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Biomedical subjects

I C Verma

Publications and source records attributed to I C Verma.

At least 91 records · Page 5Linked to original sources

Factors which affect growth of amniotic fluid cells.

In a study on various factors which are known to influence the growth of amniotic fluid cells for successful cytogenetic analysis in 89 samples, amniotic fluid volume greater than 10 ml enhanced the chance of success (P = 0.0003). The presence of red blood cells reduced the success rate although this was not statistically significant. Among the techniques which proved successful were the use of closed culture method (plastic flasks in which 5% CO2 is blown), and the addition of Ultroser G, which enhances the adhesion and growth of amniotic fluid cells.

Amniotic Fluid↗

Prenatal diagnosis of chromosomal disorders in Delhi.

Prenatal diagnosis of chromosomal disorders was carried out in 144 samples of amniotic fluid during 1986-1989. The commonest indication was pregnancy in women having a previous child with Down syndrome. Cultures were successful in 104 (72.2%) of 144 cases. Three (2.9%) abnormal karyotypes were detected. Of 53 women who had a previous child with Down syndrome, recurrence of trisomy 21 occur d in one (1.9%); while considering all abnormal karyotypes, there were three recurrences (2.9%).

Adult↗

Captopril in the treatment of moderate to severe hypertension.

The converting enzyme inhibitor, captopril, in dose of 75-100 mg/day with or without diuretic was given to 40 patients (18 males, 22 females), mean age 47.5 years with moderate to severe essential hypertension. Sustained control of blood pressure was achieved in all except three patients on follow up of 12 weeks. Adverse side effects included temporary taste disturbance, rash, tachycardia, leucopaenia, nausea and transient albuminuria. No effect on electrolyte mileu was observed. First dose hypotensive or triphasic response was not noted in any patient. Our results suggest that captopril in moderate doses is very safe, acceptable and effective drug with minimal side effects for treatment of moderate to severe essential hypertension on out patient basis.

Adult↗

Fetal liver infusion in acute myelogenous leukaemia.

Forty-five patients with acute myelogenous leukaemia (AML) received induction chemotherapy with either a conventional dose of cytarabine and daunorubicin (27 patients) or a low dose of cytarabine (18 patients). Maintenance chemotherapy was given to all responders. In 14 of 39 evaluable patients, infusion of fetal liver cells from 10-24 weeks old foetuses was given following induction as well as maintenance therapy. Six of 14 patients (43%) achieved a complete remission; 2 showed evidence of transient engraftment documented by analysis of sex chromosomes and RBC antigens (1 patient each). Fetal liver infusion within 6 days of completing induction chemotherapy appeared more effective than when given later. Five of 25 patients (20%) who did not receive fetal liver infusion achieved a complete remission. The present work suggests that fetal liver infusion given following induction chemotherapy may increase the remission rate in AML either by temporary engraftment or by accelerating the rate of haematological recovery.

Antineoplastic Combined Chemotherapy Protocols↗

The presence of intersexuality in patients with advanced hypospadias and undescended gonads.

We studied 20 patients with advanced degrees of hypospadias and undescended testes for the presence of an intersex disorder. A comprehensive clinical, cytogenetic, endocrinological and surgical evaluation was performed. All patients were found to have an intersex disorder, including 10 with male pseudohermaphroditism and 10 with a gonadal/genetic intersex disorder. In the latter group 4 patients had mixed gonadal dysgenesis, 3 had dysgenetic male pseudohermaphroditism, 1 had the 46XX male syndrome, 1 had true hermaphroditism and 1 had Klinefelter's syndrome. Genetic and gonadal intersex disorders were more frequent in patients with a unilateral undescended testis and perineal hypospadias.

Child↗

Influence of major histo(in)compatibility complex on reproduction.

Approximately 80% of all human conceptions are lost prior to term, and about 6% of all human newborns exhibit in-utero fetal growth retardation resulting in perinatal mortality and a major share of perinatal morbidity. Recent interest has focused on the plausibility of an MHC-linked immunological effect in cases of spontaneous abortions in which no possible cause, particularly a chromosome abnormality, is indicated. Paradoxically, placenta has been shown to serve as an efficient immunosorbent where antipaternal MHC antibodies on binding to target MHC antigen-bearing placenta are internalized and rapidly degraded, thereby preventing potential damage to the fetus. We, in our attempts to resolve if active immune responses on the part of female following early recognitive events during pregnancy play any decisive role in the reproductive process, raised a highly inbred colony of mice (Balb/cJ, Jackson Labs, USA) to produce H-Y antibodies. An outbred colony of mice (Swiss, AIIMS) was maintained to study the cumulated effect of H-Y and H-2 antibodies on the sex ratio, reproductive performance, litter size, and fetal wastage. A definite sex ratio was observed in control groups. However, the H-Y antibodies produced by hyperimmunized inbred female mice before fertilization, significantly (P less than 0.01) reduced the sex ratio. The combined effect of H-Y and H-2 antibodies on the pregnant outbred mice produced more lethal congenital abnormalities. There was a significant (P less than or equal to 0.01) loss in the reproductive performance of male mice born from hyperimmunized female mice both inbred and outbred colonies.(ABSTRACT TRUNCATED AT 250 WORDS)

Abortion, Spontaneous↗