Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.ot3
S. Rohatgi, M. Vohra, Preeti Chaubey, R. Ranjan
Background: Cataractous lenses manifest a number of changes such as protein modification. The present study was conducted to assess factors affecting the visual outcome in patients with phacolytic glaucoma. Subjects and Methods: Present study was conducted on 56 patients of phacolytic glaucoma of both genders. Patients were subjected to slit lamp examination. Fundus examination, IOP measurement and gonioscopy were done in all cases. Small Incision Cataract Surgery was done followed by posterior chamber intraocular lens implantation in all cases. Results: Out of 58 patients, males were 58 and females were 26. Common complications were visual disturbances in 1, iritis in 7 and hyphema in 2 cases. The difference was significant (P< 0.05). Clinical presentation was deep anterior chamber with flare in 40, lens matter in anterior chamber in 6 and pseudohypopyon in 12 cases. Conclusion: Authors found that the outcome found to be better. There were less complications in the groups.
{"title":"Assessment of Visual Outcome in Patients with Phacolytic Glaucoma- A Clinical Study","authors":"S. Rohatgi, M. Vohra, Preeti Chaubey, R. Ranjan","doi":"10.21276/ajmr.2019.8.4.ot3","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.ot3","url":null,"abstract":"Background: Cataractous lenses manifest a number of changes such as protein modification. The present study was conducted to assess factors affecting the visual outcome in patients with phacolytic glaucoma. Subjects and Methods: Present study was conducted on 56 patients of phacolytic glaucoma of both genders. Patients were subjected to slit lamp examination. Fundus examination, IOP measurement and gonioscopy were done in all cases. Small Incision Cataract Surgery was done followed by posterior chamber intraocular lens implantation in all cases. Results: Out of 58 patients, males were 58 and females were 26. Common complications were visual disturbances in 1, iritis in 7 and hyphema in 2 cases. The difference was significant (P< 0.05). Clinical presentation was deep anterior chamber with flare in 40, lens matter in anterior chamber in 6 and pseudohypopyon in 12 cases. Conclusion: Authors found that the outcome found to be better. There were less complications in the groups.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126644073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.mc3
Praveen K, Shiby T G
Evaluation of Cases of Non-Compressive MyelopathiesA Clinical Study Praveen K, Shiby T G 2 MBBS, MS, MCh (Neurosurgery), DNB, Assistant professor, Department of Neurosurgery, MES Medical College, Perintalmanna & Consultant Neurosurgeon, KIMS ALSHIFA, perintalmanna, MBBS, DPMR, MD, DNB (PM&R), Associate Professor, Department of physical medicine and rehabilitation, Government Medical College, Thrissur, Kerala. Background: Myelopathy describes pathologic conditions that cause spinal cord, meningeal or perimeningeal space damage or dysfunction. The present study was conducted to assess cases of myelopathy. Subjects and Methods: The present study was conducted on 82 cases of myelopathy of both genders. Lumbar puncture was performed in all patients. Cerebrospinal fluid (CSF) was examined for protein, cells, and sugar. Results: Out of 82 patients, males were 52 and females were 30. There were 41 males and 14 females with idiopathic transverse myelitis and 11 males and 16 females with other acute myelopathies. Mean CSF protein in group I was 56.2 and in group II was 82.4, CSF cells were 28.5 in group I and 214.6 in group II, CSF sugar was 71.4 in group I and 62.7 in group II, RBS was 120.1 in group I and 116.3 in group II. The difference was significant (P< 0.05). Centromedullary involvement was seen in 95% in group I and 82% in group II, LETM was present in 82% in group I and77% in group II, contrast enhancement was seen in 31% in group I and 45% in group II, cord swelling was seen in 64% in group I and 52% in group II. The difference was significant (P< 0.05). Conclusion: Authors found that cases were of idiopathic transverse myelitis and acute myelopathies. MRI is useful in diagnosis of lesions.
临床研究Praveen K, Shiby T G 2 MBBS, MS, MCh(神经外科)，DNB, MES医学院，Perintalmanna神经外科助理教授和顾问神经外科医生，KIMS ALSHIFA, Perintalmanna, MBBS, DPMR, MD, DNB (PM&R)，喀拉拉邦特里苏西尔政府医学院物理医学和康复系副教授。背景:脊髓病描述了引起脊髓、脑膜或围膜间隙损伤或功能障碍的病理状况。本研究的目的是评估脊髓病的病例。对象和方法:本研究对82例男女脊髓病进行了研究。所有患者均行腰椎穿刺。检测脑脊液中蛋白质、细胞和糖的含量。结果:82例患者中，男52例，女30例。特发性横断面脊髓炎41男14女，其他急性脊髓炎11男16女。ⅰ组平均脑脊液蛋白56.2，ⅱ组平均脑脊液蛋白82.4，ⅰ组平均脑脊液细胞28.5，ⅱ组平均脑脊液细胞214.6，ⅰ组平均脑脊液糖71.4，ⅱ组平均脑脊液糖62.7，ⅱ组平均脑脊液糖120.1，ⅱ组平均脑脊液糖116.3。差异有统计学意义(P< 0.05)。髓心受累在I组为95%，II组为82%，LETM在I组为82%，II组为77%，对比增强在I组为31%，II组为45%，脊髓肿胀在I组为64%，II组为52%。差异有统计学意义(P< 0.05)。结论:作者发现病例为特发性横贯脊髓炎和急性脊髓病。MRI对病变的诊断很有用。
{"title":"Evaluation of Cases of Non-Compressive Myelopathies- A Clinical Study","authors":"Praveen K, Shiby T G","doi":"10.21276/ajmr.2019.8.4.mc3","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.mc3","url":null,"abstract":"Evaluation of Cases of Non-Compressive MyelopathiesA Clinical Study Praveen K, Shiby T G 2 MBBS, MS, MCh (Neurosurgery), DNB, Assistant professor, Department of Neurosurgery, MES Medical College, Perintalmanna & Consultant Neurosurgeon, KIMS ALSHIFA, perintalmanna, MBBS, DPMR, MD, DNB (PM&R), Associate Professor, Department of physical medicine and rehabilitation, Government Medical College, Thrissur, Kerala. Background: Myelopathy describes pathologic conditions that cause spinal cord, meningeal or perimeningeal space damage or dysfunction. The present study was conducted to assess cases of myelopathy. Subjects and Methods: The present study was conducted on 82 cases of myelopathy of both genders. Lumbar puncture was performed in all patients. Cerebrospinal fluid (CSF) was examined for protein, cells, and sugar. Results: Out of 82 patients, males were 52 and females were 30. There were 41 males and 14 females with idiopathic transverse myelitis and 11 males and 16 females with other acute myelopathies. Mean CSF protein in group I was 56.2 and in group II was 82.4, CSF cells were 28.5 in group I and 214.6 in group II, CSF sugar was 71.4 in group I and 62.7 in group II, RBS was 120.1 in group I and 116.3 in group II. The difference was significant (P< 0.05). Centromedullary involvement was seen in 95% in group I and 82% in group II, LETM was present in 82% in group I and77% in group II, contrast enhancement was seen in 31% in group I and 45% in group II, cord swelling was seen in 64% in group I and 52% in group II. The difference was significant (P< 0.05). Conclusion: Authors found that cases were of idiopathic transverse myelitis and acute myelopathies. MRI is useful in diagnosis of lesions.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132870738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.en1
Ehtesham Ahmad Raushan, Nmch Patna Resident, Alok Kumar
Background: The aim of this randomized prospective study was to evaluate the management protocol decided in the cases of Traumatic optic neuropathy. Subjects and Methods: All the cases with a diagnosis of Traumatic optic neuropathy were managed using medical management with the steroids and cases not responding were operated upon by transnasal trans sphenoidal optic nerve decompression and the results were evaluated. Results: Patients presenting early and those who were operated early in the course of their illness showed a better recovery. Conclusion: Early intervention and following a defined management protocol can help preventing the blindness in as many as 80% of the cases following the injury.
{"title":"Traumatic Optic Neuropath: Is this the Ideal Management Protocol?","authors":"Ehtesham Ahmad Raushan, Nmch Patna Resident, Alok Kumar","doi":"10.21276/ajmr.2019.8.4.en1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.en1","url":null,"abstract":"Background: The aim of this randomized prospective study was to evaluate the management protocol decided in the cases of Traumatic optic neuropathy. Subjects and Methods: All the cases with a diagnosis of Traumatic optic neuropathy were managed using medical management with the steroids and cases not responding were operated upon by transnasal trans sphenoidal optic nerve decompression and the results were evaluated. Results: Patients presenting early and those who were operated early in the course of their illness showed a better recovery. Conclusion: Early intervention and following a defined management protocol can help preventing the blindness in as many as 80% of the cases following the injury.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128838040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.an2
Bharat Choudhary, Mahendra Kumar
Background: The link between smoking and complications is well documented across surgical specialities. Hence; the present study was undertaken for assessing Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia. Subjects and Methods: The present study was undertaken in the department of Anaesthesia, Government Medical College, Barmer, Rajasthan, India with aim of assessing Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia. A total of 50 patients were enrolled in the present study. Ethical approval was obtained from institutional ethical committee and written consent was obtained from all the patients after explaining in detail the entire research protocol. Inclusion criteria for the present study included: 1) Current smokers, 2) Patients with current smoking habit from a minimum of 5 years, 3) Patients scheduled to undergo any surgical procedure under general anesthesia. Complete demographic details of all the patients were obtained. Incidence of both intra-operative and postoperative complications in all the patients was recorded. All the results were recorded in Microsoft excel sheet and were analyzed by SPSS software. Results: Intraoperative complications included need for ventilator, heart attack and requirement of intra-operative analgesia. Postoperative complications included impaired wound healing and nausea and vomiting. Conclusion: Smokers are subjects to significant chances of occurrence of intraoperative and postoperative complications.
{"title":"A Study of Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia: An Hospital Based Study","authors":"Bharat Choudhary, Mahendra Kumar","doi":"10.21276/ajmr.2019.8.4.an2","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.an2","url":null,"abstract":"Background: The link between smoking and complications is well documented across surgical specialities. Hence; the present study was undertaken for assessing Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia. Subjects and Methods: The present study was undertaken in the department of Anaesthesia, Government Medical College, Barmer, Rajasthan, India with aim of assessing Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia. A total of 50 patients were enrolled in the present study. Ethical approval was obtained from institutional ethical committee and written consent was obtained from all the patients after explaining in detail the entire research protocol. Inclusion criteria for the present study included: 1) Current smokers, 2) Patients with current smoking habit from a minimum of 5 years, 3) Patients scheduled to undergo any surgical procedure under general anesthesia. Complete demographic details of all the patients were obtained. Incidence of both intra-operative and postoperative complications in all the patients was recorded. All the results were recorded in Microsoft excel sheet and were analyzed by SPSS software. Results: Intraoperative complications included need for ventilator, heart attack and requirement of intra-operative analgesia. Postoperative complications included impaired wound healing and nausea and vomiting. Conclusion: Smokers are subjects to significant chances of occurrence of intraoperative and postoperative complications.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116952258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.at2
Deepak Sharma, Chandrakala Agarwal
Background: Mental foramen is located on the anterolateral surface of the body of the mandible. Mental foramen is an important anatomical landmark. It is used for the anesthetists and dental surgeons during various oral and maxillofacial procedures/ surgeries. Aim: To study relative position of the Mandibular foramen in different age groups of adults. Subjects and Methods: In this study we have selected 800 patients. The present study was carried out on CBCT scans procured from the Dental Hospitals in Jaipur, Rajasthan. A detailed study of morphometric features of mental foramen along with other parameters of the mandible was carried out on the coronal, axial and sagittal views of CBCT scans using “CS 3D Imaging v3.5.7”. Patients were divided in groups based on age. Results: The most common position of mental foramen in current study was found to be position 4 followed by position 3. No statistical difference was observed in or study in respect of position of MF association with different age group. Conclusion: A variation in mental foramen is very common and a good knowledge of anatomical landmark can help to prevent surgical injuries.
背景:颏孔位于下颌骨的前外侧。精神孔是一个重要的解剖标志。麻醉师和牙科医生在各种口腔颌面手术中使用。目的:研究不同年龄组成人下颌孔的相对位置。研究对象和方法:在本研究中我们选择了800例患者。本研究是对从拉贾斯坦邦斋浦尔牙科医院获得的CBCT扫描进行的。采用“CS 3D Imaging v3.5.7”软件在CBCT的冠状面、轴状面和矢状面对颏孔的形态特征及下颌骨的其他参数进行了详细的研究。病人根据年龄分组。结果:目前研究中最常见的是4位，其次是3位。不同年龄组的MF相关部位在本研究中均无统计学差异。结论:颏孔变异是非常常见的，了解其解剖标志有助于预防手术损伤。
{"title":"Study of Relative Position of the Mental Foramen in Different Age Groups: An Institutional Based Study","authors":"Deepak Sharma, Chandrakala Agarwal","doi":"10.21276/ajmr.2019.8.4.at2","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.at2","url":null,"abstract":"Background: Mental foramen is located on the anterolateral surface of the body of the mandible. Mental foramen is an important anatomical landmark. It is used for the anesthetists and dental surgeons during various oral and maxillofacial procedures/ surgeries. Aim: To study relative position of the Mandibular foramen in different age groups of adults. Subjects and Methods: In this study we have selected 800 patients. The present study was carried out on CBCT scans procured from the Dental Hospitals in Jaipur, Rajasthan. A detailed study of morphometric features of mental foramen along with other parameters of the mandible was carried out on the coronal, axial and sagittal views of CBCT scans using “CS 3D Imaging v3.5.7”. Patients were divided in groups based on age. Results: The most common position of mental foramen in current study was found to be position 4 followed by position 3. No statistical difference was observed in or study in respect of position of MF association with different age group. Conclusion: A variation in mental foramen is very common and a good knowledge of anatomical landmark can help to prevent surgical injuries.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133729808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.rd1
C. Arpita, C. Reddy
Background: Clinical presentation of anterior abdominal wall pathologies are non-specific. Based on physical examination alone, it is often difficult to diagnose the specific anterior abdominal wall pathologies. The aims of the study were, to evaluate accuracy of the high-resolution sonography in the diagnosis of anterior abdominal wall pathologies. Subjects and Methods: All patients referred to the Department of Radiodiagnosis with the clinical manifestations of various anterior abdominal lesion in a period of 2 years, were subjected for the study. 50 cases were taken up for the study. All patients included in the study underwent anterior abdominal wall ultrasonography using 7.0-12.0 MHZ high frequency linear array transducer coupled with color doppler equipment. This was followed by pelvic scan using 3.5-5.0 MHZ transducer whenever required. Findings during surgery and histopathology reports were noted and compared with the sonographic features. Results: Our study showed high prevalence of anterior abdominal lesions in patients between the age group of 20-40 years which constituted 60% of all cases. Most common presentation was seen in females (66%). Incisional hernia was the predominant anterior abdominal wall lesion constituting 44%, followed by ventral hernias14% lipomas and hematomas both were seen in 8% of cases. Least common was anterior abdominal wall sarcoma seen in 2% cases. Higher resolution sonography is an accurate method for assessment of anterior abdominal wall lesions. Sensitivity of 100%, specificity of 75%, PPV of 97.4%, NPV of 100%. In total diagnostic accuracy of high-resolution sonography was 97.6% in our study. Conclusion: High resolution sonography is an accurate diagnostic imaging modality in anterior abdominal wall lesions. It is also highly sensitive in differentiating hernias from cystic or solid abdominal wall lesions.
{"title":"The Role of High Resolution Sonography in the Evaluation of Anterior Abdominal Wall Lesions","authors":"C. Arpita, C. Reddy","doi":"10.21276/ajmr.2019.8.4.rd1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.rd1","url":null,"abstract":"Background: Clinical presentation of anterior abdominal wall pathologies are non-specific. Based on physical examination alone, it is often difficult to diagnose the specific anterior abdominal wall pathologies. The aims of the study were, to evaluate accuracy of the high-resolution sonography in the diagnosis of anterior abdominal wall pathologies. Subjects and Methods: All patients referred to the Department of Radiodiagnosis with the clinical manifestations of various anterior abdominal lesion in a period of 2 years, were subjected for the study. 50 cases were taken up for the study. All patients included in the study underwent anterior abdominal wall ultrasonography using 7.0-12.0 MHZ high frequency linear array transducer coupled with color doppler equipment. This was followed by pelvic scan using 3.5-5.0 MHZ transducer whenever required. Findings during surgery and histopathology reports were noted and compared with the sonographic features. Results: Our study showed high prevalence of anterior abdominal lesions in patients between the age group of 20-40 years which constituted 60% of all cases. Most common presentation was seen in females (66%). Incisional hernia was the predominant anterior abdominal wall lesion constituting 44%, followed by ventral hernias14% lipomas and hematomas both were seen in 8% of cases. Least common was anterior abdominal wall sarcoma seen in 2% cases. Higher resolution sonography is an accurate method for assessment of anterior abdominal wall lesions. Sensitivity of 100%, specificity of 75%, PPV of 97.4%, NPV of 100%. In total diagnostic accuracy of high-resolution sonography was 97.6% in our study. Conclusion: High resolution sonography is an accurate diagnostic imaging modality in anterior abdominal wall lesions. It is also highly sensitive in differentiating hernias from cystic or solid abdominal wall lesions.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114712905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.me3
K. Ramanathan, H. Vasudevan
Background: In India, snake bite is an important medical emergency and reason for hospital admission. There is a predominance of haemotoxic bites in South India. Factors contributing to fatal snake bite include problems with dosage of antivenom, delay in treatment and failure to observe and treat complications. Objectives: To study the demographic and clinical profile, complications and outcome in patients with haemotoxic snake bite. Subjects and Methods: This was a hospital based observational study conducted in a tertiary government hospital for a period of one year. The clinical and demographic profile of patients with haemotoxic snake bite and factors contributing to poor outcome were studied. Statistical analysis: Mean, Standard deviation, Percentiles and frequency, Percentages for continuous and categorical data, Chi square test for association between proportions and p < 0.05 for statistical significance. Results: A total of 100 patients of haemotoxic snake bite were studied. The majority were male patients (63%) in the age group of 40-60 years. Most of the patients were farmers and labourers from a rural background. 92% of the patients were admitted within 6 hours of the bite. Local manifestations that were commonly seen were swelling of the bitten limb and tender lymphadenopathy. Bleeding manifestations were seen in 31%. The most common complication was acute kidney injury seen in 10%. Mortality rate was 3%. Conclusion: Factors contributing to poor outcome were duration between bite and admission and presence of acute kidney injury.
{"title":"A Study on the Demographic and Clinical Profile of Patients with Haemotoxic Snake Bite","authors":"K. Ramanathan, H. Vasudevan","doi":"10.21276/ajmr.2019.8.4.me3","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.me3","url":null,"abstract":"Background: In India, snake bite is an important medical emergency and reason for hospital admission. There is a predominance of haemotoxic bites in South India. Factors contributing to fatal snake bite include problems with dosage of antivenom, delay in treatment and failure to observe and treat complications. Objectives: To study the demographic and clinical profile, complications and outcome in patients with haemotoxic snake bite. Subjects and Methods: This was a hospital based observational study conducted in a tertiary government hospital for a period of one year. The clinical and demographic profile of patients with haemotoxic snake bite and factors contributing to poor outcome were studied. Statistical analysis: Mean, Standard deviation, Percentiles and frequency, Percentages for continuous and categorical data, Chi square test for association between proportions and p < 0.05 for statistical significance. Results: A total of 100 patients of haemotoxic snake bite were studied. The majority were male patients (63%) in the age group of 40-60 years. Most of the patients were farmers and labourers from a rural background. 92% of the patients were admitted within 6 hours of the bite. Local manifestations that were commonly seen were swelling of the bitten limb and tender lymphadenopathy. Bleeding manifestations were seen in 31%. The most common complication was acute kidney injury seen in 10%. Mortality rate was 3%. Conclusion: Factors contributing to poor outcome were duration between bite and admission and presence of acute kidney injury.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129332380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.sg2
H. S. Dhooria, R. Garg, P. Singh, R. Singh
Background: Parathyroid hormone (PTH) mobilizes calcium by increasing calcium resorption from bone and by raising calcium reabsorption in the proximal kidney tubule. Primary hyperparathyroidism (PHP) results from inappropriate overproduction of parathyroid hormone from one or many parathyroid glands and presents with hypercalcemia. In the surgical management of PHP intraoperative PTH (IO-PTH) assays have been shown to improve the success of parathyroid gland surgery. Minimally invasive parathyroidectomy (MIP) has replaced the traditional four-gland bilateral exploration as the procedure preferred by many institutions. Hence; the present study was undertaken for assessing the outcome of surgery in patients with PHP. Subjects and Methods: The present study included assessment of outcome of surgery in patients with PHP. Once the suspicious parathyroid was identified, careful dissection with blunt instruments was done to free gland from surrounding fascia. Bipolar was used to ligate the vascular supply and the specimen was removed. Patients with above mentioned inclusion criteria underwent preoperative localization with USG neck and technetium Tc-99m (99mTc) Sestamibi scan (CT/ MRI Neck when required). Based on results of MIBI and USG neck, the findings were defined as concordant and discordant. Patients with concordant findings of USG neck and Sestamibi scan underwent MIP. All the results were summarized in Microsoft excel sheet and were analyzed by SPSS software. Results: CT/MRI was done in only 4 patients where 50% of the patients showed involvement of right superior and inferior glands. Minimal invasive parathyroidectomy (MIP) was done in 95.2% patients (20/21) while bilateral neck exploration (BNE) was done in only 1 case of multiple adenoma. The USG neck (n=20) was able to accurately localize abnormal parathyroid glands in 17 patients (85%). Conclusion: In patients undergoing surgical treatment for PHP, Minimal Invasive Parathyroidectomy has excellent prognosis.
{"title":"Assessment of Outcome of Surgery in Patients with Primary Hyperparathyroidism","authors":"H. S. Dhooria, R. Garg, P. Singh, R. Singh","doi":"10.21276/ajmr.2019.8.4.sg2","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.sg2","url":null,"abstract":"Background: Parathyroid hormone (PTH) mobilizes calcium by increasing calcium resorption from bone and by raising calcium reabsorption in the proximal kidney tubule. Primary hyperparathyroidism (PHP) results from inappropriate overproduction of parathyroid hormone from one or many parathyroid glands and presents with hypercalcemia. In the surgical management of PHP intraoperative PTH (IO-PTH) assays have been shown to improve the success of parathyroid gland surgery. Minimally invasive parathyroidectomy (MIP) has replaced the traditional four-gland bilateral exploration as the procedure preferred by many institutions. Hence; the present study was undertaken for assessing the outcome of surgery in patients with PHP. Subjects and Methods: The present study included assessment of outcome of surgery in patients with PHP. Once the suspicious parathyroid was identified, careful dissection with blunt instruments was done to free gland from surrounding fascia. Bipolar was used to ligate the vascular supply and the specimen was removed. Patients with above mentioned inclusion criteria underwent preoperative localization with USG neck and technetium Tc-99m (99mTc) Sestamibi scan (CT/ MRI Neck when required). Based on results of MIBI and USG neck, the findings were defined as concordant and discordant. Patients with concordant findings of USG neck and Sestamibi scan underwent MIP. All the results were summarized in Microsoft excel sheet and were analyzed by SPSS software. Results: CT/MRI was done in only 4 patients where 50% of the patients showed involvement of right superior and inferior glands. Minimal invasive parathyroidectomy (MIP) was done in 95.2% patients (20/21) while bilateral neck exploration (BNE) was done in only 1 case of multiple adenoma. The USG neck (n=20) was able to accurately localize abnormal parathyroid glands in 17 patients (85%). Conclusion: In patients undergoing surgical treatment for PHP, Minimal Invasive Parathyroidectomy has excellent prognosis.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131748637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.at1
Santosh Kumar, Chandrakala Agarwal
Background: Personal identification means determination of individuality of a person. Anthropometry is the study of the measurement of the human body. The present study was used to assess head length, hand length, foot length, arm span to predict stature of individual based on gender. Subjects and Methods: In this prospective observational study 600 patients attending in the Outpatient department of medical, dental and other college’s students of age group 21-25 years in various colleges at Jaipur, India were selected for the study. The measurement of stature, head length, head breadth, hand length, foot length, arm span. The data collected was compiled, tabulated, analyzed and subjected to statistical tests. Analysis was done using SPSS. Results: In the present study total participants were 600 in which 300 were males and 300 were females. Mean age of females was found to be 22.82 and mean age of males was found to be 22.96. 160 persons were aged 21 years i.e. 26.6%, 175 persons were aged 22 years i.e. 29.16%, 91 were aged 23 years i.e. 15.1%, 85 were aged 24 years i.e. 14.1% whereas 89 were aged 25 years i.e. 14.83%. In present study most common age group was found to be 22 years and 24 years was the least common age group. Body height (cm) in male and female was observed to be statistically significant, for head length, significant statistical difference was observed, for head breath significant difference was observed. For hand length, significant statistical difference was observed, for foot length, significant statistical difference was observed, for arm span, significant statistical difference was observed. Conclusion: Our study conclude that a significant difference was observed in height, head length, head breadth, hand length, arm span & foot length in between males and females. breadth, arm span, stature, head length.
{"title":"A Gender Based Comparison to Assess Head Length, Hand Length, Foot Length, Arm Span to Predict Stature of Individual: An Observational Study","authors":"Santosh Kumar, Chandrakala Agarwal","doi":"10.21276/ajmr.2019.8.4.at1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.at1","url":null,"abstract":"Background: Personal identification means determination of individuality of a person. Anthropometry is the study of the measurement of the human body. The present study was used to assess head length, hand length, foot length, arm span to predict stature of individual based on gender. Subjects and Methods: In this prospective observational study 600 patients attending in the Outpatient department of medical, dental and other college’s students of age group 21-25 years in various colleges at Jaipur, India were selected for the study. The measurement of stature, head length, head breadth, hand length, foot length, arm span. The data collected was compiled, tabulated, analyzed and subjected to statistical tests. Analysis was done using SPSS. Results: In the present study total participants were 600 in which 300 were males and 300 were females. Mean age of females was found to be 22.82 and mean age of males was found to be 22.96. 160 persons were aged 21 years i.e. 26.6%, 175 persons were aged 22 years i.e. 29.16%, 91 were aged 23 years i.e. 15.1%, 85 were aged 24 years i.e. 14.1% whereas 89 were aged 25 years i.e. 14.83%. In present study most common age group was found to be 22 years and 24 years was the least common age group. Body height (cm) in male and female was observed to be statistically significant, for head length, significant statistical difference was observed, for head breath significant difference was observed. For hand length, significant statistical difference was observed, for foot length, significant statistical difference was observed, for arm span, significant statistical difference was observed. Conclusion: Our study conclude that a significant difference was observed in height, head length, head breadth, hand length, arm span & foot length in between males and females. breadth, arm span, stature, head length.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130615516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21276/ajmr.2019.8.4.sg4
Govind Trivedi, S. Mishra
Background: Appendicitis is the most common cause of acute abdominal pain, requiring surgical intervention and appendectomy is the most frequently performed emergency surgery. The present study was conducted to assess the efficacy of postoperative antibiotics after appendectomy in patients with non-perforated appendicitis. Subjects and Methods: The present study was conducted on 52 patients of appendectomy of both genders. Patients were divided into two groups. Group I patients did not receive post-operative antibiotic. Group II patients received postoperative antibiotic. Results: Age group 20-40 years had 12 patients in group I and 10 in group II, 40- 60 years had 9 in group I and 12 in group II and >60 years had 5 in group I and 4 in group II. The difference was non- significant (P> 0.05). SSI positive was seen in 11 in group I and 2 in group II, SSI negative was seen in 15 in group I and 24 in group II. The difference was significant (P< 0.05). Conclusion: Authors found that surgical site infection was relatively less in patients who received post operative antibiotics than those who did not receive antibiotics.
{"title":"To Assess the Efficacy of Postoperative Antibiotics after Appendectomy in Patients with Non-Perforated Appendicitis","authors":"Govind Trivedi, S. Mishra","doi":"10.21276/ajmr.2019.8.4.sg4","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.4.sg4","url":null,"abstract":"Background: Appendicitis is the most common cause of acute abdominal pain, requiring surgical intervention and appendectomy is the most frequently performed emergency surgery. The present study was conducted to assess the efficacy of postoperative antibiotics after appendectomy in patients with non-perforated appendicitis. Subjects and Methods: The present study was conducted on 52 patients of appendectomy of both genders. Patients were divided into two groups. Group I patients did not receive post-operative antibiotic. Group II patients received postoperative antibiotic. Results: Age group 20-40 years had 12 patients in group I and 10 in group II, 40- 60 years had 9 in group I and 12 in group II and >60 years had 5 in group I and 4 in group II. The difference was non- significant (P> 0.05). SSI positive was seen in 11 in group I and 2 in group II, SSI negative was seen in 15 in group I and 24 in group II. The difference was significant (P< 0.05). Conclusion: Authors found that surgical site infection was relatively less in patients who received post operative antibiotics than those who did not receive antibiotics.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122860986","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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