Prescribing pattern in ophthalmological outpatient department of a tertiary care teaching hospital in Dehradun, Uttarakhand: a pharmaco-epidemiological study

Background: Irrational prescribing is a common phenomenon, seen among medical practitioners. Knowledge, awareness, and attitude denote the practicing trends among the practitioners. The objective of this study was to describe the prescribing practices in Ophthalmology outpatient department (OPD) to promote rational prescribing.Methods: This study was conducted between January 2011 to June 2011, in Department of Pharmacology and Ophthalmology, SGRRIM and HS, Dehradun, Uttarakhand. A total number of 255 prescriptions were randomly collected from the Ophthalmology OPD and were analyzed for various parameters using national essential medicine list 2011 and World Health Organization drug use indicators.Results: A total number of255 prescriptions were evaluated for prescribing pattern, 153 (60%) patients were between 16 and 45 years of age, the male: female ratio was 1.13:1. 237 (93%) patients from middle socioeconomic status. Diseases pattern observed were conjunctivitis 102 (40%), refractive error 45 (17.64%), stye 12 (4.7%), cataract 9 (3.52%), and miscellaneous 87 (34.12%). One hundred and thirty-eight (54.11%) patients received antimicrobial agents, fluoroquinolone (ofloxacin, moxifloxacin, gatifloxacin, etc.) were the most frequently prescribed antimicrobial drugs, analgesics (diclofenac and ketorolac) were prescribed to 45 (17.64%) patients, 54 (21.17%) received steroids (dexamethasone and prednisolone), 96 (37.64%) patients received other drugs (carboxymethylcellulose [CMC], multi-vitamins, zinc preparations, acyclovir, and anti-allergics). Fixed dose combinations (FDCs) were used in 90 (35.29%) patients, the most common combination was antimicrobials with steroids. All the drugs were prescribed by brand names and 1.9 drug/prescription was used.Conclusion: Topical antimicrobial agents are the most commonly used drugs in ophthalmic OPD in our setup; the most common FDCs prescribed were antimicrobials with steroids, the other commonly used drugs were analgesics, CMC and anti-allergic drugs

Diffraction of an Off-axis Vector-Beam by a Tilted Aperture

Manifestations of orbital angular momentum induced effects in the diffraction of a radially polarized vector beam by an off-axis tilted aperture are studied both experimentally and theoretically. Experiments were carried out to extract the degree of circular polarization, which was shown to be proportional to the on-axis component of the spin angular momentum density. We report a clear separation of the regions of dominance of the right and left circular polarizations associated with positive and negative topological charges respectively, which is reminiscent of the standard vortex-induced transverse shift, albeit in the diffraction scenario. The experimental results are supported by model simulations and the agreement is quite satisfactory. The results are useful to appreciate the orbit-orbit related effects due to unavoidable misalignment problems (especially for vortex beams)

Comparative evaluation of efficacy and safety of carboxymethylcellulose either alone or in combination with non-steroidal anti-inflammatory drug in the treatment of dry eye in a tertiary care teaching hospital

Background: Dry eye produces discomfort and reducedvision. The treatment of dry eyes has traditionally involved hydrating and lubricating artificial tears. The newer medications include non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of dry eye disorders. This study was designed to compare the effect of topical carboxymethylcellulose (CMC) alone or in combination with topical NSAID for the treatment of dry eye in a tertiary care teaching hospital.Methods: A total of 60 patients diagnosed with dry eye were enrolled for a study period of 1 year. Patient of either sex (male/female), age between 18 and 70 years, and all diagnosed cases of dry eye in ophthalmology outpatient department were selected. Patients (n=60) were stabilized on CMC for 2 weeks and thereafter divided into two groups. Group I (n=30) received only topical CMC; Group II (n=30) received CMC+NSAID. The patients were followed up to 12 weeks. Diagnostic tests included Schirmer’s test and tear break up time (TBUT). Ocular Surface Disease Index (OSDI) was used for assessing the Quality of Life. Analysis was done using GraphPad InStat software. p0.05) and TBUT test value (p>0.05) showed no significant difference while OSDI score revealed significant difference (p<0.05). Burning, stinging, blurring of vision, photophobia, and hyperemia were among the common adverse effects seen.Conclusion: Both groups showed significant improvement in Schirmer’s test and TBUT test value and OSDI score at the end of the study. Intergroup comparison showed a significant difference with reference to OSDI score. Patients receiving NSAID reported more adverse effects

Laser surface cladding of EN19 steel with stellite 6 for improved wear resistance

The present study concerns the generation of a wear resistant Stellite 6 CO2 laser clad layer on the surface of an EN19 steel substrate by means of laser surface cladding. Laser surface cladding was carried out by melting the Stellite powder (particle size 10 to 40 &#956;m) supplied through a pneumatically driven powder delivery system (using a 4 MP powder unit) with a 9 kW continuous wave (CW) CO2 laser with the wavelength 10.6 &#181;m. The microstructure of the clad layer was found to consist of three zones: a clad layer comprised of dendrites of Stellite 6; an alloyed zone comprised of a cellular microstructure, which was a mixture of Fe and Co; and the heat affected zone (HAZ), which was a mixture of pearlite and martensite. Compared to the EN19 steel substrate, the micro-hardness of the clad layer represented a significant improvement, increasing to 1200 VHN

Control of superluminal transit through a heterogeneous medium

We consider pulse propagation through a two component composite medium (metal inclusions in a dielectric host) with or without cavity mirrors. We show that a very thin slab of such a medium, under conditions of localized plasmon resonance, can lead to significant superluminality with detectable levels of transmitted pulse. A cavity containing the heterogeneous medium is shown to lead to subluminal-to-superluminal transmission depending on the volume fraction of the metal inclusions. The predictions of phase time calculations are verified by explicit calculations of the transmitted pulse shapes. We also demonstrate the independence of the phase time on system width and the volume fraction under specific conditions.Comment: 21 Pages,5 Figures (Published in Journal of Modern Optics

Prospect of determining the Dirac/Majorana state of neutrino by Multi-OWL experiment

We consider the non-radiative two body decay of a neutrino to a daughter neutrino with degraded energy and a very light particle (Majoron). Ultrahigh energy neutrinos from an astrophysical source like a Gamma Ray Burst undergoing this decay process are found to produce different number of events in the detector depending on whether they are Majorana or Dirac particles. The next generation large scale experiments like Multi-OWL is expected to provide us an accurate determination of the flux of neutrinos from astrophysical sources and this may enable us to distinguish between the Dirac and Majorana nature of neutrino.Comment: 18 pages latex, no figure. Journal of Phys. G in pres

2,4-dihydroxy benzaldehyde derived Schiff bases as small molecule Hsp90 inhibitors: rational identification of a new anticancer lead

Hsp90 is a molecular chaperone that heals diverse array of biomolecules ranging from multiple oncogenic proteins to the ones responsible for development of resistance to chemotherapeutic agents. Moreover they are over-expressed in cancer cells as a complex with co-chaperones and under-expressed in normal cells as a single free entity. Hence inhibitors of Hsp90 will be more effective and selective in destroying cancer cells with minimum chances of acquiring resistance to them. In continuation of our goal to rationally develop effective small molecule azomethines against Hsp90, we designed few more compounds belonging to the class of 2,4-dihydroxy benzaldehyde derived imines (1-13) with our validated docking protocol. The molecules exhibiting good docking score were synthesized and their structures were confirmed by IR, (1)H NMR and mass spectral analysis. Subsequently, they were evaluated for their potential to suppress Hsp90 ATPase activity by Malachite green assay. The antiproliferative effect of the molecules were examined on PC3 prostate cancer cell lines by adopting 3-(4,5-dimethythiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay methodology. Finally, schiff base 13 emerged as the lead molecule for future design and development of Hsp90 inhibitors as anticancer agents.Fil: Dutta Gupta, Sayan. Osmania University; India. Jawaharlal Nehru Technological University; IndiaFil: Revathi, B.. Osmania University; IndiaFil: Mazaira, Gisela Ileana. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Química Biológica; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Galigniana, Mario Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Química Biológica; ArgentinaFil: Subrahmanyam, C. V. S.. Osmania University; IndiaFil: Gowrishankar, N. L.. Swami Vivekananda Institute of Pharmaceutical Sciences; IndiaFil: Raghavendra, N. M.. Osmania University; Indi

The STAR Photon Multiplicity Detector

Details concerning the design, fabrication and performance of STAR Photon Multiplicity Detector (PMD) are presented. The PMD will cover the forward region, within the pseudorapidity range 2.3--3.5, behind the forward time projection chamber. It will measure the spatial distribution of photons in order to study collective flow, fluctuation and chiral symmetry restoration.Comment: 15 pages, including 11 figures; to appear in a special NIM volume dedicated to the accelerator and detectors at RHI

Simple top-down preparation of magnetic Bi0.9_{0.9}Gd0.1_{0.1}Fe1−x_{1-x}Tix_xO3_3 nanoparticles by ultrasonication of multiferroic bulk material

We present a simple technique to synthesize ultrafine nanoparticles directly from bulk multiferroic perovskite powder. The starting materials, which were ceramic pellets of the nominal compositions of Bi$_{0.9}$Gd$_{0.1}$Fe$_{1-x}$Ti$_x$O$_3$ (x = 0.00-0.20), were prepared initially by a solid state reaction technique, then ground into micrometer-sized powders and mixed with isopropanol or water in an ultrasonic bath. The particle size was studied as a function of sonication time with transmission electron microscopic imaging and electron diffraction that confirmed the formation of a large fraction of single-crystalline nanoparticles with a mean size of 11-13 nm. A significant improvement in the magnetic behavior of Bi$_{0.9}$Gd$_{0.1}$Fe$_{1-x}$Ti$_x$O$_3$ nanoparticles compared to their bulk counterparts was observed at room temperature. This sonication technique may be considered as a simple and promising route to prepare ultrafine nanoparticles for functional applications.Comment: 7 pages, 5 figure