International Journal of Medical Sciences and Education (IJMSE)
Vol. 7 Issue: 1 (Jan. - Feb. 2020), Date of Publication: 01.03.2020
Table of Contents
Editorial
Editorial
1. EFFECT OF ADJUSTMENT ABILITY ON ACADEMIC PERFORMANCE OF FIRST YEAR MBBS
STUDENTS IN A GOVERNMENT MEDICAL COLLEGE IN SOUTH KERALA 1-7
Dr. Gilsa. E.S, Dr. Miriam Varkey, Dr. Rajad. R, Dr. Alen Jude Thambi PDF FULL TEXT
STUDENTS IN A GOVERNMENT MEDICAL COLLEGE IN SOUTH KERALA 1-7
Dr. Gilsa. E.S, Dr. Miriam Varkey, Dr. Rajad. R, Dr. Alen Jude Thambi PDF FULL TEXT
ABSTRACT
Background: The adjustment problem is highly prevalent among medical students compared to other streams of education. Maladjustment has profound influence on the academic performances and also will also have many immediate and remote influence on the students both physical and mental health. Hence this study was undertaken to assess the adjustment ability of our students and its effect on their academic performances Methodology: Adjustment ability of 98 first year MBBS students in Government in Kerala Medical College was assessed using Bell’s adjustment Inventory (BAI). Scores obtained were compared with the marks scored for the final sessional examination using independent sample t Test Results: The mean Bells score for our students was 48.36± 14.17 which is above the cut off score of 44 indicating unsatisfactory adjustment ability. Out of 98 students 59 students were having Total Bell’s score above 44. There was no significant gender difference noted. There was a significant difference in the Bells score between the students who secured more than 50% marks and those who have not. Conclusion: This study shows that a majority of first year MBBS students in our institution have unsatisfactory adjustment ability. Adjustment issues should be of concern because they may lead to undesirable coping strategies like substance abuse and the incidence of this is found to be increasing in medical students in India as shown by many studies. Hence adjustment issues among students should be addressed effectively not only to improve academic performance, but to prevent psychiatric morbidities in the future
Keywords-Adjustment ability, Academic Performance, Bell’s adjustment Inventory
Keywords-Adjustment ability, Academic Performance, Bell’s adjustment Inventory
2. UNDERSTANDING ETYMOLOGY: AWARENESS AMONG DOCTORS AND A TOOL IN SUCCESSFUL
MEDICAL EDUCATION 8-11
David A Ebenezer, Saravanan Mohanraj PDF FULL TEXT
MEDICAL EDUCATION 8-11
David A Ebenezer, Saravanan Mohanraj PDF FULL TEXT
ABSTRACT
Background: The language of medicine has been derived from Latin and Greek, and so do many words used in the English language. Knowledge of etymology will aid in better fixation of medical terms if connections are made between words used in English and medicine. For those medical terms that have no parallel in English, the introduction of the new term with etymology will create interest and make learning an enjoyable experience. Material & methods: In this cross-sectional study, 214 preclinical medical students were randomly separated into two groups. One group was taught osteology of skull with etymology while the control group was taught the same topic without etymology. After the session questionnaire and feedback forms were administered to the students and evaluated. To find out awareness about etymology among doctors a questionnaire was administered in which 44 doctors took part. Results: A strong correlation has been found to exist between teaching with etymology and performance in the evaluation immediately after the class. This group also rated the class to be fun and enjoyable, was able to better recall the terms, spell terms more accurately and was able to better understand the topic. The etymology awareness questionnaire for the doctors brought to light the very poor knowledge that most doctors have regarding medical etymology. Conclusion: This study recommends that medical faculty educate themselves on etymology and incorporate it into teaching for an intellectually satisfying class that will with the same stone etch the newly introduced terms in the minds of the student and result in successful learning.
Keywords: Medical Education, Medical Etymology, Medical Terminology, Teaching Faculty, Student Success
Keywords: Medical Education, Medical Etymology, Medical Terminology, Teaching Faculty, Student Success
3. ABSENTEEISM IN UNDERGRADUATE MEDICAL STUDENTS: A CROSS SECTIONAL STUDY 12-14
Dr Pusapati Vaishnavi, Dr Siva Prabodh PDF FULL TEXT
Dr Pusapati Vaishnavi, Dr Siva Prabodh PDF FULL TEXT
ABSTRACT
Background: Absenteeism is an important factor for decreased motivation in learning the subject. In literature it was found that absenteeism indicates low motivation for learning, poor teaching strategies, unfavorable environment, socialization, ill health and poor relations with lecturers. If this behavior continues after school, it will reflect on their work life and therefore, may affect the quality of health service in the future. This study is aimed at understanding the prevalence and underlying reasons for absenteeism. Methodology: This is a descriptive cross sectional study among second to final year students. A structured, pre tested questionnaire was developed with questions in themes of pattern and reasons for absenteeism was administered to a convenient sample of 100 students. Results: In this study, 47 hostlers and 53 day scholars were included in the sample for this study. Out of the 100 students, 84% said lectures are affecting their attendance which is statistically significant .Only 32% think attendance matters. 27% said that they are absent to study for exams. Conclusion: Our study clearly shows the main reason for absenteeism is poor teaching practices. Socratic lectures replacing didactic ones should ensure mental attendance instead of just physical presence in class room.
Keywords: absenteeism, attendance, Lectures, motivation, semester.
Keywords: absenteeism, attendance, Lectures, motivation, semester.
4. INTRODUCTION OF IN SITU SIMULATION TRAINING FOR NEONATAL RESUSCITATION TO
FINAL YEAR MBBS STUDENTS 15-22
Pushwinder Kaur PDF FULL TEXT
FINAL YEAR MBBS STUDENTS 15-22
Pushwinder Kaur PDF FULL TEXT
ABSTRACT
Background: Neonatal mortality occupies half of under-five mortality worldwide. Effective neonatal resuscitation at the time of birth accounts for declining neonatal mortality rate, learned through introduction of In situ simulation training to medical students, nurses and other paramedical staff at the early stage. Methods: A cross sectional study was conducted on 30 final year MBBS students during clinical posting in the Department of Pediatrics, Punjab Institute of Medical Sciences, Jalandhar in May, 2019. Students were exposed to In situ simulation training for neonatal resuscitation. Assessment of the students was done followed by feedback from students as well as faculty. Data collected was categorized as per Likert’s scale. Results: Students felt better perception of the topic and gained confidence after the hands on training. Students showed better motivation. In situ simulation generated interest in them to learn more regarding the neonatal resuscitation. Students identified the lacunae between knowledge and clinical skills. Teachers also identified the lacunae between student’s knowledge and clinical skills. Teachers identified the student’s areas of improvement. Conclusions: Introduction of In situ simulation for neonatal resuscitation among final year MBBS students results in remarkable improvement in clinical skills as well as better perception of the steps of neonatal resuscitation.
Keywords: In situ simulation, Neonatal resuscitation.
Keywords: In situ simulation, Neonatal resuscitation.
5. STUDY OF PATTERN OF HEALTH PROBLEMS IN PADYATRIS OF AMBAJI PILGRIMAGE OF NORTH
GUJARAT, INDIA 23-26
Dr. Amrapali Y. Patel, Dr. Vijay Pandya, Dr. Nirali Patel, Dr. Dhruv Y. Pate PDF FULL TEXT
GUJARAT, INDIA 23-26
Dr. Amrapali Y. Patel, Dr. Vijay Pandya, Dr. Nirali Patel, Dr. Dhruv Y. Pate PDF FULL TEXT
ABSTRACT
Background: We aimed to study the pattern of Health problems in Pilgrims on their journey to the holy temple of ShriArasuri Ambaji Mata Mandir, North Gujarat, India. Material and Methods: Nootan Medical College and Research Center, Visnagar had organised camp for padyatris. We have done secondary data analysis of record available of camps and catagorized the health problems of padyatris. Results: most common health problem in Pilgrim is Bodyache followed by Boils on foot, abdominal pain, weakness, Diarrohea etc. These yatris were given symptomatic treatment in form pain killers, antibiotics, analgesic sprays etc. Conclusion: This study was of short duration and limited to patients availed service from camp, it gives a good reflection of pattern of illnesses during Ambajiyatra.
Keywords: Health Problems, Pilgrims, Ambaji Pilgrimage
Keywords: Health Problems, Pilgrims, Ambaji Pilgrimage
6. VISUAL OUTCOME IN PATIENTS WITH INDIRECT TRAUMATIC OPTIC NEUROPATHY(TON) RECEIVING
TIMELY INTERVENTION WITH METHYL PREDNISOLONE IN A TERTIARY CARE HOSPITAL OF
SOUTHERN RAJASTHAN 27-30
Dr Nutan Bedi, Dr Saloni Patel PDF FULL TEXT
TIMELY INTERVENTION WITH METHYL PREDNISOLONE IN A TERTIARY CARE HOSPITAL OF
SOUTHERN RAJASTHAN 27-30
Dr Nutan Bedi, Dr Saloni Patel PDF FULL TEXT
ABSTRACT
Background: The incidence of traumatic optic neuropathy has shot up due to rapid increase in the number of vehicles on road. TON occurs in head or ocular trauma and endangers vision either due to direct or indirect injury to the optic nerve. Direct injury can be by sharp objects or displaced bony spicules. It may also result into optic nerve avulsion Material & Methods: The prospective study was conducted in 53 patients diagnosed with indirect TON who presented to the outpatient ophthalmology department of a tertiary care hospital in Southern Rajasthan. The study was undertaken in patients diagnosed with indirect TON and treated with methylprednisolone. Results: The pretreatment vision was ranging from 6/12 to 6/36 in 5 patients and 6/60 to CFCF in 14 patients. 34 cases had visual acuity between HM to NOPL. Total 36(67.92%) out of 53 patients had shown improvement in visual acuity after treatment in which patients who were given treatment with methylprednisolone within 24 hours(52.8%) of diagnosis had shown maximum improvement in vision followed by those in whom treatment was started within 72 hours(22.6%). Patients with delayed presentation between 1 week to 2 weeks had no improvement in vision, out of which ≥3 line improvement was found in 30 patients (60.3%). Conclusion: We concluded from the present study that our study emphasizes the use of high dose methylprednisolone for indirect TON to decrease the ocular morbidity to a considerable extent specially if the patients report within 24 to 72 hours.
Key words: Retinal degenerations, Retinal detachment, Lattice degeneration.
Key words: Retinal degenerations, Retinal detachment, Lattice degeneration.
7. COMPLETE DENTURE OBTURATOR PROSTHESIS WITH FUNCTIONAL SALIVA RESERVOIR 31-35
Rachana Chaudhary, Dinesh Kumar, Anup Gopi, Dhruv Sharma PDF FULL TEXT
Rachana Chaudhary, Dinesh Kumar, Anup Gopi, Dhruv Sharma PDF FULL TEXT
ABSTRACT
Rehabilitation of maxillofacial defects is considered to be one of the most challenging treatment for a Prosthodontist. Rehabilitation of form, function and aesthetics is the prime objective of prosthodontic care. There are several methods for reconstruction of maxillectomy defects. Rehabilitation with obturator prosthesis is one of them. Obturator separates oral and nasal cavity and improves the phonetics, respiration, mastication, swallowing and overall improves the quality of life of the patient. Rehabilitation of completely edentulous patient is a challenge for prosthodontic rehabilitation and also adaptive capabilities of the patient. patients who are undergoing radiotherapy or underwent radiotherapy in past develops xerostomia, complete denture prosthesis are poorly tolerated in patients with xerostomia. A salivary reservoir can be incorporated into a denture which will provide continuous, slow, sustained release of salivary substitutes. This article describes the prosthodontic rehabilitation of a completely edentulous patient who was diagnosed with squamous cell carcinoma of hard palate. Secondary to radiotherapy patient developed xerostomia . to make the prosthesis comfortable patient was given a definitive complete denture obturator prosthesis with saliva reservoir . Quality of life of the patient was improved with properly designed obturator. The obturator restored patients mastication, swallowing, aesthetics, resonance and speech.
Keywords: Mastication, Prosthodontics, Speech, Quality of Life, Denture, Complete, Xerostomia, Carcinoma, Squamous Cell
Keywords: Mastication, Prosthodontics, Speech, Quality of Life, Denture, Complete, Xerostomia, Carcinoma, Squamous Cell
8. ADMISSION TEST CARDIOTOCOGRAPHY AS A SCREENING TEST IN HIGH RISK PREGNANCIES
AND PREDICTOR OF NEONATAL OUTCOME 36-40
Dr. Sanchita Dashora, Dr. Abha Gupta PDF FULL TEXT
AND PREDICTOR OF NEONATAL OUTCOME 36-40
Dr. Sanchita Dashora, Dr. Abha Gupta PDF FULL TEXT
ABSTRACT
Background: Admission cardiotocography or Labour admission test is a test of fetal well being performed on women admitted in labour ward for 20 -30 minutes. CTG can identify foetuses which are compromised in early labour and who need continuous foetal monitoring. Various randomized control trials reported that the admission test cardiotocography carries an increased risk of interventions including operative vaginal deliveries, caesarean deliveries, augmentation of labour, and offers very less additional benefits to newborn in low-risk pregnancies. Material & Methods: In the present study a total of 100 pregnant women who had ≥37 weeks of gestation, singleton fetus with a cephalic presentation, who were in the 1st stage of labour (spontaneous in onset), and classified as high risk at the time of admission were enrolled by using a predefined inclusion and exclusion criteria. Written informed consent from each participant was taken prior to the study. Admission cardiotocography was performed for 20 minutes in left lateral position. Results: Out of 100 women 74% had normal/reactive CTG tracings, 10% had equivocal/suspicious CTG tracings and 16% had abnormal/nonreactive CTG. Around 75% women were in the age group 21-30 years and 60% were multigravidae. Women with suspicious and abnormal CTG tracings on admission tests showed higher rates of instrumental and operative deliveries. Neonates born of mothers showing suspicious and abnormal CTG showed lower Apgar scores at 1 and 5 minutes and also subsequent NICU admission. Conclusion: We conclude from the present study that Admission cardiotocography is a simple, non-invasive, reliable test to detect fetal distress at onset of labour and to predict adverse foetal outcome in high-risk pregnancies.
Keywords: Admission cardiotocography, CTG, High-risk pregnancy.
Keywords: Admission cardiotocography, CTG, High-risk pregnancy.
9. TO COMPARE THE EFFICACY OF TOPICALLY ACETIC ACID IRRIGATION WITH TOPICAL ANTIBIOTICS
IN MEDICAL MANAGEMENT OF TUBOTYMPANIC CHRONIC SUPPRATIVEOTITS MEDIA (CSOM) 41-50
Dr. Vipasha Yogi, Dr. Pratibha Vyas, Dr. Bhargavi Trivedi, Dr. Biban Chhabra PDF FULL TEXT
IN MEDICAL MANAGEMENT OF TUBOTYMPANIC CHRONIC SUPPRATIVEOTITS MEDIA (CSOM) 41-50
Dr. Vipasha Yogi, Dr. Pratibha Vyas, Dr. Bhargavi Trivedi, Dr. Biban Chhabra PDF FULL TEXT
ABSTRACT
Background: Chronic suppurative otitis media (C.S.O.M.) is a disease of multiple etiology and is well-known for its persistence and recurrence inspire of treatment. Nowadays, because of the excessive and unconventional use of broad-spectrum antibiotics, corticosteroids, and cytotoxic chemotherapy, the resistance emergence has increased in recent years. Due to the cost of long term treatment is an important factor in developing countries. It has become a difficult task to treat for ENT specialists. Acetic acid alters the pH of EAC and the middle ear to treat otorrhea in CSOM that needs to be studied. Methods: 200 patients with active CSOM were randomly distributed in two groups. One hundred patients in each acetic acid and topical antibiotic group. Acetic acid and topical antibiotic irrigation were done for 3months in each group. Pus culture and sensitivity was done for each patient. Both groups were followed up for three months and observed for resolution of ear discharge and healed perforation. Results: In our study, otorrhea resolution with acetic acid was 92%and of the topical antibiotic group. 88% of patients had successful otorrhea resolution. The mean time of otorrhea resolution was 30.4 days in a topical antibiotic group, whereas 30.9 days in acetic acid group. No statistically significant difference between both the groups in otorrhea resolution was seen in active CSOM (p >0.05). Conclusions: Inactive CSO Macetic acid can be used as an alternative treatment method, which is cost-effective and easily available and performed even at a primary health center for the resolution of ear discharge in active CSOM. As long term management of chronic ear discharge may be required in CSOM.
Keywords: Chronic Suppurative Otitis media, Acetic acid,
Keywords: Chronic Suppurative Otitis media, Acetic acid,
10. COMPARATIVE STUDY BETWEEN IMMEDIATE SURGICAL AND CONSERVATIVE MANAGEMENT OF
APPENDICULAR LUMP 51-53
Dr. Hukam Chand Meena, Dr. Chandra Mauli Vyas, Dr. B.C. Mewara PDF FULL TEXT
APPENDICULAR LUMP 51-53
Dr. Hukam Chand Meena, Dr. Chandra Mauli Vyas, Dr. B.C. Mewara PDF FULL TEXT
ABSTRACT
Background: In the present scenario acute appendicitis is the most common cause of acute surgical abdomen. The operative procedure of choice is appendicectomy for non- complicated appendicitis. Delayed case scenario of appendicitis cause lump formation reported among previous studies. The long-established treatment for an appendicular lump that is a conservative treatment followed by interval appendicectomy still a very popular procedure among surgeons. Methods: In the present retrospective study, we enrolled 40 patients who had an appendicular lump and randomly divided them among two groups, Group 1 included patients with conservative treatment which followed by interval appendicectomy after 6-8 weeks and group 2 included patients with immediate surgery. Results: In the present retrospective study, we found that the highest incidence of the appendicular lump was reported among the age group of 21-30 years. The average duration of hospital stay was 11 days in groups 1 and 5 days among patients of group 2. In the present study, we found immediate surgery was a better management plan for appendicular lump which result in lesser duration of hospital stay, lesser economic burden, no chances of readmission to the hospital and no reported major complication during follow-up. Conclusions: Early exploration for appendicular lump is a preferred option rather than conservative treatment followed by interval appendicectomy.
Keywords: Appendicitis, Appendicular lump, Management
Keywords: Appendicitis, Appendicular lump, Management
11. EVALUATION OF SERUM URIC ACID LEVELS IN PATIENTS SUFFERING FROM PSORIASIS:
A HOSPITAL-BASED CROSS-SECTIONAL STUDY 54-56
Dr. Anupama B. Patne, Dr. Ashwini M. Jantikar PDF FULL TEXT
A HOSPITAL-BASED CROSS-SECTIONAL STUDY 54-56
Dr. Anupama B. Patne, Dr. Ashwini M. Jantikar PDF FULL TEXT
ABSTRACT
Background: Hyperuricemia is reported in psoriasis which may predispose the patients to arthritis, cardiovascular disease, and metabolic syndrome. This hospital-based cross-sectional study was planned to determine the serum uric acid levels in individuals suffering from psoriasis. Materials and methods- A total of 100 subjects were included in the study comprising 50 active cases of psoriasis as a test group and 50 age and sex-matched non-psoriatic individuals as a control group. Serum uric acid level, serum creatinine, serum triglycerides, and serum cholesterol levels of these two groups were determined and results were compared. Results- There was no significant difference observed between levels of serum creatinine, triglycerides, and cholesterol between the test and control group, a significant difference in serum uric acid levels was observed. It was noted that the serum uric acid levels were higher in psoriatic individuals. Conclusion- The increased serum uric acid level is associated with other complications like gout, metabolic syndrome, and cardiovascular complications so it can be suggested that this parameter should be closely monitored in active cases of psoriasis.
Keywords: Hyperuricemia, psoriasis, serum uric acid, serum creatinine, serum triglycerides, serum cholesterol
Keywords: Hyperuricemia, psoriasis, serum uric acid, serum creatinine, serum triglycerides, serum cholesterol
12. RETROSPECTIVE STUDY OF ULTRASONOGRAPHIC FEATURES OF DENGUE INFECTION AT TERTIARY
CARE CENTRE 57-60
Dr. Mahipal Singh PDF FULL TEXT
CARE CENTRE 57-60
Dr. Mahipal Singh PDF FULL TEXT
ABSTRACT
Background: Dengue viral infections were classified among dengue fever, undifferentiated fever and dengue hemorrhagic fever and dengue shock syndrome. The exact clinical picture is varying from subject to subject which depends on serotype of dengue virus, immunity status and sub type of dengue fever. The complete clinical profile should be evaluated before the treatment protocol to save the patient’s life. Material & Methods: The present cross-sectional, retrospective study was conducted at department of radiology of our tertiary care hospital. The study duration was of two years from January 2017 to December 2019. A sample size of 100 was calculated at 95% confidence interval at 10% acceptable margin of error by epi info software version 7.2. Results: The spectrum of findings in our study included gall bladder wall thickening, hepatomegaly, splenomegaly, pleural effusion and ascites. Out of 100 patients, 42% had gall bladder wall thickening, 34% had hepatomegaly, 22% had splenomegaly and 44% patients had normal ultrasound studies. Out of the total patients 8% had bilateral pleural effusion, 14% had right sided pleural effusion. There were no cases of isolated left pleural effusion. Out of the total patients 10% patients had ascites. Conclusion: We concluded from the present study that gall bladder wall thickening was seen among majority of patients who had platelet count less than one lakh. The commonest finding in our study was gall bladder wall thickening which was followed by hepatomegaly and splenomegaly.
Key words: Dengue, ultrasound, hepatomegaly.
Key words: Dengue, ultrasound, hepatomegaly.
13. A COMPARATIVE STUDY OF SERUM URIC ACID IN ALZHEIMER’S DISEASE PATIENTS WITH HEALTHY
CONTROLS AT SMS HOSPITAL, JAIPUR 61-67
Dr Chaitanya Chattree, Dr Balveer Singh Gurjar, Dr Ajay Saxena, Dr SK Vardey, Dr Vipul Garg
PDF FULL TEXT
CONTROLS AT SMS HOSPITAL, JAIPUR 61-67
Dr Chaitanya Chattree, Dr Balveer Singh Gurjar, Dr Ajay Saxena, Dr SK Vardey, Dr Vipul Garg
PDF FULL TEXT
ABSTRACT
BACKGROUND: Alzheimer's disease (AD) is a neurodegenerative disorder of the central nervous system, in which, there is brain atrophy and an accumulation of amyloid-plaques as well as neurofibrillary tangles throughout the cerebral cortex by the end of the disease. It has been suggested that oxidative stress might play an important role in the pathogenesis of AD. Uric acid is the end product of purine metabolism and it has been found that Uric acid has antioxidant properties. Evidences suggest that there might be a relation between uric acid and neurodegenerative diseases like AD. Therefore, this comparative study was done to find out an association between Serum uric acid levels in Alzheimer’s disease patients and healthy controls. Material & methods: After taking necessary permissions, a comparative cross sectional study was conducted at Department of Biochemistry and Department of Psychiatry, SMS Hospital, Jaipur. Diagnosis of Alzheimer’s disease was done by Psychiatrist on the basis of MMSE. Serum uric acid of 110 Alzheimer’s disease patients and healthy controls was assessed spectrophotometerically in fully automated Beckmann Coulter AU680 .Uric acid levels thus obtained were compared using t test. Results: The mean uric acid levels in cases (3.96±1.16)was less as compared to the controls(5.01±0.725).The difference was statistically highly significant(p< 0.001). Conclusion: Uric acid may be used as a routine marker in diagnosis of Alzheimer’s disease.
Keywords: Alzheimer's disease (AD), uric acid, MMSE.
Keywords: Alzheimer's disease (AD), uric acid, MMSE.
14. THYROID DYSFUNCTION AND MORTALITY IN CRITICALLY ILL PATIENTS IN A TERTIARY CARE
HOSPITAL IN JAIPUR, RAJASTHAN INDIA 68-71
Kanishka sharma, Ashish sharma, Pooja sharma, Shubham Gupta PDF FULL TEXT
HOSPITAL IN JAIPUR, RAJASTHAN INDIA 68-71
Kanishka sharma, Ashish sharma, Pooja sharma, Shubham Gupta PDF FULL TEXT
ABSTRACT
Background: Person without any history of thyroid illness may have multiple changes in their thyroid hormone levels during critical illness, These changes are termed as euthyroid sick syndrome (ESS). This change correlates with the severity of the illness and its outcomes in critically ill patients. Aims: To find out the thyroid profile in critically ill patients and its association of thyroid illness in with ICU mortality. Material methods: A total of 100 critically ill patients from ICU were selected as cases and estimation of Thyroid profile done. Study conducted in department of medicine Mahatma Gandhi hospital Jaipur, Rajasthan. Estimation done with Chemiluminescence. Results: Out of 100 patients 37 patients expired. Mean FT3,FT4,TSH levels in survivors was 3.08 ± 0.75 pg/ml, 1.22 ± 0.47 ng/dl and 2.54 ± 1.06 µIU/ml respectively and in non survivors group it was 1.95 ± 0.85 pg/ml, 0.92 ± 0.37 ng/dl and 1.38 ± 0.79 µIU/ml respectively. T3, T4, TSH significantly (p value <0.001) low in critically ill patients. Conclusion: Euthyroid Sick Syndrome and mortality in ICU patients had significant association.
Keywords: Euthyroid Sick Syndrome, Triiodothyronine , Thyroid stimulating hormone
Keywords: Euthyroid Sick Syndrome, Triiodothyronine , Thyroid stimulating hormone
15. CORRELATION BETWEEN PAIN INTENSITY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC
MYOFASCIAL PAIN 72-78
Kamal Kant Sain, Mrinal Joshi PDF FULL TEXT
MYOFASCIAL PAIN 72-78
Kamal Kant Sain, Mrinal Joshi PDF FULL TEXT
ABSTRACT
BACKGROUND: Chronic myofascial pain is one of the major causes of morbidity in modern society. It is a regional pain syndrome characterized by myofascial trigger points (MTrP). MTrP can be found upon palpation which may cause a specific referred pain pattern. The purpose of this study was to quantify pressure pain threshold of MTrP by using pressure algometer and investigate the correlation between pain intensity and quality of life. Objectives: To correlate pain intensity and quality of life. Material & methods: It was a cross-sectional descriptive study comprising 100 patients who were diagnosed clinically with chronic regional myofascial pain in neck and upper back. The pressure pain threshold was quantified with pressure algometer. Pain intensity severity was measured with sf-mpq-2 scale and correlated with SF 36. Results: All participants presented with myofascial pain syndrome. The most prevalent MTrPs are located in right (79%) and left (76%) upper trapezius muscle. A statistically significant correlation is found between pain intensity and parameters of quality of life (p<0.05). Quality of life parameters physical health, emotional health, and general health are more associated with pain intensity. The patients with higher pain intensity have lower quality of life. Conclusion: Myofascial pain patients with high pain intensity have decreased quality of life.
Keywords: Myofascial pain, pressure algometry, trigger point, sf- mpq-2, pressure pain threshold, quality of life, SF 36.
Keywords: Myofascial pain, pressure algometry, trigger point, sf- mpq-2, pressure pain threshold, quality of life, SF 36.
16. ASSESSMENT OF THE EFFECT OF ANULOM VILOM PRANAYAMA AS AN ADJUVANT THERAPY IN
ASTHMA PATIENTS 79-83
Dr. Manish Kumar Jain, Dr. Nalin Joshi PDF FULL TEXT
ASTHMA PATIENTS 79-83
Dr. Manish Kumar Jain, Dr. Nalin Joshi PDF FULL TEXT
ABSTRACT
Background: Healthy ways of life and breathing activities help in the improvement of personal satisfaction and quality of life. Breathing activities incorporates an alternate nostril breathing (ANB) which comprises of moderate, profound and calm breaths utilizing each nostrils in turn. The valuable impact of such exercise may change with populace, span and seriousness of dyspnea. Material & Methods: The present prospective study was conducted at department of respiratory medicine of our tertiary care hospital. We enrolled 50 study participants from outdoor and from ward by simple random sampling, who were presented with signs and symptoms of bronchial asthma for more than 6 months. Clearance from Institutional Ethics Committee was taken before start of study. Written informed consent was taken from each study participant. Results: In the present study, the pretest score and post test score on the basis of Modified borg dyspnea scale of total study participants was recorded. On the basis of the Modified borg dyspnea scale the median vale of pretest score was 4.6 and median vale of post test score was 3.4. Z score was 3.24 and this difference was statistically significant (P-value < 0.05). The pretest score and post test score levels of dyspnea using FEV1 score of total study participants was recorded. On the basis of the levels of dyspnea using FEV1 score the mean vale of pretest score was 58.10 ± 13.51 and median vale of post-test score was 66.92 ± 17.84. T score was 4.87 and this difference was statistically significant (P-value < 0.05). Conclusion: We concluded from the present study that four weeks of anulom vilom pranayama was seen as a compelling therapy in diminishing the degree of dyspnea and advisable for prevention of acute severe asthma.
Keywords: Asthma, Pranayama, Borg dyspnea score.
Keywords: Asthma, Pranayama, Borg dyspnea score.
17. ASSESSMENT OF SERUM AMINOTRANSFERASE LEVELS AND ITS CORRELATION WITH SEVERITY OF DENGUE FEVER AT TERTIARY CARE HOSPITAL 84-89
Dr. Kishore Moolrajani, Dr. Ashish Jain PDF FULL TEXT
Dr. Kishore Moolrajani, Dr. Ashish Jain PDF FULL TEXT
ABSTRACT
Background: Along with global pandemic concern dengue has become a major public health concern in India. Dengue is an emerging epidemic disease and several outbreaks among every state of India are being reported from time to time. The prevalence of dengue viral infection has tended to rise globally in recent decades. According to the World Health Organization, about forty percent of the world’s population reported that in the current scenario are at risk for encountering dengue viral infection. Material & Methods: The present cross-sectional study includes 100 Patients who had dengue IgM antibody positive were enrolled from the outdoor and the ward by simple random sampling. Clearance from Institutional Ethics Committee was taken before the start of the study. Written informed consent was taken from each study participant. Results: On the basis of assessment of severity of dengue fever in correlation with serum SGOT levels we found that out of total study participants 27% patients had mild symptoms, 60% patients had moderate symptoms and 13% had severe dengue fever. Among the mild symptomatic patients 9% had normal serum SGOT levels, 9% had less than 3 times elevated (35-120 IU/l) serum SGOT levels, 8% had 3-10 times elevated (121-400 IU/l) serum SGOT levels and 1% had more than 10 times elevated (>400 IU/l) serum SGOT levels. Among the moderate symptomatic patients 18% had normal serum SGOT levels, 22% had less than 3 times elevated (35-120 IU/l) serum SGOT levels, 15% had 3-10 times elevated (121-400 IU/l) serum SGOT levels and 5% had more than 10 times elevated (>400 IU/l) serum SGOT levels. Among the severe dengue fever patients 3% had normal serum SGOT levels, 4% had less than 3 times elevated (35-120 IU/l) serum SGOT levels, 5% had 3-10 times elevated (121-400 IU/l) serum SGOT levels and 1% had more than 10 times elevated (>400 IU/l) serum SGOT levels. However, this difference was statistically non-significant (p value > 0.05). Conclusion: We concluded from the present study that liver function deterioration in dengue fever was varied from normal range of biochemical markers to raised liver function markers. Serum SGOT and SGPT elevation were significantly seen in moderate cases of dengue fever than mild and severe cases.
Keywords: Dengue fever, SGOT levels, SGPT levels.
Keywords: Dengue fever, SGOT levels, SGPT levels.
18. Evaluation of antepartum hemorrhage and its associated risk factors at a tertiary care hospital 90-94
Dr. Lata Mehta, Dr Kuldeep Wagh PDF FULL TEXT
Dr. Lata Mehta, Dr Kuldeep Wagh PDF FULL TEXT
ABSTRACT
Background: Antepartum hemorrhage (APH) accounts for a major cause of maternal morbidity and mortality all around the globe. Antepartum hemorrhage is defined as bleeding from Or into the genital tract, after 24 weeks Of pregnancy and prior to the birth of the baby. Material & Methods: The present prospective study was conducted at the department of obstetrics and gynecology of our tertiary care hospital. Details of the Patients who were presenting at 28 weeks of gestational age and above with antepartum haemorrhage were recorded. 50 patients of gestational age and above with bleeding per vagina were enrolled in the present study. Results: In the present study, on the basis of risk factors and common etiology/ cause of the antepartum hemorrhage, the most common etiology reported was pregnancy-induced hypertension which was found in 28 (56%) of the cases. The previous history of the cesarian section was reported in 23 (46%) pregnant women which was followed by the previous history of abortions and curettage reported in 7 (14%) pregnant women. Multifetal gestation was reported in 1 (2%) cases of antepartum hemorrhage. History of abdominal trauma present among 1 (2%) of pregnant women. Some other causes are Cervical ectropion, vaginal infection, Placental edge bleed, etc which were found in about 5 (10%) of cases. Conclusion: we found that hypertension and a previous history of abortions are the most common risk factors for APH. Early diagnoses and timely referral to the facility, blood transfusion and, surgically controlling heamorrhage can decrease maternal morbidity.
Keywords: Antepartum hemorrhage, Abruptio placenta, placenta previa.
Keywords: Antepartum hemorrhage, Abruptio placenta, placenta previa.
19. ASSOCIATION OF LEUCODERMA AND PSYCHIATRIC ILLNESS! 95-99
Dr. Prabhat Kumar Agrawal PDF FULL TEXT
Dr. Prabhat Kumar Agrawal PDF FULL TEXT
ABSTRACT
ABSTRACT
Background: Leucoderma is an acquired disorder of pigmentation which is identified by depigmented patches of various sizes on the skin due to the defects of melanocytes. Since the generalized visibility of skin diseases, self-esteem is first to compromised. Skin diseases that affect the general appearance and leaves ugly skin patches and scars are indirectly affect the personal and social interactions, self-esteem along with their career as well. Material & Methods: A total of 50 patients were enrolled for study, which were attending the dermatology department of our hospital and suffering from leucoderma. These diagnosed patients with leucoderma were enrolled for study by simple random sampling. The control group consisted of 50 healthy subjects without leucoderma or any psychiatric illness. Results: Depression was the most common finding present in 38% of patients with leucoderma and17% had anxiety symptoms while among control group depression was absent and anxiety symptoms present in 6% of subjects. Severity of leucoderma had statistically non-significant association with psychiatric illness. Among the leucoderma group the mean BSA score was 18.25 with psychiatric illness in comparison to 11.53 in those without psychiatric illness Conclusion: Prevalence of psychological illness among the patients of leucoderma was found to be non-significantly associated in comparison to healthy controls. There was negative correlation found between the severity of leucoderma and the psychiatric illness. Patients of leucoderma reported to had high prevalence of psychiatric illness and poorer QOL.
Key words: Leucoderma, psychiatric illness, anxiety, depression.
Background: Leucoderma is an acquired disorder of pigmentation which is identified by depigmented patches of various sizes on the skin due to the defects of melanocytes. Since the generalized visibility of skin diseases, self-esteem is first to compromised. Skin diseases that affect the general appearance and leaves ugly skin patches and scars are indirectly affect the personal and social interactions, self-esteem along with their career as well. Material & Methods: A total of 50 patients were enrolled for study, which were attending the dermatology department of our hospital and suffering from leucoderma. These diagnosed patients with leucoderma were enrolled for study by simple random sampling. The control group consisted of 50 healthy subjects without leucoderma or any psychiatric illness. Results: Depression was the most common finding present in 38% of patients with leucoderma and17% had anxiety symptoms while among control group depression was absent and anxiety symptoms present in 6% of subjects. Severity of leucoderma had statistically non-significant association with psychiatric illness. Among the leucoderma group the mean BSA score was 18.25 with psychiatric illness in comparison to 11.53 in those without psychiatric illness Conclusion: Prevalence of psychological illness among the patients of leucoderma was found to be non-significantly associated in comparison to healthy controls. There was negative correlation found between the severity of leucoderma and the psychiatric illness. Patients of leucoderma reported to had high prevalence of psychiatric illness and poorer QOL.
Key words: Leucoderma, psychiatric illness, anxiety, depression.
