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Golijanin B, Malshy K, Bhatt V, Homer A, Ochsner A, Wales R, Khaleel S, Mega A, Pareek G, Hyams E. Response to shared decision making in prostate cancer screening: Different perspective of public health physicians and urologists. Cancer Epidemiol 2024:102570. [PMID: 38641469 DOI: 10.1016/j.canep.2024.102570] [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] [Received: 03/26/2024] [Accepted: 03/28/2024] [Indexed: 04/21/2024]
Affiliation(s)
- B Golijanin
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - K Malshy
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - V Bhatt
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - A Homer
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - A Ochsner
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - R Wales
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - S Khaleel
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - A Mega
- Lifespan Cancer Institute, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - G Pareek
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
| | - E Hyams
- The Minimally Invasive Urology Institute at the Miriam Hospital, Lifespan Academic Hospitals, Legoretta Cancer Center, Warren Alpert Medical School of Brown University, Providence, RI 02906, USA
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Rhee RL, Rebello R, Tamhankar MA, Banerjee S, Liu F, Cao Q, Kurtz R, Baker JF, Fan Z, Bhatt V, Amudala N, Chou S, Liang R, Sanchez M, Burke M, Desiderio L, Loevner LA, Morris JS, Merkel PA, Song JW. Combined Orbital and Cranial Vessel Wall Magnetic Resonance Imaging for the Assessment of Disease Activity in Giant Cell Arteritis. ACR Open Rheumatol 2024; 6:189-200. [PMID: 38265177 PMCID: PMC11016572 DOI: 10.1002/acr2.11649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 09/05/2023] [Accepted: 11/20/2023] [Indexed: 01/25/2024] Open
Abstract
OBJECTIVE Acute visual impairment is the most feared complication of giant cell arteritis (GCA) but is challenging to predict. Magnetic resonance imaging (MRI) evaluates orbital pathology not visualized by an ophthalmologic examination. This study combined orbital and cranial vessel wall MRI to assess both orbital and cranial disease activity in patients with GCA, including patients without visual symptoms. METHODS Patients with suspected active GCA who underwent orbital and cranial vessel wall MRI were included. In 14 patients, repeat imaging over 12 months assessed sensitivity to change. Clinical diagnosis of ocular or nonocular GCA was determined by a rheumatologist and/or ophthalmologist. A radiologist masked to clinical data scored MRI enhancement of structures. RESULTS Sixty-four patients with suspected GCA were included: 25 (39%) received a clinical diagnosis of GCA, including 12 (19%) with ocular GCA. Orbital MRI enhancement was observed in 83% of patients with ocular GCA, 38% of patients with nonocular GCA, and 5% of patients with non-GCA. MRI had strong diagnostic performance for both any GCA and ocular GCA. Combining MRI with a funduscopic examination reached 100% sensitivity for ocular GCA. MRI enhancement significantly decreased after treatment (P < 0.01). CONCLUSION In GCA, MRI is a sensitive tool that comprehensively evaluates multiple cranial structures, including the orbits, which are the most concerning site of pathology. Orbital enhancement in patients without visual symptoms suggests that MRI may detect at-risk subclinical ocular disease in GCA. MRI scores decreased following treatment, suggesting scores reflect inflammation. Future studies are needed to determine if MRI can identify patients at low risk for blindness who may receive less glucocorticoid therapy.
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Affiliation(s)
| | - Ryan Rebello
- St Joseph's Hospital and McMaster UniversityHamiltonOntarioCanada
| | | | | | - Fang Liu
- University of PennsylvaniaPhiladelphia
| | - Quy Cao
- University of PennsylvaniaPhiladelphia
| | | | | | | | | | | | | | - Rui Liang
- University of PennsylvaniaPhiladelphia
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Orr A, Lee J, Bhatt V, Kosak Z, Wilson S, Linganna A. TaskMaster: The Subintern Adventure Game-Game-Based Learning for Medical Subintern Task Prioritization. MedEdPORTAL 2023; 19:11373. [PMID: 38162952 PMCID: PMC10755083 DOI: 10.15766/mep_2374-8265.11373] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 10/09/2023] [Indexed: 01/03/2024]
Abstract
Introduction The medical subinternship (also known as an acting internship) offers postclerkship medical students an opportunity for significant professional development. However, the skills required of a successful subintern-efficiency, patient triage, and advanced organization-are distinct from skills generally refined during the medicine clerkship. Few published curricula exist to prepare postclerkship students for success in this new role. To address this training gap, we introduced a novel tabletop role-playing game to equip medical subinterns with the necessary skills to deliver safe and efficient patient care. Methods We created an hour-long game-based learning session for rising internal medicine and family medicine subinterns. Led by a single facilitator, students worked together to triage and complete tasks in a gamified simulated environment of a morning on the wards. To assess the session, we surveyed participants (N = 130) immediately after activity completion. Results Eighty-three participants completed the postactivity survey, for a response rate of 64%. A majority of students agreed that TaskMaster: The Subintern Adventure Game met its educational goals of increasing comfort with task prioritization, organization, and patient triage. Ninety-three percent of respondents (77 of 83) either agreed or strongly agreed that they felt more prepared to be a covering provider for patients after the activity. Participants also reported high engagement with the activity. Discussion Leveraging the interactivity, teamwork, and contextualized practice of game-based learning can offer low-cost and adaptable opportunities to teach higher-order clinical skills and increase preparedness for the subinternship.
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Affiliation(s)
- Andrew Orr
- Assistant Professor of Clinical Medicine and Internal Medicine Subinternship Co-Director, Perelman School of Medicine at the University of Pennsylvania
| | - Jennifer Lee
- Assistant Professor of Clinical Family Medicine and Community Health and Family Medicine Subinternship Director, Perelman School of Medicine at the University of Pennsylvania
| | - Vatsal Bhatt
- Instructor of Clinical Medicine, Perelman School of Medicine at the University of Pennsylvania
| | - Zachary Kosak
- Assistant Professor of Clinical Family Medicine and Community Health, Perelman School of Medicine at the University of Pennsylvania
| | - Steven Wilson
- Instructor of Clinical Medicine, Perelman School of Medicine at the University of Pennsylvania
| | - Ashok Linganna
- Associate Professor of Clinical Medicine and Internal Medicine Subinternship Co-Director, Perelman School of Medicine at the University of Pennsylvania
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Joshi T, Joshi T, Sharma P, Mathpal S, Pundir H, Bhatt V, Chandra S. In silico screening of natural compounds against COVID-19 by targeting Mpro and ACE2 using molecular docking. Eur Rev Med Pharmacol Sci 2020; 24:4529-4536. [PMID: 32373991 DOI: 10.26355/eurrev_202004_21036] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Currently, Coronavirus COVID-19 is spreading worldwide very rapidly and its control is very difficult because there is no effective vaccine or drugs available in markets. This virus can infect both animals and people and cause illnesses of the respiratory tract. WHO has declared Coronavirus as pandemic and the whole world is fighting against Coronavirus. Globally, more than 199,478 people have been diagnosed with COVID-19. As of March 18, 2020, more than 167 countries have been affected and more than 8000 deaths have been reported. The main country being affected is China followed by Italy, Iran, Spain, France, and the USA. MATERIALS AND METHODS Since there are no effective drugs available against Coronavirus, we conducted virtual screening of phytochemicals to find novel compounds against this virus. Hence, we created a phytochemical library of 318 phytochemicals from 11 plants which have been reported as antiviral, antibacterial and antifungal activity. The phytochemical library was subjected to virtual screening against molecular targets; Main protease (Mpro) and Angiotensin-Converting Enzyme 2 (ACE2). RESULTS Top 10 compounds were selected from each target which had better and significantly low binding energy as compared to the reference molecule. CONCLUSIONS Based on the binding energy score, we suggest that these compounds can be tested against Coronavirus and used to develop effective antiviral drugs.
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Affiliation(s)
- T Joshi
- Department of Biotechnology, Kumaun University, Bhimtal Campus, Bhimtal, Uttarakhand, India.
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Affiliation(s)
- Vatsal Bhatt
- Third-year student, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey . Third-year student, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey;
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Brezina L, Maharaj K, Rathod N, Bhatt V. Outcomes on implementing an emergency daytime theatre for oral and maxillofacial surgery at Mid-Essex Hospital Trust. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bhatt V, Parrish J, Chhabra P, Nute S. Miniplate temporary orthodontic bone anchorage devices for maxillary molar intrusion — the challenges. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Bhatt V, Parrish J, Kerai T, Nute S, Singh A, Chhabra P. Patient satisfaction with orthognathic treatment — does the view change with time? Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.1076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Palumbo D, Bhatt V. Correction of secondary facial deformity using patient specific implants designed by CAD/CAM technology. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Bhatt V, Pillai R. Efinaconazole topical solution, 10%: formulation development program of a new topical treatment of toenail onychomycosis. J Pharm Sci 2015; 104:2177-82. [PMID: 25940933 DOI: 10.1002/jps.24459] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2014] [Revised: 03/27/2015] [Accepted: 03/31/2015] [Indexed: 11/07/2022]
Abstract
Transungual drug delivery of antifungals is considered highly desirable to treat common nail disorders such as onychomycosis, due to localized effects, and improved adherence resulting from minimal systemic adverse events. However, the development of effective topical therapies has been hampered by poor nail penetration. An effective topical antifungal must permeate through, and under the dense keratinized nail plate to the site of infection in the nail bed and nail matrix. We present here the formulation development program to provide effective transungual and subungual delivery of efinaconazole, the first topical broad spectrum triazole specifically developed for onychomycosis treatment. We discuss the important aspects encompassing the formulation development program for efinaconazole topical solution, 10%, focusing on its solubility in a number of solvents, in vitro penetration through the nail, and in vivo efficacy. Efinaconazole topical solution, 10% is a stable, non-lacquer, antifungal with a unique combination of ingredients added to an alcohol-based formulation to provide low surface tension and good wetting properties. This low surface tension is believed to affect effective transungual delivery of efinaconazole and believed to provide a dual mode of delivery by accessing the nail bed by wicking into the space between the nail and nail plate.
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Affiliation(s)
- V Bhatt
- Dow Pharmaceutical Sciences (A Division of Valeant Pharmaceutical North America LLC), Petaluma, California
| | - R Pillai
- Dow Pharmaceutical Sciences (A Division of Valeant Pharmaceutical North America LLC), Petaluma, California
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Dowell J, Bertke M, Bhatt V, Guan Y, Jin S, Warhadpande S, Sarbinoff J, Erdal S, Spain J, Gadkari M. Lean Six Sigma approach to improving IR scheduling. J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.12.564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Bhatt V, Barnard N. Tension free vaginal tape in static facial reanimation: new use for a well tested device. Ann R Coll Surg Engl 2011. [PMID: 22041249 DOI: 10.1308/003588411x13165261994238d] [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: 11/22/2022] Open
Affiliation(s)
- V Bhatt
- Worcester Royal Infirmary, Worcester, UK.
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Bhatt V, Barnard N. Tension free vaginal tape in static facial reanimation: new use for a well tested device. Ann R Coll Surg Engl 2011; 93:648-648. [DOI: 10.1308/rcsann.2011.93.8.648b] [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: 08/30/2023] Open
Affiliation(s)
- V Bhatt
- Worcester Royal Infirmary Worcester, UK
| | - N Barnard
- Worcester Royal Infirmary Worcester, UK
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Abstract
The successful management of midface and craniofacial trauma requires a thorough understanding of the anatomy and functional demands of this complex region. To achieve optimal outcomes, it is necessary that these injuries are accurately diagnosed and managed in a multi-disciplinary environment at the appropriate time. This review article discusses an overview of these injuries and highlights some of the key principles of management.
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Affiliation(s)
- K McVeigh
- Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, UK
- Oral and Maxillofacial Surgery, Royal Gwent Hospital, Newport, South Wales, UK
| | - V Bhatt
- Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, UK
| | - J Green
- Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, UK
| | - A Monaghan
- Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, UK
| | - MS Dover
- Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, UK
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Timoney JP, McGuffy D, DeRitis D, Tyler E, Sumka J, Pozotrigo M, Bhatt V, Chan A, Sklarin NT. Incidence of hypersensitivity reactions (HSRs) to albumin-bound paclitaxel (ABI) in patients (pts) with a history of HSR to cremophor-based paclitaxel (P). J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.2566] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Anderson S, Zhao J, Ubhi J, Bhatt V, Webster K. 79 Evaluation of conformity between clinical and pathological TNM staging for oral and oropharyngeal squamous cell cancer. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60080-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ubhi J, Bhatt V, Monaghan A. P31 Patient satisfaction following endovascular embolization of craniofacial high flow vascular malformations (CVHM) using Onyx. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60122-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Bhatt V, Jilka A, Sharp I. 61 Orbital wall reconstruction with Medartis Modus OPS 1.5 system – University Hospital Birmingham experience over 12 months. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60062-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bhatt V, Monaghan A, Brown AM, Rippin JW. Does the glandular odontogenic cyst require aggressive management? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92:249-51. [PMID: 11552137 DOI: 10.1067/moe.2001.116510] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Kapoor L, Chowdhary A, Malhotra VL, Bhatt V. Giardiasis--clinical and diagnostic perspective. J Commun Dis 2001; 33:72-7. [PMID: 12170940] [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: 02/26/2023]
Abstract
Fifty patients of chronic diarrhoea in the pediatric age group admitted in Kalawati Saran Children's Hospital were studied. Thirty cases were diagnosed to be suffering from giardiasis based on microscopy of fecal and/or duodenal fluid specimens. Fecal specimen microscopy missed two cases which were diagnosed by duodenal aspirate microscopy and vice-versa. All fecal specimens were negative on culture, while duodenal aspirate culture gave large number of false negative results. Serum immunoglobulin levels did not show significant changes. Thus, routine microscopic testing is presently the best means for early diagnosis of giardiasis.
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Affiliation(s)
- L Kapoor
- Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi-110 001
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Bhatt V, Narayana N. Carabelli's trait in Indian students at Manipal, Karnataka. J Pierre Fauchard Acad 1993; 7:93-9. [PMID: 9791245] [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: 02/09/2023]
Abstract
Occurrence of the various forms of Carabelli's trait on maxillary first permanent molars was studied in 376 Indian students at Manipal, Karnataka, a state in south India. The trait was found absent in 64.4% of the teeth studied. Slight tubercles were found more often than pronounced tubercles and more tubercles were found in males than females; conversely the absence of the trait was observed more often in girls than boys. The sample was divided into two groups. Group I consisted of North Indians and Group II consisted of South Indians. Variations in occurrence of the trait between North Indian and South Indian students were studied and it was found to occur almost equally in both groups. The study was extended to observe variations in occurrence of the trait between Indian students of Indian and Foreign nationality but no significant variation was observed.
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Affiliation(s)
- V Bhatt
- Department of Oral Medicine and Oral Pathology, Mount Hope Hospital, St. Augustine, West Indies
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Abstract
Sisomicin sulphate is a new-generation aminoglycoside with a broad spectrum of antimicrobial activity that includes Pseudomonas aeruginosa. It is superior to gentamicin against indole-negative Proteus and some resistant strains of Pseudomonas. The ocular pharmacokinetics of sisomicin have not been explored. We used the agar diffusion technique of microbial assay to determine the aqueous penetration and bioavailability of a subconjunctivally placed standard dose of 20 mg/0.4 ml of sisomicin sulphate in 20 human volunteers undergoing elective cataract surgery. A peak concentration of 16.4 mg/l was found in the aqueous humour 78 minutes after injection, which is 65 times the minimum inhibitory concentration for Pseudomonas. The antibiotic was bioavailable up to 1203 minutes after injection in a concentration of 0.9 mg/l, which easily covers the minimum inhibitory concentration of Staphylococcus aureus and Pseudomonas. The antibiotic disappears from the aqueous humour at the 1434 minute interval (approximately 24 hours). The elimination half-life (t1/2 of sisomicin was determined to be 5.16 hours (K = 0.134/hour) and the aqueous clearance was 2.87 microliters/min.
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Affiliation(s)
- S Desai
- Rupal Gajjar Low Vision Aid Center, Tarabai Desai Eye Hospital, Shastri Nagar Jodphur, Rajasthan, India
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Bhatt V, Nahata MC. Pharmacologic management of patent ductus arteriosus. Clin Pharm 1989; 8:17-33. [PMID: 2643499] [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: 01/01/2023]
Abstract
The incidence, pathophysiology, and clinical findings of symptomatic patent ductus arteriosus (PDA) are reviewed, and the pharmacologic management of symptomatic PDA is discussed. Spontaneous closure of the ductus arteriosus (DA) usually occurs within four days after birth in most premature and full-term infants. The incidence of PDA is related to birth weight in premature infants and has been shown to decrease with an increase in birth weight. Clinical findings are reviewed. Prophylactic treatment in the first few hours after birth may not be needed in most premature infants. Treatment should be considered only if the ductus becomes symptomatic. Medical management consists of respiratory support, fluid restriction, diuretics, digoxin, and indomethacin. Respiratory support, fluid restriction, and diuretics are used as first-line treatment of symptomatic PDA. Digoxin cannot be recommended as part of first-line therapy, since its risks seem to outweigh the benefits in preterm infants. Indomethacin should be used only if other standard measures including fluid restriction and diuretic treatment fail. The mechanism of action, pharmacokinetics, adverse effects, and drug interactions of indomethacin are discussed. Symptomatic PDA can increase morbidity and mortality, especially in very low birth weight infants. Treatment of symptomatic PDA may decrease the morbidity associated with this condition.
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Affiliation(s)
- V Bhatt
- College of Pharmacy, Ohio State University, Columbus 43210
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Shukla IM, Bhatt V, Shinde VA. Paper chromatographic analysis of aminoacids in human lenses. Indian J Ophthalmol 1981; 29:331-3. [PMID: 7346453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
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Bhatt V, Verma IC, Puri RK. Mollaret's meningitis (recurrent aseptic meningitis). Indian Pediatr 1978; 15:961-4. [PMID: 751931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Chattopadhaya ML, Mittal MM, Bhatt V, Bhargava SP, Sharma ML. Study of some of the factors in the epidemiology of coronary heart disease in Delhi area. J Indian Med Assoc 1969; 52:309-15. [PMID: 5801859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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