Browsing by Author "Naveen Sharma"

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Advancing Precision in Penile Length Measurement: Evidence-based Synthesis of Stretched Penile Length INdicator Technique (SPLINT)
(Wolters Kluwer Medknow Publications, 2024) Prabudh Goel; Prativa Choudhury; Komal Kaur Saroya; Vishesh Jain; Anjan Kumar Dhua; Devendra Kumar Yadav; Sachit Anand; Sandeep Agarwala; Kanika Sharma; Vikesh Agrawal; Subhasis Saha; Harpreet Singh; Naveen Sharma; V.P. Singh
Purpose: The purpose of this study was to synthesize evidence and propose a technique for estimation of stretched penile length (SPL) applicable to children. Materials and Methods: This review has been conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. PubMed, Embase, and Scopus databases were queried on penile length (PL) measurement techniques in humans published from 1990 onward. The devices and the techniques used for PL measurement, state of the penis, the habitus of the participants, proximal and distal landmarks for measurement, handling the foreskin and pubic pad of fat, optimal stretching of the penis, and other factors (including the environment) which should be accounted for in the technique were identified from the study cohort (90895 participants across 145 included studies). Results: PL has been represented through flaccid (33.79%), stretched (81.3%), and erect (12.41%) PLs as well as the greatest corporeal length (1.4%). Following devices have been used to measure the PL in the study cohort: rulers [54.68%], calipers [9.7%], measuring tapes [14.5%], coloured measuring strips [2.06%], spatulas/tongue depressors [11.03%], FitKit, syringe [1.4%], cotton swab (and ruler), titan cylinders, slide gauge and ultrasonography [1.37%]. The factors relevant to SPL measurement have been incorporated into the proposed SPL INdicator Technique (SPLINT) which is essentially a holistic extension of the "Conventional PL Measurement"technique. Conclusions: There is a wide range of heterogeneity in the technique for estimation of PL across the study cohort; the underlying factors have been identified along with the respective variables, and the SPLINT for SPL has been described. © 2024 Journal of Indian Association of Pediatric Surgeons.
Anatomical anomalies of femoral vein are not observed in Indian patients with renal failure: Ultrasound-based study
(Elsevier (Singapore) Pte Ltd, 2009) Jai Prakash; Naveen Sharma; Rubina Vohra; Amit Dwivedi; Raja Ramachandran; Rabindra Nath Mishra; Om Prakash Sharma
Background: Femoral vein catheterization is the easiest and safest method for obtaining temporary vascular access in hemodialysis patients. We studied the structure and anatomical variation of femoral veins in uremic patients using ultrasound imaging. Methods: Ultrasonography of femoral vessels was carried out bilaterally in patients with acute renal failure (ARF) and chronic renal failure (CRF). The relationship between ultrasonographic measurements of femoral vessels and anthropometric data were evaluated using Pearson's method. Results: A total of 157 patients (67 ARF, 90 CRF) were included in the study. The majority of the patients were male (68.8 %), and mean age was 43.29 ± 16.74 years. Mean height, weight, and body mass index were 163.94 ± 9.53 cm, 61.96 ± 12.37 kg, and 22.99 ± 3.68 kg/m2, respectively. Mean depth of the femoral artery was 10.74 ± 4.74 mm on the left side and 9.92 ± 3.98 mm on the right side. Mean diameter of the femoral artery was 7.77 ± 1.57 mm on the left side and 7.64 ± 1.45 turn on the right side. Mean distance of the femoral vein from the skin surface was 13.68 ± 4.98 mm on the left side and 12.76 ± 4.85 mm on the right side. Mean diameter of the femoral vein was 9.47 ± 2.15 mrn on the left side and 9.37 ± 2.25 mm on the right side. The femoral vein had adequate diameter (≥ 5 mm) on both sides in all patients. Abnormal location of the femoral vein was not observed in our study. The depth of femoral vasculature was deeper in overweight and obese patients compared to normal weight patients. Femoral artery puncture, multiple attempts before successful catheterization, and hematoma formation were observed in 11.0%, 13.5%, and 5.4% of patients, respectively. Conclusion: Anatomical variation and location anomalies of the femoral vein were not observed in Indian uremic patients. Femoral vein diameter was adequate (≥ 5 mm) in all patients bilaterally. However, there was a slight variation in depth (≥ 1 mm) and diameter (0.1 mm) of femoral vasculature between the left and right sides (left > right).
Carcinoma of bronchus presenting as hydropneumothorax
(2012) Anubhav Thukral; Digvijay Nath Tiwari; Naveen Sharma; Kamlakar Tripathi
Lung cancer is one of the common malignancies encountered in daily practice, but its presentation as hydropneumothorax is rare. © JAPI.
High prevalence of malnutrition and inflammation in undialyzed patients with chronic renal failure in developing countries: A single center experience from Eastern India
(2007) Jai Prakash; R. Raja; R.N. Mishra; Rubina Vohra; Naveen Sharma; I.A. Wani; A. Parekh
Background. Malnutrition is common in patients with chronic renal failure (CRF), and its prevalence before the initiation of dialysis is poorly characterized in these patients in developing countries. There is a paucity of data on the quantification of malnutrition and inflammation in undialyzed patients of CRF from India. This study analyzed the prevalence and causes of malnutrition in patients with CRF before the initiation of dialysis treatment. Material and Methods. In the present study, assessments of nutritional and inflammatory status were carried out in patients with CRF. Serum albumin, body mass index (BMI), triceps skin fold thickness (TST), mid-arm muscle circumference (MAMC), and subjective global assessment (SGA) scoring were used for assessment of nutritional parameters. Serum C-reactive protein and serum ferritin level were used to assess the inflammatory state of the patient. Results. Two hundred and three (146 male, 57 female) patients with CRF were included in the study from August 2004 to April 2006. Overall, the prevalence of malnutrition was 65% (131/203). The age of malnourished patients (93 male, 38 female) ranged from 11-82, with mean age of 52 ± 12.68 years. The mean serum total protein and albumin were also significantly lower in patients with malnutrition in comparison to non malnourished cases (5.50 ± 0.40 gm/dL vs. 5.74 ± 0.38 gm/dL; p < 0.05, and 3.18 ± 0.58 gm/dL vs. 3.68 ± 0.55 gm/dL; p < 0.05). The C-reactive protein and serum ferritin were significantly elevated in the malnourished group as compared to non-malnourished patients (63% vs. 33%; p < 0.05, and 301.2 ± 127.1 mg/dL vs. 212.7 ± 124.9 mg/dL; p < 0.05). Conclusion. Thus, malnutrition was common in patients with CRF before the commencement of dialysis. These data indicate that an emphasis should be placed on the assessment and prevention or correction of malnutrition in patients with CRF because of its documented adverse effect on the outcome on maintenance dialysis. Copyright © Informa Healthcare USA, Inc.
Screening of insecticidal activity of Origanum majorana oil against Tribolium castenium
(2009) Naveen Sharma; N.K. Dubey; Kanika Sharma
Origanum majorana essential oil was tested for its potency as botanical pesticide to protect stored food commodities from insect infestation. The oil was found to be an effective repellent against the beetle Tribolium castenium (L.). An inverse relationship was observed with between concentration of oil and oviposition. Treatment of 1000 and 500 ppm found maximum mortality while 5 ppm concentration can be considered good against oviposition of insect T. castenium.