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HEALTH

Blood clots in lungs affecting younger population
Bipin Bhardwaj
Tribune News Service

Chandigarh, September 11
Pulmonary thromboembolism (blood clots in the lungs) has affected younger population in the country as compared to the developed countries.

A study by doctors from the Histopathology Department of the Postgraduate Institute of Medical Education and Reach (PGIMER), conducted at 1000 adult postmortem examinations found that the incidence of blood clots in lungs were 15.9 per cent (159/1000).

Dr Nandita Kakkar and Dr R.K. Vasishta conducted this study in the past six years to find the true incidence, age group afflicted, disease associations, contribution to death of the pulmonary thromboembolism (PTE) in autopsied patients admitted to the medical wards in a tertiary care centre in North India (Chandigarh).

While conducting the study, PTE was divided into three groups comprising fatal pulmonary emboli (1), significant contribution to death (2) and incidental or chance finding (3). The study shows that the PTE significantly contributed to death in 79.24 per cent (group 1 + group 2) of the 159 patients out of the samples of 1000.

While addressing mediapersons at the PGIMER, Dr R.K. Vasishta claimed that 73 per cent patients (from the sample taken) were less than 50 years of age and 27 per cent were over 50.

In less than 50 age group, 7.14 per cent were between 14-19 years, 22.22 per cent were between 20-29 years, 27.77 per cent were between 30-39 and 15.87 per cent fell between 40-49 age group.

Dr Vasishta claimed that PTE was devastating, though a treatable problem and an important cause of suffering and death in hospitalised patients. Assessment of the gravity of the situation, age groups affected, disease associations and contribution to death were important for its prevention, prophylaxis, early diagnosis and treatment.

"There is difficulty in establishing an accurate diagnosis because of its non-specific history and physical findings and the lack of a conclusive simple low cost, low risk test for establishing a diagnosis," he added.

Dr Nandita Kakkar said "The main cause of PTE was infection. This was followed in decreasing order by liver or pancreatic, heart, cancers, respiratory, brain, kidney, endocrine, haematological, primary thrombotic and vasculitic disorders."

She added that sources of pulmonary thromboemboli were present in 25 patients (ie in 15.72 per cent cases) as she had to get a special consent for dissecting the leg veins.

Of these nine of the 25 patients had documented clots in the deep veins of the legs and the other 16 had the sources in veins of the abdomen. In 90.6 per cent of such cases the PTE was not suspected clinically, she claimed.

Hence, PTE was found an important cause of death in patients admitted to the medical wards, affecting younger population and has been clinically unsuspected in 90 per cent cases in this part of the world and needs to be tackled appropriately, the doctors said.

They also held this opinion that the key to combat this deadly disease was awareness amongst doctors, early diagnosis and prompt treatment with low molecular weight heparin.

The doctors were also of the view that sophisticated laboratory techniques had improved the detection rate of pulmonary embolism, yet the clinical diagnosis of PTE in hospitalised patients remained elusive.

The real incidence of PTE was unknown and was difficult to determine the main cause of death, co-morbidity or just an incidental finding.

Major pulmonary embolism remains undiagnosed in 40 to 70 per cent of patients.

"A correct and early diagnosis is essential as this is a fatal condition and if diagnosed in time, thrombolytic therapy or surgical embolectomy can be life saving," doctors say.

The doctors claimed that a computer alert programme to encourage prophylaxis has been developed with the help of which diagnoses of the disease and its prevention was possible.

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Stress laid on HIV, TB programmesí coordination
Tribune News Service

Chandigarh, September 11
Nearly 2,350 patients diagnosed in Chandigarh have been referred for treatment to various states where they permanently reside. The default rate in Chandigarh was 3 per cent against the national level of 7 per cent.

This came to light in a meeting of the executive committee on Revised National Tuberculosis Control Programme (RNTCP) of State Health Society formed under National Rural Health Mission (NRHM), held here today. The meeting was chaired by UT Home Secretary Krishna Mohan.

Mr Mohan stressed on more coordination between HIV and tuberculosis programmes. The Home Secretary reviewed the progress of the programme and stressed for more focus and care for the slum and labour colony areas.

He applauded the performance of Chandigarh for combating tuberculosis and introducing quality diagnosis and treatment so as to prevent the spread of disease by infected persons. He also asked for more health education through publicity, street plays, debates, declamation and painting competitions to impart knowledge on symptoms of tuberculosis.

The National Rural Health Mission had been implemented in Chandigarh and resources were being pooled to give quality services to patients. The executive committee on the Revised National Tuberculosis Control Programme under the NRHM had become fully functional. The online monitoring of referred out cases and feedback of their status was transparent with good results.

Dr Manjit Singh Bains, Director, Health Services, UT, said Chandigarh was ranked amongst top-performing states of India in the management of tuberculosis. He elaborated that chest symptomatic reporting to various designated laboratories under the RNTCP were 370 per lakh population as against the national achievements at 155 persons per lakh.

Since 2002, sputum microscopy of as many as 48971 chest symptomatic had been done in the city. He said two private laboratories had been involved under the RNTCP for sputum microscopy and diagnosis.

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SPORTS
 

SGGS are archery champions
Tribune News Service

Chandigarh, September 11
SGGS College, Sector 26, Chandigarh, bagged the team event title of Panjab University Archery (Indian Round) championship for men for 2006-07, garnering 1612 points at PU campus here today. Guru Nanak Khalsa College, Abohar, won the second place with 1,549 points while DAV College, Abohar, got the third place with 1,273 points.

The results: Team Event: 1. SGGS College Sector 26, Chandigarh (Ravinder Kumar, Ravinder Kumar, Navdeep and Anil Kumar) 1612 points; 2. Guru Nanak Khalsa College, Abohar (Satnam Singh, Ashwani Kumar, Gursantveer Singh, Rajinder) 1549 points; 3. DAV College, Abohar (Deepak Kamboj, Ankur, Gurpreet Singh and Surinder Kamboj) 1273 points.

Individual all-round: 1. Ravinder (SGGS College, Chandigarh) 545 points; 2. Rajinder (Guru Nanak Khalsa College, Abohar) 544 points; 3. Ravinder Kumar (SGGS College, Chandigarh) 534 points.

Individual 30 metres: 1. Ravinder Kumar (SGGS College, Chandigarh) 297 points; 2. Ravinder Kumar (SGGS College, Chandigarh) 290 points.

Individual 50 metres: 1. Gursantveer (Guru Nanak Khalsa College, Abohar) 264 points; Rajinder (Guru Nanak Khalsa College, Abohar) 260 points; 3. Navdeep (SGGS College, Chandigarh) 257 points.

Table Tennis: MCM DAV College for Women, Chandigarh, won the Panjab University Table Tennis (Women) Championship while Panjab University Campus and Government College for Girls, Sector 11, Chandigarh, were placed second and third, respectively.

In the final, MCM DAV College for Women defeated PU Campus 3-0. (Risha bt Harsh 13-11, 11-4, 11-6; Dimple bt Rupal 9-11, 8-11, 11-8, 11-7, 11-5; Arshdeep bt Megha (11-7, 11-7, 11-7).

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Panchkula (U-17) beat Chandigarh
Tribune News Service

Chandigarh, September 11
Fine performances by Vijay Kumar (3 wickets for 25 runs) and Prateek Deswal (29 runs) helped Panchkula District u-17 Team beat Chandigarh by 6 wickets in the quarter-final match of Haryana Inter-District (u-17) Cricket Tournament, being played at DAV College, Sector 10, here, today.

Panchkula won the toss and invited Chandigarh to bat. Chandigarh was all out for 96 runs in 40.5 overs.

In reply, Panchkula District Team chased the target of 97 runs in 31.4 overs with a patient knock of 29 runs by Prateek, while his team-mate Kuldeep supported him well by hitting 22 runs.

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