A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Gupta, S.
- Incidence and Pattern of Acute Poisoning among Children Aged 1 Month to 18 Years : An Experience from Jammu
Authors
1 Department of Pediatrics, Health Services, Jammu & Kashmir, IN
2 Department of Pediatrics, Chintpurni Medical College, Pathankot, IN
3 Department of Microbiology, ASCOMS, Sidhra Jammu, IN
4 Department of Pediatrics, Governement Medical College, Jammu, IN
5 Department of Pharmacology, Governement Medical College, Jammu, IN
6 Department of Anaesthesia, Government Medical college, Jammu, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 2 (2013), Pagination: 134-138Abstract
Introduction: Acute poisoning is one of the commonest pediatric emergencies and an important cause of mortality. Objectives: To study the magnitude and demographic profile of acute poisoning among hospitalized children (1Month-18 years of age) in Jammu, India.Materials & method: All the children between one month and eighteen years of age, admitted to Pediatric wards of SMGS Hospital, Government Medical College, Jammu, India, over a period of one year as a case of acute poisoning were included in the study. The information obtained from Subjects / Parents / Guardians and examination of subjects was recorded on a pretested proforma and analyzed.
Results: A total of 245 (1.76% of total admissions) children were admitted with acute poisoning during the study period. Male - Female ratio was1.58:1. Majority 243(99.18%) patients were of oral poisoning and maximum were in the age group of more than one to five years (71.42%). Majority 219(89.39%) patients of acute poisoning were accidental. Suicidal attempts constituted 2.45% and 1.22% cases were of homicidal nature. Majority (41.63%) of poisoning cases were due to accidental ingestion of household products followed by drugs ingestion (23.67%), food poisoning (16.33%) and agricultural/industrial products ingestion (9.8% cases). Maximum 187(76.33%) patients of acute poisoning recovered whereas 3 patients (1.22%) died.
Conclusion: Acute poisoning in children is usually accidental with favorable outcome. Deaths do occur depending upon the nature of poisoning and the stage at which patient seeks medical care. Poisoning can be prevented by increasing public awareness, counseling and correct guidance to the parents.
Keywords
Poisoning, Organophosphates, Kerosene oilReferences
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- Traumatic Bilateral Lumbar Hernia: Delayed Presentation with Incarceration
Authors
1 S. M. S. Medical College, Jaipur, Rajasthan, IN
Source
The Indian Practitioner, Vol 67, No 12 (2014), Pagination: 784-786Abstract
Although blunt abdominal trauma is common, traumatic lumbar hernia is a rare entity. Acute traumatic lumbar hernia can be easily overlooked initially as it is associated with other serious injuries that demands urgent attention. Delay in diagnosis and treatment of these hernias may result in increased morbidity and complications. We describe a case of motor vehicle collision; the initial evaluation of abdomen of the victim suggested no injury. Later she developed bilateral lumbar hernia and presented to us with incarceration of one hernial sac. Patient got relieved from obstruction during initial conservative treatment. Elective repair of both lumbar hernias was done by open extraperitoneal retromuscular sublay approach using a polypropylene mesh.Keywords
Traumatic Lumbar Hernia; Bilateral Lumbar Hernia, Incarcerated Hernia.- A Note on the Occurrence of Aconitum deinorrhizum Stapf in North-West Himalayas
Authors
1 Regional Research Laboratory, Jammu-Tawi, IN
Source
Nelumbo - The Bulletin of the Botanical Survey of India, Vol 9, No 1-4 (1967), Pagination: 282-283Abstract
No Abstract.- Clinical Profile and Prevalence of Complications in Newly Detected Type 2 Diabetics
Authors
1 Department of Medicine, SSMC & SGMH Rewa (MP), IN
Source
The Indian Practitioner, Vol 66, No 10 (2013), Pagination: 617-623Abstract
Background: Prevalence of diabetes is rapidly rising all over globe at an alarming rate. It proceeds un-noticed silently ravaging the body. Although complications of diabetes do not occur at the onset of disease but due to delay in diagnosis, they are commonly present at the time of diagnosis.Objective: We sought to determine the clinical profile and prevalence of complications in newly detected type 2 diabetics.
Methods: The study was conducted in the wards and patients admitted from medicine OPD at SGM hospital Rewa between January 2010 and September 2011. Patients were diagnosed as type 2 diabetic if they fulfilled ADA 2010 Criteria and were thoroughly evaluated for detection of various complications.
Results: We diagnosed 150 patients as type 2 diabetic, 60% were male, 40% were females, 56.67% were in the age group 31 - 50 years with mean age of 48.25 ± 13.08 years. 58.66% had normal BMI, 43.33% had family history, classical symptoms of diabetes were present in 42% of cases. Mean HbA1C was 9.9 ± 2.7%. Complications were neuropathy (25.33%), nephropathy (17.34%), coronary artery disease (13.33%), retinopathy (12.67%), peripheral arterial disease (10%), cataract (7.33%), diabetic ketoacidosis (7.33%), diabetic foot (6%), stroke (3.33%). The prevalence of other conditions, e.g. infections (50.67%), hypercholesterolaemia (18.67%), low serum HDL (41.11% males&60% females), hypertension (40.67%), hypertriglyceridaemia (36.67%), diastolic dysfunction (28.67%), high serum LDL (27.33%) was also high.
Conclusion: A large number of patients with newly detected diabetes had already had serious complications like nephropathy, coronary artery disease, diabetic ketoacidosis, diabetic foot and stroke. Asymptomatic diabetes mellitus constituted very small percentage i.e. 4.67%. Thus efforts should be made to increase awareness about symptoms and likelihood of diabetes in high risk groups. A thorough screening programme at National level for early detection of diabetes is needed so that complications can be avoided or postponed.
- Dietary Pattern of Lactating Women in an Urban Community
Authors
1 Dept. of P.S.M., Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005
2 Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, IN
Source
The Indian Journal of Nutrition and Dietetics, Vol 30, No 7 (1993), Pagination: 180-185Abstract
It is well known that maintenance of health is greatly dependent on adequate nutrition. Breast feeding imposes a greater strain than pregnancy on the mother, because the woman nourishes a "fully developed" and rapidly growing baby whose food needs increase day by day. If the mother's diet is satisfactory during pregnancy she will have accumulated a store of nutrients. In readiness for satisfactory breast feeding. If the mother is known to have gone through pregnancy successfully on a faulty and insufficient diet, it means she has freely drawn upon her own tissues to build her baby and she will continue to do so as she nurses her child. Though lactation performance may be sufficient at the cost of health of lactatlng women, but there is a limit even for the continuous withdrawal of nutrients from maternal body and this may result in deterioration of the quality and reduction in quantity of milk.- Electrolyte Profile of Dengue Infected Patients:An Observational Study from a Tertiary Care Centre in Rajasthan
Authors
1 J.L.N. Medical College, Ajmer (Rajasthan), IN
Source
The Indian Practitioner, Vol 70, No 1 (2017), Pagination: 16-18Abstract
Dengue infection is one of the most common and potentially fatal mosquito-borne infections in tropical and subtropical countries. No specific treatment is available and the mainstay of treatment is careful fluid management, specific organ support and correction of metabolic and electrolyte derangement. The aim of our study was to evaluate electrolyte disturbances in patients with dengue infection in our hospital. In this study we included total 60 clinically diagnosed and serologically confirmed age and sex matched dengue infected cases. Serum electrolytes [sodium, potassium&calcium] were measured using semi- auto analyser. The mean age of the study group was 32 years. 65% of the patients were males and 35% were females. On analysis it was found that the amount of calcium decreased significantly (p < 0.03) in the study group as compared to control group while value of sodium (p < 0.6) and potassium (p < 0.5) reduced non-significantly. Hence timely diagnosis and supportive therapy of these electrolyte disturbances can reduce associated morbidity and mortality in dengue patients.Keywords
Dengue, Electrolyte Disturbance, Hypocalcaemia.References
- L. Castilla-Guerra, M. C. Fernandez-Moreno, J. M. Lopez-Chozas and R. Fernandez-Bolanos. Electrolytes Disturbances and Seizures. Epilepsia, 2006; 47:1990–1998.
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- Uddin KN, Musa AKM, Haque WMM, Sarker RSC, Ahmed AKMS. A follow up on biochemical parameters in dengue patients attending BIRDEM hospital. Ibrahim Med Coll J. 2008;2:25–7.
- Kapoor S, Singh A. Hypocalcemic tetany: An infrequently recognized association with acute dengue infection. Indian J Pediatr. 2012;79:1673.
- Constantine GR, Rajapakse S, Ranasinghe P, Parththipan B, Wijewickrama A, Jayawardana P Hypocalcemia is associated with disease severity in patients with dengue J Infect Dev Ctries. 2014 ;12:1205-9
- Bielefeldt-Ohmann H, Meyer M, Fitzpatrick DR, Mackenzie JS. Dengue virus binding to human leukocyte cell lines: Receptor usage differs between cell types and virus strains. Virus Res. 2001;73:81–9.
- Dhawan R, Chaturvedi UC, Khanna M, Mathur A,Tekwani BL, Pandey VC. Obligatory role of Ca2+in the cytotoxic activity of dengue virus-induced cytotoxin. Int J Exp Pathol. 1991;72:31–9
- Khanna M, Chaturvedi UC, Dhawan R, Tekwani BL, Pandey VC. Presence of Ca 2+ is obligatory for the cytotoxic activity of dengue virus-induced cytotoxic factor. Immunology. 1991;72:73–8
- Chaturvedi P, Saxena V, Dhawan R, Chaturvedi UC. Role of calcium in induction of dengue virus-specific helper T cells. Indian J Exp Biol. 1995;33:809–15
- Baton, S.M , Oncog A . A pilot study on the level of serum calcium in pediatric patients with dengue fever and dengue shock syndrome. Pediatric critical care medicine: 2014 ;15: suppl - p 153
- Cabrera-Cortina JI, Sanchez-Valdez E, Cedas-DeLezama D, Ramírez-González MD. Oral calcium administration attenuates thrombocytopenia in patients with dengue fever. Report of a pilot study. Proc West Pharmacol Soc. 2008;51:38–41.
- Transfersomes- A Novel Carrier for Transdermal Drug Delivery
Authors
1 G.R.Y. Institute of Pharmacy, Borawan, Khargone (M.P.), IN
2 GRY Institute of Pharmacy, Borawan, Khargone (M.P.) 451228, IN
Source
Research Journal of Pharmaceutical Dosage Form and Technology, Vol 2, No 2 (2010), Pagination: 133-138Abstract
There is considerable interest in the skin as a site of drug application both for local and systemic effect. However, the skin, in particular the stratum corneum, poses a formidable barrier to drug penetration thereby limiting topical and transdermal bioavailability. Skin penetration enhancement techniques have been developed to improve bioavailability and increase the range of drugs for which topical and transdermal delivery is a viable option. This review describes enhancement techniques based on drug/vehicle optimization such as drug selection, prodrugs and ion-pairs, supersaturated drug solutions, eutectic systems, complexation, liposome, vesicles and particles. Enhancement via modification of the stratum corneum by hydration, chemical enhancers acting on the structure of the stratum corneum lipids and keratin, partitioning and solubility effects are also discussed. The mechanism of action of penetration enhancer's, retarders and their potential for clinical application is described.Keywords
Transdermal Delivery, Skin Penetration, Enhancer, Retarder.- General Geology
Authors
Source
Journal of the Association of Engineers, India, Vol 40, No 2 (1964), Pagination: 57-57Abstract
This is a compact book. The language is concise and precise and it is surprisingly comprehensive. It is a translation in good english and can stand on its own merit as a book in General Geology in English.- Calf Hypertrophy as Initial Presentation of Hypothyroidism:A Rare Presentation
Authors
1 Department of Neurology, PGIMER and Dr. RML Hospital, New Delhi, IN
Source
The Indian Practitioner, Vol 71, No 9 (2018), Pagination: 50-51Abstract
Neurological manifestations of hypothyroidism are rare and usually seen in late stages of illness. Myopathy as initial manifestation of hypothyroidism is even rarer. Muscle hypertrophy, muscle stiffness and cramps in hypothyroid patient is known as Hoffmann’s syndrome. We report a case of a fourty year old male who presented with calf hypertrophy and very high levels of creatine phosphokinase which normalised after eight weeks of treatment with levothyroxine.Keywords
Hypothyroidism, Myopathy.References
- Wortmann RL, Vladutiu GD. The clinical laboratory evaluation of the patient with noninflammatory myopathy. Curr Rheumatol Rep 2001;3:310-316.
- Khaleeli AA, Griffith DG, Edwards RH. The clinical presentation of hypothyroid myopathy and its relationship to abnormalities in structure and function of skeletal muscle. Clin Endocrinol (Oxf) 1983;19:365-76.
- Scott KR, Simmons Z, Boyer PJ. Hypothyroid myopathy with a strikingly elevated serum creatine kinase levels. Muscle Nerve 2002;26:141-4.
- Sidibe EH, Diop AN, Thiam A, Diagne PM, Sarr A, Toure M, et al. Hoffmann’s syndrome in hypothyroid myopathy. Report of a case in an African. Joint Bone Spine 2001;68:84‑5
- Deepak S, Harikrishnan, Jayakumar B. Hypothyroidism presenting as Hoffman’s syndrome. J Indian Med Assoc 2004;102:41-2.
- Melmed S, Polonsky KS, Reed Larsen P, Kronenberg HM. The thyroid gland. In: Williams Textbook of Endocrinology. 12th ed. Philadelphia: W.B. Saunders Company; 2011. p. 410.
- Udayakumar N, Rameshkumar AC, Srinivasan AV. Hoffmann syndrome: Presentation in hypothyroidism. J Postgrad Med 2005;51:332‑3.