Browsing by Author "Jain, Pankaj"
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Item Atraumatic rupture of spleen.(2011-07) Jha, Ashish Kumar; Pokharna, Rupesh; Nijahwan, Sandeep; Nepalia, Subhash; Jain, Pankaj; Suchismita, Arya; Sapra, Bharat; Mathur, AmitItem Celiac disease variations of presentations in adults.(2008-01-11) Puri, A S; Jain, PankajItem A comparative assessment of KAP regarding Tuberculosis and RNTCP among Government and Private Practitioners in District Gwalior (Madhya Pradesh), India: An operational research.(2011-10) Srivastava, Dhiraj Kumar; Mishra, Ashok; Mishra, Subodh; Chouksey, Mahendra; Jain, Pankaj; Gour, Neeraj; Bansal, ManojItem Comparison of Decellularized Bubaline Diaphragmatic Scaffold with Synthetic Polygalactin and Polypropylene Composite Mesh for Perineal Hernioplasty in Dogs(Association of Mastitis, 2020-04) Agrawal, Suwarna; Shahi, Apra; Singh, Randhir; Vaish, Rakhi; Jain, Pankaj; Jawre, Shobha; Das, Babita; Navade, JyotiPresent study was planned to compare xenogenic decellularized bubaline diaphragmatic scaffold with synthetic polygalactin and polypropylene composite mesh for repair of perineal hernia in dogs. Twelve dogs suffering with perineal hernia were randomly divided in to two equal groups. In group I perineal hernioplasty was done with Synthetic polygalactin and polypropylene composite mesh while in group II, with decellularized bubaline diaphragmatic scaffold (dBDS). Mean surgical time was 59.17 ± 14.04 and 57.50 ± 6.15 minute in group I and II respectively. Swelling, redness and warmth increased significantly (p<0.05) on day 3 in both the groups. In group II initially significantly (p<0.05) increased exudation was observed on day 3 which reduced gradually. Degree of pain after surgery was significantly (P<0.05) decrease on day 3 in both the groups. Neutrophil count was significantly (p<0.05) increased and correspondingly lymphocyte count significantly (p<0.05) decreased on day 7 in group I while in group II no significant difference within the group was observed. Colour Doppler ultrasonographic examination revealed no vascularization on 0 day in both the groups. Neovascularization was observed on day 30 in group I and day 14 in group II on Colour Doppler ultrasonographic examination. It was increased on day 90 in both the groups. The complication encountered in the present study includes local seroma, suture dehiscence due to self mutilation, constipation and fistula formation. Decellularized bubaline diaphragmatic scaffold was well accepted by all the animals and showed less complication than synthetic meshItem Laboratory and clinical profile of dengue: a study from coaching city, Kota, India(Medip Academy, 2020-03) Jain, Pankaj; Meena, Om Prakash; Jelia, ShivcharanBackground: Dengue, an endemic disease in most subtropical and tropical regions of the world and it causes severe epidemics in India. Dengue is one of the most common acute viral illness associated with considerable morbidity and mortality. The objective of this study was to study laboratory findings and clinical profile of patients with dengue fever at a tertiary care hospital of coaching city Kota.Methods: This study was cross sectional study. The patients were examined at one point of time and later they were never followed which is similar to the cross-sectional study design. A total of 100 patients of dengue fever who were NS1 Antigen or IgM dengue positive, admitted to department of medicine of government medical college, Kota included in the study. Through clinical examination and relevant laboratory investigations performed in all patients.Results: In the present study, there were 74 males and 26 females. The sex ratio was 2.8:1. Maximum number of males (50%) was in the age group of 15-25 Years. Among females the maximum (42.3%) were in the age group of 15-25 years. The most common presenting symptom was fever in all cases followed by headache in 96%. Among bleeding manifestation, Epistaxis, gum bleeding and melena (24%) were the common symptom. 47% patients showed hepatomegaly and 38% showed splenomegaly. 12% patients were anemic and 51% showed leucopenia while 93% showed thrombocytopenia.Conclusions: Males were commonly affected. Young age group of 15-25 was more commonly affected. Fever and headache were the most common presenting symptom. As dengue causes increased morbidity and mortality and requires prompt diagnosis and treatment for the proper management of these cases, this study helps physicians in early diagnosis of dengue by suspecting the features as of dengue and can prevent morbidity and mortality associated with dengue.Item Measles related complications and the role of vitamin A supplementation.(2008-09-06) Mishra, Ashok; Mishra, Subodh; Jain, Pankaj; Bhadoriya, Rahul Singh; Mishra, Rakesh; Lahariya, ChandrakantOBJECTIVE: Measles is associated with high rate of complications and contributes to a major proportion of childhood morbidity and mortality. The role of vit A supplementation (VAS) in the case management of measles and prevention of complications is partially understood and not sufficiently supported by epidemiological data. This paper analyses the possible role of vit A supplementation in prevention of measles related complications and associated fatality. METHODS: A cross sectional study was carried out during an outbreak of measles in Shivpuri, India. A total population of 193,000 was covered by house to house visit and, the caregivers of total 1204 measles cases, including 214 cases with complications, were interviewed using a semi structured interview schedule. The analysis of data was done using Epi Info. RESULTS: The attack rate of 6.7% and rate of complications at 17.8% were found in this investigation. The coverage with routine measles vaccine and the vit A supplementation was 18.3% and 28.9% respectively. The management of measles cases was poor with only 15.8% cases receiving therapeutic doses of vit A. Both complications and case fatality rate was higher amongst children who had not received vit A supplementation in previous 6 months (p<0.05). Measles vaccine also found to have preventive effect on development of complications (p<0.05). CONCLUSION: Routine vit A supplementation and measles vaccination reduce the chances of complications amongst cases of measles. The role of VAS becomes more important when the case management is poor. While, measles is frequently associated with complications in the Indian setting, there is a need of enhancing the efforts to improve the delivery of vit A supplementation and measles vaccine to the children in rural areas.Item Radiological Evaluation Of Carpal Instability Associated With Conservatively Managed Fracture Of Distal Radius.(World Wide Journals, 2018-02) Jain, Pankaj; Singh, Devena; Goyal, Nitin; Patel, Josal; Bhati, Mahesh.Distal radius fracture is one of the most common fractures of the forearm and accounts for approximately 16% of all skeletal fractures. Distal radial fractures are associated with injuries to the TFCC and carpal ligaments that may lead to carpal malalignment later. The purpose of this study was to assess the frequency of carpal instability on radiological basis following conservative management of distal radius fractures. Other objective was to identify other factors including carpal malalignment in an attempt to predict the final functional outcome. In a prospective study, 100 distal radial fractures treated with conservative method were followed-up with serial radiographs for assessment of various radiological parameters. The alignment of each wrist was checked radiographically in pre reduction, immediate post-reduction and subsequently at 6-week follow-up radiographs. Serial measurements of radial length, dorsal tilt, radial inclination, scapho-lunate, radio-lunate, radioscaphoid, scapho-capitate angles and effective radiolunate flexion (ERLF) angle were made. Regression analysis showed high correlation among the severity of axial shortening, prereduction dorsal angulation and radio-carpal malalignment pattern with loss of reduction at 6 week. Two patterns of carpal malalignment were identified depending upon the effective radiolunate flexion (ERLF) measured on pre-reduction radiographs. The midcarpal malalignment was seen in 82% radial fractures with the lunate following the dorsiflexed fracture fragment and a measured ERLF of less than 250. The second pattern of radio-carpal malalignment showed the fracture fragment to dorsiflex without taking the lunate with a measured ERLF of more than 250. The scaphoid did not follow the fracture fragment in both the patterns of malalignment. Our study highlights the importance of various radiological parameters on post-reduction radiographs as a predictor of carpal instability.Item Study of prevalence of secondary hyperparathyroidism in chronic renal failure in hadoti region(Medip Academy, 2019-08) Dayma, Chiranjee Lal; Ajmera, Devendra; Jelia, Shiv Charan; Jain, PankajBackground: Secondary hyperparathyroidism is known and early complication of chronic renal failure patients. Aim of this study was to assess the prevalence of secondary hyperparathyroidism and correlation between serum parathyroid hormone level with biochemical parameters in renal failure patients in tertiary care hospital in Kota, Rajasthan.Methods: A cross sectional observational study was carried out in 50 patients who had creatinine clearance of 30ml/min/1.73m2 or less for greater than 6 weeks attended the OPD of department of General Medicine, New Medical College hospital, Kota, Rajasthan from May 2018 to November 2018. Investigations like complete blood count, renal function test, urine routine microscopy and USG abdomen with serum parathyroid hormone, serum phosphorus, serum calcium levels were done. Serum parathyroid hormone level was done by calorimetric method.Results: The prevalence of secondary hyperparathyroidism in our study was 72%.In hyperparathyroidism patient’s serum calcium level was low and the difference was highly significant (p<0.001). There is negative correlation between S.PTH and S. calcium level (r=-0.536). Mean serum calcium level in our study is 1.6mmol/l. In hyperparathyroidism patient’s serum phosphate level was high and the difference was highly significant (p<0.001). There was positive correlation between S.PTH and S.PO4 level (r=0.402). Mean serum phosphorus level in our study is 5.7 mg/dl. Prevalence of hyperparathyroidism was high among CRF patients with normal BP than hypertensive patients and with normal sugar than diabetics but the difference in proportion was not significant (p=0.87, p=0.98 respectively). 90% patients were on haemodialysis while 10% patients were on conservative management.Conclusions: Early detection of secondary hyperparathyroidism in chronic renal failure patients can reduce its complications like bone fracture and cardiovascular complications.Item Swyer-james-macleod syndrome in a 10-year-old boy misdiagnosed as asthma.(2010-06) Walia, Mandeep; Goyal, Vishnu; Jain, PankajItem Unusual presentations of malaria in children: an experience from a tertiary care centre in north east India.(2010-06) Dass, Rashna; Barman, Himesh; Duwarah, Saurabh Gohain; Deka, Nayan Mani; Jain, Pankaj; Choudhury, VivekObjective. To identify cases of malaria with unusual presentations. Methods. The medical record of all the cases of malaria admitted to PICU and pediatric general ward from Oct 2006 to Sep 2009, were reviewed and cases with unusual presentations were identified. The study design was retrospective descriptive study. Results. Sixteen (10%) out of 162 malaria cases had unusual presentations - three had hemiplegia, two each with viral hepatitis-like presentation, acute abdomen, gastrointestinal bleed, generalized edema and hyperglycemia and one each with ptosis, severe headache and subacute intestinal obstruction-like presentation. Eleven cases had mixed parasitemia and two each with P. vivax and P. falciparum. One case was diagnosed on clinical grounds. Conclusions. Malaria is a common disease, but both typical and atypical presentations deserve attention for early diagnosis and management.