PubMed | Amandeep Hospital, Consultant Oral and Maxillofacial Surgeon and Shyam Shah Medical College
Type: Case Reports | Journal: Dental traumatology : official publication of International Association for Dental Traumatology | Year: 2016
Temporomandibular joint dislocation refers to the dislodgement of mandibular condyle from the glenoid fossa. Anterior and anteromedial dislocations of the mandibular condyle are frequently reported in the literature, but superolateral dislocation is a rare presentation. This report outlines a case of superolateral dislocation of an intact mandibular condyle that occurred in conjunction with an ipsilateral mandibular parasymphysis fracture. A review of the clinical features of superolateral dislocation of the mandibular condyle and the possible techniques of its reduction ranging from the most conservative means to extensive surgical interventions is presented.
PubMed | Nalanda Medical College and Hospital, Fernandez Hospital, SMGS Hospital, Shyam Shah Medical College and Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science
Type: | Journal: Frontiers in pediatrics | Year: 2015
The main purpose of this study is to identify the myocardial changes in severely malnourished children.This prospective, observational study, conducted for a period of 1year, enrolled 200 children (120 males and 80 females) between 6months and 5years of age with severe protein-energy malnutrition, according to the criteria of the World Health Organization. The parents were duly informed, the study was explained and written consent was obtained. A random selection of cases was carried out, and they were further divided into five groups according to their age as follows: <1, 1-2, 2-3, 3-4, and 4-5years. Electrocardiograms (ECGs) were taken at the time of admission for all the cases and the control group and were taken again after nutritional therapy either at the time of discharge or after a fortnight. The differences were then compared.On admission, 32% of cases had flat P-wave, out of which 75% reverted to normal with therapy. Similarly, 84% of cases had increased corrected QT interval at the time of admission. ST segment was depressed only in 8% of cases. 88% of cases had altered (flat to depressed) T wave at the time of admission. With the help of nutritional supplementation, all these abnormalities were back to a normal level at the time of discharge.Electrocardiographic changes may be of help in assessing the severity and prognosis of severe acute malnutrition. The reversibility of ECG changes with dietary treatment suggests that the cardiac changes are not permanent in nature and may not affect adult life if the malnutrition is corrected. The cardiac status as denoted by heart rate remained the same even after a fortnight, suggesting that prolonged therapy and assessment of cardiac status is warranted even after fortnight therapy.
Trivedi R.,Shyam Shah Medical College |
Singh S.,Shyam Shah Medical College |
Adhikari P.,Shyam Shah Medical College |
Jatav D.P.,Shyam Shah Medical College
Indian Journal of Community Health | Year: 2014
Back ground: - Immunization coverage has been found to be low in many coverage evaluation studies done in India, especially among the marginalized community. Aim:-To find the primary immunization coverage among the 12-23 months children and the determinants for the present status of immunization in an urban slum in Rewa city. Method - The study included 210 children in the age group of 12-23 months in an identified slum. The tools used were the WHO immunization evaluation coverage survey format and a pretested semi-structured schedule. Immunization card data and recall of mother or the primary caregiver was considered for assessing immunization status. Result: - Of all the children covered, 72.4 % were fully immunized and 21.9 % were partially immunized and 5.7% were not immunized. The commonest reason for incomplete immunization / partial immunization was found to be Lack of knowledge of immunization schedule to the parents 93.5%.Mother's literacy and birth order of child were found to be more importantly associated with the status of child's immunization. Conclusion:-Our observations reemphasized the need for adequate and proper counseling of parents on their children's immunization.
Nayak A.,Shyam Shah Medical College |
Sharma S.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital |
Vadher R.K.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital |
Dixit S.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital |
Batra R.S.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital
Journal of Clinical and Diagnostic Research | Year: 2015
Encephalocele is a mesodermal defect in the skull bones and duramater. Parietal encephalocele is a rare congenital anomaly of newborn with variable prognostic value. The authors report a case of a very large inter parietal encephalocele with no associated other system malformations. A midline inter parietal encephalocele is much rare, earlier reported cases were posterior parietal in location. Such cases can be successfully operated upon with a very good outcome. A unique case of a 18 day neonate, with swelling over scalp was evaluated by the neurosurgical team and the patient underwent neurosurgery. In planning the strategy for management of encephalocele, one needs to take into consideration the site, size, contents, patency of CSF pathway, neurological status and other associated anomalies. Inspite of such a big encephalocele in an atypical location, excision and repair gave excellent results. © 2015, Journal of Clinical and Diagnostic Research. All right reserved.
Chandravanshi S.L.,Shyam Shah Medical College |
Mishra V.,Shyam Shah Medical College
European Journal of Ophthalmology | Year: 2014
Purpose: To describe a case of lacrimal gland abscess. Methods: Case report. Results: An 11-year-old boy with respiratory tract infection presented acutely with an enlarging, painful mass in the superotemporal fornix in his left eye. Clinical evaluation and computerized tomography scan of the orbit revealed a lacrimal gland abscess. Conjunctival swab and sputum grew Klebsiella pneumoniae. The child was treated with intravenous amikacin. Conclusions: Lacrimal gland abscess is a rare clinical entity. To our knowledge, this is the first reported case of Klebsiella pneumoniae-associated dacryoadenitis complicated by lacrimal gland abscess formation in a pediatric patient. © 2014 Wichtig Publishing.
Chandravanshi S.L.,Shyam Shah Medical College
Orbit | Year: 2014
Purpose: To report a rare case of lacrimal gland ductule stones. Methods: Case report. Results: A 12-year-old female patient presented with pain, redness and swelling in the superotemporal fornix of the left eye of 1-week duration. She had experienced four similar episodes over a period of 2 years. Clinical evaluation revealed a mass adjacent to the lacrimal gland and some stone edges protruding through the lacrimal gland ductules. During preparation for their mechanical removal, a spontaneous expulsion of stones occurred. Microbiological examination of stones did not show any microorganism or nidus such as cilia. Fourier transform infrared spectroscopy revealed the stones to be composed of calcium carbonate 90% and magnesium hydrogen phosphates 10%. After spontaneous expulsion, the condition subsided without any complications. Conclusion: Lacrimal gland stones represent a very rare clinical entity and this should be considered in the differential diagnosis of recurrent nonspecific conjunctivitis and dacryoadenitis. © 2014 Informa Healthcare USA, Inc.
Rampalliwar S.,Shyam Shah Medical College |
Rajak C.,Shyam Shah Medical College |
Arjariya R.,Shyam Shah Medical College |
Poonia M.,Shyam Shah Medical College |
Bajpai R.,Shyam Shah Medical College
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2013
Background: Stress has been said to be the underlying cause in the etiopathogenesis of the diseases like Bronchial asthma, Peptic ulcer, Essential hypertension and Toxemia of pregnancy. The identification of pre eclampsia and its effective management plays a significant role in the outcome of pregnancy both for the mother and the baby. Yogic exercises have been reported to be beneficial in stress related disorders by producing calming effect on nervous system. Aims & Objective: The aim of present study was to explore the possibility of the use of Bhramari Pranayama as a preventive measure of pre eclampsia. Materials and Methods: Fifty pregnant women in the age group of 20 to 28 years were included in the present study. The cardio vascular reactivity of these subjects was studied by application of the cold pressor test. Initially there were 28 hyper reactors to this test. These hyper reactors underwent Bhramari Pranayama for the duration of 2 months. It was observed that the hyper- reactivity of 22 subjects was converted to hypo- reactivity whereas the remaining 6 subjects did not alter their response. Results: Regular practice of Bhramari Pranayama reduced the cardio vascular hyper- reactivity to cold stress after just 8 weeks. Conclusion: The hyper- reactivity to cold stress may be an early indication of the developing pre eclampsia. Conversion of this response to hypo -reactivity may be used as a tool for prevention of pregnancy induced hyper tension.
PubMed | Shyam Shah Medical College
Type: Case Reports | Journal: Indian journal of ophthalmology | Year: 2013
Congenital eyelid imbrication syndrome (CEIS) is an extremely rare, benign, transient, self-limiting eyelid malposition disorder. The classic triad of signs in patients with a CEIS consists of bilateral upper eyelids overriding the lower eyelids when child was in sleep, bilateral medial and lateral canthal tendon laxity and tarsal conjunctival hyperemia. We report a third case of congenital combined eyelid imbrication and floppy eyelid syndrome in healthy neonate that was resolved within a week with conservative treatment.
PubMed | Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital and Shyam Shah Medical College
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015
Encephalocele is a mesodermal defect in the skull bones and duramater. Parietal encephalocele is a rare congenital anomaly of newborn with variable prognostic value. The authors report a case of a very large inter parietal encephalocele with no associated other system malformations. A midline inter parietal encephalocele is much rare, earlier reported cases were posterior parietal in location. Such cases can be successfully operated upon with a very good outcome. A unique case of a 18 day neonate, with swelling over scalp was evaluated by the neurosurgical team and the patient underwent neurosurgery. In planning the strategy for management of encephalocele, one needs to take into consideration the site, size, contents, patency of CSF pathway, neurological status and other associated anomalies. Inspite of such a big encephalocele in an atypical location, excision and repair gave excellent results.
PubMed | Shyam Shah Medical College
Type: Journal Article | Journal: Journal of obstetrics and gynaecology of India | Year: 2014
The purpose of this study was to evaluate the efficacy and safety of intraoperative autologous blood transfusion during laparotomy for hemoperitoneum in ectopic pregnancy and also safety of homologous blood transfusion along with autologous blood transfusion.Fresh blood, from peritoneal cavity, was collected for autotransfusion in sterile dish, filtered through eight layers of sterile gauze pieces, and collected in a sterile bowl. The collected blood was transferred into blood infusion bag containing citrate phosphate dextrose adenine solution in the proportion of five parts of blood to one part of citrate solution.Mean volume of autologous blood transfused in patients without homologous transfusion was 573328. Mean preoperative hemoglobin was 4.951.5, and postoperative hemoglobin was 6.851.3. Hence, rise in hemoglobin was 1.9 g%. Autologous blood volume transfused in 29 patients (who required homologous blood transfusion) was 488216. Preoperative hemoglobin was 4.351.94. The result was compared with other studies.Intraoperative autologous blood transfusion enabled the performance of laparotomy in hemodynamically unstable ectopic pregnancy patients without availability of homologous blood transfusion. Homologous blood transfusion is compatible with autologous blood transfusion.