Browsing by Author "Sharma, T"
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Publication Axillary arch muscle(Kathmandu University, 2009) Sharma, T; Singla, RK; Agnihotri, G; Gupta, RAbstract Langer’arch is one of the rare muscular variation in the axillary region. In the present article, a case of 50 year old male cadaver with axillary arch in the right axillary region is being reported. It originated from anterior border of latissimus dorsi and merged with short head of biceps brachii. The embryological derivation, genetic basis and clinical implication of this muscular variant are also discussed. Key words: Axillary arch muscle, langer’s arch, Panniculus carnosusPublication Bilateral superficial brachial artery(Kathmandu University, 2009) Sharma, T; Singla, RK; Sachdeva, KAbstract Variations of the upper limb arterial system are well documented. Accurate knowledge of the normal and variant arterial anatomy of the axillary artery is important for clinical procedures and vascular radiology. In this article, a rare bilateral variation of superficial brachial artery is being reported. The axillary artery on both sides divided in its third part into a superficial brachial artery passing superficial to the lateral root of median nerve and brachial artery proper. The former terminated in the cubital fossa by dividing into ulnar and radial arteries while the later descended deep to the medial root of median nerve and gave anterior and posterior circumflex humeral branches of axillary artery and profunda brachii of brachial artery. Then it terminated by giving twigs to muscles of arm. Earlier superficial brachial artery is reported with a prevalence rate varying from 0.2 – 25 % but a bilateral variation is extremely rare. Further its ontogeny and clinical implications are discussed in detail. Key words: Superficial brachial artery, brachial artery, Axillary arteryPublication Bilateral superficial brachial artery(Kathmandu University, 2009) Sharma, T; Singla, RK; Sachdeva, KAbstract Variations of the upper limb arterial system are well documented. Accurate knowledge of the normal and variant arterial anatomy of the axillary artery is important for clinical procedures and vascular radiology. In this article, a rare bilateral variation of superficial brachial artery is being reported. The axillary artery on both sides divided in its third part into a superficial brachial artery passing superficial to the lateral root of median nerve and brachial artery proper. The former terminated in the cubital fossa by dividing into ulnar and radial arteries while the later descended deep to the medial root of median nerve and gave anterior and posterior circumflex humeral branches of axillary artery and profunda brachii of brachial artery. Then it terminated by giving twigs to muscles of arm. Earlier superficial brachial artery is reported with a prevalence rate varying from 0.2 – 25 % but a bilateral variation is extremely rare. Further its ontogeny and clinical implications are discussed in detail. Key words: Superficial brachial artery, brachial artery, Axillary arteryPublication Hepatitis E in the State of Sikkim (North East India)-A report on an outbreak(Kathmandu University, 2018) Gurung, S; Bhutia, PY; Sharma, TABSTRACT Background Hepatitis E virus is a significant public health menace in developing countries and is being reported from newer geographical regions. It is enterically transmitted and causes acute hepatitis. Objective The objective of this study is to correlate the patient details from outbreak of Hepatitis E in 2012 with the water culture done during that period. Method Records of the patients with Hepatitis E virus (HEV) infection in 2012 were analysed. Their serum samples were tested for Immunoglobulin M (IgM) Hepatitis E virus by rapid immunochormatography (ICT) and further confirmed by Immunoglobulin M Enzyme linked immunosorbent assay (IgM ELISA) in National Centre for Disease Control, New Delhi. Water was tested by the Multiple Tube test method using double strength Mc Conkey broth with neutral red and H2S test method. Result Patients with febrile jaundice (n-62) were screened for Hepatitis E virus and 32 were positive by rapid Immunochromatography test and Enzyme linked immunosorbent assay. The overall attack rate was 0.03%. Drinking water from ten different localities in Gangtok were tested and 83% of the water were found to be unsatisfactory for drinking during that period. Conclusion Regular testing of water quality and public education and awareness is important to curb such outbreaks in future. KEY WORDS Acute hepatitis, Hepatitis E virus, Outbreak, Sikkim