Background: Intestinal obstruction is one of the commonest clinical problems encountered in surgical practice. One of the grave complications of intestinal obstruction is strangulation, which requires an emergency laparotomy for management. This study was conducted to emphasise the significance of early estimation of rise in serum C-reactive protein and D- lactate levels.Methods: Hospital based prospective study was performed on 50 patients admitted in J.L.N. Hospital, Ajmer in various surgical units with diagnosis of acute intestinal obstruction and underwent explorative Laparotomy.Results: CRP test sensitivity was 85.00%, specificity was 80.67%, PPV was 73.91% and NPV was 88.89% to detected the obstruction with strangulation when using a cutoff value of 60 mg/L. D-lactate test sensitivity was 80.00%, specificity was 90.00%, PPV was 84.30% and NPV was 87.10% to detected the obstruction with strangulation when using a cutoff value of 4.5 mmol/L.Conclusions:Serum CRP and D-lactate can be useful and reasonable markers for predicting strangulation in cases of acute intestinal obstruction in an emergency setting.
A study was conducted during Kharif 2002 to assess induced variation among 131 (80 selected and 51 bulk) M 3 progenies of guar variety RGC-197 in respect of yield and yield attributes. Analysis of variance revealed significant differences between the progenies and non-significant differences within the progenies for all the characters studied. Based on 't' test, a considerable number of M 3 progenies were significantly different for their mean values from the parent RGC-197 in respect of all the traits. Progenies, showing significantly lower values of a trait were more frequent than those showing superior values than the control except for 100-seed weight. Variations in respect of various characters were induced to different magnitudes. Based on significantly higher mean values than control and bulk progenies, five selected progenies namely 31-7, 41-6, 78-2, 81-6 and 128-5 were identified as superior ones. The characters viz., plant height, seed yield per plant, pods per plant and 100-seed weight were relatively more heritable than the other character studied.
Introduction: Leukemias are a heterogenous group of hematopoietic cells disorders, having varied clinical, morphological, molecular cytogenetic
characteristics, and has prognostic and therapeutic implications on identifying them correctly. In limited resource centers, where the genetic and
immunophenotyping are not available, the use of cytochemical stains is still have a value in the diagnosis of leukemia. Aim: To evaluate the role of
cytochemistry in classifying the various types of Leukemia and its subtypes as well as correlate with the clinical and hematological ndings of the
cases. Results: In this study we analyzed 60 cases of acute leukemia and found predominance of lymphoid neoplasms over myeloid leukemia
among acute leukemia case, seen more commonly in the childhood category. The gender distribution in both AML and ALL was M:F ratio 1.6:1.
Acute leukemias were well studied, with the stains, SBB and PAS, and accurately classied as per FAB classication. Flow cytometry was done in
only four doubtful cases to give denitive diagnosis. SBB stain shows 96.2% sensitivity and 100% specicity which helps to correctly differentiate
myeloid series from lymphoid series. Conclusion: Cytochemical stains, being cheap, simple and require no special instruments or highly trained
personnel are particularly important in developing countries for the diagnosis and treatment of acute leukemia and can be used in places that do not
yet have the most advanced diagnostic resources and / or immunophenotyping, cytogenetics and molecular biology
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