1
|
Wang FM, Yang CY, Qian Y, Li F, Gu L, Chen DM, Sun Y, Zhu RN, Wang F, Guo Q, Zhou YT, De R, Cao L, Qu D, Zhao LQ. [Clinical characteristics of human adenovirus infection in hospitalized children with acute respiratory infection in Beijing]. Zhonghua Er Ke Za Zhi 2022; 60:30-35. [PMID: 34986620 DOI: 10.3760/cma.j.cn112140-20210809-00658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To compare the clinical characteristics of different types of human adenovirus (HAdV) infection in hospitalized children with acute respiratory infection in Beijing, and to clarify the clinical necessity of adenovirus typing. Methods: In a cross-sectional study, 9 022 respiratory tract specimens collected from hospitalized children with acute respiratory infection from November 2017 to October 2019 in Affiliated Children's Hospital, Capital Institute of Pediatrics were screened for HAdV by direct immunofluorescence (DFA) and (or) nucleic acid detection. Then the Penton base, Hexon and Fiber gene of HAdV were amplified from HAdV positive specimens to confirm their HAdV types by phylogenetic tree construction. Clinical data such as laboratory results and imaging data were analyzed for children with predominate type HAdV infection using t, U, or χ2 test. Results: There were 392 cases (4.34%) positive for HAdV among 9 022 specimens from hospitalized children with acute respiratory infection. Among those 205 cases who were successfully typed, 131 were male and 74 were female, age of 22.6 (6.7, 52.5) months,102 cases (49.76%) were positive for HAdV-3 and 86 cases (41.95%), HAdV-7, respectively, while 17 cases were confirmed as HAdV-1, 2, 4, 6, 14 or 21. In comparison of clinical characteristics between the predominate HAdV type 7 and 3 infection, significant differences were shown in proportions of children with wheezing (10 cases (11.63%) vs. 25 cases (24.51%)), white blood cell count >15 ×109/L (4 cases (4.65%) vs.14 cases (13.73%)), white blood cell count <5×109/L (26 cases (30.23%) vs.11 cases (10.78%)), procalcitonin level>0.5 mg/L (43 cases (50.00%) vs. 29 cases (28.43%)), multilobar infiltration (45 cases (52.33%) vs.38 cases (37.25%)), pleural effusion (23 cases (26.74%) vs. 10 cases (9.80%)), and severe adenovirus pneumonia (7 cases (8.14%) vs. 2 cases (1.96%)) with χ²=5.11, 4.44, 11.16, 9.19, 4.30, 9.25, 3.91 and P=0.024, 0.035, 0.001, 0.002, 0.038, 0.002, 0.048, respectively, and also in length of hospital stay (11 (8, 15) vs. 7 (5, 13) d, Z=3.73, P<0.001). Conclusions: HAdV-3 and 7 were the predominate types of HAdV infection in hospitalized children with acute respiratory tract infection in Beijing. Compared with HAdV-3 infection, HAdV-7 infection caused more obvious inflammatory reaction, more severe pulmonary symptoms, longer length of hospital stay, suggesting the clinical necessity of further typing of HAdVs.
Collapse
Affiliation(s)
- F M Wang
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - C Y Yang
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Y Qian
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - F Li
- Department of ICU, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - L Gu
- Department of Respiratory Medicine, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - D M Chen
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Y Sun
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - R N Zhu
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - F Wang
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Q Guo
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Y T Zhou
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - R De
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - L Cao
- Department of Respiratory Medicine, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - D Qu
- Department of ICU, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - L Q Zhao
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| |
Collapse
|
2
|
Yang CY, Zhou XH, Qian Y, Li F, Gu L, Chen DM, Sun Y, Zhu RN, Wang F, Guo Q, Zhou YT, De R, Cao L, Qu D, Zhao LQ. [Clinical characteristics of children infected with different subtypes/genotypes of human respiratory syncytial virus in Beijing from 2009 to 2017]. Zhonghua Yi Xue Za Zhi 2021; 101:2867-2872. [PMID: 34587726 DOI: 10.3760/cma.j.cn112137-20210314-00631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the different clinical characteristics of children infected with different subtype/genotype of human respiratory syncytial virus (HRSV) in Beijing. Methods: Respiratory specimens for positive HRSV were randomly collected from children with acute respiratory tract infection (ARTI) in the epidemic season of HRSV from November of each year to January of the next year during 2009 and 2017. G genes of HRSV were amplified and sequenced for subtyping and genotyping by bioinformatics analysis. Clinical data were collected and analyzed. Results: Out of 590 children, 376 (63.7%) with subtype A, and 214 (36.3) with subtype B. The annual dominant subtypes of HRSV from 2009 to 2017 were B-A-A-B-AB-A-A-B-A, respectively, whilst a total of 10 genotypes were detected with 95.8% assigned to genotype ON1 and NA1 of subtype A, and genotype BA9 of subtype B. Children infected with subtype B (96 cases, 44.9%) were more likely aged 0-3 month old than those with subtype A (118 cases, 31.4%) (P=0.001), and more likely to be admitted to Intensive Care Unit(ICU) ((124 cases, 57.9%) than those with subtype A (172 cases, 45.7%)) (P=0.005). Statistical significance were shown among children infected with genotype ON1, NA1 or BA9, in the possibility of infection in children aged 0-3 month (P=0.003), proportion of admission into ICU (P=0.007), length of stay in hospital (P=0.001), and clinical outcome (P=0.001), respectively. Conclusion: Children infected with different subtype or genotype of HRSV have different clinical characteristics, which stresses the important role of the monitoring HRSV subtypes and genotypes among children.
Collapse
Affiliation(s)
- C Y Yang
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - X H Zhou
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Y Qian
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - F Li
- Department of Intensive Care Unit Affiliated Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - L Gu
- Department of Respiratory Diseases Affiliated Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - D M Chen
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Y Sun
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - R N Zhu
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - F Wang
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Q Guo
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - Y T Zhou
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - R De
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| | - L Cao
- Department of Respiratory Diseases Affiliated Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - D Qu
- Department of Intensive Care Unit Affiliated Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
| | - L Q Zhao
- Laboratory of Virology, Beijing Key Laboratory of Etiology of Viral Diseases in Children, Capital Institute of Pediatrics, Beijing 100020, China
| |
Collapse
|
3
|
Kumar M, Panigrahi A, Mondal P, De R, Datta S, Dolai T, Chakraborty P, Bhattacharyya M, Ghosh M. Inherited and acquired thrombophilia as a modifier of clinical course of chronic immune thrombocytopenia. J Appl Hematol 2020. [DOI: 10.4103/joah.joah_75_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
4
|
Ganguly B, Mandal S, Dolai T, De R, Prasad P, Chakraborti P. 189 ALL MDS-SPECIFIC STRUCTURAL CHROMOSOMAL REARRANGEMENTS IN A SINGLE CASE. Leuk Res 2015. [DOI: 10.1016/s0145-2126(15)30190-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
5
|
Rainsbury JW, Ginn E, De R, Ahmed SK, Irving RM. The skull base multidisciplinary team approach: our experience over the first year in three hundred and seventeen patients. Clin Otolaryngol 2013; 37:470-4. [PMID: 22970940 DOI: 10.1111/coa.12018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2012] [Indexed: 11/30/2022]
Affiliation(s)
- J W Rainsbury
- Department of ENT, Queen Elizabeth Hospital, Birmingham, UK
| | | | | | | | | |
Collapse
|
6
|
De R, Bhandari S, Roy S, Bhowmik A, Rewari BB, Guha SK. Factors responsible fo r delayed enrollment for anti-retroviral treatment. J Nepal Health Res Counc 2013; 11:194-197. [PMID: 24362610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Late presentation followed by delayed diagnosis and further delayed initiation of anti-retroviral therapy (ART) increases the risk of opportunistic infections and neoplasms among the HIV infected patients. Furthermore, this leads to not only poor response to therapy but also early death among them. METHODS An institution based cross-sectional study was undertaken to identify the factor(s) responsible for delayed registration for initiation of therapy among the HIV infected patients with absolute CD4 count <250 cells/μL based on self reports. ART naïve adult HIV patients (age ≥18 years) with baseline CD4 count of <250 cells/μL were included in this study. RESULTS Most patients 95 (95%) were unaware of the available 'Integrated Counseling and Testing Centres'. Although 13 (13%) respondents had multiple reasons for delayed enrollment, majority 47 (47%) of the delays were due to the physician's failure to suspect and refer them for HIV testing at the earliest opportunity. Other causes include health seeking behavior 13 (13%), fear of stigma 5 (5%), depression 3 (3%), and lack of family support 6 (6%). CONCLUSIONS Even though delays in pre-ART enrollment have been realized since long, prevention efforts are poor, mostly due to the lack of understanding of the nature of the problem in its social context. Lack of clinical suspicion for HIV infection at the primary and secondary levels of health care still remains the most important reason for the delay. In order to prevent these delays in enrollments, intervention efforts need to be focused on not only the people infected with HIV but the primary health care providers as well, especially the practicing physicians.
Collapse
Affiliation(s)
- R De
- Centre of Excellence in HIV Care, School of Tropical Medicine, Kolkata
| | - S Bhandari
- Centre of Excellence in HIV Care, School of Tropical Medicine, Kolkata
| | - S Roy
- Centre of Excellence in HIV Care, School of Tropical Medicine, Kolkata
| | - A Bhowmik
- Centre of Excellence in HIV Care, School of Tropical Medicine, Kolkata
| | - B B Rewari
- National AIDS Control Organization, Ministry of Health and Family Welfare, New Delhi
| | - S K Guha
- Centre of Excellence in HIV Care, School of Tropical Medicine, Kolkata,Department of Tropical Medicine, School of Tropical Medicine Kolkata, India
| |
Collapse
|
7
|
Liao L, Bonsignori M, Hwang K, Moody AM, Park R, Crawford S, Chen H, Jeffries TL, Cooper M, Lu X, De R, Karasavvas N, Rerks-Ngarm S, Nitayaphan S, Kaewkungwal J, Tovanabutra S, Pitisuttithum P, Tartaglia J, Sinangil F, Kim J, Michael NL, Tomaras GD, Yang Z, Dai K, Pancera M, Nabel GJ, Mascola JR, Kwong PD, Pinter A, Zolla-Pazner S, Alam MS, Haynes BF. Design of an HIV Env antigen that binds with high affinity to antibodies against linear, conformational and broadly neutralizing epitopes within V1/V2. Retrovirology 2012. [PMCID: PMC3441578 DOI: 10.1186/1742-4690-9-s2-o31] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
8
|
Rainsbury J, Ginn E, De R, Ahmed S, Irving R. A Year in the Life of the Birmingham Skull Base MDT. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1314415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
9
|
Abstract
Neck pain is becoming increasingly common throughout the world. It has a considerable impact on individuals and their families, communities, health-care systems, and businesses. There is substantial heterogeneity between neck pain epidemiological studies, which makes it difficult to compare or pool data from different studies. The estimated 1 year incidence of neck pain from available studies ranges between 10.4% and 21.3% with a higher incidence noted in office and computer workers. While some studies report that between 33% and 65% of people have recovered from an episode of neck pain at 1 year, most cases run an episodic course over a person's lifetime and, thus, relapses are common. The overall prevalence of neck pain in the general population ranges between 0.4% and 86.8% (mean: 23.1%); point prevalence ranges from 0.4% to 41.5% (mean: 14.4%); and 1 year prevalence ranges from 4.8% to 79.5% (mean: 25.8%). Prevalence is generally higher in women, higher in high-income countries compared with low- and middle-income countries and higher in urban areas compared with rural areas. Many environmental and personal factors influence the onset and course of neck pain. Most studies indicate a higher incidence of neck pain among women and an increased risk of developing neck pain until the 35-49-year age group, after which the risk begins to decline. The Global Burden of Disease 2005 Study is currently making estimates of the global burden of neck pain in relation to impairment and activity limitation, and results will be available in 2011.
Collapse
Affiliation(s)
- D G Hoy
- University of Queensland, School of Population Health, Herston Rd., Herston, QLD 4006, Australia.
| | | | | | | |
Collapse
|
10
|
|
11
|
|
12
|
Abstract
OBJECTIVES To determine how nasal injuries are managed by accident and emergency (A&E) consultants and produce a management protocol if the survey indicated a need. METHOD A postal survey of UK A&E consultants. RESULTS The response rate was 59%. A great deal of variation was found between departments and clinicians regarding the training of junior A&E staff, the equipment available, the management strategies employed, and the reasons for referral to ENT or maxillofacial departments. CONCLUSIONS This survey shows that many more nasal injuries could be managed within the A&E setting without referral to ENT or maxillofacial departments. A flow chart of the optimal management of nasal injuries in Accident and Emergency departments is presented.
Collapse
Affiliation(s)
- C Coulson
- Otolaryngology Specialist Registrar Rotation, West Midlands, UK.
| | | |
Collapse
|
13
|
|
14
|
Moffat D, De R, Hardy D, Moumoulidis I. Surgical management of trigeminal neuromas: a report of eight cases. J Laryngol Otol 2006; 120:631-7. [PMID: 16707037 DOI: 10.1017/s0022215106001484] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/17/2006] [Indexed: 11/06/2022]
Abstract
Objective: Trigeminal neuromas are rare tumours that may involve any part of the Vth nerve complex, including extracranial peripheral divisions of the nerve. A series of eight patients with intracranial trigeminal neuromas who underwent surgical management are presented.Methods: The hospital records and radiological images were reviewed with regard to clinical presentation, surgical approach, operative findings, peri-operative morbidity and neurological outcome, and percentage of tumour recurrence.Results: The principal presenting symptoms were those of involvement of the trigeminal nerve with sensory impairment in one or more of the three divisions. Tumour location was the prime determinant of surgical approach. Lateral skull base approaches were used as they are considered to be superior for identifying tumour origin, extension, and relationship to surrounding structures. Total excision of the tumour was carried out in three of the eight patients. In the remaining five patients some tumour was left purposely in order to minimize neurological deficit and optimize post-operative quality of life. There was no peri-operative mortality or major morbidity in our series. Five patients experienced symptomatic tumour recurrence and revision surgery was performed.Conclusion: Management of trigeminal neuromas is complex and requires a multidisciplinary approach. Pre-operative surgical planning allows tumour removal with preservation of important neural structures in the majority of cases. For large tumours occupying both the middle and posterior cranial fossae, the retrosigmoid/retrolabyrinthine/middle cranial fossa approach provides good exposure and results in minimal brain retraction. A Fisch type C approach is necessary for the largest tumours. Long-term follow up with interval imaging is mandatory to exclude long-term tumour recurrence.
Collapse
Affiliation(s)
- D Moffat
- Department of Neuro-Otology and Skull Base Surgery, University of Cambridge, Addenbrookes NHS Trust, Cambridge, UK
| | | | | | | |
Collapse
|
15
|
Moumoulidis I, De R, Ramsden R, Moffat D. Unusual otological manifestations in Camurati-Engelmann's Disease. J Laryngol Otol 2006; 120:892-5. [PMID: 16707036 DOI: 10.1017/s0022215106001551] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/16/2006] [Indexed: 11/07/2022]
Abstract
Camurati-Engelmann's disease (CED) is a rare hereditary disorder affecting mainly the diaphysis of long bones but multiple cranial nerve deficits may also develop secondary to bony sclerosis of their foramina, including visual loss, facial palsy, deafness, vestibular disturbances and sensory deficits along the distribution of the trigeminal nerve. Deafness has been reported in about 18 per cent of these cases due to narrowing of the internal auditory canals caused by bony encroachment on nerves and vessels. We report an extremely rare case of a patient with CED who presented with deafness due to gross abnormalities affecting both middle ear and cochlea. The issues relating to the management of these patients with temporal bone involvement are discussed.
Collapse
Affiliation(s)
- I Moumoulidis
- Department of Neuro-Otology and Skull Base Surgery, University of Cambridge, Addenbrookes NHS Trust, Cambridge, UK.
| | | | | | | |
Collapse
|
16
|
Moffat DA, Durvasula VSP, Stevens King A, De R, Hardy DG. Outcome following retrosigmoid microvascula r decompression of the facial nerve for hemifacial spasm. J Laryngol Otol 2006; 119:779-83. [PMID: 16259654 DOI: 10.1258/002221505774481255] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
This paper evaluates the outcome of retrosigmoid microvascular decompression of the facial nerve in a series of patients suffering from hemifacial spasm who had been referred to the skull-base team (comprising senior authors DAM and DGH). The paper is a retrospective review of 15 patients who underwent retrosigmoid microvascular decompression of the facial nerve at Addenbrooke's Hospital between 1985 and 1995. In this series it was possible to obtain complete resolution of hemifacial spasm in 93.3 per cent of cases in the short term and in 80 per cent in the long term. Twelve patients (80 per cent) were symptom-free post-operatively. Two patients had minor recurrence of symptoms occurring within six months of the procedure. One patient with no identifiable vascular impingement of the facial nerve had no improvement following surgery. Three patients suffered sensorineural hearing loss. Two patients complained of post-operative tinnitus, and transient facial palsy was noted in one patient.Retrosigmoid microvascular decompression of the facial nerve provides excellent long-term symptom control in a high percentage of patients with hemifacial spasm.
Collapse
Affiliation(s)
- D A Moffat
- Department of Otolaryngology and Skull Base Surgery, Addenbrooke's Hospital, Cambridge, UK.
| | | | | | | | | |
Collapse
|
17
|
Crossland GJ, De R, Higgins JNP, Axon PR. Two stage management of petrositis with associated mycotic aneurysm of the intrapetrous carotid artery. J Laryngol Otol 2006; 119:479-82. [PMID: 15992478 DOI: 10.1258/0022215054273214] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Mycotic aneurysm of the petrous temporal bone is extremely rare, with only 12 cases previously reported. We review the literature to date and present a case of petrositis complicated by a mycotic aneurysm of the internal carotid artery, which was managed by endovascular balloon occlusion and subsequent total petrosectomy. We can find no other case in the literature where balloon occlusion has been used to treat a mycotic aneurysm of the intrapetrous carotid artery prior to total petrosectomy to treat petrositis.
Collapse
|
18
|
Chowdhury AN, Sanyal D, Chakraborty AK, De R, Banerjee S, Weiss MG. Community Psychiatry Clinics at Sundarban: a clinical and cultural experience. Indian J Public Health 2005; 49:227-30. [PMID: 16479903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2023] Open
Abstract
A series of Community Psychiatric Clinics were conducted in different blocks of Sundarban region of West Bengal. One of the primary objectives of this was to collect clinical epidemiological data on psychiatric morbidity in the region. A total of 26 clinics were conducted in Sagar, Kakdwip, Canning and Gosaba block of the Sundarban region during the period from end 1998 to end 2000. A total of 451 psychiatric cases with diagnostic categories (male 239, female 212) and 215 non-psychiatric cases (male 107 and female 108) were seen in these clinics. Diagnostic Interview Schedules (SCID) and Clinical rating scales like Hamilton Depression Rating Scale and Brief Psychiatric Rating Scales were used to ascertain clinical diagnosis quantitatively. Special emphasis was given on common psychiatric disorders.
Collapse
Affiliation(s)
- A N Chowdhury
- Institute of Psychiatry, Diamond Harbour Sudivision, South 24 Parganas District
| | | | | | | | | | | |
Collapse
|
19
|
Datta S, Chattopadhyay S, Patra R, De R, Ramamurthy T, Hembram J, Chowdhury A, Bhattacharya SK, Berg DE, Nair GB, Mukhopadhyay AK. Most Helicobacter pylori strains of Kolkata in India are resistant to metronidazole but susceptible to other drugs commonly used for eradication and ulcer therapy. Aliment Pharmacol Ther 2005; 22:51-7. [PMID: 15963080 DOI: 10.1111/j.1365-2036.2005.02533.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
BACKGROUND Helicobacter pylori infection is very common in India, as in other developing countries, but few data exist on the susceptibility of H. pylori to antimicrobial agents commonly used for eradication here. AIM To determine the antimicrobial susceptibility of H. pylori strains from Kolkata, in eastern India. METHODS A total of 67 H. pylori strains isolated from gastritis and peptic ulcer patients of Kolkata were examined in the study. Minimum inhibitory concentration to the antibiotics was determined by the agar dilution method. RESULTS Most of the strains (85%) were resistant to at least 8 microg/mL of metronidazole and 7.5% strains were resistant to tetracycline, which was high when compared with other reports in India. All Kolkata strains were highly sensitive to clarithromycin, furazolidone and amoxicillin. CONCLUSIONS Our results differed significantly from the few available reports on drug sensitivity profile of H. pylori from other parts of India, namely, Hyderabad, Mumbai and Lucknow. This finding supports the need for rigorous susceptibility testing as a guide to empirical treatment and more generally, to define the resistance patterns of H. pylori in particular geographical areas.
Collapse
Affiliation(s)
- S Datta
- National Institute of Cholera and Enteric Diseases, Kolkata, India
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Affiliation(s)
- N Umpathy
- Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham B1 1PC
| | - R De
- Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham B1 1PC
| | - I Donaldson
- Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham B1 1PC
| |
Collapse
|
21
|
Umapathy N, De R, Donaldson I. Cervical lymphadenopathy in children. Hosp Med 2003; 64:104-7. [PMID: 12619339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
The management of cervical lymphadenopathy in children varies widely between clinicians. It is recognized that clinical management can be improved by standardizing the diagnostic and treatment methods. This article presents an algorithm based on the available evidence for the management of cervical lymphadenopathy in children.
Collapse
Affiliation(s)
- N Umapathy
- Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham B1 1PC
| | | | | |
Collapse
|
22
|
Abstract
The aim of this study was to determine which anaesthetic and vasoconstrictor preparations UK Otorhinolaryngologists use for rhinological surgery, with particular reference to cocaine and adrenaline. The incidence and types of adverse reactions to cocaine were also recorded. A postal survey of all BAO-HNS consultant members was performed. Of the 360 consultant surgeons included in the survey, the majority still use peri-operative cocaine on a regular basis, 66 per cent use cocaine and adrenaline together and more than 40 per cent use cocaine in paediatric patients. Sixteen per cent of respondents did not use cocaine. Only 11 per cent of surgeons had experienced cocaine toxicity in their patients, with only one recorded case of mortality. Most surgeons in the UK use cocaine because of the superior operative field it provides and because they consider it to be safe even with adrenaline. The actual incidence of adverse reactions to cocaine is low, with serious complications being less common than the risks from general anaesthesia. Cocaine remains a valuable agent in the armamentarium of the rhinologist.
Collapse
Affiliation(s)
- R De
- Department of Otolaryngology, University Hospital, Birmingham, UK.
| | | | | | | | | | | |
Collapse
|
23
|
De Belder G, Jordens S, Lor M, Schweitzer G, De R, Weil T, Herrmann A, Wiesler U, Müllen K, De Schryver F. Femtosecond fluorescence upconversion study of rigid dendrimers containing peryleneimide chromophores at the rim. J Photochem Photobiol A Chem 2001. [DOI: 10.1016/s1010-6030(01)00569-x] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
24
|
Lor M, De R, Jordens S, De Belder G, Schweitzer G, Cotlet M, Hofkens J, Weil T, Herrmann A, Müllen K, Van Der Auweraer M, De Schryver FC. Generation-Dependent Energy Dissipation in Rigid Dendrimers Studied by Femtosecond to Nanosecond Time-Resolved Fluorescence Spectroscopy. J Phys Chem A 2001. [DOI: 10.1021/jp012310p] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M. Lor
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - R. De
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - S. Jordens
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - G. De Belder
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - G. Schweitzer
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - M. Cotlet
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - J. Hofkens
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - T. Weil
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - A. Herrmann
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - K. Müllen
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - M. Van Der Auweraer
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| | - F. C. De Schryver
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200 F, 3001 Heverlee, Belgium, and Max-Planck-Institut für Polymerforschung, Ackermannweg 10, 55128 Mainz, Germany
| |
Collapse
|
25
|
Maus M, De R, Lor M, Weil T, Mitra S, Wiesler UM, Herrmann A, Hofkens J, Vosch T, Müllen K, De Schryver FC. Intramolecular energy hopping and energy trapping in polyphenylene dendrimers with multiple peryleneimide donor chromophores and a terryleneimide acceptor trap chromophore. J Am Chem Soc 2001; 123:7668-76. [PMID: 11480989 DOI: 10.1021/ja010570e] [Citation(s) in RCA: 120] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Intramolecular Förster-type excitation energy transfer (FRET) processes in a series of first-generation polyphenylene dendrimers substituted with spatially well-separated peryleneimide chromophores and a terryleneimide energy-trapping chromophore at the rim were investigated by steady-state and time-resolved fluorescence spectroscopy. Energy-hopping processes among the peryleneimide chromophores are revealed by anisotropy decay times of 50--80 ps consistent with a FRET rate constant of k(hopp) = 4.6 ns(-1). If a terryleneimide chromophore is present at the rim of the dendrimer together with three peryleneimide chromophores, more than 95% of the energy harvested by the peryleneimide chromophores is transferred and trapped in the terryleneimide. The two decay times (tau(1) = 52 ps and tau(2) = 175 ps) found for the peryleneimide emission band are recovered as rise times at the terryleneimide emission band proving that the energy trapping of peryleneimide excitation energy by the terryleneimide acceptor occurs via two different, efficient pathways. Molecular- modeling-based structures tentatively indicate that the rotation of the terryleneimide acceptor group can lead to a much smaller distance to a single donor chromophore, which could explain the occurrence of two energy-trapping rate constants. All energy-transfer processes are quantitatively describable with Förster energy transfer theory, and the influence of the dipole orientation factor in the Förster equation is discussed.
Collapse
Affiliation(s)
- M Maus
- Department of Chemistry, Katholieke Universiteit Leuven, Celestijnenlaan 200F, 3001 Heverlee, Belgium
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
26
|
Abstract
The aim of this study was to determine whether neural tissue is present in the bone 'dust' given off during temporal bone drilling. Bone 'dust' from three temporal bone dissections was collected and examined. Evidence of neural tissue was present in two out of the three specimens. Neural tissue is present in the bone dust given off during temporal bone drilling. This poses the question as to the risk of prion transmission during such dissection.
Collapse
Affiliation(s)
- A Scott
- Department of Otolaryngology, City General Hospital, Stoke-on-Trent, UK
| | | | | | | | | |
Collapse
|
27
|
Sadek SA, De R, Scott A, White AP, Wilson PS, Carlin WV. The efficacy of topical anaesthesia in flexible nasendoscopy: a double-blind randomised controlled trial. Clin Otolaryngol Allied Sci 2001; 26:25-8. [PMID: 11298162 DOI: 10.1046/j.1365-2273.2001.00400.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The routine use of topical anaesthesia during flexible nasendoscopy has been questioned, and the degree to which topical vasoconstrictors can affect patient discomfort has yet to be elucidated. Patients' experiences with Lignocaineand phenylephrine, Lignocaine alone, xylometazoline and no preparation were compared. One hundred patients were recruited in this double-blind, randomised control trial and put into these four groups. Each patient completed a visual analogue scoring chart to determine the severity of unpleasantness and other undesirable effects (pain, bad taste, burning, choking, numbness and difficulty in swallowing). The results confirmed that vasoconstriction is a major contributing factor towards reducing overall unpleasantness (P = 0.022), topical anaesthesia can produce a bad taste (P = 0.022), and that none of the preparations have any effect on the pain during nasendoscopy. In conclusion, xylometazoline is recommended for nasendoscopy as it is effective and is significantly cheaper than the other preparations. Not using any preparations leads to the experience of severe symptoms.
Collapse
Affiliation(s)
- S A Sadek
- Department of Otolaryngology/Head and Neck Surgery, City General Hospital, Stoke-on-Trent, Staffordshire, UK.
| | | | | | | | | | | |
Collapse
|
28
|
Chowdhury AN, Sanyal D, Bhattacharya A, Dutta SK, De R, Banerjee S, Bhattacharya K, Palit S, Bhattacharya P, Mondal RK, Weiss MG. Prominence of symptoms and level of stigma among depressed patients in Calcutta. J Indian Med Assoc 2001; 99:20-3. [PMID: 11480952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
A pilot study of 29 patients for research on clinical depression employed the framework of cultural epidemiology to examine illness-related experience, meaning, behaviour with a Bengali version of the explanatory Model Interview Catalogue (EMIC). This report examined patterns of distress and stigma with reference to the most troubling patient-specified symptom. All subjects were psychiatric outpatients in the Institute of Psychiatry, Calcutta, and met Diagnostic and Statistical Manual (DSM)-IV criteria for a major depressive episode. Only 5 patients (17.2%) identified sadness as the most troubling problem, and 48.3% specified pains and other somatic symptoms instead. An internally consistent stigma scale with Cronbach's alpha of .67, comprised 13 items, was used to assess stigma. In addition to the scale score for each subject, the contribution of each item was reported and compared. A suggestive, though not significantly lower value of the stigma score for patients reporting somatic symptoms as most troubling, compared with sadness, was consistent with findings from prior studies showing a positive relationship between the magnitude of depression and stigma. These findings are discussed with reference to their impact on recognition and help seeking among patients, and recognition and management of depression by general practitioner. Culturally distinctive presentations and social contexts of depression and other mental illnesses should be addressed in professional training and public health communications.
Collapse
Affiliation(s)
- A N Chowdhury
- Department of Psychiatry, Institute of Postgraduate Medical Education and Research, Calcutta
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
29
|
Bhat NA, De R. Retrospective analysis of surgical outcome, symptom changes, and hearing improvement following myringoplasty. J Otolaryngol 2000; 29:229-32. [PMID: 11003075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
This study examines the surgical and audiologic results of myringoplasty and what factors affect these outcomes. It also examines whether patients experience any improvement in their main symptoms following surgery. This was a retrospective analysis of case notes, patient questionnaires, and audiograms of all patients undergoing myringoplasty between 1990 and 1995 at Walsgrave Hospital, Coventry, UK. Overall success of myringoplasty for consultants was 81% and for trainees was 79%, with an overall success rate of 86% in children. Posterior and inferior perforations had a 90% success rate for repair, compared to only 67% of anterior perforations. There was a statistically significant reduction in air-bone gaps following myringoplasty, and the majority of patients felt that their ears were drier and had improved hearing. Myringoplasty is a successful procedure in the hands of consultants and trainees alike. The results are satisfactory enough to justify surgery purely for deafness and also in symptomatic children. There is a strong correlation between surgical success and resolution of symptoms and generally a satisfactory improvement in hearing.
Collapse
Affiliation(s)
- N A Bhat
- Department of Otolaryngology, Walsgrave Hospital, Coventry, United Kingdom
| | | |
Collapse
|
30
|
Bhat N, De R, Zeiton H. Paediatric airway endoscopy. Rev Laryngol Otol Rhinol (Bord) 2000; 121:31-5. [PMID: 10865481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Abstract
OBJECTIVES To review all paediatric endoscopies performed in a tertiary referral unit over a three-year period. METHODS OF STUDY Retrospective analysis of case-notes of all paediatric endoscopies performed between May 1993 and June 1996. RESULTS 333 paediatric airway endoscopies were performed on 146 children, of which 52% were GP referrals and the remainder secondary referrals. 70% were diagnostic endoscopies, 30% therapeutic procedures, with the commonest indication being stridor and respiratory distress (82%). Routine chest radiographs, lateral neck X-rays, and barium swallows were unhelpful in the management of the commoner upper-airway conditions. The commonest findings were laryngomalacia (44%) and subglottic stenosis (22%) and 17% of all cases had multiple airway abnormalities. Tracheotomy was performed on 18.4%, laryngotracheoplasty on 7.5%, and laryngotracheal reconstruction on 2.5%. There were no major complications in this series. CONCLUSIONS All children with airway symptoms should have a thorough rigid-endoscopic evaluation of their upper and lower airways. Radiology has a limited role in the diagnosis of the more common airway pathologies. These patients need to be assessed and managed in regional centres.
Collapse
Affiliation(s)
- N Bhat
- West Midlands Rotation in Otolaryngology, Edgebaston, Birmingham, United Kingdom.
| | | | | |
Collapse
|
31
|
|
32
|
De K, De R, Rajesh PB. Iatrogenic oesophageal perforations: a clinical review. Ann R Coll Surg Engl 1999; 81:71. [PMID: 10325693 PMCID: PMC2503240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
|
33
|
Sinha S, De R, Ganguly T. Investigations of excited state quenching reactions between p-toluidine, its N,N-dimethyl derivative and the acceptor dimethylterephthalate at different temperatures. J Photochem Photobiol A Chem 1998. [DOI: 10.1016/s1010-6030(97)00241-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
34
|
Sinha S, De R, Ganguly T. Electron Transfer Reactions in the Excited Singlet States of Dimethyl Substituted Phenol−2-Nitrofluorene Systems: Evidence for the Marcus Inverted Region and Concurrent Occurrence of Energy Transfer Processes. J Phys Chem A 1997. [DOI: 10.1021/jp9633916] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- S. Sinha
- Department of Spectroscopy, Indian Association for the Cultivation of Science, Jadavpur, Calcutta-700 032, India
| | - R. De
- Department of Spectroscopy, Indian Association for the Cultivation of Science, Jadavpur, Calcutta-700 032, India
| | - T. Ganguly
- Department of Spectroscopy, Indian Association for the Cultivation of Science, Jadavpur, Calcutta-700 032, India
| |
Collapse
|
35
|
Sinha S, De R, Ganguly T. Role of 3,5-dimethyl anisole (DMA) as an electron donor in photoinduced electron transfer (ET) reactions. Radiat Phys Chem Oxf Engl 1993 1997. [DOI: 10.1016/s0969-806x(96)00116-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
36
|
De R, Bhattacharyya S, Ganguly T. Experimental investigation of excited state electron transfer reactions between some bicyclic molecules and tetracyanoquinodimethane (TCNQ). ACTA ACUST UNITED AC 1994. [DOI: 10.1016/0584-8539(93)e0035-u] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
37
|
De R, Bhattacharyya S, Ganguly T. Investigation of excited state electron-transfer reactions. A search for other associative processes. ACTA ACUST UNITED AC 1994. [DOI: 10.1016/0584-8539(94)80061-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
38
|
De R, Dutt R, Sukhatme U. Path-integral solutions for shape-invariant potentials using point canonical transformations. Phys Rev A 1992; 46:6869-6880. [PMID: 9908017 DOI: 10.1103/physreva.46.6869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
|
39
|
Kar M, De R. Breast feeding practices--impressions from an urban community. Indian J Public Health 1991; 35:93-6. [PMID: 1821889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Information regarding breast feeding practices of 600 children below 3 years of age attending hospital OPDs and private clinics during 1984-85 were collected. 51.3% received breast milk within 24 hrs. of birth, mean duration of breast feeding being 6 months. 68% of Infants had been given prelacteal feeds. 34% children were exclusively breast fed till 1 month. Insufficient milk was an important reason for discontinuation before 6 months.
Collapse
Affiliation(s)
- M Kar
- Burdwan Medical College, West Bengal
| | | |
Collapse
|
40
|
Patil BB, De R. Influence of Antitranspirants on Rapeseed (Brassica campestris) Plants under Water-stressed and Nonstressed Conditions. Plant Physiol 1976; 57:941-3. [PMID: 16659605 PMCID: PMC542155 DOI: 10.1104/pp.57.6.941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Daily transpiration rate was decreased by low soil moisture, phenylmercuric acetate (PMA) in combination with kaolinite, Mobileaf (a filmforming wax emulsion manufactured by the Mobil Oil Co.), PMA alone, and kaolinite alone in this order. At high soil moisture, dry matter was decreased by PMA but was increased by Mobileaf and by PMA + kaolinite combination. At low soil moisture, dry matter was increased by Mobileaf.Water use efficiency was increased at low soil moisture and by antitranspirants. The relative water content of leaves was reduced by low soil moisture but was increased by the antitranspirants which relieved plant water stress.
Collapse
Affiliation(s)
- B B Patil
- Division of Agronomy, Indian Agricultural Research Institute, New Delhi-110012, India
| | | |
Collapse
|