Browsing by Author "Shah, R S"
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Item Adenocarcinoma of the colon in a child.(1992-04-01) Shah, R S; Pikale, H S; Birmole, B J; Kulkarni, B K; Borwankar, S SA rare case of a 10 year old boy presenting with history of lower GI bleeding for one year and acute intestinal obstruction was diagnosed as adenocarcinoma of the colon on exploration. One year follow-up after radical colectomy did not show any recurrence.Item Benign neonatal pneumoperitoneum--an enigma.(1992-04-01) Shah, R S; Patel, M P; Pikale, H S; Kulkarni, B K; Borwankar, S SA case of neonatal pneumoperitoneum in absence of a bowel perforation or intrathoracic pathology has been reported. The cause of such a rare manifestation remains to be established.Item Comparison of four nonculture diagnostic tests for Chlamydia trachomatis infection.(2000-05-29) Palayekar, V V; Joshi, J V; Hazari, K T; Shah, R S; Chitlange, S MOBJECTIVE: Chlamydia trachomatis (CT) is one of the commonest sexually transmitted diseases leading to urethritis, epididymitis, prostatitis in men and urethritis, cervicitis, endometritis and pelvic inflammatory disease, sometimes complicated by infertility and ectopic gestation in women. Since culture of fastidious bacteria in a monocellular medium is not available in most laboratories we compared direct immunofluorescence antigen detecting test (DFA) with three other nonculture tests-antigen detecting enzyme immunoassay (EIA), Papanicolaou staining (Pap) and Geimsa stain for endocervical swabs from women in reproductive age group. METHODS: Three hundred and fifty seven women between 16 and 41 years of age and attending family welfare clinics of IRR were evaluated for the presence pap smears. In 100 cases DFA staining was compared with Geimsa staining. RESULTS: DFA test was positive in 60/357 (16.8%), EIA in 29 (8.1%) of cases and Pap smear in 37 (10%) cases. In the second group DFA was positive in 17 (17%) and Geimsa in 10 (10%) cases. CONCLUSION: Amongst the four tests DFA showed maximum sensitivity. ELISA is less expensive but has lower sensitivity. Pap stain also has less sensitivity and good specificity, the quality of smear is likely to affect the diagnosis. Though Geimsa stain is cheapest, for chlamydial cervicitis in our experience it was not as sensitive as DFA. Thus each laboratory must decide the method depending on its resources.Item Full thickness replacement of the abdominal wall with synthetic mesh (a report of 2 cases).(1986-01-01) Shah, R S; Parulkar, B G; Samsi, A B; Mathur, S KItem Laparoscopic choledochoduodenostomy for retained bile duct stone.(2005-04-12) Bhandarkar, Deepraj S; Shah, R SItem Plasma rifampicin levels during oral contraception.(1988-06-01) Gupta, K C; Joshi, J V; Anklesaria, P S; Shah, R S; Satoskar, R SItem The prevalence of Chlamydia trachomatis in young women.(1994-03-01) Joshi, J V; Palayekar, S; Hazari, K T; Shah, R S; Chitlange, S MBACKGROUND. Chlamydia trachomatis infection is common in women with pelvic inflammatory disease, infertility and ectopic gestation. In this study we examined the prevalence of this infection in young women undergoing routine gynaecological checks. METHODS. Three hundred and five women aged between 19 and 41 were included in our study. Endocervical smears were collected by speculum examination, air-dried, acetone-fixed and stained for chlamydial antigen using fluorescein-labelled monoclonal antibody. RESULTS. Ninety-five per cent of the women were asymptomatic. Only 5% had mild symptoms such as white discharge, abdominal pain or profuse periods; 34% gave a history of white discharge only. Chlamydial antigen was detected in cervical smears from 47 (15%) women. Of these, 9 (19%) had symptoms at examination and 20 (43%) had symptoms within 2 months. On gynaecological examination 25 women (53%) had minor signs such as erosion or cervicitis and only 1 (2%) had uterine tenderness suggestive of mild pelvic inflammatory disease. CONCLUSIONS. It is important to diagnose chlamydial infection early because in its later stages it is associated with an ascending infection and serious complications. Young, relatively asymptomatic women should be screened for the presence of this organism.Item Ruptured pseudo-aneurysm of the cervical internal carotid artery in a child (a case report).(1991-10-01) Shah, R S; Kulkarni, B K; Oak, S N; Honnekeri, S T; Borwankar, S SItem Studies on human fetal tissues--I. Fetal weight and tissue weights in relation to gestational age, fetal size and maternal nutritional status.(1988-03-01) Shah, R S; Rajalakshmi, RItem Studies on human fetal tissues--II. Lipid composition of human fetal tissues in relation to gestational age, fetal size and maternal nutritional status.(1988-03-01) Shah, R S; Rajalakshmi, RItem The use of triamcinolone acetonide (Kenacort) suspension in the treatment of arthritis.(1972-03-01) Shah, S N; Shah, R S