such as kava, kratom and Salvia divinorum, began to spread beyond their traditional geographical and cultural boundaries. The aim of the present paper is to briefly summarize recent findings on the psychopharmacology of the most prominent psychoactive natural products. Current knowledge on a few lesser-known drugs, including bufotenine, glaucine, kava, betel, pituri, lettuce opium and kanna is also reviewed. In addition, selected cases of alleged natural (or semi-natural) products are also mentioned.

  20. Alimentos contra el cáncer oral Foods against the oral cancer

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    N. Ros Lluch


    Full Text Available El cáncer oral representa el 5% de todas las neoplasias y el 30% de los cánceres de cabeza y cuello. El porcentaje de supervivencia a los 5 años es de tan sólo el 25%, por lo que el diagnóstico y tratamiento precoces pueden salvar muchas vidas. La mayoría de los cánceres se relacionan con factores externos al organismo (tabaco, alcohol, betel, dieta y radiaciones solares, principalmente, que pueden modificarse o evitarse, es decir, prevenibles. Alrededor del 35% de los casos de cáncer están relacionados con la alimentación. Por este motivo, es importante que los profesionales de la salud informen a sus pacientes acerca de las enormes posibilidades profilácticas de la dieta. El objetivo de este trabajo de actualización bibliográfica es destacar la importancia de una alimentación saludable para la prevención del cáncer oral.Oral cancer means 5% of all malignancies and 30% of head and neck cancers. The percentage of survival at 5 years is only 25%; therefore, diagnosis and early treatment can save many lives. Most cancers are related to factors outside the body (mainly tobacco, alcohol, betel, diet and solar radiation that can be modified or avoided, i.e., they are preventable. About 35% of cancer cases are related to food. For this reason, it is important that health professionals inform their patients about the huge prophylactic potential of diet. The aim of this work of update is to highlight the importance of a healthy diet in order to prevent the oral cancer.

  1. A case-control study of lung cancer in Karachi, Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Bhurgri, Y.; Decullier, E.; Bhurgri, A.; Sheikh Nassar; Ahmed Usman; Brennan, P.; Boffetta, P. [Karachi Cancer Registry, Karachi (Pakistan)


    A study was conducted to investigate the causes of lung cancer in Pakistan. 320 patients (282 men and 38 women) with lung cancer treated at the Liaquat National Post Graduate Medical Centre, the Jinnah Post Graduate Medical Center and the Civil Hospital, all in Karachi, and 640 controls (561 men and 79 women) were enrolled. A total of 275 patients and 222 controls reported having a history of smoking (57% of men and 14% of women). An increased risk of developing lung cancer was observed among individuals with a history of smoking (odds ratio (OR) 22.8; 95% confidence interval (CI) 13.9-37.3) and among current smokers (OR 30.2; 95% CI 17.8-51.3). The risk decreased with the number of years since quitting (most apparent 10 years after smoking cessation). Chewing betel quid (containing betel leaf, lime, areca nut and tobacco) was only marginally associated with increased lung cancer risk. However, heavy exposure to this habit resulted in a significantly elevated odds ratio (OR2.1; 95% CI 1.1-4.0). The OR for snuff use was significantly increased (OR 1.9; 95% CI 1.0-3.7), with a significant trend with years of exposure and average level of consumption. Having ever lived in a flat with a heating system (coal, wood, electricity and kerosene) was associated with an OR of 3.6 (95% CI 2.5-5.3). Using gas, electricity or kerosene for cooking was associated with a reduced OR compared with the use of wood, whereas the OR for the use of coal was 2.7 (95& CI 0.9-8.7). The primary role of tobacco smoking as the cause of lung cancer in Pakistan was confirmed. 13 refs.

  2. 热泵干燥槟榔中试工艺参数优化%Technologic parameter optimization in pilot-scale process of heat pump drying ofAreca catechuL

    Institute of Scientific and Technical Information of China (English)

    张容鹄; 高元能; 冯建成; 谢辉; 邓浩; 庄光辉; 窦志浩


    Areca catechu L. belongs to perennial aiphyllium of palmae. It has very high medicinal value and is regarded as the first one of 4 kinds of the south medicines in China.Areca catechu L. abounds in Hainan, 10% for fresh food, more than 90% dried for further processing,Areca catechu L. drying has become the important processing industry in Hainan, the annual output of dried betel nut is about 200 000 t, and the annual output value is more than 10 billion yuan. For theAreca catechu L. drying, there are hot air drying and vacuum freeze drying, which have not been applied in production because of the limitation of experimental conditions and equipments, and the traditional furnace drying, steam drying and heat pump drying are used in production. The traditional furnace drying is a kind of small workshop processing, and its characteristics of small scale, large labor intensity and serious pollution are difficult to adapt to the modern agriculture development, so it has been gradually eliminated. For the steam drying whose heat source is from the burning coal, the characteristic of large scale and high mechanical strength adapts to the intensive agricultural product processing development, however it is limited because of a lot of greenhouse gases emitted from burning coal. Only the energy-conservation and environment-protection drying method is suitable for theAreca catechu L. drying industry’s sustainable and healthy development. The betel nut drying was studied using the heat pump drying equipment in this paper. The influences of boiling time on betel nut hardness, and drying temperature and loading capacity on moisture content of dried fruit were analyzed via the single factor experiment. The technology parameters of heat pump drying were optimized by the orthogonal experiment, and the quality of the dried betel nut was evaluated using the weighted score method. After 30-day storage, the physical, chemical and microbiological indicators of the dried fruits were

  3. Dietary patterns and food choices of a population sample of adults on Guam. (United States)

    Pobocik, Rebecca S; Trager, Alison; Monson, Lora Morrell


    This study examined dietary patterns of adults on Guam. Four hundred subjects were selected via a multistage procedure to represent the island's population. A 24-hour dietary recall was administered via telephone in 1995 to 1996. Diets were computer analyzed. There were 4,913 food items reported, representing 1,042 individual foods. Most respondents, 51.3%, had a "more-frequent" eating pattern, 36.9% had "regular" and 11.8% had "less-frequent." Energy consumption increased (p<0.05) with eating frequency. Highest levels of all nutrients (p<0.05) were at the evening meal. The sexes did not differ in nutrient proportions by meal. Grains, meats, and beverages were eaten most frequently. Meat/fish, mixed dishes, and grains supplied 68% of the energy and 47% to 91% of the micronutrients. Twenty five percent of the carbohydrate was from sweetened drinks and desserts. Rice was the most frequently consumed food. More than half of the subjects had no fruit, a third had no vegetables, and only 38.5% had dairy foods. Calcium came from multiple sources: dairy (27.6%), mixed dishes (23.8%), fish (12.6%), desserts (8.5%) and vegetables (6.6%). Most people, 91.8%, had fiesta meals with median consumption at 6 meals per year (range: 0 to 200). Betel nut was used by 12.3% of the sample with median consumption 0 whole nuts per day (range: 0 to 25). Ethnic differences (p<0.01) were observed in both fiesta meal and betel nut consumption. The Guamanian diet includes limited use of traditional foods and dietary patterns associated with increased risk for chronic disease.

  4. Calculation and validation of moisture uniformity in drying process based on Shannon-Wiener index%基于 Shannon-Wiener 指数的干燥过程中物料含水率均匀性计算及验证

    Institute of Scientific and Technical Information of China (English)

    张航; 邓胜祥


    为了改善带式干燥机内流场结构,提高干燥机内水分均匀度,在计算流体力学(computational fluid dynamics, CFD)理论的基础上,利用 FLUENT 软件包模拟并探讨堆积厚度、热风流速、热风温度和热风含水率对干燥后物料含水率的影响,并辅以试验验证。在 Shannon-wiener 指数的基础上计算干燥机内含水率均匀度,并与传统水分均匀性(Mu)计算方法和 CFD 计算的平均值作比较。利用 FLUENT 软件包数值模拟并试验验证了2种导流板(普通导流板和翼型导流板)的干燥效果。结果表明:试验测得各测孔的风速与数值模拟的结果吻合。4类因素中堆积厚度对含水率均匀度影响最大,厚度为80 mm 的槟榔层的含水率比厚度为40、60 mm 的更均匀。含水率均匀度曲线的趋势相似,但含水率均匀度与 CFD 计算结果更接近。水分均匀性指数曲线显示堆积厚度为80 mm 的试验水分均匀性远高于其他试验,当物料厚度为80 mm 时,进口热风温度70℃,热风流速1.5 m/s,进口热风含水率0.24的试验条件更有利于水分均匀地分布。翼型导流板使得槟榔含水率从0.285降到0.215,水分均匀性指数提高至0.926,干燥效率提升。%Belt dryers are the most popular equipment for betel nut drying. One of the drawbacks of this dryer is the non-uniformity in the desired moisture content of end product. In order to improve the structure of flow field and the moisture uniformity for the belt dryer, on the theoretical basis of computational fluid dynamics, the effects of the accumulative thickness, air velocity, air temperature and moisture content of hot air on the moisture uniformity of betel nut dried were simulated and discussed by using FLUENT software package. The orthogonal table about 4 factors and 3 levels was designed. In this paper, the betel nut was considered to be a wet porous medium, and the air flow through the

  5. Precocious anaphase and expression of Securin and p53 genes as candidate biomarkers for the early detection in areca nut-induced carcinogenesis. (United States)

    Kurkalang, Sillarine; Banerjee, Atanu; Dkhar, Hughbert; Nongrum, Henry B; Ganguly, Buddha; Islam, Mohammad; Rangad, Gordon M; Chatterjee, Anupam


    Research over the years has generated enough evidence to implicate areca nut, as a carcinogen in humans. Besides oral, significant rise in the incidence of cancers of the oesophagus, liver and stomach was seen among areca nut chewers. Early diagnosis seems key to understand the initial processes of carcinogenesis which is highly curable. In North-East India, betel quid contains raw areca nut (RAN), lime and small portion of betel leaf without any other constituents. This study was not intended to isolate any active ingredients from the RAN and to look its action. The present objective is to validate the screening of precocious anaphase and analysis of expression of Securin and p53 in non-target cells like human peripheral blood lymphocytes (PBLs) and mouse bone marrow cells (BMCs) as early indicative parameters of RAN + lime-induced cancers. A total of 35 mice were examined at different time points for following ad libitum administration of RAN extract in drinking water with lime. Peripheral blood was collected from 32 human donors of which, 24 were RAN + lime heavy chewers. Expression of genes was assessed by immunoblotting and/or by immunohistochemistry. Histological preparation of stomach tissue of mice revealed that RAN + lime induced stomach cancer. A gradual increase in the frequency of precocious anaphases and aneuploid cells was observed in both RAN + lime-treated mouse BMC and human PBL of RAN heavy chewers. Levels of p53 and Securin were increased in these cells during early days of RAN + lime exposure. The level of Securin was significantly higher in human tumour samples than their adjacent normal counterpart. The expression of Securin was increased significantly in RAN + lime-administered mice as well as in stomach tumour. Present study revealed that precocious anaphase and expression of p53 and Securin in non-target cells are significantly associated with an increased risk of RAN-induced cancer and thus these parameters can be of early diagnostic value.

  6. Smokeless tobacco use in Sri Lanka

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    L C Somatunga


    Full Text Available To comprehensively review the issues of smokeless tobacco use in Sri Lanka . This review paper is based on a variety of sources including Medline, WHO documents, Ministry of Health and Nutrition, Colombo and from other sources. Results: The prevalence of smokeless tobacco (SLT use in Sri Lanka has been reported high, especially among rural and disadvantaged groups. Different smokeless tobacco products were not only widely available but also very affordable. An increasing popularity of SLT use among the youth and adolescents is a cause for concern in Sri Lanka. There were evidences of diverse benign, premalignant, and malignant oral diseases due to smokeless tobacco use in the country. The level of awareness about health risks related to the consumption of smokeless tobacco products was low, particularly among the people with low socio-economic status. In Sri Lanka various forms of smokeless tobacco products, some of them imported, are used. At the national level, 15.8% used smokeless tobacco products and its use is three-fold higher among men compared to women. Betel quid is by far the traditional form in which tobacco is a general component. Other manufactured tobacco products include pan parag/pan masala, Mawa, Red tooth powder, Khaini, tobacco powder, and Zarda. Some 8.6% of the youth are current users of smokeless tobacco. There are studies demonstrating the harmful effects of smokeless tobacco use, especially on the oral mucosa, however, the level of awareness of this aspect is low. The highest mean expenditure on betel quid alone in rural areas for those earning Rs. 5,000/month was Rs. 952. The core issue is the easy availability of these products. To combat the smokeless tobacco problem, public health programs need to be intensified and targeted to vulnerable younger age groups. Another vital approach should be to levy higher taxation.

  7. ADAMTS14 Gene Polymorphism and Environmental Risk in the Development of Oral Cancer.

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    Shih-Chi Su

    Full Text Available Oral cancer is a common malignancy that is shown to be causally associated with hereditary and acquired factors. ADAMTS14 is a member of the ADAMTS (a disintegrin-like and metalloproteinase domain with thrombospondin motifs metalloproteinase family that plays an important role in extracellular matrix (ECM assembly and degradation. Elevation or deficiency of certain ADAMTS proteinases has been known to be implicated in a wide range of pathological processes including atherosclerosis, arthritis, and cancer. The present study aimed to explore the impact of ADAMTS14 gene polymorphisms, combined with environmental risks on the susceptibility to oral tumorigenesis.Four single-nucleotide polymorphisms (SNPs of the ADAMTS14 gene, including rs10823607, rs12774070, rs4747096, and rs61573157 were evaluated from 1200 normal controls and 850 patients with oral cancer. We failed to detect a significant association of four individual SNPs with oral cancer between case and control group. However, while considering behavioral exposure of environmental carcinogens, the presence of four ADAMTS14 SNPs, combined with betel nut chewing and/or smoking, profoundly leveraged the risk of oral cancer. Moreover, we observed a significant association of rs12774070, which is predicted to alter the expression and function of ADAMTS14 by in silico and bioinformatics analyses, with poor tumor cell differentiation (AOR: 0.59; 95% CI: 0.38-0.92; p = 0.02 in patients who chewed betel nuts.These results implicate the interaction between ADAMTS14 gene polymorphisms and environmental mutagens as a risk factor of oral tumorigenesis and suggest a correlation of rs12774070 with the degree of oral tumor cell differentiation.

  8. Smokeless tobacco use: a risk factor for hyperhomocysteinemia in a Pakistani population.

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    Mohammad Perwaiz Iqbal

    Full Text Available BACKGROUND: Smokeless tobacco (ST use is highly prevalent in the South Asian populations. While there have been a number of reports on association of ST consumption with cancer, very few studies have been conducted to investigate its relationship with cardiovascular disease. Hyperhomocysteinemia is a well-recognized risk factor for cardiovascular disease; however, its association with ST use has never been investigated. The objective of this study was to evaluate the relationship of ST use with hyperhomocysteinemia in an urban Pakistani population. METHODOLOGY/PRINCIPAL FINDINGS: In a cross-sectional study for assessment of risks of hyperhomocysteinemia, 872 healthy adults (355 males and 517 females of age range 18-60 years were recruited from a low-income population in Karachi, Pakistan. A detailed questionnaire was administered which included information about smoking, non-smoking, use of ST alone (chewing as well as sniffing and use of ST with betel nuts. Fasting serum/plasma levels of homocysteine, folate, vitamin B12 and pyridoxal phosphate (PLP; a coenzymic form of vitamin B6 were analyzed. In this population, 43.4% males and 15.5% females were found to be regular users of ST products. Laborers and vendors were the major ST consumers. Smoking was not found to be associated with plasma/serum concentrations of homocysteine, folate, vitamin B12 and PLP. However, homocysteine concentrations in the group which consumed ST alone and the group which consumed ST along with betel nut were significantly higher compared to the non-user group (17.7±7.5 µmol/L, 25.48 µmol/L vs. 11.95 µmol/L, respectively; p15 µmol/L was 11-fold higher in the ST-consumer group compared to the non-user group, [OR (95%CI  = 11.34 (7.58-16.96; p<0.001], when the model was adjusted for age, gender, folate and vitamin B12 status. CONCLUSION: This study shows a positive association between ST consumption and hyperhomocysteinemia in a low-income urban Pakistani

  9. The prevalence of oral mucosal lesions in patients visiting a dental school in Southern India

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    Mathew Anuna


    Full Text Available The purpose of the present study was to evaluate the prevalence of oral mucosal lesions in Manipal, Karnataka State, India. A total of 1190 subjects who visited the department of oral medicine and radiology for diagnosis of various oral complaints over a period of 3 months were interviewed and clinically examined for oral mucosal lesions. The result showed the presence of one or more mucosal lesions in (41.2% of the population. Fordyce′s condition was observed most frequently (6.55% followed by frictional keratosis (5.79%, fissured tongue (5.71%, leukoedema (3.78%, smoker′s palate (2.77%, recurrent aphthae, oral submucous fibrosis (2.01%, oral malignancies (1.76%, leukoplakia (1.59%, median rhomboid glossitis (1.50%, candidiasis (1.3%, lichen planus (1.20%, varices (1.17%, traumatic ulcer and oral hairy leukoplakia (1.008%, denture stomatitis, geographic tongue, betel chewer′s mucosa and irritational fibroma (0.84%, herpes labialis, angular cheilitis (0.58%, and mucocele (0.16%. Mucosal lesions like tobacco-related lesions (leukoplakia, smoker′s palate, oral submucous fibrosis, and oral malignancies were more prevalent among men than among women. Denture stomatitis, herpes labialis, and angular cheilitis occurred more frequently in the female population.

  10. Spatiotemporal Trends in Oral Cancer Mortality and Potential Risks Associated with Heavy Metal Content in Taiwan Soil

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    Tsun-Kuo Chang


    Full Text Available Central and Eastern Taiwan have alarmingly high oral cancer (OC mortality rates, however, the effect of lifestyle factors such as betel chewing cannot fully explain the observed high-risk. Elevated concentrations of heavy metals in the soil reflect somewhat the levels of exposure to the human body, which may promote cancer development in local residents. This study assesses the space-time distribution of OC mortality in Taiwan, and its association with prime factors leading to soil heavy metal content. The current research obtained OC mortality data from the Atlas of Cancer Mortality in Taiwan, 1972–2001, and derived soil heavy metals content data from a nationwide survey carried out by ROCEPA in 1985. The exploratory data analyses showed that OC mortality rates in both genders had high spatial autocorrelation (Moran’s I = 0.6716 and 0.6318 for males and females. Factor analyses revealed three common factors (CFs representing the major pattern of soil pollution in Taiwan. The results for Spatial Lag Models (SLM showed that CF1 (Cr, Cu, Ni, and Zn was most spatially related to male OC mortality which implicates that some metals in CF1 might play as promoters in OC etiology.

  11. A Protective Role of Arecoline Hydrobromide in Experimentally Induced Male Diabetic Rats

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    Indraneel Saha


    Full Text Available Objectives. Arecoline, the most potent and abundant alkaloid of betel nut, causes elevation of serum testosterone and androgen receptor expression in rat prostate, in addition to increase in serum insulin levels in rats, leading to insulin resistance and type 2 diabetes-like conditions. This study investigated the role of arecoline on the reproductive status of experimentally induced type 1 diabetic rats. Methods. Changes in the cellular architecture were analyzed by transmission electron microscopy. Blood glucose, serum insulin, testosterone, FSH, and LH were assayed. Fructose content of the coagulating gland and sialic acid content of the seminal vesicles were also analyzed. Results. Arecoline treatment for 10 days at a dose of 10 mg/kg of body weight markedly facilitated β-cell regeneration and reversed testicular and sex accessory dysfunctions by increasing the levels of serum insulin and gonadotropins in type 1 diabetic rats. Critical genes related to β-cell regeneration, such as pancreatic and duodenal homeobox 1 (pdx-1 and glucose transporter 2 (GLUT-2, were found to be activated by arecoline at the protein level. Conclusion. It can thus be suggested that arecoline is effective in ameliorating the detrimental effects caused by insulin deficiency on gonadal and male sex accessories in rats with type 1 diabetes.

  12. Antimicrobial Activity of Various Plant Extracts on Pseudomonas Species Associated with Spoilage of Chilled Fish

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    Osan Bahurmiz


    Full Text Available The antimicrobial activity of various plant extracts on Pseudomonas bacteria isolated from spoiled chilled tilapia (Oreochromis sp. was evaluated in this study. In the first stage of this study, red tilapia was subjected to chilled storage (4°C for 3 weeks, and spoilage bacteria were isolated and identified from the spoiled fish. Pseudomonas was the dominant bacteria isolated from the spoiled fish and further identification revealed that P. putida, P. fluorescens and Pseudomonas spp. were the main species of this group. In the second stage, methanolic extracts of 15 selected plant species were screened for their antimicrobial activity, by agar disc diffusion method, against the Pseudomonas isolates. Results indicated that most of the extracts had different degrees of activity against the bacterial isolates. The strongest activity was exhibited by bottlebrush flower (Callistemon viminalis extract. This was followed by extracts from guava bark (Psidium guajava and henna leaf (Lawsonia inermis. Moderate antimicrobial activities were observed in extracts of clove (Syzygium aromaticum, leaf and peel of tamarind (Tamarindus indica, cinnamon bark (Cinnamomum zeylanicum, wild betel leaf (Piper sarmentosum and fresh thyme (Thymus spp.. Weak or no antimicrobial activity was observed from the remaining extracts. The potential antimicrobial activity shown by some plant extracts in this study could significantly contribute to the fish preservation.

  13. [Smokeless tobacco]. (United States)

    Underner, M; Perriot, J


    Use of smokeless tobacco (ST) (chewing tobacco and snuff) can lead to a number of consequences detrimental to health. ST rapidly delivers high doses of nicotine, which can lead to dependence and is also a source of carcinogenic nitrosamines. Changes usually develop in the mouth area where the ST is most often placed. Non-malignant oral lesions include leuko-oedema, hyperkeratotic lesions of the oral mucosa and localised periodontal disease. Oral premalignant lesions are leukoplakia, erythroplakia, submucosal fibrosis and lichen planus. Betel chewing, with or without tobacco, may increase the incidence of oral cancer. There is conflicting evidence with regard to snuff users about the risk of oral and gastro-oesophageal cancer. ST use is a risk factor for pancreatic cancer and may increase the risk of fatal myocardial infarction and ischemic stroke. During pregnancy, ST is associated with an increase in pre-eclampsia, preterm delivery and stillbirth. Nicotine replacement therapy and bupropion reduce withdrawal symptoms and tobacco craving during ST cessation. However, they have not been shown to help long-term abstinence. Information concerning the potential hazards of ST products should be incorporated into educational programmes to discourage its use and to help users to quit. Smokeless tobacco is not recommended to help smoking cessation.

  14. Alcohol Drinking Obliterates the Inverse Association Between Serum Retinol and Risk of Head and Neck Cancer. (United States)

    Chen, Ken-Chung; Hsueh, Wei-Ting; Ou, Chun-Yen; Huang, Cheng-Chih; Lee, Wei-Ting; Fang, Sheen-Yie; Tsai, Sen-Tien; Huang, Jehn-Shyun; Wong, Tung-Yiu; Wu, Jiunn-Liang; Yen, Chia-Jui; Wu, Yuan-Hua; Lin, Forn-Chia; Yang, Ming-Wei; Chang, Jang-Yang; Liao, Hsiao-Chen; Wu, Shang-Yin; Hsiao, Jenn-Ren; Lin, Chen-Lin; Wang, Yi-Hui; Weng, Ya-Ling; Yang, Han-Chien; Chen, Yu-Shan; Chang, Jeffrey S


    This analysis evaluated the association between serum retinol levels and risk of head and neck cancer (HNC) and whether the association is modulated by the use of alcohol, betel quid, or cigarette. In addition, we also examined the association between HNC risk and 2 single nucleotide polymorphisms, TTR rs1667255 and RBP4 rs10882272, that have been associated with serum retinol levels. Unconditional logistic regression was performed to evaluate the association between serum retinol levels and HNC risk among 160 HNC cases and 198 controls. The associations between TTR rs1667255 and RBP4 rs10882272 and serum retinol levels or HNC risk were evaluated by linear regression and unconditional logistic regression, respectively, for 418 HNC cases and 497 controls. The results showed that HNC cases had a lower mean serum retinol level compared with controls (845.3 μg/L vs 914.8 μg/L, P = 0.03). An inverse association between serum retinol levels and HNC risk occurred among never/occasional alcohol drinkers but not among regular drinkers. TTR rs1667255 was associated with serum retinol levels; however, neither TTR rs1667255 nor RBP4 rs10882272 was associated with HNC risk. In summary, this study showed an inverse association between serum retinol levels and HNC risk, specifically among never/occasional alcohol drinkers. More studies are needed to establish the underlying biologic mechanisms for the inverse association between serum retinol levels and HNC risk and the modulation of this relationship by alcohol drinking.

  15. The Eschericia coli Growth Inhibition Activity of Some Fermented Medicinal Plant Leaf Extract from the Karo Highland, North Sumatra

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    Full Text Available A lot of traditional medicinal plant has antibacterial acitivities. Most of these plants are freshly chewed or grounded and used directly to treat infectious bacterial deseases. However, some practices employ a traditionally spontaneous fermentation on boiled extracted leaf, root or other parts of the plant. This work reports a laboratory stimulated spontaneous fermentation of leaf extracts from selected medicinal plants collected from the Karo Higland. The spontaenous fermentation was stimulated to be carried out by the Acetobacter xylinum and Saccharomyces cerevisiae. The anti-infectious agent activity was assayed on the Eschericia coli growth inhibition. A complementary non fermented leaf extract was also made and assayed as a comparative measure. Indeed, the fermented leaf extract of bitter bush (Eupatorium pallescens, cacao (Theobroma cacao, avocado (Persia gratissima, passion fruit (Passiflora edulis, cassava (Cassava utillissima, diamond flower (Hedyotis corymbosa, periwinkle (Catharanthus roseus, and gandarusa (Justicia gendarussa have relatively higher anti-E.coli acitivity than those of non fermented ones. However, there were no anti-E.coli activity was detected in both fermented and non fermented leaf extract of the guava (Psidium guajava and common betel (Piper nigrum.

  16. HLA and response to booster hepatitis B vaccination in anti-HBs-seronegative adolescents who had received primary infantile vaccination. (United States)

    Lin, Hans Hsienhong; Liao, Huei-Wen Chang; Lin, Sheng-Kai; Wang, Li-Yu


    To explore contemporarily genetic and non-genetic determinants of long-term immunological memory to hepatitis B (HB) vaccination, we conducted a case-control study nested in an adolescent cohort of booster recipients who had received primary infantile HB vaccination but with residual anti-HBs titers anti-HBs levels, the absences of HLA-A*02 and -DRB1*08, simply expressed as A*02(-) and -DRB1*08(-), and the presence of B*15 were significantly associated with elevated risks of non-response (post-booster anti-HBs titers0.05), and 1.0, respectively. Recent cigarette smoking and/or betel-quid chewing was associated with a 12-fold risk of non-response to booster vaccination. Further comparisons between responders and adolescents who had undetectable post-booster anti-HBs titers (<0.1 mIU/mL) demonstrated similar results. Our results indicated that response to booster HB vaccination as well as long-term immunological responses to HB vaccination are closely related with host genetic factors, and probably modified by recent substance use.

  17. Herb-drug interactions. (United States)

    Fugh-Berman, A


    Concurrent use of herbs may mimic, magnify, or oppose the effect of drugs. Plausible cases of herb-drug interactions include: bleeding when warfarin is combined with ginkgo (Ginkgo biloba), garlic (Allium sativum), dong quai (Angelica sinensis), or danshen (Salvia miltiorrhiza); mild serotonin syndrome in patients who mix St John's wort (Hypericum perforatum) with serotonin-reuptake inhibitors; decreased bioavailability of digoxin, theophylline, cyclosporin, and phenprocoumon when these drugs are combined with St John's wort; induction of mania in depressed patients who mix antidepressants and Panax ginseng; exacerbation of extrapyramidal effects with neuroleptic drugs and betel nut (Areca catechu); increased risk of hypertension when tricyclic antidepressants are combined with yohimbine (Pausinystalia yohimbe); potentiation of oral and topical corticosteroids by liquorice (Glycyrrhiza glabra); decreased blood concentrations of prednisolone when taken with the Chinese herbal product xaio chai hu tang (sho-salko-to); and decreased concentrations of phenytoin when combined with the Ayurvedic syrup shankhapushpi. Anthranoid-containing plants (including senna [Cassia senna] and cascara [Rhamnus purshiana]) and soluble fibres (including guar gum and psyllium) can decrease the absorption of drugs. Many reports of herb-drug interactions are sketchy and lack laboratory analysis of suspect preparations. Health-care practitioners should caution patients against mixing herbs and pharmaceutical drugs.


    Institute of Scientific and Technical Information of China (English)

    菊花; 那生桑


    目的:为蒙药"泰特好"片建立质量标准.方法:采用薄层色谱法鉴别该制剂中的沉香、槟榔、当归、肉豆蔻、木香和胡椒;用高效液相色谱法定量分析氢溴酸槟榔碱的含量.结果:药材的薄层色谱斑点清晰可见;含量测定平均回收率为99.20%(n=6),RSD为1.79%.结论:该方法可靠、准确、专属性强、重现性好,可有效控制本片剂的内在质量.%Objective: To establish quality standards for Mongolian medicine "Ta Te Hao" tablets. Methods: To distinguish the agalloch eaglewood, the betel nut, the Chinese angelica, the nutmeg, the banks rose and the pepper using the thin layer chromatography; and to test content of Arecoline hydrobromide by HPLC. Results: The average recovery was 99.20% ( n = 6 ), RSD = 1.79%.Conclusion :This method is reliable, accurate, strong specific, reproductive. The method can effectively control the intrinsic quality of the tablets.

  19. Oral submucous fibrosis: A clinico-histopathological study in Chennai

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    Kiran Kumar K


    Full Text Available Background: Oral submucous fibrosis (OSF is a precancerous condition associated with the use of areca nut in various forms. There are very few reports to correlate the clinical stage to histopathological grading in OSF. Materials and Methods: A hospital-based study was conducted on 75 OSF cases who visited our hospital in Chennai from 2000-2003. A detailed history of each patient was recorded along with a clinical examination. Biopsy was performed for histopathological correlation. Clinical stage of the disease in terms of the ability to open one′s mouth was correlated with histopathological grading. Results: The male to female ratio of OSF cases was 6:1. All forms of areca nut products were associated with OSF. Chewing of paanmasala was associated with early presentation of OSF as compared to chewing of the betel nut. Out of 57 cases, which were in clinical stage II, 91.2% had histological grading of I and II in equal proportions and 8.8% had histological grade III. Out of 13 cases that showed a clinical stage of III, 52% showed a histological grade of II, 40% grade III and 8% grade I. Conclusion: In the present study, there was no direct correlation between clinical stages and histopathological grading. The possibility of difference in the severity and extent of fibrosis in different regions of the oral mucosa and involved muscles were considered as contributory factors for this variation.

  20. Antioxidative and antiplatelet effects of aqueous inflorescence Piper betle extract. (United States)

    Lei, Daniel; Chan, Chiu-Po; Wang, Ying-Jan; Wang, Tong-Mei; Lin, Bor-Ru; Huang, Chun-Hsun; Lee, Jang-Jaer; Chen, Hsin-Ming; Jeng, Jiiang-Huei; Chang, Mei-Chi


    Piper betle, belonging to the Piperaceae family, is a tropical plant, and its leaf and inflorescence are popularly consumed by betel quid (BQ) chewers in Taiwan and many other South and Southeast Asian countries. However, little is known about the biochemical properties of inflorescence Piper betle (IPB) toward reactive oxygen species (ROS) and platelet functions. In the present work, aqueous IPB extract was shown to be a scavenger of H(2)O(2), superoxide radical, and hydroxyl radical with a 50% inhibitory concentration (IC(50)) of about 80, 28, and 73 microg/mL, respectively. IPB extract also prevented the hydroxyl radical induced PUC18 plasmid DNA breaks at concentrations higher than 40 microg/mL. Since ROS are crucial for platelet aggregation, we further found that IPB extract also inhibited the arachidonic acid (AA) induced and collagen-induced platelet aggregation, with an IC(50) of 207 and 335 microg/mL, respectively. IPB extract also inhibited the AA-, collagen- (>100 microg/mL of IPB), and thrombin (>250 microg/mL of IPB)-induced thromboxane B(2) (TXB(2)) production by more than 90%. However, IPB extract showed little effect on thrombin-induced aggregation. These results indicated that aqueous components of IPB are potential ROS scavengers and may prevent the platelet aggregation possibly via scavenging ROS or inhibition of TXB(2) production.

  1. Antihyperglycemic activity of Piper betle leaf on streptozotocin-induced diabetic rats. (United States)

    Santhakumari, P; Prakasam, A; Pugalendi, K V


    Piper betle, an indigenous medicinal plant, has a folk (Siddha and Ayurvedha) reputation in the rural southern India. The present study was carried out to evaluate the effect of P. betle on glucose metabolism since it is consumed as betel-quid after meals. Plasma levels of glucose and glycosylated hemoglobin and activities of liver hexokinase and gluconeogenic enzymes such as glucose-6-phosphatase and fructose-1,6-bisphosphatase in control and streptozotocin (STZ) diabetic rats were assayed. Oral administration of leaf suspension of P. betle (75 and 150 mg/kg of body weight) for 30 days resulted in significant reduction in blood glucose (from 205.00 +/- 10.80 mg/dL to 151.30 +/- 6.53 mg/dL) and glycosylated hemoglobin and decreased activities of liver glucose-6-phosphatase and fructose-1,6-bisphosphatase, while liver hexokinase increased (P betle at a dose of 75 mg/kg of body weight exhibited better sugar reduction than 150 mg/kg of body weight. In addition, protection against body weight loss of diabetic animals was also observed. The effects produced by P. betle were compared with the standard drug glibenclamide. Thus, the present study clearly shows that P. betle intake influences glucose metabolism beneficially.

  2. Conservation Benefits of Tropical Multifunctional Land-Uses in and Around a Forest Protected Area of Bangladesh

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    Sharif A. Mukul


    Full Text Available Competing interests in land for agriculture and commodity production in tropical human-dominated landscapes make forests and biodiversity conservation particularly challenging. Establishment of protected areas in this regard is not functioning as expected due to exclusive ecological focus and poor recognition of local people’s traditional forest use and dependence. In recent years, multifunctional land-use systems such as agroforestry have widely been promoted as an efficient land-use in such circumstances, although their conservation effectiveness remains poorly investigated. We undertake a rapid biodiversity survey to understand the conservation value of four contrasting forms of local land-use, namely: betel leaf (Piper betle agroforestry; lemon (Citrus limon agroforestry; pineapple (Ananas comosus agroforestry; and, shifting cultivation–fallow managed largely by the indigenous communities in and around a highly diverse forest protected area of Bangladesh. We measure the alpha and beta diversity of plants, birds, and mammals in these multifunctional land-uses, as well as in the old-growth secondary forest in the area. Our study finds local land-use critical in conserving biodiversity in the area, with comparable biodiversity benefits as those of the old-growth secondary forest. In Bangladesh, where population pressure and rural people’s dependence on forests are common, multifunctional land-uses in areas of high conservation priority could potentially be used to bridge the gap between conservation and commodity production, ensuring that the ecological integrity of such landscapes will be altered as little as possible.

  3. Salivary estimation of copper, iron, zinc and manganese in oral submucous fibrosis patients: A case-control study

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    Akshata Raghavendra Okade


    Full Text Available Background: Trace elements (TEs are required for physiological functioning and alterations are noted in potentially malignant disorders and oral cancer. These TEs are used in early diagnosis, treatment and also as an indicator of disease progress and prognosis. Aims: To estimate the TEs such as copper (Cu, zinc (Zn, iron (Fe, manganese (Mn and Cu/Zn ratio in the saliva of oral submucous fibrosis (OSF patients and controls. Settings and Design: The hospital-based study was conducted to estimate salivary TEs using atomic absorption spectrometry (AAS in 60 individuals. Methods and Material: 5 ml saliva was collected from OSF cases (n=30 and controls (n=30 and was centrifuged and prepared by using the Wet Ashing method. The TEs were estimated in parts per million (ppm by using AAS. Statistical Analysis Used: The data obtained was statistically analyzed using non parametric tests such as Mann Whitney U and Kruskal Wallis tests. Results: Significant difference in the mean salivary Zn, Mn and Fe levels in OSF when compared to that of controls. Mean salivary Cu levels were increased and Cu/ Zn ratio was decreased in OSF when compared to the controls. Conclusions: To conclude TEs play a role in the pathogenesis and progression of OSF. Betel quid and areca nut chewing habits are frequently associated with OSF and alters the salivary TE levels. Concerted efforts would, therefore, help in early detection, management and monitoring the efficacy of treatment.

  4. Changes in buccal micronucleus cytome parameters associated with smokeless tobacco and pesticide exposure among female tea garden workers of Assam, India. (United States)

    Kausar, Afifa; Giri, Sarbani; Roy, Prasenjit; Giri, Anirudha


    Assam is the highest tea producing state in India. A large number of workers are engaged in various units of tea industry. There are few reports on the health status of the tea garden workers. The present cytogenetic biomonitoring study was undertaken to investigate the genotoxic effect associated with workers in tea industries in southern Assam. Smokeless tobacco chewing along with betel nut is very common practice among the workers. Workers also get exposed periodically to mixture of pesticides. Employing buccal micronucleus cytome assay, exfoliated buccal cells were analyzed in 90 female tea garden and compared to 90 age and sex matched non-chewer control as well as 70 chewers who are not tea garden workers. Statistically significant (ptea garden workers compared to both the control groups. The frequency of cell proliferation biomarkers was highest in the chewer controls whereas genotoxic and cell death parameters were highest in tea garden workers. Linear correlation analysis revealed strong positive correlation between the duration of occupation and the frequency of micronucleus (r=0.597; ptea garden workers was relatively lower compared to the control group. Pesticide exposure and chewing areca nut along with smokeless tobacco use may be responsible for changes in cytome parameters in exfoliated buccal cells.

  5. Diversity and utilization of tree species in Meitei homegardens of Barak Valley, Assam. (United States)

    Devi, N Linthoingambi; Das, Ashesh Kumar


    An inventory of tree diversity in traditional homegardens of Meitei community was conducted in a Bontarapur village in Cachar district of Barak Valley, Assam. Meitei homegarden locally called Ingkhol exhibits a wide diversity in size, shape, location and composition. Seventy one tree species were enumerated from 50 homegardens belonging to 60 genus and 35 families. Among the families encountered, Rutaceae was the dominant family (4 genus and 7 species) followed by Meliaceae (5 genus and 5 species), Arecaceae (4 genus and 4 species) and Moraceae (3 genus and 5 species). Total 7946 tree individuals were recorded, with the density of 831 No ha(-1) of and total basal area of 9.54 m2 ha(-1). Areco catechu was the dominant species with the maximum number of individuals. Other dominant trees include Mangifera indica, Artocarpus heterophyllus, Citrus grandis, Parkia timoriana, Syzygium cumini and Psidium guajava. Being a cash crop, the intensification of betel nut has been preferred in many homegardens. Homegardens form an important component of land use of Meitei community which fulfills the socio-cultural and economic needs of the family and helps in conserving plant diversity through utilization.

  6. Polyurea-supported metal nanocatalysts: synthesis, characterization and application in selective hydrogenation of o-chloronitrobenzene. (United States)

    Hao, Leiduan; Zhao, Yanfei; Yu, Bo; Zhang, Hongye; Xu, Huanjun; Xu, Jilei; Liu, Zhimin


    Polyurea (PU) spheres with size of 2-10 μm were derived through the polymerization of CO2 with 1,4-butanediamine, and characterized by FTIR spectroscopy, scanning electron microscopy and TG analysis. It was demonstrated that the PU spheres displayed flower-like morphology with the betel thickness around 30 nm, and they had high thermal stability. The resultant PU spheres were used to immobilize metal particles, and a series of PU-supported metal nanocatalysts including Pt/PU, Au/PU, Pd/PU were prepared via just mixing the metal precursors with the PU spheres in water, followed by the reduction of metal ions by NaBH4. Transmission electron microscopy examination indicated that the metal nanoparticles were distributed uniformly on the surface of the PU spheres with mean particle size less than 3.0 nm, and the Pt particles existed mainly in the form of metallic state as confirmed by the X-ray photoelectron spectroscopy analysis. The performance of the Pt/PU catalyst was tested in the catalytic hydrogenation of o-chloronitrobenzene, and a high selectivity of 99.5% toward o-chloroaniline at complete conversion of o-chloronitrobenzene was obtained at room temperature.

  7. Domestication, Conservation, and Livelihoods: A Case Study of Piper peepuloides Roxb.—An Important Nontimber Forest Product in South Meghalaya, Northeast India

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    H. Tynsong


    Full Text Available Wild pepper (Piper peepuloides Roxb., family: Piperaceae is an evergreen climber which grows wild in tropical evergreen forests and subtropical evergreen forests of northeast India. This plant grows luxuriantly in the areas with high rainfall at lower elevations ranging from 100 to 800 m above mean sea level. In Meghalaya, to meet the market demand, farmers have domesticated it in arecanut agroforests and betel leaf agroforests. We found that the mean density of wild pepper in arecanut agroforest is 585 stem/ha and only 85 stem/ha in natural forest. In India, wild pepper is used in a variety of Ayurvedic medicines. Local people of Meghalaya uses powdered dry seeds mixed with honey and egg yolk for the treatment of severe cough. The study reveals that the average gross annual production of wild pepper is 7 quintals/ha, and final market price fetches Rs. 336,000/ha, out of which 42% of the money goes to the grower, 16% to local trader, 23% to dealer, 17% to retailer, 1.2% to wages of labourers, and 0.6% to transport.

  8. Risk factors for prostate cancer: An hospital-based case-control study from Mumbai, India

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    B Ganesh


    Full Text Available Background : In India, prostate cancer is one of the five leading sites of cancers among males in all the registries. Very little is known about risk factors for prostate cancer among the Indian population. Objectives : The present study aims to study the association of lifestyle factors like chewing (betel leaf with or without tobacco, pan masala, gutka, smoking (bidi, cigarette, comorbid conditions, diet, body mass index (BMI, family history, vasectomy with prostate cancer. Materials and Methods : This an unmatched hospital-based case-control study, comprised of 123 histologically proven prostate ′cancer cases′ and 167 ′normal controls. Univariate and regression analysis were applied for obtaining the odds ratio for risk factors. Results : The study revealed that there was no significant excess risk for chewers, alcohol drinkers, tea and coffee drinkers, family history of cancer, diabetes, vasectomy and dietary factors. However, patients with BMI >25 (OR = 2.1, those with hypertension history (OR = 2.5 and age >55 years (OR = 19.3 had enhanced risk for prostate cancer. Conclusions : In the present study age, BMI and hypertension emerged as risk factors for prostate cancer. The findings of this study could be useful to conduct larger studies in a more detailed manner which in turn can be useful for public interest domain.

  9. The master switch: Comparative study of mast cell in oral epithelial dysplasia, oral submucous fibrosis and oral squamous cells carcinoma and their association with inflammation and angiogenesis

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    Neethu Telagi


    Full Text Available Background: Dental and medical practitioners encounter wide spectrum of oral lesions in their day-to-day practice. Many of the lesions such as leukoplakia, oral submucous fibrosis (OSF, etc., are associated with tobacco and betel nut chewing. Oral leukoplakia, OSF, oral lichen planus and oral squamous cell carcinoma (OSCC are the most commonly occurring oral diseases associated with characteristic clinical and histological features and are associated with chronic inflammation at some stage of the disease process. Aims: To study and compare the number, morphology and topographical distribution of mast cells in oral epithelial dysplasia (OED, OSF and OSCC and to correlate different types of mast cells with the inflammatory infiltrate and vascularity of the lesions. Materials and Methods: Total number of subjects was 120 and equally divided into four groups of 30 as controls, OED, OSF and OSCC cases. Two sections of from each tissue embedded in paraffin wax block were made which were stained with hematoxylin and eosin and toluidine blue stain. Mast cells were counted in five different zones. Results: In the present study, increased numbers of mast cells were seen in all lesions. The cases with mild, moderate and severe inflammation showed increased number of typical (TMCs, atypical (AMCs and granular mast cells (GMCs, respectively. Conclusion: The result of the present study concludes that the mast cells play a key role in mediating the cross links between external angiogenic agent and local immunologic factors.

  10. Prevalence based epigrammatic study of oral cancer and other mucosal disorders in elderly patients visiting dental institution of Northern India

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    Basavaraj T Bhagawati


    Full Text Available Objective : This report provides the descriptive information about the oral health among the elderly population. The objective is to assess the association of age, medical status, recent use of dental services, habits and dentures with that of oral cancer, and other mucosal disorders. Materials and Methods: Data from the interviews and clinical examination of 285 persons aged above 60 years were obtained. Patients were divided into three groups of 75 patients each with age group of 60-65 years, 66-70 years, and 71 years above, respectively. Patients were examined and questioned regarding the oral health complaints and the presence of cancer and other mucosal disorders. Results: There are no statistically significant differentiates between the three groups in terms of oral health complaint, medical status. The patients in all the three groups gave the history of consumption of betel quid/alcohol/smoking. About 22.1% patients in Group A, 18.9% in Group B, and 37.9% in Group C had associated mucosal lesion like oral cancer, growth, pigmentation, red lesion, ulcer, and white lesions. Association between deleterious habits and oral mucosal lesions was seen in 12, 15, and 16 patients in Groups A, B, and C, respectively. Conclusion: The oral cancer and oral mucosal lesions were associated with oral habits and the use of faulty dentures. Age had minimal influence but coexistence of multiple conditions might further complicate the oral health.

  11. Squamous cell carcinoma of the oral cavity and oropharynx in patients aged 18–45 years: A case–control study to evaluate the risk factors with emphasis on stress, diet, oral hygiene, and family history

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    K P Dholam


    Full Text Available Background: Increasing incidence of squamous cell carcinoma (SCC of the oral cavity and oropharynx is reported in young adults. However, there is a paucity regarding etiology and risk factors. Aim: To evaluate the exposure potential carcinogenic factors among a sample aged 45 years and younger, diagnosed with SCC of the oral cavity and oropharynx. Methodology: Eighty-five case samples aged 18–45 years, diagnosed with SCC of the oral cavity and oropharynx were compared with 85 controls who had never had cancer, matched for age and sex. This study was conducted by questionnaire-based interviews. Questionnaire contained items about exposure to the following risk factors: Caries prevalence, oral hygiene status, dental trauma, dental visit, stress, family history of cancer, environmental exposure to potential carcinogens, diet, body mass index (BMI, habits such as smoking, tobacco chewing, betel quid/pan, or supari. Statistical Analysis: Odds ratios (ORs of oral and pharyngeal cancer and the corresponding 95% confidence intervals were estimated using multiple logistic regression models. P< 0.05 was considered statistically significant. Results: Elevated OR was seen in young adults who had poor oral hygiene, stress, dental trauma, low BMI, family history of cancer, exposure to environmental carcinogens, and habit of placement of quid for 11–20 years. Conclusions: An increased risk of oral and pharyngeal cancer was seen in cases who had poor oral hygiene, stress, dental trauma, low BMI, family history of cancer, exposure to environmental carcinogens, and habit of placement of quid.

  12. Fabrication and Evaluation of Nanostructured Herbal Oil/Hydroxypropyl-β-Cyclodextrin/Polyvinylpyrrolidone Mats for Denture Stomatitis Prevention and Treatment. (United States)

    Tonglairoum, Prasopchai; Ngawhirunpat, Tanasait; Rojanarata, Theerasak; Kaomongkolgit, Ruchadaporn; Opanasopit, Praneet


    This work aims to develop the herbal oil-incorporated nanostructure mats with antifungal activity for the prevention and treatment of Candida-associated denture stomatitis. The nanofiber mats loaded with betel oil or clove oil were fabricated via electrospinning process. The morphologies and physicochemical properties of the herbal oil loaded nanofiber mats were examined using scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FT-IR), differential scanning calorimetry (DSC), and mechanical testing. The release characteristic, antifungal activity, and cytotoxicity were also investigated. The SEM images confirmed the homogeneous and smooth nanoscale fibers. The addition of the herbal oil into the nanofiber mats reduced the fiber diameters. The DSC and FT-IR results confirmed the presence of the oil in the nanofiber mats. The herbal oils can be released from the mats in a very fast manner and inhibit the growth of candida cells within only few minutes after contact. These nanofiber mats may be beneficial for the prevention and treatment of denture stomatitis.

  13. Poverty does not limit tobacco consumption in Cambodia: quantitative estimate of tobacco use under conditions of no income and adult malnutrition. (United States)

    Singh, Pramil N; Washburn, Dawn; Yel, Daravuth; Kheam, They; Job, Jayakaran S


    Current data indicate that under conditions of poverty, tobacco is consumed at the expense of basic needs. In a large national sample from Cambodia, we sought to determine whether tobacco consumption declines under extreme conditions of no income and malnutrition. Our major findings are as follows: (1) Among men, there was no significant difference in the number of cigarettes smoked for no income (425, 95% confidence interval [CI] = 395-456) versus >US$2 per day (442, 95% CI = 407-477); (2) among women, there was no significant difference in the amount of loose tobacco (ie, betel quid) consumed for no income (539 g, 95% CI = 441-637) versus >US$2 per day (558 g, 95% CI = 143-973); (3) for the contrast of no income + malnutrition versus >US$2 per day + no malnutrition in a linear model, there was no significant difference for men who smoked (462 vs 517 cigarettes/month, P = .82) or women who chewed (316 vs 404 g tobacco/month, P = .34), adjusting for confounders. Among the poorest and malnourished Cambodian adults, lack of resources did not appear to prevent them from obtaining smoked or smokeless tobacco.

  14. Elevated expression of NF-kappaB in oral submucous fibrosis--evidence for NF-kappaB induction by safrole in human buccal mucosal fibroblasts. (United States)

    Ni, Wei-Feng; Tsai, Chung-Hung; Yang, Shun-Fa; Chang, Yu-Chao


    Nuclear factor-kappa B (NF-kappaB) is considered to be important in many inflammatory and immune responses. The aim of this study was to compare NF-kappaB expression in normal human buccal mucosa and oral submucous fibrosis (OSF) specimens and further explore the potential mechanism that may lead to induction of NF-kappaB expression. Seventeen OSF and six normal buccal mucosa specimens were examined by immunohistochemistry. Primary human buccal mucosal fibroblasts (BMFs) were established and challenged with safrole, a major polyphenolic compound in the influorescence of Piper betel, by cytotoxicity and western blot assays. Furthermore, glutathione precursor N-acetyl-L-cysteine (NAC), extracellular signal-regulated protein kinase (ERK) inhibitor PD98059, cyclooxygenase-2 (COX-2) inhibitor NS-398, dexamethasone, and cyclosporin A were added to find the possible mechanism. NF-kappaB expression was significantly higher in OSF specimens and expressed mainly by fibroblasts, endothelial cells, and inflammatory cells. Safrole was cytotoxic to BMFs in a dose-dependent manner (psafrole (psafrole induced-NF-kappaB expression (psafrole in fibroblasts may be mediated by ERK activation and COX-2 signal transduction pathway.

  15. Tea consumption and risk of head and neck cancer.

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    Cheng-Chih Huang

    Full Text Available BACKGROUND: The current study evaluated the association between tea consumption and head and neck cancer (HNC in Taiwan, where tea is a major agricultural product and a popular beverage. METHODS: Interviews regarding tea consumption (frequency, duration, and types were conducted with 396 HNC cases and 413 controls. Unconditional logistic regression was performed to estimate the odds ratio (OR and 95% confidence interval (CI of HNC risk associated with tea drinking, adjusted for sex, age, education, cigarette smoking, betel quid chewing, and alcohol drinking. RESULTS: A reduced HNC risk associated with tea drinking (OR for every cup per day = 0.96, 95% CI: 0.93-0.99; OR for ≧5 cups per day = 0.60, 95% CI: 0.39-0.94 was observed. The association was especially significant for pharyngeal cancer (OR for every cup per day = 0.93, 95% CI: 0.88-0.98; OR for ≧5 cups per day = 0.32, 95% CI: 0.16-0.66. A significant inverse association between HNC and tea consumption was observed particularly for green tea. CONCLUSIONS: This study suggests that tea drinking may reduce the risk of HNC. The anticancer property of tea, if proven, may offer a natural chemopreventive measure to reduce the occurrence of HNC.

  16. Head and neck cancer: a case for inhibition by isothiocyanates and indoles from cruciferous vegetables. (United States)

    Fowke, Jay H


    Chemical carcinogens derived from cigarettes and other tobacco products, as well as betel quid, paan, and alcohol consumption, are commonly associated with head and neck cancer risk. This is a particularly debilitating cancer, with a high recurrence rate and long-term treatment comorbidities affecting health and lifestyle. Controlling tobacco access or use may be an ideal prevention strategy but may also be challenging or undesired. Individuals, however, may be able to reduce their risk through simple and focused dietary change. Results from epidemiologic studies, basic research, and clinical investigations suggest that a diet rich in cruciferous vegetables may increase carcinogen metabolism, induce apoptosis, and reduce the risk of developing a primary head and neck tumor. This review briefly summarizes head and neck cancer nutritional epidemiology, and then describes the biochemical and epidemiologic literature describing the effects of crucifer consumption on head and neck carcinogenesis. To translate these findings, the strengths and limitations of specific intervention models are discussed, including differences in target populations and the choice of a food-based or pill-based approach for intervention. Addressing these factors in a future intervention may define a low-cost and non-toxic approach to reduce the burden of head and neck cancer.

  17. Clinical Outcomes of Patients with Resected Oral Cavity Cancer and Simultaneous Second Primary Malignancies.

    Directory of Open Access Journals (Sweden)

    Chun-Ta Liao

    Full Text Available Simultaneous second primary tumors (SSPT are not uncommon in patients with oral cavity squamous cell carcinoma (OSCC living in areas where the habit of betel quid chewing is widespread. We sought to identify the main prognostic factors in OSCC patients with SSPT and incorporate them into a risk stratification scheme.A total of 1822 consecutive patients with primary OSCC treated between January 1996 and February 2014 were analyzed for the presence of SSPT. The 18-month and 5-year overall survival (OS rates served as the main outcome measures.Of the 1822 patients, 77 (4% were found to have SSPT (i.e, two malignancies identified within one month of each other. The 18-month and 5-year OS rates in patients without SSPT and with SSPT were 82% and 69%, and 72% and 53%, respectively (p = 0.0063. Patients with SSPT were further divided into patients with either esophageal cancer or hepatocellular carcinoma (eso-HCC subgroup, n = 8 and other tumors (NO eso-HCC subgroup, n = 69. After multivariate analysis, neck nodal extracapsular spread (ECS, n = 18 and the presence of eso-HCC were identified as independent adverse prognostic factors. The 18-month OS rates of SSPT patients with both eso-HCC and ECS (n = 5 vs. the remaining patients (n = 72 were 0% and 78%, respectively (p < 0.0001.OSCC patients with neck nodal ECS and esophageal cancer or hepatocellular carcinoma as SSPT have a dismal short-term prognosis.

  18. A phase contrast cytomorphometric study of squames of normal oral mucosa and oral leukoplakia: Original study

    Directory of Open Access Journals (Sweden)

    Afreen Nadaf


    Full Text Available Oral leukoplakia represents the most common potentially malignant oral disorder, representing 85% of such lesions. The worldwide prevalence of leukoplakia is 1.5- 4.3%. Leukoplakia is often associated with carcinogenic exposures, such as from use of tobacco, alcohol or betel nut. The level of risk for malignant transformation of leukoplakia is associated with lesion histology. The overall malignant transformation rates for dysplastic lesions range from 11% to 36%, depending on the length of follow-up. Exfoliative cytology is a simple and minimally invasive method. Phase contrast microscope, an essential tool in the field of biology and medical research provides improved discrimination of cellular details. Aims: To study and compare the cytomorphological and cytomorphometric features of squames obtained from the mucosa of normal individuals, tobacco habituates with and without clinically evident leukoplakia. To assess the role of phase contrast microscopy as an alternative and easy method of cytological evaluation of wet and unstained smears. Materials and Methods: Fifty cases from each group were taken. Fixed, unstained smears were viewed under phase contrast microscope and were evaluated morphologically and morphometrically for nuclear and cellular diameters. Results: The study showed a significant increase in the mean nuclear diameter and decrease in the mean cellular diameter. Conclusion: Cytomorphometric changes could be the earliest indicators of cellular alterations. This indicates that there could be a cause-effect relationship between tobacco and quantitative alterations.

  19. Oral White Lesions Associated with Chewing Khat

    Directory of Open Access Journals (Sweden)

    Gorsky Meir


    Full Text Available Abstract Introduction Khat is a cultivated plant whose leaves when chewed elevate mood. Unlike the chewing of betel nut, no association between the white oral mucosal lesions in khat users and oral malignancies has been reported. Chewing of khat has been documented in many countries and has increased with worldwide migration. The impact of chewing khat upon the oral mucosa is essentially unknown. Purpose The purpose of this study was to assess the occurrence of oral white changes in chronic khat chewers. Oral mucosal changes in a group of 47 Yemenite Israeli men over 30 years of age, who had chewed khat more than 3 years, were compared to those of 55 Yemenite men who did not chew. Results White lesions were significantly more prevalent in the khat chewers (83% compared to the non chewing individuals (16% (P Discussion This study demonstrated a relationship between khat chewing and oral white lesions, which we attribute to chronic local mechanical and chemical irritation of the mucosa. Our findings also suggest that mucosal changes associated with khat are benign, however, this initial study requires further studies including follow-up of khat users to confirm the current findings, including the likely benign changes associated with chronic use and histologic findings of clinical lesions.

  20. Effect of habitual arecanut chewing on resting whole mouth salivary flow rate and pH

    Directory of Open Access Journals (Sweden)

    Rooban T


    Full Text Available BACKGROUND: Resting whole mouth salivary flow rate (SFR and pH play a significant role in pathogenesis of various oral diseases and conditions. AIM: To observe the effect of habitual use of arecanut and various arecanut containing products (AN on SFR and pH. DESIGN: Cross sectional. SETTING: Outpatient Department of Dental College. PARTICIPANTS: AN chewers and non-chewers attending Dental college. MEASUREMENTS: SFR and pH. VARIABLES: Type, frequency, duration and exposure time of AN, Smoking and Alcohol habit. MATERIALS AND METHODS: Subjects study was divided into chewers (n=110 and non- chewers (n=50. The SFR (expressed in mL/10min and pH measured. RESULTS: The difference between the mean SFR for chewers and non-chewers was not statistically significant. The difference between mean pH of chewers and non-chewers was statistically significant. (P=0.02. Difference in pH was statistically significant among the different types of AN chewers (P=0.024. With chewing raw AN, an increase in frequency and exposure time increased SFR and pH respectively. In processed AN chewers, increase in duration and frequency of consumption increased SFR and decreased pH respectively. For chewers with betel quid with tobacco, increase in duration was significantly associated with decrease in salivary pH. CONCLUSION: SFR and pH are altered in AN chewers, rendering the oral mucosa vulnerable to the toxic effects of AN.

  1. Topical photosan-mediated photodynamic therapy for DMBA-induced hamster buccal pouch early cancer lesions: an in vivo study (United States)

    Hsu, Yih-Chih; Chang, Walter Hong-Shong; Chang, Junn-Liang; Liu, Kuang-Ting; Chiang, Chun-Pin; Liu, Chung-Ji; Chen, Chih-Ping


    Oral cancer has becomes the most prominent cancer disease in recent years in Taiwan. The reason is the betel nut chewing habit combing with smoking and alcohol-drinking lifestyle of people results in oral cancer becomes the fastest growth incident cancer amongst other major cancer diseases. In previous studies showed that photosan, haematoporphyrin derivative (HPD), has demonstrated effective PDT results on human head and neck disease studies. To avoid the systemic phototoxic effect of photosan, this study was designed to use a topical photosan-mediated PDT for treatment of DMBA-induced hamster buccal pouch cancerous lesions. DMBA was applied to one of the buccal pouches of hamsters thrice a week for 10 to 12 weeks. Cancerous lesions were induced and proven by histological examination. These DMBA-induced cancerous lesions were used for testing the efficacy of topical photosan-mediated PDT. Before PDT, fluorescence spectroscopy was used to determine when photosan reached its peak level in the lesional epithelial cells after topical application of photosan gel. We found that photosan reached its peak level in cancerous lesions about 13.5 min after topical application of photosan gel. The cancerous lesions in hamsters were then treated with topical photosan-mediated PDT (fluence rate: 600 mW/cm2; light exposure dose 200 J/cm2) using the portable Lumacare 635 nm fiber-guided light device. Visual examination demonstrated that topical photosan-mediated PDT was an applicable treatment modality for DMBA-induced hamster buccal pouch cancerous lesions.

  2. Comparsion of light dose on topical ALA-mediated photodynamic therapy for DMBA-induced hamster buccal pouch premalignant lesions (United States)

    Yang, Deng-Fu; Tseng, Meng-Ke; Liu, Chung-Ji; Hsu, Yih-Chih


    Oral cancer has becomes the most prominent male cancer disease due to the local betel nut chewing habit combing with smoking and alcohol-drinking lifestyle. In order to minimize the systemic phototoxic effect of 5-aminolevulinic acid (ALA), this study was designed to use a topical ALA-mediated PDT for treatment of DMBA-induced hamster buccal pouch cancerous lesions. DMBA was applied to one of the buccal pouches of hamsters thrice a week for 8 to 10 weeks. Precancerous lesions were induced and proven by histological examination. These DMBA-induced cancerous lesions were used for testing the efficacy of topical ALA -mediated PDT. We found that ALA reached its peak level in cancerous lesions about 2.5 hrs after topical application of ALA gel. The precancerous lesions in hamsters were then treated with topical ALA -mediated PDT with light exposure dose of 75 and 100 J/cm2 using LED 635 nm Wonderlight device. It is suggesting that optimization of the given light dose is critical to the success of PDT results.

  3. Combination therapies in adjuvant with topical ALA-mediated photodynamic therapy for DMBA-induced hamster buccal pouch premalignant lesions (United States)

    Yang, Deng-Fu; Hsu, Yih-Chih


    In Taiwan, oral cancer has becomes the fastest growth male cancer disease due to the betel nut chewing habit combing with smoking and alcohol-drinking lifestyle of people. In order to eliminate the systemic phototoxic effect of 5-aminolevulinic acid (ALA), this study was designed to use a topical ALA-mediated PDT for treatment of DMBA-induced hamster buccal pouch precancerous lesions. DMBA was applied to one of the buccal pouches of hamsters thrice a week for 10 to 12 weeks. Cancerous lesions were induced and proven by histological examination. These DMBA-induced cancerous lesions were used for testing the efficacy of topical ALA-mediated PDT. Before PDT, fluorescence spectroscopy was used to determine when ALA reached its peak level in the lesional epithelial cells after topical application of ALA gel. We found that ALA reached its peak level in precancerous lesions about 2.5 hrs after topical application of ALA gel. The cancerous lesions in hamsters were then treated with topical ALA -mediated PDT with light exposure dose of 150 J/cm2 using LED 635 nm fiber-guided light device. Visual examination demonstrated that adjuvant topical ALA -mediated PDT group has shown better therapeutic results in compared to those of non-adjuvant topical ALA-mediated PDT group for DMBA-induced hamster buccal pouch precancerous lesions.

  4. Retrospective analysis on 34 patients with oral submucous fibrosis coexisted with oral lichen planus%OSF并存OLP34例回顾性分析

    Institute of Scientific and Technical Information of China (English)

    李继佳; 彭解英; 吴颖芳; 孟庆玉; 谢迪; 李敏; 肖璇


    Objective: To analyze the clinical feature of oral submucous fibrosis (OSF) coexisted with oral lichen planus(OLP) ,to improve the diagnosis and treatment of the disease. Method: The clinical data of 34 patients with OSF coexisted with OLP were retrospectively reviewed. Result: All 34 patients with OSF coexisted with OLP were mainly young and middle-aged male patients, and had the habit of eating spicy foods and betel quid chewing. Among that 29 patients (85.29 %) had the smoking habit, 27 patients (79.41 %) had the alcohol drinking habit. On OSF pathologic staging 28 patients (82.35 %) were in the early stage and 6 patients (17.65 %) were in the middle stage. OSF coexisted with OLP was mainly seen on the buccal and lingual patient had the erosive type of lesion and trismus. Although pain could be relieved after therapy, white striations or macules did not regressed and the disappeared filiform and fungiform papillas did not recovered. Conclusion: OSF coexisted with OLP is not a simple combination of them, but have the special characteristics. While diagnosising if possible, take two biopsies from two typical locations. During tretment and after it, patient has to give up smoking and betel quid chewing habit.%目的:总结口腔黏膜下纤维性变(OSF)并存口腔扁平苔藓(OLP)的临床特征,提高对该病的诊断和治疗水平.方法:对34例OSF并存OLP患者的临床资料进行回顾性分析.结果:34例OSF并存OLP患者表现为青壮年男性居多,均有进食刺激性食物和咀嚼槟榔史,29例(85.29%)有吸烟史,27例(79.41%)有饮酒史,28例(82.35 %)OSF的病理分期为早期,6例(17.65%)为中期,发病部位以颊部和舌部为主,所有患者均无糜烂和张口受限,治疗后疼痛症状缓解,但白色条纹或斑点始终未消退,己消失的丝状乳头、菌状乳头亦未见恢复.结论:OSF并存OLP并非两种疾病的简单叠加,而是具有其特异性的表现,必要时可行两个典型部位活检进行诊

  5. Development of taste sensor system for differentiation of Indonesian herbal medicines

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    Kaltsum, U., E-mail: [Physics Education Department, IKIP PGRI Semarang (Indonesia); Triyana, K., E-mail:; Siswanta, D., E-mail: [Physics Department, Gadjah Mada University (Indonesia)


    In Indonesia, herbal medicines are usually produced by small and medium enterprises which are relatively low in quality control. The purpose of this paper is to report that we have developed a taste sensor system with global selectivity, i.e., electronic tongue (e-tongue) for differentiation of Indonesian herbal medicines. The e-tongue was composed of five kinds of ion selective electrodes as working electrodes, data acquisition system, and pattern recognition system. Each ion selective electrode (ISE) was built by attaching lipid/polymer membrane. For this purpose, the five kinds of membranes were built by mixing lipid, plasticizer (nitrophenyl octyl ether/NPOE), polyvinyl chloride (PVC), and tetrahydrofuran (THF). In this study, we employed five kinds of lipid, namely oleic acid (OA), dioctyl phosphate (DOP), decyl alcohol (DA), dodecylamine (DDC), and trioctyl methyl ammonium chloride (TOMA). In this case, the membranes transform information of taste substances into electric signal. The five kinds of Indonesian herbal medicine were purchased from local supermarket in Yogyakarta, i.e., kunyit asam (made from turmeric and tamarind), beras kencur (made from rice and kencur), jahe wangi (made from ginger and fragrance), sirih wangi (made from betel leaf), and temulawak (made from Javanese ginger). Prior to detecting the taste from the Indonesian herbal medicine samples, each ion selective electrode was tested with five basic taste samples, i.e., for saltiness, sweetness, umami, bitterness, and sourness. All ISEs showed global selectivity to all samples. Furthermore, the array of ISEs showed specific response pattern to each Indonesian herbal medicine. For pattern recognition system, we employed principle component analysis (PCA). As a result, the e-tongue was able to differentiate five kinds of Indonesian herbal medicines, proven by the total variance of first and second principle components is about 93%. For the future, the e-tongue may be developed for quality

  6. Preliminary assessment of soil erosion impact during forest restoration process (United States)

    Lai, Yen-Jen; Chang, Cheng-Sheng; Tsao, Tsung-Ming; Wey, Tsong-Huei; Chiang, Po-Neng; Wang, Ya-Nan


    Taiwan has a fragile geology and steep terrain. The 921 earthquake, Typhoon Toraji, Typhoon Morakot, and the exploitation and use of the woodland by local residents have severely damaged the landscape and posed more severe challenges to the montane ecosystem. A land conservation project has been implemented by the Experimental Forest of National Taiwan University which reclaimed approximately 1,500 hectares of leased woodland from 2008 to 2010, primarily used to grow bamboo, tea trees, betel nut, fruit, and vegetable and about 1,298 hectares have been reforested. The process of forest restoration involves clear cutting, soil preparation and a six-year weeding and tending period which may affect the amount of soil erosion dramatically. This study tried to assess the impact of forest restoration from the perspective of soil erosion through leased-land recovery periods and would like to benefit the practical implementation of reforestation in the future. A new plantation reforested in the early 2013 and a nearby 29-year-old mature forest were chosen as experimental and comparison sites. A self-designed weir was set up in a small watershed of each site for the runoff and sediment yield observation. According to the observed results from May to August 2013, a raining season in Taiwan, the runoff and erosion would not as high as we expected, because the in-situ soil texture of both sites is sandy loam to sandy with high percentage of coarse fragment which increased the infiltration. There were around 200 kg to 250 kg of wet sand/soil yielded in mature forest during the hit of Typhoon Soulik while the rest of the time only suspended material be yielded at both sites. To further investigate the influence of the six-year weeding and tending period, long term observations are needed for a more completed assessment of soil erosion impact.

  7. An animal model of buccal mucosa cancer and cervical lymph node metastasis induced by U14 squamous cell carcinoma cells. (United States)

    Zhao, Xin; Pang, Liang; Qian, Yu; Wang, Qiang; Li, Yong; Wu, Mingyi; Ouyang, Zilan; Gao, Zhi; Qiu, Lihua


    The buccal mucosa is the site with the highest risk of contracting a malignancy in habitual betel quid chewers who expose the buccal mucosa to high doses of carcinogens. Of all oral cancers, those of the buccal mucosa are associated with the poorest prognoses. Therefore, it would be helpful to have an animal model to evaluate new treatment modalities for buccal mucosa cancer. In the present study, we evaluated whether the imprinting control region (ICR) mouse animal model could be employed as a cancer model for buccal mucosa cancer. Sixty male ICR mice were randomly divided into two groups, a normal group (n=10) and a cancer-induced group (n=50). Each mouse in the cancer group was inoculated with 0.05 ml U14 cancer cell suspension (1×10(7)/ml) on the buccal mucosa. Histological staining and gene expression assays revealed that neck lymph node metastasis animal models were established. After 20 days, the cheek tumor formation rate of the ICR mice reached 100%. Furthermore, the neck lymph node metastasis rate was 53%. We identified that U14 cells produce strong metastasis in ICR mice. Metastasis of the tumor to the lymph node began with carcinoma metastasis encroaching on the marginal sinus. Then it infiltrated to the cortex and medulla and the infiltration continued until the normal lymph node structure was completely damaged. This animal model may be employed in medical research on buccal mucosa cancer and cervical lymph node metastasis. In conclusion, our findings indicate that U14 cell-induced mouse buccal mucosa cancer may be a potential cancer model for human buccal mucosa squamous cell carcinoma.

  8. Areca nut and tobacco chewing habits in Durban, KwaZulu Natal. (United States)

    Bissessur, S; Naidoo, S


    Areca nut/quid chewing is a habit that is commonly practiced in the Indian subcontinent and this age-old social habit is still being practiced by the Indians in South Africa. The areca nut/quid is prepared in a variety of ways. The quid may be prepared with or without tobacco. This habit is said to be associated with the development of oral submucous fibrosis (OSF), a premalignant lesion, oral leukoplakia and oral cancer. The aim of the present study was to investigate the prevalence of areca nut/quid chewing (with or without tobacco), associated habits (smoking and alcohol consumption) as well as the awareness of the risks. The study was cross-sectional in design and used administered questionnaires and semi-structured interviews to collect the data. A convenience sample of 101 respondents was interviewed. More than three quarter were born in South Africa and the rest were migrant communities from Pakistan, India and Dubai. All respondents from the migrant community were males. Slightly more females than maleschewed areca nut/quid. Popular ingredients that were chewed included areca nut, betel leaf, lime and paan masala. Enjoyment and special functions were the most important reasons for chewing areca nut. Family influence was a reason for chewing. Nearly 60% did not know whether areca nut chewing is harmful to their health. The majority have not attempted to give up the habit. It is recommended that aggressive awareness programmes on the hazardous effects of areca nut/quid chewing be developed similar to those for smoking cessation. Government health warnings need to be written on paan packaging. Taxes need to be imposed on the areca nut and condiments. Age restrictions need to be imposed on purchasing of the areca nut/quid thus making access difficult for the children.

  9. Gene expression profile of esophageal cancer in North East India by cDNA microarray analysis

    Institute of Scientific and Technical Information of China (English)

    Indranil Chattopadhyay; Sujala Kapur; Joydeep Purkayastha; Rupkumar Phukan; Amal Kataki; Jagadish Mahanta; Sunita Saxena


    AIM: To identify alterations in genes and molecular functional pathways in esophageal cancer in a high incidence region of India where there is a widespread use of tobacco and betel quid with fermented areca nuts.METHODS: Total RNA was isolated from tumor and matched normal tissue of 16 patients with esophageal squamous cell carcinoma. Pooled tumor tissue RNA was labeled with Cy3-dUTP and pooled normal tissue RNA was labeled with Cy5-dUTP by direct labeling method.The labeled probes were hybridized with human 10K cDNA chip and expression profiles were analyzed by Genespring GX V 7.3 (Silicon Genetics).RESULTS: Nine hundred twenty three genes were differentially expressed. Of these, 611 genes were upregulated and 312 genes were downregulated. Using stringent criteria (P ≤ 0.05 and ≥ 1.5 fold change),127 differentially expressed genes (87 upregulated and 40 downregulated) were identified in tumor tissue. On the basis of Gene Ontology, four different molecular functional pathways (MAPK pathway,G-protein coupled receptor family, ion transport activity,and serine or threonine kinase activity) were most significantly upregulated and six different molecular functional pathways (structural constituent of ribosome,endopeptidase inhibitor activity, structural constituent of cytoskeleton, antioxidant activity, acyl group transferase activity, eukaryotic translation elongation factor activity)were most significantly downregulated.CONCLUSION: Several genes that showed alterations in our study have also been reported from a high incidence area of esophageal cancer in China. This indicates that molecular profiles of esophageal cancer in these two different geographic locations are highly consistent.

  10. The impact of betelnut oil by different heating method%不同加热方式对槟榔油品质的影响

    Institute of Scientific and Technical Information of China (English)

    李岚; 邓学良; 李忠海; 周文化; 普义鑫


    By GC-MS method identified betelnut oil content of ingredients in the main composition is linoleic acid and oleic acid, respectively, 26.84% and 26.91%, more than half of fatty acids. Handled the betel nut oil, coconut oil and lard on routine heating and microwave, discusses the influence of acid value and peroxide value in different heating temperature and time and microwave. The results show that the acid value appear upwards with heating time, and peroxide value appear twists upwards trend. Compared with lard, the acid value, peroxide value change trend is relatively small of the acid value, peroxide value, maybe contain antioxidants itself, prevented the lipid peroxide chain reaction.%用GC-MS方法鉴定出槟榔油中各成分含量,其中主要成分为亚油酸和油酸,相对含量分别为26.84%、26.91%,占总脂肪酸含量的一半以上。并对槟榔油、椰子油、猪油分别进行常规和微波加热处理,探讨不同加热温度和时间及微波对油脂的酸值和过氧化值的影响,结果表明油脂的酸值随着加热时间的延长不断升高,而过氧化值随加热时间呈曲折升高趋势,槟榔油、椰子油在加热条件下与猪油相比其酸值、过氧化值变化趋势相对较小,可能是本身含有的抗氧化物质,阻止了脂质过氧化物的链式反应。

  11. Induction of nuclear anomalies in exfoliated buccal cells of coca chewers: results of a field study. (United States)

    Nersesyan, Armen; Kundi, Michael; Krupitza, Georg; Barcelos, Gustavo; Mišík, Miroslav; Wultsch, Georg; Carrion, Juan; Carrion-Carrera, Gladys; Knasmueller, Siegfried


    The leaves of coca (Erythroxylum coca var. coca), a South American shrub which contains cocaine, other alkaloids and phenolics are widely used by indigenous populations of the Andes. It is currently not known if coca consumption causes genotoxic effects in humans. This information is important to predict potential long-term toxic effects such as cancer induction. Therefore, the buccal cytome assay was used to analyze oral cells from 45 uni- and bilateral chewers and 23 controls living in the Altiplano of the Peruvian Andes. In total, 123,471 cells were evaluated from chewers and 57,916 from controls. Information concerning the consumption levels and habits and also use of lime were collected with questionnaires. Chewing of the leaves did not induce nuclear anomalies reflecting genetic damage such as micronuclei (MNi) and nuclear buds; in the highest exposure group (but not in the overall group) even a significant decrease in the frequencies of cells with MNi (by 64 %) was observed. However, we found significantly elevated levels of other nuclear anomalies (karyorrhexis and karyolysis) which reflect cytotoxic effects in the coca users. The frequencies of these anomalies increased with the daily consumption and when lime was used to improve the release of the alkaloids. In contrast to other chewing habits (betel, tobacco and khat), consumption of coca leaves does not induce genetic instability in cells from the oral cavity and our findings indicate that no adverse health effects take place in chewers which are associated with DNA damage. However, the significant increase in certain anomalies shows that acute toxic effects are caused by coca consumption.

  12. Spatial autocorrelation calculations of the nine malignant neoplasms in Taiwan in 2005-2009: a gender comparison study

    Institute of Scientific and Technical Information of China (English)

    Pui-Jen Tsai


    Spatial analytical techniques and models are often used in epidemiology to identify spatial anomalies (hotspots) in disease regions.These analytical approaches can be used to identify not only the location of such hotspots,but also their spatial patterns.We used spatial autocorrelation methodologies,including Global Moran's I and Local Getis-Ord statistics,to describe and map spatial clusters and areas in which nine malignant neoplasms are situated in Taiwan.In addition,we used a logistic regression model to test the characteristics of similarity and dissimilarity between males and females and to formulate the common spatial risk.The mean found by local spatial autocorrelation analysis was used to identify spatial cluster patterns.We found a significant relationship between the leading malignant neoplasms and welldocumented spatial risk factors.For instance,in Taiwan,the geographic distribution of clusters where oral cavity cancer in males is prevalent was closely correspond to the locations in central Taiwan with serious metal pollution.In females,clusters of oral cavity cancer were closely related with aboriginal townships in eastern Taiwan,where cigarette smoking,alcohol drinking,and betel nut chewing are commonplace.The difference between males and females in the spatial distributions was stark.Furthermore,areas with a high morbidity of gastric cancer were clustered in aboriginal townships where the occurrence of Helicobacter pylori is frequent.Our results revealed a similarity between both males and females in spatial pattern.Cluster mapping clarified the spatial aspects of both internal and external correlations for the nine malignant neoplasms.In addition,using a method of logistic regression also enabled us to find differentiation between gender-specific spatial patterns.

  13. Androgenic alopecia is associated with less dietary soy, lower [corrected] blood vanadium and rs1160312 1 polymorphism in Taiwanese communities.

    Directory of Open Access Journals (Sweden)

    Ching-Huang Lai

    Full Text Available Although the genetic basis of androgenic alopecia has been clearly established, little is known about its non-genetic causes, such as environmental and lifestyle factors.This study investigated blood and urine heavy metals concentrations, environmental exposure factors, personal behaviors, dietary intakes and the genotypes of related susceptibility genes in patients with androgenic alopecia (AGA.Age, AGA level, residence area, work hours, sleep patterns, cigarette usage, alcohol consumption, betel nut usage, hair treatments, eating habits, body heavy metals concentrations and rs1998076, rs913063, rs1160312 and rs201571 SNP genotype data were collected from 354 men. Logistic regression analysis was performed to examine whether any of the factors displayed odds ratios (ORs indicating association with moderate to severe AGA (≥ IV. Subsequently, Hosmer-Lemeshow, Nagelkerke R(2 and accuracy tests were conducted to help establish an optimal model.Moderate to severe AGA was associated with the AA genotype of rs1160312 (22.50, 95% CI 3.99-126.83, blood vanadium concentration (0.02, 95% CI 0.01-0.04, and regular consumption of soy bean drinks (0.23, 95% CI 0.06-0.85, after adjustment for age. The results were corroborated by the Hosmer-Lemeshow test (P = 0.73, Nagelkerke R(2 (0.59, accuracy test (0.816 and area under the curve (AUC; 0.90, 0.847-0.951 analysis.Blood vanadium and frequent soy bean drink consumption may provide protect effects against AGA. Accordingly, blood vanadium concentrations, the AA genotype of rs1160312 and frequent consumption of soy bean drinks are associated with AGA.

  14. Gastroprotective effect of Piper betle Linn. leaves grown in Sri Lanka

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    L. D. A. M. Arawwawala


    Full Text Available Background: Piper betle Linn. (Piperaceae is used as a remedy for gastric ulcers in traditional medicinal systems in Sri Lanka. However, the gastroprotective activity has never been proven scientifically using betel leaves grown in Sri Lanka. Objective: To evaluate the gastroprotective activity of hot aqueous extract (HAE and cold ethanolic extract (CEE of P. betle in rats as the experimental model. Materials and Methods: Three doses (200, 300, and 500 mg/kg/bw of both extracts were evaluated for the gastroprotective activity against ethanol induced gastric ulcers in rats. The parameters evaluated were (a effects of HAE on mucus content adhering to the wall of the gastric mucosa, (b acidity (total and free, (c volume and (d pH of the gastric juice. Results: Oral administration of HAE and CEE provided marked dose dependent (HAE: r2 = 0.97; CEE: r2 = 0.96 and significant (P ≤ 0.05 protection against gastric damage caused by absolute ethanol. The gastroprotective effect of CEE was comparable with that of HAE. Further, gastroprotective activity of the highest dose of both extracts were significantly greater (P ≤ 0.05 than that of misoprostol, the reference drug. The HAE significantly (P ≤ 0.05 increased the mucus content adhering to the wall of the gastric mucosa and inhibited the volume of gastric acid. However, acidity (total and free and pH of the gastric juice remained unaltered. Conclusion: It is concluded that both HAE and CEE of P. betle leaves have a strong gastroprotective activity.

  15. Levels and trends of smokeless tobacco use among youth in countries of the World Health Organization South-East Asia Region

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    D N Sinha


    Full Text Available Background: At least two rounds of the Global Youth Tobacco Survey (GYTS have been completed in most of the countries in the World Health Organization South-East Asia region. Comparing findings from these two rounds provides trend data on smokeless tobacco (SLT use for the first time. Methods: This study uses GYTS data from Bangladesh, Bhutan, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand, and Timor-Leste during 2006-2013. GYTS is a nationally representative survey of 13-15-year-old students using a consistent and standard protocol. Current SLT use is defined as using any kind of SLT products, such as chewing betel quid or nonbetel quid or snuffing any other products orally or through the nasal route, during the 30 days preceding the survey. Prevalence and 95% confidence intervals were computed using SAS/SUDAAN software. Results: According to most recent GYTS data available in each country, the prevalence of current use of SLT among youth varied from 5.7% in Thailand to 23.2% in Bhutan; among boys, from 7.1% in Bangladesh to 27.2% in Bhutan; and among girls, from 3.7% in Bangladesh to 19.8% in Bhutan. Prevalence of SLT was reported significantly higher among boys than girls in Bhutan (boys 27.2%; girls 19.8%, India (boys 11.1%; girls 6.0%, Maldives (boys 9.2%; girls 2.9%, Myanmar (boys 15.2%; girls 4.0%, and Sri Lanka (boys 13.0%; girls 4.1%. Prevalence of current SLT use increased in Bhutan from 9.4% in 2009 to 23.2% in 2013, and in Nepal from 6.1% in 2007 to 16.2% in 2011. Conclusion: The findings call for countries to implement corrective measures through strengthened policy and enforcement.

  16. Women and cancer. (United States)

    Stanley, K; Stjernswärd, J; Koroltchouk, V


    The primary cause of death in women in the world is cancer. In most developing countries cancer of the cervix is the most prevalent cancer. Breast cancer has this distinction in Latin America and the developed countries of North America, Europe, Australia, and New Zealand. It is also the most prevalent cancer worldwide. The most common cancer in Japan and the Soviet Union is stomach cancer. Effective early detection programs can reduce both breast and cervical cancer mortality and also the degree and duration of treatment required. In Iceland, cervical cancer mortality declined 60% between the periods of 1959-1970 and 1975-1978. Programs consist of mammography, physician breast and self examination, and Pap smear. The sophisticated early detection equipment and techniques are expensive and largely located in urban areas, however, and not accessible to urban poor women and rural women, especially in developing countries. Tobacco smoking attributes to 80-90% of all lung cancer deaths worldwide and 30% of all cancer deaths. Passive smoking increases the risk of lung cancer to 25-35% in nonsmokers who breathe in tobacco smoke. Since smoking rates of women are skyrocketing, health specialists fear that lung cancer will replace cervical and breast cancers as the most common cancer in women worldwide in 20-30 years. Tobacco use also contributes to the high incidence of oral cancer in Southern and South Eastern Asia. For example, in India, incidence of oral cancer in women is 3-7 times higher than in developed countries with the smoking and chewing of tobacco in betel quid contributing. Techniques already exist to prevent 1/3 of all cancers. If cases can be discovered early enough and adequate treatment applied, another 1/3 of the cases can be cured. In those cases where the cancer cannot be cured, drugs can relieve 80-90% of the pain.

  17. Prevalence of potentially malignant oral mucosal lesions among tobacco users in Jeddah, Saudi Arabia. (United States)

    Al-Attas, Safia Ali; Ibrahim, Suzan Seif; Amer, Hala Abbas; Darwish, Zeinab El-Said; Hassan, Mona Hassan


    Smoking is recognized as a health problem worldwide and there is an established tobacco epidemic in Saudi Arabia as in many other countries, with tobacco users at increased risk of developing many diseases. This cross sectional study was conducted to assess the prevalence of oral mucosal, potentially malignant or malignant, lesions associated with tobacco use among a stratified cluster sample of adults in Jeddah, Saudi Arabia. A sample size of 599 was collected and each participant underwent clinical conventional oral examination and filled a questionnaire providing information on demographics, tobacco use and other relevant habits. The most common form of tobacco used was cigarette smoking (65.6 %) followed by Shisha or Moasel (38.1%), while chewing tobacco, betel nuts and gat accounted for 21-2%, 7.7%, and 5% respectively. A high prevalence (88.8%) of soft tissue lesions was found among the tobacco users examined, and a wide range of lesions were detected, about 50% having hairy tongue, 36% smoker's melanosis, 28.9% stomatitis nicotina, 27% frictional keratosis, 26.7% fissured tongue, 26% gingival or periodontal inflammation and finally 20% leukodema. Suspicious potentially malignant lesions affected 10.5% of the subjects, most prevalent being keratosis (6.3%), leukoplakia (2.3%), erythroplakia (0.7%), oral submucous fibrosis (0.5%) and lichenoid lesions (0.4%), these being associated with male gender, lower level of education, presence of diabetes and a chewing tobacco habit. It is concluded that smoking was associated with a wide range of oral mucosal lesions , those suspicious for malignancy being linked with chewable forms, indicating serious effects.

  18. Development of taste sensor system for differentiation of Indonesian herbal medicines (United States)

    Kaltsum, U.; Triyana, K.; Siswanta, D.


    In Indonesia, herbal medicines are usually produced by small and medium enterprises which are relatively low in quality control. The purpose of this paper is to report that we have developed a taste sensor system with global selectivity, i.e., electronic tongue (e-tongue) for differentiation of Indonesian herbal medicines. The e-tongue was composed of five kinds of ion selective electrodes as working electrodes, data acquisition system, and pattern recognition system. Each ion selective electrode (ISE) was built by attaching lipid/polymer membrane. For this purpose, the five kinds of membranes were built by mixing lipid, plasticizer (nitrophenyl octyl ether/NPOE), polyvinyl chloride (PVC), and tetrahydrofuran (THF). In this study, we employed five kinds of lipid, namely oleic acid (OA), dioctyl phosphate (DOP), decyl alcohol (DA), dodecylamine (DDC), and trioctyl methyl ammonium chloride (TOMA). In this case, the membranes transform information of taste substances into electric signal. The five kinds of Indonesian herbal medicine were purchased from local supermarket in Yogyakarta, i.e., kunyit asam (made from turmeric and tamarind), beras kencur (made from rice and kencur), jahe wangi (made from ginger and fragrance), sirih wangi (made from betel leaf), and temulawak (made from Javanese ginger). Prior to detecting the taste from the Indonesian herbal medicine samples, each ion selective electrode was tested with five basic taste samples, i.e., for saltiness, sweetness, umami, bitterness, and sourness. All ISEs showed global selectivity to all samples. Furthermore, the array of ISEs showed specific response pattern to each Indonesian herbal medicine. For pattern recognition system, we employed principle component analysis (PCA). As a result, the e-tongue was able to differentiate five kinds of Indonesian herbal medicines, proven by the total variance of first and second principle components is about 93%. For the future, the e-tongue may be developed for quality

  19. Central obesity and albuminuria: both cross-sectional and longitudinal studies in Chinese.

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    Wen-Yuan Lin

    Full Text Available BACKGROUND: Albuminuria is recognized as a marker of vascular dysfunction. Central obesity increases the risk of cardiovascular disease. Little is known about the association between albuminuria and central obesity in Chinese. We aimed to assess the association between central obesity and prevalence and incidence of albuminuria in a middle-aged population-based cohort study. METHODS: This is a cross-sectional and longitudinal cohort study. A total of 2350 subjects aged ≥ 40 years were recruited in 2004 in Taiwan for cross-sectional analysis. Longitudinal analysis included 1432 baseline normoalbuminuria subjects with a mean 2.8 years follow-up, 67 of whom exhibited incident albuminuria. Albuminuria was defined as urinary albumin-to-creatinine ratio ≥ 30 mg/g creatinine. Multiple logistic regression analyses were used to evaluate the relationship between central obesity and prevalence and incidence of albuminuria after adjustment for age, gender, body mass index, blood pressure, renal function, glucose, high sensitivity c-reactive protein, smoking, betel nut chewing, alcohol drinking, and physical activity. RESULTS: At baseline, albuminuria is significantly associated with central obesity. The adjusted odds ratio of having albuminuria among subjects with central obesity was 1.73(95% confidence interval (CI: 1.04-2.85, compared to the subjects without central obesity. In multivariable models, participants with central obesity at baseline had a 112% increase in risk of incident albuminuria (adjusted incidence rate ratio (95% CI: 2.12(1.01-4.44 compared with participants with non-central obesity. CONCLUSIONS: Abdominal adiposity was independently associated with increased prevalence and incidence of albuminuria in Chinese. The mechanisms linking adiposity and albuminuria need to be addressed.

  20. Subclinical hypothyroidism is associated with increased risk for cancer mortality in adult Taiwanese-a 10 years population-based cohort.

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    Fen-Yu Tseng

    Full Text Available The association between subclinical hypothyroidism (SCH and cancer mortality is seldom discussed.A total of 115,746 participants without thyroid disease history, aged 20 and above, were recruited from four nationwide health screening centers in Taiwan from 1998 to 1999. SCH was defined as a serum thyroid-stimulating hormone (TSH level of 5.0-19.96 mIU/L with normal total thyroxine concentrations. Euthyroidism was defined as a serum TSH level of 0.47-4.9 mIU/L. Cox proportional hazards regression analyses were used to estimate the relative risks (RRs of death from cancer for adults with SCH during a 10-year follow-up period.Among 115,746 adults, 1,841 had SCH (1.6% and 113,905 (98.4% had euthyroidism. There were 1,532 cancer deaths during the 1,034,082 person-years follow-up period. Adjusted for age, gender, body mass index, diabetes, hypertension, dyslipidemia, smoking, alcohol drinking, betel nut chewing, physical activity, income, and education level, the RRs (95% confidence interval of cancer deaths among subjects with SCH versus euthyroid subjects were 1.51 (1.06 to 2.15. Cancer site analysis revealed a significant increased risk of bone, skin and breast cancer among SCH subjects (RR 2.79, (1.01, 7.70. The risks of total cancer deaths were more prominent in the aged (RR 1.71, (1.02 to 2.87, in females (RR 1.69 (1.08 to 2.65, and in heavy smokers (RR 2.24, (1.19 to 4.21.Subjects with SCH had a significantly increased risk for cancer mortality among adult Taiwanese. This is the first report to demonstrate the association between SCH and cancer mortality.

  1. Effects of NFKB1 and NFKBIA gene polymorphisms on susceptibility to environmental factors and the clinicopathologic development of oral cancer.

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    Chiao-Wen Lin

    Full Text Available BACKGROUND: Oral cancer, which is the fourth most common cancer in Taiwanese men, is associated with environmental carcinogens. The possibility that genetic predisposition in nuclear factor-kappa B (NF-κB-signaling pathways activation is linked to the development of oral squamous cell carcinoma (OSCC requires investigation. The current study examines associations between polymorphisms within promoter regions of NFKB1 encoding NF-κB1 and NFKBIA encoding IkappaBalpha (IκBα with both the susceptibility to develop OSCC and the clinicopathological characteristics of the tumors. METHODOLOGY/PRINCIPAL FINDINGS: Genetic polymorphisms of NFKB1 and NFKBIA were analyzed by a real-time polymerase chain reaction (real-time PCR for 462 patients with oral cancer and 520 non-cancer controls. We found that NFKB1 -94 ATGG1/ATGG2, -94 ATGG2/ATGG2, and the combination of -94 ATGG1/ATGG2 and ATGG2/ATGG2 genotypes NFKBIA -826 T (CT+TT and -881 G (AG+GG allelic carriages, were more prevalent in OSCC patients than in non-cancer participants. Moreover, we found that NFKB1 or NFKBIA gene polymorphisms seem to be related to susceptibility to develop oral cancer linked to betel nut and tobacco consumption. Finally, patients with oral cancer who had at least one -519 T allele of the NFKBIA gene were at higher risk for developing distant metastasis (P<.05, compared with those patients CC homozygotes. CONCLUSIONS: Our results suggest that NFKB1 -94 ATTG2, NFKBIA -826 T, and -881 G alleles are associated with oral carcinogenesis. The combination of NFKB1 or NFKBIA gene polymorphisms and environmental carcinogens appears related to an increased risk of oral cancer. More importantly, the genetic polymorphism of NFKBIA -519 might be a predictive factor for the distal metastasis of OSCC in Taiwanese.

  2. Impacts of microRNA gene polymorphisms on the susceptibility of environmental factors leading to carcinogenesis in oral cancer.

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    Yin-Hung Chu

    Full Text Available BACKGROUND: MicroRNAs (miRNAs have been regarded as a critical factor in targeting oncogenes or tumor suppressor genes in tumorigenesis. The genetic predisposition of miRNAs-signaling pathways related to the development of oral squamous cell carcinoma (OSCC remains unresolved. This study examined the associations of polymorphisms with four miRNAs with the susceptibility and clinicopathological characteristics of OSCC. METHODOLOGY/PRINCIPAL FINDINGS: A total of 895 male subjects, including 425 controls and 470 male oral cancer patients, were selected. Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP and real-time PCR were used to analyze miRNA146a, miRNA196, miRNA499 and miRNA149 genetic polymorphisms between the control group and the case group. This study determined that a significant association of miRNA499 with CC genotype, as compared to the subjects with TT genotype, had a higher risk (AOR = 4.52, 95% CI = 1.24-16.48 of OSCC. Moreover, an impact of those four miRNAs gene polymorphism on the susceptibility of betel nut and tobacco consumption leading to oral cancer was also revealed. We found a protective effect between clinical stage development (AOR = 0.58, 95% CI = 0.36-0.94 and the tumor size growth (AOR = 0.47, 95% CI = 0.28-0.79 in younger patients (age<60. CONCLUSIONS: Our results suggest that genetic polymorphism of miRNA499 is associated with oral carcinogenesis, and the interaction of the miRNAs genetic polymorphism and environmental carcinogens is also related to an increased risk of oral cancer in Taiwanese.

  3. Biotransformation and cytotoxic effects of hydroxychavicol, an intermediate of safrole metabolism, in isolated rat hepatocytes. (United States)

    Nakagawa, Yoshio; Suzuki, Toshinari; Nakajima, Kazuo; Ishii, Hidemi; Ogata, Akio


    The biotransformation and cytotoxic effects of hydroxychavicol (HC; 1-allyl-3,4-dihydroxybenzene), which is a catecholic component in piper betel leaf and a major intermediary metabolite of safrole in rats and humans, was studied in freshly isolated rat hepatocytes. The exposure of hepatocytes to HC caused not only concentration (0.25-1.0mM)- and time (0-3h)-dependent cell death accompanied by the loss of cellular ATP, adenine nucleotide pools, reduced glutathione, and protein thiols, but also the accumulation of glutathione disulfide and malondialdehyde, indicating lipid peroxidation. At a concentration of 1mM, the cytotoxic effects of safrole were less than those of HC. The loss of mitochondrial membrane potential and generation of oxygen radical species assayed using 2',7'-dichlorodihydrofluoresein diacetate (DCFH-DA) in hepatocytes treated with HC were greater than those with safrole. HC at a weakly toxic level (0.25 and/or 0.50mM) was metabolized to monoglucuronide, monosulfate, and monoglutathione conjugates, which were identified by mass spectra and/or (1)H nuclear magnetic resonance spectra. The amounts of sulfate rather than glucuronide or glutathione conjugate predominantly increased, accompanied by a loss of the parent compound, with time. In hepatocytes pretreated with either diethyl maleate or salicylamide, HC-induced cytotoxicity was enhanced, accompanied by a decrease in the formation of these conjugates and by the inhibition of HC loss. Taken collectively, our results indicate that (a) mitochondria are target organelles for HC, which elicits cytotoxicity through mitochondrial failure related to mitochondrial membrane potential at an early stage and subsequently lipid peroxidation through oxidative stress at a later stage; (b) the onset of cytotoxicity depends on the initial and residual concentrations of HC rather than those of its metabolites; (c) the toxicity of HC is greater than that of safrole, suggesting the participation of a catecholic

  4. Prevalence of smokeless tobacco use among adults in WHO South-East Asia

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    D N Sinha


    Full Text Available Smokeless tobacco (SLT use is an understudied problem in South-East Asia. Information on SLT use among the adult population was collected from various available sources. SLT use prevalence varies among countries in the region. The prevalence of SLT use is known for all countries at national level in the region with the exception of Bhutan and DPR Korea. For Bhutan, data pertains to Thimphu only. There is no available data on SLT use for DPR Korea. Using all available data from Bhutan, India, Myanmar, Nepal, and Sri Lanka, SLT use was found to be higher among males as compared to females; however, in Bangladesh, Indonesia, and Thailand, SLT use was higher among females as compared to males. Among males, prevalence of SLT use varied from 51.4% in Myanmar to 1.1% in Thailand. Among females, the prevalence of SLT use varied from 27.9% in Bangladesh to 1.9% in Timor-Leste. The prevalence also varies in different parts of countries. For instance, the prevalence of current use of SLT in India ranges from 48.7% in Bihar to 4.5% in Himachal Pradesh. In Thailand, prevalence of current use of tobacco use varies from 0.8% in Bangkok to over 4% in the northern (4.1% and northeastern (4.7% region. Among all SLT products, betel quid was the most commonly used product in most countries including Bangladesh (24.3% and Thailand (1.8%. However, Khaini (11.6% chewing was practiced most commonly in India. Nearly 5% of the adult population used tobacco as dentifrice in Bangladesh and India. SLT is more commonly used in rural areas and among disadvantaged groups. Questions from standard "Tobacco Questions for Surveys (TQS" need to be integrated in routine health system surveys in respective countries to obtain standardized tobacco use data at regular intervals that will help in providing trends of SLT use in countries.

  5. Role of human papilloma virus in oral leukoplakia

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    Anuja Bhargava


    Full Text Available Background: Controversy surrounds regarding the role of human papillomavirus (HPV in oral precancerous and cancerous lesions in India where smokeless, tobacco consumption is rampant. Aims: The present study was carried out with an aim to investigate the presence and type of HPV infection in oropharyngeal leukoplakia and to determine the association of HPV positivity with various patient and lesion characteristics. Settings and Design: Prospective case series. Materials and Methods: A total of fifty confirmed cases of oral leukoplakia (OL, aged 18–55 years were enrolled in the study. Specimens were obtained from the site of lesion. All the specimens were subjected to histopathological analysis and HPV-16, 18 detection was done using real-time polymerase chain reaction technique. Results: Mean age of patients was 34.00 ± 8.85. Majority were males (62%, from middle social class (78% and were educated up to graduation or above (54%. All the patients had one or more adverse habits (betel, chewing tobacco, smoking and alcohol with mean duration of disease was 3.53 ± 3.05 years. Five patients (10% had diabetes. Burning sensation (86% and trismus (36% were the reported complaints. Maximum were Stage II (50%, sized 2–4 cm2 (60%, homogenous (70%. Floor of mouth and tongue were most commonly involved sites (50%. Majority had mild dysplasia (58%. Acanthosis (66%, hyperplasia (62%, koliocytosis (40%, and keratosis (98% were quite common. HPV (16/18 could not be detected in any specimen. Conclusions: The present study highlighted the fact that association of HPV with oral leukoplakia seems to be overestimated and needs to be reexamined with consensus Human papilloma virus (HPV primers to detect HPV types with more valid empirical relationships.

  6. Allergies and risk of head and neck cancer: an original study plus meta-analysis.

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    Jenn-Ren Hsiao

    Full Text Available BACKGROUND: Although the relationship between allergy and cancer has been investigated extensively, the role of allergy in head and neck cancer (HNC appears less consistent. It is not clear whether allergies can independently influence the risk of HNC in the presence of known strong environmental risk factors, including consumption of alcohol, betel quid, and cigarette. METHODS: THE CURRENT PAPER REPORTS RESULTS FROM: 1 an original hospital-based case-control study, which included 252 incident cases of HNC and 236 controls frequency-matched to cases on sex and age; and 2 a meta-analysis combining the results of the current case-control study and 13 previously published studies (9 cohort studies with 727,569 subjects and 550 HNC outcomes and 5 case-control studies with 4,017 HNC cases and 10,928 controls. RESULTS: In the original case-control study, we observed a strong inverse association between allergies and HNC [odds ratio = 0.41, 95% confidence interval (CI: 0.27-0.62]. The meta-analysis also indicated a statistically significant inverse association between HNC and allergies [meta-relative risk (RR = 0.76, 95% CI: 0.63-0.91], particularly strong for allergic rhinitis (meta-RR = 0.55, 95% CI: 0.40-0.76. In addition, the inverse association between allergies and HNC was observed only among men (meta-RR = 0.67, 95% CI: 0.54-0.84 but not among women (meta-RR = 0.98, 95% CI: 0.81-1.18. CONCLUSIONS: These findings suggest that immunity plays an influential role in the risk of HNC. Future studies investigating immune biomarkers, including cytokine profiles and genetic polymorphisms, are warranted to further delineate the relationship between allergies and HNC. Understanding the relationship between allergies and HNC may help devise effective strategies to reduce and treat HNC.

  7. Areca nut use in rural Tamil Nadu: A growing threat

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    Rajan Gunaseelan


    Full Text Available Background: Areca nut is the fourth main psychoactive substance in the world. In India, tobacco is added to the quid, and the commercially manufactured nonperishable forms of betel quid (pan masala or gutkha are on the rise in the market. Objective : To find out the prevalence of areca nut among the rural residents of Sriperambudur Taluk . Settings and Design: A community-based survey using pre-tested semi-structured questionnaire. Materials and Methods :0 The survey was conducted in 2 villages and their colonies, which were randomly selected out of 168 villages. Data was collected from 500 residents of the study population. The survey was conducted for a period of 2 months. Statistical Analysis: SPSS version 10.0. Results :The study participants were more likely to initiate areca nut use by 22 years of age. As many as 19.8% (n = 99 of the study participants chewed areca nut products, out of whom 11.2% (n = 56 indulged in chewing habit alone (areca nut products. Areca nut use was higher among male study subjects compared to females. The commercial forms of areca nut products (gutkha were the most prevalent ones [47.5% (n = 47 of those who used areca nut] observed in the community. Compared to female participants, male participants were more likely to perceive areca nut use as the most harmful habit draining the community health and wealth. Conclusion :There seems to be an increase in the prevalence of areca nut use. The community also perceives it to be a harmful habit. Therefore, effective interventions should be targeted towards the high-risk subpopulation of the community to decrease the prevalence of areca nut use in rural Tamil Nadu.

  8. Cancer risk in persons with HIV/AIDS in India: a review and future directions for research

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    Bhatia Kishor


    Full Text Available Abstract Background India has a large and evolving HIV epidemic. Little is known about cancer risk in Indian persons with HIV/AIDS (PHA but risk is thought to be low. Methods To describe the state of knowledge about cancer patterns in Indian PHA, we reviewed reports from the international and Indian literature. Results As elsewhere, non-Hodgkin lymphomas dominate the profile of recognized cancers, with immunoblastic/large cell diffuse lymphoma being the most common type. Hodgkin lymphoma is proportionally increased, perhaps because survival with AIDS is truncated by fatal infections. In contrast, Kaposi sarcoma is rare, in association with an apparently low prevalence of Kaposi sarcoma-associated herpesvirus. If confirmed, the reasons for the low prevalence need to be understood. Cervical, anal, vulva/vaginal and penile cancers all appear to be increased in PHA, based on limited data. The association may be confounded by sexual behaviors that transmit both HIV and human papillomavirus. Head and neck tumor incidence may also be increased, an important concern since these tumors are among the most common in India. Based on limited evidence, the increase is at buccal/palatal sites, which are associated with tobacco and betel nut chewing rather than human papillomavirus. Conclusion With improving care of HIV and better management of infections, especially tuberculosis, the longer survival of PHA in India will likely increase the importance of cancer as a clinical problem in India. With the population's geographic and social diversity, India presents unique research opportunities that can be embedded in programs targeting HIV/AIDS and other public health priorities.

  9. Determination of trace and heavy metals in some commonly used medicinal herbs in Ayurveda. (United States)

    Nema, Neelesh K; Maity, Niladri; Sarkar, Birendra K; Mukherjee, Pulok K


    Traditionally, the herbal drugs are well established for their therapeutic benefits. Depending upon their geographical sources sometimes the trace and heavy metals' content may differ, which may lead to severe toxicity. So, the toxicological and safety assessment of these herbal drugs are one of the major issues in recent days. Eight different plant species including Aloe vera, Centella asiatica, Calendula officinalis, Cucumis sativus, Camellia sinensis, Clitoria ternatea, Piper betel and Tagetes erecta were selected to determine their heavy and trace metals content and thereby to assure their safer therapeutic application. The trace and heavy metals were detected through atomic absorption spectrometry analysis. The selected medicinal plant materials were collected from the local cultivated regions of West Bengal, India, and were digested with nitric acid and hydrochloric acid as specified. Absorbance was measured through atomic absorption spectrometer (AA 303) and the concentration of different trace and heavy metals in the plant samples were calculated. The quantitative determinations were carried out using standard calibration curve obtained by the standard solutions of different metals. The contents of heavy metals were found to be within the prescribed limit. Other trace metals were found to be present in significant amount. Thus, on the basis of experimental outcome, it can be concluded that the plant materials collected from the specific region are safe and may not produce any harmful effect of metal toxicity during their therapeutic application. The investigated medicinal plants contain trace metals such as copper (Cu), chromium (Cr), manganese (Mn), iron (Fe) and nickel (Ni) as well as heavy metals such as arsenic (As), lead (Pb) and mercury (Hg), which were present within the permissible limit.


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    Dr. Mustafa ERDOĞAN


    Full Text Available The relationships between Turks and Egyptiansgo back a long time in history. After Yavuz Sultan Selimconquered Egypt and made it an Ottoman state, therelations increased even more. In this respect manyOttoman poets went to Egypt for different purposes andwrote poems that included their impressions andopinions about the country. After a condensed researchand scanning on divans, it is ascertained that there areindependently written poems about Egypt in the divans ofKaramanlı Aynî, Ahmed Pasa, Revânî, Kâbulî, Fehîm-îKadîm, Mezâkî, Tecelli, Râmî Pasha and Neylî. Thesepoems indicate the poets’ points of view to Egypt andEgyptians and reflect their thoughts and impressionsabout Egypt. Furthermore they are sources that giveopinions to us how Istanbul and Anatolia was perceivedfrom there and how much the poets were missing theirhomeland. In the introduction part of this article therelation of the poets with Egypt is explained. Thenchronologically the poets who have poems about thiscountry and their relationships with it are introduced.After that the poem of the chronologically mentioned poetis evaluated according to the criteria of form and content,and the text of the poem is presented. At the end of theresearch of eleven poems of nine poets about Egypt (threepoems of Fehim are taken for evaluation, it isunderstood that some of the poets praise Egypt as it isthe land of the prophet Joseph and also acclaim for itsabundant lands full of betel nut and sugar. On contrarysome of the poets criticize the country as it has a dustyand hot desert climate, and as it is far away from theirhomelands.

  11. Evaluation of Salivary Nitric Oxide Levels in Smokers, Tobacco Chewers and Patients with Oral Lichenoid Reactions (United States)

    Jose, Joy Idiculla; Sivapathasundharam, B.; Sabarinath, B.


    Introduction Nitric oxide (NO), a free radical, acts as a signalling molecule affecting numerous physiological and pathological processes. Role of nitric oxide as a mediator in tobacco related habits and the resultant oral lichenoid reactions was assessed. Aim The aim of the study is to evaluate and compare the salivary nitric oxide levels in normal patients with that of smokers, tobacco chewers and patients with oral lichenoid reactions. Materials and Methods One hundred and twenty patients were enrolled in the study which included 30 healthy patients without any chronic inflammatory lesion and habit as controls (group I), 30 smokers without the habit of tobacco/betel nut chewing and any oral lesion (group II), 30 tobacco chewers without the habit of smoking and any oral lesion (group III) and 30 histologically confirmed cases of oral lichenoid reaction with the habit of tobacco usage (group IV). Saliva from these patients was collected and the nitrite concentration was assessed. Results Our results concluded that there was highly significant increase in the nitric oxide levels in smokers, tobacco chewers and patients with oral lichenoid reactions compared to that of controls. Also, there was a significant increase in nitric oxide levels in patients with smoking associated oral lichenoid reactions in comparison with smokers and in patients with lichenoid reactions associated with tobacco chewing in comparison with tobacco chewers. Conclusion Estimation of salivary nitric oxide levels is a simple, non-invasive procedure and could be analysed to suggest the role of nitric oxide in the pathogenesis of these lesions. The increased activity of the enzyme may indicate that nitric oxide has a pathophysiological role in these lesions. PMID:26894179

  12. Late Post-glacial Sea Level Rise and Its Effects On Human Activity In Asia (United States)

    Oppenheimer, S. J.

    Three rapid post-glacial sea-level rises flooded coastlines with large continental shelves. The last of these, shortly before the interglacial optimum c.7,500BP, not only changed coastal Neolithic societies, but may also have stimulated maritime skills. Two Asian examples explore these aspects. First, during the Mid-Holocene, the Arabian Gulf transgressed as far inland as Ur probably laying down Woolley's famous Ur Flood silt layer between 7,000-5,500 BP. Stratigraphy and dating suggests the phase of rapid sea level rise immediately preceded the start of the 'Ubaid pottery period. Red-slipped Uruk pottery and copper items then appear from about 6,000BP, but above Woolley's silt layer. The Sumerian King Lists also record a major upheaval and dynastic change after 'the Flood'. Second, the final flooding of the Sunda shelf in Southeast Asia was followed by a maritime extension of human occupation from Northern Melanesia south into the Solomon Islands 6,000 years ago. Simultaneously, further west on the north coast of New Guinea, new archaeological assemblages ap- pear beneath a silt layer left by a pro-grading 6,000 year-old inland sea. The presence of arboriculture items such as betel nuts and the contemporary arrival of dogs and pigs in the same region suggests intrusion from Southeast Asia. This supports Solheim's suggestion that rapid sea-level rise on the eastern edge of the Sunda Shelf stimulated maritime skills and invention in Southeast Asia. This may have provided the initial stimulus to the first maritime expansion that was later to colonise the whole Pacific.

  13. Metabolic syndrome in non-obese Taiwanese: new definition of metabolically obese, normal-weight individual

    Institute of Scientific and Technical Information of China (English)

    TSAI Chung-huang


    Background Not only the obese,but also the non-obese adults have the high prevalence of metabolic syndrome in the upper normal weight.The aim of this study was to assess the prevalence rates of metabolic syndrome and its individual components in non-obese adult Taiwanese(body mass index(BMI)≤26.9 kg/m~2).Methods A cross-sectional study was conducted from January 2006 to December 2007.One thousand six hundred and fifty-nine subjects(aged 47.5±12.4 years),60.8% of which were men,were enrolled.The prevalence and odds ratios of metabolic syndrome,defined by the American Heart Association/National Heart,Lung and Blood Institute(2005),were analyzed in the BMI category according to 2.0 unit increments,in individuals seeking a health examination.Results The higher the BMI categories,the more prevalent the metabolic syndrome was in women and in men(P<0.001).Compared with those women with a BMI≤20.9 kg/m~2,the odds ratios for metabolic syndrome in women were 1.3(95% CI:0.5-3.2)with BMI 21.0-22.9 kg/m~2,3.0(1.3-7.1)with BMI 23.0-24.9 kg/m~2,and 8.6(3.6-20.8)for women with BMI 25.0-26.9 kg/m~2,after controlling for age,smoking status,alcohol consumption,betel nut chewing,blood routine,biochemical data,hepatitis B virus surface antigen and anti-hepatitis C virus.The corresponding odds ratios in men were 1.6(0.6-4.2),3.7(1.6-8.8),and 9.9(4.2-23.2).Conclusions Individuals in the upper normal weight and slightly overweight BMI range have relatively high prevalence and increased risk of having metabolic syndrome.Therefore,physicians should screen metabolic syndrome in not only obese but also non-obese individuals for the prevention of cardiovascular disease.

  14. Radium-contaminated water: a risk factor for cancer of the upper digestive tract. (United States)

    Hirunwatthanakul, Phatcha; Sriplung, Hutcha; Geater, Alan


    There is a high incidence of oral, pharynx and esophagus cancer among males in Na Mom district in Songkhla Province in Thailand, an area where radium concentration in shallow well water is found to be higher than other areas in this province. A population-based case control study was conducted from June to November 2004 to determine the association of oral exposure to radium-contaminated water and cancer of the upper digestive tract in the district.Thirty-two confirmed cases and 128 sex and five-year birth cohort matched neighborhood controls were selected by multistage sampling from six villages in four sub-districts. All subjects were verified to have been permanent residents in the district for more than 10 years. Thirty cases were dead at the time of the study, thus their relatives were interviewed to determine their amount of water drinking, tobacco smoking, alcohol drinking, betel chewing and exposure to other potential risk factors in the past. The other two cases and all controls were directly interviewed. The concentration of radium in shallow well water at the subject's houses was estimated using a contour map of Ra-226 in the water at the location of their residence. The results showed a strong and dose-dependent associationb etween consumption of radium-contaminated shallow well water and cancer of the upper digestive tract. In multivariate analysis controlled for important risk factors of the cancer, the odds ratios for exposure to oral radium consumption 50-100 mBq/day and >100 mBq/day compared with <50 mBq/day were 2.83 (95% CI: 0.50-16.19) and 29.76 (95% CI: 4.39-201.6) respectively. The risk also increased with consumption of fresh water fish which might have been contaminated by dissolved radium in the water. This study offers the first evidence of the association between radium and cancer of the upper digestive tract to the world literature. Further studies with other methods such as area-wide correlation of radium-uranium concentration and the

  15. Arecoline improves vascular endothelial function in high fructose-fed rats via increasing cystathionine-Ylyase expression and activating KATp channels

    Institute of Scientific and Technical Information of China (English)

    Hong-yan LING; Guang WANG; Wei ZHANG; Xing LI; Shou-hong ZHOU; Bi HU


    Aim:To investigate the effect of arecoline,a major component of betel nut,on vascular endothelial function in high fructose-fed rats and the potential mechanisms underlying the effect.Methods:Male Wistar rats were fed a high-fructose or control diet for 16 weeks.At the beginning of week 13,the rats were injected ip with low (0.5 mg·kg 1·d-1),medi u m (1.0 mg·kg1·d-1) or high (5.0 mg·kg 1·d 1) doses of arecoline for 4 weeks.At the termination of the treatments,blood was collected,fasting blood glucose (FBG) and serum insulin (FSI) levels were measured,and insulin sensitivity index (ISI) was calculated.The thoracic aortas were isolated and aortic rings were prepared for studying ACh-induced endothelium-dependent vasorelaxation (EDVR).The mRNA and protein expression of cystathionine-y-lyase (CSE) in the thoracic aortas was analyzed using RTPCR and Western blot analysis,respectively.Results:In high fructose-fed rats,the levels of FBG and FSI were remarkably increased,whereas the ISI and the mRNA and protein expression of CSE were significantly decreased.ACh-induced EDVR in the aortic rings from high fructose-fed rats was remarkably reduced.These changes were reversed by treatment with high dose arecoline.Pretreatment of the aortic rings rings from high fructose-fed rats with the CSE inhibitor propargylglycine (10 mmol/L) orthe ATP-sensitive potassium (KATP) channel blocker glibenclamide (10 mmol/L) abolished the restoration of ACh-induced EDVR by high dose arecoline.On the contrary,treatment with high dose arecoline significantly impaired ACh-induced EDVR in the aortic rings from control rats,and pretreatment with propargylglycine or glibenclamide did not cause further changes.Conclusion:Arecoline treatment improves ACh-induced EDVR in high fructose-fed rats,and the potential mechanism of action might be associated with increase of CSE expression and activation of KATP channels by arecoline.

  16. 应用土壤养分状况系统研究法指导香草兰施肥的试验研究%Application of ASI on Fertilization Technology in Vanilla

    Institute of Scientific and Technical Information of China (English)

    王华; 朱自慧; 庄辉发; 赵青云; 王辉


      以香草兰(Vanilla planifolia Andrews)作为指示作物,应用土壤养分系统研究法(ASI法)对海南省万宁市中国热带农业科学院香料饮料研究所槟榔-香草兰间作园土壤养分进行分析、评价,结果表明:土壤中N、K、Ca和Mg极度亏缺,亏缺顺序为Ca>N>K>Mg;针对香草兰营养特性和种植园土壤养分状况,建议应多施用碱性和中性肥料,如钙镁磷肥、尿素、氯化钾等,以补充N、P、K、Ca、Mg等元素的亏缺.ASI法应用于指导香草兰施肥,对S和P的临界值需根据香草兰的营养特性进行相应的矫正,以提高适用性.%The soil nutrients of the betel nut intercropping vanilla plantation in Institute of Spice and Beverage Research, CATAS were evaluated by the soil nutrient systematic approach (ASI) with the vanilla as an indicating crop. The results indicated that the nutrients of N, K, Ca and Mg in the plantation were in a very low level, and in the order of Ca>N>K>Mg. The alkaline and neutral fertilizers such as calcium magnesium phosphate, urea, potassium chloride should be used in the plantation so that the nutrients of N, P, K, Ca, Mg and other elements could be supplemented according to vanilla nutritional characteristics. The ASI is appli-cable in the research of vanilla, but the S and P threshold values should be corrected according to vanilla nutritional character-istics so as to improve its suitability.

  17. Arecoline-induced phosphorylated p53 and p21(WAF1) protein expression is dependent on ATM/ATR and phosphatidylinositol-3-kinase in clone-9 cells. (United States)

    Chou, Wen-Wen; Guh, Jinn-Yuh; Tsai, Jung-Fa; Hwang, Chi-Ching; Chiou, Shean-Jaw; Chuang, Lea-Yea


    Betel-quid use is associated with liver cancer whereas its constituent arecoline is cytotoxic, genotoxic, and induces p53-dependent p21(WAF1) protein expression in Clone-9 cells (rat hepatocytes). The ataxia telangiectasia mutated (ATM)/rad3-related (ATR)-p53-p21(WAF1) and the phosphatidylinositol-3-kinase (PI3K)-mammalian target of rapamycin (mTOR) pathways are involved in the DNA damage response and the pathogenesis of cancers. Thus, we studied the role of ATM/ATR and PI3K in arecoline-induced p53 and p21(WAF1) protein expression in Clone-9 cells. We found that arecoline (0.5 mM) activated the ATM/ATR kinase at 30 min. The arecoline-activated ATM/ATR substrate contained p-p53Ser15. Moreover, arecoline only increased the levels of the p-p53Ser6, p-p53Ser15, and p-p53Ser392 phosphorylated p53 isoforms among the known isoforms. ATM shRNA attenuated arecoline-induced p-p53Ser15 and p21(WAF1) at 24 h. Arecoline (0.5 mM) increased phosphorylation levels of p-AktSer473 and p-mTORSer2448 at 30-60 min. Dominant-negative PI3K plasmids attenuated arecoline-induced p21(WAF1), but not p-p53Ser15, at 24 h. Rapamycin attenuated arecoline-induced phosphrylated p-p53Ser15, but not p21(WAF1), at 24 h. ATM shRNA, but not dominant-negative PI3K plasmids, attenuated arecoline-induced p21(WAF1) gene transcription. We conclude that arecoline activates the ATM/ATR-p53-p21(WAF1) and the PI3K/Akt-mTOR-p53 pathways in Clone-9 cells. Arecoline-induced phosphorylated p-p53Ser15 expression is dependent on ATM whereas arecoline-induced p21(WAF1) protein expression is dependent on ATM and PI3K. Moreover, p21(WAF1) gene is transcriptionally induced by arecoline-activated ATM.

  18. Biochemical studies of Piper betle L leaf extract on obese treated animal using 1H-NMR-based metabolomic approach of blood serum samples. (United States)

    Abdul Ghani, Zuleen Delina Fasya; Husin, Juani Mazmin; Rashid, Ahmad Hazri Ab; Shaari, Khozirah; Chik, Zamri


    Piper betle L. (PB) belongs to the Piperaceae family. The presence of a fairly large quantity of diastase in the betel leaf is deemed to play an important role in starch digestion and calls for the study of weight loss activities and metabolite profile from PB leaf extracts using metabolomics approach to be performed. PB dried leaves were extracted with 70% ethanol and the extracts were subjected to five groups of rats fed with high fat (HF) and standard diet (SD). They were then fed with the extracts in two doses and compared with a negative control group given water only according to the study protocol. The body weights and food intakes were monitored every week. At the end of the study, blood serum of the experimental animal was analysed to determine the biochemical and metabolite changes. PB treated group demonstrated inhibition of body weight gain without showing an effect on the food intake. In serum bioassay, the PB treated group (HF/PB (100mg/kg and 500mg/kg) showed an increased in glucose and cholesterol levels compared to the Standard Diet (SD/WTR) group, a decrease in LDL level and increase in HDL level when compared with High Fat Diet (HF/WTR) group. For metabolite analysis, two separation models were made to determine the metabolite changes via group activities. The best separation of PCA serum in Model 1 and 2 was achieved in principle component 1 and principle component 2. SUS-Plot model showed that HF group was characterized by high-level of glucose, glycine and alanine. Increase in the β-hydroxybutyrate level similar with SD group animals was evident in the HF/PB(500mg/kg) group. This finding suggested that the administration of 500mg/kg PB extracts leads to increase in oxidation process in the body thus maintaining the body weight and without giving an effect on the appetite even though HF was continuously consumed by the animals until the end of the studies and also a reduction in food intake, thus maintaining their body weight although they

  19. Areca nut components affect COX-2, cyclin B1/cdc25C and keratin expression, PGE2 production in keratinocyte is related to reactive oxygen species, CYP1A1, Src, EGFR and Ras signaling.

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    Mei-Chi Chang

    Full Text Available Chewing of betel quid (BQ increases the risk of oral cancer and oral submucous fibrosis (OSF, possibly by BQ-induced toxicity and induction of inflammatory response in oral mucosa.Primary gingival keratinocytes (GK cells were exposed to areca nut (AN components with/without inhibitors. Cytotoxicity was measured by 3-(4,5-dimethyl- thiazol- 2-yl-2,5-diphenyl-tetrazolium bromide (MTT assay. mRNA and protein expression was evaluated by reverse transcriptase-polymerase chain reaction (RT-PCR and western blotting. PGE2/PGF2α production was measured by enzyme-linked immunosorbent assays.Areca nut extract (ANE stimulated PGE2/PGF2α production, and upregulated the expression of cyclooxygenase-2 (COX-2, cytochrome P450 1A1 (CYP1A1 and hemeoxygenase-1 (HO-1, but inhibited expression of keratin 5/14, cyclinB1 and cdc25C in GK cells. ANE also activated epidermal growth factor receptor (EGFR, Src and Ras signaling pathways. ANE-induced COX-2, keratin 5, keratin 14 and cdc25C expression as well as PGE2 production were differentially regulated by α-naphthoflavone (a CYP 1A1/1A2 inhibitor, PD153035 (EGFR inhibitor, pp2 (Src inhibitor, and manumycin A (a Ras inhibitor. ANE-induced PGE2 production was suppressed by piper betle leaf (PBL extract and hydroxychavicol (two major BQ components, dicoumarol (aQuinone Oxidoreductase--NQO1 inhibitor and curcumin. ANE-induced cytotoxicity was inhibited by catalase and enhanced by dicoumarol, suggesting that AN components may contribute to the pathogenesis of OSF and oral cancer via induction of aberrant differentiation, cytotoxicity, COX-2 expression, and PGE2/PGF2α production.CYP4501A1, reactive oxygen species (ROS, EGFR, Src and Ras signaling pathways could all play a role in ANE-induced pathogenesis of oral cancer. Addition of PBL into BQ and curcumin consumption could inhibit the ANE-induced inflammatory response.

  20. Tobacco and Kretek: Indonesian Drugs in Historical Change

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    Monika Arnez


    Full Text Available The clove cigarettes (kretek industry is the second largest employer in Indonesia, after the Indonesian government. Between 4 and 17 million people are employed in this industry, including areas such as cultivation, trading, transport, advertisement and production of clove cigarettes. The Indonesian government depends on the kretek industry because of its important economic function. This paper contributes to tracing the historical development of kretek, considering economic, social and political aspects. The article raises the question which factors have determined the consumption behaviour of smoking? Why has betel chewing increasingly been replaced by smoking kretek cigarettes? Which steps has the kretek cigarette taken since its invention and what factors have mechanization, political intervention, tobacco control and advertisement played for the development of the kretek industry? What image do kretek cigarettes have today, what are its patterns of consumption and what infl uence do multinational enterprises have on the development of kretek? --- Die Industrie der Nelkenzigaretten (Kretek ist im Laufe ihrer historischen Entwicklung zum zweigrößten Arbeitgeber Indonesiens nach der indonesischen Regierung avanciert. Die Anzahl an Beschäftigten in dieser Branche wird auf zwischen 4 und 17 Millionen Menschen geschätzt und umfasst Bereiche wie Anbau, Handel, Transport, Werbung und Produktion der Nelkenzigaretten. Aufgrund ihrer bedeutenden ökonomischen Funktion ist die indonesische Regierung von der Kretek-Industrie abhängig. Dieser Artikel möchte einen Beitrag dazu leisten, die historische Entwicklung der Kretek unter Berücksichtigung spezifischer ökonomischer, sozialer und politischer Aspekte nachzuzeichnen. Dabei wird insbesondere folgenden Fragen nachgegangen: Welche Faktoren haben dazu beigetragen, dass der Habitus des Betelkauens zunehmend durch das Rauchen von (Kretek-Zigaretten ersetzt wurde? Welche wesentlichen Stationen hat


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    Tjutju Nurhayati


    Full Text Available Production  of  wood vinegar from mangium (Acacia  mangium wood bolts/pieces  with their diameter of 3  17 cm, length of 30  67 cm, moisture content of 84.4%, and specific gravity of 0.52 conducted in a dome-shaped kiln with 1.2 m'-capacity afforded a yield of 40.3%.   The mangium wood vinegar was produced  through condensation  (cooling of  smoke/gas fractions released during the charcoaling (carbonization process  of  mangium wood.    The  process  could be regarded  as an integrated production of wood vinegar and charcoal.  The yield of wood vinegar combined with the resulting charcoal was 73.9%  based on  the dry weight of  inputed  mangium wood.    Results of chromatography analysis on mangium wood vinegar as conducted in Japan revealed its organic acid content at 73.9 ppm, phenol content 8.09 ppm, methanol 3.34 ppm, acidity degree 4.91  ppm, and pH 3.89.   Similar analysis on the mangium wood vinegar was conducted in Indonesia's laboratories, and the results were comparable with  those  of  Japan.     Results of  inhibition  testings  on  particular microorganisms   (i.e.  Pseudomonas  aerogjnosa,  Stafi/ococms   attreus,  and  Candidi   albicans  fimgz indicated that the mangium wood vinegar could inflict antirnicrobe action on those microorganism with its effectiveness somewhat below that of  liquid betel soap which could be purchased  from drugstores.  The experimental use of mangium wood vinegar at 3-5% concentration on ginger (Zingiber officinale var. white ginger plants revealed significantly positive growth responses/  characteristics with respect to their height, leaf length, and sprout/ shoot development, in comparison with the untreated ginger plants (control.   Such responses/characteristics were not significantly different from those using atonik's growth hormone.  Likewise, the preliminary use of mangium wood vinegar at 2-percent concentration on teak

  2. Gambaran Pengetahuan Remaja Puteri Terhadap Nyeri Haid (Dismenore dan Cara Penanggulangannya

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    Erlina Rustam


    . The parameters used are knowledge about menstruation, dysmenorrhea and action taken when having dysmenorrhea. From the research concludet knowledge of the understanding, the time and the cause of menstruation, low knowledge about the cycle and hormones involved in menstruation. Have a good knowledge of the dysmenorrhea like deffenition of dysmenorrhea, the age who often get dysmenorrhea, the degree and cause of dysmenorrhea. The main action taken is non-pharmacological measures (17.86%. In Pharmacology female adolescents using traditional medicine is a betel leaf (67.00%. While choosing a drug is OJ-2 (40.00%. Side effects are felt sleepy (56.52%. The reason is because the choosen drugs can relief pain faster (97.83%. It is suggested that educating people on the proper way to treat dysmenorrhea by Pharmacologic or nonpharmacologic treatment.Keywords: Dysmenorrhea, knowledge,therapy

  3. A systematic gene-gene and gene-environment interaction analysis of DNA repair genes XRCC1, XRCC2, XRCC3, XRCC4, and oral cancer risk. (United States)

    Yang, Cheng-Hong; Lin, Yu-Da; Yen, Ching-Yui; Chuang, Li-Yeh; Chang, Hsueh-Wei


    Oral cancer is the sixth most common cancer worldwide with a high mortality rate. Biomarkers that anticipate susceptibility, prognosis, or response to treatments are much needed. Oral cancer is a polygenic disease involving complex interactions among genetic and environmental factors, which require multifaceted analyses. Here, we examined in a dataset of 103 oral cancer cases and 98 controls from Taiwan the association between oral cancer risk and the DNA repair genes X-ray repair cross-complementing group (XRCCs) 1-4, and the environmental factors of smoking, alcohol drinking, and betel quid (BQ) chewing. We employed logistic regression, multifactor dimensionality reduction (MDR), and hierarchical interaction graphs for analyzing gene-gene (G×G) and gene-environment (G×E) interactions. We identified a significantly elevated risk of the XRCC2 rs2040639 heterozygous variant among smokers [adjusted odds ratio (OR) 3.7, 95% confidence interval (CI)=1.1-12.1] and alcohol drinkers [adjusted OR=5.7, 95% CI=1.4-23.2]. The best two-factor based G×G interaction of oral cancer included the XRCC1 rs1799782 and XRCC2 rs2040639 [OR=3.13, 95% CI=1.66-6.13]. For the G×E interaction, the estimated OR of oral cancer for two (drinking-BQ chewing), three (XRCC1-XRCC2-BQ chewing), four (XRCC1-XRCC2-age-BQ chewing), and five factors (XRCC1-XRCC2-age-drinking-BQ chewing) were 32.9 [95% CI=14.1-76.9], 31.0 [95% CI=14.0-64.7], 49.8 [95% CI=21.0-117.7] and 82.9 [95% CI=31.0-221.5], respectively. Taken together, the genotypes of XRCC1 rs1799782 and XRCC2 rs2040639 DNA repair genes appear to be significantly associated with oral cancer. These were enhanced by exposure to certain environmental factors. The observations presented here warrant further research in larger study samples to examine their relevance for routine clinical care in oncology.

  4. Tag single nucleotide polymorphisms of alcohol-metabolizing enzymes modify the risk of upper aerodigestive tract cancers: HapMap database analysis. (United States)

    Chung, C-S; Lee, Y-C; Liou, J-M; Wang, C-P; Ko, J-Y; Lee, J-M; Wu, M-S; Wang, H-P


    Although alcohol is associated with higher upper aerodigestive tract (UADT) cancer risk, only a small fraction of alcoholics develop cancers. There is a lack of evidence proving the association of tag single nucleotide polymorphisms of alcohol-metabolizing enzymes with cancer risk. The aim of this study was to determine the association of these genetic polymorphisms with UADT cancer risk in a Chinese population. It was a hospital-based case-control candidate gene study. The databases of the International HapMap Project were searched for haplotype tag single nucleotide polymorphisms of the genes alcohol dehydrogenase (ADH)1B, ADH1C, and aldehyde dehydrogenase (ALDH)2. The genotyping was performed by the Sequenom MassARRAY system. Totally, 120 head and neck squamous cell carcinoma, 138 esophageal squamous cell carcinoma patients, and 276 age- and gender-matched subjects were enrolled between June 2008 and June 2010.Minor alleles of ADH1B (rs1229984) and ALDH2(rs671) were not only associated with the risk of UADT cancers (odds ratio [OR] [95% confidence interval, CI]: 3.53 [2.14-5.80] and 2.59 [1.79-3.75], respectively) but also potentiated the carcinogenic effects of alcohol (OR [95% CI]: 53.44 [25.21-113.29] and 70.08 [33.65-145.95], respectively). Similar effects were observed for head/neck and esophageal cancer subgroups. Multivariate logistic regression analysis identified four significant risk factors, including habitual use of cigarettes, alcohol, betel quid, and lower body mass index (P < 0.001). The haplotypes GAGC (OR 1.61, 95% CI 1.08-2.40, P = 0.018) and CCAATG (OR 1.69, 95% CI 1.24-2.30, P < 0.001) on chromosomes 4 and 12, respectively, were associated with higher cancer risk. These findings suggested that risk allele or haplotype carriers who consume alcohol and other carcinogens should be advised to undergo endoscopy screening. The information can be used to determine the degree of susceptibility of each subject and can be combined with other

  5. Changes in health risk behaviors of elementary school students in northern Taiwan from 2001 to 2003: results from the child and adolescent behaviors in long-term evolution study

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    Yen Lee-Lan


    Full Text Available Abstract Background Previous research has indicated that children's behaviors have long-term effects on later life. Hence it is important to monitor the development of health risk behaviors in childhood. This study examined the changes in health risk behaviors in fourth- to sixth-grade students in northern Taiwan from 2001 to 2003. Methods The Child and Adolescent Behaviors in Long-Term Evolution (CABLE study collected data from 1,820 students from 2001 to 2003 (students were 9 or 10 years old in 2001. Exploratory factor analysis was used to determine the aggregation of health risk behaviors. A linear growth curve model was used to determine whether health risk behaviors changed over time. Results Of the 13 behaviors, staying up late and eating snacks late at night were the most prevalent (82.3% of subjects in 2001, 81.8% in 2002, 88.5% in 2003 and second most prevalent (68.7%, 67.4%, 71.6% behaviors, respectively, from 2001 to 2003. The three least prevalent health risk behaviors were chewing betel nut (1.0%, 0.4%, 0.2%, smoking (1.4%, 1.0%, 0.8%, and drinking alcohol (8.5%, 6.0%, 5.2%. The frequencies of swearing and staying up late showed the greatest significant increases with time. On the other hand, suppressing urination and drinking alcohol decreased over time. Using exploratory factor analysis, we aggregated the health risk behaviors into three categories: unhealthy habits, aggressive behaviors, and substance use. Although students did not display high levels of aggressive behavior or experimentation with substances, the development of these behaviors in a small proportion of students should not be ignored. The results of the linear growth curve model indicated that unhealthy habits and aggressive behaviors increased over time. However, substance use slightly decreased over time. Conclusion We found that some health risk behaviors increased with time while others did not. Unhealthy habits and aggressive behaviors increased, whereas


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    Neelam Anupama Toppo


    =0.744, p=0.457. The commonest form of smokeless tobacco used by tribal adolescents was tobacco (Khaini, i.e. 60.29% followed by betel quid (21.28%, Gudaku and snuff (16.31% and smoking (1.42% among the tobacco users. CONCLUSION The prevalence of tobacco use among tribal adolescents is very high (27.25% as compared to national prevalence of 14.6% according to the global youth tobacco survey India 2009. [1] There is a need of early intervention for tobacco cessation as the average age of initiation is 12-13 years.

  7. 承气汤治疗腹腔间隔室综合征临床研究%Clinical Study of Chengqi Decoction in Treating Abdominal Interval Compartment Syndrome

    Institute of Scientific and Technical Information of China (English)



    Objective:To explore the clinical efficacy of Chengqi Decoction in treating abdominal interval compartment syndrome (ACS).Methods:60 cases of ACS patients were divided into the treatment group and the control group according to random number table blind method.The control group was given stop bleeding,anti-infection,fasting,gastrointestinal decompression,soapy water enema,breathing,circulation support treatment,nutritional support treatment,and patients combined with renal failure were treated with renal failure resistant.the treatment group was additionally given Chengqi Decoction base on the control group.(Composition:raw rhubarb(later) 15-30 g,mirabilite(administered after dissolved) 10 g,Mangnolia officinalis 10 g,fructus aurantii immaturus 10 g,salviae miltiorrhizae 30 g,costusroot 10 g,betel nut 20 g,rhizoma corydalis10 g).Results:Peristalsis recovery time and defecation time of the treatment group were significantly improved,and were better than those of the control group.Comparison intra-abdominal pressure changes of survived cases in the two groups showed that the difference was statistically significant(P <0.05),and the treatment group was superior than the control group.Conclusion:Chengqi Decoction in treating abdominal interval compartment syndrome has remarkable effect.%目的:探讨承气汤治疗腹腔间隔室综合征(ACS)的临床疗效.方法:将60例ACS患者按随机数字表法随机分为治疗组和对照组30例.对照组予以止血、抗感染,禁食、胃肠减压、肥皂水灌肠,呼吸、循环支持治疗,营养支持治疗,合并肾功能衰竭患者采用抗肾功能衰竭治疗.治疗组在对照组基础上加用承气汤[方药组成:生大黄(后下)15~ 30 g,芒硝(冲服)10 g,厚朴10 g,枳实10 g,丹参30 g,木香10 g,槟榔20 g,延胡索10 g]治疗.结果:治疗组患者的肠蠕动恢复时间、排便时间明显提高,均明显优于对照组(P<0.05).两组存活病例腹腔内压变化比

  8. The wisdom of the deep south of Thailand: Case study on utilization of herbal medicine to treat domestic animal diseases by traditional doctors in Pattani, Yala and Narathiwat

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    Poh-etae A.


    used; to treat conjunctivitis, chilli (2.3% was used; and to treat broken bones, Alocasia macrorrhizos (2.3% was used.The pharmacopeia herbal medicine used to treat domestic animal diseases by traditional doctors were reported as follows: Blumea balasamifera leaves mixed with bullet wood flower (1.5% was used to treat bloat; mangosteen skin mixed with calcium hydroxide - Ca(OH2 (2.5% was used to treat deep wounds from foot and mouth disease.The most popular herbal medicine used by most traditional doctors in the pharmacopeia to treat diarrhea Tinospora crispa (50.0% was the most popular, followed by curcuma rhizomes (30.0% and Andrographis paniculata (20.0%; to treat bloat, Blumea balasamifera leaves or salt or cattle bone (22.2% was used; to treat worms in intestines, salt (25.0% was used; as an expectorant, Tinospora crispa or curcuma rhizomes (66.7% was used; to treat abscess, lime (100.0% was used to treat deep wounds from foot and mouth disease, curcuma rhizomes (66.7% came first, followed by Zingiber cassumunar or salt (33.3% and to chase away insects, curcuma rhizomes (50.0% came first, followed by vegetable oils or betel nuts or tobacco (33.3%.

  9. À propos de l' influence de la langue Portugaise

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    Fernando V. Peixoto da Fonseca


    Full Text Available Sur les mots castillans d'origine portugaise, le Prof. Rodrigo de Sá Noguiera écrit: "Il y a une série de mots castillans d'origine claire ou probable portugaise, que le Dictionnaire de l'Académie Espagnole dans la plupart des cas ou omet, ou considère comme d'origine différente". Ceux d'origine claire portugaise, ajoute cet étymologiste, sont ceux qui phonétiquement n'auraient pu avoir en espagnol la forme qu'ils revêtent dans cette langue, tandis qu'ils sont d'accord avec les règles de notre phonétique historique, existant, en outre, sous la même forme (p. ex. chato ou sembllable (p. ex. follaje dans la langue portugaise. Les suivants se trouvent dans ce cas: achantarse, achubascarse, afeitar, aldorta, brinco, barroco, canela, caramelo, cariño, chamada, chapa, chato, chaveta, chinela, chocal!o, chocho, chopa, choza, chubasco, chumacera, chus, chusma, cobra, conchabar, cortiña, desvaído, desvergoñadamente, fado, follaje, fuera, macho, malla, mermelada, morriña, nonio, pintada, vaivén, vergoña. Les vocables d'origine probable (et souvent sûre sont les exotiques, lesquels, dans l'opinion de Sá Nogueira, citée plus haut, ont pénétré dans l'espagnol à travers le portugais. Cet auteur en étudie les suivants: abada, albino, almadía, ananás, bambu, banana, bengala, betel, biombo, bonzo, cacatúa, cachimbo, cacimba, cafre, carcunda, carimbo, catinga, cha, coco, cobra, cornaca, fetiche, jangada, junco, macaco, malagueta, mandarín, mandinga, mandioca, manga, marimba, monzón, naire, pagoda et palanquín. Il est certain qu'ils sont beaucoup plus nombreux, ainsi que l'on s'en rend compte par les ouvrages de Monseigneur Sebastião Rodolfo Dalgado et Georg Friederici. Quant au mot chapéu, dit le Prof. Sá Nogueira, il est difficile de garantir si l'espagnol l'a reçu du portugais, ou si le contraire a eu lieu, et c'est également compliqué le problème du mot castillan jeito, à acception differénte de la nôtre, raison pour

  10. Cartografia da educação superior no município de Niterói Cartography of higher education in the City of Niterói - Rio de Janeiro

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    Maria de Fátima de Paula


    Full Text Available Este artigo é fruto da pesquisa realizada em parceria entre o Núcleo de Estudos e Pesquisas em Educação Superior da Universidade Federal Fluminense e a Secretaria Municipal de Educação de Niterói, Estado do Rio de Janeiro, tendo como objetivos: a traçar um perfil das instituições de educação superior (IES do Município de Niterói, coletando dados acerca da sua história e da sua inserção nos cenários local, regional e nacional; b mapear a oferta de ensino, pesquisa e extensão nestas instituições; c subsidiar as ações da Secretaria Municipal de Educação na área educacional, contribuindo para a elaboração do Plano Municipal de Educação de Niterói; d identificar os projetos/produtos/tecnologias, provenientes das IES, que contribuem para a formulação de políticas de desenvolvimento econômico, científico e tecnológico do município; e identificar os projetos/produtos/tecnologias que contribuem para a elaboração de políticas na área social. A cidade de Niterói, localizada há 10,9 Km da cidade do Rio de Janeiro, possui 16 instituições que oferecem ensino superior, 1 pública e 15 privadas, a saber: 1 Universidade Federal Fluminense; 2 Universidade Estácio de Sá; 3 Universidade Cândido Mendes; 4 Universidade Salgado de Oliveira; 5 Fundação Getúlio Vargas; 6 Centro Universitário Plínio Leite; 7 Institutos Superiores de Ensino La Salle - RJ; 8 Faculdades Integradas Maria Thereza; 9 Escola Superior de Ensino Helena Antipoff; 10 Conservatório de Música de Niterói; 11 Seminário Teológico Escola de Pastores; 12 Seminário Teológico Batista de Niterói; 13 Seminário Teológico Betel Brasileiro; 14 Seminário Teológico Congregacional de Niterói; 15 Seminário Teológico Batista Brasileiro; 16 Seminário São José de Niterói. O trabalho em questão aponta as principais características destas instituições, enfocando a sua relevância social para o município de Niterói. Para tal, abordamos a sua


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    Niniek Lely Pratiwi


    Full Text Available ABSTRACT Background: TB DO TS Strategy policy as the government's efforts in order to decrease TB patients is facilitated through the state budget cost resources, budget, global foreign aid fund, and the WHO. This qualitative study aimed to determinan poeing on cultural efforts in the prevention of pulmonary TB disease. Method of data collection participatory observation, in-depth interviews in patients with pulmonary TB and families, health care workers in the provinces, and districts. FGD on public figures, cross-sector and NGOs. Research sites in the city of Pariaman, West Lombok district and the district Rote Ndao NTT. Results:The results showed cultural determinants of health factors on the prevalence of pulmonary TB disease is a public perception of ilness Roe Ndao district, that of pulmonary TB disease as a hereditary disease, infectious disease and "Hosse". Norma betel nut as a treat for guests, custom home Sel, Sei traditional beliefs of newborns who smoked for 40 days with ground floor houses almost 50% of the population. Norms, stigma society in urban areas Pariaman, pulmonary TB disease as a disease because Tamakan, due to use-for others who are not happy, as evidenced by the habits, behavior of people carelessly throw spit spot. In western Sumatra, the city of Pariaman norms, fear of stigma, shame as people with TB, so there are many people who call it the perception of pain as a disease of old Cough, cough 40 days, dry cough, and asthma. Confidence/belief communities in the western province of NTB Lombok district who think if drinking water used Kiai progenitor Ishmael receive healing. Supervisory personnel selection as taking medication/PMO less in accordance with existing social structures in local communities, tribes sasak NTB, Rote tribe. Recommendalion: is required from a variety of participatory other NGOs, in an integrated cross-sector to perform the preventive, promotive control TB disease of the housing ministry, social