Résumé
The study was conducted in 35 cases of acute tubular necrosis of varied aetiology. Cases were divided in 2 groups, Group A--17 cases treated conservatively and Group B--18 cases managed by early haemodialysis. Criteria for early haemodialysis were blood urea < 120 mg% and serum creatinine < 7 mg%. Before starting therapy both the groups had comparable biochemical and renal parameters (p > 0.05). Overall mortality was lower in Group B as compared to Group A (22.2% Vs 29.4). Complication events such as uraemic encephalopathy, pulmonary oedema, haematemesis and malena, thrombophlebitis and vomiting were significantly lower in Group B (p < 0.05). Hospital stay was also significantly lower (p < 0.05) in Group B (18 +/- 2.5 days Vs 28 +/- 3 days), this can reduce the cost of treatment also.
Sujets)
Humains , Néphropathie tubulo-interstitielle aigüe/étiologie , Dialyse rénale , SurvieRésumé
Serum total cholesterol and serum cholesterol binding reserve (SCBR) were estimated in 50 healthy subjects and 25 cases with ischaemic heart disease (IHD) and their seventy asymptomatic first degree relatives. In normal subjects mean values of SCBR tended to expand with increasing levels of serum cholesterol, while this relationship was reversed in cases with IHD. The relatives showed a direct correlation between serum cholesterol and SCBR upto serum cholesterol level of 220 mg/dl, but the correlation was lost beyond this level. The critical levels for predicting risk of IHD were 30 mg/dl for SCBR and 8 for cholesterol: SCBR ratio. The latter was found to be a more sensitive index for predicting the risk of IHD as compared to SCBR alone.
Sujets)
Adulte , Cholestérol/sang , Cholestérol HDL/sang , Cholestérol LDL/sang , Maladie coronarienne/sang , Études d'évaluation comme sujet , Famille , Santé de la famille , Humains , Facteurs de risqueRésumé
Significant dermatoglyphic findings observed in both sexes of hypertensive cases as compared to controls were: (i) Increased Total finger Ridge count. (ii) Decreased frequency of Axial triradius t (in right palm female) and Axial Triradius t' and t" in right palm (male) (iii) Decreased atd angle. (iv) Absence of Axial triradi in both the palms of an individual was found exclusively in hypertensive cases (10%) and in none of the controls.