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Kohli R.,Government Medical College and Rajindra Hospital | Bansal E.,Carilion Roanoke Memorial Hospital | Gupta A.K.,Gian Sagar Medical College | Matreja P.S.,Gian Sagar Medical College | Kaur K.,Civil Hospital
Journal of Clinical and Diagnostic Research

Background: The recovery from laparoscopic cholecystectomy (LC) is rapid and most of the patients are discharged on the 1st post-operative day. There is an increased concentration of certain serum proteins, known as acute-phase reactive proteins (APRP) during the post-operative period depends on the degree of tissue damage and the inflammatory reaction. There is a direct positive correlation between the concentrations of APRP, especially C-reactive protein (CRP), and the severity of inflammation. This study was done to study the levels of C - reactive protein and Total Leucocyte Count in patients operated either by Open Cholecystectomy (OC) and Laparoscopic Cholecystectomy (LC).Materials and Methods: This prospective study was conducted on 50 patients after approval from the Institutional Ethics Committee. Twenty five patients underwent open cholecystectomy and the other 25 had laparoscopic cholecystectomy. The pre and post operative concentrations of serum C-reactive protein (CRP) and total leukocyte count (TLC) were compared in both the groups. Results: There were no differences in the preoperative serum CRP and TLC concentrations - in both the groups. Serum CRP rose significantly following OC compared to that of patients who underwent LC (10.52 ± 1.96 mg% vs. 8.88 ± 1.23 mg %). There were also significant differences in the post-operative TLC (9.49 ± 1.05 m/mm3 for the OC group vs. 8.57 ± 1.31 m/mm3 for the LC group), and the post-operative hospital stay (5.5 ±1.5 days vs. 1.9 ± 0.9 days). There was no correlation between serum CRP concentrations and the other post-operative parameters. Conclusion: The study provided the biochemical evidence supporting the clinical observation that LC is far less traumatic to the patient than OC. Source

Kaur A.,Sri Guru Ram Das Institute of Medical science and Research | Balgir R.S.,Government Medical College and Rajindra Hospital | Kaur P.,Government Medical College and Rajindra Hospital | Gupta V.,Dayanad Medical College and Hospital
Online Journal of Health and Allied Sciences

Introduction: The Revised National Tuberculosis Control Programme (RNTCP) has been implemented in the country for close to a decade now. DOT providers are primarily responsible for the success of the programme at the field level by giving a VIP status to the patient in the programme. The present study is an attempt to know the knowledge and attitude of DOT providers about TB and its treatment. Material and methods: A pre-tested questionnaire was used to seek information from DOT providers about their knowledge and attitude regarding tuberculosis, RNTCP and DOTS. The analysis of association between knowledge regarding TB and training status of the DOT provider was done using chi- square test. Results: Out of 50 DOT providers 37 (74%) were females and 13 (26%) were males. On statistical analysis the knowledge about treatment schedule between trained & untrained DOT Providers was found to be highly Significant. Conclusions: The study highlights the need for training and reorientation courses for DOT providers regarding TB. Constant monitoring and supervision is required by trained staff in Tuberculosis Unit. Source

Gupta V.K.,Dayanand Medical College and Hospital | Kaur P.,Government Medical College and Rajindra Hospital | Singh G.,Dayanand Medical College and Hospital | Bansal P.,Dayanand Medical College and Hospital | Sidhu B.S.,Government Medical College and Rajindra Hospital
Journal of Clinical and Diagnostic Research

Background: Drug addiction is on the rise in Punjab,India. There are 15 DDCs which are supported by the Indian Red Cross Society. There is alleged mushrooming of private Drug De-addiction Centres (DDCs) in the smaller towns, villages and cities of Punjab. Objective: This study aimed to evaluate DDCs in Punjab. Materials and Methods: A total of 10 DDCs were included in the study and scheduled visits were made to collect data by using a pre-tested questionnaire. Results: The duration of treatment was 1 month at the Red Cross DDCs and it was approximately 6 months at private DDCs. The staff at the private DDCs were inadequate. The major drugs which were abused by patients were Propoxyphene, Alcohol, Bhukki and Cannabis. Patients were usually referred to the DDCs either by family members (35.3%) or social workers (29.8%). About 72.5% of patients were married, 36.3% had passed 10th standard and 54.4% were employed. A majority dropped out of the DDCs due to personal reasons and lack of family support. On comparison, more patients were found to be treated at Red Cross centres (75.3%) than at private centres (65.8%). All DDCs had conducted regular sessions of individual, group and family counseling for patients. Red Cross DDCs ensured that ex-clients received follow-ups and home visits. More patients were satisfied with the services which were provided by the Red Cross DDCs. On the contrary, more patients at the private DDCs complained about harassment fromstaff personnel (p>0.05). Conclusion: It is recommended that all DDCs should be checked regularly, and that the private centres should be provided with additional support from the government, to help run them more efficiently. Source

Kohli R.,Government Medical College and Rajindra Hospital | Singh S.,Government Medical College and Rajindra Hospital | Gupta A.K.,Gian Sagar Medical College | Matreja P.S.,Gian Sagar Medical College
Journal of Clinical and Diagnostic Research

We are reporting a rare case of a schwannoma which originated from the cervical portion of the spinal accessory nerve, which was located in the left posterior triangle of the neck and did not have any neurological deficit, which was diagnosed by the Magnetic Resonance Imaging (MRI) scan and confirmed histopathologically after surgery. Source

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