A study was made of the clinical and radiological characteristics and the results of microsurgical discectomy without interbody fusion, of 26 young adults, who presented with cervical myelopathy due to nuclear herniations. Neck trauma was not a significant aetiological factor. The disease produced moderate to very severe functional disability in most patients (73%), in a relatively short period...

In this research work an analytical model has been proposed, for finding new distribution passage from the suppliers to the geographically scattered dealers and to deal with the pricing problem. Since the result for this model is a non-polynomial problem, tabu search that uses various surrounding approaches has been employed to provide gratifying results. Rate fixing and request claiming are ne...

This collection of essays is intended to be "welcome to men who knew him." His earlier lectures are not included, but theselection is such as any one of his pupils might wish to have in honour of him and for love of him. They were given on various occasions, the most noteworthy perhaps being the presidential address at the opening of the International Medical Congress of 1881, which made a prof...

Thrombotic thrombocytopenic purpura (TTP) is a multisystem disorder characterized by a pentad consisting of thrombocytopenic, microangiopathic hemolytic anemia, renal dysfunction, neurological signs and fever. Coexistence of thrombotic thrombocytopenic purpura and Adult Onset Still's Disease (AOSD) is extremely rare. We report a case of 18 year old girl with AOSD who developed TTP. Neuroimaging...

5th day averts the crisis of pneumonia, Proba ^ neutralizing the toxin liberated by the pneumococcus. in both the cases the fever came down by lysis.Mia took about fourteen days to reach normal. In a case, treated at the same time, in which glucose not given fever came down by crisis on the 7t y accompanied by profuse perspiration and purging. I have also tried glucose by the intravenous rou e ...

The practice of medicine is an exceedingly gratifying privilege, a notion that is commonly shared among the physicians. Also commonly understood but often not expressed is the humbling nature of this practice. Seldom, if ever, we know the true answers to our patients’ questions. Yet, we adeptly offer explanations, commonly based on the group data, and yet the essence of the practice of medicine...

An Essay on the Nature and Cure of Insanity, zoith Observations on the Rules for the Detection of Pretenders to Madness. By George Nesse Hill, Medical Surgeon, &c. 1 vol. Svo. pp. 44t>. London, 1814. This publication should have been noticed earlier; but, as it is the intention of the Medico-Chirurgical Reviewers not to let any work of importance pass without delineating its contents to the pub...

As a student of erythropoiesis, I read the report of Wickrema et al' with great interest. It was particularly gratifying to see their conclusions about differences between mice and humans as to the stage at which peak hemoglobin synthesis occurs. We had previously arrived at the same conclusions using radioiron (Fe59) kinetics in vivo and Fess autoradiography of erythroid cells2. As our studies...

Acute otitis media (AOM) is, by far, the most common indication for antibiotic prescribing to children.‍1 Thus, understanding the epidemiology of AOM is important to optimize clinical outcomes and promote judicious antibiotic use.‍ In this issue of Pediatrics, Kaur et al2 offer a community-based glimpse into 21st century AOM.‍ Notably, the authors summarize the current bacteriology of AOM in th...

Burns injuries account for over 2 million cases in our country. With over 75% of the patients sustaining injuries to the hands, post burn contractures of the finger are a very common condition presenting for treatment. Similarly trauma to the upper limbs, accounting for about a third of all injuries to the body also result in flexion deformities of the fingers. Standard treatment for these defo...