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  1. Article: Evaluating the Clinical Equivalence of Truwax® and Ethicon® Bone Waxes for Sternal Wound Hemostasis: A Prospective Randomized Study.

    Shetty, Ravi S / Prakash, Neeraj / Krishna, Vinay / Verma, Rakesh K / Patel, Guru P / Moharana, Ashok / Siddabasavaiah, Deepak

    Cureus

    2024  Volume 16, Issue 2, Page(s) e55141

    Abstract: Background: Incidence of sternal dehiscence, wound infection, and mortality are prevalent following sternotomy. Bone wax is widely used over the sternal edges for augmenting hemostasis. This study evaluated the clinical equivalence of Truwax: Methods!# ...

    Abstract Background: Incidence of sternal dehiscence, wound infection, and mortality are prevalent following sternotomy. Bone wax is widely used over the sternal edges for augmenting hemostasis. This study evaluated the clinical equivalence of Truwax
    Methods: The primary endpoint of this prospective (May 2022-April 2023), parallel-group, two-arm, randomized, single-blind, multicenter study was to evaluate the proportion of subjects having sternal dehiscence within 26 weeks of median sternotomy closure. Secondary endpoints assessed the average time to hemostasis on sternum sides, bone wax properties, number of dressing changes, sternal bone instability (clinically/chest radiography), pain, perioperative/postoperative complications, blood and blood products used, duration of intensive care unit (ICU)/hospital stay, reoperations, time taken to return back to work and normal day-to-day activities, subject satisfaction and quality of life (QoL), and adverse events. A probability of <0.05 was considered significant.
    Results: No incidence of sternal dehiscence or postoperative complications was witnessed. Time to hemostasis, bone wax properties, number of dressing changes, sternal stability, pain, blood and blood products used, duration of ICU/hospital stay, reoperations, time taken to return back to normal day-to-day activities and to work, and subject satisfaction and QoL were comparable between Truwax
    Conclusion: Truwax
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.55141
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pathological and molecular studies on elephant endotheliotropic herpesvirus haemorrhagic disease among captive and free-range Asian elephants in India.

    Sree Lakshmi, P / Karikalan, M / Sharma, Gaurav K / Sharma, Kirtika / Chandra Mohan, S / Rajesh Kumar, K / Miachieo, Kenei / Kumar, Ajay / Gupta, M K / Verma, Rakesh K / Sahoo, Niranjana / Saikumar, G / Pawde, A M

    Microbial pathogenesis

    2023  Volume 175, Page(s) 105972

    Abstract: In the present research pathology and molecular diagnosis of elephant endotheliotropic herpes virus-haemorrhagic disease (EEHV-HD) among Asian elephants was studied. Out of 76 cases, 20 were positive for EEHV infection in PANPOL and POL1 based semi- ... ...

    Abstract In the present research pathology and molecular diagnosis of elephant endotheliotropic herpes virus-haemorrhagic disease (EEHV-HD) among Asian elephants was studied. Out of 76 cases, 20 were positive for EEHV infection in PANPOL and POL1 based semi-nested PCR. Out of 20 samples, 10 samples were fatal cases of EEHV-HD while 10 were of either subclinical or latent infection. Acute onset haemorrhagic disease with EEHV-HD had anorexia, facial and neck swelling, cyanotic buccal mucosa and tongue, nasal and ocular discharge, and colic. The hallmark of gross finding in all cases were severe haemorrhagic lesions in the internal organs viz. cyanosis of tongue with multifocal petechial haemorrhages, diffuse epicardial and endocardial haemorrhages, swollen liver (rounded edges) with parenchymal haemorrhages, serosal and mucosal haemorrhages in gastrointestinal tract, congested kidneys with corticomedullary haemorrhages, highly congested meninges, and brain capillaries with haemorrhages. Microscopic findings in all the cases had severe vascular changes in the visceral organs. Microthrombi was present in the vasculature of tongue, heart, lung, liver, kidney, and brain. The endothelial lining of most of the blood vessels were swollen with apoptotic changes. Amphophilic to basophilic intranuclear inclusion bodies were observed in the endothelial cells. Immunostaining using anti-EEHV DNAPOL hyperimmune sera revealed intense positive signals in the endothelium of blood vessels and their walls. Quantification of viral load in necropsy tissue samples revealed highest in the heart (7.4 × 10
    MeSH term(s) Animals ; Elephants ; Endothelial Cells ; Herpesviridae ; Herpesviridae Infections/veterinary ; Herpes Simplex ; Hemorrhage/veterinary
    Language English
    Publishing date 2023-01-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 632772-2
    ISSN 1096-1208 ; 0882-4010
    ISSN (online) 1096-1208
    ISSN 0882-4010
    DOI 10.1016/j.micpath.2023.105972
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Nephrin and Neph1 co-localize at the podocyte foot process intercellular junction and form cis hetero-oligomers.

    Barletta, Gina-Marie / Kovari, Iulia A / Verma, Rakesh K / Kerjaschki, Dontscho / Holzman, Lawrence B

    The Journal of biological chemistry

    2003  Volume 278, Issue 21, Page(s) 19266–19271

    Abstract: Glomerular visceral epithelial cells (podocytes) appear to play a central role in maintaining the selective filtration barrier of the renal glomerulus. While the immunoglobulin superfamily member Nephrin was proposed to act as a cell adhesion molecule at ...

    Abstract Glomerular visceral epithelial cells (podocytes) appear to play a central role in maintaining the selective filtration barrier of the renal glomerulus. While the immunoglobulin superfamily member Nephrin was proposed to act as a cell adhesion molecule at the podocyte intercellular junction necessary for maintaining glomerular perm selectivity, the Nephrin ligand has not been identified. The existence of a new subfamily of Nephrin-like molecules including Neph1 was recently described. Genetic deletion of Nephrin or Neph1 resulted in similar phenotypes of podocyte foot process effacement and proteinuria. The subcellular localization of Neph1 and the possibility that Nephrin and Neph1 interact was investigated. Polyclonal antiserum for Neph1 was raised and characterized. Neph1 migrated as a 90-kDa protein on SDS-PAGE under reducing conditions. Neph1 was identified in a glomerular and podocyte-specific distribution in adult rat kidney. Like Nephrin and Podocin, Neph1 was enriched in Triton X-100 detergent-resistant membrane fractions. Consistent with this observation, immunogold electron microscopy demonstrated that Neph1 localized exclusively to lateral margins of podocyte foot processes at the insertion of the slit diaphragm. Neph1 and Nephrin participate in a direct cis-interaction involving their cytoplasmic domains. In addition, interactions between the extracellular domain of Nephrin and itself and between the extracellular domain of Nephrin and that of Neph1 were detected. Neph1 did not interact via a homophilic interaction. These observations suggest that Nephrin and Neph1 form a hetero-oligomeric receptor complex in the plane of the membrane that might interact across the foot process intercellular junction through interactions between Nephrin with itself and Neph1.
    MeSH term(s) Animals ; COS Cells ; Cell Membrane/chemistry ; Cytoplasm/chemistry ; Electrophoresis, Polyacrylamide Gel ; Fluorescent Antibody Technique, Indirect ; Gene Expression ; Glutathione Transferase/genetics ; Immunosorbent Techniques ; Intercellular Junctions/chemistry ; Kidney/ultrastructure ; Kidney Glomerulus/ultrastructure ; Membrane Proteins/analysis ; Membrane Proteins/chemistry ; Membrane Proteins/genetics ; Mice ; Microscopy, Immunoelectron ; Octoxynol ; Proteins/analysis ; Proteins/chemistry ; Rats ; Recombinant Fusion Proteins ; Solubility ; Transfection
    Chemical Substances Kirrel1 protein, mouse ; Kirrel1 protein, rat ; Membrane Proteins ; Proteins ; Recombinant Fusion Proteins ; nephrin ; Octoxynol (9002-93-1) ; Glutathione Transferase (EC 2.5.1.18)
    Language English
    Publishing date 2003-03-19
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2997-x
    ISSN 1083-351X ; 0021-9258
    ISSN (online) 1083-351X
    ISSN 0021-9258
    DOI 10.1074/jbc.M301279200
    Database MEDical Literature Analysis and Retrieval System OnLINE

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