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Siddiqui H, Kumar S, Naidu P, Gupta S, Mishra S, Goswami M, Sairkar PK, Atram L, Sathish N, Kumar S. Solanum tuberosum tuber-driven starch-mediated green-hydrothermal synthesis of cerium oxide nanoparticles for efficient photocatalysis and antimicrobial activities. Chemosphere 2024; 352:141418. [PMID: 38340994 DOI: 10.1016/j.chemosphere.2024.141418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 11/07/2023] [Accepted: 02/07/2024] [Indexed: 02/12/2024]
Abstract
In this study, we are reporting for the first time the utilization of Solanum tuberosum tuber-driven, starch-mediated, green-hydrothermally synthesized cerium oxide nanoparticles (G-CeO2 NPs) for the antibacterial activity and photodegradation of cationic (methylene blue, MB) and anionic (methyl orange, MO) dyes separately and in combination, aimed at environmental remediation. The XRD analysis confirms the fluorite structure of G-CeO2 NPs, displaying an average crystallite size of 9.6 nm. Further, XPS confirms the existence of 24% of Ce3+ oxidation states within G-CeO2 NPs. Morphological studies through FE-SEM and TEM reveal that starch-driven OH- ion production leads to a high percentage of active crystal facets, favoring the formation of Ce3+-rich CeO2 NPs. Photocatalytic experiments conducted under UV-A illumination demonstrate the superior degradation performance of G-CeO2 NPs, with MB degradation reaching 93.4% and MO degradation at 77.2% within 90 min. This outstanding catalytic activity is attributed to the mesoporous structure (pore diameter of 5.63 nm) with a narrow band gap, a large surface area (103.38 m2g-1), and reduced charge recombination, as validated by BET, UV-visible, and electrochemical investigations. The identification of photogenerated intermediates is achieved through LCMS, while the mineralization is monitored via total organic carbon analysis. Moreover, the scavenging experiments point towards the involvement of reactive oxygen species in organic oxidation, demonstrating efficiency over five consecutive trials. Additionally, G-CeO2 NPs exhibit potent antibacterial activity against both gram-positive and gram-negative bacteria. This study presents an innovative, and efficient approach to environmental remediation, shedding light on the potential of G-CeO2 NPs in addressing environmental pollution challenges.
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Affiliation(s)
- Hafsa Siddiqui
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal, 462026, India
| | - Satendra Kumar
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal, 462026, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, 201002, India
| | - Palash Naidu
- Rani Durgavati Vishwavidyalaya, Jabalpur, 482001, India
| | - Shaily Gupta
- Department of Chemical Engineering, Vellore Institute of Technology, Vellore, 632014, India
| | - Shivi Mishra
- Rani Durgavati Vishwavidyalaya, Jabalpur, 482001, India
| | - Manoj Goswami
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal, 462026, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, 201002, India
| | - Pramod Kumar Sairkar
- Centre of Excellence in Biotechnology, Madhya Pradesh Council of Science & Technology, Bhopal, 462003, India
| | - Lakshmikant Atram
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal, 462026, India
| | - N Sathish
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal, 462026, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, 201002, India
| | - Surender Kumar
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal, 462026, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, 201002, India.
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Hada V, Chaturvedi K, Singhwane A, Siraj N, Gupta A, Sathish N, Chaurasia JP, Srivastava AK, Verma S. Nanoantibiotic effect of carbon-based nanocomposites: epicentric on graphene, carbon nanotubes and fullerene composites: a review. 3 Biotech 2023; 13:147. [PMID: 37124988 PMCID: PMC10140225 DOI: 10.1007/s13205-023-03552-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 04/04/2023] [Indexed: 05/02/2023] Open
Abstract
Carbon in many different forms especially, Graphene, Carbon nanotubes (CNTs), and Fullerene is emerging as an important material in the areas of the biomedical field for various applications. This review comprehensively describes the nano antibiotic effect of carbon-based nanocomposites: epicenter on graphene, carbon nanotubes, and fullerene Composites. It summarises the studies conducted to evaluate their antimicrobial applications as they can disrupt the cell membrane of bacteria resulting in cell death. The initial section gives a glimpse of both "Gram"-positive and negative bacteria, which have been affected by Graphene, CNTs, and Fullerene-based nanocomposites. These bacteria include Staphylococcus Aureus, Bacillus Thuringiensis, Enterococcus faecalis, Enterococcus faecium, Bacillus subtilis, Escherichia coli, Klebseilla pneumoniae, Pseudomonas aeroginosa, Pseudomonas syringae , Shigella flexneri,Candida Albicans, Mucor. Another section is dedicated to the insight of Graphene, and its types such as Graphene Oxide (GO), Reduced graphene oxide (rGO), Graphene Nanoplatelets (GNPs), Graphene Nanoribbons (GNRs), and Graphene Quantum Dots (GQDs). Insight into CNT, including both the types SWCNT and MWCNT, studied, followed by understanding fullerene is also reported. Another section is dedicated to the antibacterial mechanism of Graphene, CNT, and Fullerene-based nanocomposites. Further, an additional section is dedicated to a comprehensive review of the antibacterial characteristics of Graphene, CNT, and nanocomposites based on fullerene. Future perspectives and recommendations have also been highlighted in the last section.
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Affiliation(s)
- Vaishnavi Hada
- Council of Scientific and Industrial Research, Advanced Materials and Processes Research Institute, Bhopal, MP 462026 India
| | - Kamna Chaturvedi
- Council of Scientific and Industrial Research, Advanced Materials and Processes Research Institute, Bhopal, MP 462026 India
- Academy of Council Scientific and Industrial Research, Advanced Materials and Processes Research Institute (AMPRI), Hoshangabad Road, Bhopal, MP 462026 India
| | - Anju Singhwane
- Council of Scientific and Industrial Research, Advanced Materials and Processes Research Institute, Bhopal, MP 462026 India
| | - Naved Siraj
- Academy of Council Scientific and Industrial Research, Advanced Materials and Processes Research Institute (AMPRI), Hoshangabad Road, Bhopal, MP 462026 India
| | - Ayush Gupta
- Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Bhopal, MP 462026 India
| | - N. Sathish
- Council of Scientific and Industrial Research, Advanced Materials and Processes Research Institute, Bhopal, MP 462026 India
- Academy of Council Scientific and Industrial Research, Advanced Materials and Processes Research Institute (AMPRI), Hoshangabad Road, Bhopal, MP 462026 India
| | - J. P. Chaurasia
- Council of Scientific and Industrial Research, Advanced Materials and Processes Research Institute, Bhopal, MP 462026 India
- Academy of Council Scientific and Industrial Research, Advanced Materials and Processes Research Institute (AMPRI), Hoshangabad Road, Bhopal, MP 462026 India
| | - A. K. Srivastava
- Council of Scientific and Industrial Research, Advanced Materials and Processes Research Institute, Bhopal, MP 462026 India
- Academy of Council Scientific and Industrial Research, Advanced Materials and Processes Research Institute (AMPRI), Hoshangabad Road, Bhopal, MP 462026 India
| | - Sarika Verma
- Council of Scientific and Industrial Research, Advanced Materials and Processes Research Institute, Bhopal, MP 462026 India
- Academy of Council Scientific and Industrial Research, Advanced Materials and Processes Research Institute (AMPRI), Hoshangabad Road, Bhopal, MP 462026 India
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Chandrasekaran DK, Meera S, Sree R, Sathish N, Balakrishnan K. Squad Help – An Emotion based Music Player. 2023 International Conference on Computer Communication and Informatics (ICCCI) 2023. [DOI: 10.1109/iccci56745.2023.10128528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Affiliation(s)
| | - S. Meera
- Sri Sairam Engg College,CSE,Chennai,India
| | | | - N Sathish
- Sri Sairam Engg College,CSE,Chennai,India
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SINGHAL AYUSHI, Yadav S, Sadique MA, Khan R, Kaushik A, Sathish N, Srivastava AK. MXene-modified molecularly imprinted polymer as an artificial bio-recognition platform for efficient electrochemical sensing: progress and perspectives. Phys Chem Chem Phys 2022; 24:19164-19176. [DOI: 10.1039/d2cp02330j] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The development of efficient electrochemical sensors of exceptional features, molecularly imprinted polymers (MIPs) have been extensively utilized due to their great vitality as an alternative to bio-recognition elements. MIPs as...
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Yadav S, Sadique MA, Ranjan P, Khan R, Sathish N, Srivastava AK. Polydopamine Decorated MoS2 Nanosheets based Electrochemical Immunosensor for Sensitive Detection of SARS-CoV-2 Nucleocapsid Protein in Clinical Samples. J Mater Chem B 2022; 10:8478-8489. [DOI: 10.1039/d2tb01409b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The outbreak of highly contagious COVID-19 disease was triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) demands a rapid, low-cost, and highly sensitive biosensor that can detect and identify...
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Bhavya G, Nagaraja PS, Singh NG, Ragavendran S, Sathish N, Manjunath N, Kumar KA, Nayak VB. Comparison of continuous cardiac output monitoring derived from regional impedance cardiography with continuous thermodilution technique in cardiac surgical patients. Ann Card Anaesth 2021; 23:189-192. [PMID: 32275034 PMCID: PMC7336960 DOI: 10.4103/aca.aca_1_19] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background: Cardiac output (CO) assessment is a corner stone in advanced haemodynamic management, especially in critical ill patients. The present study was conducted to validate cardiac index and cardiac output by NICaS™ with the thermodilution technique using pulmonary artery catheter in post-operative cardiac surgical patients. Materials and Methods: This was a prospective observational clinical study conducted at a tertiary care hospital. 23 adult patients in the age range of 18-65 years who had undergone for elective coronary artery bypass grafting were included in the study. Results: Spearman's correlation coefficient of cardiac index between continuous Thermodilution (cTD) and Non-Invasive Cardiac System (NICaS™) showed a good correlation (r = 0.765, 95% confidence interval 0.70 to 0.82, P < 0.0001). There was a good correlation between cTD and NICaS™ for cardiac output (r = 0.759, 95% confidence interval 0.69 to 0.81, P < 0.0001), Bland-Altman plot for cardiac index between cTD and NICaS™ showed a mean bias of −0.66 ± 0.6919 with limits of agreement being −2.02 to 0.6936. Bland-Altman plot for cardiac output between cTD and NICaS™ showed a mean bias of −1.0386 ± 1.17 with limits of agreement being −3.34 to + 1.26. Percentage error for cardiac index and cardiac output were 64.78% and 64% respectively. Polar plot analysis showed an angular bias of 6.32° with radial limits of agreement being −8.114° to 20.75° for cardiac index and angular bias of 5.6682° with radial limits of agreement being −9.1422° to 20.4784° for cardiac output. Conclusion: NICaS™ demonstrated a good trending ability for both CI and CO. However, NICaS™ derived parameters are not interchangeable with the values derived from continuous thermodilution technique.
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Affiliation(s)
- G Bhavya
- Department of Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
| | - P S Nagaraja
- Department of Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
| | - Naveen G Singh
- Department of Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
| | - S Ragavendran
- Department of Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
| | - N Sathish
- Department of Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
| | - N Manjunath
- Department of Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
| | - K Ashok Kumar
- Department of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
| | - Vinayak B Nayak
- Department of Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar, Bengaluru, Karnataka, India
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Goswami M, Athika M, Kumar S, Elumalai P, Singh N, Sathish N, Kumar S. Aqueous Na-ion capacitor with CuS graphene composite in symmetric and asymmetric configurations. NEW J CHEM 2021. [DOI: 10.1039/d1nj03183j] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The symmetric device shows a maximum specific energy density of 30 W h kg−1 at a specific power density of 380 W kg−1, which was reduced to 4 W h kg−1 at a highest specific power density of 4224 W kg−1.
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Affiliation(s)
- Manoj Goswami
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal-462026, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad-201002, India
| | - Mattath Athika
- Centre for Green Energy Technology, Pondicherry University, Puducherry-605014, India
| | - Satendra Kumar
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal-462026, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad-201002, India
| | - Perumal Elumalai
- Centre for Green Energy Technology, Pondicherry University, Puducherry-605014, India
| | - Netrapal Singh
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal-462026, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad-201002, India
| | - N. Sathish
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal-462026, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad-201002, India
| | - Surender Kumar
- CSIR - Advanced Materials and Processes Research Institute (AMPRI), Bhopal-462026, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad-201002, India
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Goswami M, Nithya C, Sathish N, Kumar S, Singh N, Srivastava AK, Kumar S. Correction: Electrochemical studies on crystalline CuS as an electrode material for non-aqueous Na-ion capacitors. NEW J CHEM 2021. [DOI: 10.1039/d1nj90030g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Correction for ‘Electrochemical studies on crystalline CuS as an electrode material for non-aqueous Na-ion capacitors’ by Manoj Goswami et al., New J. Chem., 2020, 44, 5278–5284; DOI: 10.1039/C9NJ06465F.
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Affiliation(s)
- Manoj Goswami
- Academy of Scientific and Innovative Research (AcSIR)
- Ghaziabad-201002
- India
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal
| | | | - N. Sathish
- Academy of Scientific and Innovative Research (AcSIR)
- Ghaziabad-201002
- India
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal
| | - Satendra Kumar
- Academy of Scientific and Innovative Research (AcSIR)
- Ghaziabad-201002
- India
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal
| | - Netrapal Singh
- Academy of Scientific and Innovative Research (AcSIR)
- Ghaziabad-201002
- India
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal
| | - A. K. Srivastava
- Academy of Scientific and Innovative Research (AcSIR)
- Ghaziabad-201002
- India
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal
| | - Surender Kumar
- Academy of Scientific and Innovative Research (AcSIR)
- Ghaziabad-201002
- India
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal
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Sathish Kumar PJ, Nancy VAO, Sathish N, Kajendran K, Pugazhendi N, Balaji S. High-Performance Disease Prediction and Recommendation Generation Healthcare System Using I3 Algorithm. Micro-Electronics and Telecommunication Engineering 2021:41-52. [DOI: 10.1007/978-981-33-4687-1_5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
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Srivastava AK, Dwivedi N, Dhand C, Khan R, Sathish N, Gupta MK, Kumar R, Kumar S. Potential of graphene-based materials to combat COVID-19: properties, perspectives, and prospects. Mater Today Chem 2020; 18:100385. [PMID: 33106780 PMCID: PMC7577689 DOI: 10.1016/j.mtchem.2020.100385] [Citation(s) in RCA: 60] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 09/18/2020] [Accepted: 10/16/2020] [Indexed: 05/19/2023]
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a new virus in the coronavirus family that causes coronavirus disease (COVID-19), emerges as a big threat to the human race. To date, there is no medicine and vaccine available for COVID-19 treatment. While the development of medicines and vaccines are essentially and urgently required, what is also extremely important is the repurposing of smart materials to design effective systems for combating COVID-19. Graphene and graphene-related materials (GRMs) exhibit extraordinary physicochemical, electrical, optical, antiviral, antimicrobial, and other fascinating properties that warrant them as potential candidates for designing and development of high-performance components and devices required for COVID-19 pandemic and other futuristic calamities. In this article, we discuss the potential of graphene and GRMs for healthcare applications and how they may contribute to fighting against COVID-19.
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Affiliation(s)
- A K Srivastava
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
| | - N Dwivedi
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
| | - C Dhand
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
| | - R Khan
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
| | - N Sathish
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
| | - M K Gupta
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
| | - R Kumar
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
| | - S Kumar
- CSIR-Advanced Materials and Processes Research Institute, Bhopal, 462026, India
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Goswami M, Nithya C, Sathish N, Kumar S, Singh N, Srivastava AK, Kumar S. Electrochemical studies on crystalline CuS as an electrode material for non-aqueous Na-ion capacitors. NEW J CHEM 2020. [DOI: 10.1039/c9nj06465f] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Current investigations are concentrated on the investigations of copper sulphide (CuS) for sodium-ion capacitors (NICs).
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Affiliation(s)
- Manoj Goswami
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal 462026
- India
- Academy of Scientific and Innovative Research (AcSIR)
- CSIR – Advanced Materials and Processes Research Institute
| | | | - N. Sathish
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal 462026
- India
- Academy of Scientific and Innovative Research (AcSIR)
- CSIR – Advanced Materials and Processes Research Institute
| | - Satendra Kumar
- Academy of Scientific and Innovative Research (AcSIR)
- CSIR – Advanced Materials and Processes Research Institute
- CSIR-AMPRI campus
- Bhopal 462026
- India
| | - Netrapal Singh
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal 462026
- India
- Academy of Scientific and Innovative Research (AcSIR)
- CSIR – Advanced Materials and Processes Research Institute
| | - A. K. Srivastava
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal 462026
- India
- Academy of Scientific and Innovative Research (AcSIR)
- CSIR – Advanced Materials and Processes Research Institute
| | - Surender Kumar
- CSIR-Advanced Materials and Processes Research Institute (AMPRI)
- Bhopal 462026
- India
- Academy of Scientific and Innovative Research (AcSIR)
- CSIR – Advanced Materials and Processes Research Institute
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Kumar S, Kumar S, Kumar D, Sathish N, Singh A, Goswami M. Reduced Graphene Oxide and Pd Nanocomposite as a Catalyst for Oxygen Reduction Reaction in Rechargeable Li‐Oxygen Battery. ChemistrySelect 2019. [DOI: 10.1002/slct.201803819] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Surender Kumar
- CSIR – Advanced Materials and Processes Research Institute Bhopal – 462016 India
| | - Satendra Kumar
- Academy of Scientific and Innovative Research (AcSIR)CSIR – Advanced Materials and Processes Research Institute, CSIR-AMPRI campus Bhopal - 462026 India
| | - Divyaratan Kumar
- Department of ChemistryIndian Institute of Science Education and Research Bhopal - 462066 India
| | - N. Sathish
- CSIR – Advanced Materials and Processes Research Institute Bhopal – 462016 India
| | - Archana Singh
- CSIR – Advanced Materials and Processes Research Institute Bhopal – 462016 India
| | - Manoj Goswami
- Academy of Scientific and Innovative Research (AcSIR)CSIR – Advanced Materials and Processes Research Institute, CSIR-AMPRI campus Bhopal - 462026 India
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Kumar KN, Kalyane RN, Singh NG, Nagaraja PS, Krishna M, Babu B, Varadaraju R, Sathish N, Manjunatha N. Efficacy of bilateral pectoralis nerve block for ultrafast tracking and postoperative pain management in cardiac surgery. Ann Card Anaesth 2019; 21:333-338. [PMID: 30052231 PMCID: PMC6078028 DOI: 10.4103/aca.aca_15_18] [Citation(s) in RCA: 66] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background: Good postoperative analgesia in cardiac surgical patients helps in early recovery and ambulation. An alternative to parenteral, paravertebral, and thoracic epidural analgesia can be pectoralis nerve (Pecs) block, which is novel, less invasive regional analgesic technique. Aims: We hypothesized that Pecs block would provide superior postoperative analgesia for patients undergoing cardiac surgery through midline sternotomy compared to parenteral analgesia. Materials and Methods: Forty adult patients between the age groups of 25 and 65 years undergoing coronary artery bypass grafting or valve surgeries through midline sternotomy under general anesthesia were enrolled in the study. Patients were randomly allocated into two groups with 20 in each group. Group 1 patients did not receive Pecs block, whereas Group 2 patients received bilateral Pecs block postoperatively. Patients were extubated once they fulfilled extubation criteria. Ventilator duration was recorded. Patients were interrogated for pain by visual analog scale (VAS) scoring at rest and cough. Inspiratory flow rate was assessed using incentive spirometry. Results: Pecs group patients required lesser duration of ventilator support (P < 0.0001) in comparison to control group. Pain scores at rest and cough were significantly low in Pecs group at 0, 3, 6, 12, and 18 h from extubation (P < 0.05). At 24 h, VAS scores were comparable between two groups. Peak inspiratory flow rates were higher in Pecs group as compared to control group at 0, 3, 6, 12, 18, and 24 h (P < 0.05). Thirty-four episodes of rescue analgesia were given in control group, whereas in Pecs group, there were only four episodes of rescue analgesia. Conclusion: Pecs block is technically simple and effective technique and can be used as part of multimodal analgesia in postoperative cardiac surgical patients for better patient comfort and outcome.
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Affiliation(s)
- Karthik Narendra Kumar
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Ravikumar Nagashetty Kalyane
- Department of Cardiaothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Naveen G Singh
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - P S Nagaraja
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Madhu Krishna
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Balaji Babu
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - R Varadaraju
- Department of Cardiaothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - N Sathish
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - N Manjunatha
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
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Kundra TS, Nagaraja PS, Singh NG, Dhananjaya M, Sathish N, Manjunatha N. Effect of dexmedetomidine on diseased coronary vessel diameter and myocardial protection in percutaneous coronary interventional patients. Ann Card Anaesth 2017; 19:394-8. [PMID: 27397441 PMCID: PMC4971965 DOI: 10.4103/0971-9784.185517] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Introduction: Dexmedetomidine is an alpha-2 agonist used for conscious sedation. It has also been shown to have a myocardial protective effect in off-pump coronary artery bypass patients. The aim of the study was to assess the effect of dexmedetomidine for myocardial protection in percutaneous coronary interventional patients. Methodology: A total of 60 patients (group dexmedetomidine, n = 30 and group normal saline, n = 30) were enrolled in the study. Dexmedetomidine infusion (1 mcg/kg) over 15 min was given as a loading dose after coronary angiography in group dexmedetomidine (D) while normal saline was given in the control group (C) and later maintenance infusion was started at 0.5 mcg/kg/h in both the groups. Coronary vessel diameter was noted before (T0) and after (T1) loading dose of dexmedetomidine/saline in each group. Troponin T (Trop T) values were noted at baseline (T0), 6 h (T2), 12 h (T3) and 24 h (T4) after starting the loading dose. Hemodynamic variables (heart rate [HR] and blood pressure) were monitored at T0, T1, and at regular intervals till 2 h postprocedure. Results: Coronary vessel diameter and HR significantly decreased in group D as compared to control group (P < 0.05) whereas the decrease in Trop T at 6 h, 12 h, and 24 h were not statistically significant between the two groups. Conclusion: Dexmedetomidine decreases the coronary vessel diameter, but maintains the myocardial oxygen demand-supply ratio by decreasing the HR. The decrease in Trop T is statistically insignificant at the doses used.
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Affiliation(s)
- Tanveer Singh Kundra
- Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - P S Nagaraja
- Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Naveen G Singh
- Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Manasa Dhananjaya
- Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - N Sathish
- Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - N Manjunatha
- Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
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15
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Sathish N, Singh NG, Nagaraja PS, Sarala BM, Prabhushankar CG, Dhananjaya M, Manjunatha N. Comparison between noninvasive measurement of central venous pressure using near infrared spectroscopy with an invasive central venous pressure monitoring in cardiac surgical Intensive Care Unit. Ann Card Anaesth 2017; 19:405-9. [PMID: 27397443 PMCID: PMC4971967 DOI: 10.4103/0971-9784.185520] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Introduction: Central venous pressure (CVP) measurement is essential in the management of certain clinical situations, including cardiac failure, volume overload and sepsis. CVP measurement requires catheterization of the central vein which is invasive and may lead to complications. The aim of this study was to evaluate the accuracy of measurement of CVP using a new noninvasive method based on near infrared spectroscopy (NIRS) in a group of cardiac surgical Intensive Care Unit (ICU) patients. Methodology: Thirty patients in cardiac surgical ICU were enrolled in the study who had an in situ central venous catheter (CVC). Sixty measurements were recorded in 1 h for each patient. A total of 1800 values were compared between noninvasive CVP (CVPn) obtained from Mespere VENUS 2000 CVP system and invasive CVP (CVPi) obtained from CVC. Results: Strong positive correlation was found between CVPi and CVPn (R = 0.9272, P < 0.0001). Linear regression equation - CVPi = 0.5404 + 0.8875 × CVPn (r2 = 0.86, P < 0.001), Bland–Altman bias plots showed mean difference ± standard deviation and limits of agreement: −0.31 ± 1.36 and − 2.99 to + 2.37 (CVPi–CVPn). Conclusion: Noninvasive assessment of the CVP based on NIRS yields readings consistently close to those measured invasively. CVPn may be a clinically useful substitute for CVPi measurements with an advantage of being simple and continuous. It is a promising tool for early management of acute state wherein knowledge of CVP is helpful.
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Affiliation(s)
- N Sathish
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Naveen G Singh
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - P S Nagaraja
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - B M Sarala
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - C G Prabhushankar
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Manasa Dhananjaya
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - N Manjunatha
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
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16
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Nagaraja PS, Singh NG, Subash S, Manjunatha N, Prabhushankar CG, Sathish N. Anesthetic management of a case of Gilbert's syndrome for mitral and aortic valve replacement: Role of transesophageal echocardiography. Saudi J Anaesth 2017; 11:89-92. [PMID: 28217062 PMCID: PMC5292861 DOI: 10.4103/1658-354x.197335] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Gilbert's syndrome (GS) is an autosomal inherited disorder characterized by relative deficiency of glucuronyl transferase and poor uptake of unconjugated bilirubin by hepatocytes. Cardiac surgery on cardiopulmonary bypass (CPB) in these patients triggers further hepatic dysfunction. Transesophageal echocardiography (TEE) and Doppler assessment of hepatic vein help in assessing hepatic blood flow (HBF) during cardiac surgery. Here, we discuss anesthetic management and role of TEE in maintaining HBF perioperatively in a 25-year-old male patient with GS undergoing double valve replacement with tricuspid valve plasty. TEE-guided HBF monitoring and management of hepatic perfusion by modifying anesthetic and CPB protocol resulted in the favorable outcome.
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Affiliation(s)
- P S Nagaraja
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Naveen G Singh
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - S Subash
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - N Manjunatha
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - C G Prabhushankar
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - N Sathish
- Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
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17
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Abstract
Human papillomavirus (HPV) is known to be associated with several types of human cancer, including cervical, vulvar, vaginal, penile, anal, and head-and-neck cancers. Among these cancers, HPV-associated head-and-neck cancers, inclusive of oropharyngeal squamous cell carcinoma (OSCC) and oral cavity squamous cell carcinomas (OCSCC), have recently risen dramatically in men under 50 years old. Within 20 years, the percentage of HPV-positive OSCC in total OSCC went from less than 20% to more than 70% in the United States and some European countries. This article reviews the incidence trend and pathogenesis of HPV-associated head-and-neck cancers as well as current treatment modalities for the disease.
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Affiliation(s)
- N Sathish
- Department of Biological Sciences, Indian Institute of Science Education and Research (IISER) Bhopal, Bhopal - 462023, Madhya Pradesh, India
| | - X Wang
- Institute of Human Virology, Sun Yat-sen University, Guangzhou, 510081, China
| | - Y Yuan
- Department of Microbiology, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
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18
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Sathish N, Prasad SR, Nagesh KS, Jagadeesh AM. Accidental cannulation of aberrant radial artery. Ann Card Anaesth 2014; 17:76-7. [PMID: 24401312 DOI: 10.4103/0971-9784.124165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
| | - S R Prasad
- Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
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Karanth KL, Sathish N. Review of advantages of Joel-Cohen surgical abdominal incision in caesarean section: a basic science perspective. Med J Malaysia 2010; 65:204-208. [PMID: 21939169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Caesarean section is a common operation and the best postoperative outcomes are desired. Surgical techniques have been devised or modified to reduce operative and post operative discomfort. Many studies have evaluated or compared the Joel-Cohen abdominal incision with Pfannenstiel incision and found the former to be superior for various reasons such as less postoperative febrile morbidity, less analgesia requirements, shorter operating time, less intra operative blood loss and adhesion formation, reduction in hospital stay and wound infection in the group undergoing Caesarean section by this technique. This study is to find whether better postoperative outcomes of the Joel-Cohen incision group can be justified by the explanations of fundamentals of the basic sciences. Literature was reviewed for randomized clinical trials and review articles comparing the different kinds of abdominal incisions for Caesarean section. The study revealed that the Joel-Cohen method was beneficial. The fundamentals of basic sciences were studied to try to find an explanation to the enumerated advantages of the Joel-Cohen procedure; attributing to the differences in the techniques used.
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Affiliation(s)
- K L Karanth
- Department of Obstetrics and Gynecology, Melaka Manipal Medical College, Melaka, Manipal University, India.
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20
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Jairam N, Shivaram HV, Murthy RA, Yadav N, Sathish N, Kumar V A, Payal K, Pandey V. More than just skin deep!: a report on a family with Muir-Torre syndrome. Int J Colorectal Dis 2007; 22:987-9. [PMID: 16575605 DOI: 10.1007/s00384-006-0119-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/03/2006] [Indexed: 02/04/2023]
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21
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Peedicayil A, Abraham P, Sathish N, John S, Shah K, Sridharan G, Gravitt P. Human papillomavirus genotypes associated with cervical neoplasia in India. Int J Gynecol Cancer 2006; 16:1591-5. [PMID: 16884371 DOI: 10.1111/j.1525-1438.2006.00631.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
The aim of this study was to determine the prevalence of human papillomavirus (HPV) genotypes in tissue with cervical neoplasias in patients from south and east India. Cross-sectional cervical tissue was obtained from 100 patients from south India and 30 patients from east India who had a biopsy for clinically invasive cervical cancer or cervical intraepithelial neoplasia (CIN) in a tertiary care hospital in India. DNA amplification was done with biotinylated PGMY 09/11 primers, and the line blot assay was used to determine the HPV genotype. HPV DNA was detected in 95% of invasive cancers (113/119) and 91% of CINs (10/11). A single HPV type was found in 100 women (77%), and mixed infections were found in 23 women (18%). HPV 16 (60%) and HPV 18 (14%) were the most frequent types, but 16 other types (26, 31, 33, 35, 42, 45, 51, 52, 53, 56, 58, 61, 62, 64, 81, and 82) were also identified. HPV 16 was present in 63% of patients from south India and in 50% of patients from east India, while HPV 18 was present in 12% and 20%, respectively. There are several high-risk HPV types associated with cervical neoplasias of which types 16 and 18 are the most common.
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Affiliation(s)
- A Peedicayil
- Department of Obstetrics and Gynaecology, Christian Medical College Hospital, Vellore, India.
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22
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Dhamodaran S, Sathish N, Pathak AP, Khan SA, Avasthi DK, Srinivasan T, Muralidharan R, Kesavamoorthy R, Emfietzoglou D. Raman and AFM studies of swift heavy ion irradiated InGaAs/GaAs heterostructures. J Phys Condens Matter 2006; 18:4135-4142. [PMID: 21690769 DOI: 10.1088/0953-8984/18/17/003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The effect of swift heavy ion (SHI) irradiation on InGaAs/GaAs heterostructures is studied using Raman spectroscopy and atomic force microscopy (AFM). The structures consist of molecular beam epitaxy (MBE) grown InGaAs layers on GaAs(001), having layer thicknesses of 12, 36, 60 and 96 nm. After irradiation, the GaAs type longitudinal optical (LO) mode blue shifted to higher frequency in thin samples and red shifted towards lower frequency in thick samples. These results are discussed invoking the penetration depth of the probe radiation (λ = 514.5 nm) in InGaAs. Deconvoluting the Raman spectra of thin samples indicates a compressive strain developed in the substrate, close to the interface upon irradiation. This modification and diffusion of indium across the interface results in an increase of strain and reduction of the defect densities in the InGaAs layer. The variations in FWHM of the Raman modes are discussed in detail. The surface morphology of these heterostructures has been studied by AFM before and after SHI irradiation. These studies, combined with Raman results, help to identify different relaxation regimes.
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Affiliation(s)
- S Dhamodaran
- School of Physics, University of Hyderabad, Central University (PO), Hyderabad 500 046, India
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23
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Chandy S, Mitra S, Sathish N, Vijayakumar TS, Abraham OC, Jesudason MV, Abraham P, Yoshimatsu K, Arikawa J, Sridharan G. A pilot study for serological evidence of hantavirus infection in human population in south India. Indian J Med Res 2005; 122:211-5. [PMID: 16251777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Hantaviruses are rodent-borne viruses of the family Bunyaviridae that have been identified as aetiological agents of two human diseases, haemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS). There are no reports of hantavirus infections in humans from India, hence this pilot study was undertaken to provide the serological evidence of hantavirus infections in humans in south India. METHODS Serum samples were obtained from individuals with acute febrile illness and from voluntary blood donors, majority of whom were from south India. Serum samples were tested for anti-hantavirus IgM using a commercial enzyme immunoassay (EIA). Samples found positive by the EIA were tested by an indirect immunofluorescence assay (IFA) using slides coated with Seoul virus (SEOV) infected cells as substrate. RESULTS Of the 152 serum samples from individuals with pyrexic illness, 23 (14.7%) were positive for anti-hantavirus IgM by EIA. In contrast, only 5.7 per cent of healthy blood donors were positive by this assay. Eighteen of the 22 (82%) EIA-positive samples from patients were positive by the IFA assay. In contrast, only 2 of the 5 (40%) blood donor EIA positive samples were positive in the IFA assay. INTERPRETATION AND CONCLUSION The finding of this study indicated the possible presence of hantavirus infections in the human population of India presenting both as asymptomatic and symptomatic infections. Further studies need to be done to confirm the findings on a larger sample using molecular techniques.
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Affiliation(s)
- S Chandy
- Department of Clinical Virology, Christian Medical College, Vellore, India
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24
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Manayani DJ, Shaji RV, Fletcher GJ, Cherian T, Murali N, Sathish N, Solomon T, Gnanamuthu C, Sridharan G. Comparison of molecular and conventional methods for typing of enteroviral isolates. J Clin Microbiol 2002; 40:1069-70. [PMID: 11880442 PMCID: PMC120247 DOI: 10.1128/jcm.40.3.1069-1070.2002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Twenty-eight enteroviral isolates obtained from various clinical specimens were typed by Lim-Benyesh-Melnick (LBM) pool-based neutralization, PCR-restriction fragment length polymorphism (RFLP), and partial sequencing of the VP1 region of the enteroviral genome. Sequencing was found to be a good alternative to LBM typing, while PCR-RFLP was inadequate for identification of enteroviral isolates.
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Affiliation(s)
- Darly Joseph Manayani
- Department of Clinical Virology, Christian Medical College and Hospital, Vellore-632004, India
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25
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Sathish N, Manayani DJ, Shankar V, Abraham M, Nithyanandam G, Sridharan G. Comparison of IgM capture ELISA with a commercial rapid immunochromatographic card test & IgM microwell ELISA for the detection of antibodies to dengue viruses. Indian J Med Res 2002; 115:31-6. [PMID: 12138661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND & OBJECTIVES There is a need for a reliable test for the early diagnosis of dengue fever (DF), which is now active in many parts of India especially in the post monsoon months. This study evaluated two commercial tests with an assay available from a national laboratory in India to obtain information and to make a comparison among the three tests as to which will be the most suited for the detection of IgM antibodies to dengue virus. METHODS An IgM capture ELISA (National Institute of Virology, Pune, India) was compared with two commercial tests, the PanBio Rapid Immunochromatographic Card Test (Brisbane, Australia) and the PanBio Microwell IgM ELISA for the detection of IgM antibodies to dengue virus. We tested 154 samples from individuals with febrile illnesses having DF--like symptoms. RESULTS The NIV IgM capture ELISA (MAC-ELISA) showed a high positivity rate (38.9%) as compared to the PanBio Rapid (22.7%) and the PanBio IgM ELISA (20.7%). The true prevalence of disease, sensitivity and specificity of the three tests were estimated using 2LC latent class models using expectation-maximization (EM) algorithm. The NIV MAC-ELISA showed a high sensitivity (96%) as compared to PanBio Rapid (73%) and PanBio IgM ELISA (72%). A subset of 68 samples (of the 154 tested) were analyzed by the NIV MAC-ELISA for IgM antibodies additionally to Japanese encephalitis (JE) and West Nile (WN) of which 31 samples showed positivity to either one, two or all three flaviviruses. Out of the 8 samples which were positive for dengue IgM alone by the NIV MAC-ELISA, only 2 (25%) each were picked up by the other 2 tests. While out of 7 samples positive for IgM to all three flaviviruses IgM by the NIV MAC-ELISA, 5 (71%) were picked up by the other 2 tests. Of the 5 that were picked up by the PanBio tests, 3 had the highest absorbance values to WN by the NIV MAC-ELISA, indicating cross reactivity by PanBio tests. INTERPRETATION & CONCLUSION The MAC-ELISA though a 3 day procedure, would be a valuable screening test for the detection of IgM to dengue in routine diagnostic laboratories because of its high sensitivity and specificity rates. The test uses specific viral antigens to detect IgM antibodies not only to dengue but also to JE and West Nile as a result of which IgM antibodies to all the 3 commonly encountered flaviviruses can be detected in a single run. It also has the advantage in that depending on the strength of the antibody units obtained to a specific flaviviral antigen, presumptive diagnosis as to which particular arboviral infection has occurred can be made in conjunction with clinical presentation.
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Affiliation(s)
- N Sathish
- Department of Clinical Virology, Christian Medical College & Hospital, Vellore, India
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