ABSTRACT
Objective. To study thyroid hormone profile in critically ill children and its correlation to disease severity and clinical outcome. Methods. Total serum triiodothyronine (T3), thyroxine (T4) and TSH were estimated at admission and discharge from PICU/ just before death. Results. Mean T3 levels in cases were significantly lower than controls and lower in patients who expired, both at admission and just prior to death. Mean T4 levels were lower in cases, and just prior to death. Mean TSH levels were not different in cases and controls; or in survived and expired cases. When both T3 and T4 are low, mortality risk increases 30 times. Serum T3, T4 and TSH values improved in patients who survived unlike in those who expired. Age, sex, duration of hospital stay, ventilation, inotropic support, and PICU stay did not show any correlation with patient outcome or thyroid hormone profile. PRISM score at 24 hours and T4 levels in the second sample were significant predictors of survival. Conclusion. T3 levels reflect the patient’s clinical status, T4 levels can predict survival.
Subject(s)
Case-Control Studies , Child , Child, Preschool , Critical Illness , Euthyroid Sick Syndromes/blood , Humans , India , Infant , Intensive Care Units , Logistic Models , Prognosis , Prospective Studies , Survival Analysis , Thyrotropin/blood , Thyroxine/blood , Triiodothyronine/bloodABSTRACT
The aim of the present study was formulate and clinically evaluate 5-fluorouracil (5-FU) transdermal patches. Cytotoxicity was measured by exposing cell suspensions to increasing concentrations of drug from 10-100 microg/ml and performing viable cell counts by the trypan blue exclusion method. Results confirmed 100 infinity g/ml and 50 microg/ ml of 5-FU to be cytotoxic to EAC and DLA cells. In mice, increase in the life span (ILS) by 87.1% with a maximum survival time of 30.5+/-1.87 days was found with EAC cell-induced tumors, with an ILS of 88.1% and a maximum survival time of 39.5+/-1.87 days for DLA cell-induced lesions with 5-FU transdermal patches. The results were statistically significant (p<0.01) compared to untreated controls. Pharmacokinetic studies in rabbits showed a t1/2 of 29+/-6 min, a Cmax (ng/ml) of 978.23, an AUC0-infinity (ng/ml/h) of 1213.73 +/-14 and a Tmax (h) of 0.5. 5-FU from transdermal patches exhibited a half-life of 95+/-0.5 min, a Cmax (ng/ml) of 863.25, an AUC0-infinity (ng/ml/h) of 1567+/-36 and a Tmax (h) of 1.5. Velcro protection jackets proved suitable in this study to stop mice licking, scratching and rubbing applied patches.