Browsing by Author "Kaur, A."

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    Comparison of hysteroscopic and laparoscopic myomectomy in large type 2 submucous leiomyomas
    (Medip Academy, 2023-03) Taneja, A.; Kaur, M.; Kaur, A.; Arora, M.; Singh, P.; Goyal, M.
    Background: Uterine leiomyomas are the most common benign tumors, affecting 30% of women of reproductive age. Submucous myomas are seen in 5.5-10% of all myomas. This study aimed to compare clinical, peri, and post-op outcomes of hysteroscopic and laparoscopic myomectomy in large type 2 submucous myomas. Methods: A prospective study was performed on 50 patients with large submucous type 2 leiomyomas measuring 3-5cm from October 2020 to August 2022. Patients were randomized into two groups of 25 each. Group A underwent hysteroscopic myomectomy and group B underwent laparoscopic myomectomy. Results: There was no significant difference in the demographic data of both groups except parity. Perioperative outcomes including bleeding, pain, and hospital stay were significantly higher in the laparoscopy group. None of our patients had air embolism. One patient had blindness in the postoperative period. 2 patients had uterine perforation in the hysteroscopy group. Postoperative pain was higher in the laparoscopy group. Recurrence at 3 months was seen in 2 patients of group A. Asherman syndrome was seen in group A. Single-stage success rate was seen higher in the laparoscopy group. Conclusions: Laparoscopy and hysteroscopy both are feasible techniques of myomectomy for submucous leiomyomas but for removal of large submucous leiomyomas laparoscopy myomectomy is considered better. For successful removal of large myomas in single-stage hysteroscopy, use of hysteroscopic morcellation should be considered.
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    Correlation of myopia with age, axial length and anterior chamber depth
    (Medip Academy, 2023-04) Kaur, A.; Kai, S.; Raina, B.
    Background: Uncorrected myopia or near sightedness is a major cause of vision impairment and legal blindness in younger population. It has huge social, psychological, economic and developmental implications. Changes in anterior chamber depth and a significant increase in axial length increase the risk of myopia which can lead to a number of visual complications. Method: This hospital based observational study was conducted in the OPD of department of ophthalmology, government medical college, Jammu over a period of one month from November 2022 to December 2022. A total of 100 patients were involved in this study. Data was interpreted in both descriptive and inferential statistics i.e., frequency and percentage distribution by using SPSS, version 22. Results: It was observed that maximum patients were in the age group of 21-30 years (46%) and male:female ratio was 1.38:1. A positive correlation was found between myopia with axial length and anterior chamber depth (p<0.05). Conclusions: Understanding the role of ocular biometric parameters in myopia is important in not only interpreting the disease pattern but also modelling the pathology and management of ocular diseases. It will go a long way in reducing the burden of myopia and its associated complications.
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    Diagnostic utility of bone marrow aspiration in bicytopenia
    (Medip Academy, 2023-04) Sandhu, S.; Vaid, A.; Khajuria, R.; Kaur, A.; Sharma, A.
    Background: Haematological diseases are frequently seen now a days in different age groups. Patients can present with a variety of presentations in form of cytopenia of a single lineage or in a dual combination or with pancytopenia. Our study focusses on the utility of bone marrow aspiration for diagnosis of bicytopenias by assessment of pattern of bicytopenias in peripheral smear examination. Methods: This was a retrospective study that was conducted over a period of one year in a tertiary care institute of Northern India. Cases of bicytopenia were subjected to bone marrow aspiration and parameters such as cellularity, myeloid to erythroid ratio and cytomorphological details of the cells were documented. Results: Study consisted of male predominance with maximum patients in the age group of 21-30 years. Most common bicytopenia was found to be anaemia with thrombocytopenia and normoblastic erythroid hyperplasia was the most common aetiology.The results of this study were similar to those in the earlier literature with the inference that bone marrow aspiration performed for all cases significantly helped in arriving at the diagnosis. Conclusions: Bicytopenia is a good haematological indicator for many non-malignant and malignant diseases. Knowledge of its aetiologies can help in the diagnosis and efficient management of patients. Bone marrow study forms a cost-effective tool in interpretation of bicytopenia.
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    Effects of Corona Pandemic on Global Environment and Economy
    (Sciencedomain International, 2022-01) Gaurav, N.; Thapa, A.; Ali, Y.; Kulshrestha, A.; Saini, N.; Joshi, P. K.; Rawat, H.; Kaur, A.; Kumar, P.
    The COVID-19 pandemic is draw into concern as the most reproving international fitness tragedy of the century since December 2019, the era of Second World War. A new transmissible respiratory disease comes in existence in Wuhan, Hubei province, China and the World Health Organization named it as COVID-19 (corona virus disease 2019). For the quarter of 2020 the corona virus epidemic has swamp the international locations of the sector and changed the pace, material and nature of our lives. In this evaluation accompanying, we inspect some of the various social, environmental and economic issues influenced by COVID-19. The COVID-19 epidemic has ended in over 4.3 million confirmed instances and over 290,000 deaths globally. The Indian economy as with the global economy, was faced with multiple curtailment too when the pandemic emerged. Advance estimation recommend that the Indian economy is anticipate to witness real GDP augmentation of 9.2 per cent in 2021-22 after reducing in 2020-21. This implicit that overall economic activity has retrieve past the pre-epidemic levels. Social spacing, self-isolation and travel diminution have led to a less staff throughout all capitalism or economic sectors, and because of that many jobs to be bygone. Schools have closed down, and there is requirement for artefacts and products has reduced. In contrast, there requirement for medical essentials has significantly increases. In reaction to this global epidemic, we summarize the effect of COVID-19 on socio-economic condition on individual factors of the world economy and environment.
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    Hearing assessment in mobile phone users
    (Medip Academy, 2023-12) Sahni, D.; Singh, P.; Sharma, P.; Kaur, A.; Sahni, P.; Sahni, H.
    Background: Mobile phones have become an indispensable part of today's modern world. But with various day-to-day benefits, mobile phones also bring detrimental effects on the health of users. Ear being the closest organ in contact with phones, faces maximum effect of electromagnetic waves generated by them. Chronic exposure to these waves and sounds can result in permanent hearing loss. Hence, the present study was done to assess the association between hearing loss and duration of mobile usage. Methods: This cross-sectional study was conducted on mobile phone users between the age group of 20 and 40 years in the Department of ENT, Rajindra Hospital, Patiala over 6 months (1 August 2022 to 31 January 2023). 600 volunteers were involved and divided into three groups based on the duration of mobile phone usage. Pure tone audiometry and DPOAE were used to assess the hearing loss in these subjects. Results: A variable degree of hearing loss was observed on PTA and DPOAE in all three groups with a significant association between hearing loss and the duration of mobile phone usage. A higher proportion of sensorineural hearing loss was observed in the group with mobile phone usage of more than 1 hour per day for a minimum of 4 years as compared to those who used them for <1 hour per day for a minimum of 4 years and control group (p=0.001) which was significant statistically. Conclusions: People using mobile phones for long hours are at higher risk of developing hearing loss, especially in the dominant ear.
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    Outcome of newborn hearing screening a prospective study
    (Medip Academy, 2023-10) Sahni, D.; Bhagat, S.; Kaur, B.; Singh, P.; Kaur, A.; Singh, P.; Sahni, P.
    Background: Hearing is a very important part of newborn language as well as speech development, hearing loss varies degrees i.e. from hearing impairment to complete hearing loss. It has an effect on person’s physical, social, mental, educational, and economic well-being. Methods: The current study's objective was to use OAE to test newborns for hearing in the department of otorhinolaryngology and study was carried out over a period of 2 years (September 2020 to September 2022) in 2000 neonates born at Rajindra hospital Patiala by DPOAE (distortion product OAE) test. The association between maternal, neonatal, sociodemographic factors and hearing impairment in neonates were evaluated. Results: In our study 257 out of 2000 newborns had ‘Refer’ result on OAE. There was a male preponderance (1061 males and 939 females) with 7% males having ‘Refer’ results as compared to 5.85% of females.153 out of 2000 neonates with ‘Refer’ result belonged to the lower class and 9.9% newborns with ‘Refer’ result was from rural area. Perinatal illnesses like Severe anemia (1.17%), Hypertension (0.78%) also have an impact on neonatal hearing impairment. In neonatal risk factors prematurity caused hearing impairment in 7.85% of neonates, low Apgar score at birth and 1 min (8.55% and 8.35%), low birth weight (8.75%), and more than 24-hour NICU admission (3.7%) Conclusions: The screening of neonates with Otoacoustic emissions is required for early detection of neonatal hearing loss as OAE is an easy,reasonably priced and dependable procedure for infant testing on a wide scale.
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    Pattern of adverse drug reactions reported at the adverse drug reaction monitoring centre at tertiary care teaching hospital in North India
    (Medip Academy, 2023-06) Jindal, A.; Kumar, R.; Kumar, S.; Kaur, A.; Kiranjit; Tilak Raj, R.
    Background: The aim of the present study was to determine the pattern of adverse drug reactions (ADRs) reported at ADR monitoring centre (AMC) in Punjab. Methods: This observational retrospective study was done in department of Pharmacology, GGS Medical College and Hospital, Faridkot from September 2020 to August 2021. A total of 148 ADRs were reported during the study period. Each ADR was analyzed for demographic data and characteristics of ADR. Assessment of causality, severity and preventability was done according to WHO UMC scale, modified Hartwig and Siegel scale and Modified Schumock and Thornton Preventability Scale respectively. Results: A total of 148 ADRs were reported from both outpatients and in patients of various departments. Most of the ADRs were found in males (55%) and patients of age group 31-45 years (33%). Majority of ADRs were reported from dermatology department (40%). Overall, 38% of ADRs were due to antimicrobial drugs. Most of the ADRs were reported as possible (57%), followed by probable (41%) as per WHO causality assessment. Most of the ADRs were moderate severity (83%). 97% of the ADRs were found to be definitely preventable type. Conclusions: We concluded that most of the ADRs were reported from antimicrobial drugs, so it is advisable to have close monitoring of the antimicrobial drug therapy to prevent ADRs in the patients. Although the majority of ADRs were moderate in nature but mostly were recovered. The study of ADRs in a particular institute using demographic patterns will contribute to patient safety by sensitizing the clinicians in that particular institute.
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    Pattern of adverse drug reactions with chemotherapeutic drugs in a tertiary care hospital of North India: a retrospective study
    (Medip Academy, 2023-04) Jindal, A.; Brar, B. K.; Kumar, R.; Kumar, S.; Sidhu, K.; Kaur, A.; Richa; Raj, R. T
    Background: Adverse drug reactions are important causes of mortality and morbidity in the patients. Early detection, evaluation and monitoring of ADRs is essential to improve public health. Methods: This was an observational, non-interventional and retrospective study conducted at the ADR monitoring centre of a tertiary care hospital of North India. Suspected ADR forms reported over a period of 4 years involving at least one chemotherapeutic drug with at least one dose were analyzed. Results: A total of 261 chemotherapeutic drugs associated ADRs were analyzed. Out of these, maximum numbers of ADRs were reported by males (54%). Maximum reporting was done by Skin and VD department (37.93%). Causality assessment was probable in maximum number of cases (54%). Most common ADRs were skin rashes (21.46%), followed by jaundice, urticaria and fixed drug eruptions. Maximum ADRs were suspected to be caused by Anti tubercular drugs (31.42%) followed by anticancer drugs (14.56%). Conclusions: ADRs due to antibiotics and anticancer drugs is a significant health problem.