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Bhat A.W.,Sher i Kashmir Institute of Medical science | Aziz R.,Sher i Kashmir Institute of Medical science | Ahmed C.B.,Sher i Kashmir Institute of Medical science Soura | Ahmed S.I.,SKIMS Medical College
Current Pediatric Research | Year: 2012

We studied and analysed 688 transfusion episodes for different blood components at Sher-I- Kashmir institute of medical sciences, Soura Srinagar Kashmir. Out of 688 transfusion episodes for different components 170(24.7%) of episodes were detected inappropriate. Highest inappropriate use was detected for FFP in 90(46.4%).Paediatric surgery had the highest inappropriate use of blood components and were present in 45(32%) episodes. Source


Mumtaz M.U.,Government Hospital for Bone and Joint Surgery Barzulla | Farooq M.A.,Government Hospital for Bone and Joint Surgery Barzulla | Rasool A.A.,Sher i Kashmir Institute of Medical science Soura | Kawoosa A.A.,Government Hospital for Bone and Joint Surgery Barzulla | And 2 more authors.
Ulusal Travma ve Acil Cerrahi Dergisi | Year: 2010

BACKGROUND Accurate open reduction and internal fixation for metacarpal and phalangeal fractures of the hand is required in less than 5% of the patients; otherwise, closed treatment techniques offer satisfactory results in most of these cases as these fractures are stable either before or after closed reduction. AO mini-fragment screws and plates, when used in properly selected cases, can provide rigid fixation, allowing early mobilization of joints and hence good functional results while avoiding problems associated with protruding K-wires and immobilization. The advantages of such internal fixation urged us to undertake such a study in our state where such hand injuries are commonly seen. METHODS Forty patients with 42 unstable metacarpal and phalangeal fractures were treated with open reduction and internal fixation using AO mini fragment screws and plates over a period of three years in a prospective manner. RESULTS The overall results were good in 78.5% of cases, fair in 19% of cases and poor in 2.5% of cases, as judged according to the criteria of the American Society for Surgery of the Hand. CONCLUSION This technique is a reasonable option for treating unstable metacarpal and phalangeal fractures as it provides a highly rigid fixation, which is sufficient to allow early mobilization of the adjacent joints, thus helping to achieve good functional results. Source


Khan P.S.,SKIMS Medical College Hospital | Hayat H.,Sher i Kashmir Institute of Medical science Soura | Hayat G.,SKIMS Medical College Hospital
Surgical Innovation | Year: 2012

Avoiding a scar on the breast is an inherent feminine desire. We devised a new approach for breast fibroadenoma excision:Transaxillary approach with use of traction suture (TATS), in 50 patients with breast fibroadenoma. The swelling was present in the outer breast. The wound healed without noticeable scarring and the original shape of the breast was preserved. All the patients expressed their great satisfaction with the procedure. © The Author(s) 2012. Source


Iqbal Q.,Sher i Kashmir Institute of Medical science Soura | Iqbal Q.,Pediatric Hospital Government Medical College Srinagar | Bashir C.,Sher i Kashmir Institute of Medical science Soura | Mushtaq S.,Sher i Kashmir Institute of Medical science Soura | And 2 more authors.
Journal of Pediatric Infectious Diseases | Year: 2013

The study has been conducted in neonatal intensive care unit of Sher-i-Kashmir Institute of Medical Sciences, which is a tertiary care hospital. Thrombocytopenia and other hematological abnormalities are very commonly observed in neonatal infections. The objective of the study is to determine the frequency and severity of thrombocytopenia and other hematological abnormalities in neonatal sepsis of different microbiological origins, and their impact on morbidity and mortality. During a period of five years we studied all the newborn babies admitted, with the diagnosis of sepsis, in neonatal intensive care unit. In every sepsis positive patient we observed neutrophil count, micro ESR, C-reactive protein, severity and duration of thrombocy-topenia and their relation with the patient's hospital course, morbidity and mortality. Of 194 Culture positive cases 49 (25.25% cases had leucopenia with 100% mortality; 93 (47.93%) had thrombocytopenia with mortality directly proportional to severity of thrombocytopenia. In neonates with fungal and Gram-negative sepsis thrombocytopenia was comparatively severe and prolonged. Different pathogens causing sepsis have different effects on hematologic parameters. Neonatal sepsis is frequently associated with thrombocytopenia. Neonatal sepsis with neutropenia or with thrombocytopenia is associated with higher mortality. These hematological parameters constitute a simple and cost effective diagnostic tool for neonatal sepsis and guide antibiotic therapy, platelet transfusion, blood transfusion and other modalities of treatment. © 2013 - IOS Press and the authors. All rights reserved. Source


Khan P.S.,Sher i Kashmir Institute of Medical science | Hayat H.,Sher i Kashmir Institute of Medical science Soura | Mushtaque M.,Sher i Kashmir Institute of Medical science Soura | Dar L.A.,Sher i Kashmir Institute of Medical science Soura
Eastern Journal of Medicine | Year: 2012

Hydatid cyst is caused by infection of larvae of the parasite Echinococcus granulosus. The most common sites of hydatidosis are liver and lungs. We present a rare case of simultaneous hydatid cyst of the liver and spleen with spontaneous intraperitoneal rupture of both cysts. Source

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