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Biomedical subjects

K Subramanyam

Publications and source records attributed to K Subramanyam.

At least 19 recordsLinked to original sources

Interaction of flunarizine with sodium valproate or ethosuximide in gamahydroxybutyrate induced absence seizures in rats.

Sodium valproate(VPA), ethosuximide(ESM), 200 mg/kg ip and flunarizine (FLU) 5 or 10 mg/kg ip were first administered independently to rats in order to study their effects on behavioural and EEG aspects of spike and wave discharges (SWDs) induced by y- hydroxybutyrate (GHB,100 mg/kg ip). GHB treated rats show behavioural changes and concomitant repetitive EEG episodes of 7 to 9 Hz SWDs, mimicking human absence seizures (AS), and can be used as a pharmacological model. The number and duration of SWDs were calculated for 1 hr from the EEG and were parameters for drug evaluation. VPA and ESM at 200 mg/kg, significantly reduced SWD number and duration/hr, while FLU showed significant reduction only at 10 but not at 5 mg/kg. Combination of FLU, 10 mg/kg with either VPA or ESM showed significant reduction of SWD number and duration, suggesting an additive effect of the anti-absence agents with the calcium channel blocker, FLU, on experimental absence seizures in rats.

Animals↗

Vincristine (Vinca-alkaloid) as a sclerosing agent for malignant pleural effusions.

Vincristine, extracted from Vinca rosea Linn., is an effective antineoplastic chemotherapeutic drug used in oncology practice. This drug has never been used as a sclerosing agent for the treatment of malignant pleural effusion for reasons unknown. A study was conducted to examine the use of Vinca-Alkaloid as a sclerosing agent (pleurodesis) for the palliative treatment of malignant pleural effusions. The study included 15 patients, all diagnosed to have cytology-proven malignant pleural effusions. Intercostal tube drainage followed by chemical sclerotherapy with 2 mg vincristine was performed on all patients and a high success rate was noted. Twelve procedures out of 15 (12/15) achieved complete resolution of pleural fluid with a success rate of 80%. In two procedures the pleural effusion was reduced and then recurred but did not require re-aspiration. One procedure failed and repeated pleural aspiration was required. In this study, with adequate pleural drainage and the proper technique, vincristine was found to be an effective sclerosing agent for malignant pleural effusion. Further randomized trials are necessary in order to establish the role of this drug.

Adult↗

Erosion of Marlex band and silastic ring into the stomach after gastroplasty: endoscopic recognition and management.

We report three patients who developed erosion of a Marlex band or a silastic ring that was used to reinforce the stoma after vertical stapled gastroplasty. The patients were symptomatic and the diagnosis was made by endoscopy. After endoscopic removal of the foreign body, symptoms resolved in two patients. To our knowledge, this is the first report of successful removal, by endoscopy, of an eroding mesh or a ring.

Adult↗

Glycogen utilization in tissues of toad, Bufo melanostictus under electropolarity treatment.

Electropolarity treatment (0.8V/DC/Cm) was given to the gastrocnemius muscle of B. melanostictus every day for 5 min for 5 days. The glycogen content and aldolase activity levels increased and phosphorylase 'a' activity levels decreased on cathode treatment in muscle, liver and brain while an opposed trend was observed on anode treatment. The heart showed contrasting pattern under both cathode and anode electropolarity treatments.

Animals↗

Barium granuloma of the sigmoid colon.

Barium granuloma (BG) is an unusual complication of barium enema that occurs due to the intravasation of barium into the colonic wall as a result of mucosal injury from an enema tip, overinflation of the rectal balloon, or intrinsic disease such as ulcerative colitis. We report a case of BG from a barium enema performed within 24 h after a proctoscopic biopsy. It was detected 5 years later when the patient developed persistent low back pain.

Adult↗

Relation of Campylobacter pyloridis to gastritis and peptic ulcer.

Biopsy specimens from the gastric antral mucosa of 50 patients with upper gastrointestinal complaints were studied by light and electron microscopy and culture. Of 46 assessable specimens, seven were histologically normal, and 39 showed evidence of gastritis. Twenty-seven of the specimens with evidence of gastritis (69%) contained spiral bacteria, whereas only one of the normal specimens (14%) contained these bacteria (P = .02). Of 17 patients found to have gastric ulcers, 10 (59% [P greater than .10] ) also had spiral bacteria. The bacteria could be seen scattered over the surface of the epithelial cells and just under the layer of mucus but were rarely found inside the epithelial cells. Curved or spiral gramnegative bacilli were isolated from 10 of the specimens on chocolate agar incubated at 37 C under microaerophilic conditions. The bacteria resembled the organism recently named Campylobacter pyloridis by other investigators.

Adult↗

Chronic esophageal ulceration after endoscopic sclerotherapy.

Ulceration at the site of injection is a common sequel of endoscopic sclerotherapy. Most postsclerotherapy ulcers heal spontaneously, usually within 3 weeks. We report a patient who developed a large esophageal ulcer after sclerotherapy, which did not heal despite 2 years of aggressive medical therapy. He bled twice from the ulcer. This is the first report in which such an ulcer has been followed sequentially for 2 years and has remained unhealed.

Aged↗

Functional relationship of ammonia with RNA, DNA, and protein in rat muscle.

The acid proteinases, neutral proteinases, protein, RNA, and DNA were estimated along with the ammonia content in muscle in rats subjected to experimental hyperammonemic states (acute and chronic) by the administration of ammonium acetate intraperitoneally. It was observed that there was a decrease in the activities of acid proteinases and neutral proteinases in muscle in acute as well as in chronic hyperammonemic states. A rise in protein content was observed in muscle under these conditions. No changes were seen in the DNA content while RNA showed a slight increase in muscle. These results were discussed with reference to the possible role of ammonia in lysosomal protein degradation as well as to its probable effect on protein synthesis through its action on transcription.

Acetates↗

Pyoderma gangrenosum and chronic persistent hepatitis.

Pyoderma gangrenosum is a diagnosis of exclusion. A 36-year-old woman was clinically diagnosed as having pyoderma gangrenosum and appropriate exclusion tests were performed. Pyoderma gangrenosum may occur in association with underlying diseases such as leukemia, monoclonal gammopathy, inflammatory bowel disease, arthritis, and chronic active hepatitis. However, these diseases were excluded in this patient who did have chronic persistent hepatitis. To our knowledge, this is the first reported case of chronic persistent hepatitis and pyoderma gangrenosum.

Adult↗

Healing of endoscopic biopsy sites in the human rectum.

The time required in man for a rectal ulcer created with endoscopic biopsy forceps to heal is unknown. To answer this question, we created a large ulcer (approximately 8 mm in diameter) and a smaller ulcer (approximately 4 mm in diameter) in four healthy young men and followed the healing of the ulcers by visual examination every 4 days. Complete healing of the large ulcer had not occurred on days 4 and 8, while by day 12, three had healed and by day 16, all four had disappeared. Of the small ulcers, two had healed by day 8, and all had healed by day 12. This study suggests that it takes approximately 8-12 days for an artificially created rectal lesion to heal completely.

Adult↗

Effects of preparation-H on wound healing in the rectum of man.

The wound-healing property of Preparation-H, a widely used over-the-counter hemorrhoidal product was investigated in a randomized, controlled, double-blind trial. Artificial ulcers were created in the rectum of 12 healthy male volunteers and the size of these ulcers followed until complete healing by visual examination on days 4, 8, 15, and 22. There were two groups of patients, one using placebo suppositories (placebo group) and another using Preparation-H (Preparation-H group). On day 8, biopsies were obtained from the edge of the ulcer in both groups to assess histological healing. On day 15, all the five subjects in the Preparation-H group had achieved complete healing of their rectal lesion, whereas only three of six subjects in the placebo group had done so. Although the difference in healing does not achieve statistical significance, it may be that with larger numbers of patients, Preparation-H could be shown to increase the rate of wound healing in artificially created rectal ulcers in man.

Adult↗

Granular cell myoblastoma of the esophagus.

Granular cell myoblastoma, a rare, but generally benign tumor, is being encountered with increasing frequency in the digestive tract. Seventy-two cases have been described in the esophagus; we report two additional cases. A follow-up, available in 13 patients (including ours), reveals a low likelihood of malignant transformation or recurrence after surgical removal. Guidelines for the management of these tumors are presented.

Adult↗