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Gupta R.K.,Government Medical College | Shora T.N.,Government Medical College | Verma A.K.,Government Medical College | Raina S.K.,Dr Rp Government Medical College
International Journal of Diabetes in Developing Countries | Year: 2015

India with a high number of diabetic patients needs a simple, cost-effective, and efficient tool to screen and diagnose the huge pool of undiagnosed diabetics in the country. The purpose of this study was to estimate the utility of MDRF-IDRS in identifying risk for diabetes mellitus in rural adult population aged 30 years and above in Jammu (J&K). A cross-sectional study was conducted in RS Pura block of Jammu district in J&K state of India. The rural adults >30 years were surveyed by using a predesigned and pretested protocol which had MDRF-IDRS as a part of it. Further, the subjects were evaluated for their status as far as presence or absence of diabetes was concerned. A total of 2085 respondents comprising of 1116 males and 969 females were included in the study. 170/2085 of those screened with MDRF-IDRS score were known cases of diabetes mellitus. One hundred twenty out of these 170 had IDRS of ≥60 (70.58 %). The association between IDRS and diabetes mellitus patients was statistically significant. The study proves the utility of MDRF-IDRS in detecting those people who are at high risk of developing diabetes mellitus. © 2015, Research Society for Study of Diabetes in India. Source


Gupta H.V.,University of Arkansas for Medical Sciences | Lee R.W.,University of Arkansas for Medical Sciences | Raina S.K.,Dr Rp Government Medical College | Behrle B.L.,University of Arkansas for Medical Sciences | And 2 more authors.
Muscle and Nerve | Year: 2016

Introduction: YouTube is an important resource for patients. No study has evaluated the information on peripheral neuropathy disseminated by YouTube videos. In this study, our aim was to perform a systematic review of information on YouTube regarding peripheral neuropathy. Methods: The Web site (www.youtube.com) was searched between September 19 and 21, 2014, for the terms "neuropathy," "peripheral neuropathy," "diabetic neuropathy," "neuropathy causes," and "neuropathy treatment." Results: Two hundred videos met the inclusion criteria. Healthcare professionals accounted for almost half of the treatment videos (41 of 92; 44.6%), and most came from chiropractors (18 of 41; 43.9%). Alternative medicine was cited most frequently among the treatment discussions (54 of 145, 37.2%), followed by devices (38 of 145, 26.2%), and pharmacological treatments (23 of 145, 15.9%). Conclusions: Approximately half of the treatment options discussed in the videos were not evidence-based. Caution should be exercised when YouTube videos are used as a patient resource. © 2016 Wiley Periodicals, Inc. Source


Hinduja A.,University of Arkansas for Medical Sciences | Hinduja A.,Ohio State University | Habetz K.,Arkansas Children Hospital | Raina S.K.,Dr Rp Government Medical College | And 2 more authors.
Epilepsy and Behavior | Year: 2016

Purpose Although seizures are common in patients with posterior reversible encephalopathy syndrome (PRES), epilepsy is rare. Our objective was to identify predictors and impact of seizures in patients with PRES. Methods A retrospective review of the clinical and radiological parameters of all patients diagnosed with PRES from 2007 to 2014 was performed. Patients were divided into two groups based on the occurrence of PRES-related seizures at presentation or during their hospital course. Univariate and multivariate analyses were performed to determine factors associated with the occurrence of PRES-related seizures. Results Of 100 patients, 70% experienced at least one seizure from PRES. On univariate analysis, the factors associated with seizures were the following: high Charlson comorbidity index (4.16 ± 2.89 vs. 2.87 ± 2.20, p = 0.03), systemic malignancy (41.4% vs. 16.7%, p = 0.02), occipital lobe involvement (97.1% vs. 83.3%, p = 0.02), more lobes involved (4.6 ± 1.48 vs. 3.9 ± 1.32, p = 0.03) but less likely in patients with visual disturbances (15.7% vs. 46.7%, p = 0.005), and facial droop (12.9% vs. 16.7%, p = 0.002). On multivariate analysis, only occipital lobe involvement was significantly (odds ratio: 9.63, 95% CI: 1.45–64.10, p = 0.02) associated with the occurrence of PRES-related seizures. Despite the occurrence of seizures, they were less likely to require a nursing home placement upon hospital discharge (odds ratio: 0.17, 95% CI: 0.03–0.91, p = 0.04). Conclusion We conclude that seizures are common in patients with occipital lobe involvement from PRES. © 2016 Elsevier Inc. Source


Mahajan V.K.,Dr Rp Government Medical College | Sharma N.L.,Dr Rp Government Medical College
Australasian Journal of Dermatology | Year: 2011

Mercury poisoning was once common in the 19th century. With its declining use, now clinicians and the public in general are often unaware and unsuspecting of mercury toxicity. A 40-year-old woman and her two children were hospitalized with a 1-week history of a generalized lichenoid eruption. Clinical improvement occurred without a diagnosis; however, on returning home, features of acrodynia with digital gangrene developed in the woman, leading to suspicion of heavy metal poisoning. There was no recurrence after moving from their contaminated house. © 2010 The Australasian College of Dermatologists. Source


Kaur N.,Dr Rp Government Medical College | Chahal J.S.,Dr Rp Government Medical College | Bandlish U.,GMC | Kaul R.,Dr Rp Government Medical College | And 2 more authors.
Journal of Cytology | Year: 2014

Background: Abnormal uterine bleeding (AUB) is a common problem for which women seek gynecological consultation. Endometrial aspiration cytology (EAC) is an acceptable and valuable diagnostic procedure for screening the endometrial status. Aims: The purpose of our study was to describe the spectrum of endometrial lesions along with their cytomorphological features as well as to compare the results of EAC with histopathology of the endometrial curettings obtained as a result of dilatation and curettage (D and C), in order to assess the value of the former and its shortcomings. Materials and Methods: Endometrial aspiration using a menstrual regulation (MR) syringe and a 4 mm Karman's cannula was performed just prior to D and C in 100 women presenting with AUB. Smears were reviewed for cytomorphological findings and were correlated with the histopathological findings. These findings were categorized as benign endometrium, endometrial hyperplasia, malignancy and inadequate smears. Results: Age of the patients ranged from 19 to 70 years. In our study, the accuracy in diagnosing benign conditions of endometrium, hyperplasia, and malignancy on aspiration cytology were 93.88%, 96.94% and 96.84%, respectively. Conclusions: Endometrial aspiration is an effective, useful and a minimally invasive procedure. With an experienced cytologist, it can be used routinely for the primary investigation of women with AUB, provided all the points of discrepancies are taken care of. Source

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