Narayan Medical College and Hospital

Sasaram, India

Narayan Medical College and Hospital

Sasaram, India
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Shandilya G.,AIIMS PatnaBihar | Sinha R.K.,Narayan Medical College and Hospital | Ekka N.,Rajendra Memorial Research Institute of Medical Sciences | Kumar V.,Rajendra Memorial Research Institute of Medical Sciences
Journal of Clinical and Diagnostic Research | Year: 2017

Stones are very frequently found in the gallbladder and urinary tract. Rarely the thyroid gland can be a site for stone formation. Few cases of calcification in thyroid gland have been described in the medical literature in association with papillary carcinoma and multinodular goiter. A unique case of a thyroid swelling studded with multiple stones in its parenchyma, in the histopathological background of sclerosing thyroiditis in an 80-year-old male is documented here. Surgical excision was undertaken with an uneventful postoperative period. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.


Aslami A.N.,Narayan Medical College and Hospital
Indian pediatrics | Year: 2016

We carried out this study to assess iodine deficiency disorders among school children of 6-12 years age group in Aligarh district of India. The prevalence of goiter was 5.2%. Median Urinary Iodine Excretion level was 150 ug/L; 22.5% of students had biochemical iodine deficiency. 50.4% households were consuming adequately iodized salt.


Alam F.,Narayan Medical College and Hospital | Aziz U.B.A.,Narayan Medical College and Hospital | Aslami A.N.,Narayan Medical College and Hospital
Journal of Indian Academy of Forensic Medicine | Year: 2017

Endosulfan is a chlorinated insecticide that causes CNS hyper-stimulation state. Mortality and morbidity rates are high and there is no specific treatment for this toxicity. A retrospective study of endosulfan poisoning cases was conducted in the NIMS Medical College & Hospital, Jaipur, Rajasthan to assess endosulfan poisoning cases and to find out the association between seizures and mortality. Data was retrieved from clinical records and laboratory files. Diagnosis was based on history and clinical findings. Blood samples of all the patients were sent for toxicological analysis. Out of 42 cases, 36 (85.7%) were males and 6 (14.3%) were females. Mean age of the victims was 34 years. 76.2% patients were farmers. The most common mode of poisoning was suicidal (95.2%). The total mortality rate was 78.6%. Generalized Tonic Clonic (GTC) type seizures were recorded in 83.3% cases. The association between mortality and GTC Seizure was found to be significant (p < 0.0001). This study seeks to draw special attention from the government and implementation of strict legal guidelines to curb the menace of endosulfan poisoning.


PubMed | Laser Eye Clinic, Sharda University and Narayan Medical College and Hospital
Type: Journal Article | Journal: Journal of cytology | Year: 2016

Prolonged contact lens wear is often accompanied by dryness of the eyes. The aim of this study was to compare conjunctival impression cytology (CIC) and tear film tests such as tear film break up time (TBUT) and Schirmer test for dry eye evaluation in contact lens wearers and measure their correlation with dry eye symptoms.A case control study was done at three referral eye centers.The eyes of 230 contact lens users were compared to 250 eyes of age- and sex-matched controls. Participants were recruited based on their response to a questionnaire of dry eye symptoms, (Dry Eye Scoring System, DESS()) and measurements of TBUT, Schirmer test, and CIC was done. A correlation analysis between symptom severity and tear film tests was performed. Pearsons coefficient, R(2) > 0.5 was considered significant.As compared to controls (r (2) = 0.010), Nelson grade correlated significantly with dry eye symptoms (r (2) = 0.765), among cases. However, there was moderate correlation between dry eye symptoms, Schirmer test, and TBUT (r (2) = 0.557 and 0.530, respectively) among cases and a weak correlation among controls (r (2) = 0.130 and 0.054, respectively). The sensitivity of TBUT was 86.4%, specificity was 82.4%, positive likelihood ratio (LR) was 4.50 [95% confidence interval (CI) 3.46-5.85)], and negative LR was 0.09. The sensitivity of the Schirmer test was 48.2%, specificity 88%, LR 2.12 (95% CI 1.48-2.96), and negative LR 0.83.CIC correlates better than Schirmer and TBUT with dry eye symptoms. It may be the most appropriate test for dry-eye evaluation in contact lens wearers.


Bhargava R.,Santosh Medical College and Hospital | Kumar P.,Santosh Medical College and Hospital | Kumar M.,Narayan Medical College and Hospital | Mehra N.,Santosh Medical College and Hospital | Mishra A.,Santosh Medical College and Hospital
International Journal of Ophthalmology | Year: 2013

AIM: To evaluate the role of dietary supplementation of omega-3 fatty acids in dry eye syndrome. METHODS: A prospective, interventional, placebo controlled, double blind randomized trial was done at two referral eye centers. Two hundred and sixty-four eyes of patients with dry eye were randomized to receive one capsule (500mg) two times a day containing 325mg EPA and 175mg DHA for 3 months (omega-3 group). The omega-3 group was compared to a group of patients (n=254) who received a placebo (placebo group). There were 4 patient visits (at baseline, 1 month, 2 months and 3 months). On each visit, recording of corrected distance visual acuity (CDVA), slit lamp examination and questionnaire based symptom evaluation and scoring was done. A symptomatic score of 0-6 was mild, 6.1-12 moderate and 12.1-18 severe dry eye. Response to intervention was monitored by routine tear function tests like Schirmer I test, tear film break-up time (TBUT), Rose Bengal staining and most notably, conjunctival impression cytology. RESULTS: Sixty-five percent of patients in the omega-3 group and 33% of patients in placebo group had significant improvement in symptoms at 3 months (P =0.005). There was a significant change in both Schirmer's test value and TBUT values in the omega-3 group (P< 0.001), both comparisons. However, there was a larger drift in TBUT values in omega-3 than the placebo group, in comparison to Schirmer's test values. The mean TBUT score was 2.54±2.34 in the omega-3 group and 0.13±0.16 in placebo group, respectively. The mean reduction in symptom score in omega-3 group was 2.02 ±0.96 as compared to 0.48 ±0.22 in placebo group (P<60.001). Despite a slight increase mean score, the Schirmer scores did not correlate well with symptomatic improvement. CONCLUSION: Omega-3 fatty acids have a definite role for dry eye syndrome. The benefit seems to be more marked in conditions such as blepharitis and meibomian gland disease. The role of omega fatty acids in tear production and secretion needs further evaluation.


Kumar M.K.,Narayan Medical College and Hospital | Suman S.K.,Narayan Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2012

Radial club hand is a longitudinal deficiency along the radial side of the upper extremity. Complete absence is the most common longitudinal deficiency. It can be diagnosed on the inspection of the forearm in an X-ray. It is frequently syndromatic and so it is imperative to look for associated congenital abnormalities or syndromes by doing a thorough clinical examination and appropriate investigations. An early diagnosis and a timely operative correction give a better outcome. We report here, a 7 year old neglected case of radial club hand as an isolated anomaly.


Kumar M.,Narayan Medical College and Hospital | Singh P.,Narayan Medical College and Hospital | Patel P.,Narayan Medical College and Hospital
Journal of Natural Science, Biology and Medicine | Year: 2014

Objective: To study the clinical features, absolute eosinophil count, and total immunoglobulin E (IgE) level and their association with severity of atopic dermatitis in Eastern Indian children (Bihar). Design: Prospective hospital-based study. Settings: Pediatrics out-patient Department (OPD) and Dermatology OPD of a Tertiary Care Teaching Hospital located in Rohtas District of Bihar. The study was carried out over a period of 2 years during January 2010 to December 2011. Participants: One hundred and thirty two children aged 0 month to 15 years were diagnosed with atopic dermatitis. Main Outcome: Demographic profile, common clinical features, absolute eosinophil count, and total IgE level and their correlation with severity of atopic dermatitis in Eastern Indian children. Results: Out of a total 1829 pediatric patients aged 0 month to 15 years with some pediatric dermatoses, 132 (7.21%) had atopic dermatitis. Of 132 patients, 57 (43.2%) were boys and 75 (56.8%) were girls, with a male to female ratio 1:1.3. Of these 29 were infants and 103 were children. Two (62.1%) patients belonged to rural area whereas 50 (37.9%) belonged to urban area. Personal history, family history (up to third degree relatives), and both personal and family history of atopy were present in 43.18%, 33.34%, and 12.1% of the subjects respectively. Majority (89.4%) of patients had onset before 5 years of age. In infantile Atopic dermatitis (AD), mean age ± SD at onset was 5.2 months ± 3.01 months. In infantile group, 8 (27.6%) had mild, 14 (48.3%) moderate, and 7 (24.1%) had severe atopic dermatitis. Infantile AD had statistically significant higher SCORing Atopic Dermatitis (SCORAD) index score in all three grades of severity of the disease. One hundred and three patients had childhood AD, out of which 40 (38.8%) were boys and 63 (61.2%) were girls, with a male to female ratio 1:1.57. In childhood AD, mean age ± SD at onset of the disease was 3.47 years ± 3.02 years. Sixty three (61.1%) belonged to rural area whereas 40 (38.9%) were from urban area. One hundred and thirty (98%) patients presented with itching. Ninety two (69.7%) patients had high absolute eosinophils count (AEC) with mean ± SD of 1004.1 ± 596.2 (range 325-2510). Eighty seven (65.9%) patients had increased total serum immunoglobulin E (TsIgE) with mean ± SD value of 1127.11 IU/ml ± 731.69 IU/ml (range: 125-2680 IU/ml). Conclusion: Epidemiological data on atopic dermatitis in India are mainly hospital-based, true-point prevalence in community is still scanty. Although the prevalence of AD is considered to be increasing, it still remains low in comparison to developed countries. In Indian children, the disease is relatively milder than children of developed countries. This study identified that both AEC and TsIgE increased significantly in about 66% patient and directly correlated with the severity of the AD.


Singh M.,Narayan Medical College and Hospital | Kumar M.,Narayan Medical College and Hospital | Singh R.,Narayan Medical College and Hospital
Journal of Natural Science, Biology and Medicine | Year: 2014

Mucocele of the appendix is an aseptic dilatation secondary to obstruction. The preoperative clinical diagnosis of appendiceal mucoceles can therefore be difficult because of this lack of clinical symptomotology. Surgical excision is the treatment of choice in benign mucocele. We report a case presenting to the surgeons where initial clinical findings and investigations suggested a cyst in the right adnexa. Diagnostic laparoscopy revealed mucocele of the appendix and laparoscopic appendicectomy was done.


Kumar M.K.,Narayan Medical College and Hospital | Singh B.B.,Narayan Medical College and Hospital
Annals of Indian Academy of Neurology | Year: 2012

Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is a rare neurodegenerative disease seen mainly in the Aggarwal community in India. It is characterized by early-onset macrocephaly with mild motor developmental delay, gradual onset ataxia, spasticity, seizures and usually late onset mild cognitive deterioration. Very few familial cases of MLC have been reported in the world literature, and to the best of our knowledge, there is no published study of all three siblings affected with MLC in a same family. Here, we are reporting three siblings belonging to a non-Aggarwal Hindu family, affected with MLC, who presented with early-onset macrocephaly and gradual onset ataxia.


Kant Kumar M.,Narayan Medical College and Hospital | Kumar V.,Narayan Medical College and Hospital | Kumar Singh P.,Narayan Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Wilson's Disease (WD) is a rare, autosomal, recessive, inborn error of the copper metabolism, which is caused by a mutation in the copper-transporting gene, ATP7B. The presentation is usually neurologic or hepatic, which is seen in 40% of the patients. The diagnosis depends primarily on the clinical features, the biochemical parameters and the presence of the Kayser - Fleischer ring. Here, we are reporting two siblings who were affected by Wilson's disease, with only neurological manifestations, without any hepatic involvement.

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