Those so-called still births.
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Biomedical subjects
Publications and source records attributed to S K Shah.
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Monthly fat tests for 895 lactations of Nili-Ravi buffaloes in a Livestock Production Research Institute herd were used to estimate environmental effects on fat percentage. Fat tests rose progressively from 1st to 10th mo of lactation (5.51 to 7.46%). Average lactation fat percent was 6.55 +/- .06. Year effects were significant, but season, age, parity, milk yield, and health status were not. Percent fat increased slightly to maturity (6.54 first parity; 6.65 fifth). Lactations initiated April to September averaged slightly higher (6.60%) than other months (6.50%). There was a slight, although real, decrease in fat percent with increased lactation milk yield (6.60, 6.63, 6.60, 6.43, 6.51 for 1000 to 1500, 1501 to 2000, 2001 to 2500, 2501 to 3000, and greater than 3,000 kg). Effect of treatment for health problems was small (6.51 treated versus 6.59% untreated). Of all fat tests (7,772) 60% were 5.1 to 7.0%, 27% were between 7 and 9%, but only 3% exceeded 9%. Lactation fat percent averaged 1.0 less than most percents for buffaloes because of system of milking and milk yield (2,130 kg). Fat percentage of buffaloes appears to be influenced by environmental factors in the same proportion as for cattle, but buffaloes would be expected to exceed cattle in fat percent by 1 to 3% depending on breed and environmental conditions.
Effects of herd, year, age, season, and lactation length on milk yield and reproductive efficiency for the Nili-Ravi breed of buffalo were determined by analysis of variance of 5,716 lactation records from two herds in Pakistan. Herds differed in all traits. Herd average milk yields were 1,702 and 2,064 kg. Year, season, herd, parity number, days in milk, days open, age, and sire all influenced milk yield. Herd, year, season, and parity number also had significant effects on days open and calving interval. Month of calving was important for time until return to estrus. Percentages of variance in milk yield attributed to herd, year, sire, cow, and residual were 20.3, 11.4, 4.3, 17.0, and 47.0. Classification of lactation length (greater than 60, greater than 250, or at least 305 days) markedly influenced the sire component of variance suggesting some interdependence of milk yield and lactation length. Total variance for milk yield was 466,911 kg2. Within herd heritability for milk yield was .25, and repeatability was low (.31). Predicted breeding values for sires for 250 to 305-day milk ranged from -172 kg to +260. Cows in Herd 1 completed 5.58 lactations with an average herd life of 12.3 yr; Herd 2 cows completed 4.52 lactations with culling at 10.6 yr. Frequency of termination of lactations because of mastitis, reproductive problems, or health was similar to frequencies for cattle. Factors affecting milk yield in buffaloes are similar to those of cattle.
Following a minimum period of 11 weeks after cerebrovascular accident and resulting hemiplegia, 100 adult patients were assessed, over a period of 3 years, for sensory-motor deficits affecting the function of the paralyzed upper extremity. This paper presents only the assessment of voluntary control, the disturbances of voluntary motion, and the interrelationship between the components of voluntary motion and other clinical manifestations. Kendall rank order correlations were computed for this purpose. In the voluntary control of gross arm motions, forearm supination and spontaneity of arm usage appeared to be most significant in predicting the presence of other synergistic components. The isolated muscle function revealed during execution of functional tasks showed the ability to grasp an object as the least affected task and dropping a coin in a slot as the most difficult. Inability to perform voluntary motion was primarily related to the limitation of active and passive motion of the shoulders, elbow, wrist, and hand.
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Anaesthesia was given from a Boyle's apparatus to 100 patients, using compressed air as the carrier gas.
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We report a patient with high small intestinal obstruction due to ischemic stricture, secondary to acute mesenteric venous thrombosis. Tests done for hypercoagulability revealed dual etiology (protein C deficiency and factor V Leiden gene mutation). The patient underwent surgical resection and has been on anticoagulation treatment. At 2 years' follow up, she remains asymptomatic.
AIM: Visceral hypersensitivity characterizes the irritable bowel syndrome (IBS). We evaluated the effect of a cold pressor test (CPT)--hand immersion in ice water for 1 minute, which evokes a sympathetic response--on rectosigmoid motility in patients with IBS and normal volunteers. Since many Indian patients with IBS complain of worsening of symptoms following a spicy meal, we also evaluated whether a high-chilli diet affects symptoms or changes rectosigmoid motility. METHODS: Fifteen men with IBS and 13 normal volunteers (all men) were studied. Baseline rectosigmoid manometry was done for 2 h, i.e., 1 h pre- and 1 h post-CPT. The subjects were then kept in hospital on a regular diet (approximately 5 g chilli daily) for 3 days, following which symptoms were reassessed and manometry repeated for 1 h. This was followed by a high-chilli diet (approximately 15 g/day) for 3 days, after which symptoms were reassessed and manometry repeated for 1 h. RESULTS: There was no difference in the baseline study in the pre-CPT period between patients and control subjects. CPT did not change rectosigmoid motility in either group. IBS patients had varied effect on symptoms but no change in rectosigmoid motility after the high-chilli diet. In the normal volunteers, there was increased activity in the low rectum after the high-chilli diet. CONCLUSIONS: Cold pressor test does not affect rectosigmoid motility in patients with IBS or normal subjects. A high-chilli diet has varied effect on symptoms in patients with IBS and does not affect rectosigmoid motility.
In patients with cirrhosis of liver, variceal bleeding is the most serious complication, with a mortality of up to 50%. Primary prophylaxis of variceal bleeding with shunt surgery or endoscopic variceal sclerotherapy was attempted and then abandoned, as higher rates of complications and mortality were observed. Endoscopic variceal ligation is now being recommended for primary prophylaxis in some centers, as it has fewer complications than sclerotherapy. But this has been done with inadequate evaluation of the cost-effectiveness of variceal ligation. Propranolol therapy is also being widely used for a selected group of patients (large varices with cherry red spots), despite its several limitations and side effects, to reduce frequency of bleeding but without improving survival. Is primary prophylaxis of variceal bleeding cost-effective? The cost involved needs to be accurately assessed in different countries.
A rare complication of superior mesenteric embolism following resection of a ventricular aneurysm is reported. A 45-year-old male patient underwent left ventricular aneurysm resection under cardiopulmonary bypass. Thirty-six hours after surgery the patient developed an acute superior mesenteric artery embolus with a gangrenous small bowel; this necessitated resection of more than 90% of the small intestine. To the best of our knowledge, the successful outcome of a superior mesenteric embolization following resection of the ventricular aneurysm under cardiopulmonary bypass is here recorded for the first time.