scholarly journals Snakebite profile from a medical college in rural setting in the hills of Himachal Pradesh, India

2014 ◽  
Vol 18 (3) ◽  
pp. 134-138 ◽  
Author(s):  
Sujeet Raina ◽  
Ajay Jaryal ◽  
Sunil Raina ◽  
Rashmi Kaul ◽  
Vishav Chander
Keyword(s):  
Himachal Pradesh ◽  
Rural Setting ◽  
Medical College

scholarly journals Acute Herbicide Poisoning: An Emerging Phenomenon in Himachal Pradesh, India

2019 ◽  
Vol 5 ◽  
pp. 1
Author(s):  
Sujeet Raina ◽  
Vivek Sood ◽  
Bikram Shah ◽  
Manoj Thakur ◽  
Rajesh Sharma ◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Himachal Pradesh ◽  
Rural Setting ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean ◽  
Clinical Records ◽  
Mild Toxicity

The clinical manifestations of acute herbicide self-poisoning have not been widely studied in India. The objective was to study the clinical profile of herbicide poisoning cases admitted in a medical college hospital located in a rural setting of Himachal Pradesh. The clinical records of all patients diagnosed with acute herbicide poisoning between January 1, 2017, and February 15, 2019, were analyzed retrospectively in this hospital-based cross-sectional study. During the study period, 20 patients were diagnosed with acute herbicide poisoning and are included in this study. There were 13 males. The mean age was 33.6 ± 13.3 years. The herbicides ingested included 2,4-D (45%), paraquat (20%), glyphosate (10%), pendimethalin (10%), atrazine (5%), butachlor (5%), and metribuzin (5%). 2,4-D is the commonest acute herbicide self-poisoning in this region. It was observed that poisoning with herbicides is usually of mild toxicity except paraquat, which is associated with high mortality.

CLINICO-ETIOLOGICAL PROFILE OF HYPONATREMIA AMONG ADMITTED PATIENTS AT DR. RADHA KRISHNAN GOVT. MEDICAL COLLEGE AND HOSPITAL HAMIRPUR HIMACHAL PRADESH

2021 ◽  
pp. 25-28
Author(s):  
Subhash Chand ◽  
Rakesh Chauhan ◽  
Bavesh Barwal
Keyword(s):  
Early Recognition ◽  
Diagnostic Algorithm ◽  
The Elderly ◽  
Himachal Pradesh ◽  
Comorbid Conditions ◽  
Electrolyte Disturbance ◽  
Medical College ◽  
Number Of Patients ◽  
Laboratory Investigations ◽  
Material Study

Hyponatremia is a common electrolyte disturbance encountered in hospitals. It is dened as serum concentration <135 meq/l. Various comorbidities predispose to the development of hyponatremia. Patient has symptoms of both hyponatremia as well as comorbidities. This contributes to increased morbidity and mortality .However early recognition and treatment makes prognosis better. Aim: To study clinical features of patients admitted with hyponatremia and investigate them to nd out various aetiologies. Methods And Material: Study was conducted at newly opened medical college at Hamirpur in Himachal Pradesh with limited facilities. A total of 50 patients with symptoms and documented hyponatremia were enrolled in study. Detailed history, clinical examination and laboratory investigations were done. Data thus collected was analysed. Results: Total number of patients was 50. Females were more as compared to males. Mean age of presentation was 67 years and lethargy ,nausea and vomiting were the most common symptoms. Diabetes mellitus and hypertension were the most common comorbidities. Among drugs diuretics were the most commonly used causing hyponatremia. Out of 50 patients 45 patients recovered and ve patients have to be referred because of comorbidities. Conclusions: Hyponatremia is a common problem and clinicians need to be aware of it mainly in the elderly patients. A systemic approach and simple diagnostic algorithm can signicantly improve the outcome in these patients. Treatment of hyponatremia is governed by levels of hyponatremia not by its etiology along with comorbid conditions.

scholarly journals Efficacy and Side Effects of Intracameral Moxifloxacin as Prophylaxis after Cataract Surgery

2020 ◽  
pp. 40-46
Author(s):  
Bhanu Prakash Chaudhary ◽  
Baldev Prasad Tripathi
Keyword(s):  
Cataract Surgery ◽  
Medical Records ◽  
Case Series ◽  
Rural Setting ◽  
Medical College ◽  
Intracameral Antibiotics ◽  
Department Of Ophthalmology ◽  
Routine Prophylaxis ◽  
Study Support ◽  
Preservative Free

Purpose: To determine the efficacy of intracameral moxifloxacin at the end of cataract surgery. Methods: Retrospective record based study. Study was based on a consecutive case series of patients who had cataract surgery during 2009 through 2019 in the Department of Ophthalmology at Maharishi Vashishth State Medical College, Basti (India). Intracameral preservative free moxifloxacin injection was given at the conclusion of surgery to most patients. Standardized operating room and sterilization protocols were used. All The medical records were reviewed for the 8 weeks after surgery. Post-operative endophthalmitis rate was computed using the number of cases of postoperative endophthalmitis as the numerator and the number of cataract surgeries as the denominator. Results: Of the 10,108 surgeries performed during study period, 2012 (19.9%) involved intracameral moxifloxacin injection. No adverse drug reactions were reported from administration of intracameral antibiotics during the study period. The post-operative endophthalmitis rate in patient who had not received intracameral antibiotic injection was 0.06%. There was no endophthalmitis case reported in patients who had received intracameral moxifloxacin injection as prophylaxis. Conclusion: The results of this study support the use if intracameral moxifloxacin as a routine prophylaxis for endophthalmitis after cataract surgery. Especially in rural setting as the patients postoperative instruction compliance is poor and many patients are lost to follow-ups sue to different reasons.

scholarly journals Evaluation of health safety of direct biomedical waste handlers in a Government Medical College, Himachal Pradesh

2018 ◽  
Vol 5 (6) ◽  
pp. 2352
Author(s):  
Rashmi Kashyap ◽  
Salig Ram Mazta
Keyword(s):  
Waste Management ◽  
Health And Safety ◽  
Hospital Staff ◽  
Himachal Pradesh ◽  
Health Concern ◽  
Government Medical College ◽  
Hospital Waste ◽  
Biomedical Waste ◽  
Health Safety ◽  
Medical College

Background: Hospital waste management is a crucial environmental issue of public health concern due to hazardous and infectious character of the waste. Since the hospital staff is at risk of being infected by the hospital waste, therefore occupational health and safety should be recommended as a component of biomedical management plans with qualified personnel. Health safety of the waste handlers is an issue of prime concern.Methods: A descriptive study was conducted in Government Medical College, Nahan, Sirmaur, Himachal Pradesh to evaluate the health safety of direct waste handlers. The information regarding the biomedical waste management awareness, practices and health safety was recorded from direct waste handlers. Semistructured questionnaire was used for interview.Results: A total of 26 biomedical waste handlers were interviewed from August 31, 2017 to September 13, 2017. Gender composition showed 18 (69.2%) females and 8 (30.8%) males. Awareness regarding the risk associated with biomedical waste handling like exposure to infections like HIV, HBV, injury with sharp objects and Chemical burns etc. was present in 19 (73.0%) workers. Most 10 (38.4%) demanded the provision of personal protective equipments, training and vaccination.Conclusions: Regular orientation and training programs should be organized for biomedical waste handlers and strict implementation of biomedical waste management guidelines should be in practice. Risk to the health of direct waste handlers in the form of exposure to infectious diseases needs to be considered by timely provision of vaccination.

scholarly journals Clinical presentation and complication of chronic suppurative otitis media with cholesteatoma in a rural setting

Mediscope ◽  
2017 ◽  
Vol 4 (2) ◽  
pp. 25-28
Author(s):  
MS Islam ◽  
MA Gafur ◽  
L Noor ◽  
MR Islam
Keyword(s):  
Otitis Media ◽  
Clinical Presentation ◽  
Chronic Suppurative Otitis Media ◽  
Rural Setting ◽  
College Hospital ◽  
Suppurative Otitis Media ◽  
Intracranial Complication ◽  
Medical College ◽  
The Right ◽  
Almost All

To study the clinical presentations of chronic suppurative otitis media (CSOM) with cholesteatoma and its complication, 96 patients with CSOM from ENT department of a medical college hospital during January 2011 to January 2014 were included in this study. The highest number of cases belonged to the age group of 11-20 years (55.2%), and the number of males and females was 67.2% and 32.8%, respectively. Almost all the patients presented with multiple symptoms. The most common symptoms were discharge from ear(s) (100.0%), hearing impairment (83.3%), earache (15.6%), fleshy mass in ear(s), etc. Of the patients, 67.9% cases were without complication, 26.1% with extracranial complication and 6.3% with intracranial complication. All the cases had a perforation either in the posterior superior marginal (66.5%) or in the attic region (33.5%). Most of the patients were having unilateral CSOM with cholesteatoma, in the right side (64.3%), left side (35.7%), and a few (4.2%) bilateral involvement. Although 83.3% of the patients complained of deafness, audiometric tests were done in 93.7% of the patients excluding 6.4% who had intracranial complication. All of them (93.7% tested) had developed deafness; mild deafness (20.0%), moderate deafness (77.8%), and severe deafness (2.2%). In conclusion, the pattern of clinical presentation and complication of CSOM with cholesteatoma in rural setting may be similar with the pattern involving urban population and early diagnosis of CSOM with cholesteatoma by taking proper history and clinical examination, and timely surgical intervention may be helpful to eradicate the disease and prevent complications.Mediscope Vol. 4, No. 2: Jul 2017, Page 25-28

scholarly journals Clinical profile of snake bite patients in tertiary care hospital in Himachal Pradesh: a prospective study

2018 ◽  
Vol 6 (7) ◽  
pp. 2444 ◽  
Author(s):  
Madan Kaushik ◽  
Vikas Banyal ◽  
Sachin Sondhi ◽  
Manish K. Thakur ◽  
Aseem Kaushik
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Himachal Pradesh ◽  
Snake Bite ◽  
Clinical Profile ◽  
Care Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Gandhi Medical College ◽  
A Prospective Study

Background: To study clinical profile of snake bite patients in tertiary care hospital in Indra Gandhi Medical College at Shimla, Himachal Pradesh of North India.Methods: Hospital based prospective observational study was conducted in the Department of Medicine, for the duration of one year from 1st June2013 to 31st May 2014.Results: A total of 78 patients were admitted with mean age of 38.46 years with male to female ratio of 1:1.6. Seasonal variation with peak incidence during rainy season was seen. Most common snake identified was green coloured and peak timing of snake bite was between 07:00am-04:00pm. There was delay in admission of more than 6 hours in 66.67% of cases. Hemotoxicity was predominant manifestation seen in 62.82% of cases and persistence of coagulopathy was most common complication (51.02%) despite giving optimal ASV. There was paucity in ASV administration seen in only 59.46% of referred patients. Mean ASV vials used were 23.41 vials ±8.72 vials.Conclusions: Mass education is required at both general population and health professional levels to improve snake bite management and monovalent ASV against Green pit viper is more practical option to manage cases in this region.

scholarly journals Cutaneous Leishmaniasis and/or Dermal Leishmanoid in Himachal Pradesh (India)

2020 ◽  
Author(s):  
Suman Lata ◽  
Sandhya kumari ◽  
Ram Das ◽  
Shweta Pasi ◽  
Ramesh C Dhiman
Keyword(s):  
Cutaneous Leishmaniasis ◽  
Culture Media ◽  
Leishmania Species ◽  
Himachal Pradesh ◽  
Leishmania Parasite ◽  
Significant Finding ◽  
Dipstick Test ◽  
Medical College ◽  
Gandhi Medical College ◽  
Species Specific

Abstract Background: Visceral Leishmaniasis (VL) is in elimination phase in India while cases of Cutaneous Leishmaniasis (CL) are spreading to new foci in different parts of the country. In Himachal Pradesh, a foci of CL have been reported along Satluj River, but the causative agent poses a dilemma. To ascertain the Leishmania species from CL cases from Shimla, Kullu and Kinnaur districts of Himachal Pradesh, the present study was undertaken. Methods: A total of 28 CL patients registered in Department of Dermatology, Indira Gandhi Medical College (IGMC) and Hospital Shimla in 2018, were tested by rk39. Barring 16 cases undergoing treatment, 12 fresh cases were subjected to microscopic detection of Leishmania parasite, PCR and sequencing. Skin biopsies of 3-4 mm diameter were taken in culture medium and in formalin under anesthetic and sterile conditions from the border of the lesions. Imprints were prepared for the detection of Leishmania amastigotes. Biopsy samples were inoculated into different culture media (M199, RPMI 1640, and NNN) and were incubated at 22-24°C. Cultures were examined microscopically for the growth of promastigotes up to four weeks. Polymerase chain reaction (PCR) was performed to characterize leishmania parasite species.Results: Of 28 patients, one patient was found positive for by rK39 dipstick test. One imprint was found positive for leishmania amastigotes. Twelve biopsy DNA samples were subjected to PCR for Leishmania kDNA, of which all the 12 were found positive ITS1 Leishmania specific set of primers while eight were found positive with JW11/12 lesihmania species specific set of primers. Identification of Leishmania species was confirmed by PCR-RFLP and sequencing method. Of 12 Leishmania positive samples, six were identified as L. donovani, three L. tropica, two L. major and one remained unidentified.Conclusion: The detection of L. donovani from cutaneous leishmniasis patients is a significant finding leading towards existence of atypical leishmaniasis in Himachal Pradesh.

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