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1.
Microb Ecol ; 85(4): 1367-1381, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-35575806

RESUMEN

The ecological importance of phytoplankton-benthic-propagules (PBP) from coastal sediments, except tropical monsoon-influenced rivers and estuaries, is well documented. PBP in such systems is often transported from upstream (near freshwater) to downstream (estuary) through freshwater discharges during monsoon and thereby experiences higher salinities (>30 PSU) and nutrients with varying light conditions due to reducing discharges during the monsoon-break/withdrawal-phase. However, the PBP responses (germination and subsequent growth) to such changes are unknown and are examined here at ~35 PSU salinity. For the study, macronutrients (nitrate, phosphate, silicate, and nitrate+phosphate+silicate) and light intensities were considered to assess the response of PBP representing estuarine, brackish, and near freshwater locations of monsoon-influenced Mandovi and Zuari rivers (Goa, India). Diatoms dominated the viable PBP community, but the maximum growth and sustained photosynthetic activity were observed when all macronutrients were supplied than individually. Here, variable fluorescence technique utility in PBP resurrection (detection of viability and responses) was also explored. The PBP growth was similar for macronutrients but increased with light intensity indicating a longer growth response during monsoon. For PBP (germination and photosynthetic activity), light intensities drive the rate of improvement/development, whereas the nutrients are essential for maintaining vegetative growth upon germination in the region. The PBP dominance of common planktonic species (Skeletonema and Thalassiosira) along the river also signifies the role of seawater intrusion (up to upstream locations) in distribution. Skeletonema and Thalassiosira, which contribute significantly to the total community, are light-sensitive with a similar response and cause single species blooms during monsoon and non-monsoon, respectively, depending on the species' tolerance to salinity.


Asunto(s)
Diatomeas , Fitoplancton , Nitratos , Agua de Mar , Ríos , Agua Dulce , India , Estaciones del Año , Monitoreo del Ambiente/métodos , Estuarios
2.
Environ Monit Assess ; 195(4): 528, 2023 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-37000347

RESUMEN

Phytoplankton communities from pelagic systems were assessed to explore the potential of using commonly used traits (such as cell geometry and taxa) as ecological function indicators from the data generated during the winter monsoon in the eastern Arabian Sea (AS). Altogether, data from two oceanic, i.e., convective mixing influenced non-oligotrophic northeastern-AS (NEAS-O) and Rossby wave-influenced oligotrophic southeastern-AS (SEAS-O) and one coastal (NEAS-C) cruises were utilized to decipher the ecological inferences. Overall phytoplankton shapes showed a high level of redundancy by selecting only a few dominant shapes (5 of 22 shapes), though taxonomic diversity was rich (164 species). The taxonomic and morphological approach adopted revealed high species and shape diversity in NEAS-O than in high-abundance NEAS-C and low-abundance SEAS-O. Also, the shape diversity and dominant shapes (cylinder, elliptic-prism, and prism-on-parallelogram) remained the same in oceans than NEAS-C where combined (cylinder + 2 half-sphere) and simple (elliptic-prism) shapes dominated. Additionally, the Rossby-wave front and its reminiscence in SEAS-O and sea-surface-temperature fronts in NEAS-C favored simple and combine shaped phytoplankton, respectively. The morphological properties assessment revealed that the dominant shapes adapted the strategy to conserve the optimal surface-to-volume ratio (S:V) irrespective of changes in greatest-axial-linear-dimension (GALD) in NEAS-O and SEAS-O but not in NEAS-C. However, the dominant shapes in the NEAS-O and SEAS-O opted for high S:V with low GALD and low S:V with high GALD, respectively, while high S:V with no relation with GALD in NEAS-C suggests the prevalence of different adaptive strategies to cope with the respective hydrographic conditions, particularly nutrient availability.


Asunto(s)
Monitoreo del Ambiente , Fitoplancton , Prevalencia , Océanos y Mares , Estaciones del Año
3.
J Environ Manage ; 222: 242-249, 2018 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-29859464

RESUMEN

The variable fluorescence fluorometry measuring microalgal biomass (initial fluorescence - F0, a chl-a proxy) and photosynthetic efficiency (Fv/Fm) has been suggested as a potential tool in ballast-water assessment. In ballast tank, microalgae can be found in contiguous compartments i.e., in water, sediment, and biofilms. Therefore the utility of F0 and Fv/Fm depends upon proper background corrections, which is straightforward for water samples but not for sediment and biofilms. This study proposes procedures for correcting F0 values from sediment and biofilms. Irrespective of the saturation flash protocol used on any sample types the outcome of the results from viable and non-viable microalgae will remain same. Stress experiments (continuous darkness and biocide treatments) confirm that variable fluorescence (Fv) can be used as a potential proxy for viable cells as the values were negligible for non-viable cells and increased with an increase in abundance. Through this study, the utility of Fv and σPSII (functional-absorption-cross-section of photosystem II) along with F0 and Fv/Fm in providing additional information on cell-viability and algal-size group during assessment is discussed. The findings will have implications not only from the perspective of ballast water but also in testing/assays of specific interest (e.g. toxicity, water treatments, antifouling) and ecological studies involving microalgae.


Asunto(s)
Biopelículas , Microalgas , Navíos , Agua , Microbiología del Agua
4.
Microb Ecol ; 70(3): 659-76, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25851443

RESUMEN

In order to better understand the picophytoplankton (PP) dynamics in tropical monsoon influenced coastal regions, samples were collected daily (June-September 2008: monsoon, December 2008: post-monsoon and April 2009: pre-monsoon) from a fixed station in Dona Paula Bay, India. Eight PP abundance peaks comprising Prochlorococcus-like cells, picoeukaryotes, and three groups of Synechococcus occurred. The chlorophyll biomass and PP abundance were negatively influenced by reduced solar radiation, salinity and water transparency due to precipitation and positively influenced by the stabilized waters during precipitation break/non-monsoon periods. Responses to environmental conditions differed with PP groups, wherein the presence of Synechococcus-PEI (phycoerythrin) throughout the year suggested its ability to tolerate salinity and temperature variations and low light conditions. Synechococcus-PEII appearance toward monsoon end and non-monsoon during high water transparency suggests its tidal advection from offshore waters. Dominance of Synechococcus-PC (phycocyanin) at intermediate salinities under low water transparency during MON and high salinities in PrM coinciding with high nitrate concentrations implies a greater influence of light quality or nutrients. Cyanobacteria and not picoeukaryotes were the dominant picophytoplankton in terms of numbers as well as biomass. This study suggests that PP could be used as tracers of environmental forcing driven by tides and freshwater influx and also highlights the importance of high-frequency samplings in dynamic coastal regions through which transient responses can be captured.


Asunto(s)
Bahías/microbiología , Biodiversidad , Monitoreo del Ambiente/métodos , Fitoplancton/fisiología , Tiempo (Meteorología) , Clima , Estuarios , India , Estaciones del Año
5.
Biofouling ; 31(5): 417-32, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26098144

RESUMEN

This study evaluates, for the first time, the influence of biofilms on single and double optical window (SOW and DOW, respectively) fast repetition rate fluorometer (FRRF) measurements of microalgal photosystem-II initial fluorescence (F0), maximum fluorescence (Fm), variable fluorescence (Fv = Fm - F0), quantum yield (Fv/Fm) and functional absorption cross section (σPSII)]. Biofilms with chlorophyll > 0.1 µg cm(-2) and > 0.3 µgcm(-2) on SOW and DOW, respectively, produced a substantial increase in fluorescence. However, the relative magnitude of biofouling effects depended on sample chlorophyll concentrations, being more critical at concentrations < 1 mg m(-3). In DOW-FRRF, biofilms affected F0 (increased) and Fv/Fm (decreased) but not Fv and σPSII, whereas in SOW-FRRF, biofilms increased fluorescence and showed a variable effect on Fv/Fm and σPSII, because only biofilms on SOW attained actual Fm. As a result, the biofilm effect was substantial on SOW-FRRF measurements. On the other hand, the neutral-density filters (representing non-chlorophyll containing biofilms) with different transmission levels reduced the fluorescence signal. Correction procedures for the above photosystem-II parameters are proposed here.


Asunto(s)
Biopelículas , Clorofila/química , Fluorescencia , Fluorometría , Complejo de Proteína del Fotosistema II/química , Animales , Femenino , Porcinos
6.
J Thorac Cardiovasc Surg ; 167(5): 1643-1653.e2, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-37741317

RESUMEN

OBJECTIVE: Pulmonary hypertension can cause left ventricular diastolic dysfunction through ventricular interdependence. Moreover, diastolic dysfunction has been linked to adverse outcomes after lung transplant. The impact of lung transplant on diastolic dysfunction in recipients with pretransplant pulmonary hypertension is not defined. In this cohort, we aimed to assess the prevalence of diastolic dysfunction, the change in diastolic dysfunction after lung transplant, and the impact of diastolic dysfunction on lung transplant outcomes. METHODS: In a large, single-center database from January 2011 to September 2021, single or bilateral lung transplant recipients with pulmonary hypertension (mean pulmonary artery pressure > 20 mm Hg) were retrospectively identified. Those without a pre- or post-transplant echocardiogram within 1 year were excluded. Diastolic dysfunction was diagnosed and graded according to the American Society of Echocardiography 2016 guideline on assessment of diastolic dysfunction (present, absent, indeterminate). McNemar's test was used to examine association between diastolic dysfunction pre- and post-transplant. Kaplan-Meier and Cox regression analysis were used to assess associations between pre-lung transplant diastolic dysfunction and post-lung transplant 1-year outcomes, including mortality, major adverse cardiac events, and bronchiolitis obliterans syndrome grade 1 or higher-free survival. RESULTS: Of 476 primary lung transplant recipients, 205 with pulmonary hypertension formed the study cohort (mean age, 56.6 ± 11.9 years, men 61.5%, mean pulmonary artery pressure 30.5 ± 9.8 mm Hg, left ventricular ejection fraction < 55% 9 [4.3%]). Pretransplant, diastolic dysfunction was present in 93 patients (45.4%) (grade I = 8, II = 84, III = 1), absent in 16 patients (7.8%), and indeterminate in 89 patients (43.4%), and 7 patients (3.4%) had missing data. Post-transplant, diastolic dysfunction was present in 7 patients (3.4%) (grade I = 2, II = 5, III = 0), absent in 164 patients (80.0%), and indeterminate in 15 patients (7.3%), and 19 patients (9.3%) had missing data. For those with diastolic dysfunction grades in both time periods (n = 180), there was a significant decrease in diastolic dysfunction post-transplant (148/169 patients with resolved diastolic dysfunction; McNemar's test P < .001). Pretransplant diastolic dysfunction was not associated with major adverse cardiac events (hazard ratio [HR], 1.08, 95% CI, 0.72-1.62; P = .71), bronchiolitis obliterans syndrome-free survival (HR, 0.67, 95% CI, 0.39-1.56; P = .15), or mortality (HR, 0.70, 95% CI, 0.33-1.46; P = .34) at 1 year. CONCLUSIONS: Diastolic dysfunction is highly prevalent in lung transplant candidates with normal left ventricular systolic function and pulmonary hypertension, and resolves in most patients after lung transplant regardless of patient characteristics. Pre-lung transplant diastolic dysfunction was not associated with adverse lung or cardiac outcomes after lung transplant. Collectively, these findings suggest that the presence of diastolic dysfunction in lung transplant recipients with pulmonary hypertension has no prognostic significance, and as such diastolic dysfunction and the associated clinical syndrome of heart failure with preserved ejection fraction should not be considered a relative contraindication to lung transplant in such patients.


Asunto(s)
Hipertensión Pulmonar , Trasplante de Pulmón , Disfunción Ventricular Izquierda , Masculino , Humanos , Adulto , Persona de Mediana Edad , Anciano , Volumen Sistólico , Función Ventricular Izquierda , Estudios Retrospectivos , Trasplante de Pulmón/efectos adversos
7.
FEMS Microbiol Ecol ; 98(6)2022 05 23.
Artículo en Inglés | MEDLINE | ID: mdl-35511205

RESUMEN

The biofilm-forming microalgae are known to experience periods of continuous darkness (upto several days), in addition to the natural day-night cycle, especially in the intertidal sediment regions (when transported to deeper sediments) and the ships' ballast water tanks (during voyages). However, the information on community and physiological responses to different periods of darkness is limited. Here, the survival capability of biofilm-forming microalgae to varying periods of darkness (7-35 days) and the growth patterns upon resumption of normal 12 h light:dark photocycle has been addressed through simulation experiments. Diatoms dominated the seawater biofilms, but the dark survival period varied and was species-specific. Of the 25 diatoms, only Amphora, potential toxin producer, followed by Navicula remained viable and photosynthetically healthy under darkness without undergoing asexual reproduction. Both diatoms are essential contributors to fouling and microphytobenthic community. Upon re-exposure of dark-adapted biofilms to 12 h light:dark photocycle, the improvement in photosynthetic efficiency and resumption of growth via asexual-reproduction was observed. However, the lag-phase duration increased with a long dark history. Nevertheless, eurytolerant nature and high dark survival capability (with its quick response to light) of Amphora and Navicula indicated that they have the potential to colonize benthic-ecosystems thus impacting the benthic and fouling community.


Asunto(s)
Diatomeas , Microalgas , Biopelículas , Ecosistema , Agua de Mar
8.
Environ Sci Pollut Res Int ; 29(19): 27761-27778, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34981378

RESUMEN

This study addresses the seasonal distribution of phytoplankton marker pigments (PMP) and the ratios (indicating freshness and fate) from water and surface sediments from the coastal port ecosystem (Paradip port, Odisha, east coast of India) and its utility in understanding phytoplankton pelagic-benthic linkages. Chlorophyll and PMP (for different groups and degradation) distribution revealed distinct seasonality, but the seasonal trend was different for water and sediments. High and low values were observed in the water column during inter-monsoons (fall/spring) and monsoons (southwest/northeast), respectively, whereas, in sediments, the reverse was recorded. However, the contribution of group-specific PMP was different: fucoxanthin > chlorophyll b > zeaxanthin > alloxanthin > peridinin dominated in water and chlorophyll b > zeaxanthin > fucoxanthin > alloxanthin > peridinin in sediment. Selective grazing and stability of sedimentary PMP (fucoxanthin, diatoms PMP, is least stable than other groups) could contribute to such differences. Relatively high chlorophyll:pheopigment ratios in the water and low pheophorbide: pheophytin in sediments indicated the dominance of actively growing microalgae and chlorophyll degradation via chlorophyllidae pathway in the water but not in sediments. These findings suggest that (i) much of the phytoplankton (primarily diatoms) is lost due to herbivory before reaching bottom sediments, and (ii) pigment contribution is determined by selective grazing in water and PMP decay constants in sediments. Documenting such information will give new insights into ecosystem assessment and algal bloom research.


Asunto(s)
Diatomeas , Fitoplancton , Clorofila , Ecosistema , Agua , Zeaxantinas
9.
Front Artif Intell ; 5: 909101, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35783354

RESUMEN

This concept paper addresses specific challenges identified in the UN 2030 Agenda Sustainable Development Goals (SDG) as well as the National Health Policy of India (NHP-India) and the Ministry of Health Policy of UAE (MHP-UAE). This policy calls for a digital health technology ecosystem. SDG Goal 1 and its related objectives are conceptualized which serves as the foundation for Virtual Consultations, Tele-pharmacy, Virtual Storage, and Virtual Community (VCom). SDG Goals 2 and 3 are conceptualized as Data Management & Analytical (DMA) Architecture. Individual researchers and health care professionals in India and the UAE can use DMA to uncover and harness PHC and POC data into practical insights. In addition, the DMA would provide a set of core tools for cross-network initiatives, allowing researchers and other users to compare their data with DMA data. In rural, urban, and remote populations of the UAE and India, the concept augments the PHC system with ICT-based interventions. The ICT-based interventions may improve patient health outcomes. The open and flexible design allows users to access various digital materials. Extendable data/metadata format, scalable architecture for petabyte-scale federated discovery. The modular DMA is designed using existing technology and resources. Public health functions include population health assessment, policy development, and monitoring policy implementation. PHC and POC periodically conduct syndromic surveillance to identify population risk patterns. In addition, the PHC and POC deploy medical and non-medical preventive measures to prevent disease outbreaks. To assess the impact of social and economic factors on health, epidemiologists must first understand diseases. Improved health due to compliance with holistic disease treatment plans and access to scientific health information.

10.
Front Plant Sci ; 13: 906207, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35898223

RESUMEN

Globally, maize is an important cereal food crop with the highest production and productivity. Among the biotic constraints that limit the productivity of maize, the recent invasion of fall armyworm (FAW) in India is a concern. The first line of strategy available for FAW management is to evaluate and exploit resistant genotypes for inclusion in an IPM schedule. Screening for resistant maize genotypes against FAW is in its infancy in India, considering its recent occurrence in the country. The present work attempts to optimize screening techniques suited to Indian conditions, which involve the description of leaf damage rating (LDR) by comparing injury levels among maize genotypes and to validate the result obtained from the optimized screening technique by identification of lines potentially resistant to FAW under artificial infestation. Exposure to 20 neonate FAW larvae at the V5 phenological stage coupled with the adoption of LDR on a 1-9 scale aided in preliminary characterize maize genotypes as potentially resistant, moderately resistant, and susceptible. The LDR varies with genotype, neonate counts, and days after infestation. The genotypes, viz., DMRE 63, DML-163-1, CML 71, CML 141, CML 337, CML 346, and wild ancestor Zea mays ssp. parviglumis recorded lower LDR ratings against FAW and can be exploited for resistance breeding in maize.

11.
Biofouling ; 27(3): 241-54, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21337191

RESUMEN

This study addressed the antifouling efficiency of commercially available chlorine at different concentrations (0.5%, 1%, and 2%) and exposure times (0.5 min, 1 min, 5 min, and 15 min). The rapid and non-destructive FIRe (fluorescence induction and relaxation) technique was used to evaluate the effects of the biocide on diatom dominated biofilms. The efficiency of chlorine in removing diatoms from the developed biofilms increased with an increase in concentration and exposure time. The fluorescence measurements revealed low F(v)/F(m) and high σ(PSII) values for chlorine-treated Navicula and Amphora biofilms indicating that chlorination was efficient in damaging the photosystem-II reaction centers. Chlorination also caused mortality of diatom cells by damaging the cell body. In natural biofilms, the biocidal effect of chlorine was species specific; species of Amphiphrora, Navicula, Cylindrotheca, and Coscinodiscus showed an increase in the density of the population, but species of Pleurosigma, Amphora, and Thalassionema did not increase in density after chlorine treatment. It was also demonstrated that diatoms can colonize, grow and photosynthesize on chlorine-treated surfaces. Under pulse chlorination (treatment every 6 h), irrespective of chlorine concentration, the development of biofouling decreased with an increase in exposure time. Differences between exposure times of 1 to 15 min were not significant. Additionally, transmission levels of the control (non-chlorine-treated) fouled coupons reduced significantly (∼20%) compared to the chlorine-treated fouled coupons (<2%). These results suggest that chlorine can be used as a biocide to control the development of diatom biofilms.


Asunto(s)
Biopelículas , Cloro/farmacología , Diatomeas/efectos de los fármacos , Diatomeas/fisiología , Desinfectantes/farmacología , Halogenación , Cloro/análisis , Desinfectantes/análisis , Fluorescencia , India , Complejo de Proteína del Fotosistema II/efectos de los fármacos , Especificidad de la Especie , Microbiología del Agua
12.
Environ Monit Assess ; 182(1-4): 291-300, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21336489

RESUMEN

In a monsoon-affected tropical estuary, oscillations in freshwater discharge during monsoon shifted the phytoplankton blooms from those adapted to low salinities to high salinities and vice versa. Salinity stratification during monsoon (onset and restart after an intermittent break) favored diatom (Skeletonema) bloom in low-saline surface waters. In high-saline, nutrient-rich bottom waters, Fragilariopsis (diatom) bloom was observed during onset of monsoon and persisted till the end of monsoon. The break period in monsoon altered the phytoplankton community leading to mixed species bloom of large-sized diatoms and harmful dinoflagellates (Gymnodinium catenatum and Cochlodinium polykrikoides) under high-saline, nutrient-poor, non-stratified, and transparent water column. Such variations in community should be considered for better understanding the biogeochemistry of monsoon-influenced tropical estuaries. The dominance of Skeletonema is determined positively by the extent of low-saline stratified condition whereas most of the observed taxa were favored by high-saline, nutrient-poor, and transparent waters.


Asunto(s)
Biodiversidad , Monitoreo del Ambiente , Fitoplancton/crecimiento & desarrollo , Tiempo (Meteorología) , Ecosistema , Agua Dulce/química , Fitoplancton/clasificación , Estaciones del Año , Agua de Mar/química , Clima Tropical , Contaminantes del Agua/análisis , Contaminación del Agua/estadística & datos numéricos
13.
J Oral Biol Craniofac Res ; 11(3): 410-414, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34040955

RESUMEN

INTRODUCTION: Distraction osteogenesis is a surgical technique of new bone formation between the osteotomized bone segments with the help of gradual incremental traction. As distraction osteogenesis is slow biologic process, soft tissue changes gradually follow the new bone formation. Mandibular distraction is one of the accepted modalities to treat the triad of TMJ ankylosis, obstructive sleep apnoea & micrognathia and also for facial asymmetry cases like hemifacial microsomia, mandibular hypoplasia etc. After the distraction osteogenesis, some relapse has been noticed in patients. Therefore, this study was conducted to assess the quality of the newly formed bone after distraction osteogenesis of mandible using 3 dimensional computed tomography (3DCT Scan) to evaluate its relation with relapse if any. OBJECTIVES: 1) To objectively analyse the quality of bone formed after mandibular distraction osteogenesis.2) To observe the site & architecture of newly formed bone after distraction is complete. MATERIAL AND METHODS: Total 5 patients of facial asymmetry reported to the Department of Oral and Maxillofacial Surgery were enrolled. Distraction osteogenesis of mandible was carried out in all the patients. Radiographic analysis (CT Scan) was done after 1 year of surgery for further planning and management of deformity. The non-distracted site was considered as a control side and it was compared with newly formed bone at distraction site. The standard & universally accepted radio density measuring Hounsfield Unit (HU) in 3DCT scan was calculated in axial,coronal, sagittal sections from distraction site and it was compared with non-distraction site, as Hounsfield unit is considered as a standard tool for measuring the bone density to evaluate the quality as well as quantity of newly formed bone. RESULTS: The total mean Hounsfield Unit of distracted site of all three sections was 359.8 HU and non-distracted site was 545.2 HU. Statistical analysis was carried out using students paired ttest and p value was obtained which was <0.01 suggestive of statistically significant difference between the quality of bone in distracted site and non-distracted site. CONCLUSION: The findings of our study concluded that the quality of bone formed after distraction osteogenesis was satisfactory but it was less mineralized with less dense trabecular pattern compared to non-distracted bone region of mandible which leads to some relapse. Therefore it was advisable to reinforce the distracted bone segment by cutting the activation arm of distractor itself or mini plate or reconstruction plate to prevent relapse.

14.
Oral Maxillofac Surg ; 25(4): 533-540, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33677785

RESUMEN

PURPOSE: To compare the intraoperative utility of bur and saw and to examine the pattern of lingual split during bilateral sagittal split osteotomy of mandible. MATERIAL AND METHODS: This study prospectively compares the intraoperative utility of bur and saw in bilateral sagittal split osteotomy as split-mouth model. Study includes 16 patients (representing 32 sagittal split osteotomies) divided into two groups. The procedure to be performed was explained to the patient, followed by written informed consent. The institutional ethical committee approved the clinical study and all subjects gave informed consent. RESULTS: We found that the ease of handling of the bur was good compared to saw. The duration required for completion of osteotomy using bur was less compared to saw. CONCLUSIONS: The use of surgical drills and burs is still the gold standard in most developing nations and countries in transition like India. Depending upon the expertise of the surgeon, availability of precise dissecting instruments, one can go with either of the instrument for BSSO.


Asunto(s)
Mandíbula , Osteotomía Sagital de Rama Mandibular , Humanos , India , Mandíbula/cirugía , Estudios Prospectivos , Instrumentos Quirúrgicos
15.
J Thorac Dis ; 11(4): 1130-1144, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31179055

RESUMEN

BACKGROUND: Alpha-1-antitrypsin (A1AT) deficiency (A1ATD) is characterized by accelerated degradation of lung function. We examined our experience with lung transplantation for chronic obstructive pulmonary disease (COPD) with and without A1ATD to compare survival and rates of postoperative surgical complications. METHODS: Patients with A1ATD and non-A1ATD COPD undergoing lung transplantation from 1988-2015 at our institution were analyzed. Complications were categorized into non-gastroenteritis gastrointestinal (GI), wound, airway, and reoperation for bleeding. Overall and complication-free survival were evaluated using Kaplan-Meier curves and Cox proportional hazards models. RESULTS: Three hundred and eighty-five patients underwent lung transplant for COPD (98 A1ATD). For A1ATD, 56.1% underwent single lung transplantation (80.6% for COPD). Early overall and complication-free survival was worse for A1ATD, but this trend reversed at longer follow up. Unadjusted estimated survival showed advantage for COPD at 90 days and 1 year, which attenuated by 5 years and reversed at 10 years (P<0.001). On adjusted analysis, A1ATD was associated with a trend toward lower complication-free survival at 90 days and 1 year, due partly to increased rates of post-transplant GI pathology, particularly in the era of the lung allocation score (LAS). CONCLUSIONS: A1ATD lung recipients had worse short-term complication-free survival but improved long-term survival compared to COPD patients. A1ATD was associated with greater risk of new GI pathology after transplant. Close monitoring of A1ATD patients with timely evaluation of GI complaints after transplant is warranted.

16.
Transplantation ; 85(2): 224-31, 2008 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-18212627

RESUMEN

BACKGROUND: Acute lung rejection is a risk factor for chronic rejection, which jeopardizes long-term recipient survival. Presently, acute rejection is diagnosed with the use of transbronchial lung biopsies, which are invasive, expensive, and subject to sampling error. We seek to improve acute rejection diagnostics by identifying genes whose expression in bronchoalveolar lavage (BAL) cells best classifies acute rejection versus no rejection. METHODS: BAL samples were analyzed from 32 subjects whose concurrent histology showed acute rejection (n=14) or no rejection (n=18). Gene expression was measured with Affymetrix microarrays. Quantitative real-time polymerase chain reaction confirmed the microarray results for selected genes. The nearest shrunken centroid method with 10-fold cross validation defined the classification model. A total of 250 iterations of the algorithm were performed to determine the misclassification error rate and the most influential genes in determining classifiers. RESULTS: The estimated overall misclassification rate was <20%. Seven transcripts were present in every classifier, and 52 transcripts were present in >70% of classifiers; these transcripts are related to T-cell function, cytotoxic CD8 activity, and granulocyte degranulation. Eleven of the 52 genes were analyzed with quantitative real-time polymerase chain reaction; all were found to significantly different between the groups, with 10 of 11 increased in acute rejection samples. The proportions of lymphocytes and neutrophils in BAL samples increased in acute rejection but did not outperform the gene-based classifier. CONCLUSIONS: There is a prominent acute rejection-associated signature in BAL cells characterized by increased T-cell, CD8 cytotoxic cell, and neutrophil gene expression. These findings lay the foundation for development of rapid PCR-based assays of gene expression for clinical acute rejection diagnosis.


Asunto(s)
Líquido del Lavado Bronquioalveolar/química , Expresión Génica , Rechazo de Injerto/clasificación , Rechazo de Injerto/genética , Trasplante de Pulmón/inmunología , Análisis de Secuencia por Matrices de Oligonucleótidos , Biopsia , Lavado Broncoalveolar , Femenino , Rechazo de Injerto/epidemiología , Humanos , Trasplante de Pulmón/patología , Masculino , Probabilidad , Reproducibilidad de los Resultados , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Transcripción Genética
17.
Innovations (Phila) ; 12(3): 214-216, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28538271

RESUMEN

A 53-year-old woman who underwent bilateral lung transplantation 14 months before presented with 2 to 3 weeks of severe exertional dyspnea. Workup revealed a complete embolic occlusion of her left main pulmonary artery related to a femoral deep venous thrombosis. The occlusion did not respond to systemic anticoagulation, and a trial of catheter-directed thrombolysis was pursued. Flow to the left lower lobe was restored after 2 days of thromobolytic therapy. The patient is alive and well at more than 1 year of follow-up.


Asunto(s)
Embolia/terapia , Trasplante de Pulmón/efectos adversos , Arteria Pulmonar/fisiopatología , Terapia Recuperativa/métodos , Terapia por Ultrasonido/métodos , Femenino , Vena Femoral/fisiopatología , Humanos , Persona de Mediana Edad , Trombosis de la Vena/terapia
18.
Mar Environ Res ; 56(3): 387-402, 2003 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-12738221

RESUMEN

Despite tropical estuarine systems representing important sites for active biogeochemical processes, studies on dimethyl sulphide (DMS) in these systems are sparse. Here we report on DMS and dimethylsulphoniopropionate (DMSP) variability in relation to physicochemical and biological parameters for a period of 14 months in a tropical estuarine environment. DMS and DMSP showed high temporal variations with maximal concentrations during the southwest monsoon coinciding with a dinoflagellate bloom. Dinoflagellates appear to be the major contributors to the DMSP pool. Average DMS and DMSP concentrations (surface and bottom) suggested that much of the DMSP produced is converted to forms other than DMS. Surface DMS varied between 0.3 and 15.4 nmol dm(-3) while DMSP ranged from 0.8 to 419.5 nmol dm(-3). The DMS flux was 0.03-1.9 microM m(-2) d(-1) (average=0.6 microM m(-2) d(-1)) during the study period, that concurs well with the values reported for temperate estuaries.


Asunto(s)
Dinoflagelados/metabolismo , Sedimentos Geológicos/química , Sulfuros/análisis , Compuestos de Sulfonio/análisis , Contaminantes Químicos del Agua/análisis , Animales , Clorofila/análisis , Dinoflagelados/crecimiento & desarrollo , Ecosistema , Sedimentos Geológicos/parasitología , India , Nitratos/análisis , Oxígeno/análisis , Lluvia , Estaciones del Año , Cloruro de Sodio/análisis , Temperatura
19.
Rev Sci Instrum ; 83(12): 123304, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23277979

RESUMEN

The genesis and transport of ozone (O(3)) are investigated in a novel plasma diode and described in this paper. The innovative cathode (K) of this axial symmetric diode which operated at the high voltage (φ(0)), has a large number of sharpened nozzles located on different radial planes of its central tubular-mast and is encircled by the anode (A). The nozzles played the dual role of oxygen (O(2)) injection as well as creation of high electric field (E) in the A-K gap, enabled the formation of a cold corona. Electrons in the corona under the influence of E moved towards anode, collided with O(2) and created the O radicals. O in turn joined the free O(2) and formed O(3). The evolution of O(3) here is modeled in various O(2) pressure (P), electron density (n(e)), and temperature (T) in terms of the major reaction modes involving e, O, O(2), and O(3). Typical steady state O(3) density attained so in P ~ bar, n(e) ~ 10(15) m(-3) and T ~ 300 K is over 10(25) m(-3) and that of O lower ~10(20) m(-3). Both the O and O(3) densities increased with an enhanced n(e) of avalanche multiplications in corona. O(3) increased also with a higher P but the temporal O reversed in trend midway and reduced with P towards the steady state. A sharp decline in diode resistance with smaller A-K gap induced finite discharge current and led to the undesired heating of corona. It is shown that the O(3) density reduced with the temperature rise but O density reduced with the T rise up to 500 K and then rose modestly with the further T increase.


Asunto(s)
Modelos Teóricos , Movimiento (Física) , Ozono/química , Gases em Plasma/química , Catálisis , Conductividad Eléctrica , Electrodos
20.
Biofouling ; 23(3-4): 215-30, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17653932

RESUMEN

In an effort to develop a tool for controlling biofouling of marine optical instruments, the efficiency of ultraviolet radiation (UVR - 254 nm) in preventing biofouling was evaluated by conducting in situ experiments at different intensities (14.7, 9.6, 7.3 Wm(-2)) and exposure times (continuous, on for 30, 15, 5, 1 min h(-1)) using glass as test coupons. Although there was significant seasonal variation in environmental conditions and phytoplankton composition among each experiment, the amount of biofilm relative to the internal control demonstrated consistent trends. The efficiency of UVR in preventing biofouling increased significantly with increase in intensity and exposure time. UVR was effective even in reducing the population of microfoulers from already developed biofilms. UVR exposure for 30 min h(-1) at all intensities as well as for 5 and 15 min h(-1) at the highest intensity was found to be most effective. It was observed that UVR dose is not the sole determinant of UVR effectiveness. The reduction in transmission level of the UVR treated coupons was < 5% irrespective of exposure time except for 1 min h(-1). These results reveal that UV-C radiation can be used as a potential biofouling control tool for optical instruments.


Asunto(s)
Oceanografía/instrumentación , Óptica y Fotónica/instrumentación , Fitoplancton/efectos de la radiación , Rayos Ultravioleta , Océanos y Mares , Fitoplancton/crecimiento & desarrollo , Estaciones del Año , Temperatura , Factores de Tiempo
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