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Journal of the Vivekananda Institute of Medical Sciences Journal of the Vivekananda Institute of Medical Sciences EDITORIAL BOARD Chairman Swami Satyadevananda Executive Editors Prof. Dilip Mukherjee Prof. Debasish Maji Prof. A. K. Saraf Members Prof. Arabinda Mukherjee Prof. Sudip Chatterjee Prof. Barin Kr. Roychaudhuri Prof. Kishore Chowdhury Prof. Samir Chakraburtty Prof. Jayanta Chakraborty Prof. Tapas Chakraborty Prof. Sukanta Misra Prof. Jayanta Bhattacharjee Prof. Asha Mukherjee Prof. Anjan Das Prof. Sanjay Bhattacherjee Prof. Ashok Ganguly Prof. Pradip Kr. Saraf Prof. Nanigopal Bhattacherjee Annual Subscription Rs 90 $30 £ 14 Single Copy Rs 50 $ 15 £ 07 Journal of the Vivekananda Institute of Medical Sciences Page No. Page No. Editorial Special Article : Juvenile Idiopathic Arthritis a) SERVQUAL: A Service Quality Model — Dr. Santa Subhra Chatterjee 5 to Measure Performance of Eye Hospitals for VISION 2020 Original Article: — Dr. Bhaskar Mukherjee, a) Juvenile Idiopathic Arthritis - A Dr. Malini Majumdar 35 Clinic Based Study — Dr. S. Guha, Case Report: Dr. S. R. Pal, a) Epidermolysis Bullosa Pruriginosa: Dr. Indranil Das 8 Successfully Treated with Topical b) An Observational Study on Evaluation And Tacrolimus Management of Type 1 Diabetic Patients — Dr. Heena Parmar, Attending a Diabetes Clinic in West Bengal Dr. Leelavathy Thiyagarajan, — Dr. Debasish Maji, Dr. Jayanta Kr Das, Dr. Ram Udayan Roy 13 Dr. Asok Gangopadhyay 40 c) Short Stature: The Only b) Your Suspision May Save A Life Morphological Stigmata for — Dr. Pradeep Chakraborty, IsochromosomeXq Dr. Sujata Mazumder, — Dr. Shanoli Ghosh, Dr. Dilip Kumar Bera 44 Dr. Pritha Pal, c) A Case of Diuretic Induced Dr. Atreyee Dutta, Hyponatremia Dr. Sanchita Roy, — Dr. Ankit Roy, Dr. Ajanta Halder 18 Dr. Soumen Bhat, Review Article : Dr. Debdatta Kar, a) Primary Immuno-Deficiency Disorder Dr. P. Mukherjee, — Dr. Tapabrata Chatterjee, Dr. Dinabandhu Naga, Dr. Ajanta Haldar, Dr. S. Roychowdhury, Dr. Suparna Guha 23 Dr. P. Banerjee, b) Modified Septoplasty Dr. Jayanta Chakraborty 49 — Dr. B. K. Roychaudhuri, Pictorial CME : Dr. Amitabha Roychoudhury, Dr. S. Ghosh 27 a) Hirsutism c) Prescriptions for the Mind......... — Dr. Debdatta Kar, Neither Mindlessness Nor Brainlessness, Dr. Jayanta Chakraborty 51 Brain-Mindfulness Paradigm — Dr. Uday Chaudhuri, Dr. Ishan Chaudhuri 31 JOURNAL OF THE VIVEKANANDA INSTITUTE OF MEDICAL SCIENCES Instructions to Authors All articles for publication in this journal must Articles on the organization, operation and be contributed to is exclusive and, if accepted, planning of medical care should be limited to will be subject of editorial revision. For 1500 words, with not more than four tales or reproduction elsewhere, previous permission of figures. the editors will be required and the customary Each manuscript component should begin on a acknowledgement must be made. new page, in this sequence; Title page; abstract Statements and observations made and opinions and key words; text; acknowledgements; or conclusion drawn in the articles are those of references; tables (each table complete with title the authors and not those of the editors. and footnotes on a separate page); legends for illustrations. Pages should be numbered. Manuscripts : Title page : Manuscripts should be neatly typed on one side of the paper with triple space margines of 5 cm. The title page should have (1) the title of the Should be left at the top of each page and on its article, which should be concise but informative; left side. The authors should keep a spare copy (2) initial(s) and surname of each author below; for reference and proof-reading. Each author (3) at the foot of the page, the initials and name(s) must sign the covering letter as evidence of again, with the highest academic degrees (not consent to publication. Original articles should more than two degrees and or diplomas) of each confirm to the conventional structure of summary author, and the designation and department of and conclusions (in 150 to 200 words, to be each, ranged alongside. printed at the beginning of each article), The second page should repeat only the article introduction, methods, results, discussion and title [not the author's(s) name(s)] and should references. carry the abstract (summary and conclusions). Original articles should not normally exceed For further details, see Vancouver style 2000 words and should not have more than six requirements. tables or illustrations; they should normally report Appropriate scientific nomenclature giving both original research. Case reports should preferably genus and species should be italicised (underlined by limited to 600 words, with one table or in typescript), with an initial capital and illustration, and not more than five references. abbreviation for the genus only, after a full Clinical case histories and brief or negative spelling at the first mention, thus : Mycobacterum research findings may be included among them. Tuberculosis, the Myco, tuberculosis, Drugs Letters should not exceed 400 words, and must should be given their approved names, not their be signed by each author. proprietary names. Spelling should confirm the chambers Twentieth drawn with black India ink on the white Century dictionary. The standard capitalization, background. Original artwork, X-ray films, ECG punctuation and hyphenation is to be mentioned. tracing, etc. should be photographed and enlarged Numbers up to ten should be spelt, unless on glossypaper, identity of patients should be contrasted with other numbers. Larger numbers masked. The magnification of photomicrographs should be in the form of numerals and not words, should be stated (e.g. x 200). All illustrations except when beginning a sentence, thus : "Fifteen should accompany the manuscript with suitable patients out of a total 60 exhibited......." legends, numbered and marked on the back with Illustrations and tables : the author's name and article title. A restricted number of illustrations will be Abbreviations should be avoided and, if used, reproduced, the photographic plates or drawings should be explained in brief footnotes. should be of good quality. An article should have The author must obtain permission for not more than six tables or illustrations. Tables reproduction of illustrations previously should be simple and brief and should not published. duplicate information in the text of the article. References : Illustrations should be used only when the data cannot be expressed clearly in any other way. References should be appended to the article All tables and illustrations should be separated typed triple space, numbered in the order in from the text, but with their positions indicated. which they appear in the text and must be in the Tables should be numbered with Roman Vancouver style. Authors must check their numerals, and figures with Arabic numerals. accuracy before submission; articles with Tables with brief titles should be typed one to a inaccurate references or with those containing page. wrong abbreviations of standard journal names As far as practicable, marking of lines and letters will be returned to the author. Names of journals should be avoided; if absoltely necessary, separate and books must be itialicised (underlined in sets of marked and unmarked prints should be typescript). The Journal of the Vivekananda Institute of Books for Review Medical Sciences is published by the Books for review should be sent to the Editor. management of the Ramkrishna Mission Seva Correspondence Pratishthan, 99 Sarat Bose Road, Kolkata - 700 026, India. Phone : (033) 2475-3636 (4 lines). All correspondences should be addressed to the E-mail : [email protected] & Editor. [email protected]. Website : www.rkmsevapratishthan.org AUTHORS ARE BEING REQUESTED TO SUBMIT ONE SOFT COPY (CD) OF THE ARTICLE, ALONGWITH TWO PRINTOUT COPIES. Printed by : Print Excel 4 Editorial Juvenile Idiopathic Arthritis Juvenile idiopathic arthritis (JIA) is the most manifesting with villous hypertrophy of common rheumatic disease in children. synovium and hyperplasia of the synovial lining Many children with JIA have active disease that layer. Pannus formation may result and articular can persist into adulthood and may result in short cartilage and bone gets eroded. or long term morbidity. Oligoarthritis JIA JIA is an arthritis of unknown aetiology that In this type, girls are more commonly affected begins before the sixteenth birthday and persists and usually occurs under the age of 6 years. It for atleast 6 weeks other conditions being involves mainly knees, ankles and joints will excluded. The incidence of JIA is 2 to 20 per be swollen but pain may not be severe. 100,000 and the prevalence 16 to 150 per A limp may be the only sign of the disease. 100,000.[1] The minimal incidence of the disease ANA positivity can occur in this type with the was 9.2 per 100,000 children at risk in a report risk of developing asymptomatic chronic anterior [2] [3] from Michigan ; in Finland, 18.2 per 100,000 ; uveitis (inflammation of iris and ciliary body).[9] and in Sweden 11 per 100,000.[4] The prevalence Polyarthritis JIA in Michigan was 65 per 100,000 and 86 per 100,000 in Swedish study. In India constituted Rheumatoid factor positive type usually affects 41% among patients reported from a single girls in late childhood. Because of the tertiary referral centre.[5] JIA can be oligoarticular development of severe arthritis with bony erosion (60%), systemic onset (10%), polyarticular (30%) and extra articular manifestation including and enthesitis related.[6] While oligoarticularrheumatoid
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