Browsing by Author "Kumari, Mamta"

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    Cadaveric Study of the Human Thumb: Observation on Different Forms of Variations in Pollicis Tendons and Their Clinical Significance.
    (2016-07) Kumari, Mamta; Bharti, Jay Prakash
    Background: Few structures of the human body are as unique as the hand. The hand needs to be mobile in order to position the fingers and the thumb. Coordination of the hand is required for performing tasks. The structures that form and move the hand require proper alignment and control along with adequate strength for normal hand function to occur. The thumb is a highly evolved structure of the hand and is an exemplary example of human evolution. It has gained attraction among researchers due to its uniqueness, clinical significance and associated variations in morphology. Aim – The aim of this study was to observe variations among Abductor Pollicis Longus (APL), Extensor Pollicis Longus (EPL) and Extensor Pollicis Brevis (EPB). Methods: Upper limbs from twenty embalmed cadavers were studied in the Department of Anatomy and variations among the APL, EPL and EPB were documented. Results: Unilateral variations were noted among form and structure of APL, EPL and EPB. Bilateral variations were absent. All three muscles in all twenty specimens had same nerve supply. Conclusion: Variations among APL, EPL and EPB are clinically significant and may lead to obfuscations during hand and upper limb surgeries.
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    Clinicoetiological profile and outcome of acute febrile illness with thrombocytopenia in children: a hospital based prospective study
    (Medip Academy, 2020-06) Agarwal, Priyanka; Das, Ratan Kumar; Dash, Dillip Kumar; Kumari, Mamta; Mohanty, M. D.
    'Background: Thrombocytopenia is often the most commonly encountered clinical condition in this routine practice. Etiological causes being numerous, often pose a challenge in evaluating and treating the patients. The objective of this study was to find out the different causes and clinical profile of fever with thrombocytopenia in children aged 1month to 14 year who were admitted in this set up.Methods: This was a prospective study done on 200 patients with thrombocytopenia admitted IMS AND SUM Hospital, BBSR with various complaints, during the period of 01 August 2017 to 01 August 2019. This study includes age group 1months to 14 years.Results: The highest incidence of thrombocytopenia belonged to the age group 11-14 years (22.5%) followed by 6-9 years (19.5%) and 3-6 years (18%). Incidence of thrombocytopenia was more in male child (58.5%) as compared to female child (41.5%). the most common cause of thrombocytopenia was dengue (50%), Scrub typhus (34%) septicaemia (17.5%) followed by malaria (10.5%). Among the infectious aetiology severe thrombocytopenia was seen more in dengue (25%) and scrub typhus (34.5%) but evidence of bleeding was seen more in sepsis (34.2%) even with higher platelet count which may be explained by associated multi organ failure.Conclusions: Infections like malaria, dengue, leptospirosis and septicaemia were the common causes of thrombocytopenia along with scrub typhus. Whenever thrombocytopenia is detected further investigations can help us in reaching a correct diagnosis in the majority of the cases so that appropriate treatment can be given and also to avoid unnecessary platelet transfusion to prevent transfusion related complications.
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    Interesting malignant renal tumours: a tripod of cases
    (Medip Academy, 2023-06) Kumari, Mamta; Haldar, D.; Kumar, M.; Kumar, B.
    Renal malignancy is the 15th leading cause of annual deaths, with late detection and misdiagnosis leading to decreased patient survival. We hereby present three cases of malignant renal tumours which grabbed our attention because of their rarity and interesting presentation. Case 1-A 38 year old male presented with palpable lump in right flank, CT revealed a multilocular cystic lesion in right kidney, along with horse-shoe kidneys. In view of renal biopsy suggesting Tubulocystic carcinoma, patient underwent nephrectomy and diagnosis confirmed to be the same histomorphologically as well as immunohistochemically using AMACR and PR. Case 2-A 77-year-old male had lower urinary tract symptoms due to prostatomegaly, and a left renal mass and small hepatic cysts were detected incidentally. Kidney function was normal. Microscopy showed Chromophobe renal cell carcinoma, which was confirmed with immunohistochemical markers CK7 and CKIT. Case 3-A 50 year female presented with recurrent lump in her left flank, CT confirmed a huge left renal fossa mass. Biopsy showed features of malignant mesenchymal neoplasm consistent with leiomyosarcoma based on immunohistochemical panel of vimentin, h-Caldesmon, SMA, EMA, HMB-45 and S100, which helped in differentiating it from tumours like angiomyolipoma. Renal tumours have varied morphological overlapping and it is important to rule out close differentials using immunohistochemistry before coming to a diagnosis. Awareness of such presentations and findings can broaden our understanding of renal tumours which can help in early and accurate diagnosis for better outcome of the patient.
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    Interesting malignant renal tumours: a tripod of cases
    (Medip Academy, 2023-06) Kumari, Mamta; Haldar, D.; Kumar, M.; Kumar, B.
    Renal malignancy is the 15th leading cause of annual deaths, with late detection and misdiagnosis leading to decreased patient survival. We hereby present three cases of malignant renal tumours which grabbed our attention because of their rarity and interesting presentation. Case 1-A 38 year old male presented with palpable lump in right flank, CT revealed a multilocular cystic lesion in right kidney, along with horse-shoe kidneys. In view of renal biopsy suggesting Tubulocystic carcinoma, patient underwent nephrectomy and diagnosis confirmed to be the same histomorphologically as well as immunohistochemically using AMACR and PR. Case 2-A 77-year-old male had lower urinary tract symptoms due to prostatomegaly, and a left renal mass and small hepatic cysts were detected incidentally. Kidney function was normal. Microscopy showed Chromophobe renal cell carcinoma, which was confirmed with immunohistochemical markers CK7 and CKIT. Case 3-A 50 year female presented with recurrent lump in her left flank, CT confirmed a huge left renal fossa mass. Biopsy showed features of malignant mesenchymal neoplasm consistent with leiomyosarcoma based on immunohistochemical panel of vimentin, h-Caldesmon, SMA, EMA, HMB-45 and S100, which helped in differentiating it from tumours like angiomyolipoma. Renal tumours have varied morphological overlapping and it is important to rule out close differentials using immunohistochemistry before coming to a diagnosis. Awareness of such presentations and findings can broaden our understanding of renal tumours which can help in early and accurate diagnosis for better outcome of the patient.
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    Management of Gastric Ulcer w.s.r. Annadrava Shool in Ayurveda: A Case Study
    (Mahadev Publications, 2022-08) Kumar, Sumit; Kumari, Ragini; Kumar, Pankaj; Kumari, Mamta; Singh, Vijay Bahadur
    Annadrava shoola is one of the diseases of the alimentary canal in which there is colic occurs after digestion, during digestion or at any time and Patient feels relief after vomiting. It can be said gastric ulcer on the basis of its signs and symptoms. Gastric ulcers are most commonly located on the lesser curvature, whereas duodenal ulcers are most common at the duodenal bulb. The ulcer is round to oval with a smooth base. Acute ulcers have regular borders, while chronic ulcers have elevated borders with inflammation. An ulcer extends beyond the muscularis mucosa. Ayurveda encourages lifestyle interventions and natural therapies to regain a balance between the body, mind and the environment. In this paper, a case study on Annadrava shoola has been explained. A female patient of 42 years of age came to the Kayachikitsa OPD (OPD REG.no-6836) Government Ayurvedic College and Hospital, Patna-03 having complain of pain and burning sensation in abdomen for 5 months as well as irregular bowel evacuation (>3episode) in the last 3 months. The nature of pain was gradual on onset and burning type and exaggerated after meal. On the basis of history of the patient and endoscopy report, he was diagnosed as gastric ulcer and pan gastritis. We have done the Shamana Chikitsa for the patient. In Shamana Chikitsa was done with combinations of Sutashekhar Ras, Tab Aciloss and Shatavari Churna for one month. Endoscopy was repeated after one and half months of treatment. Report showed only that the treatment cured the Annadrava shoola (gastric ulcer) of the patient. So, there is hope in Ayurveda for the treatment of Annadrava shoola.
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    Outcome of patients with COVID pneumonia on High Flow Nasal Oxygen Therapy
    (B.V.V. Sangha抯 S. Nijalingappa Medical College, 2022-07) Virmani, Rashmi; Soni, Megha; Kumari, Mamta; Parashar, Lokesh
    Background & Aims: The coronavirus pandemic has caused a rapid surge in patients requiring intensive care unit (ICU) admission. The mainstay of treatment is supplemental oxygen therapy by an oxygen mask, nonrebreathing mask, high flow nasal oxygen therapy (HFNOT), non-invasive and invasive mechanical ventilation. HFNOT is a relatively newer, easy-to-use technique with better patient compliance. This study aimed to assess the outcome of HFNOT in Corona Virus disease (COVID) patients in ICU. Methods: This record based; retrospective study included 43 reverse transcriptase polymerase chain reaction (RTPCR) confirmed COVID patients whose respiratory support was initiated on HFNOT as per the inclusion criteria. The primary outcome of this study was to assess the number of patients requiring mechanical ventilation (HFNOT failure). The secondary outcome was to assess the association of HFNOT failure with age, co-morbidity index, and severity of illness. Results: Out of forty-three patients, twenty-five patients (58%) required conversion to mechanical ventilation. Eighteen patients (42%) were managed with HFNOT alone. HFNOT failure was more with increasing age and higher comorbidity score (p value<0.05). Conclusion: We concluded that HFNOT can be successfully used in COVID patients in ICU without the need for mechanical ventilation. However, it should be used cautiously in patients with higher 4C mortality scores.
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    Paradigm Shift in Agricultural/ Horticultural Production System through GAP to Fill the Gap between Potential Yield and Yield Obtained
    (Ms. M. B. Mondal, 2023-08) Kumari, Mamta
    India is an agriculture-based country which is a very important and ancient enterprise of the whole world. It supplies food, fruit, vegetables, flowers to worship and decorate around the world. Apart from India there are any countries that are dependent on agriculture. It is the backbone of new industries like Sugar, Cotton etc. Krishi Vigyan Kendra, Sabour, Bhagalpur works in wide array of situations. It deals with sixteen blocks. Few blocks face flood in rainy seasons like Kharik, Naugachhia, Biharpur, Nathnagar, Sultanganj, Goradih and Gopalpur. Few of them have flood daught situations like Pirpainti, Kahalgaon, Sanhawla. Jagdishpur is the only block that always favoured that is hub of Katarni rice production. Katarni rice has GI Lag. Jardalu mango is very juicy tasty mango from Bhagapurl district also having GI tag. Due to poor management practices or there is big gaps/distances between yield and potential yield. Difference in potential yield and yield obtained is the ultimate loss of farmers. This is applied for all crops particularly for Horticultural crops. Because, horticultural crops fullfil the cash crunch of farmers. FAO has published training manual for good agricultural practices for fruit and vegetables crops. This type of manuals should be developed by different area for location specific crops. Bhagalpur has major area of mango, litchi, banana, pointed gourd, tomato. So, the manuals of good practices for these crops will be very productive to the farmers. To attain the potentiality of any crop farmers should follow the GAP (Good Agriculture of Practices) of that crop Naved Sabit et.al (2010) also and vacated for good practices of plant protection in different crops.
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    STI-571 (Gleevec) in the treatment of chronic myeloid leukaemia.
    (2002-09-28) Kumar, Lalit; Kumari, Mamta; Menon, Hari