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1.
J Environ Manage ; 332: 117382, 2023 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-36753844

RESUMO

Currently, international development requires innovative solutions to address imminent challenges like climate change, unsustainable food system, food waste, energy crisis, and environmental degradation. All the same, addressing these concerns with conventional technologies is time-consuming, causes harmful environmental impacts, and is not cost-effective. Thus, biotechnological tools become imperative for enhancing food and energy resilience through eco-friendly bio-based products by valorisation of plant and food waste to meet the goals of circular bioeconomy in conjunction with Sustainable Developmental Goals (SDGs). Genome editing can be accomplished using a revolutionary DNA modification tool, CRISPR-Cas9, through its uncomplicated guided mechanism, with great efficiency in various organisms targeting different traits. This review's main objective is to examine how the CRISPR-Cas system, which has positive features, could improve the bioeconomy by reducing food loss and waste with all-inclusive food supply chain both at on-farm and off-farm level; utilising food loss and waste by genome edited microorganisms through food valorisation; efficient microbial conversion of low-cost substrates as biofuel; valorisation of agro-industrial wastes; mitigating greenhouse gas emissions through forestry plantation crops; and protecting the ecosystem and environment. Finally, the ethical implications and regulatory issues that are related to CRISPR-Cas edited products in the international markets have also been taken into consideration.


Assuntos
Eliminação de Resíduos , Sistemas CRISPR-Cas , Ecossistema , Produtos Agrícolas
2.
Chemosphere ; 318: 137946, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36708782

RESUMO

Plastics, especially microplastics in soils, are considered a severe environmental issue worldwide. However, globally, the main research focus is on microplastic pollution in the marine environment, the microplastic pollution on soils and sediments remains on the sideline so far. But the fact is that microplastics are omnipresent in terrestrial systems in the form of microbeads in industrial systems and in sewage sludge. Their presence in agricultural soils and sediments is enormously increased due to plastic mulching, plastic greenhouses and compost and extensive use of controlled release fertilizers. Therefore, this review outlines the global scenario regarding plastics and microplastics production, consumption, and possible pathways of penetration into the soil environment. Various mechanisms to restrict and manage the pathways of plastics and microplastics into the soil environment are also discussed. This review also focuses on the challenges and limitations on the use of plastic alternates such as bioplastics and oxo plastics. Also, the knowledge gaps on the source of microplastics in the environment and their deleterious effects on properties of soil, soil health and focused light on their soil trophic transfer in food chains via plants. This review provides a detailed insight on the management and possible control measures to alleviate the potential risk caused by microplastics pollution in the soil environment and the overall ecosystem's health. In spite of the occurrence and fate of microplastics on terrestrial environment, knowledge gaps and challenges for tackling this contamination are also explored which facilitates the policy makers to develop regulatory measures towards the containment of microplastics in living ecosystem.


Assuntos
Microplásticos , Solo , Plásticos , Ecossistema , Monitoramento Ambiental , Esgotos
3.
Indian J Nephrol ; 32(5): 498-501, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36568595

RESUMO

Diffuse alveolar hemorrhage is known to be a devastating clinical condition with myriad etiologies. The immediate post-transplant period is plagued by immunosuppression, surgical complications, and nosocomial sources of infection. Diffuse alveolar hemorrhage in this setting is usually attributed to infection. In this case report, an unusual cause of diffuse alveolar hemorrhage due to anti-thymocyte globulin used as an induction agent is described, and an approach to DAH in the immediate post-transplant setting is discussed.

4.
Indian J Nephrol ; 31(3): 293-295, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34376947

RESUMO

Advanced age and immunosuppressed states allow for complications of herpes zoster such as encephalitis. In this case report, we describe a patient with encephalopathy two days after initiation of antiviral therapy. After the necessary imaging and cerebrospinal fluid (CSF) analysis, it became evident that the neurological syndrome was due to acyclovir. Despite currently practised renal dose modification, the patient developed acyclovir-induced neurotoxicity and required intensification of his dialysis schedule to eliminate the drug. Acyclovir-induced neurotoxicity is a rare clinical presentation and presents a clinical dilemma to the physician who has to distinguish this entity from herpes zoster encephalitis and posterior circulation stroke.

6.
Saudi J Kidney Dis Transpl ; 30(4): 883-890, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31464245

RESUMO

Infections including scrub typhus contribute to a significant proportion of community-acquired acute kidney injury (AKI) in the tropics. Scrub typhus infection now requires global attention since disease outbreaks are being reported across continents. We intended to study the clinical profile, renal involvement, and parameters predicting renal involvement in scrub typhus infection. This is a retrospective study. The medical records of all patients who were admitted and treated for scrub typhus infection for a study period of two years (from September 2015 to August 2017) were analyzed, and salient clinical features and laboratory results were collected from the hospital data. Statistical analysis was done from the collected data. Our study had 272 patients including 81 children. Adults constituted 70.96% (n = 193) and the remaining 29.04% (n = 81) were pediatric population. Among adults, females constituted 62.7% (n = 121) and males 37.3% (n = 72). The mean age of the adult population was 45.7 ± 15 years and that of pediatric patients was 8.56 ±5.1 years. 18.7% of adult cases and 3.70% of pediatric cases had AKI. Renal replacement therapy was required in 3.67% of adult cases. Mortality was 4.14% in adults and 1.23% in children. Hypotension, pulmonary involvement, central nervous system involvement, multiorgan dysfunction syndrome, increased total counts, elevated aspartate transaminase levels, and hypoalbuminemia predicted AKI in our adult population. Scrub typhus should be considered as a differential in cases presenting with fever and AKI. Outcomes of scrub typhus infection in terms of mortality seem to be improving in this region.


Assuntos
Injúria Renal Aguda/microbiologia , Tifo por Ácaros/microbiologia , Centros de Atenção Terciária , Injúria Renal Aguda/diagnóstico , Injúria Renal Aguda/mortalidade , Injúria Renal Aguda/terapia , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Terapia de Substituição Renal , Estudos Retrospectivos , Fatores de Risco , Tifo por Ácaros/diagnóstico , Tifo por Ácaros/mortalidade , Tifo por Ácaros/terapia , Resultado do Tratamento
7.
Clin Nutr ; 38(1): 341-347, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-29398341

RESUMO

BACKGROUND: Malnutrition-inflammation complex syndrome (MICS), hyperhomocysteinemia, calcium and phosphate levels derangement have been predicted as important contributing factors for the progression of cardiovascular burden. Among patients with earlier stage of CKD, hypoalbuminaemia and inflammation deliberated as non-traditional cardiovascular risk factors, which add more burden to circulatory disease, mortality and rapid advancement to CKD stage 5. AIM: The aim of the study is to evaluate inflammation and nutritional status of CKD patients not on dialysis using Malnutrition inflammation score (MIS) and to verify the association with mortality in the follow-up period. METHODS AND MATERIAL: In this prospective cohort study 129 (66 males, 63 females) pre-dialysis CKD patients enrolled between June 2013 to August 2014 and censored until March 2017. Malnutrition and Inflammation assessed using Malnutrition inflammation score. Blood urea nitrogen, serum creatinine, albumin, Interleukin - 6, highly sensitive C reactive protein (hsCRP), total cholesterol and anthropometric data were analyzed. RESULTS: The Malnutrition inflammation score in pre-dialysis CKD patients ranged from 0 to 18 with the median score of two. During 36 or more months of follow-up, there were 30 (23.2%) deaths, 35 (27%) patients initiated on hemodialysis, one (0.7%) patient was initiated on peritoneal dialysis, two (1.4%) patients underwent renal transplantation and two (1.4%) patients were lost for follow-up. In this study, 33% had varying degree of malnutrition and inflammation. Patients who had MIS ≥7 had significant increase in IL-6 (p = 0.003) and HsCRP levels (p < 0.001) when compared with other tertiles of MIS. ROC curve analysis of MIS showed 56.5% sensitivity and 81% specificity in predicting death rate (AUC 0.709; 95% CI 0.604-0.815, p < 0.001). Kaplan-Meier survival analysis showed MIS ≥7 had a strong association (log rank test, p < 0.001) with mortality during 36 and more months of follow-up time. In unadjusted analyses, MIS (HR 1.140; 95% CI 1.054-1.233; p < 0.05) and HsCRP (HR 2.369; 95% CI 1.779-3.154; p < 0.001) found to be predictors of mortality. MIS and HsCRP remained predictors of mortality even after adjustments. CONCLUSIONS: This study shows MIS is an important factor that determines mortality in pre-dialysis CKD patients during 36 and more months of follow-up time. Patients with MIS ≥7 have high risk for mortality and needs close monitoring. In clinical setting application of MIS has a greater utilization in pre-dialysis CKD patients. Further research with longitudinal assessment of MIS and its association with outcomes are warranted. Pre-dialysis CKD patients should be assessed for their nutritional status and inflammation using MIS regularly to prevent malnutrition and its associated complications through appropriate medical and nutritional intervention.


Assuntos
Inflamação/diagnóstico , Inflamação/epidemiologia , Desnutrição/diagnóstico , Desnutrição/epidemiologia , Estado Nutricional/fisiologia , Avaliação de Resultados da Assistência ao Paciente , Insuficiência Renal Crônica/epidemiologia , Antropometria , Nitrogênio da Ureia Sanguínea , Proteína C-Reativa , Colesterol/sangue , Estudos de Coortes , Comorbidade , Creatinina/sangue , Feminino , Seguimentos , Humanos , Inflamação/sangue , Interleucina-6/sangue , Estimativa de Kaplan-Meier , Masculino , Desnutrição/sangue , Pessoa de Meia-Idade , Estudos Prospectivos , Insuficiência Renal Crônica/sangue , Fatores de Risco , Albumina Sérica , Síndrome
8.
Dalton Trans ; 47(4): 1223-1232, 2018 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-29299569

RESUMO

The resurgence of sodium-ion batteries in recent years is due to their potential ability to form intercalation compounds possessing a high specific capacity and energy density comparable to existing lithium systems. To comprehend the role of cobalt substitution in the structure and electrochemical performance of Na0.67MnO2, the solid solutions of P2-Na0.67MnxCo1-xO2 (x = 0.25, 0.5, 0.75) are synthesized and characterized. The XRD-Rietveld analysis revealed that the Co-substitution in Na0.67MnO2 decreases lattice parameters 'a' and 'c' resulting in the contraction of MO6 octahedra and the enlargement of inter-layer 'd' spacing. XPS indicates that the isovalent cobalt substitution in Na0.67MnO2 results in the partial/complete replacement of Jahn-Teller active trivalent manganese to form low-spin complexes of better structural stability. The Na-ion diffusion coefficient, DNa+, derived from cyclic voltammetry and impedance spectroscopy, confirmed the enhanced mass transport in Co-rich phases compared to Mn-rich phases. Furthermore, higher diffusion coefficient values are observed for Co3+/Co4+ than for their Mn3+/Mn4+ redox processes. In addition, Co-rich phases exhibit a high structural stability and superior capacity retention, whereas Mn-rich phases discharge higher capacities.

9.
Vet World ; 9(9): 1018-1024, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27733806

RESUMO

AIM: This study was conducted to assess the extent of knowledge, awareness, attitude, and risks of zoonotic diseases among livestock owners in Puducherry region. MATERIALS AND METHODS: A total of 250 livestock farmers were selected randomly from eight revenue villages. And each farmer was interviewed with a questionnaire containing both open- and close-ended questions on various aspects of zoonotic diseases, a total of 49 questionnaires were framed to assess the source and transmission of infection to the farmers and to test their knowledge and awareness about zoonotic diseases. The data collected were analyzed by chi-square test using software Graph pad prism, and results were used to assess the relationship between education level and zoonotic disease awareness; risk of zoonotic diseases and its relation with independent variables. RESULTS: The present survey analysis represents that most of the respondents are belonging to the age group of 41-60 years. About 42.8% of respondents' household having a graduate. The most of the respondent are small-scale farmers and their monthly income was less than Rs. 10,000. About 61.2% of farmers were keeping their animal shed clean. About 29.6% of the respondents were ignorant about cleaning the dog bitten wound. Only 16.4% of respondents knew that diseases in animals can be transmitted to humans. Only 4.8%, 3.6%, 6.8%, and 22.4% of respondents knew about the zoonotic potential of diseases such as brucellosis, tuberculosis (TB), anthrax, and avian flu, respectively. Only 18% of the respondents were aware about zoonotic diseases from cattle. Regarding the list of zoonotic diseases contracted, 37.7% reported respiratory infection, 31.1% digestive disturbances, 15.5% had dermatological problem, and 15.5% reported indiscrete disease such as fever, body pain, and headache joint pain. From the respondent got the zoonotic disease (n=45), 51.2% of the respondent reported chronic infection and 48.8% of the respondent reported acute form of zoonotic infection. About 30% of the respondents' farm had an incidence of abortion. Our analyses showed that there was significant in educational level of respondents and treatment of dog bitten animals. Furthermore, there was statistical significance in occurrence of hand and foot lesions in the respondent and occurrence of foot-and-mouth disease outbreak in their animals. CONCLUSION: From this study, it is concluded that involvement of educated family members in farming practices can create awareness and improve knowledge toward zoonotic disease. Further creation of awareness toward zoonotic diseases is of utmost important.

10.
Sci Total Environ ; 573: 1430-1440, 2016 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-27476728

RESUMO

Low cost drip irrigation (LCDI) has been a recent introduction to India and it may be an inexpensive means of expanding irrigation into uncultivated areas, thereby increasing land productivity. This paper is structured into two phases. The first phase, presents an assessment of different irrigation methods (LCDI, conventional drip irrigation (CDI) with single row and paired row, siphon and flood irrigation) on sugarcane production. The results showed that cane yield and water productivity was significantly increased in both plant and ratoon crop of sugarcane owing to the methods of irrigation. Among the methods, LCDI recorded 118.6tha-1 of cane yield and it was on par with the single row CDI, which recorded the highest mean yield of 120.4tha-1 and both are found to be significantly superior to the rest of the treatments. The lowest yield was recorded in the treatment of flood irrigation (94.40tha-1). Benefit Cost Ratio analysis confirmed that LCDI performed better compared to other irrigation methods. The second phase deals with the farmer participatory research demonstrations at multi location on evaluation of LCDI with flood irrigation. LCDI out performed flood irrigation under all the locations in terms of sugarcane yield, soil moisture content, postharvest soil fertility, reduction in nutrient transport to surface and ground water, water and energy saving. These results suggest that LCDI is a feasible option to increase the sugarcane production in water scarcity areas of semiarid agro ecosystems, and have long-term sustained economic benefits than flood irrigation in terms of water productivity, energy saving and environmental sustainability.

11.
Int J Biometeorol ; 60(12): 1943-1952, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27378280

RESUMO

A study on the variability of coffee yield of both Coffea arabica and Coffea canephora as influenced by climate parameters (rainfall (RF), maximum temperature (Tmax), minimum temperature (Tmin), and mean relative humidity (RH)) was undertaken at Regional Coffee Research Station, Chundale, Wayanad, Kerala State, India. The result on the coffee yield data of 30 years (1980 to 2009) revealed that the yield of coffee is fluctuating with the variations in climatic parameters. Among the species, productivity was higher for C. canephora coffee than C. arabica in most of the years. Maximum yield of C. canephora (2040 kg ha-1) was recorded in 2003-2004 and there was declining trend of yield noticed in the recent years. Similarly, the maximum yield of C. arabica (1745 kg ha-1) was recorded in 1988-1989 and decreased yield was noticed in the subsequent years till 1997-1998 due to year to year variability in climate. The highest correlation coefficient was found between the yield of C. arabica coffee and maximum temperature during January (0.7) and between C. arabica coffee yield and RH during July (0.4). Yield of C. canephora coffee had highest correlation with maximum temperature, RH and rainfall during February. Statistical regression model between selected climatic parameters and yield of C. arabica and C. canephora coffee was developed to forecast the yield of coffee in Wayanad district in Kerala. The model was validated for years 2010, 2011, and 2012 with the coffee yield data obtained during the years and the prediction was found to be good.


Assuntos
Coffea/crescimento & desenvolvimento , Modelos Estatísticos , Produtos Agrícolas/crescimento & desenvolvimento , Previsões , Umidade , Índia , Chuva , Análise de Regressão , Temperatura , Clima Tropical
12.
Phys Chem Chem Phys ; 17(32): 20733-40, 2015 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-26205120

RESUMO

In this study, framework structured Na4Mn4Ti5O18 possessing S-shaped tunnels for sodium intercalation is reported as an electrode for hybrid sodium ion batteries. Galvanostatic cycling of Na4Mn4Ti5O18vs. Na in the voltage region from 1.5 V to 3.95 V exhibits a capacity of 102 mA h g(-1) at 0.1C rate corresponding to a specific capacitance of 149 F g(-1) with a capacity retention of 90% over 50 cycles. The electrochemical analysis using CV measurements revealed the charge storage involving intercalation and pseudocapacitance. For instance, total charge storage of 345 C g(-1) is observed at 0.01 mV s(-1), which is attributed to 63% intercalation and 37% capacitance. Na4Mn4Ti5O18 was also studied for sodium ion storage in an aqueous medium. It delivered a capacity of 36 mA h g(-1) (144 F g(-1)) in the voltage window of 0-0.8 V.

13.
Neotrop Entomol ; 44(1): 84-91, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26013016

RESUMO

Laboratory experiments were conducted to find out the efficacy of different crude extracts and fractions of Couroupita guianensis (Lecythidaceae) against Spodoptera litura (Fabricius). Results revealed that hexane, chloroform and ethyl acetate extracts of C. guianensis showed larvicidal and pupicidal activities against S. litura. Maximum larvicidal activity (68.66%) was observed in hexane extract at 5.0% concentration followed by chloroform and ethyl acetate extracts, and least LC50 value of 2.64% was observed in hexane extract. A 100% pupicidal activity was observed in hexane extract. Based on the efficacy of crude extracts, the effective crude extract (hexane extract) was further fractionated and subjected to screening for biological activities against S. litura. Among the eight fractions isolated from the hexane extract, fraction 8 showed maximum antifeedant activity (81. 8%) and larvicidal activity (76.9%) at 1000-ppm concentration; this fraction showed least LC50 value of 375.92 ppm for larvicidal activity. Cent per cent pupicidal activity was recorded. Reduced midgut and hemolymph protein contents were observed at 1000 ppm of fraction 8. Histopathological studies revealed that fraction 8 severely damaged the midgut cells of S. litura. This fraction could be used to develop botanical formulation to control agricultural pests.


Assuntos
Lecythidaceae , Extratos Vegetais/toxicidade , Spodoptera/efeitos dos fármacos , Animais , Larva/efeitos dos fármacos
14.
Indian J Nephrol ; 22(3): 189-92, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-23087553

RESUMO

This open label, multicentric, comparative clinical trial was done to compare the efficacy and tolerability of two sevelamer formulations, sevelamer carbonate, and sevelamer hydrochloride, in the treatment of hyperphosphatemia in Indian end stage renal disease (ESRD) patients. A total of 97 ESRD patients on hemodialysis, were enrolled. Patients were randomized to receive either sevelamer carbonate or sevelamer hydrochloride. All patients were evaluated every week for 6 weeks for efficacy and safety variables. Total 88 patients completed the study. After 6 weeks of therapy, there were similar reductions (P<0.0001) in mean serum phosphorus and the CaxP product both the groups. The responder rates for test and reference groups were 75%, 68.18% respectively (P=0.3474). The adverse events reported were nausea, abdominal pain/discomfort, heartburn, constipation, diarrhea, increased prothrombin time, and severe arthritis. No serious adverse events were reported. There was no significant difference between the groups for adverse events and the laboratory parameters. From the results of this multicentric, comparative, randomized clinical study on sevelamer carbonate we can recommend that sevelamer carbonate may be used as a phosphate binder in Indian chronic kidney disease patients.

15.
J Assoc Physicians India ; 56: 21-6, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18472495

RESUMO

BACKGROUND: Doppler ultrasound is increasingly used in Nephrology for diagnosis of renovascular hypertension and evaluation of allograft dysfunction. However, its utility in glomerular disease remains controversial. OBJECTIVES: Using Doppler Ultrasound, we prospectively tested the role of resistive and atrophic indices in predicting tubulointerstitial lesions in patients with glomerular disease as demonstrated by renal biopsy. METHODS: Seventy one patients with primary or secondary glomerular diseases were examined by Doppler ultrasonography immediately before renalbiopsy. The resistive and atrophic indices (RI & AI) were calculated and compared with histologic changes in biopsy specimen. RESULTS: Receiver Operator Characteristics analysis showed RI of 0.60 as an optimal value for discriminating tubulointerstitial changes with sensitivity of 82.7% and specificity of 92%. An AI of 0.65 was shown to be optimal for discriminating tubulointerstitial injury with sensitivity of 69.2% and specificity of 85%. The combination of the two indices had not been found to be superior to either index alone. There was a significant correlation between atrophic and resistive indices. (r=0.358, p< 0.01). It was observed that older age, smoking, elevated AI and RI, low GFR, high serum cholesterol and Hypertension were found to be significantly associated with the presence of tubulointerstitial injury in the univariate analysis whereas only elevated AI and RI were found to predict tubulointerstitial injury in multivariate analysis. CONCLUSION: Measurement of RI by Doppler ultrasound can be considered as a supplementary diagnostic tool in glomerular diseases to predict the severity of tubulointerstitial injury.


Assuntos
Glomerulonefrite/diagnóstico por imagem , Nefrite Intersticial/diagnóstico por imagem , Ultrassonografia Doppler , Adulto , Biópsia , Interpretação Estatística de Dados , Feminino , Taxa de Filtração Glomerular , Glomerulonefrite/patologia , Glomerulonefrite por IGA/diagnóstico por imagem , Glomerulonefrite por IGA/patologia , Glomerulonefrite Membranoproliferativa/diagnóstico por imagem , Glomerulonefrite Membranoproliferativa/patologia , Glomerulosclerose Segmentar e Focal/diagnóstico por imagem , Glomerulosclerose Segmentar e Focal/patologia , Humanos , Rim/diagnóstico por imagem , Rim/patologia , Nefrite Lúpica/diagnóstico por imagem , Nefrite Lúpica/patologia , Masculino , Análise Multivariada , Nefrite Intersticial/patologia , Nefrose Lipoide/diagnóstico por imagem , Nefrose Lipoide/patologia , Prognóstico , Estudos Prospectivos , Curva ROC
16.
J Assoc Physicians India ; 54: 497-500, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16909703

RESUMO

Familial Hypomagnesemia, Hypercalciuria with Nephrocalcinosis is a rare autosomal recessive inherited disease associated with renal failure. Two girls born of consanguineous parentage aged 16 and 17 presented to us with renal failure, nephrocalcinosis and bone deformities. On evaluation they were found to have hypomagnesemia, hypercalciuria, increased fractional excretion of magnesium, hypocitraturia, renal failure and elevated PTH. Their parental screening was normal. There were no extra-renal features in them. One sibling had nephrolithiasis and the stone analysis revealed calcium phosphate stones. Both were treated with sodium bicarbonate, thiazides, calcitriol and calcium carbonate. They did not require dialysis during hospital stay. Both of them were treated conservatively. They are on regular outpatient follow up. The primary defect in this syndrome is impaired paracellular reabsorption of magnesium and calcium in the medullary thick ascending limb. Mutations in the PCLN-1gene which encodes for the tight junction protein paracellin -1 is identified as the underlying genetic defect. Ocular abnormalities and deafness are the commonly reported associations. End stage renal failure usually occurs in second to third decade. Renal transplantation is the definite treatment.


Assuntos
Canais de Cálcio/metabolismo , Cálcio/urina , Deficiência de Magnésio/diagnóstico , Nefrocalcinose/diagnóstico , Irmãos , Equilíbrio Ácido-Base , Adolescente , Feminino , Humanos , Deficiência de Magnésio/genética , Deficiência de Magnésio/fisiopatologia , Nefrocalcinose/genética , Nefrocalcinose/fisiopatologia , Síndrome
17.
Ren Fail ; 28(5): 405-10, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16825090

RESUMO

BACKGROUND: There are little data on the incidence of acute renal failure (ARF) from India due to the absence of central registry. The etiology, course, and outcome of ARF differ in various parts of India. Significant trend changes were reported even within a same center over a period of time. AIM: To find out the epidemiologic trend changes in ARF patients, the authors compared the profile of patients admitted by the Department of Nephrology from 1995-2004 with previously published data from 1987-1991. METHODS: Data collected from case records of patients admitted with ARF were systemically analyzed for age, gender, etiology, course, and outcome. A total of 32 variables were collected per person retrospectively. The chi-square test, Fisher's exact test, and student t-test were used as tests of significance (p<0.05 was taken as statistically significant). RESULTS: A total of 1112 patients were diagnosed to have ARF from 1995-2004. The mean age was 37.08 +/- 3.4 yrs. There were 669 (60.1%) males. Medical, obstetric, and surgical causes accounted for 87.6, 8.9, and 3.4 percent of ARF, respectively. Among the medical causes of ARF, acute diarrheal disease was the most common. Other causes of medical ARF included drugs, glomerulonephritis, sepsis, snake bite, leptospirosis, malaria, and copper sulphate, which accounted for 13.4, 9.3, 8.8, 7.8, 7.5, 4.4, and 4.3 percent, respectively. In comparison with the data from 1987-1991, medical ARF remained the most common cause of ARF, though without any statistical significance (87.6 percent vs 89.5 percent, p>0.32). Though surgical ARF had more than doubled from 1.5 percent from 1987-1991 to 3.4 percent (p<0.01) during the present study, it is much less when compared to similar studies in the literature. Obstetric renal failure more or less remained the same (8.9 percent vs 9 percent, p>0.4). A statistically significant decline was noted in overall as well as individual group mortality. The overall mortality declined from 26.4 percent to 19.6 percent (p<0.02). Regarding the outcome of ARF, 611 patients (54.94 percent) showed a total recovery, a partial recovery was noted in 192 patients (17.26 percent), and 91 patients (8.18 percent) had persistent dialysis-dependent renal failure. The factors noted to occur more frequently in the deceased were high entry serum creatinine (>440 micromol), jaundice, sepsis, oliguria, anemia, hypoalbuminemia, and hospital-acquired ARF. The overall requirement of dialysis was 69.0 percent. Hemodialysis was the most common modality of renal replacement therapy. CONCLUSIONS: ARF in South India differs in some important aspects when compared with data from other parts of the country. Significant trend changes were noted with time even within our center. Acute diarrheal disease was the most common cause of ARF. Leptospiral ARF was on the decline, and drugs, sepsis, and malaria were the emerging ARF causes. The incidence of surgical ARF was on the rise. Despite improvements in antenatal care, obstetric renal failure remained a significant cause of ARF. Hemodialysis became the preferred mode of renal replacement therapy.


Assuntos
Injúria Renal Aguda/epidemiologia , Injúria Renal Aguda/etiologia , Injúria Renal Aguda/mortalidade , Injúria Renal Aguda/terapia , Adulto , Feminino , Humanos , Índia/epidemiologia , Masculino , Gravidez , Complicações na Gravidez/epidemiologia , Diálise Renal , Estudos Retrospectivos
18.
Paediatr Perinat Epidemiol ; 18(5): 361-70, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15367323

RESUMO

Several studies have shown that a baby's birthweight correlates with the birthweight and adult size of both its parents, but more strongly with those of its mother, suggesting that both the 'maternal environment' and inherited genes influence size at birth. There are no previous such intergenerational data from India. Holdsworth Memorial Hospital (HMH), Mysore, South India, has preserved birth records containing the birthweight, length and head circumference of all newborns since 1934. We identified 468 mother-offspring and 341 father-offspring pairs born in the hospital. Daughters and sons (born 1990-95) were heavier at birth than their mothers and fathers, respectively, with a mean (SD) increase in birthweight of 121 g (24 g) between the two generations. The birthweight of both parents predicted offspring birthweight equally (mother: regression slope beta = 255 g/kg; father beta = 251 g/kg; P < 0.001 for both). Paternal birth length had a stronger effect than maternal birth length on offspring birth length. The mother's adult body mass index (BMI) had a greater effect than paternal BMI on offspring birthweight (mother: 18 g/kg/m(2); P < 0.001; father: 15 g/kg/m(2); P = 0.04). In a regression model including data for both parents (available for 57 children) this difference was greater (mother: 46 g/kg/m(2); P < 0.001; father: -10 g/kg/m(2); ns). In contrast, paternal height had stronger effects than maternal height on offspring birth length (mother: 0.8 mm/cm; ns; father: 1.5 mm/cm; P < 0.001). In conclusion, size at birth is influenced by a combination of environmental and genetic factors. Both maternal and paternal birthweight correlate with offspring size at birth. Maternal nutritional status (BMI) influences birthweight. Paternal factors appear to contribute to neonatal skeletal size.


Assuntos
Peso ao Nascer , Países em Desenvolvimento , Adulto , Antropometria , Peso ao Nascer/genética , Estatura , Índice de Massa Corporal , Criança , Pré-Escolar , Pai , Feminino , Humanos , Índia , Recém-Nascido , Mães , Gravidez , Efeitos Tardios da Exposição Pré-Natal
19.
J Indian Med Assoc ; 102(1): 26, 28, 30, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15195855

RESUMO

The newly developed proton pump inhibitor rabeprazole sodium is expected to have beneficial effects in the treatment of peptic ulcer. The pharmacokinetic parameters (C(max), AUC(o-t), t(max)) of this drug have been evaluated to compare the single dose (20 mg) bioavailability of rabeprazole sodium with the standard reference. High performance liquid chromatography (HPLC) coupled with UV detector set at 280 nm has been used to determine plasma concentration of 12 human volunteers as per Drugs Controller General of India (DCGI) guidelines. The method has been validated over a linear range of 20-480 ng/ml from plasma. The minimum quantifiable concentration was set at 10 ng/ml [co-efficient of variance (CV) < 10%]. By comparing AUC(o-t) the relative bioavailability of test preparation has been found to be 100.88% of that of reference preparation.


Assuntos
Antiulcerosos/farmacocinética , Benzimidazóis/farmacocinética , 2-Piridinilmetilsulfinilbenzimidazóis , Adenosina Trifosfatases/antagonistas & inibidores , Antiulcerosos/sangue , Benzimidazóis/sangue , Estudos Cross-Over , Relação Dose-Resposta a Droga , Humanos , Masculino , Omeprazol/análogos & derivados , ATPases Translocadoras de Prótons/antagonistas & inibidores , Rabeprazol , Equivalência Terapêutica
20.
J Indian Med Assoc ; 102(9): 488, 490, 492 passim, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15887835

RESUMO

Gatifloxacin is a broad spectrum fluoroquinolone that offers enhanced Gram-positive activity and anaerobic coverage to other fluoroquinolones. The pharmacokinetic parameters (Cmax, AUCo-t, tmax) of this drug have been evaluated to compare the single dose (400mg) bioavailability of gatifloxacin with the reference formulation. High performance liquid chromatography (HPLC) coupled with U-V detector set at 290 nm has been used to determine plasma concentration of 12 human volunteers as per DCGI (Drug Controller General of India) guidelines. The method has been validated over a linear range of 0.25 to 8 microg/ml from plasma. The minimum quantifiable concentration has been set at 0.25 microg/ml (% CV < 10%). The pharmacokinetic parameters are: Cmax = 4.366 +/- 0.44 microg/ml at tmax = 1.83 +/- 0.44 hour, AUCO0-t = 25.26 +/- 2.91 microg hour/ml, AUCo-inf = 33.68 +/- 4.31 microg hour/ml, Kel = 0.094 +/- 0.024/hour and t1/2 = 8.0 +/- 1.92 hour.


Assuntos
Fluoroquinolonas/farmacocinética , Administração Oral , Adulto , Área Sob a Curva , Disponibilidade Biológica , Calibragem , Cromatografia Líquida de Alta Pressão , Estudos Cross-Over , Fluoroquinolonas/administração & dosagem , Gatifloxacina , Humanos
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