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Review Article
Sumit Mohan, Virender K Prajapati, Santosh K Verma

Sterilization and Infection Control Measures in Dental Operatory

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:97-100][No of Hits : 892]


ABSTRACT

Increase in the incidence of serious transmissible diseases over the last few decades has enhanced major concern and impacted the treatment mode of all health care practitioners. Nowadays, more emphasis is made to assure the patients that they are well protected from risks of infectious disease. Infection control is the most important phase of any dental therapy that has helped to allay concerns of the health care personnel and in providing a safe environment for both patient and personnel. This study reviews different sterilization and infection control protocols in a dental operatory.

Keywords: Autoclave, Indicators, Infection control, Sterilization.

How to cite this article: Mohan S, Prajapati VK, Verma SK. Sterilization and Infection Control Measures in Dental Operatory. Int J Adv Integ Med Sci 2017;2(2):97-100.

Source of support: Nil

Conflict of interest: None


 
Review Article
Danish Arora, Chander Mohan, Prashant Bhardwaj, Sadhna, Abhinav Srivastava

History of Rhinoplasty

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:40-43][No of Hits : 610]


ABSTRACT

Rhinoplasty, is derived from the Greek word rhinos (nose) and plassein (to shape), and is a surgery performed to achieve two results: To improve breathing function of nose and to improve cosmetic look of the nose. Rhinoplasty is a plastic surgery for correcting and reconstructing the form, restoring the functions, and esthetically enhancing the nose, by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, and a failed primary rhinoplasty. An otolaryngologist or a plastic and reconstructive surgeon creates a functional, esthetic, and facially proportionate nose by separating the nasal skin and the soft tissues from the osseocartilaginous nasal framework, correcting them as required for form and function, suturing the incisions, and applying either a pack or a stent, or both, to immobilize the corrected nose to ensure the proper healing of the surgical incision. The nonsurgical rhinoplasty procedure corrects and modifies slight defects of the nose by means of subcutaneous injections of biologically inert fillers; the results tend to be relatively transitory, in comparison with the results of nose surgery. The forehead rhinoplastic reconstruction of nose practiced by Indians centuries ago is known universally as Indian forehead flap for nasal reconstruction.

Keywords: Flap, Hump nose, Reconstruction, Saddle nose.

How to cite this article: Arora D, Mohan C, Bhardwaj P, Sadhna, Srivastava A. History of Rhinoplasty. Int J Adv Integ Med Sci 2017;2(1):40-43.

Source of support: Nil

Conflict of interest: None


 
Original Article
Saurabh Jaiswal, Santosh Kumar, Chandra S Sharma, Abhinav Kuchhal, Arpit Jaiswal

Psychiatric Comorbidities in Patients with Epilepsy: A Cross-sectional Study

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:24-28][No of Hits : 550]


ABSTRACT

Introduction: People with epilepsy are more likely than the general population to have comorbid psychiatric disorders that include anxiety, depression, and interictal and chronic psychoses. Even though psychiatric comorbidity is common in epilepsy, it is underrecognized and undertreated, both in specialty epilepsy centers and also in community-based services. A thorough assessment of this was sought in this study among the patients of Rohilkhand region of Uttar Pradesh (India).

Materials and methods: A total of 100 patients with epilepsy who visited the psychiatry outpatient clinic were recruited for this study. They were assessed in detail for the presence of comorbid psychiatric disorders on Axis 1 with the help of Structured Clinical Interview for Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders.

Results: Overall, it was found that a comorbidity of psychiatric disorders was present in 45% of patients with epilepsy. The frequency of cooccurrence of different types of psychiatric disorders was as follows: Mood disorders 21%, anxiety disorders 14%, and psychotic disorders 28%.

Conclusion: Psychiatric comorbidities were found to be a common problem in patients with epilepsy. The results of this study are in line with many different research works both in India and abroad. A proper address of this issue is important for management, better outcome, and policy making in patients with epilepsy.

Keywords: Axis 1 disorders, Comorbidity, Epilepsy, Psychiatric disorders.

How to cite this article: Jaiswal S, Kumar S, Sharma CS, Kuchhal A, Jaiswal A. Psychiatric Comorbidities in Patients with Epilepsy: A Cross-sectional Study. Int J Adv Integ Med Sci 2017;2(1):24-28.

Source of support: Nil

Conflict of interest: None


 
Review Article
VK Tiwari

Founder of Modern Bacteriology: Robert Koch

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:91-96][No of Hits : 543]


ABSTRACT

The celebrated German doctor Robert Koch was one of the most important and influential bacteriologists in history. He is considered the founder of “modern bacteriology.” Koch is credited with developing many innovative and fundamental techniques - some of which are used today - and proving that microorganisms caused anthrax, cholera, and tuberculosis. His work was essential in proving the germ theory of disease and that such diseases were contagious. He was instrumental in applying the germ theory to community health and hygiene practices in order to prevent diseases in his native Germany and elsewhere. Koch won the Nobel Prize for Physiology/Medicine in 1905 and received many other medals and honors during his lifetime and after his death.


 
Original Article
Rajesh K Abbey, Manjul Mohan, Nitin Malik, Rohit Tiwari, Shashank Nahar

Surgical Site Infections in a Rural Teaching Hospital of North India

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:11-16][No of Hits : 503]


ABSTRACT

Aims and objectives: Surgical site infections (SSIs) are one of the most important causes of health care-associated infections. Understanding SSI reduces the social and economic burden of a hospital and society. In this context, we evaluated the various aspects of SSI in our institution, Rohilkhand Medical College & Hospital (RMCH), which is a tertiary care teaching hospital in rural Uttar Pradesh in North India.

Materials and methods: This prospective study was conducted in the Department of General Surgery, RMCH, Bareilly, Uttar Pradesh, India. A total number of 1,498 patients admitted for surgical procedures with effect from November 1, 2016 to December 31, 2016, formed the subjects of the present study. All operated cases during the above period, including major and minor, emergency and elective, laparoscopic and open procedures were included in the present study. Data so obtained were analyzed statistically. The Centers for Disease Control and Prevention, USA criteria were used for defining the wound. Sample swabs were collected from the first dressing and up to 2 to 4 weeks postoperatively. Samples were processed for aerobic and anaerobic flora, and the antibiotic sensitivity of the isolates was also performed.

Results and discussion: The SSI rate in the present study was 8.67%. Significantly higher incidence of SSI was detected with increasing age. The SSI rate in case of emergency surgeries was more (27.7%) as compared with routine/elective surgeries (6.3%). The higher incidence (18.75%) of SSI was detected in patients having preoperative hospital stay of more than 7 days, and the maximum incidence (15.7%) was observed in patients having longer postoperative hospital stay of more than 10 days. Dirty wounds had the highest incidence of SSI (53.45%). The incidence of SSI increased with duration of surgery, order of surgery, and with the increasing duration of postoperative drains. Staphylococcus aureus was the commonest isolate (32.30%) followed by Escherichia coli (39%).

Conclusion: Though the incidence of SSI in the present study was slightly low as compared with similar reports from other institutions of the country, more rational antibiotic policy and more stringent infection control measures are needed.

Keywords: Centers for disease control and prevention criteria, Hospital stay, Surgical drains, Surgical site infections

How to cite this article: Abbey RK, Mohan M, Malik N, Tiwari R, Nahar S. Surgical Site Infections in a Rural Teaching Hospital of North India. Int J Adv Integ Med Sci 2017;2(1):11-16.

Source of support: Nil

Conflict of interest: None


 
Original Article
SM Sharma

Road Traffic Accidents in India

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:57-64][No of Hits : 7384]


ABSTRACT

Road traffic accidents (RTAs) result in tremendous loss of lives and prolonged morbidity besides causing sufferings to relatives and friends. Loss of lives and useful working hours inflict heavy damage to a nation’s economic activity, loss of breadwinner to family, and deprivation of family bond of love and security. Increasing traffic accidents and subsequent trauma creates heavy burden on our scarce funds and already overburdened hospitals. Road traffic accidents are one of the major causes of death and illness which is preventable. There is tremendous rise in RTAs due to increase in vehicular volume on our roads, incredible speeding of the vehicles, poor driving skills, drunk driving, bad roads, poor traffic control, and lack of public awareness, rampant indiscipline, incompetent authorities and lack of implementation of existing laws to tackle the menace of disrespect to law and rules. The solution to the problem lies in reducing the volume of traffic on roads by instituting efficient public transport system all over, like the one prevalent in advanced nations of the world, honest road engineering, universal education and training of all citizens in driving, creating awareness about road safety precautions, enforcing strict punishments upon offenders indulging in drunk driving and crossing the speed limits, and regulating control of traffic on highways and accident-prone areas.

Keywords: Drunk driving, Indian roads, Prevention of road traffic accidents, Road rage, Road traffic accidents.

How to cite this article: Sharma SM. Road Traffic Accidents in India. Int J Adv Integ Med Sci 2016;1(2):57-64.

Source of support: Nil

Conflict of interest: None


 
Review Article
Archana Singh, Rakesh Gupta, SHH Zaidi, Arun Singh

Dermatoglyphics: A Brief Review

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:111-115][No of Hits : 3662]


ABSTRACT

Dermatoglyphics refers to epidermal ridges present on the palm, sole, fingers, and toes. These epidermal ridges are formed in the same intrauterine period when neuronal development takes place in the intrauterine life of a fetus. Thus, dermatoglyphics is correlated with genetic abnormalities and is useful in the diagnosis of congenital malformations and many other medical disorders. Each and every individual has unique fingerprints, even in twins. These fingerprints remain the same lifelong from their development unless they are damaged by dermal injuries. The different regions of our brain are reflected by fingerprints, palm prints and foot patterns present in the 10 fingers, 10 toes, palmar and plantar surfaces respectively and these dermatoglyphics represent the various regions of brain therefore can be used in dermatoglyphics mental intelligence test (DMIT) and now a day is being used globally.

Keywords: Dermatoglyphics, Dermatoglyphics mental intelligence test, Fingerprint.

How to cite this article: Singh A, Gupta R, Zaidi SHH, Singh A. Dermatoglyphics: A Brief Review. Int J Adv Integ Med Sci 2016;1(3):111-115.

Source of support: Nil

Conflict of interest: None


 
Case Report
Disha Shakya, Tripti Gupta, Lata Agrawal, HK Premi

Gestational Gigantomastia: A Rarity

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:13-14][No of Hits : 2865]


ABSTRACT

Hypertrophy of the breast is a rare medical condition of breast connective tissue. It is listed as a ‘rare disease’ by the ‘Office of Rare Diseases’ of National Institute of Health (NIH). A woman aged 20 years presented to our antenatal clinic in her first pregnancy at 23 weeks of gestation with excessive enlargement of breasts since conception. Although its etiology has yet to be clarified, it has been associated with the response of breast receptors to gestational hormones. Gestational gigantomastia is a complication whose etiology and pathogenesis have yet to be fully clarified. However it has been speculated that placental hormones may trigger the condition.

Keywords: Fibroadenoma, Gestational gigantomastia, Phylloides tumor.

How to cite this article: Shakya D, Gupta T, Agrawal L, Premi HK. Gestational Gigantomastia: A Rarity. Int J Adv Integ Med Sci 2016;1(1):13-14.

Source of support: Nil

Conflict of interest: None


 
Case Report
Gopal Krishan, Ram P Singh, Malti Agrawal, Richa Agrawal

Anesthesia for a Patient on Monoamine Oxidase Inhibitors

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:81-83][No of Hits : 2227]


ABSTRACT

Monoamine oxidase (MAO) inhibitors are frequently used for multidrug-resistant major depression, which is emerging as an epidemic in the modern era. Anesthesia during chronic use of MAO inhibitors is a matter of debate because of increased risk of drug interactions with various anesthetic drugs. Cardiac disorders contribute to perioperative and postoperative complications. Recent studies illustrate the safety of anesthesia without discontinuation of MAO inhibitors if sympathetic homeostasis is maintained and known drug interactions are avoided. In this case study, a 72-year-old male psychiatric patient on permanent treatment with tranylcypromine (30 mg/ day) was admitted for bipolar hemiarthroplasty. After complete aseptic precautions, spinal anesthesia was achieved by 12.5 mg 0.5% heavy bupivacaine and 30 ìg clonidine intrathecally. The anesthetic effect was adequate, but surgery was not completed timely and the effect of spinal anesthesia was weaned off, so general anesthesia was given and surgery was completed. There was no perioperative or postoperative complication. In conclusion, general or regional anesthesia for noncardiac surgery without discontinuation of MAO inhibitors may be safe after careful preoperative evaluation of the patient.

Keywords: Monoamine oxidase inhibitors, Spinal anesthesia, Tranylcypromine.

How to cite this article: Krishan G, Singh RP, Agrawal M, Agrawal R. Anesthesia for a Patient on Monoamine Oxidase Inhibitors. Int J Adv Integ Med Sci 2016;1(2):81-83.

Source of support: Nil

Conflict of interest: None


 
Original Article
Dipak Kumar Dhar, Nilratan Majumder, Debasish Paul

Assessment of Knowledge and Practice of Mothers of Children under Five regarding Zinc Therapy in Childhood Diarrhea

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:169-172][No of Hits : 1737]


ABSTRACT

Aim: Zinc is now considered as an important treatment intervention along with low-osmolarity oral rehydration salts in diarrhea. But awareness about the use of zinc remains low. The present study was conducted with an objective of assessing knowledge and practice of mothers of under-5 children about zinc supplementation in diarrhea.

Materials and methods: A hospital-based cross-sectional study was carried out in the Paediatric Outpatient Department Agartala Government Medical College and GB Pant Hospital, Agartala, Tripura, India, with a sample size of 700 mothers of under-5 children over 2 months. Convenience sampling technique was employed and the data were collected in a structured, interview schedule. Descriptive statistics and tests like chi-square test were used for analysis.

Results: Only 1.9% of all the respondents (13 out of 700) had heard about zinc therapy in diarrhea. Out of them, 11 mothers had actually used zinc in practice and 7 could tell the duration of therapy. None of them were aware of what benefit is conferred by zinc in an episode of diarrhea. An association between knowledge levels and educational status and occupation of mothers was found to be statistically significant.

Conclusion: T he s tudy r eaffirmed t he a bysmally l ow l evel of awareness about zinc supplementation among mothers. Therefore, health education can be used as a tool to promote knowledge and practice of zinc supplementation in diarrhea to reduce mortality and morbidity.

Keywords: Diarrhea, Knowledge, Mothers, Zinc.

How to cite this article: Dhar DK, Majumder N, Paul D. Assessment of Knowledge and Practice of Mothers of Children under Five regarding Zinc Therapy in Childhood Diarrhea. Int J Adv Integ Med Sci 2016;1(4):169-172.

Source of support: Nil

Conflict of interest: None


 
Case Report
Anil Gangwar, Vaibhav Kuchhal, Priyanshu Srivastava

A Rare Case of Vallecular Cyst

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:88-90][No of Hits : 1605]


ABSTRACT

Vallecular cyst is an uncommon but potentially dangerous condition causing stridor and has been associated with sudden airway obstruction resulting in death due to its anatomical location in neonates. It may also present with feeding problems resulting in failure to thrive. Endoscopic laryngoscopy is necessary to visualize vallecular cyst when suspected clinically. Other conditions leading to neonatal stridor should be ruled out, such as laryngomalacia and other laryngotracheal abnormalities. Marsupialization with a CO2 laser is the most successful treatment. We report a case of a 6-month-old male infant referred to our ear, nose and throat department of Dr. Susheela Tiwari Hospital, Government Medical College, Haldwani, for the evaluation of inspiratory stridor, feeding difficulty, suprasternal retraction, and failure to thrive. The patient was misdiagnosed and treated conservatively by a pediatrician. On rigid laryngoscopic examination, an anteriorly displacing cystic mass on the tongue base on the left side was detected. The cyst was removed intoto using bipolar cautery. Immediately after surgery, inspiratory stridor, suprasternal retraction, and feeding difficulty improved gradually. One week later, follow-up rigid laryngoscopy showed no abnormal finding except episodic influx of epiglottis.

Keywords: Laryngomalacia, Laryngoscopy, Lymphadenopathy, Vallecular cyst.

How to cite this article: Gangwar A, Kuchhal V, Srivastava P. A Rare Case of Vallecular Cyst. Int J Adv Integ Med Sci 2016;1(2):88-90.

Source of support: Nil

Conflict of interest: None


 
Case Report
Sonika Dahiya, Shobha Mukherjee, HK Premi

Neurofibromatosis in Pregnancy

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:91-92][No of Hits : 1287]


ABSTRACT

Neurofibromatosis (NF) is one of the most frequent genetic diseases in humans. It is less common to find pregnancy in NF patients. It may not reflect the real situation as most current information on pregnancy and NF is derived from case reports. In the past 15 years only two series of pregnant NF patients were reported in English language literature.
Neurofibromatosis is a genetic disorder which increases the risk of obstetric complications as well as aggravation of maternal disease. However, here is a case of NF in which transmission to baby has also occurred, which is very rare.

Keywords: Neurofibromatosis, Obstetric complications, Pregnancy.

How to cite this article: Dahiya S, Mukherjee S, Premi HK. Neurofibromatosis in Pregnancy. Int J Adv Integ Med Sci 2016; 1(2):91-92.

Source of support: Nil

Conflict of interest: None


 
Case Report
Sonika Dahiya, Shabina Khan, HK Premi, Sana Amrin, Sugandh Srivastava

Ovarian Ectopic Pregnancy: A Rare Case Report

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:23-24][No of Hits : 993]


ABSTRACT

Ovarian pregnancy is the most common type of non-tubal ectopic pregnancy. Ovarian ectopic pregnancy incidence after natural conception ranges from 1 in 2000 to 1 in 60,000 deliveries and accounts for 3% of all ectopic pregnancies. Here, we report a rare case of ruptured ectopic pregnancy. A 30 years old, G2P1+0L1 was admitted with amenorrhea of 1½ months and severe pain abdomen. Self urinary pregnancy test (UPT) was positive. Ultrasonography (USG) revealed it sided adnexal mass. Emergency laparotomy was done and a diagnosis of ovarian ectopic pregnancy was made.

Keywords: Extrauterine pregnancy, Ovarian ectopic, Partial ovariectomy.

How to cite this article: Dahiya S, Khan S, Premi HK, Amrin S, Srivastava S. Ovarian Ectopic Pregnancy: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):23-24.

Source of support: Nil

Conflict of interest: None


 
Case Report
Sujoy Mukherjee, Rishi Jindal, CGS Chauhan, CP Pandey

Seborrheic Keratosis of Penis

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:126-127][No of Hits : 926]


ABSTRACT

Seborrheic keratosis (SK) of the penis is a rare entity. It is usually mistaken as a genital wart. It should be considered in a differential diagnosis of pedunculated lesions of the penis. The histopathology after shave excision will be diagnostic.

Keywords: Penis, Seborrheic keratosis, Shave excision, Split-thickness skin grafts.

How to cite this article: Mukherjee S, Jindal R, Chauhan CGS, Pandey CP. Seborrheic Keratosis of Penis. Int J Adv Integ Med Sci 2016;1(3):126-127.

Source of support: Nil

Conflict of interest: None


 
Case Report
Ranjan Agrawal, Parbodh Kumar, Nitesh Mohan

Ascariasis presenting as Acute Abdomen: A Rare Case

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:75-78][No of Hits : 712]


ABSTRACT

Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications.
We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child.

Keywords: Acute abdomen, Ascaris lumbricoides, Intestinal obstruction.

How to cite this article: A grawal R , K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.

Source of support: Nil

Conflict of interest: None


 
Original Article
VK Tiwari, Sanjay Bansal, Sahil Sood, Amit Kumar, Rajan Shukla

Comparative Evaluation of Peak Expiratory Flow Rate between Computerized Spirometry and Peak Flow Meter

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:93-94][No of Hits : 704]


ABSTRACT

Peak expiratory flow rate (PEFR) is a simple, reliable, and easily reproducible and measurable lung function test. It has not been formally assessed whether the PEFR values measured with peak flow meter are in close correlation with the values measured by digital spirometer. The present study is carried out to determine whether there is a significant difference between the PEFR values derived from digital spirometer and peak flow meter in patients with respiratory symptoms.

Keywords: Peak flow meter, Peak expiratory flow rate, Spirometer.

How to cite this article: T iwari V K, B ansal S , S ood S , Kumar A, Shukla R. Comparative Evaluation of Peak Expiratory Flow Rate between Computerized Spirometry and Peak Flow Meter. Int J Adv Integ Med Sci 2016;1(3):93-94.

Source of support: Nil

Conflict of interest: None


 
Case Report
Akanksha Misra, Shobha Mukherjee, HK Premi, Dahiya Sonika

An Unusual and Rare Case of Tubal Stump Ectopic Pregnancy

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:30-31][No of Hits : 645]


ABSTRACT

An ectopic or extrauterine pregnancy is one in which the blastocyst implants anywhere other than the endometrial lining of uterine cavity. The incidence of ectopic pregnancy in remnant tubal stump is rare. We describe such an unusual case of tubal stump ectopic pregnancy.

Keywords: Ectopic pregnancy, Remnant tubal stump, Tubectomy.

How to cite this article: Akanksha M, Mukherjee S, Premi HK, Dahiya S. An Unusual and Rare Case of Tubal Stump Ectopic Pregnancy. Int J Adv Integ Med Sci 2016;1(1): 30-31.

Source of support: Nil

Conflict of interest: None


 
Original Article
Shahzad Ahmad, Bhawana Pant

Role of Silicone Stenting in Endoscopic Dacryocystorhinostomy: A Comparative Study

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:4-6][No of Hits : 615]


ABSTRACT

Objective: To evaluate the role of using silicone stent in endoscopic dacryocystorhinostomy (DCR) and compare the results with endoscopic DCR without silicone stenting.

Design: Prospective study, interventional type, randomized design and comparative analysis.

Materials and methods: The study was done in Department of Otorhinolaryngology, Government Medical College and Dr Susheela Tiwari Hospital, Haldwani, Uttarakhand. We included 30 patients in the study presenting with epiphora with or without mucocele and congenital cases of dacryocystitis and nasolacrimal duct (NLD) blockage were included in the study.
All patients were divided into two groups. First one undergoing endoscopic DCR and silicone stent was used in all cases and second one underwent endoscopic DCR and no stent was used. Postoperative assessment was carried out at the end of 1st, 3rd, 6th and 10th week and the role of silicone stent was subjected to compare.

Result: Use of silicone stent was not improving the results and risk of failure of the surgery had increased with stent due to granulation formation in the lacrimal sac region.
Apart from that, foreign body reactions in the form of irritation, pain were seen with stent. It also added the cost of surgery without giving much benefit to the patient.

Keywords: Dacryocystitis, Endoscopic dacryocystorhinostomy, Silicone stent.

How to cite this article: Ahmad S, Pant B. Role of Silicone Stenting in Endoscopic Dacryocystorhinostomy: A Comparative Study. Int J Adv Integ Med Sci 2016;1(1):4-6.

Source of support: Nil

Conflict of interest: None


 
Case Report
Atul Shishodia, Jagadamba Sharan, Manjeet Singh Chahal

Giant Lipoma of the Arm and Axilla

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:18-19][No of Hits : 589]


ABSTRACT

A lipoma is a common tumor arising from fat cells and can occur anywhere in the body.

Keywords: Giant lipoma, Liposarcoma, Upper extremity.

How to cite this article: Shishodia A, Sharan J, Chahal MS. Giant Lipoma of the Arm and Axilla. Int J Adv Integ Med Sci 2016;1(1):18-19.

Source of support: Nil

Conflict of interest: None


 
Great Scientist in Medicine
VK Tiwari

Laennec Contributions to the Field of Medicine

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:199-201][No of Hits : 589]


ABSTRACT

Rene Theophile Hyacinthe Laennec was a master of clinical diagnosis. Using his invention, the stethoscope, he perfected the art of physical examination of the chest, methods to examine, and also introduced many terms that are still used today. He wrote two books that were masterful descriptions of the diseases of chest and heart.


 
Case Report
Chander Mohan, Abhinav Srivastava, Ranjan Agrawal, Prashant Bhardwaj

A Rare Case of Epidermoid Cyst in Neck

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:15-17][No of Hits : 542]


ABSTRACT

Epidermoid cysts are common lesions, but malignant transformation of their epithelium is rare. There are few case reports in the literature concerning malignant transformation of an epidermal cyst into squamous cell carcinoma. Two epidermoid cysts occurring simultaneously in the neck is rare and not a single case report is available in the literature. One of the cysts transforming into squamous cell carcinoma and the other showing atypical changes is still the rarest and not reported till date. We present a case of two epidermal inclusion cysts in a patient out of which there were atypical changes in one cyst and other cyst showed squamous cell carcinoma.

Keywords: Epidermoid cyst, Histopathological examination, Immunocytochemistry, Squamous cell carcinoma.

How to cite this article: Mohan C, Srivastava A, Agrawal R, Bhardwaj P. A Rare Case of Epidermoid Cyst in Neck. Int J Adv Integ Med Sci 2016;1(1):15-17.

Source of support: Nil

Conflict of interest: None


 
Case Report
Sana Amrin, Shobha Mukherjee, Shabina Khan, Usha Jain

A Case of Secondary Amenorrhea as a Result of Cervical Atresia Postdelivery

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:86-87][No of Hits : 529]


ABSTRACT

Secondary cryptomenorrhea is a rare disorder and results due to adhesion formation postdelivery and puerperal sepsis. We report such a case who presented as amenorrhea and progressive pain in the abdomen postdelivery.

Keywords: Puerperal sepsis, Secondary cryptomenorrhea, Vulvo-vaginal stenosis.

How to cite this article: Amrin S, Mukherjee S, Khan S, Jain U. A Case of Secondary Amenorrhea as a Result of Cervical Atresia Postdelivery. Int J Adv Integ Med Sci 2016;1(2):86-87.

Source of support: Nil

Conflict of interest: None


 
Original Article
Prem P Mishra, Ved Prakash, Lata Agrawal, HK Premi

Diagnosis of Bacterial Vaginosis by Conventional Methods in the Patients at a Tertiary Care Hospital

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:1-3][No of Hits : 518]


ABSTRACT

Background: Bacterial vaginosis (BV) is highly prevalent among women especially in reproductive age group but it is found also in other age groups. Bacterial vaginosis is a great health concern in India because of its complications. Most of the healthcare centers in India are not well-versed in advance diagnostics for BV.

Aim: To assess the utility of conventional methods for diagnostic evaluation of BV in the patients of different age groups.

Materials and methods: In this 1 year cross-sectional study, the vaginal swabs were collected from women with signs and symptoms of BV like complaints of vaginal discharge, odor, itching, back ache, etc. attending the department of obstetrics and gynecology of a tertiary care hospital in Western UP. These specimens are subjected to vaginal pH determination and are sent to department of microbiology for Gram stain, wet-mount and whiff test. Amsel’s criteria were used for confirming BV.

Results: A total of 206 women included in the study, n = 63 (29.61%) were found to be having BV based on Amsel’s criteria. The mean age of the females were found to be 30.77 years. The most affected age group was found to be 26 to 35 years, n = 33 (54%). The vaginal pH was significantly higher in n = 61 (29.61%) women with BV. Vaginal discharge was prevalent in n = 108 (52.43%) women. Presence of clue cells and positive whiff test were found to be in n = 63 (30.58%) and n = 61(29.61%).

Conclusion: The characteristics of vaginal discharge, vaginal pH determination, clue cells and whiff test is relatively easier conventional methods for diagnosis of women with BV where better facilities are lacking. These tests are suitable for screening women with BV and in formulating the treatment to check the complications.

Keywords: Amsel’s criteria, Bacterial vaginosis, Clue cells, Vaginal discharge.

How to cite this article: Mishra PP, Prakash V, Agrawal L, Premi HK. Diagnosis of Bacterial Vaginosis by Conventional Methods in the Patients at a Tertiary Care Hospital. Int J Adv Integ Med Sci 2016;1(1):1-3.

Source of support: Nil

Conflict of interest: None


 
Review Article
Pankaj Gupta

Role of Salivary Biomarkers for Early Detection of Oral Squamous Cell Carcinoma

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:155-160][No of Hits : 472]


ABSTRACT

Introduction: Oral cancer is a potentially fatal disease, which constitutes an important portion of tumors of the head and neck region. Among head and neck cancers, oral squamous cell carcinomas (OSCCs) constitute 90% of total cancers. Regardless of the fact that the oral cavity is easily accessible to the accumulation of carcinogens, most oral cancers are typically detected at an advanced stage leading to lower survival rate among subjects. Abnormal cellular products elucidated from malignant cells can be detected and measured in various body fluids including saliva, which constitute tumor markers. Saliva, an aqueous biological fluid, is in direct contact with the oral cancer lesion. Hence, the saliva in any stage of oral cancer constitutes abnormal deoxyribonucleic acid (DNA), acid (RNA), and protein molecules. Saliva, being a noninvasive diagnostic aid, can be an alternative to serum for early detection, status of chemotherapy regime, and also patient prognosis. This article aims at providing a brief overview of various salivary biomarkers and their implications in oral cancer.

Keywords: Carcinoma, Deoxyribonucleic acid, Epithelial, Ribonucleic acid, Saliva, Tumor markers.

How to cite this article: Gupta P. Role of Salivary Biomarkers for Early Detection of Oral Squamous Cell Carcinoma. Int J Adv Integ Med Sci 2017;2(3):155-160.

Source of support: Nil

Conflict of interest: None


 
Original Article
Arshiya Masood, Anil K Singh, DS Martolia, Tanu Midha

Assessment of Indian Public Health Standards in the Primary Health Centers in a District of Uttar Pradesh, India

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:53-60][No of Hits : 441]


ABSTRACT

Introduction: Primary health center (PHC) is a first port of call to a qualified doctor of the public sector in rural areas. Standards are the main driver for continuous improvement in quality. The performance of PHCs can be assessed against the Indian Public Health Standards (IPHS) recommended for PHCs in early 2007. The overall objective of IPHS for PHCs is to provide health care, i.e., quality oriented and sensitive to the needs of the community. These standards would also help monitor and improve the functioning of the PHCs.

Aims and objectives: This study was carried out to assess (1) the infrastructure, equipments, instruments, staffing, and other facilities; (2) the services being provided at PHCs; (3) to find out the reasons for nonutilization of health services and suggest remedial measures for the same.

Material and methods: T his w as a c ross-sectional s tudy at two PHCs, namely Thatiya and Umerda of Tirwa block of Kannauj District selected randomly for assessment. Health care providers, mainly medical officers, were interviewed using pretested, precoded pro forma. Descriptive analysis was used as per study requirements.

Results: It has been found that only outpatient department services were being provided with many missing components, such as one of the most important ones like maternal and child health and family planning. Physical infrastructure and facilities were inadequate at both the PHCs. Both of them were grossly underequipped and understaffed. Medical officers face their own problems; even basic amenities of life like water, electricity, canteen, etc., are lacking there.

Conclusion: Both the PHCs were not performing up to the expectations and standards of the Indian Public Health.

Keywords: Indian public health standards, Kannauj district, Primary health centers.

How to cite this article: Masood A, Singh AK, Martolia DS, Midha T. Assessment of Indian Public Health Standards in the Primary Health Centers in a District of Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(2):53-60.

Source of support: Nil

Conflict of interest: None


 
Original Article
Vartika Vinay, Anil P Agrawal, AP Verma, Gopal Krishan, Reehan Ahmad, Siddhartha Hanjura

A Clinical Comparative Study of Ondansetron, Palonosetron, Ramosetron, and Metoclopramide for Prevention of Postoperative Nausea and Vomiting in Patients undergoing Laparoscopic and ENT Surgery under General Anesthesia

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:65-69][No of Hits : 420]


ABSTRACT

Introduction: Postoperative nausea and vomiting (PONV) is a well-known entity following surgical procedures and may result in serious complications including aspiration of gastric contents, prolonged recovery period, and impaired surgical wound healing. Laparoscopic surgery is a known risk factor for PONV. Also, the incidence of vomiting after ear nose throat (ENT) surgeries is relatively high.

Aims and Objectives: Our aim of the study is to compare the effectiveness of ondansetron, palonosetron, ramosetron, and metoclopramide to prevent PONV in patients undergoing laparoscopic and ENT surgery under general anesthesia.

Materials and methods: The present study was conducted on 120 adult patients scheduled for elective laparoscopic cholecystectomy and ENT surgery under general anesthesia. All patients were randomized into four groups (O, P, R, and M) with 30 patients each and received injection ondansetron (4 mg), palonosetron (0.075 mg), ramosetron (0.3 mg), and metoclopramide (10 mg) intravenously during premedication. Patients were observed intraoperatively and 24 hours postoperatively for any episodes of nausea and vomiting. All the patients were observed for side effects, such as dizziness, headache, allergic reactions, etc.

Conclusion: Palonosetron is quite effective in prevention of PONV compared with ramosetron, ondansetron, and metoclopramide given intravenously for various surgical procedures under general anesthesia. Its effectiveness in PONV provides a new cost-effective agent to the present recital of antiemetic drugs.

Keywords: Laparoscopic and ENT surgery, Metoclopramide, Ondansetron, Palonosetron, Postoperative nausea and vomiting, Ramosetron.

How to cite this article: Vinay V, Agrawal AP, Verma AP, Krishan G, Ahmad R, Hanjura S. A Clinical Comparative Study of Ondansetron, Palonosetron, Ramosetron, and Metoclopramide for Prevention of Postoperative Nausea and Vomiting in Patients undergoing Laparoscopic and ENT Surgery under General Anesthesia. Int J Adv Integ Med Sci 2017;2(2):65-69.

Source of support: Nil

Conflict of interest: None


 
Original Article
Shweta Tripathi, M Srinivasan, Sanjay Gupta

Astigmatism in Straight and Frown Incision in Small Incision Cataract Surgery: A Comparative Study.

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:111-116][No of Hits : 411]


ABSTRACT

Introduction: Blindness due to cataract presents an enormous problem especially in developing countries like India, not only in terms of human morbidity but also in terms of economic loss and social burden. The cataract surgeon of today is challenged to control the sphere as well as the cylinder of the refraction after surgery. Small incision cataract surgery (SICS) is now the method of choice in many parts of the world. This present study has been carried out with the aim to compare the postoperative corneal astigmatism between the two groups of patients undergoing SICS with posterior chamber intraocular lens (PCIOL) implantation with two difference types of incisions, i.e., frown and straight.

Material and methods: A prospective study was carried out in 60 patients enrolled from the Department of Ophthalmology of Pondicherry Institute of Medical Sciences who underwent SICS with superiorly placed straight and frown incision with PCIOL (each group consisting of 30 patients) during the period from May 2005 to October 2006.

Results: In this study, 60 patients having senile cataract in the age group of 50 to 75 years were studied. Out of these, the majority were in the age group of 60 to 64 (28.33%) years and only 26.66% were more than 70 years. The male:female ratio was 1:1. In our study, we found that frown incision had significantly better (p < 0.001) mean net astigmatism as compared with the straight incision.

Conclusion: We conclude that small incision size and absence of suture are the most important factors that contribute to less astigmatism and faster stabilization of SICS, where phacoemulsification cannot be performed. The duration for stabilization of postoperative astigmatism in straight incision group is 6 weeks, whereas it is 3 weeks in frown incision. Frown superior incision has got added advantage of early wound stabilization than straight incision, allowing the patient to resume their daily activities at an early stage. Superior incision group (both frown and straight) had increased amount of with-therule (WTR) astigmatism which later shifted to against-the-rule. There was a significant difference in net astigmatism between frown and straight. Postoperative astigmatism also depends on preoperative astigmatism. Patients with preoperative WTR benefited from superior incision cataract surgery.

Keywords: Astigmatism, Cataract, Keratometry.

How to cite this article: Tripathi S, Srinivasan M, Gupta S. Astigmatism in Straight and Frown Incision in Small Incision Cataract Surgery: A Comparative Study. Int J Adv Integ Med Sci 2017;2(3):111-116.

Source of support: Nil

Conflict of interest: Non


 
Case Report
Surabhi Sinha, Y Rizvi, A Dokania

An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:47-50][No of Hits : 402]


ABSTRACT

Orbital implants replace the volume lost by enucleated eye, impart motility to the prosthesis, and maintain cosmetic symmetry with the fellow eye. They include nonintegrated, synthetic semi-integrated, integrated, bio-integrated, and biogenic varieties. The much favored hydroxyapatite (bio-integrated) implant, due to its rough surface, needs to be wrapped in donor sclera or other wrapping materials (like polyglactin-910 mesh, polytetrafluoroethylene sheet, etc.) to which the muscles could be directly sutured. Cost factor of such wrappings is often prohibitive that add to the expense of such implants.

Purpose: To highlight monofilament polypropylene surgical mesh commonly used for herniorrhaphy as an alternative implant wrapping for achieving augmented implant volume and enabling easier extraocular muscle attachment in postenucleation reconstruction of artificial eye.

Materials and methods: Following enucleation of a nonfunctional eye in a patient who met with a road traffic accident, a 14 mm hydroxyapatite ball was used to replace the globe. The ball was wrapped with a monofilament polypropylene surgical mesh used in herniorrhaphy and sutured. The patient achieved a satisfactory cosmesis and movements of the implant for different gazes. No ocular discomfort or implant extrusion was reported following 6 months of follow-up.

Conclusion: Monofilament polypropylene mesh can be used safely as an orbital implant wrapping, economizing the implant cost.

Keywords: Hydroxyapatite, Implant wrappings, Orbital implants.

How to cite this article: Sinha S, Rizvi Y, Dokania A. An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis. Int J Adv Integ Med Sci 2017;2(1):47-50.

Source of support: Nil

Conflict of interest: None


 
Case Report
Vinish K Agarwal, Kartikeya Purohit, SS Bist, Mamta Goyal

Hypercalcemia due to Parathyroid Adenoma: A Delayed Diagnosis

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:51-52][No of Hits : 400]


ABSTRACT

Hypercalcemia is a serious health problem occurring due to pathology of many organ systems including thyroid, parathyroid, kidney, and bone. Hypercalcemia due to parathyroid is usually a delayed diagnosis as parathyroid adenoma is usually discovered during surgery of thyroid gland disease. We present a case of hypercalcemia due to parathyroid adenoma, who underwent total thyroidectomy with right inferior parathyroidectomy. We conclude that a patient with features suggestive of hypercalcemia should be suspected to have parathyroid adenoma and every effort has to be made to diagnose parathyroid adenoma as this is a surgically resectable medical problem.

Keywords: Hypercalcemia, Parathyroid adenoma, Parathyroidectomy, Thyroidectomy.

How to cite this article: Agarwal VK, Purohit K, Bist SS, Goyal M. Hypercalcemia due to Parathyroid Adenoma: A Delayed Diagnosis. Int J Adv Integ Med Sci 2017;2(1):51-52.

Source of support: Nil

Conflict of interest: None


 
Case Report
Fahad B Hamid, Gaurav Singh, T Somashekarappa, RP Jauhari, Somdutt Singh, Deepanshu Agarwal

Pedunculated Osteochondroma arising from the Medial Aspect of Proximal Femur: A Rare Presentation

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:44-46][No of Hits : 354]


ABSTRACT

Osteochondroma is a benign bony tumor arising as a bony outgrowth covered by a cartilage cap and occurs most commonly in the metaphysis of long bones (proximal tibia, distal femur, proximal humerus) and pelvis. Osteochondroma grows eccentrically instead of centrifugally. This article reports a case of a 24-yearold female, who presented with a painless bony hard irregular swelling over medial aspect of right groin. There was no distal neurovascular deficit. Site, nature, and extent of the lesion were assessed by radiographs and magnetic resonance imaging. Tumor was completely excised and on histopathology, osteochondroma confirmed. No weight bearing was allowed for 1 week. Patient returned to her normal routine activities in 1 month. On regular follow-up, no evidence of recurrence of the lesion was seen.

Keywords: Benign, Metaphysis, Osteochondroma.

How to cite this article: Hamid FB, Singh G, Somashekarappa T, Jauhari RP, Singh S, Agarwal D. Pedunculated Osteochondroma arising from the Medial Aspect of Proximal Femur: A Rare Presentation. Int J Adv Integ Med Sci 2017;2(1):44-46.

Source of support: Nil

Conflict of interest: None


 
Original Article
Siddhartha Hanjura, Anil P Agrawal, Malti Agrawal, Vartika Singh, Vartika Vinay, Reehan Ahmed

Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airways

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:1-7][No of Hits : 328]


ABSTRACT

Introduction: This prospective randomized study aimed to compare the effectiveness of the intubating laryngeal mask airway (ILMA) with the King Vision Video laryngoscope in aiding endotracheal intubation in Asian patients with normal airway. King Vision Video laryngoscope is a two-piece design. It has a reusable monitor that attaches to disposable blades. The ILMA is a device specifically designed to be an effective ventilatory device and blind intubating guide in patients with normal and abnormal airways.

Materials and methods: After ethics committee approval and obtaining patient’s written informed consent, 60 American Society of Anesthesiologists grade I and II adult patients undergoing elective surgery requiring intubation were randomly allocated into either the ILMA group (Group L) or the King Vision Video laryngoscope group (Group V).
• Thorough preanesthetic checkup was done. Patient was premedicated. Induction was done with propofol 2.5 mg/ kg and succinylcholine 1.5 mg/kg. In Group L, ILMA was inserted using a single-handed rotational technique. In the King Vision Video laryngoscope group, intubation was done with videolaryngoscope. Placement was confirmed with auscultation and capnography.
• An independent observer recorded the following:
  – Time taken for successful intubation
  – Success or failure of the tracheal intubation
  – Number of attempts needed for successful tracheal intubation
  – Complication associated with tracheal intubation: bleeding or postoperative sore throat
  – Hemodynamic response to intubation

Results and conclusion: King Vision Video laryngoscope is the more effective technique in aiding endotracheal intubation in patients with normal airways.

Keywords: Intubating laryngeal mask airway, Intubation, King Vision video laryngoscope.

How to cite this article: Hanjura S, Agrawal AP, Agrawal M, Singh V, Vinay V, Ahmed R. Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway. Int J Adv Integ Med Sci 2017;2(1):1-7.

Source of support: Nil

Conflict of interest: None


 
Original Article
Arpit Jaiswal, Abhishek Kumar, Harsh Rathi, Chandra S Sharma, Preeti Sharma, Viddur Arya

Assessment of Depression and Anxiety in Chronic Obstructive Pulmonary Disease Patients attending Pulmonary Medicine Department of Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:137-139][No of Hits : 327]


ABSTRACT

Introduction: Chronic disease like chronic obstructive pulmonary disease (COPD) is associated with various comorbidities. Anxiety and depression are among the common comorbidities and have significant impact on socioeconomic status of the person as well as the course of disease. In our study, we screened COPD patients attending the outpatient department (OPD) of pulmonary medicine for anxiety and depression, using different scales that include questionnaires. About 46.2 and 34.6% cases were found to have depression and anxiety respectively, among all COPD patients (n = 156). Incidence of anxiety and depression was directly proportional to severity of disease. Age, gender, locality, educational, marital, and socioeconomic statuses are some factors that play important roles in the development of these psychiatric comorbidities. Hence, mental assessment of COPD patients should be mandatory with every visit to the OPD.

Keywords: Anxiety, Chronic obstructive pulmonary disease, Depression.

How to cite this article: Jaiswal A, Kumar A, Rathi H, Sharma CS, Sharma P, Arya V. Assessment of Depression and Anxiety in Chronic Obstructive Pulmonary Disease Patients attending Pulmonary Medicine Department of Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(3):137-139.

Source of support: Nil

Conflict of interest: None


 
Original Article
Amritanshu Shekhar, Hariom K Singh, Shalini Chandra, Iram Shaifali, Darshan Mehra

Effect of Levothyroxine Therapy on Hypothyroidisminduced Dyslipidemia

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:107-110][No of Hits : 325]


ABSTRACT

Objective: The aims of the present study were to determine the prevalence of hypothyroidism, both subclinical hypothyroidism (SH) and overt hypothyroidism (OH), its correlation with dyslipidemia, and whether replacement therapy with levothyroxine has an effect on plasma lipid profile, i.e., total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL), high-density lipoprotein (HDL) of hypothyroid patients.

Materials and methods: A prospective, open-label, observational, clinical study was conducted by the Department of Pharmacology in collaboration with the Department of Medicine, Rohilkhand Medical College & Hospital, for a period of 10 months. A total of 50 patients, age 18 to 65 years, of both genders, who were newly diagnosed cases of hypothyroidism with dyslipidemia (Adult Treatment Panel III National Cholesterol Education Program guidelines) were recruited for the study. Levothyroxine replacement therapy was administered and the patients were reassessed at 6 and 36 weeks for an effect on lipid profile and body mass index.

Results: In cases of OH, baseline TC, TG, LDL, and HDL were 231.01 ± 27.84, 148.18 ± 10.72, 149.07 ± 12.38, and 35.42 ± 6.73 mg/dL, which was reduced to 177.33 ± 23.17, 123.15 ± 29.50, 118.44 ± 29.85, and 47.86 ± 8.53 mg/dL after 36 weeks of levothyroxine therapy (p < 0.05).

Conclusion: In cases of OH associated with dyslipidemia, levothyroxine therapy achieved a favorable lipid profile in significant number of cases.

Keywords: Dyslipidemia, Hypothyroidism, Levothyroxine therapy.

How to cite this article: Shekhar A, Singh HK, Chandra S, Shaifali I, Mehra D. Effect of Levothyroxine Therapy on Hypothyroidism-induced Dyslipidemia. Int J Adv Integ Med Sci 2017;2(3):107-110.

Source of support: Nil

Conflict of interest: None


 
Original Article
Preeti Agarwal, SHH Zaidi

Study of Supratrochlear Foramen of Humerus: A Morphometric Study

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:8-10][No of Hits : 324]


ABSTRACT

This study is conducted to know the incidence of supratrochlear foramen and its morphometry. A total of 38 humerus bones are studied in the Indian population sample, in light of available literature, and clinical, racial, and regional significance is drawn, if present.

Materials and methods: Thirty-eight humerus bones belonging to the museum of the Department of Anatomy, Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India, were studied to observe the incidence of supratrochlear foramen anomaly in the Indian population sample.

Results: The supratrochlear foramen anomaly was observed in 7 out of 38 humeri studied, i.e., 18.4%.

Conclusion: The findings are of considerable clinical, racial, and regional significance, and are discussed.

Keywords: Bony septum, Coronoid fossa, Supratrochlear foramen.

How to cite this article: Agarwal P, Zaidi SHH. Study of Supratrochlear Foramen of Humerus: A Morphometric Study. Int J Adv Integ Med Sci 2017;2(1):8-10.

Source of support: Nil

Conflict of interest: None


 
Case Report
Ankit Gulati, Vikas Kakkar, Chandni Sharma, Mohit Pareek, Surender Bishnoi

Tuberculosis of Middle Ear

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:104-105][No of Hits : 323]


ABSTRACT

A 32-year-old female presented with a history of otorrhea and hearing loss in her right ear since 2 years. On examination, external auditory canal was found to be filled with polypoidal tissue along with mucopurulent discharge. Audiometry showed mixed hearing loss of 50, 55, and 60 dB with air-bone gap of 30, 35, and 40 dB at frequencies of 0.5, 1, and 2 kHz respectively. She was operated for the same, and biopsy was sent for histopathological examination, which showed granulomatous inflammation. The patient was treated with antituberculous therapy, and she responded fully to the treatment.

Keywords: Otorrhea, Pale granulation tissue, Tuberculous otitis media.

How to cite this article: Gulati A, Kakkar V, Sharma C, Pareek M, Bishnoi S. Tuberculosis of Middle Ear. Int J Adv Integ Med Sci 2017;2(2):104-105.

Source of support: Nil

Conflict of interest: None


 
Original Article
Ankit Gulati, Vikas Kakkar, Sameer Aggarwal, Chandni Sharma, Vineet Panchal, Mohit Pareek, Surender Bishnoi

To Study the Effect of Type II Diabetes Mellitus and Its Duration on Hearing

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:140-143][No of Hits : 318]


ABSTRACT

Objective: This study has been undertaken to study the effect of type II diabetes mellitus (T2DM) and its duration on hearing.

Materials and methods: The present study was conducted on 100 persons of age group 20 to 45 years. All subjects included in the study were divided into two groups. Group I: 50 patients suffering from T2DM (fasting blood sugar ≥ 126 mg/dL and postprandial ≥ 200 mg/dL) of either sex, in the age group of 20 to 45 years. Group II: 50 healthy volunteers in the age group of 20 to 45 years, of either sex were included in control group. Hearing assessment was done by using pure tone audiometry (PTA).

Results: In diabetic patients, the mean threshold in the PTA was higher at all frequencies as compared with healthy controls, and there was a positive correlation between the duration of diabetes and hearing loss.

Conclusion: Various audiological investigations have revealed that there is a strong association of diabetes with sensorineural part. The prevalence of sensorineural hearing loss (SNHL) in type II diabetics observed was 64%. In the majority of the patients, the hearing loss was bilateral, affecting mid and higher frequencies from 2 to 8 kHz. Hence, to conclude, we can say that the high prevalence of hearing loss in T2DM supports the importance of audiometric evaluation in such patients.

Keywords: Pure tone audiometry, Sensorineural hearing loss, Type II diabetes mellitus.

How to cite this article: Gulati A, Kakkar V, Aggarwal S, Sharma C, Panchal V, Pareek M, Bishnoi S. To Study the Effect of Type II Diabetes Mellitus and Its Duration on Hearing. Int J Adv Integ Med Sci 2017;2(3):140-143.

Source of support: Nil

Conflict of interest: None


 
Original Article
Vaibhav Kumar, Gaurav Sharma, Akhita Singhania, Saherish Khan, Pooja Singhania, Shraddha Singhania

Diagnostic Accuracy of Ultrasonography in Cases of Acute Appendicitis

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:32-36][No of Hits : 314]


ABSTRACT

Aims and objectives: To evaluate the accuracy of ultrasonography in the diagnosis of various pathologies of the appendix and to compare the findings of ultrasonography with surgical outcome.

Materials and methods: All the patients suspected of appendicitis clinically were referred for ultrasonography. The accuracy of ultrasonography in the diagnosis of appendicitis was compared with surgical outcome.

Results: Out of 50 cases who underwent ultrasonography, 37 cases were sonographically positive for appendicitis and 13 cases were appendicular masses. Right iliac fossa tenderness, rebound tenderness, and Rovsing’s sign were the cardinal signs. The overall specificity and sensitivity were 95% in the diagnosis of acute appendicitis.

Conclusion: Ultrasound is the first-line method in patients referred with clinically suspected acute appendicitis and is cost-effective and reduces the cost of treatment of expensive procedures like exploratory laparoscopy and computed tomography abdomen.

Keywords: Accuracy, Acute appendicitis, Diagnosis, Ultrasonography.

How to cite this article: Kumar V, Sharma G, Singhania A, Khan S, Singhania P, Singhania S. Diagnostic Accuracy of Ultrasonography in Cases of Acute Appendicitis. Int J Adv Integ Med Sci 2017;2(1):32-36.

Source of support: Nil

Conflict of interest: None


 
Original Article
Pramod Kumar, Atul Mehrotra, Deepanshu Gupta, Shobha Mukharjee, Rajesh Saket, Prashant Sinha

First Trimester Bleeding: A Diagnostic Dilemma—Probing It with Ultrasound

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:117-124][No of Hits : 308]


ABSTRACT

Objective: The objective of our study was to evaluate the role of ultrasound in the evaluation of patients with first trimester bleeding and to prognosticate and predict the status of abnormal pregnancies.

Materials and methods: We studied 50 cases of pregnant women who presented with bleeding per vaginum during the first trimester between November 2015 and August 2016. The main sources of data for this study are patients from teaching hospitals attached to Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India. All patients referred to the Department of Radiodiagnosis with clinically suspected first trimester bleeding were evaluated with clinical history, clinical examination, and ultrasonography (USG). Ultrasonographic examination of patients was done using the following machines: (1) Phillips 350, (2) G.E. logiq V3, and (3) Toshiba 1000.

Results: Of the 50 cases of first trimester bleeding, 26 cases were diagnosed as threatened abortion clinically, out of which only 12 cases were confirmed. Ultrasound examination confirmed 12 cases of clinically suspected threatened abortions and aids in correctly diagnosing 8 cases that were missed on clinical examination. A total of 12 cases out of 18 threatened abortions continue to term gestation with a successful outcome of 66%. All cases of threatened abortion (n = 18), incomplete abortion (n = 10), missed abortion (n = 4), ectopic pregnancy (n = 4), inevitable abortion (n = 4), blighted ovum (n = 2), and hydatidiform mole (n = 2) were correctly diagnosed on USG. A total of 48 out of 50 cases were correctly diagnosed on ultrasound compared with 18 out of 50 cases on clinical diagnosis, with a disparity of 64%. Four out of five proved ectopic pregnancies were correctly diagnosed both on ultrasound and on clinical examination.

Conclusion: Ultrasound is noninvasive, nonionizing, without any proved harmful effects on the developing fetus and easily available method of investigation to assess the patients with first trimester bleeding, which is highly accurate in diagnosing the actual causes of bleeding and guides the clinician in choosing the appropriate line of management and prevents mismanagement of the cases. In the present study, 48 out of 50 cases were correctly diagnosed on ultrasound compared with 18 out of 50 cases on clinical diagnosis, with a disparity of 64%.

Keywords: Clinical examination, First trimester bleeding, Ultrasound examination.

How to cite this article: Kumar P, Mehrotra A, Gupta D, Mukharjee S, Saket R, Sinha P. First Trimester Bleeding: A Diagnostic Dilemma—Probing It with Ultrasound. Int J Adv Integ Med Sci 2017;2(3):117-124.

Source of support: Nil

Conflict of interest: None


 
Original Article
Parveen Hans, Atul Mehrotra, Pramod Kumar, Mohit Agarwal, Lalit Kumar, Pradeep Parakh, Sagar Tyagi

Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:17-23][No of Hits : 298]


ABSTRACT

Introduction: Trauma is the most common worldwide cause of death and disability in young adults. Neurotrauma is one of the most frequent indications for emergent neuroimaging because imaging plays such a key role in patient triage and management.

Aims and objectives: (1) To assess the role of computed tomography (CT) in patients with traumatic head injury. (2) To localize trauma to a particular extraaxial and intraaxial compartment and to delineate various spectrum of hemorrhages that occur in craniocerebral trauma with the aid of CT. (3) To evaluate the value of early CT imaging with patient prognosis. Materials and methods: This is a prospective study carried out in 100 patients with traumatic brain injury, referred to the Department of Radiodiagnosis, Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India, for CT scan during a period of 1 year. The patients were scanned using GE Bright Speed 16-Slice multidetector CT.

Conclusion: Computed tomography is the single-most informative diagnostic modality in the evaluation of a patient with a head injury and should be considered the first imaging of choice in acute head injury as it forms the cornerstone for rapid and effective diagnosis.

Keywords: Computed tomography, Extradural hemorrhage, Glasgow coma scale score, Head trauma, Intracranial hemorrhage, Subarachnoid hemorrhage, Subdural hemorrhage.

How to cite this article: Hans P, Mehrotra A, Kumar P, Agarwal M, Kumar L, Parakh P, Tyagi S. Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury. Int J Adv Integ Med Sci 2017;2(1):17-23.

Source of support: Nil

Conflict of interest: None


 
Original Article
S Rashia, SHH Zaidi

A Morphological Study of First Rib Anomalies

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:70-72][No of Hits : 277]


ABSTRACT

Aim: The present study was undertaken to observe the variations of the first rib and understand the significance of such variations.

Materials and methods: Fifty first ribs obtained from the Museum of Anatomy Department of Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India, were studied to see if any anomaly was present and check its incidence in the Indian population sample and draw clinical and other significances of such variations.

Results: The findings are discussed and conclusions are drawn. Variations detected include absence of scalene tubercle, vascular groove on the superior surface, rudimentary head and tubercle of the rib, oblique ridge, and exostosis. Their incidence and significance are discussed.

Conclusion: The findings are of considerable clinical, regional, and racial significance.

Clinical significance: Structural malformations of first rib are common, and when present may lead to compression of the neurovascular bundle at the root of the neck. Awareness of such anomalies is important for anatomists, radiologists, and thoracic surgeons dealing with this region.

Keywords: First rib, Morphological study, Oblique ridge, Scalene tubercle, Vascular groove.

How to cite this article: Rashia S, Zaidi SHH. A Morphological Study of First Rib Anomalies. Int J Adv Integ Med Sci 2017;2(2):70-72.

Source of support: Nil

Conflict of interest: None


 
Original Article
Himalaya Singh, Hari S Joshi, Arun Singh, Rashmi Katyal, Deepak Upadhyay

Reason behind Drinking: A Cross-sectional Study on Alcohol Use among Adult Males in Bareilly District, Uttar Pradesh, India

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:29-31][No of Hits : 270]


ABSTRACT

Introduction: Alcoholic beverages have been a part of social life for millennia, yet societies have always found it difficult to understand or restrain their use. Different societies not only have different sets of beliefs and rules about drinking, but they also show very different outcomes when people consume alcohol.

Aims and objectives: This study is conducted to assess the reasons behind consuming alcohol among adult males of Bareilly district, Uttar Pradesh, India.

Materials and methods: A community-based cross-sectional study was carried out on males aged ≥15 years in Bareilly district. Thirty clusters were chosen from this population by probability proportional to size sampling, and then from these clusters, in each cluster, houses were taken out and from each, one adult male was selected till the sample size was achieved. The prevalence of alcohol usage among males in Uttar Pradesh (by National Family Health Survey 372) is 25.3%. Taking 10% of nonresponsive rate and design effect of 2, calculated sample size is 632.

Results: Totally 699 adult males participated in the study and analyzed data show that 31% males are current drinkers, 5% are past drinkers, and rest are teetotalers. Most of the study subjects indulged in this habit due to peer pressure (58.7%), while 24.9% reported that the cause was a curiosity to drink. Only 7.0% were because of conforming to social status or norms. The majority of the study subjects continued to drink in order to cheer-up (44.6%) in order to relax (40.8%), whereas only 16% current drinkers reported the cause as “peer pressure” or “think and work better.”

Conclusion: We can conclude that the most common reason to start alcohol habit is peer pressure and people continue it to cheer themselves.

Keywords: Abuse, Alcohol, Reasons.

How to cite this article: Singh H, Joshi HS, Singh A, Katyal R, Upadhyay D. Reason behind Drinking: A Cross-sectional Study on Alcohol Use among Adult Males in Bareilly District, Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(1):29-31.

Source of support: Nil

Conflict of interest: None


 
Original Article
Gautam Bhatia, Sanjay Kaushik, Rajnish Kumar, Sanjeev Kishore, Umesh Bhatia

Coagulation Profile in Liver Diseases: A Study of 300 Cases in a Tertiary Care Hospital in Uttarakhand, India

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:61-64][No of Hits : 265]


ABSTRACT

Background: The liver is the cornerstone of the coagulation system. The physiology of blood coagulation is closely linked to liver function as the liver synthesizes most of the factors of the coagulation cascade and fibrinolytic proteins.

Objective: The objective of this study was to evaluate coagulation abnormalities associated with chronic liver diseases and determine the coagulation abnormalities using various coagulation studies [prothrombin time (PT), activated partial thromboplastin time (APTT), bleeding time (BT), clotting time (CT), and platelet count].

Materials and methods: This study included 300 patients clinically diagnosed with liver disease and who were divided into three categories - cirrhosis, hepatitis, and other liver diseases. The coagulation tests PT, APTT, BT, CT, and platelet count were performed and the results were evaluated in groups.

Results: Out of the 300 patients, 156 were diagnosed with cirrhosis, 75 were of viral hepatitis, and 69 were of other liver diseases. About 62% (186/300) had prolonged PT. About 39.3% (118/300) had prolonged APTT. The BT was prolonged in 34% (102/300), while CT was prolonged in 10.6% (32/300). Thrombocytopenia was seen in 46% (138/300) patients.

Conclusion: We concluded that various abnormalities of coagulation tests vary greatly with different liver disorders, duration of the disorders, and their severity. Prolongation of PT and APTT in advancing liver cirrhosis indicates damage to the liver parenchyma resulting in decreased production of coagulation proteins with increased risk of bleeding tendencies, which can be detected before these ensue.

Keywords: Cirrhosis, Coagulation, Hepatitis.

How to cite this article: Bhatia G, Kaushik S, Kumar R, Kishore S, Bhatia U. Coagulation Profile in Liver Diseases: A Study of 300 Cases in a Tertiary Care Hospital in Uttarakhand, India. Int J Adv Integ Med Sci 2017;2(2):61-64.

Source of support: Nil

Conflict of interest: None


 
Original Article
Yogesh K Sharma, Malti Agrawal

Combined Spinal–epidural with Levobupivacaine or Ropivacaine with Fentanyl for Labor Analgesia: A Comparative Study

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:73-77][No of Hits : 263]


ABSTRACT

Introduction: Combined spinal-epidural analgesia to provide pain relief in labor has become the technique of choice. It provides benefits of both spinal analgesia and flexibility of an epidural catheter. In this study, we compared levobupivacaine with fetanyl and ropivacaine with fentanyl in terms of onset and duration of sensory blockade.

Materials and methods: This was a double-blind randomized study on 60 parturients of American Society of Anesthesiologists status 1 and 2, all primipara with singleton pregnancy in active labor, were allocated randomly into two groups of 30 each. Group L received 3 mg of levobupivacaine intrathecally with 25 μg fentanyl followed by epidural top-ups of 14 mL levobupivacaine 0.125% with fentanyl 30 μg, whereas group R received 4 mg of ropivacaine intrathecally with 25 μg of fentanyl followed by epidural top-ups of 14 mL ropivacaine 0.2% with fentanyl 30 μg. Sensory and motor characteristics, hemodynamics, maternal and fetal outcomes, side effects, and complications were observed and analyzed statistically using Student’s unpaired t-test and chi-squared test.

Results: A rapid onset of analgesia in group L (4.67 ± 0.35) as compared with group R (5.57 ± 0.27) was observed. Duration of analgesia was also prolonged in group B (116.83 ± 6.91) as compared with group R (88.87 ± 5.10). Patients remained hemodynamically stable, and side effects and complications were comparable in both groups.

Conclusion: Levobupivacaine with fentanyl combination was found to be more promising in terms of onset and duration of labor analgesia as compared with ropivacaine and fentanyl combination.

Keywords: Fentanyl, Labor analgesia, Levobupivacaine, Ropivacaine.

How to cite this article: Sharma YK, Agrawal M. Combined Spinal-epidural with Levobupivacaine or Ropivacaine with Fentanyl for Labor Analgesia: A Comparative Study. Int J Adv Integ Med Sci 2017;2(2):73-77.

Source of support: Nil

Conflict of interest: None


 
Review Article
Pankaj Gupta, Jyoti Thakur

Gene Therapy as a Management Tool in Dentistry

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:149-154][No of Hits : 261]


ABSTRACT

Introduction: Gene therapy is an emerging field of biomedicine that has gained significant attention in dentistry too. Various research programs are being carried out to understand the cellular and molecular bases of every disease. Since most of the conventional therapeutic approaches are not so satisfactory in treating a disease completely, currently there is an increasing focus on gene therapy to treat a wide variety of inherited and acquired diseases. This new era of gene therapy can be accomplished in the medicine field primarily to replace or cure defective genes and treat a wide variety of gene disorders, whether the disease is due to single or multiple defective genes. It has a variety of applications in the field of dentistry like salivary gland disorders, autoimmune conditions, potentially malignant disorders, etc. The sites, such as minor salivary glands present in the labial and buccal mucosa and also mucosal keratinocytes are potential targets for gene therapy, since these structures are superficial and offer minimal hindrance to the gene therapy procedure. The present article discusses the basic principles of gene therapy, its applications in the field of dentistry, limitations, and disadvantages.

Keywords: Bone morphogenetic proteins, Deoxyribonucleic acid, Disease, Genes, Vector, Virus.

How to cite this article: Gupta P, Thakur J. Gene Therapy as a Management Tool in Dentistry. Int J Adv Integ Med Sci 2017;2(3):149-154.

Source of support: Nil

Conflict of interest: None


 
Original Article
Mohit Agarwal, Pramod Kumar, Deepanshu Gupta

Role of Magnetic Resonance Imaging in the Evaluation of Compressive Myelopathy in Rohilkhand Region, India

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:130-136][No of Hits : 258]


ABSTRACT

Background and objective: Spinal cord compression is the most important cause of neuropathy and disability. Many spinal cord diseases are reversible if recognized early. They are definitely among the most critical of neurologic emergencies. Plain radiographs have a low sensitivity for identifying traumatic/neoplastic spinal lesions. The role of magnetic resonance imaging (MRI) is to distinguish the compressive from noncompressive causes of myelopathy, localize the spinal tumors as being extradural/intradural, and assess the integrity of spinal cord, intervertebral disks, and ligaments after acute spinal trauma.

Mateirals and methods: It is a descriptive study with 90 cases carried out in the Department of Radiodiagnosis and Imaging at Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India. The patients with a suspected clinical history of compressive myelopathy were subjected to MRI scanning. Acquired images were evaluated based on severity of cord compression, location in the extradural/intradural, level of lesion (cervical, thoracic, and lumbar), signal intensities of the neoplasms, vertebral fracture with epidural hematoma, ligamentous injury, and cord edema/contusion. The patients were chosen for the study by a process of purposive sampling, and data were analyzed by descriptive analysis.

Results: In our study of 90 cases of compressive myelopathy we found various different causes for compression. Among these are trauma (39), infectious causes (21), Metastasis (15), primary neoplasm (meningioma (06) + neurofibroma (09).

Conclusion: The MRI is the definitive modality in assessing soft tissues of the spine and spinal cord abnormalities. In our study, with the help of MRI, we could successfully characterize the spinal cord after trauma, identify spinal tumors based on extradural/intradural locations, and assess the integrity of spinal cord, intervertebral disks, and ligaments. Thus, in the end, we can conclude that in cases of RTA and other causes, which lead to compressive myelopathy, MRI is the definitive and accurate answer to the clinical question.

Keywords: Compressive myelopathy, Extradural compression, Intradural neoplasms, Magnetic resonance imaging, Spine, Spinal trauma.

How to cite this article: Agarwal M, Kumar P, Gupta D. Role of Magnetic Resonance Imaging in the Evaluation of Compressive Myelopathy in Rohilkhand Region, India. Int J Adv Integ Med Sci 2017;2(3):130-136.

Source of support: Nil

Conflict of interest: None


 
Original Article
Yogesh K Sharma, Malti Agrawal

Intravenous Dexmedetomidine enhances the Duration of Spinal Anesthesia with 0.5% Hyperbaric Bupivacaine in Lower Abdominal Surgeries

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:144-148][No of Hits : 252]


ABSTRACT

Introduction: Spinal block is a preferred technique for most lower abdominal and lower limb surgeries. Lignocaine had been the local anesthetic of choice for decades in such surgeries. With the advent of adjuvants, now it has become possible to enhance the duration of spinal anesthesia. These adjuvants can be given intravenously or intrathecally. Intravenous clonidine and dexmedetomidine have been used in recent studies as adjuvant in spinal anesthesia with promising results. Dexmedetomidine is a more suitable adjuvant compared with clonidine due to its more selective alpha-2A receptor agonist activity.

Aims and objectives: To evaluate the effect of intravenous dexmedetomidine on spinal anesthesia with 0.5% bupivacaine in lower abdominal surgeries in terms of onset and duration of sensory and motor blockade and sensory regression.

Materials and methods: Sixty patients of American Society of Anesthesiologists grades I and II, 25 to 60 years of age, posted for elective lower abdominal surgeries under spinal anesthesia were included in the study and randomly allocated into computer-generated two groups. Group IV received intrathecal 0.5% bupivacaine heavy and intravenous infusion of dexmedetomidine 1 μg/kg over 20 minutes followed by 0.5 μg/kg/hour till the end of surgery. Patients in group III (control group) received intrathecal 0.5% bupivacaine heavy and intravenous normal saline as placebo.

Results: In groups IV and III, mean duration of analgesia was 209 ± 29.93 and 150.20 ± 3.46 minutes respectively. This increase in duration of analgesia in dexmedetomidine group was statistically significant. The mean duration of motor blockade was 189.48 ± 1.34 and 158.18 ± 3.27 minutes respectively. Injection diclofenac sodium 75 mg intramuscularly was used as rescue analgesic.

Keywords: Intravenous dexmedetomidine, Lower abdominal surgery, Postoperative analgesia, Sensory regression, Spinal anesthesia.

How to cite this article: Sharma YK, Agrawal M. Intravenous Dexmedetomidine enhances the Duration of Spinal Anesthesia with 0.5% Hyperbaric Bupivacaine in Lower Abdominal Surgeries. Int J Adv Integ Med Sci 2017;2(3):144-148.

Source of support: Nil

Conflict of interest: None


 
From the Editor's Desk
Chander Mohan

From the Editor's Desk

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:iv][No of Hits : 235]


ABSTRACT

I am happy to bring another issue of IJAIMS.
The Journal aims to assist researchers at all levels to grow-research scholars, scientists, professors, post-docs and students who are seeking publishing opportunities for their research work.


 
Original Article
Ambika Dixit, Prerna Yadav, Praveen K Rathore, Sapna Goyal

Role of Narrow-band Ultraviolet B Phototherapy with Topical Tacrolimus 0.03% for Treatment of Childhood Vitiligo

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:37-39][No of Hits : 233]


ABSTRACT

Vitiligo in children is a challenging disease to treat, as fewer safe options are available compared with the adult population. The combination of topical tacrolimus (0.03%) with narrowband ultraviolet B (NBUVB) phototherapy is a safer option and hence we decided to explore this in our study. The extent of repigmentation was assessed at baseline, 12 weeks, and 24 weeks by photographic documentation. We observed that out of 16 patients, 3 (18.75%) had <25% repigmentation, 7 (43.75%) had 25 to 75% repigmentation, and 6 (37.5%) achieved >75% repigmentation. Combined therapy with topical tacrolimus and NBUVB phototherapy is an excellent and safe modality in childhood vitiligo.

Keywords: Childhood vitiligo, Narrow-band ultraviolet B, Tacrolimus.

How to cite this article: Dixit A, Yadav P, Rathore PK, Goyal S. Role of Narrow-band Ultraviolet B Phototherapy with Topical Tacrolimus 0.03% for Treatment of Childhood Vitiligo. Int J Adv Integ Med Sci 2017;2(1):37-39.

Source of support: Nil

Conflict of interest: None


 
Original Article
Parul Garg, Anuj Kumar, Praveen K Rathore, Sapna Goyal

Clinical Study of various Nail Disorders presenting to Dermatology Outpatient Department

[Year:2017] [Month:July-September] [Volumn:2 ] [Number:3] [Pages:53] [Pages No:125-129][No of Hits : 231]


ABSTRACT

Aims and objectives: To study the clinical spectrum of nail disorders including congenital, developmental, infectious, neoplastic, degenerative, dermatological, and systemic diseases affecting the nail unit.

Materials and methods: A total of 100 consecutive cases of nail disorders reporting to the dermatology outpatient department in Rohilkhand Medical College & Hospital were examined. Complete dermatological, systemic, hematological examinations, Gram staining, scraping for fungus, nail clipping for potassium hydroxide mount, fungal culture, biopsy from nail bed were undertaken in doubtful cases.

Observations and results: Among 100 cases, the most common was onychomycosis - 28 cases, followed by nail psoriasis - 13 cases, pitting - 10 cases, paronychia - 9 cases, trachyonychia - 5 cases, onycholysis - 4 cases, clubbing - 3 cases, koilonychia - 3 cases, ingrow toenail - 3 cases, pterygium - 3 cases, onychogryphosis - 2 cases, subungual wart - 2 cases, half and half nail - 2 cases, anonychia - 2 cases, longitudinal grooves - 2 cases, clubbing with resorption of fingers - 2 cases, onychomadesis - 1 case, nail discoloration - 1 case, melanonychia - 1 case, pachyonychia congenita - 1 case, beau’s line - 1 case, racket nail - 1 case, transverse groove - 1 case.

Conclusion: Among examined cases, onychomycosis was most common followed by another nail disorders.

Keywords: Nail, Onychomycosis, Pits, Trachyonychia.

How to cite this article: Garg P, Kumar A, Rathore PK, Goyal S. Clinical Study of various Nail Disorders presenting to Dermatology Outpatient Department. Int J Adv Integ Med Sci 2017;2(3):125-129.

Source of support: Nil

Conflict of interest: None


 
Original Article
Rakesh Yaduvanshi, Arpit Jaiswal, CS Sharma, Santosh Kumar, Ramjan Ali, RK Shrivastava, PK Rathoure

Psychiatric Morbidity and Quality of Life in Patients suffering from Psoriasis in a Tertiary Care Hospital

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:85-90][No of Hits : 221]


ABSTRACT

Introduction: Psoriasis is an inflammatory skin disease, which may be persistent, disfiguring, and stigmatizing. The disease is frequent, with prevalence estimates ranging from 0.3 to 2.5%. It is characterized by thick, red, scaly lesion that may appear on any part of the body. Psoriasis is associated with significant psychological and psychiatric morbidity, experience of stigmatization, and decreased health-related quality of life (QOL).

Aims and Objectives: The aims of this study were to estimate psychiatric morbidity and QOL in patients with psoriasis and to study the specified demographic, psychological, social, and illness-related correlates of psychiatric morbidity and QOL.

Materials and methods: The study group consisted of 100 consecutive patients suffering from psoriasis and healthy controls. The assessment was done using General Health Questionnaire 12 items (GHQ-12), Psoriasis Area and Severity Index (PASI) scale, Hospital Anxiety and Depression Scale (HADS), and the World Health Organization Quality of Life BREF scale (WHOQOL-BREF). Patients were also subjected to clinical psychiatric examination. Only those subjects who scored .3 on GHQ-12 scale were administered HADS and WHOQOL-BREF.

Results: This study revealed statistically significant association between number of relapses and depression score and between severity of skin lesions (PASI score) and depressive score.

Keywords: Psoriasis, Psychiatric morbidity, Quality of life

Conclusion: Psoriasis markedly worsens the global well-being of patients and their cohabitants, who experienced an impairment of their QOL and higher levels of anxiety and depression.

How to cite this article: Yaduvanshi R, Jaiswal A, Sharma CS, Kumar S, Ali R, Shrivastava RK, Rathoure PK. Psychiatric Morbidity and Quality of Life in Patients suffering from Psoriasis in a Tertiary Care Hospital. Int J Adv Integ Med Sci 2017;2(2):85-90.

Source of support: Nil

Conflict of interest: None


 
Case Report
Ganesh S Dharmshaktu, Pankaj Singh

Isolated Tuberculosis of Patella in a Child: A Case Report and Literature Review

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:101-103][No of Hits : 200]


ABSTRACT

The patella is an uncommon site for skeletal tuberculosis. Its incidence is limited to a few anecdotal case reports or series in the literature. The presence of this clinical entity in the pediatric age group is even rarer. A high index of suspicion and early clinicoradiological diagnosis are the mainstay of treatment coupled with compliant antitubercular treatment. The effective management also mitigates its spread to whole of the knee joint and subsequent arthrosis. A rare case of patella tuberculosis with effective management and good functional outcome in a 9-year-old male child is presented here with relevant details.

Keywords: Antitubercular Treatment, Child, Diagnosis, Knee Joint, Management, Musculoskeletal, Patella, Tuberculosis.

How to cite this article: Dharmshaktu GS, Singh P. Isolated Tuberculosis of Patella in a Child: A Case Report and Literature Review. Int J Adv Integ Med Sci 2017;2(2):101-103.

Source of support: Nil

Conflict of interest: None


 
Original Article
Shivangna Singh, Hariom K Singh, Abhinav Kuchhal, Alka Yadav, Imran Zaheer

Long-term Effectiveness and Tolerability Profile of Iloperidone in Patients of Psychosis

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:78-84][No of Hits : 174]


ABSTRACT

Aim: To evaluate the long-term efficacy, tolerability, and safety profile of iloperidone.

Materials and methods: A 12 month, prospective, interventional, open label, fl exible dose study was conducted on 50 drug naïve, first-episode patients aged 18 to 65 years, fulfilling the International Classification of Diseases-10 criteria for psychosis, for assessing long-term efficacy and adverse events, including biochemical parameters of iloperidone. Detailed clinical examination was carried out. Sociodemographic data and baseline parameters were recorded.

Results: Two patients dropped out during the course of therapy. M/F ratio was 1.77:1. Mean age of patients was 28.76 ± 10.28 [mean ± standard deviation (SD)] years. Rural/urban ratio was 2.84:1.25. Patients were illiterate, 18 belonged to low socioeconomic class. It was observed that iloperidone was fairly efficacious not only in preventing relapse or aggravation of symptoms but also well restored the patient to almost near-normal till the end point. After 3 months, 20/48 (41.66%) patients showed significant weight gain that was evident. Mean total weight gain from baseline to end point was 2.89 kg and was statistically significant. There was significant rise in body mass index (BMI) but no patient crossed the upper normal limit. Iloperidone did not cause significant rise (p < 0.6955) in fasting blood sugar (FBS), and no significant alterations in total cholesterol (TC), triglyceride, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) cholesterol were recorded. Dizziness was one of the earliest adverse events appearing within 2 to 3 days; others were insomnia, weight gain, increased appetite, anxiety, headache, sedation, etc.

Conclusion: On long-term basis, iloperidone is fairly efficacious and has favorable tolerability profile with modest weight gain and practically no alteration in FBS, and lipid profile as well as absence of extrapyramidal side effects.

Keywords: Atypical antipsychotic, Efficacy, Metabolic profile, Tolerability.

How to cite this article: Singh S, HK Singh, Kuchhal A, Yadav A, Zaheer I. Long-term Effectiveness and Tolerability Profile of Iloperidone in Patients of Psychosis. Int J Adv Integ Med Sci 2017;2(2):78-84.

Source of support: Nil

Conflict of interest: None


 
From the Editor-in-Chief's Desk
Chander Mohan

From the Editor-in-Chief's Desk

[Year:2017] [Month:January-March] [Volumn:2 ] [Number:1] [Pages:52] [Pages No:iv][No of Hits : 117]


ABSTRACT

The new issue of the journal is in your hands.
The journal has completed its one year journey of sharing knowledge. The whole credit goes to the editorial team and our contributors who have supported us by submitting good quality articles.


 
From the Editor's Desk
Chander Mohan

From the Editor's Desk

[Year:2017] [Month:April-June] [Volumn:2 ] [Number:2] [Pages:52] [Pages No:iv][No of Hits : 115]


ABSTRACT

I am indeed delighted to say that we have entered in the world of biomedical communication with our International Journal of Advanced and Integrated Sciences (IJAIMS), which is a multidisciplinary journal. Over the past one and a half year of this journey, the journal has not undergone major changes .


 
Original Article
Shikky Garg

A Cadaveric Study of Sacralization of Fifth Lumbar Vertebra

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:190-192][No of Hits : 50]


ABSTRACT

Introduction: In humans, sacrum consists of five fused sacral vertebrae. A natomically, this fusion provides strength and stability to the pelvis and transmits the weight of the body to the pelvic girdle through the sacroiliac joints. Lumbosacral transitional vertebrae (LSTVs) are congenital anomalies of the lumbosacral region, which include sacralization of fifth lumbar vertebra and lumbarization of first sacral vertebra. Low back pain is quite a common ailment affecting about 80% of the population in their lifetime. Lumbosacral transitional vertebra is one of the causes of low backache.

Objective: (1) Prevalence of sacralization of fifth lumbar bone. (2) Prevalence of various types of fusion.

Materials and methods: In the present study, 100 cadaveric spinal cords were examined in the Department of Anatomy, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

Results: In the present study of 100 adult cadaveric human sacra, 61 were male and 39 were female. Out of 100 sacral bones, 17 showed sacralization of fifth lumbar vertebrae and remaining 83 were normal vertebra. Out of 17 sacralized bones, 15 bones showed bilateral sacralization and only 2 bones showed unilateral sacralization.

Conclusion: Being a cause of low backache, knowledge of sacralization is of great importance for not only the orthopedician but also for radiologist and physiotherapist. Correct knowledge of presence of LSTV may help in correct treatment with appropriate rehabilitation.

Keywords: Genes, Low back pain, Lumbar vertebra, Sacralization, Sacrum.

How to cite this article: Garg S. A Cadaveric Study of Sacralization of Fifth Lumbar Vertebra. Int J Adv Integ Med Sci 2017;2(4):190-192.

Source of support: Nil

Conflict of interest: None


 
Original Article
Archana Singh, Rakesh Gupta

Morphological and Morphometric Study of Vermian Fossa

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:198-200][No of Hits : 46]


ABSTRACT

Introduction: Vermian fossa (VF) is also known as middle cerebellar fossa of Verga. It is present at lower part of internal occipital crest of occipital bone, over which inferior vermis of cerebellum lies. As very few studies are done on VF, so the present study was conducted.

Objective: To know the incidence, morphology, and morphometry of VF in adult dry human skulls.

Materials and methods: In the present study, 60 dry human skulls were examined for the presence or absence of VF, and shape and depth of VF. Morphometry of VF was done with digital Vernier caliper.

Results: In the present study, incidence of VF was 66.7% (in 40 skulls). Among observed VF (40), 32 (80%) were type I (triangular) and 8 (20%) were of type II (quadrangular) in shape, and 75% were shallow and 25% were deep. Average length of VF was 16.98 ± 4.3 mm, and width was 13.52 ± 2.25 mm.

Conclusion: In the present study, incidence of VF was quite higher than other studies but almost similar to other Indian studies. Although the sample size of the present study is less, this may provide some help to neurosurgeons, clinicians, and morphologist as the studies on VF are very less.

Keywords: Cerebellum, Occipital bone, Vermian fossa, Vermis.

How to cite this article: Singh A, Gupta R. Morphological and Morphometric Study of Vermian Fossa. Int J Adv Integ Med Sci 2017;2(4):198-200.

Source of support: Nil

Conflict of interest: None


 
Case Report
Pankaj Gupta, Jyoti Thakur, Chaya M David

Excision of Oral Leukoplakia using 970 nm Diode Laser

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:208-211][No of Hits : 42]


ABSTRACT

Oral leukoplakia (OL) is one of the most commonly seen potentially malignant disorders with varied clinical presentations. A wide variety of medical and surgical treatment modalities have been tried for its management with varying successes. Laser ablation of the lesion is considered as one of the treatment modalities. Conventional surgery may be followed by some side effects like scar formation, contraction, and contamination of surgical field. Using high-power laser has some advantages like less pain, swelling, bleeding, ability to decontaminate, thus preventing secondary infection. This article presents a case of leukoplakia in the right buccal mucosa, which was managed using a 6 W diode laser of 970 nm. The healing occurred uneventfully over a period of 1 month postoperatively with minimal patient discomfort. The case establishes the efficacy of diode laser in the management of OL.

Keywords: Ablation, Diode, Laser, Leukoplakia, Potentially malignant disorder.

How to cite this article: Gupta P, Thakur J, David CM. Excision of Oral Leukoplakia using 970 nm Diode Laser. Int J Adv Integ Med Sci 2017;2(4):208-211.

Source of support: Nil

Conflict of interest: None


 
Original Article
Navtej Singh

Cutaneous Manifestations in Internal Malignancy

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:161-168][No of Hits : 41]


ABSTRACT

Introduction: The skin is a mirror of the internal milieu of the body. As with other systemic disorders, many internal malignancies can be reflected in this mirror, provided we look carefully enough. Internal malignancies may lead to cutaneous manifestations in a number of ways. The tumor may invade the skin directly or do so by way of lymphatic or hematogenous dissemination, thereby giving rise to deposits in the skin (cutaneous metastases). As is evident from the foregoing, a knowledge of cutaneous manifestations in various internal malignancies can be extremely helpful in making a diagnosis, gauging the extent of the disease, assessing the progress and response to therapy of a neoplasm besides enabling one to prognosticate.

Materials and methods: The study comprised 225 cases with internal malignant disease of varying types and duration and involving different organs and organ systems, recorded over a period of 1 year and 8 months. A thorough history and examination with relevant laboratory investigations with skin biopsy were carried out where indicated.

Results: The patients studied comprised 130 males (58%) and 95 females (42%) with maximum number of patients in the age group of 61 years and above. Mucocutaneous manifestations were seen in 52 (23%) patients in the present study with a total of 73 skin lesions of various types. Specific skin lesions were seen in 11 patients, paraneoplastic skin syndromes/nonspecific skin lesions were seen in 27, genetic syndromes denoting increased susceptibility to cancer in 1 and skin lesions due to cancer therapy in 21 patients; 14 (8.6%) out of 163 patients given chemotherapy showed adverse effects of chemotherapy; 7 patients (7.1%) out of a total of 98 given radiotherapy showed features of radiodermatitis in the present work.

Keywords: Cutaneous, Malignancy, Metastases.

How to cite this article: Singh N. Cutaneous Manifestations in Internal Malignancy. Int J Adv Integ Med Sci 2017;2(4):161-168.

Source of support: Nil

Conflict of interest: None


 
Original Article
Juhi Mittal, Yusuf Rizvi, Ritu Jain

Clinical Profile of Refractive Errors in School-going Children of Bareilly, Uttar Pradesh, India.

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:169-172][No of Hits : 41]


ABSTRACT

Introduction: Refractive error is one of the important causes of impaired visual acuity in children.

Aim: To study the pattern of refractive errors in children of Bareilly city and determine its association with selected variables of age, sex, educational status, socioeconomic status, residing locality, family history, previous use of spectacles, amblyopia, and strabismus.

Materials and methods: A cross-sectional study was conducted on 521 children aged 5 to 15 years attending the ophthalmology outpatient department (OPD) of a teaching hospital of Bareilly. Visual status along with dry and cycloplegic refraction was carried out. Relevant data in relation to the selected variables were compiled. Statistical analysis of obtained results was carried out using the software Statistical Package for the Social Sciences (SPSS) version 22.

Results: The mean age of presentation of refractive error was 10.75 ± 2.96 years with a distinct male preponderance and with a male:female ratio of 1.33:1. Parental education background revealed fair literacy rate with 56.23% mothers and 69.28% fathers having intermediate qualification and above. Higher incidence of refractive error was noted in children with upper lower socioeconomic status (34.54%) and with those having positive family history (61.23%); 7.67% children were amblyopic and 7.10% children had coexisting strabismus. Most of the children (80.23%) gave no history of previous use of spectacles. Astigmatism was noted as the commonest refractive error in 45.09% followed by myopia (42.86%) and hypermetropia (12.05%).

Conclusion: The study provides an insight into the quantum, extent, and form of visual impairment prevalent in Bareilly district. It furnishes essential data for planning and evaluating preventive and curative services for visual impairment of children in this region.

Clinical significance: These data support the assumption that vision screening of achool children in developing countries would be very useful in early detection of correctable causes of poor vision, especially refractive errors and in preventingvisual complications.

Keywords: Refractive errors, School-going children.

How to cite this article: Mittal J, Rizvi Y, Jain R. Clinical Profile of Refractive Errors in School-going Children of Bareilly, Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(4):169-172.

Source of support: Nil

Conflict of interest: None


 
Original Article
Sumit Mohan, Virender K Prajapati, Ajoy Shahi

Prevalence of Impacted Mandibular Third Molars in an East Indian Subpopulation: A Retrospective Radiographic Study

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:175-177][No of Hits : 41]


ABSTRACT

The purpose of this retrospective radiographic study was to evaluate the position of mandibular third molars. This study was conducted at the Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand. Patients who had reported with the complaint of pain and swelling in the lower third molar area were assessed and advised orthopantomograph (OPG) for their lower third molar. These were evaluated according to Pell and Gregory classification. Of the total 600 patients examined, 300 were males and 300 were females. Most of the patients were between 30 and 39 years of age (n = 250). It was observed that position I (n = 313) and class II (55% n = 324) were found to be the most common.

Keywords: Angulation, Pell and Gregory classification, Third molar impaction.

How to cite this article: Mohan S, Prajapati VK, Shahi A. Prevalence of Impacted Mandibular Third Molars in an East Indian Subpopulation: A Retrospective Radiographic Study. Int J Adv Integ Med Sci 2017;2(4):175-177.

Source of support: Nil

Conflict of interest: None


 
Review Article
Himalaya Singh, Hari S Joshi, Arun Singh, Rashmi Katyal, Rashmi Singh

Biomedical Waste Management Rules, 2016: A Brief Review.

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:201-204][No of Hits : 39]


ABSTRACT

Inadequate and inappropriate handling of health care waste may have serious public health consequences and a significant impact on the environment. The Ministry of Environment and Forests (MoEF) has notified the new Biomedical Waste Management rules (BMWM Rules, 2016) on March 28, 2016, under the Environment (protection) Act, 1986, to replace the earlier rules (1998) and the amendments thereof. These rules shall apply to all persons who generate, collect, receive, store, transport, treat, dispose, or handle biomedical waste in any form. Sufficient financial and trained human resources, proper monitoring and control of waste disposal are some challenges for the management of biomedical waste. Thus, appropriate management of health care waste is a crucial component of environmental health protection, and it should become an integral feature of health care services. If we want to protect our environment and health of the community, we must sensitize ourselves to this important issue not only in the interest of health managers but also in the interest of community.

Keywords: Biomedical waste management, Hospital waste, Hospital waste disposal.

How to cite this article: Singh H, Joshi HS, Singh A, Katyal R, Singh R. Biomedical Waste Management Rules, 2016: A Brief Review. Int J Adv Integ Med Sci 2017;2(4):201-204.

Source of support: Nil

Conflict of interest: None


 
Review Article
Gaffar, Swati Khan, Hari S Joshi, Rakshita Ojha, Deepak Upadhyay

Health and Social Problems of Geriatric Age Group

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:205-207][No of Hits : 39]


ABSTRACT

There is a rapid increase in the geriatric population. In our nation, more than 5% of males and 4 to 5% of females belong to geriatric group. Although the proportion of elderly people in our nation compared with developing countries is on the lower side, the absolute number is on the higher side as compared with the developed world. Growing is a natural process for every being, hence geriatric stage cannot be prevented. However, a handful of things can be done by the family members of the elderly in helping them to lead a normal life, which is their uttermost necessity to perform their daily routine activities with ease. The commonest problem the elderly face is joint pain and diminished mobility. All the aspects of health status, lifestyle, life satisfaction, mental state, or well-being together reflect the multidimensional aspect of lifestyle of an individual. Mental health problems with the geriatric age people remain neglected most of the time. There is a different presentation of tuberculosis in older people as compared with that observed in young adult patients. There should be a separate classification of tuberculosis treatment for elderly people. Hence, diagnosis has to be made at the earliest and treatment not delayed, which, in the current scenario has led to a rise in morbidity and mortality in the geriatric group.

Keywords: Elderly, Geriatric, Health issues, Health policy.

How to cite this article: Gaffar, Khan S, Joshi HS, Ojha R, Upadhyay D. Health and Social Problems of Geriatric Age Group. Int J Adv Integ Med Sci 2017;2(4):205-207.

Source of support: Nil

Conflict of interest: None


 
Original Article
Sudeepti Panat, Arun Singh, Hari S Joshi, Deepak Upadhyay

A Cross-sectional Study on Awareness regarding Animal Bite Wound Management and Rabies Immunization among Students of a School of Nursing in a City of India

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:193-197][No of Hits : 38]


ABSTRACT

Introduction: Human rabies continues to be endemic in India. Rabies is a zoonotic disease transmitted by animal bites, mainly dogs. It is invariably fatal if proper treatment is not instituted promptly. One of the important factors associated with successful treatment is the knowledge of the nursing staff regarding the proper management of animal bites and rabies vaccination.

Objectives: To assess the awareness of the nursing students of Rohilkhand School of Nursing regarding animal bite wound management and pre- and postexposure prophylaxis of rabies.

Materials and methods: Study Area: Rohilkhand School of Nursing, Bareilly, Uttar Pradesh, India. Study Design: Crosssectional study. Study Duration: January 2017 to February 2017. Study Population: Students of Rohilkhand School of Nursing, Bareilly, Uttar Pradesh, India. Sample Size: 100. Study Tool: Questionnaire was distributed to the nursing students for collecting the data.

Results: A total of 100 nursing students were studied, out of which 85% were females and 15% were males. It was observed that the majority of participants (80%) were aware regarding the immediate treatment of animal bite wound. Knowledge of the study participants regarding site of intramuscular (IM) vaccine administration in infants was found to be poor, i.e., only 31% of participants were aware regarding the correct site of IM vaccination in infants. It was also found that only 9% of participants were aware of the incurability of rabies after clinical onset, 72% were aware about the noncurable nature of rabies, and 72% were aware about the preventable nature of rabies. Knowledge of participants regarding rabies immunization showed that only 46% of participants were aware about the recommended regimen for IM vaccine administration for postexposure prophylaxis and 32% regarding the route of administration of antirabies vaccine (ARV) in pregnancy. About 94% of participants were aware about the tetanus toxoid (TT) vaccine administration postanimal bite.

Conclusions and recommendations: There is an apparent lack of knowledge among study participants regarding rabies and its immunization. Hence, there is a need for generating awareness regarding rabies and its immunization. The nursing students should be sensitized so that their knowledge can be converted into appropriate practices when they will be posted in hospitals as nursing staff.

Keywords: Animal bite wound, Awareness, Immunization, Knowledge, Nursing students, Rabies.

How to cite this article: Panat S, Singh A, Joshi HS, Upadhyay D. A Cross-sectional Study on Awareness regarding Animal Bite Wound Management and Rabies Immunization among Students of a School of Nursing in a City of India. Int J Adv Integ Med Sci 2017;2(4):193-197.

Source of support: Nil

Conflict of interest: None


 
Original Article
SHH Zaidi

A Study of Posterior Ethmoidal Foramen Absence in North Indian Crania

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:173-174][No of Hits : 38]


ABSTRACT

Studies of nonmetric cranial variants have been a field of considerable interest to research workers, especially because of their racial and regional importance.
Twenty-eight North Indian skulls of Uttar Pradesh, India, were studied for the posterior ethmoidal foramen absence, a cranial variant in the present study. Findings are discussed and compared with other global studies and are found to be of considerable regional and racial significance.

Keywords: Cranial variant, Posterior ethmoidal foramen absence.

How to cite this article: Zaidi SHH. A Study of Posterior Ethmoidal Foramen Absence in North Indian Crania. Int J Adv Integ Med Sci 2017;2(4):173-174.

Source of support: Nil

Conflict of interest: None


 
Original Article
Sampan S Bist, Saurabh Varshney, Shishir Gupta, Sanjeev Bhagat

Sensorineural Hearing Loss in Adults: Etiological Study

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:178-182][No of Hits : 36]


ABSTRACT

Introduction: Sensorineural hearing loss (SNHL) is an extremely common disorder, with a spectrum of effect ranging from an almost undetectable degree of disability to a profound alteration in the ability to function in society. The purpose of this study was to identify patients with SNHL and to establish an etiological diagnosis.

Study design: It was a prospective study.

Materials and methods: Patients with SNHL attending the Department of ENT at a tertiary referral center in the state of Uttarakhand were evaluated; 135 patients with audiologically proven SNHL were included in this study and were evaluated to make an etiological diagnosis.

Results: Sensorineural hearing loss was found predominantly in males with a mean age of 45.5 years. The maximum patients were in the age group of 26 to 45 years (54 patients; 40%). The maximum incidence of SNHL was found in office workers (49 patients; 36.3%). A total of 119 (88%) patients reported to have a progressive hearing loss while only 16 (12%) patients had a sudden onset of hearing loss; 69 (51%) cases had unilateral and 66 (49%) cases had bilateral hearing loss. The patients with moderate hearing loss (41-55 dB) were 33 (24.4%), while profound deafness (more than 90 dB) was seen in 31 (23%). A maximum of 66 (49%) patients were diagnosed as having a cochlear disease and retrocochlear disease was seen in 38 patients (28%) The most common etiology of SNHL was idiopathic while the second most common was presbycusis followed by noise-induced deafness and Meniere’s disease.

Conclusion: It was found that the majority of the patients with SNHL were males belonging to younger age group and therefore, had a greater significance of early identification and rehabilitation. The main etiological diagnosis in our study was idiopathic followed by presbycusis.

Keywords: Etiology, Hearing loss, Sensorineural.

How to cite this article: Bist SS, Varshney S, Gupta S, Bhagat S. Sensorineural Hearing Loss in Adults: Etiological Study. Int J Adv Integ Med Sci 2017;2(4):178-182.

Source of support: Nil

Conflict of interest: None


 
Original Article
Malidu Priyanka, Madrol V Bhaskar, Manchikanti Madhulatha, Praveen K Kodumuri

Dyslipidemia in Women with Polycystic Ovary Syndrome in Khammam District, Telangana, India

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:183-187][No of Hits : 35]


ABSTRACT

Introduction: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders of women in the reproductive age group, with a prevalence of 5 to 10% of the female population. Dyslipidemia, insulin resistance, and obesity are all potent cardiovascular risk factors that tend to cluster in women with PCOS. The Androgen Excess-PCOS Society consensus statement recommended a complete lipid profile, including low-density lipoprotein cholesterol (LDL-C), highdensity lipoprotein-cholesterol (HDL-C), non-HDL-cholesterol (non-HDL-C), and triglycerides (TGs) in all subjects with PCOS for cardiovascular risk prevention.

Aim: The purpose of this study is to evaluate lipid levels in subjects with PCOS and to correlate with obesity.

Materials and methods: Study group comprised 142 women with PCOS and 65 healthy non-PCOS subjects. Body mass index (BMI), waist circumference, and lipids were measured in PCOS subjects and age-matched non-PCOS subjects.

Statistical analysis: All values are expressed as mean ± standard deviation (SD). The results obtained are analyzed statistically using unpaired t-test to evaluate the significance of difference between the mean values.

Results: The mean BMI, waist circumference, serum cholesterol, TGs, LDL-C, and non-HDL-C values significantly increased, whereas serum HDL-C significantly decreased in PCOS subjects when compared with non-PCOS subjects, and serum lipids correlated with obesity.

Conclusion: Dyslipidemia was observed in the present study and serum lipid levels correlated with obesity in women with PCOS.

Keywords: Cardiovascular disease, Dyslipidemia, Non-highdensity lipoprotein cholesterol, Polycystic ovary syndrome.

How to cite this article: Priyanka M, Bhaskar MV, Madhulatha M, Kodumuri PK. Dyslipidemia in Women with Polycystic Ovary Syndrome in Khammam District, Telangana, India. Int J Adv Integ Med Sci 2017;2(4):183-187.

Source of support: Nil

Conflict of interest: None


 
Original Article
Subhash Gupta, Nirala K Prasad, Amrita Gupta

Maxillary Torus in North Indian Crania in Rohilkhand Region, Uttar Pradesh, India.

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:188-189][No of Hits : 34]


ABSTRACT

Nonmetric studies of cranium have been of great interest among research workers. The crania have different regional and racial characteristics. In the present study, 30 skulls from North Indian population of Uttar Pradesh were studied for the maxillary torus. Findings of this study have been compared with other global studies and it has been found to be significant.

Keywords: Cranial variant, Human skulls, Maxillary torus.

How to cite this article: Gupta S, Prasad NK, Gupta A. Maxillary Torus in North Indian Crania in Rohilkhand Region, Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(4):188-189.

Source of support: Nil

Conflict of Interest: None


 
From the Editor's Desk
Chander Mohan

From the Editor's Desk

[Year:2017] [Month:October-December] [Volumn:2 ] [Number:4] [Pages:50] [Pages No:iv][No of Hits : 28]


ABSTRACT

It has been two successful years of this journal serving as a vehicle for the delivery of timely and thoughtful information and recent research in the field of medical science.
Journal publishes original articles (Clinical trial, cohort studies, case-control studies, cross sectional surveys) as well as case reports, case series and also clinical techniques and methodologies.


 
Original Article
Sagar Tyagi, Pramod Kumar, Atul Mehrotra, Pradeep Parakh, Lalit Kumar, Parveen Hans

Radiological Evaluation of Thyroid Diseases using Gray Scale and Color Doppler Sonography

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:173-182][No of Hits : 498]


ABSTRACT

Introduction: The thyroid gland is the largest of all endocrine glands and is the only one which is amenable to direct physical examination and high resolution real-time grayscale sonography because of its superficial location. High Resolution Ultrasonography (USG) with Color Doppler is used to assess the nature of the lesion according to its vascularity and also the hemodynamic characteristics of the gland. Thus, the combination of Gray scale Sonography and Color Flow Doppler provide huge benefits and help in increasing the sensitivity, specificity and accuracy in distinguishing benign and malignant thyroid nodules. Nearly 50% of patients with a clinically palpable solitary thyroid nodule have avoided surgery because of thyroid ultrasound.

Aims and objectives: The present study is aimed to determine the role of high resolution USG in the evaluation of lesions of the thyroid with Fine-needle aspiration cytology (FNAC) correlation and compare it with other studies.

Materials and methods: This is a prospective study carried out on 50 patients (44 female and 6 male) who attended ENT or Surgery outpatient department/inpatient department (OPD/IPD) and were referred to the Department of Radio-Diagnosis for high resolution USG of neck at Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. This study was conducted for a period of one year from March 2015 to February 2016. The ultrasound machine used was GE LOGIQ V5.

Result and Conclusion: Our present study consisted of 50 cases which were clinically suspected suffering from thyroid dysfunction. Thyroid ultrasound was very efficient in picking up lesions in all 50 cases in our study. In comparison, to other studies our study gave a similar picture in terms of benign lesions being much more common than malignant lesions. The most common benign lesion determined in our study was colloid goiter which was the most common benign lesion in many other studies. In comparison to other studies, we were able to detect malignant nodules with a better specificity. Chronic thyroiditis was also very efficiently detected using ultrasound in our study.

Keywords: Fine-needle aspiration cytology, Thyroid, Ultrasound.

How to cite this article: Tyagi S, Kumar P, Mehrotra A, Parakh P, Kumar L, Hans P. Radiological Evaluation of Thyroid Diseases using Gray Scale and Color Doppler Sonography. Int J Adv Integ Med Sci 2016;1(4):173-182.

Source of support: Nil

Conflict of interest: None


 
Case Report
Jagadamba Sharan, Manjit Singh Chahal, Atul Shishodia, Ankur Popat

Unusual Presentation of Penile Filariasis

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:25-26][No of Hits : 470]


ABSTRACT

Filariasis is a common disease of the tropics. Penoscrotal filariasis is a common presentation within various parts of India.

Keywords: Elephantiasis, Lymphangitis, Lymphorrhagia, Microfilarae, Penile filariasis.

How to cite this article: Sharan J, Chahal MS, Shishodia A, Popat A. Unusual Presentation of Penile Filariasis. Int J Adv Integ Med Sci 2016;1(1):25-26.

Source of support: Nil

Conflict of interest: None


 
Original Article
Etti Goyal, Jaya Devendra, Pranav Gupta

Comparative Study of 0.1% Olopatadine vs 0.05% Cyclosporine in Patients of Recalcitrant Vernal Keratoconjunctivitis

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:139-142][No of Hits : 466]


ABSTRACT

Introduction: Vernal keratoconjunctivitis (VKC) is a chronic, recurrent, bilateral inflammatory disease showing exacerbations during the spring and summer seasons, affecting young children. Present study was conducted with the aim of comparing the efficacy of cyclosporine 0.05% with olopatadine 0.1% in recalcitrant patients of VKC.

Materials and methods: A prospective randomized controlled trial was performed on 40 eyes (20 patients of recalcitrant VKC) during the period of May 2015 to September 2015. A short course of mild steroid was given for 5 days to all patients as they presented with acute exacerbation of recalcitrant VKC.
Left eye of each patient received topical cyclosporine 0.05%, which is a nonsteroidal immunomodulator, twice daily, and right eye of the same patient received olopatadine 0.1%, which has a dual action, i.e., mast cell stabilizer action as well as antihistaminic activity, twice daily for a period of 3 months. Grading of signs and symptoms was done at the time of presentation and at 2 weeks, 1 month, and 3 months interval.

Results: When compared with baseline, scores for signs and symptoms at 2 weeks reduced significantly for both cyclosporine and olopatadine. However, at 3 months, scores as regards signs and symptoms were found to be lower in cyclosporine as compared with olopatadine eyes.

Conclusion: Cyclosporine 0.05% was found to be equally effective in treating signs and symptoms as olopatadine in the early phase of the treatment. But, a significant improvement was noted in cyclosporine eyes as compared with olopatadine eyes in the late period.

Keywords: Immunomodulator, Mean symptom score, Nonsteroidal, Recalcitrant.

How to cite this article: Goyal E , D evendra J , G upta P. Comparative Study of 0.1% Olopatadine vs 0.05% Cyclosporine in Patients of Recalcitrant Vernal Keratoconjunctivitis. Int J Adv Integ Med Sci 2016;1(4):139-142.

Source of support: Nil

Conflict of interest: None


 
Case Report
Bhawana Pant, Sanjay Gaur, Tusshar Sharma

Atypical Cases of Blowout Fracture with Retained Naso-orbital Foreign Bodies: Case Series and Review of Literature

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:38-41][No of Hits : 456]


ABSTRACT

An orbital blowout fracture is a fracture of any wall of the orbit, including the medial, lateral, posterior, the floor, or the roof. The most common injury site is the floor or the medial wall. Any blow to the face or eye, especially the orbital rim, can cause this injury. Vision threatening complications like permanent diplopia and cosmetically unacceptable enopthalmos make this an important injury to be identified quickly. Here, we present two atypical cases of orbital blowout fractures with retained nasoorbital foreign bodies where mechanism of injury was different but resulted in permanent vision loss due to delay in diagnosis. These type of injuries need prompt management including proper radiological diagnosis and treatment.

Keywords: Naso-orbital Foreign body, Orbital blowout, Orbital emphysema.

How to cite this article: Pant G, Gaur S, Sharma T. Atypical Cases of Blowout Fracture with Retained Naso-orbital Foreign Bodies: Case Series and Review of Literature. Int J Adv Integ Med Sci 2016;1(1):38-41.

Source of support: Nil

Conflict of interest: None


 
Case Report
Vijayesh Kumar Tiwari, Sanjay Bansal, Abhishek Kumar, Amit Kumar

Rasmussen’s Aneurysm: Rare Cause for Massive Hemoptysis in Pulmonary Tuberculosis Patients

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:36-37][No of Hits : 453]


ABSTRACT

Rasmussen’s aneurysm is a rare phenomenon and should be considered in patients with massive hemoptysis especially with old history of pulmonary tuberculosis (PTB). We present a case report of 62 years old diabetic lady with previous history of PTB which ended with diagnosis of Rasmussen’s aneurysm.

Keywords: Cardiopulmonary resuscitation, Hemoptysis, Rasmussen’s aneurysm.

How to cite this article: Tiwari VK, Bansal S, Kumar A, Kumar A. Rasmussen’s Aneurysm: Rare Cause for Massive Hemoptysis in Pulmonary Tuberculosis Patients. Int J Adv Integ Med Sci 2016;1(1):36-37.

Source of support: Nil

Conflict of interest: None


 
Case Report
Anil Gangwar, Bhawna Pant, PD Garkoti

Complex Odontoma (Intraosseous Type) associated with Mandibular Impacted Permanent Second Molar

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:32-35][No of Hits : 443]


ABSTRACT

The most common odontogenic tumor is odontoma comprising 22% of all the cases. They show no gender predilection, are most often diagnosed in the second decade of life. They are preferentially located in the upper maxilla, particularly in the anterior sector. These are of two types complex and compound. Complex odontoma is a less prevalent than compound (1:2). Their apparent eruption in the oral cavity is rare. We hereby report a rare case of complex odontoma (intraosseous type) associated with impacted lower permanent second molar. These lesions are mostly asymptomatic and constitute casual finding on X-ray indicated for other reasons. The most common clinical manifestation is absence of impacted tooth and the presence of tumor. Treatment consists of surgical removal of tumor with impacted tooth. The prognosis is very good with least tendency toward relapse.

Keywords: Cemento-ossifying, Odontoma, Odontogenic tumor.

How to cite this article: Gangwar A, Pant B, Garkoti PD. Complex Odontoma (Intraosseous type) Associated with Mandibular Impacted Permanent Second Molar. Int J Adv Integ Med Sci 2016;1(1):32-35.

Source of support: Nil

Conflict of interest: None


 
Case Study
Pranav Gupta, Y Rizvi, Etti Goyal

A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:188-190][No of Hits : 442]


ABSTRACT

Introduction: Sebaceous gland carcinoma (SGC) is a rare tumor affecting the elderly, with a predisposition for females arising from the meibomian glands and occurring more commonly on the upper eyelid. Diagnosis is difficult because the tumor mimics chalazion or blepharitis. Sebaceous gland carcinoma has a mortality rate of about 5 to 10%.

Aim: To present a modified Cutler-Beard technique of lid reconstruction to manage a case of extensive SGC of upper lid.

Materials and methods: A 65-year-old male presented with a rapidly growing extensive mass of right upper eyelid (size 4.2 × 4 × 2.1 cm) causing mechanical ptosis. Histopathology confirmed the diagnosis as SGC. Wide excision of the lesion was performed sacrificing the whole upper eyelid. Lid reconstruction was done employing lower eyelid as per the bridged flap technique with the use of 4 mm silicon band to enhance lid stability. Patient achieved a satisfactory functional and cosmetic result following the second stage of the procedure.

Conclusion: Total loss of upper eyelid is often dealt with classical lid sharing technique of reconstruction first described by Cutler-Beard. For lid stability, use of tarsus from contralateral eye, ear cartilage has their attendant problems. A 4.0 silicon band was used to replace the sacrificed tarsus, achieving good results.

Keywords: Bridged flap, Meimobian gland, Pleomorphic, Silicon band, Vacuolated.

How to cite this article: Gupta P, Rizvi Y, Goyal E. A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid. Int J Adv Integ Med Sci 2016;1(4):188-190.

Source of support: Nil

Conflict of interest: None


 
Original Article
Pankaj Kumar, Hari S Joshi, Rashmi Katyal, Pratyush Ranjan

An Epidemiological Study on Perception of the Cataract Patients regarding Cataract Surgery in Tertiary Care Hospital, Bareilly District, Uttar Pradesh

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:148-150][No of Hits : 409]


ABSTRACT

Blindness is one of the significant social problems in India with 7 million of the total 45 million blind people in the world residing in our country. Major barriers to cataract surgery are poverty, no transportation, need not felt, and sex related. The low literacy rate among females and poor accessibility of the surgical sites were identified as important barriers in rural areas. There was also association found between socioeconomic status and cataract among cataract patients. In this study, a total of 208 participants who attended the ophthalmology outpatient department were studied for the observation on perception of cataract patient regarding cataract surgery. Data were analyzed and results were compared with other global studies.

Keywords: Cataract, Perception, Tertiary care.

How to cite this article: Kumar P, Joshi HS, Katyal R, Ranjan P. An Epidemiological Study on Perception of the Cataract Patients regarding Cataract Surgery in Tertiary Care Hospital, Bareilly District, Uttar Pradesh. Int J Adv Integ Med Sci 2016;1(4):148-150.

Source of support: Nil

Conflict of interest: None


 
Case Report
Arpit Jaiswal, Saurabh Jaiswal, Rohit K Srivastava

Ekbom’s Syndrome: Worms of the Mind

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:123-125][No of Hits : 402]


ABSTRACT

Delusional parasitosis (DP), also known as Ekbom syndrome, is a rare, monosymptomatic psychosis where the person has an unshakable belief (i.e., delusion) of being infested with parasites. A detailed activity of the offending parasite like crawling, biting, burrowing is often given by the patients. It is commonly observed among patients over the age of 50. International Classification of Diseases (ICD) 10th revision defines this disorder as “delusional disorder.” We are presenting a case report of a patient suffering from DP, who was successfully treated on atypical antipsychotic olanzapine, together with psychoeducation and counseling.

Keywords: Delusional disorder, Delusional parasitosis, Dopamine antagonists, Ekbom’s syndrome.

How to cite this article: Jaiswal A, Jaiswal S, Srivastava RK. Ekbom’s Syndrome: Worms of the Mind. Int J Adv Integ Med Sci 2016;1(3):123-125.

Source of support: Nil

Conflict of interest: None


 
Original Article
Vijayesh K Tiwari, Sanjay Bansal, Abhishek Kumar, Amit Kumar, Mohammed J Khan

Pattern of Pulmonary Tuberculosis in HIV Positive Patients

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:46-48][No of Hits : 402]


ABSTRACT

Tuberculosis is the most common opportunistic infection and cause of mortality in patients with human immunodeficiency virus (HIV). The main aim of this study was to find out the relation, clinical profile, and outcome of pulmonary tuberculosis (PTB) in HIV patients. A total of 35 patients with HIV-PTB coinfection who visited the Rohilkhand Medical College and Hospital for 1 year were enrolled in this study. The pattern of PTB in HIV patients was studied by the help of history, symptoms, chest X-ray, tuberculin skin test, CD4 cell count, and the presence of other opportunistic infection.

Keywords: Chest radiology, HIV, Pulmonary tuberculosis, Sputum smear microbiology.

How to cite this article: Tiwari VK, Bansal S, Kumar A, Kumar A, Khan MJ. Pattern of Pulmonary Tuberculosis in HIV Positive Patients. Int J Adv Integ Med Sci 2016;1(2):46-48.

Source of support: Nil

Conflict of interest: None


 
Original Article
Chander Mohan, Abhinav Srivastava, Puneet Shukla

Effect of Nasal Packing on Middle Ear Pressure

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:52-56][No of Hits : 400]


ABSTRACT

Introduction: Eustachian tube connects nasopharynx with the tympanic cavity. The normal middle ear has an inherent tendency to lose gas to maintain the middle ear pressure by diffusion into the surrounding tissues and circulation.

Materials and methods: This cross-sectional study was conducted in 2012 to 2014. A total of 100 ears of 50 consecutive cases undergoing nasal surgery followed by bilateral nasal packing were included in the study and the middle ear pressure and hearing threshold were determined in all the subjects in presurgery, and then after 48 hours of surgery with nasal packing in situ and then at 7 and 30 days of nasal pack removal.

Conclusion: There is an increase in middle ear pressure transiently for few days while the nasal pack is in situ, which returns to normal in a month after pack removal; but, in chronic nasal obstruction cases, such as nasal polyps, there is persistent negative middle ear pressure, probably due to irreversible changes in the Eustachian tube function.

Keywords: Eustachian tube, Middle ear pressure, Nasal pack.

How to cite this article: Mohan C, Srivastava A, Shukla P. Effect of Nasal Packing on Middle Ear Pressure. Int J Adv Integ Med Sci 2016;1(2):52-56.

Source of support: Nil

Conflict of interest: None


 
Case Report
Etti Goyal, Pranav Gupta, A Dokania, Y Rizvi

Squamous Papilloma over Lid Margin: An Uncommon Presentation

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:128-130][No of Hits : 392]


ABSTRACT

Papilloma is a histopathological term describing tumors of a classical finger-like or cauliflower morphology. Though benign, they carry profound malignancy potential and can present at numerous anatomical locations, such as skin, cervix, esophagus, respiratory tract, breast duct, etc. Papillomas over conjunctiva are not frequently encountered and carry special significance.
A 60-year-old diabetic female presented with a left upper lid marginal sessile mass of 9 months duration with mild epiphora and foreign body sensation. On examination, a solitary, fleshy, sessile, polypoidal mass measuring 1 × 1 cm was seen, with irregular cauliflower-like surface present over lateral aspect of left upper lid, firm in consistency with raised edges. Visual acuity in right eye was 6/18 → 6/9 and left eye 6/36 → 6/9, intraocular pressure (IOP) was 14.6 mm Hg in both eyes by Schiötz tonometry. Complete excision of the lesion employing microsurgical technique with close apposition of lid margin using 6-0 Vicryl sutures was done under local anesthesia (LA). Histopathological examination revealed stratified squamous epithelium forming papillae with variable goblet cells supported by prominent branching fibrovascular cores in the center. A satisfactory cosmetic result was achieved. Follow-up of 6 months did not reveal any recurrence. A satisfactory functional and cosmetic result achieved.
Squamous papillomas over lid margin are uncommon presentations. Even though benign they carry morbidity potential in the form of chronic epiphora, corneal erosions, and lid deformities if inadequately managed.

Keywords: Conjunctival papilloma, Histopathological examination, Human papilloma virus, Squamous papilloma.

How to cite this article: Goyal E, Gupta P, Dokania A, Rizvi Y. Squamous Papilloma over Lid Margin: An Uncommon Presentation. Int J Adv Integ Med Sci 2016;1(3):128-130.

Source of support: Nil

Conflict of interest: None


 
Original Article
SM Sharma

Prehospital Trauma Care

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:158-163][No of Hits : 386]


ABSTRACT

The global human population is spread all over the world, but cities, towns, and large villages have dense concentrations of human inhabitation. The inhabitants of cities and towns do have easy and satisfactory access for the management of traumatized patients. However, trauma victims in remote and distant regions, generally, do not have ambulance services or treatment centers nearby to deal effectively with injuries. Even on highways, at accident sites, the injured may succumb to the injuries due to delay in rescue and nonavailability of vital basic life support compounded by delay in transportation of the patient to appropriate hospital or dedicated trauma center. Other factors which add to mortality are nonavailability of trained and experienced personnel at the accident site, inadequate and improper resuscitation during transportation, and referral to a hospital ill-equipped to treat traumatized patients. Trauma is the leading cause of death for patients in their first four decades of life. Prehospital trauma care to save life has not received the necessary attention in developing world due to diverse reasons, including lack of trained staff, inadequate funding, lack of awareness, ignorance, lack of will, and unpredictability of occurrence of accidents. Trauma management remains neglected in third world countries; however, the developed countries have made continuous efforts to save lives of traumatized patients by systematized prehospital care at the site of accident, rescue, and extrication of victims, rendering lifesaving resuscitation on the spot and quick and safe evacuation of the patients to trauma centers by surface and air ambulances depending upon the terrain and distance of the site of occurrence from hospital with continuous monitoring of the patient onboard. Prehospital trauma care needs focused attention to evolve a system and institutions which would impart care to the wounded inclusive of rescue, resuscitation, stabilization of vital parameters, and safe transportation to a dedicated hospital to save life and prevent morbidity.

Keywords: Basic life support in trauma, Emergency surgical care, Prehospital trauma care, Trauma.

How to cite this article: Sharma SM. Prehospital Trauma Care. Int J Adv Integ Med Sci 2016;1(4):158-163.

Source of support: Nil

Conflict of interest: None


 
Original Article
VK Tiwari, Rajat Agarwal, Sanjay Bansal, Rishi K Saini, Abhishek Kumar, Javed Khan

Study of the Clinical Profile and Site Proclivity of Extrapulmonary Tuberculosis at Tertiary Care Center of Rohilkhand Region, Bareilly

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:95-97][No of Hits : 338]


ABSTRACT

Aim: To study the clinical profile and site proclivity of extrapulmonary tuberculosis (EPTB) at tertiary care center of Rohilkhand region, Bareilly.

Materials and methods: Among 329 patients, the study was conducted on 108 patients with EPTB. The analysis included patients who were diagnosed for EPTB between May 1, 2015 and October 31, 2015 in a tertiary care hospital, Rohilkhand region, Bareilly, Uttar Pradesh.

Results: Among the EPTB cases studied, 62 (57.4%) were males. About 96 (88.8%) patients received Category (CAT)1 treatment and 12 (11.1%) patients received CAT2 treatment. Overall, the total number of different types of EPTB cases included lymph node (n = 44, 40.7%), human gastrointestinal tract (n = 18, 16.6%), pleura (n = 34, 31.4%), skeletal (n = 5, 4.6%), central nervous system (n = 3, 2.7%); other sites included mainly breast (n = 2, 3.2%), genitourinary (n = 1, 2.6%), and skin (n = 1, 2.6%).

Conclusion: Extrapulmonary tuberculosis still constitutes an important clinical problem. In this study, we assessed the site of predilection of EPTB patients, which constituted 32.8% of all tuberculosis cases presented to our center during the study period. Lymph node tuberculosis is the most common type.

Keywords: Breast, Extrapulmonary tuberculosis, Gastrointestinal, Lymph node.

How to cite this article: Tiwari VK, Agarwal R, Bansal S, Saini RK, Kumar A, Khan J. Study of the Clinical Profile and Site Proclivity of Extrapulmonary Tuberculosis at Tertiary Care Center of Rohilkhand Region, Bareilly. Int J Adv Integ Med Sci 2016;1(3):95-97.

Source of support: Nil

Conflict of interest: None


 
Original Article
Akanksha Yadav, Chander Mohan, Abhinav Srivastava

Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:49-51][No of Hits : 336]


ABSTRACT

Nasal obstruction due to deviated nasal septum (DNS) is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same. This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. This prospective, randomized study was conducted on 50 patients with symptomatic DNS, 25 of whom underwent conventional septoplasty, and the rest underwent endoscopic septoplasty. It was found that it is easier to correct posterior deviations and isolated spurs with endoscopic septoplasty with less complications and good results.

Keywords: Conventional septoplasty, Endoscopic septoplasty, Septoplasty.

How to cite this article: Yadav A, Mohan C, Srivastava A. Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty. Int J Adv Integ Med Sci 2016;1(2):49-51.

Source of support: Nil

Conflict of interest: None


 
Case Report
Abhinav Srivastava, Chander Mohan, Prashant Bhardwaj, Ranjan Agrawal

Intraoral Schwannoma: A Rare Case Report

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:20-22][No of Hits : 333]


ABSTRACT

Schwannomas or neurilemmomas are benign, encapsulated tumor arising from nerve sheath cells. Intracranial Schwannomas are most common with rare occurrence in the extracranial region. It rarely occurs in the floor of the mouth with very few cases reported. We present a rare case report of Schwannoma of the floor of the mouth, thereby highlighting the consideration of this rare entity as one of the differential diagnosis in cases who present to us with swelling of the floor of the mouth and also the importance of immunohistochemistry in coming to the diagnosis.

Keywords: Histopathological examination, Immunohistochemistry, Schwannoma,

How to cite this article: Srivastava A, Mohan C, Bhardwaj P, Agrawal R. Intraoral Schwannoma: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):20-22.

Source of support: Nil

Conflict of interest: None


 
Original Article
Prem P Mishra, Ved Prakash

Mucoid and Nonmucoid Pseudomonas aeruginosa Isolated from Respiratory Tract Infections

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:43-45][No of Hits : 321]


ABSTRACT

Introduction: Pseudomonas aeruginosa is a common etiological agent causing various infections. The isolates can be mucoid or nonmucoid. It harbors innate resistance to a broad range of antibiotics.

Objectives: The aim of this study is to determine the frequency of the mucoid and nonmucoid isolates along with their antibiogram from respiratory samples.

Materials and methods: A total of 220 isolates of P. aeruginosa were obtained from various clinical specimens and 72 from respiratory samples. Pseudomonas aeruginosa was identified by standard colony morphology and bacteriological methods, and antibiotic sensitivity was determined by the Kirby Bauer method.

Results: Out of the 72 respiratory samples, 15 (20.83%) were mucoid strains and 57 (79.87%) nonmucoid strains. The mucoid colonies showed high resistance to antibiotics, such as co-trimoxazole (COT) (73.33%), ciprofloxacin (CIP) (60%), and ceftazidime (CAZ) (53.33%), whereas high resistance rate among the nonmucoid isolates were seen in (COT) (78.95%), (CIP) (71.93%), (CAZ) (54.39%), cefepime (52.63%).

Conclusion: The antibiotic susceptibility pattern helps in constituting the guidelines for treatment and management of the infections by P. aeruginosa.

Keywords: Mucoid, Pseudomonas aeruginosa, Respiratory tract infections.

How to cite this article: M ishra P P, P rakash V . M ucoid and Nonmucoid Pseudomonas aeruginosa Isolated from Respiratory Tract Infections. Int J Adv Integ Med Sci 2016;1(2):43-45.

Source of support: Nil

Conflict of interest: None


 
Review Article
SM Sharma

Small Intestinal Tumors

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:9-12][No of Hits : 312]


ABSTRACT

Small intestinal tumors are rare despite small gut being a long structure with extensive mucosal surface. The clinical presentation is vague and the existence of tumor is detected after specific investigations. Small gut can be benign or may be malignant. Malignant tumors present with abdominal pain, weight loss, anemia, obstructive features, abdominal lump, diarrhea, intussusception and even fever depending upon the type of lesion. Malignancy occurs generally in elderly group above 60 years; however, younger patients too may be affected. Benign lesions may remain asymptomatic for long till these cause complications like intussusception or obstruction. Early detection and appropriate intervention can avoid morbidity and mortality.

Keywords: Adenocarcinoma, Capsular endoscopy, Carcinoid tumor, Gastrointestinal stromal tumor (GIST), Intestinal lymphoma, Small intestinal tumors.

How to cite this article: Sharma SM. Small Intestinal Tumors. Int J Adv Integ Med Sci 2016;1(1):9-12.

Source of support: Nil

Conflict of interest: None


 
Original Article
Juhi Goel, Swapnila Prasad, Ashutosh Dokania

A Clinicopathological Study of Various Conjunctival Lesions in Children

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:143-147][No of Hits : 310]


ABSTRACT

Conjunctival cysts are of a common occurrence in clinical parlance. These tend to be mostly asymptomatic. However, the underlying cause may be vision threatening. Thus, we conducted a clinicohistopathological study of conjunctival cysts in pediatric age group who presented to our outpatient department in Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. The aim was to analyze the risk factors, clinical presentation, treatment modalities, and a certain type of cysts in order of their frequency. Significant history, detailed ocular examination, and relevant investigations that were carried out in 10 cases of conjunctival lesions were noted. The management was done and the histopathological examination (HPE) reports were charted. Despite a similar clinical presentation, HPE revealed varied diagnosis. These comprised choristomatous cysts (4), subconjunctival cysticercosis (2), inclusion cysts (2), inflammatory cyst (1), and capillary hemangioma (1). Conjunctival cysts are not just a cosmetic blemish. A detailed ocular examination, early diagnosis, and treatment can help prevent various vision-threatening complications.

Keywords: Conjunctival cysts, Cysticercosis, Lipodermoid.

How to cite this article: Goel J, Prasad S, Dokania A. A Clinicopathological Study of Various Conjunctival Lesions in Children. Int J Adv Integ Med Sci 2016;1(4):143-147.

Source of support: Nil

Conflict of interest: None


 
Original Article
Piyush Gupta, Arun Singh, Hari S Joshi, Pankaj Kumar, Himalaya Singh

The Study of Sociodemographic Profile of Pediatric Tuberculosis Patients in Bareilly District, Uttar Pradesh: A Cross-sectional Study

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:164-166][No of Hits : 307]


ABSTRACT

Introduction: Tuberculosis in children is mainly due to failure of tuberculosis control in adults. In India, over 100,000 children die from tuberculosis every year. The risk of developing disease after infection is determined by various factors, including age at exposure, sex, family, and socioeconomic status. There are no such studies carried out in Bareilly district till date; therefore, with this view, this study is being conducted.

Aims and objectives: To know the sociodemographic profile of pediatric tuberculosis patients in Bareilly district.

Materials and methods: A cross-sectional study was carried out on 120 children aged 0 to 14 years registered at various tuberculosis units (TUs) in Bareilly district. The selection of TUs was done by simple random sampling.

Result and conclusion: Out of total 120 cases in the study, majority of them were females (65%), followed by 35% male pediatric tuberculosis cases; 61.7% study participants belonged to 10 to 14 years of age, and 51.7% belonged to lower socioeconomic status.

Keywords: Pediatric, Socioeconomic status, Tuberculosis.

How to cite this article: Gupta P, Singh A, Joshi HS, Kumar P, Singh H. The Study of Sociodemographic Profile of Pediatric Tuberculosis Patients in Bareilly District, Uttar Pradesh: A Crosssectional Study. Int J Adv Integ Med Sci 2016;1(4):164-166.

Source of support: Nil

Conflict of interest: None


 
Case Report
Abhinav Srivastava, Chander Mohan, Shivesh Kumar, Ranjan Agarwal

Brugia malayi in Cervical Lymph Node Aspirate: A Rare Case Report

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:79-80][No of Hits : 295]


ABSTRACT

Filariasis is endemic worldwide with the main focus in the tropical areas. Reported cases of filarial lymphadenopathy are caused by Wuchereria bancrofti, which is limited to the groin, the femoral triangle, and axilla, causing lymphedema of lower and upper limbs, and is usually diagnosed clinically and by the presence of microfilaria in peripheral blood smear. We are reporting an unusual case of cervical lymphadenitis, which on fine needle aspiration cytology (FNAC) showed microfilaria of a rare species, Brugia malayi. The purpose of this article is to make clinicians aware of this rare disease as one of the differential diagnoses of cervical lymphadenopathy in an endemic country like India.

Keywords: Brugia malayi, Cervical lymphadenopathy, Fine needle aspiration cytology, Microfilaria.

How to cite this article: Srivastava A, Mohan C, Kumar S, Agarwal R. Brugia malayi in Cervical Lymph Node Aspirate: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(2):79-80.

Source of support: Nil

Conflict of interest: None


 
Review Article
Chander Mohan, Abhinav Srivastava

Vestibular Implant: Are We Ready for It?

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:183-185][No of Hits : 286]


ABSTRACT

The present article aims to provide an overview of the research and development in the field of vestibular implants for patients suffering from bilateral vestibulopathy. There is a strong justification for surgical intervention in such patients because of a negative impact and disability of disease on the life of the patients. A few animal and human studies have been undertaken, and the available data from both animal and human studies are encouraging. It is evident that there is a technical feasibility for the use of vestibular implants. Although normal vestibular function is not expected, significant, physical improvement is expected in these patients.

Keywords: Oscillopsia, Vestibular implants, Vestibulopathy.

How to cite this article: Mohan C, Srivastava A. Vestibular Implant: Are We Ready for It? Int J Adv Integ Med Sci 2016; 1(4):183-185.

Source of support: Nil

Conflict of interest: None


 
Case Study
Parveen Hans, Sagar Tyagi, Prashant Sinha, Lalit Kumar, Deepanshu Gupta, Robin Singh

Rare Case of Intrahepatic Pancreatic Pseudocyst misdiagnosed as Hepatic Abscess

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:191-193][No of Hits : 284]


ABSTRACT

Introduction: Pseudocyst formation is a well known complication of pancreatitis. Intrahepatic pancreatic pseudocyst is very rare event and only about 30 cases have been reported in literature.
We report here a case of 32-year-old male who was previously diagnosed as a case of hepatic abscess. He was referred to our department for ultrasonography (USG) and contrast enhanced computed tomography (CECT) abdomen with complaint of recurrent pain in upper abdomen. On the basis of findings of CECT Abdomen, diagnosis of large intrahepatic pancreatic pseudocyst in left lobe of liver is made.

Conclusion: Intrahepatic pseudocyst should be considered a differential diagnosis of cystic hepatic lesions in the patients with chronic or recent episode of acute pancreatitis. Computed tomography and high level of amylase in the collection plays an important role for diagnosing this complication.

Keywords: Computed tomography, Intrahepatic pseudocyst, Pancreatic pseudocyst, Pancreatitis.

How to cite this article: Hans P, Tyagi S, Sinha P, Kumar L, Gupta D, Singh R. Rare Case of Intrahepatic Pancreatic Pseudocyst misdiagnosed as Hepatic Abscess. Int J Adv Integ Med Sci 2016;1(4):191-193.

Source of support: Nil

Conflict of interest: None


 
Review Article
Rachana Singh, Chander Mohan, Abhinav Srivastava

Glimpses of Evolution of Micro-ear Surgery

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:119-122][No of Hits : 274]


ABSTRACT

Chronic suppurative otitis media (CSOM) is a chronic inflammatory condition of the middle ear cleft. It is of two types: Mucosal and squamosal, and it can present with life-threatening complications.
A surgery of very small structure, like inner and middle ear, is very difficult to do accurately with naked eyes and this led to the evolution of magnifying devices, like loupes, microscopes, and endoscopes. With time, electronic devices came into picture and a trained coordinated move of the hand under microscopeassisted eyes gave accurate and better surgery results.
The use of microscopes has crossed the territory of otology and many other surgical specialties are also using like neurosurgery, plastic surgery, and ophthalmology.

Keywords: Chronic suppurative otitis media, Loupes, Microscopes, Otoendoscope.

Source of support: Nil

Conflict of interest: None

How to cite this article: Singh R, Mohan C, Srivastava A. Glimpses of Evolution of Micro-ear Surgery. Int J Adv Integ Med Sci 2016;1(3):119-122.


 
Case Report
Sagar Tyagi, Parveen Hans, Hemant Kumar, Virinder Mohan

Radiology of Aneurysmal Bone Cyst at Uncommon Locations: Report of Two Cases

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:72-74][No of Hits : 267]


ABSTRACT

Aneurysmal bone cyst is a cystic lesion that mimics a true neoplasm clinically and radiologically. They are most commonly located in the metaphysis of the long bones, and their occurrence in the calcaneum and transverse process of vertebra has rarely been reported. Aneurysmal bone cyst has various differential diagnoses and histopathology is needed to confirm the diagnosis. Although aggressive, these benign lesions require simple curettage and bone grafting. However, a recurrence rate of up to 59% is reported and needs continuous follow-up. Two cases of aneurysmal bone cyst diagnosed based on X-ray and magnetic resonance imaging in one of the cases and subsequent correlation with histopathology are reported in this communication. The literature on the subject is scanty and hence the report.

Keywords: Aneurysmal, Benign, Bone, Cyst, Metaphysis radiographs, Magnetic resonance imaging.

How to cite this article: Tyagi S, Hans P, Kumar H, Mohan V. Radiology of Aneurysmal Bone Cyst at Uncommon Locations: Report of Two Cases. Int J Adv Integ Med Sci 2016;1(2):72-74.

Source of support: Nil

Conflict of interest: None


 
Original Article
SHH Zaidi

A Study of Highest Nuchal Line in North Indian Crania

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:7-8][No of Hits : 263]


ABSTRACT

Studies of nonmetric cranial variants have been a field of considerable interest to research workers especially because of their racial and regional importance.
Eighteen North Indian skulls of Uttar Pradesh were studied for the highest nuchal line a cranial variant in the present study. Findings are discussed and compared with other global studies and are found to be of considerable regional and racial significance.

Keywords: Anthropological, Cranial variant, Highest nuchal line.

How to cite this article: Zaidi SHH. A Study of Highest Nuchal Line in North Indian Crania. Int J Adv Integ Med Sci 2016;1(1):7-8.

Source of support: Nil

Conflict of interest: None


 
Original Article
Rakesh K Chakrawarty, Arun Singh, Hari S Joshi, Rashmi Katyal, Medhavi Agarwal, Pratima Chakrawarty

Association of Sleep Time with Type 2 Diabetes Mellitus: A Cross-sectional Study in Bareilly City of Uttar Pradesh, India

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:106-108][No of Hits : 248]


ABSTRACT

Introduction: Experimental sleep restriction causes type 2 diabetes mellitus (DM-2); however, little is known about the metabolic effects of habitual sleep restriction. Thus, in this cross-sectional community-based study, we assessed the relationship of usual sleep time duration to DM-2.

Objectives: To study the prevalence of DM-2 and impaired fasting glucose (IFG) in Bareilly city and to study the association of sleep time duration of the study subjects with DM-2.

Materials and methods: A cross-sectional study was conducted using multistage random sampling technique in Bareilly City, Uttar Pradesh, India, from March to August 2016. Fasting blood glucose analysis was done by taking early morning blood sample by finger pricking method using Accu-Chek Active Glucose Monitor and its strips. Diabetes was considered if fasting plasma glucose (FPG) value was >126 mg/dL and impaired plasma glucose (IFG) was considered if FPG value was 110 to 125 mg/dL.
The results were compiled and analyzed in IBM Statistical Package for the Social Sciences (SPSS) Statistics version 22.0. The p-value less than 0.05 was taken as statistically significant.

Results: Prevalence of DM-2 was 17.69%, and the prevalence of IFG was 13.1% in the present study. Out of a total of 130 study subjects, 31 subjects were sleeping 6 hours or less per night, and out of these, 13 (41.9%) subjects were diagnosed with DM-2, and other 13 subjects (41.9%) were diagnosed with IFG. The remaining 99 (76.2%) subjects were sleeping 7 to 8 hours duration per night, and among these, only 13.1% were diagnosed with DM-2, and 18.2% were diagnosed with IFG. Finally, it was analyzed and observed in this study that both DM-2 and IFG were significantly associated with sleep restriction in the study subjects.

Conclusion: The sleep duration of 6 hours or less is associated with increased prevalence of DM-2 and IFG. Because this effect was present in subjects without insomnia, it can be concluded that voluntary sleep restriction may contribute to the large public health burden of DM-2 in the urban community.

Keywords: Impaired fasting glucose, Sleep duration, Type 2 diabetes mellitus.

How to cite this article: Chakrawarty RK, Singh A, Joshi HS, Katyal R, Agarwal M, Chakrawarty P. Association of Sleep Time with Type 2 Diabetes Mellitus: A Cross-sectional Study in Bareilly City of Uttar Pradesh, India. Int J Adv Integ Med Sci 2016;1(3):106-108.

Source of finance: Nil

Conflicts of interest: None


 
Case Report
Abhinav Srivastava, Chander Mohan, Shilpam Sharma

Tuberculosis of Buccal Mucosa: Is it a Fading Entity?

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:27-29][No of Hits : 242]


ABSTRACT

The recent spurt in the incidence of tuberculosis (TB) in developing as well as developed countries along with a global anti-tubercular drug resistance, calls for awareness for the diagnosis of TB in unusual form and at unusual sites. Extrapulmonary TB in head and neck may infect palate, uvula, buccal mucosa, tonsils, lips, tongue, maxilla and mandible. Tuberculous lesions of oral cavity have become so infrequent that it is virtually a forgotten disease and may pose a clinical diagnostic challenge. Therefore, all lesions in these areas should be investigated keeping a high level of suspicion for the diagnosis of TB.

Keywords: Oral tuberculosis, Pulmonary Koch’s, Ziehl-Neelsen staining.

How to cite this article: Srivastava A, Mohan C, Sharma S. Tuberculosis of Buccal Mucosa: Is it a Fading Entity? Int J Adv Integ Med Sci 2016;1(1):27-29.

Source of support: Nil

Conflict of interest: None


 
Original Article
SHH Zaidi

A Study of Precondylar Tubercle in North Indian Crania

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:167-168][No of Hits : 229]


ABSTRACT

Studies of nonmetric cranial variants have been a field of major interest to all the research workers, especially, because of their racial and regional importance. Twenty eight North Indian skulls of patients from Uttar Pradesh were studied for the precondylar tubercle, a cranial variant in the present study. The findings are documented, discussed, and compared with other studies from different parts of the world and are found to be of considerable regional and racial significance.

Keywords: Anthropologicalcharacters, Cranial variant, Precondylar tubercle, Races.

How to cite this article: Zaidi SHH. A Study of Precondylar Tubercle in North Indian Crania. Int J Adv Integ Med Sci 2016;1(3):167-168.

Source of support: Nil

Conflict of interest: None


 
Editorial
Chander Mohan

From the Editor-in-Chief’s Desk

[Year:2016] [Month:January-March] [Volumn:1 ] [Number:1] [Pages:41] [Pages No:v][No of Hits : 222]


ABSTRACT

The editorial team of International Journal of Advanced & Integrated Medical Sciences takes immense pleasure in bringing out the inaugural issue of the official journal of Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. The journal welcomes articles from all specialties like original and review articles, case reports, case series and letterto- editor.


 
Original Article
Abhinav Agarwal, Swati Khan, Hari S Joshi, Deeepak Upadhyay

Tobacco use and its Socioeconomic Impact among Adult Males in Rural Area of Bareilly: A Cross-sectional Study

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:103-105][No of Hits : 218]


ABSTRACT

Introduction: Tobacco use is one of the important preventable causes of death and a leading public health problem all over the world. According to the World Health Organization (WHO), tobacco is the second major cause of death worldwide and is currently responsible for about 5 million deaths each year. This figure is expected to rise to about 8.4 million by the year 2020, with 70% of deaths occurring in developing countries.

Objectives
• To study the prevalence of tobacco use
• To assess the socioeconomic factor of tobacco use

Materials and methods: A community-based cross-sectional study was carried out in rural field practicing area of Rohilkhand Medical College and Hospital (RMCH), Bareilly. Multistage sampling design was used and 400 males, aged above 15 years, were randomly selected belonging to the field practice area of RMCH. The data were recorded in predesigned and semistructured questionnaire.

Results: In the study prevalence of tobacco use, “current user” was 183 (45.75%) and past user was 19 (4.75%); thus, the overall prevalence of tobacco use was 202 (50.50%). Among the tobacco user, maximum participants belong to age group 15 to 24 years. The data were analyzed by applying chi-square test.

Keywords: Current user, Past user, Smoked, Smokeless.

How to cite this article: Agarwal A, Khan S, Joshi HS, Upadhyay D. Tobacco use and its Socioeconomic Impact among Adult Males in Rural Area of Bareilly: A Cross-sectional Study. Int J Adv Integ Med Sci 2016;1(3):103-105.

Source of support: Nil

Conflict of interest: None


 
Original Article
SHH Zaidi

A Study of Double Condylar Facet in North Indian Crania

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:101-102][No of Hits : 217]


ABSTRACT

Studies of nonmetric cranial variants have been a field of considerable interest to research workers, especially, because of their racial and regional importance. A total of 28 Indian skulls of Northern India (Uttar Pradesh) were studied for the double condylar facet, a cranial variant in the present study. Findings are gathered, discussed, and compared with other studies from other parts of the world and are found to be of considerable significance.

Keywords: Cranial variant, Developmental processes, Double condylar facet.

How to cite this article: Zaidi SHH. A Study of Double Condylar Facet in North Indian Crania. Int J Adv Integ Med Sci 2016;1(3):101-102.

Source of support: Nil

Conflict of interest: None


 
Case Report
Sujoy Mukherjee, Rishi Jindal, Ashish Mor

Dermatofibrosarcoma of Anterior Chest Wall: A Rare Entity

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:131-132][No of Hits : 210]


ABSTRACT

We present a typical case of dermatofibrosarcoma protuberans (DFSP) of anterior chest wall managed by surgical approach. This is a rare tumor with frequent recurrence after surgery. So, there is definite need of observation after surgery. We also describe the histopathologic findings.

Keywords: Dermatofibrosarcoma protuberans, Skin tumor, Soft tissue tumor.

How to cite this article: Mukherjee S, Jindal R, Mor A. Dermatofibrosarcoma of Anterior Chest Wall: A Rare Entity. Int J Adv Integ Med Sci 2016;1(3):131-132.

Source of support: Nil

Conflict of interest: None


 
Case Study
Ashish K Maurya, Shalini Jadia, Leena Jain, Sadat Qureshi

Sublingual Epidermoid Cyst: A Rare Presentation

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:194-195][No of Hits : 210]


ABSTRACT

Infection of pilo-sebacious gland or traumatic migration of epidermis to the deeper layers of the skin can lead to epidermoid cyst. Any site of the body which is lined by squamous epithelium can be the site of epidermoid cyst. We present a case of sublingual epidermoid cyst in a 14-year-old female, who presented with a slow-growing, soft, midline swelling in submental region. Cyst was excised under local anesthesia with sedation. Histopathological examination revealed a cystic wall lined by keratinizing squamous epithelium with lamellated keratin and fibrocollagenous tissue with congested blood vessels, along with subcutaneous fat and muscle bundles, which is suggestive of epidermoid cyst.

Keywords: Epidermoid cyst, Keratinized squamous epithelium, Submental swelling.

How to cite this article: Maurya AK, Jadia S, Jain L, Qureshi S. Sublingual Epidermoid Cyst: A Rare Presentation. Int J Adv Integ Med Sci 2016;1(4):194-195.

Source of support: Nil

Conflict of interest: None


 
Case Study
Payodh Chaudhary, Nitin Agarwal, Malini Kulshrestha, RR Chaudhary

Brugada Syndrome: Killer Genetic Heart Disorder

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:186-187][No of Hits : 210]


ABSTRACT

Brugada syndrome is a rare inherited arrhythmic disorder, which predisposes to ventricular arrhythmia that is responsible for sudden and unexpected nocturnal death syndrome.

Keywords: Brugada syndrome, Sudden and unexpected nocturnal death syndrome, Ventricular arrhythmia.

How to cite this ar ticle: Chaudhary P, Agarwal N, Kulshrestha M, Chaudhary RR. Brugada Syndrome: Killer Genetic Heart Disorder. Int J Adv Integ Med Sci 2016; 1(4):186-187.

Source of support: Nil

Conflict of interest: None


 
Review Article
Ruchi Tanwar, Rakshita Ojha, Medhavi Agarwal, Arun Singh, Hari S Joshi

Role of Public–Private Partnerships in delivering Health Care Services in India

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:116-118][No of Hits : 208]


ABSTRACT

A public-private partnership (PPP) is a contractual arrangement between a private sector and a government sector. Through this agreement, the skills and assets of each other are shared in delivering a service or facility for use of general public. In recent years, there have been many initiatives to improve the efficiency, effectiveness, and equity in provision of health care services in the country. Public-private partnership is one such initiative. Public-private partnership is the first step toward the health care services to improve quality, efficiency, accessibility, availability, acceptability, and equity of the services. It strengthens the existing health system by improving management of health within the government infrastructure and mobilizes the additional resources. Private sector is the most important source of health care services in India, providing maximum health services to the population. In absence of effective public health system, majority of household seek health care from nongovernment sectors. Various partnerships are being pursued under the existing program of ministry, especially RCH-2, independently by the state under their own resources.

Keywords: Contracting in, Contracting out, Public-Private partnership.

How to cite this article: Tanwar R, Ojha R, Agarwal M, Singh A, Joshi HS. Role of Public-Private Partnerships in delivering Health Care Services in India. Int J Adv Integ Med Sci 2016;1(3):116-118.

Source of support: Nil

Conflict of interest: None


 
Original Article
Ghos Ahmed, Swati Khan, Hari S Joshi, Seema Seth, Deepak Upadhyay

Gender Preference of Child among Married Women in Field Practice Area of Rohilkhand Medical College and Hospital, Bareilly

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:109-110][No of Hits : 203]


ABSTRACT

The underestimation of women is quite visible in our country through adverse sex ratio at birth for girls. The present study attempts to address the desired gender preferences of the child of couples in field practice areas of Rohilkhand Medical College and Hospital, Bareilly. Randomly selected 408 women were interviewed using a schedule. It was observed that 80.1% of the respondents had expressed their contentment with either gender choice. Of the remaining the majority had expressed their desire for a male child (13.5%) followed by a female child (6.4%).

Keywords:

How to cite this article: Ahmed G, Khan S, Joshi HS, Seth S, Upadhyay D. Gender Preference of Child among Married Women in Field Practice Area of Rohilkhand Medical College and Hospital, Bareilly. Int J Adv Integ Med Sci 2016;1(3):109-110.

Source of support: Nil

Conflict of interest: None


 
Case Report
Ashish K Maurya, Shalini Jadia, Leena Jain

Wrist Watch Dial with Machine in Esophagus: A Rare and Dangerous Presentation

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:133-134][No of Hits : 198]


ABSTRACT

An uncommon and dangerous foreign body in the esophagus, like wrist watch dial with machine and three hands, can be life threatening. We report the successful removal of such dangerous foreign body from the esophagus of an adult mentally retarded patient.

Keywords: Esophagus, Mentally retarded, Rigid esophagoscopy, Wrist watch dial with machine.

How to cite this article: Maurya AK, Jadia S, Jain L. Wrist Watch Dial with Machine in Esophagus: A Rare and Dangerous Presentation. Int J Adv Integ Med Sci 2016;1(3):133-134.

Source of support: Nil

Conflict of interest: None


 
Original Article
Saumya Srivastava, Hari S Joshi, Arun Singh, Rashmi Katyal, Kiran Agarwal

Study on Physical Activity as a Determinant of Gestational Diabetes Mellitus in Antenatal Women attending a Tertiary Care Hospital

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:098-100][No of Hits : 198]


ABSTRACT

Gestational diabetes mellitus (GDM), defined as glucose intolerance with first recognition in pregnancy, has become a growing health concern. Gestational diabetes mellitus has been related to significant short-term and long-term adverse health outcomes for both mothers and offspring. Physical activity in all stages of life has a great role in maintaining cardiorespiratory fitness. Regular physical activity during pregnancy improves and maintains physical fitness.
In this study, 301 antenatal women aged between 19 and 45 years attending the outpatient department (OPD) of Obstetrics and Gynecology were studied for the association of physical activity and GDM. No significant association was observed between age and GDM (p = 0.0968) and between physical activity and GDM (p = 0.5880). Therefore, the present study recommends antenatal women to perform physical activity for recommended duration with all precautions and also do the activity that has minimal risk, such as brisk walk and balanced aerobic exercises.

Keywords: Antenatal, Gestational diabetes mellitus, Physical activity, Tertiary care hospital.

How to cite this article: S rivastava S , J oshi H S, S ingh A , Katyal R, Agarwal K. Study on Physical Activity as a Determinant of Gestational Diabetes Mellitus in Antenatal Women attending a Tertiary Care Hospital. Int J Adv Integ Med Sci 2016;1(3):98-100.

Source of support: Nil

Conflict of interest: None


 
Original Article
VK Tiwari, Abhishek Kumar, Ashok Agarwal, Hari S Joshi, Deepak Upadhyay, Pooja Bansal

Impact of Health Education in Perception of Patients regarding Storage of Health Records among Patients attending Tertiary Care Hospital, Bareilly District, Uttar Pradesh

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:151-157][No of Hits : 192]


ABSTRACT

Objective: To know the patients’ attitude regarding preserving records: pre- and postcounseling.

Materials and methods: A questionnaire was administered to all the subjects, and data were assessed by applying statistical test. The health education awareness is regularly carried out in outpatient department (OPD) and inpatient department (IPD) by various audiovisual aids.

Setting: A cross-sectional study was conducted among the patients from OPD and IPD of the Department of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.

Results: Out of 998 patients studied, 421 (42.2%) of them were preserving record and 577 (57.8%) did not. After counseling both groups who were preserving and not preserving the records, a remarkable change was observed, i.e., 800 (80.2%) patients from OPD and IPD started preserving their records in a positive way and were bringing at the time of consultation.

Conclusion: With the sustained and regular health education/ motivation, the patients realized the importance of record keeping.

Keywords: Counseling, Health awareness, Health education, Health motivation, Health records.

How to cite this article: Tiwari VK, Kumar A, Agarwal A, Joshi HS, Upadhyay D, Bansal P. Impact of Health Education in Perception of Patients regarding Storage of Health Records among Patients attending Tertiary Care Hospital, Bareilly District, Uttar Pradesh. Int J Adv Integ Med Sci 2016;1(4):151-157.

Source of support: Nil

Conflict of interest: None


 
Case Report
Sadhana Yadav, Amit K Rana, Prashant Bhardwaj, Chander Mohan, Abhinav Srivastava

An unusual Case of Bilateral Ethmoidal Mucopyocele

[Year:2016] [Month:July-September] [Volumn:1 ] [Number:3] [Pages:45] [Pages No:135-138][No of Hits : 190]


ABSTRACT

Mucocele is defined as an epithelial-lined, mucus-containing benign sac completely filling the sinus and can be seen expanding to induce pressure effects on surrounding structures. Frontoethmoidal mucocele is by far the most common due to the complexity of its drainage, and incidence of maxillary mucocele is least.
A 20-year-old female presented with a chief complaint of protruding right eyeball, redness and watering from both eyes, persistent headache, and decreased vision in both eyes since 4 months, along with complaint of diplopia and bilateral nasal obstruction with marked nonaxial proptosis, chemosis, and downward globe displacement along with telecanthus and lateral dystopia in the right eye. Orbital movements were restricted in superolateral direction. Vision was markedly decreased. Fundus examination was normal on the left side, but right eye showed hyperemic optic disk and full optic cup with dilated blood vessels. Right corneal examination showed signs of exposure keratitis.
Contrast-enhanced computed tomography (CECT) of the paranasal sinus (PNS) revealed bilateral mucocele in ethmoid sinus with hypoplastic frontal and maxillary sinus with aplastic sphenoid sinuses, which is not a common presentation. Endoscopic-wide marsupialization of bilateral mucopyocele was performed under general anesthesia.

Keywords: Aplastic frontal sinus, Aplastic sphenoid sinus, Hypoplastic maxillary sinus, Mucocele, Paranasal sinus.

How to cite this article: Yadav S, Rana AK, Bhardwaj P, Mohan C, Srivastava A. An unusual Case of Bilateral Ethmoidal Mucopyocele. Int J Adv Integ Med Sci 2016;1(3):135-138.

Source of support: Nil

Conflict of interest: None


 
Images in Surgery
Rajesh Abbey

Spontaneous Cholecystocutaneous Fistula

[Year:2016] [Month:October-December] [Volumn:1 ] [Number:4] [Pages:62] [Pages No:196-198][No of Hits : 189]


ABSTRACT

Spontaneous biliary fistulae are encountered, not very rarely, in one’s surgical practice. These fistulae are of three types: Internal, external, and combined. Internal spontaneous biliary fistulae are the commonest. External fistulae could be spontaneous or because of therapeutic, iatrogenic, or traumatic reasons are extremely rare. Spontaneous cholecystocutaneous fistula (SCCF), secondary to calculous cholecystitis, is an extremely rare presentation in the present-day scenario. It used to be quite common before the year 1900, but is very rare now because of better management of cholecystitis and cholelithiasis. Usually, SCCF is a complication of neglected chronic cholelithiasis. This is seldom seen today because of the early diagnosis and better management made feasible by ultrasound as first-line investigation, broad spectrum antibiotics, and effective surgical management of biliary tract diseases. It is a very rare case of 35-year-old female patient presenting in the outpatient department, with the multiple stones carefully preserved, which she had been extruding through the fistulous opening in the umbilicus, for the last 1 year. She was investigated and was operated for the same condition. Though the entity is very rare, clinicians should keep this condition in mind while examining any case of chronic discharging sinus or fistula on the abdominal wall, particularly the wound extruding stones in which case the diagnosis is selfrevealing. In the absence of positive history of expelling stones, the diagnosis can be confirmed by computerized tomogram fistulography. Though the early diagnosis and improvement in the management of gallbladder disease has improved tremendously, the possibility of this condition arising mostly from the neglected gallbladder disease should always be kept in mind as such cases are again being reported from all over the world.

Keywords: Cholecystocutaneous fistula, Cholecystoumbilical fistula, Chronic calculous cholecystitis, Computerized tomogram fistulogram, Laparoscopic cholecystectomy.

How to cite this ar ticle: Abbey R . Spontaneous Cholecystocutaneous Fistula. Int J Adv Integ Med Sci 2016; 1(4):196-198.

Source of support: Nil

Conflict of interest: None


 
Case Report
Shahzad Ahmad, Vaibhav Kuchhal

Neglected Foreign Body in Retropharyngeal Space presenting with Infected Pharyngocutaneous Sinus

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:84-85][No of Hits : 188]


ABSTRACT

We present an unusual case of a foreign body, a hard wooden piece measuring 4 cm, in the retropharyngeal space. The patient presented with discharging sinus just below the angle of mandible left side. Contrast-enhanced computed tomography (CT) scan helped to make the diagnosis. Neck exploration was done under general anesthesia and sinus tract was seen in the parapharyngeal space. The tract was passing between the carotid artery and the internal jugular vein and going to the retropharyngeal space. The wooden piece was removed from the sinus tract and the tract was dissected out. The neurovascular structure was intact.
We highlight the importance of contrast-enhanced CT scan and three-dimensional (3D) CT images for preoperative evaluation of the locational relationship between the foreign body and great vessels in the neck region. The external approach is more convenient because it provides adequate exposure of neurovascular structure in the neck.

Keywords: Parapharyngeal space, Pharyngocutaneous sinus, Retropharyngeal space.

How to cite this article: Ahmad S, Kuchhal V. Neglected Foreign Body in Retropharyngeal Space presenting with Infected Pharyngocutaneous Sinus. Int J Adv Integ Med Sci 2016;1(2):84-85.

Source of support: Nil

Conflict of interest: None


 
Original Article
Nirala K Prasad, Zaidi Sayeed Haider Husain, Sarangdhar Kumar, Soubhik Debbarma

A Study of Fossa Vel Spina of North Indian Crania in Rohilkhand Region

[Year:2016] [Month:April-June] [Volumn:1 ] [Number:2] [Pages:50] [Pages No:65-66][No of Hits : 171]


ABSTRACT

There are controversial statements in the available literature regarding the variations in the trochlear foveae or fossae and spines. This study was undertaken especially to know about the variations in Indian skulls in Western Uttar Pradesh. A total of 25 skulls from the anatomy museum of Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, were studied.
In 18 (72%) cases, the trochlear foveae were present on both sides. In 3 (12%) cases, bilateral trochlear spines were present. Spines were present only on one side in 3 (12%) cases. We also noticed that in 1 (4%) case, both the spines and foveae were absent bilaterally.

Keywords: Human crania, Trochlear foveae, Trochlear spine.

How to cite this article: Prasad NK, Husain ZSH, Kumar S, Debbarma S. A Study of Fossa Vel Spina of North Indian Crania in Rohilkhand Region. Int J Adv Integ Med Sci 2016;1(2):65-66.

Source of support: Nil

Conflict of interest: None