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Haldwani, India

Singh A.,Swami Rama Cancer Institute | Singh P.,UFHT Medical College | Sahni K.,Gsvm Medical College | Shukla P.,Gsvm Medical College | And 2 more authors.
Journal of Medical Case Reports | Year: 2010

Introduction. Metastatic tumors are the most common intra-ocular malignancies and choroid is by far the most common site for intra-ocular malignancies. Multiple foci are usually involved, and bilateral involvement is frequently seen. The primary sites for choroidal metastasis in decreasing order and by gender are: breast, lung, unknown primary, gastrointestinal and pancreas, skin melanoma and other rare sources in females, and lung, unknown primary, gastrointestinal and pancreas, prostate, kidney, skin melanoma and other rare sources in males. Available treatment options are external beam radiotherapy and plaque radiotherapy, while new methods like surgical resection, transpupillary thermotherapy and intravitreal chemotherapy offer promises for the future. The use of chemotherapy alone for choroidal metastases is not widely reported. Case presentation. We report the case of a 50-year-old Indian man who had a unilateral solitary lesion in his right eye. He was found to have an adenocarcinoma of the lung with choroidal metastasis as the first presenting sign. There were no findings of metastasis involving his contralateral eye. He was administered chemotherapy based on gemcitabine and carboplatin. He had significant progressive subjective and objective improvement since his first chemotherapy. His current best corrected visual acuity is 20/30 after six cycles of chemotherapy. Conclusions. Chemotherapy alone can be used as an effective mode of treatment in patients who have primary tumors that respond to chemotherapy. © 2010Singh et al; licensee BioMed Central Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. © 2010 Singh et al; licensee BioMed Central Ltd. Source


Awasthi S.,UFHT Medical College | Chaturvedi M.,Saraswati Institute of Medical science | Nandan D.,NIHFW | Jha S.K.,UFHT Medical College | Mehrotra A.K.,SN Medical College
Indian Journal of Public Health Research and Development | Year: 2010

Background The maternal & child health services in India have been initiated strengthened and expanded over the years and are still underutilized. Objective To know the level of quality maternity care in urban slums of Agra. Study design Cross-sectional community based. Setting Urban slums of district Agra. Participants Married women aged 15-49 years, who had delivered a child during last one year interviewed at home. Statistical analysis Software like Systat-12 for analysis and tests of significance like chi- square test were utilized. Results Only 16.1% of women had 3 or more ANC visits and 3.6% had their first visit during first trimester. The antenatal check-ups influenced with the educational level of mothers (p<0.001). 44.4% of women received postnatal care, in spite of that 73.3% of delivery conducted by a trained health staff. Only 2.5% of women received three post-natal visits. Only one quarter of women (27.8%) received a health check-up in the first 24 hours after birth and 39.7% received a health check-up within the critical first week after delivery. The likelihood of a birth being followed by a postnatal check-up at all and within week increases with the educational level of mothers (p<0.001). © 2010, Indian Journal of Public Health Research and Development. All rights reserved. Source


Awasthi S.,UFHT Medical College | Chaturvedi M.,Saraswati Institute of Medical science | Nandan D.,NIHFW | Jha S.K.,UFHT Medical College | Mehrotra A.K.,S N Medical College
Indian Journal of Public Health Research and Development | Year: 2012

Background: The maternal & child health services in India have been initiated strengthened and expanded over the years and are still underutilized. Objective: To know the level of quality maternity care in urban slums of Agra Study Design: Cross-sectional community based. Setting: Urban slums of district Agra. Participants: Married women aged 15-49 years, who had delivered a child during last one year interviewed at home. Statistical Analysis: Software like Systat-12 for analysis and tests of significance like chi-square test were utilized. Results: Only 16. 1% of women had 3 or more ANC visits and 3. 6% had their first visit during first trimester. The antenatal check-ups influenced with the educational level of mothers (p<0. 001). 44. 4% of women received postnatal care, in spite of that 73. 3% of delivery conducted by a trained health staff. Only 2. 5% of women received three post-natal visits. Only one quarter of women (27. 8%) received a health check-up in the first 24 hours after birth and 39. 7% received a health check-up within the critical first week after delivery. The likelihood of a birth being followed by a postnatal check-up at all and within week increases with the educational level of mothers (p<0. 001). Source


Deopa D.,UFHT Medical College | Prakash C.,UFHT Medical College | Niranjan R.,UFHT Medical College | Jha S.K.,UFHT Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2010

This study was carried out to estimate the relationship between foot length and stature using simple linear regression analysis based on a sample of male and female adults of Uttarakhand Region. Measurements of foot length and stature were taken from 125 adults (62 male, 63 female) aged 17-24 years. The participants were students of the UFHT Medical College, Haldwani of Kumaun University, Nainital. Obtained data was analysed and attempt was made to find out correlation between foot length and height of an individual. A good correlation of height was observed with foot length and it was statistically highly significant. The results of the present study would be useful for Anthropologists and Forensic Medicine Experts. Source


Shree D.,UFHT Medical College | Jeppu S.,UFHT Medical College | Puneet P.,UFHT Medical College | Rani K.,UFHT Medical College
Japanese Journal of Radiology | Year: 2010

Primary aortoenteric fistula is a rare but fatal cause of gastrointestinal bleeding and requires urgent intervention. A high index of clinical suspicion in conjunction with imaging is required because a favorable outcome relies on prompt diagnosis. The primary forms of aortoduodenal fistulas are nearly always associated with abdominal aortic aneurysm, mostly atherosclerotic. Technological advances in imaging, particularly computed tomography (CT), play a pivotal role in the preoperative detection of these fistulas. We report the case of a 76-year-old man who was diagnosed with a large abdominal aortic aneurysm with associated contained rupture and suggestion of an aortoduodenal fistula on CT. This case demonstrated the effectiveness, ease, and low cost of the preoperative evaluation and documentation of a primary aortoduodenal fistula using CT scans. © Japan Radiological Society 2010. Source

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