Browsing by Author "Singh, Akashdeep"
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Item Management of Fingertip Injuries.(2015-07) Sharma, Ratnakar; Singh, Akashdeep; Singh, RavinderAbstract Fingertip injuries are one of the most common injuries sustained by human beings owing to various reasons as domestic, occupational, road traffic accidents or due to violence. The injury to the fingertip needs proper assessment and reconstruction so as to provide the proper tissue replacement.we describe our experience of 50 patients of fingertip injuries requiring reconstruction using one or other modality over a period of three years presenting to our hospital.Item Profile of Human Bite Facial Injuries and Their Management.(2015-01) Sharma, Ratnakar; Singh, Kailash; Singh, AkashdeepHuman bite facial injuries pose a challenge to the reconstructive surgeons. The site of defect, the three dimensional nature of defect and the need for restoration of the cosmesis of facial unit involved is technically demanding. We describe our experience of 26 patients of human bites to the face with soft tissue loss requiring reconstruction using one or the other modality over a period of 4 years presenting to our hospital.Item Role of line probe assay in diagnosis and detection of drug resistance in Mycobacterium tuberculosis(Society for research and Development in Education, 2019-04) Malhotra, Phalguni; Chhina, Deepinder; Gupta, Veenu; Singh, Akashdeep; Sandhu, DiljotTuberculosis caused by Mycobacterium tuberculosis has remained a major global health problem worldwide. TB requires prolonged period of time for isolation by conventional culture methods. The emergence and spread of multi drug resistant (MDR-TB) poses great threats and challenges in controlling the infection. MDR-TB is resistant to both first line drugs rifampicin and isoniazid. PCR tests are based on targeting the mutation in rpoB, katG and inhA genes which can detect resistance to these drugs. To compare microscopy, conventional culture and Line probe assay for the detection of M. tuberculosis & detect rifampicin and isoniazid resistance using Lineprobe assay in various clinical samples. A total of 347 suspected patients of tuberculosis were included in the study. Demographic details & clinical presentation was noted. Various samples were received & processed for ZN staining, culture on LJ media and Line probe assay. Out of 347 cases, majority of cases were in the age group of 51-60 years (18.4%). Majority of the population was males (65.1%). Among suspected tuberculosis patients, cough with expectoration (55.9%) was the commonest complaint. Microscopy was positive in 17.3%, conventional culture was positive in 16.1% and line probe assay was positive in 26.2%. Out of 347, 91 were diagnosed with MTB, out of which 85.7% were sensitive to both rifampicin and isoniazid whereas 14.3% showed resistance to either rifampicin / isoniazid or both. LPA & direct microscopy are a good screening method for early diagnosis and detection of drug resistance but are not a complete replacement of conventional culture which is still a gold standard.