International Journal of Medical Sciences and Education (IJMSE)
Vol. 5; Issue: 4 (Oct. -December 2018), Date of Publication: 01.01.2019

Table of Contents
     Editorial                                                                                                                                                   470-471
                                                                                                                                                            PDF FULL TEXT

1.    THE SIGNIFICANCE OF COMMUNICATION SKILLS IN DETERMINING EFFECTIVENESS OF
       ORGANIZATIONS                                                                                                                                     472-478
       Kalidas D. Chavan, Purushottam A. Giri, Savita Rajurkar, Sunil N. Thitme                         PDF FULL TEXT

ABSTRACT

The noteworthy contribution of ‘Communication Skills’ has been considered central to building organizational success models. Several studies on this topic unanimously concluded that, ‘The Communication skills’ is a central parameter in deciding the effectiveness of organizations and there are studies which have proved that an appropriate intervention about intent and efficacy of communication increases the communication efficiency among the students. The objective of this review paper is to throw light on the intent and extent of linkage of effectiveness of communication skills with the organizational effectiveness. Organizational effectiveness emanates from the structure of hierarchy which is linked to the channelized communications among the teams and their managers by creating strategies of cohesive working with the team spirit. This has to be focused on the organizational goals and outcomes and enriched by the employment benefits to employee. Precision in the functional communication is a prerequisite of an institutional team leader and works as a catalyst in cultivating an efficient team and interpersonal relationship among the team members transcending to optimum outcomes. Many parameters other than communication skills influence the organizational effectiveness. Therefore, the art of communication cannot be overemphasized as a unidirectional process; it is contingent upon how people respond, interact with one another based on several other factors intrinsic to job like employment benefits, job security etc. that add to the job satisfaction.
Key words: Academic organizatios, Communication Skills, Communication Structure, Organizational Effectiveness​

2.    EFFECT OF MIDAZOLAM AS ORAL PREMEDICATION IN CHILDREN                                               479-484
       Dr. Jalad Kapoor, Dr Abeezar Hussain                                                                                     PDF FULL TEXT

ABSTRACT

Background and Aims: The perioperative behavioural studies demonstrate that children are at greater risk of experiencing turbulent anaesthetic induction and adverse behavioural sequelae. We aimed to compare the efficacy of midazolam 0.5 mg/kg with triclofos sodium 100 mg/kg as oral premedication in children undergoing elective surgery. Methods: In this prospective, randomised and double‑blind study, sixty children posted for elective lower abdominal surgery were enrolled. The patients were randomly divided into midazolam group (Group M) and triclofos sodium group (Group T) of thirty each. Group M received oral midazolam 0.5 mg/kg 30 min before induction, and Group T received oral triclofos sodium 100 mg/kg 60 min before induction. All children were evaluated for level of sedation after premedication, behaviour at the time of separation from parents and at the time of mask placement for induction of anaesthesia. Mann–Whitney U‑test was used for comparing the grade of sedation, ease of separation and acceptance of face mask. Results: Oral midazolam produced adequate sedation in children after premedication in comparison to oral triclofos (P = 0.002). Both drugs produced successful separation from parents, and the children were very cooperative during induction. No adverse effects attributable to the premedicants were seen. Conclusions: Oral midazolam is superior to triclofos sodium as a sedative anxiolytic in paediatric population.
Key words: Anaesthesia, hypnotics and sedatives, midazolam, paediatrics, premedication, Triclofos

3.    ASSESSMENT OF LIPID PROFILE IN STROKE PATIENTS AT TERTIARY CARE CENTRE OF SOUTHERN
       RAJASTHAN                                                                                                                                            485-488
       Dr. Jagdish Chandra Sharma, Dr.Rajesh Khoiwal                                                                 PDF FULL TEXT

ABSTRACT

Background: The prevalence of communicable diseases shows decline in the 20th century and as a result there was increase. Stroke is defined as rapidly developing symptoms and/or signs of focal and global loss of cerebral function lasting for at least 24 hours with no apparent cause other than of vascular origin. Material & Methods: The present cross-sectional prospective study was conducted at department of general medicine of our tertiary care hospital. 50 Patients who were diagnosed for r stroke (acute cerebrovascular disease) admitted to the medical ward of hospital were enrolled for the study. Clearance from Institutional Ethics Committee was taken before start of study. Results: Total cholesterol was abnormal in 80% of ischemic stroke and 20% of hemorrhagic stroke. LDL cholesterol was abnormal in 83.3% of ischemic stroke and 16.6% of hemorrhagic stroke. Triglyceride levels were abnormal in 70.5% of ischemic stroke and 29.5% of hemorrhagic stroke. Non-HDL cholesterol was abnormal in 74% of ischemic stroke and 26% of hemorrhagic stroke. (p value <0.05). Conclusion: Regular monitor of lipid profile among stroke patients may decrease the risk of atherosclerosis and cardiovascular disease among the stroke patients.
Key words: Lipid profile, Stroke, Total cholesterol.​

4.     EVALUATION OF HISTOPATHOLOGICAL PATTERN OF THYROID LESIONS AT TERTIARY CARE
        CENTER                                                                                                  ​                                                489-492
        Dr. Vinita Jain                                                                                                                           PDF FULL TEXT

ABSTRACT

​Background: Pathologic lesions of the thyroid gland are of importance not only because they affect the functions of other organs but also since most are amenable to highly effective surgical or medical treatment. Material & Methods: In the present cross-sectional prospective study 100 biopsies were fixed in formalin and embedded in paraffin. The sections were stained with hematoxylin and eosin. Special stains like Congo Red, Periodic acid Schiff and reticulin were used whenever needed. Results: Multinodular goiter is the most common non-neoplastic thyroid lesion (54%) followed by thyroiditis. There were only 3 cases of toxic goiter among all the thyroid lesions received. Among the 100 thyroid lesions, there were 17% carcinomas. The frequency of carcinomas among the total thyroid lesions is almost same for both males and females (8% and 9%).  Papillary carcinoma was the most frequent malignancy, out of which half were of the micropapillary subtype. Conclusion: Multinodular goiter was found to be the most common thyroid lesion in this study. Papillary carcinoma was the most common malignant neoplasm. 

5.        ASSOCIATION BETWEEN TOPHUS INVOLVEMENT OF TENDON AND SERUM URIC ACID
           LEVELS?                                                                                                                                              493-497
           Dr. Yogesh Kumar Gautam, Dr.Saleh Mohammed Kagzi                                                   PDF FULL TEXT

ABSTRACT

​Background: Serum urate (SU) concentration represents the balance between the breakdown of purines and the rate of uric acid renal excretion. Its solubility threshold is approximately 7 mg/dL, and when exceeded, interstitial fluids become oversaturated, which in turn increases the likelihood of monosodium urate (MSU) crystal tissue deposition. Material & Methods: In the present cross-sectional prospective study 100 Patients presented with diagnosis of gout according to the American College of Rheumatology (ACR) criteria fulfills the entry criterion (at least one episode of swelling, pain, or tenderness in a peripheral joint) and with serum uric acid level between 5.5 - 9 mg/dl were included in this study. Results: Uric acid level between 7 - 9 mg/dl found in 68% and it was in age between 21yr – 45 year of age. 68% patients had pain at enthesis for at least once before inclusion in the study. 27% patients had history of serum uric acid more than 7 mg/dl and history of joint pain. In our study Patellar tendon is the most frequently involved tendon followed by quadriceps, achilles and peroneus tendon. Both patellar tendon and quadriceps tendon in 6 patients, both patellar and Achilles tendon involved in 6 patients. Both quadriceps tendon and Achilles tendon in 7 patients. Conclusion: Tophius involvement of tendon in the lower limbs in gout is very frequent, particularly at the patellar tendon, Quadriceps tendon and Achilles tendon.
Key words: Tophus, Uric acid, Tendon, Ultrasound

6.       A PROSPECTIVE STUDY OF POST BURN CONTRACTURE: INCIDENCE, PREDISPOSING
          FACTORS, MANAGEMENT AND OUTCOME?                                                                                  498-502
          Dr. Ramraj Goyal, Dr. Surendra Mertia                                                                               PDF FULL TEXT

ABSTRACT

Background: Burn injury is still the common cause of trauma especially in low- and middle-income countries. Deep partial-thickness and full-thickness burns that are not treated with early excision and grafting can be disabling, as these deep injuries often lead to burn scar contractures unless provided with adequate positioning and splinting. Material & Methods: The present cross-sectional observational study was conducted at department of surgery of our hospital. 50 subjects with post burn contractures of either age or sex, who were satisfying the inclusion and exclusion criteria were included and the patients who refused to give consent were excluded. Results: In present study, skin grafting STSG done in 28 (56%) cases. Contracture release with STSG with flap cover was performed in 8 cases (16%), contracture release with K wire insertion with coverage was performed in 9 cases (18%) and Z plasty was performed in 5 cases (10%). Post operatively, 47 patients (94 %) had a good surgical outcome the flaps and grafts were taken up. Functional restoration was satisfactory in 47 (94%) with complete range of motion patients while in 3 patients (6%), range of motion was not optimal. Conclusion: Proper planning of reconstructive procedures, rehabilitation, restoration to pre-injury status and return to society are the goals that the treating team hopes to achieve.
Key words: Management, Outcome, Post burn contracture.

7.    COMPARATIVE EVALUATION OF LUNG CANCER BY CT GUIDED FINE NEEDLE ASPIRATION
       CYTOLOGY AND TRUCUT BIOPSY                                                                                                     503-507
       Dr. Sonal Agarwal, Dr. D.P. Agarwal                                                                                       PDF FULL TEXT

ABSTRACT

Background: Lung carcinoma is the most common type of malignancy all around the globe, especially in the males. Lung cancer is the most common cause of the cancer related deaths and the average five-year survival rate of lung cancer is near about 17%.Material & Methods: The present cross-sectional observational study was conducted over a period of one year with a sample size of 54 was calculated at 95% confidence interval. All the patients, who had suspected mass lesion finding on chest X-ray and clinical correlation suggestive of lung carcinoma were undergone for CT guided FNAC and Biopsy. Results: CT guided FNAC examination revealed that 39 study participants were positive for malignancy (72.22%), among 10 study participants results were suggestive for malignancy (18.52%) and among 5 study participants results were negative for malignancy (9.25%). Biopsy results were positive for malignancy among all study participants. Results showed that small cell carcinoma was positive among 4 (7.41%) study participants while non-small cell lung carcinoma was positive among 49 (90.74%) study participants. The sensitivity of CT guided FNAC and Biopsy in the evaluation of lung cancer was found 90.74% and 100% respectively. The specificity of CT guided FNAC was 100% for the diagnosis of lung carcinoma. Conclusion:  CT guided lung FNAC is a safe, accurate and highly specific and also well tolerated procedure which confirms the diagnosis of Lung cancer. Though the specificity of FNAC is high for diagnosing Lung carcinoma, still Biopsy had high sensitivity and would be preferable diagnosis Lung cancer and its various subtypes.
Keywords: Lung cancer, CT guided FNAC,