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Kanojia A, Kasliwal R, Seth A, Bhandari S, Kler TS, Bhatia ML. Clinical and coronary arteriographic features and outcome of recent onset unstable angina. Int J Cardiol 1993; 39:173-80. [PMID: 8335408 DOI: 10.1016/0167-5273(93)90035-f] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Fifty consecutive patients (43 male and seven female; mean age 51.8 years) with recent onset angina (24.6% of all admissions for unstable angina during a 1-year period) underwent coronary arteriography. Most patients (96.8%) presented with severe angina (Canadian Cardiovascular Society Class III-IV) with admission ECG changes of myocardial ischemia in 46%. Echocardiography (within 2 days of admission) showed normal left ventricular function (LVEF > 50%) in 80% and mild or moderate impairment (LVEF 35-49%) in 12% of patients. Segmental wall motion abnormalities were noted in a small number (12.9%). Coronary angiography revealed significant (> or = 70% diameter stenosis) disease in one vessel in 14 (28%), in two vessels in seven (14%), three vessels in 22 (44%) and no disease in seven (14%) patients. Significant left main stenosis (> or = 50% diameter stenosis) was present in two (5%) patients. Left anterior descending artery was more commonly involved (66%) as compared to the other arteries. A significantly higher incidence of multivessel disease was observed in patients with diabetes mellitus (P < 0.003) and in smokers (P < 0.04). Multiple coronary artery involvement was more common in patients with three or more risk factors for coronary artery disease (P < 0.005). In-hospital non fatal myocardial infarction occurred in three (6%) patients. During follow-up (average 13 +/- 1.28 months) 30 (60%) patients underwent coronary artery bypass surgery, 13 (26%) required coronary angioplasty while seven (14%) were managed by drugs alone with no further mortality and significant symptomatic relief. Patients with recent onset angina, in our setting, frequently have severe multiple vessel coronary artery disease.(ABSTRACT TRUNCATED AT 250 WORDS)
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178
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Bhandari S, Khera AK, Kasliwal RR, Kler TS, Seth A, Trehan N, Bhatia ML. Percutaneous intraaortic balloon pulsation for management of life threatening emergencies in an intensive coronary care unit. Indian Heart J 1993; 45:33-6. [PMID: 8365737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
The indications for the outcome of use of intraaortic balloon pulsation (IABP) in 66 patients (65 males, 1 female), in addition to the usual conventional medical therapy, are reported here. IABP was used for treatment of cardiogenic shock (5 patients), acute myocardial infarction with rupture of interventricular septum (2 patients), acute myocardial infarction with refractory left ventricular failure (2 patients), resistant ventricular tachyarrhythmias (5 patients), refractory angina (50 patients) and for hypotension following high risk coronary angiography (2 patients). A Datascope 10.5 F percutaneous balloon was inserted in all, mostly using the left femoral artery. Either definitive treatment (coronary artery bypass surgery or coronary angioplasty) was offered when feasible or the balloon was weaned off. Twelve patients underwent coronary angiography on IABP; while 31 patients had undergone the angiography earlier. Surgery was possible in 33 patients with 90% survival rate. The non surgical group showed 30% survival rate. The complications of IABP encountered were: leg ischaemia (2 patients), septicemia (4 patients) and balloon rupture (2 patients). Our experience suggests that percutaneous IABP is a very useful management procedure for seriously sick high risk patients prior to definitive therapy. Patients who could have a definitive treatment while on IABP, especially the group with refractory angina, did best on a short term follow up. Vascular complications are minimal while on IABP.
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179
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Bhandari S, Faidy C, Acker D. Computation of leak areas of circumferential cracks in piping for application in demonstrating leak-before-break behaviour. NUCLEAR ENGINEERING AND DESIGN 1992. [DOI: 10.1016/0029-5493(92)90216-i] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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180
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Neena S, Asnani PJ, Bhandari S, Vohra R. Purification and kinetics of extracellular phospholipase A of Salmonella newport. Folia Microbiol (Praha) 1992; 37:205-9. [PMID: 1505883 DOI: 10.1007/bf02933148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Attempts were made to purify and study the kinetics of extracellular phospholipase A of Salmonella newport (6,8, eb; 1,2). The enzyme was purified by salt precipitation followed by gel filtration, using different grades of Sephadex. The enzymically active purified preparation was found to be a protein, having molar mass ranging between 43 and 67 kDa. The enzyme had a pH optimum at 7.5, giving 18.2 micrograms of lysophosphatidylcholine per mg protein. Its activity was enhanced by all metal ions except potassium, by solvents and surfactants except sodium dodecyl sulfate. It hydrolyzed the membrane phospholipids of red blood cells and was inhibitory to the growth of other microorganisms.
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181
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Mehta S, Mehta S, Bhandari S. Glanzmann's thrombasthenia--a case report. JOURNAL OF THE INDIAN MEDICAL ASSOCIATION 1991; 89:339-40. [PMID: 1816315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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182
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Lodha SC, Lohiya ML, Vyas MC, Bhandari S, Goyal RR, Harsh MK. Role of phenytoin in healing of large abscess cavities. Br J Surg 1991; 78:105-8. [PMID: 1998849 DOI: 10.1002/bjs.1800780132] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The promotion of healing of large abscess cavities attained with topical phenytoin was evaluated in controlled studies of clinical and experimental wounds. In the clinical abscess cavities, phenytoin application in 20 patients compared with conventional treatment in 20 patients resulted in earlier separation of slough, decrease in oedema, control of pain and overall enhanced healing. The mean(s.d.) rate of reduction of wound area was 2.02(0.48) cm2/day in the phenytoin group versus 1.58(0.51) cm2/day in controls (P less than 0.05) on day 10, and 1.8(0.32) cm2/day versus 1.19(0.21) cm2/day (P less than 0.01) on day 20. The mean volume reduction rates at both the 10th and 20th day were 0.48(0.01) cm3/day for phenytoin versus 0.32(0.04) cm3/day for controls; (P less than 0.005). By day 20, 17 of the patients treated with phenytoin were rated as having healed completely, compared with only one of the controls. In a standardized guinea-pig model of the clinical abscess cavity, which included inoculation of the wound with Bacillus proteus and Klebsiella pneumoniae, an enhanced healing rate was also observed (at 7 days 0.40(0.05) cm2/day with phenytoin versus 0.21(0.08) cm2/day in controls; P less than 0.005). All eight of the animals treated with phenytoin healed by day 21, compared with one of the eight controls. Biopsies of wounds treated with phenytoin showed less inflammation, no necrosis, and enhanced neovascularization, collagen deposition and fibroblast proliferation compared to controls. Bacterial colonies also decreased more rapidly with the use of phenytoin.
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183
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Bhandari S, Nesa D, Faidy C, Grüter L. Initiation and instability behaviour of cracked lmfbr piping: comparison of different theoretical approaches and experiments. NUCLEAR ENGINEERING AND DESIGN 1990. [DOI: 10.1016/0029-5493(90)90174-v] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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184
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Bhandari S, Asnani PJ. Characterization of phospholipase A2 of mycoplasma species. Folia Microbiol (Praha) 1989; 34:294-301. [PMID: 2691360 DOI: 10.1007/bf02814471] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
As phospholipases of mycoplasma species may play a role in the pathogenesis of respiratory tract and urogenital tract diseases Mycoplasma mycoides and Acholeplasma laidlawii were examined as to the production of phospholipase A2 (PLA) and attempts were made to purify and characterize it. Both species produced PLA. The purified enzyme was found to be heat-labile, active at alkaline pH, revealing a single band in polyacrylamide gel electrophoresis. Metal ions such as calcium and barium, increased its activity whereas solvents at high concentrations decreased it. It was resistant to surfactants.
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185
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Agrawal CS, Behari M, Shrivastava S, Ahuja GK, Bhandari S, Kothari SS. The heart in polymyositis-dermatomyositis. J Neurol 1989; 236:249-50. [PMID: 2760639 DOI: 10.1007/bf00314509] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Fourteen patients with polymyositis-dermatomyositis (PM-DM) underwent prospective cardiac assessment with non-invasive techniques. One patient had electrocardiographic evidence of Long-Ganong-Levine syndrome with multiple supraventricular premature beats. Echocardiographically one patient had late systolic prolapse of the posterior mitral leaflet and another had paradoxical movements of the interventricular septum. The study suggests that cardiac involvement is infrequent in PM-DM.
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186
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Arya TV, Prasad RN, Bhandari S, Awasthi R. Spontaneous and quinine induced hypoglycaemia in severe falciparum malaria. TROPICAL AND GEOGRAPHICAL MEDICINE 1989; 41:73-5. [PMID: 2669291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Four of 21 patients with cerebral malaria developed hypoglycaemia, defined as plasma glucose concentration below 40 mg/dl (2.2 mmol/l). Two patients had spontaneous hypoglycaemia at admission and the other two developed it subsequent to quinine therapy. All recovered with continuous intravenous glucose infusion. Spontaneous hypoglycaemia in malaria has not earlier been reported from India.
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Abstract
Illness behaviour patterns were evaluated in 31 psychiatric patients, who had predominant somatic complaints to which there were no organic basis, using the Illness Behaviour Assessment Schedule. Psychiatric examination was also done and diagnosis given according to ICD-9. The relationship between abnormal illness behaviour and certain socio-demographic variables was examined. Younger patients more often had disease phobia (p = 0.05) and pre-occupation with disease (p = 0.003). Interesting trends were observed in different religious groups, as regards their beliefs about the 'cause' of somatic symptoms. Patients diagnosed as neurotic (anxiety or depression) significantly more often (p = 0.024) regarded their illnesses to be somatic in origin. The relationship between somatisation and abnormal illness behaviour is found to be complex, and the cause-effect relationship is not fully understood.
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188
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Asnani PJ, Bhatnagar N, Bhandari S. Production and purification of Escherichia coli hemolysin. Folia Microbiol (Praha) 1988; 33:393-400. [PMID: 3060418 DOI: 10.1007/bf02925850] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Eight strains of Escherichia coli, isolated from patients with a urinary tract infection were investigated for production of hemolysin. Six of these produced hemolysin and one revealed maximum hemolytic activity. Three urinary and two faecal isolates were positive for mannose-resistant hemagglutination. One isolate positive for hemagglutination and giving maximum hemolytic activity was then used. Hemolysin was present in the supernatant broth and the medium of choice to obtain the optimum yield was the alkaline meat extract broth followed by brain heart infusion broth. The highest yield appeared in the exponential phase of growth. Hemolysin is a heat-labile protein, being produced optimally at pH 8. A three-stage procedure was the best method for its purification.
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Grüter L, Fortmann M, Bhandari S, Faidy C. Crack resistance properties of through-cracks in austenitic straight pipes (DN 700) under bending. NUCLEAR ENGINEERING AND DESIGN 1988. [DOI: 10.1016/0029-5493(88)90234-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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190
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Chaturvedi SK, Bhandari S, Rao S. Illness behaviour assessment of psychiatric patients with somatic presentation. Indian J Psychiatry 1988; 30:205-8. [PMID: 21927311 PMCID: PMC3010052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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191
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Arya TV, Sehgal R, Bhandari S, Virk K. Human intestinal myiasis. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1988; 36:168-9. [PMID: 3182647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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192
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Bhandari S, Dev V, Shrivastava S, Bhatia ML. Echocardiographic demonstration of pulmonary valve vegetation in a child with infundibular pulmonic stenosis and closed VSD. Indian Heart J 1986; 38:425-8. [PMID: 3552961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
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193
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Bhandari S, Talwar KK, Kaul U, Bhatia ML. Value of physical and pharmacological tests in predicting intrinsic and extrinsic sick sinus syndrome. Int J Cardiol 1986; 12:203-12. [PMID: 3744600 DOI: 10.1016/0167-5273(86)90243-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
We studied 13 patients with sick sinus syndrome using various physical (postural reflex testing. Valsalva manoeuvre, carotid sinus massage), pharmacological (intravenous isoprenaline, atropine, neostigmine and total autonomic blockade) and electrophysiological tests in order to identify simple non-invasive markers of intrinsic sick sinus syndrome. Following autonomic blockade, 6 patients had normal and the remaining 7 had an abnormal intrinsic heart rate. Electrophysiological testing revealed abnormal sinus node parameters in 8 (62%) subjects in the basal state and 11 (85%) after autonomic blockade. Carotid sinus massage was abnormal in all patients (100%) with an abnormal intrinsic heart rate, and in only 2 of the 6 (33%) with normal intrinsic heart rate (P less than 0.05). The heart rate response to isoprenaline was abnormal in 5 of the 6 (83%) patients with normal as compared to only 1 of the 7 with abnormal intrinsic heart rate. With isoprenaline there was a significantly (P less than 0.05) higher increase in heart rate in patients with abnormal as compared to those with normal intrinsic heart rate. The other physical and drug tests were not helpful to differentiate between intrinsic and extrinsic mechanisms. Thus, carotid sinus massage and, to some extent, isoprenaline administration appear simple bedside tests which may be helpful in identifying the underlying mechanism of sick sinus syndrome.
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Bhandari S, Talwar KK. Carotid sinus syncope: is pacing required in all patients? Report of two cases and review of literature. THE INDIAN JOURNAL OF CHEST DISEASES & ALLIED SCIENCES 1986; 28:174-8. [PMID: 3596673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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195
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Kaul U, Bhandari S, Mohan JC, Rao IM, Kumar AS, Venugopal P, Bhatia ML. Permanent pacemaker complications: a 16 years experience. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1986; 34:175-7. [PMID: 3733644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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196
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Bhandari S, Fortmann M, Grueter L, Heliot J, Meyer P, Percie Du Sert B, Prado A, Zeibig H. Crack propagation in a LMFBR elbow. NUCLEAR ENGINEERING AND DESIGN 1986. [DOI: 10.1016/0029-5493(86)90199-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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197
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Wasir HS, Bhandari S, Kaushik VS, Bhatia ML. Critical evaluation of the coronary risk factors profile in patients with myocardial infarction. Indian Heart J 1985; 37:366-9. [PMID: 3836938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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198
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Bhandari S, Bhatia VL, Shrivastava S. Echocardiographic detection of tricuspid valve vegetations in a child with ventricular septal defect. Indian Pediatr 1985; 22:532-5. [PMID: 3833777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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199
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200
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Malhotra KC, Bhandari S, Chugh SN, Sabharwal U. Incidence of anti-thyroid antibodies in diverse thyroid disorders--an application of indirect-immunofluorescence technique. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1982; 30:271-5. [PMID: 6763034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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