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Biomedical subjects

S N Misra

Publications and source records attributed to S N Misra.

At least 19 recordsLinked to original sources

Interactions of praseodymium and neodymium with nucleosides and nucleotides: absorption difference and comparative absorption spectral study.

The interactions of praseodymium(III) and neodymium(III) with nucleosides and nucleotides have been studied in different stoichiometry in water and water-DMF mixtures by employing absorption difference and comparative absorption spectrophotometry. The 4f-4f bands were analysed by linear curve analysis followed by gaussian curve analysis, and various spectral parameters were computed, using partial and multiple regression method. The magnitude of changes in both energy interaction and intensity were used to explore the degree of outer and inner sphere coordination, incidence of covalency and the extent of metal 4f-orbital involvement in chemical bonding. Crystalline complexes of the type [Ln(nucleotide)2(H2O)2]- (where nucleotide--GMP or IMP) were characterized by IR, 1H NMR, 31P NMR data. These studies indicated that the binding of the nucleotide is through phosphate oxygen in a bidentate manner and the complexes undergo substantial ionisation in aqueous medium, thereby supporting the observed weak 4f-4f bands and lower values for nephelauxetic effect (1-beta), bonding (b) and covalency (delta) parameters derived from coulombic and spin orbit interaction parameters.

Guanosine Monophosphate

Assessment of left ventricular function in chronic severe anaemia. An echocardiographic study.

Left ventricle (LV) performance was assessed by echocardiography (2-D and M-mode) in 30 patients with chronic severe anaemia and an equal number of age and sex matched healthy controls. Patients with anaemia were divided into two groups: those with tachycardia (pulse rate more than 100 per min) and those without. LV performance indices computed were LV ejection fraction (LVEF), % fractional shortening (FS), cardiac index (CI) and stroke volume index (SVI). In patients of anaemia with tachycardia, LVEF was 48.6 +/- 8.41 (mean +/- SEM) vs 71.6 +/- 4.96 among controls. Percentage FS was 19.93 +/- 4.21 vs 36.0 +/- 4.5, CI 5.46 +/- 1.2 vs 3.1 +/- 0.78 l/min/m2, and stroke index 48.6 +/- 12.2 vs 41.5 +/- 10.7 ml/beat/m2. In patients without tachycardia, LVEF was 55.1 +/- 8.86, percentage FS 23.6 +/- 5.42, CI 2.87 +/- 0.526 and stroke index 41.34 +/- 12.1. These findings suggest that LV performance was depressed in both groups of patients with anaemia but LV function was better in patients without tachycardia.

Adolescent

Interaction of some fluorinated nucleic acid components with praseodymium: an absorption spectral approach.

Absorption difference and comparative absorption spectrophotometric studies on praseodymium(III) and fluorouracil, fluorocytosine, fluoroadenine, fluorothymine, fluorouridine, fluorocytidine, fluoroadenosine and fluorothymidine systems at pH approximately 5.5 and in different stoichiometries in 80% DMF medium have been carried out. Magnitudes of spectral parameters, viz. Coulombic (Fk), spin-orbit (zeta 4f), nephelauxetic (beta), bonding (b), intensity (T lambda Judd-Ofelt), and oscillator strength (P) and their variation have provided information on the binding mode of these biomolecules in terms of outer and inner sphere complexation, degree of covalency and extent of 4f orbital involvement. Preliminary ultrasonic studies have indicated that these biomolecules behave as structure breakers, hence weak ligands in aqueous medium, while strengthening water structure in semi-nonaqueous medium. The analysis of the isolated solid complexes has suggested octa- and nona-coordination for praseodymium(III) in fluorinated nucleic bases and fluorinated nucleoside complexes.

Binding Sites

Portal hypertension therapy with oral propranolol. A short-term study.

Thirty patients were evaluated in a blind fashion to study the effect of oral propranolol on portal hypertension of varied aetiology. The dose of oral propranolol (administered to 15 patients) was adjusted to reduce the resting heart rate by approximately 25%. Splenic pulp pressure served as the parameter for portal pressure. A matched group of 15 control subjects on placebo was also studied. The mean portal pressure in the propranolol group fell from 3.49 to 2.69 kPa saline (P less than 0.001) as compared to the control group where the mean pressure increased from 3.57 to 3.63 kPa saline. The propranolol group showed improvement in clinical symptomatology with a significant reduction in body weight and abdominal girth in patients with ascites. A significant positive correlation (r = 0.78; p less than 0.007) was obtained between the fall in portal pressure and the initial levels. Thus, oral propranolol proved useful in the conservative management of portal hypertension of varied aetiology.

Administration, Oral

Neurological manifestations associated with bronchogenic carcinoma.

Neurological manifestations of bronchogenic carcinoma were studied in 50 cases, 42% of whom showed neurological abnormalities with 6% having more than one type. Recurrent laryngeal nerve paralysis (20%) was the commonest, phrenic nerve paralysis (2%), paraneoplastic syndrome (12%), Pancoast's syndrome (10%) and metastatic involvement of central nervous system (4%) were other neurological manifestations. No evidence of encephalitis, motor neurone disease, myelopathy, Eaton-Lambert syndrome, myositis and drug-induced peripheral neuropathy was found in this study.

Brain Neoplasms

Prognostic significance of exercise testing three weeks after myocardial infarction.

Treadmill exercise test was performed in 50 patients aged 35-60 years, 3 weeks after myocardial infarction. Thirty-two had anterior and 18 had inferior wall transmural myocardial infarction. Cardiac events like angina, reinfarction and sudden death were more common in patients with positive stress test. Thus treadmill testing in the early postinfarction period is of great prognostic value.

Adult

Dermatomyositis.

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Adolescent

A study of estimation of serum alpha-1-antitrypsin in various forms of leprosy.

Study of serum alpha-1 antitrypsin by agar gel electrophoresis was carried out in 25 patients of various forms of leprosy including 9 cases of Erythema nodosum leprosum, and was compared with findings in 25 healthy controls. The level of serum alpha-1 antitrypsin in healthy subjects ranged from 211 mg% to 602 mg% with a mean level of 290.92 mg% +/- 86.82 mg, have p value 0.1, while in leprosy patients of various types ranged from 129 mg% to 702 mg% with mean level of 405.84 mg% +/- 152.70. Nine patients of lepromatous leprosy with ENL had marked elevation of serum alpha-1 antitrypsin and level was 376 to 720 mg% with a mean level of 562.65% +/- 106.62, statistically significant.

Adult

A study of serum protein in leprosy.

Total serum protein albumin, globulin and A/6 ratio were determined in 50 patients of different types of Leprosy and 15 healthy controls. A significant elevation of total serum proteins (P < 0.001) was observed in 25 patients of Lepromatous leprosy and 10 patients of lepra reaction. No statistically significant alteration in total serum protein (P < 0.05) was observed in 15 patients of non-lepromatous leprosy. A significant fall in serum albumin with concomitant rise in serum globulin level (P < 0.001) was observed in non-lepromatous leprosy, lepromatous and patients having lepra-reaction.

Adult

A study of serum fibrinolytic activity in leprosy.

Fibrinolytic activity was studied in 50 patients of leprosy and 30 healthy individuals who served as control. Fibrinolytic activity was determined by measuring euglobulin lysis. No significant alteration in fibrinolytic activity was observed in patients with non-lepromatous leprosy, the levels being approximately similar to control group. However, fibrinolytic activity was found to be significantly decreased in patients of lepromatous leprosy and lepra reaction group. The observed decrease in fibrinolytic activity can be explained on the basis of presence of tissue destruction and vasculitis seen in leprosy more so in patients with lepromatous leprosy and lepra reaction.

Adult

A study of platelet adhesiveness in leprosy.

Platelet adhesiveness was studied in fifty patients of leprosy and fifteen healthy individuals who served as control group. Platelet adhesiveness as determined by glass bead apparatus showed a trend towards elevation in patients of leprosy, being maximum in reactional phase, statistically also the increase being highly significant (p value less than 0.001). The observed increase in platelet adhesiveness may be due to marked tissue destruction and vasculitis seen in leprosy patients.

Adult