Indian J Med Res
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The occurrence of colonization factor antigens I and II (CFA/I and II) and type 1 somatic pili was investigated in 197 enterotoxigenic Esch. coli (ETEC) isolated from 197 patients of diarrhoea (aged under 3 yr) during February 1985 to March 1986 in Tehran, Iran. Among ETEC strains, 154 strains were heat-stable enterotoxin (ST) producers, 27 strains were heat-labile enterotoxin (LT) producers, and 16 strains produced both toxins. Sixty five (33%) strains showed mannose-resistant haemagglutination (MRHA) of human and/or bovine erythrocytes; of these, 51 (86%) strains were positive for CFA/I and II. ⋯ CFA/I or II (CFAs)-positive and CFAs-negative ETEC strains were found in 17 and 42 patients with mixed infections respectively. The mean number of stool evacuations per day was much higher in patients with ETEC and rotavirus than those with only ETEC infection (P less than 0.001). However, severity of the disease was not affected by the presence or absence of CFA/I or II in ETEC strains found in these patients.
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Important differences were found to exist between male and non-pregnant female Indian adults in the echocardiographically determined left ventricular mass (170.58 +/- 51.91 g vs 131.14 +/- 42.84 g, P less than 0.001) and relationship of left ventricular mass (LVM) to age, body weight, height, body surface area (BSA) and body mass index (BMI). In males, LVM has a fair to good correlation with age, body weight, height, BSA and BMI (P less than 0.001). However, in female subjects, LVM correlates modestly with age, weight, BSA, BMI (P less than 0.01) but not with height. LVM can be best expressed by indexing to body weight in both sexes, but differences persist when other anthropometric parameters are used as denominators.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparative study on proper placement of central venous catheters with & without stillete.
Observing a standard protocol, central venous catheterization was performed, via the right basilic vein, in 100 patients. At random, 50 patients received a catheter with stillete and 50 without stillete. Catheter tip was localized on a chest radiograph; 78 per cent with stilletes and 80 per cent without stilletes were properly positioned (either in the right atrium or the superior vena cava). ⋯ Eight per cent of catheters with stillete and 6 per cent without stilletes were malplaced into the ipsilateral internal jugular vein. The incidence of proper and improper placement was similar with the two types of catheters. Silent catheter migration into the right ventricle is very frequent than recognized when an estimated catheter length is inserted without radiologic control.
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Randomized Controlled Trial Comparative Study Clinical Trial
High versus low approach for internal jugular cannulation with double lumen catheters.
Double lumen cannulae were inserted through the right internal jugular vein (IJV) in 100 children, undergoing open heart surgery. High approach (n = 50, group I) of IJV cannulation was compared with low approach (n = 50, group II). In both the groups, hydromer coated double lumen polyurethane cannulae (Hydrocath) were introduced using Seldinger's technique; 98 per cent success rate was achieved in both the groups. ⋯ One patient in group I had carotid artery puncture. Catheter blockage occurred in one patient each in both the groups. Double lumen catheters are easy to insert and offer two lumens through single puncture site.
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Randomized Controlled Trial Clinical Trial
Clinical evaluation of chandonium iodide as a nondepolarising muscle relaxant.
The effect of chandonium iodide (as a non-depolarising muscle relaxant) was studied in 50 patients of ASA grade I or II who were scheduled for surgery. The patients were divided into 2 groups according to the dose of chandonium iodide (0.2 and 0.25 mg/kg respectively). ⋯ There was mild and transient rise in pulse and blood pressure. No allergic reaction was observed in any patient and reversal characteristics were good in all the cases.