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Sundriyal D.,Dharamshila Hospital & Research Center | Shirsi N.,Dharamshila Hospital & Research Center | kapoor R.,North Delhi Municipal Corporation Medical College | Jain S.,The Surgical Center | And 4 more authors.
Indian Journal of Surgical Oncology

Peripherally inserted central catheter (PICC) is a modern drug delivery system utilised in oncology practice. The purpose of this study was to determine the complications associated with PICCs within a one year study period. PICCs inserted in patients registered at Dharamshila Cancer Hospital and research centre from 1st July 2012 to 30th June 2013 were studied. Data was retrieved from the procedure room records, medical records department, department of radiology and department of microbiology. Data was collected by oncology residents and procedure team. A total of 246 PICCs were inserted during the one year period. Complete data was not available in 23 patients. 223 results were included in the final analysis. USG guidance was required in 14 patients (6.3%). Optimal PICC duration was achieved in 151 patients (67.7%). 28 patient developed culture positive infective complications (12.5%). 44 patients developed mechanical complications (19.7%). Our study shows a relatively higher rate of infective complications. PICC is an acceptable means of drug delivery system. © 2014, Indian Association of Surgical Oncology. Source

Bej P.,North Delhi Municipal Corporation Medical College | Chhabra P.,University of Delhi | Sharma A.K.,University of Delhi | Guleria K.,University of Delhi
Indian Journal of Community Health

Background: Preeclampsia and eclampsia during pregnancy contribute to maternal and fetal morbidity as well as mortality. The identification of the role of maternal nutrition during pregnancy will help in reducing morbidity and mortality. Aims & Objective: The objective of this study is to find out the role of nutrition, in the form of total calorie, protein, fruits, iron, folic acid and calcium intake in the development of preeclampsia and eclampsia among pregnant women in a tertiary level hospital. Material Methods: After ethical approval and informed consent, 122 women who delivered beyond 22 weeks of gestation and diagnosed as preeclampsia or eclampsia were selected. Simultaneously, 122 controls with no diagnosis of preeclampsia or eclampsia were selected from the post natal ward. Cases and controls were administered the same pre-tested questionnaire containing questions related to food and micronutrient intake by cases and control. Results: Logistic regression was applied in the statistical analysis. The factors that were found to be significant predictors of risk for development of preeclampsia and eclampsia were higher calorie intake (adjusted Odds Ratio (OR) 14.12 [6.41-43.23] P < 0.001), less protein intake (adjusted OR 3.87 [1.97-8.01] P < 0.001) during pregnancy. Fruits intake in both cases and controls were similar. 77.9% of cases and 84.4% of controls had taken iron tablets during their antenatal period. 75.4% of cases and 82.8% of controls had taken calcium tablets during their antenatal period. Iron and calcium intake is not significantly associated with development of preeclampsia and eclampsia. Conclusion: Higher calorie intake and less protein intake during pregnancy were associated with development of preeclampsia and eclampsia. Fruits intake, iron and calcium intake were not associated with development of preeclampsia and eclampsia. © 2015, Indian Association of Preventive and Social Medicine. All rights reserved. Source

Mahajan K.,North Delhi Municipal Corporation Medical College | Relhan V.,Maulana Azad Medical College | Relhan A.,South Delhi MCD Hospital | Garg V.,Maulana Azad Medical College
Indian Journal of Dermatology

Pityriasis rosea (PR) is a benign papulosquamous disorder seen commonly in clinical practice. Despite its prevalence and benign nature, there are still times when this common disorder presents in an uncommon way or course posing diagnostic or management problems for the treating physician. The etiopathogenesis of PR has always been a dilemma, and extensive research is going on to elicit the exact cause. This review focuses mainly on the difficult aspects of this benign common disorder such as etiopathogenesis, atypical manifestations, recurrent cases, differential diagnosis, therapy and pregnancy considerations. Although we could not find a black and white solution to all these problems, we have tried to compile the related literature to draw out some conclusions. © 2016 Indian Journal of Dermatology | Published by Wolters Kluwer - Medknow. Source

Rani N.,Lady Hardinge Medical College | Singh S.,Lady Hardinge Medical College | Dhar P.,All India Institute of Medical Sciences | Kumar R.,North Delhi Municipal Corporation Medical College
Journal of Clinical and Diagnostic Research

Objective: Variations in the arterial supply of human kidney have been observed frequently, either in routine dissections or surgical practice. The main objective of the present study was to describe the arterial segmental pattern of human kidneys and its variation by angiography and corrosion cast techniques. Materials and Methods: Forty kidneys were washed and a plastic cannula was inserted into renal artery and the omnipaque dye was injected into it and X-ray was taken. The corrosion casts were prepared by injecting coloured acetate butyrate (CAB) granules solution. Results: Five vascular segments of kidney were seen based on the branching pattern of the renal artery by angiography and corrosion cast techniques. The renal artery was divided into anterior and posterior branches. The anterior branch further divided into four branches viz. apical segmental artery (ASA), Upper segmental artery (USA), middle segmental artery (MSA), lower segmental artery (LSA) while the posterior branch continue as posterior segmental artery. The origins of segmental arteries were variable. In 60% cases apical segmental artery (ASA) had common origin with upper segmental artery (USA) while in 40% cases it took origin directly from the main renal artery. Similarly the variations in the origin of the other branches of anterior division of renal artery were observed. The posterior segmental artery (PSA) however was single and comparatively small and supplied the posterior surface of the kidney. Conclusion: The knowledge of the vascular pattern of the kidney is thus important for the purpose of angiography and surgical procedures especially for nephrectomy and kidney transplantation. Source

Sharma R.,North Delhi Municipal Corporation Medical College | Gupta N.,North Delhi Municipal Corporation Medical College | Kumar R.,North Delhi Municipal Corporation Medical College | Panigrahi M.K.,North Delhi Municipal Corporation Medical College
Medico-Legal Update

This study pertains to observe the extent of injuries due to ingestion of corrosive poisons. Post-mortem reports and clinical records of victim of poisoning autopsied during the period of January 2013 to December 2014 at Department of Forensic Medicine and Toxicology, NDMC Medical College and Hindu Rao Hospital, New Delhi, were analyzed retrospectively. Out of 376 medico-legal autopsies conducted during the study period, poisoning contributed to 83 cases of which Corrosive poisoning comprised 27 cases. Commonest age group was between 21 to 30 years Involving 9 (33.33%) cases. males have outnumbered females with 63% cases. Manner of death was suicidal (81%) in most of the cases. Perforations observed in the stomach wall in 22% cases while internal lesions without perforations were seen in 78% of cases. Maximum number of mortality (56%) were observed with in first 24 hours of hospitalization after ingestion of corrosive poison. © 2016, World Informations Syndicate. All rights reserved. Source

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