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Khatun MM, Rahman M, Islam MJ, Haque SE, Adam IF, Chau Duc NH, Sarkar P, Haque MN, Islam MR. Socio-economic inequalities in undiagnosed, untreated, and uncontrolled diabetes mellitus in Bangladesh: is there a gender difference? Public Health 2023; 218:1-11. [PMID: 36933353 DOI: 10.1016/j.puhe.2023.01.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 11/13/2022] [Accepted: 01/31/2023] [Indexed: 03/18/2023]
Abstract
OBJECTIVES We aimed to determine: (1) the prevalence and socio-economic distribution of undiagnosed, untreated, and uncontrolled diabetes mellitus (DM); (2) the relationship between socio-economic status (SES) and undiagnosed, untreated, and uncontrolled DM; and (3) if this relationship is mediated by gender. STUDY DESIGN Cross-sectional nationally representative household-based survey. METHODS We used data from the Bangladesh Demographic Health Survey from 2017 to 18. Our findings were based on the responses of 12,144 individuals aged 18 years and older. As a measure of SES, we focused on standard of living (hereinafter referred to as wealth). The study's outcome variables were prevalence of total (diagnosed + undiagnosed), undiagnosed, untreated, and uncontrolled DM. We used three regression-based approaches-adjusted odds ratio, relative inequality index, and slope inequality index-to assess different aspects of SES differences in the prevalence of total, undiagnosed, untreated, and uncontrolled DM. We used logistic regression analysis to look at the adjusted association between SES and the outcomes after gender stratification to see whether gender status moderates the association between SES and the targeted outcomes. RESULTS In our sample analysis, the age-adjusted prevalence of total, undiagnosed, untreated, and uncontrolled DM was 9.1%, 61.4%, 64.7%, and 72.1%, respectively. Females had a higher prevalence of DM and undiagnosed, untreated, and uncontrolled DM than males. When compared to people in the poor SES group, people in the rich and middle SES groups had 2.60 times (95% confidence interval [CI] 2.05-3.29) and 1.47 times (95% CI 1.18-1.83) higher chance of developing DM. When compared to individuals in the poor SES group, those in the rich SES groups were 0.50 (95% CI 0.33-0.77) and 0.55 times (95% CI 0.36-0.85) less likely to have undiagnosed and untreated DM. CONCLUSIONS In Bangladesh, rich SES groups were more likely than poor SES groups to have DM, whereas poor SES groups with DM were less likely than rich SES groups to be aware of their disease and obtain treatment. The government and other concerned parties are urged by this study to pay more attention to developing suitable policy measures to reduce the risk of DM, particularly among rich SES groups, as well as targeted efforts to screen for and diagnose DM in socio-economically disadvantaged groups.
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Affiliation(s)
- M M Khatun
- Department of Population Science and Human Resource Development University of Rajshahi, Rajshahi 6205, Bangladesh
| | - M Rahman
- Department of Population Science and Human Resource Development University of Rajshahi, Rajshahi 6205, Bangladesh.
| | - M J Islam
- Griffith Criminology Institute, Griffith University, Mount Gravatt, QLD 4122, Australia
| | - S E Haque
- Uchicago Research Bangladesh, Bangladesh
| | - I F Adam
- Faculty of Public Health, University of Khartoum, Sudan
| | - N H Chau Duc
- Hue University of Medicine and Pharmacy, Hue University, Viet nam
| | - P Sarkar
- Dr. Wazed Research and Training Institute, Begum Rokeya University, Rangpur, Bangladesh
| | - M N Haque
- Department of Population Science and Human Resource Development University of Rajshahi, Rajshahi 6205, Bangladesh
| | - M R Islam
- Department of Population Science and Human Resource Development University of Rajshahi, Rajshahi 6205, Bangladesh
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Gupta P, Sarkar P, Upadhyaya S. Clinical variables and pre-operative depression levels for prediction of pain severity in patients undergoing heart surgery. CM 2023. [DOI: 10.18137/cardiometry.2023.26.879884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
Objective: In patients undergoing heart surgery, severe pain is common and may raise the risk of heart conditions, morbidity, and death. The study's goals were to evaluate post-cardiac surgery pain predictors, such as clinical variables and depression, as well as perioperative Pain Severity (PS). Methods: The research included 98 heart surgery patients in total. PS was analysed utilizing a Numerical Rating System (NRS). From the second day after surgery through the seventh day, pain levels were monitored daily. Clinical data was obtained, and depression levels were determined utilizing the Center for Epidemiological Study of Depression (CES-D). Results: From pre-operative levels, pain severe dramatically increased while hospitalized, peaking at day 2 after surgery. Higher CES-D preoperative values in gender, heart function, smoking, and a high Body mass index (BMI). Preoperative CES-D ratings were considerably higher for patients in severe pain than for those with no pain or mild pain. Patients experiencing severe pain (NRS 7 to 10) exhibited considerably greater white blood cell (WBC) counts than those free of pain or mild pain (NRS 0 to 6) (p=0.01). However, there was no association between maximum WBC levels after surgery and CES-D scores. Conclusion: Following surgery, PS considerably increased and was linked to depressive symptoms, gender, heart function, BMI, and smoking. These variables could be used as a starting point for detection and treatment to help stop the progression of acute pain into chronic pain.
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Singh A, Sarkar P, Saxena N. Diagnostic criteria, pathogenesis, and precautionary measures for severe renal damage linked with heart surgery: a retrospective analysis. CM 2023. [DOI: 10.18137/cardiometry.2023.26.885891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
Background: Heart surgery (HS) complications such as renal damage (RD), which is a frequent and major consequence, are linked to higher mortality and morbidity rates as well as a significant financial burden. Several different pathophysiological ideas might explain the multifaceted complexity of the HS-RD pathogenesis. Aim: The purpose of this research is to identify RD after HS and to evaluate the results of diagnostic criteria, pathogenesis, and preventative measures. Methods: This retrospective analysis of HS patients examined the occurrence and impact of several definitions of RD, Renal Damage Network (RDN), and Kidney Disease: Improving Global Outcomes (KDIGO) or risk, injury, failure, loss, and end-stage kidney disease (RIFLE). We also defined transient RD and sustained RD. Results: RIFLE-Risk had the greatest positive probability ratio of every definition, continued with sustained RD (positive likelihood ratio = 2.27) for the best definition. 39 patients with KDIGO RD and all 80 patients having late RD were excluded from the RD defined by RDN criteria. Conclusion: The pathogenesis, definition, diagnosis, and preventative measures of RD in HS patients are discussed in this article. Based on the capacity to forecast short-term mortality, the risk was shown to be the most accurate definition of RD, followed by injury, failure, loss, and end-stage RD.
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Sarkar P, Biswas A, Kumar R, Rai S, Jha SN, Bhattacharyya D. Role of C and B 4C barrier layers in controlling diffusion propagation across the interface of Cr/Sc multilayers. Phys Chem Chem Phys 2023; 25:3072-3082. [PMID: 36620902 DOI: 10.1039/d2cp03785h] [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: 01/10/2023]
Abstract
The optical performance of low-bilayer-thickness metallic multilayers (ML) can be improved significantly by limiting the intermixing of consecutive layers at the interfaces. Barrier layers are supposed to exhibit a decisive role in controlling diffusion across the interfaces. The element-specific grazing incidence extended X-ray absorption fine structure technique using synchrotron radiation has been used in conjunction with grazing incidence X-ray reflectivity and diffuse X-ray scattering measurements to study the impact of the two most common barrier layers, viz., C and B4C, at the interfaces of Cr/Sc MLs. The diffusion propagation is reduced by both the barrier layers; however, it is found that the improvement is more significant with the B4C barrier layer. It is seen that C forms an intermixed layer with Sc and leads to carbide formation at the interface, which then acts as shielding and prevents further interdiffusion, while B4C hardly penetrates into Sc and stops the overlap between Sc and Cr directly by wetting the corresponding interface. Thus, the above measurements reveal crucial and precise information regarding the elemental diffusion kinetics at the interfaces of Cr/Sc MLs in a non-destructive way, which is very important for technological applications of these MLs as X-ray optical devices.
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Affiliation(s)
- P Sarkar
- Atomic & Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400 085, India.
| | - A Biswas
- Atomic & Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400 085, India.
| | - Ravi Kumar
- Atomic & Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400 085, India.
| | - S Rai
- Synchrotron Utilisation Section, Raja Ramnna Centre for Advanced Technology, Indore 752013, India
| | - S N Jha
- Beamline Development & Applications Section Bhabha Atomic Research Centre, Mumbai 400 085, India
| | - D Bhattacharyya
- Atomic & Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400 085, India.
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Yu L, Sarkar P, Urbina P, Milad M. 7723 Adverse Events Using Advanced Sealing Devices during Vaginal Hysterectomy: An Analysis of the Maude Database. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.326] [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]
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Omar R, Sarkar P, Mamun A, Mitchell D, Kommu S. A simple stitch to aid dorsal vein complex ligation with subsequent completion of robot assisted radical prostatectomy at sustained low-pressure pneumoperitoneum. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02155-3] [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: 11/05/2022] Open
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Sarkar P, Kommu S, Streeter E. Robotic assissted resection of incidentally detected Meckel’s Diverticulum. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02205-4] [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: 11/05/2022] Open
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Bass E, Bertonelli Tanaka M, Connor M, Walters U, Eldred-Evans D, Sarkar P, Hosking-Jervis F, Bhola-Stewart H, Pegers E, Powell L, Leelamany D, Wong K, Ahmad S, Tam H, Gordon S, Hrouda D, Mccracken S, Winkler M, Ahmed H. Identifying men affected by changes in PSA screening in the COVID-19 pandemic. Eur Urol 2022. [PMCID: PMC9155264 DOI: 10.1016/s0302-2838(22)00455-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pal B, Pal A, Bag S, Ali MA, Das S, Palit S, Sarkar P, Mallik S, Goswami J, Das S, Manir KS, Sen A, Mondol M. Comparative performance analysis of 2D and 3D gamma metrics for patient specific QA in VMAT using Octavius 4D with 2D-Array 1500. Phys Med 2021; 91:18-27. [PMID: 34688208 DOI: 10.1016/j.ejmp.2021.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Revised: 10/06/2021] [Accepted: 10/09/2021] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION Gamma pass percentage (GPP) is the predominant metric used for Patient Specific Quality Assurance (PSQA) in radiation therapy. The dimensionality of the measurement geometry in PSQA has evolved from 2D planar to 3D planar, and presently to state-of-the-art 3D volumetric geometry. We aim to critically examine the performance of the three-dimensional gammas vis-à-vis the older gamma metrics of lower dimensionality to determine their mutual fungibility in PSQA, using clinically approved Volumetric Arc Therapy (VMAT) plans. METHODS AND MATERIALS Gamma pass percentages derived from PSQA for VMAT plans using Octavius 4D phantom with 2D-Array 1500 and its proprietary software were recorded. 2D planar, 3D planar, and 3D volumetric gamma pass percentages were retrospectively extracted for multiple treatment plans at three sites, using three acceptance limits, and for two modes of normalization. The differences in mean pass percentages, and the pairwise correlation between geometries were calculated within limits of statistical significance. RESULTS A significant increase in mean pass rates was observed from 2D planar to 3D planar geometries. The difference was less pronounced from 3D planar to 3D volumetric. 2D planar v/s 3D planar showed a significant degree of correlation among themselves, which was not seen against most of the 3D volumetric pass rates. CONCLUSION The mean gamma pass rates show conclusive evidence of the benefits of shifting from 2D planar to higher dimensions measurement geometries, but the benefits of using 3D volumetric compared to 3D planar is not always unequivocal. The correlations show mixed results regarding the interdependence of pass percentages at different geometries.
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Affiliation(s)
- Bipasha Pal
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India.
| | - Angshuman Pal
- XLRI Xavier School of Management, Circuit House Area (East), Jamshedpur 831001, Jharkhand, India
| | - Santanu Bag
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Md Abbas Ali
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Suresh Das
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Soura Palit
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Papai Sarkar
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Suman Mallik
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Jyotirup Goswami
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Sayan Das
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Kazi Sazzad Manir
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Arijit Sen
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Monidipa Mondol
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
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Walters U, Connor M, Bass E, Eldred-Evans D, Maynard W, Sarkar P, Bertoncelli Tanaka M, Hosking-Jervis F, Bhola-Stewart H, Pegers E, Powell L, Leelamany D, Wong K, Ahmad S, Tam H, Mccracken S, Gordon S, Hrouda D, Qazi H, Winkler M, Ahmed H. Switching from sedation to local anaesthetic transperineal prostate biopsies: A cost-benefit analysis. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01262-8] [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: 10/20/2022]
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Ferdinand S, Mondal M, Mallik S, Goswami J, Das S, Manir KS, Sen A, Palit S, Sarkar P, Mondal S, Das S, Pal B. Dosimetric analysis of Deep Inspiratory Breath-hold technique (DIBH) in left-sided breast cancer radiotherapy and evaluation of pre-treatment predictors of cardiac doses for guiding patient selection for DIBH. Tech Innov Patient Support Radiat Oncol 2021; 17:25-31. [PMID: 33681484 PMCID: PMC7930610 DOI: 10.1016/j.tipsro.2021.02.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 02/10/2021] [Accepted: 02/10/2021] [Indexed: 12/25/2022] Open
Abstract
Introduction The risk of radiotherapy-associated cardiovascular disease has been a concern for decades in breast cancer survivors. The objective of our study is to evaluate the dosimetric benefit of Deep Inspiratory Breath-hold technique (DIBH) on organs-at-risk (OAR) sparing in left-sided breast cancer radiotherapy and to find out pre-treatment predictors of cardiac doses for guiding patient selection for DIBH. Material and methods Pre-radiotherapy planning CT scans were done in Free Breathing (FB) and in DIBH [using Active Breathing Coordinator system (ABC™)] in 31 left sided breast cancer patients. 3DCRT plans were generated for both scans. Comparison of anatomical and dosimetric variables were done using paired t test and correlation was evaluated using Pearson correlation. Linear regression was used to get independent predictors of cardiac sparing and Receiver Operating Characteristic (ROC) curve analysis was done to find out the specific threshold of the predictors. Results There was a 39.15% reduction in mean heart dose in DIBH compared to FB (2.4 Gy vs 4.01 Gy) (p < 0.001), 19% reduction in maximum Left Anterior Descending (LAD) dose and a 9.9% reduction in ipsilateral lung mean dose (p = 0.036) with DIBH. A significant correlation was observed between reduction in Heart Volume in Field (HVIF) and Maximum Heart Depth (MHD) with reduction in mean heart dose. Reduction in HVIF (ΔHVIF) independently predicted cardiac sparing. Conclusion DIBH leads to significant reduction in OAR doses and is suggested for all patients of left-sided breast cancer undergoing radiotherapy. However, HVIF and MHD predicted for cardiac sparing and threshold criteria of ΔHVIF and ΔMHD may be used by centres with high workload to select patients for DIBH.
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Key Words
- 3DCRT, Three-Dimensional Conformal Radiation Therapy
- ABC™, Active Breathing Coordinator™
- AUC, Area under the curve
- BCS, Breast Conservation Surgery
- BMI, Body Mass Index
- Breast cancer
- CCD, Cardiac Contact Distance
- CD, Chest Depth
- CLD, Central Lung Distance
- CS, Chest Separation
- CT, Computer Tomography
- DIBH, Deep Inspiratory Breath-hold
- DVH, Dose Volume Histograms
- Deep inspiratory breath-hold
- Dosimetric predictors
- EORTC, European Organization for Research and Treatment of Cancer
- FB, Free Breathing
- HCWD, Heart Chest Wall Distance
- HCWL, Heart Chest Wall Length
- HH, Heart Height
- HV, Heart Volume
- HVIF, Heart Volume in Field
- IMC, Internal Mammary Chain
- LAD, Left Anterior Descending
- LOD, Lung Orthogonal Distance
- LV, Lung Volume
- MHD, Maximum Heart Depth
- MRM, Modified Radical Mastectomy
- NTCP, Normal Tissue Complications Probability
- OAR, Organs-at-risk
- PTV, Planning target volume
- RNI, Regional Nodal Irradiation
- ROC, Receiver Operating Characteristic
- RPM, Real-time Position Management
- RTOG, Radiation Therapy Oncology Group
- Radiotherapy
- SCF, Supraclavicular Fossa
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Affiliation(s)
- Soujanya Ferdinand
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Monidipa Mondal
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Suman Mallik
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Jyotirup Goswami
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Sayan Das
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Kazi S Manir
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Arijit Sen
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Soura Palit
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Papai Sarkar
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Subhayan Mondal
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Suresh Das
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
| | - Bipasha Pal
- Radiation Oncology, Narayana Superspeciality Hospital, Andul Road, Howrah, West Bengal 711103, India
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Sarkar P, Biswas A, Abharana N, Rai S, Modi MH, Bhattacharyya D. Interface modification of Cr/Ti multilayers with C barrier layer for enhanced reflectivity in the water window regime. J Synchrotron Radiat 2021; 28:224-230. [PMID: 33399572 DOI: 10.1107/s1600577520013429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 10/07/2020] [Indexed: 06/12/2023]
Abstract
The influence of a carbon barrier layer to improve the reflectivity of Cr/Ti multilayers, intended to be used in the water window wavelength regime, is investigated. Specular grazing-incidence X-ray reflectivity results of Cr/Ti multilayers with 10 bilayers show that interface widths are reduced to ∼0.24 nm upon introduction of a ∼0.3 nm C barrier layer at each Cr-on-Ti interface. As the number of bilayers increases to 75, a multilayer with C barrier layers maintains almost the same interface widths with no cumulative increase in interface imperfections. Using such interface-engineered Cr/C/Ti multilayers, a remarkably high soft X-ray reflectivity of ∼31.6% is achieved at a wavelength of 2.77 nm and at a grazing angle of incidence of 16.2°, which is the highest reflectivity reported so far in the literature in this wavelength regime. Further investigation of the multilayers by diffused grazing-incidence X-ray reflectivity and grazing-incidence extended X-ray absorption fine-structure measurements using synchrotron radiation suggests that the improvement in interface microstructure can be attributed to significant suppression of inter-diffusion at Cr/Ti interfaces by the introduction of C barrier layers and also due to the smoothing effect of the C layer promoting two-dimensional growth of the multilayer.
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Affiliation(s)
- P Sarkar
- Atomic and Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400085, India
| | - A Biswas
- Atomic and Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400085, India
| | - N Abharana
- Atomic and Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400085, India
| | - S Rai
- Synchrotron Utilisation Section, Raja Ramnna Centre for Advanced Technology, Indore 752013, India
| | - M H Modi
- Synchrotron Utilisation Section, Raja Ramnna Centre for Advanced Technology, Indore 752013, India
| | - D Bhattacharyya
- Atomic and Molecular Physics Division, Bhabha Atomic Research Centre, Mumbai 400085, India
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Bhowmick A, Sarkar P, Baruah MP, Bodhini D, Radha V, Mohan V, Banu S. Association of SLC30A8, CDKAL1, TCF7L2 and HHEX Gene Polymorphisms with Type 2 Diabetes in the Population of North East India. CYTOL GENET+ 2020. [DOI: 10.3103/s0095452720020036] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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Pal B, Pal A, Das S, Palit S, Sarkar P, Mondal S, Mallik S, Goswami J, Das S, Sen A, Mondol M. Retrospective study on performance of constancy check device in Linac beam monitoring using Statistical Process Control. Rep Pract Oncol Radiother 2020; 25:91-99. [PMID: 32617079 PMCID: PMC7315042 DOI: 10.1016/j.rpor.2019.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 09/24/2019] [Accepted: 12/02/2019] [Indexed: 11/21/2022] Open
Abstract
AIM To examine the application of Statistical Process Control (SPC) and Ishikawa diagrams for retrospective evaluation of machine Quality Assurance (QA) performance in radiotherapy. BACKGROUND SPC is a popular method for supplementing the performance of QA techniques in healthcare. This work investigates the applicability of SPC techniques and Ishikawa charts in machine QA. MATERIALS AND METHODS SPC has been applied to recommend QA limits on the particular beam parameters using the QUICKCHECK webline QA portable constancy check device for 6 MV and 10 MV flattened photon beams from the Elekta Versa HD linear accelerator (Linac). Four machine QA parameters - beam flatness, beam symmetry along gun target direction and left-right direction, and beam quality factor (BQF) - were selected for retrospective analysis. Shewhart charts, Exponentially Weighted Moving Average (EWMA) charts and Cumulative Sum (CUSUM) charts were obtained for each parameter. The root causes for a failure in machine QA were broken down into an Ishikawa diagram enabling the user to identify the root cause of error and rectify the problem subsequently. RESULTS Shewhart charts and EWMA charts applied could detect loss in control in one variable in the 6 MV beams and in all four variables in 10 MV beams. CUSUM charts detected offsets in the readings. The Ishikawa chart exhaustively included the possible errors that lead to loss of control. CONCLUSION SPC is proven to be effective for detection of loss in control in machine QA. The Ishikawa chart provides the set of probable root causes of machine error useful while troubleshooting.
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Affiliation(s)
- Bipasha Pal
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Angshuman Pal
- Department of Mechanical Engineering, Jadavpur University, 188 Raja SC Mallick Road, Kolkata 700032, West Bengal, India
| | - Suresh Das
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Soura Palit
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Papai Sarkar
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Subhayan Mondal
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Suman Mallik
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Jyotirup Goswami
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Sayan Das
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Arijit Sen
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
| | - Monidipa Mondol
- Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah 711103, West Bengal, India
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Mikhail E, Tamhane N, Sarkar P, Sappenfield E, Tanner J, Imudia A. Laparoscopic Entry Technique with a Veress Needle Insertion with and without Concomitant Co2 Insufflation: A Randomized Controlled Trial. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.599] [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: 11/15/2022]
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Sarkar P, New E, Mikhail E, Sappenfield E, Plosker S, Imudia A. The Use of Vaginal Misoprostol Prior to Office Hysteroscopy is Associated with Lower Pain and Tenaculum Utilization During the Procedure. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.118] [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: 11/29/2022]
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New E, Sarkar P, Whynott R, Plosker S, Mikhail E, Imudia A. The Effect of Vaginal Misoprostol on Patient Reported Pain During Successive Office Hysteroscopy and Endometrial Biopsy. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.348] [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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Constantine S, Roach D, Liberali S, Kiermeier A, Sarkar P, Jannes J, Sambrook P, Anderson P, Beltrame J. Carotid Artery Calcification on Orthopantomograms (CACO Study) - is it indicative of carotid stenosis? Aust Dent J 2018; 64:4-10. [DOI: 10.1111/adj.12651] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2018] [Indexed: 12/14/2022]
Affiliation(s)
- S Constantine
- South Australian Dental Service; The Queen Elizabeth Hospital; Women's and Children's Hospital; Adelaide South Australia Australia
- The University of Adelaide; Adelaide South Australia Australia
| | - D Roach
- The University of Adelaide; Adelaide South Australia Australia
- The Queen Elizabeth Hospital; Adelaide South Australia Australia
| | - S Liberali
- Special Needs Unit; Adelaide Dental Hospital; SA Dental Service; Adelaide South Australia Australia
| | - A Kiermeier
- Statistical Process Improvement Consulting and Training Pty Ltd; Gumeracha South Australia Australia
| | - P Sarkar
- The Queen Elizabeth Hospital; Adelaide South Australia Australia
| | - J Jannes
- Central Adelaide Local Health Network; Adelaide South Australia Australia
- University of Adelaide; Adelaide South Australia Australia
| | - P Sambrook
- SA Dental Service; Head of Unit OMS; Royal Adelaide Hospital; Adelaide South Australia Australia
| | - P Anderson
- Australian Craniofacial Unit; Women's and Children's Hospital; Adelaide South Australia Australia
| | - J Beltrame
- Michell Professor of Medicine; The Queen Elizabeth Hospital; University of Adelaide; Cardiology Academic Lead; Central Adelaide Local Health Network; Adelaide South Australia Australia
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New E, Sarkar P, Whynott R, Plosker S, Mikhail E, Imudia A. The effect of vaginal misoprostol on patient reported pain during successive office hysteroscopy and endometrial biopsy. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.695] [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: 11/27/2022]
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Dubey A, Samanta A, Sarkar P, Karmakar M, Mukherjee A, Loha C, Kumar M, Sahu S, Saxena V, Chatterjee P. Hydrodynamic characteristics in a pilot-scale cold flow model for chemical looping combustion. ADV POWDER TECHNOL 2018. [DOI: 10.1016/j.apt.2018.03.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Hodge G, Hodge S, Nguyen PT, Yeo A, Sarkar P, Badiei A, Holmes‐Liew CL, Reynolds PN, Holmes M. Bronchiolitis obliterans syndrome is associated with increased p-glycoprotein expression and loss of glucocorticoid receptor from steroid-resistant proinflammatory CD8 + T cells. Clin Exp Immunol 2018; 192:242-250. [PMID: 29352737 PMCID: PMC5904702 DOI: 10.1111/cei.13103] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 01/08/2018] [Accepted: 01/09/2018] [Indexed: 12/31/2022] Open
Abstract
Immunosuppressive therapy fails to suppress the production of proinflammatory cytokines, particularly by CD8+ T cells, in stable lung transplant recipients and those undergoing chronic rejection, suggesting that some patients may become relatively resistant to immunosuppressants such as glucocorticoids (GC). We have shown loss of GC receptor (GCR) from the CD8+ cells, and we hypothesized that the drug membrane efflux pump, p-glycoprotein-1 (Pgp), may also be involved in lymphocyte steroid resistance following lung transplant. Pgp/GCR expression and interferon (IFN)-γ/tumour necrosis factor (TNF)-α proinflammatory cytokine production was measured in blood lymphocytes from 15 stable lung transplant patients, 10 patients with bronchiolitis obliterans syndrome (BOS) and 10 healthy aged-matched controls (± prednisolone ± Pgp inhibitor, cyclosporin A ± GCR activator, Compound A) using flow cytometry. Both Pgp+ and Pgp- lymphocyte subsets from all subjects produced IFN-γ/TNF-α proinflammatory cytokines. Pgp expression was increased in CD8+ Pgp+ T cells and correlated with IFN-γ/TNF-α expression and BOS grade. Reduced GCR was observed in CD8+ Pgp- T, natural killer (NK) T-like and NK cells from stable patients compared with controls, and reduced further in CD8+ Pgp- T cells in BOS. The addition of 2·5 ng/ml cyclosporin A and 1 µM prednisolone inhibit IFN-γ/TNF-α production significantly by CD8+ Pgp+ T cells from BOS patients. The addition of 10 µM Compound A and 1 µM prednisolone inhibit IFN-γ/TNF-α production significantly by CD8+ Pgp- T cells from BOS patients. BOS is associated with increased Pgp expression and loss of GCR from steroid-resistant proinflammatory CD8+ T cells. Treatments that inhibit Pgp and up-regulate GCR in CD8+ T cells may improve graft survival.
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Affiliation(s)
- G. Hodge
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
- Department of MedicineUniversity of AdelaideAdelaideSouth Australia
| | - S. Hodge
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
- Department of MedicineUniversity of AdelaideAdelaideSouth Australia
| | - P. T. Nguyen
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
- Department of MedicineUniversity of AdelaideAdelaideSouth Australia
| | - A. Yeo
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
| | - P. Sarkar
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
| | - A. Badiei
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
| | - C. L. Holmes‐Liew
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
- Department of MedicineUniversity of AdelaideAdelaideSouth Australia
- South Australian Lung Transplant ServiceAdelaideSouth Australia
| | - P. N. Reynolds
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
- Department of MedicineUniversity of AdelaideAdelaideSouth Australia
| | - M. Holmes
- Lung Research Unit, Department of Thoracic MedicineRoyal Adelaide HospitalAdelaideSouth Australia
- Department of MedicineUniversity of AdelaideAdelaideSouth Australia
- South Australian Lung Transplant ServiceAdelaideSouth Australia
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Sarkar P, Gandhi A, Plosker S, Ying Y, Mayer J, Imudia A. The impact of supraphysiologic estradiol (E2) level during IVF on oocyte / embryo quality and pregnancy outcome. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.1039] [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: 10/18/2022]
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Rupa A, Sarkar P, Rahman M, Shahjadee U, Rahman M, Rahman M. The effect of germination and metallic salts on the stability of enzymes of three high yielding varieties of maize (Zea mays L.) in respect of Bangladesh. Food Res 2017. [DOI: 10.26656/fr.2017.2(1).172] [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: 11/12/2022] Open
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du Plessis J, Cloete R, Burchell L, Sarkar P, Warren RM, Christoffels A, Wigneshweraraj S, Sampson SL. Exploring the potential of T7 bacteriophage protein Gp2 as a novel inhibitor of mycobacterial RNA polymerase. Tuberculosis (Edinb) 2017; 106:82-90. [PMID: 28802409 DOI: 10.1016/j.tube.2017.07.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Revised: 07/04/2017] [Accepted: 07/13/2017] [Indexed: 11/17/2022]
Abstract
Over the past six decades, there has been a decline in novel therapies to treat tuberculosis, while the causative agent of this disease has become increasingly resistant to current treatment regimens. Bacteriophages (phages) are able to kill bacterial cells and understanding this process could lead to novel insights for the treatment of mycobacterial infections. Phages inhibit bacterial gene transcription through phage-encoded proteins which bind to RNA polymerase (RNAP), thereby preventing bacterial transcription. Gp2, a T7 phage protein which binds to the beta prime (β') subunit of RNAP in Escherichia coli, has been well characterized in this regard. Here, we aimed to determine whether Gp2 is able to inhibit RNAP in Mycobacterium tuberculosis as this may provide new possibilities for inhibiting the growth of this deadly pathogen. Results from an electrophoretic mobility shift assay and in vitro transcription assay revealed that Gp2 binds to mycobacterial RNAP and inhibits transcription; however to a much lesser degree than in E. coli. To further understand the molecular basis of these results, a series of in silico techniques were used to assess the interaction between mycobacterial RNAP and Gp2, providing valuable insight into the characteristics of this protein-protein interaction.
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Affiliation(s)
- J du Plessis
- DST/NRF Centre of Excellence for Biomedical Tuberculosis Research, SA MRC Centre for TB Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
| | - R Cloete
- South African National Bioinformatics Institute (SANBI), SA Medical Research Council Bioinformatics Unit, University of the Western Cape, South Africa.
| | - L Burchell
- MRC Centre for Molecular Bacteriology and Infection, Faculty of Medicine, South Kensington Campus, Imperial College, United Kingdom.
| | - P Sarkar
- MRC Centre for Molecular Bacteriology and Infection, Faculty of Medicine, South Kensington Campus, Imperial College, United Kingdom.
| | - R M Warren
- DST/NRF Centre of Excellence for Biomedical Tuberculosis Research, SA MRC Centre for TB Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
| | - A Christoffels
- South African National Bioinformatics Institute (SANBI), SA Medical Research Council Bioinformatics Unit, University of the Western Cape, South Africa.
| | - S Wigneshweraraj
- MRC Centre for Molecular Bacteriology and Infection, Faculty of Medicine, South Kensington Campus, Imperial College, United Kingdom.
| | - S L Sampson
- DST/NRF Centre of Excellence for Biomedical Tuberculosis Research, SA MRC Centre for TB Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
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Khan N, Sarkar P, Midya A, Mandal P, Mohanty PK. Continuously Varying Critical Exponents Beyond Weak Universality. Sci Rep 2017; 7:45004. [PMID: 28327622 PMCID: PMC5361157 DOI: 10.1038/srep45004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2016] [Accepted: 02/14/2017] [Indexed: 11/09/2022] Open
Abstract
Renormalization group theory does not restrict the form of continuous variation of critical exponents which occurs in presence of a marginal operator. However, the continuous variation of critical exponents, observed in different contexts, usually follows a weak universality scenario where some of the exponents (e.g., β, γ, ν) vary keeping others (e.g., δ, η) fixed. Here we report ferromagnetic phase transition in (Sm1−yNdy)0.52Sr0.48MnO3 (0.5 ≤ y ≤ 1) single crystals where all three exponents β, γ, δ vary with Nd concentration y. Such a variation clearly violates both universality and weak universality hypothesis. We propose a new scaling theory that explains the present experimental results, reduces to the weak universality as a special case, and provides a generic route leading to continuous variation of critical exponents and multi-criticality.
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Affiliation(s)
- N Khan
- CMP Division, Saha Institute of Nuclear Physics, HBNI, 1/AF Bidhan Nagar, Kolkata 700064, India
| | - P Sarkar
- Department of Physics, Serampore College, Serampore 712201, India
| | - A Midya
- CMP Division, Saha Institute of Nuclear Physics, HBNI, 1/AF Bidhan Nagar, Kolkata 700064, India
| | - P Mandal
- CMP Division, Saha Institute of Nuclear Physics, HBNI, 1/AF Bidhan Nagar, Kolkata 700064, India
| | - P K Mohanty
- CMP Division, Saha Institute of Nuclear Physics, HBNI, 1/AF Bidhan Nagar, Kolkata 700064, India
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Ganguly S, Sarkar P, Chatterjee D, Bandyopadhyay AR. Association of ABO blood group polymorphism and tuberculosis: A study on Bengalee Hindu caste population, West Bengal, India. Indian J Tuberc 2016; 63:242-244. [PMID: 27998496 DOI: 10.1016/j.ijtb.2016.09.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Accepted: 09/19/2016] [Indexed: 10/20/2022]
Abstract
Tuberculosis (TB) is an infectious disease commonly caused by the bacillus mycobacterium and worldwide estimation demonstrated that more than 8.6 million people are infected by TB. Many of the previous studies reported the association between TB and ABO blood group polymorphism. In this context, the objective of the present study is to understand the association of ABO blood group polymorphism and TB in Bengalee Hindu caste population. The present study consists of 100 clinically diagnosed TB patients and 100 apparently healthy individuals with no previous history of TB from the same population of the same area. The distribution of ABO phenotypes demonstrated significant (p<0.05) excess of AB blood group in TB patients and significant (p<0.05) decrease of O blood group in controls. Logistic regression analysis revealed that individuals with non O blood group have 1.97 times (95% CI 1.04-3.75) greater chance of developing TB than individuals with O blood group.
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Affiliation(s)
- S Ganguly
- Research Student, Department of Anthropology, University College of Science, Technology & Agriculture, University of Calcutta, 35, Ballygunge Circular Road, Kolkata 700019, India
| | - P Sarkar
- UGC (NET), Junior Research Fellow, University College of Science, Technology & Agriculture, University of Calcutta, 35, Ballygunge Circular Road, Kolkata 700019, India
| | - D Chatterjee
- Assistant Professor, Department of Anthropology, University College of Science, Technology & Agriculture, University of Calcutta, 35, Ballygunge Circular Road, Kolkata 700019, India
| | - A R Bandyopadhyay
- Professor, Department of Anthropology, University College of Science, Technology & Agriculture, University of Calcutta, 35, Ballygunge Circular Road, Kolkata 700019, India.
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Sarkar P, Sheikh I, Saha T, Aoun J, Kazi M. Zinc restores altered intestinal ion-transport,barrier functions and counteract inflammatory mediators induced by Shigella infection in T84 cells. Int J Infect Dis 2016. [DOI: 10.1016/j.ijid.2016.02.147] [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] Open
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Pandey PK, Kundu AK, Sarkar P, Shukla S. Urethral polyp: An uncommon presentation of rhinosporidiosis. Indian J Dermatol 2014; 59:95-6. [PMID: 24470673 PMCID: PMC3884941 DOI: 10.4103/0019-5154.123521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Pa J, Ray AN, Sherp P, Majumdar BB, Modak D, Chatterjee S, Sarkar P. Primary cutaneous histoplasmosis simulating Molluscum contagiosum. J Assoc Physicians India 2013; 61:498-500. [PMID: 24772760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Primary cutaneous histoplasmosis in a HIV positive patient ie isolated cutaneous involvement without any deeper structures is a very rare entity. Only a handful cases have been reported worldwide. This patient presented with cutaneous lesion simulating Molluscum but histopathology revealed Histoplasma capsulatum. The patient had no deep organ involvement. The patient was put on Itraconazole which caused rapid dissolution of the lesions. He was subsequently put on HAART and discharged.
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Gorain B, Choudhury H, Halder D, Sarkar A, Sarkar P, Biswas E, Ghosh B, Pal T. A Comparative Pharmacokinetic Study of a Fixed Dose Combination for Essential Hypertensive Patients: A Randomized Crossover Study in Healthy Human Volunteers. Drug Res (Stuttg) 2013. [DOI: 10.1055/s-0033-1343457] [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: 10/27/2022]
Affiliation(s)
- B. Gorain
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
| | - H. Choudhury
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
| | - D. Halder
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
| | - A. Sarkar
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
| | - P. Sarkar
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
| | - E. Biswas
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
| | - B. Ghosh
- Department of Pharmacology, Kolkata Medical College and Hospital, Kolkata, India
| | - T. Pal
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
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Gorain B, Choudhury H, Halder D, Sarkar AK, Sarkar P, Biswas E, Ghosh B, Pal TK. A comparative pharmacokinetic study of a fixed dose combination for essential hypertensive patients: a randomized crossover study in healthy human volunteers. Drug Res (Stuttg) 2013; 63:177-84. [PMID: 23471702 DOI: 10.1055/s-0033-1334882] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND This study was aimed to investigate the relative bioavailability of fixed-dose-combination (FDC) product of amlodipine, telmisartan and hydrochlorothiazide with individual marketed products in healthy male volunteers. Control of blood pressure with fixed dose combination of the above drugs acting through different mechanism have a benefit of convenient dosing in terms of compliance, lower the dose and subsequently reduce the side effects. METHODS The authors investigated the relative bioavailability under a fasting state of the 3 drugs in a randomized, open-label, 2-treatment, 2-period, 2-sequence, crossover bioequivalence study with a washout period of 21 days. Plasma concentration of the analytes were assayed in timed samples with a simple, highly sensitive and rapid validated method using HPLC coupled to tandem mass spectrometry that had a lower limit of quantification of 1 ng/mL for all the 3 components. RESULTS Test and reference formulations gave a mean Cmax of 5.234±0.914 ng/mL and 4.991±0.563 ng/mL, 108.839±13.601 ng/mL and 114.783±12.315 ng/mL and 97.814±10.779 ng/mL and 93.731±10.018 ng/mL for amlodipine, telmisartan and hydrochlorothiazide respectively. The AUC0-t of amlodipine, telmisartan and hydrochlorothiazide was 161.484 ng.h/mL, 1 917.644 ng.h/mL and 822.847 ng.h/mL for test formulation and 162.108 ng.h/mL, 2 014.764 ng.h/mL and 829.323 ng.h/mL for reference in the fasting state. CONCLUSION The 90% confidence intervals for the test/reference ratio of the pharmacokinetic parameters in fasting state (mean Cmax, AUC0-t, and AUC0-∞) were within the acceptable range of 80.00-125.00. Thus, these findings clearly indicate that the FDC product is bioequivalent with the individual marketed products in terms of rate and extent of drug absorption and is well tolerated with no significant adverse reactions.
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Affiliation(s)
- B Gorain
- Department of Pharmaceutical Technology, Bioequivalence Study Centre, Jadavpur University, Kolkata, India
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Sarkar P, Zohora F, Jabbar A, Tareq F, Hasan C, Ahsan M. Phytochemical Studies on the Stem Bark of Couroupita guianensis Aubl. ACTA ACUST UNITED AC 2013. [DOI: 10.14233/ajchem.2013.14066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Banerjee K, Cu Y, Sun Y, Hartog K, Dey A, Brito L, Verma A, Nandi A, Sarkar P, Valiante NM, Geall AJ, Barnett SW, Otten GR. Potency of an HIV-SAM™ vaccine in a heterologous prime-boost vaccination regimen. Retrovirology 2012. [PMCID: PMC3441396 DOI: 10.1186/1742-4690-9-s2-p312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Terashvili M, Sarkar P, Nostrand MV, Falck JR, Harder DR. The protective effect of astrocyte-derived 14,15-epoxyeicosatrienoic acid on hydrogen peroxide-induced cell injury in astrocyte-dopaminergic neuronal cell line co-culture. Neuroscience 2012; 223:68-76. [PMID: 22863680 DOI: 10.1016/j.neuroscience.2012.07.045] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2012] [Revised: 07/09/2012] [Accepted: 07/19/2012] [Indexed: 11/25/2022]
Abstract
Astrocytes perform several functions that are essential for normal neuronal activity. They play a critical role in neuronal survival during ischemia and other degenerative injuries and also modulate neuronal recovery by influencing neurite outgrowth. In this study, we investigated the neuroprotective effects of astrocyte-derived 14,15-epoxyeicosatrienoic acid (14,15-EET), metabolite of arachidonic acid by cytochrome P450 epoxygenases (CYP), against oxidative stress induced by hydrogen peroxide (H(2)O(2)). We found that dopaminergic neuronal cells (N27 cell line) stimulated with two different doses of H(2)O(2) (0.1 and 1mM) for 1h showed decreased cell viability compared to the control group, while astrocytes showed less cell death after stimulation with the same doses of H(2)O(2) for 1h. Dopaminergic neuronal cells (N27 cell line) pretreated with different doses of 14,15-EET (0.1-30 μM, 30 min) before H(2)O(2) stimulation also showed increased cell viability. Furthermore, pre-treatment of the co-cultured cells with 12-(3-adamantan-1-yl-ureido)-dodecanoic acid, an inhibitor of the EET metabolizing enzyme, soluble epoxide hydrolase (sEH), before H(2)O(2) stimulation (1mM, for 1h) increased cell viability. It also increased the endogenous level of 14,15-EET in the media compared to control group. However, pretreatment with the CYP epoxygenase inhibitor miconazole (1-20 μM, 1h) before H(2)O(2) (1mM, 1h) stimulation showed decreased cell viability. Our data suggest that 14,15-EET which is released from astrocytes, enhances cell viability against oxidant-induced injury. Further understanding of the mechanism of 14,15-EET-mediated protection in dopaminergic neurons is imperative, as it could lead to novel therapeutic approaches for treating CNS neuropathologies, such as Parkinson's disease.
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Affiliation(s)
- M Terashvili
- Department of Physiology, Cardiovascular Research Center, Medical College of Wisconsin, Milwaukee, WI 53226, United States
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Kumar A, Balaji Y, Kiran H, Sarkar P, Varma V, Prasad N, Tamilmani K. Concurrent Development and Certification of SOFTCOMAG 49AA Alloy for Aeronautical Applications. DEFENCE SCI J 2012. [DOI: 10.14429/dsj.62.1093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Sarkar P, Narayanan J, Harder DR. Differential effect of amyloid β on the cytochrome P450 epoxygenase activity in rat brain. Neuroscience 2011; 194:241-9. [PMID: 21843605 DOI: 10.1016/j.neuroscience.2011.07.058] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2011] [Revised: 07/19/2011] [Accepted: 07/23/2011] [Indexed: 01/03/2023]
Abstract
One of the prominent features of Alzheimer's disease is the excessive accumulation of the protein amyloid beta (Aβ) in certain areas of the brain leading to neurodegeneration. Aβ is cytotoxic and disrupts several cytoprotective pathways. Recent literature has demonstrated that certain cytochrome P450 (CYP) products are neuroprotective, including epoxide metabolites of arachidonic acid (AA), epoxyeicosatrienoic acids (EETs). The action of Aβ with respect to regionally produced EETs in the brain has yet to be defined. Epoxygenases metabolize AA into four regioisomers of EETs (14,15-, 11,12-, 8,9- and 5,6-EET). EETs are rapidly degraded into dihydroxyeicosatrienoic acids (DiHETEs) by soluble epoxide hydrolase (sEH). To determine the effect of Aβ on the epoxygenase activity in different regions of the brain, microsomes were prepared from the cerebrum and cerebellum of adult Sprague-Dawley rats and incubated with 1 and 10 μM Aβ for 30 min after which epoxygenase activity assay was performed. Mass spectrometry indicated that incubation with Aβ reduced 14,15-EET production by 30% as compared to vehicle in the cerebrum, but not in the cerebellum. When we separated the cerebrum into cortex and hippocampus, significant decrease in the production of total EETs and DiHETEs were seen in presence of Aβ (81% and 74%) in the cortex. Moreover, 11,12-EET production was decreased to ∼70% of vehicle in both cortex and hippocampus. Epoxygenase activity in the cultured astrocytes and neurons also showed reduction in total EET and DiHETE production (to 80% and ∼70% of vehicle respectively) in presence of Aβ. Altogether, our data suggest that Aβ reduces epoxygenase activity differentially in a region-specific and cell-specific manner. The reduction of cytoprotective EETs by Aβ in the cerebrum may make it more prone to degeneration than the cerebellum. Further understanding of these interactions will improve our ability to protect against the pathology of Alzheimer's disease.
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Affiliation(s)
- P Sarkar
- Department of Physiology and Cardiovascular Center, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA
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Parashari UC, Khanduri S, Bhadury S, Sarkar P. MRI Manifestation and Early Diagnosis of Bone Infarct: A Rare Complication of Steroid Therapy for Pemphigus. Malays Orthop J 2011. [DOI: 10.5704/moj.1107.013] [Citation(s) in RCA: 2] [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] [Indexed: 11/05/2022] Open
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38
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Luchowski R, Matveeva EG, Shtoyko T, Sarkar P, Patsenker LD, Klochko OP, Terpetschnig EA, Borejdo J, Akopova I, Gryczynski Z, Gryczynski I. Single molecule immunoassay on plasmonic platforms. Curr Pharm Biotechnol 2010; 11:96-102. [PMID: 19929821 DOI: 10.2174/138920110790725384] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2009] [Accepted: 09/01/2009] [Indexed: 11/22/2022]
Abstract
We examined the photophysical properties of the new near infrared (NIR) fluorescent label SeTau-665 on a plasmonic platform of self- assembled colloidal structures (SACS) of silver prepared on a semitransparent silver film. A SeTau-665 immunoassay was performed on this platform and a control glass slide. The fluorescence properties of this label substantially change due to plasmonic interactions. While the average brightness increase of SeTau 665 in ensemble measurements was about 70-fold, fluorescence enhancements up to four-hundred times were observed on certain "hot spots" for single molecule measurements. The intensity increase is strongly correlated with a simultaneous decrease in fluorescence lifetime in these "hot spots". The large increase in brightness allows the reduction of the excitation power resulting in a reduced background and increased photostability. The remarkable fluorescence enhancements observed for SeTau 665 on our plasmonic platform should allow to substantially improve single molecule detection and to reduce the detection limits in sensing devices.
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Affiliation(s)
- R Luchowski
- Center for Commercialization of Fluorescence Technologies, Department of Molecular Biology & Immunology, UNTHSC, Fort Worth, TX 76107, USA.
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Ramasami S, Abu-Rajab K, Sarkar P, Baguley S. Audit of hepatitis B vaccination of men who have sex with men attending Scottish genitourinary medicine clinics. Int J STD AIDS 2009; 20:575-6. [PMID: 19625593 DOI: 10.1258/ijsa.2008.008447] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Practice related to hepatitis B vaccination of men who have sex with men (MSM) in Scottish genitourinary medicine clinics was audited against targets based on the offer and completion of vaccination set by the British Association of Sexual Health and HIV. Of 521 cases audited from 11 clinics, 215 (41%) were eligible for vaccination and 175 (81%) of eligible MSM were offered vaccination. Of those, 144 (82%) accepted vaccination. The super-accelerated schedule was most commonly prescribed but only 29% of those starting this schedule completed it, compared with 57% of those receiving the standard course. The overall vaccination completion rate was 31% and 82% of those completing vaccination had antisurface antibodies measured. A more robust recall system and uniformity in vaccination policies addressing the balance of patient compliance and immunogenicity of vaccine schedule are needed to improve completion rates.
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Affiliation(s)
- S Ramasami
- Department of Genitourinary Medicine, Royal Infirmary Edinburgh, UK.
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Nayini K, Vachhani M, Miheso J, Sarkar P. P129 Does provision of dedicated antenatal care improve the obstetric outcome in teenage pregnancy? Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61620-9] [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: 10/20/2022]
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41
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Nayini K, Vachhani M, Singh S, Sarkar P. O667 Audit of management referral for ovarian cyst in women (above 50 yrs). Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61040-7] [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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Sarkar P, Mukherjee J, Ghosh A, Bhattacharjee M, Mahato S, Chakraborty A, Mondal M, Banerjee C, Chaudhuri S. A Comparative Analysis of Immunorestoration and Recovery with Conventional and Immunotherapeutic Protocols in Canine Generalized Demodicosis: A Newer Insight of Immunotherapeutic Efficacy of T11TS. Immunol Invest 2009; 33:453-68. [PMID: 15624702 DOI: 10.1081/imm-200038753] [Citation(s) in RCA: 8] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Demodex canis is a natural inhabiting mite of canine skin. Immunological disorder or genetic disorder induces the Demodex population to proliferate vigorously resulting in generalized demodicosis with consequent chronic immunosuppression. Signs of generalized demodicosis include alopecia, crysting, erythema, secondary pyoderma etc. Amitraz, an acaricide, is used conventionally for the treatment of generalized demodicosis. In many instances, the disease relapses due to the residual immunosuppression. The need of an immunorestorative therapy has been urged in generalized demodicosis. Two immunorestorative drugs, namely, Immuplus, a herbal drug, and T11TS, a sheep erythrocyte surface glycoprotein, has been used in two separate groups of dogs having generalized demodicosis and receiving Amitraz treatment. It was observed that though Amitraz treated group responded to the therapy showing increased E-rosettes and nonspecific cytotoxic efficacy of T-lymphocytes and decrease in phagocytic potential of macrophages, the groups treated with the immunotherapeutics like Immuplus and T11TS, responded better. However, the group treated with T11TS showed best recovery. These results emphasize the need for an immunorestorative therapy in generalized demodicosis and provide data in favor of T11TS as a better immunomodulator in comparison to Immuplus.
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Affiliation(s)
- P Sarkar
- Cellular and Molecular Immunology Laboratory, Department of Physiology, Dr. B.C. Roy Post Graduate Institute of Basic Medical Sciences, Institute of Post Graduate Medical Education and Research, 244B, A.J.C. Bose Road, Kolkata 700020, India
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Schmidt M, Schwartzberg AM, Perera PN, Weber-Bargioni A, Carroll A, Sarkar P, Bosneaga E, Urban JJ, Song J, Balakshin MY, Capanema EA, Auer M, Adams PD, Chiang VL, Schuck PJ. Label-free in situ imaging of lignification in the cell wall of low lignin transgenic Populus trichocarpa. Planta 2009; 230:589-97. [PMID: 19526248 PMCID: PMC2715566 DOI: 10.1007/s00425-009-0963-x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2009] [Accepted: 05/25/2009] [Indexed: 05/19/2023]
Abstract
Chemical imaging by confocal Raman microscopy has been used for the visualization of the cellulose and lignin distribution in wood cell walls. Lignin reduction in wood can be achieved by, for example, transgenic suppression of a monolignol biosynthesis gene encoding 4-coumarate-CoA ligase (4CL). Here, we use confocal Raman microscopy to compare lignification in wild type and lignin-reduced 4CL transgenic Populus trichocarpa stem wood with spatial resolution that is sub-microm. Analyzing the lignin Raman bands in the spectral region between 1,600 and 1,700 cm(-1), differences in lignin signal intensity and localization are mapped in situ. Transgenic reduction of lignin is particularly pronounced in the S2 wall layer of fibers, suggesting that such transgenic approach may help overcome cell wall recalcitrance to wood saccharification. Spatial heterogeneity in the lignin composition, in particular with regard to ethylenic residues, is observed in both samples.
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Affiliation(s)
- M. Schmidt
- Energy Biosciences Institute, University of California, Berkeley, CA 94720 USA
| | - A. M. Schwartzberg
- Molecular Foundry, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - P. N. Perera
- Energy Biosciences Institute, University of California, Berkeley, CA 94720 USA
| | - A. Weber-Bargioni
- Molecular Foundry, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - A. Carroll
- Energy Biosciences Institute, University of California, Berkeley, CA 94720 USA
- Department of Biology, Stanford University, Stanford, CA 94305 USA
| | - P. Sarkar
- Energy Biosciences Institute, University of California, Berkeley, CA 94720 USA
| | - E. Bosneaga
- Energy Biosciences Institute, University of California, Berkeley, CA 94720 USA
| | - J. J. Urban
- Molecular Foundry, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - J. Song
- Forest Biotechnology Group, Department of Forestry and Environmental Resources, College of Natural Resources, North Carolina State University, Raleigh, NC 27695 USA
- Institute of Medicinal Plant Development, Peking Union Medical College, Chinese Academy of Medical Sciences, Xibeiwang, Haidian District, 100094 Beijing, People’s Republic of China
| | - M. Y. Balakshin
- Forest Biotechnology Group, Department of Forestry and Environmental Resources, College of Natural Resources, North Carolina State University, Raleigh, NC 27695 USA
| | - E. A. Capanema
- Forest Biotechnology Group, Department of Forestry and Environmental Resources, College of Natural Resources, North Carolina State University, Raleigh, NC 27695 USA
| | - M. Auer
- Life Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - P. D. Adams
- Physical Biosciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - V. L. Chiang
- Forest Biotechnology Group, Department of Forestry and Environmental Resources, College of Natural Resources, North Carolina State University, Raleigh, NC 27695 USA
| | - P. James Schuck
- Molecular Foundry, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
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Sarkar P, Arumugam S, Mandal P, Murugeswari A, Thiyagarajan R, Esaki Muthu S, Mohan Radheep D, Ganguli C, Matsubayshi K, Uwatoko Y. Pressure induced critical behavior of ferromagnetic phase transition in Sm-Nd-Sr manganites. Phys Rev Lett 2009; 103:057205. [PMID: 19792532 DOI: 10.1103/physrevlett.103.057205] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2009] [Indexed: 05/28/2023]
Abstract
We report on the hydrostatic pressure dependence of the order of ferromagnetic (FM) to paramagnetic (PM) phase transition in a (Sm(0.7)Nd(0.3))(0.52)Sr(0.48)MnO(3) single crystal. At ambient pressure, the system undergoes a first-order FM-PM phase transition at 146 K. The application of pressure increases the T(C), suppresses the hysteresis width, and thus makes the transition second order. We have analyzed the critical behavior associated with the second-order FM-PM transition in the presence of an external pressure (12.1 kbar) and obtained the critical exponents beta=0.358, gamma=1.297, and delta=4.536, which are close to those predicted for the three-dimensional Heisenberg system. Using these values of beta, gamma, and T(C) ( approximately 176 K), one can scale the magnetization data below and above T(C) following a single equation of state.
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Affiliation(s)
- P Sarkar
- Department of Physics, Serampore College, Serampore 712 201, India.
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Harkness RA, Cotes PM, Gordon H, McWhinney N, Sarkar P. Prolonged pregnancy and fetal energy supply: amniotic fluid concentrations of erythropoietin, hypoxanthine, xanthine and uridine in uncomplicated prolonged pregnancy. J OBSTET GYNAECOL 2009. [DOI: 10.3109/01443618809012291] [Citation(s) in RCA: 3] [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] [Indexed: 11/13/2022]
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Affiliation(s)
- P Sarkar
- Department of Obstetrics and Gynaecology, Wexham Park Hospital, Slough, UK.
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Kroon ND, Smith F, Sanghavi R, Sarkar P. Prenatal cortical hyperostosis (Caffey disease) with Down syndrome. J OBSTET GYNAECOL 2009; 29:57-8. [PMID: 19280500 DOI: 10.1080/09286580802484201] [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: 10/21/2022]
Affiliation(s)
- N D Kroon
- Department of Obstetrics and Gynaecology, Wexham Park Hospital, Slough, Berkshire, UK.
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Sanchez P, Chetty G, Sarkar P. Not the typical winter cough. Case Reports 2009; 2009:bcr09.2008.0970. [DOI: 10.1136/bcr.09.2008.0970] [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: 11/04/2022] Open
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49
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Bhattacharjee M, Acharya S, Ghosh A, Sarkar P, Chatterjee S, Kumar P, Chaudhuri S. Bax and Bid act in synergy to bring about T11TS-mediated glioma apoptosis via the release of mitochondrial cytochrome c and subsequent caspase activation. Int Immunol 2008; 20:1489-505. [PMID: 18931364 DOI: 10.1093/intimm/dxn109] [Citation(s) in RCA: 24] [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] [Indexed: 12/25/2022] Open
Abstract
The specific apoptotic role of T11TS has been well established in glioma animal models. T11TS specifically induces the glioma cells to die an apoptotic death via immune cross-talk with the two intracranial immune competent cells-microglia and the brain-infiltrating lymphocytes. To unearth the molecular cascades operative within the glioma cells and to some extent in the two interacting immunocytes, we had initiated studies where preliminary findings not only had indicated the involvement of death receptors but had also hinted to the involvement of other apoptotic regulators. Hence, to identify the molecular pathway of apoptosis involving other apoptotic regulators in the three cell types, the cells were studied for the intrinsic apoptotic death regulators that were engaged to maintain the mitochondrial membrane integrity. The proteins that were selected could be divided into three broad classes-the Bcl-2 family of proteins-Bid, Bax and Bcl-2; the guardian of the genome p53 and the proteins downstream of mitochondria-Apaf-1, cytochrome c, caspase-9 and caspase-3. Activated Bid as well as maximal p53 expression was observed in the first dose of T11TS thus dually activating the pro-apoptotic Bax in the first and second dose in the glioma cells. Concurrently, the pro-survival protein Bcl-2's expression level was very much down-regulated in the same two doses favoring the internal microenvironment to proceed for apoptosis. High expression of cytochrome c and Apaf-1 and the presence of active caspase-9 and active caspase-3 in all the T11TS-treated tumor-bearing groups further adjudicated apoptosis of the glioma cells with clear involvement of mitochondrial death pathway in the T11TS-treated animals. Even though expression of the apoptotic regulators remained more or less the same indicating the involvement of mitochondria in the two interacting immunocytes, the intensity of expression of these proteins was much lower than the tumor cells. The present work focuses on the mechanistic approach of how T11TS mediates apoptosis and hence is the first approach of its kind in the field of immunology where the immunotherapeutic molecule's mode of action has been worked out.
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Affiliation(s)
- M Bhattacharjee
- Department of Laboratory Medicine, School of Tropical Medicine, 108, Chittaranjan Avenue Road, Kolkata 700073
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Abstract
BACKGROUND Animal studies have shown that prenatal stress has persisting effects on several aspects of offspring development; more recent studies show that this effect may be eliminated by positive postnatal rearing. Human studies of prenatal anxiety/stress are now also beginning to document links between antenatal stress/anxiety and behavioural and cognitive development of the child; however, there is no human evidence as to whether the early caregiving environment moderates the effect of antenatal anxiety/stress on child outcomes. METHODS Antenatal and postnatal measures of stress were collected on 123 women who were recruited from an antenatal clinic. Laboratory-based assessment of the children's cognitive development and fearfulness were assessed when the children were aged 17 months. In addition, child-parent attachment quality was assessed using the Strange Situation. RESULTS Attachment classification moderated the link between antenatal stress and observed fearfulness. The effect of antenatal stress on fearfulness was most accentuated in children with an Insecure/Resistant attachment classification; the significant antenatal stress x attachment classification interaction held after controlling for postnatal stress and obstetric, social and demographic factors. Attachment did not moderate the effects of antenatal anxiety on cognitive development. DISCUSSION These findings provide the first human evidence that postnatal parenting may moderate the adverse effects of antenatal stress. These results raise developmental questions about the timing and effect of interventions to reduce the adverse effects of antenatal stress exposure.
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Affiliation(s)
- K Bergman
- Institute of Reproductive and Developmental Biology, Imperial College London Du Cane Road London, W12 0NN United Kingdom
| | - P Sarkar
- Institute of Reproductive and Developmental Biology, Imperial College London Du Cane Road London, W12 0NN United Kingdom
| | - V Glover
- Institute of Reproductive and Developmental Biology, Imperial College London Du Cane Road London, W12 0NN United Kingdom
| | - TG O'Connor
- Department of Psychiatry, University of Rochester Medical Center 300 Crittenden Blvd, Rochester NY 14642 USA
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