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Biomedical subjects

P A Thomas

Publications and source records attributed to P A Thomas.

At least 19 recordsLinked to original sources
PubMed2006

Prevention of selenite-induced cataractogenesis by acetyl-L-carnitine: an experimental study.

Several studies have suggested that antioxidants retard the process of cataractogenesis by scavenging free oxygen radicals. The present study sought to assess the efficacy of the antioxidant acetyl-L-carnitine (ALCAR) in preventing selenite-induced cataractogenesis in an experimental setting. The first, in vitro phase of the study was performed on lenses from Wistar rats incubated for 24 h at 37 degrees C in Dulbecco's Modified Eagle Medium (DMEM) alone (control, Group I), or in DMEM containing 100 microM of selenite (Group II) or in DMEM containing 100 microM of selenite and 200 microM/ml ALCAR added at the same time as selenite (Group IIIa) or 30 min, 1 h or 2 h later (Groups IIIb, IIIc and IIId, respectively). Gross morphological examination of these lenses revealed dense opacification (cataract formation) in Group II, minimal opacification in some Group IIIa lenses and no opacification in Group I. The mean activities of the antioxidant enzymes catalase and glutathione peroxidase were significantly lower in Group II than in Group I or Group IIIa lenses, while malondialdehyde concentration (an indicator of lipid peroxidation) was significantly higher in Group II lenses than that in Group I or Group IIIa lenses. The second, in vivo phase of the study revealed dense opacification (cataract formation) in 100% of Wistar rat pups receiving subcutaneous sodium selenite alone (19 microM/kg body weight) but in only 37.5% of those receiving subcutaneous selenite and intraperitoneal ALCAR. These data suggest that ALCAR is able to significantly retard experimental selenite-induced cataractogenesis.

Acetylcarnitine↗
PubMed2005

Creep and relaxation dynamics of domain walls in periodically poled KTiOPO4.

Creep and relaxation of domain walls under ac electric fields are observed in an ideal model system, periodically poled KTiOPO4, to occur in different regimes, which are separated by dynamic phase transitions at frequencies f(m)(T)=f(m0)exp((-DeltaE/k(B)T), with f(m0)=3 x 10(9) Hz and DeltaE=0.6 eV. Power law dispersion of the creep susceptibility, chi proportional to 1+(iomegatau)(-beta), with beta approximately equal to 0.4, and large nonlinearity encountered at f < f(m), is contrasted with Cole-Cole-type relaxational dispersion, chi proportional to (1+[iomegatau](1-alpha))(-1), with alpha approximately 0.3, at f > f(m).

Journal Article↗
PubMed2005

Comparison of in vitro susceptibilities of ocular bacterial isolates to gatifloxacin and other topical antibiotics.

PURPOSE: To compare the in vitro activity of gatifloxacin with that of other topical antibiotics against fresh bacterial isolates from various types of human ocular infections. METHODS: A total of 498 strains of ocular bacterial isolates were tested for their susceptibility to gatifloxacin, ofloxacin, ciprofloxacin, norfloxacin, gentamicin, tobramycin, neomycin, chloramphenicol, erythromycin, tetracycline and amikacin. RESULTS: Ninety-nine percent of gram-positive and 92% of gram-negative bacterial strains were found to be susceptible in vitro to gatifloxacin, whereas lower percentages of gram-positive and gram-negative bacteria were found to be susceptible to other antibiotics. CONCLUSIONS: In vitro, gatifloxacin exhibits good activity against various bacterial species isolated from different ocular sites. This requires corroboration in the clinical setting.

Anti-Infective Agents, Local↗
PubMed2005

Characteristic clinical features as an aid to the diagnosis of suppurative keratitis caused by filamentous fungi.

AIM: To assess whether the presence of characteristic clinical features can be used as a diagnostic aid for suppurative keratitis caused by filamentous fungi. METHODS: Patients presenting with suppurative keratitis in India underwent detailed clinical examination followed by microbiological investigation of corneal scrapes. A partial diagnostic score based upon the strength of the association, as estimated by the odds ratio, between reported clinical features and laboratory confirmed diagnoses was devised and subsequently tested using a case series from Ghana. RESULTS: Serrated margins, raised slough, dry texture, satellite lesions and coloration other than yellow occurred more frequently in cases of filamentous fungal keratitis than bacterial keratitis (p<0.05). Hypopyon and fibrinous exudate were observed more frequently in bacterial keratitis (p<0.05). When incorporated into a backwards stepwise logisitic regression model only serrated margins, raised slough, and colour were independently associated with fungal keratitis; these features were used in the scoring system. The probability of fungal infection if one clinical feature was present was 63%, increasing to 83% if all three features were present. CONCLUSIONS: Microbiological investigations should be performed whenever possible; however, where facilities are not available, a rapid presumptive diagnosis of suppurative keratitis may be possible by scoring clinical features.

Diagnosis, Differential↗
PubMed2003

Fungal infections of the cornea.

PURPOSE: To describe key aspects of fungal infections of the cornea, which constitute an important eye problem in outdoor workers in tropical and subtropical regions. METHODS: Review of published studies and personal observations. OBSERVATIONS: Fungal infections of the cornea are frequently caused by species of Fusarium, Aspergillus, Curvularia, and Candida. Trauma is the most important predisposing cause; ocular and systemic defects and prior application of corticosteroids are also important risk factors. Culture remains the cornerstone of diagnosis; direct microscopic detection of fungal structures in corneal scrapes or biopsies permits a rapid presumptive diagnosis. A variety of antifungals have been evaluated in therapy of this condition. Natamycin can only be given topically, while amphotericin B, miconazole, ketoconazole, itraconazole, and fluconazole can be administered by various routes. Topical amphotericin B (0.1-0.3%) is frequently the treatment of choice for infections due to Candida and related fungi, while topical natamycin (5%) is the choice for keratitis due to filamentous fungi. Medical therapy may fail, necessitating surgical intervention. CONCLUSIONS: Fungal infections of the cornea continue to be an important cause of ocular morbidity, particularly in the agricultural communities of the developing world. A proper understanding of agent and host factors involved in these infections will improve the outcome of this condition.

Agricultural Workers' Diseases↗
PubMed2003

Disseminated aspergillosis due to Aspergillus flavus in an experimental model: efficacy of azole therapy.

The aim of this investigation was to create a reproducible experimental model of disseminated Aspergillus flavus aspergillosis, and to compare the relative therapeutic efficacies of itraconazole and fluconazole in this model. Temporarily immunosuppressed male Wistar rats received intravenous challenge by A. flavus conidia. Treatment was initiated 24 h later with oral itraconazole (1 mg kg-1 BW day-1), oral fluconazole (1 mg kg-1 BW day-1) or excipient only (infected-untreated rats); this was continued for 10 days. At this time, although 100% mortality had occurred among all infected-untreated rats, no mortality was noted among the control-uninfected, infected-itraconazole-treated or infected-fluconazole-treated rats. After killing, essential organs were processed for microbiological and histopathological studies. Aspergillus flavus was recovered in high colony counts from the organs of infected-untreated rats (lungs > liver > brain > kidneys), but in significantly lower colony counts, or not at all, from the organs of itraconazole-treated and fluconazole-treated rats. Histopathological alterations were pronounced in tissues of infected-untreated rats, but less so in treated rats. These data suggest that administration of itraconazole or fluconazole sufficiently early may prevent, or retard, progression of lesions in disseminated aspergillosis.

Administration, Oral↗
PubMed2003

Relative biological effectiveness (RBE) of 210Po alpha-particles versus X-rays on lethality in bovine endothelial cells.

PURPOSE: Alpha-radiation from polonium-210 ((210)Po) can elevate background radiation dose by an order of magnitude in people consuming large quantities of meat and seafood, particularly caribou and reindeer. Because up to 50% of the ingested (210)Po body burden is initially found in the blood, a primary target for the short range alpha-particles is the endothelial cells lining the blood vessels. This study examined the relative biological effectiveness (RBE) of (210)Po alpha-particles versus 250 kVp X-rays in producing injury to cultured bovine aortic endothelial cells. MATERIALS AND METHODS: Radiation effects on cells were measured in four different ways: the percentage viable cells by trypan blue dye exclusion, the number of live cells, the lactate dehydrogenase (LDH) release to medium and the ability to form colonies (clonogenic survival). RESULTS: Comparison of dose-response curves yielded RBE values of 13.1+/-2.5 (SEM) for cell viability, 10.3+/-1.0 for live cell number and 11.1+/-3.0 for LDH activity. The RBE values for clonogenic survival were 14.0+/-1.0 based on the ratio of the initial slopes of the dose-response curves and 13.1, 9.9 and 7.7 for 50, 10 and 1% survival rate, respectively. At X-ray doses <0.25 Gy, a pronounced stimulatory effect on proliferation was noted. CONCLUSIONS: Exposure to (210)Po alpha-particles was seven to 14 times more effective than X-ray exposure in causing endothelial cell damage.

Alpha Particles↗
PubMed2002

Investigation of the structure and phase transitions in the novel A-site substituted distorted perovskite compound Na(0.5)Bi(0.5)TiO(3).

Rietveld neutron powder profile analysis of the compound Na(0.5)Bi(0.5)TiO(3) (NBT) is reported over the temperature range 5-873 K. The sequence of phase transitions from the high-temperature prototypic cubic structure (above 813 K), to one of tetragonal (673-773 K) and then rhombohedral structures (5-528 K) has been established. Coexisting tetragonal/cubic (773-813 K) and rhombohedral/tetragonal (with an upper temperature limit of 145 K between 528 and 673 K) phases have also been observed. Refinements have revealed that the rhombohedral phase, space group R3c, with a(H) = 5.4887 (2), c(H) = 13.5048 (8) A, V = 352.33 (3) A(3), Z = 6 and D(x) = 5.99 Mg m(-3), exhibits an antiphase, a(-)a(-)a(-) oxygen tilt system, omega = 8.24 (4) degrees, with parallel cation displacements at room temperature. The tetragonal phase, space group P4bm, with a(T) = 5.5179 (2), c(T) = 3.9073 (2) A, V = 118.96 (1) A(3), Z = 2 and D(x) = 5.91 Mg m(-3), possesses an unusual combination of in-phase, a(0)a(0)c(+) oxygen octahedra tilts, omega = 3.06 (2) degrees, and antiparallel cation displacements along the polar axis. General trends of cation displacements and the various deviations of the octahedral network from the prototypic cubic perovskite structure have been established and their systematic behaviour with temperature is reported. An investigation of phase transition behaviour using second harmonic generation (SHG) to establish the centrosymmetric or non-centrosymmetric nature of the various phases is also reported.

Journal Article↗
PubMed2002

Aetiology of suppurative corneal ulcers in Ghana and south India, and epidemiology of fungal keratitis.

BACKGROUND: A multicentre study was carried out in Ghana and southern India to determine the aetiology of suppurative keratitis in two regions located at similar tropical latitudes. Studies of fungal keratitis from the literature were reviewed. METHODS: Patients presenting at rural and urban eye units with suspected microbial keratitis were recruited to the study. Corneal ulceration was defined as loss of corneal epithelium with clinical evidence of infection with or without hypopyon. Microscopy and culture were performed on all corneal specimens obtained. RESULTS: 1090 patients were recruited with suspected microbial keratitis between June 1999 and May 2001. Overall the principal causative micro-organisms in both regions were filamentous fungi (42%): Fusarium species and Aspergillus species were the commonest fungal isolates. Pseudomonas species were most frequently isolated from cases of bacterial keratitis in Ghana but in India the commonest bacterial isolates were streptococci. CONCLUSION: Infections of the cornea due to filamentous fungi are a frequent cause of corneal damage in developing countries in the tropics and are difficult to treat. Microscopy is an essential tool in the diagnosis of these infections. A knowledge of the "local" aetiology within a region is of value in the management of suppurative keratitis in the event that microscopy cannot be performed.

Aspergillosis↗
PubMed2001

Introduction of evidence-based medicine into an ambulatory clinical clerkship.

Evidence-based medicine (EBM) has emerged has a critical clinical competency in the 21st century. Medical schools usually introduce students to critical appraisal in the preclinical years, but there have been few evaluated interventions in teaching EBM in the clinical years. We describe a strategy to encourage students to practice EBM during a required ambulatory medicine clerkship. During this clerkship, our students are required to submit an EBM report, which is prompted by an individual case, and structured with a 5-step approach. One small-group session is devoted to modeling this approach with a case of chest pain. Using a checklist to grade 216 consecutive EBM reports, we found that students were quite successful with the exercise, achieving on average 89.6% of possible checklist points. Students who followed the structure of the exercise closely were more likely to extend their discussions beyond that required and to suggest potential further areas of investigation or design.

Ambulatory Care↗
PubMed2001

Human absorption and retention of polonium-210 from caribou meat.

The gastrointestinal (GI) absorption factors and the biological retention times for polonium were determined for a group of 14 volunteers--seven men and seven women--from Saskatoon, Saskatchewan, Canada. Each volunteer consumed 2.0 kg of caribou meat containing known amounts of naturally occurring 210Po. Urine and faecal samples were collected for up to 65 days after meat consumption and analysed for 210Po. The average GI absorption factor for the 14 volunteers was 56 +/- 4% (range = 31-71%), not significantly different from the ICRP value of 50%. About 3% of absorbed polonium underwent prompt excretion by the urinary pathway. The remainder was retained by the body with a half-time >100 days, compared to the ICRP value of 50 days. The effect of these findings increases the dose estimate for ingestion of 210Po in food by a factor of 1.5 to 3.5. Thus, background doses to people consuming caribou and reindeer may be higher than previously thought.

Administration, Oral↗
PubMed2000

Radionuclides in the terrestrial ecosystem near a Canadian uranium mill--Part I: Distribution and doses.

Soils, vegetation, small mammals, and birds were measured for uranium series radionuclides at three sites near the operating Key Lake uranium mill in northern Saskatchewan. Sites, impacted by windblown tailings and mill dust, had significantly higher concentrations of uranium, 226Ra, 210Pb, and 210Po in soils, litter, vegetation, tree needles and twigs, small mammals, and birds, compared to a control site. Samples were collected from both upland jackpine and black spruce bog habitats in triplicate at each site. Both habitats were similar in radionuclide accumulation. Absorbed doses averaged 0.92, 8.4, and 4.9 mGy y(-1) to small mammals and 2.0, 5.8, and 2.8 mGy y(-1) to Lincoln's sparrows at the control, tailings, and mill sites, respectively. These doses do not include doses from short-lived radon progeny. The majority of the dose increment at the tailings and mill sites was due to 226Ra, whereas it was 210Po at the control site. Thus, use of a radiation weighting factor of 20 for alpha radiation raised equivalent doses (in mSv y(-1)) by nearly a factor of 20.

Animals↗
PubMed2000

Radionuclides in the terrestrial ecosystem near a Canadian uranium mill--Part II: Small mammal food chains and bioavailability.

Food chain transfer through the soil-vegetation-small mammal food chain was measured by concentration ratios (CRs) for uranium, 226Ra, 210Pb, and 210Po at three sites near the Key Lake uranium mill in northern Saskatchewan. Plant/soil CRs, animal carcass/GI tract CRs, and animal/soil CRs were depressed at sites impacted by mill and tailings dusts relative to a nearby control site. Thus, radionuclides associated with large particulates in tailings and/or ore dusts may be less bioavailable to terrestrial plants and animals than natural sources of radioactive dust. These results show that reliance on default food chain transfer parameters, obtained from uncontaminated terrestrial ecosystems, may overpredict impacts at uranium mine and mill sites. Given the omnivorous diet of small mammals and birds, animal/soil CRs are recommended as the most cost-effective and robust means of predicting animal concentrations from environmental monitoring data at uranium mill facilities.

Animals↗
PubMed2000

Radionuclides in the terrestrial ecosystem near a Canadian uranium mill--Part III: Atmospheric deposition rates (pilot test).

Atmospheric deposition rates of uranium series radionuclides were directly measured at three sites near the operating Key Lake uranium mill in northern Saskatchewan. Sites impacted by windblown tailings and mill dusts had elevated rates of uranium deposition near the mill and elevated 226Ra deposition near the tailings compared to a control site. Rainwater collectors, dust jars, and passive vinyl collectors previously used at the Ranger Mine in Australia were pilot-tested. Adhesive vinyl surfaces (1 m2) were oriented horizontally, vertically, and facing the ground as a means of measuring gravitational settling, wind impaction, and soil resuspension, respectively. Although the adhesive glue on the vinyls proved difficult to digest, relative differences in deposition mode were found among radionuclides and among sites. Dry deposition was a more important transport mechanism for uranium, 226Ra, and 210Pb than rainfall, while more 210Po was deposited with rainfall.

Air Pollution, Radioactive↗