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Biomedical subjects

G Cherian

Publications and source records attributed to G Cherian.

At least 19 recordsLinked to original sources
PubMed2004

Diagnosis of tuberculous aetiology in pericardial effusions.

The diagnosis of tuberculous aetiology in pericardial effusions is important since the prognosis is excellent with specific treatment. The clinical features may not be distinctive and the diagnosis could be missed particularly with tamponade. With the spread of HIV infection the incidence has increased. The diagnosis largely depends on histopathology of the pericardial tissue or culture of Mycobacterium tuberculosis from this tissue or fluid, but patients without haemodynamic compromise do not require pericardiocentesis. Histopathology may, however, show non-specific findings in a significant number. This review is an update on the diagnostic difficulties, current research, and criteria for diagnosis.

Cardiac Tamponade↗
PubMed2003

Maternal dietary FA modulate the long-chain n-3 PUFA status of chick cardiac tissue.

The effect that egg yolk or maternal n-3 FA have on the cardiac tissue long-chain n-3 FA status of chicks during growth was investigated. Eggs with low, medium, and high levels of n-3 PUFA were obtained by feeding breeder hens a wheat/soybean meal-based diet containing 5% sunflower oil (Low n-3), 2.5% sunflower oil plus 2.5% fish oil (Medium n-3), or 5% fish oil (High n-3). The chicks hatched from Low, Medium, and High n-3 eggs were fed a diet containing 18:3n-3, but devoid of long-chain n-3 FA. The FA composition of cardiac tissue was determined on days 0, 14, 28, and 42. At day 0, the cardiac FA reflected maternal diet. With time, the level of all the long-chain n-3 FA decreased compared with day 0, and this was true especially by day 14. These data show that dietary 18:3n-3 fed to the chicks did not sustain high levels of EPA and DHA in cardiac tissue, despite the high content of long-chain n-3 FA in the maternal diet. At days 0 and 14, the chicks hatched from High and Medium n-3 eggs had higher 20:5n-3, 22:5n-3, and 22:6n-3 contents with a concomitant reduction in 20:4n-6 in the cardiac tissue compared with the Low n-3 egg group. Cardiac tissue of birds hatched from Medium n-3 eggs retained higher levels of 20:5n-3 up to day 42 of growth when compared with other treatments (P < 0.05). None of the treatments was effective in maintaining DHA levels after day 14 of growth.

Animals↗
PubMed2003

Maternal and posthatch dietary polyunsaturated fatty acids alter tissue tocopherol status of chicks.

The effects of maternal and starter diet polyunsaturated fatty acid (PUFA) composition on the tocopherol (TOC) status of posthatch chicks were investigated. Fertile eggs enriched with long chain n-3, 18:3 n-3 or 18:2 n-6 PUFA were incubated. The eggs were collected from hens fed diets containing 3.5% menhaden oil (MO), linseed oil (LO), or sunflower oil (SO) and a vitamin E mix containing 400 microg/g total TOC. Posthatch chicks from MO, LO, or SO were fed starter diets containing 3.5% MO, LO, or SO along with vitamin E mix containing 48 microg/g total TOC. Tissues (liver, blood, brain) were collected on d 0 (day of hatch), 7, 14, and 21 posthatch. On d 0, MO chicks had the lowest liver and plasma TOC (P < 0.05). A rapid depletion of liver and plasma TOC was observed on d 7 and 14 posthatch (P < 0.001) and was lower in MO chicks (P < 0.05) than LO. When compared with d 0, a 98% decrease of tocopherol on d 7 was observed for chicks from all treatments. No changes due to age or diet PUFA was observed in the brain TOC status. Data showed that maternal and starter diet PUFA could alter the TOC status of chicks in early life.

Animal Feed↗
PubMed2003

Maternal diet with diverse omega-6/omega-3 ratio affects the brain docosahexaenoic acid content of growing chickens.

Eggs with diverse omega-6/omega-3 ratio produced by feeding breeder hens a wheat-soybean meal-basal diet containing 5% (wt/wt) sunflower oil (H(omega)6), 5% fish oil (H(omega)3) or 2.5% sunflower oil plus 2.5% fish oil (M(omega)3omega6) were incubated. The hatched chicks were fed a docosahexaenoic acid (DHA)-deficient diet up to 6 weeks of age. The fatty acid composition of chick brain was determined on 0, 2, 4 and 6 weeks and brain weight was taken on day 0 and day 42. The omega-6/omega-3 ratios were 37.12, 4.21 and 0.98 for the maternal diet; 28.36, 2.83 and 0.89 for the egg yolk; 1.94, 0.48 and 0.18 for hatched chick brain (p < 0.05). At 2 weeks of age, the omega-6/omega-3 ratios were 1.88, 0.81 and 0.60 for chicks hatched from hens fed H(omega)6, M(omega)3omega6 and H(omega)3 diets, respectively. The brain DHA contents at 0 and 2 weeks of age were Homega3 > M(omega)3omega6 < H(omega)6 (p < 0.05) and at 4 and 6 weeks of age H(omega)3 = M(omega)3omega6 > H(omega)6. Dietary C18:3omega3 in the starter and finisher diet did not increase brain DHA (p > 0.05). The significant increase in the content of C22:5omega3 at 6 weeks of age in group 1 birds with a concomitant reduction in DHA suggests a weak delta-4 desaturation but an effective delta-6 and delta-5 desaturation similar to human infants. Considering the role of DHA in early brain development and growth, the maternal supply of DHA during growth might be of importance when fed a DHA-deficient neonatal diet.

Aging↗
PubMed2003

Large pericardial effusion: the differentiation of tuberculous from chronic idiopathic effusion.

AIMS: Tuberculosis is a common cause of pericardial effusion in many parts of the world often presenting with tamponade. Its recognition is important but not always easy. This study was to prospectively compare the features of tuberculous with chronic idiopathic pericardial effusion. METHODOLOGY: We studied 47 patients with large pericardial effusions or tamponade. All had pericardiocentesis and chest CT studies. Twenty-eight had tuberculous and 19 viral or idiopathic effusion. Pericardial biopsy was done in 26/28 and tuberculin skin test in 23/28 with tuberculosis and all received specific treatment. RESULTS: Patients with idiopathic effusion were older with thinner pericardium. Tamponade was frequent in both groups (64%). Fever (p<0.001) and pericardial rub (p<0.002) were more with tuberculosis. The skin test measured 17 +/- 3.2 mm. On echocardiography pericardial deposits and strands in the pericardial space were more with tuberculosis. The fluid was similar in quantity and quality. Only and all 28 with tuberculosis had enlarged mediastinal lymph glands on CT measuring 19.5 +/- 8.3 mm. On follow up of 16 +/- 10.2 months glands disappeared in 81% and regressed in 19%. Lymphadenopathy was not seen in any patient with viral/idiopathic pericarditis. All patients in both groups were well at follow up. CONCLUSIONS: Tamponade is frequent with large tuberculous and chronic idiopathic effusions. The quantity and quality of the effusion were similar. Fever and pericardial rub were more frequent with tuberculosis as also deposits and strands on echocardiography and patients had a strongly positive skin test. Mediastinal lymph gland enlargement on chest CT was found only and in all with tuberculous effusion.

Adult↗
PubMed2002

Fatty acid composition and egg components of specialty eggs.

Egg components, total fat, and fatty acid content of specialty eggs were compared. One dozen eggs were collected and analyzed from each of five different brands from hens fed a diet free of animal fat (SP1), certified organic free-range brown eggs (SP2), uncaged unmedicated brown eggs (SP3), cage-free vegetarian diet brown eggs (SP4), or naturally nested uncaged (SP5). Regular white-shelled eggs were the control. A significant (P < 0.05) difference was observed in the egg components and fatty acid content in different brands. The percentage of yolk was lower (P < 0.05) in SP2 and SP4 with a concomitant increase (P < 0.05) in the percentage of white. The percentage of shell was lower (P < 0.05) in SP4 and SP5. The total edible portion was greater in SP4 and SP5. The yolk:white ratio was greater (P < 0.05) in SP3. The total lipid content was lower in SP4 eggs. The content of palmitic (C16:0), stearic (C18:0), and total saturated fatty acids were lower (P < 0.05) in SP1. No difference was observed in the content of palmitoleic (C16:1), oleic (C18:1), or total monounsaturated fatty acids. The content of n-3 fatty acids in SP2, SP4, and SP5 were similar to control eggs. The ratio of total n-6:n-3 polyunsaturated fatty acids ranged from 39.2 for SP5 to 11.5 for SP1 (P < 0.05). No difference was observed in the total polyunsaturated fatty acid content of eggs (P > 0.05).

Animal Feed↗
PubMed2002

Dietary conjugated linoleic acid with fish oil alters yolk n-3 and trans fatty acid content and volatile compounds in raw, cooked, and irradiated eggs.

We investigated the effect of dietary conjugated linoleic acid (CLA) along with n-3 polyunsaturated fatty acid (n-3 PUFA) on yolk fatty acid composition and volatile compounds in eggs that were raw (RA), hard-boiled (HB), or hard-boiled, irradiated (HBI, 2.5 kGy). Single Comb White Leghorn laying hens (n = 40) were randomly assigned to one of the four experimental diets containing 0, 0.5, 1.0, or 2.0% CLA. Menhaden oil was used as the source of n-3 PUFA. Eggs collected after 6 wk of feeding were analyzed for fatty acids and volatile compounds. The content of docosahexaenoic acid (C22:6 n-3) was reduced (P < 0.05) in eggs from hens fed the 2.0% CLA diet. Eggs from hens fed 0.5% CLA incorporated the highest concentration of docosahexaenoic acid (P < 0.05) with a concomitant reduction in arachidonic acid (P < 0.05). The yolk contents of cis-9 trans-11 CLA and trans-10 cis-12 CLA increased linearly (P < 0.05) as the dietary CLA supply increased. Total monounsaturates were reduced (P < 0.05) with an increase in saturates in yolk. No difference was observed in the total PUFA content of eggs. Total volatiles were reduced in RA eggs from 1.0 and 2.0% CLA diets. 2-Propanone, hexane, and methyl cyclopentane were the major volatiles in RA eggs and were reduced by dietary CLA at 1.0 and 2.0%. Acetaldehyde, pentane, propanol, acetic acid methyl ester, acetic acid ethyl ester, propionic acid methyl ester, 2-methylmethyl propionic acid, 2-propanone, and octane were the major volatiles in HB eggs and were reduced by 2.0% CLA (P < 0.05). No difference was observed in the acetaldehyde, pentane, propanol, acetic acid ethyl ester, octane, or total volatile content of HBI eggs.

Animals↗
PubMed2002

Maternal dietary N-3 fatty acids alter the spleen fatty acid composition and bovine serum albumin-induced wing web swelling in broilers.

Effects of maternal dietary polyunsaturated fatty acids (PUFA) on the spleen fatty acid composition and BSA-induced wing web swellings were investigated in broilers. One hundred twenty broiler breeder hens 26 wk of age were randomly assigned to diets containing mainly wheat, corn, soy meal, barley, oat and 5% (wt/wt) added sunflower oil, fish oil, or a mix of sunflower and fish oils (1:1). After 2 wk on the experimental diets, birds were inseminated, eggs were collected and incubated. Progeny chicks were then fed identical diets for 6 wk. The maternal dietary oils affected (P < 0.05) n-6 and n-3 PUFA in the spleens of hatching chicks. After 2 wk, n-6 PUFA did not differ among the groups; n-3 PUFA, docosapentaenoic, and docosahexaenoic (DHA) acids were higher (P < 0.05) in the spleens of broilers from hens fed 2.5 or 5% fish oil. After 4 wk, broilers from hens fed 5% fish oil still had higher levels of DHA (P < 0.05) in their spleens than those from hens fed 5% sunflower oil. The BSA-induced wing web swelling response was suppressed (P < 0.05) by n-3 PUFA in breeder hens. Broilers from hens fed high levels of n-3 PUFA had lower (P < 0.05) wing web swelling reactions to BSA at 2 wk (2.5% fish oil) and 4 wk (2.5 and 5% fish oil). In conclusion, n-3 PUFA in breeder hen diets suppressed the BSA-induced wing web swellings of the hens, increased the spleen n-3 fatty acids (especially DHA), and decreased BSA-induced wing web swellings of progeny up to 4 wk of age.

Analysis of Variance↗
PubMed2002

Effect of dietary sorghum cultivars on the storage stability of broiler breast and thigh meat.

A total of 450 1-d-old male broiler chicks were fed a corn-soy-flax meal-based diet (control), two cultivars of sorghum--Ruby Red (low tannin content) and Valpo Red (high tannin content)--were used at 10% level. Birds were slaughtered at the end of 42-d feeding trial. Boneless, skinless breast and thigh muscles were separated and ground to make patties. Half of the breast and thigh meat patties were individually packaged in zipper bags, and 2-TBA-reactive substances (TBARS) and colors of the patties were determined after 0 and 7 d of storage at 4 C. The other half was cooked and vacuum-packaged. The vacuum-packaged patties were used to determine time-dependent volatile production and oxidative change during 12-h holding time before analyses. Thigh meat from broilers fed the Valpo Red cultivar produced lower TBARS than that from control at Day 0. The amounts of aldehydes and sulfur compounds of cooked breast meats were lower from chickens fed the Valpo Red cultivar than those fed the control or Ruby Red cultivar. Dietary Valpo Red cultivar improved the oxidative stability of breast meat 8 and 12 h after cooking. Dietary sorghum slightly improved the color a* stability of raw thigh meat patties. This result indicated that feeding sorghum to broilers could improve some measures of the storage stability of broiler meat, but sorghum with high tannin content was more effective than that with low tannin content.

Aldehydes↗
PubMed2002

Muscle fatty acid composition and thiobarbituric acid-reactive substances of broilers fed different cultivars of sorghum.

Two experiments were conducted to evaluate the production parameters, muscle fatty acid composition, and lipid stability of birds fed four different cultivars of sorghum. Experiment 1 used ruby red and valpo red, and Experiment 2 used kinsman and mason cultivars of sorghum. The basal diet was a corn, soy, and flax meal, and sorghum cultivars were substituted at 10 or 5% in Experiments 1 and 2. No significant difference was observed for BW, feed consumption or feed efficiency (P > 0.05). The total lipids were reduced (P < 0.05) in the leg muscle of broilers fed the mason cultivar. The TBA-reactive substances (TBARS) were lower (P < 0.05) in the leg muscle of birds fed the mason cultivar when compared to kinsman or control diet. The content of n-3 polyunsaturated fatty acids were higher (P < 0.05) in the breast and leg muscles of birds fed ruby red, kinsman, and mason cultivars of sorghum.

Animal Feed↗
PubMed2001

Coronary artery disease among diabetic and non-diabetic patients with end stage renal disease.

Cardiovascular disease is the major cause of death among patients with end stage renal disease and accounts for about half the deaths among the dialysis population. Several researchers have reported a high prevalence of coronary artery disease among diabetic patients with renal failure and coronary arteriography is often considered an integral part of the pre-transplant evaluation of diabetic patients with end stage renal disease. However, very few reports have addressed the question of coronary disease in non-diabetic patients, and the pattern and prevalence of coronary artery disease in non-diabetic patients with end stage renal disease are not well defined. We evaluated the clinical and coronary angiographic findings in 158 consecutive patients (84 diabetic and 74 non-diabetic) with end stage renal disease. The coronary arteries were divided into 16 segments and each segment was analyzed for the presence of coronary disease, which was defined as the presence of > or = 50% luminal diameter stenosis. Diabetic patients had more adverse risk factors for coronary artery disease, yet there was no significant difference in the prevalence of coronary artery disease between the diabetic and non-diabetic patients (67% vs. 55%, p = 0.15), or in the number of affected coronary artery segments (2.0 vs. 1.4, p = 0.05). Triple vessel coronary artery disease was however, significantly more common among the diabetic subjects (27% vs. 12%, p = 0.005). Non-diabetic patients with end stage renal disease also have a high prevalence of coronary artery disease and may merit as careful investigation of their coronary status as their diabetic counterparts.

Adult↗
PubMed2001

Predictors of coronary disease in patients with end stage renal disease.

Patients with end stage renal disease have a high prevalence of cardiovascular disease and coronary arteriography is often routinely performed prior to kidney transplantation. However, the value of the conventional risk factors and non-invasive markers of coronary artery disease (CAD) in triaging patients for coronary arteriography has not been fully examined. 116 patients with end stage renal disease were evaluated. Coronary arteriography was performed in all patients either for a suspicion of CAD or as part of a routine pre-transplant evaluation. Lesions causing > or = 50% luminal diameter stenosis in any of the three major coronary artery systems were considered significant. The mean age was 53.3 +/- 9.3 years. Significant CAD was present in 69 patients (60%). Increasing age, family history of premature ischemic heart disease, the presence of angina, abnormal Q waves on the ECG or abnormal ST segment depression and the presence of coronary calcification were significant markers of coronary artery disease. However male gender, diabetes mellitus and obesity did not correlate with coronary disease. Even though hypertension, hypercholesterolemia and smoking were also not useful predictors these could have been modified by the renal failure. In conclusion increasing age, a family history of premature ischemic heart disease and some non-invasive markers were useful predictors of coronary disease.

Adult↗
PubMed2001

Dietary palm oil alters the lipid stability of polyunsaturated fatty acid-modified poultry products.

Laying hens were fed a high polyunsaturated fatty acid (PUFA) diet with three levels [low (LPO, 0%), medium (MPO, 1.5%), and high (HPO, 3.5%)] of palm oil (PO) or a PUFA diet with tocopherol mix (control). Flax and fish oils were used as PUFA sources in all of the diets. Inclusion of tocopherols resulted in a lower (P < 0.05) thiobarbituric acid reactive substances (TBARS) in the control eggs in white and dark meats. Among the PO treatments, eggs from HPO diet had the lowest TBARS (P < 0.05). A higher (P < 0.05) TBARS was observed for eggs, meat, and liver from hens on the LPO diet. No difference was observed between the TBARS of LPO and MPO dark meat. The C22:6 n-3 fatty acid was lower (P < 0.05) in MPO and HPO eggs and the HPO white meat.

Adipose Tissue↗
PubMed2001

Maternal dietary alpha-linolenic acid (18:3n-3) alters n-3 polyunsaturated fatty acid metabolism and liver enzyme activity in hatched chicks.

We investigated the effects of dietary alpha-linolenic acid (LNA; 18:3n-3) of laying hens on the fatty acid composition of liver microsomes and activity of delta-6 desaturase in hatched chicks. Laying hens were fed wheat-soybean meal-based diets with (Flax) or without ground flax (control). At Day 21 of feeding, fertile eggs were collected and incubated. On the day of hatching, chicks (n = 6) were killed, and liver microsomes were isolated and assayed for delta-6 desaturase enzyme activity. The total n-3 fatty acids in the Flax eggs was 13.0% compared with 2.3% (P < 0.001) in the control group. LNA was the major n-3 fatty acid in the Flax eggs and constituted 10%. The long-chain n-3 polyunsaturated fatty acids (PUFA) (20:5n-3, 22:5n-3, and 22:6n-3) constituted 3.1% in Flax eggs compared with 1.5% in control eggs. Docosahexaenoic acid (22:6n-3) composed 2.1 and 1.2% in Flax and control eggs (P < 0.05), respectively. The liver microsomes of Flax chicks incorporated higher 18:3n-3, 20:5n-3, and 22:5n-3 (P < 0.05) with a concomitant reduction in 20:4n-6, 22:4n-6, and 22:5n-6 compared with control chicks (P < 0.05). The delta-6 desaturase activities in Flax and control groups were 49.4 and 82.8 pmol/min per mg of protein, respectively (P < 0.05). These results demonstrate the role of maternal and yolk n-3 fatty acids in modulating the activity of rate-limiting enzymes for PUFA synthesis in hatched chicks.

Animals↗
PubMed2000

Transportation of maternal serum specimens for screening for chromosomal aneuploidies: effect of seasonal variations, distance, and freezing on the stability of the biological markers.

OBJECTIVES: We studied the stability of maternal serum markers for screening for Down syndrome [alpha-fetoprotein (AFP), unconjugated estriol (uE3), total human chorionic gonadotropin (hCG), and free beta-human chorionic gonadotropin] following transportation. DESIGN AND METHODS: For each gestational week between 14 and 18 weeks, we collected about 50 samples for each possible combination of three potential sources of variation during transportation: season (winter/summer), sample frozen/fresh (prior to analysis) and origin (local or referred in) for a total of 1845 specimens. Commercial assays were used (IMx, Abbott for AFP and total hCG; AutoDelfia and Wallac for free beta-hCG and AFP; and radioimmunoassay Ortho-Clinical Diagnostics, for uE3). RESULTS: Results of both total and free beta-hCG were significantly higher when samples were collected during summer and when they were sent to the laboratory from extramural blood drawing sites (multifactorial ANOVA, p < 0. 007). CONCLUSION: We conclude that both total and free beta-hCG can be adversely affected during transportation. The resulting higher concentrations of these markers may increase the false positive rate of prenatal screening programs for aneuploidies.

Biomarkers↗
PubMed2000

Fatty acid determination in chicken egg yolk: a comparison of different methods.

Four different methods (direct-methylation, saponification, chloroform-methanol extraction, and postextraction saponification) were compared to determine the fatty acids in egg yolk. About 50 mg of pooled egg yolk samples, with C23:0 as an internal standard, was used for all assays. No difference (P > 0.05) was observed among the four methods for C17:0, C18:0, C18:1, C20:1, C18:2n-6, and C22:6n-3 content of egg yolk. Direct saponification resulted in a lower (P < 0.05) content of C14:0, C16:1, C18:3n-3, and C20:4n-6. Fatty acids at less than 0.5%, such as C15:0 and C14:1, were not detectable in the direct saponification method. The total saturated, monounsaturated, or polyunsaturated fatty acids did not differ (P > 0.05) among the four methods. Direct methylation of egg yolk resulted in lower variability than other methods and is fast and economic for determining egg fatty acid composition.

Animals↗
PubMed2000

Surgical management of echinococcosis of the heart.

A 23-year-old female with an echinococcal cyst in the atrioventricular groove of the heart is reported. The diagnosis and the location of the cyst were confirmed by echocardiography and cardiac catheter. Successful enucleating of the cyst with the aid of cardiopulmonary bypass and the length of follow-up is reported, along with a review of relevant literature.

Adult↗