Assessment of leucocytic count in the diagnosis of acute appendicitis.
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Biomedical subjects
Publications and source records attributed to S Choudhary.
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A total of 72 patients (53 males, 19 females) in the age range 1-22 years (mean 6.4 years) who underwent univentricular repair between April 1990 and May 1997 at our institute were followed up from six months to seven years (mean 3.6 years). Twenty-four hours ambulatory electrocardiographic Holter monitoring was done in all the patients. Thirty-four out of 40 patients (85%) who underwent fenestrated total cavopulmonary connection and 25 out of 32 patients (78%) who underwent non-fenestrated total cavopulmonary connection had normal Holter recording; thus 59 out of 72 (82%) patients had normal findings. Among the fenestrated total cavopulmonary connections, three patients each had atrial tachycardia and sinus bradycardia. In the non-fenestrated group, two patients had atrial tachycardia, three had supraventricular tachycardia, one sinus bradycardia and one had intermittent ventricular tachycardia. No correlation was found between age at surgery, pre-operative morphology, cross clamp time or cardiopulmonary bypass time with post-operative arrhythmia. To conclude, post-operative arrhythmias following total cavopulmonary connection were not related to age at surgery, pre-operative morphology, cross clamp or cardiopulmonary bypass time. However, a larger patient pool and longer follow-up is required for evaluation of any definitive correlation.
Although several studies have been undertaken on dietary intake of adolescent girls, studies on their energy expenditure and thereby energy balance are few. In order to explore these aspects, this community based cross-sectional study was done on 270 adolescent girls of a rural area of Varanasi, selected by adopting appropriate sampling technique. Nutritional status of study subjects was assessed on the basis of BMI. Their energy intake was computed by 24 hours recall oral questionnaire method. Estimation of energy expenditure was based on physical activity which was noted by 24 hours activity recall questionnaire method. Average energy intake (1609.42 +/- 528.87 kcal/day) of the study subjects was less than their mean energy expenditure (1896.19 kcal/day). Their energy expenditure was significantly influenced by several factors (e.g. age, caste, type of family, etc.) As much as 69.63%, subjects were in negative energy balance. Majority of subjects belonging to lower (79.37%) and middle (75.19%) SES were in the negative energy balance. Negative energy balance has been significantly less in subjects belonging to high SES, having main occupation of the family as business and high per capita income groups with respect to their corresponding subcategories. In all 68.52% study subjects had BMI < 18.5 kg/m2. Majority (91.11%) of adolescent girls had rate of energy expenditure > 1.4. Under nutrition was significantly (p<0.05) more in subjects with rate of energy expenditure > 1.4 (i.e. 70.33%) than in subjects with rate of energy expenditure < or = 1.4.
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