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International Journal of Contemporary Medical Research [IJCMR]最新文献

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Evaluation of Various Non Culture Methods for the Diagnosis of Spontaneous Bacterial Peritonitis 各种非培养方法诊断自发性细菌性腹膜炎的评价
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.15
Kunal Bansal, R. Aggarwal, H. Aggarwal, A. Yadav, Priyanka Yadav, P. Bansal
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引用次数: 0
Mullerian Duct Anomaly- A Spectrum of Varied Clinical Manifestations 缪勒管异常-一系列不同的临床表现
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.23
Poonam Poonam, Amit Kumar, R. Sinha
Introduction: Multiple integrated steps are required for normal development of the female genital tract. A wide variety of malformations can occur when this system is disrupted either in form of nondevelopment or defective fusion or failure of resorption. The purpose of this study was to review the spectrum of symptoms with which mullerian anomalies present so that timely intervention could be done to save sexual and reproductive life. Material and methods: The study was done in the department of Obstetrics and Gynaecology of a tertiary care teaching hospital in Bihar. Only the admitted cases i.e,those who required surgical correction were taken into study. Results: Majority of patients presented with severe abdominal pain(71.4%) followed by menstrual problems (46.4%), and urinary symptoms (35.7%) including vvf. 25% patients reported subfertility, 14.2% abdominal lump and 14.2% dyspareunia, 10.7%PID and 10.7% rectal pressure symptoms. Majority had transverse vaginal septum (28.5%),followed by MRKHS and OHVIRA syndrome (14.2% each), Conclusion: The variety of ways with which mullerian duct anomalies present hints that clinical suspicion should be there if early diagnosis is not to be missed.
简介:女性生殖道的正常发育需要多个综合步骤。当该系统以不发育或融合缺陷或吸收失败的形式被破坏时,可发生各种各样的畸形。本研究的目的是回顾缪勒管异常的症状谱,以便及时干预以挽救性生活和生殖生命。材料和方法:本研究在比哈尔邦一家三级护理教学医院的妇产科完成。只有入院的病例,即那些需要手术矫正的病例被纳入研究。结果:大多数患者以严重腹痛(71.4%)为主,其次是月经问题(46.4%)和泌尿系统症状(35.7%),包括阴道瘘。25%的患者报告不孕,14.2%的腹部肿块和14.2%的性交困难,10.7%的盆腔炎和10.7%的直肠压力症状。以阴道横隔为主(28.5%),其次为MRKHS综合征和OHVIRA综合征(14.2%)。结论:苗勒管异常表现形式多样,若要早期诊断,应予以临床怀疑。
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引用次数: 1
Cause and Effect Relationship between Candida Spp. and Oral Premalignant Conditions: A Review 念珠菌与口腔癌前病变的因果关系综述
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.35
Mimansha Pradahan, R. K Srivastava
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引用次数: 0
Incidence and Characteristics of Phlegmasia Cerulea Dolens. A 17- Year, Descriptive Study in a Third-Level Hospital in Madrid 淡黄色痰肿的发病率及特点。马德里某三级医院17年的描述性研究
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.10
Penedo Alonso, Y Aranda-García, D. Ly-Pen, M. SánchezPérez, F RoldánMoll
Introduction: Phlegmasia cerulea dolens (PCD) presents initially as a triad of pain in the affected limb, oedema and cyanosis. In more advanced cases, venous gangrene, pre-renal shock, arterial insufficiency, and even death. Study objectives were to ascertain the incidence of PCD in our hospital, to compare our patients ́ characteristics with those described in the literature and taper of point of care ultrasound in its diagnosis Material and methods: This was a retrospective, observational, descriptive study. The study period was from July 24th 2002 to April 30th 2019. It was conducted in a third level hospital in Madrid, Spain. Results: Thirty-three patients were diagnosed with PCD, 21 (63.7%) women and 12 men. Mean and median of age was 72 years. Range was from 38 to 89 years. The main association was with cancer, in 19 patients (57.5%), and pulmonary embolism in 9 patients (30%). Our mortality rate was 24%. The incidence of PCD in our study, is about 1:73,000 patients. Conclusion: The incidence of PCD in our hospital was 1:73,000. As soon as the clinical suspicion of PCD is raised, early diagnosis and treatment is crucial, with the aim of saving patient ́s lower limb and life. This is the only point where all publications coincide.
简介:淡蓝色脓痰症(PCD)最初表现为患肢疼痛、水肿和发绀。在更严重的病例中,静脉坏疽,肾前休克,动脉功能不全,甚至死亡。研究目的是确定我院PCD的发病率,比较我院患者的特征与文献中所描述的特征,比较护理点超声诊断的材料和方法:这是一项回顾性、观察性、描述性研究。研究期间为2002年7月24日至2019年4月30日。这是在西班牙马德里的一家三级医院进行的。结果:确诊PCD患者33例,其中女性21例(63.7%),男性12例。平均和中位年龄为72岁。年龄从38岁到89岁不等。主要与癌症相关,19例(57.5%),9例(30%)为肺栓塞。我们的死亡率是24%在我们的研究中,PCD的发病率约为1:7万3千名患者。结论:我院PCD发病率为1:7万3千。一旦临床怀疑PCD,早期诊断和治疗至关重要,目的是挽救患者的下肢和生命。这是所有出版物唯一一致的地方。
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引用次数: 0
Evaluation of Root Dentin Cracks Caused by Three Single File Systems Versus Pro Taper System – An In Vitro Study 三种单锉系统与前锉系统对牙根牙本质裂纹的体外评价
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.5
A. Rashid, Mubashir Younis, Manjula Sp
Introduction: Biomechanical preparation of root canals is one of the main steps in achieving endodontic success due to enabling bacterial elimination, removal of debris, and facilitating obturation. The aim of this study was to compare the incidence of dentinal cracks observed in the canal wall after canal instrumentation with 3 single-file systems and the ProTaper system (Dentsply Maillefer, Switzerland). Material and Methods: Eighty mandibular premolars with single root canal were selected. Teeth were decoronated and mounted in resin blocks with simulated periodontal ligaments. They were divided into 4 experimental groups (n = 20); then instrumented to the full working length with the ProTaper, OneShape (MicroMega, Besancon, France), Reciproc (VDW, Munich, Germany), and WaveOne Gold (Dentsply Malliefer) was performed. The roots were sectioned perpendicular to the long axis at 3, 6, and 9 mm from the apex and were observed under a stereomicroscope. The presence of cracks was noted. The chi-square test was performed to compare the appearance of cracked roots between the experimental groups. Results: Cracks found after canal instrumentation with the ProTaper, OneShape, and Reciproc and WaveOne Gold files, were 46.6%, 23.3%, 13.6%, 11.6% respectively. The difference between the experimental groups was statistically significant (P < .001). Conclusion: Nickel-titanium instruments cause cracks in root surface or in the canal wall; Reciproc and WaveOne Gold files caused less cracks than the ProTaper and OneShape files.
生物力学准备根管是实现根管治疗成功的主要步骤之一,因为它可以消除细菌,清除碎片,促进封闭。本研究的目的是比较3种单锉系统和ProTaper系统(Dentsply Maillefer,瑞士)在根管预备后观察到的根管壁上牙体裂缝的发生率。材料与方法:选择单根管下前磨牙80颗。牙齿被装饰和安装在树脂块与模拟牙周韧带。随机分为4个实验组(n = 20);然后使用ProTaper、OneShape (MicroMega, Besancon,法国)、Reciproc (VDW,慕尼黑,德国)和WaveOne Gold (Dentsply Malliefer)进行全工作长度的测量。根在离根尖3、6、9 mm处垂直于长轴切片,在体视显微镜下观察。注意到裂缝的存在。采用卡方检验比较各组间根裂的外观。结果:ProTaper、OneShape、Reciproc和WaveOne Gold锉预备根管后出现裂缝的比例分别为46.6%、23.3%、13.6%、11.6%。实验组间差异有统计学意义(P < 0.001)。结论:镍钛器械导致根面或根管壁开裂;Reciproc和WaveOne Gold文件造成的裂缝比ProTaper和OneShape文件少。
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引用次数: 0
Survey of Usage and Type of Topical Anesthesia among Dentists of Tricity 三区牙科医生表面麻醉使用情况及种类调查
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.13
A. Dhindsa, R. Rani, A. Chachra, S. Chachra, Kumar Shrikant, Manu Sharma
Introduction: Local anaesthesia injection is widely accepted as the gold standard for pain management during various dental procedures. Intra-oral topical anaesthesia not only reduces the pain of injection prick but also several minor dental procedures can be carried out under topical anaesthetic. Study aimed to determine the usage, type & effectiveness of various topical anaesthetics used for minor dental procedures in pediatric patients. Material and Methods: A self-structured, closed ended questionnaire was emailed to 100 private dental practitioners in the tricity and were asked to fill and mail it back. Results: 59% dentists responded, out of them 70.7% routinely used topical anesthetic. 64.8% used Lidocaine gel for administration of local anesthesia. 24.1% used topical anesthetic for extraction of nearly exfoliating deciduous teeth. 42.6% responded that the effect of topical anesthetic was achieved between 30 seconds to 1 minute. Conclusion: All the dentists were aware of using topical anesthetic and the most preferred delivery system was gel.
简介:局部麻醉注射被广泛接受为各种牙科手术中疼痛管理的金标准。口腔内表面麻醉不仅可以减轻注射刺痛,而且可以在表面麻醉下进行一些小的牙科手术。研究的目的是确定各种局部麻醉剂的使用,类型和有效性,用于儿科患者的小牙科手术。材料与方法:将一份自结构的封闭式问卷通过电子邮件发送给该地区的100名私人牙科医生,并要求他们填写并邮寄回。结果:59%的牙医有反应,其中70.7%的人常规使用表面麻醉剂。64.8%的患者使用利多卡因凝胶进行局麻。24.1%的人使用表面麻醉剂拔除近脱落的乳牙。42.6%的患者表示局部麻醉的效果在30秒到1分钟之间达到。结论:所有牙科医生对表面麻醉剂的使用都有一定的认识,并且首选的给药方式是凝胶。
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引用次数: 1
Role of Citicoline for Management of Myopic Amblyopia Patients in Teriary Care Hospital of India 胞糖胆碱在印度三级医院治疗近视弱视患者中的作用
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.16
D. Prabha, Yuvraj Lahre
Introduction: Myopia is a very common condition affecting people worldwide. Current research aimed to study the effects of oral citicoline as treatment option in myopic amblyopia. Material and Methods: Patients of myopic amblyopia of age group 5-30 years were evaluated between June2018 to March2019. Detailed eye examinations including visual acuity, refraction, and dilated fundoscopy were done. Patients were randomly divided into 2 groups. 1 group of patients were given oral citicoline(500mg) daily for 12 weeks. Other group of patients was given placebo daily for 12 weeks. All patients were followed up to at monthly interval for 6 months; visual acuity and refraction were done in each follow up visit. Results: Total 378 patients with myopic amblyopia were identified. Visual acuity improved or became stable over time following citicoline therapy, as compared to placebo. Maximum improvement in visual acuity was from 6/60 to 6/9(p). Conclusion: Citicoline therapy resulted in significant improvement or stability of visual acuity in myopic amblyopic patients.
近视是一种非常常见的疾病,影响着全世界的人们。本研究旨在探讨口服胞胆碱治疗近视性弱视的效果。材料与方法:对2018年6月~ 2019年3月5 ~ 30岁的近视性弱视患者进行评价。进行了详细的眼科检查,包括视力、屈光和眼底镜检查。患者随机分为两组。1组患者给予胞胆碱(500mg)每日口服,连续12周。另一组患者每天服用安慰剂,持续12周。所有患者每月随访6个月;每次随访检查视力和屈光。结果:共检出近视弱视378例。与安慰剂相比,胞胆碱治疗后视力改善或稳定。视力最大改善从6/60到6/9(p)。结论:胞糖胆碱治疗近视弱视患者的视力有明显改善或稳定。
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引用次数: 1
Diagnostic Significance of Uric Acid, C Reactive Protein, Magnesium in Acute Myocardial Infarction 尿酸、C反应蛋白、镁在急性心肌梗死中的诊断意义
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.7
C. Mani, Avapati Raja Sekhar, A SuryaKanth, T. Chandra
Introduction: Study was undertaken to note the levels of high sensitive C-reactive protein (hs-CRP), serum uric acid, serum magnesium levels in acute myocardial infarction (MI). Material and methods: This study was conducted in GSL Medical College, study was approved by institutional ethical committee. Participants were recruited by folloing inclusion and exclusion criteria. After getting detailed history of patient’s blood samples were taken for hemoglobin, blood urea, serum creatinine, uric acid, serum electrolytes, hs CRP, serum uric acid, serum Magnesium. All the participants were subjected to ECG and ECHO cardiography. Fischer’s exact Chi square test was to find statistical analysis, P<0.05 was considered as statistically significant. Results: Of the 100 study participants, 39% participants’ hs CRP levels were ≤3mg/dl; statistically the difference was significant. When serum ureic acid considered, 46% patients with uric acid levels were ≤7mg/dl 66% participants’ magnesium levels were > 1.4mg/dl; The difference was statistically significant. Conclusion: The above findings showed a positive correlation of elevated hs CRP and uric acid; and low magnesium with various risk factors of MI.
本研究旨在观察急性心肌梗死(MI)患者的高敏c反应蛋白(hs-CRP)、血清尿酸、血清镁水平。材料和方法:本研究在GSL医学院进行,经机构伦理委员会批准。按照纳入和排除标准招募受试者。在获得患者详细的病史后,采集了血红蛋白、尿素、血清肌酐、尿酸、血清电解质、hs CRP、血清尿酸、血清镁。所有参与者均接受心电图和超声心动图检查。Fischer的精确卡方检验是发现统计分析,P为1.4mg/dl;差异有统计学意义。结论:hs CRP升高与尿酸呈正相关;低镁与心肌梗死的各种危险因素有关。
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引用次数: 0
Association between ABO Blood Group Phenotype and Reaction to Academic Stress in Young Medical Students ABO血型表型与年轻医学生学业压力反应的关系
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.42
S. Iqbal, R. Akram, Sameea Akram, M. Ullah, Qurat u lain Fatima, H. Afzal
Introduction: Professional medical education needs hard work, good physical and mental health. In previous studies there is no scientific consensus that a relationship exists between the ABO blood group and personality traits. In this current study we tried to find out association between different blood groups and different type of stressors like physical, environmental, interpersonal and academic in young medical students. Material and methods: This Descriptive Cross sectional study was conducted at Rashid Latif Medical College Lahore from April to May 2019. A modified pre structured, valid and reliable questionnaire SSI was used to access the physical, academic, environmental, interpersonal stress, blood group and gender of 1st year and 2nd year MBBs students. Initially 220 (91 male and 129 female) were enrolled. Results: A total of 216 medical students filled in the survey out of 220 students, 126 students (n=126) were female and (n=90) were male who completed the questionnaire; the response rate was 98.18%. Out of 216 students blood group A was 32, AB was 42, B was 92 and O was 50. A greater variation in the response was observed in the physical category (St: deviation 10.40), while the least variation was observed in the category of interpersonal (St: deviation 5.27), respondents while the variation tends to increase in environment (St: deviation 6.78) and academic (St: deviation 7.20). Conclusion: All variables stressors like Physical, academic, environment and interpersonal are found to have negative and insignificant relationship with dependent variable blood group.
专业的医学教育需要刻苦努力,良好的身心健康。在以往的研究中,ABO血型与人格特征之间的关系并没有科学共识。在本研究中,我们试图找出不同血型与不同类型的压力源如身体、环境、人际和学业之间的关系。材料和方法:本描述性横断面研究于2019年4月至5月在拉合尔拉希德拉提夫医学院进行。采用改进的预结构化、有效可靠的SSI问卷对MBBs一、二年级学生的身体、学业、环境、人际压力、血型和性别进行问卷调查。最初有220人(91名男性和129名女性)被招募。结果:220名医学生中,共有216名医学生填写问卷,其中女126名(n=126),男90名(n=90);回复率为98.18%。在216名学生中,A型32人,AB型42人,B型92人,O型50人。被调查者的反应在身体类别(St:偏差10.40)中变化较大,而在人际类别(St:偏差5.27)中变化最小,而在环境类别(St:偏差6.78)和学术类别(St:偏差7.20)中变化趋于增加。结论:体力、学业、环境、人际等应激因素与因变量血型呈显著负相关。
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引用次数: 2
A Study of Assessment of Cardiac Autonomic Functions after Yogasana and Pranayama 瑜伽式和调息后心脏自主神经功能评估的研究
Pub Date : 2019-11-01 DOI: 10.21276/ijcmr.2019.6.11.6
Sangita Phatale, B. V. Shinde, S. Patil, P. Shinde
Introduction: Modern lifestyle, busy work schedule, lack of exercise, more expectancy generates stress in human life. Stress is a crucial factor in origin of diseases. Stress leads to autonomic imbalance. Yoga has very positive effects on stress. Yoga is now widely used for prevention and treatment of various disorders and to achieve the physical, Physiological, Psychological, spiritual and social well being of the person. So this study is planned to see the effects of yoga on healthy subjects as an important preventive measure to remain away from diseases. The present study was undertaken to show the various effects of selective yogasana and pranayama on cardiac autonomic functions in healthy subjects between age group 31 to 60 years. Material and Methods: The subjects fulfilling the inclusion criteria underwent the yogasana and pranayama sessions. Anthropometric data was collected. The cardiovascular status of 45 healthy subjects was assessed by cardiac autonomic function tests before the start of and after 3 months of yogasanaand pranayama practice daily for one hour. The instruments Diabetic Risk Profiler by Genesis Healthcare System Hydrabad, Handgrip dynamometer, digital blood pressure apparatus, cold water tub were used. The tests conducted were resting heart rate, resting blood pressure, deep breathing test(E/I ratio), orthostatic heart rate response (30/15 ratio), valsalva ratio, sustained handgrip test, cold pressor test and blood pressure response to standing. Results: After yogasana and pranayama for three months significant reduction in resting HR, SBP and DBP were found. Mean resting heart rate (HR) was decreased from 77.04/min to 71.38/min, mean SBP from 121mmHg to 117.51 mmHg and mean DBP from 83.42mmHg to 79.91mmHg. There was significant increase in parasympathetic reactivity parameters like orthostatic HRR from 1.12 to 1.50, Deep breathing from 1.20 to 1.52 and valsalva ratio from 1.24 to 1.67. There was significant decrease in sympathetic reactivity variables like sustained HGT Difference of diastolic BP (∆DBP) from 11.40 to 7.73 mmHg, cold pressor test ∆DBP 11.67 to 7.71mmHg and BP response to standing Difference of systolic BP (∆SBP) from 10.71 to7.64 mmHg. There were no statistical significant change observed in anthropometric parameters like body mass index (BMI) from 24.12 to 23.28 and waist hip ratio(WHR) from 0.87 to 0.85. Conclusion: It can be concluded that yogasana and pranayama has beneficial effects on cardiac autonomic activities and reactivity. This lifestyle should be followed regularly as a preventive measure by the persons with cardiac diseases to get relief and also healthy persons to remain away from cardiovascular problems.
现代生活方式,繁忙的工作日程,缺乏锻炼,更多的期望在人类生活中产生压力。压力是疾病发生的一个重要因素。压力会导致自主神经失衡。瑜伽对压力有非常积极的影响。瑜伽现在被广泛用于预防和治疗各种疾病,并实现人的身体、生理、心理、精神和社会健康。因此,这项研究计划将瑜伽对健康受试者的影响视为远离疾病的重要预防措施。本研究旨在显示选择性瑜伽式和调息对31至60岁健康受试者心脏自主神经功能的各种影响。材料和方法:符合纳入标准的受试者进行瑜伽式和调息训练。收集人体测量数据。通过心脏自主神经功能测试,对45名健康受试者进行每日1小时的瑜伽和调息练习前和练习3个月后的心血管状况进行评估。使用Genesis Healthcare System Hydrabad公司的糖尿病风险描记仪、Handgrip测功机、数字血压计、冷水浴缸。进行静息心率、静息血压、深呼吸试验(E/I比)、直立心率反应(30/15比)、valsalva比、持续握力试验、冷压试验和站立时血压反应。结果:经过三个月的瑜伽式和调息后,发现静息心率、收缩压和舒张压明显降低。平均静息心率(HR)由77.04/min降至71.38/min,平均收缩压由121mmHg降至117.51 mmHg,平均舒张压由83.42mmHg降至79.91mmHg。副交感神经反应性参数如直立HRR从1.12增加到1.50,深呼吸从1.20增加到1.52,valsalva ratio从1.24增加到1.67。持续HGT舒张压差(∆DBP)从11.40降至7.73 mmHg、冷压试验(∆DBP)从11.67降至7.71mmHg、血压对站立收缩压差(∆SBP)的反应从10.71降至7.64 mmHg等交感反应性变量均显著降低。身体质量指数(BMI)由24.12降至23.28,腰臀比(WHR)由0.87降至0.85。结论:瑜伽式和调息法对心脏自主神经活动和反应性有有益的影响。心脏病患者应定期遵循这种生活方式,作为一种预防措施,以获得缓解,健康人士也应远离心血管问题。
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引用次数: 0
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International Journal of Contemporary Medical Research [IJCMR]
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