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Kumar A.,Rural Institute of Medical science and Research | Pathak A.,Rural Institute of Medical science and Research | Verma A.,Rural Institute of Medical science and Research | Kumar S.,US Toxicology
Journal of Forensic Medicine and Toxicology | Year: 2012

Acute pesticide poisoning is a global public health problem and accounts for thousands of deaths worldwide every year. Most of fatalities occur due to exposure to (OP), organochlorines and aluminium phosphide. Among them, organophosphates OP poisoning is common-est in India. OP compounds account for a significant pesticide related illness and death in developing countries, including India, which is a predominantly agrarian country with large rural population and pesticides are extensively used in farming. Acute OP poisoning is a medical emergency with fatal outcome if not managed meticulously. It is typically suicidal, and very uncommonly accidental or homicidal in nature. Its most common presentation is deliberate self ingestion in young population (20-30 yrs) for suicidal purpose and quite uncommon in aged people more than 50 yrs. In this communication we report a case of a 55 yrs old farmer who had accidental inhalational exposure of multiple OP pesticides during routine spraying in fields, despite of taking preventive measures. He was admitted to causality, showed a good clinical response to treatment and had a successful recovery.


Patel A.,National Institute of Technology Raipur | Patel A.,Integral University | Choubey J.,National Institute of Technology Raipur | Gupta S.K.,CSIR - Central Electrochemical Research Institute | And 4 more authors.
Lecture Notes in Engineering and Computer Science | Year: 2012

Asthma is a chronic inflammatory lung disease. Globally Asthma is major public health problem due to its incurable nature and misdiagnosis. In this research paper our work is concerned with the intelligent diagnosis of the severity of the Asthma disease. An automated system has been developed using a self-organizing fuzzy rule-based system. It utilizes the intrinsic ability to deal with the uncertainty and rejects the dealing of add-on mechanisms with imperfect data. Five symptoms have been taken (DSF (Day time symptoms frequency) and NSF (Night time symptoms frequency) PEFR (Peak Expiratory Flow Rate), PEFR variability and Sa02 (Saturation of oxygen) as input and one output for the decision of the asthmatic conditions. For designing of fuzzy inference system rule base play major role in its performance and fine tuning process optimizes the membership functions stored in the data base. The results of the manually constructed inference system was found to be correct when compared with the field data output.


Nakra N.,Jamia Hamdard University | Quddus N.,Jamia Hamdard University | Khan S.,Jamia Hamdard University | Kumar S.,Rural Institute of Medical science and Research | Meena R.L.,Deendayal Upadhyaya Institute for the Physically Handicapped
International Journal of Therapy and Rehabilitation | Year: 2013

Objective: To determine the efficacy of proprioceptive neuromuscular facilitation (PNF) on shoulder function in participants with secondary shoulder impingement. Background: Previous research has established a relationship between shoulder muscle weakness and causation of secondary shoulder impingement. Recent evidence has shown that proprioceptive neuromuscular facilitation was effective in relieving pain and increasing overhead reach. However, none of the studies have measured shoulder function after PNF application. Methods: This study used a pretest-posttest experimental group design. Thirty participants (15 male and 15 female) with a diagnosis of secondary shoulder impingement were recruited from a hospital setting and divided into two groups. Group 1 received both PNF and the conventional protocol while group 2 received only the conventional protocol. Both groups received the intervention for a period of 3 weeks. Shoulder Pain And Disability Index (SPADI) score and overhead reach were analysed in both groups. Results: Group 1 showed significant improvement over Group 2 in terms of SPADI score and overhead reach. The experimental group showed significant improvement in (reduction of) SPADI score over the control group (23.8 ± 4.9) at a significance level of P<0.0001. The experimental group showed a significant difference over the control group for overhead reach (3.63 ± 1.8) at a significance level of P<0.03. Conclusion: The addition of PNF to conventional treatment brings significant improvement in shoulder function in comparison to conventional treatment alone in participants with secondary shoulder impingement. PNF helps in early recovery.


Kumar A.,Rural Institute of Medical science and Research | Pathak A.,Sharda University | Kumar S.,Sharda University | Rastogi P.,Sharda University | Rastogi P.,Kasturba Medical College Manglore
Journal of Indian Academy of Forensic Medicine | Year: 2012

Child abuse is the physical or psychological maltreatment of a child, can be differentiated into four major categories, physical abuse, emotional abuse, neglect and worst of all; the sexual abuse. Child Sexual Abuse (CSA) is a kind of physical or mental violation of a child with sexual intent, usually by a person who is in a position of trust or power vis-á-vis the child. India is the second largest child population in the world, 42% of India's total population is below eighteen years. In a shocking revelation, a Government commissioned survey has found that more than 53% of Indian children are subjected to sexual abuse/assault. Majority of these cases were perpetrated by someone known to the child or in a position of trust and responsibility, Not surprisingly, most children did not report the abuse to anyone. There is not a single law aimed at safeguarding children and protecting them against sexual abuse and assault, which is a serious lacuna against this background and is needed urgently. This paper will focus on child sexual abuse, the laws, legal loopholes, and The Protection of Children against Sexual Offences Bill, 2011.


Kumar A.,Rural Institute of Medical science and Research | Verma A.,Rural Institute of Medical science and Research | Yadav M.,Sharda University | Srivastava A.K.,P.A. College
Journal of Indian Academy of Forensic Medicine | Year: 2011

The term 'accident' is often used to describe a multitude of disparate events from falls and road accidents to suicides and violence. A 'fatal accident' for this purpose is defined as one in which death occurs within 30 days. Falls, road accidents and burns are major categories of accidents which lead to the highest rates of mortality among Geriatric Population. In most of the studies cited 'elderly people' are defined as those aged 60 or over and falls are the accidents with the highest mortality rates, particularly in the age group 85 or over. In 2006, with approximately 76.6 million (above 7.7% of total population) India alone accounted for one-seventh of world's elderly. Their population has been steadily growing. It is projected to rise to about 12.4 % in 2026, doubling from 76.6 million in 2006 to 173.1 million in 2026. The major area of concern is their health with multiple medical and psychological problems. Falls are one of the major problems in the elderly and are considered one of the "Geriatric Giants" (immobility, instability, incontinence and impaired intellect/memory).


Chaturvedi V.,Rural Institute of Medical science and Research | Dayal S.,Rural Institute of Medical science and Research | Srivastava D.,Rural Institute of Medical science and Research | Gupta V.,Rural Institute of Medical science and Research | Chandra A.,Rural Institute of Medical science and Research
Indian Journal of Community Health | Year: 2014

Background: Hysterectomy is the most commonly performed gynecological surgery throughout the world. Over the last several years reported cases of hysterectomy was increasing in numbers. However, similar studies from Etawah district with high prevalence of hysterectomy are lacking. Therefore, we have conducted this study to identify the pattern of pathologies identified in hysterectomy specimen and to correlate the pathological findings with the age group of the patient along with frequency of benign, malignant pathologies identified. Material and method: This study was conducted on 870 hysterectomy specimen who reported to pathology department. They were compared in terms of age of the patients and pathology of hysterectomy specimens. Result: Out of the hysterectomy specimens, pathological findings were seen in 850 hysterectomies. Most common lesion was leiomyoma (22. 47%) followed by Adenomyosis (21. 76%), Endometrial hyperplasia (14. 00%), ovarian cyst (9. 29%), Endometrial atrophy (8. 70%), Endometritis (7. 76%), Endo cervical polyp (5. 64), Carcinoma intra epithelial neoplasm (3. 52%), Endometrial polyp (3. 17%), Carcinoma cervix (1. 17%), Carcinoma ovary (1. 05%), Benign ovarian tumor (0. 58%), Carcinoma endometrium(0. 35%), Myometritis (0. 35%), Chorio carcinoma (0. 11%) The most common age group was (40-49) years. Conclusion: Our data suggest that leiomyoma was the most common pathology seen in hysterectomy. The common age group for hysterectomy was (40-49) years. Benign pathologies are more frequent in hysterectomy than malignant. Histopathology is mandatory for ensuring diagnosis and thus management, in particular of malignant disease.


Painkra J.P.,NIOH | Kumar S.,Rural Institute of Medical science and Research | Anwer S.,NIOH | Kumar R.,NIOH | And 2 more authors.
International Journal of Therapy and Rehabilitation | Year: 2014

Background: Deep neck flexor (DNF) muscles assist in stabilising the cervical spine during gross neck movements. Patients with neck pain often exhibit reduced deep neck flexor muscle endurance. Aims: This study's primary purpose was to determine the inter-rater and intra-rater reliability of measurements obtained using a simple clinical test of DNF muscle endurance in a healthy Indian population. The secondary purpose was to determine and compare the average hold time for deep neck flexor muscle endurance in healthy male and female participants, to add to the body of knowledge around deep neck flexor muscle endurance testing. Methods: In this cross-sectional study, 60 participants (30 male, 30 female) were evaluated using a deep neck flexor endurance test, which involved them lifting their head while maintaining their craniocervical region in a flexed position. Deep neck flexor endurance was measured by two physiotherapists. Each tester measured the DNF hold time of each participant twice, and there was a 5-minute rest between trials. Results: Inter-rater reliability was moderate to good (ICC = 0.69-0.88) and intra-rater reliability was good to excellent (ICC = 0.82-0.93). Neck flexor endurance time was significantly greater in males (mean = 63.73 seconds; SD = 20.27 seconds) than females (mean = 38.43 seconds, SD = 11.71 seconds, (F = 72.89, P<0.001). Conclusion: The results suggest that healthy males have greater deep neck flexor endurance than females. This is the first normative data available that reports on deep neck flexor endurance in healthy Indian adults. © 2013 MA Healthcare Ltd.


Kumar S.,Rural Institute of Medical science and Research | Jaiswal K.,Rural Institute of Medical science and Research | Dabral M.,MLB Medical College | Malhotra A.K.,MLB Medical College | Verma B.L.,MLB Medical College
Indian Journal of Community Health | Year: 2012

Background: Low Birth Weight (LBW) babies run a higher risk of morbidity and mortality in the perinatal period. However, in our country where almost 70-80% births take place at home and peripheral hospitals, taking accurate weight is a problem due to unavailability of weighing scale and trained personnel. Hence there is a constant search for newer methods to detect LBW babies so that early interventions can be instituted. Various authors have used different surrogate anthropometric measurements from different parts of our country. In the present study, an attempt was made to validate the feasibility of using calf circumference as a predictor of LBW babies that can be used by a trained or untrained person. Objectives: To study various anthropometric measurements including calf circumference in newborns and to correlate various measurements with birth weight. Methods: The present study was conducted in the department of Social & Preventive Medicine, MLB Medical College, Jhansi (UP) for a period of one year. The study included 1100 consecutively delivered neonates in the maternity ward of MLB Medical College Hospital, Jhansi (UP). The birth weight (Wt), crown heel length (CHL), crown rump length (CRL), head circumference (HC), chest circumference (CC), mid arm circumference (MAC), thigh circumference (TC) and calf circumference (CC) by standard techniques. All the measurements were taken by a single person throughout the study period with in 24 hours of delivery. Standard statistical methods were adopted for determination of critical limit, sensitivity, specificity and correlation coefficient of different anthropometric measurements in relation to birth weight. Results: Analysis of data indicates that out of 1100 newborns, 55.64% were low birth weight. The percentage of newborns > 2500gm was 44.36. Overall average birth weight was 2348 ± 505gm. Out of 1100 newborns, 608 (55.27%) were males and 492 (44.73%) were females. Average birth weight for males was 2412 ± 482gm and for females it was 2272 ± 502gm out of 1100 newborns, 608 (55.27%) were males and 492 (44.73%) were females. Average birth weight for males was 2412 ± 482gm and for females it was 2272 ± 502gm. The highest sensitivity for detecting LBW babies was seen with calf circumference (98.4%) followed by thigh circumference (91.6%). The specificity of calf circumference was less than that of thigh circumference; it was 92.0% and 96.2% respectively. Conclusion: Calf circumference is a simple, cheap, reliable and quick indicator for predicting LBW babies in the community. Furthermore, it is easy to train traditional birth attendants to screen out high risk group new bourns by simply measuring the calf circumference.


PubMed | Rural Institute of Medical science and Research
Type: Journal Article | Journal: Journal of mid-life health | Year: 2013

To evaluate the effect of Mifepristone (25 mg) on symptomatic myoma in perimenopausal women.Open label clinical trial.Ninety three perimenopausal women of age 35-50 years having symptomatic myoma were selected from Gynecology OPD and given 25 mg Mifepristone once daily continuously for three months. Variables as; baseline uterine size, uterine volume, myoma size, volume, their number, position, characteristics, hemoglobin and blood parameters, were taken and followed monthly for six months. Bleeding and pain scores were checked on monthly visits. Changes in above parameters were tabulated during the first three months treatment phase and then next three post-treatment phase for analysis.Was done by calculating mean, standard deviation, standard error and percentage distribution of variables.Menorrhagia was the most common symptom which led patients to report to hospital. Mean uterine volume reduced to 63.69% of baseline, Mean dominant Myoma volume reduced to 53.62% and hemoglobin level raised to 137% after complete three months of treatment. Changes persisted in next three months post-treatment follow-up, while hysterectomy was required in 10 (12.2%) cases.Three months treatment of 25 mg Mifepristone effectively controls bleeding, reduces the uterine and myoma volume and thus can avoid blood transfusion and hysterectomy in a lot of symptomatic myoma cases.

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