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Biomedical subjects

S Gupta

Publications and source records attributed to S Gupta.

At least 847 records · Page 47Linked to original sources
PubMed1996

Infant parasite rates and immunoglobulin M seroprevalence as a measure of exposure to Plasmodium falciparum during a randomized controlled trial of insecticide-treated bed nets on the Kenyan coast.

Repeated cross-sectional surveys among infants sleeping under insecticide-treated bed nets (ITBN) and contemporary control infants were used to estimate changes in Plasmodium falciparum exposure due to ITBN use on the Kenyan coast. Presence of P. falciparum parasites or total P. falciparum Immunoglobulin M (IgM) seropositivity were used independently and in combination in a constant risk catalytic conversion model to estimate the force of infection in ITBN and control communities. Such studies during infancy avoid problems of early saturation of prevalence due to high forces of infection and persistence of infection, minimize problems of self-treatment, and can be conducted among large populations covering a wide geographic area. These contrast previous parasitologic studies of ITBN among older children and the traditional entomologic studies of transmission that are logistically demanding. Our investigations demonstrated that parasite prevalence, IgM seropositivity, and the force of transmission were all significantly reduced by 50%. In addition, more infants under ITBN entered their second year of life without previous exposure to P. falciparum than control infants. These effects upon delayed acquisition of effective immunity require careful monitoring during future vector control programs using ITBN.

Age Factors↗
PubMed1996

Radiology of pancreatic tuberculosis: a report of three cases.

We report three cases of biopsy proven pancreatic tuberculosis. The patients presented with abdominal pain and intermittent fever. Ultrasound and computed tomography revealed a diffusely enlarged pancreas with focal hypoechoic/hypodense lesions in all three patients. In addition, one patient had a large pancreatic cyst with internal echoes. Associated findings included peripancreatic and mesenteric lymph nodes, bowel wall thickening of ileocecal junction, focal hepatic or splenic lesions, splenic vein thrombosis, and ascites. Pancreatic tuberculosis should be considered in the differential diagnosis of focal pancreatic lesions, especially if associated with ancillary findings such as enlarged hypodense nodes in the peripancreatic region or in the mesentery in patients presenting with longstanding fever and abdominal pain.

Adult↗
PubMed1996

Glutathione-glutathione reductase system and lipid peroxidation in Saccharomyces cerevisiae under alcohol stress.

The content of malondialdehyde (MDA) as well as diene conjugates increased in Saccharomyces cerevisiae under alcoholic conditions. These cells had lower content of water soluble antioxidant, i.e., glutathione. Ethanol-treated S. cerevisiae also exhibited lower activity of glutathione reductase (GR). The decrease in reduced glutathione (GSH) content cannot be attributed completely to lower GR activity. Not only the GSH content was lowered, but oxidized glutathione (GSSG) was also less in ethanol-treated yeast cells. The decrease in oxidized glutathione was much more (84%) as compared to that of reduced glutathione (40%).

Ethanol↗
PubMed1996

Lord's procedure: a curative outpatient operation for primary hydrocele.

Surgical procedures for hydrocele carry a significant morbidity rate from haematoma formation. Lord's procedures (n = 26) were performed for primary hydrocele as outpatient operation. Peroperative drain was put in one case (3.85%). Postoperative complications were negligible except scrotal oedema in 3 cases (11.53%), which required no specific treatment. No recurrence was noted till one year of follow-up. It is concluded that Lord's procedure is simple, effective, safe and economical technique.

Adolescent↗
PubMed1996

Host immune response in chlamydial cervicitis.

In order to study host immune responses to Chlamydia trachomatis infection in patients with chlamydial cervicitis, lymphoproliferative responses to purified protein derivative (PPD) and Chlamydia trachomatis antigen (elementary bodies) were studied in 15 patients and 10 normal control subjects. A significant lymphoproliferation of peripheral blood mononuclear cells (PBMC) was obtained with PPD and C. trachomatis antigen (P < 0.001) as compared to unstimulated PBMC showing that antigen-reactive T-cells are present in patients. There was no significant difference in the lymphoproliferation response to C. trachomatis in patients as compared to control subjects suggesting that the cell-mediated immune (CMI) response in peripheral blood is not altered in chlamydial cervicitis. Inhibition of IL-2 production in cervical secretions ranged from 44 to 84% in patients with chlamydial cervicitis while supernatants derived from PBMC stimulated with PPD failed to show inhibition. However, there was no inhibition of IL-2 production in secretion or supernatants stimulated with PPD in control subjects, thereby showing that local cell-mediated immunity is impaired in patients. Significant C. trachomatis specific IgA antibodies, in cervical secretions, were present in only three of 15 patients. C. trachomatis specific IgG, IgM and IgA were detected in the serum of most patients, suggesting that serum antibodies do not confer immunity at the local site. We conclude that although circulating antigen-reactive T-cells are present in chlamydial cervicitis patients, absence of protective antibody as well as impairment of local cell-mediated immunity may be responsible for alteration of the mucosal defence mechanism against chlamydial infection.

Adult↗
PubMed1996

Blunt trauma abdomen: a study of 63 cases.

63 cases of blunt abdominal trauma were studied. It was more common in males and in the age group 21-30 years. Majority of the injuries were due to automobile accidents. Commonly presenting feature was pain abdomen and vomiting. Abdominal paracentesis revealed haemoperitoneum in 40 cases which was subsequently confirmed on laparotomy in all the cases. 40 cases had no visible external injury but subsequent laparotomy revealed internal visceral injury in 29 cases. Exploratory laparotomy was carried out in 43 cases, remaining were treated conservatively. Liver was found to be the commonest organ injured. Post operative complications developed in 5 cases and deaths occurred in 7 cases mainly due to associated extra-abdominal injuries, poor pre-operative general condition, delayed diagnosis and management. We conclude that a multipronged approach towards early diagnosis and vigorous management should be adopted to reduce the morbidity and mortality in patients with blunt abdominal trauma.

Abdominal Injuries↗
PubMed1996

Correlation between degree of protection and humoral antibody response in hamsters immunized with somatic and excretory secretory antigens of Ancylostoma ceylanicum.

Correlation between the degree of protection and induced serum antibody response in hamsters immunized with somatic and excretory-secretory (ES) antigens of adult. A. ceylanicum was investigated. Hamsters were immunized with non purified and Sephadex G-200 fractions (F1, F2 and F3) of somatic and ES antigens. The degree of protection was assessed in terms of percent worm reduction compared to controls against challenge infection. Induced humoral antibody response was determined by ELISA. Both somatic and ES antigens had shown moderate to significant protection but the latter was found more immunogenic as highest level of protection (67.02%) was achieved by these antigens. Humoral antibody was found highly elevated in animals immunized with protective doses of somatic and ES antigens. The maximum serum antibody titer i.e. 1:3200 was noticed in animals immunized with high protective dose (64.59% protection) of fraction F1 of ES antigens. Antibody titer correspond to the degree of protection and a positive correlation between induced humoral antibodies and protection level was established.

Ancylostoma↗
PubMed1996

Median nerve somatosensory evoked potentials correlation with physical parameters.

Somatosensory evoked potentials (SEPs) following median nerve stimulation of 25 medical students were recorded along with their height, age and upper limb length. Three major positive and negative peaks were recorded. P1 (16 msec), N1 (20 msec), P2 (28 msec), N2 (33 msec), P3 (43 msec), N3 (50 msec). Significant correlation (P value < 0.05) of N1 and P1 with height and limb length was observed. It is therefore suggested that studies involving SEPs must include physical parameters like age, height and limb length. Our future studies will indicate the accurate correction factor for these physical parameters.

Adolescent↗
PubMed1996

Clinical significance of glycosylated haemoglobin (HbA1C) over fasting blood sugar for monitoring metabolic control in diabetic patients with or without complications.

Glycosylated haemoglobin was studied in 30 cases of mild to severe diabetes in the age group 12-60 years. Ten patients were keto-acidotic. Glycosylated haemoglobin and fasting blood sugar levels were studied in patients with various complications of diabetes like neuropathy, nephropathy, retinopathy, keto-acidosis, cardiac and respiratory complications. There was a significant correlation between fasting blood sugar and glycosylated haemoglobin in normal subjects as well as in diabetic patients. There was a significant correlation between levels of glycosylated haemoglobin and blood sugar over preceding 4-6 weeks. Most frequent complication being retinopathy and keto-acidosis was associated with maximum glycosylated haemoglobin with poor metabolic control.

Adolescent↗
PubMed1996

Cytology. A valuable tool in prognostication of carcinoma breast.

Sixty consecutive cases of carcinoma breast diagnosed on fine needle aspiration cytology (FNAC) between July 1993 to June 1994 were studied prospectively. Nuclear grading was done on all cytologic smears, histologic grading was possible in only 22 cases. A good correlation was seen between nuclear grading on cytology and histology. Silver staining for nucleolar organizer region, and immunocytochemical staining for Ki-67 and C-erbB-2 could be done with ease on cytologic smears, providing necessary additional information on which to base the theraputic decisions.

Biopsy, Needle↗