1.Platelet rich fibrin - a novel acumen into regenerative endodontic therapy.
Kavita HOTWANI ; Krishna SHARMA
Restorative Dentistry & Endodontics 2014;39(1):1-6
Research into regenerative dentistry has added impetus onto the field of molecular biology. It can be documented as a prototype shift in the therapeutic armamentarium for dental disease. Regenerative endodontic procedures are widely being added to the current armamentarium of pulp therapy procedures. The regenerative potential of platelets has been deliberated. A new family of platelet concentrates called the platelet rich fibrin (PRF) has been recently used by several investigators and has shown application in diverse disciplines of dentistry. This paper is intended to add light on the various prospects of PRF and clinical insights to regenerative endodontic therapy.
Blood Platelets*
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Dentistry
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Fibrin*
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Humans
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Molecular Biology
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Research Personnel
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Stomatognathic Diseases
2.Chronicles of blood morphology associated with steroid use
Kavita GAUR ; Vandana PURI ; Shailaja SHUKLA ; Sunita SHARMA
Blood Research 2019;54(3):162-162
No abstract available.
3.Role of repeat procalcitonin estimation at 48 hours for outcome in pregnancy associated sepsis: a prospective observational study
Rachna AGARWAL ; Kavita SHARMA ; Mohit MEHNDIRATTA ; Medha MOHTA ; Himsweta SRIVASTAVA ; Almeida Edelbert ANTHONIO
Obstetrics & Gynecology Science 2021;64(1):27-33
Objectives:
We assessed whether repeat procalcitonin (PCT) estimation has a role in detecting organ dysfunctions and mortality in pregnancy associated sepsis (PAS).
Methods:
The study included 85 pregnant, post-abortal, and postpartum women with PAS, diagnosed using the quick Sequential Organ Failure Assessment criteria. Median interquartile range PCT levels were documented at admission and 48 hours later. Statistical comparisons were performed between the groups with non-severe and severe (≥1 organ failure) PAS, and between the survivor and mortality groups. The relationship between PCT and the number of organ failures was also assessed.
Results:
Most of the subjects with PAS were young and in the postpartum period (mean age 26 years; postpartum 55%). Sixteen (19%) patients died due to PAS. Sixty-two patients (74%) had severe PAS at presentation. Bacteria were isolated on culture in 64% of the subjects. PCT levels at admission were higher in patients with severe PAS than in those who did not have severe PAS. At 48 hours, this difference was significant (P=0.014; severe PAS 2.23 ng/mL vs. non-severe PAS 0.20 ng/mL). Furthermore, the number of organ failures increased at 48 hours. The PCT levels were significantly higher in the mortality group than in the survivors’ group at admission (8.31 ng/mL vs. 1.72 ng/mL), and the difference increased further at 48 hours (9.54 ng/mL vs. 1.37 ng/mL).
Conclusion
Repeat PCT estimation at 48 hours could complement the clinical findings and enhance the prognostic value for PAS.
4.Evaluation of commercial probiotic lactic cultures against biofilm formation by Cronobacter sakazakii
Anubhav JAMWAL ; Kavita SHARMA ; Rajni CHAUHAN ; Saurabh BANSAL ; Gunjan GOEL
Intestinal Research 2019;17(2):192-201
BACKGROUND/AIMS: Cronobacter sakazakii, an emergent pathogen is considered as a major concern to infants and neonates fed on reconstituted powdered infant milk formula. In conjunction with many other factors, biofilm forming capacity adds to its pathogenic potential. In view of the facts that infants are at highest risk to C. sakazakii infections, and emerging antibiotic resistance among pathogens, it is imperative to evaluate probiotic cultures for their efficacy against C. sakazakii. Therefore, pure probiotic strains were isolated from commercial probiotic products and tested for their antimicrobial and anti-biofilm activities against C. sakazakii. METHODS: A total of 6 probiotic strains were tested for their antibiotic susceptibility followed by antimicrobial activity using cell-free supernatant (CFS) against C. sakazakii. The inhibitory activity of CFS against biofilm formation by C. sakazakii was determined using standard crystal violet assay and microscopic observations. RESULTS: All the probiotic strains were sensitive to ampicillin, tetracycline, vancomycin and carbenicillin whereas most of the strains were resistant to erythromycin and novobiocin. Four of the 6 probiotic derived CFS possessed antimicrobial activity against C. sakazakii at a level of 40 μL. A higher biofilm inhibitory activity (>80%) was observed at initial stages of biofilm formation with weaker activity during longer incubation upto 48 hours (50%–60%). CONCLUSIONS: The study indicated the efficacy of isolated commercial probiotics strains as potential inhibitor of biofilm formation by C. sakazakii and could be further explored for novel bioactive molecules to limit the emerging infections of C. sakazakii.
Ampicillin
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Biofilms
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Carbenicillin
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Cronobacter sakazakii
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Cronobacter
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Drug Resistance, Microbial
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Erythromycin
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Gentian Violet
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Humans
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Infant
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Infant, Newborn
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Milk
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Novobiocin
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Probiotics
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Tetracycline
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Vancomycin