Medical education has undergone significant changes all over the world and patient safety is one of the main reasons for the changes. The new competency-based medical curriculum in India also emphasises early clinical exposure along with the acquisition of competent and verifiable skills. The objective of this study was as follows: (1) to introduce the 1st year medical students to simulation-based learning (SBL) to develop their knowledge, skills, and communication and meet the desired learning objectives without exposing subjects to any harm and gain valuable immersive experience that felt real and (2) to obtain students feedback about SBL in learning applied aspects of physiology. The study was approved by the Institutional Ethical Committee. A total of 132 1st year medical students were divided into six batches and each batch was exposed to a pre-test, simulation exercise, a debriefing session, post-test, and feedback. Descriptive analysis of the data was done and values were expressed as mean and standard deviation. The McNemar test was used to study the effectiveness of SBL. The average pre-test and post-test correct responses were 64.6% and 77.5%, respectively. This difference was found to be highly significant with P < 0.001. The mean pre-test score and post-test scores were 6.46 ± 1.39 and 7.75 ± 1.52, respectively, with P < 0.001. P < 0.05 was considered statistically significant. Positive feedback was received from the students with 86.8% of them strongly agreeing to the incorporation of simulation-based activities in the curriculum. About 76.7% strongly agreed to a self-perceived increase in their decision-making, communication, and teamwork skills. Perception of the simulation as a realistic experience was perceived by 74.4% of the students. SBL is an effective tool for learning applied physiology and was viewed by the students with interest. It also enhanced their understanding of the pathophysiological basis of the clinical scenario.
{"title":"Use of high-fidelity simulator for teaching cardiovascular physiology principles to the 1st year undergraduate medical students","authors":"P. Suvarna, Anahita R. Shenoy Basti","doi":"10.25259/ijpp_98_2022","DOIUrl":"https://doi.org/10.25259/ijpp_98_2022","url":null,"abstract":"\u0000\u0000Medical education has undergone significant changes all over the world and patient safety is one of the main reasons for the changes. The new competency-based medical curriculum in India also emphasises early clinical exposure along with the acquisition of competent and verifiable skills. The objective of this study was as follows: (1) to introduce the 1st year medical students to simulation-based learning (SBL) to develop their knowledge, skills, and communication and meet the desired learning objectives without exposing subjects to any harm and gain valuable immersive experience that felt real and (2) to obtain students feedback about SBL in learning applied aspects of physiology.\u0000\u0000\u0000\u0000The study was approved by the Institutional Ethical Committee. A total of 132 1st year medical students were divided into six batches and each batch was exposed to a pre-test, simulation exercise, a debriefing session, post-test, and feedback. Descriptive analysis of the data was done and values were expressed as mean and standard deviation. The McNemar test was used to study the effectiveness of SBL.\u0000\u0000\u0000\u0000The average pre-test and post-test correct responses were 64.6% and 77.5%, respectively. This difference was found to be highly significant with P < 0.001. The mean pre-test score and post-test scores were 6.46 ± 1.39 and 7.75 ± 1.52, respectively, with P < 0.001. P < 0.05 was considered statistically significant. Positive feedback was received from the students with 86.8% of them strongly agreeing to the incorporation of simulation-based activities in the curriculum. About 76.7% strongly agreed to a self-perceived increase in their decision-making, communication, and teamwork skills. Perception of the simulation as a realistic experience was perceived by 74.4% of the students.\u0000\u0000\u0000\u0000SBL is an effective tool for learning applied physiology and was viewed by the students with interest. It also enhanced their understanding of the pathophysiological basis of the clinical scenario.\u0000","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41514108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Kalahasthi, V. Adepu, R. Balachandar, Raju Nagaraju
Non-high density lipoprotein-cholesterol (non-HDL-C) fraction is the total cholesterol (TC) minus HDL-C. It is not a routinely reported component of lipid profile and is used in lipoprotein lowering therapy and prediction of coronary artery disease, target organ damage and atherosclerosis. Allostatic load (AL) is an imbalance between repetitive chronic exposure to stress and adaptive response. The present study investigates the association between non-HDL-C and its fractions (non-HDL-C/HDL-C, non-HDL-C/TC, non-HDL-C/ triglyceride [TG] and non-HDL-C/low-density lipoprotein-cholesterol [LDL-C]) and the presence of AL to determine, which fractions of non-HDL-C predict the diagnostic accuracy and optimal cut points. The study design is cross-sectional and data were collected from 169 male industrial workers. AL was measured using neuroendocrine (cortisol and dehydroepiandrosterone sulphate), cardiovascular (systolic blood pressure, diastolic blood pressure and heart rate), metabolic (TC, TG, HDL-C and LDL-C) and anthropometric (waist-hip ratio and body mass index) factors. The fractions of non-HDL-C/HDL-C, nonHDL-C/TC, non-HDL-C/TG and non-HDL-C/LDL-C were calculated using non-HDL-C, HDL-C, TC, TG and LDL-C values. About 43.2% and 56.8% of workers had low and high AL, respectively. The non-HDL-C and its fractions such as non-HDL-C/HDL-C, non-HDL-C/TC and non-HDL-C/LDL-C were significantly increased in the high AL group. Stepwise regression analysis was used to examine the association between non-HDL-C fractions and AL. The fractions of non-HDL-C (b = 0.785, P = 0.001), non-HDL-C/TC (b = −0.336, P = 0.001) and nonHDL-C/LDL-C (b = 0.295, P = 0.001) influenced AL by 38.6%. The AUC with 95% CI in the high AL group was as follows: non-HDL-C 0.766 (0.696–0.837, P = 0.001); non-HDL-C/HDL-C 0.638 (0.555–0.721, P = 0.002); nonHDL-C/TC 0.635 (0.552–0.712, P = 0.003) and non-HDL-C/LDL-C 0.520 (0.433–0.607, P = 0.657). Non-HDL-C and its fractions were more precisely predicted in the high AL category of workers than in the low AL category. Non-HDL-C predicted the most precisely, followed by non-HDL-C/HDL-C, non-HDL-C/TC, non-HDL-C/ LDL-C and non-HDL-C/TG. According to the present study, non-HDL-C and its fractions such as non-HDL-C/HDL-C, nonHDL-C/TC and non-HDL-C/LDL-C should be considered regular lipid profiles and could be used as biomarkers to reduce the risk of AL.
{"title":"Association between non-high density lipoprotein-cholesterol fractions and presence of allostatic load among industrial workers","authors":"R. Kalahasthi, V. Adepu, R. Balachandar, Raju Nagaraju","doi":"10.25259/ijpp_164_2022","DOIUrl":"https://doi.org/10.25259/ijpp_164_2022","url":null,"abstract":"\u0000\u0000Non-high density lipoprotein-cholesterol (non-HDL-C) fraction is the total cholesterol (TC) minus HDL-C. It is not a routinely reported component of lipid profile and is used in lipoprotein lowering therapy and prediction of coronary artery disease, target organ damage and atherosclerosis. Allostatic load (AL) is an imbalance between repetitive chronic exposure to stress and adaptive response. The present study investigates the association between non-HDL-C and its fractions (non-HDL-C/HDL-C, non-HDL-C/TC, non-HDL-C/ triglyceride [TG] and non-HDL-C/low-density lipoprotein-cholesterol [LDL-C]) and the presence of AL to determine, which fractions of non-HDL-C predict the diagnostic accuracy and optimal cut points.\u0000\u0000\u0000\u0000The study design is cross-sectional and data were collected from 169 male industrial workers. AL was measured using neuroendocrine (cortisol and dehydroepiandrosterone sulphate), cardiovascular (systolic blood pressure, diastolic blood pressure and heart rate), metabolic (TC, TG, HDL-C and LDL-C) and anthropometric (waist-hip ratio and body mass index) factors. The fractions of non-HDL-C/HDL-C, nonHDL-C/TC, non-HDL-C/TG and non-HDL-C/LDL-C were calculated using non-HDL-C, HDL-C, TC, TG and LDL-C values.\u0000\u0000\u0000\u0000About 43.2% and 56.8% of workers had low and high AL, respectively. The non-HDL-C and its fractions such as non-HDL-C/HDL-C, non-HDL-C/TC and non-HDL-C/LDL-C were significantly increased in the high AL group. Stepwise regression analysis was used to examine the association between non-HDL-C fractions and AL. The fractions of non-HDL-C (b = 0.785, P = 0.001), non-HDL-C/TC (b = −0.336, P = 0.001) and nonHDL-C/LDL-C (b = 0.295, P = 0.001) influenced AL by 38.6%. The AUC with 95% CI in the high AL group was as follows: non-HDL-C 0.766 (0.696–0.837, P = 0.001); non-HDL-C/HDL-C 0.638 (0.555–0.721, P = 0.002); nonHDL-C/TC 0.635 (0.552–0.712, P = 0.003) and non-HDL-C/LDL-C 0.520 (0.433–0.607, P = 0.657). Non-HDL-C and its fractions were more precisely predicted in the high AL category of workers than in the low AL category. Non-HDL-C predicted the most precisely, followed by non-HDL-C/HDL-C, non-HDL-C/TC, non-HDL-C/ LDL-C and non-HDL-C/TG.\u0000\u0000\u0000\u0000According to the present study, non-HDL-C and its fractions such as non-HDL-C/HDL-C, nonHDL-C/TC and non-HDL-C/LDL-C should be considered regular lipid profiles and could be used as biomarkers to reduce the risk of AL.\u0000","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46191211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leptadenia hastata (Pers) Decne (Apocynaceae) is a common medicinal plant used in northern Nigeria either singly or together with conventional drugs to treat diabetes. This study investigated the influence of concurrent administration of the methanol leaf extract of L. hastata with metformin in streptozotocin/ nicotinamide-induced diabetic rats. Possible synergistic activity between the extract and metformin was assessed using 3 models of synergy analysis (Loewe additivity, Bliss independent and highest single agent [HSA] models). Eleven groups of Wistar rats (eight animals per group) consisting of ten groups of diabetic rats and one normal control group were used in this study. Six groups were administered with either the extract or metformin at three different doses each (50, 150 and 500 mg/kg for the extract and 30, 100 and 300 mg/kg for metformin), while another three groups were co-administered with the extract and metformin at three different ratios each (50 mg/kg: 30 mg/ kg, 150 mg/kg: 100 mg/kg and 500 mg/kg: 300 mg/kg). An oral glucose tolerance test (OGTT) was conducted at baseline and on day 14. The results revealed that the extract-metformin combination brought about a synergistic reduction in the total area under the OGTT curve (based on Loewe and HSA models) as well as a synergistic reduction in blood glucose (based on Loewe, Bliss and HSA models). The methanol leaf extract of L. hastata produced a synergistic antidiabetic activity in streptozotocin/ nicotinamide-induced diabetic rats when combined with metformin.
{"title":"Influence of concurrent administration of the methanol leaf extract of Leptadenia hastata (Pers) decne (Apocynaceae) with metformin on blood glucose in diabetic rats","authors":"O. Aluefua, A. Chika, Aminu Ishaka, K. Abubakar","doi":"10.25259/ijpp_333_2022","DOIUrl":"https://doi.org/10.25259/ijpp_333_2022","url":null,"abstract":"\u0000\u0000Leptadenia hastata (Pers) Decne (Apocynaceae) is a common medicinal plant used in northern Nigeria either singly or together with conventional drugs to treat diabetes. This study investigated the influence of concurrent administration of the methanol leaf extract of L. hastata with metformin in streptozotocin/ nicotinamide-induced diabetic rats.\u0000\u0000\u0000\u0000Possible synergistic activity between the extract and metformin was assessed using 3 models of synergy analysis (Loewe additivity, Bliss independent and highest single agent [HSA] models). Eleven groups of Wistar rats (eight animals per group) consisting of ten groups of diabetic rats and one normal control group were used in this study. Six groups were administered with either the extract or metformin at three different doses each (50, 150 and 500 mg/kg for the extract and 30, 100 and 300 mg/kg for metformin), while another three groups were co-administered with the extract and metformin at three different ratios each (50 mg/kg: 30 mg/ kg, 150 mg/kg: 100 mg/kg and 500 mg/kg: 300 mg/kg). An oral glucose tolerance test (OGTT) was conducted at baseline and on day 14.\u0000\u0000\u0000\u0000The results revealed that the extract-metformin combination brought about a synergistic reduction in the total area under the OGTT curve (based on Loewe and HSA models) as well as a synergistic reduction in blood glucose (based on Loewe, Bliss and HSA models).\u0000\u0000\u0000\u0000The methanol leaf extract of L. hastata produced a synergistic antidiabetic activity in streptozotocin/ nicotinamide-induced diabetic rats when combined with metformin.\u0000","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42472515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oxygen sensing","authors":"N. Prabhakar","doi":"10.25259/ijpp_540_2022","DOIUrl":"https://doi.org/10.25259/ijpp_540_2022","url":null,"abstract":"","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43003204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As neuropathy predominates vasculopathy, predicting functional deterioration of autonomic neurovascular dysfunction is essential to reduce diabetic foot ulcers. The present study has evaluated the possibility of stimulating the TRPV1 receptors of the small fibres using topical capsaicin to assess diabetic neuropathy in the dorsum of the foot functionally. A prospective cross-sectional study was carried out on ten healthy volunteers and 20 diabetic patients after receiving ethical approval. The subjects underwent vascular Doppler analysis after giving written agreement followed by monofilament testing. Then, topical capsaicin was applied to measure the local autonomic neurovascular reaction. With the use of an infrared-based digital instrument that was specially created, the vasodilation and proportional increase in temperature brought on by the application of capsaicin were quantified. The percentage change in the local temperature in the control group varied from 0.478 to 3.315 compared to the diabetic group, which varied from 1.862 to −3.932. There is a statistically significant difference in the mean of the two groups (P = 0.006) at a 95% confidence interval. This study suggests that TRPV1 receptor stimulation using capsaicin and resultant vasodilation monitored by the increase in local temperature can be used as a quantitative predictor of the early small fibre neuropathy in Distal Symmetric Polyneuropathy before the patient ends up with diabetic foot ulcer.
{"title":"Transient receptor potential vanilloid 1 (TRPV1) receptor stimulation by topical capsaicin for the functional assessment of diabetic neuropathy leading to diabetic foot disease","authors":"Velpandian Deepshidha, V. Agrawal","doi":"10.25259/ijpp_468_2022","DOIUrl":"https://doi.org/10.25259/ijpp_468_2022","url":null,"abstract":"\u0000\u0000As neuropathy predominates vasculopathy, predicting functional deterioration of autonomic neurovascular dysfunction is essential to reduce diabetic foot ulcers. The present study has evaluated the possibility of stimulating the TRPV1 receptors of the small fibres using topical capsaicin to assess diabetic neuropathy in the dorsum of the foot functionally.\u0000\u0000\u0000\u0000A prospective cross-sectional study was carried out on ten healthy volunteers and 20 diabetic patients after receiving ethical approval. The subjects underwent vascular Doppler analysis after giving written agreement followed by monofilament testing. Then, topical capsaicin was applied to measure the local autonomic neurovascular reaction. With the use of an infrared-based digital instrument that was specially created, the vasodilation and proportional increase in temperature brought on by the application of capsaicin were quantified.\u0000\u0000\u0000\u0000The percentage change in the local temperature in the control group varied from 0.478 to 3.315 compared to the diabetic group, which varied from 1.862 to −3.932. There is a statistically significant difference in the mean of the two groups (P = 0.006) at a 95% confidence interval.\u0000\u0000\u0000\u0000This study suggests that TRPV1 receptor stimulation using capsaicin and resultant vasodilation monitored by the increase in local temperature can be used as a quantitative predictor of the early small fibre neuropathy in Distal Symmetric Polyneuropathy before the patient ends up with diabetic foot ulcer.\u0000","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45100181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neetika Verma, A. Gupta, S. Garg, Vishal Arya, Shikha Dogra, Monika Dhankar
The objectives of this study were to evaluate and compare the success rate of local application of iodoform-based obturating material (Pulpotec – [Produits Dentaires S.A., Switzerland]) and clindamycin-modified triple antibiotic paste (ClinM-TAP) in pulp chamber using minimally invasive endodontic treatment of carious primary molars indicated for pulpectomy, for 12 months, using clinical and radiographic parameters. A randomised clinical trial was conducted in 60 children in the age group of 3–8 years reporting carious primary molars with symptoms of irreversible pulpitis and pulpal involvement clinically, allocated into Group 1 (30) and Group 2 (30). In Group 1, Lesion sterilisation and tissue repair (LSTR) was done using Pulpotec (Produits Dentaires S.A., Switzerland) as medicament and in Group 2, ClinM-TAP (Clindamycin-modified triple antibiotic paste) was used as medicament. Clinical follow-up was done at 3, 6 and 12 months; radiographic follow-up was done at 6 and 12 months. Clinical parameters compared were tenderness on percussion, spontaneous pain, intraoral swelling and sinus/fistula. Radiographic comparison was done based on furcation radiolucency, root resorption and bone regeneration. Both intergroup and intragroup statistical analysis was done using Chi-square test or Fisher exact test, Cochran’s Q Test and Mann–Whitney U-Test for the test of significance. All the statistical tests were performed at 5% significance level. The mean age of patients in the study was 5.25 ± 1.3years with 45% males and 55% females. Both groups showed significant improvement in terms of clinical symptoms from baseline to 12 months. On intergroup comparison clinical parameters, TOP was present in 11.2% and 44% of cases at the end of 12 months in Groups 1 and 2, respectively (P < 0 0.05). On intergroup comparison of radiographic parameters, at the end of 12 months, furcation radiolucency was seen in 32% and 73% (P < 0.05) and root resorption was seen in 16% and 30% cases in Group 1 and 2, respectively (P > 0.05). Overall clinical success rate of Group 1 and Group 2 was 88% and 50%, respectively (P < 0.05) and radiographic success rate was 60% and 27%, respectively (P < 0.05). LSTR using Pulpotec as a medicament has shown promising results in the present study. It could be a better alternative to conventional endodontic treatment in primary teeth. In the present study, ClinM-TAP has shown poor radiographic success; hence, it should be used with caution.
{"title":"Is clindamycin-modified triple antibiotic paste better than iodoform-based medicament for the treatment of non-vital primary molars using LSTR technique – A randomised clinical trial","authors":"Neetika Verma, A. Gupta, S. Garg, Vishal Arya, Shikha Dogra, Monika Dhankar","doi":"10.25259/ijpp_137_2022","DOIUrl":"https://doi.org/10.25259/ijpp_137_2022","url":null,"abstract":"\u0000\u0000The objectives of this study were to evaluate and compare the success rate of local application of iodoform-based obturating material (Pulpotec – [Produits Dentaires S.A., Switzerland]) and clindamycin-modified triple antibiotic paste (ClinM-TAP) in pulp chamber using minimally invasive endodontic treatment of carious primary molars indicated for pulpectomy, for 12 months, using clinical and radiographic parameters.\u0000\u0000\u0000\u0000A randomised clinical trial was conducted in 60 children in the age group of 3–8 years reporting carious primary molars with symptoms of irreversible pulpitis and pulpal involvement clinically, allocated into Group 1 (30) and Group 2 (30). In Group 1, Lesion sterilisation and tissue repair (LSTR) was done using Pulpotec (Produits Dentaires S.A., Switzerland) as medicament and in Group 2, ClinM-TAP (Clindamycin-modified triple antibiotic paste) was used as medicament. Clinical follow-up was done at 3, 6 and 12 months; radiographic follow-up was done at 6 and 12 months. Clinical parameters compared were tenderness on percussion, spontaneous pain, intraoral swelling and sinus/fistula. Radiographic comparison was done based on furcation radiolucency, root resorption and bone regeneration. Both intergroup and intragroup statistical analysis was done using Chi-square test or Fisher exact test, Cochran’s Q Test and Mann–Whitney U-Test for the test of significance. All the statistical tests were performed at 5% significance level.\u0000\u0000\u0000\u0000The mean age of patients in the study was 5.25 ± 1.3years with 45% males and 55% females. Both groups showed significant improvement in terms of clinical symptoms from baseline to 12 months. On intergroup comparison clinical parameters, TOP was present in 11.2% and 44% of cases at the end of 12 months in Groups 1 and 2, respectively (P < 0 0.05). On intergroup comparison of radiographic parameters, at the end of 12 months, furcation radiolucency was seen in 32% and 73% (P < 0.05) and root resorption was seen in 16% and 30% cases in Group 1 and 2, respectively (P > 0.05). Overall clinical success rate of Group 1 and Group 2 was 88% and 50%, respectively (P < 0.05) and radiographic success rate was 60% and 27%, respectively (P < 0.05).\u0000\u0000\u0000\u0000LSTR using Pulpotec as a medicament has shown promising results in the present study. It could be a better alternative to conventional endodontic treatment in primary teeth. In the present study, ClinM-TAP has shown poor radiographic success; hence, it should be used with caution.\u0000","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46096009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Mohan, Pooja Malode, Divya Pekhale, Harshal Patodkar
We investigated the effects of methanolic extract of Nyctanthes arbor-tristis (MNAT) 100, 200 and 400 mg/kg/day post-operative for 6 weeks on ECG, basal mean arterial blood pressure (MABP), heart rate, respiratory rate, vascular reactivity, antioxidant activities of enzyme superoxide dismutase (SOD) and catalase (CAT), levels of thiobarbituric acid reactive substances (TBARS), serum levels of leptin, adiponectin, glucose, triglycerides, cholesterol, uric acid, insulin, sodium and potassium in fructose-fed rats. A high-fructose-diet (fructose 10%, w/v) ad libitum for 6 weeks was used to induce hypertension in male Wistar rats (150–200 g). Sixty albino Wistar rats were randomly divided into a group of six, each group containing 10 animals. Group I was considered as normal control which received chow pellets and normal drinking water ad libitum for 6 weeks. Group II received fructose (10%) solution instead of normal drinking water for 6 weeks. Group III received fructose (10%) solution instead of drinking water ad libitum and MNAT at a dose of 100 mg/kg post-operative for 6 weeks. Group IV received fructose (10%) solution instead of drinking water ad libitum and MNAT at a dose of 200 mg/kg post-operative for 6 weeks. Group V received fructose (10%) solution instead of drinking water ad libitum and MNAT at a dose of 400 mg/kg post-operative for 6 weeks. Group VI received fructose (10%) solution instead of drinking water ad libitum and enalapril at a dose of 10 mg/kg post-operative for 6 weeks. Physiological parameters, ECG, heart rate, respiratory rate and blood pressure vascular reactivity to various drugs were measured and recorded by the invasive method. The antioxidant activities of enzyme SOD and CAT, levels of TBARS, along with serum levels of leptin, adiponectin, glucose, triglycerides, cholesterol, uric acid, insulin, sodium and potassium were measured. Cumulative concentration-response curve (CCRC) of Ang II and acetylcholine (Ach) was recorded. MNAT treatment decreased MABP and altered vascular reactivity to various catecholamines. The activities of SOD and CAT enzymes exhibited a considerable increase and the levels of TBARS in the liver were reduced by MNAT treatment. MNAT has shown decrease in the plasma level of triglycerides, cholesterol, insulin and sodium while increase in plasma adiponectin and potassium levels. The CCRC of Ang II was shifted towards the right by MNAT treatment using an isolated strip of rat ascending colon. MNAT treatment increased the contractile characteristics of the rat ascending colon in the CCRC of ACh as compared to the fructose-treated group. MNAT treatment reduced fructose-induced tissue damage due to the consequence of metabolic syndrome (MetS). MNAT is rich in flavonoids and, therefore, has powerful antioxidant properties. The findings show that by battling oxidative stress caused by fructose (10%) and reducing Ang II activity, MNAT may be able to prevent the development of high blood pressure ca
{"title":"Effect of Nyctanthes arbor-tristis on cardiovascular parameters and metabolic syndrome in fructose-induced hypertensive rats","authors":"M. Mohan, Pooja Malode, Divya Pekhale, Harshal Patodkar","doi":"10.25259/ijpp_147_2022","DOIUrl":"https://doi.org/10.25259/ijpp_147_2022","url":null,"abstract":"\u0000\u0000We investigated the effects of methanolic extract of Nyctanthes arbor-tristis (MNAT) 100, 200 and 400 mg/kg/day post-operative for 6 weeks on ECG, basal mean arterial blood pressure (MABP), heart rate, respiratory rate, vascular reactivity, antioxidant activities of enzyme superoxide dismutase (SOD) and catalase (CAT), levels of thiobarbituric acid reactive substances (TBARS), serum levels of leptin, adiponectin, glucose, triglycerides, cholesterol, uric acid, insulin, sodium and potassium in fructose-fed rats.\u0000\u0000\u0000\u0000A high-fructose-diet (fructose 10%, w/v) ad libitum for 6 weeks was used to induce hypertension in male Wistar rats (150–200 g). Sixty albino Wistar rats were randomly divided into a group of six, each group containing 10 animals. Group I was considered as normal control which received chow pellets and normal drinking water ad libitum for 6 weeks. Group II received fructose (10%) solution instead of normal drinking water for 6 weeks. Group III received fructose (10%) solution instead of drinking water ad libitum and MNAT at a dose of 100 mg/kg post-operative for 6 weeks. Group IV received fructose (10%) solution instead of drinking water ad libitum and MNAT at a dose of 200 mg/kg post-operative for 6 weeks. Group V received fructose (10%) solution instead of drinking water ad libitum and MNAT at a dose of 400 mg/kg post-operative for 6 weeks. Group VI received fructose (10%) solution instead of drinking water ad libitum and enalapril at a dose of 10 mg/kg post-operative for 6 weeks. Physiological parameters, ECG, heart rate, respiratory rate and blood pressure vascular reactivity to various drugs were measured and recorded by the invasive method. The antioxidant activities of enzyme SOD and CAT, levels of TBARS, along with serum levels of leptin, adiponectin, glucose, triglycerides, cholesterol, uric acid, insulin, sodium and potassium were measured. Cumulative concentration-response curve (CCRC) of Ang II and acetylcholine (Ach) was recorded.\u0000\u0000\u0000\u0000MNAT treatment decreased MABP and altered vascular reactivity to various catecholamines. The activities of SOD and CAT enzymes exhibited a considerable increase and the levels of TBARS in the liver were reduced by MNAT treatment. MNAT has shown decrease in the plasma level of triglycerides, cholesterol, insulin and sodium while increase in plasma adiponectin and potassium levels. The CCRC of Ang II was shifted towards the right by MNAT treatment using an isolated strip of rat ascending colon. MNAT treatment increased the contractile characteristics of the rat ascending colon in the CCRC of ACh as compared to the fructose-treated group. MNAT treatment reduced fructose-induced tissue damage due to the consequence of metabolic syndrome (MetS). MNAT is rich in flavonoids and, therefore, has powerful antioxidant properties. The findings show that by battling oxidative stress caused by fructose (10%) and reducing Ang II activity, MNAT may be able to prevent the development of high blood pressure ca","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43682739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ferritin, adenosine deaminase and body mass index","authors":"R. Mungmunpuntipantip, V. Wiwanitkit","doi":"10.25259/ijpp_308_2021","DOIUrl":"https://doi.org/10.25259/ijpp_308_2021","url":null,"abstract":"","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41758304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gleb N. Zyuz`kov, L. Miroshnichenko, T. Polyakova, E. Simanina
Investigating novel therapies for alcoholic encephalopathy (AE) would be part of the implementation of the concept of targeted pharmacological control of intracellular signalisation in regeneration-competent cells. This study aimed to explore the involvement of JNK and p53 in the implementation of the functions of different types of regeneration-competent cells of nervous tissue in alcoholic neurodegeneration (AN). The studies were conducted on C57B1/6 mice. AN was modelled in vitro and in vivo. The effects of the JNK and p53 inhibitors on the realisation of neural stem cell (NSC) and neuronal-committed progenitor (NCP) functions (their colony-forming ability, proliferative activity and intensity of specialisation), as well as on the secretion of neurotrophins by astrocytes, oligodendrocytes and microglial cells were studied. Individual cell fractions were prepared using an immunomagnetic separation method. We showed that JNK and p53 stimulate the proliferation and specialisation of intact NSCs. An inversion of the role of these signalling molecules in the regulation of NSC proliferation in the conditions of modelling AN was revealed. It has been found that JNK and p53 are not involved in regulating the functions of NCP. The ambiguous role of JNK and p53 in the production of neurotrophic growth factors by different types of neuroglia cells was also found. Increased secretion of neurotrophins by oligodendrocytes and microglia during the blockade of JNK and p53 under conditions of exposure to ethanol cells was revealed. The results suggest the prospect of exploring the possibility of using JNK and/or p53 inhibitors as novel drugs to treat AE.
{"title":"Potential of using JNK and p53 as novel drug targets for the treatment of alcoholic encephalopathy","authors":"Gleb N. Zyuz`kov, L. Miroshnichenko, T. Polyakova, E. Simanina","doi":"10.25259/ijpp_163_2022","DOIUrl":"https://doi.org/10.25259/ijpp_163_2022","url":null,"abstract":"\u0000\u0000Investigating novel therapies for alcoholic encephalopathy (AE) would be part of the implementation of the concept of targeted pharmacological control of intracellular signalisation in regeneration-competent cells. This study aimed to explore the involvement of JNK and p53 in the implementation of the functions of different types of regeneration-competent cells of nervous tissue in alcoholic neurodegeneration (AN).\u0000\u0000\u0000\u0000The studies were conducted on C57B1/6 mice. AN was modelled in vitro and in vivo. The effects of the JNK and p53 inhibitors on the realisation of neural stem cell (NSC) and neuronal-committed progenitor (NCP) functions (their colony-forming ability, proliferative activity and intensity of specialisation), as well as on the secretion of neurotrophins by astrocytes, oligodendrocytes and microglial cells were studied. Individual cell fractions were prepared using an immunomagnetic separation method.\u0000\u0000\u0000\u0000We showed that JNK and p53 stimulate the proliferation and specialisation of intact NSCs. An inversion of the role of these signalling molecules in the regulation of NSC proliferation in the conditions of modelling AN was revealed. It has been found that JNK and p53 are not involved in regulating the functions of NCP. The ambiguous role of JNK and p53 in the production of neurotrophic growth factors by different types of neuroglia cells was also found. Increased secretion of neurotrophins by oligodendrocytes and microglia during the blockade of JNK and p53 under conditions of exposure to ethanol cells was revealed.\u0000\u0000\u0000\u0000The results suggest the prospect of exploring the possibility of using JNK and/or p53 inhibitors as novel drugs to treat AE.\u0000","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48920692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sports and exercise medicine (SEM) is a relatively new medical speciality that comprises sports medicine (overall medical care of active and exercising individuals for performance optimisation and improvement) and exercise medicine (use of physical activity and exercise for health and fitness promotion and illness and injury management). Physicians with specialisation in SEM and clinical and interventional physiology (CIP) have key roles to play in combating physical inactivity and non-communicable diseases which are threatening to become epidemic proportions on the one hand, and dismal sports performance and rising doping menace on the other hand. This review provides information regarding SEM as an emerging medical speciality, its domains, key roles of the SEM and CIP physicians and future prospects of this field. CIP along with exercise physiology, as the foundation of SEM, is discussed in this review.
{"title":"Sports and exercise medicine: An emerging medical speciality","authors":"H. Sharma, J. Kailashiya","doi":"10.25259/ijpp_209_2021","DOIUrl":"https://doi.org/10.25259/ijpp_209_2021","url":null,"abstract":"Sports and exercise medicine (SEM) is a relatively new medical speciality that comprises sports medicine (overall medical care of active and exercising individuals for performance optimisation and improvement) and exercise medicine (use of physical activity and exercise for health and fitness promotion and illness and injury management). Physicians with specialisation in SEM and clinical and interventional physiology (CIP) have key roles to play in combating physical inactivity and non-communicable diseases which are threatening to become epidemic proportions on the one hand, and dismal sports performance and rising doping menace on the other hand. This review provides information regarding SEM as an emerging medical speciality, its domains, key roles of the SEM and CIP physicians and future prospects of this field. CIP along with exercise physiology, as the foundation of SEM, is discussed in this review.","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41844520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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