4 results on '"Ruchi, Pathak"'
Search Results
2. Human papillomavirus self-sampling for cervical cancer screening: Review on the acceptance, accuracy, feasibility and incorporation in the National Screening Programme of India
- Author
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Amey Oak, K Sivaranjini, Ruchi Pathak, and Rajesh Dikshit
- Subjects
cancer screening ,cervical cancer ,human papillomavirus self-sampling ,india ,Medicine - Abstract
Screening along with treatment is the foremost tool for cervical cancer elimination in addition to vaccination strategies. At present, India lacks a comprehensive screening programme. There are huge issues in terms of feasibility, acceptability and implementation of the existing cervical screening programme in the country. Less than 2% (Urban-2.2% and Rural-1.7%) of women in India have been screened. The current strategy recommended by Ministry of Health and Family Welfare is Visual Inspection with Acetic Acid (VIA) every 5 years for women aged between 30 and 65 years. A significant improvement in terms of decreasing incidence and mortality of cervical cancer has been seen in two randomized controlled trials conducted in India. However, VIA lacks sensitivity, requires extensive training to be given to the medical staff for accurate diagnosis, has substantial operator variability and has less acceptability among women when compared to the newer methods of cervical cancer screening such as human papillomavirus (HPV) self-sampling. HPV self-sampling is a more sensitive, accurate and more acceptable method of cervical cancer screening for women in India and abroad. It can help the existing VIA-based strategy of cervical screening by increasing participation resulting in more population being screened in the various geographical regions and populations in India. However, VIA-based screening should also be continued because of its affordability and cost-effectiveness in India where there is a significant population belonging to low socio-economic background. There are numerous evidences such as systematic reviews, meta-analyses, randomised controlled trials of India and abroad that have been used as sources in this review article to come to the conclusion that HPV self-sampling is an acceptable, accurate and sensitive method that can be used as a primary screening tool in cervical cancer screening programmes globally and in India. It can also be used as an effective triage test for prioritising high-risk populations who require urgent and effective treatment for cervical pre-cancer and cancer. To conclude, HPV self-sampling should be integrated and implemented by the government and private sector in addition to VIA-based screening strategies for achieving the goal of cervical cancer elimination in India.
- Published
- 2023
- Full Text
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3. Detection of Genotype 1a and 1f of Hepatitis E Virus in Patients Treated at Tertiary Care Hospitals in Central India
- Author
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Ruchi Pathak and Pradip V Barde
- Subjects
0301 basic medicine ,Serotype ,Adult ,Male ,medicine.medical_specialty ,Adolescent ,Genotype ,viruses ,030106 microbiology ,India ,medicine.disease_cause ,Serology ,Disease Outbreaks ,Tertiary Care Centers ,03 medical and health sciences ,0302 clinical medicine ,Hepatitis E virus ,Virology ,Internal medicine ,Epidemiology ,medicine ,Humans ,Hepatitis Antibodies ,Child ,Phylogeny ,Aged ,Molecular Epidemiology ,business.industry ,Infant, Newborn ,virus diseases ,Outbreak ,Infant ,Sequence Analysis, DNA ,Middle Aged ,medicine.disease ,Hepatitis E ,Infectious Diseases ,Cross-Sectional Studies ,Immunoglobulin M ,Child, Preschool ,Etiology ,RNA, Viral ,030211 gastroenterology & hepatology ,Female ,Seasons ,business ,Viral hepatitis - Abstract
Background and Aims: An acute hepatitis, caused by hepatitis E virus (HEV), is a significant global health concern, especially in developing countries. HEV has 1 serotype and 8 genotypes, which are further divided into subtypes. Despite the availability of sporadic cases and outbreak data from India, specific information regarding HEV epidemiological data is lacking from central India. This study was conducted to understand epidemiological and molecular features of HEV in central India. Methods: In this 3-year study conducted from July 2012 to June 2015, IgM ELISA was used for the diagnosis of suspected HEV cases. For identifying the genotype, nRT PCR was conducted and the PCR products were sequenced and analysed. Clinical and demographic data were analysed using statistical tools to highlight the trends. Result: Out of 1,369 suspected cases, 341 (24.9%) were positive for HEV. The positivity was significantly higher in males (69.2%) and in the age group of > 15โ45 years (72.5%). The HEV cases peaked during the summer. Subtypes 1a and 1f of genotype 1 were detected in the area during the study period. Conclusion: HEV is a major aetiological agent of viral hepatitis in central India with adults and males at higher risk of infection. Two subtypes of the virus were detected in the region. Continuous serological surveillance and molecular monitoring will help to understand the epidemiology of HEV infection, outbreak mitigation and aid in providing treatment.
- Published
- 2017
4. Autologous platelet rich plasma after third molar surgery: a comparative study
- Author
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Anurag Singh, Ruchi Pathak Kaul, and Suhas S. Godhi
- Subjects
Molar ,medicine.medical_specialty ,Original Paper ,Bone density ,business.industry ,Wound dehiscence ,Soft tissue ,Postoperative complication ,medicine.disease ,Surgery ,Otorhinolaryngology ,Platelet-rich plasma ,Medicine ,Oral Surgery ,business ,Wound healing ,Dental alveolus - Abstract
This study is an attempt to evaluate the use of autologous platelet rich plasma (PRP) to promote wound healing and osseous regeneration in human third molar extraction sockets. PRP was prepared after two centrifugation and the gelling agent used was freshly prepared 10% calcium chloride.PRP gel was placed in one of the extracted sockets of bilateral impacted mandibular third molars. IOPA Xrays were used to evaluate the wound dehiscence, probing depth, bone density & alveolar bone level after 1st, 2nd and 7th day and 3rd & 6th month respectively. On evaluation, it was found that PRP grafted sockets showed dehiscence in 8% cases. The decrease in alveolar bone level was highly significant in PRP grafted sockets in 3rd and 6th month post operatively. There was significant difference between pre-operative density of adjacent bone and bone formed in extraction sockets at 3rd and 6th month in PRP grafted sockets. There was significant reduction in probing depth from initial period to 3 and 6 months in both the groups, but PRP grafted sockets showed greater decrease in probing depth. PRP is an inexpensive and widely available modality to minimize postoperative complication and enhance both hard and soft tissue healing potentials. This autologous product eliminates concern about immunogenic reaction and disease transmission. Its beneficial outcomes in dental clinic, including decrease in bleeding and rapid wound healing hold promise for further procedures.PRP is thus a new application in tissue engineering and developing area for clinician and researchers.
- Published
- 2011
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