Pectoral nerve block1 versus modified pectoral nerve block2 for postoperative pain relief in patients undergoing modified radical mastectomy: a randomized clinical trial.

BACKGROUND: Pectoral nerve block1 (PEC1) given between pectoralis major and minor, and modified pectoral nerve block2 (mPEC2) performed between pectoralis minor and serratus anterior, can provide continuous analgesia after modified radical mastectomy (MRM) when catheters are placed before skin closure. This study was designed to compare PEC1 and mPEC2 block for providing postoperative pain relief after MRM. METHODS: Sixty-two physically fit patients undergoing MRM were assigned into two groups (Group PEC1, n=31 and Group mPEC2, n=31). Before wound closure, epidural catheter was placed in the group designated muscle plane and 30ml of 0.25% bupivacaine was injected through the catheter after wound closure. Bupivacaine 15ml of 0.25% top up was given on patient's demand or whenever visual analogue scale (VAS) score was>4. Time for first analgesia (TFA), number of top ups and VAS was recorded at 0.5, 6, 12, 18, 24 h after surgery. Sensory blockade was assessed 30 min after extubation. RESULTS: Analgesia was significantly prolonged in group mPEC2 [mean(SD)] 313.45(43.05) vs 258.87(34.71) min in group PEC1, P<0.001. Total pain experienced over 24 h was significantly less in group mPEC2 [mean(SD)] 9.77(6.93) than in group PEC1 24.19(10.81), P<0.0001. Consequently, top up requirements were significantly reduced in group mPEC2 than in group PEC1 [median(range)] 3(2-4) vs 4(3-5) respectively, P<0.001. Lateral pectoral (77.42% and 35.48%) and thoracodorsal nerves (93.55% and 48.39%) had higher incidence of sensory block in group mPEC2 than group PEC1, P<0.001. CONCLUSIONS: mPEC2 provides better postoperative analgesia than PEC1 when catheters are placed under direct vision after MRM. CLINICAL TRIAL REGISTRATION: CTRI/2017/02/007811 (REF/2015/11/010185).

Observation of forbidden exciton transitions mediated by Coulomb interactions in photoexcited semiconductor quantum wells.

We use terahertz pulses to induce resonant transitions between the eigenstates of optically generated exciton populations in a high-quality semiconductor quantum well sample. Monitoring the excitonic photoluminescence, we observe transient quenching of the 1s exciton emission, which we attribute to the terahertz-induced 1s-to-2p excitation. Simultaneously, a pronounced enhancement of the 2s exciton emission is observed, despite the 1s-to-2s transition being dipole forbidden. A microscopic many-body theory explains the experimental observations as a Coulomb-scattering mixing of the 2s and 2p states, yielding an effective terahertz transition between the 1s and 2s populations.

An Atmosphere on Ganymede from Its Occultation of SAO 186800 on 7 June 1972.

On 7 June 1972 the third , Jovian satellite Ganymede occulted the eighth-magnitude star SAO 186800. Successful photoelectric observations obtained at Lembang, Java (Indonesia), and Kavalur, India, show nonabrupt immersions and emersions, indicating the presence of an atmosphere whose surface pressure is greater than about 10(-3) millibar. By fitting the two occultation durations as chords to a model disk, the diameter is found to be 5270 (+30, - approximately 200) kilometers, the major error contribution arising from the uncertain atmospheric thickness below the occultation layer. The derived mean density is 2.0 (-0.03, + approximately 0.2) grams per cubic centimeter.

Assessment of the status of municipal solid waste management in metro cities, state capitals, class I cities, and class II towns in India: an insight.

Solid waste management is one of the most challenging issues in urban cities, which are facing a serious pollution problem due to the generation of huge quantities of solid waste. This paper presents an assessment of the existing situation of municipal solid waste management (MSWM) in major cities in India. The quantity and composition of MSW vary from place to place, and bear a rather consistent correlation with the average standard of living. Extensive field investigations were carried out for quantification, analysis of physical composition, and characterization of MSW in each of the identified cities. The MSW management status (per the MSW Rules, 2000) has also been assessed, and an action plan for better management has been formulated; both are presented in this paper. Studies carried out in 59 selected cities in India have revealed that there are many shortcomings in the existing practices used in managing the MSW. These shortcomings pertain mainly to inadequate manpower, financial resources, implements, and machinery required for effectively carrying out various activities for MSWM. To overcome the deficiencies in the existing MSWM systems, an indicative action plan has been presented incorporating strategies and guidelines. Based on this plan, municipal agencies can prepare specific action plans for their respective cities.

Microbial dynamics and enzyme activities during rapid composting of municipal solid waste - a compost maturity analysis perspective.

An investigation was carried out in the laboratory to find out the microbial dynamics and enzyme activities during rapid composting of municipal solid waste (MSW). Various treatments such as aeration (A), addition of chemical agents (glucose (G) and acetic acid (AA) and application of cellulolytic microbial (M) inoculum (Phanerochaete chrysosporium and Trichoderma reesei) were used to facilitate the decomposition of MSW. The result of the present investigation revealed that the degradation of organic substrates were quick (within 9-12 days) in case of rapid composting as indicated by the reduction (below 20) in C/N ratio. Whereas, normal composting took more than 20 days to attain C/N ratio of below 20. Estimation of selected enzymes (amylase, protease, phosphatase and cellulase) provided information on the substrate specific degradation profiles of various labile substrates contained in organic waste.

Effect of heavy metals on earthworm activities during vermicomposting of municipal solid waste.

The effect of heavy metals on the activities of earthworm species Eudrillus eugineae was studied during vermicomposting of municipal solid waste (MSW) spiked with heavy metals. The activities of earthworms, in terms of growth and biomass production and number of cocoons produced, were monitored periodically, and the concentration of heavy metals in earthworms and substrates was determined at definite intervals. Laboratory-scale experiments were performed by mixing individual heavy metals in MSW. Copper, cadmium, chromium, lead, and zinc were selected for the study. The study concludes that heavy metals tend to accumulate in the body of earthworms; hence, the inherent concentration of heavy metals in the substrate before vermicomposting must be considered in view of composting of MSW and its application to soil. It was observed that copper and cadmium were toxic for the worms at 1.5 and 0.1 g/kg of the waste, respectively. The studies also suggest that earthworms are susceptible to the free form of heavy metals. Cadmium is the most toxic metal, followed by copper. Based on the investigation and observation, it was also found that earthworms should be separated from castings before the use of castings in soil amendments.

Studies on acidification in two-phase biomethanation process of municipal solid waste.

Biomethanation of municipal solid waste (MSW) is a slow process and the yield of biogas is usually low. Enhancement of acidification is necessary to increase the biogas yield in biomethanation of MSW. MSW contains a significant fraction of ligno-cellulosic material. The acidification of these materials influences the biogas yield. In the present study, hydrolysis and acidification have been considered as a combined phase. Experiments have been conducted to study the effect of recirculation of leachate on the acidification stage of the two-phase biomethanation process. Chemical oxygen demand (COD) and volatile fatty acid (VFA) were considered as indicator parameters. The study was also conducted to investigate the effect of using acid and alkali solution of 0.1% concentration in the acidification study. It was observed that daily recirculation of leachate does not have any major impact on the acidification process. It was also observed that treatment of MSW with sodium hydroxide yields leachate of significantly higher COD and VFA values compared to others.

Characterization of municipal solid waste in high-altitude sub-tropical regions.

Solid waste management (SWM) is one of the most challenging issues owing to lack of authentic data on different elements of SWM, namely, storage, collection, transportation, separation, processing and disposal. This study presents an assessment of existing status of SWM in conjunction with municipal solid waste (MSW) generation rates, physical and chemical characterization of MSW in high-altitude sub-tropical regions. Weighing of empty and fully loaded trucks per trip revealed total quantity of MSW collected. The average efficiency of MSW collection was 70%. From the baseline data, it is inferred that the population and MSW generation rates are not co-related. The collected MSW included biodegradables (organic wastes), paper, plastic, glass, ceramics, metals, inert materials, ash and debris. The data analysis indicated that the biodegradable components dominate the characterization at 54.83% followed by inert, ash and debris at 21.06%, paper at 8.77%, plastic at 8.18%, glass and ceramics at 4.45% and metals at 2.71%. Statistical measures were also applied and 90% confidence interval (CI) was generated for the characterization data measuring its statistical significance.

Aggregation of insulin by chlorpromazine.

Chlorpromazine (CPZ) is known to induce hyperglycaemia and can inhibit insulin secretion in both normal subjects and patients with latent diabetes mellitus. In this study, we have tried to determine a probable mechanism by which CPZ causes hyperglycaemia. It is possible that CPZ causes insulin aggregation by the reduction of disulphide bonds, thereby inactivating insulin and hence causing hyperglycaemia.

Interaction of chlorpromazine with myoglobin and hemoglobin. A comparative study.

The mode and nature of the binding of chlorpromazine (CPZ), a psychotropic drug, with myoglobin, a monomeric muscle protein, were studied spectrofluorometrically and the results compared with those from the binding of CPZ to hemoglobin, a tetrameric allosteric protein from red blood cells (RBC). CPZ interacted with myoglobin in a non-cooperative mode, with a binding constant of 8.4 x 10(3) M-1 in 0.145 M NaCl, pH 6.8, whereas in the case of hemoglobin this interaction was found to be positively cooperative with a binding constant of 4.2 x 10(3) M-1. The interaction of CPZ with myoglobin was not influenced by the NaCl molarity of the solution, whereas CPZ interaction with hemoglobin significantly decreased with increasing NaCl molarity, indicating that CPZ-hemoglobin binding is mostly electrostatic in nature, whereas that of the CPZ-myoglobin complex is of a non-electrostatic type. Thermodynamic analysis revealed that binding of CPZ to hemoglobin was exothermic (delta H degrees = -2.65 kcal/mol), whereas binding to myoglobin was endothermic (delta H degrees = + 1.39 kcal/mol) with a high entropic contribution (delta S degrees = +23 cal/degree/mol), suggesting that CPZ binding to myoglobin is hydrophobic in nature. Such contrasting binding features of this drug have been discussed in the light of a typical subunit interaction property present and absent in hemoglobin and myoglobin, respectively.

Effect of cold exposure on the amylase activity of submaxillary gland of rats.

Cold exposure of rats for 3 h (6 +/- 2 degrees C) caused an increase in amylase activity of the submaxillary gland. This effect was not observed in other salivary glands i.e. parotid and sublingual or in the pancreas. The increase of amylase activity during cold exposure was completely abolished by the beta-receptor antagonist, propranolol, and the alpha-receptor antagonist, phenoxybenzamine, reduced the effect. Administration of actinomycin D to the cold-exposed rats produced a tremendous increase of enzyme activity instead of abolition of the increase as had been expected.

Effect of cold exposure on peroxidase and iodinase activities of rat submandibulary gland.

Exposure of rats to 6 +/- 2 degrees C for 3 h caused an increase in peroxidase activity (55%) and tyrosine iodinase activity (40%) of the submandibulary glands. Thiocyanate, hydrogen peroxide and formation of triiodide from iodide were also elevated under the same conditions. Administration of alpha-receptor blockers and indomethacin prevented the rise of peroxidase activity during cold stress whereas beta-receptor blockers were less effective.

Dioflorin, a Minor Flavonoid from Dioclea grandiflora

Dioflorin (1) was isolated as a minor constituent from the rootbark of Dioclea grandiflora, the crude extract of which demonstrated analgesic activity. The structure of 1 has been determined to be 5,7,2'-trihydroxy-8-methoxy-6-(3-methyl-2-butenyl)flavanone on the basis of spectral analysis.

Constituents of Spartina cynosuroides: isolation and 13C-NMR analysis of tricin.

Tricin was isoalted from the aerial parts of the marsh plant Spartina cynosuroides, which yielded a fraction enriched in antiluekemic activity. The 13C-NMR spectrum of tricin is discussed.

Studies on the effects of lipopolysaccharide on lipid peroxidation of erythrocyte and its reversal by mannitol and glycerol.

Gram-negative sepsis often produces endotoxin (LPS) which causes infection. Reduction in tissue perfusion due to microcirculatory failure may lead to septic shock. We studied the effect of LPS on lipid peroxidation of erythrocyte. In vitro studies using 50 microg to 250 microg LPS/ml blood showed increased lipid peroxidation of erythrocyte in a dose-dependent manner. The increased effect of lipid peroxidation does not occur with LPS when erythrocytes were washed to remove plasma and leukocytes. Mannitol and glycerol, known scavengers of hydroxyl radical, arrest the elevation in lipid peroxidation of erythrocytes after LPS treatment. Hemolysis of erythrocytes was reduced with low doses of LPS. Plasma lipid peroxidation was elevated after treatment of blood with LPS. From the results we suggest that the peroxidation of erythrocyte lipid caused by LPS may probably play a role in the production of septic shock.

Effect of endotoxin on protein degradation and lipid peroxidation of erythrocytes.

Sepsis has often been associated with infection due to endotoxin (LPS) produced from gram-negative bacteria. Microcirculatory failure is one of the ultimate causes of septic shock. We studied the effect of endotoxin on the protein breakdown and lipid peroxidation of erythrocyte. In vivo (20 ug LPS/100 g) studies in rats showed increased tyrosine production from erythrocyte, as an index of protein degradation in erythrocyte. In vitro studies using 25 microg to 250 microg LPS per ml also showed similar type of increased effect of endotoxin in protein degradation. Washed erythrocyte devoid of plasma and leucocytes did not show any increased effect after endotoxin treatment. Lipid peroxidation was also increased after endotoxin treatment. However, protein degradation was more prominent than lipid peroxidation. We concluded therefore that the protein degradation and lipid peroxidation of erythrocytes caused by endotoxin are probably related to the production of septic shock.

Longitudinal study on distribution of Phlebotomus argentipes sandflies at different heights in cattleshed.

Distribution of Ph. argentipes at three levels (level I, 0-0.91 m; level II, 0.91-1.82 m; and level III 1.82-2.74 m) above the ground in 6 cattlesheds was studied during July 1989 to June 1990. Of the 8044 Ph. argentipes caught, 3151 (39.2%), 3936 (48.9%) and 957 (11.9%) were from levels I, II, and III respectively. Both male and fed, half-fed, gravid and unfed female sandflies were found at all the three levels and in all the three seasons viz., rainy, winter and summer, of the year. The maximum height of occurrence of sandflies was 2.51 m (8.3 ft) above the ground level.

Trifluoperazine is more effective than chlorpromazine in releasing oxygen from haemoglobin and myoglobin.

The extent of oxygen release from two heme proteins, haemoglobin and myoglobin have been studied in the presence of trifluoperazine and chlorpromazine (5-1000 microM). At a molar ratio (drug:protein) of 1.5, the release of oxygen from haemoglobin was 4 and 15% in the presence of chlorpromazine and trifluoperazine respectively, while from myoglobin the corresponding values were 20 and 40%. The findings were attributed to the greater extent of local conformational change around tryptophan moieties of each of the proteins induced by trifluoperazine.

Structural organisations of hemoglobin and myoglobin influence their binding behaviour with phenothiazines.

Binding modalities of chlorpromazine and trifluoperazine, two widely used antipsychotic phenothiazine drugs with hemoglobin and myoglobin have been studied to understand how the quaternary, tertiary and secondary structural organisations of the proteins regulate the binding process. NaCl-induced alteration in the quaternary structure of hemoglobin influences its binding modality with phenothiazines. Minor alterations in the tertiary structure of thermally denatured myoglobin (denaturation temperature ranging between 30-70 degrees C) do not affect its affinity and the modality of binding with the drugs, but alterations in the secondary structure of the protein denatured at temperatures between 70-80 degrees C influence its binding.

Analgesic effect of Dioclea grandiflora constituents in rodents.

An aqueous fraction and dioclein (5,2',5'-trihydroxy-6,7-dimethoxyflavanone) obtained from the ethanolic extract of the Dioclea grandiflora were tested for their analgesic effect in mice and rats employing acetic-induced writhing and tail flick tests, respectively. When administered intraperitoneally the two agents exhibited significant analgesic effects. The activity of both dioclein and aqueous fraction apparently involves an opiate-like mechanism, since their analgesic action was attenuated by naloxone pretreatment.