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Biomedical subjects

N Viswanath

Publications and source records attributed to N Viswanath.

4 recordsLinked to original sources

On the abdominal aortic aneurysms: pulsatile state considerations.

Pulsatile blood flow using incompressible newtonian fluid is investigated numerically in abdominal aortic aneurysm models with the aid of transient Navier-Stokes equations for axisymmetric geometry. The arterial wall is assumed to be rigid. The actual arterial pressure-velocity pulse at the abdominal aorta is used as the inlet boundary condition to the aneurysm. The corresponding velocity at every time-step is assumed to be fully developed parabolic profile at the inlet. Time-dependent formation of vortices and occurrence of stagnation zones are analyzed in this numerical study. It has been found that the distal end of the aneurysm is subjected to maximum shear stress and pressure during the entire cycle. This analysis also confirms that the mechanical forces on the arterial wall, developed by the blood flow which is pulsatile in nature, may play an important role in both development and growth of aneurysms. It has also been found that a quasi-steady state may be used to explain sufficiently the basic flow characteristic within the aneurysm. The wall shear stress in the quasi-steady state at the distal end of the aneurysm during the most adverse condition was approximately the same as in the pulsatile state for a similar situation.

Aorta, Abdominal↗

Diclofenac-induced hepatitis: case report and literature review.

A case of diclofenac-induced hepatitis, in a 53-year-old Indian woman with recurrent jaundice, is presented. The diagnosis was suspected from the appearance of the liver biopsy and was confirmed by the temporal association with drug usage and cure on withdrawal of the drug.

Chemical and Drug Induced Liver Injury↗

Effect of acute ingestion of tobacco on gastric mucosa. An endoscopic study.

One hundred patients with non ulcer dyspepsia with history of chronic tobacco chewing were examined endoscopically to assess the effect of tobacco ingestion on the gastric mucosa. Gastric erosions were seen in 20 patients in the fasting state. The remaining 80 patients in whom gastroscopy did not reveal erosions were subjected to repeat gastroscopy after tobacco ingestion. In 40 patients, endoscopy was repeated 30 minutes after 200 mg of tobacco ingestion (Group I) and in another 40 patients endoscopy was repeated 1 hour after 400 mg of tobacco ingestion (Group II). Eleven patients (27.5%) in Group I and 19 (47.5%) in Group II developed gastric erosions. Erosions were observed mainly along the lesser curvature, and in the fundus and the body of stomach. Gastric pH, determined after tobacco ingestion, was 2.4 +/- 0.43 in patients with erosions and 3.0 +/- 0.67 in patients without erosions. It is concluded that tobacco ingestion produces dose-dependent damage to the gastric mucosa as seen on endoscopy. Hence, history of tobacco ingestion should always be asked for in patients with gastric erosions.

Gastric Acidity Determination↗

Ascitic fluid protein and cellular changes during diuretic therapy in cirrhosis of liver.

Thirty four patients with peritoneoscopy and/or biopsy proven uncomplicated cirrhosis of liver with ascites were studied for the effect of diuretic therapy on ascitic fluid protein and cell count. Renal function tests, liver function tests, ascitic fluid protein concentration and cell count were estimated prior to diuretic therapy and once every week till the end of therapy. There was no change in mean total serum protein (5.71 +/- 0.58 g/dl to 5.72 +/- 0.63 g/dl). The rise in mean ascitic fluid protein from 1.55 +/- 0.77 g/dl to 1.76 +/- 0.79 g/dl was not significant (P greater than 0.05). Twenty one patients (Group I) showed a rise in ascitic fluid protein concentration while 13 patients (Group II) did not show a rise or showed a fall in protein concentration during diuretic therapy. The rise in ascitic fluid protein concentration in Group I from 1.62 +/- 0.69 g/dl to 2.05 +/- 0.67 g/dl was statistically significant (P less than 0.05). Group I patients had a mean weight loss of 6.21 +/- 3.66 kg as compared to 3.15 +/- 2.00 kg in Group II patients (p less than 0.05). There was no other difference between Group I and Group II patients. Only 5 patients showed a rise in ascitic fluid cell count (more than 50 cell/mm3). It is concluded that diuretic therapy alters ascitic fluid protein concentration in a majority of patients but has no significant effect on cell count.

Adolescent↗