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   1996| July-September  | Volume 42 | Issue 3  
 
 
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LEADING ARTICLE
Antimicrobial therapy of multidrug resistant typhoid fever in children: pediatricians' opinion.
SB Bavdekar
July-September 1996, 42(3):65-7
PMID:0009715318
  25,658 298 2
CASE REPORT
Agenesis of gall bladder--a diagnostic dilemma.
KT Vijay, HH Kocher, RS Koti, RD Bapat
July-September 1996, 42(3):80-2
PMID:0009715323
A case of suspected chronic cholecystitis who underwent laparotomy, was found to have agenesis of gall bladder. Standard investigative modalities which are done for chronic cholecystitis might be fallacious and baffling. Agenesis of gall bladder should be kept in mind whenever the gall bladder is improperly visualised in routine imaging methods.
  13,580 189 3
PAPERS
Carcinoembryonic antigen: an invaluable marker for advanced breast cancer.
KA Pathak, RR Khanna, HD Khanna, SS Khanna, SS Gupta, NN Khanna
July-September 1996, 42(3):68-71
PMID:0009715319
Serial serum Carcinoembryonic antigen (CEA) levels were measured in 150 individuals (50 patients with breast cancer, 50 benign breast diseases and 50 other controls). These levels were correlated with clinicopathological parameters and follow-up information. Serum CEA levels were independent of the primary tumor status, their histology, lymphoreticular response and the patients' characteristics as well as the age, sex and the menstrual status. However, the nodal status, number of involved nodes and the grade of the tumors had significant influence on the level of serum CEA. Breast cancer patients especially those with metastasis had significantly higher serum CEA levels as compared to the controls and those with localised disease, irrespective of the site of metastasis. These levels were lowered appreciably by the disease regression and were raised or stable during the disease progression. Receiver operating characteristic (ROC) curve showed metastasis to be more frequent in patients with pretreatment serum CEA levels above 25 ng/ml and persistent post treatment CEA levels above 15 ng/ml. Serum CEA level was found to be a valuable prognostic indicator for advanced breast cancer and serial serum CEA levels provided an average lead time of about 3.9 months before the clinical appearance of metastasis.
  13,297 219 8
CASE REPORT
Post traumatic lumbar hernia.
AI Sarela, AA Mavanur, AA Bhaskar, ZF Soonawala, GG Devnani, HK Shah, AB Samsi
July-September 1996, 42(3):78-80
PMID:0009715322
A lumbar hernia which had developed following blunt abdominopelvic trauma is described here. The successful surgical correction is reported.
  11,868 141 4
PAPERS
Viability testing of homograft valves using methyl thiazol tetrazolium assay.
SS Shetty, SS Kaushik, MM Mojamdar, AA Gogate, AP Chaukar
July-September 1996, 42(3):72-5
PMID:0009715320
Viability status before and after treatment with antibiotics was investigated in a total of 104 homograft valves using MTT (3-[4, 5-dimethyl thiazol-2-y1]-2, 5-diphenyl tetrazolium bromide). The valves with warm ischaemic time above 11 hours, were found to be non-viable. Increase in storage time directly decreases cell viability. Methyl thiazol tetrazolium (MTT) assay can be used as a reliable, simple, rapid and economic method for assessing the viability status based on mitochondrial respiration even for homograft valves. Basal media with and without nutrients i.e., DMEM and Hanks BSS showed no difference in viability of the cells.
  10,550 129 3
CASE REPORT
Large optic nerve glioma.
PB Badhe, AP Desai
July-September 1996, 42(3):76-8
PMID:0009715321
Twelve cases of optic nerve glioma seen over a 28 year period are analysed herein in this autopsy study.
  10,333 113 -
Cri du chat syndrome.
SL Iyer, AA Duraiswamy, AS Kher, SS Joshi, BA Bharucha, SS Kanade
July-September 1996, 42(3):86-8
PMID:0009715326
Three cases of cri du chat syndrome with varying ages of presentation are compared and contrasted to highlight the clinical features and evolution of the phenotype with time.
  9,616 247 2
Plastic deformation of forearm.
AA Bhaskar, SS Shah
July-September 1996, 42(3):90-1
PMID:0009715328
The unusual occurrence of plastic deformation in an adult is described.
  7,910 135 1
Embolic stroke in a child with idiopathic dilated cardiomyopathy.
SC Karande, SG Kulthe, KR Lahiri, MK Jain
July-September 1996, 42(3):84-6
PMID:0009715325
An eleven year old boy presented with sudden onset right-sided hemiplegia and ipsilateral lower facial weakness. Two-dimensional echo revealed the diagnosis of idiopathic dilated cardiomyopathy with multiple intracardiac clots. MRI scan of head showed infarctions in the area of caudate nuclei, putamen, brain stem and cerebellum. On anticoagulation therapy, all thrombi, except one, disappeared. The child died 2.5 months later due to resistant cardiac failure.
  7,564 139 4
Hemostasis in acquired hemophilia--role of intracavitary instillation of EACA.
SS Sahu, RR Raipancholia, FK Pardiwalla, AV Pathare
July-September 1996, 42(3):88-90
PMID:0009715327
An 82 year old man developed antibodies against coagulation factor VIII:C without any apparent cause. Bleeding from the soft tissue cavity could not be controlled by factor VIII:C concentrates, immunosuppression with steroids and intravenous immunoglobulin therapy in the standard dosages. However, a single injection of Epsilon Aminocaproic Acid (EACA) instilled into the cavity under aseptic precautions achieved lasting hemostasis with resultant wound healing.
  7,134 98 1
Total hip arthroplasty for giant cell tumour.
SS Kulkarni, AS Dogra, PB Bhosale
July-September 1996, 42(3):82-4
PMID:0009715324
A 32 month follow up of an uncommon case of a Giant Cell Tumour affecting the proximal end of femur is presented. Following a wide excision, the hip was reconstructed using Charnley type of low friction total hip arthroplasty. At a 32 month review, there was no recurrence and the function was good.
  6,504 115 1
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