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Challenges and dilemmas in pediatric hepatic Wilson’s disease
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作者 upasana ghosh Moinak Sen Sarma Arghya Samanta 《World Journal of Hepatology》 2023年第10期1109-1126,共18页
Wilson disease is an autosomal recessive disorder affecting the ATP7B gene located on chromosome 13q.This leads to copper deposition in various organs,most importantly in the liver and brain.The genetic mutations are ... Wilson disease is an autosomal recessive disorder affecting the ATP7B gene located on chromosome 13q.This leads to copper deposition in various organs,most importantly in the liver and brain.The genetic mutations are vast,well reported in the West but poorly documented in developing countries.Hence the diagnosis is made with a constellation of clinico-laboratory parameters which have significant overlap with other liver diseases and often pose a significant dilemma for clinicians.Diagnostic scoring systems are not fool-proof.The availability and affordability of chelators in developing countries impact the drug compliance of patients.While D-penicillamine is a potent drug,its side effects lead to drug discontinuation.Trientine is cost-prohibitive in developing countries.There is no single test to assess the adequacy of chelation.Exchangeable urinary copper is an essential upcoming diagnostic and prognostic tool.In the presence of cirrhosis,hypersplenism clouds the assessment of myelosuppression of drugs.Similarly,it may be difficult to distinguish disease tubulopathy from druginduced glomerulonephritis.Neurological worsening due to chelators may appear similar to disease progression.Presentation as fulminant hepatic failure requires rapid workup.There is a limited window of opportunity to salvage these patients with the help of plasmapheresis and other liver-assisted devices.This review addresses the challenges and clinical dilemmas faced at beside in developing countries. 展开更多
关键词 Wilson’s disease CHILDREN Hepatic Wilson disease D-PENICILLAMINE Trientine Exchangeable copper
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Isolation and Characterization of Phosphate-Solubilizing Bacteria from Seagrass Rhizosphere Soil 被引量:3
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作者 upasana ghosh Ponnambalam Subhashini +3 位作者 Elangovan Dilipan Subramanian Raja Thirunavukarassu Thangaradjou Lakshmanan Kannan 《Journal of Ocean University of China》 SCIE CAS 2012年第1期86-92,共7页
Phosphate-solubilizing bacterial strains(6 Nos.) were isolated from the rhizosphere soils of two seagrasses(Halophila ovalis(R.Br.) Hook and Halodule pinifolia(Miki) Hartog) in the Vellar estuary.Experimental studies ... Phosphate-solubilizing bacterial strains(6 Nos.) were isolated from the rhizosphere soils of two seagrasses(Halophila ovalis(R.Br.) Hook and Halodule pinifolia(Miki) Hartog) in the Vellar estuary.Experimental studies found that the strain PSSG6 was effective in phosphate solubilization with Phosphate Solubilization efficiency index E = 375 ± 8.54,followed by the strain PSSG5 with Phosphate Solubilization efficiency index E = 275 ± 27.3.Of the 6 strains isolated,the strains PSSG4 and PSSG5 be-longed to the genus Bacillus,and PSSG1,PSSG2 and PSSG3 were identified as Citrobacter sp.,Shigella sp.,and Klebsiella sp.,respectively,by conventional method,and PSSG6 was identified as Bacillus circulans using conventional and molecular methods. 展开更多
关键词 phosphate solubilization Halodule pinifolia Halophila ovalis Bacillus circulans bio-fertilizer
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Saline-Sodic Soils:Potential Sources of Nitrous Oxide and Carbon Dioxide Emissions? 被引量:8
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作者 upasana ghosh Resham THAPA +2 位作者 Thomas DESUTTER HE Yangbo Amitava CHATTERJEE 《Pedosphere》 SCIE CAS CSCD 2017年第1期65-75,共11页
Increasing salt-affected agricultural land due to low precipitation, high surface evaporation, irrigation with saline water, and poor cultural practices has triggered the interest to understand the influence of salt o... Increasing salt-affected agricultural land due to low precipitation, high surface evaporation, irrigation with saline water, and poor cultural practices has triggered the interest to understand the influence of salt on nitrous oxide (N20) and carbon dioxide (CO2) emissions from soil. Three soils with varying electrical conductivity of saturated paste extract (ECe) (0.44-7.20 dS m-1) and sodium adsorption ratio of saturated paste extract (SARe) (1.1-27.7), two saline-sodic soils (S2 and S3) and a non-saline, non-sodic soil (S1), were incubated at moisture levels of 40%, 60%, and 80% water-filled pore space (WFPS) for 30 d, with or without nitrogen (N) fertilizer addition (urea at 525μg g-1 soil). Evolving CO2 and N20 were estimated by analyzing the collected gas samples during the incubation period. Across all moisture and N levels, the cumulative N20 emissions increased significantly by 39.8% and 42.4% in S2 and S3, respectively, compared to S1. The cumulative CO2 emission from the three soils did not differ significantly as a result of the complex interactions of salinity and sodicity. Moisture had no significant effect oi1 N20 emissions, but cumulative CO2 emissions increased significantly with an increase in moisture. Addition of N significantly increased cumulative N20 and CO2 emissions. These showed that saline-sodic soils can be a significant contributor of N20 to the environment compared to non-saline, non-sodic soils. The application of N fertilizer, irrigation, and precipitation may potentially increase greenhouse gas (N20 and CO2) releases from saline-sodic soils. 展开更多
关键词 CO2 electrical conductivity greenhouse gas emission MOISTURE N fertilizer application N20 SALINITY SODICITY sodiumadsorption ratio
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Bioactive nanotherapeutic trends to combat triple negative breast cancer 被引量:1
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作者 Pallabita Chowdhury upasana ghosh +3 位作者 Kamalika Samanta Meena Jaggi Subhash C.Chauhan Murali M.Yallapu 《Bioactive Materials》 SCIE 2021年第10期3269-3287,共19页
The management of aggressive breast cancer,particularly,triple negative breast cancer(TNBC)remains a formidable challenge,despite treatment advancement.Although newer therapies such as atezolizumab,olaparib,and sacitu... The management of aggressive breast cancer,particularly,triple negative breast cancer(TNBC)remains a formidable challenge,despite treatment advancement.Although newer therapies such as atezolizumab,olaparib,and sacituzumab can tackle the breast cancer prognosis and/or progression,but achieved limited survival benefit(s).The current research efforts are aimed to develop and implement strategies for improved bioavailability,targetability,reduce systemic toxicity,and enhance therapeutic outcome of FDA-approved treatment regimen.This review presents various nanoparticle technology mediated delivery of chemotherapeutic agent(s)for breast cancer treatment.This article also documents novel strategies to employ cellular and cell membrane cloaked(biomimetic)nanoparticles for effective clinical translation.These technologies offer a safe and active targeting nanomedicine for effective management of breast cancer,especially TNBC. 展开更多
关键词 Breast cancer treatment Triple negative breast cancer CHEMOTHERAPY NANOPARTICLES Membrane cloaked nanoparticles NANOMEDICINE Biomimetic nanoparticles
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