Pgimer And Rml Hospital

Delhi, India

Pgimer And Rml Hospital

Delhi, India
SEARCH FILTERS
Time filter
Source Type

Verma M.,Lady Hardinge Medical College | Joshi S.,Lady Hardinge Medical College | Tuli A.,Lady Hardinge Medical College | Raheja S.,Lady Hardinge Medical College | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2017

Introduction: Total hip arthroplasty is a commonly performed surgery now-a-day. There are regional and racial variations in the stature of the population worldwide. So there is always need of population specific data for making best fit prosthesis. Aim: The present study was done to measure the parameters of proximal femur and to analyse their correlation by using standard statistical analysis. materials and methods: Ninety one dry bones (44 left and 47 right) were used. Femur Head Diameter (FHD), Femur Neck Length (FNL), Femur Neck Diameter (FND), Femur Neck Thickness (FNT), Cervicodiaphyseal Angle (CDA) was directly measured with the help of anthropometric instruments. Femur Head Offset (FHO) and Vertical Offset (VO) were measured in the anteroposterior digital photographs. result: Normally distributed variables were compared using Student t-test (Unpaired data) to analyse significant effect. There was a significant difference between right and left side of FND and CDA. Pearson correlation coefficient was used to analyse the relationship among variables. FHO had high correlation with the vertical offset (0.687, p<0.001). conclusion: These parameters can be used for designing the prosthesis and plates for hip joint reconstructive surgeries suitable for Indian population. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.


Mehta A.,Vmmc And Safdarjung Hospital | Naik M.,Vmmc And Safdarjung Hospital | Abrol S.,Vmmc And Safdarjung Hospital | Garg P.,Pgimer And Rml Hospital | Joshi M.,Vmmc And Safdarjung Hospital
International Ophthalmology | Year: 2016

Purpose: To review cases of granuloma formation after sling surgery with a view to find out possible aetiological factors and propose a further plan of management Materials and methods: A retrospective analysis of 120 eyes of 108 patients who underwent frontalis sling surgery with silicone rod from Jan 2008 to Dec 2015 was conducted. All patients with severe ptosis and poor levator function who underwent frontalis sling surgery with silicone rod were included in the study irrespective of the cause of ptosis and method of passing the sling. A complete ophthalmic and ptosis examination was done. In all the cases, the prolene suture was tied over the sleeve to tighten it and it was buried along with the silicone rod in forehead pocket. All the cases with granuloma formation were first subjected to a microbiological examination including culture and sensitivity to antibiotics. All the patients were given a trial of antibiotics. Results: We encountered 10 cases of granuloma in 120 eyes of 108 patients operated during this period. The duration between time of surgery and presentation varied from 2 weeks to 4 months. The microbiological examination revealed positive culture in 5 cases. None of the cases responded to the course of antibiotics given for 10 days. The histopathological examination done in 5 cases (2 of them culture positive and 3 of them culture negative) revealed granulomatous inflammation of non-specific type. The sling was explanted in all cases which resulted in prompt resolution of granuloma in 7–10 days. Conclusions: The granuloma is primarily due to exposure of the sling itself or the sleeve enveloping the sling or the suture tied around the sleeve thereby. They do not respond to antibiotics but respond very well to explantation. These patients can be taken up for re-sling surgery after a waiting period of 3 months. © 2016 Springer Science+Business Media Dordrecht


Rayamane A.P.,Mysore Medical College and Research Institute | Pradeepkumar M.V.,Rajarajeswari Medical College and Hospital | Patra A.,JIPMER | Thejaswi H.T.,PGIMER and RML Hospital | And 2 more authors.
Journal of Indian Academy of Forensic Medicine | Year: 2015

One of the important finding in strangulation death is injury to laryngeal appendages. A cross sectional study was done to know the incidence of injury to laryngeal cartilages in strangulation deaths autopsied at our department from year 2010 to 2012. A total of 31 cases studied in which ligature strangulation accounted for 18 cases (12 male, 06 female) and manual strangulation 13 cases (7 male and 6 female). Fractures of the hyoid and/or thyroid cartilage were present in 23 cases. Out of 23 cases, hyoid bone fractures noted in 9 cases (23%) and thyroid cartilage fractures found in 17 cases (54%). In ligature strangulation cases hyoid bone fracture present in 5 cases (28%) and thyroid cartilage fracture present in 9 cases (50%). In manual strangulation cases hyoid bone fracture noted in 4 cases (31%) and thyroid cartilage fracture were seen in 8 cases (62%). Cricoid cartilage fracture was not found in our study. Among external features sub-conjunctival hemorrhage was seen in 19 cases and nasal bleeding in 10 cases. Hemorrhage in strap muscles seen in all cases. Thyroid cartilage fracture is more common than hyoid bone fracture in both Ligature and Manual strangulation deaths.


Mudgal S.,G B Pant Hospital | Jiloha R.C.,G B Pant Hospital | Kandpal M.,PGIMER and RML Hospital | Das A.,G B Pant Hospital
Indian Journal of Psychiatry | Year: 2014

Kleine-Levin syndrome (KLS) alias sleeping beauty syndrome, is a rare sleep disorder. Clinically presenting as episodes of hypersomnolence, behavioral and cognitive disturbances, hyperphagia and hypersexuality. KLS may have an idiopathic onset or may be precipitated by neurological event or infection. Until date, no definite underlying cause is established and neither there are any definitive management guidelines. It remains a diagnosis of exclusion after other psychiatric and neurological causes have been ruled out. Coloring of presentation with behavioral and mood elements makes it important for a psychiatrist to be well-informed about the condition to avoid the erroneous diagnosis. KLS is a devastating illness, which robs the patient of time, experiences, and relationships. An early diagnosis and effective management can help patient escape from the morbidity caused by this disorder. Armodafinil and oxcarbamazepine have found to be effective in two of the case. The emphasis of this report is to add to the existing clinical knowledge of neurologists, psychiatrists and physicians. In the future, research is needed on genetic etiology and management of this disorder.


This study has been carried out to assess the comparative efficacy of Prednisolone alone or thalidomide alone for the first attack of T2R, and combination of prednisolone plus thalidomide or prednisolone plus clofazimine for chronic and recurrent T2R. Efficacy of all four regimens was assessed on the basis of clinical recovery of T2R measured by reaction severity scores (RSS),visual analogue scale (VAS) and other relevant parameters, requirement of extra dose of steroid for clinical recovery, recurrence of T2R and side effects observed in each regimen. The designof study was an open prospective longitudinal single centre investigation. In the first episode T2R group I (prednisolone alone) the efficacy was 58.8% (10/17) compared to 93.75% (15/16) in Group 2 treated with thalidomide alone. This difference was statistically significant p <0.05 when compared using unpaired t test. When clinical outcome was compared in recurrent/relapse of T2R Groups 3 and 4, it was observed to be statistically significant p<0.05 when compared using unpaired t test. It was 82.35% (14/17) in Group 3 (prednisolone plus clofazimine) and 10/16 (62.5%) in Group 4 (prednislone plus clofazimine). To conclude, for the management of recurrent/chronic ENL, both the combinations-prednisolone with thalidomide or clofazimine appear to be efficacious. While prednisolone with thalidomide appears to be better than prednisolone and clofazimine, however, by 20 weeks difference narrows down. As of now these findings may be considered indicative and larger experience on more number of cases using robust statistical design is required for marching towards making recommendations for clinical application. © Hind Kusht Nivaran Sangh, New Delhi.


PubMed | Pgimer And Rml Hospital and Vmmc And Safdarjung Hospital
Type: | Journal: International ophthalmology | Year: 2016

To review cases of granuloma formation after sling surgery with a view to find out possible aetiological factors and propose a further plan of management MATERIALS AND METHODS: A retrospective analysis of 120 eyes of 108 patients who underwent frontalis sling surgery with silicone rod from Jan 2008 to Dec 2015 was conducted. All patients with severe ptosis and poor levator function who underwent frontalis sling surgery with silicone rod were included in the study irrespective of the cause of ptosis and method of passing the sling. A complete ophthalmic and ptosis examination was done. In all the cases, the prolene suture was tied over the sleeve to tighten it and it was buried along with the silicone rod in forehead pocket. All the cases with granuloma formation were first subjected to a microbiological examination including culture and sensitivity to antibiotics. All the patients were given a trial of antibiotics.We encountered 10 cases of granuloma in 120 eyes of 108 patients operated during this period. The duration between time of surgery and presentation varied from 2weeks to 4months. The microbiological examination revealed positive culture in 5 cases. None of the cases responded to the course of antibiotics given for 10days. The histopathological examination done in 5 cases (2 of them culture positive and 3 of them culture negative) revealed granulomatous inflammation of non-specific type. The sling was explanted in all cases which resulted in prompt resolution of granuloma in 7-10days.The granuloma is primarily due to exposure of the sling itself or the sleeve enveloping the sling or the suture tied around the sleeve thereby. They do not respond to antibiotics but respond very well to explantation. These patients can be taken up for re-sling surgery after a waiting period of 3months.


PubMed | PGIMER and RML Hospital and Maulana Azad Medical College and G B Pant Hospital
Type: Journal Article | Journal: Indian journal of psychiatry | Year: 2014

Kleine-Levin syndrome (KLS) alias sleeping beauty syndrome, is a rare sleep disorder. Clinically presenting as episodes of hypersomnolence, behavioral and cognitive disturbances, hyperphagia and hypersexuality. KLS may have an idiopathic onset or may be precipitated by neurological event or infection. Until date, no definite underlying cause is established and neither there are any definitive management guidelines. It remains a diagnosis of exclusion after other psychiatric and neurological causes have been ruled out. Coloring of presentation with behavioral and mood elements makes it important for a psychiatrist to be well-informed about the condition to avoid the erroneous diagnosis. KLS is a devastating illness, which robs the patient of time, experiences, and relationships. An early diagnosis and effective management can help patient escape from the morbidity caused by this disorder. Armodafinil and oxcarbamazepine have found to be effective in two of the case. The emphasis of this report is to add to the existing clinical knowledge of neurologists, psychiatrists and physicians. In the future, research is needed on genetic etiology and management of this disorder.

Loading Pgimer And Rml Hospital collaborators
Loading Pgimer And Rml Hospital collaborators