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Biomedical subjects

P Goyal

Publications and source records attributed to P Goyal.

At least 19 recordsLinked to original sources
PubMed2006

Efficacy of nitroglycerin inhalation in reducing pulmonary arterial hypertension in children with congenital heart disease.

BACKGROUND: There has been a renewed interest in nitric oxide donor drugs, such as nitroglycerin, delivered by the inhalational route for treatment of pulmonary arterial hypertension (PAH). We investigated the acute effects of inhaled nitroglycerin on pulmonary and systemic haemodynamics in children with PAH associated with congenital heart disease. METHODS: Nineteen children with acyanotic congenital heart disease and a left to right shunt with severe PAH, undergoing routine diagnostic cardiac catheterization were included in this study. Systolic, diastolic and mean systemic as well as pulmonary artery pressures, right atrial pressure and pulmonary capillary wedge pressure (PCWP) were recorded and systemic vascular resistance index (SVRI) and pulmonary vascular resistance index (PVRI) were calculated at room air, following 100% oxygen as well as after nitroglycerin inhalation in all patients. RESULTS: Systolic, diastolic and mean pulmonary artery pressure and PVRI decreased significantly, whereas heart rate, systolic, diastolic and mean systemic arterial pressure, PCWP and SVRI did not change significantly following 100% oxygen or inhalation of nitroglycerin. CONCLUSION: Inhaled nitroglycerin significantly decreases systolic, diastolic and mean pulmonary artery pressure as well as PVRI without affecting systemic haemodynamics, and thus can be used as a therapeutic modality for acute reduction of PAH in children with congenital heart disease.

Administration, Inhalation↗
PubMed2005

Beneficial effects of probiotics and prebiotics on human health.

The primary role of a diet is not only to provide enough nutrients to fulfill metabolic requirements of the body but also to modulate various functions of the body. Probiotics, prebiotics and synbiotics are either beneficial microorganisms or substrates that facilitate the growth of these microorganisms which can be suitably harnessed by the food manufacturers and holds considerable promise for health care industry. Regardless of sufficient health benefits of these, there is a need to carry a multidisciplinary approach on safety evaluation as the conventional toxicological approach has various limitations. This article gives an overview of probiotics and prebiotics, their health effects, mode of action, growth and survival in GIT, quality assurance criteria and safety including future prospects.

Animals↗
PubMed2002

Evaluation of induction doses of propofol: comparison between endstage renal disease and normal renal function patients.

Anaemia, hypoproteinaemia and acidic pH in renal failure patients can alter the pharmacokinetics and pharmacodynamics of anaesthetic agents, resulting in altered dose requirements. We evaluated the induction dose of propofol in adult patients with end-stage renal disease by titrating the hypnotic effect by means of a clinical parameter as well as using a more objective assessment of hypnosis, the Bispectral Index (BIS) monitor. The dose was compared with that for patients with normal renal function. Propofol doses that provided the clinical end-point of hypnosis (syringe drop method), as well as the end-point of a mean (SD) BIS value of 50 (5), were evaluated in 27 end-stage renal disease and 27 normal renal function patients. Propofol was administered at 0.2 mg/kg every 15 seconds until these end-points were achieved. End-stage renal disease patients required significantly higher propofol doses to achieve the clinical end-point of hypnosis (1.42 (0.24) mg/kg versus 0.89 (0.2) mg/kg in normal renalfunction patients, P<0.05 unpaired "t" test). Propofol dose required to achieve a BIS of 50 (5) was also higher in end-stage renal disease patients (2.03 (0.4) mg/kg versus 1.39 (0.43) mg/kg in normal renal function patients, P<0.05). There was a significant negative correlation of propofol dose with preoperative haemoglobin concentration. A hyperdynamic circulation in renal failure patients with anaemia may be responsible for the higher propofol dose requirement in this group.

Adult↗
PubMed2001

Tracheal injury during endoscopic hemithyroidectomy.

Unsuspected tracheal injury during endoscopic hemithyroidectomy is described. The diagnosis was delayed because of absent symptomatology. Surgical repair was planned but deferred because of infection. The patient was managed with a tracheostomy tube and antibiotics, and the wound healed completely without any residual abnormality or complications.

Adult↗
PubMed1999

Enhanced expression of neurotrophic factors by C6 rat glioma cells after transfection with glia maturation factor.

Glia maturation factor (GMF) is a 17-kDa protein unique to the nervous system. Although GMF was initially characterized as a growth/differentiation factor, the absence of a leader sequence and its intracellular localization in normal brain suggest an intracellularfunction as well. In this paper we transfected the C6 glioma cells with GMF cDNA by infecting the cells with a GMF/adenovirus construct. The transfected cells overexpressed GMF but did not secret the protein into the culture medium. However, the transfected cells showed an increased expression of the neurotrophic factors including nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF). The increase in neurotrophic activity of the C6 cell conditioned medium was demonstrable by its ability to promote neurite outgrowth in PC12 cells.

Adenoviridae↗
PubMed1991

In vitro effect of Phyllanthus amarus on hepatitis B virus.

To evaluate the effects of P. amarus on hepatitis B virus (HBV) antigens and HBV-DNA, initial ethanolic extract and subsequent fractions of the plants were prepared. The whole plant material was dried, powdered and extracted with alcohol and subsequently fractionated in hexane, chloroform, butanol and finally in water. All the material were tested for in vitro effects on HBsAg, HBeAg and HBV-DNA in serum samples positive for HBV antigens followed by the screening of respective antigens by Elisa. HBV-DNA was determined by molecular hybridization. The extracts were effective against HBV antigens, the butanol extract being the most potent. Further chromatographic fractions showed an enhanced activity. The active fractions inhibited the interaction between HBsAg/HBeAg and their corresponding antibodies suggesting anti-HBs, anti-HBe-like activity and also an effect on HBV-DNA.

DNA, Viral↗
PubMed1985

Periodic and nonperiodic burst responses of frog (Rana pipiens) retinal ganglion cells.

Neural activity of class 3 retinal ganglion cells was recorded in frog optic tectum, using extracellular microelectrodes. The stimuli were rectangular patches of contrast (light-on-dark or dark-on-light), applied within the previously determined receptive fields, for periods ranging from a few milliseconds to several seconds. ON and OFF responses were recorded for as long as 1 s following stimulation. Poststimulus time histograms revealed two types of responses, labeled periodic and nonperiodic bursters. The periodic bursters were characterized by periods of high activity separated by silent or near-silent intervals. The bursts occurred rhythmically with frequencies roughly between 15 and 50 Hz. Nonperiodic bursters generally showed both broad and sharp peaks in activity, but no regular periodicities. Activity profiles were flat initially, with silent periods appearing after the first few stimulus presentations, suggesting an inhibitory nature of the bursting process. The records were shown to combine the activities of several neurons. Analysis of the waveforms in real time made possible isolation of some units. In these cases, neurons exhibited a high degree of selective synchrony, i.e., the sharing of a portion of the activity profile, and notable differences at other times. These data have implications for the processing of visual information.

Action Potentials↗