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Biomedical subjects

S Varma

Publications and source records attributed to S Varma.

221 records · Page 13Linked to original sources

Hypoglycemic responses to insulin in normothermic and hyperthermic young dogs.

The present study was conducted in 10 healthy young dogs in which pattern of hypoglycemia to injected insulin (0.12 U/kg I.V.) was studied at normothermic (38.5 degrees C) and hyperthermic (42.5 degrees C) body temperatures. Average maximum fall in plasma glucose concentration from the control level was 44.3% and 53.8% in normothermic and hyperthermic dogs respectively. The hypoglycemic response to injected insulin was much greater and prolonged in hyperthermic dogs. The recovery of plasma glucose to preinjection level was also very sluggish and incomplete in these dogs. The above changes in hyperthermic animals may be due to enhanced secretion of insulin, as well as an increased sensitivity to injected insulin. The slow recovery of plasma glucose to preinjection level following insulin administration in hyperthermic dogs would indicate inefficient feedback mechanisms which normally operate to raise the plasma glucose during hypoglycemia.

Animals↗

Pneumocystis carinii pneumonia complicating Hodgkin's disease: a case report.

A case of Hodgkin's disease who developed Pneumocystis carinii pneumonia (PCP) is described. The diagnosis of P. carinii was confirmed on post-mortem lung biopsy. The rarity of its occurrence in our country is emphasised as is the need for high degree of suspicion and early institution of treatment.

Adult↗

Non-surgery related aspergillus native valvular endocarditis: report of two cases.

Two unusual cases of aspergillus valvular endocarditis without any history of cardiovascular surgery found at autopsy are reported. As there is a chance of dissemination, early diagnosis is important. Clinical awareness can lead to early recognition and effective treatment of this potentially lethal condition.

Adolescent↗

Effect of hyperthermia on glucose homeostasis in young dogs. An experimental study.

Hyperthermia was produced in healthy anaesthetized young dogs by keeping them in a theromostatically controlled chamber, and the effects on blood glucose concentration were studies. The blood glucose levels decreased significantly at body temperatures of 40.5 degrees C and 42.5 degrees C. The decrease was greater at the latter temperature. Intravenous glucose tolerance tests were performed to study the rates of glucose utilization during hyperthermia. The calculated fractional rates of disappearance of glucose (Kt values) were found to be significantly higher in dogs having a body temperature of 42.4 degrees C. The cause of hypoglycemia produced at high body temperature seems to be due to an elevated insulin secretion which increases the over all utilization of glucose by the peripheral tissues. The study of time course of hyperglycemic response following intravenous glucose tolerance tests performed at high body temperature further support the possibility of an increase in insulin secretion in dogs subjected to hyperthermia.

Animals↗

Thrombolytic therapy in infants for femoral artery thrombosis following cardiac catheterisation.

Little information is available on the use of thromobolytic therapy in infants for femoral artery thrombosis after cardiac catheterisation. We report 12 cases (mean age: 4 months; range: 1-9 months) who received intravenous streptokinase (3000 U/kg bolus, 1000 U/kg/h) infusion. Five of them had undergone transarterial balloon dilatation procedures. Streptokinase was administered 48 h after catheterisation and continued for 4-20 h (mean 11.5 h). No detailed haematologic monitoring was done during therapy. Distal pulses were restored in all the patients. No complications were seen except a minor local ooze in two patients. We found that intravenous streptokinase is a safe and effective therapy for femoral artery thrombosis following cardiac catheterisation in infants.

Cardiac Catheterization↗