Shaheed Hasan Khan Mewati Government Medical College

Haryana, India

Shaheed Hasan Khan Mewati Government Medical College

Haryana, India

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Kalhan S.,Shaheed Hasan Khan Mewati Government Medical College | Sharma P.,Army Hospital Research and Referral | Kakria N.,Army Hospital Research and Referral | Gupta A.,Saraswathi Institute of Medical science
Lung India | Year: 2015

Paragonimiasis is a food-borne parasitic zoonosis caused by the genus Paragonimus. Fresh water snails, crabs, and crayfish are the first and second intermediate hosts, respectively. Humans acquire this infection by ingesting uncooked/undercooked crustaceans. Laboratory diagnosis of Paragonimiasis is done by demonstration of ova in the sputum/feces/pleural fluid or by serology. A case of pulmonary Paragonimiasis is presented herewith; the patient having been diagnosed with pulmonary tuberculosis earlier. The aim of this presentation is to highlight this entity so that it is considered in the differential diagnosis in a case of hemoptysis. © 2015, Medknow. All rights reserved.


PubMed | Army Hospital Research & Referral, Government Medical College and Shaheed Hasan Khan Mewati Government Medical College
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2014

Pancreatic endocrine tumours are rare in occurrence. They may present with a baffling range of symptoms which pose a diagnostic dilemma. Two cases of pancreatic insulinoma are presented herewith. Both presented with neuro-psychiatric complaints and were treated symptomatically for depression, anxiety, seizures etc. The diagnosis in these patients was missed for years. Insulinoma being a great diagnostic challenge, requires reasonably high clinical suspicion, accurate biochemical diagnosis and radiological localization to avoid extensive surgery. The aim is to highlight the occurrence of this rare tumour at a tertiary care hospital.


PubMed | NIMS Medical College & Hospital, Shaheed Hasan Khan Mewati Government Medical College, JSS Medical College, Post Graduate Institute of Medical Education and Research and 9 more.
Type: Journal Article | Journal: The International journal of social psychiatry | Year: 2016

To assess the phenomenology and associated beliefs in patients with Dhat syndrome.A total of 780 male patients aged more than 16 years were recruited from 15 centers spread across the country and were assessed on Dhat Syndrome Questionnaire.The most commonly reported reasons for passage of Dhat were excessive masturbation (55.1%), sexual dreams (47.3%), excessive sexual desire (42.8%) and consumption of high energy foods (36.7%). The most common situation in which participants experienced passage of Dhat were as night falls (60.1%) and while passing stools (59.5%). The most common consequence due to passage of Dhat was weakness in sexual ability (75.6%). In terms of psychological and somatic symptoms, the common symptoms included bodily weakness (78.2%); feeling tired or having low energy (75.9%); feeling down, depressed, or hopeless (67.9%); and little interest or pleasure in doing things (63.7%). In terms of treatment expectations, about half of the patients (49.1%) expected that energizing medications like vitamins/tonics/tablets were required and more than one-third (38.2%) expected that there was a need for taking energizing injections.Present study shows that Dhat syndrome is a distinct clinical entity seen all over India, with its characteristic features.


Singh A.,Shaheed Hasan Khan Mewati Government Medical College | Bairwa M.,All India Institute of Medical Sciences | Goel S.,Teerthanker Mahaveer Medical College and Research Center | Bypareddy R.,All India Institute of Medical Sciences | Mithra P.,Kasturba Medical College
Malaysian Journal of Medical Sciences | Year: 2016

Background: Surrogate markers simple enough to be used by primary care workers have not been closely investigated by the community experts in rural Uttar Pradesh. We assessed the physical disabilities in activities of daily living (ADL) and unmet need in physical disabilities among rural elderly. Predictors of unmet needs in physical disabilities among the elderly were also identified. Methods: A community based cross-sectional study was conducted among elderly residents of the rural field practice area of a tertiary care centre in rural Uttar Pradesh. Three hundred and thirty five (335) participants aged 60 years and above from 9 villages were selected using the Probability Proportional to Size (PPS) sampling technique. Study tools were the proforma regarding socio-demographic details, socio-economic status and Stanford Health Assessment Questionnaire. Multivariate logistic regression analysis was performed to identify predictors of unmet needs. Results: 185 (55.2%) had physical disability in one or more activity limitation. Gender wise elderly females had more physical disability in one or more ADL categories than elderly males (66.8% vs. 42.0%). Almost one third (32.5%) of subjects had unmet need for one or more physical disabilities. the predictors of unmet needs that were identified in the study were female gender (P = 0.046), elderly aged 70 years and above (P = 0.032), those living alone (P = 0.035), low monthly family income (P = 0.044), financially fully dependent elderly (P = 0.0002), and those having 3 or more physical disabilities (P = 0.033). Conclusions: The findings of the study highlight that large number of needs of the disabled are still unmet. Greater, targeted efforts are needed to identify at-risk elderly people living in the community. These predictors would act as surrogate markers and can be easily used by primary care workers to plan and provide services to the elderly people in rural communities. © Penerbit Universiti Sains Malaysia, 2016.


PubMed | Teerthanker Mahaveer Medical College and Research Center, Kasturba Medical College, Shaheed Hasan Khan Mewati Government Medical College and All India Institute of Medical Sciences
Type: Journal Article | Journal: The Malaysian journal of medical sciences : MJMS | Year: 2016

Surrogate markers simple enough to be used by primary care workers have not been closely investigated by the community experts in rural Uttar Pradesh. We assessed the physical disabilities in activities of daily living (ADL) and unmet need in physical disabilities among rural elderly. Predictors of unmet needs in physical disabilities among the elderly were also identified.A community based cross-sectional study was conducted among elderly residents of the rural field practice area of a tertiary care centre in rural Uttar Pradesh. Three hundred and thirty five (335) participants aged 60 years and above from 9 villages were selected using the Probability Proportional to Size (PPS) sampling technique. Study tools were the proforma regarding socio-demographic details, socio-economic status and Stanford Health Assessment Questionnaire. Multivariate logistic regression analysis was performed to identify predictors of unmet needs.185 (55.2%) had physical disability in one or more activity limitation. Gender wise elderly females had more physical disability in one or more ADL categories than elderly males (66.8% vs. 42.0%). Almost one third (32.5%) of subjects had unmet need for one or more physical disabilities. the predictors of unmet needs that were identified in the study were female gender (The findings of the study highlight that large number of needs of the disabled are still unmet. Greater, targeted efforts are needed to identify at-risk elderly people living in the community. These predictors would act as surrogate markers and can be easily used by primary care workers to plan and provide services to the elderly people in rural communities.


Singhal S.,Postgraduate Institute of Medical science Campus | Katyal S.,Shaheed Hasan Khan Mewati Government Medical College | Singh S.K.,Shaheed Hasan Khan Mewati Government Medical College
Journal of Gynecologic Surgery | Year: 2014

Background: Vaginal leiomyoma is a rare solid tumor with variable clinical presentation. It is often difficult to diagnose, and its management is quite challenging. Case: The case of a 50- year-old multipara who presented with the chief complaints of menorrhagia, lower abdominal pain, and difficulty in defecation, is presented. On physical examination and ultrasonography, the tumor was diagnosed as a cervical fibroid that was 8×9. Hysterectomy was planned, but as preoperative diagnosis of vaginal leiomyoma was made, the leiomyoma was removed by an abdominal route. Results: This patient's postoperative period was uneventful. Conclusions: Although it is a rare tumor, a vaginal leiomyoma may present with a variety of clinical features and may be mistaken preoperatively for a cervical fibroid. Excision and enucleation are the treatments of choice. Removal of the tumor through an abdominal route appears to be the optimum management plan if the base of the tumor is not approachable. (J GYNECOL SURG 30:187) © Copyright 2014, Mary Ann Liebert, Inc. 2014.


PubMed | Lady Hardinge Medical College, Pt. B.D. Sharma PGIMS and Shaheed Hasan Khan Mewati Government Medical College
Type: Journal Article | Journal: Journal of family medicine and primary care | Year: 2014

To strengthen the surveillance system in India, Integrated Disease Surveillance Program (IDSP) was launched in 2004. The frequent occurrence of epidemics even after the launching of the IDSP was an indication toward inadequacy of the system. The responsibility for effective implementation of IDSP at the sub-center level lies with the health workers.The aim of the following study was to assess the knowledge and practice of health workers regarding IDSP and to assess the quality of IDSP reports at the sub-center level.It was cross-sectional study carried out in the area under Community Health Center Dighal which is the rural field practice area attached to Post Graduate Institute of Medical Sciences, Rohtak in the State of Haryana, India.All the 24 sub-centers in the area were visited and 46 health workers (22 male; 24 female) who met the inclusion criteria i.e. who had completed 1 year of their service or had been trained for IDSP, were included in the study. Data were collected on a self-designed, semi-structured and pre-tested schedule by interviewing the study subjects and observation of the records/reports.Percentages and proportions.Only 14/46 (~30%) of the workers could expand the abbreviation IDSP correctly. Only 4/46 (~9%) workers could narrate any of the trigger events and none could tell all the trigger events. Only at 12 such sub-centers, diagnoses were being written in their out-patient registers according to the defined syndromes. 43/46 (~93%) workers were not aware of the zero reporting.The surveillance system is much less alert and intense than the desired level and needs to be strengthened.


PubMed | Sanjay Gandhi Post Graduate Institute of Medical Sciences, Shaheed Hasan Khan Mewati Government Medical College and Government Medical College
Type: Journal Article | Journal: Avicenna journal of medicine | Year: 2015

The association of hypothyroidism with impairment of hearing is known to occur. It may be of any kind i. e., conductive, sensorineural or mixed. The aim of this study is to assess auditory pathway by brainstem auditory evoked potential (BAEP) in newly diagnosed patients of clinical hypothyroidism and healthy sex- and age-matched controls.The study included 25 healthy age- and sex-matched controls (Group I) and 25 patients of newly diagnosed clinical hypothyroidism (Group II). The recording was taken by using RMS EMG EP MK2 equipment.Unpaired Students t test.There was a significant increase in wave IV (5.16 0.85 ms) and wave V (6.17 0.89 ms) latencies of right ear BAEP of Group II in comparison to wave IV (4.66 0.39 ms) and wave V (5.49 0.26 ms) of Group I. Wave V of left ear BAEP of Group II was also prolonged (6 0.61 ms) in comparison to Group I (5.47 0.35 ms). There was a significant difference in inter-peak latencies IPL I -V (4.44 0.66 ms) and IPL III -V (2.2 0.5 ms) of right ear BAEP of Group II in comparison to IPL I -V (3.94 0.31 ms) and IPL III -V (1.84 0.34 ms) of Group I. A significant prolongation was also found of IPL I -V (4.36 0.59 ms) and IPL III -V (2.2 0.42 ms) of left ear BAEP of Group II in comparison to IPL I -V (3.89 0.3 ms) and IPL III -V (1.85 0.3 ms) of Group I.Prolongation of wave IV and V along with inter-peak latencies in BAEP of both ears suggests that central auditory pathway is affected significantly in clinical hypothyroid patients.


Prasad S.,Shaheed Hasan Khan Mewati Government Medical College | Kumar A.,Shaheed Hasan Khan Mewati Government Medical College | Naik S.M.,Shaheed Hasan Khan Mewati Government Medical College | Kalhan S.,Shaheed Hasan Khan Mewati Government Medical College
Indian Journal of Otolaryngology and Head and Neck Surgery | Year: 2015

Inferior turbinate osteoma is exceptionally rare. Here we are reporting a case of inferior turbinate osteoma presented with history of left nasal obstruction. CT unveiled osseous hypertrophy of left inferior turbinate. Osteoma was removed endoscopically using hammer and gouge. This is the fourth case to be reported in the world literature and second in India. © 2015 Association of Otolaryngologists of India

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