Biomedical subjects
Publications and source records attributed to R K Bhargava.
A newborn baby presented with a lump in the right hypochondrium. She had a bout of upper gastrointestinal bleeding. At operation, a pyloroduedenal duplication cyst was successfully removed. The relevant literature is reviewed.
Despite a greater awareness of hyperinsulinaemic hypoglycaemia, one in three patients has some degree of mental retardation by the time the diagnosis is made. The diagnosis is established by demonstrating high plasma insulin concentrations during an episode of hypoglycaemia. Twenty one hyperinsulinaemic infants and children were referred for surgical treatment after failing to respond to medical management. The surgical procedure of choice is a 95% pancreatectomy. Recurrence of the hypoglycaemia may develop after less radical resections as occurred in one patient who then underwent an extended resection 72 hours postoperatively. Patients who fail to respond to optimal medical treatment should be referred for surgery early and not as a last resort if permanent neurological damage is to be avoided.
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Hydatid disease is a common condition in Libya. Between 1971 and 1976, hydatid disease accounted for 0.85% of total hospital admissions to Al-Jalah General Hospital, Benghazi. The incidence of hydatid disease reported in children below ten years of age was 11.7%. In this paper the experience of treating 56 children with hydatid disease is described. The presenting features, complications, surgical techniques and results are reported and discussed.
Men attending a genitourinary medicine clinic had an appreciably higher prevalence of subpreputial infection with group B streptococci (GBS) than with Staphylococcus aureus or coliform bacilli. Carriage of GBS was similar in older and younger age groups and was higher in homosexuals than heterosexuals and in those with balanitis than those without. Thus, while GBS may cause balanitis in heterosexuals, sexual transmission is unimportant; in contrast sexual transmission of GBS may be more common among homosexuals but balanitis is rare.
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