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Mitra S, Simson D, Singh S, Goyal S, Khurana H, Dewan A, Barik S, Dobriyal K, Krishnan A, Pansuriya M, Mishra M. Survival Outcomes and Patterns of Failure in Patients with Carcinoma Stomach Who Underwent D2 Lymphadenectomy Followed by Either Adjuvant Chemoradiation or Chemotherapy Alone: A Retrospective Review from a Tertiary Care Cancer Research Institute. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Singh R, Dewan A. Progress on indoor air quality regulation in India. Int J Tuberc Lung Dis 2022; 26:801b-802. [PMID: 35898128 DOI: 10.5588/ijtld.22.0267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- R Singh
- Department of Architecture, School of Planning and Architecture, New Delhi, India, ISAC Centre for Built Environment Policy, New Delhi, India, Tathatara Foundation, Bobbili, India
| | - A Dewan
- Department of Architecture, School of Planning and Architecture, New Delhi, India
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Jajodia A, Mandal G, Yadav V, Khoda J, Goyal J, Pasricha S, Puri S, Dewan A. Adding MR Diffusion Imaging and T2 Signal Intensity to Neck Imaging Reporting and Data System Categories 2 and 3 in Primary Sites of Postsurgical Oral Cavity Carcinoma Provides Incremental Diagnostic Value. AJNR Am J Neuroradiol 2022; 43:1018-1023. [PMID: 35738671 DOI: 10.3174/ajnr.a7553] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 05/03/2022] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE The NI-RADS lexicon doesn't use ADC parameters and T2 weighted signal for ascribing categories. We explored ADC, DWI, and T2WI to examine the diagnostic accuracy in primary sites of postsurgical oral cavity carcinoma in the Neck Imaging Reporting and Data System (NI-RADS) categories 2 and 3. MATERIALS AND METHODS We performed a retrospective analysis in clinically asymptomatic post-surgically treated patients with oral cavity squamous cell carcinoma who underwent contrast-enhanced MRI between January 2013 and January 2016. Histopathology and follow-up imaging were used to ascertain the presence or absence of malignancy in subjects with "new enhancing lesions," which were interpreted according to the NI-RADS lexicon by experienced readers, including NI-RADS 2 and 3 lesions in the primary site. NI-RADS that included T2WI and DWI (referred to as NI-RADS A) and ADC (using the best cutoff from receiver operating characteristic curve analysis, NI-RADS B) was documented in an Excel sheet to up- or downgrade existing classic American College of Radiology NI-RADS and calculate diagnostic accuracy. RESULTS Sixty-one malignant and 23 benign lesions included in the study were assigned American College of Radiology NI-RADS 2 (n = 33) and NI-RADS 3 (n = 51) categories. The recurrence rate was 90% (46/51) for NI-RADS three, 45% (15/33) for NI-RADS 2, and 73% (61/84) overall. T2WI signal morphology was intermediate in 45 subjects (53.5%) and restricted DWI in 54 (64.2%). Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the American College of Radiology NI-RADS were the following: NI-RADS (75.4%, 78.3%, 90.1%, 54.5%, and 76.1%); NI-RADS A (79.1%, 81.2%, 91.9%, 59.1%, and 79.6%); and NI-RADS B (88.9%, 72.7%, 91.4%, 66.7%, and 85.1%), respectively. CONCLUSIONS Adding MR imaging diagnostic characteristics like T2WI, DWI, and ADC to the American College of Radiology NI-RADS improved diagnostic accuracy and sensitivity.
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Affiliation(s)
- A Jajodia
- From the Departments of Radiology (A.J., J.K., J.G., S.Puri.)
| | - G Mandal
- Surgical Oncology (G.M., V.Y., A.D.)
| | - V Yadav
- Surgical Oncology (G.M., V.Y., A.D.)
| | - J Khoda
- From the Departments of Radiology (A.J., J.K., J.G., S.Puri.)
| | - J Goyal
- From the Departments of Radiology (A.J., J.K., J.G., S.Puri.)
| | - S Pasricha
- Laboratory & Histopathology (S.Pasricha.), Rajiv Gandhi Cancer Institute, Delhi, India
| | - S Puri
- From the Departments of Radiology (A.J., J.K., J.G., S.Puri.)
| | - A Dewan
- Surgical Oncology (G.M., V.Y., A.D.)
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Simson D, Mitra S, Khurana H, Barik S, Dobriyal K, Krishnan A, Umesh P, Pathi S, Dewan A. 10P 10-year survival outcome and patterns of failure analysis of patients with localized adenocarcinoma cervix: Our experience from a tertiary cancer care center. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Affiliation(s)
- R Singh
- Department of Architecture, School of Planning and Architecture, New Delhi, India, Periyar School of Architecture, New Delhi, India
| | - A Dewan
- Department of Architecture, School of Planning and Architecture, New Delhi, India
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Islam MR, Hoque MJ, Uddin MN, Dewan A, Haque NB, Islam MT, Islam MH, Hasan MA. Antimicrobial Resistance of E Coli Causing Urinary Tract Infection in Bangladesh. Mymensingh Med J 2022; 31:180-185. [PMID: 34999700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Rapid spread of multidrug resistant microorganisms is a matter of great concern throughout the glove including Bangladesh. The objective was to identify the causative organisms for urinary tract infection (UTI) and their sensitivity patterns to antibiotics. This descriptive cross-sectional study was conducted on patients admitted with UTI (n=60) at a tertiary level hospital in Dhaka, Bangladesh from March 2019 to September 2019. Data were collected through clinical record reviews. Data of all these 60 cases were analyzed for socio-demographic characteristics. Of the 60 patients, culture and sensitivity report was available for 42 patients. Therefore, data were further analyzed for these 42 cases. Median age of patients was 35 years and 80% were female. The main organisms isolated from urine culture of UTI patients were E. coli (64%), Klebsiella (12%) and Enterococci species (10%). Susceptibility to antibiotics was analyzed only for E. coli (n=27) since the number of isolates of other organisms were small. E. coli was found to be resistant to most of the first- and second-line antibiotics, such as Amoxicillin (100%), Amoxyclav (72%), Co-trimoxazole (89%), Nalidixic acid (78%), Ceftazidim (94%), Ceftriaxone (73%), Cefuroxime (100%), Ciprofloxacin (59%), Cephotaxime (80%), Cefixime (100%) and Moxifloxacin (100%). E. coli was the predominant organism responsible for UTI and was resistant to most of the first- and second-line antibiotics. Immediate action is needed to develop empirical guideline for empirical management of UTI and establish surveillance system for monitoring.
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Affiliation(s)
- M R Islam
- Dr Mohammad Rafiqul Islam, Associate Professor of Medicine, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh; E-mail:
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Mitra S, Jajodia A, Koyyala V, Mahawar V, Dewan A, Aggarwal S, Wahi IS, Barik S, Dobriyal K, Mukhee J, Khurana H, Tripathy R, Rao A, Chaturvedi A. PH-0718: Quantitative MRI in prognosticating clinical outcomes in carcinoma cervix treated with Radiotherapy. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00740-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Mitra S, Dewan A, Aggarwal S, Singh Wahi I, Barik S, Dobriyal K, Mukhee J, Khurana H. PO-1146: Evaluation of Dose to pelvic lymphnodes in CTbased High DoseRate Brachytherapy in Carcinoma Cervix. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01164-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Mitra S, Barik S, Suryavanshi M, Dewan A, Aggarwal S, Kaur I, Kumar D, Khurana H, Vishwakarna G, Dobriyal K, Sharief MI, Umesh P, Jwala M, Mishra M. To Study The Role Of Pre-treatment MicroRNA Expression As A Predictor Of Response To Chemoradiation In Locally Advanced Carcinoma Cervix. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Koyyala V, Jajodia A, Sindhwani G, Chaturvedi A, Mehta A, Pasricha S, Kapur R, Dewan A, Doval D, Joga S, Amrith B. 309P Improved diagnostic accuracy in MRI breast lesions using a classification system and multilayer perceptron neural network. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.10.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Mitra S, Dewan A, Aggarwal S, Singh Wahi I, Barik S, Dobriyal K, Mukhee J, Dewan A. PO-1670: Dosimetric and Volumetric impact of Intensity Modulated Adaptive Radiotherapy in Head Neck Cancer. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01688-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Jajodia A, Amrith B, Madhukar A, Chaturvedi A, Mehta A, Kapur R, Dewan A, Agarwal M, Mahwar V, Yadav V, Pasricha S, Koyyala V. 286P Improved diagnostic accuracy on MR imaging in post-surgical recurrent head and neck SCC lesions using decision tree classification system. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.10.280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Mitra S, Aggarwal S, Dewan A, Kaur Wahi I, Barik S, Dobriyal K, Mukhee J, Jajodia A, Khurana H, Dewan A. PO-1088: Short Course Radiationtherapy chemotherapy and delayed surgery in locally advanced rectal carcinoma. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01105-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Dewan A, Mitra S, Varghese A, Aggarwal S, Kaur I, Khurana R, Raman K, Tamilarasu S, Bhushan M, Dutta S, Barik S, Sundari A, Dobriyal K. PO-158: Dosimetric comparison of 3D and 2D vaginal brachy in post-op patients with endometrial/cervical ca. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(20)30500-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Dewan A, Kini L, Sharma S, Bhardwaj M. P11.53 Genotype trumps phenotype: Oligodendroglioma and oligodendroglioma like tumors- A 1p19q fluorescence in situ hybridization based study at a tertiary referral centre in north India. Neuro Oncol 2019. [DOI: 10.1093/neuonc/noz126.199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
BACKGROUND
The 2016 WHO update of CNS tumours defines oligodendroglioma as a diffusely infiltrating glioma with IDH 1 or IDH 2 mutation and co-deletion of chromosomal arms 1p and 19q. We evaluated the role of 1p19q testing by Fluorescence in situ hybridization (FISH) in the diagnosis and correct classification of CNS tumours in accordance with WHO 2016 classification and exclusion of morphological mimickers of oligodendrogliomas.
MATERIAL AND METHODS
A retrospective analysis of CNS tumours was carried out that were tested for 1p19q co-deletion by FISH over a period of fourteen months at our institute. Correlation with tumour morphology as well as other molecular tests (IDH mutation and MGMT) where available was then done. A tumour was considered to have 1p or 19q deletion when the 1p probe to 1q probe ratio (1p/1q) or the 19q probe to 19p probe ratio (19q/19p) was <0.80.
RESULTS
A total of 125 cases underwent FISH testing for 1p19q co-deletion over a period of last fourteen months at our institute with 74 male patients and 51 women. Thirty-eight of the 125 evaluated patients demonstrated 1p19q co-deletion on FISH. These included 25 oligodendrogliomas, 9 astrocytomas (Grade II/III) and 4 cases of oligoastrocytomas by morphology. Out of these cases, 21 cases had a co-existent IDH mutation, while two cases were IDH wild type and for 15 cases the status was unknown. Rest of the 87 patients were negative for 1p19q co-deletion and included cases of oligodendroglioma, other gliomas (pilocytic astrocytoma, oligoastrocytoma, glioblastoma) and few glioneuronal tumours (ganglioglioma, dysembryoplastic neuroepithelial tumour and central neurocytoma).
CONCLUSION
1. Analysis of 1p19q co-deletion by FISH plays an important role in correctly identifying cases of oligodendroglioma as shown in our study. This is important as it is both a predictive as well as prognostic biomarker 2. In cases with co-deletion but IDH wild type status, the 1p19q status should be confirmed by other methods such as comparative genomic hybridization to confirm the presence of whole chromosome loss.3. FISH analysis also helps in excluding morphologic mimics of oligodendroglioma such as glioneuronal tumours and pilocytic astrocytomas in young patients. 4. However, in a resource limited country like ours, a good morphological diagnosis should still form the basis for FISH and other molecular tests to avoid unnecessary testing.
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Affiliation(s)
- A Dewan
- CORE Diagnostics, Gurugram, Haryana, India
| | - L Kini
- CORE Diagnostics, Gurugram, Haryana, India
| | - S Sharma
- CORE Diagnostics, Gurugram, Haryana, India
| | - M Bhardwaj
- CORE Diagnostics, Gurugram, Haryana, India
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Mitra S, Khurana R, Dewan A, Kaur I, Aggarwal S, Barik S, Dutta S, Varghese A, Mishra M. Clinical Outcomes and Patterns of Failure after D2 Gastrectomy and Adjuvant Chemoradiotherapy in Patients with Locally Advanced Carcinoma Stomach: A Retrospective Review From A Tertiary Care Cancer Research Institute. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.2045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Das M, Duggal R, Dewan A, Sharma S, Jain D, Narrendran A, Prasad S, Sethi S, Kini L, Mohanty S. 'NOT SO CLASSICAL': A STUDY OF THE IMMUNOPROFILE IN CLASSICAL HODGKIN LYMPHOMA, AN EXPERIENCE FROM A REFERRAL CENTER. Hematol Oncol 2019. [DOI: 10.1002/hon.29_2631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- M. Das
- Department of Pathology; Core Diagnostics; Gurugram India
| | - R. Duggal
- Department of Pathology; Core Diagnostics; Gurugram India
| | - A. Dewan
- Department of Pathology; Core Diagnostics; Gurugram India
| | - S. Sharma
- Department of Pathology; Core Diagnostics; Gurugram India
| | - D. Jain
- Department of Pathology; Core Diagnostics; Gurugram India
| | - A. Narrendran
- Department of Pathology; Core Diagnostics; Gurugram India
| | - S. Prasad
- Department of Pathology; Core Diagnostics; Gurugram India
| | - S. Sethi
- Department of Pathology; Core Diagnostics; Gurugram India
| | - L. Kini
- Department of Pathology; Core Diagnostics; Gurugram India
| | - S. Mohanty
- Department of Pathology; Core Diagnostics; Gurugram India
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Affiliation(s)
- A Dewan
- Department of Surgical Oncology, Rajiv Gandhi Cancer Institute, New Delhi, India
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Giglio A, Curcio E, Dewan A, ElSahwi K. Accuracy of Intraoperative Frozen Section in Endometrial Cancer. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Rajappa S, Bhakuni Y, Ram D, Shukla H, Ranjan R, Dewan A, Dabas S, Dewan A. A gland of diverse pathology and unpredictable behaviour: our experience of primary submandibular gland malignancies. Int J Oral Maxillofac Surg 2018; 47:1243-1249. [DOI: 10.1016/j.ijom.2018.05.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 04/22/2018] [Accepted: 05/07/2018] [Indexed: 10/16/2022]
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Affiliation(s)
- R Singh
- Department of Architecture, School of Planning and Architecture, New Delhi, India, Periyar School of Architecture, New Delhi, India
| | - A Dewan
- Department of Architecture, School of Planning and Architecture, New Delhi, India
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Dewan A, Zwerner J, Abraham JL, Boyd A, Zic J. Chronic, dusky, indurated plaques on the legs of a 31-year-old woman. Clin Exp Dermatol 2015; 41:328-30. [DOI: 10.1111/ced.12761] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2015] [Indexed: 11/29/2022]
Affiliation(s)
- A. Dewan
- Division of Dermatology; Vanderbilt University Medical Center; Nashville TN USA
| | - J. Zwerner
- Division of Dermatology; Vanderbilt University Medical Center; Nashville TN USA
| | - J. L. Abraham
- Department of Pathology; SUNY Upstate Medical University; Syracuse NY USA
| | - A. Boyd
- Division of Dermatology; Vanderbilt University Medical Center; Nashville TN USA
| | - J. Zic
- Division of Dermatology; Vanderbilt University Medical Center; Nashville TN USA
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Sharma S, Dewan A, Dewan A, Pahuja A, Pal M, Rawat S, Mitra S, Sharma M, Tandon S, Narang R, Mishra M. P0013 Role of adaptive radiotherapy in locally advanced head and neck cancer: A dosimetric analysis. Eur J Cancer 2015. [DOI: 10.1016/j.ejca.2015.06.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tyagi M, Sharma S, Dewan A, Tandon S, Yadav G, Wadhwan G, Bhushan M, Kumar L, Bandyopadhyay H. EP-1617: Assessment of set-up errors in frameless fractionated SRT of cranial lesions with CBCT and immobilization cast. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41609-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
BACKGROUND: Paraoxonase (PON1) can hydrolyze organophosphate pesticides (OP) and has a key role in the susceptibility of human in OP toxicity. The human-enzyme shows polymorphism and variations in the distribution profile of its phenotypes among different ethnic groups have been observed. AIMS: To see the distribution pattern of total PON1 activity in 45 healthy attendants of poisoning cases; 121 healthy unrelated farm-labours and 59 normal subjects of trauma. MATERIALS AND METHODS: The PON1 activities from serum/plasma samples of these healthy normal individuals were estimated with/without addition of 1M NaCl in order to determine salt-stimulated and basal activity. The PON 1 phenotypes were determined on the basis of percent activation of enzyme activity. RESULTS: Tri-modal distribution of basal PON1 activity was observed among all these individuals. 52.0% of the individuals belonged to Phenotype A, 46.6% to phenotype AB while 1.4% to Phenotype B with gene frequency of allele-A and allele-B being 0.753 and 0.247 respectively in excellent agreement with Hardy-Weinberg equilibrium. CONCLUSION: Maximum number of individuals belonged to phenotype-A (low PON1 activity) showing potential vulnerability towards Op-poisoning.
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Affiliation(s)
- A B Patel
- Poison Information Center, National Institute of Occupational Health (NIOH), Meghaninagar, Ahmedabad - 16, Gujarat, India
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Taneja M, Tay KH, Sebastian M, Pasupathy S, Lin SE, Teo T, Low R, Irani FG, Chng SP, Dewan A, Tan BS. Self-expanding nitinol stents in recanalisation of long-length superficial femoral artery occlusions in patients with critical limb ischaemia. Singapore Med J 2009; 50:1184-1188. [PMID: 20087556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
INTRODUCTION This study aims to evaluate our experience with self-expanding nitinol stent- enabled recanalisation of long-length occlusions (30 cm or more) of the superficial femoral artery (SFA). METHODS 573 patients underwent 842 lower limb interventions from August 2006 to December 2008. A retrospective review of patients undergoing recanalisation of long-length SFA occlusions with self-expanding nitinol stents and an evaluation of their patency and impact on limb salvage, were done. RESULTS 22 patients (mean age 62.5 years, male: female ratio 11:11) underwent 22 long-length SFA stenting procedures. The spectrum of critical limb ischaemia included rest pain (five), ulcer (six) and gangrene (11). Length of occlusions varied from 30 cm to 45 cm (average length 36.4 cm). Five patients had stents placed through the ipsilateral popliteal artery approach, and the rest had stents placed through the femoral artery approach. All patients were followed up over an average duration of 12 months. One patient died due to associated medical conditions during this period. Six out of 21 (28.6 percent) of the stents thrombosed completely on one year follow-up. Of these, two patients underwent amputation, one patient had a bypass, and the stent in two patients were recanalised with balloon angioplasty. All remaining patent stents showed varying degrees of stenoses at one year. The overall limb salvage rate at one year following stent placement was 81 percent. CONCLUSION Our experience showed the beneficial result of long-length SFA stent placement with good limb salvage outcome. Repeat interventions may be required to maintain the patency of stents in these patients.
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Affiliation(s)
- M Taneja
- Interventional Radiology Centre, Department of Radiology, Singapore General Hospital, Outram Road, Singapore.
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Helpman Bek L, Ferguson SE, Mackean M, Le L, Rogerson A, Dewan A, Mackay H. Use of complementary medicine (CAM) among women receiving chemotherapy for ovarian cancer: A comparison of attitudes between two patient populations. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.e20545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e20545 Background: CAM use in cancer patients (pts) is common. The aim of this study was to compare patterns of CAM use and attitudes to CAM among ovarian cancer (EOC) pts in Canada and Scotland. Methods: Patients receiving chemotherapy for EOC in Princess Margaret Hospital (PMH), Toronto and the Edinburgh Cancer Centre (ECC), Scotland, completed a survey on CAM taken within the previous month as well as a questionnaire assessing patient attitudes and perceptions of CAM. A comparison between the 2 patient populations and between CAM users and non-users was made. Results: 194 pts (100 ECC: 94 PMH) were enrolled on study. The use of CAM in PMH was significantly higher than in ECC (52% vs. 36%, p=0.02). Whilst both populations thought it important for their oncologist to be aware of CAM usage (86% PMH: 93% ECC), pts from PMH were less likely to inform their compared to pts from ECC (50% vs 81%, p=0.02). Patterns of CAM use differed between the 2 populations: Multivitamins were the most common CAM in both populations (31% PMH:13% ECC). They were not considered CAM for the purpose of analysis. Most commonly used CAM in PMH were Soy products (12%), vitamin C (10%) and Green Tea (9%); in ECC pts used Omega 3 and fish oil (9%), Evening Primrose (7%) and vitamin C (6%). Although the majority of CAM users in both populations found CAM to be helpful (57% PMH: 61% ECC) only a minority thought they would cure their cancer (18% PMH: 6% ECC), prevent its spread (31% PMH: 14% ECC) or prevent a recurrence (20% PMH: 11% ECC). Users more often felt CAM relieved symptoms (45% PMH: 42% ECC), boosted the immune system (55% PMH: 56% ECC) or improved their quality of life (43% PMH: 53% ECC). ECC CAM users were more likely than PMH users to concede that CAMs have side effects (39% vs 29%) or could impact the efficacy of conventional treatment (17% vs 6%). CAM users were more likely than non-users to agree with positive statements and to disagree with negative statements about CAM. Conclusions: CAM use is common among pts receiving chemotherapy for EOC. CAM use was more prevalent among North American pts than Scottish pts. Attitudes and patterns of CAM usage differ and are culturally sensitive. Oncologists need to be aware of this when initiating discussion about CAM with their patients during cancer treatment. No significant financial relationships to disclose.
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Affiliation(s)
- L. Helpman Bek
- University of Toronto, Toronto, ON, Canada; Princess Margaret Hospital, Toronto, ON, Canada; Edinburgh Cancer Centre, Edinburgh, United Kingdom; University of Edinburgh, Edinburgh, United Kingdom
| | - S. E. Ferguson
- University of Toronto, Toronto, ON, Canada; Princess Margaret Hospital, Toronto, ON, Canada; Edinburgh Cancer Centre, Edinburgh, United Kingdom; University of Edinburgh, Edinburgh, United Kingdom
| | - M. Mackean
- University of Toronto, Toronto, ON, Canada; Princess Margaret Hospital, Toronto, ON, Canada; Edinburgh Cancer Centre, Edinburgh, United Kingdom; University of Edinburgh, Edinburgh, United Kingdom
| | - L. Le
- University of Toronto, Toronto, ON, Canada; Princess Margaret Hospital, Toronto, ON, Canada; Edinburgh Cancer Centre, Edinburgh, United Kingdom; University of Edinburgh, Edinburgh, United Kingdom
| | - A. Rogerson
- University of Toronto, Toronto, ON, Canada; Princess Margaret Hospital, Toronto, ON, Canada; Edinburgh Cancer Centre, Edinburgh, United Kingdom; University of Edinburgh, Edinburgh, United Kingdom
| | - A. Dewan
- University of Toronto, Toronto, ON, Canada; Princess Margaret Hospital, Toronto, ON, Canada; Edinburgh Cancer Centre, Edinburgh, United Kingdom; University of Edinburgh, Edinburgh, United Kingdom
| | - H. Mackay
- University of Toronto, Toronto, ON, Canada; Princess Margaret Hospital, Toronto, ON, Canada; Edinburgh Cancer Centre, Edinburgh, United Kingdom; University of Edinburgh, Edinburgh, United Kingdom
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29
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Dewan A, Buwa V, Durst F. Performance Optimizations of Grid Disc Impellers for Mixing of Single-Phase Flows in a Stirred Vessel. Chem Eng Res Des 2006. [DOI: 10.1205/cherd05044] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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30
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Gilbert JM, McDermott FT, Hughes ESR, Pihl E, Johnson WR, Price AB, Rusia U, Ashokraj G, Bhatia A, Dewan A, Schreve RH, Terpstra OT, Lima FR, Gonzaga RAF, Amarante M, Grace RH, Laing MR, Kurkowski ZH. Correspondence. Br J Surg 2005. [DOI: 10.1002/bjs.1800720522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
| | - F T McDermott
- Departments of Surgery, and of Pathology and Immunology, Monash University at Alfred Hospital, Melbourne Australia
| | - E S R Hughes
- Departments of Surgery, and of Pathology and Immunology, Monash University at Alfred Hospital, Melbourne Australia
| | - E Pihl
- Departments of Surgery, and of Pathology and Immunology, Monash University at Alfred Hospital, Melbourne Australia
| | - W R Johnson
- Departments of Surgery, and of Pathology and Immunology, Monash University at Alfred Hospital, Melbourne Australia
| | - A B Price
- Departments of Surgery, and of Pathology and Immunology, Monash University at Alfred Hospital, Melbourne Australia
| | - U Rusia
- Department of Pathology, University College of Medical Sciences, Ring Road, New Delhi, India
| | - G Ashokraj
- Department of Pathology, University College of Medical Sciences, Ring Road, New Delhi, India
| | - A Bhatia
- Department of Pathology, University College of Medical Sciences, Ring Road, New Delhi, India
| | - A Dewan
- Department of Pathology, University College of Medical Sciences, Ring Road, New Delhi, India
| | - R H Schreve
- University Hospital Dijkzigt, Rotterdam, The Netherlands
| | - O T Terpstra
- University Hospital Dijkzigt, Rotterdam, The Netherlands
| | - F R Lima
- Servico de Propedeutica Cirurgica, Faculdade de Medicina do Porto, Hospital de S. Joao, 4200 Porto - Portugal
| | - R A F Gonzaga
- Servico de Propedeutica Cirurgica, Faculdade de Medicina do Porto, Hospital de S. Joao, 4200 Porto - Portugal
| | - M Amarante
- Servico de Propedeutica Cirurgica, Faculdade de Medicina do Porto, Hospital de S. Joao, 4200 Porto - Portugal
| | - R H Grace
- The Royal Hospital, Wolverhampton, Aberdeen
| | - M R Laing
- University Medical Buildings, Foresterhill, Aberdeen
| | - Z H Kurkowski
- University Medical Buildings, Foresterhill, Aberdeen
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31
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Liu J, Juo SH, Dewan A, Grunn A, Tong X, Brito M, Park N, Loth JE, Kanyas K, Lerer B, Endicott J, Penchaszadeh G, Knowles JA, Ott J, Gilliam TC, Baron M. Evidence for a putative bipolar disorder locus on 2p13-16 and other potential loci on 4q31, 7q34, 8q13, 9q31, 10q21-24, 13q32, 14q21 and 17q11-12. Mol Psychiatry 2003; 8:333-42. [PMID: 12660806 DOI: 10.1038/sj.mp.4001254] [Citation(s) in RCA: 91] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Bipolar disorder (BP) is a severe and common psychiatric disorder characterized by extreme mood swings. Family, twin and adoption studies strongly support a genetic component. The mode of inheritance is complex and likely involves multiple, as yet unidentified genes. To identify susceptibility loci, we conducted a genome-wide scan with 343 microsatellite markers in one of the largest, well-characterized pedigree samples assembled to date (373 individuals in 40 pedigrees). To increase power to detect linkage, scan statistics were used to examine the logarithm of odds (lod) scores based on evidence at adjacent chromosomal loci. This analysis yielded significant evidence of linkage (genome-wide P&<0.05) for markers on 2p13-16. Standard linkage analysis was also supportive of linkage to 2p13-16 (lod=3.20), and identified several other interesting regions: 4q31 (lod=3.16), 7q34 (lod=2.78), 8q13 (lod=2.06), 9q31 (lod=2.07), 10q24 (lod=2.79), 13q32 (lod=2.2), 14q21 (lod=2.36) and 17q11-12 (lod=2.75). In this systematic, large-scale study, we identified novel putative loci for BP (on 2p13-16, 8q13 and 14q21) and found support for previously proposed loci (on 4q31, 7q34, 9q31, 10q21-24, 13q32 and 17q11-12). Two of the regions implicated in our study, 2p13-14 and 13q32, have also been linked to schizophrenia, suggesting that the two disorders may have susceptibility genes in common.
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MESH Headings
- Adolescent
- Adult
- Bipolar Disorder/genetics
- Chromosomes, Human, Pair 10
- Chromosomes, Human, Pair 13
- Chromosomes, Human, Pair 14
- Chromosomes, Human, Pair 17
- Chromosomes, Human, Pair 2
- Chromosomes, Human, Pair 4
- Chromosomes, Human, Pair 7
- Chromosomes, Human, Pair 8
- Chromosomes, Human, Pair 9
- Genetic Predisposition to Disease/genetics
- Humans
- Lod Score
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Affiliation(s)
- J Liu
- Columbia Genome Center and Department o fPsychiatry, Columbia University , New York, NY 10032, USA
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32
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Arnett DK, Devereux RB, Kitzman D, Oberman A, Hopkins P, Atwood L, Dewan A, Rao DC. Linkage of left ventricular contractility to chromosome 11 in humans: The HyperGEN Study. Hypertension 2001; 38:767-72. [PMID: 11641284 DOI: 10.1161/hy1001.092650] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Impaired left ventricular (LV) contractility is a major cause of cardiovascular death, especially congestive heart failure. The identification of susceptibility genes that contribute to impaired LV contractility may uncover mechanisms underlying LV contractile impairment and the development of congestive heart failure. The Hypertension Genetic Epidemiology Network (HyperGEN) collected echocardiographic measurements of myocardial contractility in a large biethnic sample of hypertensive siblings (390 blacks and 398 whites in 179 and 165 sibships, respectively). All participants expressed hypertension before age 60 years, and the mean age of siblings was 52 years in blacks and 61 years in whites. We adjusted myocardial contractility for gender, age, and age(2), and we calculated standardized residuals separately for men and women in both ethnic groups. We conducted multipoint variance components linkage analysis using GENEHUNTER2 and 387 anonymous markers (CHCL8 marker set). We found evidence for significant linkage to a microsatellite marker, D11S1993 (lod, 3.93 in blacks), approximately 54 cM from the tip of the short arm of chromosome 11, that accounted for 72% of the phenotypic variation in LV contractility. A chromosome 22 locus showed suggestive evidence for linkage (lod, 2.83 in whites and 1.15 in blacks). The chromosome 11 peak coincides with the region containing myosin-binding protein C. Mutations in this gene are linked to familial hypertrophic cardiomyopathy. Our results show strong evidence for linkage of a region of chromosome 11 with LV contractility in blacks and suggest that an important gene for impaired LV contractility is harbored in this region.
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Affiliation(s)
- D K Arnett
- Division of Epidemiology, University of Minnesota, Minneapolis, USA.
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33
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Prakash R, Dewan A, Gupta SK. Noninvasive diagnosis of renovascular hypertension due to bilateral renal artery stenosis using captopril intervention scintirenography: the value of computer-generated renogram data. Indian Heart J 1996; 48:710-2. [PMID: 9062026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Affiliation(s)
- R Prakash
- Department of Nuclear Medicine, Batra Hospital, New Delhi
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34
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Dewan A, Chattopadhyay P, Kulkarni PK. N-acetyltransferase activity--a susceptibility factor in human bladder carcinogenesis. Indian J Cancer 1995; 32:15-9. [PMID: 7558106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
A higher proportion of slow acetylator phenotypes has previously been found among bladder cancer patients. In the present study carried out among 77 male bladder cancer patients and 80 non-cancer controls, 59.74% of the patients and 35% of the controls were slow acetylator phenotypes (p < 0.01). The odds of developing bladder cancer was also observed to be significantly higher among smokers than non-smokers (p < 0.01). The findings suggest that slow N-acetyl phenotype is a susceptibility factor in bladder carcinogenesis.
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Affiliation(s)
- A Dewan
- Department of Medical Toxicology, National Institute of Occupational Health, Meghani Nagar, Ahmedabad, Gujarat, India
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35
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Dewan A, Nanda K, Gupta SC. In vitro micropropagation of Acacia nilotica subsp. indica Brenan via cotyledonary nodes. Plant Cell Rep 1992; 12:18-21. [PMID: 24201723 DOI: 10.1007/bf00232415] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/1992] [Revised: 05/30/1992] [Indexed: 06/02/2023]
Abstract
Cotyledonary node explants of Acacia nilotica subspecies indica Brenan, differentiated multiple shoots on Gamborg et al.' s medium (B5, Gamborg et al. 1968) supplemented with cytokinins like N(6)-benzyladenine, 6-(γ, γ-Dimethylallylamino)-purine, kinetin or zeatin. Of the four, BA supported maximum multiple shoot differentiation; the highest average number of shoots (6.3) per expiant was in 1.5 mg/l. The number of shoots was further enhanced by (i) using nodal explants of in vitro regenerated shoots as microcuttings, and (ii) repeated subculture of the original expiants (stumps) on the same medium after excising the shoots. Thus, over seven hundred shoots could be obtained from a single cotyledonary node explant. Individual shoots, when transferred to 2 mg/l indole-3-acetic acid augmented medium organised healthy roots in 100% cultures. Such test tube grown plantlets have been successfully transferred to soil, where they grow well up to eight weeks.
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Affiliation(s)
- A Dewan
- Department of Botany, University of Delhi, 110007, Delhi, India
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36
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Saiyed HN, Sadhu HG, Bhatnagar VK, Dewan A, Venkaiah K, Kashyap SK. Cardiac toxicity following short-term exposure to methomyl in spraymen and rabbits. Hum Exp Toxicol 1992; 11:93-7. [PMID: 1349226 DOI: 10.1177/096032719201100206] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A health surveillance study in 22 healthy spraymen showed significant T-wave changes (including inversion) in most of the limb leads and chest leads following 5 d exposure to methomyl, a carbamate pesticide. Significant changes in plasma cholinesterase and lactic dehydrogenase activities were also noticed. The ECG changes could be reproduced in rabbits and were dose dependent. This type of ECG change following exposure to a carbamate compound is reported for the first time in occupationally-exposed subjects. The study results indicate that these changes are probably directly related to methomyl rather than its toxicity through cholinesterase inhibition. The significance of these changes remain to be investigated.
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Affiliation(s)
- H N Saiyed
- National Institute of Occupational Health, Meghani Nagar, Ahmedabad, India
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37
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Dewan A, Jani JP, Patel JS, Gandhi DN, Variya MR, Ghodasara NB. Benzidine and its acetylated metabolites in the urine of workers exposed to Direct Black 38. Arch Environ Health 1988; 43:269-72. [PMID: 3415352 DOI: 10.1080/00039896.1988.10545948] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Urine samples of workers in a small-scale unit manufacturing Direct Black 38 were analyzed by high-pressure liquid chromatography for the presence of benzidine and mono and diacetyl benzidine. Acetylated metabolites were found in all the urine samples, and benzidine was found in all except two. Two workers excreted very high levels of benzidine and its metabolites in their urine. This study highlights the potential risk of bladder cancer in such units of developing countries where manufacture of benzidine-based dyes is yet to be regulated.
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Affiliation(s)
- A Dewan
- Division of Toxicology, National Institute of Occupational Health, Meghani Nagar, Ahmedabad, India
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38
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Srinivas GR, Goyal RK, Vyas SJ, Dewan A. Antiarrhythmic activity of some synthetic basic amide compounds: Part II--In mouse chloroform and ischaemic arrhythmia models. Indian J Exp Biol 1986; 24:537-40. [PMID: 3817895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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39
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Srinivas GR, Goyal RK, Vyas SJ, Dewan A. Antiarrhythmic activity of some synthetic basic amide compounds: Part I--In electrical and aconitine arrhythmia models. Indian J Exp Biol 1986; 24:533-6. [PMID: 3817894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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40
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Dewan A, Jani JP, Shah KS, Kashyap SK. Urinary excretion of benzidine in relation to the acetylator status of occupationally exposed subjects. Hum Toxicol 1986; 5:95-7. [PMID: 3957356 DOI: 10.1177/096032718600500204] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Twenty-four male workers engaged in the manufacture of benzidine dihydrochloride for 1-4 years were included in this study. Urinary levels of free benzidine were estimated by high-pressure liquid chromatography in all the workers. Acetylator status of the workers was determined with sulphamethazine. There was substantial absorption of benzidine over an 8-h work shift. A significant correlation was observed between the rate of sulphamethazine acetylation and urinary excretion of free benzidine.
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41
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Dewan A, Rusia U, Ashokraj G, Bhatia A. The diagnostic value of gamma glutamyl transpeptidase, alkaline phosphatase and liver scan in metastatic liver disease. A comparative study of 24 cases. INDIAN J PATHOL MICR 1985; 28:245-50. [PMID: 2872160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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42
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Rusia U, Dewan A, Raj GA, Bhatia A. Enzyme profile in metastatic liver disease. Indian J Med Res 1984; 80:321-6. [PMID: 6151936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
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43
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Chugh SN, Dewan A, Mahajan SK, Malhotra KC. 'Locked-in' state and its reversibility. J Assoc Physicians India 1983; 31:117. [PMID: 6885707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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44
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Dewan A, Gupta SK, Jani JP, Kashyap SK. Effect of lindane on antibody response to typhoid vaccine in weanling rats. J Environ Sci Health B 1980; 15:395-402. [PMID: 6156966 DOI: 10.1080/03601238009372191] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
The immunosuppressive effect of lindane was assessed in weanling rats over a period of 5 weeks. Agglutinin titres against S. typhi 'O' and 'H', S. paratyphi 'AH' and 'BR' antigens were determined following TAB vaccination in control and lindane-fed animals. The titres attained in non-treated controls were higher significantly than those in treated animals indicating a suppressive effect of lindane on humoral immune responses.
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