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Trekking as a metaphor for medicine and medical education
PR Shankar,V Malhotra
Journal of College of Medical Sciences-Nepal , 2010, DOI: 10.3126/jcmsn.v6i1.3607
Abstract: Nepal is a favored trekking destination. Over the years a number of trekking styles have emerged and the author sees similarities between trekking styles and methods of medical education. Problem-based learning strategies make students more involved in their own learning and teachers act as facilitators. Trekkers and medical students mostly concentrate on the immediate trail or different subjects and are able to obtain an integrated and holistic view only occasionally. The nature of the doctor-patient relationship is changing with patients wanting to play a more active role in their treatment. Workers in the trekking industry and doctors slowly rise through the ranks. Often people take up jobs with more responsibilities and challenges which pay better. Technology has invaded both trekking and healthcare and most of the money is made by middlemen. In addition to other areas medicine is focusing on preparing patients for the final exist Key Words : Problem-based learning; doctor-patient relationship; medicine. DOI: 10.3126/jcmsn.v6i1.3607 Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 1, 67-69
Excellent Techniques of Manufacturing Systems: RMS and FMS
V. Malhotra,,T. Raj,,A. Arora
International Journal of Engineering Science and Technology , 2010,
Abstract: Meeting customer demands requires a high degree of flexibility as well as abilities to reconfigure operations for new demands. Based on literature review, various types of flexibilities are presented with aview to clarify their correspondence. This paper highlighted the merits, demerits and applications of RMS and FMS. Different technique of RMS and FMS are overviewed. The recent researches in reconfigurabledesign also viewed in the research paper. The paper is concluded with a future research of flexible and reconfigurable manufacturing system.
Reconfigurable manufacturing system: an overview
Malhotra V.,Raj T.,Arora A.
International Journal of Machine Intelligence , 2009,
Abstract: This paper presents the review of Reconfigurable manufacturing system. That aims at achievingcost effective and rapid system changes needed, by incorporating principle of modularity, integrability andscalability as this new manufacturing system. Reconfigurable manufacturing system promises customizedflexibility in a short time, while the other manufacturing system provides generalized flexibility designed foranticipation variations.This paper shows the definition and background of reconfigurable manufacturing system. In this researchpaper an overview of components of reconfigurable manufacturing system and comparisons of differentmanufacturing system with their merits and demerits are presented. The capabilities of reconfigurablemanufacturing system, challenges of reconfigurable manufacturing system and key role in reconfigurablemanufacturing system are explained. The characteristic of reconfigurable manufacturing system are alsopresented in this research paper.
Myelomatous pleural effusion: A diagnostic challenge
Malhotra K,Agrawal V,Prasad N
Indian Journal of Cancer , 2010,
Abstract:
Basal cell carcinoma in the North Indian population: Clinicopathologic review and immunohistochemical analysis
Malhotra Purnima,Singh Avninder,Ramesh V
Indian Journal of Dermatology, Venereology and Leprology , 2011,
Abstract:
Syringocystadenoma papilliferum on the thigh: An unusual location
Malhotra Purnima,Singh Avninder,Ramesh V
Indian Journal of Dermatology, Venereology and Leprology , 2009,
Abstract: A 28-year-old man presented with a partially eroded growth on the back of his right thigh for the last 15 years. Tuberculosis verrucosa cutis and pyogenic granuloma were suspected on clinical examination. Histopathological examination revealed syringocystadenoma papilliferum (SCAP). SCAP is rare on the thigh and a review of the English literature revealed eight cases. Non-descript clinical presentation in an unusual location and the rare linear and segmental variants lead to misdiagnosis. Onset at puberty should alert one to the possibility of the unusual location of SCAP.
A study of vascular injuries in pediatric supracondylar humeral fractures.
Kumar R,Trikha V,Malhotra R
Journal of Orthopaedic Surgery , 2001,
Abstract: 194 children with supracondylar fractures of the humerus were reviewed. Of the 49 children with Gartland grade III displacement, signs of vascular compromise were clinically suspected in 5 cases. Immediate open reduction, internal fixation and exploration were performed. Four children had a satisfactory outcome. One child required amputation. A careful clinical evaluation for vascular injury and an aggressive surgical approach is suggested, when indicated.
Use of integrated extracorporeal membrane oxygenator in anomalous left coronary artery to pulmonary artery: Better survival benefit
Singh Pooja,Malhotra Kapoor Poonam,Devagourou V,Bhuvana V
Annals of Cardiac Anaesthesia , 2011,
Abstract:
Intramedullary cavernous haemangioma.
Anand S,Puri V,Sinha S,Malhotra V
Neurology India , 2001,
Abstract: A 35 years old male presented with episodic weakness of left upper limb followed by gradually progressive neurological deterioration. MRI revealed an intra medullary cervical cord angiomatous lesion. Histopathology revealed it to be cavernous haemangioma. A complete surgical removal of the haemangioma was carried out.
Rupture of the ilio-psoas tendon after a total hip arthroplasty: an unusual cause of radio-lucency of the lesser trochanter simulating a malignancy
Aditya V Maheshwari, Rajesh Malhotra, Deepak Kumar, J David Pitcher
Journal of Orthopaedic Surgery and Research , 2010, DOI: 10.1186/1749-799x-5-6
Abstract: Avulsion fracture of lesser trochanter of the femur is a well known entity in children and adolescents [1]. However, its fracture or progressive radiolucency is considered a pathognomic finding in adults with malignancies [2]. Spontaneous rupture of ilio-psoas tendon is rare and has not been described before in the setting of a total hip arthroplasty (THA). We present here such a case who had a spontaneous rupture of the ilio-psoas tendon few days after a THA with subsequent progressive radiolucency of the lesser trochanter, simulating a malignancy. Awareness of this entity would aid in the diagnosis, prevent confusion with malignant disease, and allow appropriate management along with patient reassurance.A 77-year old, otherwise healthy, sedentary male was referred to the orthopedic oncology service for a progressive radiolucency of the lesser trochanter on radiographs (Fig. 1). He had undergone a hybrid THA for degenerative right hip disease at another institute six years ago but had persistent groin pain after the surgery. During a physiotherapy session at two weeks postoperatively, he felt a sudden increase in groin pain and then a 'pop' while negotiating stairs, and was not able to ambulate independently after that. He stopped his therapy and did not see his primary surgeon for the next six weeks. He was then prescribed further therapy which he did not comply and thereafter had been using an assistive device all the time. His pain gradually improved but he had been having persistent difficulty and weakness while walking on uneven surface, getting in and out of car, getting in and out of bed and negotiating stairs. He denied any prolonged medication or any prior injection in his hip.On examination, he ambulated with a single crutch. Active straight leg raise was not sustainable. Seated hip flexion was graded as 3/5. There was no tenderness or palpable mass in the groin. Distal neuro-vascular status was intact. The previous surgeons did not recall any intraoperat
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