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Biomedical subjects

R K Garg

Publications and source records attributed to R K Garg.

At least 91 records · Page 5Linked to original sources
PubMed1994

Hospital waste disposal by incineration.

Hospital waste is becoming increasingly complex due to changing technologies and increase in the services that the hospitals perform for the community. Out of the available technology for the final disposal of solid wastes, incineration is best suited for hospital waste as it renders the waste nontoxic, non hazardous, non putrescible and reduces the volume of material for ultimate disposal. Present study was carried out in a service hospital to analyze the requirement of incinerator considering the state of art available in this country. Multi chambered oil fired incinerator installation as an on site facility for hospital solid waste disposal has been recommended as more environment. friendly option.

Hazardous Waste↗
PubMed1994

Platelet functions and lipid profile in haemorrhagic and thrombotic stroke patients.

The present study was conducted in 17 patients of haemorrhagic stroke (HS), 19 patients of thrombotic stroke (TS) and 14 control subjects. In each subject platelet functions (spontaneous platelet aggregation (SPA), aggregation induced with 10, 5, 2.5 microM ADP and 10 micrograms/ml of collagen) and complete lipid profile (total cholesterol, triglycerides, high density lipoprotein [HDL], low density lipoprotein [LDL], very low density lipoprotein [VLDL] and LDL/HDL ratio) were performed within 7 days of onset of stroke. Platelet aggregation with 2.5 microM ADP was significantly lower (P < 0.05), in both the stroke groups in comparison to controls. No other changes were significant. Mean serum triglycerides and VLDL of TS group were significantly higher than that of controls. Mean LDL/HDL ratio of the same group was significantly lower than HS group. It can be concluded that alterations in platelet functions and lipid profile are induced by both types of strokes in acute stage.

Adult↗
PubMed1994

S. typhi with transferable chloramphenicol resistance isolated in Chandigarh during 1983-87.

Plasmid mediated chloramphenicol resistance in S. Typhi has been reported since the outbreak in Kerala in 1972 from India. 876 strains of S. typhi isolated at Chandigarh during Jan 1983 to July 1987 were investigated for the incidence of chloramphenicol resistance. In 1983 34% of the total isolated were resistant to chloramphenicol, in 1984 24%, during 1985 5% & while in 1986 2% of the strains showed chloramphenicol resistance. The resistant strain showed chloramphenicol resistance. The resistant strains had an minimum inhibitory concentration of 64-128 ug/ml for chloramphenicol. All the resistant strains showed multiple drug resistance with the resistance pattern CSSuT. Of these 50 strains were studied for their mechanism of resistance by conjugation experiments which showed that CSSUT pattern could be transferred to E. coli J-53 and E. coli J-62 in primary and secondary transfer experiments indicating that the resistance was carried on a transferable plasmid.

Chloramphenicol Resistance↗
PubMed1994

Platelet functions & lipid profile within 24 hours following an attack of TIA, thrombotic & haemorrhagic stroke.

The present study was undertaken to evaluate comparatively the lipid profile and platelet functions within 24 h of the three most frequent types of stroke encountered in clinical practice. Twenty patients of transient ischaemic attacks, 22 of thrombotic stroke and 26 of haemorrhagic stroke (hypertensive putaminal haemorrhage), all within 24 h of the acute event, and 21 control subjects were studied. Spontaneous platelet aggregation, platelet aggregation induced with adenosine diphosphate (2.5, 3.75 and 5.0 microM) and lipid profile (serum cholesterol, triglycerides, high density lipoprotein, low density lipoprotein and very low density lipoprotein) estimations were performed in all the subjects. Mean platelet aggregation values were significantly lower in haemorrhagic stroke patients as compared to controls. Serum cholesterol, triglycerides and very low density lipoprotein levels in ischaemic groups i.e., transient ischaemic attacks and thrombotic stroke patients, were significantly elevated, more so in the former group. It appears that platelet hypofunction has a role in the pathogenesis of hypertensive putaminal haemorrhage while in patients of transient ischaemic attack and thrombotic stroke, lipids may be a contributing factor in cerebral atherogenesis.

Adult↗
PubMed1993

Effect of anti-platelet therapy (aspirin + pentoxiphylline) on plasma lipids in patients of ischaemic stroke.

Twenty-one patients of ischaemic stroke were put on prolonged administration of antiplatelet drugs (aspirin 320 mg once daily with pentoxiphylline 400 mg thrice daily). The serum lipids along with other biochemical parameters were estimated before starting the treatment and after completion of 2 months of therapy. No significant changes were observed in any of the biochemical parameters including lipid profile except in serum high density lipoprotein (HDL) which increased significantly (< 0.05) after 2 months therapy. It is concluded that 2 months antiplatelet therapy has no adverse metabolic effect in patients of ischaemic stroke and the raised serum HDL may contribute to cerebral protective effect.

Adult↗
PubMed1993

Eales' disease with progressive spastic paraparesis.

Eales disease is a disease of unknown aetiology characterised by ophthalmic changes and often neurological involvement as in multiple sclerosis. We are reporting a case of Eales' disease in a 27 yr old male with chronic progressive non compressive motor myelopathy.

Adult↗
PubMed1993

Multiple drug resistance and genetic characterization of Salmonella typhimurium isolated at Chandigarh.

A total of 1072 strains of S. typhimurium were isolated in Chandigarh during 1985-1988. Genetic characterization of 'R' plasmids was attempted in 21 multiple drug resistant strains (ACKSSu TT p-19, ACKSSu, TP-I, AKSSu Tp-1). All the 21 strains were sensitive to gentamicin, furoxone and nalidixic acid. Level of resistance to different antimicrobial drugs varied from 200 to 1000 mg/L. Majority of the strains were untypable by the present set of 31 typing phages (Ut-17, Phage type 21-2, Phase type 99-2). All the plasmids belonged to class I transfer system. All the plasmids restricted some or all the typing phages of S. typhimurium and 39 also restricted phage phi 2. These plasmids belonged to F1me or I1 incompatibility groups and did not inhibit the function of fertility factor (fi-).

Adult↗
PubMed1992

Rhythmic palatal myoclonus.

We report two cases of rhythmic palatal myoclonus (RPM) first presenting with symptoms unrelated to myoclonus and a possible etiology of encephalitis and the second presenting with ear click and palatal myoclonus. The response to treatment was unsatisfactory in both.

Adult↗
PubMed1992

Antitrust issues for the nurse anesthetist: some essentials.

This article is the first of a two-part article on antitrust issues as applicable to certified registered nurse anesthetists (CRNAs). The first part presents an overview of antitrust law and discusses issues related to establishing jurisdiction under federal law. The second part reviews specific antitrust concerns including staff privileges, peer review, price fixing, and insurance. The article concludes by making specific practical recommendations for dealing with antitrust situations.

Antitrust Laws↗
PubMed1992

Antitrust issues for the nurse anesthetist: areas of concern.

This article is the second of a two-part article on antitrust issues as applicable to certified registered nurse anesthetist (CRNAs). The first part, presented in the March 1992 issue, provided an overview of antitrust law and discussed issues related to establishing jurisdiction under federal law. The second part, presented in this issue, focuses on specific antitrust areas of concern to the CRNA, including staff privileges, peer review, price fixing, and insurance. Specific practical recommendations for dealing with antitrust situations are offered.

Antitrust Laws↗
PubMed1991

Risk analysis of a gas-processing complex in India.

ONGC's Hazira Gas-Processing Complex (HGPC) consists of facilities for receiving natural gas along with associated condensate from an off-shore field at a rate of 20 MMN M3 per day. After separating the condensate, which is processed in condensate fractionation units, the gas is processed through various steps to recover LPG and to reduce its dew point to less than 5 degrees C in order to make it suitable for transportation over long distances. The acid gas recovered during the gas-sweetening step is processed to obtain sulphur. The major products manufactured at HGPC therefore are lean sweet gas, LPG, NGL, and sulphur. The Oil and Natural Gas Commission awarded the assignment on Hazard Study and Risk Analysis of their Hazira Gas-Processing Complex (HGPC) to the Council of Scientific and Industrial Research (CSIR) in association with the Netherlands Organisation for Applied Scientific Research (TNO). The scope of this assignment covered a number of closely related and fully defined activities normally encountered in this type of work. Identification of hazards through the most appropriate methods, assigning frequency of occurrence of major unwanted incidents, quantification and assessment of probable damage to plant equipment, environment, human and animal life due to an unexpected event, and evaluation of various methods for reducing risk, together constituted the methodology for this assignment. Detailed recommendations aimed at reducing risk and enhancing reliability of plant and machinery were made. This article gives an overview of the assignment.

Accidents, Occupational↗