Evidence based diagnosis: multiple tests with multiple responses are important.
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Biomedical subjects
Publications and source records attributed to Ram Kumar.
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Anopheles subpictus was reported to be a complex of four sibling species provisionally designated as species A, B, C and D. Present studies in District Sonepat, Haryana have revealed the sympatricity of species A, C and D based on the reported distinct morphotaxanomical identification characters in different life stages of the mosquito. Studies on field collected adult mosquitoes and isofemale progeny did not show variations in the prevalence of sibling species and also showed a possibility of use of a single reported morphological character in a given life stage for the identification of the members of this complex.
Although visualization of the genitalia on Tc-99m DTPA transplant renography has been reported previously, its frequency and clinical significance have not been fully evaluated. The authors conducted a retrospective evaluation of 153 renal transplant scintigrams obtained in 129 patients during a 2-year period. The results showed that significant genital blood pooling occurred in nearly 50% of studies. Because the finding was commonly associated with little or no radioactive urine in the bladder, as in acute tubular necrosis or poor graft function, exaggeration of the normal blood pool was thought to be the possible cause for its occurrence. It is, however, important to distinguish genital blood-pool activity from the bladder with radioactive urine to avoid making an incorrect diagnosis.