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Biomedical subjects

U Gupta

Publications and source records attributed to U Gupta.

At least 55 records · Page 3Linked to original sources
PubMed1992

Is small bowel bacterial overgrowth of pathogenic significance in persistent diarrhea?

Bacterial overgrowth in the upper small intestine is postulated to cause persistent diarrhea. We compared the fecal and upper intestinal flora in 82 patients with persistent diarrhea aged < or = 36 months and weight-for-length < or = 90% of National Center for Health Statistics standards (NCHS) and 39 non-diarrheal children with age < or = 36 months, nutritionally matched with the patients and residing in the same environment. In the age groups < or = 12 months and > 12 months the duodenal fluid bacterial counts > or = 10(5)/ml were found with similar frequency in patients and controls for aerobic (p = 0.33; p = 0.1) and anaerobic (p = 1.0; p = 1.0) bacteria. However, the duodenal isolation rates of any aerobic bacteria (p < 0.05) without regard to counts and Enterobacteriaceae (p = 0.06) were higher in patients than in controls. Colonization with Enterobacteriaceae was directly correlated with increased stool weight over a 7-day observation period (p < 0.05; p < 0.01). One or more pathogens were isolated in the feces of 58% of the patients and 43.8% of the controls. Enteroadherent E. coli of the localized [EAEC-L] (p < 0.01) and aggregative [EAggEC] (p = 0.22) phenotypes were isolated more commonly from the feces of patients. The duodenal fluid detection rates for Klebsiella were significantly greater (p < 0.01) in patients, while Giardia lamblia was detected more commonly in the duodenal fluid of controls (p < 0.01). The presence of specific pathogens in the feces did not seem to be related to the extent of small bowel colonization.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1992

Etiology of febrile episodes in children with acute lymphocytic leukaemia.

In 53 children (aged 5 months to 11 yr) with acute lymphoblastic leukemia, 68 febrile episodes were investigated for determining the etiology. Microbial organisms were isolated in 33 episodes. Bacteraemia was seen in 24 patients and in three of them Clostridium species were isolated. Escherichia coli was the commonest isolate and was seen in 11 (18.6%) febrile episodes. Other common organisms isolated were Staphylococcus aureus in nine (15.2%), and Klebsiella pneumoniae and coagulase negative Staph. in 6 (10.2%) episodes each. Pseudomonas aeruginosa and Acinetobactor were isolated in 5 (8.5%) episodes each.

Bacteremia↗
PubMed1991

Differential effects of caffeine on free recall after semantic and rhyming tasks in high and low impulsives.

The effects of caffeine on free recall after acquisition on semantic and rhyming tasks were examined. Following a between-subjects design, high and low impulsive male postgraduate students were administered placebo and four doses of caffeine citrate (1, 2, 3 and 4 mg/kg body weight) in a laboratory situation. A double blind procedure was adopted for drug administration. The study supports the following conclusions: (1) under no drug condition, high impulsives recall more after semantic acquisition while their counterparts, the low impulsives, recall more after rhyming acquisition; (2) caffeine facilitates recall in high impulsives after rhyming acquisition but hinders it after semantic acquisition; (3) caffeine does not reliably influence recall of low impulsives.

Adult↗
PubMed1991

Virulence factors in Bacteroides fragilis group.

Attempts were made to study the virulence factors in some strains of B. fragilis group in the rat model. Subcutaneous wound abscesses could be produced by 10(9) CFU/ml of live cells of all the five species of B. fragilis group tested. For determination of virulence factor cellular components (capsular polysaccharide and lipopolysaccharide) of B. fragilis were separated using gel filtration technique and injected in rats. Abscesses could be produced only by capsular polysaccharide fraction suggesting it to be the virulence factor. Studies with transmission electron microscope showed presence of capsular polysaccharide in B. fragilis and B. thetaiotaomicron, it was doubtful in B. distasonis and absent in B. ovatus and B. vulgatus. This suggested that virulence factors other than capsular polysaccharide may be responsible for pyogenic lesions in the noncapsulated species of B. fragilis group. The abscess could not be produced by 10(9) CFU/ml of heat killed cells of non-capsulated B. ovatus and B. vulgatus indicating that in live bacteria, a heat labile factor was responsible for the development of abscess.

Abscess↗
PubMed1990

Caffeine differentially affects kinesthetic aftereffect in high and low impulsives.

The effects of caffeine on kinesthetic aftereffect (KAE) were examined. Following a between-subjects design, high and low impulsive male postgraduate students were administered placebo and four doses of caffeine (1, 2, 3 and 4 mg/kg body weight) in a laboratory situation. A double blind procedure was adopted for drug administration. The study supports the following conclusions: (1) caffeine reduces KAE in high impulsive subjects; (2) the larger dose of caffeine (4 mg/kg) enhances KAE in low impulsive subjects; (3) caffeine produces profound effects on the performance of high impulsives; (4) caffeine leads to different dose-response trends in the two groups.

Adult↗
PubMed1990

Management of cyclical menorrhagia with prostaglandin synthetase inhibitor.

A well controlled double blind prospective trial was undertaken to determine the efficacy of mefenamic acid in the treatment of menorrhagia. Eighty patients who had unexplained cyclical menorrhagia with secretory endometrium received mefenamic acid orally in a dose of 500 mg 8 hourly or a placebo tablet thrice daily starting from day-one of the cycle for 5 days or till cessation of menses. Mefenamic acid administration caused a statistically significant reduction in the number of days of bleeding from 9.7 +/- 3.1 days before treatment to 4.1 +/- 0.6 days after treatment. It also brought about significant reduction in the amount of bleeding in terms of number of pads used per day, that is from 15.2 +/- 3.1 before treatment to 6.5 +/- 0.02 after treatment. Eighty-six percent patients in the treatment group had control of menorrhagia with the drug compared to 20% in the control group without drugs and this difference was statistically significant. Mefenamic acid proved to be a potent and efficacious agent in the control of unexplained menorrhagia.

Adult↗
PubMed1990

Etiology of liver abscess with special reference to anaerobic bacteria.

Specimens of pus from 78 patients with liver abscesses were cultured using anaerobic culture techniques in an attempt to ascertain the etiologic role of anaerobes. Bacteria were isolated from 28 of the 78 specimens, 9 with anaerobes and or microaerophilic streptococci. Two pus specimens yielded mixed growth. Fourteen liver abscess pus specimens were subjected to direct gas liquid chromatography for detection of volatile and nonvolatile fatty acids (VFA/NVFA). Two of the 3 specimens positive for multiple VFA were bacteriologically sterile--an indirect evidence of the presence of anaerobic bacteria at the site of infection bringing the number of patients with anaerobic infection to 11 (14.1%).

Adult↗
PubMed1989

Standardisation of quantitative direct gas liquid chromatography for early detection of bacteria in blood cultures.

Blood cultures with strains of aerobic, facultative and obligate anaerobic bacteria were studied by quantitative direct gas liquid chromatography for early diagnosis of bacteraemias. Small amounts of volatile and nonvolatile fatty acids were detected in uninoculated blood cultures. Bacteroides fragilis produced acetic (27.6 mumol/ml), propionic (1.0 mumol/ml), isovaleric, (0.6 mumol/ml), lactic (4.5 mumol/ml) and succinic (2.7 mumol/ml) acids after 48 h. Blood cultures inoculated with Clostridium perfringens and Fusobacterium nucleatum produced large amount of butyric acid (2.5 and 18.8 mumol/ml respectively) along with acetic, propionic, lactic and succinic acids on day 2 of incubation. Blood cultures with Escherichia coli, Salmonella typhi, Staphylococcus aureus, beta-haemolytic streptococci (group A) produced only acetic, lactic and succinic acids. Pseudomonas aeruginosa produced only small amounts of succinic (0.6 mumol/ml) and acetic acids (2.4 mumol/ml) on day 5 of incubation. Blood cultures inoculated with anaerobic bacteria produced multiple volatile fatty acids within 24 to 48 h of incubation. Since these acids could be detected earlier than the organism in cultures, they may be useful in the early diagnosis of anaerobic bacteraemias/septicaemias.

Bacteria, Anaerobic↗
PubMed1989

Bacteriology of pyoderma including anaerobes.

Of 100 pus samples cultured from pyodermal lesions, 99 yielded positive cultures. Staphylococcus aureus alone (45%) or with beta-haemolytic streptococci (BHS, 32%) was the commonest isolate. Antimicrobial sensitivity of 71 Staph. aureus strains tested showed high degree of resistance to erythromycin (38.3%). BHS was the second common pathogen encountered. T-agglutination patterns studied in BHS group A could type 85.7 per cent of the isolates. Non-group A BHS isolated were of group G (3) and group D (1). Five pus specimens yielded obligate anaerobes mixed with aerobes. Bacteroides melaninogenicus/asacchrolyticus was isolated in 4 of 5 samples.

Bacteria, Anaerobic↗