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Varshney A.,Muzaffarnagar Medical College & Hospital | Goyal T.,Muzaffarnagar Medical College & Hospital | Zawar V.,Skin Diseases Center Nashik | Tinguely M.,Research Unit | Kempf W.,Research Unit
International Journal of Dermatology | Year: 2016

Patients with a lymphoma have an increased risk of developing a second lymphoproliferative disorder. The association of nodal Hodgkin lymphoma and primary cutaneous marginal zone lymphoma (MALT type) is exceptional, and only very few cases have been documented. Anetoderma represents a circumscribed loss or rarefication of elastic fibers. Different underlying processes may result in anetoderma, including cutaneous marginal zone lymphoma. We report a 50-year-old male patient with Epstein–Barr virus (EBV)-associated nodal Hodgkin lymphoma who presented with disseminated anetodermic skin lesions. Biopsies of the skin lesions revealed a B-cell infiltrate containing monoclonal plasma cells but without detection of EBV. The skin lesions represent an anetodermic form of primary cutaneous marginal zone lymphoma. It is the first case report of an association of anetodermic cutaneous marginal zone lymphoma and a synchronous EBV-associated nodal Hodgkin lymphoma. © 2016 The International Society of Dermatology


Davey S.,Muzaffarnagar Medical College Hospital | Davey A.,Subharti Medical College | Singh J.V.,Muzaffarnagar Medical College Hospital | Raghav S.K.,Muzaffarnagar Medical College Hospital
Indian Journal of Community Health | Year: 2013

Background: The role of mobile in health system is now important for us, to make use of this very fastly growing technology in improving the public health of Indian people. Objectives: To critically review the role of m-health in public health system of India. Methods: A systematic review of related studies and literature of last 10 years published in pubmed etc till 31st March 2013 on role of m-Health in public health was done. Results and discussion: A wide variety of m-health applications are available in mobile phone market, needing proper regulation from health care authorities and with a hope of better future results. Recommendations: We must use these applications weighing their benefits and utility in public health as well as capitalizing the better prospect of m-health worldwide in the field of public health. This can give a greater access to larger segments of a rural and underserved population in developing countries like India with a hope of improving the capacity of health system to provide quality healthcare to Indian people.


Singh P.K.,Muzaffarnagar Medical College & Hospital | Agrawal M.,Muzaffarnagar Medical College & Hospital | Agrawal S.C.,Muzaffarnagar Medical College & Hospital | Sharan R.,Muzaffarnagar Medical College & Hospital | And 2 more authors.
Indian Journal of Public Health Research and Development | Year: 2016

Introduction: A ring enhancing lesion in brain imaging is a common feature in the Indian subcontinent. The size, shape, wall thickness of ring-enhancing lesions and extent of surrounding edema, and importantly, clinical history and age of the patient may help to distinguish the etiology. Objective: To study the clinical profile of children having seizures and their correlation with ring lesions including their type, number and size. Material & Method: The study was conducted at the Department of Paediatrics, Muzaffarnagar Medical College & Hospital, Muzaffarnagar. A total of 117 children (1-18 yrs), presenting with different types of seizures from April 2014 to June 2015 were taken up for the study. Detailed clinical history of seizures was taken, and general and systemic examination was done. All patients underwent hematological & biochemical investigations, chest xray, Montoux test and cranial computed tomography. Results: There was male predominance in the study(51.15 %). Complex partial seizures was the most common type (53.27%). Majority of the lesions were single(37.38%) with the parietal lobe being the commonest site of occurrence(33.64%). The commonest etiology was neurocysticercosis (51.41%) followed by tuberculoma(6.55%). Conclusion: We can conclude that the most common cause of ring enhancing lesion on cranial CT in 1-18 yrs of children is neurocycsticercosis followed by tuberculoma. © 2016, Indian Journal of Public Health Research and Development. All rights reserved.


Singhal S.,Muzaffarnagar Medical College & Hospital | Bansal S.,Muzaffarnagar Medical College & Hospital | Goel Y.,Muzaffarnagar Medical College & Hospital
Indian Journal of Public Health Research and Development | Year: 2016

Asthma is a chronic disorder of the bronchial tree, characterized by completely or partially reversible airway obstruction, which may improve spontaneously or may subside only after specific therapy. The aim of this study was to evaluate the efficacy of inhalation therapy in bronchial asthma in Children betwen (6-18 yrs) of age to find the frequency of its use, role of practitioners in prescribing inhalation therapy,role of inhaled steroids and B2 agonists, technique of using inhaler devices, & its continuances. Material and Method: The study was conducted at the Department of Paediatrics, Muzaffarnagar Medical College & Hospital, Muzaffarnagar. A total of 150 children (6-18 yrs), presenting with bronchial asthma from june 2014 to december 2015 were taken up for the study. Detailed clinical history was taken, and general and systemic examination was done. All patients underwent relevant investigation. Results: 127(84.6%) children were on inhalation therapy. Out of 127 use we found 74 (58.3 %) children were regular using & 53 (41.7 %) were using only on demand. All patients were on beta-2 agonist inhalers at the dose of 400 mcg. The concurrent use of oral short acting B2 agonist and steroids was seen in 107 (84%) and 41 (32.2%) children respectively. Metered dose inhalers (MDIs) were most frequently used inhaler devices in 100 (78.7%) cases, dry powder inhalers (rotahalers) in 27 (3.9%) cases and spacers by 11 (8.6) and Nebulizer by 5 (8.6%) cases respectively. Conclusions: inhalation therapy was being prescribed in large number of asthmatic children. The main reasons for ineffective inhalation therapy were, underuse of inhaled steroids, overuse of B2 agonists and incorrect use of inhaler devices. There is an urgent need to educate in regards to usefulness of inhaled steroids, as on demand use of B2 agonists, demonstration of correct inhalation technique to patients, use of spacer devices and peak flow monitoring. © 2016, Indian Journal of Public Health Research and Development. All rights reserved.


Sharma B.,Muzaffarnagar Medical College & Hospital | Singhal S.,Muzaffarnagar Medical College & Hospital | Agrawal S.C.,Muzaffarnagar Medical College & Hospital | Goel Y.,Muzaffarnagar Medical College & Hospital
Indian Journal of Public Health Research and Development | Year: 2016

Introduction: Anemia is one of the most commonly encountered clinical entities in children. The causes of anemia in India are different from that in the western world, because of high prevalence of malnutrition & infection. Severe anemia i.e. Hb%<8g/dl in adolescents and school going children and <7g% in pre-school children is responsible for high mortality and morbidity in children. Hence, the present study was done to know the etiology, hematological changes, clinical presentation age and sex distribution of severe anemia in infancy and childhood, so that effective preventive and curative measures can be taken to decrease the incidence of severe anemia. Design: Prospective study Material & Method: 200 children whose Hb% was <8g/dl were studied. Detailed clinical evaluation and hematological investigations were done in every case. Some other investigation wherever required were also done. Results: In the present study more than half of the case were seen in age group of 0-5 years (i.e. 60%). A great majority (90%) of the children were malnourished. The most common type of anemia was iron deficiency anemia (61.5%), followed by hemolytic anemia (28.5%), malaria being the major cause. Conclusions: Severe anemia is very common in under 5 children and most of these children had iron deficiency anemia. © 2016, Indian Journal of Public Health Research and Development. All rights reserved.


PubMed | Muzaffarnagar Medical College & Hospital
Type: Journal Article | Journal: The Indian journal of tuberculosis | Year: 2016

The tobacco use is significant in Indian rural population. Among them, elderly people in rural area are at special risk due to ageing and other factors. The impact of tobacco use on elderly health, therefore, needs to be studied in depth in rural context.To study the patterns of tobacco use and its consequent impact on pulmonary health of the elderly.A community-based cross-sectional study was done (April 1st to September 30th, 2014) in the field practice area (village Bilaspur) of Rural Health Training Centre (RHTC) of Muzaffarnagar Medical College, Muzaffarnagar. A simple random sampling was used and elderly of 60 years and above were interviewed by semi-structured interview schedule. The data were analyzed by software Epi-info. version 7.1.3.3.The prevalence of tobacco usage among elderly was 56.7%, in which smoking was the dominant one (37%) and majority being in the form of Bidi (56.7%). Tobacco usage was significantly associated not only with age, sex, and caste (p<0.05 each), but occupational and socio-economic status (p<0.01 each) also; however, literacy was the most significant factor (p<0.0001) among all. The tobacco usage in smoking form was highly significantly associated with the presence of chronic obstructive pulmonary disease (p<0.0001), elucidating a significant impact on their pulmonary health. The rural elderly people need health education regarding curtailing the use of tobacco for their better health from health clinics.


PubMed | Muzaffarnagar Medical College & Hospital, Dr Vasantrao Pawar Medical College and Research Center and Godavari Foundation Medical College
Type: Journal Article | Journal: Skinmed | Year: 2016

Woronoff ring has been mostly discussed as a phenomenon in psoriasis, especially during therapy. It has also been reported in a few other conditions unrelated to psoriasis; however, the association of Woronoff ring has not been reported in immunocompetent, healthy, and untreated patients with molluscum contagiosum who have no apparent systemic illness. The authors report a case series of Woronoff ring seen in untreated immunocompetent patients with molluscum contagiosum involving different age groups.


PubMed | Research Unit, Muzaffarnagar Medical College & Hospital and Skin Diseases Center Nashik
Type: Journal Article | Journal: International journal of dermatology | Year: 2016

Patients with a lymphoma have an increased risk of developing a second lymphoproliferative disorder. The association of nodal Hodgkin lymphoma and primary cutaneous marginal zone lymphoma (MALT type) is exceptional, and only very few cases have been documented. Anetoderma represents a circumscribed loss or rarefication of elastic fibers. Different underlying processes may result in anetoderma, including cutaneous marginal zone lymphoma. We report a 50-year-old male patient with Epstein-Barr virus (EBV)-associated nodal Hodgkin lymphoma who presented with disseminated anetodermic skin lesions. Biopsies of the skin lesions revealed a B-cell infiltrate containing monoclonal plasma cells but without detection of EBV. The skin lesions represent an anetodermic form of primary cutaneous marginal zone lymphoma. It is the first case report of an association of anetodermic cutaneous marginal zone lymphoma and a synchronous EBV-associated nodal Hodgkin lymphoma.

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