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Ekta Bansal Navpreet Kaur Naveen Mittal 《Indian journal of clinical biochemistry : IJCB》2018,33(4):456-460
Traditionally small intestinal biopsy has been considered a gold standard for the diagnosis of celiac disease (CD). But now data has shown that serological markers like anti-tissue-transglutaminase antibodies (tTGA) can be used to make the diagnosis with great sensitivity and specificity. The objective of the present study was to evaluate whether patients with high probability of CD and high titre of tTGA, have a high probability of intestinal damage and may not require biopsy for final diagnosis. All the cases with tTGA levels ≥15 IU/ml and who subsequently underwent biopsy from July 2010 to June 2013 were selected. Histopathological findings graded as per Marsh classification were correlated with serum tTGA levels. Grade 3 lesions were considered diagnostic for the disease. Out of total 731 patients 470 had serum tTGA levels >100 IU/ml and 261 patients had <100 IU/ml. Highest levels of tTGA (219.3 IU/ml) were seen in grade 3c which was >12 times the normal cutoff value. Mean serum tTGA in higher histological grade i.e. 3 (3a, 3b, 3c) was 186.7 IU/ml (>12 times the normal cut off value) as compared to grade 1 which was 108.9 IU/ml (>7 times the normal cut off value). Using a tTGA cutoff value of 70 IU/ml, sensitivity was found to be 83.9% while specificity was 56.10% with an overall accuracy of 77.7%. This study confirms that a small intestinal biopsy is not always necessary for the diagnosis of CD in symptomatic patients with high tTGA levels (>70 IU/ml). 相似文献
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Jenna Sessions Kelsey Bourbeau Mattina Rosinski Taylor Szczygiel Rachael Nelson Naveen Sharma 《European Journal of Sport Science》2016,16(8):1064-1072
The purpose of this study is to measure the effects of carbohydrate ingestion during exercise in the heat by measuring markers of gastrointestinal damage and inflammation. Methods: Active subjects (n?=?7) completed two 60-min running trials in a heated environment (70% VO2max, 30°C). At minute 20 of exercise, subjects consumed a carbohydrate gel (Cho) (27?g), or a non-carbohydrate placebo (nCho). Plasma endotoxin, I-FABP, TNF-α, IL-6, IL-1β, IL-10, and MCP-1 were measured pre-exercise, 20-min post-exercise, and again 2-h, and 4-h post-exercise. Results: Endotoxin increased 20-min post-exercise compared to pre in the Cho trial only (p?=?.03). I-FABP levels increased 20-min post-exercise in the Cho trial only compared to pre-exercise (p?=?.003). I-FABP levels were also increased in Cho trial 20-min post-exercise when compared to same time point in the nCho trial (p?=?.032). TNF-α increased 20-min post-exercise in the Cho trial only compared to pre (p?=?.03). Plasma IL-6 concentration increased 20-min post-exercise when compared to pre in both the Cho (p?=?.002) and nCho (p?=?.009), but remained elevated at the 2-h time point in the nCho trial (p?=?.03). I-FABP and several plasma cytokines (TNF-α, MCP-1, Il-6) returned to baseline sooner in the Cho trial. Conclusions: Ingestion of carbohydrate gel during exercise in the heat enhances markers of gastrointestinal wall damage. 相似文献
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Naveen Gudigantala Jaeki Song Donald Jones 《International Journal of Information Management》2011,31(4):327-338
Websites play a critical role in attracting customers and providing information to assist Web customers in decision making. Despite the importance of such systems providing a satisfactory experience, as per our knowledge no effort has been made to systematically examine the underlying causal structure among important decision related variables such as perceived effort, perceived information accuracy, perceived effectiveness, and satisfaction using Web-based decision support systems (Web-based DSS) that provide information to potential customers. In this study, we develop a conceptual model for investigating cognitive antecedents to Web users’ satisfaction in the context of Web-based DSS. The empirical examination of the research model using structural equations modeling indicates that perceived effectiveness is influenced by perceived information accuracy and effort, and in turn, has positive impact on satisfaction in using Web-based DSS. The implications of this study suggest to information managers that providing customers with highly accurate information from web sites requiring lower effort is perceived as an effective system and such perception leads to increased satisfaction. 相似文献
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Naveen Chitkara R. C. Dadoo Sadhna Bansal Kiran Chugh S. K. Aggarwal Harbans Lal 《Indian journal of clinical biochemistry : IJCB》1996,11(2):162-164
Plasma vitamin E levels were estimated in 75 patients each of carcinoma breast and benign breast diseases. Mean plasma vitamin E concentration was found to be significantly reduced in malignancy compared to the controls as well as the non malignant conditions. The decrease in plasma vitamin E in cancer patients was directly related with the TNM stage of cancer. The levels, however, did not vary significantly with respect to histopathology or after 8 days of surgery. 相似文献
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P. K. Nigam V. S. Narain Naveen Chandra V. K. Puri R. K. Saran S. K. Dwivedi M. Hasan 《Indian journal of clinical biochemistry : IJCB》1995,10(2):106-109
Blood samples from 39 patients with acute myocardial infarction and 15 healthy controls were analysed for serum and platelet sialic acid. Serum sialic acid levels in patients with acute myocardial infarction were significantly higher than controls (mean 2.7±0.46 μmol/ml Vs. 1.91±0.17 μmol/ml respectively). Levels of serum orosomucoid, an acute phase reactant, containing sialic acid, were also higher in these patients, suggesting a possible non-specific mechanism of increase in serum sialic acid concentration. In contrast, platelets contained significantly less sialic acid in patients with acute myocardial infarction than control (26.73±1.57 nmol/mg protein and 31.97±2.68 nmol/mg protein respectively). 相似文献
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