Simultaneous co-immobilization of enzyme and a redox mediatorin polypyrrole film for the fabrication of an amperometricphenol biosensor

Rajesh,S.S. Pandey,W. Takashima,K. Kaneto 한국물리학회 2005 Current Applied Physics Vol.5 No.2

A conducting polypyrrole lm has been prepared on indium tin oxide coated glass plate by electropolymerization of pyrrole in anaqueous solution of enzyme, tyrosinase (PPO), and a redox mediator potassium hexacyanoferrate (II). The enzyme retains its bio-activity well within the polymer lm. Phenol concentration in aqueous solution was quantitatively estimated by monitoring the elec-tron exchange occurring in redox mediator within the polymer matrix i.e. direct reduction of Fe (III) to Fe (II) ion at +0.12V vs. Ag/AgCl. The results of amperometric response measurements conducted on enzyme electrode (PPO/Fe2+/PPY/ITO) show a sensitivityof 0.33 AM. 1 cm. 2 and a linear response range of 4.5107.4l M for phenol in aqueous medium. The electrode exhibits a responsetime of about 80 second and is stable for 4 months at 4.C..

A new tyrosinase biosensor based on covalent immobilizationof enzyme on N-(3-aminopropyl) pyrrole polymer film

Rajesh,K.Kaneto 한국물리학회 2005 Current Applied Physics Vol.5 No.2

A conducting polymer film of N-amino substituted pyrrole monomer has been prepared for covalent immobilization of enzyme for biosensing applications, illustrated by tyrosinase (PPO).The tyrosinase enzyme retains its bioactivity when being immobilized on N-substituted pyrrole polymer film by covalent bonding.The enzyme electrode was characterized by UV.Vis and infrared spectroscopy.Phenolic compounds were quantitatively estimated by the direct electrochemical reduction of enzymatically liberated quinone species at 0.2 V vs. Ag/AgCl. The results of amperometric response measurements conducted on enzyme electrode show sensitivity of 57.6, 71.4 and 45.8 mAM1cm2 and a linear response range of 1.8.170.2, 1.3.110.1 and 2.1.168 lM for phenol, catechol and p-cresol, respectively. The biosensor exhibits a lowest detection limit of 0.9, 0.7 and 1.1 lM, for phenol, catechol and p-cresol, respectively and a period of stable sensitivity of 3 months at 4.5 C.

A novel hybrid technique to treat flush mesenteric arterial occlusion in acute-on-chronic mesenteric ischemia

Rajesh Girdhardas Mundhada,Atul Dharmaraj Rewatkar,Aishwarya Atul Rewatkar,Anju Rajesh Mundhada,Nikita Navin Chandak 소화기인터벤션의학회 2023 International journal of gastrointestinal interven Vol.12 No.1

Acute mesenteric occlusion is a life-threatening condition with a significant mortality rate and requires prompt diagnosis and revascularization using open repair, a hybrid procedure, or endovascular intervention. The open approach is associated with significant morbidity and mortality, while endovascular procedures are done by the antegrade or retrograde open mesenteric stent technique and have been observed to improve the prognosis and outcomes of mesenteric ischemia. We report three cases of acute-on-chronic mesenteric ischemia secondary to occlusion with failed percutaneous mesenteric artery stenting. They were successfully treated using a novel hybrid technique, without the need for mesenteric arteriotomy or subsequent arterial repair.

Effect of Preoperative Vitamin D Levels on Functional Performance after Total Knee Arthroplasty

Rajesh Navin Maniar,Aniket Machindra Patil,Adit Rajesh Maniar,Bharat Gangaraju,Jaivardhan Singh 대한정형외과학회 2016 Clinics in Orthopedic Surgery Vol.8 No.2

Background: Low vitamin D levels affects muscle function. Vitamin D and calcium deficiency cause osteomalacic myopathy and poor functional recovery after hip fractures. The relationship of vitamin D and functional performance after total knee arthroplasty (TKA) is not previously reported. Methods: Influence of vitamin D on functional performance before and after TKA was reviewed retrospectively in 120 patients. Of these, 64 had vitamin D deficiency (25-hydroxy vitamin D < 30 ng/mL) preoperatively. All 120 patients received vitamin D oral supplementation postoperatively. Functional parameters including Western Ontario and McMaster Osteoarthritis Index (WOMAC), Short-Form Health Survey questionnaire, and Knee Society Score were assessed pre- and postoperatively at 3 months. Results: Preoperative function was significantly lower in osteoarthritic patients with vitamin D deficiency (WOMAC score; p = 0.040), but at 3 months all functional scores were similar. Conclusions: We concluded that vitamin D deficiency has a negative effect on function in knee osteoarthritic patients. However, postoperative vitamin D supplementation can lead to functional recovery in these patients. Thus, TKA should not be delayed in vitamin D deficient patients; rather supplementation in the postoperative period is preferable to achieve comparable functional outcome at 3 months to patients with vitamin D sufficiency.

Ratio-Cum-Product Estimators of Population Mean Using Known Population Parameters of Auxiliary Variates

Tailor, Rajesh,Parmar, Rajesh,Kim, Jong-Min,Tailor, Ritesh The Korean Statistical Society 2011 Communications for statistical applications and me Vol.18 No.2

This paper suggests two ratio-cum-product estimators of finite population mean using known coefficient of variation and co-efficient of kurtosis of auxiliary characters. The bias and mean squared error of the proposed estimators with large sample approximation are derived. It has been shown that the estimators suggested by Upadhyaya and Singh (1999) are particular case of the suggested estimators. Almost ratio-cum product estimators of suggested estimators have also been obtained using Jackknife technique given by Quenouille (1956). An empirical study is also carried out to demonstrate the performance of the suggested estimators.

An Adaptive Cloud Service Observation using Billboard Manager Cloud Monitoring Tool

Rajesh Bose,Sudipta Sahana,Debabrata Sarddar 보안공학연구지원센터 2015 International Journal of Software Engineering and Vol.9 No.7

Tracking of Quality of Service (QoS) parameters in real-time within a cloud computing system is a major challenge as it involves monitoring each every resource parameter. Such resources may constitute virtual machines, storage devices, network equipment, allied appliances, etc. Examination of physical resources being used to host the virtualized systems is often required on a continuous basis. This is important as virtualized systems also share physical resources among themselves. To monitor resources and services, we introduce a new monitoring tool named Billboard Manager Cloud Monitoring Tool (BMCMT) running on our proposed Billboard Manager system. Through this system, a cloud system administrator is apprised of the status of virtual machines that are running within the cloud system. The Billboard Manager keeps a continuous watch on all the parameters of every virtual machine and physical resource registered with it. At preset intervals, the proposed BMCMT would automatically send reports to the administrators. Every cloud system administrator is provided web login user identification. Should an administrator find it necessary to carry out any activity pertaining to any resource, using the constantly Billboard Manager refreshed hyperlinks on the web page the administrator can access the appropriate management console for further action.

Navigated Unicompartmental Knee Arthroplasty: A Different Perspective

Rajesh Malhotra,Saurabh Gupta,Vivek Gupta,Vikrant Manhas 대한정형외과학회 2021 Clinics in Orthopedic Surgery Vol.13 No.4

Background: Anteromedial osteoarthritis is a recognized indication for unicompartmental knee arthroplasty (UKA). Favorable postoperative outcomes largely depend on proper patient selection, correct implant positioning, and limb alignment. Computer navigation has a proven value over conventional systems in reducing mechanical errors in total knee arthroplasty (TKA). However, the lack of strong evidence impedes the universal use of computer navigation technology in UKA. Therefore, this study was proposed to investigate the accuracy of component positioning and limb alignment in computer navigated UKA and to observe the role of navigation in proper patient selection. Methods: A total of 50 knees (38 patients) underwent computer navigated UKA between 2016 and 2018. All operations were performed by the senior surgeon using the same navigation system and implant type. The navigation system was used as a tool to aid patient selection: knees with preoperative residual varus > 5° on valgus stress and hyperextension > 10° were switched to navigated TKA. We measured the accuracy of component placement in sagittal and coronal planes on postoperative radiographs. Functional outcomes were also evaluated at the final follow-up (a minimum of 16 months). Results: Nine patients had tibia vara and 14 patients had preoperative hyperextension deformity. We observed coronal outliers for the tibial component in 12% knees and for the femoral component in 10% knees. We also observed sagittal outliers for the tibial component in 14% knees and for the femoral component in 6% knees. There was a significant improvement in the functional score at the final follow-up. On multiple linear regression, no difference was found in functional scores of knees with or without tibia vara (p = 0.16) and with or without hyperextension (p = 0.25). Conclusions: Our study further validates the role of computer navigation in desirable implant positioning and limb alignment. We encourage use of computer-assisted navigation as a tool for patient selection, as it allows intraoperative dynamic goniometry and provides real-time kinematic behavior of the knee to obviate pitfalls such as significant residual varus angulation and hyperextension that predispose early failure of UKA.

Role of Suction Drain after Knee Arthroplasty in the Tranexamic Acid Era: A Randomized Controlled Study

Rajesh Navin Maniar,Prashant Pradhan,Nishit Bhatnagar,Adit Maniar,Rohan Bidwai,Pranav Bindal 대한정형외과학회 2019 Clinics in Orthopedic Surgery Vol.11 No.1

Background: Postoperative suction drains are used after total knee arthroplasty to avoid intra-articular hematoma formation although they can increase blood loss due to a negative suction effect. The use of tranexamic acid to reduce blood loss may nullify this. The aim of this study was to compare outcomes in patients undergoing total knee arthroplasty with or without drains and to analyze whether the drain’s diameter also has an impact. Methods: This is a prospective randomized study of patients undergoing unilateral total knee arthroplasty performed by a single surgeon. The study population was divided into three groups (A, 10G drain; B, 12G drain; and C, no drain). Pain, blood loss, swelling, wound-related complications, functional outcomes and questionnaire-based outcomes were assessed postoperatively. Results: Each group had 35 patients comparable in most demographic and pre- and intraoperative characteristics. During the first 6 hours postoperatively, opioid consumption was significantly higher when the drain was not used (p = 0.036). At 3 months postoperatively, new Knee Society Score (NKSS) was highest with the use of 12G drain (p = 0.018). However, NKSS at 1 year was comparable across the three groups. With the use of tranexamic acid, blood loss and incidence of soakage of dressing were unaffected by the presence or absence of a drain. The calf girth, suprapatellar girth, soakage of dressing and range of motion were comparable in all three groups. There was no incidence of surgical site infection or deep vein thrombosis. Conclusions: Presence of a suction drain significantly reduces opioid consumption during the first 6 hours after total knee arthroplasty. Use of a drain made no difference to the functional outcome at 1 year postoperatively. With the use of tranexamic acid in total knee arthroplasty, the total blood loss and the requirement of blood transfusion were unaffected by the presence or absence of closed suction drainage or by the bore of the drain used. The clinical parameters such as swelling, range of motion, infection and deep vein thrombosis also remained the same.

WHO Class of Obesity Influences Functional Recovery Post-TKA

Rajesh N Maniar,Parul R Maniar,Tushar Singhi,Bharat Kumar Gangaraju 대한정형외과학회 2018 Clinics in Orthopedic Surgery Vol.10 No.1

Background: No study in the literature has compared early functional recovery following total knee arthroplasty (TKA) in the obese with the nonobese using World Health Organization (WHO) classes of obesity. Our aim was to compare functional scores and flexion post-TKA in each class of obesity as per WHO classification against a matched control group of nonobese patients. Methods: Records of 885 consecutive primary TKA patients (919 knees) operated by a single surgeon were reviewed. The first 35 knees in each class I, class II and class III obesity group during the study period were then matched with a similar number of knees in nonobese TKA patients during the same period. Functional scores recorded pre- and postoperatively at 3 months and 1 year were Western Ontario and McMaster Osteoarthritis Index (WOMAC), Short-Form Health Survey (SF-12) score, and Knee Society Score (KSS). Results: There was no difference in any parameter between the class I obese and matched nonobese at any assessment point. In the class II obese, as compared to the nonobese, there was no difference in any parameter preoperatively and 3 months postoperatively. However, 1 year postoperatively, the SF-12 physical subscore was lower in the class II obese than the nonobese (44.7 vs. 48.6, p = 0.047) and the WOMAC score was significantly higher (15.8 vs. 9.7, p = 0.04). In the class III obese, the WOMAC score was significantly higher than the nonobese (58.1 vs. 44.3, p < 0.001 preoperatively; 15.7 vs. 8.1, p = 0.005 at 1 year) and KSS was significantly lower (83.5 vs. 96.5, p = 0.049 preoperatively; 172 vs. 185; p = 0.003 at 1 year). Knee flexion was significantly lower in the class III obese than the nonobese (95 vs. 113; p < 0.001 preoperatively; 120 vs. 127; p = 0.002 at 1 year). Conclusions: The class I obese can expect good early and late functional recovery as the nonobese. The class II obese can expect comparable early functional recovery as the nonobese but their late function may be lesser. The class III obese would have poorer functional scores and lesser knee flexion postoperatively compared to the nonobese. However, compared to their own preoperative status, there is definite improvement in function and knee flexion.

Comparison of Patellofemoral Outcomes between Attune and PFC Sigma Designs: A Prospective Matched-Pair Analysis

Rajesh Navin Maniar,Nishit Bhatnagar,Rohan Bidwai,Ankur Dhiman,Debashish Chanda,Nishant Sanghavi 대한정형외과학회 2022 Clinics in Orthopedic Surgery Vol.14 No.1

Background: Attune (DePuy Synthes) prosthesis was designed to overcome patellofemoral complications associated with PFC Sigma (DePuy Synthes) prosthesis. The aim of our study was to compare the incidence of anterior knee pain (AKP), patellofemoral crepitus (PCr), and functional outcome between them. Methods: This prospective matched-pair study was conducted between January 2014 and June 2015, during which 75 consecutive Attune total knee arthroplasties (TKAs) were matched with 75 PFC Sigma TKAs based on age, sex, body mass index, pathology, and deformity. A single surgeon performed all the operations with aid of computer navigation, using a posterior-stabilized prosthesis with patellar resurfacing. Outcome was assessed by new Knee Society Score (NKSS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score. AKP and PCr were assessed by a patient-administered questionnaire till 2 years of follow-up. Three pairs were lost to follow-up and finally 72 pairs were analyzed. Results: One patient in each group reported AKP and 1 patient from each group had PCr at 2 years postoperatively. None of these patients required additional surgery. The incidence of lateral retinacular release was higher with PFC Sigma (5/72) than Attune (2/72); however, this was statistically not significant (p = 0.4). The Attune group had a significantly greater range of motion (ROM) at 3 months postoperatively (p = 0.049). At final follow-up, ROM was comparable between two prosthesis designs. NKSS and WOMAC scores were also comparable between the groups. Conclusions: We observed that both Attune and PFC Sigma had a low and comparable incidence of AKP and PCr up to 2 years of follow-up. The Attune group achieved a significantly greater ROM at 3 months postoperatively. At 2 years of follow-up, both prostheses had excellent and comparable clinical and functional results.