Intra-uterine growth of North Indian babies.
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Biomedical subjects
Publications and source records attributed to V Bhargava.
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Left ventricular regional wall motion in ischemic heart disease was evaluated and compared using three different methods based on radiographic ventriculograms. Radial method uses an internal reference system, and centerline method employs an external reference system, both methods are based on two frame analysis. The last method, an automated video intensity technique, analyzes on a frame by frame basis utilizing an external reference system. A total of 42 patients were included in the study, of these 12 had a history of myocardial infarction. Significant coronary artery stenosis was defined as 50% measured diameter reduction. Right coronary artery (29/42) was most commonly involved. Single vessel disease was present in 18 patients, two vessel disease in 15 and three vessel disease in eight patients. The radial method detected abnormal wall motion in 16/42 patients, centerline method yielded a detection accuracy of 22/42 and with the new technique, asynchrony was noted in 39/42 patients. All three methods detected regional wall motion abnormalities with a higher sensitivity in patients with prior myocardial infarction. The centerline method had highest sensitivity for the right coronary artery bed (55%). The radial method (45%) and the video intensity based technique (95%) had the highest sensitivity for regions supplied by the left anterior descending artery.
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Serum calcium and phosphorus levels were measured at birth, 6 hours, 24 hours, and on 5th day of life in 35 neonates with birth asphyxia (one-minute Apgar score of 6 or less), and in 37 neonates without asphyxia (one-minute Apgar score of 7 or more). Infants were divided into three groups: FT-AGA (n = 30, asphyxia = 15), FT-IUGR (n = 20, asphyxia = 10) and PT-AGA (n = 22, asphyxia = 10). Asphyxiated infants--FT-AGA as well as FT-IUGR--had significantly lower serum calcium levels than control infants during each of the time period studied. In PT-AGA infants with asphyxia, the serum calcium was significantly low only on 5th day of life. Lack of calcium intake, and hyperphosphatemia were identified as possible risk factors for low serum calcium in asphyxiated infants. No change in serum calcium levels was found in bicarbonate-treated asphyxiated infants in comparison to those who did not receive sodium bicarbonate. In view of the high incidence of low serum calcium in asphyxiated infants, serial monitoring of serum calcium levels is recommended in these infants.
A rare case of splenic abscess occurring after blunt abdominal trauma in a previously healthy boy is reported. The diagnosis was made by ultrasonography. The patient recovered after splenectomy and drainage of subphrenic and intraperitoneal pus.
A two-year-old male child presented with bizarre hypopigmented skin lesions, severe mental retardation and generalized tonic-clonic seizures. Examination showed hypopigmented patterned whorls and irregular patches over the trunk and linear streaks over the flexor aspects of upper and lower limbs. He also had generalized hypertonia and brisk tendon reflexes. Other systems were normal.
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A new computerized video intensity based method to evaluate regional wall motion for a frame by frame analysis has been developed. A region of interest is defined, and its average time-intensity curve is computed for the cardiac cycle. For each time interval the video intensity for a pixel in the region of interest is correlated with the average for the whole ventricle and its slope and correlation coefficient are calculated to derive two functional images. This technique utilizes images either from levophase or direct opacification of the left ventricle, and it is insensitive to RR-interval changes.
The current concept of ventricular filling in elasmobranch and teleost fishes is that atrial contraction is the primary, if not the exclusive, determinant of ventricular filling. Recent echocardiographic and on-line hemodynamic data for elasmobranchs, however, have demonstrated a biphasic ventricular filling pattern, characterized by an early phase that occurs during ventricular relaxation and a late phase that follows atrial systole. This study reports echocardiographic and hemodynamic analyses of ventricular filling in three teleost genera (Paralabrax, Channa, Monopterus) having markedly different heart morphologies. Both the profiles of the atrioventricular pressure gradient in Paralabrax and the ventricular inflow velocity in all three genera indicate a biphasic ventricular filling pattern. Although the relative contribution of the early and late filling phases differed among the species studied, interspecific differences in heart structure did not obscure the biphasic pattern. Also, pericardiectomy did not affect the biphasic ventricular filling pattern in Paralabrax. The presence of biphasic filling in teleosts establishes a functional similarity with the elasmobranchs and, because the biphasic ventricular filling pattern predominates in higher vertebrates, suggests that this ventricular filling mechanism may be present in the entire subphylum Vertebrata.