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Sharma, Shailja
- A Pilot Study of the Efficacy of Intrathecal Neostigmine for Postoperative Analgesia in Lower Abdominal and Lower Limb Surgery at SIMS, Ghaziabad, Uttar Pradesh
Abstract Views :357 |
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Authors
Affiliations
1 Department of Anaesthesia, Sarswathi Institute of Medical Sciences, NH-24 Anwarpur, Hapur, Ghaziabad 245304, IN
1 Department of Anaesthesia, Sarswathi Institute of Medical Sciences, NH-24 Anwarpur, Hapur, Ghaziabad 245304, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 1 (2012), Pagination: 136-138Abstract
Intrathecal neostigmine had been used in various doses to produce analgesia without neurotoxicity in both animal and human studies. The present study was conducted using 50μg intrathecal neostigmine methylsulphate with 12.5mg bupivacaine (0.5% heavy) for optimum duration of post-operative analgesia with minimal side effects. In this study 100 patients belonging to ASA physical status I and II, age 20-70 years of either sex scheduled for elective lower abdominal and lower limb surgeries under spinal anaesthesia were included. Patients were randomly allocated in two groups: group I (n=50, control) received 2.5ml bupivacaine + 0.5ml of normal saline and group II (n=50, test) received 2.5ml bupivacaine +0.5ml of neostigmine (50μg). Time of onset of sensory and motor block, highest level of block, duration of analgesia and side effects like hypotension, bradycardia, nausea, vomiting, etc were recorded. Onset time of sensory and motor block was much faster In bupivacaine and neostigmine group as compared to bupivacaine group. Patients were pain free for average 6-7 hours with bupivacaine and neostigmine as compared to 3-4 hours with bupivacaine. It was concluded that intrathecal neostigmine in the dose of 50μg provide post-operative analgesia for a period of 6-8 hours with lesser incidence of side effects of nausea and vomiting.Keywords
Anaesthesia, Spinal Anaesthesia, Drugs, Bupivacaine, NeostigmineReferences
- Hood DD, Eisenach JC, Tuttle R. Phase I safety assessment of intrathecal neostigmine methylsulfate in humans. Anaesthesiology 1995:82:331-343.
- Yaksh TL, Dirksen R, Harty GJ. Antinociceptive effects of intrathecally injected cholinomimetic drugs in the rat and cat. Eur J Pharmacol 1985 117: 81-8.
- Krukowski JA, Hood DD, Eisenach JC and et al. intrathecal neostigmine for post caesarean section analgesia: Dose response. Anesth Analg 1997; 84: 1269-75.
- Eisenach JC, Detweiler DJ, Tong Cy and et al. Cerebrospinal fluid norepinephrine and acetylcholine concentrations during acute pain. Anesth Analg 1996; 82: 621-6.
- Hood D.D., Eisenach J.C., Tong C., Tommasi E., Yaksh T.L.Cardio respiratory and spinal cord blood flows effects of intrathecal neostigmine methy1sulphate, clonidine and their combination in sheep. Anesthesiology 1995; 82: 428-435.
- Chung CJ, Kim JS, Park HS, Chin YJ. The efficacy of intrathecal neostigmine, intrathecal morphine and their combination for post cesarean section analgesia. Anesth Analg 1998; 87: 341-6.
- Mainvsky J.M., Renaud G., Le Corre P.Intrathecal bupivacaine in humans: effects of volume and baricity on spinal effects. Anesthesiology 1999; 91:1260-1266.
- Krukowski J.A., Hood D.D., Eisenach J.C. and et al. Intrathecal neostigmine for post cesarean section analgesia; dose response. Anesth Analg. 1997; 84: 1269-1275.
- Batra YK, Rajeev S, Panda NB and et al. Intrathecal neostigmine With bupivacaine for infants undergoing lower abdominal and urogenital Procedures dose response.Acta Anaesthesiol Scand 2009;Apr,53(4);470-5
- Tan PH, Kuo JH, Liu K, Hung CC. Efficacy of intrathecal neostigmine for the relief of post inguinal herniorrhaphy pain. Acta Anaesthesiol Scand 2000; 44:1056-60.
- Liu SS, Hodgson PS, Moore JM, Trautman WJ. Dose response effects of spinal neostigmine added to bupivacaine spinal anesthesia in volunteers. Anesthesiology 199; 90: 710-7.
- Saini S, Sethi S, Malhotra N Evaluation of Intrathecal Neostigmine for postoperative Analgesia J Anaesth Clin Pharmacol 2006; 22(1) : 35-40
- Gupta S.Postoperative Analgesia With Intrathecal Neostigmine; Two Different doses Of 75 µgms And 50 µgms With Heavy Bupivacaine. The Internet journal of Anaesthesiology ISSN 1092-406X
- Lauretti GR, Hood DD, Eisenach JC. A multicenter study of intrathecal neostigmine for analgesia following vaginal hysterectomy. Anesthesiology 1998; 89: 913-8.
- Klamt JG, Slullitel A, Garcia IV, Prado WA. Postoperative analgesic effect of Intrathecal neostigmine and its influence on spinal anaesthesia. Anaesthesia s1997; 52: 547-51.
- Comparative Analysis of Variation in Intraocular Tension with Vecuronium Bromide and Atracurium Besylate: a Prospective Study
Abstract Views :181 |
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Authors
Affiliations
1 Department of Anaesthesiology, Saraswathi Institute of Medical Sciences, Hapur, IN
2 Department of Ophthalmology, Saraswathi Institute of Medical Sciences, Hapur, IN
3 Department of Surgery, Saraswathi Institute of Medical Sciences, Hapur, IN
1 Department of Anaesthesiology, Saraswathi Institute of Medical Sciences, Hapur, IN
2 Department of Ophthalmology, Saraswathi Institute of Medical Sciences, Hapur, IN
3 Department of Surgery, Saraswathi Institute of Medical Sciences, Hapur, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 2 (2012), Pagination: 151-153Abstract
Intraocular pressure is the pressure exerted by the contents of the eye against its containing wall. During general anaesthesia, the intraocular pressure can increase, rendering problems in ophthalmic surgery especially surgery on the eye bulb. Pre-treatment with non-depolarising muscle relaxant prevents fasciculation and so the intraocular pressure does not rise. This is a prospective randomized study of 100 patients divided into two equal groups, where we have compared the effect of vecuronium bromide and atracurium besylate on intraocular pressure. The intraocular pressure was measured before surgery, at the time of intubation and at every 10 minutes interval during surgery. All the data were analysed statistically using unpaired student t test. We concluded that vecuronium bromide has better control over intraocular pressure as compared to atracurium besylate.Keywords
Vecuronium Bromide, Atracurium Besylate, Intraocular PressureReferences
- Gold Smith E. An evolution of succinylcholine and gallamine as muscle relaxants in relation to intraocular tension.Anaesth. Analog.1967.46:557.
- Hollyoway KB. Control of eye during general anaesthesia for intraocular surgery. Br J Anaesth 1980,52:671
- Mirakhur RK, Shepherd WFI, Lavery A, Elliot P. The effect of vecuronium on intraocular pressure. Anaesthesia 42.1987:944- 46.
- Al-Albarek MH, Samuel JR. Further observation on the effect of general anaesthesia on intraocular pressure in man. Br J Anaesth. 1974,46:756-59.
- Samuel JR, Beaugie A. Effect of CO2 on intraocular pressure in man during general anaesthesia. Br. J Ophthal.1974:58:62.
- James N, Mc Galliard, Gavin G, Lavery FFARCS, William FI, Shepherd FRCS. The effect of atracurium on intraocular pressure during steady state anaesthesia and rapid sequence induction: a comparison with succinylcholine. Can. Anaesth Soc J.1986.33(4):437-42.
- Jantzaj JP, Hackett GH, Eradmannk, Earnshow G. Effect of vecuronium on intraocular pressure.Br J Anaesth. 1986:59:433-6.
- Payne JP, Hugas R. Evolution of atracurium in anaesthetized man. Br J Anaesth.1981,53:45.
- Mayer EF, Singer P, Otto A. A controlled study of the effect of succinylcholine on intraocular pressure. Anaesthesiology. 1980,53:72.
- Maharaj RJ, Humphery D, Kaplon N. Effect of atracurium on intraocular pressure. Br J Anaesth. 1980,52:459-63.
- Murphy DF, Eustace P, Unwin A, Magner JB. Atracuriun and intraocular pressure. 1985,69:673-75.
- CRISPR-A Powerful Functional Genomic Tool in Crop Improvement
Abstract Views :180 |
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Authors
Affiliations
1 Department of Crop Improvement, CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur - 176 062, IN
1 Department of Crop Improvement, CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur - 176 062, IN
Source
Himachal Journal of Agricultural Research, Vol 45, No 1&2 (2019), Pagination: 96-99Abstract
CRISPR and CRISPR Associated (Cas) Proteins (CRISPR-Cas) system is a vital defense system found in bacteria and archea. CRISPR activity requires a set of Cas genes, found adjacent to the CRISPR, that codes for protein essential for immune response. CRISPR system works in three stages to carry out a full immune response to invading foreign DNA i.e. acquisition, expression and interference stage. Recently Type II CRISPR-Cas9 system has also been adapted to perform genome engineering by inducing double-strand breaks (DSBs) in host DNA that can be repaired by either non-homologous end-joining (NHEJ) or homology-directed repair (HDR). Although the full potential of CRISPR-Cas9 has not been harnessed so far, this technology has already brought revolutionary changes in genomic research. CRISPR-Cas9 system has great potential for both research and therapeutics; however, improvements can still be made in its speci?city, efficiency and off target effects. With the advancement, the use of this system is increased in model plants as well as other crop plants like Arabidopsis, tobacco, maize, rice, wheat, sorghum, barley, brassica, soybean etc.Keywords
CRISPR, Cas, Spacer, Repeat, Crop Improvement.References
- Curtin SJ, Voytas DF and Stupar RM. 2012. Genome engineering of crops with designer nucleases. The Plant Genome 5 (2): 42-50.
- Guilinger JP, Thompson DB and Liu DR. 2014. Fusion of catalytically inactive Cas9 to FokI nuclease improves the speci? city of genome modi? cation. Nature Biotechnology 32: 577-582.
- Ishino Y, Shinagawa H, Makino K, Amemura M and Nakata A. 1987. Nucleotide sequence of the iap gene, responsible for alkaline phosphatase isozyme conversion in E coli and identification of the gene product. Journal of Bacteriology 169: 5429-5433.
- Jansen R, Embden JDAV, Gaastra W and Schouls LM. 1995. Identification of genes that are associated with DNA repeats in prokaryotes. Molecular Microbiology 43:1565-1575.
- Kim D, Alptekin B and Budak K. 2018. CRISPR/ Cas 9 genome editing in wheat. Functional and integrative Genomics 18: 31-41.
- Khandagale K and Nadaf A. 2016. Genome editing for targeted improvement of plants. Plant Biotechnology Report 4: 51-68.
- Li J, Zhang H, Si,X, Tian Y, Chen K and Liu J. 2017. Generation of thermosensistive male sterile maize by targeted knockout of ZMTMS gene. Journal of 5 Genetics and Genomics 44: 465-468.
- Mojica FJM, Ferrer C, Juez G and Rodrýguez-Valera F. 2002. Long stretches of short tandem repeats are present in the largest replicons of the Archaea Haloferax mediterranei and Haloferax volcanii and could be involved in replicon partitioning. Molecular Microbiology 17: 85–93.
- Rani R, Yadav P, Barbadinkar KM, Baliyan N, Malhotra EV, Singh VK, Kumar A and Singh D. 2016. CRISPR/Cas-9: A promising way to exploit genetic variations in the plants. Biotechnological Letters 38: 1991-2006.
- Shen C, Que Z, Xia Y, Tang N, Li D & He R. 2017. Rapid generation of genetic diversity by multiplex CRISPR/ Cas 9 genome editing in rice. China life Sciences 60: 506-515.
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- Voytas DF. 2013. Plant genome engineering with sequence specific nucleases. Annual Review Plant Biology 64: 327-350.
- Wiles MV, Qin W, Cheng AW and Wang H. 2015. CRISPR-Cas9-mediated genome editing and guide RNA design. Mammalian Genome 26: 501510.
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- Nontuberculous Mycobacterium in Pulmonary & Extrapulmonary Tuberculosis: Stilla Neglected & Underdiagnosed Pathogen in Developing Countries
Abstract Views :534 |
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Authors
Pankaj Saini
1,
Varsha A. Singh
2,
Kunal Sharma
3,
Gunjeet Singh
3,
Abhishek Chauhan
4,
Shailja Sharma
5
Affiliations
1 Junior Resident, Department of Microbiology, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
2 Professor, Department of Microbiology, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
3 Junior Resident, Department of Pharmacology, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
4 Junior Resident, Department of Respiratory Medicine, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
5 General Physician, Baghpat, Uttar Pradesh, IN
1 Junior Resident, Department of Microbiology, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
2 Professor, Department of Microbiology, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
3 Junior Resident, Department of Pharmacology, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
4 Junior Resident, Department of Respiratory Medicine, M.M.I.M.S.R., Maharishi Markandeshwar (Deemed to be University), MMDU, Mullana, Ambala, Haryana, IN
5 General Physician, Baghpat, Uttar Pradesh, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 823-827Abstract
Non-tuberculous mycobacterium (NTM) has been identified in human pulmonary and extra pulmonary diseases and is of great concern for clinicians and microbiologists because of their increasing global incidence. They are now increasingly recognized as important pathogens in both immunocompromised and immunocompetent population. They should be identified rapidly and should be carefully differentiated as contamination, colonization ordisease. Cultures were made on conventional LJ and LJ with PNB media. Growth was confirmed as AFB (acid fast bacilli) by ZN staining. NTM were identified by growth on LJ with PNB media, colony morphology, rate of growth, pigmentation, catalase activity and confirmed by MPT 64 antigen rapid test (using SD Bioline TB Ag MPT 64 test kit) . Data was analysed statistically using SPSS software. Out of total 500 processed samples (250 pulmonary & 250 extrapulmonary), 12(21.05%) and 7(21.8%) NTM were isolated from pulmonary and extrapulmonary samples respectively. Maximum pulmonary NTM (41.7%) were isolated from > 60 years age of patients in contrast to extrapulmonary NTM isolates which were more in 20-40 years of age group. There was 16.7% previously treated patients in pulmonary while 100% were newly diagnosed patients in extrapulmonary TB cases. This study highlights the importance of early diagnosis and differentiation among Mycobacterium tuberculosisand NTM so that these NTM are not underestimated in routine diagnostic procedures merely as environmental or laboratory contaminants.Keywords
Non-tuberculous mycobacterium, p-nitrobenzoic acid, Pulmonary TB, extrapulmonary TB, MPT64 antigen.- Effects of Different Growth Media on Germinability of Interspecific Hybrids between Vigna mungo< and V. umbellata
Abstract Views :212 |
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Authors
Affiliations
1 Department of Genetics and Plant Breeding, CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur-176 062, IN
1 Department of Genetics and Plant Breeding, CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur-176 062, IN
Source
Himachal Journal of Agricultural Research, Vol 46, No 1 (2020), Pagination: 29-35Abstract
A total of 15 interspecific crosses involving five genotypes of urdbean (Vigna mungo) and three genotypes of ricebean (V. umbellata) were attempted to study the effects of different growth media on hybrid germination. Since the seeds obtained from the interspecific crosses did not germinate under normal soil conditions so attempts were made to grow them on various media i.e. Salt solution, Half and full strength MS medium, MS basal medium and Gamborg B5 media. Seeds were able to germinate only on the salt solution. F1 seeds obtained from cross Him Mash-1 x VRB-3 showed maximum response on salt solution with respect to radicle formation (44.60 per cent) followed by Palampur-93 x PRR-2 (38.30 per cent) & Him Mash-1 x PRR-1 (23.89 per cent).Cross Palampur-93 x PRR-2 (17.02 per cent) produced maximum number of plantlets followed by Him Mash-1 x VRB-3 (15.32 per cent). The study indicated that different kinds of post fertilization barriers such as retarded embryo & endosperm development, production of inviable & shriveled seed, inability of seed to form radicle and yellowing of plantlets are responsible for complete lethality. The crosses showing substantially high per cent of germination can be utilized for genetic improvement of urdbean.Keywords
Interspecific Hybridization, Germinability, V. mungo, V. umbellata.References
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- Assessment of Variability Parameters for Seed Yield and Related Component Traits in Blackgram [Vigna mungo (L). Hepper] Generations
Abstract Views :77 |
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Authors
Affiliations
1 Department of Genetics and Plant Breeding, CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur-176 062, IN
1 Department of Genetics and Plant Breeding, CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur-176 062, IN
Source
Himachal Journal of Agricultural Research, Vol 47, No 1 (2021), Pagination: 24-32Abstract
The research was carried out to assess the nature and magnitude of genetic variability, along with proportions of heritability and genetic advance among 14 crosses and ten parents by considering 11 yield and its related traits in blackgram. The investigation was undertaken in the Experimental Farm of Department of Genetics and Plant Breeding, College of Agriculture, CSKHPKV, Palampur (H.P.) during Kharif 2018 and 2019 in Randomized Complete Block Design over three replications. Analysis of Variance revealed significant differences among the genotypes for all the traits in both the generations. High PCV and GCV was recorded for biological yield per plant (g), seed yield per plant (g) and harvest index (%). High heritability along with high genetic advance was recorded for pods per plant, biological yield per plant, seed yield per plant and harvest index in both the generations indicating the preponderance of additive gene action to develop desirable and stable genotypes during breeding programme.Keywords
Blackgram, Variability, Heritability, Genetic Advance.References
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