Browsing by Author "Akash Bansal"

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Morbidity pattern and their socio-demographic co-relates among rural primary school children in eastern Uttar Pradesh: A cross-sectional study
(Indian Association of Preventive and Social Medicine, 2014) Amit Kaushik; Akash Bansal; Pankaj Kumar Jain; Sandip Kumar; Rajesh Kumar Yadav; Sri Prakash Singh
Research question: What is the morbidity pattern among primary school children in rural area of Varanasi and what their socio-demographic co-relates are? Objective: To study the morbidity pattern among of primary school children in rural Varanasi and to find out various socio-demographic correlates associated with morbidity. Study Design: Descriptive cross sectional study. Setting: Four primary schools from Chiraigaon Community Development Block of Varanasi were selected for study purpose. Participants: Eight hundred and sixteen students from four schools were included in the study by total enumeration of the students present on the day of survey. Results: The present cross-sectional study revealed overall more prevalence of morbidity among female students (86.1%) as compared to their male counterparts (84.4%). Children belonging to scheduled caste, socio-economic status class IV, those whose parents were illiterate and those belonging to joint family had higher prevalence of any morbidity. Caste, socio-economic status, parents' education and type of family were significantly associated with morbidity among school children. Conclusion: Prevalence of morbidities was found to be 2.3 morbidities per child (prevalence) and 2.8 morbidities per sick child. Female students suffered more in comparison to their male counterparts. Nutritional deficiencies were most prevalent. Socio-economic status, caste, literacy of parents and type of family had significant association with morbidity.
Triple Negative Breast Cancer: Experience from a North Indian Tertiary Care Center
(Springer, 2018) Rahul Khanna; Ram Niwas Meena; Akash Bansal; S.C.U. Patne; Shashi Prakash Mishra; Tej Bali Singh; Seema Khanna
Triple negative breast cancer (TNBC) is characterized by absence of estrogen and progesterone receptors (ER and PR) expression and lack of amplification of HER2 gene expression. It accounts for 15–20% of all breast cancer worldwide. The aim of the study was to determine the prevalence of TNBC patients visiting Surgery Department of Banaras Hindu University and correlate various clinico-pathological parameters vis-a-vis non-TNBC patients. TNBC accounted for 64/196 (32.6%) of all breast cancer patients. TNBC patients presented at a younger age (49 versus 55 years) compared to non-TNBC patients. TNBC patients had a higher chance of lymph node involvement (84 versus 75%), more grade III lesions (64 versus 50%), higher chance of lympho-vascular invasion (62.5 versus 45.5%) compared to non-TNBC patients. On follow-up of 36 months, the incidence of locoregional recurrence was 26.5% and distant metastasis 17.2% among TNBC patients compared to 16.6 and 12% respectively for non-TNBC patients. None of the TNBC patients developed bone metastasis which was seen in 7 of the non-TNBC patients. Stage for stage TNBC tumors had a worse histological profile and higher incidence of locoregional and distant metastases compared to non-TNBC patients. Although the prevalence of TNBC in our study was three times higher than reported worldwide yet their biological behavior is by and large similar to those reported worldwide. © 2017, Association of Surgeons of India.