RESUMO
AIM: Role of blood C - reactive protein levels in upper urinary tract infection and lower urinary tract infection in adult patients (>16 years). MATERIAL AND METHODS: Study included 2 groups of patients -Test group (n=58). Control group (n=28).Test group further classified into 2 groups- a). Patients having upper urinary tract infection b). Patients having lower urinary tract infection. Patients were subjected to following tests - complete hemogram, blood C-reactive protein levels, urinalysis. RESULTS: The mean value of C-reactive protein in the cases of upper urinary tract infection 127.33 mg/L which is statistically significantly raised when compared to control(t-value 12.370 and p-value<0.01). C-reactive protein was significantly raised in upper urinary tract infection in comparison to control group( p<0.01), while in lower urinary tract infection this difference was insignificant (p<0.05). CONCLUSION: C-reactive protein has a good diagnostic role in differentiating upper and lower urinary tract infection. The simple size of our study is very small to say these authentically, hence, further studies of large number of cases is required.
Assuntos
Proteína C-Reativa/metabolismo , Cistite/diagnóstico , Pielonefrite/diagnóstico , Uretrite/diagnóstico , Infecções Urinárias/diagnóstico , Adolescente , Adulto , Estudos de Casos e Controles , Cistite/metabolismo , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Prognóstico , Pielonefrite/metabolismo , Uretrite/metabolismo , Infecções Urinárias/metabolismo , Adulto JovemRESUMO
The study was conducted in 35 cases of acute tubular necrosis of varied aetiology. Cases were divided in 2 groups, Group A--17 cases treated conservatively and Group B--18 cases managed by early haemodialysis. Criteria for early haemodialysis were blood urea < 120 mg% and serum creatinine < 7 mg%. Before starting therapy both the groups had comparable biochemical and renal parameters (p > 0.05). Overall mortality was lower in Group B as compared to Group A (22.2% Vs 29.4). Complication events such as uraemic encephalopathy, pulmonary oedema, haematemesis and malena, thrombophlebitis and vomiting were significantly lower in Group B (p < 0.05). Hospital stay was also significantly lower (p < 0.05) in Group B (18 +/- 2.5 days Vs 28 +/- 3 days), this can reduce the cost of treatment also.
Assuntos
Necrose Tubular Aguda/terapia , Diálise Renal , Humanos , Necrose Tubular Aguda/etiologia , Necrose Tubular Aguda/mortalidade , SobrevidaRESUMO
Serum total cholesterol and serum cholesterol binding reserve (SCBR) were estimated in 50 healthy subjects and 25 cases with ischaemic heart disease (IHD) and their seventy asymptomatic first degree relatives. In normal subjects mean values of SCBR tended to expand with increasing levels of serum cholesterol, while this relationship was reversed in cases with IHD. The relatives showed a direct correlation between serum cholesterol and SCBR upto serum cholesterol level of 220 mg/dl, but the correlation was lost beyond this level. The critical levels for predicting risk of IHD were 30 mg/dl for SCBR and 8 for cholesterol: SCBR ratio. The latter was found to be a more sensitive index for predicting the risk of IHD as compared to SCBR alone.
Assuntos
Colesterol/sangue , Doença das Coronárias/sangue , Saúde da Família , Família , Adulto , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Doença das Coronárias/genética , Estudos de Avaliação como Assunto , Humanos , Fatores de RiscoRESUMO
Significant dermatoglyphic findings observed in both sexes of hypertensive cases as compared to controls were: (i) Increased Total finger Ridge count. (ii) Decreased frequency of Axial triradius t (in right palm female) and Axial Triradius t' and t" in right palm (male) (iii) Decreased atd angle. (iv) Absence of Axial triradi in both the palms of an individual was found exclusively in hypertensive cases (10%) and in none of the controls.