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Jamora RDG, Gupta A, Tan AKY, Tan LCS. Clinical characteristics of patients with multiple system atrophy in Singapore. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2005; 34:553-7. [PMID: 16284677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
INTRODUCTION Our study aimed to describe the clinical features of multiple system atrophy (MSA) in Singapore and verify its diagnosis using the consensus statement in the diagnosis of MSA. MATERIALS AND METHODS All patients suspected to have MSA between 1995 and March 2005 were identified from the Movement Disorders database and the autonomic function testing results. The medical records were reviewed using a standardised data collection form. The diagnosis of MSA was verified using the consensus statement. Disease progression was evaluated using 2 pre-determined events: aid-requiring walking and wheelchair use. RESULTS Seventy-two per cent (33/46) fulfilled the consensus statement. There were 85% Chinese, 9% Malays, and 6% Indians. The mean age at onset of the disease was 60 +/- 10 years. We found a predominance of males (M:F = 1.5:1) as well as MSA-C cases (67%). The most common initial presenting features were parkinsonism and cerebellar signs (27% each). Abnormal neuroimaging was seen in 29 patients (91%). Autonomic function testing was abnormal in 58% (7/12). The risk for aid-requiring walking and wheelchair use at 3 years from onset of the disease was 31% and 17%, respectively. By 5 years, this had increased to 45% and 30%, respectively. There was no difference in the events rate between MSA subtypes. CONCLUSIONS The clinical characteristics of MSA in Singapore are presented. Our study revealed a predominance of MSA-C patients as well as a later age at onset of disease and longer median time to aid-requiring walking and wheelchair use compared to Japanese patients.
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Mi H, Gupta A, Gok MA, Asher J, Shenton BK, Stamp S, Carter V, Del Rio Martin J, Soomro NA, Jaques BC, Manas DM, Talbot D. Do Recipients of Kidneys From Donors Treated With Streptokinase Develop Anti-streptokinase Antibodies? Transplant Proc 2005; 37:3272-3. [PMID: 16298569 DOI: 10.1016/j.transproceed.2005.09.035] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Streptokinase is used for preflush for non-heart-beating donors (NHBDs) in our center. The aim of this study was to evaluate whether the use of thrombolytic streptokinase results in the production of anti-streptokinase antibodies in the recipients after renal transplantation. Recipient sera taken prior to and at 1 and 6 months posttransplant were tested for the presence of antibodies to streptokinase using an enzyme-linked immunosorbent assay assay. No differences were detected between a group of 18 recipients who had kidneys from thrombolytic-treated NHBDs and a further group of 18 who received NHBD kidneys without such treatment.
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Agrawal R, Agrawal SR, Gupta DC, Gupta A. Ectopic multinodular Goitre-An unusual case. Indian J Otolaryngol Head Neck Surg 2005; 57:350-2. [PMID: 23120219 DOI: 10.1007/bf02907712] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Ectopic thyroid tissue is usually found in the midline along the path of descent of the thyroid gland, such as in the tongue, larynx, trachea, oesophagus, etc. Initially, laterally placed thyroid tissues were found to contain malignant tissue and hence the term lateral aberrant thyroid tumours. Some attributed these to metastatic deposits of primary thyroid carcinoma while others felt that these were primary tumours of aberrant thyroid tissue. In later years, benign ectopic thyroid tissues were described in the lateral neck. It was felt that ectopic thyroid tissues are derived from thyroid cell rests that have failed to fuse with the main thyroid tissue during development. They are subjected to the same goitrogenic stimulation as the normally placed thyroid tissue. Our case supports the view that not all laterally placed thyroid tissues are malignant and also presents an unusual subplatysmal location of ectopic thyroid tissue.
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Pore N, Jiang Z, McGarry M, Gupta A, Cerniglia G, Shulman L, Cash-Mason T, Koch C, Quon H, Evans S, Maity A. Gefitinib (ZD1839) Decreases Vascular Endothelial Growth Factor (VEGF) Expression by Hypoxia-Inducible Factor (HIF)-1 Independent and Dependent Mechanisms and Increases Tumor Oxygenation. Int J Radiat Oncol Biol Phys 2005. [DOI: 10.1016/j.ijrobp.2005.07.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Gupta R, Gupta A, Goyal V, Guleria R, Kumar A. Mycoplasma pneumonia associated with rhabdomyolysis and the Guillain-Barre syndrome. THE INDIAN JOURNAL OF CHEST DISEASES & ALLIED SCIENCES 2005; 47:305-8. [PMID: 16255404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
A 25-year-old housewife who presented with Mycoplasma pneumonia who developed acute respiratory distress syndrome (ARDS) and required assisted ventilation. During her hospital stay, she developed acute renal failure because of rhabdomyolysis and was put on haemodialysis. She also had difficulty in weaning from ventilator because of acute motor-sensory axonal neuropathy (AMSAN) variant of the Guillain-Barre syndrome. The patient was treated with antibiotics and corticosteroids. The patient recovered from both the complications gradually.
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Asher J, Navarro A, Watson J, Wilson C, Robson L, Gupta A, Gok M, Balupuri S, Shenton B, Del Rio Martin J, Sen B, Jaques B, Soomro N, Rix D, Manas D, Talbot D. Does Donor Cardiopulmonary Resuscitation Time Affect Outcome in Uncontrolled Non–Heart-Beating Donor Renal Transplants? Transplant Proc 2005; 37:3264-5. [PMID: 16298567 DOI: 10.1016/j.transproceed.2005.09.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Uncontrolled non-heart-beating donors offer the opportunity to significantly expand the potential pool of kidney donors but are associated with a variable duration of cardiopulmonary resuscitation (CPR), where cardiac output is only 30% to 40% of normal. We were concerned that prolonged CPR would adversely affect the function of transplanted kidneys. In our series of 46 uncontrolled donors the mean duration of CPR was 60 minutes, which also represents a realistic cutoff point for CPR duration. Taking a cutoff point of 60 minutes, we found no differences in kidney discard rates following viability assessment, primary nonfunction rate, or duration of delayed graft function. We therefore conclude that if formal viability assessment is performed, kidneys may be retrieved from uncontrolled non-heart-beating donors irrespective of duration of CPR.
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Wilson C, Brook NR, Gok MA, Gupta A, Asher JF, Nicholson ML, Talbot D. Evaluation of daclizumab to reduce delayed graft function in non-heart-beating renal transplantation: a prospective, randomized trial. Transplant Proc 2005; 37:1774-5. [PMID: 15919462 DOI: 10.1016/j.transproceed.2005.02.079] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Daclizumab (DZB), an interleukin-2 receptor blocker, has been shown to reduce the rate of acute rejection, while non-heart-beating kidney recipients have high rates of delayed graft function that may be prolonged by high levels of calcineurin inhibitors. This study assessed whether DZB could safely replace calcineurin inhibitors in the immediate postoperative period and promote recovery from ischemic acute tubular necrosis. Patients were randomized into one of two groups: DZB induction and daily mycophenolate mofetil (MMF; 2 g) with steroids (20 mg prednisone) or standard triple therapy with tacrolimus, MMF, and prednisone. Patients in the DZB arm were converted to the control arm when either the serum creatinine dropped to <350 micromol/L or there was biopsy evidence of acute rejection. Over 2 years, Leicester and Newcastle non-heart-beating donor (NHBD) centers recruited 51 patients. There was one patient death in the DZB arm, during the study period, after a nonfunctioning graft was removed. A total of two (8%) grafts in the DZB arm and three (11.5%) grafts in the control arm failed to function. The overall rate of immediate function improved from around 5% (pre-2001) to 28%. There were no significant differences in the incidence of acute rejection or graft function (GFR) at 3 months. Machine-perfused kidneys in DZB-treated recipients had the highest rates of immediate function (53%, P = .015). We found that a calcineurin-sparing regime is safe and may be beneficial for recipients of machine-perfused grafts damaged by warm ischemia.
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Alexopoulos A, Lachhwani DK, Gupta A, Kotagal P, Harrison AM, Bingaman W, Wyllie E. Resective surgery to treat refractory status epilepticus in children with focal epileptogenesis. Neurology 2005; 64:567-70. [PMID: 15699401 DOI: 10.1212/01.wnl.0000150580.40019.63] [Citation(s) in RCA: 66] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Prolonged high-dose suppressive therapy (HDST) is a mainstay in the management of refractory status epilepticus (RSE), albeit with high morbidity and mortality. The authors studied 10 patients who were carefully selected for epilepsy surgery after failing prolonged (>2 weeks) HDST. Status epilepticus was stopped acutely in all of them with no mortality and no substantial morbidity. At follow-up (median 7 months), 7 (70%) of 10 patients were seizure free, and 3 (30%) of 10 had significant improvement in their epilepsy.
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Adams J, Aggarwal MM, Ahammed Z, Amonett J, Anderson BD, Arkhipkin D, Averichev GS, Badyal SK, Bai Y, Balewski J, Barannikova O, Barnby LS, Baudot J, Bekele S, Belaga VV, Bellingeri-Laurikainen A, Bellwied R, Berger J, Bezverkhny BI, Bharadwaj S, Bhasin A, Bhati AK, Bhatia VS, Bichsel H, Bielcik J, Bielcikova J, Billmeier A, Bland LC, Blyth CO, Blyth SL, Bonner BE, Botje M, Boucham A, Bouchet J, Brandin AV, Bravar A, Bystersky M, Cadman RV, Cai XZ, Caines H, Calderón de la Barca Sánchez M, Castillo J, Catu O, Cebra D, Chajecki Z, Chaloupka P, Chattopadhyay S, Chen HF, Chen JH, Chen Y, Cheng J, Cherney M, Chikanian A, Christie W, Coffin JP, Cormier TM, Cosentino MR, Cramer JG, Crawford HJ, Das D, Das S, Daugherity M, de Moura MM, Dedovich TG, DePhillips M, Derevschikov AA, Didenko L, Dietel T, Dogra SM, Dong WJ, Dong X, Draper JE, Du F, Dubey AK, Dunin VB, Dunlop JC, Dutta Mazumdar MR, Eckardt V, Edwards WR, Efimov LG, Emelianov V, Engelage J, Eppley G, Erazmus B, Estienne M, Fachini P, Faivre J, Fatemi R, Fedorisin J, Filimonov K, Filip P, Finch E, Fine V, Fisyak Y, Fornazier KSF, Fu J, Gagliardi CA, Gaillard L, Gans J, Ganti MS, Geurts F, Ghazikhanian V, Ghosh P, Gonzalez JE, Gos H, Grachov O, Grebenyuk O, Grosnick D, Guertin SM, Guo Y, Gupta A, Gupta N, Gutierrez TD, Hallman TJ, Hamed A, Hardtke D, Harris JW, Heinz M, Henry TW, Hepplemann S, Hippolyte B, Hirsch A, Hjort E, Hoffmann GW, Horner MJ, Huang HZ, Huang SL, Hughes EW, Humanic TJ, Igo G, Ishihara A, Jacobs P, Jacobs WW, Jedynak M, Jiang H, Jones PG, Judd EG, Kabana S, Kang K, Kaplan M, Keane D, Kechechyan A, Khodyrev VY, Kiryluk J, Kisiel A, Kislov EM, Klay J, Klein SR, Koetke DD, Kollegger T, Kopytine M, Kotchenda L, Kowalik KL, Kramer M, Kravtsov P, Kravtsov VI, Krueger K, Kuhn C, Kulikov AI, Kumar A, Kutuev RK, Kuznetsov AA, Lamont MAC, Landgraf JM, Lange S, Laue F, Lauret J, Lebedev A, Lednicky R, Lehocka S, LeVine MJ, Li C, Li Q, Li Y, Lin G, Lindenbaum SJ, Lisa MA, Liu F, Liu H, Liu J, Liu L, Liu QJ, Liu Z, Ljubicic T, Llope WJ, Long H, Longacre RS, Lopez-Noriega M, Love WA, Lu Y, Ludlam T, Lynn D, Ma GL, Ma JG, Ma YG, Magestro D, Mahajan S, Mahapatra DP, Majka R, Mangotra LK, Manweiler R, Margetis S, Markert C, Martin L, Marx JN, Matis HS, Matulenko YA, McClain CJ, McShane TS, Meissner F, Melnick Y, Meschanin A, Miller ML, Minaev NG, Mironov C, Mischke A, Mishra DK, Mitchell J, Mohanty B, Molnar L, Moore CF, Morozov DA, Munhoz MG, Nandi BK, Nayak SK, Nayak TK, Nelson JM, Netrakanti PK, Nikitin VA, Nogach LV, Nurushev SB, Odyniec G, Ogawa A, Okorokov V, Oldenburg M, Olson D, Pal SK, Panebratsev Y, Panitkin SY, Pavlinov AI, Pawlak T, Peitzmann T, Perevoztchikov V, Perkins C, Peryt W, Petrov VA, Phatak SC, Picha R, Planinic M, Pluta J, Porile N, Porter J, Poskanzer AM, Potekhin M, Potrebenikova E, Potukuchi BVKS, Prindle D, Pruneau C, Putschke J, Rakness G, Raniwala R, Raniwala S, Ravel O, Ray RL, Razin SV, Reichhold D, Reid JG, Reinnarth J, Renault G, Retiere F, Ridiger A, Ritter HG, Roberts JB, Rogachevskiy OV, Romero JL, Rose A, Roy C, Ruan L, Russcher M, Sahoo R, Sakrejda I, Salur S, Sandweiss J, Sarsour M, Savin I, Sazhin PS, Schambach J, Scharenberg RP, Schmitz N, Schweda K, Seger J, Seyboth P, Shahaliev E, Shao M, Shao W, Sharma M, Shen WQ, Shestermanov KE, Shimanskiy SS, Sichtermann E, Simon F, Singaraju RN, Smirnov N, Snellings R, Sood G, Sorensen P, Sowinski J, Speltz J, Spinka HM, Srivastava B, Stadnik A, Stanislaus TDS, Stock R, Stolpovsky A, Strikhanov M, Stringfellow B, Suaide AAP, Sugarbaker E, Suire C, Sumbera M, Surrow B, Swanger M, Symons TJM, Szanto de Toledo A, Tai A, Takahashi J, Tang AH, Tarnowsky T, Thein D, Thomas JH, Timmins AR, Timoshenko S, Tokarev M, Trentalange S, Tribble RE, Tsai OD, Ulery J, Ullrich T, Underwood DG, Van Buren G, van der Kolk N, van Leeuwen M, Vander Molen AM, Varma R, Vasilevski IM, Vasiliev AN, Vernet R, Vigdor SE, Viyogi YP, Vokal S, Voloshin SA, Waggoner WT, Wang F, Wang G, Wang G, Wang XL, Wang Y, Wang Y, Wang ZM, Ward H, Watson JW, Webb JC, Westfall GD, Wetzler A, Whitten C, Wieman H, Wissink SW, Witt R, Wood J, Wu J, Xu N, Xu Z, Xu ZZ, Yamamoto E, Yepes P, Yurevich VI, Zborovsky I, Zhang H, Zhang WM, Zhang Y, Zhang ZP, Zhong C, Zoulkarneev R, Zoulkarneeva Y, Zubarev AN, Zuo JX. Multistrange Baryon elliptic flow in Au+Au collisions at square root of sNN=200 GeV. PHYSICAL REVIEW LETTERS 2005; 95:122301. [PMID: 16197068 DOI: 10.1103/physrevlett.95.122301] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2005] [Indexed: 05/04/2023]
Abstract
We report on the first measurement of elliptic flow v2(pT) of multistrange baryons Xi- +Xi+ and Omega- + Omega+ in heavy-ion collisions. In minimum-bias Au+Au collisions at square root of s(NN)=200 GeV, a significant amount of elliptic flow, comparable to other nonstrange baryons, is observed for multistrange baryons which are expected to be particularly sensitive to the dynamics of the partonic stage of heavy-ion collisions. The pT dependence of v2 of the multistrange baryons confirms the number of constituent quark scaling previously observed for lighter hadrons. These results support the idea that a substantial fraction of the observed collective motion is developed at the early partonic stage in ultrarelativistic nuclear collisions at the Relativistic Heavy Ion Collider.
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Kaliaperumal S, Srinivasan R, Gupta A, Parija SC. Postoperative endophthalmitis due to an unusual pathogen: Alcaligenes faecalis. Eye (Lond) 2005; 20:968-9. [PMID: 16138111 DOI: 10.1038/sj.eye.6702080] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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1286
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Adams J, Aggarwal MM, Ahammed Z, Amonett J, Anderson BD, Arkhipkin D, Averichev GS, Badyal SK, Bai Y, Balewski J, Barannikova O, Barnby LS, Baudot J, Bekele S, Belaga VV, Bellingeri-Laurikainen A, Bellwied R, Berger J, Bezverkhny BI, Bhardwaj S, Bhasin A, Bhati AK, Bichsel H, Bielcik J, Bielcikova J, Billmeier A, Bland LC, Blyth CO, Blyth S, Bonner BE, Botje M, Boucham A, Bouchet J, Brandin AV, Bravar A, Bystersky M, Cadman RV, Cai XZ, Caines H, de la Barca Sánchez MC, Castillo J, Catu O, Cebra D, Chajecki Z, Chaloupka P, Chattopadhyay S, Chen HF, Chen Y, Cheng J, Cherney M, Chikanian A, Christie W, Coffin JP, Cormier TM, Cosentino MR, Cramer JG, Crawford HJ, Das D, Das S, de Moura MM, Dedovich TG, Derevschikov AA, Didenko L, Dietel T, Dogra SM, Dong WJ, Dong X, Draper JE, Du F, Dubey AK, Dunin VB, Dunlop JC, Mazumdar MRD, Eckardt V, Edwards WR, Efimov LG, Emelianov V, Engelage J, Eppley G, Erazmus B, Estienne M, Fachini P, Faivre J, Fatemi R, Fedorisin J, Filimonov K, Filip P, Finch E, Fine V, Fisyak Y, Fornazier KSF, Fu J, Gagliardi CA, Gaillard L, Gans J, Ganti MS, Geurts F, Ghazikhanian V, Ghosh P, Gonzalez JE, Gos H, Grachov O, Grebenyuk O, Grosnick D, Guertin SM, Guo Y, Gupta A, Gutierrez TD, Hallman TJ, Hamed A, Hardtke D, Harris JW, Heinz M, Henry TW, Hepplemann S, Hippolyte B, Hirsch A, Hjort E, Hoffmann GW, Horner M, Huang HZ, Huang SL, Hughes EW, Humanic TJ, Igo G, Ishihara A, Jacobs P, Jacobs WW, Jedynak M, Jiang H, Jones PG, Judd EG, Kabana S, Kang K, Kaplan M, Keane D, Kechechyan A, Khodyrev VY, Kiryluk J, Kisiel A, Kislov EM, Klay J, Klein SR, Koetke DD, Kollegger T, Kopytine M, Kotchenda L, Kowalik KL, Kramer M, Kravtsov P, Kravtsov VI, Krueger K, Kuhn C, Kulikov AI, Kumar A, Kutuev RK, Kuznetsov AA, Lamont MAC, Landgraf JM, Lange S, Laue F, Lauret J, Lebedev A, Lednicky R, Lehocka S, Levine MJ, Li C, Li Q, Li Y, Lin G, Lindenbaum SJ, Lisa MA, Liu F, Liu H, Liu J, Liu L, Liu QJ, Liu Z, Ljubicic T, Llope WJ, Long H, Longacre RS, Lopez-Noriega M, Love WA, Lu Y, Ludlam T, Lynn D, Ma GL, Ma JG, Ma YG, Magestro D, Mahajan S, Mahapatra DP, Majka R, Mangotra LK, Manweiler R, Margetis S, Markert C, Martin L, Marx JN, Matis HS, Matulenko YA, McClain CJ, McShane TS, Meissner F, Melnick Y, Meschanin A, Miller ML, Minaev NG, Mironov C, Mischke A, Mishra DK, Mitchell J, Mohanty B, Molnar L, Moore CF, Morozov DA, Munhoz MG, Nandi BK, Nayak SK, Nayak TK, Nelson JM, Netrakanti PK, Nikitin VA, Nogach LV, Nurushev SB, Odyniec G, Ogawa A, Okorokov V, Oldenburg M, Olson D, Pal SK, Panebratsev Y, Panitkin SY, Pavlinov AI, Pawlak T, Peitzmann T, Perevoztchikov V, Perkins C, Peryt W, Petrov VA, Phatak SC, Picha R, Planinic M, Pluta J, Porile N, Porter J, Poskanzer AM, Potekhin M, Potrebenikova E, Potukuchi BVKS, Prindle D, Pruneau C, Putschke J, Rakness G, Raniwala R, Raniwala S, Ravel O, Ray RL, Razin SV, Reichhold D, Reid JG, Reinnarth J, Renault G, Retiere F, Ridiger A, Ritter HG, Roberts JB, Rogachevskiy OV, Romero JL, Rose A, Roy C, Ruan L, Russcher MJ, Sahoo R, Sakrejda I, Salur S, Sandweiss J, Sarsour M, Savin I, Sazhin PS, Schambach J, Scharenberg RP, Schmitz N, Schweda K, Seger J, Seyboth P, Shahaliev E, Shao M, Shao W, Sharma M, Shen WQ, Shestermanov KE, Shimanskiy SS, Sichtermann E, Simon F, Singaraju RN, Smirnov N, Snellings R, Sood G, Sorensen P, Sowinski J, Speltz J, Spinka HM, Srivastava B, Stadnik A, Stanislaus TDS, Stock R, Stolpovsky A, Strikhanov M, Stringfellow B, Suaide AAP, Sugarbaker E, Suire C, Sumbera M, Surrow B, Swanger M, Symons TJM, de Toledo AS, Tai A, Takahashi J, Tang AH, Tarnowsky T, Thein D, Thomas JH, Timoshenko S, Tokarev M, Trainor TA, Trentalange S, Tribble RE, Tsai OD, Ulery J, Ullrich T, Underwood DG, Buren GV, van Leeuwen M, Molen AMV, Varma R, Vasilevski IM, Vasiliev AN, Vernet R, Vigdor SE, Viyogi YP, Vokal S, Voloshin SA, Waggoner WT, Wang F, Wang G, Wang G, Wang XL, Wang Y, Wang Y, Wang ZM, Ward H, Watson JW, Webb JC, Westfall GD, Wetzler A, Whitten C, Wieman H, Wissink SW, Witt R, Wood J, Wu J, Xu N, Xu Z, Xu ZZ, Yamamoto E, Yepes P, Yurevich VI, Zborovsky I, Zhang H, Zhang WM, Zhang Y, Zhang ZP, Zoulkarneev R, Zoulkarneeva Y, Zubarev AN. Multiplicity and pseudorapidity distributions of photons in Au+Au collisions at square root of (S(NN)) = 62.4 GeV. PHYSICAL REVIEW LETTERS 2005; 95:062301. [PMID: 16090941 DOI: 10.1103/physrevlett.95.062301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2005] [Revised: 04/12/2005] [Indexed: 05/03/2023]
Abstract
We present the first measurement of pseudorapidity distribution of photons in the region 2.3 < or = eta < or = 3.7 for different centralities in Au+Au collisions at square root of (S(NN)) = 62.4 GeV. We find that the photon yield scales with the number of participating nucleons at all collision centralities studied. The pseudorapidity distribution of photons, dominated by pi0 decays, has been compared to those of charged pions, photons, and inclusive charged particles from heavy-ion and nucleon-nucleon collisions at various energies. The photon production has been shown to be consistent with the energy and centrality independent limiting fragmentation scenario.
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Iqbal J, Husain A, Gupta A. Photooxidation of acyclovir in aqueous solution. DIE PHARMAZIE 2005; 60:574-6. [PMID: 16124398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Photodegradation of an aqueous solution of acyclovir in phosphate buffer (pH 7) under aerobic conditions was studied with light of wavelength > 270 nm. Three major products were isolated and identified on the basis of IR, NMR and mass spectral studies. The products are: (2-hydroxyethoxy)methyl spiroiminodihydantoin (2), (2-hydroxyethoxy)methyl(amino)-2-imino-1,2-dihydroimidazole-5-one (3), and 2,2-diamino-4-[(2-hydroxyethoxy)methyl]amino)-5-[2H]-oxazolone (4). Furthermore the effects of D2O as reaction medium, addition of sodium azide and absence of oxygen on the photodegradation of acyclovir were examined, the observations indicating the involvement of singlet oxygen. The formation of the products is explained by the photooxidation of acyclovir.
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Hart RG, Gupta A, Lyons K. A hand research fellowship training programme. ACTA ACUST UNITED AC 2005; 30:515-20. [PMID: 16051402 DOI: 10.1016/j.jhsb.2005.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2004] [Accepted: 05/26/2005] [Indexed: 10/25/2022]
Abstract
There are currently 68 hand surgery fellowship programmes known to the authors in the United States and many more throughout the world. To our knowledge, there are no hand fellowships which focus on research. Such a hand surgery research fellowship is being developed to provide this training. This paper outlines the goals and objectives of the intended 2 year training programme and includes a description of the fellowship. The first year would be mostly committed to learning research methods and the second would be a clinical hand fellowship. This will combine clinical expertise in hand surgery, practical research experience and formal research training. Hand researchers would learn research methods, develop innovative research ideas and begin an active research and academic career.
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Lachhwani DK, Pestana E, Gupta A, Kotagal P, Bingaman W, Wyllie E. Identification of candidates for epilepsy surgery in patients with tuberous sclerosis. Neurology 2005; 64:1651-4. [PMID: 15883339 DOI: 10.1212/01.wnl.0000160389.93984.53] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The authors reviewed preoperative MRI and EEG findings in relation to postsurgical outcome in 17 patients with refractory epilepsy due to tuberous sclerosis complex (TSC). Resecting concordant MRI (main tuber) and EEG abnormalities offered seizure freedom (8/9, 89%; median follow-up 25 months) comparable to other focal etiologies. Patients with nonconcordant MRI and EEG findings did less well (3/8, 38%, seizure free; p = 0.027, OR = 13).
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1290
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Berrada M, Serreqi A, Dabbarh F, Owusu A, Gupta A, Lehnert S. A novel non-toxic camptothecin formulation for cancer chemotherapy. Biomaterials 2005; 26:2115-20. [PMID: 15576186 DOI: 10.1016/j.biomaterials.2004.06.013] [Citation(s) in RCA: 81] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2004] [Accepted: 06/04/2004] [Indexed: 11/23/2022]
Abstract
The use of a novel injectable biocompatible and biodegradable camptothecin-polymer implant for sustained intra-tumoral release of high concentrations of camptothecin is described. The drug delivery vehicle is an in situ thermogelling formulation, which is based on the natural biopolymer chitosan. This formulation, containing homogeneously dispersed camptothecin, was implanted intra-tumorally into a sub-cutaneous mouse tumor model (RIF-l). The effectiveness of treatment was measured in terms of tumor growth delay (TGD). Animals treated with the polymer implants containing camptothecin had significantly longer TGDs compared to untreated animals as well as to animals treated systemically with camptothecin by intra-peritoneal injection with no evidence of toxicity in terms of loss of body weight. The results indicate that this novel biodegradable polymer implant is an effective vehicle for the sustained intra-tumoral delivery of camptothecin which might also be suitable to deliver other insoluble anti-cancer drugs such as taxol.
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1291
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Gupta A. Epilepsy In Children, 2nd Edition. Neurology 2005. [DOI: 10.1212/01.wnl.0000161677.02570.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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1292
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Chiu YH, Silman AJ, Macfarlane GJ, Ray D, Gupta A, Dickens C, Morriss R, McBeth J. Poor sleep and depression are independently associated with a reduced pain threshold. Results of a population based study. Pain 2005; 115:316-321. [PMID: 15911158 DOI: 10.1016/j.pain.2005.03.009] [Citation(s) in RCA: 132] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2004] [Revised: 01/07/2005] [Accepted: 03/03/2005] [Indexed: 11/29/2022]
Abstract
To determine the relative contributions of psychological factors and sleep disturbance to reduced pain threshold we conducted a cross-sectional two-phase population-based study. A total of 424 subjects were recruited, stratified by pain and distress status. Subjects completed a postal questionnaire that asked about current pain and covered aspects of psychological status and sleep disturbance. Samples of subjects stratified by the extent of bodily pain they reported and psychological status were invited to participate in an examination of pain threshold. The association between psychological status, sleep disturbance and a low pain threshold was examined using ordinal regression. High levels of psychological distress (OR=1.6, 95% CI (1.02, 2.5)), disturbed sleep (OR=2.2, 95% CI (1.4, 3.5)) and high scores on the HAD depression scale (OR=2.1, 95% CI (1.3, 3.2)) were all associated with having a low pain threshold. In multivariate analysis disturbed sleep and depression remained independently associated with a low pain threshold. These relationships persisted after adjustment for pain status. This study had demonstrated that depression and poor sleep are associated with a reduced pain threshold.
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1293
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Dobrydnjov I, Axelsson K, Gupta A, Lundin A, Holmström B, Granath B. Improved analgesia with clonidine when added to local anesthetic during combined spinal-epidural anesthesia for hip arthroplasty: a double-blind, randomized and placebo-controlled study. Acta Anaesthesiol Scand 2005; 49:538-45. [PMID: 15777303 DOI: 10.1111/j.1399-6576.2005.00638.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND The perioperative effects of intrathecal and epidural clonidine combined with local anesthetic were evaluated in 60 patients undergoing hip arthroplasty. METHODS This was a double-blinded study and the patients were randomized into three groups, with 20 patients in each group. All patients received spinal anesthesia with 17.5 mg of plain bupivacaine with 15 microg of clonidine (Group BC-RC) or without clonidine (Groups B-R and B-RC). Postoperatively, epidural infusion was administered in the following way: Group B-R-ropivacaine 4 mg h(-1); Groups B-RC and BC-RC: ropivacaine 4 mg h(-1) and clonidine 40 microg h(-1). Sensory block was assessed with light touch, pinprick, transcutaneous electrical stimulation at T12 and L2 dermatomes, and perception of thermal stimuli. RESULTS The maximal upper level of sensory block measured by pin-prick (T6-T7) did not differ between the groups while the partial sensory block for cold and warmth were increased two dermatomes above pin-prick level in the group with intrathecal clonidine compared to the other two groups (P < 0.05). Duration of anesthesia, analgesia and motor block were longer in Group BC-RC compared to Groups B-R and B-RC (P < 0.02). Postoperatively, both VAS score on movement and PCA-morphine consumption were higher in Group B-R than in Groups B-RC and BC-RC (P < 0.01). The arterial pressure and heart rate in Groups B-RC and BC-RC were significantly lower than in Group B-R at 10-24 and 15-24 h, respectively, after spinal injection. CONCLUSION Low-dose intrathecal clonidine provided a better quality of anesthesia and longer-lasting analgesia. Epidural clonidine-ropivacaine infusion resulted in improved postoperative analgesia but was associated with a moderate decrease in blood pressure.
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MESH Headings
- Adjuvants, Anesthesia/adverse effects
- Adrenergic alpha-Agonists/adverse effects
- Adult
- Aged
- Analgesics, Opioid/administration & dosage
- Analgesics, Opioid/therapeutic use
- Anesthesia, Epidural/adverse effects
- Anesthesia, Spinal/adverse effects
- Anesthetics, Local/adverse effects
- Arthroplasty, Replacement, Hip
- Clonidine/adverse effects
- Double-Blind Method
- Electric Stimulation
- Female
- Hemodynamics/drug effects
- Humans
- Male
- Middle Aged
- Monitoring, Intraoperative
- Morphine/administration & dosage
- Morphine/therapeutic use
- Motor Neurons/drug effects
- Nerve Block
- Pain Measurement
- Pain, Postoperative/drug therapy
- Pain, Postoperative/epidemiology
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1294
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Sinha US, Kapoor AK, Singh AK, Gupta A, Mehrotra R. Histopathological changes in cases of aluminium phosphide poisoning. INDIAN J PATHOL MICR 2005; 48:177-80. [PMID: 16758658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023] Open
Abstract
Of a total of 205 poisoning deaths in our hospital in 2003, 83 cases were due to Aluminium phosphide poisoning and were further analyzed. Most vulnerable age group was 21-40 years and M:F ratio was 2:1. On naked eye examination, almost all the vital organs were found to be congested. On microscopic study, the liver showed central venous congestion, degeneration, haemorrhage, sinusoidal dilation, bile stasis, centrilobular necrosis, Kupffer cell hyperplasia, infiltration by mononuclear cells and fatty change. Microscopy of the lungs revealed alveolar thickening, oedema, dilated capillaries, collapsed alveoli and haemorrhage. In the kidney, changes were degeneration, infiltration, tubular dilation and cloudy swelling. Changes in the brain included congestion and coagulative necrosis and in the stomach, congestion and haemorrhage. Easy availability of this cheap and highly toxic substance was responsible for the sudden spurt of poisoning with aluminium phosphide.
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1295
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Bhansali A, Bhadada S, Sharma A, Suresh V, Gupta A, Singh P, Chakarbarti A, Dash RJ. Presentation and outcome of rhino-orbital-cerebral mucormycosis in patients with diabetes. Postgrad Med J 2005; 80:670-4. [PMID: 15537854 PMCID: PMC1743145 DOI: 10.1136/pgmj.2003.016030] [Citation(s) in RCA: 144] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
AIM To report presentation and outcome of rhino-orbital-cerebral mucormycosis (ROCM) exclusively in patients with diabetes mellitus. METHODS Retrospective, non-comparative, interventional analysis of the medical records of 35 patients with ROCM among 22 316 patients with diabetes seen over the last 12 years. RESULTS A cohort of 23 men and 12 women with a mean (SD) age of 47.3 (14.4) years (range 18-70 years) was studied. Five patients had type 1 diabetes mellitus, 29 had type 2 diabetes mellitus, and one had secondary diabetes. Nine patients had ROCM as the first clinical manifestation of diabetes. The mean (SD) blood glucose at presentation was 20.6 (8.3) mmol/l (range 10.0 to 53.3 mmol/l) and 17 patients had ketosis/ketoacidosis. Ophthalmic symptoms and signs were pronounced: external ophthalmoplegia (89%), proptosis (83%), visual loss (80%), chemosis (74%), and eye lid gangrene (14%). Non-ophthalmic manifestations included sinusitis (100%), nasal discharge/ulceration (74%), infranuclear VI nerve palsy (46%), palatal necrosis (29%), cerebral lobe involvement (20%), and hemiparesis (17%). Computed tomography/magnetic resonance imaging showed involvement of paranasal sinuses in all patients with ethmoid (86%) and maxillary (80%) sinuses being most frequently involved. Orbital involvement was observed in 80% of patients with cavernous sinus thrombosis in 11%, and internal carotid occlusion and hydrocephalus in 3% each. All were treated with amphotericin B (3-3.5 g) and 26 (74%) patients underwent appropriate surgery. Twenty one patients (68%) survived with a mean (SD) follow up of 39.6 (34.1) months (range 10 months to 11 years). Factors related to poor survival included delay in diagnosis and treatment (p<0.05), facial and/or eye lid gangrene (p<0.05), hemiplegia (p<0.05), cerebral invasion by mucorales (p<0.05), and treatment with amphotericin B alone (p<0.05). CONCLUSIONS In patients with diabetes and ROCM, ROCM was the presenting manifestation in one fourth of the patients. Ophthalmic and extensive cerebral involvement predominated in the clinical picture. Delay in treatment due to late presentation and associated complications were major determinants of the survival outcome in these patients.
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1296
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Sinnott P, Bodger S, Gupta A, Brophy M. Presence of HLA antibodies in single-donor-derived fresh frozen plasma compared with pooled, solvent detergent-treated plasma (Octaplas). ACTA ACUST UNITED AC 2005; 31:271-4. [PMID: 15548265 DOI: 10.1111/j.1365-2370.2004.00481.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Adverse reactions to plasma transfusion are well documented. One of the most serious hazards of transfusion, transfusion-related acute lung injury (TRALI), has nearly as high an incidence of mortality and major morbidity as that reported for the transfusion of incorrect blood components. The specific mechanisms of plasma component-induced adverse reactions remain unclear, but a major contribution may be related to the presence of alloantibodies. In this study, a laboratory analysis was undertaken to determine the presence of HLA antibodies in leucodepleted single-donor-derived fresh frozen plasma (FFP). A comparison was made with a pooled plasma product that has undergone solvent detergent treatment. In total, 58 plasma samples from single-donor units of leucodepleted FFP were tested along with samples from 12 units (three for each ABO blood group) of the pooled plasma (Octaplas); Octapharma Ltd, Coventry, UK), for the presence of HLA antibodies. HLA-specific enzyme-linked immunosorbent assay (ELISA) methods were used to screen for their presence, and complement-dependent cytotoxicity and flow cytometry analyses were used to further define their presence, specificity and class [immunoglobulin G (IgG)/IgM]. In the study groups, HLA antibodies were found to be present in five of the single-donor units (9%) while the pooled plasma samples tested negative.
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1297
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Singh R, Gupta V, Gupta A, Bhansali A. Spontaneous closure of microaneurysms in diabetic retinopathy with treatment of co-existing anaemia. Br J Ophthalmol 2005; 89:248-9. [PMID: 15665369 PMCID: PMC1772514 DOI: 10.1136/bjo.2004.050252] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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1298
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Senter SR, Nathan S, Bhatt P, Gupta A, Calvin J, Klein LW. 35 INCREASED UTILIZATION AND COST OF DRUG-ELUTING STENTS IN CONTEMPORARY PRACTICE. J Investig Med 2005. [DOI: 10.2310/6650.2005.00205.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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1299
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Nathan S, Attanasio S, Amin A, Kumar A, Gupta A, Kelly RF. 11 LONG-TERM OUTCOMES OF SINGLE VERSUS MULTIVESSEL STENTING IN A PUBLIC HEALTH SYSTEM PATIENT POPULATION WITH UNIFORM BARE METAL STENT SELECTION, ADJUNCTIVE GLYCOPROTEIN IIB/IIIA INHIBITION AND LONG-TERM DUAL ANTIPLATELET THERAPY. J Investig Med 2005. [DOI: 10.2310/6650.2005.00205.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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1300
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Asher J, Oliver A, Wilson C, Gupta A, Gok M, Balupuri S, Shenton B, Rix D, Soomro N, Jaques B, Manas D, Ward M, Talbot D. A Simple Cardiovascular Risk Score Can Predict Poor Outcome in Non–Heart-Beating Donor Renal Transplantation. Transplant Proc 2005; 37:1044-6. [PMID: 15848617 DOI: 10.1016/j.transproceed.2004.12.141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
A simple cardiovascular risk score used in our centre to plan cardiovascular work-up for renal transplantation can predict outcome in non-heart-beating donor (NHBD) renal transplantation. Patients in the higher-risk group, with a score of >12 of a maximum of 36 are likely to have a longer duration of delayed graft function, poorer glomerular filtration rate at 6 months, and inferior graft and patient survival, together with a relative rate of graft loss within 60 days of 4.514 (P = .019) and within 1 year of 3.511 (P = .036). Although a high cardiovascular risk score should not be regarded as a contraindication to NHBD transplantation, the score can be used to facilitate recipient selection.
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