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Biomedical subjects

I Jit

Publications and source records attributed to I Jit.

At least 37 records · Page 2Linked to original sources

Sexing the human sternum.

For differentiating a male from a female sternum, a metrical study of 400 adult North Indian sterna (312 males and 88 females) obtained from medicolegal postmortems was made. If the combined length of the manubrium and mesosternum was more than 140 mm. the sternum was male, and if less than 131 mm. it was female. No opinion could be given if the length was between 131 and 140 mm. By this measurement 72.12% male and 62.50% female sterna could be sexed with 100% accuracy. The length of the mesosternum alone could also determine the sex correctly in 50.32% male and 29.55% female specimens. The length of the manubrium, manubrium-corpus index, width of the first or third sterebra or their index, were not found to be useful in sexing a given sternum. By using multivariate analysis the probability of correctly identifying the sex of a sternum was over 85%.

Adult↗

The suspensory muscle of the duodenum and its nerve supply.

The gross anatomy, microscopic structure and nerve supply of the suspensory muscle of the duodenum and Hilfsmuskel have been studied in cadavers of 88 adults, 5 children, 1 infant and 6 neonates. The suspensory muscle of the duodenum, consisting of plain muscle fibres, arose from the connective tissue around the stems of the coeliac and superior mementeric arteries. It was inserted into the third and fourth parts of the duodenum in 53%, and into the duodeno-jejunal flexure in addition in 40%. It was innervated by non-myelinated fibres arising from the coeliac and superior mesenteric plexuses. Although both the longitudinal and circular muscle coats of the duodenum extended into the suspensory muscle, it was not supplied by Auerbach's plexus. The Halfsmuskel, which is a slip of the diaphragm is attached above to the margin of the oesophageal hiatus and below to the connective tissue in the region of the stem of the coeliac artery, sometimes extending to the stem of the superior mesenteric artery. The Hilfmuskel and the suspensory muscle of the duodenum are separate entities.

Adult↗

Weight and measurements of kidneys in northwest Indian adults.

Weights and measurements of paired kidneys obtained from medicolegal autopsies of northwest Indian adults, 155 males and 84 females, were compared. The right and left kidneys weighed 108.7 +/- 22.6 g and 111.8 +/- 23.3 g (P > 0.05), respectively, in males. Corresponding weights in females were 96.6 +/- 19.3 g and 99.4 +/- 25.3 g (P > 0.05) for the right and left kidneys, respectively. Sex differences in the weights of both right and left kidneys were statistically significant (P < 0.001). Other measurements of the right kidney in males were as follows: length, 99.5 +/- 9.4 mm; width at the middle of the hilum, 45.8 +/- 6.2 mm; and the thickness 33.3 +/- 5.2 mm, which did not differ from corresponding measurements of the left kidney (99.7 +/- 10.9 mm, 46.4 +/- 7.1 mm, and 34.0 +/- 6.4 mm, respectively). Other measurements of the right kidney in females were as follows: length, 91.3 +/- 8.7 mm; width at the middle of the hilum, 44.6 +/- 4.6 mm; and thickness 31.2 +/- 4.7 mm, which did not differ from those of the left kidney (92.1 +/- 11.0 mm, 43.5 +/- 6.5 mm, and 31.1 +/- 6.1 mm, respectively). Sex differences in measurements of both right and left kidneys were significant except for the width of the kidney at the middle and below the hilum.

Adult↗

Age, sex and socioeconomic correlates of fat patterning among adults from the Chandigarh zone of northwest India.

Fat patterns were derived from principal-component analysis of skinfolds and circumferences of 651 northwest Indian adults 18-49 years of age of high and low socioeconomic class. All measurements were corrected for absolute size prior to the analysis. As described in other ethnic groups, two patterns emerged: trunk/extremity and upper/lower body, based upon skinfolds and circumferences respectively. There was a general trend towards increases with age in upper body trunk fatness, somewhat more pronounced in upper than lower SES subsamples. Sexual dimorphism was greater in upper SES individuals due to an intensification of those patterns associated with each sex. Not only do lower SES females have less body fat than their upper SES counterparts, they have relatively less on their lower bodies (hips and thighs), which, in females, may serve as sites of energy storage.

Adipose Tissue↗

Gross anatomy of the pancreatic ducts in north Indians.

Gross anatomy of the pancreatic ducts was studied in dissections and by preparing corrosion casts of pancreases, obtained from 218 male and 57 female adult cadavers. In addition 72 normal pancreatograms were also examined. The main pancreatic duct (MPD) started as two or more tributaries in the tail of the pancreas and crossed the body of the 12th dorsal or the first lumbar vertebra or in between in 72.5% males and 62.5% females. In 96% specimens MPD followed the usual course and opened at the major duodenal papilla. Twenty to thirty five lobular ducts opened on either side of the MPD while a few opened on the anterior or posterior walls. There was no 'herringbone' arrangement. The distance between the two ductules varied from 1 to 10 mm. Mode of formation of the accessory pancreatic duct (APD), its course and termination were also studied. In dissected specimens the embryonic type of pancreatic duct (pancreas divisum) was seen in 9 (4.5%) male and 3 (6%) female specimens. In 15.1% male and 26.3% female (p < 0.05) subjects APD will not act as a safety valve if an obstruction occurs in the distal part of MPD.

Adolescent↗

Aluminium phosphide poisoning: haemodynamic observations.

Haemodynamic measurements were made on 25 patients with aluminium phosphide poisoning. There was severe hypotension (mean arterial pressure 62.7 +/- 19.3 mmHg) and reduction in cardiac output (2.13 +/- 0.9 lit/min/m2). However, the systemic vascular resistance was only moderately elevated (2050 +/- 732 dynes/m2). The right atrial pressure was increased but the pulmonary artery and pulmonary capillary wedge pressures were normal, even in patients with pulmonary oedema. Thirteen patients (52%) who died had a lower cardiac output (p less than 0.05). Saline infusion significantly improved haemodynamics in some patients. Its judicious use early in the course of treatment may be beneficial.

Adolescent↗

Incidence of myocardial bridges in northwest Indians.

Dissection of hearts obtained at autopsy from 150 adults (110 males, 40 females) and 15 children (10 males, 5 females) showed an incidence of myocardial bridges over the coronary arteries to be 34.5% in the male and 32.5% in female adults (p = NS); in children the incidence was 40% in either sex. A similar incidence was found in the neonates. Such bridges were also present in the fetuses. A bridge over the anterior interventricular artery could be identified as early as 60mm C.R. stage. An examination of serial sections of 3 early embryos indicated that the coronary arteries develop epimyocardially. The myocardial bridges seem to develop concurrently with the development of myocardium. In 63% instances a bridge was present on the anterior interventricular artery, other arteries were involved less frequently.

Adult↗

Blood supply of the human interventricular septum in north-west Indians.

The blood supply of the human interventricular septum was studied in hearts obtained from 500 (300 males and 200 females) medicolegal autopsy subjects aged 18 to 75 years. In 350 specimens the coronary arteries were injected with 20 per cent solution of cellulose acetate butyrate and branches supplying the septum were displayed by dissection while in the remaining hearts the arteries were injected with a solution of barium sulphate and X-rays taken. The anterior two-thirds of the septum is supplied by 4 to 10 perforators and one or two long septal arteries (in 94 per cent instances) which arise from the anterior interventricular artery; the latter turns round the inferior border of the heart and extends for a variable distance in the caudal part of the interventricular sulcus and supplies perforators to the posterior one-third of the septum. The cephalic part of the posterior one-third of the septum gets its blood supply from the posterior interventricular artery; some variations in this arrangement have been encountered. In about 85 per cent instances the right coronary artery or its conus branch gives an interventricular septal branch which pierces the anterior wall of the right ventricle and runs subendocardially on the supraventricular crest to reach the interventricular septum where it anastomoses with the anterior perforators; about 15 per cent subjects who do not have this septal branch are likely to sustain a larger infarction in case the anterior interventricular artery gets blocked.

Adolescent↗