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Biomedical subjects

R Viswanathan

Publications and source records attributed to R Viswanathan.

At least 37 records · Page 2Linked to original sources

Langmuir-Blodgett films.

The controlled transfer of organized monolayers of amphiphilic molecules from the airwater interface to a solid substrate was the first molecular-scale technology for the creation of new materials. However, the potential benefits of the technology envisioned by Langmuir and Blodgett in the 1930s have yet to be fully realized. Problems of reproducibility and defects and the lack of basic understanding of the packing of complex molecules in thin films have continued to thwart practical applications of Langmuir-Blodgett films and devices made from such films. However, modern high-resolution x-ray diffraction and scanning probe microscopy have proven to be ideal tools to resolve many of the basic questions involving thin organic films. Here, studies are presented of molecular order and organization in thin films of fatty acid salts, the prototypical system of Katharine Blodgett. Even these relatively simple systems present liquid, hexatic, and crystalline order; van der Waals and strained layer epitaxy on various substrates; wide variations in crystal symmetry and interfacial area with counterions; modulated superstructures; and coexisting lattice structures. The wide variety of possible structures presents both a challenge and an opportunity for future molecular design of organic thin-film devices.

Chemical Phenomena↗

Nail gun injury to the brain: an unusual case of suicide.

An unusual case of fatal suicidal craniocerebral penetrating injury due to a nail gun is described. The victim, a 52 year old joiner experienced in the use of nail drivers, shot himself just above the forehead in the midline, driving the nail through his hypothalamus and midbrain. Death was delayed by nearly 24 hours.

Brain Injuries↗

Stereotaxic brain biopsy in AIDS patients: does it contribute to patient management?

The authors analysed all cases of brain biopsy done in AIDS or HIV+patients at the Department of Clinical Neurosciences, Western General Hospital, Edinburgh, during the period 1989-92 to determine the clinical utility of the procedure. Thirteen lesions were biopsied revealing toxoplasmosis in five, lymphoma in four, progressive multifocal leucoencephalopathy in three, HIV encephalitis in two and encephalitis of unknown aetiology in one. One biopsy specimen contained abnormal tissue but was non-diagnostic. The median survival after biopsy was only 7 weeks, but preoperative immunological (median CD4 count 45) and clinical status of the patients were poor. Although the impact of tissue diagnosis on patient survival was minimal it did enable modification of drug therapy. The authors preliminary experience with biopsy in AIDS patients suggests that the diagnostic information obtained is of limited value in prolonging the lives of patients in poor immunological status, but may be useful in refining medical therapies for toxoplasmosis and progressive multifocal leucoencephalopathy. Whether biopsy should be performed earlier in the course of cerebral disease in an effort to prolong survival time remains unclear.

AIDS Dementia Complex↗

Strained-layer van der Waals epitaxy in a Langmuir-Blodgett film.

Atomic force microscope images of Langmuir-Blodgett films of lead and manganese fatty acid salts show that these monolayers have long-range order and are oriented with respect to the mica substrate, although the lattice symmetries of the monolayers and substrate are dramatically different. The surface lattice of sequentially thicker films evolves toward the bulk structure while retaining the substrate alignment. This behavior is in distinct contrast to films of cadmium fatty acid salts on mica, or all films on amorphous silicon oxide, in which the monolayer structure is disordered and a three-layer-thick film displays the bulk structure.

Adsorption↗

Alzheimer's disease in a patient on long-term hemodialysis: a case report.

This case report describes a progressive dementia in a 49-year-old black male on long-term hemodialysis. The initial presentation simulated depression. The dementia persisted after an unsuccessful cadaver homograft transplant. The character of the dementia was nonspecific but typical features of dialysis dementia were lacking. Autopsy revealed a ruptured cerebral aneurysm, polycystic kidneys, moderately severe atherosclerosis, miliary tuberculosis, and neurofibrillary degeneration of the hippocampus. The significance of a possible relationship between end-stage renal disease (ESRD), hemodialysis, and Alzheimer's disease in this case is discussed.

Alzheimer Disease↗

Development of agoraphobia after surviving cancer.

We present a case conference on a 32-year-old accountant who developed embryonal carcinoma of the testis, two months after the birth of a son with a missing leg. His cancer was successfully treated with surgery and chemotherapy. After 5 years, when he was told that he need not be closely followed by his physicians anymore because he had been cured of cancer, he developed agoraphobia with panic attacks. This interfered with his occupational and social adjustment. His phobia was treated successfully with pharmacotherapy, behavior therapy, and psychotherapy. We explore the psychologic impact of cancer, the activation of separation anxiety and aggressive impulses after its successful treatment, the crippling nature of his agoraphobia, and the ingredients of his successful response to treatment.

Adult↗

Assessment of the persistence of hexachlorobenzene in the ecosphere.

Various degradation tests were carried out to assess the persistence of hexachlorobenzene (HCB) in the ecosphere. HCB was irradiated with light of various wave-lengths in organic solvents and in water, partly after addition of H2O2 or metal oxides. Photolysis to various dehalogenated products occurred at different rates, depending on concentration and irradiation time; HCB adsorbed on a silica gel was mineralized by light to CO2. A negligible amount of 14C-labelled HCB was mineralized to 14CO2 in various biodegradation tests. In an outdoor lysimeter experiment, 14C residues were found in all parts of wheat plants grown from seeds treated with 14C-HCB. Besides the parent compound and bound residues in plants and soil, very small amounts of soluble polar metabolites were present in the plants; the main product of this group, isolated from roots, was conjugated pentachlorothiophenol. Wheat grown in soil with 14C-HCB residues contained unchanged HCB and bound residues.

Biodegradation, Environmental↗