Browsing by Author "Vikram"
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Item Adenomatoid Tumor of Epididymis: A Rare Case Report(Society for Health Care & Research Development, 2018-01) Kaur, Simrat Jit; Rani, Shilp; Prabhjot; Kundal, Ramesh Kumar; VikramAdenomatoid tumors are rare benign neoplasms of the paratesticular region, most commonly occurring at the tail of the epididymis. We present a case of adenomatoid tumor in a 65 year old male, known case of prostatic adenocarcinoma, who presented in Urology OPD with painless swelling in testis. Bilateral orchidectomy was done with clinical suspicion of testicular carcinoma. On histopathology, diagnosis of adenomatoid tumor of epididymis was made. Due to its rarity, it is important for the physician and pathologist to be aware of this interesting entity in order to make a correct diagnosis.Item Psychiatric Disorders in HIV Infected Patients.(2011-10) Aswal, Siddharth; Agarwal, Prem; Gupta, L N; Verma, K K; Singhal, Ashok; Prakash, Satya; Vikram; MiteshIntroduction: Psychological and psychiatric issues associated with HIV infection have received considerable attention in the last decade owing to the emotional impact of the disease and its effect on an individual’s personal, sexual, occupational social and emotional life. Aims: To study the phenomenology of psychiatric disorders in relation to HIV infection. Material and Method: 50 new seropositive patients without any severe medical illness,CD4 count above 350 and not on Antiretroviral Therapy were selected for study from ART Centre, PBM Hospital, Bikaner during 1 January 2010 to 31st December 2010. Equal number of attendants of patients were also assessed on same parameter as control group after recording socio–demographic data on a self designed Performa, Montgomery Asberg Depression Rating scale (MADRS), Hamilton Anxiety Rating Scale (HARS) and Brief Psychiatric Rating Scale (BPRS) were administered. Data were analyzed using appropriate statistical methods. Results: 8 out of 18 (45%) male HIV patients with substance abuse reported moderate–severe tension, 1/3 of patients exhibited moderate–severe depression and 15 (84%) were moderate to severely anxious. Among known drug abuse patients, 7 (64%) had moderate to severe anxiety and depression, 8 (72%) felt moderate to severe tensions. All males were moderate to severely hostile. Psychopathology was more frequent in females. Where tension, moderate to severe anxiety and depression were present in 90% of patients. Conclusion: Results indicate that the 65–85 % of non drug abuse male suffer from moderate to severe psychopathology,and the psychopathology in drug abusers is approximately 45% .The females were the worst sufferers.