Colonic emergencies in geriatric practice--a brief review and observations.
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Biomedical subjects
Publications and source records attributed to D R Jangid.
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Morphometric--kinetic parameters of the thyroid gland in the Kashmiri population, which is geographically, environmentally, socioculturally, anthropologically and ethnically different from that of the main country (Indian republic), have been analysed. Morphometrically, the gland in this population has been found to be significantly larger (p less than 0.001), while kinetically, the A max which is the ordinate-extrapolate of the best-fit RAIU(t) curve, has been found to be significantly lower (p less than 0.01). The majority of other structural and functional parameters were similar to those of the north Indian population.
A retrospective analysis of the sensitivity of nuclear imaging in detecting hepatic malignancies has been done. Effects of clinical and liver function test bias have been studied on the ascribed sensitivity. The clinicobiochemical bias raises the detection sensitivity from 66.7% to 90.7% (p less than 0.001) but decreases the specificity of nuclear imaging significantly (p less than 0.05).
We analysed the aetiology of hypothyroidism in 144 patients. In these hospital referral data, thyroid surgery and decompensated iodine deficiency were the major known causes of hypothyroidism (19.5% and 15.3% respectively), while in the majority of patients (45.14%) the aetiology was obscure. The idiopathic group had patients who were significantly younger (p less than 0.01), showed a gland size between 2 and 3 SD ranges in significantly higher preponderance (p less than 0.05), and presented with generally higher prevalence rates of signs and symptoms; however, only menstrual disturbances (p less than 0.01), loss/reduced appetite (p less than 0.01) and dry/thickened hair (p less than 0.25) reached statistical significance. Since hypothyroidism has definite and substantial morbidity, these results are of importance to public health and medical personnel for a Bayesian approach to the aetiological diagnosis of hypothyroidism and for ordering specific confirmatory laboratory investigations.
A detailed retrospective morphometric analysis of thyroid gland in adult north Indian subjects using scintillation imaging has been done. Many parameters were found to be significantly different as compared to non-Indian population. Utility of this analysis has been discussed.
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We have measured the extent and evaluated afterload dependence of temporal dissociation of left ventricular end-ejection from end-systole using count rate dependent scintigraphic method. Good predictability of the dissociation (y) especially in the lower ranges of afterload (x) has been demonstrated (y = 9.1 x -763: r1 0.72: r2 0.55: r3 0.86). Role of the dissociation as the corrective parameter in count rate dependent scintigraphic method for evaluation of left ventricular contractile function (in contradistinction to the ejection function) has been discussed.