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   2001| April-June  | Volume 47 | Issue 2  
 
 
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TECHNOLOGY REVIEW
End-tidal carbon dioxide monitoring in pediatrics: concepts and technology.
MS Bhende
April-June 2001, 47(2):153-6
PMID:11832614
  53,387 656 2
LOOKING BACK
Evolution of anaesthesia in India.
VM Divekar, LD Naik
April-June 2001, 47(2):149-52
PMID:11832613
  28,890 270 -
BRIEF REPORT
Pyrexia of unknown origin: a prospective study of 100 cases.
D Kejariwal, N Sarkar, SK Chakraborti, V Agarwal, S Roy
April-June 2001, 47(2):104-7
PMID:11832599
AIM: There are few studies on pyrexia of unknown origin (PUO) from India. The present study was planned to elucidate the causes of in PUO Eastern India and to define the changing patterns of PUO, if any. STUDY DESIGN: Prospective case series. PATIENTS: One hundred patients meeting the classic criteria of pyrexia of unknown origin. MAIN OUTCOME MEASUREMENT: The final diagnosis established at discharge or during follow up. RESULTS: Infections, especially tuberculosis was the most dominant cause (53%), followed by neoplasms (17%), and collagen vascular disorders (11%), Miscellaneous causes were responsible in 5% cases and in 14% the cause of fever remained undiagnosed. CONCLUSION: It is concluded that infections remain the most important cause of PUO in India, confirming the trends found earlier in other studies. The incidence of neoplasms was much higher compared to other studies from India.
  23,728 418 20
LOOKING BACK
Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
DM Thappa
April-June 2001, 47(2):147-8
PMID:11832612
  20,289 167 -
BRIEF REPORT
Cutaneous adverse drug reactions: clinical pattern and causative agents--a 6 year series from Chandigarh, India.
VK Sharma, G Sethuraman, B Kumar
April-June 2001, 47(2):95-9
PMID:11832597
AIM: To study the different clinical spectrum of cutaneous adverse drug reactions (ADR) and to determine the causative drugs. MATERIALS & METHODS: A prospective, hospital based study was carried out over a period of 6 years recording various cutaneous ADR. RESULTS: A total of 500 patients with cutaneous ADR were enrolled in the study. The most common types of cutaneous ADR patterns were maculopapular rash (34.6%), fixed drug eruption (FDE) (30%) and urticaria (14%). The drugs most often incriminated for the various cutaneous ADR were antimicrobials (42.6%), anticonvulsants (22.2%) and NSAIDs (18%). Anticonvulsants were implicated in 41.6% of maculopapular rashes. Sulfonamides accounted for 43.3% and NSAIDs for 30.7% of FDE. Urticaria was caused mainly by NSAIDs(24.3%) and penicillins(20%). Anticonvulsants were responsible for 43.8% of life-threatening toxic epidermal necrolysis and Stevens Johnson syndrome. CONCLUSIONS: The clinical pattern and drugs causing cutaneous ADR are similar to those observed in other countries except for minor variations. Cutaneous ADR patterns and the drugs causing various reactions are changing every year, which may be due to the emergence of newer molecules and changing trends in the use of drugs.
  18,172 521 23
REVIEW ARTICLE
Omentopexy for limb salvage in Buerger's disease: indications, technique and results.
S Talwar, SK Choudhary
April-June 2001, 47(2):137-42
PMID:11832609
Buerger's disease is a limb-threatening condition occurring in the young and productive age group and its management has always been a challenging problem. A large number of medical and surgical options have been suggested, but the quest for an ideal solution to this problem continues. Omentopexy for Buerger's disease is an attractive option, which is rapidly gaining popularity. We discuss the historical aspects, technical considerations and results of omental transfer for this limb-threatening condition. In doing so, the relevant literature on the subject has been extensively reviewed. In all published series, there has been marked improvement in intermittent claudication and rest pain. Ischaemic ulcers have healed and the progression of gangrene has stopped. If carried out with the complete understanding of the anatomy of the omental vascular arcade, the results of omentopexy are gratifying, thus avoiding amputation and conserving the limb.
  15,138 255 1
ORIGINAL ARTICLE
Use of static lung mechanics to identify early pulmonary involvement in patients with ankylosing spondylitis.
AN Aggarwal, D Gupta, A Wanchu, SK Jindal
April-June 2001, 47(2):89-94
PMID:11832596
AIM: To assess if a detailed analysis of lung mechanics could help in early recognition of pulmonary abnormalities in patients with ankylosing spondylitis. METHODS: Static pulmonary mechanics were studied in 17 patients (16 men and one woman) of ankylosing spondylitis with no obvious clinical or radiological evidence of pulmonary involvement. Lung pressure-volume relationship was generated using a whole body plethysmograph, and a monoexponential equation fitted to this data. RESULTS: Total lung capacity (TLC) was reduced in one (5.9%) and static lung compliance (Cst) in nine (52.9%) patients. Four (23.5%) patients had normal TLC, yet Cst and shape constant (K) were reduced. Five (29.4%) patients had reduced TLC and Cst; four of them had low K. One (5.9%) patient had normal TLC but elevated Cst and K. CONCLUSIONS: Pulmonary involvement in patients with ankylosing spondylitis is probably diffuse and begins much earlier than generally presumed. Evaluation of static lung mechanics can identify pulmonary involvement early in the course of disease in several of these patients.
  12,444 189 1
E-MEDICINE
Computers and vision.
SB Verma
April-June 2001, 47(2):119-20
PMID:11832604
  11,707 239 1
CASE REPORT
Iatrogenic gastric fistula due to inappropriate placement of intercostal drainage tube in a case of traumatic diaphragmatic hernia.
SA Rege, RS Narlawar, AA Deshpande, AN Dalvi
April-June 2001, 47(2):108-10
PMID:11832600
A 26-year-old, 30 weeks primigravida presented with a gastric fistula through a left intercostal drain, which was inserted for drainage of suspected haemopneumothorax following minor trauma. It was confirmed to be a diaphragmatic hernia, with stomach and omentum as its contents. On exploratory laparotomy, disconnection of the tube and fistulous tract, with reduction of herniated contents and primary suturing of stomach was carried out. Diaphragmatic reconstruction with polypropylene mesh was also carried out. Post-operative recovery was uneventful with full lung expansion by 3rd postoperative day. Patient was asymptomatic at follow-up 6 months.
  10,173 142 -
EDITORIAL
Is syringomyelia pathology or a natural protective phenomenon?
A Goel
April-June 2001, 47(2):87-8
PMID:11832595
  10,030 258 2
IMAGES IN MEDICINE
A variant of Poland syndrome.
JS Nachnani, AN Supe
April-June 2001, 47(2):131-2
PMID:11832606
  9,959 169 1
CASE REPORT
Ovarian dysgenesis with balanced autosomal translocation.
MS Tullu, P Arora, RC Parmar, MN Muranjan, BA Bharucha
April-June 2001, 47(2):113-5
PMID:11832602
Autosomal translocations are rare in the patients with ovarian dysgenesis. An 18-year-old female who presented with primary amenorrhoea had hypergonadotropic hypogonadism and streak ovaries with hypoplastic uterus. Karyotype analysis revealed a balanced autosomal translocation involving chromosomes 1 and 11. The probable role of autosomal translocations in ovarian dysgenesis has been discussed.
  9,812 177 2
ETHICS FORUM
ICH Harmonised Tripartite Guideline: guideline for good clinical practice.

April-June 2001, 47(2):121-30
PMID:11832605
  9,292 271 3
IMAGES IN RADIOLOGY
Pituitary metastases in carcinoma breast.
SR Rao, RS Rao
April-June 2001, 47(2):135-6
PMID:11832608
  9,300 149 2
BRIEF REPORT
Percutaneous tracheostomy by guidewire dilating forceps technique: review of 98 patients.
MM Maddali, M Pratap, J Fahr, AW Zarroug
April-June 2001, 47(2):100-3
PMID:11832598
BACKGROUND: Percutaneous tracheostomy to a large extent has replaced conventional surgical tracheostomy by virtue of its low incidence of complications and the rapidity with which the procedure can be performed at the bedside avoiding transport of critically ill patients to the operating rooms. Since it is a blind approach, bronchoscopic guidance has been suggested which might not always be possible due to logistic reasons. METHODS: A retrospective study of 98 patients who had guide wire dilating forceps technique of percutaneous tracheostomy without the aid of a bronchoscope was undertaken. By ensuring the free mobility of the guide wire at each step of the procedure, a safe placement of the tracheostomy tube was achieved. RESULTS: The mean operating time was 3.05 mins [S.D:2.20]. Two patients had peristomal bleeding as an early complication. 34 patients could be decannulated with good primary approximation of the stomal tissues [mean: 3.92days, S.D: 1.46]. There were no deaths or life threatening complications attributable to this technique. CONCLUSIONS: In the absence of bronchoscopic guidance, adopting the simple but effective precaution of free movement of guide wire at each step of the procedure, a safe tracheostomy tube placement is possible.
  9,304 137 4
CASE REPORT
Diffuse calvarial meningioma: a case report.
DP Muzumdar, US Vengsarkar, MG Bhatjiwale, A Goel
April-June 2001, 47(2):116-8
PMID:11832603
A rare case of a diffuse calvarial meningioma in a sixty-three year-old female is reported. The patient presented with headache, painful proptosis and chemosis of the left eye. Imaging showed that the frontoparietal calvarium on both sides and the left orbital roof were thickened. The thickened bone showed patchy rarefaction. In relationship to the thickened bone, there was an enhancing en-plaque meningioma. The tumour extended on to the superolateral aspect of the left orbit and resulted in proptosis. Excision of the left frontoparietal calvarium and the orbital tumour was performed. The management of diffuse calvarial meningioma is discussed and the relevant literature is briefly reviewed.
  8,645 209 4
Idiopathic necrotising granulomatous interstitial nephritis.
P Vaideeswar, BV Mittal
April-June 2001, 47(2):111-2
PMID:11832601
We report a case of idiopathic necrotising granulomatous interstitial nephritis seen as an incidental autopsy finding in a 65 years female. The unusual features were the presence of necroses, with a florid, bizarre giant cell reaction. There were varying degrees of tubular damage, with relative sparing of glomeruli. There was no history of drug ingestion; Mycobacteria, fungi or crystals were not identified.
  6,820 150 -
IMAGES IN PATHOLOGY
Leiomyoma of the vas deferens.
R Kaushik, AK Attri, L Kaur, R Nada
April-June 2001, 47(2):133-4
PMID:11832607
  6,461 113 -
LETTER TO EDITOR
Soft tissue swelling: cytology comes to rescue.
S Chaturvedi, VK Arora
April-June 2001, 47(2):144-144
PMID:11832611
  5,938 104 -
Near fatal haemoperitoneum of rare origin following laparoscopic sterilisation.
K Guleria, Manjusha, A Suneja
April-June 2001, 47(2):143-143
PMID:11832610
  4,637 96 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