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B D Pimparkar

Publications and source records attributed to B D Pimparkar.

12 recordsLinked to original sources

Malnutrition and malabsorption. Effect of nutritional rehabilitation on gastrointestinal function in kwashiorkor and marasmus--a longitudinal study.

The effects of long-term feeding of an adequate diet on the progressive changes in the biochemical parameters including gastrointestinal functions in children suffering from marasmus and kwashiorkor are presented. In both groups fasting bloos sugar, blood urea nitrogen, hemoglobin, serum total proteins and albumin at admission were significantly lower than in matched controls. These parameters improved after proper dietary therapy over a period of two years. The improvement in the biochemical parameters correlated with clinical and anthropological measurement. On admission, the gastrointestinal function as assessed by various tests was poor in both the groups. This returned to normal or near normal after nutritional rehabilitation. The return was much quicker for glucose and fat absorption than for lactose and d-xylose absorption. The rate of improvement in marasmus was slower than that in kwashiorkor.

Blood Glucose

Optimum dose of histamine for maximal acid output in underweight subjects.

The effects of increasing doses of histamine acid phosphate on the gastric secretion of acid has been studied in a randomized fashion in five normal control and 15 duodenal ulcer subjects. The dose of histamine acid phosphate used in each individual was 40, 70, 76 and 80 mug/kg. and 3.2 mg. of histamine. In 12 of 20 subjects the highest mean +/- S.D. acid output was observed after a dose of 76 mug./kg. body weight. When the acid output was expressed as the percentage of the highest response with different doses of HAP, the response was maximum with 76 mug. kg. dose. Further statistical analysis by rank totals and X2r by Friedman's two-way analysis by ranks also revealed highest acid output after a 76 mug./kg. dose of HAP. These findings suggest that 76 mug./kg. is the optimum dose for maximal acid output in underweight subjects. Only one patient showed highest acid output after a 3.2 mg. dose of histamine. The mean +/- S.D. acid output after 76 mug./kg. was higher than that after a 3.2 mg. dose of histamine. Hence, for estimating maximal acid output, a weight related dose and not a fixed dose is recommended. Further, it was shown that there was significant correlation between PAO and MAO after various doses of histamine in both the groups. Hence, for clinical purposes, estimation of one hourly poststimulatory maximal acid output after a dose of 76 mug./kg. body weight of histamine acid phosphate is recommended for underweight subjects.

Adult