Pub Date : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.me2
D. Rajpal, Sachna Pramod Shetty, Manhar Shah
Background: The present study aims to describe the severity of injury [Glasgow Coma Scale (GCS)] and outcome of patients [Glasgow Outcome Scale (GOS)] who presented to our hospital with TBI and factors which affect the clinical outcome.Subjects and Methods:All patients, aged equal to or more than 18 years, presenting to the Emergency Department of our hospital due to head trauma during the study period were examined and assessed using GCS at the time of admission, and GOS at the time of discharge.Results:The most common mode of injury was road traffic accident (48%). At the time of admission, 47% had GCS of 13 to 15, 37% had GCS of 9 to 12 and 16% had GCS of 3 to 8. At the time of discharge, we found that 18 patients had GOS of 1, no patient had GOS of 2, 14 patients had GOS Of 3, 28 had GOS of 4 and 29 had GOS of 5. We found that age of the patients was significantly associated with the GOS severity (p value <0.05). Furthermore, GCS at admission was found to be significantly associated with GOS at discharge (p value <0.01). Midline shift on CT head, effaced basal cistern, and presence of subarachnoid haemorrhage were also found to be significantly associated with poor GOS at discharge.Conclusion: The results of our study may be used for stratification of patients, and developing prognostic models to improve the clinical outcome of head injury.
{"title":"Factors Affecting Clinical Outcome of Patients with Traumatic Brain Injury","authors":"D. Rajpal, Sachna Pramod Shetty, Manhar Shah","doi":"10.47009/ajmr.2020.9.1.me2","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.me2","url":null,"abstract":"Background: The present study aims to describe the severity of injury [Glasgow Coma Scale (GCS)] and outcome of patients [Glasgow Outcome Scale (GOS)] who presented to our hospital with TBI and factors which affect the clinical outcome.Subjects and Methods:All patients, aged equal to or more than 18 years, presenting to the Emergency Department of our hospital due to head trauma during the study period were examined and assessed using GCS at the time of admission, and GOS at the time of discharge.Results:The most common mode of injury was road traffic accident (48%). At the time of admission, 47% had GCS of 13 to 15, 37% had GCS of 9 to 12 and 16% had GCS of 3 to 8. At the time of discharge, we found that 18 patients had GOS of 1, no patient had GOS of 2, 14 patients had GOS Of 3, 28 had GOS of 4 and 29 had GOS of 5. We found that age of the patients was significantly associated with the GOS severity (p value <0.05). Furthermore, GCS at admission was found to be significantly associated with GOS at discharge (p value <0.01). Midline shift on CT head, effaced basal cistern, and presence of subarachnoid haemorrhage were also found to be significantly associated with poor GOS at discharge.Conclusion: The results of our study may be used for stratification of patients, and developing prognostic models to improve the clinical outcome of head injury.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127907793","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 : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.me3
Jayesh Sharma, Avanish Bhardwaj
Background: Acute Myocardial Infarction (AMI) is a serious and life-threatening manifestation of coronary artery disease (CAD) affecting both males and females, which need immediate management. The present study was aimed to assess the gender difference and factors affecting pre-hospital delay among patients with AMI.Subjects and Methods:The 291 patients admitted with AMI from01-01-2018 to 31-12-2018 were studied. A descriptive comparative design was adopted for the study. Socio personal and clinical variables of the subjects were assessed. Pre-hospital delay was measured in terms of time from the onset of symptoms till the patient reaches a health care setting. One hour after the onset of symptom of AMI was considered as the Golden hour. Data was analyzed using SPSS 20.0 software.Results:Out of the 291 patients with AMI (146 males and 145 females), only 32.4% of males and 24.1% of females reached a health care setting within 1 hr of onset of symptoms. 35.2% of male patients and 43.5% of female patients reached the health care setting only after 6 hrs of onset of symptoms. Among the male patients, pre hospital delay was significantly associated with place of onset of symptoms (p<0.05), presence of someone with the patient at the time of onset of symptoms (p<0.05), and perception of symptoms developed, as an emergency (P<0.001). Whereas in female patients, significant association was observed in pre hospital delay with age of the patient (p<0.05), nature of the first symptom experienced (P<0.05) and perception of symptoms developed as an emergency (p<0.001).Conclusion: Our study shows the existence of pre hospital delay among patients with AMI in both males and females. The factors affecting pre hospital delay vary between males & females.
{"title":"Gender Predliction and Confunding Factors Affecting Pre Hospital Delay Among Acute Myocardial Infraction Patients.","authors":"Jayesh Sharma, Avanish Bhardwaj","doi":"10.47009/ajmr.2020.9.1.me3","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.me3","url":null,"abstract":"Background: Acute Myocardial Infarction (AMI) is a serious and life-threatening manifestation of coronary artery disease (CAD) affecting both males and females, which need immediate management. The present study was aimed to assess the gender difference and factors affecting pre-hospital delay among patients with AMI.Subjects and Methods:The 291 patients admitted with AMI from01-01-2018 to 31-12-2018 were studied. A descriptive comparative design was adopted for the study. Socio personal and clinical variables of the subjects were assessed. Pre-hospital delay was measured in terms of time from the onset of symptoms till the patient reaches a health care setting. One hour after the onset of symptom of AMI was considered as the Golden hour. Data was analyzed using SPSS 20.0 software.Results:Out of the 291 patients with AMI (146 males and 145 females), only 32.4% of males and 24.1% of females reached a health care setting within 1 hr of onset of symptoms. 35.2% of male patients and 43.5% of female patients reached the health care setting only after 6 hrs of onset of symptoms. Among the male patients, pre hospital delay was significantly associated with place of onset of symptoms (p<0.05), presence of someone with the patient at the time of onset of symptoms (p<0.05), and perception of symptoms developed, as an emergency (P<0.001). Whereas in female patients, significant association was observed in pre hospital delay with age of the patient (p<0.05), nature of the first symptom experienced (P<0.05) and perception of symptoms developed as an emergency (p<0.001).Conclusion: Our study shows the existence of pre hospital delay among patients with AMI in both males and females. The factors affecting pre hospital delay vary between males & females.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128629066","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 : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.cm2
Pankaj Kumar, Arvind Kumar Vimal
Background: Self-medication is common in most parts. It leads to adverse effects. The present study was conducted to assess the pattern of self -medication and reasons behind this practice.Subjects and Methods:The present study was community based cross-sectional in nature conducted upon 198 adults residing in the rural field practice area. Sociodemographic profile and details of self-medication were noted.Results:63.1% of the respondents were males. 35.9% of them belonged to the age group of 30-40 years. 32.8% were illiterate and 85.9% were Hindu. A total of 198 respondents practiced self-medication (51.2%). Most common symptom was headache (85.9%). Common cold (63.1%), fever (56.1% and gas (31.8%) were other common complains. Paracetamol (90.0%), pantoprazole (51%), other NSAIDs (42.9%) and cold tablets (36.9%) were other medicines used commonly. 69.2% respondents said that they were practicing it for minor illnesses, 36.9% cited economic reasons while 46% said that consulting a physician needed much time and self-medication was time saving.Conclusion: Prevalence of self-medication is high. Strict drug regulations are needed.
{"title":"Study on Prevalence and Pattern of Self Medication Practices in a Rural Area of Bihar","authors":"Pankaj Kumar, Arvind Kumar Vimal","doi":"10.47009/ajmr.2020.9.1.cm2","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.cm2","url":null,"abstract":"Background: Self-medication is common in most parts. It leads to adverse effects. The present study was conducted to assess the pattern of self -medication and reasons behind this practice.Subjects and Methods:The present study was community based cross-sectional in nature conducted upon 198 adults residing in the rural field practice area. Sociodemographic profile and details of self-medication were noted.Results:63.1% of the respondents were males. 35.9% of them belonged to the age group of 30-40 years. 32.8% were illiterate and 85.9% were Hindu. A total of 198 respondents practiced self-medication (51.2%). Most common symptom was headache (85.9%). Common cold (63.1%), fever (56.1% and gas (31.8%) were other common complains. Paracetamol (90.0%), pantoprazole (51%), other NSAIDs (42.9%) and cold tablets (36.9%) were other medicines used commonly. 69.2% respondents said that they were practicing it for minor illnesses, 36.9% cited economic reasons while 46% said that consulting a physician needed much time and self-medication was time saving.Conclusion: Prevalence of self-medication is high. Strict drug regulations are needed.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124942275","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 : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.ot4
H. SathyalakshmiM, G. F. Hongal
Background: It is important to diagnose the condition early and manage aggressively. It is often difficult to cure orbital cellulitis due to late treatment and may cause blindness if left untreated because of optic nerve compression. Both orbital abscess and cavernous sinus thrombosis may lead to intracranial spread of infection, such as meningitis or cerebral abscess with high morbidity and possible mortality.Subjects and Methods:A total number of 124 cases of ophthalmological manifestation caused by various ENT diseases, mostly paranasaltumourextensions; nasopharyngeal tumour and furunculosis of nose were analyzed in a retrospective study in relation to their age, sex, clinical,radiological and histopathologicalprofile.Results: Direct nasal endoscopy(DNE), Fibre optic Flexible nasopharyngoscopy was Useful. HRCT scan was considered as the most dependable investigating tool. Different modalities of medical and surgical treatment have been adopted according to location and nature of diseases.Conclusion: Aclose co-operationand team effort required between otorhinolaryngologist and ophthalmologist to overcome this kind of challenges.
{"title":"ENT Disorders Presenting with Ophthalmological Manifestations:An Overview","authors":"H. SathyalakshmiM, G. F. Hongal","doi":"10.47009/ajmr.2020.9.1.ot4","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.ot4","url":null,"abstract":"Background: It is important to diagnose the condition early and manage aggressively. It is often difficult to cure orbital cellulitis due to late treatment and may cause blindness if left untreated because of optic nerve compression. Both orbital abscess and cavernous sinus thrombosis may lead to intracranial spread of infection, such as meningitis or cerebral abscess with high morbidity and possible mortality.Subjects and Methods:A total number of 124 cases of ophthalmological manifestation caused by various ENT diseases, mostly paranasaltumourextensions; nasopharyngeal tumour and furunculosis of nose were analyzed in a retrospective study in relation to their age, sex, clinical,radiological and histopathologicalprofile.Results: Direct nasal endoscopy(DNE), Fibre optic Flexible nasopharyngoscopy was Useful. HRCT scan was considered as the most dependable investigating tool. Different modalities of medical and surgical treatment have been adopted according to location and nature of diseases.Conclusion: Aclose co-operationand team effort required between otorhinolaryngologist and ophthalmologist to overcome this kind of challenges.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128066820","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 : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.me1
Ashok Kumar V, Urvashi Khan, S. Margekar, A. Shukla, S. Prakash
Background: Diabetes mellitus is a chronic disease with microvascular complications and affecting almost all organs in the body. Effect of diabetes on lung functions has been studied previously with variable results. This study was performed to see the lung functions in patients with type 2 DM and to assess the pattern of abnormality in lung functions.Aim & Objective:Our study aimed to evaluate pulmonary functions in patients with type 2 diabetes mellitus (T2DM) and to determine their correlations with anthropometric profile, glycaemic control, and diabetic microangiopathic complications.Subjects and Methods: 70 T2DM patients and 70 healthy control subjects were taken for the study. After taking an informed consent, all underwent screening with detailed history, anthropometry, blood sugar (fasting and post Prandial), glycosylated haemoglobin (HbA1C), renal profile, lipid profile and Pulmonary functions (spirometry).Statistical Analysis:Student’s t-test was used to compare PFTs of diabetic and control groups. Frequencies were generated for categorical variables and compared using the chi square test.Results: There was significant reduction in all PFT parameters (PEFR (L/s), FEV1 %, FVC ) in diabetics as compared to controls. The FEV1/FVC% was higher in the diabetes group and there was a mixed restrictive and obstructive pattern of pulmonary dysfunction seen in diabetics.BMI was inversely related to PEFR, FEV1, and FVC. Age was inversely related to FEV1, and FVC. It was found that HbA1c was not significant for any ventilator (spirometric) index.Restrictive pattern rather than obstructive impairment of lung function is likely to be chronic complication of T2DM, the severity of which relates to longer duration of symptoms of diabetes, higher BMI, and advancing age.Conclusion: Spirometry is an easily available, non invasive screening tool to assess the lung functions and should be performed in patients with type 2 diabetes having microangiopathic complications.
{"title":"Pulmonary Function Test in Patients with Type 2 Diabetes Mellitus & Its Correlation with Anthropometry and Glycemic Control","authors":"Ashok Kumar V, Urvashi Khan, S. Margekar, A. Shukla, S. Prakash","doi":"10.47009/ajmr.2020.9.1.me1","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.me1","url":null,"abstract":"Background: Diabetes mellitus is a chronic disease with microvascular complications and affecting almost all organs in the body. Effect of diabetes on lung functions has been studied previously with variable results. This study was performed to see the lung functions in patients with type 2 DM and to assess the pattern of abnormality in lung functions.Aim & Objective:Our study aimed to evaluate pulmonary functions in patients with type 2 diabetes mellitus (T2DM) and to determine their correlations with anthropometric profile, glycaemic control, and diabetic microangiopathic complications.Subjects and Methods: 70 T2DM patients and 70 healthy control subjects were taken for the study. After taking an informed consent, all underwent screening with detailed history, anthropometry, blood sugar (fasting and post Prandial), glycosylated haemoglobin (HbA1C), renal profile, lipid profile and Pulmonary functions (spirometry).Statistical Analysis:Student’s t-test was used to compare PFTs of diabetic and control groups. Frequencies were generated for categorical variables and compared using the chi square test.Results: There was significant reduction in all PFT parameters (PEFR (L/s), FEV1 %, FVC ) in diabetics as compared to controls. The FEV1/FVC% was higher in the diabetes group and there was a mixed restrictive and obstructive pattern of pulmonary dysfunction seen in diabetics.BMI was inversely related to PEFR, FEV1, and FVC. Age was inversely related to FEV1, and FVC. It was found that HbA1c was not significant for any ventilator (spirometric) index.Restrictive pattern rather than obstructive impairment of lung function is likely to be chronic complication of T2DM, the severity of which relates to longer duration of symptoms of diabetes, higher BMI, and advancing age.Conclusion: Spirometry is an easily available, non invasive screening tool to assess the lung functions and should be performed in patients with type 2 diabetes having microangiopathic complications.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"41 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141209366","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 : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.cm1
Arvind Kumar Vimal, Pankaj Kumar
Background: ANC services is important to ensure safe motherhood. The present study was conducted to assess the utilization of ANC services in rural area.Subjects and Methods:The present study was community based cross-sectional in nature conducted upon 180 currently married women having children of less than one year of age and living in the area covered by rural training center of the institute. Sociodemographic profile and details of utilization of ANC services were noted.Results:Most of the respondents belonged to the age group of 20-30 years. 37.2% of them were illiterate and 58.9% lived in nuclear family. 53.9% had institutional delivery and 42.2% had more than two children. 42.8% of mothers registered their pregnancy before 12 weeks. Only 17.2% mothers had four or more ANC visits. 87.2% of them were fully immunized against tetanus but only 11.1% consumed 100 or more IFA tablets. Lack of awareness was responsible in 28.2%, lack of transport in 16.8%, unwillingness in 34.2% and other reasons in 20.8% cases among the mothers not utilizing ANC services properly.Conclusion: Utilization of ANC services is poor in this area.
{"title":"Community Based Cross- Sectional Study to Assess the Utilization Pattern of Antenatal Health Care Services among Married Women of Reproductive Age Group in a Rural Area of Bihar","authors":"Arvind Kumar Vimal, Pankaj Kumar","doi":"10.47009/ajmr.2020.9.1.cm1","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.cm1","url":null,"abstract":"Background: ANC services is important to ensure safe motherhood. The present study was conducted to assess the utilization of ANC services in rural area.Subjects and Methods:The present study was community based cross-sectional in nature conducted upon 180 currently married women having children of less than one year of age and living in the area covered by rural training center of the institute. Sociodemographic profile and details of utilization of ANC services were noted.Results:Most of the respondents belonged to the age group of 20-30 years. 37.2% of them were illiterate and 58.9% lived in nuclear family. 53.9% had institutional delivery and 42.2% had more than two children. 42.8% of mothers registered their pregnancy before 12 weeks. Only 17.2% mothers had four or more ANC visits. 87.2% of them were fully immunized against tetanus but only 11.1% consumed 100 or more IFA tablets. Lack of awareness was responsible in 28.2%, lack of transport in 16.8%, unwillingness in 34.2% and other reasons in 20.8% cases among the mothers not utilizing ANC services properly.Conclusion: Utilization of ANC services is poor in this area.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130729505","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 : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.pt2
Santanu Kumar, W. Ahmad
Background: FNAC is a cytodiagnostic method based on the morphological findings of individual cells, group of cells, and microparticles of tissue, acquired using a needle. The role of FNAC for the diagnosis of salivary gland masses is well documented. The traditional open biopsy is no longer justified because of the risk of tumor spillage and damage to the facial nerve.Subjects and Methods:FNAC procedure was explained to the patient and patient was placed in a comfortable position. They were then subjected to fine needle aspiration cytology. Aspirations were carried out with 21 or 22 gauge needles of varying lengths with 10 ml syringes in a syringe holder after careful clinical examination of the lesion.Results:Chronic sialadenitis was the most common non-neoplastic lesion (13.2%) followed by cystic lesions (5.3%), acute on chronic sialadenitis (3.9%) and chronic granulomatous inflammation (2.6%). Pleomorphic adenoma (57.9%) was the most common benign neoplasm. Warthin’stumour accounted for (6.6%). Mucoepidermoid carcinoma was the most common malignant lesion (5.3%) followed by acinic cell carcinoma (1.3%), carcinoma-ex pleomorphic adenoma (1.3%) and adenoid cystic carcinoma (2.6%).Conclusion: Fine needle aspiration cytology of the salivary gland is a safe and reliable technique in the primary diagnosis of salivary gland lesions. Although, limitations are encountered while predicting specific lesions on cytology, especially when dealing with cystic and some malignant lesions.
{"title":"Evaluation of Fine Needle Aspiration Cytology in Diagnosis of Salivary Gland Lesions: A Teaching Hospital Based Study","authors":"Santanu Kumar, W. Ahmad","doi":"10.47009/ajmr.2020.9.1.pt2","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.pt2","url":null,"abstract":"Background: FNAC is a cytodiagnostic method based on the morphological findings of individual cells, group of cells, and microparticles of tissue, acquired using a needle. The role of FNAC for the diagnosis of salivary gland masses is well documented. The traditional open biopsy is no longer justified because of the risk of tumor spillage and damage to the facial nerve.Subjects and Methods:FNAC procedure was explained to the patient and patient was placed in a comfortable position. They were then subjected to fine needle aspiration cytology. Aspirations were carried out with 21 or 22 gauge needles of varying lengths with 10 ml syringes in a syringe holder after careful clinical examination of the lesion.Results:Chronic sialadenitis was the most common non-neoplastic lesion (13.2%) followed by cystic lesions (5.3%), acute on chronic sialadenitis (3.9%) and chronic granulomatous inflammation (2.6%). Pleomorphic adenoma (57.9%) was the most common benign neoplasm. Warthin’stumour accounted for (6.6%). Mucoepidermoid carcinoma was the most common malignant lesion (5.3%) followed by acinic cell carcinoma (1.3%), carcinoma-ex pleomorphic adenoma (1.3%) and adenoid cystic carcinoma (2.6%).Conclusion: Fine needle aspiration cytology of the salivary gland is a safe and reliable technique in the primary diagnosis of salivary gland lesions. Although, limitations are encountered while predicting specific lesions on cytology, especially when dealing with cystic and some malignant lesions.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134231243","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 : 2020-04-29DOI: 10.47009/ajmr.2020.9.1.ot2
J. Dhaka, A. Grover
Background: To compare the surgical outcome of unilateral silicone sling with bilateral fascia latafrontalis suspension surgery for severe unilateral congenital ptosis.Subjects and Methods:This prospective, interventional and comparative study examined 30 patients of severe unilateral congenital ptosis. 30 patients were divided in to 2 groups, group 1 included 15 patients who underwent unilateral silicone sling frontalis suspension surgery and group 2 included 15 patients who underwent contralateral levator excision with bilateral fascia latafrontalis sling surgery.Results:Mean improvement in MRD1 after surgery in group 1 who underwent unilateral silicone sling surgery was 3.9+1.18 mm and in group 2 who underwent bilateral fascia lata it was 4.9+0.89 mm (p value 0.0001). Excellent results (difference of lid height <1 mm) were seen in 93.3% patients who underwent bilateral fascia latafrontalis sling while in 73.3% patients of unilateral silicone sling. All patients who underwent bilateral fascia lata showed excellent lid crease (symmetric without obliteration) and 80% of the patients who underwent unilateral silicone sling surgery (p value 0.032).Conclusion: Functional and cosmetic outcomes regarding MRD1, symmetry of lid height, lid crease were noted better in group 2 patients who underwent contralateral levator excision with bilateral fascia latafrontalis suspension surgery as compared to group 1 patients who underwent unilateral silicone sling surgery.
背景:比较单侧硅胶吊带术与双侧额筋膜悬吊术治疗重度单侧先天性上睑下垂的疗效。对象和方法:本前瞻性、干预性和对比性研究对30例重度单侧先天性上睑下垂患者进行了研究。30例患者分为2组，1组15例患者行单侧硅胶额肌悬吊术，2组15例患者行双侧额肌筋膜悬吊术对侧提肌切除术。结果:单侧硅胶吊带组1术后MRD1平均改善为3.9+1.18 mm，双侧阔筋膜组2术后MRD1平均改善为4.9+0.89 mm (p值0.0001)。双侧额前筋膜悬吊组93.3%的患者眼睑高度差<1 mm，单侧硅胶悬吊组73.3%。所有接受双侧阔筋膜手术的患者均有良好的眼睑折痕(对称无闭塞)，80%接受单侧硅胶吊带手术的患者(p值0.032)。结论:组2对侧提上睑肌切除联合双侧阔额筋膜悬吊术患者MRD1、眼睑高度对称性、眼睑折痕等功能和美容结果优于组1单侧硅胶吊带术患者。
{"title":"Unilateral Versus Bilateral Frontalis Suspension Sling Surgery for Correction of Severe Unilateral Congenital Ptosis.","authors":"J. Dhaka, A. Grover","doi":"10.47009/ajmr.2020.9.1.ot2","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.ot2","url":null,"abstract":"Background: To compare the surgical outcome of unilateral silicone sling with bilateral fascia latafrontalis suspension surgery for severe unilateral congenital ptosis.Subjects and Methods:This prospective, interventional and comparative study examined 30 patients of severe unilateral congenital ptosis. 30 patients were divided in to 2 groups, group 1 included 15 patients who underwent unilateral silicone sling frontalis suspension surgery and group 2 included 15 patients who underwent contralateral levator excision with bilateral fascia latafrontalis sling surgery.Results:Mean improvement in MRD1 after surgery in group 1 who underwent unilateral silicone sling surgery was 3.9+1.18 mm and in group 2 who underwent bilateral fascia lata it was 4.9+0.89 mm (p value 0.0001). Excellent results (difference of lid height <1 mm) were seen in 93.3% patients who underwent bilateral fascia latafrontalis sling while in 73.3% patients of unilateral silicone sling. All patients who underwent bilateral fascia lata showed excellent lid crease (symmetric without obliteration) and 80% of the patients who underwent unilateral silicone sling surgery (p value 0.032).Conclusion: Functional and cosmetic outcomes regarding MRD1, symmetry of lid height, lid crease were noted better in group 2 patients who underwent contralateral levator excision with bilateral fascia latafrontalis suspension surgery as compared to group 1 patients who underwent unilateral silicone sling surgery.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"260 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116395312","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 : 2020-02-09DOI: 10.47009/ajmr.2020.9.1.pm3
S. Singh, K. Meena, Chungath Jain
Background: Both smoking and diabetes are attributed to be strongly linked with pulmonary tuberculosis. The significance of the study lies in assessing severity of manifestations in pulmonary tuberculosis patients due to smoking and diabetes. Subjects and Methods:This is a cross sectional observational study among patients presenting to Department of Tuberculosis and Chest Diseases, Government Medical College, Patiala. 200 Patients were enrolled in this study who are sputum smear positive pulmonary kochs patients already on ATT and admitted in this department were evaluated by clinical history, blood and radiological investigations and the data was statistically analyzed.Results:Non smoker non diabetic group had maximum of females, n=28(56%), whereas purely diabetic study group has maximum of males, n=30(60%).The total number of patients whose sputum showed bacterial culture was 19 (9.5%). In the patients having both diabetes and smoking as risk factor there was maximum culture positivity, n=6 (31.5%)and most common organism isolated was klebsiella pneumonia, n=3 (50%), Klebsiella was also the most common organism isolated overall, n=10 (62.5%).Conclusion: The combination of smoking and diabetes can lead to serious disease, sputum positivity and complications.
{"title":"Impact of Smoking and Diabetes Mellitus on Clinico-Bacterio-Radiological Profile of Pulmonary Koch’s Patients","authors":"S. Singh, K. Meena, Chungath Jain","doi":"10.47009/ajmr.2020.9.1.pm3","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.pm3","url":null,"abstract":"Background: Both smoking and diabetes are attributed to be strongly linked with pulmonary tuberculosis. The significance of the study lies in assessing severity of manifestations in pulmonary tuberculosis patients due to smoking and diabetes. Subjects and Methods:This is a cross sectional observational study among patients presenting to Department of Tuberculosis and Chest Diseases, Government Medical College, Patiala. 200 Patients were enrolled in this study who are sputum smear positive pulmonary kochs patients already on ATT and admitted in this department were evaluated by clinical history, blood and radiological investigations and the data was statistically analyzed.Results:Non smoker non diabetic group had maximum of females, n=28(56%), whereas purely diabetic study group has maximum of males, n=30(60%).The total number of patients whose sputum showed bacterial culture was 19 (9.5%). In the patients having both diabetes and smoking as risk factor there was maximum culture positivity, n=6 (31.5%)and most common organism isolated was klebsiella pneumonia, n=3 (50%), Klebsiella was also the most common organism isolated overall, n=10 (62.5%).Conclusion: The combination of smoking and diabetes can lead to serious disease, sputum positivity and complications. \u0000 ","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114251618","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 : 2020-01-26DOI: 10.47009/ajmr.2020.9.1.pm1
S. Jain
Background: This report analyses the outcomes of a case control investigation shelled in an eventual legion learning of domestic contamination (HHCs) of TB patients. Further, these data was pooled with other available probable learning of status of vitamin D and TB hazard to demeanor asingle-participant data (IPD). Subjects and Methods: In the study recently diagnosed pulmonary tuberculosis patients were involved with a total number of 28 with a male female ration of 18 : 10 and on the other side 28 healthy controls were selected with a male female ratio of 16:12 according to inclusion and elimination criterion through non-probability purposive sampling.Results: The mean age of cases with tuberculosis was 38.8±7.5years whereas the represent age of controls was 36±5.04 years. Remarkable differences were observed between the patients with tuberculosis and controls. The differences were very significant in RBC counts, Hemoglobin,and Platelet counts. Squat standard hemoglobin values were found in the majority of study subjects in common and specifically in patients with pulmonary tuberculosis.Conclusion: It has been found in the study that squat serum 25– (OH) D levels were related through amplified threat of future succession to TB disease in a dose-depending method.
{"title":"Analysis of Serum 25– (OH) D Levels status in Subjects Suffering from Pulmonary Tuberculosis: A Teaching Hospital Based study in Western Uttar Pradesh Region","authors":"S. Jain","doi":"10.47009/ajmr.2020.9.1.pm1","DOIUrl":"https://doi.org/10.47009/ajmr.2020.9.1.pm1","url":null,"abstract":"Background: This report analyses the outcomes of a case control investigation shelled in an eventual legion learning of domestic contamination (HHCs) of TB patients. Further, these data was pooled with other available probable learning of status of vitamin D and TB hazard to demeanor asingle-participant data (IPD). Subjects and Methods: In the study recently diagnosed pulmonary tuberculosis patients were involved with a total number of 28 with a male female ration of 18 : 10 and on the other side 28 healthy controls were selected with a male female ratio of 16:12 according to inclusion and elimination criterion through non-probability purposive sampling.Results: The mean age of cases with tuberculosis was 38.8±7.5years whereas the represent age of controls was 36±5.04 years. Remarkable differences were observed between the patients with tuberculosis and controls. The differences were very significant in RBC counts, Hemoglobin,and Platelet counts. Squat standard hemoglobin values were found in the majority of study subjects in common and specifically in patients with pulmonary tuberculosis.Conclusion: It has been found in the study that squat serum 25– (OH) D levels were related through amplified threat of future succession to TB disease in a dose-depending method.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116135115","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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