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Kaur D.,Maharaja Agrasen Medical College | Jain M.,Maharaja Agrasen Medical College | Dhall U.,Maharaja Agrasen Medical College
Singapore Medical Journal | Year: 2012

A variation in the course of the thoracic duct was found in the cervical portion of a male cadaver during routine dissection of the head and neck region for undergraduate students. The thoracic duct, while arching laterally above the clavicle, was coursing posterior to the vertebral vein but anterior to the vertebral artery; it normally passes anterior to both the vertebral vein and artery. To the best of our knowledge, this variation in relation to the vertebral vein has not yet been reported. In addtion, after coursing posterior to the vertebral vein, the thoracic duct divided into two branches that drained separately, one at the angle between the internal jugular vein and subclavian vein, and the other into the subclavian vein. Knowledge of these variations is essential in order to prevent injury to the thoracic duct while performing surgeries at the root of the neck.


PubMed | Medical Officer and Maharaja Agrasen Medical College
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Trauma accounts for 16% of the total burden of disease in the world, making it a leading cause of morbidity and mortality especially in the developing nations. India represents about 10% (225million) of the total world workforce in agriculture. With the evolution of new machinery and better techniques of agriculture, there has been a substantial increase in the associated injuries. Depression, anxiety and post-traumatic stress are among the predictors of poor quality of life (QOL).This study was aimed to assess and correlate of traumatic amputation on the patients mental health in the Northern Indian rural setting.This cross-sectional study included subjects who had undergone traumatic amputations. A pre-tested, semi-structured questionnaire was administered to each study participant after an informed verbal consent. The questionnaire had two parts. The first part gathered socio-personal and the disability related information from the patient and the second part included a Hospital Anxiety and Depression Scale (HADS).The mean anxiety and depression scores were 9.105.7 and 3.443.42, respectively. The length of original inpatient stay, people at hand for help, number of hospitalizations, number of follow ups per year, type of family (nuclear versus joint), pain perception, optimism, rehabilitation satisfaction and lower limb amputations correlated significantly with anxiety levels in the patients. The depression levels correlated significantly only with perception of pain.The amputees have a large number of psychosocial concerns which need to be addressed to provide a holistic care and a better QOL. It is essential to sensitize the community, the health care providers and the patients family to the additional psychosocial needs of the amputee.


Soni G.,Maharaja Agrasen Medical College | Dhall U.,Maharaja Agrasen Medical College | Chhabra S.,Maharaja Agrasen Medical College
Journal of the Anatomical Society of India | Year: 2010

The present study was conducted on 80 left femora (40 male and 40 female). Seven measurements of femur were taken. The mean values of all the seven measurements were significantly higher in males as compared to females (P<0.001) with univariate analysis. The most dimorphic single parameter on the basis of discriminant analysis was maximum diameter of head of femur with accuracy 72.5% in males and 85% in females. The second best variable according to stepwise discriminant analysis was maximum anteroposterior diameter of shaft with 67.5% accuracy in males and 80% accuracy in females. The combination of maximum diameter of head and maximum anteroposterior diameter of shaft provided better results with 82.5% accuracy in males and 92.5% accuracy in females.


Isha,Pt. B. D. Sharma University of Health Sciences | Jain V.K.,Pt. B. D. Sharma University of Health Sciences | Lal H.,Pt. B. D. Sharma University of Health Sciences | Lal H.,Maharaja Agrasen Medical College
Indian Journal of Clinical Biochemistry | Year: 2011

Serum CRP and uric acid levels were estimated in twenty-five patients with psoriasis (group III) before and after 12 weeks of treatment. Results were compared with a group of 25 normal subjects (group I) and a group of 25 patients of various skin diseases other than psoriatic lesion (group II). Mean value for CRP was found to be increased by more than 20 folds in patients with psoriasis, which was subsequently reduced to nearly 50% of the initial value after 12 weeks of treatment. These patients also showed hyperuricemia. Nearly 25% of these patients also exhibited arthritis. It is thus suggested that both CRP and uric acid levels should be monitored in patients with psoriasis. © 2011 Association of Clinical Biochemists of India.


Goel R.K.,Maharaja Agrasen Medical College | Lal H.,Maharaja Agrasen Medical College
Indian Journal of Clinical Biochemistry | Year: 2011

Role of Vitamin D supplementation was studied in patients with hypertension. One hundred hypertensive patients (group I) were given conventional antihypertensive drugs while another 100 patients (group II), in addition, were supplemented with Vitamin D3 (33,000 IU, after every 2 weeks, for 3 months). Besides diastolic and systolic blood pressure, serum calcium, phosphorous, alkaline phosphatase, albumin, albumin-corrected calcium, and 24 h urinary creatinine levels were estimated in both the groups before the start of treatment and after 3 months. Vitamin D supplementation showed a more significant decrease in systolic blood pressure. This group also showed a significant increase in serum calcium as well as albumin-corrected calcium with a decrease in phosphorous. Results of the study confirm that Vitamin D supplementation has a role in reducing blood pressure in hypertensive patients and that it should be supplemented with the antihypertensive drugs. More extensive studies with a larger group, to draw a definite conclusion, are in progress. © 2010 Association of Clinical Biochemists of India.


Kochhar A.K.,Maharaja Agrasen medical college | Jindal U.,Maharaja Agrasen medical college | Singh K.,Maharaja Agrasen medical college
Asian Pacific Journal of Cancer Prevention | Year: 2013

To determine the pattern of disease in patients presenting with breast lumps and to determine the sensitivity and specificity of fine needle aspiration cytology of benign and malignant diseases as a diagnostic tool by correlating with histopathology findings. This retrospective study was carried out in the Department of Pathology, Maharaja Agrasen Medical College, Agroha, from Jan 2008 to April 2012. Fine needle aspiration cytology was performed on 370 cases and out of these 52 cases were received in the Department for histopathological examination. Fibroadenoma was the most common disease encountered, in 88 (24%), with a peak incidence in second and third decade of life. Fibrocystic disease was second, being common in the third and fourth decades of life. Peak incidences of duct ectasia, granulomatous and tubercular mastitis were seen in the third decade. Gynaecomastia showed two peak incidences in second and sixth decades of life. Out of total 370 cases undergoing fine needle aspiration, benign cases were 316 (85.4%), malignant and suspicious were 54 (14.6%) and 10 (2.70%) respectively. Out of total 22 histological confirmed malignant lesions 19 were interpreted as malignant cytologically while two as suspicious and one as benign. All thirty histologically confirmed benign cases were diagnosed as benign cytologically. The sensitivity, specificity, positive and negative predictive values were 98%, 100%, 100% and 96.4% respectively. FNA cytology is highly accurate for diagnosis of breast masses. However, the clinician should correlate FNA cytological results with physical examination and imaging findings to prevent false negative and false positive events and to obtain optimal management of their patients.


Kumar H.,Maharaja Agrasen Medical College | Seth S.,Maharaja Agrasen Medical College
Journal of Clinical and Diagnostic Research | Year: 2012

Introduction: Chronic Suppurative Otitis Media is a major health problem in developing countries because of poor nutrition, improper hygiene and lack of health education. Due to advent of newer and sophisticated antibiotics, the microbiological flora is changing constantly. This requires a reappraisal of the flora in Chronic Suppurative Otitis Media and their in vitro antibiotic sensitivity pattern. In cases of CSOM, which do not respond to local antibiotics, superimposed fungal infection should be suspected. The present study was aimed to identify Bacterial and Fungal isolates associated with Chronic Suppurative Otitis Media and their antibiogram pattern in patients attending ENT OPD at Maharaja Agrasen Medical College, Agroha, Hisar. Materials and Methods: The study included 100 patients of Chronic Suppurative Otitis Media attending the ENT OPD at Maharaja Agrasen Medical College, Agroha, Hisar. The samples were immediately sent to the microbiology laboratory for fungal and bacterial studies. The standard method of isolation and identification was followed. Antimicrobial susceptibility of the bacterial isolates was performed by Kirby-Bauer's disc diffusion method. Results: Analysis of bacterial flora of the present study showed predominance of gram negative bacilli (59.74%). The highest incidence (45.5%) was that of Pseudomonas aeuroginosa followed by Staphylococcus aureus (37.7%). Of the 15 fungal isolates, 9 (60%) were Candida species (Candida albicans). Aspergillus was isolated in 6(40%) with maximum 3 (20%) strains of Aspergillus fumigatus. Amikacin was found to be the most effective drug. Conclusion: The study suggests that the common etiological agents for Chronic Suppurative Otitis Media were Pseudomonas aeruginosa followed by Staphylococcus aureus. Amikacin was found to be the drug of choice.


Arora D.,Maharaja Agrasen Medical College | Arora B.,Maharaja Agrasen Medical College | Khetarpal A.,Maharaja Agrasen Medical College
Indian Journal of Pathology and Microbiology | Year: 2010

Blood transfusion is an important mode of transmission of infections to recipients. The aim of the study was to assess the prevalence of transfusion-transmissible infections among blood donors. For this, a 3.5-year retrospective study, from October 2002 to April 2006 was conducted at the blood transfusion centre of Maharaja Agrasen Medical College, Agroha (Hisar) Haryana. Donors were screened for seroprevalence of HIV, HBV, HCV and syphilis. A total of 5849 donors were tested, out of which 4010 (68.6%) were replacement donors and 1839 (31.4%) were voluntary donors. The seroprevalence of HIV was 0.3% in the donors. No voluntary donor was found to be positive for HIV. The low sero-positivity among donors is attributed to pre-donation counseling in donor selection. The seroprevalence of HBV, HCV and syphilis was 1.7%, 1.0% and 0.9% respectively in total donors. The seroprevalence of hepatitis and syphilis was more in replacement donors as compared to voluntary donors.


Mehta S.,Maharaja Agrasen Medical College
Mental Illness | Year: 2015

Acute and transient psychotic disorders (ATPD), introduced in the International Classification of Diseases (ICD-10) diagnostic system in 1992, are not receiving much attention in developing countries. Therefore, the main objective of this article is to review the literature related to the diagnostic stability of ATPD in developing countries. A PubMed search was conducted to review the studies concerned with this issue in the context of developing countries, as diagnostic stability is more of a direct test of validity of psychiatric diagnoses. Four publications were found. According to the literature search, the stability percentage of the ICD-10 ATPD diagnosis is 63-100%. The diagnostic shift is more commonly either towards bipolar disorder or schizophrenia, if any. Shorter duration of illness (<1 month) and abrupt onset (<48 hours) predict a stable diagnosis of ATPD. Based on available evidence, the diagnosis of ATPD appears to be relatively stable in developing countries. However, it is difficult to make a definitive conclusion, as there is a substantial lack of literature in developing country settings. © S. Mehta, 2015.


PubMed | Ravinder Nath Tagore Medical College and Maharaja Agrasen Medical College
Type: Journal Article | Journal: Journal of ophthalmic & vision research | Year: 2016

To assess the reliability of school teachers for vision screening of younger school children and to study the pattern of vision problems.In this cross-sectional study, trained school teachers screened 5,938 school children aged 3 to 8 years for vision and ocular disorders. Children were cross screened by professionals to assess the reliability of the teachers in vision screening and detecting ocular disorders in these children. The pattern of visual acuity, ametropia and ocular disorders was studied.Sensitivity and specificity of the vision screening by school teachers was 69.2% (95% CI: 66.8-71.5%) and 95.3% (95% CI: 94.5-95.8%), respectively. The positive predictive value was 83.5% (95% CI: 81.4-85.6%) and negative predictive value was 89.8% (95% CI: 88.8-90.6%). The kappa statistic was 0.68 (95% CI: 0.66-0.7).School teachers could effectively screen younger school children for vision assessment and ocular disorders.

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