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Farīdkot, India

Nath B.,VCSGGMS and RI | Midha T.,Government Medical College | Kumari R.,AIIMS | Gupta S.,GGSMC
Indian Journal of Community Health | Year: 2014

Background: Knowledge regarding Influenza A (H1N1) and its transmission and measures of prevention and control are important for individual protection as well as to contain the spread of the disease. Objective: To study the knowledge, attitude and practice regarding Influenza A (H1N1) among senior secondary school students of Kanpur. Study Design: A cross-sectional, questionnaire-based study. Material and Methods: This study was conducted among students of Class XI and XII of a leading private school in Kanpur. All the students present in the class at the time of the survey were included in the study. Results: Of the 483 students included in the study, 208 (43.1%) knew that it was a viral disease. Of all the students, 303 (62.7%) knew about the mode of transmission. Around 336 (69.6%) of the students knew that fever >38°C was a major symptom. Less commonly occurring symptoms such as diarrhoea (20.9%) and vomiting (14.3%) were known to few students. Conclusion: Knowledge regarding Influenza A (H1N1) needs to be enhanced among senior secondary school students through appropriate awareness programs. © 2014, INDIAN JOURNAL OF COMMUNITY HEALTH. All rights reserved. Source

Sharma S.,PIMS | Khullar M.,GGSMC | Ahmad M.,PIMS
JK Practitioner | Year: 2012

Variation of nerve is not only of anatomical and embryological interest, but also of clinical importance, as these can be etiological factors behind various pathological conditions. Likewise, their adequate knowledge will help in increasing surgical precision and decreasing morbidity. In present study level of division of sciatic nerve into tibial and common peroneal nerve was studied. The material for the present study comprised of 60 lower extremities belonging to 30 adult human cadavers obtained from Dept of Anatomy, GMC, Amritsar. Sciatic nerve was dissected and the level at which it divided into tibial and common peroneal nerve was studied. Sciatic nerve bifurcated into tibial and common peroneal nerve at apex of popliteal fossa in 46.67% of cases, below the apex in 33.33% and above the apex in 20%. In 5% of cases, there was eventration of sciatic nerve where the two components were originating directly from lumbosacral plexus in pelvis. The high terminal division of sciatic nerve must be kept in mind during popliteal block anaesthesia. Piriformis syndrome may be caused by anatomic abnormalities of piriformis muscle and sciatic nerve. Source

Gupta P.,GGSMC | Khullar M.,GGSMC | Sharma R.,GMC | Singh R.,Chintpurni Medical College
Journal of Clinical and Diagnostic Research | Year: 2013

On dissection of the abdomen of an adult male cadaver, in addition to the normal inferior vena cava on the right side, an unusual venous channel which connected the left renal vein with the left common iliac vein was found; (probably the left inferior vena cava). The left testicular and the left suprarenal veins were opening into the left renal vein as usual. Other than this, a retrocaval ureter was found on the right side. The works of previous authors have highlighted the incidence of a venacaval duplication and its surgical implications, but here, we are presenting a unique case of a double inferior vena cava with an anomalous retrocaval ureter. A conglo meration of such vascular malformations is of immense surgical importance, and it is indicative of a grossly defective angiogenesis. Keeping in mind the clinical relevance of the variations which were observed, an attempt was made to explain them in the light of the embryogenic development. Source

Arora D.,GGSMC | Jindal N.,GGSMC | Bansal R.,GGSMC | Arora S.,GGSMC
Journal of Clinical and Diagnostic Research | Year: 2015

Background and Objective: Tuberculosis (TB) is one of the commonest opportunistic infection and the leading cause of death in HIV patients in developing countries. HIV infection is a well recognised risk factor for both activation of initial infection and reactivation of latent infection. This study was done to find out the co-prevalence and the trend of HIV infection among tuberculosis patients and to determine the prevalence of MDR Tuberculosis in HIV positive patients using Xpert MTB/RIF assay (Cepheid, Sunnyvale, CA, United States). Materials and Methods: The sputum samples are received from five districts of Punjab. Sputum samples of the patients with symptoms suggestive of pulmonary tuberculosis including both new cases and on treatment are received from the various district and civil hospitals of five districts. Sputum specimen was processed for TB detection by Cartridge Based Nucleic Acid Amplification testing (CB-NAAT) using Xpert MTB/RiF assay technology. Results: The study period is from October 2013 to September 2014. A total of 907 patients with symptoms suggestive of pulmonary tuberculosis including both new cases and on treatment. Out of these patients 733 were reported MTB detected. Out of these 907 patients 29 were reported HIV positive and out of 733 patients 19(2.5%) were reported positive for (HIV +TUBERCULOSIS). Of these 19 cases 16(84.21%) cases were sensitive to rifampicin (RIF) and 3(15.78%) cases were showing resistance to rifampicin (RIF) Drug. Conclusion: Co-existence of HIV and tuberculosis is high and there is high Prevalence of MDR tuberculosis in HIV patients. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Jindal N.,GGSMC | Soin D.,GGSMC and Hospital | Grover P.,GGSMC | Bansal R.,GGSMC | And 3 more authors.
Journal of Clinical and Diagnostic Research | Year: 2015

Background: Haemodialysis (HD) patients are at an increased risk of Hepatitis C virus (HCV) infection, which is significantly associated with increased morbidity and mortality. Aim: The aim of this study was to find the prevalence of HCV infection in anti-HCV antibody negative haemodialysis patients by Real-time PCR (RT-PCR) and value of HCV-RNA among seronegative patients undergoing haemodialysis in a remotely located tertiary care hospital. Materials and Methods: A total of 100 chronic renal failure patients on haemodialysis were studied. All the patients were screened for anti-HCV antibodies by ELISA test and for HCV-RNA by RT-PCR. Results: The overall prevalence of HCV infection was 32%. Antibody positivity was 30% and HCV-RNA by RT-PCR was detected in 20%. HCV-RNA in seronegative patients was detected in 2.8%. Conclusion: Serological assays (30%) are quite reliable for detecting HCV infection in patients undergoing haemodialysis in our tertiary care hospital. Only a small proportion of them (2.8%) require the documentation of viral genome for current infection. © 2015 Journal of Clinical and Diagnostic Research. All rights reserved. Source

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