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Basu S, Verma RN, Joshi A, Dwivedi D, Mateen MA, Bhatia JS. A prospective observational study to correlate lung ultrasound with clinical severity and prognosis score in patients with primary pulmonary pathology on invasive ventilatory support. Int J Crit Illn Inj Sci 2023; 13:151-158. [PMID: 38292395 PMCID: PMC10824203 DOI: 10.4103/ijciis.ijciis_31_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 07/28/2023] [Accepted: 07/31/2023] [Indexed: 02/01/2024] Open
Abstract
Background Lung ultrasound (LUS) is a known imaging modality employed for monitoring patients in an intensive care unit. This study evaluates, LUS in assessing disease severity and prognosis, by correlating its score with the three commonly used clinical severity scoring systems (CSSS), namely, sequential organ failure assessment (SOFA) score, acute physiology and chronic health evaluation (APACHE) II score, and simplified acute physiology score (SAPS) II. Methods This single-center prospective observational study included 54 adult patients of primary lung disease-induced acute respiratory distress syndrome (ARDS), on invasive ventilation. The primary objective was to correlate LUS score with SOFA score. Secondary objectives were to correlate LUS score with APACHE II and SAPS II scores. LUS score was also correlated with the estimated mortality derived from the above-mentioned scores. A subgroup analysis on COVID-19-positive cases was also carried out. All scores were calculated on the initiation of mechanical ventilation, daily for 7 days or mortality, whichever was earlier. Results A significant positive correlation (P < 0.001) was found between LUS and all three severity scores, as well as their corresponding estimated mortality percentages, for all days of the study period, in both non-COVID-19 ARDS patients and in COVID-19 patients. The merit of all four scores in differentiating between the survivor and mortality group for the duration of study also showed significant (P < 0.05) to very significant (P < 0.001) results. Conclusion Point-of-care LUS in conjunction with CSSS is a reliable tool for assessing the severity and progression of primary lung disease.
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Affiliation(s)
- Sulagna Basu
- Department of Anaesthesia and Critical Care, Command Hospital (EC), Kolkata, West Bengal, India
| | - Rishiraj Narayan Verma
- Department of Anaesthesia and Critical Care, Command Hospital (EC), Kolkata, West Bengal, India
| | - Aditya Joshi
- Department of Anaesthesia and Critical Care, Command Hospital (EC), Kolkata, West Bengal, India
| | - Deepak Dwivedi
- Department of Anaesthesia and Critical Care, Command Hospital (EC), Kolkata, West Bengal, India
| | - Mohammad Abdul Mateen
- Department of Anaesthesia and Critical Care, Command Hospital (EC), Kolkata, West Bengal, India
| | - Jagdeep Singh Bhatia
- Department of Anaesthesia and Critical Care, Command Hospital (EC), Kolkata, West Bengal, India
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Verma RN, Sethi N, Honwad MS, Singh SK. Evaluation of four supraglottic devices used by paramedical staff for securing airway in simulated emergency airway management. Med J Armed Forces India 2021; 77:86-91. [PMID: 33487872 DOI: 10.1016/j.mjafi.2020.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 02/02/2020] [Indexed: 11/16/2022] Open
Abstract
Background Prehospital emergency airway management challenges every paramedic. Emergencies evacuated from difficult areas by armed forces need airway maintenance throughout evacuation. Effective use of supraglottic airway (SGA) devices during prehospital transfer is life saving. This study compared use of four commonly available SGAs by Armed Forces paramedics in simulated emergency situations. Methods This prospective observational study conducted in a tertiary care institution, included 58 volunteer paramedics. They were trained on manikins before the study in basic airway skills and insertion of the four SGA devices under study viz. Classic laryngeal mask airway (cLMA), laryngeal tube (LT), I-gel, and Combitube. SGA device insertions were performed on 474 patients scheduled for short elective surgical procedures under general anesthesia. All volunteers inserted and assessed the four SGA devices equal number of times in different patients. Overall success rate, time for successful insertion, first attempt success rate, number of attempts for successful insertion, oro-pharyngeal leak pressures, ease of insertion, durability of device, and complications were recorded. Results Differences among the four groups were statistically significant in all parameters. Intergroup comparison revealed that both I-gel and LT were comparable to each other, however superior to cLMA and Combitube in all outcome measures except ease of insertion and durability of device where I-gel was better and oro-pharyngeal seal pressures where Combitube was better. Conclusion Considering all parameters, I-gel proved superior with minimal complications compared with other SGA devices tested. I-gel may be recommended for emergency airway rescue use in patients by military paramedics.
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Affiliation(s)
- R N Verma
- Senior Adviser (Anaesthesia), Command Hospital (Eastern Command), Kolkata, India
| | - Navdeep Sethi
- ACIDS Med, HQ IDS (Med), Integrated Headquarters of MOD, New Delhi, India
| | - M S Honwad
- CSO, HQ Andaman & Nicobar Command, C/o Navy Office, Port Blair, India
| | - S K Singh
- Anesthesiologist, Military Hospital Shimla, India
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Verma RN, Sethi N, Pathak S, Vardhan V. Comparative evaluation of effects of intrapleural block with adjuvants on analgesia and pulmonary function after intercostal drainage: A pilot study. Med J Armed Forces India 2018; 75:164-170. [PMID: 31065185 DOI: 10.1016/j.mjafi.2018.03.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Accepted: 03/06/2018] [Indexed: 10/14/2022] Open
Abstract
Background Inter-costal chest drain (ICD) used for varied thoracic pathologies causes continuous pain and irritation of the pleura, which limits respiratory efforts and impairs ventilatory function. Intrapleural block deposits local anaesthetic between the layers of pleura and may improve ventilatory function especially in non surgical patients. Methods Twenty eight ASA I-III patients treated with ICD, who could perform incentive spirometry, were included for study. They were randomized to 'Group C' (control group); 'Group B' (Bupivacaine); 'Group M' (Bupivacaine + Morphine) and 'Group D' (Bupivacaine + Dexmedetomidine). The drugs were administered via the ICD itself and clamped thereafter for 15 min. The success of the block was assessed by time for first analgesic demand, maximum inspiratory volume generated and Numerical Rating Scale score for pain; by patients. Results Effective analgesia was observed in Group B, M and D. Addition of an adjuvant significantly prolonged time for rescue analgesic demand. Patients who received local anaesthetic alone or with an adjuvant had significantly improved maximal inspiratory volume and required lesser rescue analgesics. No significant complications were observed in any group. Pain relief in post-surgical patients using intraplural block is masked by systemic analgesics. However its application in patients with ICD for non surgical indications was explored in this study and was found to improve patient comfort and ventilation. Conclusion Intra-pleural blockade is safe and effective in relieving the constant pleural irritation and pain of ICD, thus enabling the patient to improve ventilatory effort and faster recovery of respiratory function.
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Affiliation(s)
- R N Verma
- Associate Professor, Department of Anaesthesiology & Critical Care, Armed Forces Medical College, Pune 411040, India
| | - Navdeep Sethi
- Professor and Head, Department of Anaesthesiology & Critical Care, Armed Forces Medical College, Pune 411040, India
| | - Sharmishtha Pathak
- Resident, Department of Anaesthesiology, Armed Forces Medical College, Pune 411040, India
| | - Vasu Vardhan
- Consultant (Medicine & Respiratory Medicine), Brig (Med) 21Corps, C/O 56 APO, India
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Verma RN, Hasnain S, Sreevastava DK, Murthy TVSP. Anaesthetic management of forearm fractures using a combination of haematoma block and intravenous regional anaesthesia. Med J Armed Forces India 2016; 72:247-52. [PMID: 27546964 DOI: 10.1016/j.mjafi.2016.05.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 05/09/2016] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND Intravenous regional anaesthesia (IVRA) has been successfully used as a sole technique for forearm fractures and has high success rates. However, it is uncomfortable for the patient when the fresh fracture is manipulated for conduct of IVRA. Haematoma block (HB) has also been demonstrated as an effective anaesthetic technique for treatment of radial fractures in the ER. Unfortunately, HB does not provide muscular relaxation and may not be sufficient for operative intervention. METHODS An observational case series was designed with the hypothesis that a combination of HB and IVRA would overcome the aforementioned drawbacks. A standardized protocol was followed for HB with 0.1 ml/kg of 0.5% bupivacaine preceding the conduct of IVRA, which permitted adequate exsanguination of the extremity (using compression bandage). For IVRA, 0.5% lignocaine at 3 mg/kg was used with an electro-pneumatic tourniquet. Pain scores were noted after the HB, at exsanguination and during surgery. RESULTS 100 cases were studied. Average time of onset of block after HB was 2 min 18 s. By the time the IVRA procedure was performed, 99% of patients had a pain score of zero. The quality of surgical anaesthesia revealed that 94% of the patients did not have any pain of incision, tourniquet or positioning at any time during surgery. CONCLUSION The use of dual technique of HB and IVRA improved patient acceptance and compliance, and the safety and efficacy of the IVRA. The combination anaesthesia was found to be easy to administer, effective and safe with no complications.
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Affiliation(s)
- R N Verma
- Associate Professor, Department of Anaesthesiology & Critical Care, Armed Forces Medical College, Pune 411040, India
| | - Shahbaz Hasnain
- Professor and Head, Department of Anaesthesiology & Critical Care, Armed Forces Medical College, Pune 411040, India
| | - D K Sreevastava
- Professor and Head, Department of Anaesthesiology & Critical Care, Command Hospital (Southern Command), Pune 411040, India
| | - T V S P Murthy
- Ex-Consultant, Professor and Head, Department of Anaesthesiology & Critical Care, Command Hospital (Southern Command), Pune 411040, India
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Verma RN. Letter to the Editor. Med J Armed Forces India 2015; 71:304-5. [PMID: 26288505 DOI: 10.1016/j.mjafi.2015.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- R N Verma
- Associate Professor, Dept of Anaesthesia, Critical Care & Pain Management, Armed Forces Medical College, Pune 40, India
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Abstract
Objectives: To evaluate prospectively the relative usefulness of color Doppler and gray scale sonography in differentiating benign from malignant ovarian masses and evaluation of scoring systems Sassone and Alcazar for differentiating benign from malignant ovarian masses. Methods: Study was conducted during the period of Jan 2006 to Oct 2007 in department of obstetrics and gynaecology, New civil Hospital, Surat. The study was conducted mainly with the help of department of radio-diagnosis. The study include 100 patient clinically suspected to have ovarian neoplasm and referred to department of radio-diagnosis where evaluation with Ultrasonography and Doppler was done. The efficacy of scoring systems were evaluated by histopathological examination of mass or fine needle aspiration cytology or presence of malignant cells in ascetic fluid. Results: Sassone's scoring system was able to identify 72 out of 78 benign masses and 18 out of 22 malignant masses.where as Alcazar system with use of colour Doppler was able to identify 75 out of 78 benign and 21 out of 22 malignant ovarian masses. Sensitivity and specificity of sassone is 81.8%,92.3% respectively, where as that of Alcazar is 95.5%, 96.2% respectively. Conclusion: Using both gray scale and colour Doppler in differentiating benign from malignant ovariam masses is giving results with more accuracy and Alcazar system is better performing than sassone's scoring systems.
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Affiliation(s)
- Dhwani Desai
- Department of Obstetrics and Gynecology, Government Medical College, Surat, India
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Gupta PD, Verma RN, Anand V. Two Cases of Penetrating Injury of the Neck. Med J Armed Forces India 2009; 65:371-2. [PMID: 27408295 DOI: 10.1016/s0377-1237(09)80106-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2007] [Accepted: 05/15/2009] [Indexed: 10/18/2022] Open
Affiliation(s)
- P D Gupta
- Classified Specialist (Surgery), Armed Forces Clinic, Dalhousie Road, New Delhi-11
| | - R N Verma
- Classified Specialist (Anaesthesia), MH, Dehradun (UP)
| | - V Anand
- Graded Specialist (ENT), MH, Roorkee (UP)
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Pavithran K, Doval DC, Vaid AK, Verma RN. Small cell carcinoma of the gall bladder: case report and review of literature. Trop Gastroenterol 2001; 22:170-1. [PMID: 11681116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
Small cell carcinoma of the gall bladder is a very rare tumor. The neoplasm is highly lethal, metastasizes early, and may cause death shortly after diagnosis. Here we report a 56 year old male with small cell carcinoma of the gall bladder metastatic to the liver. He attained partial remission with 5 fluouracil, cisplatin based chemotherapy. However, the disease progressed after 3 months and salvage chemotherapy with docetaxel and caboplatin failed to produce any tumour response. He succumbed to the illness 13 months after cholecystectomy.
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Affiliation(s)
- K Pavithran
- Department of Medical Oncology, Rajiv Gandhi Center Institute and Research Centre, Rohini, Sector-5, New Delhi-110 085, India
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Abstract
India is the largest manufacturer of tractors in the world. They are used for primary and secondary tillage operations and as a means of transportation. Vibration in tractor driving can cause deafness and disorders of the spinal column and stomach. The effect of implements on tractor ride is not well understood in India. The present study was undertaken to quantify ride vibration of a low horsepower tractor-implement system. Tractor ride vibration levels have been measured at the person-seat interface along three mutually perpendicular axes, longitudinal, lateral and vertical, under different operating conditions. It was observed that the acceleration levels increased as forward speed of travel increased under most of the operating conditions. There was no conclusive difference in measured acceleration levels on a tar-macadam road and a farm road during transport mode. The measured ride vibration levels under different operating conditions were evaluated as per ISO 2631/1 (1985), Geneva, and BS 6841 (1987), London, standards. On the basis of this study, it is concluded that the exposure time for the tractor operator should not exceed 2.5 h during ploughing and harrowing operations. Increasing exposure time may cause severe discomfort, pain and injury.
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Affiliation(s)
- C R Mehta
- Agricultural Energy and Power Division, Central Institute of Agricultural Engineering, Bhopal, India.
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Verma RN, Bhangui GR, Rao MK. Sarcoma-like nodule in ovarian mucinous tumour (a case report). Indian J Cancer 1993; 30:38-41. [PMID: 8500807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Sarcoma-like mural nodule, a morphologically benign epulis-like tumour with osteoid formation in the wall of mucinous tumour of borderline malignancy is described. The pattern simulated those of malignant giant cell tumour of soft part and was considered to be a reactive process that has no effect on the prognosis of the patient. This case, second to be reported from India and is in addition to the other thirteen cases reviewed. The case under report had in addition osteoid-formation which have not been reported in the literature.
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Affiliation(s)
- R N Verma
- Command Pathological Laboratory, Eastern Command, Alipore, West Bengal, India
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Verma RN, Dhananjayan G, Saini JS, Banerjee AK. Fine needle aspiration biopsy--a critical investigation in thyrotoxicosis. INDIAN J PATHOL MICR 1992; 35:209-18. [PMID: 1344156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023] Open
Abstract
Four hundred and fifty two patients having clinical features of thyrotoxicosis have been studied for their hormonal (T4, T3 and TSH) content, I131 uptake levels and FNAB at repeated intervals. Four hundred and twenty seven had presented with diffuse enlargement and rest 25 cases with nodular enlargements. Of the primary hyperthyroidism cases 342 (82.4%) were of Grave's disease without exophthalmos and 73 (17.6%) with exophthalmos. T4, T3 and I131 uptake levels have correlated well with the degree of morphological changes as observed on FNAB. Degree of nuclear pleomorphism has correlated well with the duration of disease. Critical evaluation of morphological changes on FNAB has been done in all cases of primary hyperthyroidism being treated with neomercazole and radioactive iodine therapy. Treatment with neomercazole had shown, good correlation between time lag and the retrogressive changes. This was not so in cases treated with radioactive iodine therapy. Various known complications of radioactive treatment e.g. development of hypothyroidism, refractory and recurrent hyperthyroidism, exacerbation of the disease, radiation thyroiditis, and severe degree of dysplastic changes could be demonstrated in some cases on serial aspirations.
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Affiliation(s)
- R N Verma
- Army Hospital (Research and Referral), New Delhi
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Verma RN, Banerjee AK, Bhattacharya K. Lupus nephritis--light, electron and immunofluorescent microscopy (a clinicopathological study). INDIAN J PATHOL MICR 1989; 32:246-51. [PMID: 2698861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Kidney biopsy specimens from nine patients of systemic lupus erythematosus were studied for the purpose of correlating the findings of light and electron microscopy and immunofluorescent studies with the kidney functions and the presence of proteinuria. Morphologically, three were mesangiocapillary glomerulonephritis, three mesangioproliferative glomerulonephritis and one membranous nephropathy. Subendothelial deposits were observed in eight cases, subepithelial deposits in seven cases and mesangial deposits in eight cases. Four cases with massive subendothelial deposits had massive proteinuria and decrease in renal functions. Most of the patients with mild subendothelial deposits were considered to be useful in assessing the prognosis and severity of lupus nephropathy, in addition to the morphologic types of lesions, as mesangial pattern had shown insignificant proteinuria. Study of semithin sections by light microscopy could demonstrate the deposits which were observed on electron microscopy and immuno-fluorescent microscopy.
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Malhotra PR, Chakraborty BC, Das NG, Verma RN, Neogi SG, Chandra U. Anopheline, mosquitoes of Tenga Valley (Arunachal Pradesh). Indian J Public Health 1987; 31:225-9. [PMID: 3508150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
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Verma RN, Jaiprakash MP, Banerjee AK. Primary liver cell carcinoma and hepatitis B antigen (a clinicopathological study). INDIAN J PATHOL MICR 1986; 29:444-9. [PMID: 3028951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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Verma RN, Banerjee AK, Jaiprakash MP. Morphologic marker for the diagnosis of lymphoblastic lymphoma. Indian J Cancer 1985; 22:253-60. [PMID: 3843090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Lakshmanan C, Banerjee AK, Verma RN, Basu SK. Primary angiosarcoma of the heart--a case report. Indian Heart J 1985; 37:199-201. [PMID: 4065921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
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Verma RN, Talvalkar GV, Banerjee AK, Hasan MI. Clinical relevance of histologic sub-types of large cell (diffuse "histiocytic") lymphoma. Indian J Cancer 1984; 21:175-9. [PMID: 6400088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Verma RN, Hasan MI, Banerjee AK, Gargya PK. Light & electron microscopy of benign peripheral nerve sheath tumors. INDIAN J PATHOL MICR 1984; 27:325-9. [PMID: 6534864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
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Verma RN, Hassan MI. Malignant schwannoma of the mediastinum (a case report). Indian J Cancer 1984; 21:110-2. [PMID: 6537396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Subramanyam CSV, Verma RN, Saikia DK. Multiple Keratoacanthoma. Indian J Dermatol Venereol Leprol 1983; 49:275-277. [PMID: 28176745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A rare case of multiple keratoacanthoma involving the right lower limb is reported along with brif review of literature.
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Verma RN, Subramanyam CS, Banerjee AK. Intracranial neoplasms -- pathological review of 283 cases. INDIAN J PATHOL MICR 1983; 26:289-97. [PMID: 6674189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
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Tutakne MA, Das KD, Agprwal SK, Banerjee AR, Verma RN. Study of the Skin in the Viciniw of Well Merginated Lesions of TT and BT Leprosy. Indian J Dermatol Venereol Leprol 1983; 49:132-135. [PMID: 28176723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Well-defined margin in a patch of leprosy indicates good cell mediated immunity (CMI) and containment of the disease process within the lesion. A study was hence undertaken to ascertain if histological changes in well marginated lesion are confined to the involved area alone or extend into the surrounding normal looking skin.
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Verma RN, Banerjee AK, Subramanyam CS. Tumorous leukaemic infiltration of pericardium simulating mediastinal tumour. Indian Heart J 1983; 35:120-2. [PMID: 6873980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
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Shukla IM, Verma RN. A clinical study of ocular injuries. Indian J Ophthalmol 1979; 27:33-6. [PMID: 500178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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Verma RN, Dutt M, Chatterjea MN. Observations on serum mucoprotein levels in viral hepatitis and obstructive jaundice. J Assoc Physicians India 1977; 25:459-64. [PMID: 614369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Verma RN, Murthy RG, Sardana DN. Effect of storage under high altitude conditions on the efficacy of the TAB vaccine. INDIAN J PATHOL MICR 1977; 20:1-6. [PMID: 873577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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Chatterjea MN, Chopra SK, Grover J, Verma RN. Observations on serum amylase level in viral hepatitis and obstructive jaundice cases. J Assoc Physicians India 1974; 22:735-41. [PMID: 4448807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Pal AK, Chopra SK, Grover J, Verma RN. Coexistent Hodgkin's disease and acute myeloid leukaemia. J Assoc Physicians India 1974; 22:199-201. [PMID: 4526532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Verma RN, Ghuliani KK. An exploratory study of troops and their families practising contraception. Indian J Public Health 1970; 14:80-2. [PMID: 5526787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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