The Indian journal of chest diseases & allied sciences (Indian J Chest Dis Allied Sci)

Publisher: Vallabhbhai Patel Chest Institute; National College of Chest Physicians (India)

Journal description

The Indian Journal of Chest Diseases and Allied Sciences is published quarterly, by the Vallabhbhai Patel Chest Institute, University of Delhi, Delhi and the National College of Chest Physicians (India). The Journal covers the Clinical and Experimental work dealing with all aspects of Chest Diseases and Allied Sciences. It publishes Original Articles, Review Articles, Radiology Forum, Case Reports, Short Communications, Book Reviews and Letter to the Editor.

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Website Indian Journal of Chest Diseases and Allied Sciences website
Other titles Indian journal of chest diseases & allied sciences (Online)
ISSN 0377-9343
OCLC 53915434
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publications in this journal

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    ABSTRACT: Since its first description in 1936, siderosis of lung has been considered a benign pneumoconiosis due to absence of significant clinical symptoms or respiratory impairment. Subsequently, authors have questioned the non-fibrogenic property of iron. However, siderosis causing interstitial lung disease with usual interstitial pneumonia (UIP) pattern has not been described in the past. We report a case of UIP on high resolution computed tomography, proven to be siderosis on transbronchial lung biopsy in a lathe machine worker.
    The Indian journal of chest diseases & allied sciences 09/2015; 57(1):35-7.

  • The Indian journal of chest diseases & allied sciences 09/2015; 57(1):43.

  • The Indian journal of chest diseases & allied sciences 09/2015; 57(1):66.
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    ABSTRACT: Background: Few studies have assessed the utility of chest ultrasonography in the diagnosis of pneumothorax in India. Methods: Chest ultrasonography was undertaken in 126 haemodynamically stable patients, followed by a chest radiograph within 30 minutes. If pneumothorax was not seen on the chest radiograph, a non-contrast computed tomography of the thorax was performed within 3 hours. The time taken to make or exclude a diagnosis of pneumothorax, by ultrasonography, was assessed. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of chest ultrasonography was estimated. Results: For the diagnosis of pneumothorax in any clinical situation, the average time taken on ultrasonography was less than 2 minutes. The sensitivity, specificity, accuracy, PPV and NPV of chest ultrasonography was 89%, 88.5%, 88.9%, 96.7% and 67.6%, respectively. Conclusions: Chest ultrasonography can be used as a primary imaging modality in the diagnosis of pneumothorax in a vast variety of clinical situations.
    The Indian journal of chest diseases & allied sciences 09/2015; 57(1):7-11.

  • The Indian journal of chest diseases & allied sciences 09/2015; 57(1):42.

  • The Indian journal of chest diseases & allied sciences 09/2015; 57(1):21-2.
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    ABSTRACT: A 21-year-old boy presented with high grade fever, diffuse chest pain and exertional breathlessness of one month duration. Radiologically he had a large lobulated anterior mediastinal mass with necrotic thick enhancing septaes. Histopathology of the mass was suggestive of thymoma and culture from the necrotic aspirate yielded Salmonella typhi. The same pathogen was isolated in subsequent blood and sputum cultures. This current report describes the rare association of salmonella infection with thymoma.
    The Indian journal of chest diseases & allied sciences 09/2015; 57(1):39-40.
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    ABSTRACT: Background: The thoracic surgery scoring system (Thoracoscore) is a multivariate scoring system with nine parameters used for predicting inpatient mortality after thoracic surgery. In clinical practice, the value of the thoracoscore in evaluating the fitness of individual patients for surgery is not clear. Objective: The study objective was to evaluate the performance of thoracoscore in evaluating fitness for surgery for lung cancer and compare it with cardiopulmonary exercise test (CPEX). Methods: We retrospectively analysed data over a 2-year period from the CPEX database of patients referred for preoperative assessment prior to surgery for lung cancer. Results: Twenty-two patients who had borderline lung function impairment had CPEX to assess fitness for surgery. Fifteen (68%) were deemed fit and went on to have thoracic surgery while 7 (32%) were considered high risk and were turned down. The predicted death rate based on thoracoscore for patients who had surgery was 3.5 ± 2.8 as compared to 3.4 ± 2.0 for patients who did not have surgery (p > 0.05). The mean peak VO2 (peak oxygen uptake during CPEX) among those who had surgery was significantly higher than those who did not have surgery (14.2 mL/kg/min versus 10.1 mL/kg/min). There was no correlation of thoracoscore with lung function parameters, duration of hospital stay and peak VO2. Conclusions: Our study showed that CPEX remains a standard and useful tool for functional assessment prior to lung cancer resection. There is no correlation between thoracoscore and either CPEX or pulmonary function parameters. Thoracoscore should not be used to assess fitness for surgery.
    The Indian journal of chest diseases & allied sciences 09/2015; 57(1):13-5.
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    ABSTRACT: We report a case of a 60-year-old female who was known to have intralobar pulmonary sequestration and her only symptom was chronic cough. She had no history of infections and surgical resection led to complete resolution of her chronic cough.
    The Indian journal of chest diseases & allied sciences 09/2015; 57(1):23-5.
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    ABSTRACT: METHODS: Patients using metered dose inhaler (MDI) were included in the study. Inhaler technique was first evaluated at baseline using a standard check-list of recommended steps (National Institute of Health guidelines; see Table) and scores were given for each step correctly performed. Those who could not perform all steps correctly were given training intervention. The patients were assigned to two methods of educational intervention; one group was trained by providing written material giving step-wise instructions while the other group was given an actual physical demonstration using a placebo device. The technique was re-evaluated and scored following each educational session, and continued till the patient achieved a full score, or for a maximum of 3 sessions, whichever occurred earlier. Median score was calculated after each session and was compared between the two groups. Each patient was followed up after two months and the re-evaluated the same way.
    The Indian journal of chest diseases & allied sciences 09/2015; 57(1):17-20.
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    ABSTRACT: Most of the Indian studies on prediction equations for spirometry in adults are several decades old and may have lost their utility as these were carried out with equipment and standardisation protocols that have since changed. Their validity is further questionable as the lung health of the population is likely to have changed over time. To develop prediction equations for spirometry in adults of north Indian origin using the 2005 American Thoracic Society/European Respiratory Society (ATS/ERS) recommendations on standardisation. Normal healthy non-smoker subjects, both males and females, aged 18 years and above underwent spirometry using a non-heated Fleisch Pneumotach spirometer calibrated daily. The dataset was randomly divided into training (70%) and test (30%) sets and the former was used to develop the equations. These were validated on the test data set. Prediction equations were developed separately for males and females for forced vital capacity (FVC), forced expiratory volume in first second (FEV1), FEV1/FVC ratio, and instantaneous expiratory flow rates using multiple linear regression procedure with different transformations of dependent and/or independent variables to achieve the best-fitting models for the data. The equations were compared with the previous ones developed in the same population in the 1960s. In all, 685 (489 males, 196 females) subjects performed spirometry that was technically acceptable and repeatable. All the spirometry parameters were significantly higher among males except the FEV1/FVC ratio that was significantly higher in females. Overall, age had a negative relationship with the spirometry parameters while height was positively correlated with each, except for the FEV1/FVC ratio that was related only to age. Weight was included in the models for FVC, forced expiratory flow (FEF75) and FEV1/FVC ratio in males, but its contribution was very small. Standard errors of estimate were provided to enable calculation of the lower limits of normal and standardised residuals for these parameters. The equations were found to be valid on the test dataset, and therefore, may be extended to general population. Comparison with the 1960s equations revealed lack of good agreement, and substantially higher predicted FVC with the current equations, especially in the forty-years-plus age group, in both males and females. Even in the age group upto 40 years, the level of agreement was clinically not acceptable. Validated prediction equations have been developed for spirometry variables in adults of north Indian origin using the current ATS/ERS spirometry standardisation recommendations. The equations suggest an improvement in the lung health of the population over time in the middle-aged and the elderly. These equations should address a long-felt unmet need and enable a more appropriate evaluation of spirometry data in different chest diseases in Indian subjects.
    The Indian journal of chest diseases & allied sciences 12/2014; 56(4):221-230.
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    ABSTRACT: Pulmonary capillary haemangiomatosis (PCH) is a rare disorder of unknown aetiology, characterised by proliferating capillaries that invade the pulmonary interstitium, alveolar septae and the pulmonary vasculature. It is often mis-diagnosed as primary pulmonary hypertension and pulmonary veno-occlusive disease. Pulmonary capillary haemangiomatosis is a locally aggressive benign vascular neoplasm of the lung. We report the case of a 19-year-old female who was referred to us in the early post-partum period with severe pulmonary artery hypertension, which was diagnosed as PCH by open lung biopsy.
    The Indian journal of chest diseases & allied sciences 10/2014; 56(4):259-62.
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    ABSTRACT: A 28-year-old, non-smoker pregnant woman who was initially diagnosed to have deep vein thrombosis and pulmonary thromboembolism earlier in pregnancy, presented at 22 weeks of gestation with dyspnoea, visual loss initially in the right eye and then in the left eye. Fundoscopic examination revealed metastatic foci, suggestive of choroid metastases. Computed tomography of the chest revealed a right hilar mass. Fibreoptic bronchoscopy and bronchoscopic biopsy confirmed lung adenocarcinoma. As the patient and family wished to continue with the pregnancy, chemotherapy with cisplatin and was administered from the 31st week of pregnancy and she had undergone Caesarian section in the 32nd week and the baby was healthy. We report this case as it is probably the first reported case of lung cancer presenting with choroidal metastasis in a pregnant woman.
    The Indian journal of chest diseases & allied sciences 10/2014; 56(4):249-51.