Home
|
About us
|
Editorial Board
|
Search
|
Ahead of print
|
Current Issue
|
Archives
|
Instructions
|
Online submission
|
Contact Us
|
Subscribe
|
Advertise
|
Reader Login
Page layout
Official publication of Indian Chest Society
Users Online: 1893
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
Access statistics : Table of Contents
1998| October-December | Volume 16 | Issue 4
Online since
January 5, 2011
Archives
Previous Issue
Next Issue
Most popular articles
Most cited articles
Show all abstracts
Show selected abstracts
Export selected to
Viewed
PDF
Cited
Medical Expert Systems In Respiratory System
A Sukesh Kumar, B Jayakrishnan, A Kandaswamy
October-December 1998, 16(4):162-167
Medical expert systems for diagnosis, treatment and management of diseases are gaining importance in the practice of modern medicine. Expert system is a program which uses artificial intelligence to provide solutions to difficult questions requiring specialized training to answer. Decision making in Intensive Care Unit (ICU), analysis of pulmonary function data, management of chronic diseases are some of the problems in the practice of respiratory medicine which will benefit from an unbiased guidance. Artificial neural networks, object oriented framework, fuzzy logic, genetic algorithm are some of the recent techniques used for the development of faster, efficient and reliable medical expert systems.
[ABSTRACT]
Full text not available
[PDF]
327
75
-
Polymerase Chain Reaction For Mycobacterium Tuberculosis
R Narasimhan, R. P Ilangho, S Seethalakshmi
October-December 1998, 16(4):150-154
Polymerase chain reaction (PCR) for Mycobacterium tuberculosis was retrospectively analyzed in 101 suspected cases of tuberculosis to evaluate the role of PCR in the diagnosis of pulmonary and pleural tuberculosis. Of the 101 patients, bronchial wash specimens were obtained from 86 suspected pulmonary tuberculosis patients and pleural fluid from 15 cases of pleural effusion. The PCR was done using IS 6110 probe. Based on clinical, radiological, microbiological, histopatho-logical findings and/or past history of anti-tuberculosis treatment, suspected cases of pulmonary tuberculosis (n=86) were divided into four groups: i) active pulmonary tuberculosis (n:37), ii) old pulmonary tuberculosis (n:9), iii) sarcoidosis (n:6) and iv) other non-tuberculosis pulmonary diseases (n:34). The PCR results from bronchial wash specimens were compared with acid fast bacilli (AFB) smear results of bronchial wash specimens. The PCR was positive in 35 of 37 active pulmonary tuberculosis patients, all cases (n:9) of old pulmonary tuberculosis, all cases (n:6) of sarcoidosis and all cases (n:15) of pleural effusions. It was negative in all cases of non-tuberculosis pulmonary disease (n:34). Bronchial wash AFB smears were positive in 25 of 37 active pulmonary tuberculosis patients and were negative in all other groups. Thus the sensitivity of PCR in the diagnosis of pulmonary tuberculosis was 95% and the specificity was 69%. The low specificity of PCR highlights the high false positive rate. Therefore, PCR results have to be interpreted with caution in the diagnosis of pulmonary tuberculosis. However, PCR appears to be useful in the diagnosis of tuberculous pleural effusions.
[ABSTRACT]
Full text not available
[PDF]
271
112
-
Tuberculosis In Human Immunodeficiency Virus Seropositives In Rajasthan
P. R Gupta, S. K Luhadia, N Gupta, V Joshi
October-December 1998, 16(4):147-149
Five hundred and twenty tuberculosis patients admitted to hospital and having a high risk factor for human immunodeficiency virus (HIV) infection were evaluated for HIV seropositivity. Fourty patients (7.7%) were found to be seropositive. The clinical picture of these patients was compared with the seronegative tuberculosis patients. Extrapulmonary tuberculosis was more common in HIV seropositive patients. Weight loss and diarrhoea were more common in these patients but cough and haemoptysis were less frequent. Oral thrush and herpes zoster were seen only in HIV seropositive patients. The findings of this study show that HIV seropositive tuberculosis patients present with an atypical picture in this part of the country.
[ABSTRACT]
Full text not available
[PDF]
255
117
-
Bronchogenic Carcinoma In Patients Below Age 40 Years And The Response To Radiotherapy With Or Without CMF (Cyclophosphamide, Methotrexate, Fluorouracil) Regime.
V. K Arora, Vishnu Sharma, K. S Reddy
October-December 1998, 16(4):155-158
Of the 200 patients who had histopathologically confirmed bronchogenic carcinoma during the period January 1990 to March 1996, 24 patients (12%) were found to be below 40 years of age in a tertiary Institute. Of the 24 cases, ten had adenocarcinoma, nine had squamous cell carcinoma, four had poorly differentiated carcinoma and one had large cell carcinoma. These 24 patients were randomly divided into two groups to evaluate the role of radiotherapy alone or radiotherapy with CMF (cyclophosphamide, methotrexate and fluorouracil) regime in the treatment of bronchogenic carcinoma in patients below 40 years. None of the patients in both groups had shown complete response to treatment on follow up. The mean duration of survival of the study subjects was seven months. Bronchogenic carcinoma in young adults, therefore, appears to be aggressive in nature and their response to treatment with radiotherapy and CMF regimen is poor.
[ABSTRACT]
Full text not available
[PDF]
232
127
-
Nasal Mucociliary Clearance In Diseases Of Lower Respiratory Tract
Ishwar Singh, Jyoti Yadav, Rohtas Singh, Baldev Raj
October-December 1998, 16(4):159-161
The nasal mucociliary clearance (NMCC) was studied using the saccharin method in 100 patients of lower respiratory tract disorders which comprised of 11 patients of bronchiectasis, 35 of chronic bronchitis, 37 of bronchial asthma and 17 of pneumonia. The results were compared with 100 healthy controls. The nasal mucociliary clearance was significantly prolonged in bronchiectasis, chronic bronchitis and bronchial asthma but not in pneumonia. No relationship of nasal mucociliary clearance with duration of disease was observed. Whether this impairment is the cause or effect of the disease needs further elucidation.
[ABSTRACT]
Full text not available
[PDF]
257
80
-
An Uncommon Presentation Of A Common Allergic Pulmonary Disorder
Rajinder Singh Bedi
October-December 1998, 16(4):168-169
A 17 year old non-smoker male student, a known asthmatic since birth, presented with high grade fever, purulent non-foul smelling expectoration and breathlessness. Patient gave history of expectorating brownish plugs off and on in past. His father and maternal grand father were asthmatic. Chest auscultation revealed bilateral rhonchi and bronchial breathing with few crepitations in left infraclavicular region. His chest skiagram was as in Fig. 1. Total white blood counts were 13400 mm with 78% neutrophils, 12% lymphocytes and 10% eosinophils and erythrocyte sedimentation rate (ESR) was 44 mm 1st hr (Westergren). Sputum smears for acid fast bacilli were repeatedly negative.
[ABSTRACT]
Full text not available
[PDF]
228
64
-
Primary Pulmonary Leiomyoma
G Thippanna, P Navnaithsagar Reddy, K Ramesh Kumar
October-December 1998, 16(4):170-171
Two cases of histopathologically confirmed primary leiomyoma of the lung are reported.
[ABSTRACT]
Full text not available
[PDF]
173
57
-
Noninvasive Ventilation
S. K Sharma
October-December 1998, 16(4):145-146
Full text not available
[PDF]
135
93
-
Feedback
Sitemap
|
What's New
|
Feedback
|
Disclaimer
© 2008 Lung India | Published by Wolters Kluwer -
Medknow
New site online since 20
th
January 2009