PubMed HealthSearch

Biomedical subjects

M C Gupta

Publications and source records attributed to M C Gupta.

At least 19 recordsLinked to original sources

Effect of ascariasis upon nutritional status of children.

One hundred children aged 24-72 months who had history of passing roundworms during the preceding 12 months were compared with 100 children without such history. The two groups were matched for age, sex, economic status, and birth order. Children who had ascaris were 2.1 cm shorter in height, 0.6 cm, thinner for mid-arm circumference, and 0.38 kg lighter in weight compared to the children who did not pass ascaris. The first two of these differences were statistically significant (P less than 0.005). It is concluded that: 1. ascariasis contributes significantly to malnutrition in communities where both coexist; 2. periodic deworming should form part of community nutrition programmes in areas where ascariasis is common; 3. future studies of a similar nature should include recording of height, arm circumference, and birth order.

Arm

Psychopathology of delayed resumption of sexual activity after myocardial infarction.

A total of 300 male cases of myocardial infarction were analyzed to evaluate the effect of myocardial infarction on sexual activity with particular stress on resumption of sexual activity and to determine the factors in cases of delayed resumption. Sexual activity decreased with age and correlated negatively to total sexual activity. 26 per cent cases developed one or other symptoms which occurred during all the phases of sexual activity but were more marked during resolution phase. Sexual activity returned to normal within six months only in 11.33 per cent cases and in the remaining cases resumption was delayed. In 27.8 per cent cases phobia of marked exertion involved in sex act, created by physicians in 12.7 per cent was the factor responsible for the delayed resumption. Quality of sexual activity decreased in 39 per cent cases and it was due to change in position from Male on top to male on bottom position in 31 per cent cases. Counselling for sexual rehabilitation has been discussed.

Adult

Diabetic status in leprosy.

The diabetic status of the local Jhansi patients (120 cases) was established before and after antileprosy treatment. Control studies were performed in normal healthy subjects (50 persons) without family history of diabetes mellitus. Random normals showed an incidence of diabetes only 2%, while leprosy patients (94 males and 26 females) had incidence of diabetic status of 14.2%. The highest incidence (19.3%) of diabetes was in lepromatous leprosy and lowest incidence (6.4%) in tuberculoid leprosy patients. Repeated studies in leprosy after treatment showed not only clinical improvement for leprosy but also disappearance of the chemical and latent diabetes mellitus and lowering of blood sugar levels in manifest diabetes mellitus. Incidentally it was noted that 'diabetic status' was worse among males (82.3%) and with advancing age. Association and improvement of diabetic status with specific treatment would tentatively suggest that Mycobacterium leprae lesions are not confined to skin alone but somehow also related to carbohydrate metabolism. A careful management of the chemical and latent diabetes may help in clinical management of leprosy too.

Adolescent

Complete heart block complicating acute myocardial infarction.

Complete heart block (CHB) developed in 10.3% of patients with acute myocardial infarction (MI). It was more frequent among patients with inferior myocardial infarction compared to anterior myocardial infarction, but the mortality was significantly high among patients with anterior MI who developed CHB. A new classification into primary (P) and secondary (S) CHB is suggested by the sequence of events. The incidence and mortality of SCHB was significantly high when compared to the incidence and mortality of PCHB. Wide QRS complexes, a heart rate of less than 60/min, and syncopal attacks were the grave prognostic signs. Progression from a lesser degree of AV block and regression of CHB to a lesser degree of AV Block were both observed in 25.8% cases. Circulatory failure in the form of shock, hypotension, congestive heart failure, and left ventricular failure, alone or in combination was a factor in 17 of the 22 patients who died. Four of 5 patients who underwent transvenous pacing also died.

Acute Disease