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Biomedical subjects

S Parveen

Publications and source records attributed to S Parveen.

35 records · Page 2Linked to original sources

Prognostic factors in stage-I breast cancer: a retrospective study.

We studied the case records of all patients presenting with stage-I breast cancer (tumour < 2 cm, no axillary nodes or distant metastases). All clinical and pathological features were evaluated and findings were correlated with short term treatment failures (local and distant recurrences within 2 years). An early recurrence was seen in 28% patients. There was no significant differences in the mean age at presentation (44 vs 47 years) or menopausal status (8 Vs 7 years). Estrogen receptor status was unknown in all the patients. A positive family history of breast cancer was noted in 40% women with tumour relapse against 6% in the non-relapsed group. Associated fibrocystic mammary dysplasia was found in 80% relapsed cases whereas 60% showed lymphatic invasion and tumour necrosis. Vascular invasion was reported in 40% cases. A poorly differentiated histology fibrocystic mammary dysplasia, lymphatic and vascular invasion and tumour necrosis were poor prognostic factors. It was concluded that adjuvant chemotherapy should be given to all patients presenting with stage-I breast cancer and showing poor prognostic factors regardless of the menopausal status.

Adult↗

Voltage-activated proton current in eosinophils from human blood.

1. The resting membrane potential of freshly purified normodense human eosinophils bathed in and dialysed with quasi-physiological solutions was -63 +/- 2 mV (n = 100). 2. In voltage-clamp mode with quasi-physiological internal and external solutions, voltage steps from the holding potential of -60 mV to levels positive to +20 mV resulted in development of a quasi-instantaneous outward current and a slowly developing outward current. The instantaneous current was absent when the cells were bathed in and dialysed with K(+)-free solution. 3. The slow outward current persisted following simultaneous replacement of K+, Na+ and most of the Cl- with largely impermeant ions (tetraethylammonium, N-methyl-D-glucamine and methanesulphonate) and was augmented when the cell was dialysed with a solution of increased buffering capacity for protons. The observed reversal potential of the current closely followed the hydrogen equilibrium potential over a wide range of internal-external pH combinations, indicating that the conductance underlying the slow outward current was highly selective for H+ ions. 4. Acidification of the pipette solution (increasing [H+]i) augmented the outward H+ current and shifted its activation range negatively, whilst acidification of the external solution had the opposite effect. The voltage dependence of the current is modulated by the transmembrane pH gradient so the only outward current could be activated. However, when the outward current was activated by a voltage step, rapid acidification of external solution produced an inward H+ current which rapidly deactivated. 5. The proton current was reversibly inhibited in a voltage-dependent manner by extracellular application of Zn2+. The apparent dissociation constants were 8 nM (at +40 mV), 36 nM (at +70 mV) and 200 nM (at +100 mV). 6. The proton current was augmented by exposure to 10 microM arachidonic acid. This augmentation consisted of a shift of the voltage dependence of activation to more negative potentials and enhancement of maximum conductance (gH,max). The proton current recorded in eosinophils was significantly augmented under conditions of elevated cytosolic free calcium concentration ([Ca2+]i). The threshold level of [Ca2+]i associated with this effect lay between 0.1 and 1 microM and was not measurably affected by cytosolic acidification. 7. Eosinophils from human blood possess a voltage-dependent H+ conductance (gH) which normally allows protons to move outwards only; raising [Ca2+]i was associated with augmentation of gH and intracellular acidification or arachidonate shifted its activation range negatively towards physiological potentials.

Adult↗

Microbial colonizers in leprosy skin ulcers and intensity of inflammation.

The microflora of 55 patients with leprosy skin ulcers was studied and related to a weighted inflammatory score (IS). The control group consisted of 18 ulcers with different underlying pathology. Leprosy ulcers were characterized by the exclusive presence of two types of branching gram-positive rods; a particular interesting proposal is that Mycobacterium leprae share common antigens with these unusual "leprosy ulcer associated" organisms and group G beta-hemolytic streptococci. In the leprosy group, corynebacteria and branching rods accounted for 97% of gram-positive bacilli and Bacillus species constituted only 3%. In the control group, B. species formed 50% of gram-positive rods; the rest were corynebacteria (p = 0.03). In the leprosy group, one third of the gram-positive bacteria were branching rods; none of them was acid fast. Ten of them were identified as Arcanobacterium haemolyticum, and the remaining 7 could not be identified. The IS of leprosy patients was lower than in the control group. The presence of more than two species of facultative or aerobic gram-negative rods or single species of pyogenic gram-positive cocci correlated with a high IS. The presence of two or more different pyogenic cocci resulted in a lower IS. Further studies into the nature of leprosyunique organisms as well as the inflammation inhibition factors in mixed infections are warranted. It is recommended that management of ulcers should consist of the application of local disinfection and early treatment of episodes of inflammation with a combination of fluoroquinolone and penicillin.

Actinomycetaceae↗

Abundance of Aeromonas spp. in river and lake waters in and around Dhaka, Bangladesh.

Aeromonas spp. are widely distributed in the aquatic environment. In Bangladesh, seasonal distribution of these organisms in aquatic environment was studied during July 1986-August 1987. Water, sediment, plant, and plankton samples were collected monthly from the Dhanmondi lake and the Buriganga river during the study period. Aeromonas spp. were isolated from all samples throughout the year. The seasonal peak of Aeromonas spp. was observed in warmer months (April-May) in the surface waters. In the sediment, the highest peak was observed in March and August. In most plants, the highest peak was observed during the winter months (December-February). In the plankton samples of the Dhanmondi lake and the Buriganga river, the highest counts were obtained in July and February respectively. In both the sampling sites, plants were observed to contain more Aeromonas than did the water and sediment samples. The prevalence of Aeromonas spp. throughout the year in aquatic environment suggests the autochthonous nature of these organisms and that there is an association of Aeromonas with the aquatic environment.

Aeromonas↗

Relation of symptoms to impaired stomach, small bowel, and colon motility in long-standing diabetes.

Stomach, intestinal, and colonic transit were measured in males with insulin-requiring diabetes of greater than 10 years' duration to compare with symptoms and to estimate the medical significance. For all diabetics only the symptom constipation correlated with the appropriate regional delayed transit. Diabetics with delayed transit in any region, however, had more overall gastrointestinal symptoms. Diabetics with delayed transit had disease of significantly longer duration than those without delay. Delayed transit was common in the diabetics selected for study with 21 of 54 stomachs, 10 of 20 small intestines, and 14 of 20 colons showing impairment. Of 35 diabetics with impaired transit at one or more locations, only seven were judged of medical importance and five of these responded to treatment. In this study, delayed transit was frequent; in the one fifth requiring management, the symptoms related closely to the region impaired.

Aged↗

Comparison of Vibrio cholerae serotype 01 strains isolated from patients and the aquatic environment.

Vibrio cholerae 01 strains of El Tor and Classical biotypes and Ogawa and Inaba serotypes were isolated from both patients and pond water, the latter used by the patients from whom the V. cholerae 01 strains had been isolated. Paired strains, i.e. from the patient and from the pond used by the patient, were compared. All strains were found to be non-hydrophobic and agglutinating in ammonium sulphate (2.0-2.5 M). They demonstrated similar antibiogram patterns and plasmids were not detected. Except for one clinical and one environmental strain, all strains caused fluid accumulation in the rabbit ileal loop (RIL). The outer membrane protein profiles of both clinical and environmental strains were nearly identical, except for the presence of an additional 22 kDa polypeptide, observed only in environmental strains. The protein profiles of two environmental isolates, analysed after passage through rabbits by oral feeding, were altered, demonstrating a significant decrease in the number of protein bands after animal passage but with the major protein band pattern remaining unchanged. Each passaged strain, however, demonstrated properties similar to the non-passaged culture in cell surface hydrophobicity, plasmid profile, antibiogram patterns, and enterotoxin production.

Animals↗

Occurrence of resistance to vibriostatic compound 0/129 in Vibrio cholerae 01 isolated from clinical and environmental samples in Bangladesh.

Fifty-one Vibrio cholerae 01 strains isolated from 734 natural water and plankton samples and 31 rectal swabs were examined. Of these strains, 32 (62.7%) were found to be resistant to vibriostatic compound 0/129. When antibiograms using the antibiotics ampicillin, tetracycline, chloramphenicol, trimethoprim-sulfamethoxazole, furoxan, and gentamicin were done, it was observed that there was a correlation of sensitivity to 0/129 with selected antibiotics. Only the Ogawa E1 Tor (72% of strains resistant) and Inaba classical (28% of strains resistant) biotypes of V. cholerae 01 showed resistance to 0/129. On the other hand, all Inaba E1 Tor and Ogawa classical strains were susceptible to 0/129. The 32 0/129-resistant and 19 0/129-sensitive isolates of V. cholerae 01 were tested for the presence of plasmid DNA. Only two strains isolated from the environment were found to carry a plasmid, and they were also found to be resistant to 0/129 and gentamicin. Thus, 0/129 resistance, although more common than previously suspected, is concluded not to be plasmid mediated in the strains tested in this study.

Animals↗

Occurrence of haemolysin producing Aeromonas species in the aquatic environment.

A total of 532 environmental isolates of motile aeromonads were evaluated for their ability to produce haemolysins. Of those isolates tested, 68 (12.5%) and 18 (3.4%) were found to be alpha and beta haemolytic, respectively. Aeromonas caviae was found to be alpha haemolytic (3.8%) for the first time. Isolates of Aeromonas which were either alpha or beta haemolytic on plate assay also produced detectable amounts of haemolysin in cell free broth assay.

Aeromonas↗

Percutaneous ultrasound-guided fetal skin biopsy: a new approach.

Our preliminary experience with this unreported percutaneous ultrasound guided method using a fine needle system showed 100% success (seven cases) in obtaining fetal skin biopsies. The fetal scalp was chosen for biopsy. This technique is easy, less invasive, simple, has minimum procedural difficulties and complications and thus it may replace fetoscopy for obtaining fetal skin biopsy.

Biopsy, Needle↗

Current method for first and second trimester prenatal diagnosis: transabdominal chorionic villi sampling.

Transabdominal CVS (chorionic villi sampling) was performed in 40 patients belonging to first or second trimester of pregnancy with 97.5% success, using a double and later single needle technique with no immediate complications. Karyotyping by direct method was successful in 75% of samples thus indicating the feasibility of cytogenetic analysis using villus tissue from first and second trimesters of pregnancy. It is a safe, simple, rapid and practical method of prenatal diagnosis in first and second trimesters of pregnancy with a potentially lower risk for fetal and maternal complications.

Chorionic Villi Sampling↗

Detection of Vibrio cholerae O1 in the aquatic environment by fluorescent-monoclonal antibody and culture methods.

Vibrio cholerae O1 in plankton samples collected from ponds and rivers between February 1987 and January 1990 in Matlab, Bangladesh, was detected by the fluorescent-monoclonal antibody (FA) technique. Samples were collected at sites which were monitored fortnightly (fixed sites) as well as at sites that were part of a case-control study. FA results were compared with those obtained by conventional culture methods (CM). A total of 876 samples were collected; V. cholerae O1 was detected in 563 samples (64.27%) by the FA method and in 3 samples (0.34%) by CM. Of the fixed-site plankton samples, 439 (63.62%) were positive by FA and none were positive by CM. Of the 93 case sites sampled on the day after the occurrence of a case of cholera, 73 (78.49%) were positive for V. cholerae O1 by FA and 3 (3.2%) were positive by CM. In comparison, of the 93 first-day sample collections at control sites at the time a case of cholera occurred, only 51 (54.83%) were positive by FA and none were positive by CM. From the data, it is concluded that V. cholerae O1 is present throughout the year in the ponds and rivers of Bangladesh that were examined in this study and that V. cholerae can be detected by FA but not always by CM. The FA procedure was found to be very useful in detecting V. cholerae in plankton, with which it was associated and often occurred in large numbers in the nonculturable stage. Thus, studies investigating the significance of the role of environmental factors in the epidemiology of cholera can be performed effectively by using FA. Such studies are in progress.

Animals↗

Fertility estimates of Bangladesh using 1974 and 1981 census data.

"This paper provides some estimates of fertility level for different periods from 1974 and 1981 census data [for Bangladesh]. The fertility levels were estimated using some indirect methods of estimation. The birth rate during the 70's decade was observed to fall in the range of 45-48 per thousand.... During the last intercensal period no significant change was observed between the measures of fertility."

Asia↗

High prevalence of antibodies to recombinant CENP-B in primary biliary cirrhosis: nuclear immunofluorescence patterns and ELISA reactivities.

The purpose of the present study is to evaluate the centromeric pattern on human laryngeal tumour (HEp-2) cells by indirect immunofluorescent (IIF) test and to compare their reactivities with a newly developed recombinant centromere protein B enzyme linked immunosorbent assay (CENP-B ELISA) test using sera of antinuclear antibody (ANA)-reactive primary biliary cirrhosis (PBC) patients. Antimitochondrial antibody (AMA) subtypes (PDC-E2, BCOADC-E2, OGDC, protein X, and PDC-E1 alpha) by Western blot were also investigated to see whether they have any effect on the expression of CENP-B reactivities. A centromeric pattern (anticentromere antibody [ACA]) was detected in 11 of 25 (44%) PBC patients whereas CENP-B reactivity was found in 15 (60%) of them. There were some differences in IIF patterns and CENP-B reactivities. One PBC serum with indistinguishable ANA pattern reacted with CENP-B. Eight of 15 (53%) CENP-B reactive patients had other autoimmune-like disorders. Of 181 healthy sera, none was reactive for ACA either by IIF or by ELISA test. There was a correlation between ACA IIF and CENP-B ELISA titres (r = 0.824, P < 0.001). However, no correlation was observed between either CENP-B or AMA reactivities and/or between either autoantibodies or laboratory and histologic indices of PBC. These findings suggest that recombinant CENP-B ELISA appears to be more sensitive in identifying ACA than IIF, underlying its potential value as a screening test for the diagnosis of PBC complicated with other autoimmune-like disorders. The presence of multiple autoantibodies in PBC sera may reflect heterogeneous antigens recognition, and requires further study to identify target antigens at cellular and molecular levels.

Autoantibodies↗

On the distributive pattern of acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) in the medulla oblongata of the golden hamster (Mesocricetus auratus). A study on the topographical and functional linkages of the two enzymes.

Histochemical study on the distributive patterns of acetylcholinesterase (AChE) and butyrylcholinesterase (BChE), amongst the constituents of the medulla oblongata of golden hamster (Mesocricetus auratus), viewed through the angle of the possible topographical and functional linkage of the two enzymes, have provided identical set-ups of AChE and BChE in many of the nuclei, fibers and tracts. In the case of AChE in many instances the results further point out that there is a balance of the enzymatic activity between the nuclei and the associated processes. On the other hand, in relation to BChE activity, the nuclei and their processes do not seem to be linked through such a histochemical factor. A detailed discussion on the significance of AChE relationship between the neurons and their processes from the functional point of view, against the data available in the literature, has been incorporated in the present study. Histoenzymologically, the ranges of the activities of AChE and BChE amongst the neurons and their processes are so closely related that such components are mirror images of each other in histochemical patterns. Naturally, such results have led to a detailed discussion in the contribution culminating in a proposition that AChE and BChE (amongst the locales studied) seems to be intimately linked in the neuro-physiological functioning undergoing in the regions of the medulla oblongata of golden hamster.

Acetylcholinesterase↗