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Search Results: 1 - 10 of 14127 matches for " Singh NJ "
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Congenital Absence of All Four Limbs A Rehabilitation Challenge
Singh NJ,Keshkar S,Equbal A,Kumar R
Indian Journal of Physical Medicine and Rehabilitation , 2010,
Abstract: A child with congenital limb deficiency is best managedby an interdisciplinary rehabilitation team with fullcooperation of the family members and active participationof the child himself. It is important to understand thechanging needs of the growing child. Different aspectsof a normal human development, mobility, acitivities ofdaily living (ADL), cognitive and psychosocial skills areto be considered while planning the management. Wereport a case of an eight months old male child with almostabsence of all four limbs that was rehabilitated byproviding custom made aids.
Scheuermann’s Disease –Apprentice’s Spine
Keshkar S,Equebal A,Kumar R,Singh NJ
Indian Journal of Physical Medicine and Rehabilitation , 2007,
Abstract: An uncommon case of Scheuermann’s Disease (apprentice’s spine) is being reported for two simple reasons (1) to show that it is a self limiting disease which needs only proper observation, extension exercises & extension spinal brace, (2) it becomes a diagnostic riddle when osteolytic lesion is seen in epiphyseal plates of adjacent vertebral bodies in an adolescent. Hence it stressed the need to publish this condition not only for its rarity but also for its diagnostic puzzle to differentiate it from other conditions.
Management of clubfoot by Ponseti Technique
Singh NJ,Keshkar S,De P,Kumar R
Indian Journal of Physical Medicine and Rehabilitation , 2011,
Abstract: We report our experience of using the Ponseti method for the treatment of congenital idiopathic clubfoot. From August 2007 to July 2010 we treated 107 feet in 79 patients by this method with the mean follow-up time of 15 months. The standard protocol described by Ponseti was used ex except that when necessary percutaneous tenotomy of tend-achillis were performed under general anaesthesia in the operation theater and change of plastar fortnightly. The Pirani score was used for assessment. The objectives of the study were to access the results in terms of the nuber of casts applied, the need for tenotomy of tend-achillis and recurrence of deformity. Tenotomy was required in 87 of the 107 feet. Ten feet failed to respond to the initial treatment regimen and required extensive soft-tissue release. Of the 97 feet which responded to initial casting, 35 (32.71%) had a recurrence, 19 of which were successfully treated by repeat casting and/or tenotomy and casting. The remaining 16 required extensive soft-tissue release and external fixator application. Poor compliane with the foot-abduction orthoses (Dennis Browne Splint) was thought to be the main cause of failure in these patients.
Fifty years' experience in resarch for pathogenesis of rheumatoid arthritis.
NJ Zvaifler
Arthritis Research & Therapy , 2003, DOI: 10.1186/ar802
Conservative treatment of a comminuted cervical fracture in a racehorse
NJ Vos
Irish Veterinary Journal , 2008, DOI: 10.1186/2046-0481-61-4-244
Abstract: There are seven cervical vertebrae in the horse: C1-C7. Cervical vertebral fractures are not uncommon in horses but usually involve the more caudal cervical vertebrae [25,24]. Vaughan and Mason [34] reported 10 fractures of the axis over a three-year period in the United Kingdom. None of these were odontoid peg fractures; instead they involved the caudal body of C2. Krook and Maylin [21] reported three fractures of the cervical vertebrae in a total of 192 breakdown injuries in the United States, none of which involved the dens. This case report describes a fracture of the odontoid process of the axis (C2).The odontoid peg originates embryonically from the body of C1. The axis (C2) has separate centres of ossification for the dens (odontoid peg), head, body and caudal epiphysis. The physis of the odontoid peg closes by the age of seven to nine months [9]. Cranial cervical fractures, such as fractures of the axial dens, are therefore more commonly seen in young horses (less than six months old) [26,32,36,23,24].Young, Excitable animals may injure the immature cervical vertebrae by rearing and falling during play or training. Hyperextension and/or hyperflexion of the neck have been reported, resulting in (sub) luxation lesions of the occipito-atlantoaxial region, with or without various combinations of vertebral body and articular process fractures [13,18,32,28,25,24]. Adult horses are more commonly injured in high-speed paddock or race accidents [24]. Clinically, foals can show variable neurological signs ranging from paraplegia and tetra-paraplegia to less severe ambulatory neurological deficits. Significant narrowing of the spinal canal due to atlanto-axial instability leads to the development of an inflammatory pannus which can progress and result in spinal cord compression and neurological deficits [26,32,23,25,24]. Adults are more likely to be non-ambulatory after fractures of the cervical spinal vertebrae, although the majority of these fractures include the mor
The parasite clearance curve
NJ White
Malaria Journal , 2011, DOI: 10.1186/1475-2875-10-278
Abstract: The objective of anti-malarial treatment is to cure the patient. A decline in malaria parasitaemia is essential for recovery from symptomatic malaria. Effective anti-malarial drugs given in the correct doses result a rapid decline in parasite densities. The parasite clearance time is the most frequently quoted measure of therapeutic response but it is an imprecise measure dependent on the pre-treatment parasitaemia. Most anti-malarials produce fractional reductions (parasite reduction ratios; PRR) in parasitaemia of between 100 and 10,000 per asexual cycle [1]. The graphic plot of the parasite densities that follow the start of anti-malarial treatment is commonly termed the parasite clearance curve (Figure 1). It is an important measure of the therapeutic response, particularly in assessing the artemisinin derivatives, which accelerate ring stage clearance. The factors which affect the parasite clearance curve are discussed and suggestions for presentation, analysis and interpretation are provided. Many of these factors interact with each other, and several are general issues related to parasite counting.In most therapeutic assessments parasite counts are taken once daily initially, or only on days 2 and 3. This is insufficient for definition of individual parasite clearance profiles, although it is enough for therapeutic comparisons, particularly if sample sizes are large enough. To characterize parasite clearance profiles adequately at least four data points are required (i.e. counts at least twice daily), and to define lag phases adequately counts at ≤ 6 hour intervals are required. Counts are made until negative (usually either 200 or 500 white cells are counted on the thick film). Many investigators check a further slide 12 to 24 hours later to "make sure".Patients ill with acute falciparum malaria present with a range of parasitaemias. These initial parasite counts are approximately log-normally distributed. Counts vary over four orders of magnitude from appro
Effective strategic leadership: Balancing roles during church transitions
NJ Pearse
HTS Theological Studies/Teologiese Studies , 2011,
Abstract: As part of their responsibilities of leading the organisation, strategic leaders are responsible for leading change. This article investigated the application of the strategic leadership of change within the church context. A Straussian approach to the grounded theory method was used to generate a substantive grounded theory of organisational change and leadership, particularly focusing on the manifestation and management of organisation inertia in churches within South Africa that were transitioning from a programme based to a cell based church design. This article reported on one aspect of this study and focused on the patterns of leadership roles. It further distinguished between effective and ineffective leadership patterns that either enhanced or compromised the credibility of the leader and by implication, affected the success of the change intervention. The results of the study were discussed from the perspective of social capital theory, thereby contributing to understanding the role of strategic leaders in building social capital within the context of organisation change.
Re-Presenting Self: Reading Some Van Kalker Studio Photographs
NJ Nwafor
OGIRISI: a New Journal of African Studies , 2010,
Abstract: The photographic implement, from the earliest days of its invention in Europe, in 1839, has been used to document events considered as real. However, notions of ‘reality’ could be ambiguous as objects or sceneries intended to be photographed are sometimes constructed to represent an imagined stereotypical reality. In South Africa, as well as in other parts of Africa, earliest documented photographs of indigenous peoples, by many Europeans, usually depicted cultures that were ancient and, in their opinion, needed to be studied. Photography however, was subsequently used by the apartheid government in South Africa to control movement of blacks through identity (passport) photographs that classified people based on race. It eroded the dignity of blacks by presenting them in public media as being inferior, poor and violent. Nonetheless, photography has equally been appropriated by the people to project their dignity in contrast to the images widely represented. These photographs of how the indigenes saw themselves were often kept in private collections, such as family albums. This essay attempts to look at how photography was employed by the Van Kalker Photo Studio in Cape Town to depict the Blacks and ‘Coloured’ peoples in South Africa as responsible and enlightened people whose image of self representation deconstructs that upheld by the apartheid state.
The influence of residential desegregation on property prices in South Africa: The Peitersburg case study
NJ Kotze
Journal of Family Ecology and Consumer Sciences /Tydskrif vir Gesinsekologie en Verbruikerswetenskappe , 1999,
Abstract: Die opheffing van die Groepsgebiedewet in 1991 het gedurende die afgelope agt jaar 'n aansienlike verandering in die voormalige apartheidstede in Suid-Afrika help teweegbring. Die geskiedenis van Pietersburg, die hoofstad van die Noordelike Provinsie, het definitief die segregasieproses in daardie stad be nvloed. Hierdie opname handel oor residensi le veranderinge in hierdie stad tussen Junie 1991 en Desember 1996. Die residensi le plasing van swart mense in die voorheen wit, kleurlingen Indi rgebiede in Pietersburg is gekarteer. Die opname toon dat die waarde van eiendomme in die middel en ho r ekonomiese status-buurte aanvanklik stabiel gebly het, maar na 1995, toe die persentasie swart huiseienaars in sommige gebiede tot 20% en selfs ho r gestyg het, het die pryse van eiendomme in hierdie buurte begin daal. 'n Resegregasieproses (sosiale hergroepering in hierdie woonbuurte) is ook besig om in hierdie stad na vore te tree.
When neurologist and patient disagree on reasonable risk: new challenges in prescribing for patients with multiple sclerosis
Kachuck NJ
Neuropsychiatric Disease and Treatment , 2011,
Abstract: Norman J KachuckUniversity of Southern California, Keck School of Medicine, Los Angeles, CA, USAAbstract: New more powerful therapies for the treatment of multiple sclerosis may also confer a potential for unprecedented life-endangering side effects. How does a physician respond to a patient's request for a treatment the benefit of which cannot be clearly established as worth its risk? The current challenge with prescription of natalizumab (Tysabri , Biogen Idec) is used to illustrate how this conflict creates an opportunity to re-examine our goals as physicians and the nature of the physician-patient relationship. Understanding the physician's role in that partnership, and the ethical and psychological issues impacting on how reasonable risk is determined, can improve the neurologist's capacity to explicate such quandaries. Redefining what is required to mediate disagreement between doctors and patients about reasonable risk is at the heart of why many of us became physicians. However, such nuanced interpersonal dynamics of patient care can be neglected due to the time and resource pressures of our practices. These demands have increased the seductiveness of the efficiencies promoted by the trend toward the pseudoobjectification of evidence-based care, which has arguably monopolized the healing conversation often to the detriment of the shared narrative. We examine and attempt to reframe the fiduciary and biopsychosocial contretemps of the doctor and patient disagreeing on risk, emphasizing its humanistic, relational dimensions.Keywords: multiple sclerosis, natalizumab, medical ethics, medical decision-making, patient-physician relationship
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