151
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Handa R, Aggarwal P, Wali JP. Intermittent hydrarthrosis. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1998; 46:571. [PMID: 11273267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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152
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Biswas A, Handa R, Aggarwal P, Wig N, Wali JP. Percutaneous drainage of hydatid cyst an alternative to surgery. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1998; 46:564-5. [PMID: 11273262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
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153
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Aggarwal P, Chaudhari S, Bhave S, Pandit A, Barve S. Clinical predictors of outcome in hypoxic ischaemic encephalopathy in term neonates. ANNALS OF TROPICAL PAEDIATRICS 1998; 18:117-21. [PMID: 9924572 DOI: 10.1080/02724936.1998.11747937] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Thirty-eight full-term infants with hypoxic ischaemic encephalopathy were followed up prospectively to determine simple predictors of outcome at 1 year. Three predictors of outcome, based on clinical examination alone, were evaluated. These were presence of seizures, grading of encephalopathy and neurobehavioural assessment at discharge from the hospital. Development was assessed using the Bayley scales of infant development, and a mental and motor quotient below 85 was considered to be delayed development. At 1 year, 15 infants showed delayed development; five of them had cerebral palsy. Predictive values were determined for each indicator. Seizures per se did not affect the outcome. All infants with mild encephalopathy were normal. The predictive value of moderate-to-severe encephalopathy was 50%. Abnormal neurobehaviour at the age of 7 days or at discharge, if earlier, was found to be the best predictor of outcome with a predictive value of 91.6%.
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Handa R, Aggarwal P, Wali JP. Tuberculosis causing fever of unknown origin. Int J Infect Dis 1998; 2:237-8. [PMID: 9841117 DOI: 10.1016/s1201-9712(98)90061-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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155
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Wali JP, Biswas A, Chandra S, Malhotra A, Aggarwal P, Handa R, Wig N, Bahl VK. Cardiac involvement in Dengue Haemorrhagic Fever. Int J Cardiol 1998; 64:31-6. [PMID: 9579814 DOI: 10.1016/s0167-5273(98)00008-4] [Citation(s) in RCA: 81] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
We studied 17 consecutive patients of Dengue Haemorrhagic Fever/Dengue Shock Syndrome (DHF/DSS) to assess cardiac function by radionuclide ventriculography, echocardiography and electrocardiography (ECG) during the epidemic of Dengue virus type-2 (DEN-2) in Delhi, India (1996). Case definitions laid down by the WHO were followed. Fourteen patients were seropositive for Dengue infection. In radionuclide ventriculography study, the mean left-ventricular ejection fraction was 41.69 (5.04% (range 33-49%) and 7 patients had an ejection fraction less than 40%, global hypokinesia was detected in 12 (70.59%) patients. In echocardiography, the mean ejection fraction was 47.06 (3.8%). Eight patients had Dengue Shock Syndrome and the mean ejection fraction was 39.63% (4.97% in radionuclide ventriculography, out of which 5 patients had an ejection fraction below 40%. To find out the nature of myocardial involvement, 99m Tc-pyrophosphate imaging was done in 4 patients and it was discontinued further because no myocardial necrosis was detected in those patients. Five patients had ST and T changes in the electrocardiogram, radionuclide ventriculography and echocardiography revealed no abnormalities after 3 weeks of follow up and the ejection fraction was more than 50% in all cases. Global hypokinesia also improved and ECG changes reverted back to normal within 3 weeks. Acute reversible cardiac insult may be noticed in Dengue Haemorrhagic Fever/Dengue Shock Syndrome and could be responsible for hypotension/shock seen in some of these patients. Further studies are required to establish the pathogenic mechanisms of cardiac dysfunction in patients with Dengue Haemorrhagic Fever/Dengue Shock Syndrome.
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157
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Aggarwal P, Misra K, Kapoor SK, Bhalla AK, Bansal RC. Effect of Surface Oxygen Complexes of Activated Carbon on the Adsorption of 2,4,6- Trinitrophenol. DEFENCE SCI J 1998. [DOI: 10.14429/dsj.48.3902] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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158
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Handa R, Wig N, Aggarwal P, Suresh V, Biswas A, Wali JP. Halofantrine in G-6 PD deficiency. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1997; 45:899. [PMID: 11229205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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159
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Handa R, Aggarwal P, Biswas A, Wali JP. Right-sided endocarditis following abortion--underdiagnosed condition case report. INDIAN JOURNAL OF MEDICAL SCIENCES 1997; 51:430-1. [PMID: 9567504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
We have presented a patient who followed abortion went on to develop septicemia, right-sided endocarditis and septic pulomonary emboil. Such potentially fatal condition should be prevented and diagnosed early to prevent morbidity and mortality.
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160
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Wig N, Aggarwal P, Kailash S, Handa R, Wali JP. Awareness of brain death and organ transplantation among office-goers in New Delhi. THE NATIONAL MEDICAL JOURNAL OF INDIA 1997; 10:303-4. [PMID: 9481107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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161
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Aggarwal P, Handa R, Wali JP. Tuberculous pancreatitis. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1997; 45:898. [PMID: 11229203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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162
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Singh S, Kumar L, Khetarpal R, Aggarwal P, Marwaha RK, Minz RW, Sehgal S. Clinical and immunological profile of SLE: some unusual features. Indian Pediatr 1997; 34:979-86. [PMID: 9567527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To study the clinical and immunological profile of children with systemic lupus erythematosus (SLE). DESIGN Retrospective hospital based study. SETTING Tertiary level center of North India. SUBJECTS Sixteen children in the age group 4-12 years. METHODS Medical records of children with SLE were analyzed. Clinico pathological features were compared with 2 other series from India. RESULTS Mean age of children at the time of diagnosis was 10 yr and 8 (50%) children were less than 10 yr of age. The female to male ratio was 7:1. Fever (56.2%), rash (87%) and arthritis (87%) were the common clinical manifestations, Renal involvement was noted in 56.2% of cases. Other clinical features included hemolytic anemia (31.2%), thrombocytopenia (18.6%) and Raynaud's phenomenon (12.5%). Cardiac involvement in the form of severe myocarditis and endocarditis occurred in one patient each. Pulmonary hypertension was the presenting feature in one child with right heart failure. One child had multiple sclerosis along with SLE--a rare combination. ANA positivity was seen in all children. Five children died; two had severe cardiac involvement. Three children had renal involvement and one died of pulmonary hypertension. Two-thirds of subjects with renal involvement improved after therapy according to NIH, Bethesda protocol. CONCLUSIONS SLE must be considered in any child with multisystem disease, as the disease may have certain unusual presentations.
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Aggarwal P, Handa R, Wali JP, Wig N, Kumar A. Abnormal chest X-ray in a patient with carcinoma of the cervix. Postgrad Med J 1997; 73:671-3. [PMID: 9497989 PMCID: PMC2431472 DOI: 10.1136/pgmj.73.864.671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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164
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Kapoor H, Aggarwal P. Resistance to quinolones in pathogens causing urinary tract infections. THE JOURNAL OF COMMUNICABLE DISEASES 1997; 29:263-7. [PMID: 9465532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
157 bacterial isolates from cases with urinary tract infections (UTI) were studied for their susceptibility to some of the available quinolones as compared to other commonly used antimicrobial agents in UTI. Resistance to nalidixic acid was observed in 62.4% of isolates whereas for pefloxacin, norfloxacin, ciprofloxacin and lomifloxacin it was 54.7%, 52.5%, 51.5% and 50.3% respectively. Aminoglycosides and third generation cephalosporins showed resistance in fewer isolates. Gentamicin resistance was observed in 21% and corresponding figure for amikacin, cefotaxime and ceftriaxone was 7%, 8.9% and 12.1% respectively. Nitrofurantoin showed resistance in 36.3% of isolates and 48% isolates were resistant to cephalexin. The minimum inhibitory concentration (MIC) of quinolones was more than 64 mcg/ml which is > 8 times in resistant strains as compared to sensitive isolates.
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165
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Aggarwal P, Dollimore D, Heon K. Comparative thermal analysis study of two biopolymers, starch and cellulose. ACTA ACUST UNITED AC 1997. [DOI: 10.1007/bf01979545] [Citation(s) in RCA: 70] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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166
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Wig N, Handa R, Aggarwal P, Wali JP. Rheumatoid arthritis--current trends in management. INDIAN JOURNAL OF MEDICAL SCIENCES 1997; 51:255-64. [PMID: 9491678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
RA is a chronic progressive polyarthritis associated with substantial disability. The current treatment protocols envisage early use of DMARDs before erosions develop. Patient education and increased physician awareness are the need of the day in order to minimize the morbidity and mortality associated with this crippling disease.
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Wali JP, Aggarwal P, Nandy A, Singh S, Addy M, Guha SK, Dwivedi SN, Karmarkar MG, Maji AK. Efficacy of sodium antimony gluconate and ketoconazole in the treatment of kala-azar--a comparative study. THE JOURNAL OF COMMUNICABLE DISEASES 1997; 29:73-83. [PMID: 9282505 DOI: pmid/9282505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The present study was undertaken to determine the efficacy of ketoconazole in comparison to sodium antimony gluconate (SAG) in the treatment of kala-azar. The study was conducted at two centres: All India Institute of Medical Science, New Delhi and Calcutta School of Tropical Medicine, Calcutta. A total of 180 patients with proven kala-azar were recruited. After preliminary investigations, the patients were randomly divided into 2 groups: One group received ketoconazole in a dose of 600 mg/ day in 3 divided doses for 4 weeks while the other group was treated with SAG at a dose of 20 mg/kg/day up to a maximum of 850 mg/day for 4 weeks. The patients were followed up by clinical examination, liver functions, haemogram and the bone marrow/splenic aspiration. Responders were followed up at 3 and 9 months of intervals. Of 90 cases in SAG, 78 (81.7%) got cured initially while under ketoconazole group, only 26 (33.3%) of 78 patients responded initially (p < 0.001). After 3 months of follow up, 75 of 78 SAG-responders (96.2%) and 24 of 26 ketoconazole-responders (92.3%) continued to be in remission. Despite the fact that 2 patients in each group were lost to follow up at 9 months, similar observations were noted with only one relapse in SAG group. The response to SAG was comparable at the two centres. However, the response to ketoconazole was better at Delhi centre as compared to that at Calcutta. There were no significant side effects or hormonal changes in any of the patients in ketoconazole group at Delhi centre. Significantly higher side effects were reported at Calcutta centre in ketoconazole group (P < 0.05). No satisfactory explanation can be given for this difference in response to ketoconazole at two centres. However, it is known that leishmanial parasites of different geographical origin differ in their response to different drugs and this could be one of the reasons for difference observed in response rate to ketoconazole as the study involved different populations of people.
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168
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Handa R, Wali JP, Aggarwal P. Proteinuria in a young man. Postgrad Med J 1997; 73:361-3. [PMID: 9246343 PMCID: PMC2431335 DOI: 10.1136/pgmj.73.860.361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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169
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Wig N, Wadhwa J, Aggarwal P, Handa R, Wali JP. Brain death and organ donation. THE NATIONAL MEDICAL JOURNAL OF INDIA 1997; 10:120-5. [PMID: 9230601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Brain death is the irreversible cessation of all brain functions. Brainstem death is the 'physiological core' of brain death. The Indian Parliament has given legal recognition to brain death though it applies only in the context of performance of organ transplantation. Brain death is diagnosed if there is irreversible loss of consciousness, absence of brainstem reflexes and apnoea. Care and diligence in the application of the criteria for brain death provide important safeguards for Individual patients and the community in general. These criteria also allow death to be diagnosed with certainty prior to the occurrence of circulatory arrest. Solid organ transplantation has become possible through the diagnosis of brain death but is not the primary consideration; the management of a potential organ donor, who is brain dead, is also vital. If optimal preservation of organs for transplantation is to be achieved the clinician needs to understand the pathophysiology and consequences of changes occurring in various organs after brain death and active management is required to reverse or control these changes. Discussions about organ donation with relatives of brain deed patients are never easy. These should always be frank and sympathetic. It has been suggested that those whose interests lie in transplantation must bear the responsibility of educating the general public. This will help intensivists who expose themselves knowingly to the unpleasant aspects of organ donation.
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170
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Bahl S, Wali JP, Handa R, Rattan A, Aggarwal P, Kindo AJ. Legionella as a lower respiratory pathogen in north India. THE INDIAN JOURNAL OF CHEST DISEASES & ALLIED SCIENCES 1997; 39:81-6. [PMID: 9339606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
One hundred patients of lower respiratory tract infection (LRTI) were prospectively studied over 2 years to find out if Legionella is a causative agent in these patients. In addition, 50 environmental samples and 50 age and sex matched controls were studied. Culture and direct fluorescent antibody testing (DFA) of respiratory tract secretions, and serodiagnosis by indirect immunofluorescence (IIF) and ELISA, were employed to detect Legionella. Respiratory tract secretions from all patients were negative for Legionella on culture and DFA. Low antibody titters to Legionella were observed in 21 patients and these could be attributed to cross reaction with other gram-negative bacteria. All environmental samples and controls tested negative for Legionella. Legionella does not seem to be an important lower respiratory tract pathogen in this part of the country and empirical addition of erythromycin to treatment regimens for pneumonia is not warranted in our setting.
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171
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Handa R, Wali JP, Aggarwal P, Wig N, Biswas A, Kumar AK. Wegener's granulomatosis with complete heart block. Clin Exp Rheumatol 1997; 15:97-9. [PMID: 9093782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
We describe a patient with Wegener's granulomatosis (WG) who developed complete heart block. Prompt treatment with steroids and cyclophosphamide led to regression of the complete heart block. The patient was left with a persistent first degree atrio-ventricular block, however. Early treatment may obviate the need for permanent pacing in such cases.
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172
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Marwaha RK, Aggarwal P, Trehan A. Immune thrombocytopenic purpura. Indian Pediatr 1996; 33:1019-26. [PMID: 9141802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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173
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Abstract
Myiasis is a disease commonly seen in animals, especially sheep and cattle. The condition is rare in man. A patient with a neglected fractured mandible with superimposed myiasis is reported.
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174
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Handa R, Wali JP, Kaushik P, Gupta R, Singh S, Gambhir M, Wig N, Biswas A, Aggarwal P. Toxoplasma encephalitis in AIDS. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1996; 44:838. [PMID: 9251466 DOI: pmid/9251466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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175
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Handa R, Gupta R, Wig N, Aggarwal P, Wali JP. Microfilariae of Wuchereria bancrofti in ascitic fluid. INDIAN JOURNAL OF MEDICAL SCIENCES 1996; 50:368-9. [PMID: 9057373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
We have presented a patient with ascites who demonstrated bancroftian microfilariae in the ascitic fluid. Such a presentation is exceedingly uncommon.
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