Pub Date : 2019-02-04DOI: 10.5958/2321-1024.2019.00007.2
Abhayjeet Singh, P. Athwal, Harsimrat Singh, A. Roy, V. P. Venketachalam
Introduction Rhinolithiasis is an uncommon condition. It is usually confused with both benign and malignant nasal tumors. They have various clinical presentations. Case Presentation We report a rare case of rhinolith due to inhalation of industrial fumes. The patient presented to the OPD of Saraswathi institute of medical sciences, hospital with history of nasal obstruction, yellowish nasal discharge, frequent headache and epistaxis of 3 months duration. The patient was an industrial worker by profession and gave history of inhalation of industrial fumes (zinc oxide). After taking a thorough history of the patient local examination including anterior rhinoscopy and nasal endoscopy was carried out. Nasal endoscopy revealed a greyish irregular densely impacted solid mass. Computed tomography (CT) scan of nose and paranasal sinuses showed a radiopaque mass in right and left side of nasal cavity. Rhinolith was removed endoscopically under general anaesthesia, leading to the complete resolution of his symptoms. Discussion Diagnosis of rhinolithiasis can be made by keeping a strong suspicion based upon history and symptoms. The current case report shows the importance of rigid nasal endoscopy and radiological assessment in diagnosis and management of rhinolith.
{"title":"A Rare Case Report of Impacted Metallic Rhinolith","authors":"Abhayjeet Singh, P. Athwal, Harsimrat Singh, A. Roy, V. P. Venketachalam","doi":"10.5958/2321-1024.2019.00007.2","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00007.2","url":null,"abstract":"Introduction \u0000Rhinolithiasis is an uncommon condition. It is usually confused with both benign and malignant nasal tumors. They have various clinical presentations. \u0000Case Presentation \u0000We report a rare case of rhinolith due to inhalation of industrial fumes. The patient presented to the OPD of Saraswathi institute of medical sciences, hospital with history of nasal obstruction, yellowish nasal discharge, frequent headache and epistaxis of 3 months duration. The patient was an industrial worker by profession and gave history of inhalation of industrial fumes (zinc oxide). After taking a thorough history of the patient local examination including anterior rhinoscopy and nasal endoscopy was carried out. Nasal endoscopy revealed a greyish irregular densely impacted solid mass. Computed tomography (CT) scan of nose and paranasal sinuses showed a radiopaque mass in right and left side of nasal cavity. Rhinolith was removed endoscopically under general anaesthesia, leading to the complete resolution of his symptoms. \u0000Discussion \u0000Diagnosis of rhinolithiasis can be made by keeping a strong suspicion based upon history and symptoms. The current case report shows the importance of rigid nasal endoscopy and radiological assessment in diagnosis and management of rhinolith.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"6 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120910773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-04DOI: 10.5958/2321-1024.2019.00006.0
Nishant Kashyap, Jhillmill Kumari, W. Ahmad, Santosh Kumar
Aim and Objectives To evaluate parasympathetic and sympathetic reactivity and assess any derangement in either or both of the limb of autonomic functions in patients of non specific chronic low back pain. Introduction Non specific chronic low back pain (nCLBP) is prevalent among adults and often leads to functional limitations, psychological symptoms, lower quality of life, and expenditure on health care. The focus of autonomic function and health has been cardiovascular diseases; musculoskeletal syndromes have been paid much less attention. However, there are many epidemiological and other studies suggesting that there is a connection between musculoskeletal disorders and psychological risk factors such as stress. Material and Method Male patients within the age group of 24–45 years(n= 40), who had a history suggesting chronic non specific low back pain were recruited from Orthopedics OPD and the control were the age and BMI matched healthy young adults within the same age bracket as that of study group. Autonomic function was assessed by using conventional autonomic function test. The data collected was evaluated using SPSS 17. Unpaired student “t” test was applied to compare the results P-value ˂ 0.05 was taken as statistically significant. Result The E: I ratio of control group was1.85±0.14 and in study group it1.30±0.17, the difference being statistically significant, Similar observation was made for other parasympathetic reactivity test like 30: 15 ratio. Conclusion Our results and review of literature make us of the view that parasympathetic activity decreases in patients of non specific chronic low back pain.
目的和目的评估非特异性慢性腰痛患者的副交感神经和交感神经反应性，并评估任何一方或双方肢体自主神经功能的紊乱。非特异性慢性腰痛(nCLBP)在成年人中普遍存在，通常导致功能限制、心理症状、生活质量降低和医疗保健支出。自主神经功能与健康的焦点一直是心血管疾病;肌肉骨骼综合症的关注要少得多。然而，有许多流行病学和其他研究表明，肌肉骨骼疾病与压力等心理风险因素之间存在联系。材料与方法从骨科门诊招募年龄在24-45岁、有慢性非特异性腰痛病史的男性患者(n= 40)，对照组为与研究组年龄和BMI相匹配的同龄健康青年。采用常规自主神经功能测试法评估自主神经功能。收集的数据使用SPSS 17进行评估。采用Unpaired student " t "检验比较结果，p值小于0.05被认为具有统计学意义。结果对照组的E: I比值为1.85±0.14，研究组的E: I比值为1.30±0.17，差异有统计学意义，其他副交感神经反应性试验的E: I比值为30:15，差异有统计学意义。结论我们的研究结果和文献综述使我们认为非特异性慢性腰痛患者的副交感神经活动减少。
{"title":"Study of Autonomic Functions in Patients with Non-Specific Low Back Pain","authors":"Nishant Kashyap, Jhillmill Kumari, W. Ahmad, Santosh Kumar","doi":"10.5958/2321-1024.2019.00006.0","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00006.0","url":null,"abstract":"Aim and Objectives \u0000To evaluate parasympathetic and sympathetic reactivity and assess any derangement in either or both of the limb of autonomic functions in patients of non specific chronic low back pain. \u0000Introduction \u0000Non specific chronic low back pain (nCLBP) is prevalent among adults and often leads to functional limitations, psychological symptoms, lower quality of life, and expenditure on health care. The focus of autonomic function and health has been cardiovascular diseases; musculoskeletal syndromes have been paid much less attention. However, there are many epidemiological and other studies suggesting that there is a connection between musculoskeletal disorders and psychological risk factors such as stress. \u0000Material and Method \u0000Male patients within the age group of 24–45 years(n= 40), who had a history suggesting chronic non specific low back pain were recruited from Orthopedics OPD and the control were the age and BMI matched healthy young adults within the same age bracket as that of study group. Autonomic function was assessed by using conventional autonomic function test. The data collected was evaluated using SPSS 17. Unpaired student “t” test was applied to compare the results P-value ˂ 0.05 was taken as statistically significant. \u0000Result \u0000The E: I ratio of control group was1.85±0.14 and in study group it1.30±0.17, the difference being statistically significant, Similar observation was made for other parasympathetic reactivity test like 30: 15 ratio. \u0000Conclusion \u0000Our results and review of literature make us of the view that parasympathetic activity decreases in patients of non specific chronic low back pain.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126186107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-04DOI: 10.5958/2321-1024.2019.00011.4
Pradeep Kumar, V. Saxena, Sohal Pal Singh, U. Singh, Nitin Chauhan, V. Mittal
Introduction In this study we study the role of neostigmine in nonmechanical bowel obstruction either it may be due to post operative ileus or may be due to some severe illness like pancreatitis and liver abcess. In post operative ileus normal bowel function can be affected by three main mechanism: neurogenic, inflammatory mediators and gastrointestinal hormones. In GI system parasympathetic system increase gut motility while sympathetic system inhibit gut motility.. After major surgeries sympathetic nervous system tends to be more active than parasympathetic one which causes ileus. Method All patients receive 2.5 mg of neostigmine IV (diluted in 10 ml normal salie) over a period of five minutes. All patients were monitored by electrocardiography; atropine and glycopyrolate was kept ready on bedside and 1.0 mg was given intravenously in case of symptomatic bradycardia. Results In our study we retrospectively analyzed 45 patients. Out which 28 were male and 17 patients were female. Male to female ratio was 1.65: 1. The patient ranged from 18 years to 70 years. 27 patients showed improvement in clinical symptoms(passed flatus and faeces) after 3 to 5 minutes, 12 patients showed improvement in 5 to 10 minutes and 4 patients showed improvement in more than 10 minutes. 2 patients was not improved till one hour after injecting neostigmine. Symptomatic bradycardia was seen in 3 (∼7%) patient. In two patient pulse rate was decreased upto 36. Abdominal pain was the most commen side effect noticed in 23 (∼51%) of patients, excessive salivation(∼30%) and vomiting(∼20%) were second and third most commen side effect respectively. Conclusion On the basis of our findings we can suggest that it is feasible to use neostigmine in non mechanical bowel obstruction.
{"title":"A Retrospective Study on Use of Neostigmine for Management of Non Mechanical Bowel Obstruction","authors":"Pradeep Kumar, V. Saxena, Sohal Pal Singh, U. Singh, Nitin Chauhan, V. Mittal","doi":"10.5958/2321-1024.2019.00011.4","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00011.4","url":null,"abstract":"Introduction \u0000In this study we study the role of neostigmine in nonmechanical bowel obstruction either it may be due to post operative ileus or may be due to some severe illness like pancreatitis and liver abcess. In post operative ileus normal bowel function can be affected by three main mechanism: neurogenic, inflammatory mediators and gastrointestinal hormones. In GI system parasympathetic system increase gut motility while sympathetic system inhibit gut motility.. After major surgeries sympathetic nervous system tends to be more active than parasympathetic one which causes ileus. \u0000Method \u0000All patients receive 2.5 mg of neostigmine IV (diluted in 10 ml normal salie) over a period of five minutes. All patients were monitored by electrocardiography; atropine and glycopyrolate was kept ready on bedside and 1.0 mg was given intravenously in case of symptomatic bradycardia. \u0000Results \u0000In our study we retrospectively analyzed 45 patients. Out which 28 were male and 17 patients were female. Male to female ratio was 1.65: 1. The patient ranged from 18 years to 70 years. 27 patients showed improvement in clinical symptoms(passed flatus and faeces) after 3 to 5 minutes, 12 patients showed improvement in 5 to 10 minutes and 4 patients showed improvement in more than 10 minutes. 2 patients was not improved till one hour after injecting neostigmine. Symptomatic bradycardia was seen in 3 (∼7%) patient. In two patient pulse rate was decreased upto 36. Abdominal pain was the most commen side effect noticed in 23 (∼51%) of patients, excessive salivation(∼30%) and vomiting(∼20%) were second and third most commen side effect respectively. \u0000Conclusion \u0000On the basis of our findings we can suggest that it is feasible to use neostigmine in non mechanical bowel obstruction.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"389 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129174505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-07-10DOI: 10.5958/J.2321-1024.1.2.041
R. Bhatia, S. Gupta, F. Khan
Introduction: Distal tibial fractures present a serious challenge, often requiring operative treatment but are very difficult to deal with. Fixation with locking compression plate (LCP) by minimally invasive percutaneous plate Osteosynthesis (MIPPO) technique has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanically sound fixation. The aim of this study was to find out the results of MIPPO with LCP for distal tibial fractures in our set up. Method: Twenty nine patients were treated by minimally invasive technique (MIPPO with LCP) for distal tibial fracture, only 24 patients were having proper follow-up. These 24 patients-(AO classification: 14 type A, 5 type B & 5 type C) were prospectively followed up. Twenty two male and two female patients with a mean age of 35 years were included. Results: In our study 17 (70.83%) patients had excellent results, 6(25%) patients had good results & 1(4.17 %) patient was having poor result. One patient had delayed union & required bone grafting. Malleolar skin irritation and pain due to prominent hardware was observed in two patients. One patient had hardware failure due to non-compliance. Another patient had infection in fibular fixation site that required hardware removal. Conclusion: The MIPPO technique for distal tibia has shown good results with many additional advantages over the conventional methods. It appears to be a reliable & effective method of stabilisation for these fractures. Rigid fixation allows the patient to be mobilized earlier & complications like displacement, contractures & stiffness can be avoided.
{"title":"A Study of Minimally Invasive Percutaneous Plate Osteosynthesis with Locking Compression Plate for Distal Tibial Fractures","authors":"R. Bhatia, S. Gupta, F. Khan","doi":"10.5958/J.2321-1024.1.2.041","DOIUrl":"https://doi.org/10.5958/J.2321-1024.1.2.041","url":null,"abstract":"Introduction: Distal tibial fractures present a serious challenge, often requiring operative treatment but are very difficult to deal with. Fixation with locking compression plate (LCP) by minimally invasive percutaneous plate Osteosynthesis (MIPPO) technique has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanically sound fixation. The aim of this study was to find out the results of MIPPO with LCP for distal tibial fractures in our set up. Method: Twenty nine patients were treated by minimally invasive technique (MIPPO with LCP) for distal tibial fracture, only 24 patients were having proper follow-up. These 24 patients-(AO classification: 14 type A, 5 type B & 5 type C) were prospectively followed up. Twenty two male and two female patients with a mean age of 35 years were included. Results: In our study 17 (70.83%) patients had excellent results, 6(25%) patients had good results & 1(4.17 %) patient was having poor result. One patient had delayed union & required bone grafting. Malleolar skin irritation and pain due to prominent hardware was observed in two patients. One patient had hardware failure due to non-compliance. Another patient had infection in fibular fixation site that required hardware removal. Conclusion: The MIPPO technique for distal tibia has shown good results with many additional advantages over the conventional methods. It appears to be a reliable & effective method of stabilisation for these fractures. Rigid fixation allows the patient to be mobilized earlier & complications like displacement, contractures & stiffness can be avoided.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"218 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116430629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-07-10DOI: 10.5958/j.2321-1024.1.2.044
V. Vijay, M. Hardikar
Background: The incidence of chronic disabling conditions of the knee such as osteoarthritis, rheumatoid arthritis, inflammatory arthritis, osteonecrosis are on the rise. So patients prefer to get rid of these conditions permanently and this could be done only by means of Total Knee Replacement. Total knee arthroplasty is a generally effective procedure and is associated with substantial functional improvement. Objectives: 1) To elaborate the role of Total Condylar Knee Replacement in osteoarthritic knees and rheumatoid arthritis. 2) To study the role of Total Knee Replacement in Indian patients keeping in mind their socioeconomic status&habits. Method: In the present study 25 patients with 33 total condylar knee replacements were evaluated in Sushrut Medical care&Research Society's Hardikar Hospital, Pune between July 2008 to June 2010 using Nexgen LPS, high flex, fixed total condylar knee system. Results: The patients were followed up for an average of 1 year (range 6 months to 2 years) after the procedure. According to Knee Society Score, 70% had excellent results, 24% good results and 6% fair results. Conclusion: Osteo arthritic cases showed better results in all parameters of the score as compared to rheumatoid patients. Relief of pain is predictable and often total. Rontgenographic study till last follow up did not show shift of prosthetic components, loosening, ectopic bone formation, though it may be too short a follow up for such evidence.
{"title":"Study and Evaluation of Cases of Total Condylar Knee Replacement","authors":"V. Vijay, M. Hardikar","doi":"10.5958/j.2321-1024.1.2.044","DOIUrl":"https://doi.org/10.5958/j.2321-1024.1.2.044","url":null,"abstract":"Background: The incidence of chronic disabling conditions of the knee such as osteoarthritis, rheumatoid arthritis, inflammatory arthritis, osteonecrosis are on the rise. So patients prefer to get rid of these conditions permanently and this could be done only by means of Total Knee Replacement. Total knee arthroplasty is a generally effective procedure and is associated with substantial functional improvement. Objectives: 1) To elaborate the role of Total Condylar Knee Replacement in osteoarthritic knees and rheumatoid arthritis. 2) To study the role of Total Knee Replacement in Indian patients keeping in mind their socioeconomic status&habits. Method: In the present study 25 patients with 33 total condylar knee replacements were evaluated in Sushrut Medical care&Research Society's Hardikar Hospital, Pune between July 2008 to June 2010 using Nexgen LPS, high flex, fixed total condylar knee system. Results: The patients were followed up for an average of 1 year (range 6 months to 2 years) after the procedure. According to Knee Society Score, 70% had excellent results, 24% good results and 6% fair results. Conclusion: Osteo arthritic cases showed better results in all parameters of the score as compared to rheumatoid patients. Relief of pain is predictable and often total. Rontgenographic study till last follow up did not show shift of prosthetic components, loosening, ectopic bone formation, though it may be too short a follow up for such evidence.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130881372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-07-10DOI: 10.5958/J.2321-1024.1.2.033
B. Girija, T. Sudha, Rajeshwari, S. Shridhar, Poornima
Unicornuate uterus occurs due to a complete or partial non development of one mullerian duct1. Sometimes it is associated with a rudimentary horn, which may consist of functional cavity which is usually non - communicating or it may be small solid muscle with no functional endometrium. Pregnancy in rudimentary horn is rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis is usually made at laparotomy. Ultrasound may help in pre-operative diagnosis. A case of 37 yr old primigravida with acute abdomen is reported here. Laparotomy revealed unicornuate uterus with rupture of rudimentary horn on left side. The incidence, diagnosis and management of such cases are discussed.
{"title":"Ruptured Rudimentary Horn Pregnancy at 20 Weeks of Gestation in a Primigravida: a Case Report","authors":"B. Girija, T. Sudha, Rajeshwari, S. Shridhar, Poornima","doi":"10.5958/J.2321-1024.1.2.033","DOIUrl":"https://doi.org/10.5958/J.2321-1024.1.2.033","url":null,"abstract":"Unicornuate uterus occurs due to a complete or partial non development of one mullerian duct1. Sometimes it is associated with a rudimentary horn, which may consist of functional cavity which is usually non - communicating or it may be small solid muscle with no functional endometrium. Pregnancy in rudimentary horn is rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis is usually made at laparotomy. Ultrasound may help in pre-operative diagnosis. A case of 37 yr old primigravida with acute abdomen is reported here. Laparotomy revealed unicornuate uterus with rupture of rudimentary horn on left side. The incidence, diagnosis and management of such cases are discussed.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124063005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-07-10DOI: 10.5958/J.2321-1024.1.2.036
S. Dimri, H. Sharma, S. Datta, D. Gupta
Aim: The aim of this study was to determine microorganisms responsible for urinary tract infections (UTI) in patients with indwelling urinary catheter and their antibiotic susceptibility patterns to commonly used antibiotics. Subjects and Method: The study was carried out from April 2011 to January 2012 on 108 patients with indwelling urinary catheters. The organisms were isolated by conventional culture methods and identified by conventional biochemical methods. The antibiotic susceptibility pattern was determined by Kirby-Bauer disc diffusion method on Muller-Hinton agar. Results: In this study, 93 (86.1%) patients were found to be culture positive for microbial pathogens in their urine samples. Escherichia coli (50.5%) was the most frequently isolated bacteria followed by Klebsiella species (14%) and Pseudomonas aeruginosa (10.8%). The in-vitro susceptibility pattern of frequently isolated gram negative bacteria shows high resistance to commonly used antibiotics such as ampicillin, amoxicillin+clavulanic acid and fluoroquinolones. Carbapenems and amikacin were found to be the most effective antibiotics for frequently isolated gram negative bacteria. Conclusion: Emphasis should be placed on good catheter management rather than using prophylactic antibiotic therapy to reduce the incidence of catheter associated urinary tract infection.
{"title":"A Study of Urinary Tract Infections in Patients with Catheter in Tertiary Care Hospital in Western Uttar Pradesh","authors":"S. Dimri, H. Sharma, S. Datta, D. Gupta","doi":"10.5958/J.2321-1024.1.2.036","DOIUrl":"https://doi.org/10.5958/J.2321-1024.1.2.036","url":null,"abstract":"Aim: The aim of this study was to determine microorganisms responsible for urinary tract infections (UTI) in patients with indwelling urinary catheter and their antibiotic susceptibility patterns to commonly used antibiotics. Subjects and Method: The study was carried out from April 2011 to January 2012 on 108 patients with indwelling urinary catheters. The organisms were isolated by conventional culture methods and identified by conventional biochemical methods. The antibiotic susceptibility pattern was determined by Kirby-Bauer disc diffusion method on Muller-Hinton agar. Results: In this study, 93 (86.1%) patients were found to be culture positive for microbial pathogens in their urine samples. Escherichia coli (50.5%) was the most frequently isolated bacteria followed by Klebsiella species (14%) and Pseudomonas aeruginosa (10.8%). The in-vitro susceptibility pattern of frequently isolated gram negative bacteria shows high resistance to commonly used antibiotics such as ampicillin, amoxicillin+clavulanic acid and fluoroquinolones. Carbapenems and amikacin were found to be the most effective antibiotics for frequently isolated gram negative bacteria. Conclusion: Emphasis should be placed on good catheter management rather than using prophylactic antibiotic therapy to reduce the incidence of catheter associated urinary tract infection.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123875158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-07-10DOI: 10.5958/J.2321-1024.1.2.024
N. Joseph, K. Ambika, S. J. Williams
Background: Preterm babies are the most vulnerable group to get adjusted to the new environment. Following birth, the first few months acts as a transitory period during which the baby adjusts from the aquatic to the aerial environment. As a result, the way in which baby is positioned throughout this time is very important and his posture dictates the level of his wellbeing. Promoting good positioning and encouraging opportunities for flexion can prevent the problems like motor coordination, balance and posture difficulties. The correct positioning will help the baby to develop good posture and improve muscle control. Method: In this study, a quasi-experimental control group pretest- posttest design was used and non probability convenience sampling technique was adopted to select 60 preterm babies, both in experimental and control group. Pilot study was conducted, the tool and study design were found to be feasible. Data were collected using structured observation checklist for posture and movement. An intervention, nesting was provided for the experimental group. The data were collected and analyzed using descriptive and inferential statistics. Results: The result of the study revealed that the significance of difference between the mean pretest and post test posture score which was statistically tested using paired 't' test and was found to be highly significant at 0.05 level of significance.(t(29) = 5.42 in post test 1, 46.14 in post test 2 and 56.82 in post test 3 ; (p < 0.05) and the significance of difference between the mean post test posture score between experimental and control group which was statistically tested using independent 't' test was found to be highly significant at 0.05 level of significance t(58) = 7.41, 7.89 and 8.49; (p < 0.05 ). The significance of difference between the mean pretest and mean post test movement score which was statistically tested using paired 't' test was found to be highly significant at 0.05 level of significance.(t(29) = 36.94 in post test 1, 15.59 in post test 2 and 22.80 in post test 3 ; p< 0.05 ) and the significance of difference between the mean post test movement score between experimental and control group which was statistically tested using independent t test was found to be highly significant at 0.05 level of significance. (t(58) = 8.12, 5.26 and 4.88 ; p < 0.05 ). The result shows that the posture and movement score had no significant association with their selected personal variables. Conclusion: Therefore, the study concluded that the nesting was an effective method to maintain the normal posture and movement of preterm babies.
{"title":"A Study to Assess the Effectiveness of Nesting on Posture and Movements among Preterm Babies in Selected Hospitals at Mysore","authors":"N. Joseph, K. Ambika, S. J. Williams","doi":"10.5958/J.2321-1024.1.2.024","DOIUrl":"https://doi.org/10.5958/J.2321-1024.1.2.024","url":null,"abstract":"Background: Preterm babies are the most vulnerable group to get adjusted to the new environment. Following birth, the first few months acts as a transitory period during which the baby adjusts from the aquatic to the aerial environment. As a result, the way in which baby is positioned throughout this time is very important and his posture dictates the level of his wellbeing. Promoting good positioning and encouraging opportunities for flexion can prevent the problems like motor coordination, balance and posture difficulties. The correct positioning will help the baby to develop good posture and improve muscle control. Method: In this study, a quasi-experimental control group pretest- posttest design was used and non probability convenience sampling technique was adopted to select 60 preterm babies, both in experimental and control group. Pilot study was conducted, the tool and study design were found to be feasible. Data were collected using structured observation checklist for posture and movement. An intervention, nesting was provided for the experimental group. The data were collected and analyzed using descriptive and inferential statistics. Results: The result of the study revealed that the significance of difference between the mean pretest and post test posture score which was statistically tested using paired 't' test and was found to be highly significant at 0.05 level of significance.(t(29) = 5.42 in post test 1, 46.14 in post test 2 and 56.82 in post test 3 ; (p < 0.05) and the significance of difference between the mean post test posture score between experimental and control group which was statistically tested using independent 't' test was found to be highly significant at 0.05 level of significance t(58) = 7.41, 7.89 and 8.49; (p < 0.05 ). The significance of difference between the mean pretest and mean post test movement score which was statistically tested using paired 't' test was found to be highly significant at 0.05 level of significance.(t(29) = 36.94 in post test 1, 15.59 in post test 2 and 22.80 in post test 3 ; p< 0.05 ) and the significance of difference between the mean post test movement score between experimental and control group which was statistically tested using independent t test was found to be highly significant at 0.05 level of significance. (t(58) = 8.12, 5.26 and 4.88 ; p < 0.05 ). The result shows that the posture and movement score had no significant association with their selected personal variables. Conclusion: Therefore, the study concluded that the nesting was an effective method to maintain the normal posture and movement of preterm babies.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133478740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-07-10DOI: 10.5958/J.2321-1024.1.2.043
Vandana Singh, Rameshwari Singhal
Septal deformity is of two kinds, which may occur independently, or together: 1) anterior cartilage deformity of the quadrilateral septal cartilage, caused by direct trauma or pressure at any age; and 2) combined septal deformity involving all the septal components, caused by compression across the maxilla from pressures occurring during pregnancy or parturition. This is part of a facial deformity. The incidence of septal deformity and symptoms attributed by it was investigated in 50 patients in the out door of Saraswathi Institute of Medical Sciences. It seems that the focus of attention in the recent studies have been shown towards finding out the incidence of deviated nasal septum in the general population. This possibility suggest that majority of the authors believed that the septal deviation may be considered to be present in all but gains significance only when it is severe enough to cause disturbances in the physiology of nose. Result: The present study showed the incidence of septal deviation to be maximum in the age group of 21-30 yrs in which males were around 74% and females being 26%. In this students were found more affected that was around 30%. Trauma was found to be the aetiological factor of septal deviation and nasal blockage was the one of the major responses to this deviation. Conclusion: Septal deviation is considered to be present in all but it gains significance only when it is severe enough to cause disturbance in the normal physiology of nose leading to clinical presentation of sinusitis.
{"title":"A Study of Incidence and Clinical Presentation of Deviated Nasal Septum in Western UP","authors":"Vandana Singh, Rameshwari Singhal","doi":"10.5958/J.2321-1024.1.2.043","DOIUrl":"https://doi.org/10.5958/J.2321-1024.1.2.043","url":null,"abstract":"Septal deformity is of two kinds, which may occur independently, or together: 1) anterior cartilage deformity of the quadrilateral septal cartilage, caused by direct trauma or pressure at any age; and 2) combined septal deformity involving all the septal components, caused by compression across the maxilla from pressures occurring during pregnancy or parturition. This is part of a facial deformity. The incidence of septal deformity and symptoms attributed by it was investigated in 50 patients in the out door of Saraswathi Institute of Medical Sciences. It seems that the focus of attention in the recent studies have been shown towards finding out the incidence of deviated nasal septum in the general population. This possibility suggest that majority of the authors believed that the septal deviation may be considered to be present in all but gains significance only when it is severe enough to cause disturbances in the physiology of nose. Result: The present study showed the incidence of septal deviation to be maximum in the age group of 21-30 yrs in which males were around 74% and females being 26%. In this students were found more affected that was around 30%. Trauma was found to be the aetiological factor of septal deviation and nasal blockage was the one of the major responses to this deviation. Conclusion: Septal deviation is considered to be present in all but it gains significance only when it is severe enough to cause disturbance in the normal physiology of nose leading to clinical presentation of sinusitis.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127707022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-07-10DOI: 10.5958/J.2321-1024.1.2.031
R. P. Gupta, N. Gupta, A. Rai
Introduction: The sacral hiatus is an important portal for interventional clinical procedure. Identification of sacral hiatus is usually easy but sometime it becomes difficult particularly in obese person. Aim of present study was to identify additional anatomical landmarks to increase the success rate of trans-sacral hiatal procedure. Methodology: The morphometric study was conducted on 31undamaged adult sacra. The measurements were done with the help of Vernier caliper and goniometer. Results : The posterior superior iliac spines impose upon upper part of lateral sacral crest (superolateral crest). The distance between two superolateral crests was considered as the base and distance from two superolateral crests to apex of sacral hiatus as two sides of the triangle. The base, right side and left side of the triangle were 65.81 mm ± 4.00mm, 66.74 mm ± 6.18 mm and 66.84mm ± 6.07m respectively. The mean depth (AP diameter) of sacral canal at the apex of sacral hiatus was 4.17 mm ± 1.18 mm. An additional important landmark, the mean distance from the level of sacral cornua to the level of S2 foramina was 59.23mm ± 4.77mm. Conclusion: The triangle formed by the two superolateral crests and apex of the sacral hiatus was an equilateral triangle in most of the sacra and this is very important parameter in localization of sacral apex in transacral hiatal procedures. The AP diameter of sacral canal at the apex was adequate for passage of needle and endoscope in most of the specimens.
{"title":"Morphometric Study of Sacral Hiatus with Significance in Interventional Clinical Procedure","authors":"R. P. Gupta, N. Gupta, A. Rai","doi":"10.5958/J.2321-1024.1.2.031","DOIUrl":"https://doi.org/10.5958/J.2321-1024.1.2.031","url":null,"abstract":"Introduction: The sacral hiatus is an important portal for interventional clinical procedure. Identification of sacral hiatus is usually easy but sometime it becomes difficult particularly in obese person. Aim of present study was to identify additional anatomical landmarks to increase the success rate of trans-sacral hiatal procedure. Methodology: The morphometric study was conducted on 31undamaged adult sacra. The measurements were done with the help of Vernier caliper and goniometer. Results : The posterior superior iliac spines impose upon upper part of lateral sacral crest (superolateral crest). The distance between two superolateral crests was considered as the base and distance from two superolateral crests to apex of sacral hiatus as two sides of the triangle. The base, right side and left side of the triangle were 65.81 mm ± 4.00mm, 66.74 mm ± 6.18 mm and 66.84mm ± 6.07m respectively. The mean depth (AP diameter) of sacral canal at the apex of sacral hiatus was 4.17 mm ± 1.18 mm. An additional important landmark, the mean distance from the level of sacral cornua to the level of S2 foramina was 59.23mm ± 4.77mm. Conclusion: The triangle formed by the two superolateral crests and apex of the sacral hiatus was an equilateral triangle in most of the sacra and this is very important parameter in localization of sacral apex in transacral hiatal procedures. The AP diameter of sacral canal at the apex was adequate for passage of needle and endoscope in most of the specimens.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121357450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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