Gupta A.,Sps Apollo Hospitals |
Gupta A.K.,Dmc And Hospital
International Journal of Pediatric Otorhinolaryngology | Year: 2013
Congenital isolated alar defects are exceptionally rare with 6 cases reported out of all cranio-facial clefts. This entity provokes the ingenuity of the surgeon to manifest a symmetry in form, shape and contour with aesthetically acceptable scarring of the most dominant structure defining the mid face. We present a rotation advancement flap, from the armamentarium of the surgeon, proficient in addressing all the concerns of the patient and treating surgeon for congenital alar cleft. © 2012 Elsevier Ireland Ltd.
Singh V.P.,DMC and Hospital
Journal of Indian Academy of Forensic Medicine | Year: 2014
For centuries, autopsy has been instrumental in establishing the cause of death both in clinical and Forensic cases. Clinical autopsy has significant role in clinical quality control, clinical auditing and medical education. Medical student's knowledge and attitude toward Forensic autopsies influence the quality of autopsy reports being prepared by them in their professional carriers. A survey was conducted on 100 medical students and 40 interns to assess their knowledge and attitude toward Forensic autopsy. Most of the medical students (76% Part I and 90% part II) and interns (60%) found that demonstrations of the autopsies during their 2nd Prof Practical classes was a learning experience and wished, they could see more autopsies. However in the present study, majority of the medical students (88% Final Yr. Part I and 84% Final Yr. Part II) and interns (87%) felt themselves incapable of performing autopsies independently on becoming physicians. Medical teachers should encourage the medical students to become more interested in observing Forensic autopsies. It is suggested that problem based learning during practical training of autopsy must be incorporated as a part of the medical curriculum.
Sood A.,DMC and Hospital |
Midha V.,DMC and Hospital
Hepatitis B Annual | Year: 2011
Hepatitis B Virus (HBV) infection is a significant global public health problem. Treatment options that have evolved rapidly over the last two decades have proven to be effective, but clear recommendations regarding the choice of first-line therapy are lacking. With the emergence of pegylated interferon (PEG IFN), conventional interferon has been relegated into the background and has a very limited role in the treatment of chronic Hepatitis B. Pegylated interferon α2a / 2b treatment has been documented to successfully achieve normalization of alanine aminotransferase (ALT) and viral suppression in nearly half of the patients. However, HBsAg loss can be achieved only rarely. Combination therapy, comprising of pegylated interferon plus nucleos(t)ide analogs theoretically appear attractive because of the synergistic anti-viral and immunomodulatory actions, but the available present literature does not provide sufficient evidence to recommend the combination therapy. Patient selection is important for tailoring the therapy for patients with chronic hepatitis B. Pegylated interferon seems suitable for young patients with raised ALTs, moderately high viral load, and having Genotype A / B; the advantage being finite duration of therapy and no risk of emergence of drug resistance. © 2015 Hepatitis B Annual | Published by Wolters Kluwer - Medknow.
Lata H.,DMC and Hospital |
Purohit R.,Maharaja Agrasen Medical College
JK Science | Year: 2014
Pulmonary function parameters are the most important and widely used exploratory tool in respiratory disorders. Most of the studies on these parameters describe lung capacities and flow rates in terms of absolute values. There are various equations to derive the predicted values of these parameters. Most of these equations are framed for Caucasian, American or Africans, but are frequently used in Indian subjects. There are very few equations for Indian subjects, which are also region specific. Hence, the present study was undertaken to compare the various regression equations for calculating predicted parameters in North Indian subjects. We used eight regression equations which are frequently used for calculating predicted values. The data of 75 Indian healthy subjects was used in these equations for comparison. The regression equations provided predicted value of pulmonary function parameters which varied markedly (0.24-123%) based on type of regression formula used. The closet seems to be Chatterjee and Vijayan equation. The anthropometric variable used in these equations can have a lot of bearing on the predicted values. However, based on literature and our experience of using eight regression equations, we found that none of these is perfectly suited for North Indian subjects. © 2014 JK Science. All rights reserved.
PubMed | Dmc And Hospital
Type: Journal Article | Journal: The Indian journal of surgery | Year: 2012
We present a retrospective study depicting the incidence and outcome of soft tissue sarcomas (STSs) in patients admitted in a District Government Hospital situated in coastal belt of Southern India for a period of four and a half years. The hospital is a district referral centre catering to rural and urban poor population of 1,900,000 people.Histologically proven soft tissue STS patients admitted in Department of General Surgery in District Government Wenlock Hospital, Mangalore, from January 2002 to July 2007 were included in the study. The incidence, age distribution, gender distribution, histological subtypes, site of tumour, and clinical outcome were the parameters studied. The above parameters were then compared with Memorial Sloan and Kettering Cancer Centre (MSKCC) study.Fifty-one cases of STS were reported out of 7674 (0.65%) patients with cancer in the said period. Ninety percent belonged to adolescents and adult age group. Liposarcoma (18%) is the most common subtype followed by leiomyosarcoma, Ewings sarcoma. 66.6% originated in the extremities and rest being intra-abdominal and retroperitoneal. The age of presentation was a decade less than MSKCC study. The alarming yet expected fact was 35% of patients came with delayed presentation of the disease and refusal for surgery. Thirty-nine percent of patients were treated surgically.Majority of patients presenting to our institution in advanced stage of the disease, indicating ignorance, fear and reluctance for surgery; as well as economic constraints, that delay early detection and initiation of proper treatment. The incidence appears to be increasing, targeting the younger population. There is a definite need to incorporate drug trials in rural set up so that patients can be benefited.