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Search Results: 1 - 10 of 14068 matches for " Singh LN "
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Myasthenia Gravis in a Patient with HIV
Singh YN,Singh AJ,OzukumI,Singh LN
Indian Journal of Physical Medicine and Rehabilitation , 2009,
Abstract: A 25 year old female presented with facial weaknessand symmetrical proximal weakness of the extremitieswhich was aggravated on exertion. Clinical examinationand laboratory investigations were diagnostic ofmyasthenia gravis. Moreover, the patient tested positivefor HIV. Management with anticholinesterase medicationshowed marked improvement in overall strength andperformance of activities of daily living (ADL). Thepossibility of simultaneous affection with myastheniagravis should be borne in mind when HIV patients presentwith weakness.
HIV Associated Arthritis
Singh AJ,Singh LN,Singh B,Singh YN
Indian Journal of Physical Medicine and Rehabilitation , 2009,
Abstract: Objectives: To find out pattern of joints involved andeffectiveness of a treatment program in HIV associatedarthritisMethods: A cohort of 26 Human ImmunodeficiencyVirus (HIV) associated arthritis patients (21 males and 5females) who attended Department of Physical Medicineand Rehabilitation of the Regional Institute of MedicalSciences, Imphal was studied during 2002 and 2005. CD4count and joint fluid examination including culture andsensitivity were performed before initiation of thetreatment. A management program consisting ofNSAIDs, intra-articular (I/A) methyl prednisoloneinjection upto a maximum of 3 times, range of mobilizationexercises, strengthening of muscles around the joint, localrestriction of activities to protect joints was instituted.Low dose oral corticosteroids was considered when therewas persistence of joint effusion after I/A methylprednisolone injection(s). Joint score, pain score andactivities of daily living score were assessed at baseline,3 and 6 months.Results: Mean age of the patients was 33.2 (SD, 6.6)years. Knee joint was involved in 22 cases followed byankle joint in 5 cases. More than two joints were involvedin 7 cases. Median CD4 count was 484 (range 231-897).The synovial fluid showed features of inflammation andwas sterile. Nineteen cases (73%) remained symptomfree for at least 3 months after I/A injection ofmethylprednisolone. Of the 7 refractory cases, all in kneejoints, two had associated hyperuricemia. Synovial biopsyshowed tuberculosis in one and the case responded tothe addition of antitubercular drugs. And other caseresponded to hypouricaemic drug. Four cases respondedto low dose oral corticosteroids and another caseresponded only after initiation of antiretroviral treatment.Conclusions: Knee was the most commonly involvedjoint. Intraarticular methylprednisolone seem to beeffective in the management of these cases in addition tothe rehabilitation program. Low dose oral prednisolne wasfound to be a good adjunct in refractory cases.
A Semantic Analysis of the Language of Advertising
LN Emodi
African Research Review , 2011,
Abstract: Semantics is the study of meaning system of a language and its approaches vary widely. In one view, meaning is the relationship between language and the external world (referential or denotative meaning), between a word and the concept it stands for. In another, it involves the mental state of the speaker, as reflected in a range of personal, emotive overtones (affective or connotative meaning). The uniqueness of the choice of words makes the language of advertising a specialized field of study. This paper presents an analytical study of the language features of English advertisements at a semantic level. In order to conduct a data-driven study, the writer has built a corpus of over 20 English advertisements. Through the detailed survey of allthe advertisements, the semantic features of the language of advertising are summarized and possible conclusions are given in the light of effectiveness of advertising. After a brief introduction to semantics and advertising language, the paper is focused on the linguistic realizations in English advertising from the semantic perspective. In the analysis, the use of connotative meaning ofwords, adjectives, coined words, mis-pelt words, repetition, metaphoric use of words, punning, non-existing words, the use of ambiguous statements are discussed to reveal fuzzy nature that are used by advertisers to achieve their persuasive ends. It goes further to treat the semiotic analysis of the language of advertising. The paper is then concluded with a brief summary. It is hoped that the paper can shed light on the semantic features of language of advertisements and also provide help to copywriters and English learners.
The challenge of fracture management in osteoporotic bones
LN Gakuu
East African Orthopaedic Journal , 2010,
Abstract: Objective: To determine the types of fractures encountered in osteoporotic patients and assess the functional outcome of these fractures. Also suggest change of their management and to suggest preventive interventions. Design: A retrospective analytical 10 years study between 1998 and 2007. Setting: The patients were treated at three private hospitals in Nairobi, Kenya. Patients and methods: Consecutive files of traceable patients who were treated for osteoporotic fractures from January 1998 to December 2007. The demographic data, investigations, management methods and functional outcomes of the treatment were determined. The data collected was analysed using SPSS 17.0 windows. Results: Sixty patients were available for review. Forty five were females while 15 were males, giving a F:M ration of 3:1. There were 14 vertebral fractures, 15 hip fractures (5 neck fractures intra-capsular) and 10 extra capsular)., 5 fractures of the distal wrist and 8 humeral fractures, 4 rib fractures, 6 pelvic fractures, 2 sternal fractures and 6 tibial fractures. Twenty six (40%) of the above fractures namely the vertebral, ribs, pelvis and sternum were treated conservatively while 34 fractures (60%) were treated by various methods of internal fixation. All were old patients aged 60 to 101 years (Mean 75 years.) The overall results of the surgery was unsatisfactory in 13(38%) due to metal pull out, screw loosening, periprosthetic fractures, none union seen in patients of hip, humerus, tibia fractures. Twenty one patients (62%) had good outcome. Conclusion: Osteoporotic fractures are a challenge to orthopaedic and trauma surgeons due to unpredictable results of surgery in the elderly patients. Recommendations: It is suggested to make awareness among health workers especially the orthopaedic and trauma surgeons, nurses and physiotherapists so as to put preventive measures in place. As regards operative management careful planning as team work and use of newer techniques, pharmaceuticals like diphosphonates to assist in fracture healing and use of augmentation techniques is worthwhile considering. Kenya Orthopaedic Association (K.O.A) formulate a policy for management of osteoporotic fractures in our local set up. East African Orthopaedic Journal, Vol. 4: March 2010
Problems of Usage Labelling in English Lexicography
LN Sakwa
Lexikos , 2011,
Abstract: Landau (1991: 217) stipulates that 'usage refers to any or all uses of language'. It is the study of good, correct, or standard uses of language as distinguished from bad, incorrect, and nonstandard uses of language. Usage may also include the study of any limitations on the method of use, whether geographic, social or temporal. Basically it alerts users that certain terms should not be uncritically employed in communication. This article discusses the treatment of usage in English lexicography. It analyses the labelling practices in six monolingual English dictionaries namely: the Oxford Advanced Learner's Dictionary (OALD), the Macmillan English Dictionary (MED), the Longman Dictionary of Contemporary English (LDOCE), the Cambridge International Dictionary of English (CIDE), the World Book Dictionary (WBD) and the New Shorter Oxford English Dictionary (NSOED). Discrepancies in the contextual usage labelling in the dictionaries were established and are discussed.
Anterior Cruciate Reconstruction Using Bone-patellar Ligament – Bone Autograft
LN Gakuu
East African Orthopaedic Journal , 2007,
Abstract: Background: Injuries to ligaments of knee are common in our society especially in the young athletes and sports men participating in football, volleyball, rugby etc. Tears of the anterior cruciate ligament (ACL) leads to knee instability which leads to inability to participate in sports. In the none athletes ACL injury tends to decline in their level of daily activity. This is a study of ACL tears seen and managed by the author over a long period along with scientific data of clinical presentations, diagnosis, associated injuries, the ACL repair, rehabilitation protocol and the overall outcome. Objective: To review the authors experience of patients with anterior cruciate ligament tears who have been treated by bone-patellar tendon-bone autografts. That was to be achieved through clinical, radiological, athroscopy and extensive rehabilitation programme and arthroscopic review after one year follow-up. Setting: Menelik Hospital and the Nairobi Hospital. Methods: Thirty five patients with anterior cruciate ligament tear in one knee and a normal contralateral knee were evaluated and followed up for six years. Clinical history, physical evaluation, X-ray and athroscopies were done to rule out concomitant meniscal lesions and facilitate their treatment accurately. Follow up arthroscopy; physical examinations by Lachman test, pivot test and anterior drawer test were done. Subjective and objective data were obtained and reviewed to assess final outcome. Results: A total of 35 patients were seen and treated. Only 25 patients were available having been followed up fully. There were 18 males and seven females giving a male to female ratio of 2:1. The injuries were unilateral 18 (72%) on the right and seven (28%) on the left. Initial Lachman”s test was graded at 2 and 3 while anterior drawers test and pivot test at 2 and 3 respectively in all patients. Post operatively these improved to grade zero with negative pivot test in all patients. The subjective results were excellent and good in 80% of the patients, while the objective were 68% . Follow up arthroscopy showed a stable ligament at one year while follow up X-ray showed mild arthrosis. A few complications occurred with one infection and calcification of ligament in two patients, arthrofibrosis in two patients. Conclusion: This study is of clinical relevance as it shows alleviation of pain after surgical treatment of the torn ACL which has been described as the stabiliser of the knee and guardian of the Meniscus.
Video laryngoscopy in paediatric anaesthesia in South Africa
LN Nienaber
Southern African Journal of Anaesthesia and Analgesia , 2011,
Abstract: This article provides a summary of the types of video laryngoscopes available in South Africa, and highlights some interesting paediatric cases in which video laryngoscopes were used at the Steve Biko Academic Hospital, Pretoria. South Afr J Anaesth Analg, 2011;17(6):363-368
The effect of errors in the economic weights on the accuracy of selection indexes
WM Vandepitte, LN Hazel
Genetics Selection Evolution , 1977, DOI: 10.1186/1297-9686-9-1-87
Abstract:
Proximal femoral periprosthetic fracture fixation with a hooked locking plate: a Kenyan experience
LN Gakuu, AA Admani
East African Orthopaedic Journal , 2011,
Abstract: The advent and increasing use of joint replacement for various pathologies has led to a new group of fractures- the periprosthetic fractures. The hip joint is no exception to this group, a fair share of these fractures do occur around the hip joint. The management of these fractures is complex and usually needs application of basic principles to fit an individual situation rather than having a fixed set of rules. In this article we discuss the use of a hooked locking plate in the management of one such fracture.
Volkmann's Ischaemic Contracture following acute compartment syndrome - a case report
J Kingori, LN Gakuu
East African Orthopaedic Journal , 2010,
Abstract: Background: Compartment syndrome involving the extremities is one of orthopaedic emergencies. If not well managed it can lead to serious damage to soft tissues rendering the limb non functional. Design: A case report Setting: PCEA Kikuyu hospital Methods: An eight year old boy was treated and followed up after he had suffered compartment syndrome on his left forearm. This occurred after he fell and sustained fractures of both radius and ulnar. He was put in a cast at a peripheral hospital. East African Orthopaedic Journal, Vol. 4: September 2010
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