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Cervico-Facial Soft Tissue Emphysema with Pneumo-Mediastinum Following Endoscopic Sinus Surgery: A Dilemma of Related or Unrelated Complication  [PDF]
Produl Hazarika, Seema Elina Punnoose, Ananth Pai, Rajeev Chaturvedi
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2013, DOI: 10.4236/ijohns.2013.23021

We present a rare and unusual complication of cervico-facial soft tissue emphysema with pneumo-mediastinum which occurred in a 30-year-old female Jordanian patient in our hospital in October 2010 in Abu Dhabi following FESS. CT scan evaluation of aero-digestive tract in the immediate post-operative period was done to ascertain the cause pertaining to any surgical trauma or anaesthesia related complications. Such a case previously unreported has been included in this study. A simple close monitoring after establishing the cause is usually sufficient in management of such related or unrelated complications during FESS which in our case was likely to be anaesthesia related. Published data of such a complication assists in building up a good and effective medical audit based on ethical practice. This paper stresses the importance of immediate CT scan of aero-digestive tract in evaluating the cause.

Lymphoepithelioma-Like Carcinoma of Parapharyngeal Space—A Case Report with Review of Literature  [PDF]
Produl Hazarika, Seema Elina Punnoose, John Victor, ? Sreekala, Nirmali Dutta
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2015, DOI: 10.4236/ijohns.2015.42028
Abstract: Extra-nasopharyngeal lymphoepithelioma-like carcinomas (LELC) are uncommon epithelial tumors. A few isolated case reports and series are available in literature involving the larynx, pharynx, salivary gland, lung etc., but involvement in the parapharyngeal space has not yet been reported. We aim to highlight one such case that has a clinical and radiological characteristic of a benign lesion whilst the histopathology reveals an infiltrating neoplasm. The typical clinical aggressiveness of a classical LELC of extra-nasopharyngeal lesion as described in literature is not present in our case. Also seen is an uncommon finding of abnormal branching of left external carotid artery. There is no standard treatment protocol for such a tumor; however, wide excision of this tumor in the parapharyngeal space via trans-cervical, trans-mandibular, trans-palatal approach has shown good and satisfactory tumor control of the primary site so far.
Hoarseness Due to Right Vocal Cord Paralysis Associated with Aortic Diverticulum from Right Aortic Arch—A Rare and Unusual Vascular Etiology of Right Vocal Cord Paralysis  [PDF]
Produl Hazarika, Seema E. Punnoose, Sanjay Arora, Ramagowdanapura Sadashivan Diesh, Raghavendra K. Itgampalli, Rohit Singh
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2015, DOI: 10.4236/ijohns.2015.42018
Abstract: Right vocal cord paralysis in our present case was diagnosed on clinical and radiological examination which is precipitated by an anomalous right aortic arch with diverticulum. This is a very uncommon vascular etiology of hoarseness and is extremely rare. Because of this rarity, the practicing otolaryngologist may miss this finding while evaluating a case of idiopathic right vocal cord paralysis. Thus, the authors feel that idiopathic or unexplained right vocal cord paralysis should be routinely investigated with a CT or MRI of neck and chest with or without contrast to avoid such shortcomings. There is only one such case of right vocal cord paralysis by right aortic which has been reported earlier in literature.
Profit from Sickness: The Case of Technology-Driven Healthcare  [PDF]
Suman Hazarika, Akhil Ranjan Dutta
Advances in Applied Sociology (AASoci) , 2012, DOI: 10.4236/aasoci.2012.24031
Abstract: The increasing corporatization and growing dependence of the healthcare system on technology has brought about a radical transformation to the entire mission of the healthcare system. Based on the profit motive, the pharmaceutical and technological enterprises that hugely control the healthcare system today have so transformed the system that it has now emerged as one of the most profiteering domains. The historical tragedy is that the profit is earned over sickness. There has indeed been an attempt to generate sickness as demanded both by health care devices as well as by the pharmaceutical industries having detrimental impact on people’s right to health. Present paper, which critically questions the logic and motives of the emerging healthcare system, argues that under the contemporary neo-liberal economies, diseases and patients are objects of business interests of the largely privatized for-profit healthcare industry. Profit from these objects emerges not only through sale of drugs or cure, but also from expensive hi-tech testing and ‘treatment’ technologies. Creation of new patients by diagnosing more diseases to treat is contributed by a large medical-industrial complex today. The paper is of the view that remedies to these crises demand radical a U-turn to the system itself wherein the health care seekers rather than the health care providers would occupy the center stage.
Healthcare Technology: A Domain of Inequality  [PDF]
Suman Hazarika, Akhil Ranjan Dutta
Advances in Applied Sociology (AASoci) , 2013, DOI: 10.4236/aasoci.2013.32011
Abstract: The prevailing perception that technological development facilitates universal empowerment and transcends the social domains of discriminations is now challenged by comprehensive studies. Technology itself is a domain of inequality and it accentuates more inequality with technology gradually favoring the privileged sections and the societies. The healthcare technology, which otherwise could have brought miracle achievements in attaining universal health standards, however, has failed to do so due to the inherent inequality in access to healthcare technology. The growing dominance of monopoly houses on healthcare technology and marginalization of indigenous health technology makes access to technology with a new domain of inequality. With comprehensive empirical data, the present paper investigates into this domain of inequality and argues that a move towards global well being demands a radical restructuring of the global domain of healthcare technology. 
Lacunary generalized difference statistical convergence in random 2-normed spaces
Bipan Hazarika
Proyecciones (Antofagasta) , 2012,
Abstract: Recently in [22], Mursaleen introduced the concept of statistical convergence in random 2-normed spaces. In this paper, we define and study the notion of lacunary An-statistical convergence and lacunary An-statistical Cauchy sequences in random 2-normed spaces using la-cunary density and prove some interesting theorems.
Generalized pustular psoriasis of pregnancy successfully treated with cyclosporine
Hazarika Debeeka
Indian Journal of Dermatology, Venereology and Leprology , 2009,
Abstract: Two multigravidae aged 27 and 29 years, with previous uneventful pregnancies, second being psoriatic, reported at 24 and 28 weeks of pregnancies, with generalized pustular lesions. Laboratory findings, including serum calcium were normal. Ultrasonography showed normal fetal growth. Histopathology confirmed pustular psoriasis. Patients were put on cyclosporine 3 mg/ kg weight/ day after failure of an initial systemic steroid. Blood pressure, pulse, and fetal heart sounds were recorded every 12 hours, and ultrasonography and blood parameters, biweekly. Cyclosporine was tapered and stopped after delivery of two healthy babies at 38 weeks. We conclude that cyclosporine can be an option in the management of pustular psoriasis of pregnancy or psoriasis with pustulation in pregnancy.
Tea Tribes are lagging behind in the Process of Urbanization: A Study on Selected Tea Gardens of Jorhat District, Assam
Kakali Hazarika
International Journal of Trends in Economics Management and Technology , 2012,
Abstract: Tea is a popular beverage around the world. Peopleconsume tea irrespective of ages or classes. Tea industry isthe crucial part of Indian economy and among the teaproducing states of India, Assam is well knowninternationally since long back. It is a labour intensiveindustry and highly dependent on a large workforce. It is theonly sector where majority of the workers are female.About two million labourers are dependent onAssam’s Tea industry and almost all of whom are thedescendents of those who were brought to Assam as slaves byEast India Company mostly from Jharkhand and Orissa.The descendents of those slaves are now called tea tribes.The sacrifice, toil and hard work of these labourers gaveshape to the tea industry of Assam. However, the storybehind the tea cultivation, plucking and processing of tealeaves in the plantations is one of exploitation and untoldhardships for the tea labourers. These labourers are stillliving with the basic facilities provided by the Tea Plantersor Companies. Poor standard of living and lack of education,health facilities etc. are main problems of tea labourers. Thispaper will highlight how tea tribes or tea labourers are faraway from the fruits of urbanization and living their lives invulnerable conditions. Here attempt is made to measureurbanization among labourers based on their standard ofliving. Though urbanization has a vast dimension, the studyattempts to limit it within health status, education, familyplanning, women empowerment etc.The study uses both primary and secondary data.Primary data are collected from the field with the help ofquestionnaire. Books, journals and websites are source ofsecondary data. The study has focused on the life of teagarden workers. Their standard of living is traced with someselected parameters. Observing field data and secondarydata the study reveals that tea garden workers are still invery deprive condition. They are far away from theurbanized society and living an isolated life.
On Paranormed Ideal Convergent Generalized Difference Strongly Summable Sequence Spaces Defined over n-Normed Spaces
Bipan Hazarika
ISRN Mathematical Analysis , 2011, DOI: 10.5402/2011/317423
Role of private sector in providing tuberculosis care: Evidence from a population-based survey in India
Hazarika Indrajit
Journal of Global Infectious Diseases , 2011,
Abstract: Background: In India, a large segment of the population seeks health care services from individual or institutional private health-care providers for health care. We analyzed a nationally representative data to identify the role of private providers in delivering health care for patients with tuberculosis. Materials and Methods: The primary data source for the present analysis was the 60 th round of the National Sample Survey. Distribution frequencies were used to analyze the distribution of key sociodemographic variables and multiple logistic regression was used to analyze the association between these variables and healthcare seeking behavior. Results: A sample of 2203 respondents who had received ambulatory care for tuberculosis, and 4568 respondents who had received inpatient treatment were analyzed. About half of the respondents had attended private facilities for TB care. Sociodemographic variables such as paediatric age group, females, higher level of education, and economic groups were associated with attendance at private sector. Dissatisfaction with services in government facilities was cited as the main reason for preferring private facilities. Conclusions: Private providers play an important role in providing health care services to a large proportion of patients with tuberculosis. There is a need for innovative measures to increase participation of the private sector in the national TB control program and to improve the quality of services in government facilities.
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