Browsing by Author "Sharma, C S"

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    Abdominal tuberculosis in children.
    (1990-07-01) Sharma, A K; Agarwal, L D; Sharma, C S
    Problems in the management of abdominal tuberculosis in children are discussed with reference to 80 surgically proven cases. The protean clinical manifestation depends on the site and the extent of the disease and its complications. The clinical diagnosis is difficult because of the vague symptoms, non-specific signs, and non-availablity of specific diagnostic tests. The most common type of pathology seen in abdominal tuberculosis in the paediatrics age were adhesive variety followed by nodal type. Strictures of the small bowel are uncommon and hyperplastic variety is rarely seen in this age group. Response to the antitubercular drugs is excellent however, the post operative complications and mortality remain high.
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    Abdominal tuberculosis in children: experience over a decade.
    (1993-09-01) Sharma, A K; Agarwal, L D; Sharma, C S; Sarin, Y K
    This presentation deals with 110 surgically proven cases of abdominal tuberculosis in the pediatric age group. The protean clinical profiles and complications of the disease entity made the clinical diagnosis difficult; the investigations were also found non-pathognomonic. The most common type of pathology seen was adhesive variety followed by nodal type. Strictures of the small bowel were uncommon and hyperplastic variety was rarely seen in the present series. The pathogenesis relating to various varieties has been suggested based on the vast experience from a single institution.
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    Academic performance of school children with their intelligence quotient.
    (2010-07) Kulkarni, S D; Pathak, N R; Sharma, C S
    Present study was carried out to correlate academic performance of Indian school children with their intelligence quotient (as measured by Porteus Maze Tests). These tests have been tried and tested successfully in previous studies, don’t require sophisticated equipment and are easier to administer than traditional tests like Wechsler Tests. Contrary to popular belief, no statistically significant correlation was found in this study between intelligence and academic grades. Thus intelligence is not a prerequisite to succeed in examinations and therefore in life.
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    Academic performance of school children with their intelligence quotient.
    (2010-04) Kulkarni, S D; Pathak, N R; Sharma, C S
    Present study was carried out to correlate academic performance of Indian school children with their intelligence quotient (as measured by Porteus Maze Tests). These tests have been tried and tested successfully in previous studies, don’t require sophisticated equipment and are easier to administer than traditional tests like Wechsler Tests. Contrary to popular belief, no statistically significant correlation was found in this study between intelligence and academic grades. Thus intelligence is not a prerequisite to succeed in examinations and therefore in life.
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    Appendicitis in the newborns.
    (1992-10-01) Sharma, A K; Shukla, A K; Agarwal, L D; Gupta, A; Sharma, C S; Sharma, S C
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    Assessment of muscular fitness in school children using kraus-weber tests.
    (2010-10) Kulkarni, S D; Desai, H R; Sharma, C S; Bhatt, P J
    Objective of the study: The present study was carried out to assess muscular fitness in healthy Indian school children between 9 to 12 years of age (older pediatric age-group) using Kraus-Weber Tests. The aim was to compare the results of this study with similar studies that have been carried out in India, Europe and America previously. Methods: Kraus-Weber Tests don’t require sophisticated equipment and are much easier to administer than traditional tools for analyzing muscular fitness like Electromyogram (EMG). Earlier studies have proven these tests to be excellent screening devices not only for physical but also psychosocial incompetence. They can actually be used as indicators of overall health in this older pediatric age-group. Results: The present study found more number of fitness and flexibility failures as compared to the last such study in India. In stark contradistinction to previous studies, girls have fared poorly than boys on the fitness front.Conclusion: These findings could be attributed to increased stress in school children especially in female students. A sharp dip has been observed in muscular fitness just prior to puberty (most probably due to hormonal causes).
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    Congenital granular-cell myoblastoma.
    (1992-03-01) Sharma, K K; Goyal, R B; Sharma, C S; Sinha, D D; Shekhawat, N S
    Congenital granular-cell myoblastoma is a rare jaw tumor presenting in the neonatal period. The differentiation between congenital epulis and granular cell myoblastoma is a controversial issue amongst pathologists. It is a benign swelling in which simple excision is the treatment of choice. Here we report two cases with a brief review of literature.
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    Effect of yoga and relaxation techniques on cardiovascular system.
    (2010-04) Jain, Sangeeta; Jain, Meeta; Sharma, C S
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    Gastric duplication.
    (1993-02-01) Shukla, A; Sharma, C S; Sharma, A K
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    Giant choledochal cyst.
    (1994-02-01) Sarin, Y K; Sharma, C S; Agarwal, L D; Zaffar, M; Sharma, A K
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    The late presenting congenital diaphragmatic hernia simulating hydropneumothorax.
    (1991-01-01) Prabhakar, G; Agarwal, L D; Poonia, N M; Sharma, C S; Sharma, S C; Sharma, A K
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    Plumbism--a mimicker of common childhood symptoms.
    (2000-02-01) Kalra, V; Gulati, S; Chitralekha, K T; Pande, P; Makhijani, S D; Sharma, C S
    Lead poisoning is a preventable entity that can affect almost every system of the body. Its toxic effects range from subtle common childhood symptoms to even death. In a prospective study forty six children with at least one symptom compatible with plumbism were enrolled after screening patients attending medical services at AIIMS. The work-up included a detailed clinical history and examination including intelligence quotient (IQ) and behaviour. Blood lead levels were estimated in all with due precautions. Their ages ranged from 2.5 to 18 years and M:F ratio was 2:1. The common symptoms included unexplained recurrent colic (39), anorexia (21), sporadic vomiting and constipation (13), pigmented gum lines (11), growth failure (11), history of pica (9) etc. None of the children had acceptable blood lead levels (< 10 micrograms/dl). Ninety three per cent children had levels > 20 micrograms/dl and 47.8% had > 45 micrograms/dl. Statistically significant correlation with blood lead levels was seen with most symptoms. Plumbism can mimic common childhood illnesses and should be investigated in children with a clinically compatible profile. Community awareness with regard to pica reduction may be an important preventive measure. This silent epidemic needs to be aggressively tackled by a multipronged approach.
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    Spontaneous duodenal perforation in neonates.
    (1991-05-01) Sharma, A K; Prabhakar, G; Agarwal, L D; Sharma, C S; Sharma, S C; Haldiya, K N
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    Spontaneous gastrointestinal perforation in the neonate.
    (1991-11-01) Prabhakar, G; Agarwal, L D; Shukla, A; Zaffar, M; Sharma, C S; Sharma, S C; Sharma, A K
    Twenty seven cases of spontaneous gastro-intestinal perforation were treated from 1981 to 1990. Four perforations were in the stomach, 17 in the small bowel and seven in the large bowel. One of them had dual perforation, one in the stomach and another in the duodenum. The exact etiology remained obscure. Various factors observed were maternal obstetric complications, prematurity and perinatal asphyxia. Stress should be laid on early diagnosis by following up 'at risk neonates' thus, giving a better overall survival rate.
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    Teratomas in pediatric age group: experience with 75 cases.
    (1993-05-01) Sharma, A K; Sharma, C S; Gupta, A K; Sarin, Y K; Agarwal, L D; Zaffar, M
    The clinicopathological features of 75 children under the age of 12 years with teratomas are reviewed. Tumors arose in the following anatomic sites: sacrococcygeum (n = 49), ovary (n = 10), Testis (n = 5), oral cavity (n = 3), retroperitoneum (n = 2) and others (n = 6). Fifty five (74%) presented within the first year of life. Excluding the gonadal tumors, male-female ratio was 2:5. Majority of the tumors had only mature tissues. Such patients and those 9 patients in whom the histology was not specified, underwent excision alone and had 95% early survival rates. Five patients had admixture of mature and immature tumors. Nine patients had malignant tissues. Germ cell tumors containing only malignant component, but no mature or immature teratomatous tissues were excluded from the series. The patients with immature and malignant tissues underwent multimodal therapy including surgical excision, multiagent chemotherapy (VAC regimen) and at times radiotherapy. Mortality in patients with immature and malignant teratomas was 20 and 66.7%, respectively. Besides histology, the only factor which affected prognosis, especially in case of sacrococcygeal teratomas was the age at the time of presentation. Our experience highlights the importance of early recognition and complete surgical excision of teratomas in the pediatric age group.