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Biomedical subjects

R C Joshi

Publications and source records attributed to R C Joshi.

At least 19 recordsLinked to original sources

Ifosfamide, mitomycin and radiotherapy in non-small-cell lung cancer.

Ifosfamide and mitomycin C are two of the more active single agents in non-small-cell lung cancer (NSCLC). This study evaluates these drugs in combination followed by radiotherapy. A total of 33 ambulatory patients with inoperable NSCLC were treated with 5 g/m2 ifosfamide as a 24-h infusion, with the concurrent administration of sodium 2-mercaptoethane sulphonate (mesna; 160% of the ifosfamide dose) and 6 mg/m2 mitomycin C given as an i.v. bolus injection on the 2nd day. The median age of the patients was 61 years. In all, 20 patients had limited disease and 13, extensive disease. A total of 30 were assessable for response to chemotherapy, 8 of whom achieved a partial response (PR) and 5, a complete response (CR) (2 were verified bronchoscopically). The overall response rate was thus 43%. All but one response (a PR) were in patients with limited disease (LD). A total of 21 patients, including 13 responders, received thoracic irradiation (30 Gy in 8 fractions over 10 days) following chemotherapy. One PR was converted to a radiological CR. In all, 17 (55%) of the patients were alive at 1 year. All patients suffered chemotherapy-induced alopecia (WHO grade 3), but there were no treatment modifications due to myelosuppression, haemorrhagic cystitis or other toxicity. WHO grade 3 nausea and vomiting were seen in all patients. There was one treatment-related death. Combination therapy using ifosfamide and mitomycin C has useful activity in NSCLC.

Adult

Detection of rinderpest antigen by latex agglutination test.

A slightly modified latex agglutination test was applied for detection of rinderpest antigen. The antigen was added to sensitized latex particles in the presence of hyperimmune antiserum to facilitate agglutination. Out of 129 samples tested by latex agglutination (LA), solid phase aggregation of coated erythrocytes (SPACE), reverse phase passive haemagglutination (RPHA) and counter immunoelectrophoresis (CIE) test, 86.0, 86.8, 84.4 and 79.8 per cent, respectively, were found positive.

Antigens, Viral

Reverse phase passive haemagglutination test for the detection of rinderpest antigen.

Reverse phase passive haemagglutination [RPHA] test was applied for the detection of rinderpest antigen in various organs of rinderpest infected cattle. The results of RPHA were compared with counter immunoelectrophoresis [CIE] and single radial haemolysis [SRH] test. RPHA was as sensitive as CIE and SRH in detecting rinderpest antigen.

Animals

Application of solid phase aggregation of coated erythrocytes technique for detection of rinderpest antigen.

A solid phase aggregation of coated erythrocytes (SPACE) technique was standardized and used for the detection of rinderpest antigen in 129 samples of 9 visceral organs; from 50 clinical samples such as gum scraping, tongue scraping, faeces, urine, nasal swabs; blood from 18 rinderpest infected cattle and 2 field samples. The comparative sensitivity of SPACE, reverse phase passive haemagglutination and counter-immuno-electrophoresis tests was found to be 86.8, 84.5 and 79.8%, respectively.

Animals

Single radial hemolysis test for the detection of rinderpest antibody.

The single radial hemolysis [SRH] test was employed for detection of rinderpest antibodies in post-vaccinated serum samples as also in serum samples from animals recovered from rinderpest infection. The results were compared with counterimmunoelectrophoresis [CIE] and serum neutralisation [SN] tests. The CIE test was found to be more sensitive than SRH but because of ease and simplicity SRH can also be used for monitoring antibody development after vaccination.

Animals

Acute and long term effect of nifedipine on pulmonary hypertension secondary to chronic obstructive airways disease.

To determine whether Nifedipine reduces pulmonary artery pressure and pulmonary vascular resistance in patients with hypoxic pulmonary hypertension, we have studied ten clinically stable patients with chronic obstructive airways disease following acute administration of sublingual Nifedipine 20 mg and also after three months long term treatment with Nifedipine tablets 20mg bd. In the acute study, Nifedipine significantly raised mean pulmonary artery pressure from 30.32 +/- 13.07 mm Hg to 34.15 +/- 14.33 mm Hg (p less than 0.001) and pulmonary wedge pressure from 6.15 +/- 5.09 mm Hg to 7.6 +/- 3.39 mm Hg (p less than 0.1). There was a significant fall in mean systematic artery pressure from 99.06 +/- 12.05 mm Hg to 89.47 +/- 10.04 mm Hg (p less than 0.005) and a rise in heart rate from 79 +/- 9.7 beats/minute to 85.45 +/- 13.46 beats/minute (p less than 0.5). There was a significant change in cardiac index from 2.96 +/- 0.76 l/min/m2 to 3.2 +/- 0.51 l/min/m2 p(less than 0.1). There was no statistically significant change in pulmonary vascular resistance from 5.06 +/- 3.45 mm Hg/l/min to 4.92 +/- 3.10 mm Hg/l/min. In the long term study, no statistically significant differences over the base line values were found in measurements of mean pulmonary artery and pulmonary wedge pressures, mean systemic artery pressure, cardiac index and PO2. There was a greater fall in pulmonary vascular resistance in comparison with the acute study. The pulmonary vascular resistance fell from 5.06 +/- 3.45 mm Hg/l/min to 4.24 +/- 2.31 mm Hg/l/min but did not achieve statistical significance.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged

Antibody response of cattle to rinderpest vaccine.

Antibody production was studied in cattle infected with rinderpest vaccine virus. Vaccinated cattle produced both IgM and IgG serum antibodies. The IgG antibodies were mainly those of IgG2 subclass. No IgA antibody response was detected in vaccinated animals.

Animals

Detection of rinderpest antibodies.

Rinderpest antibodies were detected by employing the fluorescent antibody test (FAT) and the immunoperoxidase test (IPT) and the results were compared with the counterimmuno electrophoresis test (CIE). FAT was found to be the most sensitive in detecting post-vaccinal antibodies followed by IPT and CIE tests.

Animals

Failure of an antagonist of histamine--chlorpheniramine--to modify the pulmonary vascular response to hypoxia in chronic bronchitis.

Experimental evidence from animals suggests that the response of the pulmonary circulation to hypoxia is mediated by histamine. In 3 patients with chronic bronchitis the pulmonary vascular response to hypoxia was measured before and after administration of chlorpheniramine, a competitive antagonist of histamine. No convincing evidence was obtained of a reduction in the size of the response to hypoxia.

Bronchitis

Prevalence of chronic bronchitis in an industrial population in North India.

A survey for the prevalence of chronic bronchitis in an industrial population in North India is reported. The prevalence of chronic bronchitis is 12.5 percent in 473 subjects between the ages of 17 and 64 years. The prevalence rate of chronic bronchitis is comparable to that observed in areas of low community air pollution in Europe and North America. There is no age-related rise in the frequency of respiratory symptoms. The consumption of tobacco in these subjects is low and is comparable to tobacco consumption of light smokers. The prevalence of chronic bronchitis in smokers is five times the prevalence in non-smokers and is similar to the values reported for light smokers in other surveys. These observations suggest that cigarette smoking is associated with the development of chronic bronchitis, and the differences in the prevalence rate of chronic bronchitis between this survey and other surveys conducted in Europe and North America are mainly due to differences in smoking habits. Air pollution has a minor effect only and ethnic differences do not appear to play any part. Forced expired volume in one second shows a negative correlation with age. It is lower in asymptomatic smokers than in non-smokers and is lower in chronic bronchitis than in controls.

Adolescent