Acetazolamide-associated nephrocalcinosis in a transplant kidney.
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Biomedical subjects
Publications and source records attributed to J R Parikh.
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Unilateral megalencephaly is a rare congenital anomaly. The authors report a case of unilateral megalencephaly associated with Dandy-Walker complex. The embryonic pathogenesis of both entities is discussed. In the absence of magnetic resonance imaging, computed tomography can be used to document these abnormalities.
Many neoplasms disseminate along the pathway of the cerebrospinal fluid. Imaging in this setting is usually insensitive, but when there are findings, they have a characteristic appearance. The authors describe a 52-year-old woman with meningeal dissemination of myelomatosis and the classic myelographic appearance of leptomeningeal disease.
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We describe a case of inflammatory and degenerative arthritis treated with intraarticular corticosteroid injections. This led to rapid subjective relief of symptoms, but inappropriate repeated injections led to the development of Charcot's arthropathy and rapid destruction of the shoulder joint.
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An epidemiological study was carried out in three textile mills of Ahmedabad. A total of 214 cotton dust exposed and 184 control subjects were examined for pulmonary function tests. Pulmonary function tests included forced vital capacity and forced expiratory volume in one second. The pulmonary function tests were carried out before starting the shift and after 7 hours of exposure on a vitalograph spirometer. The study shows that among the cotton dust exposed workers byssinotics behave distinctly and show the maximum acute and chronic changes in pulmonary functions. It seems that the effect of cotton dust exposure on the byssinotic subjects is more predominant than the effect of smoking.
In an epidemiological study carried out in three textile mills at Ahmedabad, India, 929 workers were examined from the spinning departments. The mean prevalence of byssinosis in the blow section was 29.62%, whereas in the card section it was 37.83%. The concentrations of cotton dust (dust less fly) were high in the blow and card sections (4.00 mg/m3 in the blow and 3.06 mg/m3 in the card section). This study suggests that the prevalence of byssinosis is not low in the textile mills of India as reported in many earlier Indian studies.
Blood histamine levels were measured by the bioassay of histamine (on an isolated strip of guinea pig ileum) in workers exposed to cotton dust in a textile mill in Ahmedabad. Byssinotic subjects showed very high levels of blood histamine as compared to nonbyssinotic and control subjects. The blood histamine levels were not well correlated to the dust concentrations or duration of exposure but rather to the day of the week (ie, first, second, third, etc., after weekend break) on which the samples were collected. The blood histamine levels were high on the first day of the work week, when byssinotics complained most of their symptoms.
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Occupational sickness among tobacco farmers due to the handling of green tobacco leaves is termed "green symptom." This symptom was investigated among 197 Indian tobacco workers and it was found that 88.83% of the workers were suffering from green symptom when exposed to green tobacco leaves during their occupational operation. Nicotine concentration of the urine was estimated only among male subjects who were smokers. During the exposure period (when subjects were suffering from green symptom), more than a three-fold increase in nicotine concentration in the urine was observed. Both cured and uncured leaves may cause such sickness.
Nephrocalcinosis has been reported in patients treated with acetazolamide and other agents, such as furosemide or bicarbonate. We present a case of nephrocalcinosis induced solely by acetazolamide and diagnosed radiographically. Possible mechanisms of pathogenesis are reviewed.
The use of organochlorine insecticides for public health programs is indisputably necessary in developing countries. Thus, there is a need to evaluate human response to these chemicals under local field conditions. The effects of a short-term, 16-wk exposure to hexachlorocyclohexane has been evaluated and compared in malaria spraymen with and without any previous occupational exposure to this insecticide by measuring the pre- and post-exposure serum hexachlorocyclohexane concentration. A significant increase in original serum hexachlorocyclohexane concentration. A significant increase in original serum hexachlorocyclohexane concentration was observed in subjects on their first occupational exposure (5X), compared to those with previous exposure (3X). All workers reached approximately the same serum levels within 16 wk, regardless of their history of previous exposure.
Occupational health problems among 100 tobacco processing workers were investigated. Symptoms, including vomiting, giddiness, headache, etc. were found among 69 exposed subjects. It was also observed that the excretion rate of nicotine and cotinine increased among exposed subjects. Biochemical parameters were found to be within the normal range. Electrocardiographic findings were non-specific and clinically there was no evidence of hypertension or ischemic heart disease. Therefore, the symptoms in tobacco processing workers might possibly result from mild nicotine toxicity.
Two types of gloves were provided to 85 non-Virginia tobacco harvesters who complained of having "green symptoms." Results show that the use of gloves causes a significant reduction in nicotine absorption as reflected by the nicotine and cotinine excretion rates and also the reduction in the prevalence of "green symptoms," since contact with the leaves and leaf-sap and the abrasions of the palms was avoided by their use. It was found that the use of rubber gloves afforded protection among 93% of the subjects, while with cotton gloves the proportion was somewhat less (78.5%). Cotton gloves were more comfortable but nondurable while the rubber ones were durable but not so comfortable.
The use of rubber gloves reduced nicotine and cotinine absorption among 29 tobacco harvesters, as evidenced by the urinary excretion rate of nicotine and cotinine. Approximately 20% (n = 6) of the subjects reported that symptoms disappeared when they used gloves, but the remaining 23 workers complained of an occasional headache even when using gloves. Wearing of boots and socks as well as gloves prevented the symptoms and significantly decreased nicotine and cotinine excretion. This suggests that nicotine is absorbed through the feet.