Sudhir Kumar

..The present report highlights an unusual presentation of vitamin B12 deficiency--recurrent seizures in a 26-year-old man. His symptoms responded to parenteral vitamin B12 therapy. The relevant literature is reviewed...

..Nevertheless, a review such as this would be helpful in judiciously selecting those patients who would benefit from undergoing a PET scan, at a time when PET imaging facility is likely to be available soon in the Indian private sector...

..The purpose of the current review is to focus on the evidence regarding the usefulness of rFVIIa in acute ICH...

..It is also the first drug to cause complete disappearance of pendular nystagmus due to multiple sclerosis. The current review focuses on the pharmacological properties of memantine and examines the recent evidence in favor of memantine...

..We report two children with features suggestive of epileptic seizures that were eventually diagnosed as PNES with the help of video-EEG monitoring...

..Tirofiban appears to be safe and effective in initial trials and there is a need to conduct further trials to establish its role in AIS...

..An accurate idea of these adverse events would be useful while taking informed consent from patients...

..He showed a dramatic improvement following treatment with intramuscular vitamin B12 injections. At a five-year follow up, he was found to be functionally independent with no neurological deficits...

..This report describes the outcome of 64 attempted suicidal hangings, 81% of whom made a full recovery...

..Cranial nerves, especially facial and trigeminal nerves, are also commonly involved in leprosy...

..of thrombosed sinuses and reversal of neurological deficits in patients with cerebral venous and sinus thrombosis (CVST) However, in the absence of randomized controlled trials, the exact role of IST in the management of CVST is unclear,..

..He was managed conservatively and improved 10 days after stopping prednisolone. Mechanisms of steroid-induced myopathy and relevant literature have been reviewed...

..Despite several reports from the West, there are very few reports from the Indian population. We present four female children with RS and emphasize the importance of early diagnosis...

..We suggest that early monotherapy should be employed whenever possible and that early recognition and treatment of associated psychological problems may help to reduce the burden on families...

..A normal hemoglobin or MCV does not exclude B12def; therefore, other tests such as bone marrow smear and serum vitamin B12 assay are essential, as the condition is often reversible with treatment...

..Mortality in CVST, in addition to progressive thrombosis, is related to elevated intracranial pressure causing transtentorial herniation. The role of decompressive surgery in CVST is not well established...

..We report an unusual case, where the left shoulder dislocated first due to trauma followed by atraumatic dislocation of the right shoulder. A new manoeuvre--the Spaso Technique was used to reduce the dislocation...

..Together we show that K is non-estrogenic in vivo and exerts bone anabolic activity with attendant inhibition of bone marrow adipogenesis...

..Here is reported a case of bilateral facial nerve palsy in a patient with mandibular symphysis and bilateral condylar fractures of the mandible without evidence of temporal bone fracture or significant head injury...

..The diagnosis was confirmed by culturing Candida albicans from aspirated fluid and blood culture. The patient responded to antifungal treatment. High index of suspicion is required to diagnose such rare cases...

..1 and for female 84.6 which was statistically significant. On comparison with the existing literature the Gurung community can be categorized as brachycephalic and the data presented can be useful for experts in forensic science...

..It shows antidiabetic activity at the dose of 1000 mg/kg. The phytochemical screening of the residues revealed the presence of terpenoids glycosides, protein, carbohydrates and absence of alkaloids and steroids...

..However women's intention and her background knowledge of family planning methods not received as much attention as a measure of family planning methods demand...

..Abnormalities in the p53 tumor suppressor gene and in the expression of its protein are commonly seen in several tumors. The prognostic implication of these p53 abnormalities was studied in 55 patients with advanced head and neck cancers...

..2 buffer and pH 7.4 buffer from the drug loaded samples shows that in the initial stages, the rate of release of drug from the hydrogels is slow and rate of diffusion of drug increases with time...

..Astigmatism of less than 3D was achieved in 82 (73%) eyes. Rational surgical approach in traumatic cataract provides encouraging results. To comment on actual outcome long term follow up is mandatory...

..The present study was undertaken to study the frequency of electrolyte imbalance in children with diarrhoea and the relationship between electrolyte abnormalities and mortality...

..The objective of the study was to know about the use of alcohol among physicians and factors that were related to it...

..The ingredient chemicals (major) contributing maximum toxicity to textile dye wastewater were, acids (HCl and H(2)SO(4)), alkali (Na(2)O SiO(2)), salt (NaNO(2)) and heavy metal (Cu), whereas dyes (4) were relatively less toxic...

..The diagnosis was confirmed by culture of the biopsy, after which the patient was treated successfully with antibacterial agents...

..These guidelines will aid the physician in daily clinical practice and will ensure optimal care for patients with MM...

..Repeat sputum samples also yielded the growth of A. flavus. The patient responded to intravenous liposomaamphotericin B and intercostal drainage...

..To assess the impact of socio-demographic and clinical variables on the oral hygiene and periodontal status in a sample of mentally disabled subjects...

..A molecular technique such as ERIC-PCR is a more sensitive detection method than conventional techniques, the potential of which needs to be fully understood...

..This study determines the effect of two treatment protocols on five occupationally subgrouped male LBP patients...

..To compare the caries status and oral hygiene behaviour of dental and medical students and to assess the influence of oral hygiene behaviour on the caries status...

..To evaluate the effect of oral hygiene behaviour, dental anxiety, self assessed dental status and treatment necessity on dental caries status of medical students...

..Finally, we also consider the possible role of maternal adipocytokines and fetal adipocytokines on fetal growth...

..Lasers are also being used in the management of intractable glaucomas which are not controlled by medication alone. In this review article, all these features have been highlighted...

..We are presenting a case of solitary intraosseous neurofibroma of the maxilla in a five-month-old infant, which is probably the youngest such case published in literature so far...

..Quality of life (QOL), and pulmonary and nutritional parameters are important outcome measures during treatment of lung cancer; however, the effect of chemotherapy on these factors and their relationship with clinical response is unclear...

..Thirteen cases of toothbrush induced trauma to this area are reviewed and a classification of these injuries is proposed. Complications related to these injuries are highlighted and their management discussed...

..To determine the correlation of the new FIGO staging system with survival in stage I patients with low-grade and high-grade endometrial stromal sarcomas...

..C.dubliniensis was repeatedly isolated from the blood culture of the patient collected aseptically from different sites. The patient was successfully treated with amphotericin B...

..We believe this case to be the first case of rhino-orbito-cerebral infection due to Saksenaea vasiformis and that of second case in an immunocompetent patient in the world...

..The causative agents i.e., Staphylococcus aureus was isolated from the aspirate and the patient responded to intravenous Ciprofloxacin therapy. No other surgical intervention was required to treat the patient...

..There were no obvious predisposing factors. The patient was treated with surgical debridement followed by intravenous amphotericin B and itraconazole to which she responded well. We report this case, being rare and the first from India...

..Neurological development six months after hospital discharge was normal. The organism being a rare cause of cerebral abscess in pediatric population is reported here...

..Furthermore, increasing stress may result in declining student performance. The aim of the present study was to assess perceived sources of stress amongst dental undergraduate students at a private dental institution in India...

..This case was unique in that, unlike routine presentation seen in this type of disorder, the gutter was located more anteriorly in the cornea and was not associated with any vascularization...

..To prospectively evaluate by ultrasound biomicroscopy (UBM) and gonioscopy the anterior chamber angle widening following laser peripheral iridotomy (LPI) in eyes with early chronic primary angle closure glaucoma (CACG)...

..These observations suggest that short-term administration of prednisolone is able to curtail AMS without causing suppression of the hypothalamic-pituitary-adrenal axis...

..A policy of offering PORT after non-curative resections for cancer oesophagus has been followed at our institution, and we report an audit of our experience...

..Lipid composition in reference to phospholipids, glycolipids and cholesterol in tumor renal BBM was altered to that of normal renal BBM, indicating alteration in membrane fluidity of tumor renal BBM...

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..In primary isolation, the milk-supplemented medium showed that 22 out of 26 samples were positive for promastigotes (84.6%) and the cells were maintained successfully during the observed period of 6 months...

..Therefore, the described system is highly useful to thoroughly monitor the environment and detection of new chemicals/compounds...

..Above all, it is user-friendly, thus enhancing compliance and superior outcome in haemophilic knee rehabilitation...

..This study suggest that cypermethrin may have the potential to induce adverse effects on sperm head shape morphology of mouse as well as clastogenic effects on root tip cells of Allium cepa...

..Effective and efficient surveillance system and strengthening the routine immunization against DPT are the key steps for elimination of DPT diseases...

..A T1-weighted fat suppression sequence with chemical shift method confirmed the fatty nature of the lesion. The patient was managed conservatively...

..Trace elements like As, Se, Hg, Cd, though found to be present in coal, were absent in the process water indicating that these elements are not released by coal during washing...

..To study the epidemiology of chronic dacryocystitis and the success rate of external dacryocystorhinostomy (DCR) in Nepal. Patients and..

..CCP-27 also possesses strong ribonuclease activity against Torula yeast rRNA...

..Histamine receptor antagonists have been shown to induce tumor-infiltrating lymphocytes (TILs) in colonic cancers and improve survival. The role of histamine receptor anatagonists in breast cancer is unclarified...

..No studies on this topic have been conducted in developing countries, although 90% of such children live in the developing world...

..However, the amplitude of CMAPs increased and reached normal levels as the serum potassium concentration and motor power returned to normal state...

..It also has the clinical implication of being useful in patients with dual diagnosis...

..To report Multiple Sclerosis (MS) in two migrant Indian siblings in the Middle East...

..All the lesions healed. Their clinical behaviour, result and outcome are analysed with available international literature...

..One patient (7%) with a small (11 x 6 cm) mesh developed an inguinal recurrence. CONCLUSION: Laparoscopic TEP repair is a suitable technique for repair of femoral hernia, including irreducible but not obstructed femoral hernias...

..For areas falling under fourth and fifth zones it is recommended that immediate measures be taken to overcome the adverse health effects...

..The technique of laparoscopically guided ilioinguinal nerve block is reported, and its benefits assessed in patients undergoing laparoscopic total extraperitoneal groin hernia repair...