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Biomedical subjects

S S Krishnan

Publications and source records attributed to S S Krishnan.

At least 19 recordsLinked to original sources

Detection of Escherichia coli O157:H7 and Salmonella typhimurium using filtration followed by Fourier-transform infrared spectroscopy.

Fourier-transform infrared spectroscopy has been successfully used as a nondestructive method for identifying, distinguishing, and classifying pathogens. In this study, a less time-consuming Fourier-transform infrared procedure was developed to identify Escherichia coli O157:H7 and Salmonella Typhimurium. Samples containing 10(9) CFU/ml were prepared in tryptic soy broth and then serially diluted (up to eight times) to obtain bacterial solutions of 10(9) to 10 CFU/ml. These dilutions were incubated at 37 degrees C for 6 h, samples were filtered through a Metricel filter hourly (for 0 to 6 h), and spectra were obtained using a ZnSe contact attenuated total reflectance accessory on a Continu mum infrared microscope. Midinfrared spectra (4,000 to 700 cm(-1)) of Salmonella Typhimurium and E. coli O157:H7 were generated, and peak areas in the region of 1,589 to 1,493 cm(-1) were used to detect the pathogens. Initially, detection limits were between 10(6) and 10(7) CFU/ml without preenrichment, and samples starting with 500 CFU/ml were detectable following incubation for 6 h, when counts reached at least 10(6) CFU/ ml. Compared with results of previously published studies in which Fourier-transform infrared spectroscopy was used to identify select pathogens, this method is more rapid and less expensive for practical large-scale sample analysis.

Colony Count, Microbial↗

Smoking increases carcinogenic polycyclic aromatic hydrocarbons in human lung tissue.

Tobacco smoke is a major source of human exposure to polycyclic aromatic hydrocarbons (PAHs). The concentration of PAHs in lung tissue would reflect an individual's dose, and its variation could perhaps reflect cancer risk. Eleven PAHs were measured in 70 lung tissue samples from cancer-free autopsy donors by gas chromatography-mass spectrometry. There were 37 smokers and 33 nonsmokers as estimated by serum cotinine concentration. The sum of PAH concentrations was higher in smokers (P = 0.01), and there was a dose-response relationship for greater smoking (P < 0.01). Smoking increased the concentration of five PAHs including benzo(a)pyrene, which increased approximately 2-fold. The risk for increasing carcinogenic PAHs (odds ratio, 8.20; 95% confidence interval, 2.39-28.09) was 3-fold compared with noncarcinogenic PAHs (odds ratio, 2.61; 95% confidence interval, 0.75-9.12). A higher concentration of PAHs was detected in the lung tissue of males, although the estimated smoking was similar in males and females. Race was not associated with PAH concentrations overall, but PAH concentrations appeared to be higher in African-American males than in any other group. Age was weakly correlated with an increase in fluoranthene and pyrene. The measurement of PAHs in human lung tissue can be used to estimate the actual dose to the target organ.

Adolescent↗

Electrocardiographic prediction of hyperinflation in children.

The mean frontal P wave axis in an electrocardiogram (ECG), which reflects the atrial orientation in the thorax, is altered by the relationship between atria and the diaphragm and, therefore, by hyperinflation. To examine this relationship, 102 children (ages 6-18) with asthma were prospectively studied. Lung volumes were estimated by plethysmography and a standard ECG obtained before and after bronchodilator. The mean thoracic gas volume (TGV) was 120.7 +/- 2.1% of predicted and the mean P axis was 54.9 +/- 1.5 degrees. Sixty-two subjects (61%) had a "vertical" P axis (> or = 60 degrees). Of 27 subjects with moderate or severe hyperinflation (TGV > or = 130% predicted), 23 (85%) had a vertical P axis. As a measure of significant hyperinflation, a vertical P axis had a sensitivity of 85%, specificity of 49%, positive predictive value of 38% and a negative predictive value of 90%. After nebulized albuterol, the mean TGV decreased to 96.4 +/- 1.3% predicted and the mean P axis decreased by 7.1 +/-1.6 degrees. Sixty-two of 76 subjects (82%) with > or = 15% decrease in TGV also had a decrease in P axis, and 62/67 subjects (93%) with a decrease in P axis also had > or = 15% decrease in TGV. The sensitivity was 82%, specificity 81%, and positive predictive value 93% for a decrease in P axis as a measure of decrease in TGV. A vertical P axis combined with a decrease in P axis after bronchodilator is highly sensitive and predictive for hyperinflation in children.

Adolescent↗

Studies of incinerator ashes and environmental effects using radioanalytical techniques.

We have studied solid waste incinerator ashes to understand the leaching mechanism and speciation of toxic and other elements in them. Leaching media, such as water and acetate buffer, at various pHs were used. Incinerator ashes generally contain concentrations of many toxic elements, such as Cd, As, Hg, and Se. These elements are leached out rather easily. Many of the elements are leached within the first few minutes to an hour, and the majority of the elements reach peak equilibrium concentrations within 200 h. The pH and nature of the leaching medium are important factors in the leaching of the elements.

Carbon↗

Would decreased aluminum ingestion reduce the incidence of Alzheimer's disease?

Although the cause of Alzheimer's disease (AD) remains unknown there is mounting evidence that implicates aluminum as a toxic environmental factor of considerable importance. Four independent lines of evidence--laboratory studies of the effects of intracerebral aluminum on the cognitive and memory performance of animals, biochemical studies, epidemiologic studies and the slowing of the progress of the disease with the use of an agent that removes aluminum from the body--now support the concept that aluminum is one of the pathogenic factors in AD. The evidence warrants serious consideration of reducing human exposure to aluminum. We hypothesize that a public health effort to restrict human ingestion of aluminum would reduce the incidence of this common chronic illness in the elderly.

Aluminum↗

Improved clinical facility for in vivo nitrogen measurement.

The design and construction of a hospital clinical facility for in vivo prompt gamma neutron activation analysis for total body nitrogen (TBN) measurement is described. The use of 252Cf neutron sources gives a better signal-to-background ratio compared with 238Pu-Be sources of equal strength, thus yielding better reproducibility of measurements. By measuring the hydrogen and nitrogen signals separately using appropriate gating circuits, signal-to-background ratio is further improved. Measurements using a urea phantom (5.63 kg nitrogen as urea in 34.53 kg of water) show that 2 x 6 micrograms 252Cf sources gives a nitrogen signal-to-background ratio of 5.6 (compared with 3.4 in the case of a 2 x 10 Ci 238Pu-Be source) and a reproducibility for nitrogen signal of +/- 1.1% (CV) and for hydrogen signal (internal standard) of +/- 2.33% (CV). Approximately 30 minutes of patient's time is required for each TBN measurement with an estimated reproducibility of +/- 3.8% (CV). The radiation dose to the patient is about 0.2 mSv (effective dose equivalent; QF = 10) per 20 min measurement. A report for the clinician is produced within a few minutes after the measurement by a dedicated IBM-PC computer. The entire facility is clean, comfortable and the electronics and computer processing are simple and economical.

Body Composition↗

Investigation of factors which lead to the background in the measurement of nitrogen by IVNAA.

A major problem in the measurement of nitrogen in the body by in vivo neutron activation analysis is the size of the background. Investigations show that random summing of gamma rays in the range 4-7 MeV is a major contributor. By direct comparison, 252Cf is shown to be a better neutron source than Pu-Be in this regard. Data are presented on the contribution to the background of water and chloride in the body.

Beryllium↗

Aluminum toxicity to the brain.

The association between elevated brain aluminum levels and Alzheimer's disease (AD) is examined and critically reviewed. We found elevated aluminum levels in the brains of patients with AD (greater than 4 micrograms/g dry wt.) compared with normal subjects (approximately 1.5 micrograms/g dry wt.). Nine laboratories from different geographical regions have confirmed this finding. Two laboratories did not find any differences between AD and control brains. This discrepancy is traced to differences in sample sizes used for the aluminum assay and the sample selection criteria. It is found that it is essential to use small sizes (approximately 10 mg dry wt.) and to ensure that control brains do not contain neurofibrillary tangles (NFT) and that AD brains do. The exact pathogenic role of aluminum in AD is, as yet, unclear. It is the only element (other than calcium, which non-specifically accumulates at all degenerating tissue sites) that is found in elevated concentrations in NFTs. It is found elevated at four loci in the brain, i.e. the DNA-containing structures of the nucleus, the protein moities of NFTs, the amyloid cores of senile plaques and cerebral ferritin. The evidence thus far indicates that aluminum is toxic to the brain and it is probable that it has a pathogenic role in Alzheimer's disease.

Aluminum↗

Waste water treatment for heavy metal toxins using plant and hair as adsorbents.

The adsorption of cadmium, mercury and lead by Cattails (Typha Plant) and human hair has been investigated to assess their possible use as adsorbents in the treatment of industrial wastewater. Capacity experiments were performed, and it was found that significant amounts of cadmium, mercury and lead were adsorbed by Cattails, while only mercury was adsorbed by hair. Depending upon the concentration, adsorption capacities varied from 1 to 27 mg of metal per gram of adsorbent. The relatively fast uptake of cadmium and lead by Cattail leaves suggests that a continuous process is viable. The results are similar in the case of hair and mercury.

Adsorption↗

A system for in vivo measurement of bone calcium by local neutron activation of the hand.

A 252Cf neutron-irradiation facility designed specifically for clinical in vivo measurement of calcium in the hand is described. Results of preliminary measurements are presented. Hand phantoms were exposed to the neutron beam for 10 min and the induced 49Ca activities were counted for 10 min after an elapsed time of 2 min. The results indicate that with a 2 X 100 micrograms 252Cf neutron source and two 20.3 X 12.7 cm NaI crystals, the counts per gram of bone mineral mass changes by about 4% for each 100 cm3 change in the overall volume (soft tissue plus bone) of the hand. For hands of equal volumes the counts per gram are expected to be almost independent of the bone volume. With an absorbed dose equivalent of 150 mSv (15 rem), the sensitivity is about 200 counts per 10 min per gram Ca. The statistical reproducibility of the results is better than 3% for the average value of 11 g Ca in the normal hand.

Adult↗

Intranuclear aluminum content in Alzheimer's disease, dialysis encephalopathy, and experimental aluminum encephalopathy.

Nuclear and chromatin fractions were prepared from cerebral cortex of 34 human and 37 animal brains. Chromatin was separated into a heavy heterochromatin fraction and two euchromatin fractions: intermediate euchromatin and light euchromatin. Compared to age-matched controls, aluminum content expressed per gram of DNA was significantly increased in nuclear and heterochromatin fractions in pre-senile Alzheimer's disease. In contrast nuclear preparations from brains of patients who had died with dialysis encephalopathy contained less aluminum than controls, although whole tissue concentrations were elevated ten to fifteen times above the control concentrations. Direct injection of aluminum into the cerebrospinal fluid of cats resulted in a progressive encephalopathy with neurofibrillary degeneration and increased intranuclear aluminum content. It is speculated that in Alzheimer's disease the normal blood-brain and cytoplasmic barriers for this neurotoxic metal are defective permitting aluminum to gain access to DNA-containing constitutents of the nuclei.

Adolescent↗

Aluminium, neurofibrillary degeneration and Alzheimer's disease.

Aluminium is neurotoxic and results in the proliferation of 100 A diameter filaments in the cytoplasm of certain neurons. The aluminium concentration for 7 normal human brains was 1-9 +/- 0-7 SD mug/g dry weight (n = 208 samples). The aluminium content of 585 areas sampled in 10 post-mortem cases of Alzheimer's disease ranging in age from 50 to 88 years, in which the diagnosis was based on the specific histological appearances, revealed an elevated aluminium content in some regions. A range of 0-4 - 107-0 mug/g was encountered and 28 per cent of all regions sampled had concentrations in excess of 4 mug/g. Five of 6 cerebral biopsies from patients with Alzheimer's disease also had elevated aluminium content. In 2 additional Alzheimer's brains with neurofibrillary degeneration restricted to certain anatomical areas, elevated aluminium content was found to be associated with neurofibrillary degeneration and not with senile plaques. Furthermore, elevated aluminium content in multiple cortical regions was not found in 2 vascular dementias of the elderly. While the cytotoxic concentration for human neurons is unknown, the cytotoxic concentration for cat's cerebral neurons appears to lie between 4 and 6 mug/g dry weight.

Adolescent↗

Examination of paints by trace element analysis.

Trace element analysis using neutron activation analysis is effective and valuable, particularly in the examination of white household paint. Although physical appearance and resin composition are generally similar in these paint samples, trace element composition provides an effective way of distinguishing among them. In the case of automobile paint samples, NAA serves as an important additional technique for discrimination. The technique is important when sample sizes are very small. The technique developed takes a few minutes for sample preparation, a few hours of irradiation time (during which the examiner's presence is not required), and then a few minutes for counting and obtaining quantitative multielement concentration patterns. A technician can easily handle 30 to 50 samples per day.

Neutron Activation Analysis↗