Search PubMed⌕ Search

Biomedical subjects

B C Patel

Publications and source records attributed to B C Patel.

At least 73 records · Page 4Linked to original sources
PubMed1989

Penetrating eye injuries.

A review of all penetrating eye injuries treated at the Manchester Royal Eye Hospital over four years (1 January 1982-31 December 1985) was undertaken. A total of 202 penetrating eye injuries were seen of which 68 (34%) were in children under the age of 15 years. Airgun, dart, and knife injuries accounted for 28 (41%) of the injuries. Thirty seven patients (54%) achieved a good visual result (6/12 or better) and eight (12%) had enucleations. The period of inpatient treatment ranged from two to 18 days. From the analysis of the activities at the time of the injury, many of the injuries can be considered to be preventable.

Adolescent↗
PubMed1988

A lid spatula.

A lid spatula was designed to provide a firm base on which to operate, adequate protection of the globe, and an option of fixed or variable traction to the lid.

Eyelids↗
PubMed1988

A combined needle holder and scissors.

A combined needle holder and scissors was designed in two sizes, one for use in muscle surgery and oculoplastic surgery and the other in microsurgery. They have been used with suture sizes 10-0 to 6-0 and needles from 75 to 200 micron in diameter and have been found to be useful in cataract, squint, and oculoplastic surgery.

Equipment Design↗
PubMed1988

Corneal sensation in acute angle closure glaucoma.

Corneal sensation was found to be decreased in eyes affected by acute angle closure glaucoma. In those patients with a short history (less than four days) the difference in sensation between the two eyes was only detectable using the Cochet-Bonnet aesthesiometer and not by using cotton wool. Patients with a longer history had a more marked decrease in corneal sensation that was detectable by both methods. Corneal sensation in both groups tended to recover partially on normalization of the intraocular pressure.

Acute Disease↗
PubMed1988

Penetrating eye injuries in road traffic accidents.

A review of all penetrating eye injuries treated by the Manchester Eye Hospital over four years (1 February 1982-31 January 1986) was undertaken. One hundred and ninety-six penetrating eye injuries were seen, of which 16 (8.2%) were due to road traffic accidents. Eight patients (nine eyes) were seen in the 12 months prior to the introduction of the seat-belt legislation on 1 February 1983. None of these patients was wearing a seat-belt whereas two of the eight patients (10 eyes) seen after the seat-belt legislation were. Both these patients suffered severe visual loss due to intraocular glass from shattered windscreens. Three patients had bilateral penetrating eye injuries, one before and two after the seat-belt legislation. Two of the nine eyes involved prior to the legislation and three of the 10 eyes after the legislation had an eventual visual acuity of 6/12 or better. In the majority of patients, failure to wear seat-belts or defective use is to blame. Flying glass from shattered toughened windscreens is a preventable danger. Nine of the 16 patients were first seen in the general accident and emergency department and, of these, seven did not have visual acuities recorded prior to referral to an ophthalmologist. The importance of measurement of the visual acuity and detection of an afferent pupillary defect is stressed based on these findings.

Accidents, Traffic↗
PubMed1987

Liver stores of vitamin A in human fetuses in relation to gestational age, fetal size and maternal nutritional status.

1. Studies were made on liver stores of retinol in aborted human fetuses and stillborn babies in relation to gestational age, fetal size and maternal retinol status. The mothers belonged to low- and high-income groups (LIG and HIG respectively) in urban Baroda. 2. Fetal weights were less than those reported by Widdowson (1968) for similar gestational ages and the deficits were greater in LIG. 3. The combined mean values (microgram/l) for maternal serum retinol for all gestational ages were 193 for LIG and 261 for HIG. They were found to decline in late pregnancy in the former but not significantly in the latter. 4. Fetal liver retinol concentrations were much lower than those reported for healthy Thai subjects by Montreewasuwat & Olson (1979) in early pregnancy but showed complete 'catch up' in late pregnancy for HIG and to a considerable extent for LIG. 5. Significant correlations were found between maternal serum retinol, fetal liver retinol and fetal growth. 6. These findings stress the importance of adequate vitamin A supplies during pregnancy to prevent vitamin A deficiency and intra-uterine growth retardation in the newborn.

Embryonic and Fetal Development↗
PubMed1987

Vitamin E status of the newborn in relation to gestational age, birth weight and maternal vitamin E status.

1. Studies were made on the vitamin E status of the newborn as judged by cord serum vitamin E and erythrocyte haemolysis in vitro in relation to gestational age, birth weight and maternal vitamin E status in subjects belonging to low (LIG)- and high (HIG)-income groups in urban Baroda. 2. In the case of full-term infants, the mean values for maternal serum vitamin E (mg/l) for LIG (n 73) and HIG (n 43) were 9.9 (SE 0.4) and 11.6 (SE 0.5). The corresponding values for cord serum vitamin E were 3.6 (SE 0.2) and 4.6 (SE 0.2) mg/l. 3. Serum vitamin E levels (mg/l) were lower in premature infants (2.3 (SE 0.2); n 20) and low-birth-weight full-term infants (2.9 (SE 0.2); n 25) than in full-term normal infants (4.2 (SE 0.1); n 91). This was associated with differences in maternal serum vitamin E levels (7.4 (SE 0.5), 8.2 (SE 0.5) and 11.1 (SE 0.3) respectively). The differences were more marked for LIG. 4. A negative correlation was found between serum vitamin E and erythrocyte haemolysis in vitro in the case of maternal blood but not in cord blood. 5. These results suggest that maternal vitamin E deficiency is one of the features associated with prematurity and intra-uterine growth retardation.

Birth Weight↗
PubMed1987

Candidal endophthalmitis: a manifestation of systemic candidiasis.

Two patients on total parenteral nutrition who developed endophthalmitis secondary to Candida albicans are described. Candidal endophthalmitis as a manifestation of systemic candidiasis is discussed and its early diagnosis by bedside fundal examination in patients at risk is stressed.

Aged↗
PubMed1986

Arrhythmia susceptibility and myocardial composition in diabetes. Influence of physical conditioning.

Abnormal myocardial composition in diabetes mellitus has been described, but the effects on ventricular vulnerability have not been defined. We have assessed the susceptibility to arrhythmias in a canine model after 1 yr of mild diabetes induced by alloxan. Since physical conditioning can affect metabolic abnormalities in diabetes, this intervention has also been evaluated. Group 1 served as controls and groups 3 and 4 were diabetic. Animals in the latter group as well as nondiabetic controls of group 2 were exercised on a treadmill for the last 8 mo of the experiment. After 1 yr, anesthesia was induced with chloralose for vulnerability studies. The ventricular fibrillation threshold of 24.4 +/- 1.9 mA in group 3 was significantly less than in normals (45.1 +/- 2.2). Spontaneous arrhythmias were also more prevalent in diabetics during acute ischemia (group 3-A). Increased ventricular vulnerability after epinephrine infusion was present in the sedentary diabetes despite normal ventricular function responsiveness. In a superfused preparation of myocardium, resting membrane potential and action potential amplitude were normal in diabetics, and beta-adrenergic stimulation shortened repolarization more than in controls. Myocardial collagen concentrations, which included an interfibrillar distribution on morphologic examination, were increased in group 3. In the trained diabetics of group 4 the basal vulnerability thresholds and responses to epinephrine were normal. While myocardial collagen levels were normal, cholesterol and triglyceride increments persisted. Thus, in mild experimental diabetes, enhanced susceptibility to arrhythmias exists; this susceptibility may be based on a combination of nonhomogenous collagen accumulation affecting local conduction and increased electrophysiologic sensitivity to catecholamines.

Action Potentials↗
PubMed1983

Effects of sulfhydryl and other reagents on the diffusional permeability of dog erythrocytes to small solutes.

The effects of p-chloromercuriphenylsulfonic acid (PCMBS), 5,5'-dithiobis (2-nitrobenzoic acid) (DTNB), phloretin and thiourea on the diffusional permeability of dog erythrocytes to tritiated water and to small 14C-labeled lipophilic and hydrophilic solutes were measured at 37 degrees C by means of the linear diffusion technique. Permeability to 3HHO was significantly decreased by PCMBS but was not affected by the other reagents. The permeability to the small hydrophilic solutes acetamide and urea was decreased by phloretin and thiourea but only the permeability to acetamide was reduced to a statistically significant extent by PCMBS. The permeability to the lipophilic solutes methanol, ethanol and antipyrine was not affected by any of these agents. We interpret these results as an indication that the small lipophilic solutes probably move through lipid areas, that the small hydrophilic solutes probably move through protein associated areas in the erythrocyte membrane and that pathways for the small hydrophilic solutes are distinct from those for water. While the pathways for water may be associated with membrane protein they do not appear to be associated specifically with band 3 protein as has been suggested for human erythrocytes. Diffusional water movement through the dog erythrocyte occurs by two distinct pathways.

4-Chloromercuribenzenesulfonate↗
PubMed1982

Erythrocyte permeability to lipophilic solutes changes with temperature.

Studies of permeability coefficients of biological barriers to members of homologous series can provide information of value in assessing barrier characteristics. To this end, we have determined the linear diffusion coefficients of tracer water (THO), [14C]antipyrine, [14C]acetamide, and n-[14C]alcohols over the range of 10-37 degrees C for dog erythrocytes (D), hemoglobin (D2), and plasma (D1). Permeability coefficients (Po) calculated with the series-parallel pathway model are higher than Po for water at 37 degrees C for all the alcohols except hexanol. Po for acetamide and antipyrine are considerably lower than Po for water at 37 degrees C. The apparent activation energies (Ea) for Po of acetamide and the C1, C2, and C3 alcohols are 10.5 kcal.mol-1, similar to the values obtained with epithelial or lipid bilayers. The Ea's for the larger alcohols are 2-4 kcal.mol-1. The Ea for Po of water is 5.3 kcal.mol-1, similar to the Ea for self-diffusion of water; Ea for antipyrine is 25 kcal.mol-1. We interpret these results to indicate heterogeneity of membrane-solute interactions or of membrane pathways in the erythrocyte for lipid-soluble molecules that is related to both lipid solubility and solute size, as we have suggested in an earlier study and confirmed experimentally in the present one.

Alcohols↗
PubMed1975

Behavioral supersensitivity to 5-hydroxytryptophan induced by chronic methysergide pretreatment.

The administration of 5-hydroxytryptophan to intact guinea pigs results in rhythmic myoclonic behavior. This behavior is blocked acutely by methysergide, but is intensified in animals chronically pretreated with methysergide. Brain serotonin concentrations of guinea pigs pretreated with methysergide did not differ from saline-treated animals. These results are compatible with the hypothesis that prolonged methysergide administration can result in pharmacologically-induced denervation hypersensitivity at central serotonin receptors.

5-Hydroxytryptophan↗