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Biomedical subjects

S Acharya

Publications and source records attributed to S Acharya.

88 records · Page 5Linked to original sources
PubMed1988

Nutritional and medical status of lactating women and their infants in the Kathmandu valley of Nepal.

In six villages in the Kathmandu valley of Nepal, an intensive health and nutrition study was conducted on 26 lactating women and their 2--6-month-old infants. Analysis of 24-h duplicate diet composites indicated that the mothers were consuming approximately 2100 kcal energy/d. The diets contained approximately 62 g protein (11.6% of the calories), 392 g carbohydrate (73.3% of the calories), and 20.9 g fat (8.6% of the calories) and a mean of 24 g neutral detergent fiber. Although anthropometric measurements indicated that the mothers had mild protein malnutrition and inadequate energy reserves, their infants exhibited low-normal weight and length for age. All the mothers had hepatitis A antibodies; 92% had tropical eosinophilia, indicating intestinal parasites; 16% had cheilosis and angular stomatitis, indicating a possible B-vitamin deficiency; and 8% had elevated urinary nitrite, indicating urinary tract infection. There were no unusual physical findings on the infants. Although the children appeared healthy, the mothers showed evidence of multiple infections and possible nutrient deficiencies.

Adolescent↗
PubMed1988

Copper, iron, zinc, and selenium dietary intake and status of Nepalese lactating women and their breast-fed infants.

The dietary intake of copper, iron, zinc, and selenium of 26 Nepalese lactating mothers was estimated from chemical analysis of 24-h food and beverage composites. Fasting blood and milk samples were obtained from the mothers and blood samples were obtained from the infants. The Nepalese mothers consumed significantly more Cu, significantly less Fe and Se, and similar amounts of Zn as compared with American lactating women. Blood Fe status indices and plasma concentrations of Cu, Zn, and Se were lower in the Nepalese mothers than in the American mothers. These lower values may in part be related to the high neutral detergent fiber and phytate content of the Nepalese diet, which could make these minerals less available for absorption. The high exposure to infections in Nepal may also depress Fe status indices and plasma Zn concentrations. The lower dietary Se intake of the Nepalese mothers was reflected in lower milk concentrations.

Beverages↗
PubMed1988

Calcium and magnesium dietary intakes and plasma and milk concentrations of Nepalese lactating women.

Dietary calcium and magnesium intakes of 26 Nepalese lactating women were determined from analysis of 24-h duplicate food and beverage composites. In addition, blood, urine, and milk samples were collected. The mean Ca intake of these Nepalese mothers, 482 +/- 249 mg/d, was less than half that of American lactating women yet the Ca concentration of the milk was similar for the two groups of women. The Nepalese mothers appeared to maintain milk Ca concentrations by an increase in bone resorption as demonstrated by an elevated excretion of hydroxyproline. The Nepalese women had a mean Mg intake of 353 +/- 28 mg/d. Two locally available foods considered special for lactating women, jwano and gundruk, were examined for nutrient content and found to contain high concentrations of Ca and Mg. Increased consumption of these locally grown foods could add substantially to the Ca and Mg intakes of these lactating women.

Bone Resorption↗
PubMed1986

Effects of procaine on hypoxia induced abnormalities in canine myocardial tissues.

Combined effects of hypoxia, hyperkalemia and acidosis (HH&A) produced contracture (increased resting tension) in canine ventricular muscle tissues but not in Purkinje fibers perfused for the same length of time. Administration of procaine during such contracture stabilized the resting tension somewhat. High [Ca]o during HH&A causes contracture to appear much sooner. On return to oxygenated tyrode oscillatory after potentials (or oscillations in diastole) developed in ventricular muscles, and these oscillations disappeared in the presence of procaine.

Acidosis↗
PubMed1979

A chylous mesenteric cyst and a study of its contents.

A case of a patient with a large chylous cyst in the mesentery of the small intestine is presented. After excision of the cyst, the chyle was analyzed with special reference to its protein and lipid content. The composition of the chyle compared with that of intestinal lymph of experimental animals suggests that the fluid in the cyst has undergone concentration in terms of protein.

Adult↗
PubMedDate not supplied

A sequential scanning of the immune efficiency in astrocytoma (Grade I to Grade Iii), meningioma and secondary glioma patients with and without therapeutic scheduling.

PURPOSE: Glioma induces immune suppression. However, data revealing the immune status in glioma patients with sequential therapeutic interventions is missing. Thus, the study aims at evaluating the sequential immune status of glioma bearing patients (Astrocytoma Grade I to Grade III) receiving conventional therapeutic measures. The results were compared with the immune status of metastatic secondary glioma and meningioma patients where there is minimal immune suppression and the effect of therapeutic intervention on the above score. METHODS: Functional immune parameters of peripheral blood lymphocytes were assayed by CD2 receptors enumeration through E-rosetting and lymphocyte cytotoxicity assay and assessing the generation of reactive oxygen species by NBT assay of peripheral blood macrophages in patient groups bearing Astrocytoma (Grade I to Grade III), meningioma and secondary glioma. RESULTS: Patients bearing Astrocytoma (all 3 grades) showed maximum immune suppression as compared to the normal subjects, diseased meningioma controls, and secondary glioma. Therapeutic interventions viz. radiotherapy, surgery and radiotherapy after surgery and chemotherapy could not recover the suppressed activity of the CD2 bearing lymphocytes and that of peripheral blood macrophages. However, therapeutic scheduling could recover the functional activity of the CD8 bearing lymphocytes and the CD56 NK cells from that of tumor bearing patients. CONCLUSION: Astrocytoma and not meningioma is capable of causing immunesuppression. As the tumor progresses from Grade I to Grade III, a linear reduction in the functional efficacy of immunocytes is seen to occur. Radiotherapy, surgery, and chemotherapy also induces an inhibitory effect towards the host immune system. The inhibitory effect of tumor as well as of therapy were mainly directed towards the CD2 bearing lymphocyte population and the peripheral blood macrophage population.

Antineoplastic Agents↗
PubMedDate not supplied

Molecular modelling of 2'-OH mediated hydrogen bonding in ribonucleos(t)ides by NMR constrained AM1 and MMX calculations.

The intra- and intermolecular hydrogen bonding (delta Go298K approximately 2 kcal mol-1) of 2'-OH in nucleos(t)ides has been reported by the temperature- and concentration-dependent NMR study in conjunction with dihedral dependence of the NMR derived both endo (3JH,H)- and exocyclic (3JH,OH) coupling constants, nOe contacts and lineshape analyses of hydroxyl protons for EtpA (1), 3'-dA (2), rA (3), 2'-dA (4) [Fig. 1] in DMSO-d6 at 500 MHz.

Hydrogen Bonding↗
PubMedDate not supplied

Hematologic toxicity of sodium valproate.

PURPOSE: Sodium valproate is a commonly used anticonvulsant in the management of childhood refractory epilepsy with good response rates and acceptable toxicity. Hepatotoxicity is the most widely recognized toxicity. With the use of higher drug levels to achieve adequate seizure control, hematologic toxicity is being increasingly encountered, and the pediatric hematologist is consulted for these problems in the pre- or perioperative setting. The purpose of this article is to characterize the various hematologic toxicities encountered in a clinical setting and to provide guidelines to assist in the management of these patients. METHODS: A literature review was undertaken to identify the hematologic toxicities of valproate used as monotherapy or polytherapy. Key words used in the search were valproate, hematology, and bleeding. RESULTS: Valproate can cause direct bone marrow suppression leading to aplastic anemia or peripheral cytopenia affecting one or more cell lines. Occasional fatal bone marrow failure, myelodysplasia, and a clinical picture resembling acute promyelocytic leukemia have also been seen. Thrombocytopenia, macrocytosis, neutropenia, and pure red cell aplasia can occur but are not reported to be life-threatening. A bleeding diathesis associated with valproate use may include thrombocytopenia, abnormal platelet function, and acquired von Willebrand disease type I. CONCLUSIONS: Hematologic toxicities of valproate are common, vary in onset and severity, are recurrent, transient, or persistent, and usually occur with a serum valproate level greater than 100 microg/mL. In most situations, even when highly clinically significant, they can be reversed with dosage reduction; drug discontinuation is rarely required. Potential adverse effects such as thrombocytopenia and leukopenia are easily detected by laboratory monitoring, which should be continued indefinitely at least on a quarterly basis. Caution for elective surgery is advised; preoperative coagulation studies should be done, including platelet function studies and von Willebrand factor levels. Perioperative use of DDAVP to increase von Willebrand factor levels and improve platelet function is appropriate in some cases.

Anticonvulsants↗
PubMedDate not supplied

Correlation between water fluoride levels and dental caries in Davangere District, India.

Areas with natural fluoride in the drinking water are natural laboratories where the effect of fluoride on dental caries can be studied in a real life situation. This study was conducted to assess the prevalence of dental caries and to study its correlation with fluoride in the drinking water in Davangere District. 1128 school children in the age groups of 12 and 15 years from 12 villages with different concentrations of fluoride in drinking water were studied. Ion Selective electrode method (Orion, USA) was used to estimate Fluoride concentrations in drinking water. Dentition Status (WHO, 1997) was used to assess dental caries status. Results showed that there was a significant trend towards reduction in dental caries with increase in water fluoride levels. A negative correlation between fluoride levels and mean DMFT was seen among the subjects with the Karl Pearson's Correlation Co efficient being -0.65 and -0.72 for the 12 and 15 year olds respectively. It was concluded from the study that although dental caries was negatively associated with increasing fluoride levels, the problem of attendant dental fluorosis should also be considered seriously.

Adolescent↗