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Volume
3: Number 1 (January-April) 2001
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Abstracts |
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>>>>Leading
Article |
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Polysomnographic
Studies in Adult Asthmatics
Niraj Sharma, Suri JC, Menon MPS, Clinical
Research Centre, VP Chest Institute &
Sleep Disorder Center, Safdurjung Hospital, New Delhi
Abstract:
Polysomnography
studies were performed on ten asthmatics, attending the OPD of
Clinical Research Center at VP Chest Institute, in association with
the Sleep Disorder Center, Safdurjung Hospital, New Delhi. Asthmatics
were selected based on the guidelines given by Global Initiative for
Asthma. Those patients having history of nocturnal episodes of
wheezing were subjected to the sleep study test. Ten non-asthmatics
normals were also studied in a similar way. These were then compared
with sleep pattern of asthmatic subjects. The sleep parameters of
asthmatics showed a significant lowering of the total sleep time due
to the disturbance caused by attacks of asthma and cough. The
asthmatics also showed an increased amount of wakefulness during
sleep. An increase in the amount of Stage I NREM sleep and a decrease
in stage IV NREM sleep is also noted. 20% of the asthmatics showed
nocturnal desaturation, with 10% of the patients having an associated
sleep apnea syndrome, 80% of patients showed episodes of nocturnal
asthma, the episodes being more common in the last third part of
sleep.
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>>>>Original Paper -1 |
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Video
Assisted Thoracoscopy in Adults :
Indications and Diagnostic Yield
Sasikumar
S, Arjun P, S.P.Fort
Hospital, Thiruvananthapuram, Kerala, India.
Abstract:
Introduction:
Pleural diseases are very commonly encountered in clinical practice.
About 25% of pleural abnormalities remain undiagnosed after pleural
aspiration and closed needle biopsy. So an additional or alternative
investigatory modality is needed in such cases to reach a specific
diagnosis. Thoracoscopy has been successfully used for diagnosis and
evaluation of several pleural and lung parenchymal disorders.
Objective:
To compare the initial diagnosis made by clinical examination and
routine investigations with the final diagnosis obtained by
thoracoscopy and histopathology.
Study
design:
Retrospective Analysis of Case Records
Setting:
Patients who attended our hospital and on whom thoracoscopy was done
in the six month period from July 2000 to December 2000 have been
included.
Methodology:
Ten patients who had either pleural or parenchymal pathology that
could not be diagnosed by routine investigations were subjected to
video thoracoscopy under local anaesthesia. Pleural parenchymal
biopsies were taken under direct visualization and sent for
histopathological examination which is considered as the gold standard
for diagnosis.
Conclusion:
Thoracoscopy helps in making a definite diagnosis of pleural and
diffuse parenchymal disease with a specificity of almost 100%. In
addition to being a safe procedure, it has many other advantages as
well |
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>>>>Original Paper -2 |
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Effectiveness
of Computed Tomography in the Evaluation of Intrathoracic
Neoplasms
Rajasekharan
S, Vallinayagi V, Senthilkumar S, Srinivasan V,
Vanaraj V, Departments
of Cardiothoracic Surgery and Radiology, Thanjavur
Medical College, Thanjavur, Tamil Nadu, S.India.
Abstract:
Settings:
Computed Tomography is an excellent method of visualizing chest
wall, pleural, pulmonary, hilar and mediastinal tumours. Sectional
computed tomographic imaging provides detailed assessment of
anatomical location, structural abnormalities and associated lesions
of various neoplasms, which is totally different from those obtained
from conventional radiographs.
Objectives:
The study was planned to assess the efficacy of CT in identifying the
intrathoracic neoplasms and to evaluate the values of CT guided
biopsies in diagnosing the tumours accurately.
Methodology:
The diagnostic value of 250 serial computed chest tomographs was
evaluated. Bronchoscopic exploration and CT guided histopathological
assessment also contributed to diagnosis.
Results:
Of the 78 intrathoracic neoplasms, 66(84.6%) were malignant and the
remaining 12 (15.4%) were benign. Neoplasms in pulmonary, hilar and
mediastinal areas accounted for in 73 patients (93.6%). All the
CT-guided biopsies provided sufficient material for tissue diagnosis.
Conclusion:
CT was able to differentiate benign lesions from malignant tumours
to a larger extent. It offers adequate information for decision-
making in surgical intervention.
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>>>>Original Paper -3 |
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Quality
of Life and Assessment of Evidence in Pulmonary
Medicine
Sudheendra Ghosh.C, Professor
and Head, Department of
Respiratory Medicine, Medical
College, Thiruvananthapuram
[No
abstract available] |
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>>>>Special Article
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Management
of Complicated Parapneumonic Effusions
Gupta KB, Sanjeev Tandon,
Monika Tandon, Mahesh Gupta, Department
of Tuberculosis and Chest Diseases & Department
of Pharmacology, Pt.B.D.Sharma
Post Graduate Institute of Medical
Sciences, Rohtak
[No
abstract available]
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>>>>Case Report
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Bilateral
Bronchiectasis in a Case of Polysplenia Syndrome
Devarajan E, Achuthan V, Suraj KP, Mohammed Musthafa
[No
abstract available] |
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>>>>From
the Book of Medical Practice
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Bedside
Medicine Outmoded or Not ?
Menon M.P.S. Professor
of Medicine, V.P.Chest Institute, Delhi.
[No
abstract available]
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