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Biomedical subjects

V Seth

Publications and source records attributed to V Seth.

At least 55 records · Page 3Linked to original sources

Hepatic function in relation to acetylator phenotype in children treated with antitubercular drugs.

Sixty-six children suffering from pulmonary primary complex were investigated for evidence of hepatotoxicity (clinical and biochemical), in relation to the type of acetylator. Acetylator phenotype was determined by the sulphadimidine acetylation test in urine. A large proportion (83.0%) of the children were either normally nourished or had only grade-I malnutrition. Estimation of the levels of SGOT and SGPT determined before therapy and at monthly intervals for the first three months, and then three monthly for one year, did not indicate any biochemical evidence of hepatic derangement in relation to the type of acetylator. Hepatotoxicity of antitubercular drugs is greatly reduced when isoniazid and rifampin are used in lower dosages regardless of acetylator phenotype. Mild degree of malnutrition does not predispose the child to more hepatotoxicity.

Acetylation↗

Comparison between serum isonicotinic acid hydrazide (INH) levels and urinary sulfadimidine (sulfamethazine) acetylation as predictors of INH acetylator status.

The acetylator status of 40 children with pulmonary tuberculosis was investigated by (1) sulfadimidine (SDM; sulfamethazine) acetylation test in urine and (2) estimation of isonicotinic acid hydrazide (INH) levels. The antimode was at 70% based on the frequency distribution of SDM acetylation. Children acetylating less than 70% of administered SDM were taken as slow acetylators while those with more than 70% as rapid acetylators. The serum INH antimode was at 0.85 micrograms/ml. Thus serum values less than 0.85 micrograms/ml categorised a child as rapid and those with more than 0.85 micrograms/ml as slow acetylators. The sensitivity of these two methods was similar with a correlation coefficient r = 0.64. Thus the determination of the type of acetylator by SDM acetylation test is equally reliable and technically simpler and is recommended instead of INH serum concentration.

Acetylation↗

Evaluation of thyroid function in children with undiagnosed short stature in north India.

Fifty-five children with short stature were investigated for the aetiology of short stature with special reference to hypothyroidism. Clinical and laboratory parameters including anthropometry were determined to exclude any chronic systemic disorders. Thyroid function tests such as thyroxine (T4) and thyroid stimulating hormone (TSH) estimation by radioimmunoassay, radioactive iodine uptake and thyroid scan, using 131I and perchlorate discharge test, were performed. In addition, growth hormone was estimated under basal conditions and after insulin-induced hypoglycaemia. Thirty-five were boys and 20 were girls. The age at presentation in the boys was 3-12 years whereas in the girls it was 8-13 years. Forty-three of the 55 children had delayed bone age. Abnormal thyroid function was present in 25 children (45.45%). Of these, 11 (20%) had primary hypothyroidism with low or normal uptake, whereas 14 (25.45%) had glands with high uptake of 131I and elevated TSH. Three children with primary hypothyroidism had reduced growth hormone reserve. On follow-up with thyroxine, there was an increase in growth velocity in all. This study indicates that thyroid function tests should be performed routinely in children with undiagnosed short stature.

Age Determination by Skeleton↗

Site of urinary tract infection in elderly women admitted to an acute geriatric assessment unit.

There have so far been no reported studies of localization of urinary tract infection (UTI) in elderly women. The site of infection, renal or bladder, in significant urinary tract infection in 50 elderly women (mean age 80) admitted acutely to a geriatric unit was determined by the Fairley bladder washout method. Of the 31 patients with an unequivocal result, 17 (55%) had renal infection and in only 14 (45%) was the infection confined to the bladder. This study has shown that, contrary to widely-held belief and standard teaching, in over 50% of cases of UTI in elderly hospitalized female patients the infection is renal.

Aged↗

Effect of aspirin on platelet aggregation in diabetes mellitus.

The effect of aspirin n vitro and in vivo on platelet aggregation has been studied in 13 diabetic subjects without retinopathy, 16 diabetic subjects with retinopathy and 20 age- and sex-matched control subjects. The rate, degree and duration of collagen-induced aggregation were greater in the diabetic patients (p less than 0.05; p less than 0.01; p less than 0.05). The residual aggregation in vivo was greater in all diabetic patients with aspirin, whilst it only occurred in vitro in patients without retinopathy. A decreased latent period was seen in diabetic patients, to a greater extent in those with retinopathy. Significant differences in the rate, degree and duration of arachidonic acid-induced-aggregation were also seen in patients with retinopathy treated with aspirin (p less than 0.05; p less than 0.01; p less than 0.05). Disaggregation only occurred with aspirin in vitro and was more frequently seen in normal subjects.

Arachidonic Acids↗