1.Reaching people through medical humanities: An initiative.
Richa GUPTA ; Satendra SINGH ; Mrinalini KOTRU
Journal of Educational Evaluation for Health Professions 2011;8(1):5-
No abstract available.
2.A logistic cellular automaton for simulating tumor growth.
Journal of Biomedical Engineering 2003;20(1):79-82
This paper focuses on a differential equation logistic model simulating tumor growth. We design a kind of tumor dynamic growth model with one-dimensional cellular automata. A discrete logistic model is developed from the continuous logistic model. Based on others' work, we design discrete mathematical growth dynamic model with cellular automaton. In terms of discrete model, we design stochastic evolving rules of cellular automaton. And this paper simulates the tumor growth dynamic model with cellular automata. The theoretic analysis and results of cellular automaton model are in agreement with data from the ideal differential equation logistic growth of cancer.
Algorithms
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Cell Division
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Computer Simulation
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Logistic Models
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Models, Biological
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Neoplasms
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pathology
3.The Revised Trauma Score: A Better Early Predictor for Survival of Head Trauma Patients than the Glasgow Coma Scale-Age-Pressure Score
Richa PATEL ; Geeta Sandeep GHAG ; Sandhya IYER ; Vipul Versi NANDU
Journal of Acute Care Surgery 2024;14(2):52-58
Purpose:
Trauma is a common cause of death worldwide and head injury is the most common form of trauma presented at the Emergency Department. Physiological scores are better for predicting outcome than anatomical scores. To reduce mortality rates, this study compared the capacity of the revised trauma scores (RTS) and the Glasgow coma scale- age- pressure (GAP) scores to predict the survival of patients and effectively channel resources.
Methods:
An observational study of head trauma patients aged 12 to 80 years was performed at a tertiary care center (N = 500). We noted demographic information, RTS and GAP trauma scores, and outcomes in terms of mortality or survival at 24 hours, 48 hours, and 7 days.
Results:
Of the 500 patients who were enrolled, 414 (82.8%) survived 24 hours, 373 (74.6%) survived 48 hours, and 265 (53%) survived after 7 days. Using the Receiver Operating Characteristic curve, the RTS score was a significantly better predictor of survival in patients with head trauma than the GAP score at 24 hours (p = 0.044) and 48 hours (p = 0.049) of admission. The results were not significantly different at 7 days (p = 0.240). Mortality or survival outcomes were not significantly different between the RTS and GAP scores (p = 0.373).
Conclusion
RTS appears to be a better early predictor for mortality (within 48 hours of admission) than the GAP score. The RTS was more effective in directing the triage of patients which improved survival rates in head trauma patients.
6.Acute megakaryoblastic blast crisis as a presentation manifestation of chronic myelogenous leukemia.
Jenna B BHATTACHARYA ; Richa GUPTA ; Amit SAMADHIYA
Blood Research 2017;52(2):137-139
No abstract available.
Blast Crisis*
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive*
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Megakaryocyte Progenitor Cells*
7.Soluble and Membranous Vascular Endothelial Growth Factor Receptor-2 in Pregnancies Complicated by Pre-Eclampsia.
Richa TRIPATHI ; Gayatri RATH ; Ranju RALHAN ; Sunita SAXENA ; Sudha SALHAN
Yonsei Medical Journal 2009;50(5):656-666
PURPOSE: There is a paucity of information on the serum soluble vascular endothelial growth factor receptor-2 (sVEGFR-2) concentrations, membranous VEGFR-2 expression and the mechanism involved in their modulations during the clinical onset of pre-eclampsia. This cross-sectional study was conducted to evaluate the concentration of sVEGFR-2 in serum and to investigate the expression of membranous VEGFR-2 in placentae of pre-eclampsia group. MATERIALS AND METHODS: The serum levels of sVEGFR-2 (n = 120) and the expression of membranous VEGFR-2 in placentae (n = 100) were analysed at third trimester of pregnancy by enzyme linked immunosorbent assay (ELISA) and immunohistochemistry respectively. The diagnostic parameters of sensitivity, specificity and association of soluble and membranous VEGFR-2 in these patients were evaluated. RESULTS: The serum levels of sVEGFR-2 in pre-eclampsia patients were found to be significantly reduced (p = 0.01, p = 0.001) in early and late pre-eclamptic sub-groups as compared to their respective third trimester control sub-groups. Also, the receiver operating characteristic (ROC) curve analysis showed a cut-off value of 7350.4 pg/mL, higher sensitivity (76%) and specificity (76%) for sVEGFR-2 in late onset (> 34 weeks) pre-eclamptic group. Significant down-regulation of membranous VEGFR-2 immunoreactivity was observed in all the placental cells (p = 0.0001) at > 34 weeks preeclamptic group. CONCLUSION: The reduced serum levels of soluble VEGFR-2 and the down-regulated expression of membranous VEGFR-2 in the study group denoted abnormality in VEGF mediated placental function in all placental cells and thus VEGFR-2 may be a key factor, intimately associated with pre-eclampsia. This study shows the clinical utility of soluble and membranous VEGFR-2 in pre-eclampsia patients.
Adult
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Cross-Sectional Studies
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Down-Regulation
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Enzyme-Linked Immunosorbent Assay
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Female
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Humans
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Immunohistochemistry
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Placenta/metabolism
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Pre-Eclampsia/*blood/metabolism
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Pregnancy
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Pregnancy Trimester, Third
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Sensitivity and Specificity
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Solubility
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Vascular Endothelial Growth Factor Receptor-2/*blood/metabolism
8.Chemical composition and antibacterial properties of the essential oil and extracts of Lantana camara Linn. from Uttarakhand (India)
Seth Richa ; Mohan Manindra ; Singh Prashant ; Haider Zafar Syed ; Gupta Sanjay ; Bajpai Irshita ; Singh Deepak ; Dobhal Rajendra
Asian Pacific Journal of Tropical Biomedicine 2012;(z3):1407-1411
Objective: The purpose of this study was to evaluate the essential oil composition as well as antibacterial activities of essential oil and leaves extracts of Lantana camara against five bacterial strains. Methods: Essential oil was obtained by hydro-distillation from the leaves and analyzed by GC and GC-MS. The antibacterial activities of essential oil and the leaves extracts were tested by using disk diffusion method against five bacterial strains. Results: Thirty seven compounds were identified representing 98.11% of the total oil, of which trans-caryophyllene (13.95%), bicyclogermacrene (9.77%), α-curcumene (8.57%), sabinene (8.28%), (E)-citral (6.90%), 1,8 cineole (5.06%), α-pinene (4.03%), γ-terpinene (3.83%) and germacrene D (3.13%) were detected as major components. In respect to the antibacterial activities, essential oil showed the high degree of sensitivity against Micrococcus luteus, Escherichia coli, Staphylococcus aureus and Bacillus cereus except Pseudomonas aeruginosa while extracts of leaves obtained through petroleum ether, benzene, methanol and water exhibited good to moderate antimicrobial activity against all tested bacterial strains. Conclusions: The present study suggested that M. luteus showed best zone of inhibition for the essential oil as well as aqueous extract among all the tested bacterial strains. The most active extract can be subjected to isolation of the therapeutic antimicrobials to carry out further pharmacological evaluation.
9.Hypersensitivity manifestations to the fruit mango
Asia Pacific Allergy 2011;1(1):43-49
The objectives of this study are 1) To review the published data and document the current knowledge on allergic manifestations to the fruit mango 2) To highlight the two distinct clinical presentations of hypersensitivity reactions caused by mango 3) To discuss the role of cross-reactivity 4) To increase awareness of potentially life threatening complications that can be caused by allergy to mango. An extensive search of the literature was performed in Medline/PubMed with the key terms "mango", "anaphylaxis", "contact dermatitis", "cross-reactivity", "food hypersensitivity", "oral allergy syndrome" and "urticaria". The bibliographies of all papers thus located were searched for further relevant articles. A total of 17 reports describing 22 patients were documented, including ten patients with immediate hypersensitivity reaction and twelve patients with delayed hypersensitivity reaction to mango. Ten of these patients (four with immediate reaction; six with delayed reaction) were from geographical areas cultivating mango, whereas twelve patients (six with immediate reaction; six with delayed reaction) were from the countries where large scale mango cultivation does not occur. The clinical features, pathogenesis and diagnostic modalities of both these presentations are highlighted. The fruit mango can cause immediate and delayed hypersensitivity reactions, as also "oral allergy syndrome". Although rare, it can even result in a life threatening event. Reactions may even occur in individuals without prior exposure to mango, owing to cross reactivity. It is imperative to recognize such a phenomenon early so as to avoid potentially severe clinical reactions in susceptible patients.
Anaphylaxis
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Dermatitis, Contact
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Fruit
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Humans
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Hypersensitivity
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Hypersensitivity, Delayed
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Hypersensitivity, Immediate
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Mangifera
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Urticaria
10.Hemitruncus Arteriosus With Anomalous Origin of the Right Coronary Artery From the Right Pulmonary Artery and Unilateral Absence of the Left Pulmonary Artery
Mohini GUPTA ; Viralam S KIRAN ; Suraj GOWDA ; Richa KOTHARI ; Vimal RAJ
Cardiovascular Imaging Asia 2024;8(2):44-47
Hemitruncus arteriosus, anomalous origin of a pulmonary artery from the aorta, is a rare congenital heart disease frequently accompanied by other cardiovascular anomalies. In this case report, we present an exceedingly rare case of hemitruncus arteriosus in an 18-year-old male patient presenting with cyanosis and chest pain. Echocardiography raised a suspicion for aorto-pulmonary window; this was confirmed on cardiac computed tomography angiography. A magnetic resonance imaging study was performed for functional assessment. The resulting diagnosis was hemitruncus arteriosus with aberrant origin of the right coronary artery from the right pulmonary artery and unilateral absence of a pulmonary artery.