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Effects of Pre-Operative Single Dose Gabapentin on Postoperative Pain Following Total Abdominal Hysterectomy: A Dose Finding Study 被引量:1
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作者 anand kumar Gauhar Afshan Tahira Naru 《Open Journal of Anesthesiology》 2021年第9期279-287,共9页
<b>Background & Aims:</b> The multimodal analgesia provides superior pain relief and reduces opioid consumption and its side effects. Gabapentin has been used successfully in multi-modal analgesia in d... <b>Background & Aims:</b> The multimodal analgesia provides superior pain relief and reduces opioid consumption and its side effects. Gabapentin has been used successfully in multi-modal analgesia in different doses. We designed a double-blind randomized control trial to find the minimal effective dose of gabapentin in multimodal analgesia for postoperative pain following total abdominal hysterectomy. <b>Material & Methods:</b> After informed consent, total of 87 patients were randomly assigned to A, B & C groups to receive gabapentin orally 300 mg, 600 mg, and 900 mg respectively one to two hours before surgery. Postoperatively pain was managed by patient-controlled analgesia (PCA) using pethidine. Pain score, opioid consumption, and side effects of gabapentin were monitored. Rescue analgesia was given and monitored. <b>Results:</b> There was no statistically significant difference among the groups with respect to age, weight, height, pethidine consumption, and rescue analgesia. Mean pain scores were statistically insignificant at baseline, 8, 12, and 24 hours postoperatively. Only at 4 hours, the highest pain score (mean) was found in group A, which is statistically significant. The side effects of gabapentin like nausea, vomiting, somnolence, and dizziness were also statistically insignificant. <b>Conclusion:</b> A single preoperative oral gabapentin 300 mg was found to be minimal effective dose in multimodal analgesic regimen for reducing post-operative pain and analgesic requirement following total abdominal hysterectomy. 展开更多
关键词 PCA Opioid Effects GABAPENTIN PETHIDINE Pain Relief Total Abdominal Hysterectomy
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STAT1 and STAT2 Null Cells Are Resistant to RNA-Induced Apoptosis Due to Deficiency in Constitutive and Inducible Apoptosis-Regulating Genes
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作者 Farag Bleiblo Paul Michael +4 位作者 Chilakamarti V. Ramana T. C. Tai Joseph E. Parrillo anand kumar Aseem kumar 《American Journal of Molecular Biology》 2020年第3期165-187,共23页
Although much progress has been made in identifying the signaling pathways that mediate viral RNA-induced apoptosis and activation of interferon-stimulated genes, the role that bacterial RNA plays in regulating these ... Although much progress has been made in identifying the signaling pathways that mediate viral RNA-induced apoptosis and activation of interferon-stimulated genes, the role that bacterial RNA plays in regulating these responses has remained undetermined. Herein, we identified bacterial RNA as a novel inducer of the apoptotic cell death. Unlike the parental cells, STAT1 and STAT2 mutants display apoptotic defects which were reversed by restoring the expression of wild type proteins. While STAT1 mutants lacking tyrosine-701 or a functional SH2 domain were effective as the wild-type protein in restoring the apoptotic response, the mutant carrying a point mutation at serine-727 of STAT1 was resistant to bacterial RNA-induced apoptosis. We also determined that the lack of apoptosis in the STAT1 and STAT2 mutants was correlated with the constitutive and inducible activation of apoptosis regulating proteins. Furthermore, we show that bacterial RNA induces transcriptional activation of STAT1, STAT2, IRF1, and ISGF3, which was impaired in STAT1 or STAT2 mutants. These observations suggested that the participation of STATs in regulating the apoptotic response is independent of their downstream functions as cytokine-induced transcriptional activators. In addition to bacterial immunity, the results presented here may also have implications in cellular pathophysiology and RNA-based therapy. 展开更多
关键词 STAT1 STAT2 APOPTOSIS Bacterial RNA
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Polyphosphate and associated enzymes as global regulators of stress response and virulence in Campylobacter jejuni 被引量:2
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作者 anand kumar Dharanesh Gangaiah +1 位作者 Jordi B Torrelles Gireesh Rajashekara 《World Journal of Gastroenterology》 SCIE CAS 2016年第33期7402-7414,共13页
Campylobacter jejuni(C. jejuni),a Gram-negative microaerophilic bacterium,is a predominant cause of bacterial foodborne gastroenteritis in humans worldwide. Despite its importance as a major foodborne pathogen,our und... Campylobacter jejuni(C. jejuni),a Gram-negative microaerophilic bacterium,is a predominant cause of bacterial foodborne gastroenteritis in humans worldwide. Despite its importance as a major foodborne pathogen,our understanding of the molecular mechanisms underlying C. jejuni stress survival and pathogenesis is limited. Inorganic polyphosphate(poly P) has been shown to play significant roles in bacterial resistance to stress and virulence in many pathogenic bacteria. C. jejuni contains the complete repertoire of enzymes required for poly P metabolism. Recent work in our laboratory and others have demonstrated that poly P controls a plethora of C. jejuni properties that impact its ability to survive in the environment as well as to colonize/infect mammalian hosts. This review article summarizes the current literature on the role of poly P in C. jejuni stress survival and virulence and discusses on how poly P-related enzymes can be exploited for therapeutic/prevention purposes. Additionally,the review article identifies potential areas for future investigation that would enhance our understanding of the role of poly P in C. jejuni and other bacteria,which ultimately would facilitate design of effective therapeutic/preventive strategies to reduce not only the burden of C. jejuni-caused foodborne infections but also of other bacterial infections in humans. 展开更多
关键词 CAMPYLOBACTER JEJUNI Stress tolerance Inorganic POLYPHOSPHATE VIRULENCE Colonization/ infection
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Fabrication and Characterizations of Mechanical Properties of Al-4.5%Cu/10TiC Composite by <i>In-situ</i>Method
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作者 anand kumar Manas Mohan Mahapatra Pradeep kumar Jha 《Journal of Minerals and Materials Characterization and Engineering》 2012年第11期1075-1080,共6页
Addition of reinforcement such as TiC, SiC, Al2O3, TiO2, TiN, etc. to Aluminium matrix for enhancing the mechanical properties has been a well established fact. In-situ method of reinforcement of the Aluminium matrix ... Addition of reinforcement such as TiC, SiC, Al2O3, TiO2, TiN, etc. to Aluminium matrix for enhancing the mechanical properties has been a well established fact. In-situ method of reinforcement of the Aluminium matrix with ceramic phase like Titanium Carbide (TiC) is well preferred over the Ex-situ method. In the present investigation, Al-Cu alloy (series of 2014 Aluminium alloy) was used as matrix and reinforced with TiC using In-situ process. The Metal Matrix Composite (MMC) material, Al-4.5%Cu/10%TiC developed exhibited higher yield strength, ultimate strength and hardness as compared to Al-4.5%Cu alloy. Percentage increase in yield and ultimate tensile strengths were reported to be about 15% and 24% respectively whereas Vickers hardness increased by about 35%. The higher values in hardness indicated that the TiC particles contributed to the increase of hardness of matrix. Fractured surface of the tensile specimen of the composite material indicated presence of dimpled surface, indicating thereby a ductile type of fracture. During the fabrication of composite, reaction products such as Al3Ti, Al2Cu and Al3C4 were identified with various morphologies and sizes in metal matrix. 展开更多
关键词 IN-SITU Metal Matrix Composites TiC REINFORCEMENT MECHANICAL Characterization
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Analysis of Trends of Sleep-Related Breathing Disorders in Patients with Systemic Essential Hypertension
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作者 Santosh kumar Sinha anand kumar +6 位作者 Avinash Jain Ramesh Thakur Chandra Mohan Varma Vinay Krishna Avdhesh kumar Nirlep Gajiwala Ashok Thakkar 《International Journal of Clinical Medicine》 2015年第8期561-569,共9页
Background: Studies have revealed a strong link between sleep-related breathing disorders and essential hypertension. However, the trends of sleep-disordered breathing in hypertensive patients have not been analyzed f... Background: Studies have revealed a strong link between sleep-related breathing disorders and essential hypertension. However, the trends of sleep-disordered breathing in hypertensive patients have not been analyzed frequently. Methods: In this prospective, single-center and observational study, random patients with systemic essential hypertension, who were visiting GSVM Medical College, Kanpur, India between December 2012 and July 2014, were selected. After obtaining informed consent, patients were analyzed for symptoms of sleep-disordered breathing and Epworth Sleepiness Scale. Subsequently, all patients underwent overnight polysomnography to estimate the events of apnea and hypopnea. Observed data were compared between stage I and stage II hypertensive patients. Results: A total of 51 patients (age: 45.7 ± 13.43 years), comprising 36 stage I hypertensives and 15 stage II hypertensives, were enrolled in the study. About 47% of these patients displayed no symptoms of sleep-disordered breathing. Compared to stage I hypertensives, higher percentage of stage II hypertensives reported excessive day time sleepiness. Sleep latency time and sleep architecture were comparable between stage I and stage II hypertensives. Stage II hypertensives displayed shorter total sleep time and higher snore time than stage I hyper-tensives. Apnea Hypopnea Index (AHI) values increased with the severity of hypertension. Nocturnal oxygen desaturation was present in 25.0% and 53.3% of stage I and II hypertensives respectively. Mean lowest oxygen saturation was lower and the mean C-reactive protein levels were higher in stage II hypertensives as compared to stage I hypertensives. The mean C-reactive protein levels increased with increasing AHI scores, while the mean lowest oxygen saturation decreased with increasing AHI scores. Conclusion: Almost half of the hypertensives patients reported no symptoms of sleep-disordered breathing. Sleep-disordered breathing was more common and was more severe in majority of patients with stage II hypertension as compared to that in patients with stage I hypertension. 展开更多
关键词 APNEA HYPERTENSION POLYSOMNOGRAPHY SLEEP DISORDERS
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Lymphangiogenesis as a Prognostic Marker in Breast Cancer Using D2-40 as Lymphatic Endothelial Marker—A Preliminary Study
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作者 Mumtaz A. Ansari Vaibhav Pandey +3 位作者 Vivek Srivastava Mohan kumar R. N. Mishra anand kumar 《Journal of Cancer Therapy》 2012年第5期814-821,共8页
We studied tumour lymphangiogenesis and lymphatic invasion using D2-40 endothelial marker in 35 breast cancer patients treated by primary surgery and correlated it with various clinico-pathological prognostic paramete... We studied tumour lymphangiogenesis and lymphatic invasion using D2-40 endothelial marker in 35 breast cancer patients treated by primary surgery and correlated it with various clinico-pathological prognostic parameters. Lymphangiogenesis was quantified using lymphatic micro vessel density (LMVD) by counting the immunostained lymphatic microvessels at 200X. The mean age was 45.97±12.09 years (range 30-80 years). LMVD ranged from 5/hpf to 56/hpf with a mean score of 13.4±10.8 and median of 9. The median value of 9 was taken to classify patients into a low or high LMVD. LMVD correlated significantly with tumour size (p=0.003), histological grade (p=0.046), lymph node status (p=0.030). There was no significant correlation of LMVD with stage, estrogen receptor, progesterone receptor or HER2/neu immunoreactivity. Lymphovascular invasion on D2-40 staining [LVI-D40] was found in 13 (37.1%) cases compared to 6 cases (17.1%) on H & E staining showing a poor agreement (k=0.244). LVI correlated significantly with lymph node status (p=0.011). There was a strong association between tumour size (p=0.142), histological grade (p=0.066) though the correlation was not statistically significant. No correlation was found with stage, estrogen receptor, progesterone receptor or HER2/neu immunoreactivity. The mean LMVD in LVI positive patients was higher (22.85±13.29) as compared to LVI negative patients (7.95±2.05) and this was statistically significant (p=0.001). Increased D2-40 detected LMVD and LVI correlated with poor prognostic parameters. 展开更多
关键词 Breast Cancer LYMPHANGIOGENESIS D2-40 Prognosis
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Familial primary pigmented nodular adrenocortical disease without Carney complex (CNC): A case report and review of literature
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作者 Vaibhav Pandey Vivek Srivastava +2 位作者 anand kumar Mumtaz Ansari S. K. Singh 《Case Reports in Clinical Medicine》 2013年第8期454-456,共3页
Primary pigmented nodular adrenocortical disease (PPNAD) is a rare cause of familial Cushing's syndrome. It is characterized by bilateral adrenocortical hyperplasia with small to normal-sized adrenal glands contai... Primary pigmented nodular adrenocortical disease (PPNAD) is a rare cause of familial Cushing's syndrome. It is characterized by bilateral adrenocortical hyperplasia with small to normal-sized adrenal glands containing multiple small adrenal cortical pigmented nodules [1,2]. PPNAD may occur in an isolated form or as familial PPNAD. Familial cases of PPNAD are usually associated with Carney complex in which Cushing’s syndrome is the most common endocrine manifestation [3]. Familial cases of PPNAD without associated Carney complex are very rare. Only a few cases of familial isolated PPNAD have been reported in the literature, mostly in females [4]. Isolated familial PPNAD has got a better prognosis than familial PPNAD associated with Carney Complex. This observation has important consequences for clinical management, follow-up and genetic counselling of such patients. Familial cases of PPNAD are rare and mostly present in females with associated Carney complex. We herein report a case of familial Cushing’s syndrome in male siblings due to PPNAD without associated Carney complex. 展开更多
关键词 PPNAD Carney Complex FAMILIAL Cushing’s SYNDROME
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Unraveling bioactive potential and production in Ganoderma lucidum through omics and machine learning modeling
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作者 Sonali Khanal anand kumar +7 位作者 Pankaj kumar Pratibha Thakur Atul M.Chander Rachna Verma Ashwani Tapwal Vinay Chauhan Dinesh kumar Deepak kumar 《Chinese Herbal Medicines》 2025年第3期414-427,共14页
Ganoderma lucidum,a medicinal mushroom renowned for its production of a diverse array of compounds,accounts for the pharmacological effects including anti-infammatory,antioxidant,immunomodulatory,and anticancer charac... Ganoderma lucidum,a medicinal mushroom renowned for its production of a diverse array of compounds,accounts for the pharmacological effects including anti-infammatory,antioxidant,immunomodulatory,and anticancer characteristics.Thus,it is recognized as a valuable species of interest in the pharmaceutical and nutraceutical industries due to its important medicinal properties.Recent advances in omics technologies such as genomes,transcriptomics,proteomics,and metabolomics have considerably increased our understanding of the bioactives in G.lucidum.This review explores the application of molecular breeding techniques to enhance both the yield and quality of G.lucidum across the food,pharmaceutical,and industrial sectors.The article discusses the current state of research on the use of contemporary omics technologies which studies and highlights future research directions that may increase the production of bioactive compounds for their therapeutic potential.Additionally,predictive methods with computational studies have recently emerged as effective tools for investigating bioactive constituents in G.lucidum,providing an organized and cost-effective strategy for understanding their bioactivity,interactions,and possible therapeutic uses.Omics and machine learning techniques can be applied to identify the candidates for pharmaceutical applications and to enhance the production of bioactive compounds in G.lucidum.The quantifcation and production of the bioactive compounds can be streamlined by the integrating computational study of bioactive compounds with non-destructive predictive machine learning models of the same.Synergistically,these techniques have the potential to be a promising approach for the future prediction of the bioactive constituents,without compromising the integrity of the fungal organism. 展开更多
关键词 artificial intelligence bioactive compounds computational techniques Ganoderma lucidum(Leyss.Ex Fr.)Karst. herbal medicine machine learning technologies OMICS
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Sub-barrier fusion analysis of^(40)Ca+^(46,48,50)Ti systems
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作者 Samiksha Manjeet Singh +1 位作者 Vijay anand kumar 《Chinese Physics C》 2025年第6期156-170,共15页
Considering the simple Wong formula,simple Wong formula with deformed choice of nuclear potential,symmetric-asymmetric Gaussian barrier distribution(SAGBD)model,and coupled channel approach,this work investigates the ... Considering the simple Wong formula,simple Wong formula with deformed choice of nuclear potential,symmetric-asymmetric Gaussian barrier distribution(SAGBD)model,and coupled channel approach,this work investigates the fusion mechanism of^(40)Ca+^(46,48,50)Ti systems.For these reactions,the roles of internal structural degrees of freedom of collision partners and diffuseness parameter associated with Woods-Saxon potential in fusion dynamics are investigated.For the chosen systems,simple Wong formula-based calculations are found to be unable to describe actual fusion data at sub-barrier energies.The inclusion of quadrupole deformation with an additional radius parameter AR in deformed choice of nuclear potential along with the simple Wong formula is capable of retracing experimental data.In the SAGBD model,the simple Wong formula is weighted by a Gaussian function.The SAGBD model with different choices of diffuseness has been explored,and fusion yields have been found to be relatively sensitive to the choice of diffuseness of Woods-Saxon potential.SAGBD outcomes with Winther and AkyüzWinther diffuseness are unable to retrieve experimental data.To improve theoretical predictions,the diffuseness is optimized relative to Winther and Akyüz-Winther value,and theoretical outcomes with an optimized diffuseness parameter within SAGBD model address the fusion behaviour of^(40)Ca+^(46,48,50)Ti reactions well.Coupled channel analysis of given reactions,wherein the influences of low-lying vibrational states of participants are directly considered,readily reproduced the fusion data for all studied systems.The low-lying vibrational 2+and 3-states are found to be sufficient to reproduce the fusion data for^(40)Ca+46,48Ti reactions.However,for^(40)Ca+50Ti reactions,in addition to low-lying 2^(+)and 3^(-)vibrational states,the considerations of a pair neutron transfer channel is required to addre ss sub-barrier fusion data. 展开更多
关键词 barrier distributions fusion yields diffuseness anomaly vibrational states nucleus-nucleus potential χ^(2)-analysis
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Sliding mode controller design for frequency regulation in an interconnected power system 被引量:7
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作者 anand kumar Md Nishat Anwar Shekhar kumar 《Protection and Control of Modern Power Systems》 2021年第1期77-88,共12页
In this paper, a Sliding mode controller design method for frequency regulation in an interconnected power system is presented. A sliding surface having four parameters has been selected for the load frequency control... In this paper, a Sliding mode controller design method for frequency regulation in an interconnected power system is presented. A sliding surface having four parameters has been selected for the load frequency control (LFC) system model. In order to achieve an optimal result, the parameter of the controller is obtained by grey wolf optimization (GWO) and particle swarm optimization (PSO) techniques. The objective function for optimization has been considered as the integral of square of error of deviation in frequency and tie-line power exchange. The method has been validated through simulation of a single area as well as a multi-area power system. The performance of the Sliding mode controller has also been analyzed for parametric variation and random loading patterns. The performance of the proposed method is better than recently reported methods. The performance of the proposed Sliding mode controller via GWO has 88.91% improvement in peak value of frequency deviation over the method of Anwar and Pan in case study 1 and similar improvement has been observed over different case studies taken from the literature. 展开更多
关键词 Load frequency control Sliding mode control(SMC) Grey wolf optimization Particle swarm optimization Multi-area power system
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Determining the relationship between chemical composition and size, shape and effective density of airborne fine particles through concurrent use of inertial and optical based measurements 被引量:1
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作者 anand kumar Tarun Gupta 《Particuology》 SCIE EI CAS CSCD 2016年第5期93-101,共9页
This study presents the development of a medium flow, multiple slit based PM2.5 (particle aerodynamic diameter 〈2.5 μm) inertial impactor. Its performance was compared with that of a light scattering based optical... This study presents the development of a medium flow, multiple slit based PM2.5 (particle aerodynamic diameter 〈2.5 μm) inertial impactor. Its performance was compared with that of a light scattering based optical particle sizer in a field study and in controlled lab based experiments using polydisperse dolomite powder as test aerosol. The impactor's optimum nozzle configuration had a cutoff size of 2.51 μm (aero- dynamic diameter) at an operating flow rate of 215 L/rain with a pressure drop of 0.35 kPa across the impactor stage. Because the apparent particle density of an ambient aerosol depends on the physical properties and the chemical composition of the particles, the PM2.5 mass concentration was measured with an optical particle sizer and an inertial impactor over a weekday and a weekend day in a field study during which the effective particle shape factor and density were in tandem modified in order to com- pare the results from the two sampling techniques. The correlation of the two instrument results tended towards 1:1 with increasing values of shape factor (irregular shaped) and effective particle density. This observation was supported through chemical investigations of the collected mass, which showed a higher percentage contribution from elements which are mostly of crustal nature (namely, Ca, Fe, and Mg). 展开更多
关键词 lmpactor PM2.5 Optical particle counter Effective particle density Shape factor
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