Postgraduate Medical Journal articles from April 2002

Postgraduate Medical Journal archives from April 2002

Pulmonary arteriovenous malformation. (Review).
April 1, 2002... Pulmonary arteriovenous malformations (PAVM) are rare pulmonary vascular anomalies. Although most patients are asymptomatic, PAVMs can cause dyspnoea from right-to-left shunt. Because of paradoxical emboli, various central nervous system...

Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: Its indications and limitations. (Review).
April 1, 2002... The following article is intended to provide a review of the current state of enteral feeding; a rapidly changing and developing field. It covers the type of feed, the routes of access, and the problems that can occur with enteral feeding. ...

Japanese viral encephalitis. (Review).
April 1, 2002... One of the leading causes of acute encephalopathy in children in the tropics is Japanese encephalitis (JE). Transmitted by the culex mosquito, this neurotropic virus predominately affects the thalamus, anterior horns of the spinal cord,...

Mechanisms of bacterial pathogenicity. (Review).
April 1, 2002... Pathogenic bacteria utilise a number of mechanisms to cause disease in human hosts. bacterial pathogens express wide range of molecules that bind host cell targets to facilitate a variety of different host responses. The molecular strategies...

Role of the human papilloma virus in the development of cervical intraepithelial neoplasia and malignancy. (Review).
April 1, 2002... Human papilloma virus (HPV) is a public health problem as a sexually transmitted disease and as a critical factor in the pathogenesis of various cancers. The clinical manifestations, epidemiology, and virology that are critical to understanding...

Are single mothers in Britain failing to monitor their oral health? (Original Article).
April 1, 2002... Objectives: This study was designed to identify association between self reported dental attendance patterns and family structure in the UK. Design: A national study involving 666 women with dependent children. Setting: Home interviews...

Breath analysis to detect recent exposure to carbon monoxide. (Original Article).
April 1, 2002... Objectives: To determine the normal range for carbon monoxide concentrations in the exhaled breath of subjects in the emergency department and to develop a protocol for the use of a breath analyser to detect abnormal carbon monoxide exposure....

Prognosis of Japanese encephalitis patients with dystonia compared to those with parkinsonian features only. (Original Article).
April 1, 2002... Objectives: A number of movement disorders have been reported in Japanese encephalitis (JE). The prognostic significance of these movement disorders, however, has not been evaluated. The present study reports the prognostic significance of...

Osteoporosis prophylaxis during corticosteroid treatment: Failure to prescribe. (Original Article).
April 1, 2002... Aims: To investigate prescribing patterns to prevent steroid induced osteoporosis. To compare prophylactic prescribing with National Osteoporosis Society (NOS) guidelines. Method: All patients (n=92) taking oral corticosteroids admitted to...

Troponin T elevation in labor lung disease. (Case Reports).
April 1, 2002... Two patients with a rise in cardiac troponin T (cTnT) concentrations during the course of lobar pneumonia, without any evidence of acute coronary syndrome or renal failure, are presented. The increase in cTnT concentration is considered a...

Transient ischaemic attacks mimicking focal motor seizures. (Case Report).
April 1, 2002... Limb shaking is an under-recognised form of transient ischaemic attack (TIA), which can easily be confused with focal motor seizures. However, it is important to distinguish limb shaking TIAs and focal seizures, as patients with this form of...

An interesting case of thirst and polyruia. (Thirst and Polyuria).
April 1, 2002... A 24 year old woman presented with a three week history of weight loss, thirst polyuria, sweating, and nausea. For three days before admission she had abdominal pains and vomiting after meals. Past medical history included acromegaly treated by...

A proliferating pimple. (Skin Lesion).(Brief Article)
April 1, 2002... A 63 year old man was referred by the general practitioner with a skin lesion on the right buttock which he had for three months. The lesion started as a small "pimple" and gradually increased in size. It was associated with occasional minor...

An episodic eruption. (Rash).
April 1, 2002... A 72 year old woman presented with a fleeting rash, lasting several days at a time, on both thighs and lower trunk, over a four month period (fig 1). The eruption was non-pruritic and non-palpable, and occurred on different parts of the legs at...

A 15 year old girl with fever, jaundice, haemolysis, and sudden clinical deterioration. (Jaundice and Fever).(Statistical Data Included)
April 1, 2002... A 15 year old girl presented to an internal medicine ward with a two day history of jaundice and intermittent, high grade fever. Low grade fever and constitutional symptoms had been present for three weeks, during which the only medication...