Pub Date : 2020-07-06DOI: 10.47009/ajmr.2020.9.2.sg1
R. Dogra, Arjun Singh, V. Bhardwaj, Poonam, Srijana Pandey, Gunjan Modgil, Arpit Goel
Tuberculosis is a highly prevalent disease in developing countries, the majority of cases are pulmonary and rest are extra-pulmonary. Cervical LN tuberculosis is one of the most common types of extra-pulmonary tuberculosis. Isolated cervical tubercular Lymphadenitis without accompanying pulmonary tuberculosis or another form of tuberculosis in the body is rare and, when present, requires thorough clinical examination and investigation. In the investigation of such patients, FNAC plays a major role, and aspirate should be tested for AFB through ZN stain and CBNAAT (PCR). Cervical tubercular Lymphadenitis is mainly a disease of young with a female predominance. All patients of cervical tubercular Lymphadenitis must receive antitubercular therapy with strict follow up for compliance and possible side effects from treatment.
{"title":"Asymptomatic Isolated Cervical Tubercular Lymphadenopathy, How to Proceed?: A Case Series","authors":"R. Dogra, Arjun Singh, V. Bhardwaj, Poonam, Srijana Pandey, Gunjan Modgil, Arpit Goel","doi":"10.47009/ajmr.2020.9.2.sg1","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.2.sg1","url":null,"abstract":"Tuberculosis is a highly prevalent disease in developing countries, the majority of cases are pulmonary and rest are extra-pulmonary. Cervical LN tuberculosis is one of the most common types of extra-pulmonary tuberculosis. Isolated cervical tubercular Lymphadenitis without accompanying pulmonary tuberculosis or another form of tuberculosis in the body is rare and, when present, requires thorough clinical examination and investigation. In the investigation of such patients, FNAC plays a major role, and aspirate should be tested for AFB through ZN stain and CBNAAT (PCR). Cervical tubercular Lymphadenitis is mainly a disease of young with a female predominance. All patients of cervical tubercular Lymphadenitis must receive antitubercular therapy with strict follow up for compliance and possible side effects from treatment.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132354451","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 : 2020-07-06DOI: 10.47009/ajmr.2020.9.2.pt3
Summyia Farooq, B. Rather, F. Abbas
Extraskeletal chondroma (also known as ”Chondroma of soft parts”) is a cutaneous condition, a rare benign tumor of mature cartilage usually occurs in the hands, feet, head and neck. This tumor regularly presents as a small solitary nodule. The histogenesis of the cancer is controversial, but some have suggested a metaplastic origin. Chondroma of the fallopian tube is very rare. There are only three case reports in English literature. The source of this tumor can be subcoelomic mesenchyme of the tubal serosa or mesenchyme of the mesosalpinx. We describe a case of chondroma arising from the serosal surface of the fallopian tube with a review of the literature. A 30-yr-old woman with term pregnancy visited the hospital for cesarean section and tubal ligation. On operating findings, 1 1.5 cm sized nodular mass was noted in the left tubal serosal area. The excised mass showed a multilobulated appearance covered with a thin fibrous membrane. The cut surface was solid, grayish-yellow, and myxoid with a focal gelatinous area. The microscopic finding showed islands and elongated lobules of mature benign cartilage.
{"title":"Extraskeletal Chondroma of the Fallopian Tube; An Incidental Finding During LSCS in 32 Years Old Female","authors":"Summyia Farooq, B. Rather, F. Abbas","doi":"10.47009/ajmr.2020.9.2.pt3","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.2.pt3","url":null,"abstract":"Extraskeletal chondroma (also known as ”Chondroma of soft parts”) is a cutaneous condition, a rare benign tumor of mature cartilage usually occurs in the hands, feet, head and neck. This tumor regularly presents as a small solitary nodule. The histogenesis of the cancer is controversial, but some have suggested a metaplastic origin. Chondroma of the fallopian tube is very rare. There are only three case reports in English literature. The source of this tumor can be subcoelomic mesenchyme of the tubal serosa or mesenchyme of the mesosalpinx. We describe a case of chondroma arising from the serosal surface of the fallopian tube with a review of the literature. A 30-yr-old woman with term pregnancy visited the hospital for cesarean section and tubal ligation. On operating findings, 1 1.5 cm sized nodular mass was noted in the left tubal serosal area. The excised mass showed a multilobulated appearance covered with a thin fibrous membrane. The cut surface was solid, grayish-yellow, and myxoid with a focal gelatinous area. The microscopic finding showed islands and elongated lobules of mature benign cartilage.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114429276","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 : 2020-07-06DOI: 10.47009/ajmr.2020.9.2.py1
A. Awasthi, Arpit Koolwal, Nikita Dhaka, G. Koolwal, S. Gehlot
Background: Cognitive dysfunction is an established entity in bipolar disorder. The affected individuals exhibit wide-ranging deficits involving multiple domains of cognitive functioning. These deficits are associated with poor functional outcome and residual disability in patients. A substantial literature exists globally on cognition in bipolar disorder; however, few studies have been carried out on this subject in India and in Rajasthan. The aim of the study is to compare cognitive functions of bipolar disorder patients and healthy control subjects. Subjects and Methods: This cross-sectional study was conducted at the Psychiatry department of a tertiary care institution on 50 bipolar disorder patients and matched healthy controls subjects who fulfilled the inclusion criteria. The diagnosis was made by DSM-V criteria, and symptom severity was determined by the Young Mania Rating Scale (YMRS) and the Hamilton Depression Rating Scale (HAM-D). After seeking socio-demographic details, all participants were administered the Post Graduate Institute Battery of Brain Dysfunction (PGI-BBD) to assess cognitive functioning. Data collected were subjected to suitable statistical analysis (mean, standard deviation, and chi-square test). Results: The majority of the bipolar disorder patients (54%) were under 35 years of age, were males (60%), were from the urban background (70%), and were married (82%). Bipolar disorder patients performed poorly on all domains of cognitive functioning, i.e. memory, performance and verbal intelligence, and perceptuo-motor skills. Conclusion: The present study affirmed the previous findings of wide-spread cognitive impairment in bipolar disorder patients. Prompt diagnosis and treatment are the key steps to reduce the cognitive morbidity associated with this disorder.
{"title":"Cognitive dysfunctions in patients with bipolar disorder: A comparative study from Western Rajasthan","authors":"A. Awasthi, Arpit Koolwal, Nikita Dhaka, G. Koolwal, S. Gehlot","doi":"10.47009/ajmr.2020.9.2.py1","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.2.py1","url":null,"abstract":"Background: Cognitive dysfunction is an established entity in bipolar disorder. The affected individuals exhibit wide-ranging deficits involving multiple domains of cognitive functioning. These deficits are associated with poor functional outcome and residual disability in patients. A substantial literature exists globally on cognition in bipolar disorder; however, few studies have been carried out on this subject in India and in Rajasthan. The aim of the study is to compare cognitive functions of bipolar disorder patients and healthy control subjects. Subjects and Methods: This cross-sectional study was conducted at the Psychiatry department of a tertiary care institution on 50 bipolar disorder patients and matched healthy controls subjects who fulfilled the inclusion criteria. The diagnosis was made by DSM-V criteria, and symptom severity was determined by the Young Mania Rating Scale (YMRS) and the Hamilton Depression Rating Scale (HAM-D). After seeking socio-demographic details, all participants were administered the Post Graduate Institute Battery of Brain Dysfunction (PGI-BBD) to assess cognitive functioning. Data collected were subjected to suitable statistical analysis (mean, standard deviation, and chi-square test). Results: The majority of the bipolar disorder patients (54%) were under 35 years of age, were males (60%), were from the urban background (70%), and were married (82%). Bipolar disorder patients performed poorly on all domains of cognitive functioning, i.e. memory, performance and verbal intelligence, and perceptuo-motor skills. Conclusion: The present study affirmed the previous findings of wide-spread cognitive impairment in bipolar disorder patients. Prompt diagnosis and treatment are the key steps to reduce the cognitive morbidity associated with this disorder.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130616746","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 : 2020-07-06DOI: 10.47009/ajmr.2020.9.2.or2
S. Chaudhary, S. Bali, Ashutosh Kumar Singh, R. Siddharth
Fillet flap is one of the options in the treatment of diabetic non-healing ulcers. The advantages of the fillet flap include the absence of donor site morbidity, excellent durability and preventing the need for more proximal amputation. A 56-year-old farmer presented to the out-patient department with complaints of a non-healing ulcer on the sole of the right foot for the past 7 months which was managed conservatively. A fifth ray partial amputation and a rotational flap of the redundant fifth finger for wound coverage were done. The wound healing was uneventful and the sutures were removed after two weeks. At the latest follow-up of 2 years, the patient was able to walk independently without pain and without any functional limitations. This case report describes the surgical technique of the lateral lesser toe fillet flap for wound closure on the plantar aspect of foot as an alternative to secondary healing or more proximal amputations.
{"title":"Fifth toe Fillet Flap for Wound Coverage of Non-Healing Ulcer of the Foot: Surgical Technique and a Case Report","authors":"S. Chaudhary, S. Bali, Ashutosh Kumar Singh, R. Siddharth","doi":"10.47009/ajmr.2020.9.2.or2","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.2.or2","url":null,"abstract":"Fillet flap is one of the options in the treatment of diabetic non-healing ulcers. The advantages of the fillet flap include the absence of donor site morbidity, excellent durability and preventing the need for more proximal amputation. A 56-year-old farmer presented to the out-patient department with complaints of a non-healing ulcer on the sole of the right foot for the past 7 months which was managed conservatively. A fifth ray partial amputation and a rotational flap of the redundant fifth finger for wound coverage were done. The wound healing was uneventful and the sutures were removed after two weeks. At the latest follow-up of 2 years, the patient was able to walk independently without pain and without any functional limitations. This case report describes the surgical technique of the lateral lesser toe fillet flap for wound closure on the plantar aspect of foot as an alternative to secondary healing or more proximal amputations.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130705566","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 : 2020-07-05DOI: 10.47009/ajmr.2020.9.2.py2
Charan Teja Koganti, Neeta Sagar Bobba
Background: Suicide is a tragic and serious preventable public health problem all over the world. It is one of the three leading causes of death globally. Usually suicide has no single cause. It is the endpoint of an individual process, in which several cultural, social, situational, psychological, and biological factors interact. The objective of the current study is to evaluate the nature of psychiatric morbidity and it’s severity in patients who have attempted suicide, its relation to the socio-demographic and clinical variables and the particulars of the current attempt. Subjects and Methods: Fifty patients with alleged history of suicide attempt were evaluated. Tools used were Socio Economic Status Schedule, Suicide Intent Scale and Comprehensive Psychopathology Rating Scale. ICD 10-AM Symptom Check List was used to evaluate and find out psychiatric diagnosis and final diagnosis was made on the basis of ICD-10- Classification of mental and behavioral disorders, Diagnostic Criteria for Research (DCR-10). Results: Most subjects are in the age group of 18-30, married, Hindus, with a primary education, semi-skilled workers with average monthly income of more than 3000 rupees from a nuclear family of semi urban area and belong to SESS category III. Adjustment disorder with brief depressive reaction is the most common diagnosis made and the diagnosis has statistically significant relation with past attempt, recent stressors, and motive. Type of attempt, method used, venue, lethality, and medical complication of the attempt have significant relation with, substance dependence and its total duration, gender, medication history and total duration of symptoms. Suicide intent score is statistically related with gender, total duration of symptoms, family history, motive, venue and lethality. Conclusion: Significant proportions of the individuals who attempt suicide have psychiatric morbidity. Attempted suicide can be considered to be a distinct sub- group of psychiatric symptoms which is usually neglected but is the most common cause of morbidity and mortality in subjects with psychiatric disorders. Patients who attempt suicide require special attention and management by all the medical professionals.
{"title":"Clinical Study on Psychiatric Morbidity in Suicide Attempters- A Observational Study","authors":"Charan Teja Koganti, Neeta Sagar Bobba","doi":"10.47009/ajmr.2020.9.2.py2","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.2.py2","url":null,"abstract":"Background: Suicide is a tragic and serious preventable public health problem all over the world. It is one of the three leading causes of death globally. Usually suicide has no single cause. It is the endpoint of an individual process, in which several cultural, social, situational, psychological, and biological factors interact. The objective of the current study is to evaluate the nature of psychiatric morbidity and it’s severity in patients who have attempted suicide, its relation to the socio-demographic and clinical variables and the particulars of the current attempt. Subjects and Methods: Fifty patients with alleged history of suicide attempt were evaluated. Tools used were Socio Economic Status Schedule, Suicide Intent Scale and Comprehensive Psychopathology Rating Scale. ICD 10-AM Symptom Check List was used to evaluate and find out psychiatric diagnosis and final diagnosis was made on the basis of ICD-10- Classification of mental and behavioral disorders, Diagnostic Criteria for Research (DCR-10). Results: Most subjects are in the age group of 18-30, married, Hindus, with a primary education, semi-skilled workers with average monthly income of more than 3000 rupees from a nuclear family of semi urban area and belong to SESS category III. Adjustment disorder with brief depressive reaction is the most common diagnosis made and the diagnosis has statistically significant relation with past attempt, recent stressors, and motive. Type of attempt, method used, venue, lethality, and medical complication of the attempt have significant relation with, substance dependence and its total duration, gender, medication history and total duration of symptoms. Suicide intent score is statistically related with gender, total duration of symptoms, family history, motive, venue and lethality. Conclusion: Significant proportions of the individuals who attempt suicide have psychiatric morbidity. Attempted suicide can be considered to be a distinct sub- group of psychiatric symptoms which is usually neglected but is the most common cause of morbidity and mortality in subjects with psychiatric disorders. Patients who attempt suicide require special attention and management by all the medical professionals.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128753146","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 : 2020-05-03DOI: 10.47009/ajmr.2020.9.1.pt4
S. Kashyap, S. Chauhan
Background: Breast lesions in females are heterogeneous diseases that consist of several distinct entities with remarkably different characteristic features. The present study was conducted to assess histopathological findings of excision biopsies of breast lesions.Subjects and Methods:The present study was conducted on 150 cases of lumpectomy breast specimens received in the department of histopathology. The histopathological diagnosis made after routine processing and hematoxlin and eosin staining.Results:The most common age group of presentation was 30 to 50 years having well defined breast mass lesion. The difference was significant (P< 0.05). Among 150 breast specimens, 145 found to be benign and 05 malignant. In benign, common lesions were fibroadenoma in 64, fibroadenosis in 30, Acute Suppurativeinflammatory lesion (Abscess) in 20, fibrocystic disease (FCD) in 22, duct papilloma in 05 and benign phyllodes in 04 cases. In malignant, 04 cases were infiltrative ductal cell carcinoma NOS (Not otherwise specified) and 01 carcinoma in situ. The difference was significant (P< 0.05).Conclusion: Authors found that most common benign breast lesions were fibroadenoma (44.1%) and fibroadenosis (20.6%) followed by acute suppurative inflammatory (Abscess) and FCD.
{"title":"Study of Histopathological Patterns in Breast Lumps","authors":"S. Kashyap, S. Chauhan","doi":"10.47009/ajmr.2020.9.1.pt4","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.pt4","url":null,"abstract":"Background: Breast lesions in females are heterogeneous diseases that consist of several distinct entities with remarkably different characteristic features. The present study was conducted to assess histopathological findings of excision biopsies of breast lesions.Subjects and Methods:The present study was conducted on 150 cases of lumpectomy breast specimens received in the department of histopathology. The histopathological diagnosis made after routine processing and hematoxlin and eosin staining.Results:The most common age group of presentation was 30 to 50 years having well defined breast mass lesion. The difference was significant (P< 0.05). Among 150 breast specimens, 145 found to be benign and 05 malignant. In benign, common lesions were fibroadenoma in 64, fibroadenosis in 30, Acute Suppurativeinflammatory lesion (Abscess) in 20, fibrocystic disease (FCD) in 22, duct papilloma in 05 and benign phyllodes in 04 cases. In malignant, 04 cases were infiltrative ductal cell carcinoma NOS (Not otherwise specified) and 01 carcinoma in situ. The difference was significant (P< 0.05).Conclusion: Authors found that most common benign breast lesions were fibroadenoma (44.1%) and fibroadenosis (20.6%) followed by acute suppurative inflammatory (Abscess) and FCD.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116929663","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 : 2020-05-03DOI: 10.47009/ajmr.2020.9.1.pm5
K. Sharma, G. P. Singh, U. Singh
Background: White blood cell (WBC) count and its subtypes are also well known systemic inflammatory markers. The ratio of neutrophils to lymphocytes (NLR), which is calculated from complete blood count with differential, is an inexpensive widely available marker of inflammation. The aim of this study to compared the neutrophil lymphocyte ratio with other parameters in acute exacerbation of COPD and stable COPD.Subjects and Methods:A Hospital based comparative study done on 50 Patients with COPD (stable/ exacerbation) attending at Government Medical College, Bharatpur, Rajasthan. While the upper limit of neutrophils count for normal range was set at 8x109/l, the lower limit of lymphocyte count for the normal range was set at 0.9x109/l. NLR was calculated as the ratio of neutrophils to lymphocytes, both of which were obtained from the same automated blood samples for the study.Results:Our study showed that the comparison of mean value of age, BMI & pack years was statistically significant (P=0.0112, P<0.0001 & P=0.0141 respectively) in between groups. The comparison of mean value of NLR was statistical significant (P=0.0009) in between groups. NLR measurement demonstrated a sensitivity and specificity of 40%and 77.14%. PPV and NPV for NLR were 63.64%and 56.25%, and OR and RR were 2.250 and 1.455. A positive correlation was determined between NLR and CRP (r=0.482; p<0.05).Conclusion: NLR, like CRP, both readily available and simple parameters, could also be used as a cost-effective marker of inflammation in AECOPD.
{"title":"To Compare Neutrophil Lymphocyte Ratio with Other Parameters in Acute Exacerbation of COPD and Stable COPD: A Hospital Based Study","authors":"K. Sharma, G. P. Singh, U. Singh","doi":"10.47009/ajmr.2020.9.1.pm5","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.pm5","url":null,"abstract":"Background: White blood cell (WBC) count and its subtypes are also well known systemic inflammatory markers. The ratio of neutrophils to lymphocytes (NLR), which is calculated from complete blood count with differential, is an inexpensive widely available marker of inflammation. The aim of this study to compared the neutrophil lymphocyte ratio with other parameters in acute exacerbation of COPD and stable COPD.Subjects and Methods:A Hospital based comparative study done on 50 Patients with COPD (stable/ exacerbation) attending at Government Medical College, Bharatpur, Rajasthan. While the upper limit of neutrophils count for normal range was set at 8x109/l, the lower limit of lymphocyte count for the normal range was set at 0.9x109/l. NLR was calculated as the ratio of neutrophils to lymphocytes, both of which were obtained from the same automated blood samples for the study.Results:Our study showed that the comparison of mean value of age, BMI & pack years was statistically significant (P=0.0112, P<0.0001 & P=0.0141 respectively) in between groups. The comparison of mean value of NLR was statistical significant (P=0.0009) in between groups. NLR measurement demonstrated a sensitivity and specificity of 40%and 77.14%. PPV and NPV for NLR were 63.64%and 56.25%, and OR and RR were 2.250 and 1.455. A positive correlation was determined between NLR and CRP (r=0.482; p<0.05).Conclusion: NLR, like CRP, both readily available and simple parameters, could also be used as a cost-effective marker of inflammation in AECOPD.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124105726","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 : 2020-05-03DOI: 10.47009/ajmr.2020.9.1.cm3
Romil Singh, Richa Sharma
Background: The salutogenesis is very relevant concept in today’s era when we are shifting focus from tertiary to primordial prevention where it can show us a way to remain healthy and act as a concept of pre-primordial prevention.These apparent links between the sense of coherence which defines the integrity of an individual, depression which is a consequence of changed demands of life and its implications on the health of an individual will provide a conceptual framework to this study. Subjects and Methods: This is a cross sectional community based study done on above 60 years of age from an urban area which is a field practice area of the institution taken as study group A and elderly residing in the old age homes of the city taken as study group B. They were explained about the details of filling the questionnaires in advance and their identity were kept confidential and the participation was voluntary.Orientation to life questionnaire i.e. OLQ-13 version was used to estimate sense of coherence scores of the individual.GDS or geriatric depression scale is an appropriate questionnaire used for measuring the depressional status of an elderly person in their respective life stressful conditions.Results: Our study showed that the 61.7%oftotalpopulationofstudygroupAweremalesand38.33%werefemales.15%ofthetotalelderlyofstudygroupAhavehighsoc,84.17%havemediumsocand1%have lowsoc.13.33% of the elderly in study group B have high SOC whereas 87% have medium SOC.Conclusion: We concluded that SOC and BMI are directly proportional to each other; GDS and education were in direct correlation to each other; SOC was found to be directly proportional to the educational status of theperson.
{"title":"Study of Relationship between Health, Integrity and Depression in the Elderly Population: A Salutogenic Approach","authors":"Romil Singh, Richa Sharma","doi":"10.47009/ajmr.2020.9.1.cm3","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.cm3","url":null,"abstract":"Background: The salutogenesis is very relevant concept in today’s era when we are shifting focus from tertiary to primordial prevention where it can show us a way to remain healthy and act as a concept of pre-primordial prevention.These apparent links between the sense of coherence which defines the integrity of an individual, depression which is a consequence of changed demands of life and its implications on the health of an individual will provide a conceptual framework to this study. Subjects and Methods: This is a cross sectional community based study done on above 60 years of age from an urban area which is a field practice area of the institution taken as study group A and elderly residing in the old age homes of the city taken as study group B. They were explained about the details of filling the questionnaires in advance and their identity were kept confidential and the participation was voluntary.Orientation to life questionnaire i.e. OLQ-13 version was used to estimate sense of coherence scores of the individual.GDS or geriatric depression scale is an appropriate questionnaire used for measuring the depressional status of an elderly person in their respective life stressful conditions.Results: Our study showed that the 61.7%oftotalpopulationofstudygroupAweremalesand38.33%werefemales.15%ofthetotalelderlyofstudygroupAhavehighsoc,84.17%havemediumsocand1%have lowsoc.13.33% of the elderly in study group B have high SOC whereas 87% have medium SOC.Conclusion: We concluded that SOC and BMI are directly proportional to each other; GDS and education were in direct correlation to each other; SOC was found to be directly proportional to the educational status of theperson.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134091365","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 : 2020-05-03DOI: 10.47009/ajmr.2020.9.1.og1
Arunima Chauhan, D. Chaudhary
Background: Vaginal pH change also has a role in preterm delivery which suggests that it has a role in influencing cervical ripening. The aim of this study to evaluated the effect of vaginal pH on cervical ripening with dinoprostone (PGE2) gel between rural and urban primegravida.Subjects and Methods:This is hospital based comparative study done on 50 pregnant women admitted in labour room for induction of labour and fulfilling inclusion/exclusion criteria at Obstetrics and gynaecology department, RNT Medical college, Udaipur. Group I included patients with vaginal pH <4.5 and Group II included vaginal pH>4.5. A vaginal examination was then performed to determine the Bishop's score. After ruling out all contraindications Dinoprostone gel was applied endocervically.Results:Our study showed that mean age of pregnant women was 25.10 yrs in rural patients and 24.56 yrs in urban patients. The high vaginal pH (>4.5) was more in urban pregnant women as compare to rural pregnant women, it was statistically non-significant (P=0.1062) and low vaginal pH (≤4.5) was more in rural as compare to urban. The augmentation required, time to active labor & time to induction delivery interval was not statistically significant (P=0.4276, P=0.2341 & P=0.1445 respectively) in between rural & urban pregnant women. LSCS was more common in rural as compare to urban pregnant women, but did not statistically significant (P=0.1945 NS).Conclusion: We concluded that higher vaginal pH more often responds to a single induction and is more often associated with vaginal deliveries rather than non-progress of labor.
{"title":"A Comparative Study to Evaluate the Effect of Vaginal pH on Cervical Ripening with Dinoprostone Gel between Rural and Urban Prime Gravid Patients: An Hospital Based Study","authors":"Arunima Chauhan, D. Chaudhary","doi":"10.47009/ajmr.2020.9.1.og1","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.og1","url":null,"abstract":"Background: Vaginal pH change also has a role in preterm delivery which suggests that it has a role in influencing cervical ripening. The aim of this study to evaluated the effect of vaginal pH on cervical ripening with dinoprostone (PGE2) gel between rural and urban primegravida.Subjects and Methods:This is hospital based comparative study done on 50 pregnant women admitted in labour room for induction of labour and fulfilling inclusion/exclusion criteria at Obstetrics and gynaecology department, RNT Medical college, Udaipur. Group I included patients with vaginal pH <4.5 and Group II included vaginal pH>4.5. A vaginal examination was then performed to determine the Bishop's score. After ruling out all contraindications Dinoprostone gel was applied endocervically.Results:Our study showed that mean age of pregnant women was 25.10 yrs in rural patients and 24.56 yrs in urban patients. The high vaginal pH (>4.5) was more in urban pregnant women as compare to rural pregnant women, it was statistically non-significant (P=0.1062) and low vaginal pH (≤4.5) was more in rural as compare to urban. The augmentation required, time to active labor & time to induction delivery interval was not statistically significant (P=0.4276, P=0.2341 & P=0.1445 respectively) in between rural & urban pregnant women. LSCS was more common in rural as compare to urban pregnant women, but did not statistically significant (P=0.1945 NS).Conclusion: We concluded that higher vaginal pH more often responds to a single induction and is more often associated with vaginal deliveries rather than non-progress of labor.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115604073","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 : 2020-05-03DOI: 10.47009/ajmr.2020.9.1.pt5
S. Kashyap, A. Gupta
Background: There is enormous burden of thyroid diseases in the general population. Among all the endocrine disorders, thyroid disorders are the most common in India. The present study was conducted to assess FNAC findings of thyroid swellings. Subjects and Methods: The present study was conducted on 108 patients with thyroid swellings. A thorough clinical examination was performed. USG findings were recorded in the available patients. FNAC was done as per standard protocols. Results: Out of 108 cases, males were 32 and females were 76. Common thyroid swelling was colloid nodular/adenomatous goitre seen in 57 patients followed by Lymphocytic Thyroiditis in 17 patients, simple colloid cyst in 12 patients, follicular neoplasm in 10 patients, toxic goiter (grave's disease) and papillary carcinoma in 03 patients each with insufficient material obtained in 06 patients. The difference was significant (P< 0.05). Conclusion: Authors found that most common thyroid swelling was colloid nodular/adenomatous goitrefollowed by lymphocytic thyroiditis with sensitivity of FNAC found to be 73.5%.
{"title":"Cytomorphological Assessment of FNAC Findings of Thyroid Swellings","authors":"S. Kashyap, A. Gupta","doi":"10.47009/ajmr.2020.9.1.pt5","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.pt5","url":null,"abstract":"Background: There is enormous burden of thyroid diseases in the general population. Among all the endocrine disorders, thyroid disorders are the most common in India. The present study was conducted to assess FNAC findings of thyroid swellings. Subjects and Methods: The present study was conducted on 108 patients with thyroid swellings. A thorough clinical examination was performed. USG findings were recorded in the available patients. FNAC was done as per standard protocols. Results: Out of 108 cases, males were 32 and females were 76. Common thyroid swelling was colloid nodular/adenomatous goitre seen in 57 patients followed by Lymphocytic Thyroiditis in 17 patients, simple colloid cyst in 12 patients, follicular neoplasm in 10 patients, toxic goiter (grave's disease) and papillary carcinoma in 03 patients each with insufficient material obtained in 06 patients. The difference was significant (P< 0.05). Conclusion: Authors found that most common thyroid swelling was colloid nodular/adenomatous goitrefollowed by lymphocytic thyroiditis with sensitivity of FNAC found to be 73.5%.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133552605","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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