October 2017

Volume 115 u Number 10 u October 2017 u Kolkata

Dr

Largest Circulated Medical Journal in India

JIMA

Official Publication of the Indian Medical Association

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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 10,

OCTOBER 2017

Dr K K Aggarwal

Dr R N Tandon

Dr Dilip Kumar Dutta

Dr Kakali Sen

National President IMA

Honorary Secretary General, IMA

Honorary Editor, JIMA

Honorary Secretary, JIMA

Volume 115 u Number 10 u Kolkata u October 2017

CONTENTS Editorial : u Nutrition Issues of Asian Indians with Diabetes — Shashank R Joshi, Dilip Kumar Dutta, Osama Hamdy, J I Mechanick .........................................................................................5

Review Article : u Penicilliosis in HIV-infected patients : a clinicians perspective — S Bhagyabati Devi, T Jeetenkumar Singh, Ksh Birendra Singh, K Jaya Chanu ......................................12

Original Articles : u Early diagnosis of neonatal sepsis — a laboratory challenge — Sourabh Mandwariya, Ashok Panchonia, C V Kulkarni ..........................................................................16

u A study of serum lipid profile in acute stroke in a tertiary care centre

— Maitreyee Bandyopadhyay, Sanat Kumar Jatua, Snehasis Ghosh, Anindyashankar Bhandari ...............18

u Breastfeeding practices and knowledge as per IMNCI guidelines among tribal and rural

mothers of Yavatmal district, Maharashtra — A B Hedaoo, M M Ruikar, S P Pajai.....................................22

Observational Studies : u Predictors of outcome of thymectomy in myasthenia gravis — a study from a tertiary care centre in Eastern India — Alak Pandit, Biman Kanti Ray, Santosh Trivedi, Adreesh Mukherjee.................................27

u Sexual practices, knowledge and attitude to sexuality among young women in Delhi, India : u

a cervical cancer perspective — Esha Kaul, Beenu Kushwah, Neha Garg, Preetpaul Singh, Ravindra M Pandey, Neerja Bhatla......................................................................................30 Prevalence of silent ischemic heart disease in patients of rheumatoid arthritis — Swapneel P Kadrekar, S S Nelson, Debesh Dutta ........................................................................................36 HIV & Anaesthesia — Juhi Saran ...................................................................................................................40

u Case Reports : u Beware of headache in postpartum patient — it is never too late for postpartum eclampsia

— Monika Sharma, Rita Agrawal ...................................................................................................................45

u Needle aspiration, an added benefit with conservative management of cervical pregnancy :

a case report — Manisha Agarwal...................................................................................................................46

u Duplication of femoral vein and its clinical significance — Deepali Onkar, Prashant Onkar ..........................48 u Graves disease and vasculitis — a rare association — Rajesh Debbarma, Debaprasad Chakrabarti, Amrit K Bhattacharyya .........................................................................................50

u Tuberculosis of tongue : a case report — Kaberi Kakati, Subodh Ch Goswami, Mridul Kr Sarma ..................51 u Pregnancy without uterus — a case report — Acka Priya Varghese, Sindhu Ann Korah, Cicily T J, Vijayan C P .....................................................................................................................................53

Pictorial CME ..............................................................................................................................55 Mediquiz.......................................................................................................................................56 Wcomments / Feedback

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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 10,

OCTOBER 2017

JOURNAL OF THE INDIAN MEDICAL ASSOCIATION Founder Hony Editor Hony Editor Founder Hony Business Manager Ex-officio Members

: : : :

Hony Secretary Hony Associate Editors

: :

Assistant Secretary

:

Sir Nilratan Sircar Dr Dilip Kumar Dutta Dr Aghore Nath Ghosh Dr Santanu Sen, Hony Jt Finance Secretary, IMA (Hqs), Kolkata Dr Santosh Kumar Mandal, Hony. Joint Secretary, IMA (Hqs), Kolkata Dr Kakali Sen Dr Amitabha Bhattacharya Dr Dipanjan Bandyopadhyay Dr Gopal Das

OFFICE BEARERS OF IMA (HQs) National President Dr K K Aggarwal Honorary Secretary General Dr R N Tandon

IMA CGP (Chennai) Dean of Studies Dr V C Shanmuganandan (Karnataka) Honorary Secretary Dr R Gunasekaran (Tamil Nadu)

National President-Elect (2017-2018) Dr Ravi S Wankhedkar (Maharashtra)

IMA AMS (Hyderabad) Chairman Dr Joseph Mani (Kerala) Honorary Secretary Dr Sadanand Rao Vulese (Telangana)

National Vice-Presidents Dr Roy Abhram Kallivayalil (Kerala) Dr K Prakasam (Tamil Nadu) Dr Mahendra Choudhary (Gujarat) Dr Parmanand Prasad Pal (Bihar)

IMA AKN Sinha Institute (Patna) Director Dr Sarbari Dutta (Bengal) Honorary Executive Secretary Dr Raman Kumar Verma (Bihar)

Honorary Finance Secretary Dr V K Monga (Delhi)

JIMA (Calcutta) Honorary Editor Dr Dilip Kumar Dutta (Bengal) Honorary Secretary Dr Kakali Sen (Bengal)

Immediate Past National President Dr S S Agarwal (Rajasthan)

Honorary Joint Secretaries Dr Vinod Khetarpal (Delhi) Dr Anil Goyal (Delhi) Dr Ashwini Kumar Dalmiya (Delhi) Dr Santosh Kumar Mandal (Bengal) Dr B B Gupta (Delhi) Honorary Assistant Secretaries Dr Dinesh Sahai (Delhi) Dr Amrit Pal Singh (Delhi) Honorary Joint Finance Secretaries Dr Manjul Mehta (Delhi) Dr Santanu Sen (Bengal)

Your Health (Calcutta) Honorary Editor Dr Ashok Kumar Chatterjee (Bengal) Honorary Secretary Dr Meenakshi Gangopadhyay (Bengal) IMA N.S.S.S. (Ahmedabad) Chairman Dr Kirti M Patel (Gujarat) Honorary Secretary Dr Yogendra S Modi (Gujarat)

IMA N.P.P.Scheme (Thiruvananthapuram) Chairman Dr Krishna M Parate (Maharashtra) Honorary Secretary Dr Jayakrishnan A V (Kerala) Apka Swasthya (Varanasi) Honorary Editor Dr Vivek Kumar (Uttar Pradesh) Honorary Secretary Dr Sanjay Kumar Rai (Uttar Pradesh) IMA Hospital Board of India Chairman Dr R V Asokan (Kerala) Honorary Secretary Dr Jayesh M Lele (Maharashtra) IMA National Health Scheme Chairman Dr Ashok SAdhao (Maharashtra) Honorary Secretary Dr Alex Franklin (Kerala) IMA National Pension Scheme Chairman Dr Sudipto Roy (Bengal) Honorary Secretary Dr K V Devadas (Kerala)

JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 10,

Activities Report

OCTOBER 2017

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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 10,

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