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  Citation statistics : Table of Contents
   2000| April-June  | Volume 46 | Issue 2  
 
 
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EDITORIAL
Duplicate and salami publications.
P Abraham
April-June 2000, 46(2):67-9
PMID:11013467
  16 17,844 252
CASE REPORT
Isolated tuberculous hepatic abscess in a non-immunocompromised patient.
DD Balsarkar, MA Joshi
April-June 2000, 46(2):108-9
PMID:0011013479
A 38 years old female presented with pain in the epigastrium, jaundice and fever since one and half month. The computerised tomographic scan of the abdomen revealed a multiloculated abscess of the left lobe of liver. The pus drained from the liver abscess at laparotomy showed acid fast bacilli on microscopy. A detailed search failed to identify any other focus of tuberculous infection. The case has been reported for the rarity of isolated hepatic tuberculous abscess and its presentation with jaundice, a rare feature, and to highlight the importance of microscopic or culture diagnosis in a suspected case of pyaemic abscess.
  6 6,957 180
Scleredema adultorum.
RC Parmar, SB Bavdekar, SS Bansal, AA Doraiswamy, SS Khambadkone
April-June 2000, 46(2):91-3
PMID:0011013472
Scleredema adultorum is a rare connective tissue disorder reported usually following streptococcal infection, influenza, measles, and mumps. It has been reported occasionally following trauma and tuberculous lymphadenitis. This is a report of scleredema adultorum developing after chicken pox in an eight-year-old male child. The diagnosis was established by characteristic picture on skin biopsy using special stain. The patient had a benign course and a spontaneous recovery in two weeks. The case has been reported as the first case of scleredema adultorum developing after chicken pox.
  6 7,321 173
ORIGINAL ARTICLE
The palm print as a sensitive predictor of difficult laryngoscopy in diabetics: a comparison with other airway evaluation indices.
VV Vani, SK Kamath, LD Naik
April-June 2000, 46(2):75-9
PMID:0011013469
AIMS: To evaluate the ink impression made by the palm of the dominant hand as a screening tool for difficult laryngoscopy in diabetic patients. SUBJECTS AND METHODS: In this prospective study, airway of 50 adult diabetic patients, undergoing elective surgery under general anaesthesia, was assessed preoperatively using the common clinical indices such as Modified Mallampati test, thyromental distance, degree of head extension and a specific index- the palm print test. Following induction of anaesthesia and neuromuscular relaxation, laryngoscopy was performed and the laryngoscopic view scored. The sensitivity, specificity and positive predictive value of each airway evaluation index were calculated. RESULTS: The incidence of difficult laryngoscopy was 16%. The palm print test had the highest sensitivity (75%) of all the indices. The thyromental distance less than six cm had the highest specificity (95.2%) but was least sensitive (25%). 87% of patients with difficult laryngoscopy had two or more indices abnormal. CONCLUSION: Though the palm print test was the most sensitive index of the four indices studied, a better prediction of difficult laryngoscopy can be achieved by evaluating all the four airway indices preoperatively.
  6 10,629 313
CASE REPORT
An intragastric trichobezoar: computerised tomographic appearance.
BB Morris, ZK Shah, PP Shah
April-June 2000, 46(2):94-5
PMID:0011013473
A 26-year-old lady presented with a history of abdominal pain and distension since two months. The ultrasound examination showed an epigastric mass, which was delineated as a filling defect in the stomach on barium studies. The computerised tomographic scan showed a gastric mass with pockets of air in it, without post-contrast enhancement. This case highlights the characteristic appearance on computerised tomography of a bezoar within the stomach, a feature that is not commonly described in medical literature.
  5 8,154 160
Neurofibromatosis-Noonan syndrome or LEOPARD Syndrome? A clinical dilemma.
MS Tullu, MN Muranjan, VC Kantharia, RC Parmar, DR Sahu, SB Bavdekar, BA Bharucha
April-June 2000, 46(2):98-100
PMID:0011013475
Neurofibromatosis (NF), Noonan syndrome (NS), and LEOPARD syndrome are all autosomal dominant conditions, each being a distinct clinical entity by itself. Rarely, one encounters cases with features of NF and NS and is termed as the 'Neurofibromatosis-Noonan syndrome' (NF-NS). The authors report a clinical dilemma with major clinical features of the NF-NS syndrome and LEOPARD syndrome co-existing in the same patient. Also, features of Noonan syndrome and LEOPARD syndrome are compared with the case reported.
  4 12,273 216
ORIGINAL ARTICLE
The evaluation of cerebral oxygenation by oximetry in patients with ischaemic stroke.
GG Demet, AA Talip, UU Nevzat, OO Serhat, OO Gazi
April-June 2000, 46(2):70-4
PMID:0011013468
AIMS: To evaluate the clinical significance of estimation of the regional cerebral oxygen saturation (rSO2) in the patients with ischaemic stroke by the cerebral oximetry during acute, sub-acute and chronic phases. SUBJECTS AND METHODS: In this prospective study, 24 patients with ischaemic stroke in the middle cerebral artery territory were included. A detailed clinical examination and appropriate laboratory investigations were carried out. The rSO2 was determined by oximetery (INVOS 3100-SD) bilaterally on the first, third, seventh, and fifteenth days. The blood pressure, the peripheral capillary oxygen saturation and the arterial blood gas values were noted too. the changes were evaluated along with Glasgow coma scale (GCS) using unpaired student t-test and one way ANOVA test. RESULTS: There were significant differences between the rSO2 values in acute, subacute and chronic phases on the side of the lesion (p value < 0.05). The values of oxygen saturation gradually increased throughout the chronic phase. These values showed a positive correlation with GCS, but the results were not significant statistically. The rSO2 values were also significantly higher on the non-lesional side than those on the lesion side in the acute phase (p= 0.0034), the discrepancy disappeared during the sub-acute and chronic phases. CONCLUSION: Cerebral oximetry can be used as a measure to evaluate the cerebral oxygenation during the various phases of ischaemic stroke. It has a potential to serve as a useful marker for detection of cerebral oxygenation imbalances, to judge the effectiveness of the management and for the follow-up of patients with ischaemic stroke.
  4 9,576 229
CASE REPORT
Giant cell tumour of talar body.
MR Bapat, RS Narlawar, MK Pimple, PB Bhosale
April-June 2000, 46(2):110-1
PMID:0011013480
Giant cell tumour (osteoclastoma) of talar bone is a rare entity and is seen more commonly in the third decade of life. We report this disease entity in a 17-years-old girl. The patient presented with painful swelling of the left ankle with an osteolytic lesion in the talus on conventional radiographs. Intralesional curettage and autologous bone grafting was performed following which patient's pain and swelling disappeared. Complete range of movement at the ankle joint was regained with minimal restriction at the subtalar joint. There is no evidence of relapse at six months follow up.
  3 8,824 185
REVIEW ARTICLE
Antinuclear antibodies: clinical applications.
AA Wanchu
April-June 2000, 46(2):144-8
PMID:0011013488
One of the common serological hallmarks of autoimmune disorders is the presence of various autoantibodies in the sera of patients affected by these disorders. Antinuclear antibodies (ANA) detection is often needed to aid the diagnosis in several autoimmune disorders. In view of the different methodologies available for their detection, it becomes essential to understand the advantages and pitfalls of each procedure. This brief review discusses some methodological aspects of ANA detection and the clinical relevance of the presence of some of the autoantibodies found in the sera of patients with autoimmune disorders.
  3 17,865 662
Non-invasive respiratory monitoring in paediatric intensive care unit.
UB Nadkarni, AM Shah, CT Deshmukh
April-June 2000, 46(2):149-52
PMID:0011013489
Monitoring respiratory function is important in a Paediatrics Intensive Care Unit (PICU), as majority of patients have cardio-respiratory problems. Non-invasive monitoring is convenient, accurate, and has minimal complications. Along with clinical monitoring, oxygen saturation using pulse oximetry, transcutaneous oxygenation (PtcO2) and transcutaneous PCO2 (PtcCO2) using transcutaneous monitors and end-tidal CO2 using capnography are important and routine measurements done in most PICUs. Considering the financial and maintenance constraints pulse oximetry with end tidal CO2 monitoring can be considered as most feasible.
  3 15,082 286
CASE REPORT
Imaging findings in a giant hepatic artery aneurysm.
HH Parmar, JJ Shah, BB Shah, DD Patkar, RR Varma
April-June 2000, 46(2):104-5
PMID:0011013477
A rare case of relatively asymptomatic giant hepatic artery aneurysm of atherosclerotic aetiology is presented. The importance of imaging findings in the diagnosis of this condition and the differential diagnosis including the pertinent literature on the topic is discussed.
  2 7,433 166
E-MEDICINE
Information retrieval in medicine: overview and applications.
PM Nadkarni
April-June 2000, 46(2):116-22
PMID:0011013482
  2 11,590 210
ORIGINAL ARTICLE
Effect of early mobilisation on grip strength, pinch strength and work of hand muscles in cases of closed diaphyseal fracture radius-ulna treated with dynamic compression plating.
PV Solanki, KP Mulgaonkar, SA Rao
April-June 2000, 46(2):84-7
PMID:0011015774
AIMS: The purpose of the study was to objectively determine the effects of early mobilisation in terms of grip strength and work of hand muscles in cases of closed diaphyseal fracture radius - ulna treated with dynamic compression plating. SUBJECTS AND METHODS: Fifty normal subjects and Twenty-one patients, (Eleven patients treated with early active and resistive goal directed mobilisation and Ten control group) were assessed for pinch strength and grip strength on Pinch Dynamometer and Jamar Dynamometer and work of hand muscles on Ergograph. Standardised positions of the equipments and patients were maintained throughout the study. RESULTS: Results showed highly significant reduction in performance in patients treated with early mobilisation as compared to normal subjects in their first assessment (Fourth week post operatively). These patients showed significant improvement in successive assessments (sixth & eighth post operative week) on exercising in between these assessments. CONCLUSIONS: There are significant effects on grip strength and work of hand muscles in patients treated with that early active and resistive goal directed mobilisation.
  2 11,719 240
CASE REPORT
Eisenmenger syndrome in pregnancy.
JJ Kansaria, VS Salvi
April-June 2000, 46(2):101-3
PMID:0011013476
Maternal mortality in the presence of Eisenmenger syndrome is reported to be 30 to 50% & increases further with associated complications. A case of Eisenmenger syndrome in pregnancy where the patient progressively deteriorated postpartum & expired 3 weeks later is reported.
  1 10,438 221
E-MEDICINE
The art and science of web-based literature search: the MEDLINE.
DR Sahu, RR Ramakantan, SB Bavdekar
April-June 2000, 46(2):123-8
PMID:0011013483
  1 9,831 288
IMAGES IN MEDICINE
Images in medicine: Apert syndrome.
HS Hosalkar, HH Shah, PP Gujar, AA Chaudhari
April-June 2000, 46(2):129-129
PMID:0011013484
  1 9,588 431
IMAGES IN PATHOLOGY
Images in pathology: verrucous haemangioma.
AB Rupani, CV Madiwale, P Vaideeswar
April-June 2000, 46(2):132-3
PMID:0011013486
  1 8,710 153
IMAGES IN RADIOLOGY
Images in radiology: type III growing skull fracture.
RC Parmar, SB Bavdekar
April-June 2000, 46(2):130-1
PMID:0011013485
  1 13,677 196
ORIGINAL ARTICLE
Giant prosthesis for reinforcement of visceral sac for complex bilateral and recurrent inguinal hernias: a prospective evaluation.
VV Thapar, PP Rao, RR Prabhu, CC Desai, AS Singh, AN Supe
April-June 2000, 46(2):80-2
PMID:0011013470
AIMS: To evaluate giant prosthesis for reinforcement of visceral sac (GPRVS) as a treatment for complex bilateral and recurrent inguinal hernias. SUBJECTS AND METHODS: The prospective study carried out in a single surgical unit at a tertiary health care center involved consecutive series of 31 patients with complex bilateral and recurrent inguinal hernias who underwent GPRVS. All were men and the mean age was 58 years (range 49-95 years). Factors predicting high risk for recurrence included a large hernia ( greater, similar5cms, 32%, 10/31 patients), failure of one or more previous repairs (45%, 14/31 patients), chronic obstructive pulmonary disease (25%, 8/31 patients) and poor muscle tone (70%, 22/31 patients). Operative time, length of postoperative stay, complications and death were the main outcome measures. RESULTS: Mean -/+ SEM operative time was 65 -/+ 11 minutes (range 45-115 minutes). Mean -/+ SEM length of stay was 3.5 -/+ 0.7 days (range 2-5 days). There were 4 minor complications, but no mesh infections and death. Follow up was obtained for a mean period of 14.6 months (range 12-23 months); there were no recurrences. CONCLUSION: GPRVS provides a definitive and safe cure for repair of complex bilateral and recurrent inguinal hernias because of its simplicity, ease of the procedure, good results and low recurrence rate.
  1 7,837 172
SPECIAL ARTRICLE
Non-pathology: the bedrock of pathology.
ML Kothari, LA Mehta, VM Kothari
April-June 2000, 46(2):134-43
PMID:0011013487
Pathology, also called morbid anatomy, is macroscopically, microscopically, and molecularly so manifest an array of phenomena that it has compelled medical men to closely link it up with disease, dis-ease, and death. But there is more than meets the eye of the morbid anatomists, microscopists, and the molecular biologists. The obvious science of pathology is governed by numerous abstract, subtle, non-pathological factors. A pathological phenomenon is subservient to cosmic noumenon. Such a sea-change allows a newer perspective that cures modern medicine of many of its dogmas and provides epistemologically valid directions to research methodologies on the one hand and clinical practices on the other.
  1 13,677 158
CASE REPORT
Malrotation of the gut manifested during pregnancy.
JV Hardikar
April-June 2000, 46(2):106-7
PMID:0011013478
The diagnosis of intestinal obstruction during pregnancy poses problems, as vomiting which is an important symptom of the obstruction can be attributed to hyperemesis of pregnancy and radiological investigation are avoided during this period. A case of intestinal obstruction due to volvulus resulting from congenital malrotation of the gut is reported here. The patient first presented during pregnancy. The case emphasises the need for thorough investigations in a case of persistent vomiting in pregnancy.
  - 10,312 162
Sprengels deformity: anaesthesia management.
SS Dave, LD Naik
April-June 2000, 46(2):96-7
PMID:0011013474
A 28 years old lady presented with Sprengels deformity and hemivertebrae for Fothergills surgery. Clinically there were no anomalies of the nervous, renal or the cardiovascular systems. She had a short neck and score on modified Mallapati test was grade 2. She was successfully anaesthetised using injection Propofol as a total intravenous anaesthetic agent after adequate premedication with injection Midazolam and injection Pentazocine. Patient had an uneventful intraoperative and postoperative course.
  - 7,709 130
DRUG REVIEW
Eptifibatide: in the treatment of acute coronary syndromes.
MS Oak, NN Rege
April-June 2000, 46(2):155-6
PMID:0011013490
  - 8,388 169
EDUCATION FORUM
The art and science of presentation: the poster.
AN Supe, DR Sahu
April-June 2000, 46(2):112-5
PMID:0011013481
  - 11,090 280
ORIGINAL ARTICLE
A study of an epidemic of acute respiratory disease in Jaipur town.
ML Mathur, SP Yadav, BK Tyagi
April-June 2000, 46(2):88-90
PMID:0011013471
AIM: To detect an association between the sudden epidemic with respiratory symptoms, and fogging with dichlorovos in Jaipur town and to find out probable mechanism of causation of the epidemic. SUBJECTS AND METHODS: In this community based study of the epidemic, house to house survey of households selected using systematic random sampling was carried out. The incidence in the exposed and unexposed population, the relative risk and attributable risk were calculated. RESULTS: The incidence of cases was high (58.9%) in subjects present on roads at the time of fogging as compared to in those who were inside rooms of the houses (5.4%) and in those who were not in the locality at that time (1.8%) [Relative Risk (RR)=32.7 and Attributable Risk (AR)=96.9%]. CONCLUSION: High RR and AR in the present epidemic indicate strong association between fogging and occurrence of symptoms. In absence of signs and symptoms of organophosphorus poisoning it suggests that this could have been due to an inappropriate solvent or defective functioning of fog generator, leading to generation of an unusual dark fog, that might have irritated eyes and respiratory tract of exposed residents.
  - 5,938 128
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
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