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   1990| October-December  | Volume 36 | Issue 4  
 
 
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CASE REPORT
Snake venom habituation in heroin (brown sugar) addiction: (report of two cases).
PV Pradhan, LP Shah, PR Ghodke, PR Nayak
October-December 1990, 36(4):233-4
PMID:0002132253
  28,407 141 -
Anterior cerebral artery territory infarction (a case report).
MA Kothari, AV Pathare, NJ Burkule, VV Joshi, AA Chikhalikar, SG Dalvi
October-December 1990, 36(4):230-2
PMID:0002132252
  15,817 146 -
ORIGINAL ARTICLE
Comparative evaluation of bone marrow aspirate particle smears, imprints and biopsy sections.
BD Sabharwal, V Malhotra, S Aruna, R Grewal
October-December 1990, 36(4):194-8
PMID:0002132243
Comparative evaluation of bone marrow aspirate particle smears, imprints and biopsy sections was done on 30 haematological problems. Core needle biopsy of the bone marrow is a safe and useful procedure. It is a valuable diagnostic aid for measurement of marrow cellularity, metastatic tumours and fibrosis. It should not be taken as a substitute for examination of the marrow by aspiration smear but is a complementary procedure which affords several advantages. Bone marrow biopsy was of maximum utility in myelofibrosis which was diagnosed on biopsy alone. There were three additional cases with normal bone marrow aspiration in which specific diagnosis could only be made from bone marrow biopsy sections. New methodologies i.e. plastic embedding and semi thin sections of undecalcified bone marrow, can be expected to improve the cytological details of tissue obtained by biopsy. Imprint preparations obtained from biopsy can be useful in patients of malignancy but we have found them to be of limited value except in cases of dry tap.
  13,368 250 3
CASE REPORT
Full thickness skin necrosis following intramuscular injection (a case report).
R Radhakrishna, PL Rao
October-December 1990, 36(4):225-6
PMID:0002132250
  10,942 94 1
ORIGINAL ARTICLE
Impedance plethysmography of thoracic region: impedance cardiography.
AK Deshpande, GD Jindal, PM Jagasia, KV Murali, PA Bharadwaj, KI Tahilkar, GB Parulkar
October-December 1990, 36(4):207-12
PMID:0002132246
Impedance plethysmograms were recorded from thoracic region in 254 normal subjects, 183 patients with coronary artery disease, 391 patients with valvular heart disease and 107 patients with congenital septal disorder. The data in 18 normal subjects and 55 patients showed that basal impedance decreases markedly during exercise in patients with ischaemic heart disease. Estimation of cardiac index by this technique in a group of 99 normal subjects has been observed to be more consistent than that of the stroke volume. Estimation of systolic time index from impedance plethysmograms in 34 normal subjects has been shown to be as reliable as that from electrocardiogram, phonocardiogram and carotid pulse tracing. Changes in the shape of plethysmographic waveform produced by valvular and congenital heart diseases are briefly described and the role of this technique in screening cardiac patients has been highlighted.
  10,010 159 3
Poisoning in children--analysis of 250 cases.
M Khare, M Bhide, A Ranade, A Jaykar, L Panicker, PN Patnekar
October-December 1990, 36(4):203-6
PMID:0002132245
This study is an analysis of 250 cases over a period of 2 years, admitted to our hospital for various poisonings. The total incidence of poisoning was 11.9%, much higher as compared to the other series. Of these, 58.4% were seen in the age group of 1-4 years. Male to female ratio was 1.7:1. Incidence of food poisoning was 48.8% followed by that of kerosene (24%), pesticides (9.6%), chemicals and medicaments (8.4%), plant (3.6%) and animal bites (3.2%). Overall mortality was 0.8%.
  9,517 184 7
Pneumatic dilatation in achalasia cardia results and follow-up.
AN Supe, AB Samsi, RD Bapat, SK Mathur, R Ramakantan
October-December 1990, 36(4):181-4
PMID:0002132241
Pneumatic dilatation is one of the more recent methods in the management of achalasia cardia. Fifty dilatations were done in 42 patients with achalasia cardia over 5 years. There was a significant decrease in the maximum diameter of the oesophagus and a significant increase in diameter in the narrowed lower oesophageal segment in all the patients. Of the patients studied, 95.23% were relieved of their symptoms after only one to two sessions. There were no immediate complications. Out of the 38 patients on long term follow up, 8 (21.05%) had recurrence of symptoms. On repeat dilatations, 4 (50%) of them had good response. Late complication like reflux oesophagitis was observed in only 1 patient over a median follow up period of 22 months. It was thus concluded that pneumatic dilatation is a safe, simple and effective procedure in managing patients with achalasia cardia.
  9,360 128 2
Detection of HSV-2 antigen in carcinoma cervix and premalignant conditions by immuno-cytochemistry.
AA Pandit, PH Khilnani, H Powar, GG Bhave, NO Chadda
October-December 1990, 36(4):185-90
PMID:0002132242
One hundred and twelve cases of cervical pathology (58 paraffin sections and 54 cervical smears) were assessed by PAP technique and 30 cases by indirect immunofluorescent technique. Forty-two normal cervical smears from the age matched controls were stained by indirect immuno-fluorescent technique. HSV-2 antigen was detected by PAP method in 86 out of 112 cases (78.57%) i.e. 50/55 squamous cell carcinoma, 13/13 carcinoma in situ, 11/15 severe dysplasia, 3/4 moderate dysplasia and 9/16 mild dysplasia. The amount of antigen was maximum in squamous cell carcinoma and decreased in carcinoma in situ, severe, moderate and mild dysplasia in descending order. Three cases of adenocarcinoma cervix were negative. Only one case out of 42 controls was positive. HSV-2 antigen was detected by an indirect IF technique in 8/9 squamous cell carcinoma, 2/3 carcinoma in situ, 3/7 dysplasia, O/1 adenocarcinoma and 4/10 inflammatory cases. The above findings support the association between HSV-2 and squamous cell carcinoma cervix, as well as carcinoma in situ which is statistically significant.
  8,757 111 -
Effect of pulmonary circulation on vector impedance cardiogram.
SA Pedhnekar, GD Jindal, SN Nerurkar, JB Dharani, AK Deshpande, GB Parulkar
October-December 1990, 36(4):213-8
PMID:0002132247
Vector impedance cardiograms in horizontal lead configuration [VICG(H)] were recorded in 34 normal subjects, 18 patients with mitral stenosis, 9 patients with mitral regurgitation, 14 patients with aortic regurgitation and 13 patients with non- cyanotic septal disorders. Data in normal subjects revealed that most of the phase reversal points in VICG(H) waveform did not coincide with those of conventional impedance cardiogram. The shape of VICG(H) waveform and values of VICG indices were observed to be markedly affected in patients having significant alteration in the pulmonary circulation and the changes observed were specific of the type of the disorder. The results of the study suggested that right side of the heart had dominant contribution in generation of VICG(H) waveform.
  6,810 110 1
CASE REPORT
Hypoglycemia masquerading as repeated focal stereotyped neurological deficit (a case report).
AV Pathare, MA Kothari, VV Joshi, AA Chikhalikar, SG Dalvi
October-December 1990, 36(4):227-9
PMID:0002132251
  5,713 90 -
ORIGINAL ARTICLE
Psychiatric referral pattern in general hospital.
HS Dhavale, RG Barve
October-December 1990, 36(4):199-202
PMID:0002132244
Here we have tried to analyse the psychiatric referral pattern in general hospital setting. In one year period, 20.20% of the total new cases in psychiatry O.P.D. were referred cases. Majority of the patients were referred at O.P.D. level. Males were more than females. Physicians referred maximum cases than surgeons and gynaecologist. Neurosis was the common diagnosis amongst the referred cases. As one of the senior psychiatrists has mentioned 'lack of referral's by the non-psychiatrists has been an unfortunate negative factor for the growth of psychiatry.
  5,276 130 1
CASE REPORT
Leptospirosis with atrial flutter (a case report).
C D'Souza, S Dwivedi, R Balasubramanian
October-December 1990, 36(4):222-4
PMID:0002132249
  5,293 66 -
ORIGINAL ARTICLE
Evaluation of state of circulation in radiation injury using impedance plethysmography.
GK Iyer, GD Jindal, SA Pedhnekar, KI Tahilkar, GB Parulkar
October-December 1990, 36(4):219-21
PMID:0002132248
Seven patients with history of radiation burn were subjected to impedance plethysmographic investigation at Non-invasive Vascular Laboratory, K. E. M. Hospital. Impedance plethysmograms were recorded from various locations in both the upper extremities in supine and digits of both the hands in supine as well as on hyper-abduction in sitting position. Control values of blood flow index (BFI) and differential pulse arrival time (DPAT) were derived from similar data in 15 normal subjects. It was observed that digits having thinning of epidermis of skin recorded marked decrease in values of BFI and significant change in value of DPAT and these observations correlated well with thermography and vascular scintigraphy. Digits recording significant decrease in BFI, which were clinically normal, were found to have changes in the skin during follow up examination. Thus IPG provided a sensitive modality for detecting ischaemia in early stages in patients with history of radiation injury.
  5,007 97 1
Rosoxacin in the treatment of uncomplicated acute gonococcal urethritis.
SR Vagaskar, RJ Fernandez, UD Wagle, ND Rajani
October-December 1990, 36(4):191-3
PMID:0001966732
A total of 112 male patients presenting with acute gonococcal urethritis were admitted to the hospital. The diagnosis was confirmed by smear, culture, oxidase reaction and sugar fermentation tests. The patients were treated with a single 300 mg capsule of rosoxacin. All patients except one showed adequate response to rosoxacin.
  4,699 84 3
Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow