Spontaneous bacterial peritonitis (SBP) is a serious complication of cirrhosis with ascites, havi... more Spontaneous bacterial peritonitis (SBP) is a serious complication of cirrhosis with ascites, having high recurrence despite antibiotic prophylaxis. Small bowel dysmotility and bacterial overgrowth have been documented to be related to SBP. The purpose of the present paper was (i) to study whether addition of a prokinetic agent to norfloxacin ameliorates the development of SBP in high-risk patients; and (ii) to identify risk factors for SBP development. A prospective, single blinded, randomized controlled trial was conducted in high-risk cirrhotic patients with ascites who had either recovered from an episode of SBP or who had low ascitic fluid protein. Norfloxacin 400 mg once daily (group I) or norfloxacin 400 mg once daily with cisapride 20 mg twice a day (group II) was given and occurrence of side-effects of therapy and mortality were recorded. Of the 94 patients, 48 (51%) were in group I, and 46 (49%) in group II. The actuarial probability of developing SBP at 12 month in group I was 56.8% and in group II, 21.7% (P = 0.026). Treatment failure was observed in five patients (10%) in group I and none in group II (P = 0.003). The actuarial probability of death at 18 months was 20.6% in group I and 6.2% in group II (P = 0.1). Low serum albumin, low ascitic fluid protein and alcoholic cirrhosis were related to development of SBP (P < 0.05). Additionally, low serum albumin (2.8 g/dL), gastrointestinal bleeding, alcoholic cirrhosis and low ascitic fluid protein were significantly associated with multiple occurrences of SBP. Prophylaxis with norfloxacin and cisapride significantly reduces the incidence of SBP in high-risk cirrhosis patients; low serum albumin, low ascitic fluid protein and alcoholic cirrhosis predispose to the development of SBP in high-risk cirrhosis patients; and low ascitic fluid protein should also be considered as a risk factor for the development of SBP requiring prophylaxis.
Analysis of 84 farm gate samples of seasonal vegetables carried out on GC-ECD and GC-NPD systems ... more Analysis of 84 farm gate samples of seasonal vegetables carried out on GC-ECD and GC-NPD systems equipped with capillary columns by using a multi residue analytical technique revealed that 26% samples contained residues above MRL values. The contamination was mainly with organophosphates followed by synthetic pyrethroids and organochlorines. Among organophosphates, residues of monocrotophos, quinalphos and chlorpyriphos exceeded the MRL value in 23% samples. Residues of monocrotophos were higher than MRL value in 3 samples of brinjal and one sample each of okra, cauliflower and smooth gourd, of chlorpyriphos in 3 samples of cauliflower and 8 of cabbage and of quinalphos in one sample each of okra and cauliflower. Among synthetic pyrethroids, cypermethrin was the major contaminantand its residue exceeded the MRL value in one sample each of brinjal, okra and cucumber. Only aldicarb among the carbamates was detected in potato. The residues of some organochlorines,i.e. HCH, DDT and endosulfan were found in all the samples but did not exceed the tolerence limit.
Butter (45) and ghee (55) samples were collected from rural and urban areas of cotton growing bel... more Butter (45) and ghee (55) samples were collected from rural and urban areas of cotton growing belt of Haryana and analysed for detecting the residues of organochlorine, synthetic pyrethroid and organophosphate insecticides. The estimation was carried out by using multi residue analytical technique employing GC-ECD and GC-NPD systems equipped with capillary columns. Butter samples were comparatively more contaminated (97%) than ghee (94%), showing more contamination with organochlorine insecticides from urban samples. About 11% samples of butter showed endosulfan residues above MRL value and 2% samples had residues of synthetic pyrethroids and organophosphates each above their respective MRL values. In ghee, residues of HCH & DDT both and of endosulfan exceeded the MRL values in 5 and 20% samples, respectively. Among organophosphates, only chlorpyriphos was detected with 9% samples showing its residue above MRL value. Irrespective of contamination levels, residues above the MRL values were more in ghee. More extensive study covering other agricultural regions/zones of Haryana has been suggested to know the overall scenario of contamination of milk products.
Monitoring of 80 winter vegetable samples during 1997–1998 for pesticidal contamination was carri... more Monitoring of 80 winter vegetable samples during 1997–1998 for pesticidal contamination was carried out on GC-ECD and GC-NPD systems with capillary columns following multiresidueanalytical technique. The tested samples were found 100%contaminated with low but measurable amounts of pesticideresidues. Among the four major chemical groups, residue levels oforganophosphorous insecticides were highest followed bycarbamates, synthetic pyrethroids and organochlorines. About 32%of the samples showed contamination with organophosphorous andcarbamate insecticides above their respective MRL values. On thebasis of observations made in these studies, it is suggested thatmore extensive monitoring studies covering all vegetable cropsfrom different agro-climatic regions of the state be carried outto know exact level of pesticidal contamination, which may serveas basis for future policy on chemical use.
Critical Reviews in Environmental Science and Technology, 2005
Abstract Biological removal of dyes from effluents of textile and dyestuff manufacturing industry... more Abstract Biological removal of dyes from effluents of textile and dyestuff manufacturing industry offers some distinct advantages over the commonly used chemicals and physicochemical methods. These include possible mineralization of the dyes to harmless ...
Spontaneous bacterial peritonitis (SBP) is a serious complication of cirrhosis with ascites, havi... more Spontaneous bacterial peritonitis (SBP) is a serious complication of cirrhosis with ascites, having high recurrence despite antibiotic prophylaxis. Small bowel dysmotility and bacterial overgrowth have been documented to be related to SBP. The purpose of the present paper was (i) to study whether addition of a prokinetic agent to norfloxacin ameliorates the development of SBP in high-risk patients; and (ii) to identify risk factors for SBP development. A prospective, single blinded, randomized controlled trial was conducted in high-risk cirrhotic patients with ascites who had either recovered from an episode of SBP or who had low ascitic fluid protein. Norfloxacin 400 mg once daily (group I) or norfloxacin 400 mg once daily with cisapride 20 mg twice a day (group II) was given and occurrence of side-effects of therapy and mortality were recorded. Of the 94 patients, 48 (51%) were in group I, and 46 (49%) in group II. The actuarial probability of developing SBP at 12 month in group I was 56.8% and in group II, 21.7% (P = 0.026). Treatment failure was observed in five patients (10%) in group I and none in group II (P = 0.003). The actuarial probability of death at 18 months was 20.6% in group I and 6.2% in group II (P = 0.1). Low serum albumin, low ascitic fluid protein and alcoholic cirrhosis were related to development of SBP (P < 0.05). Additionally, low serum albumin (2.8 g/dL), gastrointestinal bleeding, alcoholic cirrhosis and low ascitic fluid protein were significantly associated with multiple occurrences of SBP. Prophylaxis with norfloxacin and cisapride significantly reduces the incidence of SBP in high-risk cirrhosis patients; low serum albumin, low ascitic fluid protein and alcoholic cirrhosis predispose to the development of SBP in high-risk cirrhosis patients; and low ascitic fluid protein should also be considered as a risk factor for the development of SBP requiring prophylaxis.
Analysis of 84 farm gate samples of seasonal vegetables carried out on GC-ECD and GC-NPD systems ... more Analysis of 84 farm gate samples of seasonal vegetables carried out on GC-ECD and GC-NPD systems equipped with capillary columns by using a multi residue analytical technique revealed that 26% samples contained residues above MRL values. The contamination was mainly with organophosphates followed by synthetic pyrethroids and organochlorines. Among organophosphates, residues of monocrotophos, quinalphos and chlorpyriphos exceeded the MRL value in 23% samples. Residues of monocrotophos were higher than MRL value in 3 samples of brinjal and one sample each of okra, cauliflower and smooth gourd, of chlorpyriphos in 3 samples of cauliflower and 8 of cabbage and of quinalphos in one sample each of okra and cauliflower. Among synthetic pyrethroids, cypermethrin was the major contaminantand its residue exceeded the MRL value in one sample each of brinjal, okra and cucumber. Only aldicarb among the carbamates was detected in potato. The residues of some organochlorines,i.e. HCH, DDT and endosulfan were found in all the samples but did not exceed the tolerence limit.
Butter (45) and ghee (55) samples were collected from rural and urban areas of cotton growing bel... more Butter (45) and ghee (55) samples were collected from rural and urban areas of cotton growing belt of Haryana and analysed for detecting the residues of organochlorine, synthetic pyrethroid and organophosphate insecticides. The estimation was carried out by using multi residue analytical technique employing GC-ECD and GC-NPD systems equipped with capillary columns. Butter samples were comparatively more contaminated (97%) than ghee (94%), showing more contamination with organochlorine insecticides from urban samples. About 11% samples of butter showed endosulfan residues above MRL value and 2% samples had residues of synthetic pyrethroids and organophosphates each above their respective MRL values. In ghee, residues of HCH & DDT both and of endosulfan exceeded the MRL values in 5 and 20% samples, respectively. Among organophosphates, only chlorpyriphos was detected with 9% samples showing its residue above MRL value. Irrespective of contamination levels, residues above the MRL values were more in ghee. More extensive study covering other agricultural regions/zones of Haryana has been suggested to know the overall scenario of contamination of milk products.
Monitoring of 80 winter vegetable samples during 1997–1998 for pesticidal contamination was carri... more Monitoring of 80 winter vegetable samples during 1997–1998 for pesticidal contamination was carried out on GC-ECD and GC-NPD systems with capillary columns following multiresidueanalytical technique. The tested samples were found 100%contaminated with low but measurable amounts of pesticideresidues. Among the four major chemical groups, residue levels oforganophosphorous insecticides were highest followed bycarbamates, synthetic pyrethroids and organochlorines. About 32%of the samples showed contamination with organophosphorous andcarbamate insecticides above their respective MRL values. On thebasis of observations made in these studies, it is suggested thatmore extensive monitoring studies covering all vegetable cropsfrom different agro-climatic regions of the state be carried outto know exact level of pesticidal contamination, which may serveas basis for future policy on chemical use.
Critical Reviews in Environmental Science and Technology, 2005
Abstract Biological removal of dyes from effluents of textile and dyestuff manufacturing industry... more Abstract Biological removal of dyes from effluents of textile and dyestuff manufacturing industry offers some distinct advantages over the commonly used chemicals and physicochemical methods. These include possible mineralization of the dyes to harmless ...
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Papers by Jagdeep Singh