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Journal of Postgraduate Medicine N President, Staff Society Journal of Postgraduate Medicine N. A. Kshirsagar Volume 49, Issue 2, April-June, 2003 Editor Atul Goel Print ISSN 0022-3859 CD ISSN 0972-2823 Contents Associate Editors Sandeep Bavdekar Editorial Lakshmi Rajgopal Antibiotic resistance: Unless we act soon! Consulting Editors Bavdekar SB ...................................................................................................................................... 107 Nithya Gogtay Original Article Original Articles Sanjay Mehta Recruitment of subjects for clinical trials after informed consent: Does gender and Vinita Salvi educational status make a difference? Managing Editor Gitanjali B, Raveendran R, Pandian DG, Sujindra S .......................................................................... 109 D. K. Sahu Brief Reports Members Human immunodeficiency virus type 1 infection in patients with severe falciparum Amita Athavale malaria in urban India Abhay Dalvi Khasnis AA, Karnad DR ..................................................................................................................... 114 Sucheta Dandekar Hemant Deshmukh Antimicrobial-induced endotoxaemia in patients with sepsis in the field of acute Anil Patwardhan pyelonephritis Preeti Mehta Giamarellos-Bourboulis EJ, Perdios J, Gargalianos P, Kosmidis J, Giamarellou H ............................. 118 Nalini Shah A comparison of intravenous ketoprofen versus pethidine on peri-operative analgesia Lalita Tuteja and post-operative nausea and vomiting in paediatric vitreoretinal surgery Pradeep Vaideeswar Subramaniam R, Ghai B, Khetarpal M, Subramanyam MS ............................................................... 123 S. V. Vaidya Extended interval between enzyme therapy infusions for adult patients with Gaucher’s Editorial Assistants disease type 1 Shilpa Abhyanakar Pérez-Calvo J, Giraldo P, Pastores GM, Fernández-Galán M, Martín-Nuñez G, Pocoví M .................. 127 Jignesh Gandhi Umbilical hernia in adults: Day case local anaesthetic repair Milind Tullu Menon VS, Brown TH ........................................................................................................................ 132 Statistical Advisor Special Articles Anil Arekar Tuberculosis: Looking beyond BCG vaccines Copy Editors Mustafa Abu S, Al-Attiyah Raja .......................................................................................................... 134 Akshar Smallpox: Clinical highlights and considerations for vaccination Editorial Office Mahoney MC, Symons AB, Kimmel SR .............................................................................................. 141 Department of Neurosurgery, Case Reports Seth G. S. Medical College and K. E. M. Hospital, Laparoscopic bilateral nephroureterectomy and bladder cuff excision for native renal Parel, Mumbai - 400 012, India pelvic and ureteral transitional cell carcinoma after renal transplantation Chen CH, Huan SK, Lin JT, Chiu AW ................................................................................................ 148 Administrative Office Meckel’s diverticulum: An alter native conduit for the Mitrofanoff procedure Medknow Publications, Prabhakaran K, Patankar JZ, Mali V ................................................................................................... 151 12, Manisha Plaza, M. N. Road, Kurla (W), Mumbai - 400 070, India Prenatal diagnosis of partial trisomy 21 associated with maternal balanced translocation Phone: 91-22-2503 2970 46xx der 21 t(21q;22q) with pericentric inversion of chromosome 9 Fax: 91-22-2503 2398 Parmar RC, Sira P .............................................................................................................................. 154 E-mail - [email protected] Colonic adenocarcinoma presenting as a cutaneous metastasis in an old operative scar Websites Wright PK, Jha MK, Barrett PD, Bain IM ............................................................................................ 157 http://www.jpgmonline.com Ethics-Forum https://journalonweb.com/jpgm Ethics of patient care by trainee-doctors in teaching hospitals http://www.bioline.org.br/jp Sethuraman KR .................................................................................................................................. 159 105 Journal of Postgraduate E-Medicine Medicine is managed, printed The role of informatics in continuing professional development and quality and distributed by improvement in primary care Medknow Publications, de Lusignan S, Lakhani M, Chan T .................................................................................................... 163 Mumbai, India. Issues are Grand Round Case published quarterly in the A young man with sore throat, acute abdomen and respiratory failure months of March, June, Isaac A, Baker N, Wood MJ ............................................................................................................... 166 September and December. Clinical Signs All the rights are reserved. Romberg’s test Khasnis A, Gokula RM ........................................................................................................................ 169 Apart from any fair dealing for the purposes of research or Images in Medicine private study, or criticism or Holoprosencephaly review, no part of the publica­ Thomas N, Cherian A, Sridhar S ........................................................................................................ 173 tion can be reproduced, Images in Pathology stored, or transmitted, in any Gonadoblastoma with distinctly unusual pattern of yolk sac tumour overgrowth form or by any means, without Madiwale CV, Fernandes GC, Pandit AA, K ane SV ............................................................................ 175 the prior permission of the Editor, Journal of Images in Radiology Postgraduate Medicine. MRI in sleep apnoea Maheshwari PR, Nagar AM, Shah JR, Patkar DP ............................................................................... 177 Journal of Postgraduate Review Articles Medicine and/or its publisher Role of left cardiac sympathetic dener vation in the management of congenital long cannot be held responsible for QT syndrome errors or for any Wang LX ............................................................................................................................................ 179 consequences arising from Brain natriuretic peptide in diagnosis and treatment of hear t failure the use of the information Bhatia V, Nayyar R, Dhindsa S ........................................................................................................... 182 contained in this journal. Letter to Editor Bradycardia associated with ophthalmic beta-blockers .....................................................186 The appearance of Unusual life-threatening adverse drug effects with chloroquine in a young girl .................. 187 advertising or product Post operative abdominal wall mucormycosis mimicking as bacterial information in the various necrotising fasciitis ........................................................................................................... 187 sections in the journal does Endotracheal intubation related massive subcutaneous emphysema and tension not constitute an endorsement pneumomediastinum resulting in cardiac arrest ..................................................................188 or approval by the journal Looking Back and/or its publisher of the quality or value of the said The life of Rober t Koch .................................................................................................... 190 product or of claims made for Subscription Details ........................................................................................................... 192 it by its manufacturer. Journal of Postgraduate Medicine is indexed/listed with Index Medicus, MEDLINE, Excerpta Medica/EMBASE, Bioline International, PsychInfo, CAB Abstracts, CAB Health, Cumulative Index to Nursing and Allied Health Literature, CINAHL Database, Health & Wellness Research Center, Health Reference Center Academic, InfoTrac One File, Expanded Academic ASAP, SIIC Databases, Allied and Complementary Medicine Database, CIRRIE Database of International Rehabilitation Research, Indian Science Abstracts, ProQuest Databases, getCITED, POPLINE, CANCERLIT, TOXLINE, CAIH, Jeffline, PsychLine, e-psyche, DERMLINE, UltraMED, OCLC FirstSearch, OCLC ContentsFirst, Genamics JournalSeek, Ulrich’s International Periodical Directory, NIWI, and CISTI Source Journals. Trademarks acknowledged. 106 Clinical Signs Romberg’s Test Khasnis A, Gokula RM* Department of Internal Medicine, Michigan State University and *Depar tment of Family Practice, Spar row Health System, L ansing, MI 48824, USA. Romberg’s test is a commonly performed test during the neu­ described the early diagnosis of ataxia in detail and devel­ rological examination to evaluate the integrity of dorsal col­ oped Fournier exercises (based on sudden and unforeseen umns of the spinal cord. Moritz Heinrich von Romberg first movements).3 The importance of the test increased as the ba­ described it in the early 19th century. It evolved from a symp­ sis of abnormal findings was understood. Gradually it came tom to a valuable clinical sign. It was classically described in to be used for excluding dorsal column abnor malities in pa­ patients with tabes dorsalis (neurosyphilis), but can be elicited tients presenting with unsteadiness of gait. in many conditions affecting proprioception.
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