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Chauhan V.,Rajendra Prasad Government Medical College | Sharma R.,Rajendra Prasad Government Medical College | Sharma K.,Rajendra Prasad Government Medical College | Sharma G.,Rajendra Prasad Government Medical College | And 2 more authors.
Toxicology International | Year: 2014

Reddish black discoloration of urine in absence of red blood cells (RBCs) can be a manifestation of hemoglobinuria or myoglobinuria. We report a patient who was admitted for persistent vomiting. On 2 nd day of admission, his urine turned reddish black. The patient then revealed that he had ingested mothballs 1 day back to commit suicide. The patient was managed conservatively with intravenous (IV) fluids and antiemetics. Mothballs are rarely reported as a suicidal agent and most cases are related to accidental exposure of children while playing. IV hemolysis is also reported with mothball ingestion. Our patient quickly became normal within 24 h and there was no residual organ damage.

Chauhan V.,Rajendra Prasad Government Medical College | Mahesh D.M.,Rajendra Prasad Government Medical College | Panda P.,Rajendra Prasad Government Medical College | Mahajan S.,Rajendra Prasad Government Medical College | Thakur S.,Indira Gandhi Medical College
Journal of Association of Physicians of India | Year: 2012

Tuberculosis of the oral cavity is a very rare disease and accounts for less than one percent of all cases of tuberculosis. Primary lesions are extremely rare. Presentation is as a single ulcer, may be painful, however multiple painless ulcers have been described. Tongue is the most common oral site involved. The palate, buccal mucosa, floor of the mouth, gingiva, and lips are other possible sites. We hereby report a case of TBCO, a very rare manifestation of tuberculosis. © JAPI.

PubMed | Sri Aurbindo Institute of Medical science, Center for Chronic Disease Control, Pondicherry Institute of Medical science, Center for Control of Chronic Conditions and 4 more.
Type: | Journal: BMC public health | Year: 2016

Effective task-shifting interventions targeted at reducing the global cardiovascular disease (CVD) epidemic in low and middle-income countries (LMICs) are urgently needed.DISHA is a cluster randomised controlled trial conducted across 10 sites (5 in phase 1 and 5 in phase 2) in India in 120 clusters. At each site, 12 clusters were randomly selected from a district. A cluster is defined as a small village with 250-300 households and well defined geographical boundaries. They were then randomly allocated to intervention and control clusters in a 1:1 allocation sequence. If any of the intervention and control clusters were <10 km apart, one was dropped and replaced with another randomly selected cluster from the same district. The study included a representative baseline cross-sectional survey, development of a structured intervention model, delivery of intervention for a minimum period of 18 months by trained frontline health workers (mainly Anganwadi workers and ASHA workers) and a post intervention survey in a representative sample. The study staff had no information on intervention allocation until the completion of the baseline survey. In order to ensure comparability of data across sites, the DISHA study follows a common protocol and manual of operation with standardized measurement techniques.Our study is the largest community based cluster randomised trial in low and middle-income country settings designed to test the effectiveness of task shifting interventions involving frontline health workers for cardiovascular risk reduction.CTRI/2013/10/004049 . Registered 7 October 2013.

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