barala hospital & research center jaipur rajasthan

Barala Hospital And Research Centre

Barala Hospital And Research Centre is a recognized & well-known hospital of Jaipur, Rajasthan. Barala Hospital And Research Centre is equipped with modern & advance healthcare facilities and is a popular name in the healthcare industry. They have team of best doctors & specialists who can handle complex medical cases. Barala Hospital And Research Centre have been a pioneer in offering modern healthcare services in Jaipur, Rajasthan and Barala Hospital And Research Centre have introduced cutting-edge medical technology to offer best-in-class clinical outcomes and patient experiences.

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• BARALA HOSPITAL & RESEARCH CENTRE, CHOMU, JAIPUR

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Dr. Amit Barala

Neurologist, Jaipur

MBBS. MS. Mch

• 9 Years Experience
• Languages : English, Hindi

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Barala hospital and research centre , jaipur.

Jaipur-Sikar Road, N.H.52, Radhaswami Bagh, Chomu, Jaipur, Rajasthan - 302004

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BARALA HOSPITAL & RESEARCH CENTER

Chomu, jaipur, about barala hospital & research center chomu, jaipur.

Some of the businesses located near BARALA HOSPITAL & RESEARCH CENTER are: Dj Banshi Jaipur , Cosmetica Skin Laser And Hair Transplant Hospital , Dr. Amit Barala Neurosurgeon Neurologist Neurospine Stroke Headache Doctor Hospital , Tokas Gastro Hospital , Choti Devi Memorial Hospital , Barala nursing College , Viraj Medical Store , K R MEMORIAL HOSPITAL , Kaluram Memorial Hospitals Private Limited , PRANIBOT , श्याम मोटर बोडी रिपेयर चोमु , Kalyan Service Centre नेताजी का कारखाना , KANISHKA BAKERIES CHOMU , SETIA AUTO FINANCE PVT. LTD. , Renault Chomu , Narang Urology Hospital Chomu , Hospial , SBI ATM , Hyundai , Radha Swami Bhag , Asian Children Sen. Sec. School , Asian Group Of Education , Goyanka traders , Priya Talicom , shri bajrang krishi yantra udyog , Payas Milk Producer , Sharma saras dairy , etc.

Private hospitals Near BARALA HOSPITAL & RESEARCH CENTER

• Gupta hospitals - B-19, Sagar City, near Radha Swami Bhagh, Chomu, Rajasthan 303702, India

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• Fort Amber - Distance between BARALA HOSPITAL & RESEARCH CENTER and Fort Amber is approx 21.3 KM.
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BARALA HOSPITAL & RESEARCH CENTER is located in Chomu, Hadota, Khadi Bagh, Sirsali, Tankarda, Tripolia Chomu area of Jaipur, Rajasthan India. Complete address of BARALA HOSPITAL & RESEARCH CENTER:Jaipur-Sikar Road, N.H.52, Radhaswami Bagh, Chomu, Jaipur, Rajasthan 303702, India.

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The website of BARALA HOSPITAL & RESEARCH CENTER is http://baralahospital.com/

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Contact detail of BARALA HOSPITAL & RESEARCH CENTER : 918875004330

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Top 10 Private hospitals in Jaipur are : --> As many as 58 Private hospitals from Jaipur are listed with us. You can view all of them here - Private hospitals in Jaipur

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BARALA HOSPITAL & RESEARCH CENTER has a very good rating of 4.2 stars. This rating is based on 177 reviews.

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Dr. Deepika Barala

Gynaecologist  •  7+ Yrs

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Barala Hospital & Research Center

N.h-11, radha swami bagh, barala hospital, jaipur road, chomu, jaipur, rajasthan 303702, Chomu, Jaipur, PIN: 303702

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10:00 AM - 05:00 PM

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June 2016 - Current

6 years experience (gynecologist) barala hospital & research center - chomu

  Education

Rajasthan university of health sciences

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Barala Hospital & Research Centre - Jaipur

Jaipur-Sikar Road, N.H.52, Radhaswami Bagh, Chomu, Jaipur, Rajasthan 303702

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1) Arthroscopic Surgery 2) Biochemistry 3) Blood Bank 4) Blood Transfusion Services 5) Cardiology 6) Clinical Biochemistry 7) Clinical Microbiology & Serology 8) Clinical Pathology 9) Critical Care Medicine 10) Critical Care Unit 11) Ct Scanning 12) Dent

Hospital Facilities

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Adinath Ent & General Hospital

0.0 0 Ratings

B-102-A Udai Marg Tilak Nagar, Jaipur, Rajasthan 302004

Amar Medical And Research Centre - Jaipur

Sector 3, Kiran Path, Mansarovar Sector 3, Mansarovar, Jaipur, Rajasthan 302020

Anand Hospital & Eye Centre - Jaipur

5.0 1 Ratings

406, Jamnalal Bajaj Marg, near Bagadia Bhawan, C Scheme, Ashok Nagar, Jaipur, Rajasthan 302001

Anupam Eye Hospital & Research Centre Pvt Ltd - Jaipur

C 30, Pankaj Singhvi Marg, Satya Vihar, Indra Puri, Vidansabha Road, Lalkothi, Jaipur, Rajasthan 302015

Apex Hospitals (P) Ltd- Jaipur

SP-4 & 6, Central Road, Malviya Nagar Industrial Area, Malviya Nagar, Jaipur, Rajasthan 302017

Asg Hospital Pvt Ltd - Jaipur

D-247, Bihari Marg, Bani Park, Jaipur, Rajasthan 302016

Bhagwan Mahaveer Cancer Hospital & Research Centre- Jaipur

Jawahar Lal Nehru Marg, Bajaj Nagar, Jaipur, Rajasthan 302017

Bhandari Hospital & Research Centre - Jaipur

138-A,Vasundhra Colony, Gopalpura Bypass, Tonk Rd, Jaipur, Rajasthan 302018

Centre For Sight (A Unit Of New Delhi Centre For Sight)

34, 35, Calgiri Marg, near HDFC Bank, Mauji Colony, Moji Nagar, Malviya Nagar, Jaipur, Rajasthan 302017

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The initial history of Raynaud's phenomenon are generalized swelling and dysphagia. Physical examination findings of sclerodactyly and microstomia guided our laboratory and radiologic workup and thereafter helped us to reach the diagnosis.

An MCTD is a rare disease with unknown etiology, but few cases have been reported after occupation of vinyl chloride [2] , and even after breast augmentation surgeries [3] . There are familial cases of MCTD with increased instance of HLADR4 compared with controls.

A 2011 Norwegian study showed a 3.8 per 100,000 prevalence of MCTD among adults, with an incidence of 2.1 per million per year [4] . Mean age of onset was 31.9 years and more than three quarters of patients were females [5] . This confirms the rarity of the disease and a predilection for female sex.

MCTD should be kept as a differential diagnosis when overlapping signs of autoimmune diseases are present such as swollen digits, arthralgia, myalgia or muscle weakness, acid reflux or dysphagia, Raynaud's phenomenon, shortness of breath on activity, a general malaise and fatigue. Many criteria have been described to classify MCTD. Table 3 gives the Alarcon-Segovia's criteria and Table 4 gives the Kasukawa diagnostic criteria for mixed connective tissue disease. Alarcon-Segovia's criteria are simple and comprises five clinical manifestations in addition to the serological status [6] . Our patient showed the Alarcon-Segovia diagnostic criteria with positive serology and three of the five clinical criteria's namely Raynaud's phenomenon, edema of hands and myositis depicted by Serum CPK value of 942 IU/L.

Our patient also followed the Kasukawa diagnostic criteria with both the common symptoms of Raynaud's and swollen hands being present associated with positive serology and mixed findings of thrombocytopenia, esophageal dysmotility, sclerodactyly and high CPK values.

Myositis clinically presenting as muscle weakness is more common than laboratory increase in muscle enzymes but in our patient a frank increase is CPK was seen.

Lung function tests, especially the single breath diffusing capacity may be abnormal in many patients but only a small fraction of those are symptomatic, meanwhile our patient had dyspnea as the presenting complaint. Pulmonary artery hypertension is not common in early MCTD [7] . Pulmonary hypertension, occurring secondary to interstitial lung disease is an increasingly recognized complication and our patient was suffering from pulmonary hypertension as diagnosed by two-dimensional echo.

Membranous glomerulopathy and mesangial proliferative glomerulonephritis are the main renal manifestations. Less common renal manifestations include diffuse proliferative glomerulonephritis, vascular or glomerular sclerosis. It is clinically manifested mainly with proteinuria, rarely with hematuria [8] . Our patient had +1 hematuria on urine examination.

The therapy for MCTD would combine a cocktail of drugs to suppress inflammation including NSAIDS like naproxen, COX-2 inhibitors like celecoxib, steroids such as prednisone, antimalarials (hydroxychloroquine) and immunosuppressants like azathioprine. Nifedipine, nitroglycerin, losartan are used for Raynaud's phenomenon. TNF blockers etanercept and TNF antibodies infliximab, adalimumab are used in inflammatory arthritis in some cases. So two people with the same disease but different presentations would require an altogether different management [9] .

The use of therapeutic antibodies like rituximab, a CD20 receptor blocker in MCTD have shown benefit in cases of refractory polymyositis and lower CPK [10] .

Pulmonary hypertension presents late in the illness when other clinical signs are easily recognizable and should be treated aggressively as most deaths in mixed connective tissue disorders are due to heart failure caused by pulmonary arterial hypertension.

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Dr. Deepika Barala

Barala hospital & research center, personal statement.

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well. ..read more

Doctor Information

• Gynaecologist

Other treatment areas

• MS - Obstetrics and Gynaecology , Rajasthan medical council , 2019
• MBBS , J K lon hospital jaipur ( SMS medical college) , 2016

Past Experience

• Gynecologist at BARALA HOSPITAL & RESEARCH CENTER

Languages spoken

Clinic location.

Radha Swami Bagh, NH-11, 52, Sikar Road, Chomu

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Medindia » Hospital Search » Hospitals in Rajasthan » Barala Hospital And Research Center

Information about Barala Hospital And Research Center in Chomun, Rajasthan. The information includes contact details like phone numbers, emails, contact person and directions to hospital or clinic. If you find that the information requires updation please click here .

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Barala Hospital And Research Center - Private Hospital

Address : Near Radhaswami Bagh , Chomun - 303702, Rajasthan

Director : Madan Lal

Website : http://www.baralahospital.com

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• Open access
• Published: 17 April 2024

Prevalence of breast cancer in rural population of Jaipur: a survey-based observational study

• Roshni Singh 1 ,
• Sachin Kumar 1 ,
• Prashant Nakash 1 ,
• Ramesh Kumar 1 ,
• Govind Kumar 1 ,
• Pusparghya Pal 1 ,
• Shivang Mishra 1 ,
• Preeti Raj 1 ,
• Sumit Rajotiya 1 ,
• Anurag Kumar Singh 1 ,
• Sourav Debnath 1 ,
• Bhumi Chaturvedi 1 ,
• Hemant Bareth   ORCID: orcid.org/0000-0001-6218-8174 1 ,
• Akhilesh Patel 1 ,
• Mahaveer Singh 2 ,
• Anurag Srivastava 3 ,
• Deepak Nathiya 1 , 5 , 6 &
• Balvir Singh Tomar 4 , 5 , 6  

Scientific Reports volume  14 , Article number:  8865 ( 2024 ) Cite this article

Metrics details

Breast cancer, a global health concern predominantly affecting women, recorded 2.3 million new cases and 685,000 deaths in 2020. Alarmingly, projections suggest that by 2040, there could be over 3 million new cases and 1 million deaths. To assess breast cancer prevalence in 24 rural villages within a 60 km radius of NIMS Hospital, Tala Mod, Jaipur, Rajasthan, North India 303,121. A study involving 2023 participants conducted initial screenings, and positive cases underwent further tests, including ultrasound, mammography, and biopsy. SPSSv28 analysed collected data. Among 2023 subjects, 3 screened positive for breast lumps. Subsequent clinical examination and biopsy identified 1 normal case and 2 with breast cancer, resulting in a prevalence proportion of 0.0009 or 98 per 100,000. This study helps fill gap in breast cancer prevalence data for rural Rajasthan. The results highlight a concerning prevalence of breast cancer in the rural area near NIMS hospital, emphasizing the urgent need for increased awareness, early detection, and better healthcare access. Challenges like limited resources, awareness programs, and delayed diagnosis contribute to this high incidence. To address this, comprehensive approach is necessary, including improved screening programs and healthcare facilities in rural areas. Prioritizing rural healthcare and evidence-based strategies can reduce the burden of breast cancer and improve health outcomes.

Introduction

Breast cancer is characterized by the unregulated proliferation and division of aberrant cells within the mammary gland. These cells may form lump or appear as visible abnormalities on mammogram. While breast cancer can affect both men and women, it is significantly more common in women. In 2020, the World Health Organization (WHO) reported 2.3 million breast cancer diagnoses and 685,000 deaths worldwide. By the end of 2020, there were 7.8 million women who had been previously diagnosed with breast cancer within the past five years and were currently alive, establishing it as the most widespread type of cancer worldwide 1 .

A research conducted by the International Agency for Research on Cancer (IARC) and its partner institutions predicts the future impact of breast cancer in 2040, drawing on the burden observed in 2020. It estimates that by 2040, there will be over 3 million new cases per year, representing a 40% increase, and more than 1 million deaths, indicating a 50% increase. This study was published in "The Breast" 2 .

In 1994, a study conducted by the Cancer Registry at Sawai Man Singh (SMS) Medical College in Jaipur recorded 2509 histologically proven cancer cases from various government and private hospitals in urban Jaipur. Among these cases, 19.4% were females with breast cancer, making it one of the prevalent types of cancer 3 .

Epidemiological studies have identified various factors that are associated with the onset and advancement of breast cancer. Risk factors such as late marriage, delayed first childbirth, and late menopause have been strongly linked to the incidence of the disease. Late marriage and childbirth can result in inadequate differentiation of breast tissue, increased exposure to non-estrogenic mutagens, and genotoxicity caused by estrogen 4 . Delayed menopause can lead to prolonged estrogen exposure. Conversely, early pregnancy and extended breastfeeding duration have decreased the risk of estrogen receptor-positive and estrogen receptor-negative breast cancer 5 , 6 .

There is a common misconception that breast cancer affects only women. However, men can also develop this disease, although it occurs in small numbers. According to the Centers for Disease Control and Prevention (CDC) in the United States, 1 out of every 100 diagnosed breast cancers is found in men 2 .

Early detection through screening programs and diagnostic tests is crucial to reduce breast cancer incidence and mortality. Several methods are available for breast cancer control, including Molecular Testing, Next-Generation Sequencing, Liquid Biopsy, Genetic Testing, and Artificial Intelligence 4 .

In this study, we aim to determine the prevalence of breast cancer in the rural population of Jaipur, Rajasthan, North India. This survey-based study was conducted approximately 60 kms from the NIMS Hospital, Tala Mod, Jaipur, Rajasthan, North India 303121.

Study design and population

This cross-sectional study was aimed to determine the prevalence of breast cancer. This study was conducted on 2023 participants who live in the rural areas of Jaipur, Rajasthan, within a radius of 60 kms from NIMS hospital, Tala Mod, Jaipur, Rajasthan, North India 303121. The study duration was 6 months, from October 2022 to March 2023.

Participants above 18 years and who fulfilled the inclusion criteria were screened and enrolled in the study, the participants who did not willingly participate or give their consent were excluded.

Study recruitment procedure

After screening 2442 participants through the inclusion and exclusion criteria, total no of 2023 participants were enrolled from 24 rural villages of Jaipur, including Basna, Nimbi, Kalwad, Achrol, Jhotwara, Manoharpur, Khojawala, Shahpura, Beelpur, Majipura, Dhand, Harwar, Peelwa, Lakher, Noorpur, Bhuranpura, Tala, Gunawata, Bhikhanwala, Chharsa, Chandawas, Dhaler, Syari, Bilonchi.

Data collection

A data collection form was designed for physical screening, which includes demographic details like participants' age, gender, social history like residential area, occupation, marital status, smoking, and alcohol status. Female participants were interviewed for their age at menarche, age at first childbirth, number of children, and history of breastfeeding. A detailed examination of the breast was done to see the symmetry of the breast, skin changes, retraction, tenderness, nipple retraction, lymph node, lump, consistency, and mobility of the lump using a breast cancer screening data collection form 9 .

Clinical investigation

The final identification of the cancerous site was done through mammography and ultrasonography using Mammography System MAM-VENUS, ALLENGERS Medical Systems Ltd. Sector-34, Chandigarh, India, and E-CUBE 5 ULTRASOUND IMAGING SYSTEM ALPINIONO MEDICAL SYSTEMS CO., Ltd. Seoul Republic of Korea, 19-06-2018 respectively 7 , 8 . Biopsy was performed to have final diagnosis of breast cancer in participants with positive physical screening as per American Society of Clinical Oncology (ASCO) guidelines 10 .

In accordance with the ethical principles outlined in the Declaration of Helsinki, the Institutional Review Board of NIMS University Rajasthan, Jaipur, granted clearance for the current study to proceed (approval number: NIMSUR/IEC/2022/349). Informed consent was taken from all the participants.

Statistical analysis

The IBM SPSS version 28.0 programme was used to analyse the data, and Excel version 2019. Descriptive statistical methods were used to encapsulate the data: continuous variables were presented using the standard deviation, mean, median, and category variables were expressed in frequency and proportion. The prevalence rate and prevalence proportion were calculated using the standard formula 11 .

In total, 2023 participants were enrolled in this study from 24 different rural villages of Jaipur, Rajasthan, India. Out of which 1088 were females. Participants above 18 years had a mean age of 43.79 ± 14.7 years. In total, 1815 (89.72%) were married. The occupations of the participants were classified according to Kuppuswamy's classification. These included professionals 133 (6.57%), semi-professionals 19 (0.94%), shop/farmers 820 (40.53%), skilled workers 65 (3.21%), semi-skilled workers 5 (0.25%), unskilled worker 35 (1.73%), and unemployed 946 (46.76%). Among them, 304 (15.03%) were alcoholics, and 700 (34.60%) were smokers, as seen in Table 1 . Among female participants, the mean age of menarche was 12.82 ± 1.039, and the mean age at first childbirth was 20.8 ± 2.461, having a median of 3[2–4] children as seen in Table 1 .

The clinical examination of 3 subjects with positive physical screening is presented in Table 2 . Subjects 1, 2, and 3 were 23, 44 and 50 years respectively. Subjects 1 and 3 were homemakers, subject 2 was farmer, and all three subjects were married. The age of menarche of subject 1, 2, and 3 was 12, 14, and 13 years, respectively, and the age of their first childbirth were 22, 18, and 22 years, respectively, and they had 1, 2, and 3 no. of children, respectively. Subjects 2 and 3 had history of breastfeeding, while subject 1 did not. Subjects 1 and 3 had symmetry in their breast shape, while the breast shape of subject 2 was asymmetric. The skin change was seen in subject 2, and the retraction in the breast and nipple was seen in subject 3, while the lymph node was enlarged in subject 2.

Of the 2023 participants physically screened, lump was found in 3 females, of which 2 were confirmed as breast cancer, yielding prevalence proportion of 2 (0.00098), and prevalence was 0.09%, which determined the prevalence rate 98 per 100,000 population.

In India, survival of breast cancer after five years of diagnosis ranges to 66%. Epidemiological studies indicate that the worldwide burden of breast cancer is projected to exceed nearly 2 million cases by the year 2030 1 . Our study reports the prevalence of breast cancer in rural populations around 60 km radius of NIMS hospital. This study comprises 2023 participants who satisfied the predetermined inclusion and exclusion criteria and were enrolled. Among these participants, 46.21% were male and 53.78% were female.

During the survey, participants from 24 rural villages were included; the age cut-off for the screening population was above 18 years. As per the CDC, the age threshold for diagnosis is over 50 years. Still, due to the increased prevalence of breast cancer among the young population, the bar has been lowered to 18 years 12 .

Out of 2023 study subjects, 3 were screened with positive criteria in pre-screening, and 2 were tested positive with breast cancer yield prevalence proportion of 0.0009. Later, the screening-positive patients were invited to the surgery outpatient department (OPD) of NIMS Hospital for further clinical examination. After considering all relevant parameters and reviewing the biopsy reports, a definitive diagnosis was established, categorizing the subjects into one of the following groups: cancer, benign, and normal.

Of the 3 positive subjects, the first was female and diagnosed normal in breast biopsy.

The second subject was a 44-year married female, age of menarche was 14 years and had 3 children. Enlarged lymph nodes in the right breast with a size of 2.4 × 1.8 cm with hard consistency were diagnosed. The third subject was a 50-year-old married female with 2 children. An asymmetrical, retracted breast with nipple discharge and a lump in the right breast of size 0.3 × 0.2 cm were diagnosed. Both the diagnosed subjects were above the age of 40.

To date, few studies have been conducted in India reporting breast cancer screening. The study conducted by Neethu et al. on community-engaged cancer focuses on the engagement of breast cancer and implementing a comprehensive cancer screening strategy; another retrospective study by Deepti et al. on breast cancer in young women. However, any of these studies do not include the prevalence of breast cancer in the rural population of Rajasthan, India. Thus, this door-to-door cross-sectional study reports the prevalence of breast cancer in the rural population of Rajasthan, India, reporting the 0.0009% prevalence of breast cancer 13 .

Limitations

Limited funding restricted us from advancing our survey-based study to more villages. Additionally, the lack of awareness-based programs and social stigmas about breast cancer in rural populations posed challenges during data collection.

In conclusion, the prevalence of breast cancer in the 60 km radius of NIMS hospital is a significant concern. The study has shed light on the alarming rate of breast cancer, emphasizing the need for increasing awareness, early direction, and improving access to health care services. In this study, the prevalence of breast cancer was found to be 0.0009 around 60 km of NIMS hospital covering 24 villages. Limited health resources, lack of awareness programs, and delayed diagnosis increase the risk of breast cancer. Addressing these challenges required multifaceted approaches, improving screening programs, and establishing comprehensive healthcare facilities. By investing in these initiatives and prioritizing the well-being of individuals residing in rural areas, we can work towards reducing the burden of breast cancer and improving overall health outcomes for these communities. Government authorities must implement evidence-based strategies to ensure that rural areas receive the necessary resources and support to combat breast cancer effectively.

Data availability

The study incorporates the original contributions, and for additional inquiries, please contact the corresponding authors.

Abbreviations

World Health Organization

International Agency for Research on Cancer

Sawai Man Singh

Centers for Disease Control and Prevention

American Society of Clinical Oncology

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Acknowledgements

All the authors extend their sincere appreciation to the staff and doctors of the Department of Oncology at Nims Hospital, Jaipur, for their unwavering support and guidance throughout our journey. Additionally, we express our gratitude to the professors of the Pharmacy department for their consistent support and assistance.

The research was backed by Nims University Rajasthan and did not receive any specific grant from public, commercial, or non-profit funding agencies.

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Department of Pharmacy Practice, Institute of Pharmacy, Nims University Rajasthan, Jaipur, India

Roshni Singh, Sachin Kumar, Prashant Nakash, Ramesh Kumar, Govind Kumar, Pusparghya Pal, Shivang Mishra, Preeti Raj, Sumit Rajotiya, Anurag Kumar Singh, Sourav Debnath, Bhumi Chaturvedi, Hemant Bareth, Akhilesh Patel & Deepak Nathiya

Department of Endocrinology, National Institute of Medical Sciences, Nims University Rajasthan, Jaipur, India

Mahaveer Singh

Department of Surgical Disciplines & Breast Services, National Institute of Medical Sciences, Nims University Rajasthan, Jaipur, India

Anurag Srivastava

Institute of Pediatric Gastroenterology and Hepatology, Nims University Rajasthan, Jaipur, India

Balvir Singh Tomar

Department of Clinical Studies, Fourth Hospital of Yulin (Xingyuan), Yulin, Shaanxi, China

Deepak Nathiya & Balvir Singh Tomar

Department of Clinical Sciences, Shenmu Hospital, Shenmu, Shaanxi, China

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Contributions

H.B. and A.S. contributed to the conception and design of the study. R.K., A.P., A.K.S., S.D., G.K., P.P. and B.C. organized the database. P.N., R.S., S.K., and S.R. performed the statistical analysis and wrote the first draft. P.R., S.M., and wrote sections of the manuscript. All authors contributed to the manuscript revision. M.S., D.N., and B.S.T. approved the submitted version.

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Correspondence to Hemant Bareth .

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Singh, R., Kumar, S., Nakash, P. et al. Prevalence of breast cancer in rural population of Jaipur: a survey-based observational study. Sci Rep 14 , 8865 (2024). https://doi.org/10.1038/s41598-024-58717-0

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Received : 02 December 2023

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DOI : https://doi.org/10.1038/s41598-024-58717-0

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