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Biomedical subjects

Shriniwas

Publications and source records attributed to Shriniwas.

At least 73 records · Page 4Linked to original sources

Mechanism of malabsorption in giardiasis: a study of bacterial flora and bile salt deconjugation in upper jejunum.

Sixty-three unselected cases of giardiasis, with no evidence of other systemic disease, were screened for evidence of steatorrhoea. No patient had any evidence of protein-energy malnutrition. Seventeen (27%) of the cases had steatorrhoea; three (17-8%) of the 17 patients having steatorrhoea also had D-xylose malabsorption. Vitamin B12 absorption was normal in all. Bacterial culture and qualitative analysis of bile salt in jejunal fluid was carried out in all the 17 cases having steatorrhoea as well as 13 cases with normal absorptive parameters (eight cases of irritable bowel syndrome and five cases of giardia infection) who served as controls. All the patients showing bacterial overgrowth had free bile acids in their duodenal aspirate. Free bile acids could also be detected in jejunal aspirates of five of the seven patients having no bacterial overgrowth. Two control cases of giardia infection with normal small bowel function and sterile duodenal aspirate showed evidence of bile salt deconjugation. The significance of these findings is discussed in relation to the pathogenesis of steatorrhoea in patients with giardiasis. The possible role of giardia in bile salt deconjugation is suggested.

Bacteria↗

Planning and organization of the C. S. S. D.

"Central Sterile Supply Department" is a service which caters to the needs of a hospital or a group of hospitals, for the supply of sterilized material. It aims at centralizing the activities of receipt, cleaning, assembly, sterilization, storage and distribution of reliably sterilized material from a central department, where bacteriologically safe sterilization practice is conducted under controlled conditions, adequate managerial and technical supervision and minimum cost. This article aims at describing the planning considerations and principles of organization of a Central Sterile Supply Department. It is hoped that the information thus contained will assist the Hospital Administrators to plan and organize such facilities in their hospitals.

Central Supply, Hospital↗