Browsing by Author "Trivedi, N"
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Item C. T. scan in the evaluation of proptosis.(1986-01-01) Trivedi, N; Mathur, R NItem Comparative evaluation of breast lesions with the help of impression smears, histopathology and mammography.(1997-07-01) Trivedi, N; Khan, N; Sherwani, R; Verma, A K; Ranga, S; Talib, V HA total of 148 surgically removed benign and malignant breast lesions were studied to correlate cytomorphologial features in impression smears and histopathological sections. Mammograms were taken prior to surgery. Role of mammography in detection of non-palpable breast lesions was enlightened. Impression smears helped in quick diagnosis (intraoperative) and overall accuracy obtained was 97.4%. Cluster predominant and Grade II nuclear grading on smear pattern was seen in 58.8% and 57.4% cases respectively amongst the 68 malignant cases. 45% cases revealed non-palpable breast lesions on mammography which was later confirmed on histopathology.Item Effect of oral administration of fungicide-mancozeb on thyroid gland of rat.(1993-06-01) Trivedi, N; Kakkar, R; Srivastava, M K; Mithal, A; Raizada, R BItem The effectiveness of home-based physical therapy on glycemic control and quality of life in adults with prediabetes(Mrs Dipika Charan of MedScience (India) Publications, 2023-05) Parikh, SM; Trivedi, N; PB; Gupta, A; Bhoraniya, S; Jain, K; Joshi, H; Contractor, H.Background: Prediabetes is the preceding stage of diabetes which puts an individual to induce complications same as that of diabetes; hence, it should be treated to prevent its progression to diabetes and other consequences. However, there is very less literature about impact of home-based physical therapy on glycemic control and quality of life in Indian prediabetic population. Aims and Objectives: The aims of this study were to evaluate whether the home-based physical therapy shows effect on glycemic control and individual’s quality of life after a 3-month intervention. Materials and Methods: The study was conducted on 55 individuals who were diagnosed with prediabetes (36 males and 19 females) on basis of HbA1c level ranging from 5.7% to 6.4%. A 12-week exercise protocol was made which includes warm up exercises, main exercise program (aerobic and strengthening training), and cool down exercises along with dietary changes. SF-36 and HbA1c level is taken at baseline and at the end of 12 weeks for quality of life and glycemic control measures in participants, respectively. Results: The difference in HbA1c levels before and after treatment was found to be statistically significant. The HbA1c levels after the 3-month intervention showed significant reduction (P < 0.008) along with significant difference in all domain of SF-36 except in domain 3 (role limitation due to emotional problem) and domain 6 (social functioning). Conclusion: The home-based physical therapy program is effective in glycemic control and quality of life in adults with prediabetes.Item Emerging and re-emerging infections.(1997-10-28) Ranga, S; Trivedi, N; Khurana, S K; Thergaonkar, A; Talib, V HItem FNAC of papillary and solid epithelial neoplasm of pancreas--a case report.(1999-07-22) Trivedi, N; Sharma, U; Das, P M; Mittal, M K; Talib, V HA case of solid papillary epithelial neoplasm (PSEN) of pancreas in a young woman is reported in which the nature of tumour was recognised pre-operatively by ultrasound guided Fine needle aspiration. The pre-operative cytologic diagnosis enabled prompt and appropriate surgical treatment. FNAC revealed large cell clumps in the aspirate showing branching papillary appearance in which multiple layers of tumour cells surrounded central vascular stalks. The above was confirmed on histopathological examination of the excised tumour tissue.Item Histoplasma capsulatum in adrenal gland aspirate--a case report.(2000-04-24) Mahajan, R; Sharma, U; Trivedi, N; Prasad, M; Kansra, U; Bhandari, S; Talib, V HWe report a case of disseminated histoplasmosis in a 60-year-old non-immunocompromised patient who presented to us with fever and hepatosplenomegaly. Sonographic & CT examination of the abdomen showed bilateral adrenal masses. Cytological examination of the aspirated material from the mass showed yeast forms of H. capsulatum.Item Hyperkalemic periodic paralysis associated with thyrotoxicosis.(1993-04-01) Ghosh, D; Trivedi, N; Kohli, A; Mithal, AA 32 year old male presented with episodic pure motor weakness for 1 1/2 months. On evaluation he was found to be thyrotoxic. Hyperkalemic challenge test provoked similar weakness with raised serum potassium (6 meq/L). He responded to treatment with neomercazole. Till he became euthyroid, he responded to the addition of acetazolamide to his medication. He is symptom free on antithyroid drug alone over 8 months of follow up.Item Macroprolactinoma expansion during pregnancy.(1993-11-01) Trivedi, N; Mithal, AItem Optimizing multimodality treatment for head and neck cancer in rural India.(2012-04) Trivedi, N P; Trivedi, P; Trivedi, H; Trivedi, S; Trivedi, NBackground: Multimodality treatment of head and neck cancer in rural India is not always feasible due to lack of infrastructure and logistics. Aim: To demonstrate the feasibility of multimodality treatment for head and neck cancer in a community setting in rural India. Setting and Design: Community cancer center, retrospective review. Materials and Methods: This article focuses on practice environment in a cancer clinic in rural India. We evaluated patient profile, treatment protocols, infrastructure availability, factors impacting treatment decisions, cost estimations, completion of treatment, and major treatment-related complications for the patient population treated in our clinic for a 2-year period. Results: A total of 230 head and neck cancer patients were treated with curative intent. Infrastructure support included basic operating room facility (cautery machine, suction, drill system, microscope, and anesthesia machine without ventilator support), blood bank, histopathology laboratory, and computerized tomography machine. Radiation therapy (RT) facility was available in a nearby city, about 75 km away. One hundred and fifty-four (67%) patients presented at an advanced stage, with 138 (60%) receiving multimodality treatment. One hundred and eighty-four (80%) patients underwent primary surgery and 167 (73%) received radiotherapy. Two hundred and twelve (92%) patients completed the treatment, 60 (26%) were lost to follow-up at 18-month median follow-up (range 12-26 months), with 112 patients (66%) being alive, disease free. Totally 142 were major head neck surgeries with 25 free flap reconstructions and 41 regional flaps. There were 15 (6%) major post-op complications and two perioperative mortalities. Average cost of treatment for single modality treatment was approximately 40,000 INR and for multimodality treatment was 80,000 INR. Conclusions: This study demonstrates that it is feasible to provide basic multimodality treatment to head and neck cancer patients in the community.Item Troponin--a promising marker for myocardial injury.(1998-01-15) Ranga, S; Trivedi, N; Khurana, S K; Talib, V H