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Wani A.A.,Government Medical College Jammu | Jan N.,Directorate of health services Kashmir
Iranian Journal of Dermatology | Year: 2011

Background: Alopecia Areate (AA) is a recurrent non-scarring patchy hair loss of autoimmune origin in a genetically susceptible individual although environmental factors may be contributory. The aim of this study is to evaluate serum iron and ferritin levels in patients with AA. Methods: Fifty patients of AA and 50 age and sex matched control subjects without any hair loss were studied. Results: No significant difference was found in mean hemoglobin, ferritin, and iron levels in two groups. Serum iron ferritin and hemoglobin levels did not show any significant variations with respect to the extent or duration of the disease, family history, history of atopy, and nail involvement. Conclusion: In our study, the levels of serum iron and ferritin showed no significant changes in AA patients and seems not to play a role in the etiology of AA. © 2011 Iranian Society of Dermatology.

Khajuria A.,Goa Institute of Management | Khajuria V.,Government Medical College Jammu
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2013

Pharmaceutical houses adopt numerous marketing strategies to influence physician by providing them with incentives. Present study was undertaken to evaluate the impact of these marketing promotional strategies on prescribing of drugs by physicians. 34 post graduate and 21 graduate physicians were presented a questionnaire highlighting 17 different promotional methods, adopted by pharmaceutical houses. The responses were recorded and weightage was given. The choice of physician regarding generic named or branded product was also recorded. Responses of postgraduate and graduate physicians were compared. Results revealed that Cost of product, Seminars, Publications, Brochures and Booklets and Reputation of company were the most important factors considered by the physicians while prescribing of drugs. While mailing information about products, gifts and Print and Broadcast ads were least important factors. Similar responses of post graduate and graduate doctors were observed on most of parameters. Top 9 influencing factors were found to be similar but with little variation in sequence .The study of results revealed that graduate doctors preferred generic product over branded product (57.1%) while post graduates the branded (60%).Study has provided a clear insight into the impact of pharmaceutical marketing promotional factors on physician prescribing practices. Pharmaceutical companies should mould and adapt their marketing communication strategy as per physician's response.

Praharaj S.K.,Central Institute of Psychiatry | Arora M.,Government Medical College Jammu | Sarkhel S.,Central Institute of Psychiatry
Human Psychopharmacology | Year: 2010

Serotonin reuptake inhibitors (SRIs) are occasionally associated with sensory symptoms, which are one of the less recognized adverse effects. A PUBMED search supplemented with manual search was made to review the relevant literature. Anesthesia, paresthesia, and mastalgia have been reported to occur with this group of medications. The possible pathophysiology and management strategies are discussed. Copyright © 2010 John Wiley & Sons, Ltd.

Wani I.H.,Government Hospital for Bone and Joint Surgery Barzulla Srinagar Kashmir | Sharma S.,Government Medical College Jammu | Latoo I.,Government Hospital for Bone and Joint Surgery Barzulla Srinagar Kashmir | Salaria A.Q.,ASCOMS | And 2 more authors.
Journal of Orthopaedics and Traumatology | Year: 2014

Background: The optimal treatment of femoral neck fracture in the elderly patient is still under debate. In patients aged 60–80 years, the decision between internal fixation and arthroplasty remains controversial. The primary aim of the present study is to evaluate the functional outcome of patients aged 60–80 years with femoral neck fracture treated with total hip arthroplasty or closed reduction and internal fixation. The secondary aim is to evaluate the incidence of nonunion and avascular necrosis in femoral neck fracture in different age groups.Materials and Methods: We studied 100 patients affected by displaced fracture of the femoral neck from May 2007 through June 2010. There were 60 men and 40 women with mean age of 66 years. Fifty patients were treated with closed reduction and internal fixation with cannulated screws (group A), and the other 50 patients with total hip arthroplasty (group B). Mean surgical time, blood loss, duration of hospital stay, Harris hip score, complications, and need for reoperation were recorded.Results: Harris hip score was significantly higher in group B at 3-, 6-, 12-, and 18-month follow-up evaluation. The overall complication rate was 28 % in group A and 32 % in group B, which was not statistically significant. A statistically significant difference was found regarding patients who required reoperation in group A (20 %) compared with group B (no one). The average Harris hip score in the internal fixation group was 90.6 and in the total hip arthroplasty group was 93.7, which was statistically significant (p < 0.05). Our study showed an increased risk for intracapsular hip fracture developing nonunion with older age.Conclusions: Primary total hip arthroplasty compared with internal fixation appears to be a reasonably safe method of treating displaced fracture of femoral neck in elderly patients. We also concluded that outcome regarding hip function is generally better after total hip arthroplasty compared with internal fixation.Level of evidence: Level II-Prospective cohort study. © 2013, The Author(s).

Arora S.,Government Medical College Jammu | Khajuria V.,Government Medical College Jammu | Kohli K.,Government Medical College Jammu | Gupta S.,J and K | Tandon V.R.,Government Medical College Jammu
JK Science | Year: 2012

The present prospective randomized study was conducted to find out efficacy and tolerability of tamsulosin alone (0.4mg) and tamsulosin (0.4mg) in combination with dutasteride (0.5mg) in patients of BHP. Two groups of 20 patients each received either of the regimes for 24 weeks. Both groups were evaluated for uroflowmetric, ultrasonography and AUASS parameters. Both regimes caused significant increase in Qmax, Qave, voided volume and concomitant decrease in voiding time, flow time and time to peak flow(P<0.0001). Ultrasonographically assessed prostate volume and residual urine volume decreased significantly with combination group, whereas only residual urine volume was decreased in tamsulosin group. Both groups caused improved AUASS (P<0.0001).Combination group produced more improvement than tamsulosin alone on Qmax, Qave and flow time (P<0.05) and decrease in prostate volume (P<0.001). Both regimes were well tolerated.The combination appears to have an additive effect.

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