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Biomedical subjects

S K Roy

Publications and source records attributed to S K Roy.

267 records · Page 15Linked to original sources
PubMedDate not supplied

A randomized clinical trial to compare the efficacy of erythromycin, ampicillin and tetracycline for the treatment of cholera in children.

To compare the clinical outcome of treatment of cholera in children with ampicillin, erythromycin or tetracycline, a double-'blind' randomized four-cell trial was carried out in Bangladesh. Ampicillin was chosen as additional therapy for acute respiratory tract infection, present in many subjects with diarrhoea. One hundred and eighty-four children aged 1-5 years who were not wasted, with diarrhoea of duration < 48 h, signs of some or severe dehydration, dark-field stool microscopy demonstrating Vibrio cholerae, and a baseline purging rate > 4 mL/kg/h over 6 h were enrolled in the study. Ampicillin, tetracycline, erythromycin or placebo were given orally every 6 h for 3 d. After 3 d of antibiotic treatment, diarrhoeal stool volume was significantly reduced in all antibiotic groups, with mean volumes per kg body weight as follows: tetracycline, 318 mL (SEM = 50), ampicillin, 335 mL (SEM = 30); erythromycin, 323 mL (SEM = 25); placebo, 498 mL (SEM = 37). Compared to tetracycline, the clinical recovery rates by 96 h were 75% with placebo, 91.3% with ampicillin, and 95.7% with eythromycin. Compared to tetracycline, the total mean times to recovery were increased by 66% with placebo (P < 0.001), 25% with ampicillin (P < 0.017), and 9% with erythromycin (P = 0.37). These results indicated comparable clinical efficacy of tetracycline, ampicillin and erythromycin. We therefore recommend that, unless V. cholerae is resistant, ampicillin should be used as a cost-effective alternative to erythromycin for paediatric cholera, especially in children with concomitant acute respiratory infection.

Ampicillin↗
PubMedDate not supplied

Typhoid fever complicated by intestinal perforation: a persisting fatal disease requiring surgical management.

In Bangladesh, clinical records of 323 patients with typhoid fever were reviewed to study the incidence, fatality, and optimal therapy of the complication of intestinal perforation. Fifteen patients (4.6%) developed intestinal perforation. Case-fatality rates were six of nine patients treated medically and one of four patients treated surgically for whom the postoperative courses were known. A literature review of 57,864 cases of typhoid fever in developing countries in the antibiotic era revealed that perforation developed in 2.5% of patients, a percentage that was similar to the incidence of 2.8% reported in the preantibiotic era. The median of case-fatality rates in these reports was 43% and the proportion of all reported typhoid deaths attributable to perforation was 25%. The case-fatality rates for patients with perforation were 70% for 410 patients managed medically and 26% for 1,835 patients managed surgically. Although some reports were biased toward placing patients at lower risk into surgical treatment, the large number of patients treated successfully by surgery suggests real improvement in surgical techniques in countries with endemic typhoid fever. These results indicate that intestinal perforation persists as a major cause of death in cases of typhoid fever in developing countries in the antibiotic era and that surgical treatment with use of antibiotic therapy is optimal for this complication.

Adolescent↗
PubMedDate not supplied

Methods of separation and in-vitro culture of pre-antral follicles from mammalian ovaries.

A variety of procedures to isolate intact pre-antral follicles have been developed in our laboratories based on different concentrations of collagenase and DNase in a simple salt solution containing glucose as an energy substrate. The enzyme mixture effectively separates follicles of different sizes derived from ovaries of hamster, mouse, rat, pig and human. While no damage of the basal lamina is apparent for the hamster and human follicles, some loss is present in the other species. Follicles were classified into several stages or classes based on their diameter, the number of granulosa cell layers and the presence of an antral cavity. Pre-antral hamster and human follicles cultured in the presence of follicle stimulating hormone for up to 168 h developed an antral cavity with intact germinal vesicle oocytes.

Animals↗
PubMedDate not supplied

Study of KAP of the private medical practitioners about national disease control programmes.

This study was carried out among the Private Allopathic Medical Practitioners (PMPs) at Khardah Municipal area (West Bengal) to find out their perception & practice about management protocol of diseases like acute respiratory infections and diarrhoel diseases in children, malaria and tuberculosis. Data was collected by interviewing the PMPs with pre-designed open-ended questionnaire. It was supplemented by analysing sample prescriptions of the same diseases. The study revealed that PMPs knowledge and practice were not at par with national guidelines. The need for periodic sensitization of PMPs regarding national disease control programme was emphasized.

Child↗
PubMedDate not supplied

Ultrasonographic and thermographic evaluation of the lower limb after transfemoral catheterization.

Ten adults undergoing routine transfemoral catheterization were randomly selected for study. Ultrasonography and thermography were performed within 48 hours before and after the catheterization procedure. Sites proximal and distal to puncture were assessed. There were no angiographic procedural complications in any case. Distal to the puncture, Doppler evaluation revealed a decrease in peak systolic velocity (PSV) in six cases, with four showing a greater than 30% fall, while three of the four cases with an increase had a less than 10% rise in PSV. Findings at the proximal site showed no distinct pattern. Changes in the resistive index at both sites were minimal. There was a significant increase in turbulence distal to the site of puncture in six cases. B-mode revealed arterial wall thickening compromising the lumen in half the cases. Thermography was done in four cases, and there was a tendency for an increase in limb temperature after the catheterization procedure. In view of the above-mentioned findings seen in "normal, uncomplicated" procedures, a larger study appears warranted to assess the significance of these findings and to attempt a correlation of the above results with the angiographic procedure.

Adult↗
PubMedDate not supplied

Vaccine failure in malnourished animals: use of a bioimmunomodulator to improve immunocompetence.

Vaccine failure attributable to immunodeficiency is common in stressed individuals. During vitamin-B complex and ascorbic acid malnutrition in experimental animals, vaccine failure is accounted for by the atrophy of the immunocompetent organs. In an attempt to improve immunocompetence, a bioimmunomodulator obtained from the supernatant fluid from cultured normal bone-marrow cells was injected following immunization into young animals receiving a diet deficient in vitamins B and C. This treatment improved the immunosurveillence of mice and rats approximately 3 to 4 fold. Peculiarly, this factor failed to evoke immunostimulation in normal immunized animals, probably because of a suppressing mechanism.

Adjuvants, Immunologic↗