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Journal of the Indian Medical Association最新文献

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Retrospective observational study of penetrating keratoplasty in the management of non-responsive microbial keratitis. 穿透性角膜移植术治疗无反应性细菌性角膜炎的回顾性观察研究。
Journal of the Indian Medical Association Pub Date : 2014-01-01
Anindita Mondal, Udayaditya Mukhopadhyay, Anup Mondal, Ujjwal Pattanayak, Suman Mukhopadhyay, Sambuddha Ghosh, Nazarul Islam
{"title":"Retrospective observational study of penetrating keratoplasty in the management of non-responsive microbial keratitis.","authors":"Anindita Mondal,&nbsp;Udayaditya Mukhopadhyay,&nbsp;Anup Mondal,&nbsp;Ujjwal Pattanayak,&nbsp;Suman Mukhopadhyay,&nbsp;Sambuddha Ghosh,&nbsp;Nazarul Islam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Microbial keratitis tops the list of the diseases leading to corneal blindness. Corneal transplant, either partial or full thickness, is the most helpful technique for infective keratitis that remains non- responsive, even with the most suitable medical treatment. Aims of this study are to evaluate the success of therapeutic penetrating keratoplasty in non-responsive microbial keratitis in eradication of infection, restoration of anatomical integrity of the globe and prevention of complication that influence the visual prognosis in a positive way. Result of the retrospective study of 60 patients who underwent therapeutic penetrating keratoplasty, following infected keratitis showed restoration of anatomical integrity in 51 cases (85%). Success rate of penetrating keratoplasty was higher in non- perforated (92%) than in perforated group (74.28%) and in non-mycotic than in mycotic group. Penetrating keratoplasty in non-responsive infected keratitis is thus helpful.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"26-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33271180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hysterectomy: treatment for secondary infertility. 子宫切除术:继发性不孕症的治疗。
Journal of the Indian Medical Association Pub Date : 2014-01-01
Reena Wani, Chinmayee Patra, Veena Dusane
{"title":"Hysterectomy: treatment for secondary infertility.","authors":"Reena Wani,&nbsp;Chinmayee Patra,&nbsp;Veena Dusane","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infertility is a distressing condition but extenuating circumstances sometimes make the choice of treatment seem paradoxical. Here is discussed a challenging case of a 30-year-old woman with no living child and secondary infertility who presented with a large abdominal mass and severe abdominal pain, sequelae of previous obstructed labour. There was complex management dilemma. She was young, had no living child, had undergone vesicovaginal fistula (VVF) repair and vaginoplasty yet was wanting fertility; however she was distressed with the abdominal pain and desired a complete cure. Both she and her spouse were counselled about the high possibility of failure if repeat attempt at vaginoplasty was made, and possible damage to the VVF repair. Finally, decision of exploratory laparotomy with total abdominal hysterectomy was taken after counselling the couple about adoption as an option for childbearing.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33270121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Squamous cell carcinoma arising in a chronic osteomyelitic sinus tract in the peri-anal region involving pelvis: a rare occurrence. 发生于肛门周围慢性骨髓炎窦道的鳞状细胞癌，并累及骨盆:罕见。
Journal of the Indian Medical Association Pub Date : 2014-01-01
K P Karumbaiah, M S Shruthi, V Ragavendran, T M Kariappa
{"title":"Squamous cell carcinoma arising in a chronic osteomyelitic sinus tract in the peri-anal region involving pelvis: a rare occurrence.","authors":"K P Karumbaiah,&nbsp;M S Shruthi,&nbsp;V Ragavendran,&nbsp;T M Kariappa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Squamous cell carcinoma is a rare, but well documented complication of chronic osteomyelitis. Squamous cell carcinoma arising in a sinus tract following chronic osteomyelitis of the pelvic bone is a very rare occurrence. The patient presented with multiple draining sinuses and an ulcerative growth at the mouth of one of the sinuses in the peri-anal region. X-ray findings and sinogram showed de- struction of part of pubic bone. Biopsy from the growth confirmed a well differentiated squamous cell carcinoma. Therefore it is imperative that these lesions be biopsied for accurate diagnosis, adequate therapy and follow-up.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"44-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33270119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A very rare case of intussusception of small bowel due to metastasis from renal cell carcinoma. 肾细胞癌转移致小肠肠套叠一例。
Journal of the Indian Medical Association Pub Date : 2014-01-01
Gajanan R Ekbote, Lalit B Rajpal, Shrikant D Makam
{"title":"A very rare case of intussusception of small bowel due to metastasis from renal cell carcinoma.","authors":"Gajanan R Ekbote,&nbsp;Lalit B Rajpal,&nbsp;Shrikant D Makam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bowel metastasis secondary to renal cell carcinoma causing intussusception is very rare condition. Here a case of a 52-year-old male, who presented with signs and symptoms of small bowel obstruction is reported. CT abdomen showed small bowel obstruction due to ileo-ileal intussusception and left renal mass. On exploratory laparotomy Ileo-ileal intussusception was present. FNAC taken from left kidney at same sitting. Histology of resected specimen reported metastatic nodule in small bowel of renal cell carcinoma. FNAC confirmed primary renal cell carcinoma of left kidney. Although abdominal CT scanning provides the most reliable indications, it is laparotomy, that establishes the diagnosis of intussusception, and the histological examination that determines the cause.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"56, 61"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33270536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Submental intubation: a new approach in panfacial trauma. 颏下插管:治疗全面外伤的新方法。
Journal of the Indian Medical Association Pub Date : 2014-01-01
Monika Gandhi, B K Ved
{"title":"Submental intubation: a new approach in panfacial trauma.","authors":"Monika Gandhi,&nbsp;B K Ved","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The submental route for endotracheal intubation is an alternative to nasal intubation or tracheo- stomy in the surgical management of patients with complex craniomaxillofacial injuries. The critical indication for submental intubation is the requirement for intra-operative maxillomandibular fixation in the presence of injuries that preclude nasal intubation and in a situation where a tracheostomy is not otherwise required. Maxillomandibular fixation is essential to re-establish dental occlusion for a normal functional result in dentate patients with fractures involving alveolar segments of the jaws. However, maxillomandibular fixation precludes orotracheal intubation. Nasotracheal intubation is often used but is contra-indicated in the presence of skull base fractures and will interfere with the access to certain fracture types. A tracheostomy has a high potential complication rate and in many patients, an alternative to the oral airway is not required beyond the peri-operative period. Submental intuba- tion is a simple and useful technique with low morbidity in selected cases of craniomaxillofacial trauma.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"54-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33270123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Xanthogranulomatous pyelonephritis: critical analysis of 18 cases from a rural tertiary care centre of India. 黄色肉芽肿性肾盂肾炎:来自印度农村三级保健中心的18例关键分析。
Journal of the Indian Medical Association Pub Date : 2014-01-01
Biswajit Datta, Chandan Datta, Dilip Kumar Pahari
{"title":"Xanthogranulomatous pyelonephritis: critical analysis of 18 cases from a rural tertiary care centre of India.","authors":"Biswajit Datta,&nbsp;Chandan Datta,&nbsp;Dilip Kumar Pahari","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Xanthogranulomatous pyelonephritis is an uncommon disorder of the kidney that is characterised by chronic inflammation and extensive destruction of the involved kidney usually associated with renal calculus and obstruction. It commonly involves the middle aged people with an increased incidence among females and diabetic population. Confirmed diagnosis can be done only after histopathological examination of the diseased nephrectomy specimen. So early suspicion and timely intervention is important to reduce the morbidity. In this retrospective study, we analysed the case records of all patients diagnosed with xanthogranulomatous pyelonephritis in our institute over a period of 11 years. A total 18 patients were treated and diagnosed with xanthogranulomatous pyelonephritis from January 2002 to December 2012. Among them 13 were female and 5 male. Most common clinical presentation was flank pain, fever, dysuria and weight loss. Left kidney was affected in 15 cases and right kidney in 3 cases. All patients were having urinary calculus causing obstruction to the pelvicalyceal system of the kidney. Only 2 patients were diabetic. Urine culture was sterile in all patients. All patients were treated with antibiotics, other supportive measures pre-operatively and ultimate nephrectomy having good recovery. Early suspicion and prompt treatment is necessary in minimising morbidity and mortality from the condition.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"33-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33270116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kikuchi's disease: an uncommon cause of cervical lymphadenopathy. 菊池病:一种罕见的颈部淋巴结病。
Journal of the Indian Medical Association Pub Date : 2014-01-01
A Murali, C R V Narasimhalu, M Madhavan, S Sujithkumar
{"title":"Kikuchi's disease: an uncommon cause of cervical lymphadenopathy.","authors":"A Murali,&nbsp;C R V Narasimhalu,&nbsp;M Madhavan,&nbsp;S Sujithkumar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Kikuchi Fujimoto's disease is a benign self limiting disorder presenting with localised cervical lymphadenopathy, fever, weight loss and night sweats. It is a rare disease with worldwide distribution but commonly reported from Asia. It is diagnosed by excision biopsy of the lymph nodes. Clinical features suggest a viral aetiology though not proven. It is often misdiagnosed as either systemic lupus erythematosus or malignant lymphoma. Better understanding as well as high clinical suspicion would aid in the diagnosis of the disease. Treatment is mainly symptomatic, with non-steroidal analgesics and antipyretics. Corticosteroids are rarely indicated. Although patients show a spontaneous recovery in 1-4 months, a follow-up of several years would be required to study the development of SLE in these patients.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"51-3"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33270122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Geriatrics: the great awakening. 老年病学:伟大的觉醒。
Journal of the Indian Medical Association Pub Date : 2014-01-01
Tapas Das, Sudarsan Chakraborty
{"title":"Geriatrics: the great awakening.","authors":"Tapas Das,&nbsp;Sudarsan Chakraborty","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33271176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plasma malondialdehyde (MDA) and anti-oxidant status in diabetic retinopathy. 血浆丙二醛(MDA)和糖尿病视网膜病变的抗氧化状态。
Journal of the Indian Medical Association Pub Date : 2014-01-01
Manjulata Kumawat, Simmi Kharb, Veena Singh, Neelima Singh, S K Singh, Manisha Nada
{"title":"Plasma malondialdehyde (MDA) and anti-oxidant status in diabetic retinopathy.","authors":"Manjulata Kumawat,&nbsp;Simmi Kharb,&nbsp;Veena Singh,&nbsp;Neelima Singh,&nbsp;S K Singh,&nbsp;Manisha Nada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hyperglycaemia and dyslipidaemia in diabetes mellitus induce increased lipid peroxidation and peroxyl radical formation is an important mechanism in genesis of micro-angiopathy. We took up a study on oxidative stress as measured by lipid peroxidation marker, malondialdehyde (MDA) and antioxidant enzyme status in type 2 diabetes mellitus patients with and without retinopathy and compared them with a control non-diabetic group. MDA was significantly elevated (p < 0.001) in both the diabetic groups whereas antioxidant enzymes superoxide dismutase (SOD), glutathione peroxidase (GPx), glutathione reductase (GR), catalase (CAT) and reduced glutathione (GSH), etc, were significantly decreased (p < 0.001) which might be helpful in risk assessment of various complications of diabetes mellitus. The study included 100 subjects of age group 50-70 years, out of which 50 patients were non-insulin dependent diabetes mellitus (NIDDM) with retinopathy and rest 50 age and sex matched apparently healthy individuals (control group). The status of fasting blood sugar (FBS), postprandial blood sugar (PPBS), total cholesterol (TC), triglyceride (Tg), HDL-cholesterol, LDL-cholesterol, VLDL- cholesterol, GPx, GR, CAT, SOD, MDA were determined. The results showed significant increase (p < 0.001) in FBS, PPBS, TC, TG, LDL-C, VLDL-C, CAT, MDA while HDL-C, GSH, GPx, GR and SOD were found to be decreased significantly (p < 0.001). The data suggest that alteration in anti-oxidant status and MDA may help to predict the risk of diabetic retinopathy.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"112 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33271181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporoparietal fascia flap in intra-oral reconstruction without split thickness skin graft cover: a case report. 颞顶筋膜瓣口内重建无裂厚皮瓣1例。
Journal of the Indian Medical Association Pub Date : 2013-12-01
Collin Roy, Monimoy Bandyopadhyay, Shirish Dubey, Ajay Kumar Gupta
{"title":"Temporoparietal fascia flap in intra-oral reconstruction without split thickness skin graft cover: a case report.","authors":"Collin Roy,&nbsp;Monimoy Bandyopadhyay,&nbsp;Shirish Dubey,&nbsp;Ajay Kumar Gupta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The temporoparietal fascia flap with its long rotational axis and extensive mobilisation properties, can provide vascularised tissue to repair the most distant areas in the orofacial region. The donor site morbidity is minimal with a well-concealed scar hidden in the hair-bearing scalp. However, the temporoparietal fascia flap is usually used together with a split thickness skin graft. This leads to one more donor site causing increased morbidity. In this case temporoparietal fascia flap was used for an intra-oral reconstruction in a case of oral submucous fibrosis, without a split thickness skin graft cover. The healing was excellent and the flap provided a good surface for remucosalisation.</p>","PeriodicalId":17244,"journal":{"name":"Journal of the Indian Medical Association","volume":"111 12","pages":"852, 854"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32611627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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