576
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Norman GR, Feltovich PJ, Bordage G, Patel V, Muzzin L, Guyatt G. Symposium: The essence of clinical competence--psychological studies of expert reasoning in medicine. PROCEEDINGS OF THE ... ANNUAL CONFERENCE ON RESEARCH IN MEDICAL EDUCATION. CONFERENCE ON RESEARCH IN MEDICAL EDUCATION 1983; 22:278-86. [PMID: 6564873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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577
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Patel V, Hellman U, Sindhuphak T, Svensson I. Fractionation of transfer RNA on Sepharose 4B. Effects of Sepharose batch differences. J Chromatogr A 1982; 244:373-7. [PMID: 6749874 DOI: 10.1016/s0021-9673(00)85703-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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578
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Banu N, Patel V, Malhotra OP, Vaidya MP, Udupa KN. Neurohumors and their enzymes in breast cancer patients. INDIAN JOURNAL OF MEDICAL SCIENCES 1982; 36:121-4. [PMID: 6131865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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579
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Alton NK, Buxton F, Patel V, Giles NH, Vapnek D. 5'-Untranslated sequences of two structural genes in the qa gene cluster of Neurospora crassa. Proc Natl Acad Sci U S A 1982; 79:1955-9. [PMID: 6210913 PMCID: PMC346100 DOI: 10.1073/pnas.79.6.1955] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
The coding regions of two genes (qa-2 and qa-3) in the qa gene cluster of Neurospora crassa have been localized by nucleotide sequence analysis combined with data on previously determined NH2-terminal amino acid sequences for the proteins that these genes encode. The start point of transcription for each of these genes has been determined by nuclease S1 mapping experiments with poly(A)+RNA isolated from quinic acid-induced cultures of N. crassa. The sequences of approximately 200 nucleotides 5' to the start point of transcription have been compared with each other and with those of other eukaryotes. The results show that neither of these regions for the qa-2 nor the qa-3 genes share any significant homology with sequences apparently conserved in higher eukaryotic promoters (-25 and -70 regions). However, the qa-2 and qa-3 sequences do show homology with each other in these regions. Comparison of the 5'-flanking regions of these Neurospora genes with those of several Saccharomyces cerevisiae genes reveals a number of similarities in the region preceding the translation initiation codons.
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580
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Patel V, Panayi GS, Shepherd P, Richter M, Harkness J, Gibson T. Lymphocyte studies in rheumatoid arthritis. V. Suppressor cell function in peripheral blood. Scand J Rheumatol 1982; 11:133-7. [PMID: 6214847 DOI: 10.3109/03009748209098178] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Peripheral blood lymphocytes from 30 patients with rheumatoid arthritis and 14 controls were examined for suppressor activity by two different assays. These were the Concanavalin-A-induced and the short-lived suppressor cell assays. There was no difference in suppressor activity between patients and controls, the suppressor activity of HLA-DR3 positive patients was no less than that of non-DR3 patients. However, patients with nodules showed reduced suppression in the short-lived suppressor cell assay when compared with patients without nodules.
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581
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Patel V, Banu N, Malhotra OP, Udupa KN. Plasma cAMP and cAMP-phosphodiesterase (PDE) levels in cancer patients before and after surgery. Indian J Cancer 1981; 18:181-4. [PMID: 6273301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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582
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Cattamanchi GR, Tamaskar V, Egel RT, Singh RS, Yrapsis NS, Patel V, Rathi M. Intrauterine quadriplegia associated with breech presentation and hyperextension of fetal head: a case report. Am J Obstet Gynecol 1981; 140:831-3. [PMID: 7258263 DOI: 10.1016/0002-9378(81)90747-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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583
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Dauphinée WD, Patel V, Scott HM. [Effects of curriculum changes on cognitive acquisition and attitude towards basic sciences]. L'UNION MEDICALE DU CANADA 1981; 110:733-7. [PMID: 7292806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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584
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Pahlajani DB, Patel V. Percutaneous transfemoral cardiac catheterisation and balloon septostomy in small babies. Indian Heart J 1981; 33:13-4. [PMID: 7251001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
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585
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Tripathi K, Patel V, Srivastava PK, Udupa KN. Effect of renal artery occlusion on plasma cAMP. Nephron Clin Pract 1981; 29:280. [PMID: 6275284 DOI: 10.1159/000182390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
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586
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Sinha J, Mathur A, Chansouria J, Patel V, Tripathi F, Udupa K. Hormonal and associated metabolic alterations following burn injury: Part II. A comparative evaluation in surviving and non-surviving patients. Burns 1980. [DOI: 10.1016/0305-4179(80)90004-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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587
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Udupa KN, Rao A, Prasad R, Khatri S, Patel V, Chansouria JP. Role of stress in cancer. Indian J Cancer 1980; 17:7-10. [PMID: 7399559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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588
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Alves M, Patel V, Douglas E, Deutsch E. Gastric infarction: a complication of selective vasopressin infusion. Dig Dis Sci 1979; 24:409-13. [PMID: 313328 DOI: 10.1007/bf01297129] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
This report describes a case of massive gastric hemorrhage, initially controlled by selective arterial vasopressin infusion. Infusion was followed by extensive necrosis of the gastric wall which necessitated subtotal gastrectomy. Gastric necrosis following arterial infusion is rare and in this case appears to be due to migration of the infusion catheter into a peripheral branch of the left gastric artery in a patient whose gastric circulation had been compromised by prior surgery. The complications related to the use of arterial infusion for the control of gastric hemorrhage are discussed and the literature is reviewed.
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589
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Hunter DH, Hamity M, Patel V, Perry RA. Crown ether catalysis of decarboxylation: a general survey of reactivity and detailed analysis of the triphenylacetate anion. CAN J CHEM 1978. [DOI: 10.1139/v78-017] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The effect of 18-crown-6 ether 3 on the decarboxylation rate in THF of sodium salts of carboxylic acids formally derived from hydrocarbons has been investigated and these acids include 9-phenylfluorene-9-carboxylic acid, fluorene-9-carboxylic acid, phenylacetylene carboxylic acid, triphenylacetic acid, and diphenylacetic acid. Addition of equimolar 3 resulted in an increase in decarboxylation rate of 13- to 500-fold and there was a correlation between the decarboxylation rate and the pKa value of the product hydrocarbon.The decarboxylation of triphenylacetate was investigated in detail. The effect on reaction rate of cation (Li+, Na+, K+), crown ether concentration, water concentration, and solvent polarity has provided information as to optimum reaction conditions and has helped to clarify the reaction mechanism.
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590
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Patel V, Brandt I, Antley R, Zeman W. Sandhoff's disease: a case report including family study and fetal enzyme determination. THE JOURNAL OF THE INDIANA STATE MEDICAL ASSOCIATION 1976; 69:731-4. [PMID: 824372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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591
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Luft FC, Patel V, Yum MN, Kleit SA. Nephrotoxicity of cephalosporin-gentamicin combinations in rats. Antimicrob Agents Chemother 1976; 9:831-9. [PMID: 949179 PMCID: PMC429629 DOI: 10.1128/aac.9.5.831] [Citation(s) in RCA: 45] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
TO STUDY THE POSSIBILITY THAT CEPHALOSPORINS AUGMENT THE NEPHROTOXICITY OF GENTAMICIN, GROUPS OF RATS WERE GIVEN FOUR HOURLY SUBCUTANEOUS DOSES OF: gentamicin (5 mg/kg), gentamicin plus cephalothin (100 mg/kg), gentamicin plus cefazolin (20 mg/kg), gentamicin plus cefazolin (50 mg/kg), gentamicin plus cephaloridine (50 mg/kg), or saline diluent for 15 days. Periodic measurements were made of urine volume, urine osmolality, urine protein excretion and lysosomal enzymuria, as well as blood urea nitrogen, creatinine clearance, and drug concentrations in renal cortex and medulla. Tissue was examined by light and electron microscopy. Enzymuria and proteinuria increased early in the course of all treatment groups, whereas urine osmolality declined. No distinct patterns of these variables were discernable among the groups. Gentamicin alone, gentamicin plus cephalothin, and gentamicin plus cefazolin (20 mg/kg) caused the same significant fall in glomerular filtrate rate from control values by day 15 (P < 0.05). Gentamicin plus cefazolin (50 mg/kg) and gentamicin plus cephaloridine failed to cause a decline in glomerular filtration rate compared with controls (P > 0.05). Gentamicin concentrations in renal cortex were 5 to 10 times higher than those in medulla in all groups. Cephaloridine and cefazolin (50 mg/kg) also displayed a gradient pattern in renal cortex, whereas cephalothin and cefazolin (20 mg/kg) did not. Cytosegrosomes with myeloid figures were characteristic ultra-structural changes seen in all groups; however, they tended to be smaller with less numerous myeloid bodies in the groups receiving gentamicin plus cephalothin, cefazolin (50 mg/kg), or cephaloridine. Cephalosporins did not augment gentamicin toxicity. High doses of cefazolin and cephaloridine protected kidneys from gentamicin nephrotoxicity. The protection may involve intracellular drug interaction within the renal cortex.
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592
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Luft FC, Patel V, Yum MN, Patel B, Kleit SA. Experimental aminoglycoside nephrotoxicity. THE JOURNAL OF LABORATORY AND CLINICAL MEDICINE 1975; 86:213-20. [PMID: 168276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The nephrotoxicities of gentamicin and three other experimental aminoglycosides were compared at a single 60 mg. per kilogram per day dose in rats. Renal function, lysosomal enzymuria, and antibiotic concentrations in plasma, urine, and renal tissue were measured at regular intervals throughout the course of treatment. Kidney tissue was examined by light and electron microscopy in animals killed at intervals throughout the period of antibiotic administration. Proteinuria and enzymuria were early indicators of nephron dysfunction, whereas endogenous creatinine clearance declined later in the course of treatment. All animals were killed 24 hours after a previous antibiotic injection and displayed sustained renal tissue antibiotic concentrations which were 5 to 10 times higher than those in serum or urine. When assayed separately, renal cortical tissue had a fivefold greater antibiotic concentration than renal medulla. Light microscopy displayed necrosis of the pars convoluta of the proximal tubule. Electron microscopy revealed appearance of cytosegrosomes with myeloid bodies. It is possible that impaired cytoplasmic degradation of sequestered organelle membranes, resulting from aminoglycoside accumulation, is responsible for the myeloid body formation and subsequent tubular necrosis.
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593
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Patel V, Luft FC, Yum MN, Patel B, Zeman W, Kleit SA. Enzymuria in gentamicin-induced kidney damage. Antimicrob Agents Chemother 1975; 7:364-9. [PMID: 1137389 PMCID: PMC429139 DOI: 10.1128/aac.7.3.364] [Citation(s) in RCA: 76] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
To assess their potential value as early indicators of gentamicin-induced kidney damage, lysosomal hydrolases were measured in the 24-h urines of rats receiving 30 or 60 mg of gentamicin per kg per day for 15 days. Proteinuria, urine osmolality, blood urea nitrogen, and creatinine clearance were also measured. Kidney tissue was examined by both light and electron microscopy. Beta-galactosidase, beta-n-acetyl-hexosaminidase, and alpha-fucosidase were sensitive indicators and were significantly elevated above control values by day 3 at both doses (P < 0.01). Proteinuria, urine osmolality, and tests reflecting glomerular filtration rate were later indicators of nephron damage. Changes by light microscopy were detected on day 5. Necrosis was most prominent in the proximal convoluted tubules on day 10. Electron microscopy revealed numerous cytosomes with myeloid bodies within the proximal tubular epithelium on day 5. Lysosomal enzymuria appears to be an early manifestation of gentamicin nephrotoxicity and may possibly be related to the lysosomal abnormalities seen on electron microscopy.
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594
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Patel V, Koppang N, Patel B, Zeman W. P-phenylenediamine-mediated peroxidase deficiency in English setters with neuronal ceroid-lipofuscinosis. J Transl Med 1974; 30:366-8. [PMID: 4817830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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595
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596
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Maddox C, Patel V. Sterility after Vasectomy. West J Med 1973. [DOI: 10.1136/bmj.4.5886.233-e] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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597
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Danner DJ, Brignac PJ, Arceneaux D, Patel V. The oxidation of phenol and its reaction product by horseradish peroxidase and hydrogen peroxide. Arch Biochem Biophys 1973; 156:759-63. [PMID: 4718792 DOI: 10.1016/0003-9861(73)90329-9] [Citation(s) in RCA: 76] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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598
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Epinette WW, Norins AL, Drew AL, Zeman W, Patel V. Angiokeratoma corporis diffusum with alpha-L-fucosidase deficiency. ARCHIVES OF DERMATOLOGY 1973; 107:754-7. [PMID: 4634000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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599
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Watanabe I, Patel V, Goebel HH, Siakotos AN, Zeman W, DeMyer W, Dyer JS. Early lesion of Pelizaeus-Merzbacher disease: electron microscopic and biochemical study. J Neuropathol Exp Neurol 1973; 32:313-33. [PMID: 4123133 DOI: 10.1097/00005072-197304000-00010] [Citation(s) in RCA: 53] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
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600
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Siakotos AN, Patel V, Cantaboni A. The isolation and chemical composition of premelanosomes and melanosomes: human and mouse melanomas. BIOCHEMICAL MEDICINE 1973; 7:14-24. [PMID: 4346133 DOI: 10.1016/0006-2944(73)90095-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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