Lady Hardinge Medical College And Associated Smt Sucheta Kriplani Hospital

Delhi, India

Lady Hardinge Medical College And Associated Smt Sucheta Kriplani Hospital

Delhi, India

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PubMed | University of Kentucky, Lady Hardinge Medical College And Associated Smt Sucheta Kriplani Hospital, National Center for Disease Control and Lady Hardinge Medical College
Type: Journal Article | Journal: Journal of tropical pediatrics | Year: 2016

Healthcare-associated conjunctivitis (HAC) can lead to serious sequelae including blindness. We conducted a one-year prospective study to determine the epidemiology of neonatal HAC at a tertiary-care hospital in India.From the neonates fulfilling a set of predefined inclusion criteria, cases of HAC were diagnosed based on CDC guidelines. Conjunctival swabs, obtained from neonates with suggestive clinical signs, were processed using standard protocols. Twenty-eight potential risk factors were analyzed.We detected 24 cases of HAC among 591 enrolled neonates, with Escherichia coli being the most frequently isolated microorganism. On multivariate analysis, intubation at birth (p=0.046) and orogastric feeding (p=0.029) had a statistically significant association with neonatal HAC. Average hospitalization increased from 9.6 to 20.8 days for neonates diagnosed with HAC.A standardized case-definition and physician awareness of potential serious sequelae would help improve detection rates and timely institution of therapy. Hand hygiene could help control the menace of neonatal HAC.


PubMed | Lady Hardinge Medical College And Associated Smt Sucheta Kriplani Hospital
Type: Journal Article | Journal: Indian journal of psychiatry | Year: 2011

50 women undergoing hysterectomy at Smt. Surheta Kriplani Hospital, New Delhi, when compared with age and parity matched 25 control cases on neuroticism and depression scales showed statistically insignificant difference at various points of time. The improvement in both groups was insignificant one week after procedure but became significant after I weeks (p< 0.01). The neuroticism or depression in study cases was hardly attributable to hysterectomy. The marital as well as social adjustments after 4 weeks of procedure were either unchanged or improved. It is emphasized that an attempt should be made to identify the patients who are more prone to get psychiatric disturbance in order to prevent or minimise these psychiatric disturbances.


PubMed | Lady Hardinge Medical College And Associated Smt Sucheta Kriplani Hospital
Type: Journal Article | Journal: Indian journal of psychiatry | Year: 2011

Renal functions of 30 patients of manic depressive psychosis on long term lithium prophylaxis have been studied and compared with 15 age and sex matched patients receiving psychotropic drugs other than lithium. The urine output more than 2.5 L/day was seen in 12 patients (4(1% ) while impaired capacity to show urinary osmolality more than 500 m Osm/L after overnight fluid deprivation was seen in 6 patients. Creatinine clearance ranged between 70-106 ml/min (mean 89 ml/mt). Creatinine clearance less than 70 ml/nun was seen in 3 patients. The ratio of urinary and serum creatinine showed statistically significant (p< .001) low value in lithium treated group. There was also significant increase in mean uric acid excretion in patients on lithium therapy. It is recommended that inspite of serum lithium levels being in normal range, renal functions should be assessed regularly in order to avoid progressive impairment of renal functions.


PubMed | Lady Hardinge Medical College And Associated Smt Sucheta Kriplani Hospital
Type: Journal Article | Journal: Indian journal of psychiatry | Year: 2011

The socio-demographic and clinical characteristics of psychiatric referrals in emergency O. P. D. of a teaching general hospital were studied from January 1986 to December 1987. The referral rate was 1.5%. The source, reason and purpose of referrals were studied. Hysterical fits, altered sensorium and excitements together constituted three fourth of all emergency referrals. The diagnosis of neurosis was made in one third of the patients and about one fourth of all patients were labelled as suffering from hysterical neurosis (fits being the most common presentation).


PubMed | Lady Hardinge Medical College And Associated Smt Sucheta Kriplani Hospital
Type: | Journal: Hernia : the journal of hernias and abdominal wall surgery | Year: 2016

The aim of the study was assessment of the systemic inflammatory response (SIR) intensity by measuring the blood serum levels of high sensitivity C-reactive protein (hsCRP), Interleukin-6 (IL-6) and Total Leukocyte Counts of patients. The estimations were done before and after the patient underwent either open Lichtenstein or endoscopic TEP inguinal hernia repair. This is a prospective observational type of study.Sixty patients with a diagnosis of unilateral uncomplicated inguinal hernia were included in the study. Patients were divided into two groups. In the first group, endoscopic total extraperitoneal repair (TEP) was done, while the other group underwent Lichtenstein repair. The patient selection was random. Serum markers for SIR were measured prior to and 24h post-surgery.Total extraperitoneal repair (TEP) and open Lichtenstein inguinal hernia repair both cause a significant Systemic Inflammatory Response in the body. The rise in serum markers for SIR post-surgery was statistically significant in both the groups. The rise in serum hsCRP and IL-6 concentrations was observed to be equivocal among the two groups. Statistically significant difference was observed in serum TLC rise: Lichtenstein repair group having a higher value.Both, open and endoscopic surgical techniques incite a systemic inflammatory response in the body. However, it cannot be conclusively stated that TEP is associated with lesser SIR compared tothe Lichtenstein repair on the basis of this study.

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