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Biomedical subjects

A C Paul

Publications and source records attributed to A C Paul.

12 recordsLinked to original sources

Malignant otitis externa in an infant with selective IgA deficiency: a case report.

The occurrence of malignant otitis externa (MOE) in infancy is rare. We report a case of MOE in a neonate who was later identified to have selective IgA deficiency. She was successfully treated with oral ciprofloxacin, but developed external auditory canal stenosis, a deformed pinna, persistent facial nerve palsy, temporal bone erosion and hearing loss. No cases of MOE in selective IgA deficiency have been reported in literature. This is also the first report on the use of ciprofloxacin in infants with MOE.

Child, Preschool↗

Muscle length affects the architecture and pattern of innervation differently in leg muscles of mouse, guinea pig, and rabbit compared to those of human and monkey muscles.

The innervation pattern and fascicular anatomy of muscles of different lengths in mouse, guinea pig, rabbit, macaque monkey and human legs were analyzed. Neuromuscular junctions, muscle tendon junctions and ends of intrafascicularly terminating fibers were stained for acetylcholinesterase, and fascicle lengths measured. A high correlation between increasing fascicle length and increasing number of neuromuscular junctions was found, with non-primate (mouse, guinea pig, rabbit) and primate (macaque monkey, human) muscles forming two discrete groups. In non-primates, muscles with a single endplate band, fascicles were always shorter than 35 mm, fixing the limit of fiber length served by one neuromuscular junction. Muscles with fascicles longer than this had multiple discrete bands of motor endplates crossing their width at regular intervals. An increase in muscle length across or within species corresponded to an equivalent, standard increase of 10-12 mm fascicle length per motor endplate band. All human and monkey leg muscles, with the exception of gracilis and sartorius, were singly innervated and all muscle fibers ran the full distance from tendon to tendon. Singly innervated primate muscle fibers were up to 140 mm long whereas the mean distance between endplate bands in the two multiply innervated muscles was also considerably greater than in non-primates. These data indicate that allometric effects of increasing fascicle length, are distinct in common laboratory animals and two primates, when architecture and pattern of innervation are compared.

Acetylcholinesterase↗

Natural radionuclides in the aquatic environment of a phosphogypsum disposal area.

Rock phosphate ore processing and disposal of phosphogypsum contribute to enhanced levels of natural radionuclides in the environment. Studies on the distribution of U-series nuclides were carried out in the Chitrapuzha River, near Cochin, in the southern part of India. The concentrations of radionuclides, especially 226Ra, in the river waters showed enhancement by an order of magnitude relative to the levels in nearby water bodies. The concentrations were influenced by seasonal changes in the river flows during monsoon and summer periods. Ingestion doses via fish and milk have an upper estimate of 18 microSv for the critical population.

Animals↗

Malnutrition and hypernatraemia in breastfed babies.

Despite the well-known advantages of breast-feeding to both mother and infant, malnutrition of breastfed infants does occur. We report two term neonates who presented in the 3rd week of life with severe wasting, hypernatraemic dehydration and pre-renal failure while being exclusively breastfed. Breast-milk sodium levels were markedly elevated on admission. Both infants recovered following adequate hydration and showed excellent catch-up growth during follow-up while exclusive breast-feeding was maintained. The critical malnutrition in both cases was detected by the family physician during routine postnatal visits. Both mothers were well motivated toward breast-feeding and were unaware of the severity of the baby's illness.

Breast Feeding↗

Deposition and clearance of 212Pb in humans.

Radiation exposure due to the inhalation of 212Pb has been identified as one of the major hazards encountered in the chemical processing of monazite. Volunteers were exposed to 212Pb in the thorium hydroxide storage facility. Personal air samplers were used to determine the concentration of 212Pb in air. The 212Pb in the chest was measured using a whole body counter and the decay in the chest was followed up for 24 h. From the decay, mean effective half-life for the inhaled 212Pb was estimated as 6.63 +/- 0.23 h. A comparison of the chest burden with the assumed intake indicates that 55-76% of the inhaled 212Pb is deposited in the respiratory system. From the chest monitoring data, it is possible to estimate the working level exposure due to thoron progeny.

Administration, Inhalation↗

VIPoma of pancreas in a child.

An eleven-year-old girl had massive watery diarrhea. She was found to have pancreatic VIPoma. It responded favorably to surgical resection of the tumor. There was no tumor recurrence at 18 months of follow-up.

Biopsy, Needle↗