Junior Resident's scientific contributions
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Publications (103)
Introduction: Insulin resistance and dyslipidaemia are associated with increased incidence of CV events among type 2 diabetic patients. HOMA-IR is surrogate method to estimate insulin resistance. So, in this study we aimed to assess the effect of teneligliptin on HOMA-IR levels & Lipid profile in comparison with glimepiride when both are given as a...
Vulval cancer is a rare gynaecologicalmalignancy.Though it has got excellent prognosis if diagnosed and treated early,but in most instances ,women present late with advanced disease which are difficult to treat ,has got poor prognosis and the treatment itself can cause morbidity and mortality. The present case series of 3 cases, the genital locatio...
Biliary-enteric anastomosis (BEA) is a popular surgical procedure performed for the management of several benign and malignant diseases. Hepaticojejunostomy, choledochojejunostomy and choledochoduodenostomy are BEA surgical procedures that establish a connection between the hepatic duct and the jejunum and the common bile duct (CBD) and the jejunum...
Background: The present study was conducted for assessing prevalence of chronic low back pain among daily wages workers. Materials & methods: A total of 200 daily wages workers were enrolled. Complete demographic details of all the patients were obtained. A questionnaire was prepared for assessing the prevalence of chronic low back pain. The Oswest...
Expanded dengue syndrome is a term coined by WHO in 2012, which includes dengue fever with multiple organ involvement with atypical manifestations. Hemolytic anemia is a very unusual feature of dengue viral infection, and is rarely reported. Here we present a case of expanded dengue syndrome with hemolytic anemia which we managed.
Case Report Herpes esophagitis is a very rare disease caused by Herpes simplex virus (HSV). The disease occurs primarily in immunocompromised patients, including post-chemotherapy, immunosuppression with organ transplants, and in AIDS patients but Herpes esophagitis can also occur in immunocompetent individuals. We report a case of 57yrs old male p...
We hereby, present a female with Kartagener's syndrome associated with mixed connective tissue disorder. Kartagener's syndrome is a rare congenital malformation comprising triad of sinusitis, situs inversus and bronchiectasis. Mixed connective tissue disorder is an autoimmune disorder comprising of scleroderma, systemic lupus erythematous, myositis...
We present here a case of left eye microphthalmos associated with cataract, persistent fetal vasculature (previously known as persistent hyperplastic primary vitreous), iris and retinochoroidal coloboma and retinal detachment. No surgical intervention was done and the patient was kept on regular follow-up. Case Summary A 12 years old girl was refer...
Polypoidal choroidal vasculopathy (PCV) is currently recognized as a phenotype of age-related macular degeneration (AMD). PCV is also known as" posterior uveal bleeding" and is believed to be a type of choroidal neovascularization, PCV often shows several unique clinical manifestations which appears to be different from typical neovascular AMD (tAM...
Case Report Primary ovarian pregnancy occurs very rarely and usually in young women using intra uterine device. We present two case reports where young primigravida females presented with pain abdomen and were diagnosed as ectopic pregnancy on ultrasonography and confirmed on histopathology examination as Ovarian ectopic after partial oophorectomy.
Introduction: Idiopathic Sclerosing encapsulated peritonitis (SEP) is a rare cause of recurrent intestinal obstruction mainly in young and adolescent females from tropical and subtropical regions. SEP can be primarily classified as idiopathic or secondary-due to some known etiology. Case Summary: During a period of eight years we encountered five c...
Case Report Schwannomas are benign peripheral nerve sheath tumor that may occur in soft tissues, internal organs or spinal nerve roots. Nasal schwannoma accounts for only 4 % of head and neck nerve sheath tumors. Here we report a case of nasal schwannoma in 45-year-old female who presented with a history of nasal obstruction for 2 years. The mass w...
IMAGING WILSONS DISEASE
Purpose: To study the effect of intravitreal injection of bevacizumab on central macular thickness in retinal vein occlusion patients at a tertiary care centre of North India. Material and methods: A retrospective, data based study was carried out on 89 patients of acute retinal vein occlusion, including 35 cases of CRVO and 54 cases of BRVO, prese...
P rostate cancer is the second most diagnosed cancer and the fifth leading cause of cancer death in males worldwide [1]. A recent report from the National Cancer Registry Programme, India, states the crude rate of carcinoma prostate being 5.7% [2]. Prostate cancer typically metastasizes to the axial skeleton, pelvic, retroperitoneal lymph nodes, lu...
Ichthyosis is a rare congenital disorder of the skin characterized by the presence of extra covering of tough film-like membrane over the skin leading to fissure formation on stretching. Clinically, newborns present with a membrane with fissures, ectropion, eclabium, and hypoplastic digits. Breakdown of the membrane makes newborns more prone to flu...
Herpetic esophagitis (HE) caused by Herpes Simplex Virus (HSV) is a common esophageal infection mainly in immune-compromised patients or on immunosuppressant drugs. A 58 year old male known case of ulcerative colitis presented to OPD with complaints of fever, hematuria and malena since past 15 days. Gastro-intestinal(GI) Endoscopy showed multiple s...
The coronavirus expansion alarmed all health professionals throughout the world. Especially in dentistry, the growing concern is due to its high virulence and routes of transmission through saliva, aerosol generation. The virus stays viable in air and on surfaces for hours and thus the ENT & dental setups are high-risk settings for cross-infection....
Background: Schizophrenia and Obsessive compulsive disorder are associated with significant distress and dysfunction. Even the care givers are significantly affected by these illnesses. Treatment of these disorder cannot be complete till the family is also involved and dysfunction and distress be taken care of. While many studies have been done to...
A Morel-Lavallee Lesion (MLL) is a closed traumatic soft tissue degloving injury characterized by separation of the dermis from the underlying fascia due to a shearing force often seen in the polytrauma patient with underlying pelvis or proximal femoral fractures. This process leads to the development of a potential space in which fatty tissue, blo...
Background: Compression plating maintains rotational alignment of the fracture and allows immediate mobilization after the fixation. The purpose of this study was to evaluate the functional outcomes of diaphyseal forearm fracture compression plating. Material and Methods: The present retrospective study was conducted in the Department of Orthopaedi...
Serious complications during or after strabismus surgery are infrequent. This article gives a brief idea of the complications either local or systemic that can occur during or after squint surgery. Meticulous hemostasis is required at each step in the procedure, whichever conjunctival approach to the muscle is used. Particular caution is required w...
Background: Dermatological manifestations of gastrointestinal tract (GIT) malignancies can be specific like cutaneous metastasis and nonspecific like paraneoplatic disorders and genodermatosis. They are protean but uncommon and usually appear during advanced stage of underlying malignancy. Sometimes they are presenting sign of an occult malignancy...
Background: Hormonal milieu of pregnancy may be an important determinant of subsequent cancer and other chronic diseases both in the mother and the offspring. Depending on the outcome of interest, hormone concentrations measured at different periods during pregnancy may be of relevance. A reference range of these hormones is needed to understand an...
Aim: To study effect and efficacy of bone marrow therapy in burn wound healing. Material and Methods: Two groups of 25 patients each were selected randomly. The patents under study group were treated by debridement followed by autologous bone marrow therapy to wound site whereas patients under control group underwent debridement only. The patients...
Aim: A research with the goal of determining the antibiotic susceptibility pattern of uropathogens responsible for catheter-associated urinary tract infections (CAUTI) in a tertiary care hospital. Materials and Methods: There were a total of 300 individuals that required catheterization. During her daily rounds, the infection control nurse gathered...
were included in the study after approval from IEC. A validated WHOQOL-BREF questionnaire was used for interviewing the patients. This questionnaire assesses HRQoL on 0-100 transforming scale in four domains-Physical, Psychological, Social relationship and Environmental. Results: Out of 172 participants, 50 (29.1%) were females and 122(70.9%) were...
Introduction: The need of the hour for girls is to have the information, education and an enabling environment to deal with menstruation related issues. Present study was to assess the current knowledge, attitude and practice of school adolescents on menstrual hygiene in government school of Bhopal.
Methodology: Current study was a cross-sectional...
Aspergillus species are capable of producing invasive disease in patients with impaired defence. When trachea and bronchi are the sole sites of Aspergillus infection, it is called invasive aspergillus tracheo-bronchitis. This occurs in a small percentage of patients who have generalized or local immune disruption. This is a case of isolated invasiv...
Acute bacterial meningitis is a life threatening illness that is prevalent worldwide. It is a medical emergency that needs early diagnosis and treatment.
The study includes microbiological profile and antibiotic susceptibility pattern of the bacteria isolated in CSF in clinically suspected cases of pyogenic meningitis in
children. A total of 112 cl...
Anophthalmos is the absence of the globe and ocular tissues from the orbit. It can be congenital or acquired which is produced by destructive procedures like enucleation and evisceration. It affects the cosmetic appearance of the patient and can be particularly devastating psychologically. The anophthalmic socket has been associated with many compl...
Bacterial vaginosis (BV) is one of the common cause of abnormal vaginal discharge which enhances the acquisition and transmission of a range of sexually transmitted infections. The currently available antibiotics for BV must be administered to patients for 5 to 7 days and studies have shown that nearly 50% patients do not comply with this lengthy t...
Dhat syndrome is a culture-bound syndrome characterised by inappropriate and excessive distress of losing semen from one's body and thereby leading to multiple vague psychological and somatic symptoms. It is presumed that several of these symptoms could possibly be of other co-morbid psychiatric disorders. The aim of this study was to assess these...
Introduction: Urinary tract infections (UTIs) are among the most common bacterial infection encountered. As there is emergence of resistance in the uropathogens to multiple drugs, a local study regarding the sensitivity pattern of common uropathogens is necessary. Aims and Objectives: This study was aimed at analyzing the antimicrobial susceptibili...
Introduction Smoking is considered to be the single most important cause of preventable illness and premature deaths worldwide. Today, 5.4 million people worldwide and 9,30,000 people die each year from tobacco-related diseases. NFHS-IV estimates that that, 44.5% of men and 6.8% of women are currently using some form of tobacco, among which 29.3% a...
Chronic long standing dislocation of the temporomandibular joint (TMJ) is a relatively rare occurrence. Variation in the duration of dislocation and anatomical considerations make the treatment for long-standing dislocation very complex. In this paper we present three cases of long standing TMJ dislocation and review of literature with treatment op...
Introduction: HIV and TB co-infection is when people have both HIV infection and also active TB disease. HIV infected individuals have a high risk of developing active TB following infection and also have increased mortality. Worldwide TB is one of the leading cause of death among people living with HIV. Initiation of ART during the course of ATT h...
Introduction: Patella dislocation is defined as interposition of patella out of the trochlear groove. Patella dislocation is typically lateral and most often traumatic. Surgical treatment for patellar dislocation has evolved from the initial medial reefing to the present day anatomical reconstruction of MPFL which is thought to be the most appropri...
Introduction: Candida species are a common cause of neonatal nosocomial bloodstream infections in premature baby, low birth weight baby and baby on prolonged antibiotic therapy, and are a leading cause of infectious-related mortality in the neonatal intensive care unit (NICU). The clinical manifestations are respiratory distress, feeding intoleranc...
Gestational trophoblastic diseases include complete and partial molar pregnancy, invasive mole, placental site trophoblastic
tumor, and choriocarcinoma. The most malignant form is Gestational choriocarcinoma. The present case is an extremely rare case
of choriocarcinoma developed after primary complete mole present at the fimbrial end of fallopian...
Aim: An analysis and comparison of the many testing procedures used in the laboratory to identify methicillin-resistant staphylococcus aureus. Materials and Methods: The research looked at a total of one hundred different Staphylococcus aureus strains. The strains were validated by slide and tube coagulase tests that were conducted with the convent...
Introduction: Over recent years there have been significant advances in radiological techniques to better define small bowel lesions. Lack of ionising radiation, superior soft-tissue contrast resolution, capability of dynamic contrast enhanced imaging and capability of cine imaging to assess peristalsis makes MRE potential ideal imaging modality to...
Purpose: To find out the effect of Grid Photocoagulation combined with Intra Vitreal Bevacizumab in Recurrent macular edema associated with Branch Retinal Vein Occlusion (BRVO). Materials and Methods: This descriptive type of observational hospital based study was conducted on the patients attending OPD block and Retina Clinic of Upgraded Departmen...
Background and Objective: Improper handling of biomedical waste poses a significant risk of infection due to pathogens like HIV, hepatitis B and C virus. In order to improve biomedical waste management, it is crucial to understand and evaluate the current practices in biomedical waste management, to identify the gaps and to address them. The presen...
Introduction: NCCT parameters and images play an important role in determining the best surgical approach in management of urinary stone. Knowledge of chemical composition of stone is crucial in selecting optimal surgical approach and it can be of great help in reducing the stone recurrence rate. Objective: Our study aimed at assessing the predicti...
This article may be cited as: Chadha V, Bansal P, Bhardwaj S , Gautam A. Assessment of out of pocket healthcare expenditure among patients attending secondary health care facility in Himachal Pradesh. J Adv Med Dent Scie Res 2017;5(3):67-71. Access this article online Quick Response Code Website: www.jamdsr.com
Tuberculosis is a widespread, fatal disease caused by Mycobacterium tuberculosis. Tuberculosis typically involves the lungs, but can affect other parts of the body. One-third of the world's population is thought to have been infected with M with new infections occurring in about 1% of the population each year. More people in the developing world co...
Epidermoid cysts are benign developmental cyst with a low incidence in the head and neck region of approximately 2%. The various locations where the cyst can arise are sublingual, submental, submandibular, buccal mucosa and very rarely the tonsils. Here we present an epidermoid cyst of left tonsil which was incidentally detected in a patient diagno...
Introduction: Onychomycosis is a fungal infection of nails caused by dermatophytes, yeasts or non-dermatophyte moulds and represents about 30% of mycotic cutaneous infections. Onychomycosis manifests itself in various forms, notably onychodystrophy, onycholysis, subungual hyperkeratosis, or nail-plate discoloration. The objective of this study was...
Background: Nervous system involvement is one of the catastrophic targets of human immunodeficiency virus (HIV) infection.
Background: Action of non depolarising neuromuscular relaxants can be potentiated by small dose of priming. Priming reduces the time of onset of muscle relaxants by binding and occupying the choline receptors. Whereas magnesium decreases the release of acetylcholine in the presynaptic junction at the neuromuscular junction, hastening the effect of...
![Figure 1 Algorithm for musculoskeletal complaints [2]](profile/Narendra-Meena-4/publication/322132072/figure/fig1/AS:576993701752832@1514577426914/Algorithm-for-musculoskeletal-complaints-2_Q320.jpg)
Introduction: Giant cell tumour of bones is an unusual neoplasm that accounts for 4% of all primary tumours of bone, and it represents about 10% of malignant primary bone tumours with its different grades from borderline to high grade malignancy (1). GCT generally occurs in skeletally mature individuals with its peak incidence in in the third decad...
Background: Cardiovascular manifestations are frequent findings in patients with thyroid hormone disorders. Asymmetric dimethylarginine (ADMA), a inhibitor of endothelial nitric oxide synthase (eNOS), blocks nitric oxide (NO) synthesis from l-arginine. So, ADMA level can be considered as cardiovascular risk marker as it is a possible contributing f...
Pyomyositis of Sternocleidomastoid or in the neck is one of the rarest conditions, which is bacterial in origin. Here, we are reporting a patient of tropical sternocleidomastoid pyomyositis who presented to our centre, which was managed successfully. A High index of suspicion is required for early diagnosis as the disease is rare. Prompt treatment...
Background: The incidence of coronary artery disease (CAD) and acute myocardial infarction (AMI) has been recognized more frequently in the young adults now as compared to the last decade. In addition these patients may differ from elderly patients in some aspects, like greater association with smoking, and higher prevalence among males. These pati...
Aim: The purpose of this study is to determine the incidence and prevalence of dermatophytes in patients who are treated at a teaching hospital in the state of Jharkhand. Materials and Methods: This cross-sectional study was carried out in the Department of Microbiology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India. Total of 100...
Background: In comparison with the lower extremity, there is relative dearth of literature reporting clinical results of allograft in upper limb. Most studies have reported on use of allografts in upper limb reconstructions following tumour resection. Aim: We conducted a prospective study to assess results of using bone allograft as an adjunct to i...
Maffucci syndrome is a rare non hereditary disorder characterized by multiple enchondromas and hemangiomas. A 23 year old female presented to us with multiple nodular swellings over the left hand and a few bright red soft swellings over the left ear and oral cavity. They were found to be enchondromas and hemangiomas respectively. She also presented...
Seizures are the most common pediatric neurologic disorders with 4% to 10% of children suffering at least one seizure in the first 16 years of life. More than half of CT scans are found to be abnormal in childhood symptomatic seizures. Finding out a cause and early treatment can be not only life-saving but can increase the IQ and long term survival...
Angiokeratomas include diverse conditions characterized by hyperkeratosis and superficial dermal vascular ectasia on histopathology. They are commonly asymptomatic and present with 1-to 6-mm, blue-to-red papules on a scaly background. They have been described on the scrotum, shaft of penis, vulva, inner thigh and lower abdomen. Angiokeratoma of scr...
Purpose: To determine the pattern of clinical and radiological presentation and treatment outcomes of ocular and periocular dermoid cyst. (46) patients with suspected dermoid cyst of the globe, orbit and periocular area were enrolled from outpatient department. Their detailed history, ocular examination, laboratory and radiological investigations w...
Background: The diagnosis of orbital disease is an extremely challenging task. Technological advancement in computer software algorithms have allowed three dimensional (3D) reconstruction of complex orbital and craniofacial skeleton from 2D images. This study was undertaken to assess the diagnostic value of three-dimensional computed tomography (3D...
Fallopian tube prolapse is a rare complication of hysterectomy and can be easily mistaken as vaginal granulation tissue or vaginal adenocarcinoma. We are presenting a case of post vaginal hysterectomy fallopian tube prolapse in a 63 year old lady which was managed effectively by vaginal route. By combining routine salpingectomies with hysterectomy...
Vaginal Intraepithelial Neoplasia(VAIN) in hysterectomised patients is not a very uncommon finding. The present study is designed to know such cases in Jharkhand as studied in RIMS, Ranchi, Jharkhand. A case series of three patients who were hysterectomised for different reasons were subjected to PAP SMEAR examination of vaginal smears andwere iden...
We are reporting a case of 35 years G 5 P 4+0 L 4 admitted to obstetric emergency at 34 weeks gestation with decreased fetal movement. She was a known case of type II diabetes mellitus and was taking oral hypoglycaemics for last 3 years, who had an episode of diabetic ketoacidosis in the third trimester of pregnancy after she was given inj. Dexamet...
Background: As a global public health recommendation, Exclusive Breast Feeding (EBF) should be practiced for the first six months of life, to achieve optimum growth, development and health. In India, breastfeeding is almost universal, but the EBF rate is quite low. Aim & Objective: The present study was conducted to assess the pattern of breastfeed...
Citations
... [6,9,10] It is well-known fact that cultural perspectives shape our experience and understanding of psychological well-being. [11] Many Indian research works, while addressing the issue of quality of life in psychocutaneous conditions like psoriasis, [12][13][14] leprosy, [15,16] vitiligo, [1,6,9] etc., have emphasized to analyze of different sociodemographic, psychological, and clinical variables associated which could provide an important early insight in predicting a poorer quality of life and development of psychiatric morbidities. However, very few of these studies (like Sawant et al.) [6] have described gender-related differences in predicting the quality of life. ...
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... The average age of this study was 38.0 years with a male predominance. This result is comparable to those of several series authors whose average age is between 35 and 40 years [11][12][13] with a male predominance. This could be explained by the fact that young adults, especially males, constitute the most active social segment and the most exposed to trauma due to certain risky professions reserved for men. ...
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... shorter in the NPWT group than in the conventional dressing group. 19 In the present study, the duration of hospital stay was minimum of 12 days and maximum of 48 days in group A and minimum of 22 days and maximum of 58 days in group B. ...
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... A study done by Singh et al. [22] showed sensitivity to DDST to be (89%), Etest for cefotaxime and ceftazidime 83.6% and 88.52% respectively. PCDDT was most sensitive (93.44%) in their study also.A study done by Ashok kumar et al. [23] reported 47% of ESBL producing Klebsiella pneumoniae by both DDST and PCDDT [24,25,22]. Dalela et al. [26] inhis study detected ESBL in 90% isolates by DDST and 100% by PCDDT method. ...
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... 4 are known to carry a huge burden of care on their caregivers. [5][6][7][8] Schizophrenia is an incapacitating, long-lasting psychotic disorder characterized by incoherent or bizarre thoughts, abnormal speech and behavior, and delusions or hallucinations. Its chronic course and characteristic symptoms cause a considerable cost to the patient in terms of individual suffering and the caregiver due to the shift of the burden of care from the hospital to families. ...
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... Most effective treatment of PCO is Nd: YAG posterior capsulotomy. Breakdown of capsular done by infrared light 1064nm followed by pressure wave created which is amplified and focused to formed energy plasma so electrons are ripped away from nuclei and corresponding shock waves 17 . In present study total subjects underwent Nd: YAG posterior capsulotomy was 60. ...
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... 7 Individual shaving raised levels of uric acid in the blood have relatively higher values of endothelialdysfunction (ED) markers, increased urinary albumin creatinine ratio (ACR) and blood endothelin levels. 8 The interest of the researchers in studying hyperuricemia and its associated disorders has grown past gout, such as hypertension, atherosclerosis, cardiovascular disease, Insulin Resistance & Diabetes. 9,10 Furthermore, studies have shown the beneficial effect of urate lowering therapy in preservation of glomerular filtration rate (GFR) in Hyperuricemic patients with chronic kidney disease(CKD). ...
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... Our results showed a maternal mortality rate of 5.5% in our sample, which was similar to studies by Malhotra et al. (6.24%) and Bhalla et al. (5.9%) [16,17]. Maternal mortality varies widely across different studies, ranging from 1.37% to 39.3% [12,13]. ...
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... Contrary results found in study conducted by Brajesh Anand 8 PD et al., (2017) in urban area found that mean score of Quality-of-life domains were lower among elderly of 70-79 years age group in physical, psychological, social relationship and environmental domains from other age groups. 9 The study conducted by Mudey In India, the population of senior citizens is lower in urban areas where the health care facilities are very minimum. ...
... Diabetic retinopathy is a leading cause of blindness among the working age adults worldwide and in the elderly age group. 1,2 Retinal vein occlusion (RVO) is the second most common cause of retinal vascular disease after diabetic retinopathy and a significant cause of painless loss of vision. [3][4][5] Global estimation of retinal vein occlusion in adults are 16.4 million in which 13.9 million affected with BRVO and 2.5 million by CRVO. ...
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