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Punjabi Bagh, India

Mandhyan R.,GTB Hospital | Wadhwa R.,GTB Hospital | Singh S.P.,BL Kapoor Hospital | Khatri P.,Maharaja Agrasen Hospital
Sri Lankan Journal of Anaesthesiology | Year: 2013

Spinal anaesthesia is considered the best and safest way of providing anaesthesia for infra-umbilical surgeries. It is a blessing for patients with high risk for general anaesthesia, but at times it may be associated with fatal complications. Spinal haematoma is one such rare complication of subarachnoid block. Peripartum cardiomyopathy is also an added concern in obstetric patients.

Paul Y.,Maharaja Agrasen Hospital
Journal of Vaccines and Vaccination | Year: 2013

Aim: To find if some children had developed paralytic poliomyelitis despite participating in the national polio eradication program. Methods: Data of National Polio Surveillance Project regarding polio eradication program in India was analysed. Results: Many children have developed paralytic poliomyelitis despite taking many doses of OPV because of vaccine failure and many children have developed VAPP after taking OPV and some children have developed VAPP because of secondary spread of mutant vaccine polio viruses. Conclusion: The children who have developed polio during polio eradication program are considered as 'price to be paid' for larger interest of the society. Though the harm occurred to these children was not intentional but, nevertheless it was foreseeable. Thus, adequate compensation should be paid to such children. © 2013 Paul Y.

Madhavi Y.,National Institute of science | Puliyel J.M.,St. Stephens Hospital | Mathew J.L.,Advanced Paediatrics Center | Raghuram N.,University of Delhi | And 28 more authors.
Indian Journal of Medical Research | Year: 2010

India has over a century old tradition of development and production of vaccines. The Government rightly adopted self-sufficiency in vaccine production and self-reliance in vaccine technology as its policy objectives in 1986. However, in the absence of a full-fledged vaccine policy, there have been concerns related to demand and supply, manufacture vs. import, role of public and private sectors, choice of vaccines, new and combination vaccines, universal vs. selective vaccination, routine immunization vs. special drives, cost-benefit aspects, regulatory issues, logistics etc. The need for a comprehensive and evidence based vaccine policy that enables informed decisions on all these aspects from the public health point of view brought together doctors, scientists, policy analysts, lawyers and civil society representatives to formulate this policy paper for the consideration of the Government. This paper evolved out of the first ever ICMR-NISTADS national brainstorming workshop on vaccine policy held during 4-5 June, 2009 in New Delhi, and subsequent discussions over email for several weeks, before being adopted unanimously in the present form.

Devansh S.,Maharaja Agrasen Hospital
Annals of Plastic Surgery | Year: 2011

The lateral thigh flap based on the second and third perforator of profunda femoris vessel has not become very popular. We describe a technique of flow-through pedicle for this flap. The flow-through technique makes this flap very simple to transfer. The flap was used successfully in 6 cases for reconstruction for defects in the leg and forearm. The flow-through pedicle is ideal for lower limb reconstruction. The anastomosis becomes very easy and safe, even if the recipient vessels are deep in the intermuscular septum. We had no flap failures. The flap has a very predictable anatomy. Large flaps from anteriolateral and posterior part of midthigh can be safely elevated. The flap can meet a variety of requirements as it can be thin skin-alone flap, a fasciocutaneous flap, or even a musculocutaneous flap. A simple pinch test gives a fair idea of expected flap thickness. The dissection requires strong retraction of the anterior thigh muscles, but the dissection is safe and simple. The donor-site morbidity is very minimal. © 2011 by Lippincott Williams & Wilkins.

Jain V.,Maharaja Agrasen Hospital | Gupta N.,Maharaja Agrasen Hospital | Kalaivani M.,All India Institute of Medical Sciences | Jain A.,Maharaja Agrasen Hospital | And 2 more authors.
Indian Journal of Medical Research | Year: 2011

Background & objectives: Vitamin D deficiency with a resurgence of rickets and tetany are increasingly being reported in young infants from temperate regions, African Americans and also from India. The data on vitamin D status of healthy term breastfed Indian infants and mothers are scant. Therefore, we undertook this study to determine the prevalence of vitamin D deficiency and insufficiency [serum 25 hydroxyvitamin D (25OHD) ≤ 15 ng/ml and 15-20 ng/ml, respectively] among healthy term breastfed 3 month old infants and their mothers, evaluate for clinical and radiological rickets in those infants having 25OHD < 10 ng/ml, and check for seasonal variation and predictors of infants' vitamin D status. Methods: A total of 98 infants aged 2.5 to 3.5 months, born at term with appropriate weight and their mothers were enrolled; 47 in winter (November- January) and 51 in summer (April-June). Details of infants' feeding, vitamin D supplementation, sunlight exposure and mothers' calcium and vitamin D intake were recorded. Serum calcium, phosphate, alkaline phosphatase, 25 hydroxyvitamin D (25OHD) and parathormone were estimated. Results: Vitamin D deficiency was found in 66.7 per cent of infants and 81.1 per cent of mothers; and insufficiency in an additional 19.8 per cent of infants and 11.6 per cent of mothers. Radiological rickets was present in 30.3 per cent of infants with 25OHD < 10 ng/ml. 25OHD did not show seasonal variation in infants but maternal concentrations were higher in summer [11.3 (2.5 - 31) ng/ml] compared to winter [5.9 (2.5-25) ng/ml, P=0.003]. Intake of vitamin supplement, sunlight exposure and mother's 25OHD were predictors of infants' 25OHD levels. Interpretation & conclusions: Prevalence of vitamin D deficiency and insufficiency was found to be high in breastfed infants and their mothers, with radiological rickets in a third of infants with 25OHD < 10 ng/ml in this study. Studies with large sample need to be done in different parts of the country to confirm these findings.

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