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Biomedical subjects

K S Gill

Publications and source records attributed to K S Gill.

At least 37 records · Page 2Linked to original sources

Candidate-gene cloning and targeted marker enrichment of wheat chromosomal regions using RNA fingerprinting-differential display.

The usefulness of the RNA fingerprinting-differential display technique in gene cloning and targeted marker enrichment in wheat is demonstrated. A small region of chromosome 5BL was targeted that contains Ph1, a chromosome-pairing regulator gene. The cultivar Chinese Spring (CS) and mutant ph1b are almost identical except for chromosome 5BL, which, in the mutant line, carries an interstitial deletion encompassing the Ph1 gene. Poly(A)+ RNA of the two lines from anthers at developmental stages ranging from pre-meiotic mitosis to anaphase II was PCR-amplified using 38 pairwise combinations of 19 primers. The 35S-labeled amplified products were size-separated on denaturing polyacrylamide-urea gels. A total of 3154 fragment bands were observed, of which 43 were present in CS but absent in the ph1b mutant. These 43 fragment bands were eluted, re-amplified, and used as probes in gel-blot DNA analyses of wheat group 5 nullisomic-tetrasomic lines and the ph1b mutant. Twenty-four of these 43 probes were single- or few-copy sequences. Eight of the 24 probes mapped to wheat group 5 and five mapped to the deletion of the ph1b mutant. Three of these five probes were further localized to the submicroscopic region containing the Ph1 gene, by using two deletion lines flanking the region. Northern-blot analysis revealed that the gene corresponding to one of these three probes expresses mainly during meiosis and is from the B genome.

Blotting, Northern↗

New insights into the progression of aortic stenosis: implications for secondary prevention.

BACKGROUND: The risk factors affecting aortic stenosis (AS) progression are not clearly defined. Insights into this may allow for its secondary prevention. METHODS AND RESULTS: We investigated predictors of AS progression in 170 consecutive patients with AS who had paired echocardiograms > or =3 months (23+/-11) apart. Various clinical, echocardiographic, and biochemical variables were related to the change in aortic valve area (AVA). The annual rate of reduction in AVA was 0.10+/-0.27 cm(2) or 7+/-18% per year. The reduction in AVA per year was significantly related to initial AVA (r = 0.46, P<0.0001), the mean aortic valve gradient (r = 0.27, P = 0.04), left ventricular (LV) outflow tract velocity (r = 0.26, P = 0.001), and LV end-diastolic diameter (r = 0.20, P = 0.04) and marginally to serum creatinine level (r = 0.15, P = 0.08). Patients with a rate of reduction in AVA faster than the mean had higher serum creatinine (P = 0.04) and calcium (P = 0.08) levels. Those with a serum cholesterol level >200 mg/dL had a rate of AVA reduction roughly twice that of those with a lower cholesterol level (P = 0.04). Stepwise multiple regression analysis identified initial AVA, current smoking, and serum calcium level as the independent predictors of amount of AVA reduction per year. CONCLUSIONS: Absolute and percentage reduction in AVA per year in those with AS is greater in those with milder degrees of stenosis and is accelerated in the presence of smoking, hypercholesterolemia, and elevated serum creatinine and calcium levels. These findings may have important implications in gaining further insights into the mechanism of AS progression and in formulating strategies to retard this process.

Aged↗

Sub-Tenon's injection for local anesthesia in posterior segment surgery.

OBJECTIVE: To determine whether the sub-Tenon's parabulbar approach for local anesthesia is a safe and effective choice for posterior segment surgery. DESIGN: Prospective, noncomparative case series. PARTICIPANTS: Two hundred seventy-six consecutive patients underwent posterior segment surgery at the University of Texas Medical Branch. INTERVENTION: Two hundred patients received sub-Tenon's parabulbar anesthesia containing an 11 -ml mixture of 5-ml 2% lidocaine (Xylocaine), 5-ml 0.5% bupivacaine (Marcaine), and 1 ml of 150 hyaluronidase (Wydase) units as primary anesthesia. The method did not involve a separate transcutaneous lid nerve or subconjunctival injection. MAIN OUTCOME MEASURES: The proportion of cases receiving supplementation (significant intravenous anesthesia, intraoperative local anesthesia, or both) was estimated. Its relationship to duration of surgery and surgical procedures deemed painful was assessed. Surgery lasting 3 hours or more was considered a long duration. Both scleral buckle and cryotherapy were considered painful procedures. The proportion of cases receiving additional local anesthesia preoperatively was also evaluated. Complications associated with sub-Tenon's parabulbar injection were monitored. RESULTS: There were 101 instances of patients receiving additional anesthesia. Nineteen received additional preoperative sub-Tenon's anesthesia, 12 received intraoperative local anesthesia supplementation, and 70 received intravenous medication. Of these 70, 19 required what the authors defined as a significant amount of intravenous medication, three of whom also received intraoperative local anesthesia supplementation. Consequently, 28 of 200 patients (14%; 95% confidence interval: 9.5, 19.6) received supplementation (significant intravenous anesthesia, intraoperative local anesthesia, or both). The proportion of cases receiving supplementation was directly related to duration of surgery. Patients involved in longer cases (51.7% vs. 7.6%; P < 0.001) and those involved in more painful procedures (48.2% vs. 8.7%; P < 0.001) were more likely to receive supplementation. Adjusting for surgery duration, a greater proportion of patients undergoing painful procedures required supplementation (31.3% vs. 0.5% for surgery < 3 hours, P = 0.003; 72.7% vs. 38.9% for surgery > or = 3 hours, P = 0.13). No associated ocular or systemic complications were observed. CONCLUSIONS: The results of this large study demonstrate that a single injection of sub-Tenon's anesthesia is relatively safe and effective for achieving local anesthesia during vitrectomies, with or without other intraocular procedures, lasting less than 3 hours. Other types of posterior segment surgery may require supplementation if they are more painful procedures, such as scleral buckle or cryotherapy, or last longer than 3 hours.

Adult↗

Osteomyelitis of the temporomandibular joint in patients with malignant otitis externa.

Malignant (invasive) otitis externa is an infection involving the external ear canal, often in elderly diabetic patients, which carries a high morbidity and mortality. It may involve widespread areas of soft tissue around the skull base, and in more advanced cases, may give rise to osteomyelitis and cranial neuropathy. We describe two patients who were treated for malignant otitis externa complicated by destructive osteomyelitis of the temporomandibular joint (TMJ). For both patients, diagnosis was made using magnetic resonance imaging (MRI), and repeat scans were employed during follow-up. Improved scan appearances mirrored improvements in clinical condition in both cases.

Aged↗

Amplitudes, durations, and timings of apically directed left ventricular myocardial velocities: I. Their normal pattern and coupling to ventricular filling and ejection.

BACKGROUND: The left ventricular (LV) major axis shortening is an important determinant of its global function. But unlike the LV minor axis dynamics, the long-axis dynamics have not been well characterized. We investigated the amplitudes, durations, and timings of LV long-axis myocardial velocities and related them to LV filling and ejection in normal healthy volunteers. METHODS AND RESULTS: Myocardial velocities from the basal, mid, and distal portions of the four LV walls were recorded from the apical window with spectral Doppler tissue imaging in 20 normal individuals. The timings, amplitudes, and durations were measured and compared both longitudinally and circumferentially. These were also related to mitral inflow and LV ejection. Analysis of the recordings indicated that there were three principal myocardial velocities: apically directed systolic velocity and atrially directed early and late diastolic velocities. The LV posterior wall had the highest shortening velocity and the amount of shortening. The lateral wall had the greatest amplitude of early diastolic lengthening velocity, amount of lengthening, and early to late lengthening velocity and integral ratios, probably indicating most favorable early diastolic properties. There was a striking synchrony in the myocardial velocities circumferentially. The myocardial velocities dropped progressively as the sampling site was moved distally and the LV apex was practically stationary. Although the onsets of the velocity profiles were simultaneous in the meridional orientation, their durations were shorter distally. All myocardial velocities preceded the corresponding blood flow velocities. They also ended before the corresponding blood flow velocities, this being more pronounced in the distal myocardial segments, indicating the presence of inertial factors responsible for the terminal portions of mitral and aortic flows. CONCLUSIONS: Recording of apically directed myocardial velocities gives valuable insights into the regional myocardial function. These velocities show significant regional variations in healthy normal individuals. It is speculated that analysis of regional myocardial velocities may have a role in the diagnosis of early myocardial disease.

Adult↗

Amplitudes, durations, and timings of apically directed left ventricular myocardial velocities: II. Systolic and diastolic asynchrony in patients with left ventricular hypertrophy.

BACKGROUND: Regional myocardial dysfunction may be the earliest manifestation of myocardial disease and can occur in the absence of abnormalities of global left ventricular (LV) function. The LV long-axis function, which is mainly due to subendocardial muscle fibers, may become abnormal in the presence of normal short-axis function. This study investigates the temporal and spatial characteristics of the LV long-axis function in patients with secondary LV hypertrophy in the presence of normal systolic function. METHODS AND RESULTS: LV long-axis myocardial velocities were recorded in 18 patients with LV hypertrophy and preserved regional and global systolic function with Doppler tissue imaging. Apically directed myocardial velocities were recorded from the basal, mid, and apical segments of the four LV walls, and their amplitudes, timings, and durations were measured. The abnormalities uncovered by the analysis of regional myocardial velocities included (1) asynchrony in the onset of myocardial contraction circumferentially, (2) presence of postejection LV shortening, (3) asynchrony in the onset of early myocardial lengthening circumferentially, (4) reduced early myocardial lengthening velocity, (5) reduced early to late myocardial lengthening velocity and extents circumferentially, and (6) lack of variation in the basal myocardial velocities circumferentially in contrast to normal individuals. CONCLUSIONS: Patients with secondary LV hypertrophy with preserved regional and global systolic performance have distinct abnormalities in the timings and amplitudes of apically directed myocardial velocities. These abnormalities may explain some of the changes in LV global diastolic behavior and may also serve as markers of early regional myocardial dysfunction.

Aged↗

Phototherapeutic keratectomy.

The US Food and Drug Administration recently approved the 193-nm excimer laser for the treatment of superficial corneal pathology and surface irregularities--a procedure called phototherapeutic keratectomy (PTK). Indications for PTK include corneal dystrophies, degenerations, and scars that impair corneal transparency, thus compromising visual acuity. In some cases, PTK may offer a better treatment modality than corneal transplant surgery. This article reviews the basic fundamentals of PTK, including indications for surgery, the surgical procedure, preoperative and postoperative patient evaluation and care, and possible complications.

Contraindications↗

The changing face of emphysematous cholecystitis.

Emphysematous cholecystitis is a variant of acute cholecystitis characterized by the presence of gas in the gall bladder lumen, wall or pericholecystic tissues in the absence of an abnormal communication between the biliary system and the gastrointestinal tract. In the past, the diagnosis has relied on the plain abdominal radiograph (AXR), since there are no clinical features to separate this condition from simple acute cholecystitis. The apparently high mortality and morbidity associated with emphysematous cholecystitis has previously emphasized the importance of emergency cholecystectomy. We have reviewed eight cases of emphysematous cholecystitis presenting to this hospital over the last 5 years. The diagnosis was made on AXR in only one of these cases. Ultrasound (US) scans were performed in all eight cases, of which five were positive and three negative, due to non-visualization of the gall bladder. In the three negative cases, the diagnosis was made on subsequent CT scans. On initial clinical examination, only one of the eight patients appeared systemically unwell and conservative management was employed in five of the patients. The remaining three patients underwent cholecystectomy within 3-5 days because of continuing signs or symptoms. It is concluded that the AXR is relatively insensitive in the diagnosis of emphysematous cholecystitis. As a result of the regular use of US in suspected hepatobiliary disease, emphysematous cholecystitis is being diagnosed with increased frequency, uncovering a broad spectrum of disease ranging from mild to severe. Previously, failure to separate milder cases from simple acute cholecystitis may have been responsible for reports of unremitting severity and progression requiring emergency cholecystectomy. Based on clinical assessment, conservative surgical management is possible in a significant proportion of patients.

Acute Disease↗

Entomological and rodent surveillance of suspected plague foci in agro-environmental and feral biotopes of a few districts in Maharashtra and Gujarat states of India.

Studies carried out on entomological and rodent surveillance in agroclimatic and feral biotopes of five districts of Maharashtra and two districts of Gujarat revealed that the terrain features of the seven districts surveyed were conducive to wild rodent species, Tatera indica, a natural reservoir of plague and vector flea species, Xenopsylla cheopis. A total of 214 Tatera indica and three Bandicoota bengalensis were collected from burrows by the digging method and 89 rat fleas were retrieved. The flea index calculated ranged from 0.26 to 1.0 in different districts. The examination of blood serum samples, contact tissue impression smears and tissue organs (heart, lung, liver and spleen) of these wild rodents did not reveal any evidence of plague activity. The natural harbourages of Tatera indica were found to be elevated land or raised margins of agricultural fields or barren land with thorny bushes/xerophytic plants and parthenium grass. Agricultural fields having wet soil were found to be the preferred harbourages of Bandicoota bengalensis. Movement of wild rodents toward human settlement was observed to be the common phenomenon during the harvesting season which may lead to the creation of favorable conditions for plague outbreaks.

Animals↗

Entomological and rodent surveillance in plague-suspected areas during September 1994 and thereafter.

Studies carried out in the states of Maharashtra, Gujarat, Uttar Pradesh and Union Territory of Delhi after the bubonic plague outbreak during 1994 revealed the presence of seven species of rodents, viz. Rattus rattus, R. norvegicus, Mus. musculus, Tatera indica, Suncus murinus, Bandicoota bengalensis and B. indica. The flea species encountered were Xenopsylla cheopis and X. astia. The X. cheopis and X. astia index recorded in different areas of Beed district of Maharashtra; Surat, Vadodra and Baruch districts in Gujarat and Varanasi district in Uttar Pradesh and their implications have been discussed. Insecticide suspectibility tests carried out against DDT, dieldrin, malathion and deltamethrin with X. cheopis collected from Maharashtra, Delhi and Varanasi revealed that this vector species is resistant to DDT and dieldrin but susceptible to malathion and deltamethrin. The prevalence and distribution of rodents species, high cheopis index and prevalence of Tatera indica just at the door steps of houses in village Mamla of Beed district provides highly congenital conditions for the intermingling of wild and domestic rodents and transfer of flea population from wild to domestic rodents and vice-versa. These conditions were found to be highly supportive for bubonic plague transmission in the district. The presence of Yersinia pestis antibodies in Rattus rattus collected from Beed, Surat and Varanasi areas are also indicative of bubonic plague in Beed and Varanasi and pneumonic plague in Surat during 1994.

Animals↗

ICAM-1 expression in corneal epithelium of a patient with vernal keratoconjunctivitis: case report.

Recent reports have demonstrated the expression of intercellular adhesion molecule-1 (ICAM-1; CD54) on the epithelium in various allergic diseases and inflammatory conditions, including the bronchial epithelium of patients with allergic asthma, conjunctival epithelium of allergic patients after allergen-specific challenge, and corneal epithelium of rejected corneal allografts. We investigated the presence of ICAM-1 expression on the corneal epithelium from a patient with vernal keratoconjunctivitis (VKC). Immunohistochemical staining of the diseased cornea demonstrated abundant ICAM-1 expression on the corneal epithelium. Immunoreactive ICAM-1 appeared to localize primarily to the cells of the basal and middle layers of the corneal epithelium. No staining was detected on the ocular surface epithelium. The normal, healthy cornea demonstrated no significant ICAM-1 expression on any of the epithelial layers, similar to that previously reported. To the best of our knowledge, this is the first report of ICAM-1 expression on the corneal epithelium from a patient with VKC.

Adult↗

Effects of eosinophil granule proteins on human corneal epithelial cell viability and morphology.

PURPOSE: There is mounting evidence that eosinophil granule proteins may cause tissue injury during allergic inflammation of the eye. Therefore, the authors investigated the in vitro effects of human eosinophil major basic protein (MBP), eosinophil cationic protein (ECP), eosinophil peroxidase (EPO), and eosinophil-derived neurotoxin (EDN) on cultured human corneal epithelial cell viability and morphology. METHODS: Confluent primary human corneal epithelial cell cultures were exposed to each of the four human eosinophil cationic granule proteins at concentrations ranging from 0 to 100 micrograms/ml (0, 12.5, 25, 50, and 100 micrograms/ml) for up to 48 hours in serum-free media. Morphologic changes were assessed by light microscopy at 1, 6, 24, and 48 hours; cell viability was measured using the MTT cell viability assay at 24 hours. RESULTS: Cells treated with MBP and ECP induced a dose-dependent gradual increase in morphologic changes; in contrast, EPO and EDN induced minimal changes in cell morphology. At 24 hours, both MBP and ECP induced statistically significant (P < 0.05) decreases in cell viability at a concentration of 100 micrograms/ml; EPO induced a significant (P < 0.05) decrease in cell viability at all concentrations tested, and EDN showed no significant reduction of cell viability at any of the concentrations tested. CONCLUSIONS: The current study suggests that the human eosinophil granule proteins MBP and ECP affect human corneal epithelial cell viability and morphology in vitro, whereas the protein EPO affects cell viability only. EDN had no significant effect on cell viability or morphology. Hence, MBP, ECP, and EPO perturb the corneal epithelium differentially and may contribute to keratopathy associated with severe ocular allergy.

Blood Proteins↗

Corneal topography after excimer laser photorefractive keratectomy for myopia.

BACKGROUND: This study was performed to assess and correlate the changes in central corneal power with the changes in manifest refraction after myopic photorefractive keratectomy (PRK) and to measure ablation zone centration. METHODS: Fourteen patients had computerized videokeratography and manifest refraction performed preoperatively, and than 1, 2, 3, 4, 6, and 12 months after photorefractive keratectomy. RESULTS: There was a significant association (r = -0.9; p < 0.0001) between changes in manifest refraction and changes in central corneal power at the 12-month postoperative examination; however, a mean difference of 1.1 D was seen between the two readings. The mean decentration of the ablation zone was 0.47 +/- 0.26 mm (range, 0.08 to 1.05 mm: 0 to 0.49 mm, six patients; 0.50 to 0.99 mm, seven patients; and 1.00 to 1.50 mm, one patient). CONCLUSIONS: Corneal power-as measured by videokeratography-is not an accurate predictor of manifest refraction, although the two parameters did demonstrate good correlation. Centration of ablations was comparable to previous studies.

Adult↗

Extended field trial of deltamethrin WDP for control of malaria at Jagdalpur, Madhya Pradesh, India.

The synthetic pyrethroid, deltamethrin 2.5% wdp, was evaluated at a dosage of 25 mg/sq m in a group of villages of tribal area around Jagdalpur, District Bastar (Madhya Pradesh). Study was carried out in three consecutive years from 1986 to 1988 with a total of five rounds of deltamethrin spray covering a population of approximately 10,000. The suspension of deltamethrin wdp was white in colour, odourless, non-irritant and the deposits were faintly visible on the surface of wall. A total of 3848 kg of 2.5% deltamethrin wdp was consumed during the trial. Insecticide was found effective in keeping the adult vector density An. culicifacies to a very low level for a period of 14-16 wks. Both anopheline and culicine mosquitoes were affected by the spray. The trial confirmed its long residual effectiveness from 15 to 16 wks on both mud and cement plastered surfaces. Deltamethrin spray shortened the average life span of vector mosquitoes. Observations indicated that insecticide although has an excito-repellent effect on mosquitoes, thus forcing exodus from treated area but with poor survival. Partial impact of deltamethrin spray was observed on the larval population confirm this. Deltamethrin spray did not exhibit any fumigant effect on mosquitoes. Significant decline in SPR from 17.93 to 4.26% was observed in areas sprayed with deltamethrin as compared to the comparison area. Similarly, SfR showed 81% reduction in experimental area while the control area showed increase by 42 per cent. No ill-effect of spray was noticed on the inhabitants, spray personnels, animal population and other non-target organisms of the area. The acceptability of the deltamethrin spray was found to be very high.

Animals↗

Central and peripheral endothelial cell changes after excimer laser photorefractive keratectomy for myopia.

OBJECTIVE: To investigate changes in the human corneal endothelium after photorefractive keratectomy for treatment of myopia. DESIGN: Specular microscopy of the central, paracentral, and peripheral zones of the corneas of 14 patients (12 of whom were previous contact lens wearers) was performed preoperatively and at 1, 2, 3, 6, and 12 months after photorefractive keratectomy. The corneal endothelial cell density, coefficient of variation (CV) of the endothelial cell area, and percentage of hexagonal cells were assessed at each examination. RESULTS: The central endothelial cell density was increased by 7% during the first 3 postoperative months (P < .05). In contrast, the peripheral cell density declined steadily by 6.9% during the first year (P < .01). The CV of the cell area was decreased in all 3 zones, whereas the percentage of hexagonal cells was increased in the central and paracentral zones (P < .05). CONCLUSIONS: We observed statistically significant changes in the central and peripheral endothelial cell densities and morphological features that could have resulted from photorefractive keratectomy; however, these changes also may have been explained by the discontinuation of contact lens wear. If such changes are contact lens-related, they could mask the effects of laser-induced damage to the central zone of the endothelium.

Adult↗

Identification and high-density mapping of gene-rich regions in chromosome group 5 of wheat.

The distribution of genes and recombination in the wheat genome was studied by comparing physical maps with the genetic linkage maps. The physical maps were generated by mapping 80 DNA and two phenotypic markers on an array of 65 deletion lines for homoeologous group 5 chromosomes. The genetic maps were constructed for chromosome 5B in wheat and 5D in Triticum tauschii. No marker mapped in the proximal 20% chromosome region surrounding the centromere. More than 60% of the long arm markers were present in three major clusters that physically encompassed < 18% of the arm. Because 48% of the markers were cDNA clones and the distributions of the cDNA and genomic clones were similar, the marker distribution may represent the distribution of genes. The gene clusters were identified and allocated to very small chromosome regions because of a higher number of deletions in their surrounding regions. The recombination was suppressed in the centromeric regions and mainly occurred in the gene-rich regions. The bp/cM estimates varied from 118 kb for gene-rich regions to 22 Mb for gene-poor regions. The wheat genes present in these clusters are, therefore, amenable to molecular manipulations parallel to the plants with smaller genomes like rice.

Chromosome Mapping↗

Identification and high-density mapping of gene-rich regions in chromosome group 1 of wheat.

We studied the distribution of genes and recombination in wheat (Triticum aestivum) group 1 chromosomes by comparing high-density physical and genetic maps. Physical maps of chromosomes 1A, 1B, and 1D were generated by mapping 50 DNA markers on 56 single-break deletion lines. A consensus physical map was compared with the 1D genetic map of Triticum tauschii (68 markers) and a Triticeae group 1 consensus map (288 markers) to generate a cytogenetic ladder map (CLM). Most group 1 markers (86%) were present in five clusters that encompassed only 10% of the group 1 chromosome. This distribution may reflect that of genes because more than half of the probes were cDNA clones and 30% were PstI genomic. All 14 agronomically important genes in group 1 chromosomes were present in these clusters. Most recombination occurred in gene-cluster regions. Markers fell at an average distance of 244 kb in these regions. The CLM involving the Triticeae consensus genetic map revealed that the above distribution of genes and recombination is the same in other Triticeae species. Because of a significant number of common markers, our CLM can be used for comparative mapping and to estimate physical distances among markers in many Poaceae species including rice and maize.

Chromosome Mapping↗