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Kansal N.K.,Government Medical College Haldwani
European Journal of Pediatric Dermatology

A 20-day-old newborn was first observed due to the presence of erythematous, papular and pustular lesions of the face: the identification of a "spaghetti and meatballs" finding on fresh mycological examination of the pus led to diagnose neonatal cephalic pustulosis. According to some Authors the latter is a disease in its own right, while others classify this disorder as neonatal acne. Source

Susheela S.P.,Healthcare Global | Revannasiddaiah S.,Government Medical College Haldwani
Annals of Translational Medicine

The survival in patients with high grade gliomas (HGG) remains poor even after the adoption post-operative radiotherapy (RT) to magnetic resonance imaging (MRI) based volumes. Despite delivery of 'standardized' doses of radiation, recurrence is the norm, rather than the exception. Recurrences occur both within, and outside of the volume of irradiation, leading us to two questions-firstly concerning the adequacy of the dose of radiation used, and secondly about the current methods of treatment volume delineation. The emergence of newer radiopharmaceuticals for use in positron emission tomography (PET) have kindled the hope of more precise volume localizations for post-operative RT, and it is likely that these new radiopharmaceuticals can help us define accurate areas at highest risk of recurrence and thus allow us to use increased doses of radiation with confidence. © Annals of Translational Medicine. Source

Pandey K.C.,Government Medical College Haldwani | Revannasiddaiah S.,Government Medical College Haldwani | Pant N.K.,Government Medical College Haldwani
Asian Pacific Journal of Cancer Prevention

Background: Head and neck cancer without distant metastases is amenable to various modalities of treatment. However, the stage at presentation is a very important determinant for treatment success. The present study was conducted to determine the stage-wise presentation of non-metastatic head and neck cancer patients from the hilly regions in Kumaon division of Uttarakhand, India. Materials and Methods: The hospital records for non-metastatic head and neck cancer patients from the only functional cancer centre of the region for the period of two-years (January 2012- December 2013) were included. Nasopharyngeal carcinoma was excluded due to its staging system being different. Non-squamous histopathologies were also excluded. Patients hailing from nearby regions of Uttar Pradesh and Nepal were excluded, as were patients from non-hilly regions of Kumaon. Results: Of the 271 patients of head and neck cancer, 27 with distant metastases at diagnosis were excluded from the analysis. Of the 244 eligible patient records, 90.1% (n=222) were male, and 9.9% (n=22) were female. The proportions of patients with carcinoma of the larynx, oropharynx, oral cavity, hypopharynx and maxillary antrum were 31.9% (n=78), 27.9% (n=68), 20.5% (n=50), 12.7% (n=31) and 1.2% (n=3). A further 5.7% (n=14) were diagnosed as having secondary involvement of neck nodes with unknown primaries. The proportion of patients presenting in stages I, II, III, IVA and IVB were 0.8% (n=2), 2.5% (n=6), 9.4% (n=23), 51.6% (n=126) and 35.7% (n=87) respectively. Conclusions: An abysmally low proportion (3.3%) of non-metastatic head and neck cancer patients presented in the early stages (I and II). A vast majority of the patients (88.1%) presented with stages IVA and IVB. Not only does this reflect a poor therapeutic outlook, but also exposes the dire need for programmes focusing on cancer awareness and early detection in the region. Source

Jain G.,Government Medical College Haldwani | Palaria U.,Government Medical College Haldwani | Jha S.K.,Government Medical College
Journal of Obstetrics and Gynecology of India

Objective: To compare effectiveness of intravenous iron-sucrose versus oral ferrous fumarate in postpartum anemia. Methods: In this study, 40 women with postpartum anemia with hemoglobin (Hb) less than 8 g/dl within 48 h postpartum were randomised into two groups. Group I consisted of 20 women who received 300-600 mg of intravenous iron-sucrose every alternate day for 3 days. Group II consisted of 20 women who were given 300 mg ferrous fumarate orally daily for 14 days. Results: On day 14, the increase in mean Hb level in group I was 2.4 g/dl in comparison to 1.2 g/dl in group II. Women in group I had significantly higher mean Hb values on days 7 and 14 (p < 0.001) than women in group II. Conclusion: These results suggest that intravenous iron-sucrose increases the Hb level more rapidly than oral ferrous fumarate in postpartum anemia without any serious side effects. © 2013 Federation of Obstetric & Gynecological Societies of India. Source

Sekhon J.,Desh Bhagat Dental College and Hospital | Singla R.,Government Medical College | Sharma T.,Punjab Institute of Medical science | Tayal I.,Government Medical College Haldwani | Singh A.,Desh Bhagat Dental College and Hospital
Journal of Indian Academy of Forensic Medicine

The concept of identity is a set of physical characteristics, functional or psychic, normal or pathological-that define an individual. "Cheiloscopy" is a method of identification of a person based on the characteristic arrangement of lines on the lips. This study was conducted on 300 individuals of either sex (M: F: 100:200) to study the predominating pattern of lip prints in the North Indian Population. Materials used were dark colored lipstick, cellophane tape and white bond paper. The lips of the subject were thoroughly cleaned and lipstick was applied uniformly. Lip prints were taken on the glued portion of cellophane tape and then stuck on to a white bond paper. Then each of these lip prints were scanned using an image scanner set at a resolution of 300ppi. Type I, I'& II lip prints, when taken together found to be most predominant almost all the regions in both the sexes except in LUM region where type III replaced type II. In our study no two individuals or more than two individuals had similar types of lip prints patterns. Source

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