North Delhi Municipal Corporation Medical College

Delhi, India

North Delhi Municipal Corporation Medical College

Delhi, India
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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 | Year: 2016

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.


PubMed | South Delhi MCD Hospital, North Delhi Municipal Corporation Medical College and Maulana Azad Medical College
Type: Journal Article | Journal: Indian journal of dermatology | Year: 2016

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.


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 | Year: 2014

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.


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 | Year: 2016

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.


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 | Year: 2015

This study pertains to observe the pattern of fatal head injuries in road traffic accident. Post-mortem reports and clinical records of victim of RTA autopsied during the period of November 2013 to October 2014 at Department of Forensic Medicine and Toxicology, NDMC and Hindu Rao Hospital, New Delhi, were analyzed retrospectively. Out of 205 medico-legal autopsies conducted during the study period, RTA contributed to 105 cases of which head injuries comprised of 70 cases. Commonest age group was between 21 to 40 years Involving 40 (35.13%) cases. Motorcyclists were the major group of victims sustained head injuries. Skull fractures were present in 56 (80%) cases of head injuries; most common bone fractured was Temporal bone 38 (67.82%). The commonest type of intracranial hemorrhage was found to be subdural hemorrhage 56 (80%) followed by SAH and EDH. © 2015, World Informations Syndicate. All rights reserved.


Jyoti J.,North Delhi Municipal Corporation Medical College | Gupta D.,North Delhi Municipal Corporation Medical College | Chandr A.,North Delhi Municipal Corporation Medical College | Kale S.,Vardhman Mahavir Medical College and Safdarjang Hospital
Anaesthesia, Pain and Intensive Care | Year: 2016

Although epidural anesthesia is routinely practiced in all of the major clinical settings, accidental subdural block still remains its poorly understood complication which haunts anesthesiologists with its variable clinical presentation. A 40 years old patient given thoracic epidural anesthesia developed an episode of hypotension along with numbness in both arms and legs with sensory block upto C6 dermatome and some motor weakness, after giving loading dose of local anesthetic solution. She was successfully managed. Hence, patients receiving epidural anesthesia should be closely observed for any such untoward complication.


PubMed | North Delhi Municipal Corporation Medical College
Type: Journal Article | Journal: Contemporary clinical dentistry | Year: 2016

To provide scientific evidence on the outcome of a large number of cases treated by SealBio over the longer follow-up period.One hundred and thirty-four teeth in 116 patients presenting with pulp and periapical disease were randomly recruited between 2009 and 2014. SealBio was performed, and cases were followed up at regular intervals up to 6-year.Of the total 134 teeth treated, 16 teeth could not be followed up and 9 cases failed (7.62% of cases). In only 4 cases (approximately 3.38% of cases), the failure could be directly attributed to endodontic causes. In the remaining 5 cases, coronal leakage from under the crown margins or dislodged restoration was found after 3-5 years of treatment.SealBio was found to be a successful, nonobturation, regeneration-based endodontic treatment protocol. By cell homing of endogenous stem cells, a biological seal rather than an artificial seal with gutta-percha and sealer cement is possible to achieve. It is highly cost saving and easier to perform, in addition to other advantages, such as retreatment is much simpler, and postcore restoration is possible after SealBio treatment.


PubMed | North Delhi Municipal Corporation Medical College
Type: Journal Article | Journal: Pediatric reports | Year: 2015

Acute demyelinating encephalomyelitis (ADEM) usually occurs after viral infections or vaccination. Its occurrence after Plasmodium vivax infection is extremely uncommon. We report the case of an 8-year-old girl who had choreo-athetoid movements and ataxia after recovery from P.vivax infection. Diagnosis of ADEM was made on the basis of magnetic resonance imaging findings. The child responded to corticosteroids with complete neurological recovery.


PubMed | North Delhi Municipal Corporation Medical College, The Surgical Center and Dharamshila Hospital & Research Center
Type: Journal Article | Journal: Indian journal of surgical oncology | Year: 2015

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.


PubMed | North Delhi Municipal Corporation Medical College and All India Institute of Medical Sciences
Type: Journal Article | Journal: Journal of conservative dentistry : JCD | Year: 2016

This study aims to compare the periapical healing of teeth with asymptomatic apical periodontitis treated either by conventional apical preparation (CAP) or apical clearing technique (ACT).Twenty subjects with bilateral nonvital similar teeth exhibiting comparable periapical index (PAI) score were enrolled and randomly allocated. Group I (CAP, n = 20): Apical preparation three sizes greater (master apical file [MAF]) than the first binding file at the established working length. Group II (ACT, n = 20): Apical preparation three sizes greater than the MAF that was followed by dry reaming. Root canal therapy was accomplished in single-visit for all the teeth. They were pursued radiographically at 3, 6, 9 and 12 months. Pre- and post-treatment PAI scores were compared. To ascertain the proportion of healed teeth between the two groups, McNemar Chi-square test was applied.At 3, 6, and 9 months time interval the proportion of healed teeth for Group II (ACT) was greater in comparison to Group I (CAP) (P < 0.05). However, at 12 months follow-up period this difference was not significant (P = 0.08).ACT enhanced the healing kinetics. However, the long-term (12 months) radiographic outcome was similar for either technique.

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