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Study of Arterial supply to Sinoatrial Node in Normal Human Hearts 正常人心脏窦房结动脉供应的研究
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.003
R LakshmiPrabha, P. Ramesh, Khizer Hussain Afroze, Kavyashree An, D. Anupama
{"title":"Study of Arterial supply to Sinoatrial Node in Normal Human Hearts","authors":"R LakshmiPrabha, P. Ramesh, Khizer Hussain Afroze, Kavyashree An, D. Anupama","doi":"10.46319/rjmahs.2019.v02i01.003","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.003","url":null,"abstract":"Introduction: The arterial supply to Sino-Atrial Node (SA Node) and its variations is of great importance in increasing use of cardiac interventional procedures. Aim and objective: The aim of present study is to analyze the arterial supply of SA node. Materials and Methods: Fifty-five human hearts, fixed in the formalin solution were dissected and artery to SA node was traced. Results: Out of 55 cases, SA nodal artery originated from right coronary artery (RCA) in 64%, left circumflex artery (LCX) in 34% and 2% from both. S-shaped SA nodal artery was seen in 2 cases. In most of the specimens (42 out of 55) SA nodal artery formed a ring around superior vena cava and in all the cases, the branches of SA nodal artery supplied to both atria and auricle based on the origin either from RCA or LCX. Conclusion: Variations in arterial supply to SA node will be helpful to interventional cardiac surgeons.","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126411941","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}
引用次数: 0
Risk of Insulin Resistance in Normal Glucose Tolerant Subjects 正常葡萄糖耐受性受试者胰岛素抵抗的风险
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.004
Dr.S.Vijaya kumar, Bhargavi Sk, D. Lakshmi, Sathisha Tg, Hamsaveena
{"title":"Risk of Insulin Resistance in Normal Glucose Tolerant Subjects","authors":"Dr.S.Vijaya kumar, Bhargavi Sk, D. Lakshmi, Sathisha Tg, Hamsaveena","doi":"10.46319/rjmahs.2019.v02i01.004","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.004","url":null,"abstract":"Introduction : Metabolic syndrome (MS) , with its huge baggage of complications , is emerging as a major threat to lead a healthy life, worldwide. Sedentary habits, urbanization, life style modifications, stress and anxiety contribute to its increasing incidence, not to mention diabetes and hypertension. Routine screening for diabetes fails to detect early MS. Materials and methods: 55 normal glucose tolerant (NGT) subjects, both males & females were selected for the study. Based on modified National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III criteria (Waist circumference-WC 80 cm FM, 90 cm M), they were grouped into - with and without metabolic syndrome (MS). Fasting blood glucose, total cholesterol, triglycerides, insulin levels and high density lipoprotein were estimated. Insulin resistance (IR) was calculated by HOMAIR formula. Results : TGL and insulin levels were elevated and HDL levels were decreased in MS group compared to those without MS & this was statistically significant. Among the 55 NGT subjects, 30 people had MS. The prevalence of MS was 43% and the prevalence of IR among NGT was 31% . Conclusion: Metabolic syndrome & IR occur in subjects with normal glucose tolerance also. Hence, screening of vulnerable people for MS should be done to detect potential diabetes mellitus (DM) & coronary artery disease (CAD) in early stages.","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124638772","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}
引用次数: 0
Co-existence of Sarcoidosis of Cervical Lymph Nodes and Breast Carcinoma - a rare case report and review of literature 颈部淋巴结结节病与乳腺癌共存一例罕见病例报告及文献复习
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.010
Avinash Mj
{"title":"Co-existence of Sarcoidosis of Cervical Lymph Nodes and Breast Carcinoma - a rare case report and review of literature","authors":"Avinash Mj","doi":"10.46319/rjmahs.2019.v02i01.010","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.010","url":null,"abstract":"Sarcoidosis is a chronic disease affecting multiple systems and is characterized by non-caseating granulomas. It is of unknown etiology. In some cases it is very difficult to differentially diagnose sarcoidosis from malignancy just by clinical and radiological features in spite of modern imaging modalities like PET-CT Scan. Its association with solid organ malignancy is rare. The only accurate way to demonstrate and differentiate sarcoidosis from malignancy is histopathological examination. We report a rare case of Sarcoidosis affecting right sided cervical lymphnodes coexisting in a patient with left sided breast carcinoma.","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"51 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133135108","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}
引用次数: 0
MCI curriculum -2019 MCI课程-2019
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.001
Dr Shashiraj H K
{"title":"MCI curriculum -2019","authors":"Dr Shashiraj H K","doi":"10.46319/rjmahs.2019.v02i01.001","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.001","url":null,"abstract":"","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"414 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115821870","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}
引用次数: 0
Urinary tract infections due to Amp C b-Lactamase producing gram negative bacteria 由Amp C b-内酰胺酶产生的革兰氏阴性菌引起的尿路感染
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.005
Dr Sangeetha K, D. Sm, D. Gs, Dr Raksha Y
{"title":"Urinary tract infections due to Amp C b-Lactamase producing gram negative bacteria","authors":"Dr Sangeetha K, D. Sm, D. Gs, Dr Raksha Y","doi":"10.46319/rjmahs.2019.v02i01.005","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.005","url":null,"abstract":"Introduction: The exact occurrence of extended spectrum β-lactamase (ESBL) and AmpC β -lactamase production among uropathogenic bacteria is not known. Infections with drug resistant urinary pathogens have limited therapeutic options. Hence this study was conducted to know the occurrence of AmpC β-lactamase production among gram negative bacteria (GNB) causing urinary tract infection (UTI). Materials and Methods : The urine samples submitted to Department of Microbiology from 1st March 2016 to 30th April 2016 were studied. All the samples were plated on sheep blood agar and MacConkey's agar. The isolates were identified and Antibiotic susceptibility testing was done. AmpC β -lactamase and ESBL detection was done as described previously. The results were tabulated. Results: This study was conducted on 900 urine samples. Total 144 (16%) GNB were isolated. E coli was the most common isolate followed by non-fermenting gram negative bacteria (NFGNB). AmpC β -lactamase production was seen in 75 (52.1%) isolates and ESBL production was seen in 60 isolates (41.7%). Total 27 (18.7%) isolates showed multidrug resistant (MDR) phenotypes and 23/27 were AmpC β -lactamase producers. Conclusion: Routine detection of ESBL and AmpC β -lactamase is required to choose appropriate therapy. Judicious use of antibiotics should be done in clinical settings. Imipenem can be used as an empirical antibiotic for complicated urinary tract infection.","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130944459","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}
引用次数: 0
Study of Levonorgestrel IUCD In Management Of Dysfunctional Uterine Bleeding 左炔诺孕酮宫内节育器治疗功能失调性子宫出血的研究
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.006
B. Thanmaye, B. Dhananjaya
{"title":"Study of Levonorgestrel IUCD In Management Of Dysfunctional Uterine Bleeding","authors":"B. Thanmaye, B. Dhananjaya","doi":"10.46319/rjmahs.2019.v02i01.006","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.006","url":null,"abstract":"Introduction: Dysfunctional uterine bleeding (DUB) is a common problem in women which causes discomfort and decreases the quality of life. About 10-15% of women experience episodes of DUB at some point of time during the reproductive years of their lives. Annually 5-19% of women seek medical care. It accounts for more than 25% of all hysterectomies. Many treatment options are available. Objectives: To study efficacy of levonorgestrel IUCD in terms of blood loss, endometrial thickness, hemoglobin concentration and to evaluate side effects in DUB. Materials and methods: 40 women presenting with dysfunctional uterine bleeding were treated with levonorgestrel IUCD. The primary outcome in the study was reduction in menstrual loss measured using pictorial blood loss assessment chart (PBAC) score, increase in blood hemoglobin levels, reduction in thickness of","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115892812","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}
引用次数: 0
A rare case of Systemic Lupus Erythematosus with Congenital Bifid Tongue 系统性红斑狼疮合并先天性舌裂1例
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.009
Veena Thimmappa, G. NeethuMary, G. Narendra, L. Subhash, Harshal Kl
{"title":"A rare case of Systemic Lupus Erythematosus with Congenital Bifid Tongue","authors":"Veena Thimmappa, G. NeethuMary, G. Narendra, L. Subhash, Harshal Kl","doi":"10.46319/rjmahs.2019.v02i01.009","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.009","url":null,"abstract":"Systemic Lupus Erythematosus (SLE) is an autoimmune disorder with multiple aetiology, presents with varied cutaneous manifestations and systemic involvement, primarily affects women in her child bearing age. Congenital bifid tongue is an anomaly due to nonfusion of the two lingual swellings. It can occur either as an isolated entity or in association with syndromes like Opitz G syndrome, Oral-Facial-Digital syndrome type I, Klippel Feil anomaly and Larsen syndrome or even as very rare feature in infants born to diabetic mothers. We present a case report of 23 year old female, a second child from a nonconsanguineous marriage with no significant antenatal or postnatal history, diagnosed of SLE. She had secondary amenorrhoea and hypothyroidism, examination revealed reduced secondary sexual characteristics, short stature, orbital hypertelorism and a bifid tongue which was present since birth. Recent studies suggest there is increased risk of autoimmune diseases particularly SLE development via the gene transmitted by X chromosome. It is also found that SLE patients are commonly associated with X chromosome polysomy. This case is unusual as the patient had multiple features suggesting genetic involvement, both SLE and bifid tongue is individually found to have genetic roots and till date there is no single case of SLE with a congenital bifid tongue in literature.","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125556761","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}
引用次数: 0
Assessment of Severity of Panic Disorder with co-morbid Depression and quality of life 惊恐障碍伴抑郁的严重程度与生活质量评估
Research Journal of Medical and Allied Health Sciences Pub Date : 2019-05-15 DOI: 10.46319/rjmahs.2019.v02i01.002
Dutta Abhishek, D. Mt, Dr. Swarna Buddha Nayok, D. Akshatha
{"title":"Assessment of Severity of Panic Disorder with co-morbid Depression and quality of life","authors":"Dutta Abhishek, D. Mt, Dr. Swarna Buddha Nayok, D. Akshatha","doi":"10.46319/rjmahs.2019.v02i01.002","DOIUrl":"https://doi.org/10.46319/rjmahs.2019.v02i01.002","url":null,"abstract":"Background: Panic disorder alone or when co-morbid with depression can severely affect the functioning of an individual. Aim: To determine the occurrence of panic disorder and co-morbid depression and their quality of life. Material and Methods: Thirty patients from psychiatry ward and out-patient department were assessed by Panic Disorder Severity Scale, Hamilton Depression Rating Scale and World Health Organization Quality Of Life for severity of panic attacks, co-morbid depression and life quality. Results: Most patients showed moderate (56.6%) to slight (36.6%) severity of panic symptoms. Of them,80% had depression. In them, 33.3% had mild and 26.6% moderate levels of depression. Quality of life was moderate in 40% and poor in 36.66%. Conclusion: Patients with panic disorder have high frequency of co-morbid depression, however severity of both needs to be assessed separately. Those who have higher severity of both or depression have poor life quality.","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129249808","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}
引用次数: 0
Peripartum Cardiomyopathy
Research Journal of Medical and Allied Health Sciences Pub Date : 2018-07-09 DOI: 10.46319/rjmahs.2018.v01i01.010
L. Dwarakanath, B. Girish, K. Hema, N. Rekha, Sahu Samra, S. Shazi
{"title":"Peripartum Cardiomyopathy","authors":"L. Dwarakanath, B. Girish, K. Hema, N. Rekha, Sahu Samra, S. Shazi","doi":"10.46319/rjmahs.2018.v01i01.010","DOIUrl":"https://doi.org/10.46319/rjmahs.2018.v01i01.010","url":null,"abstract":"","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128331773","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}
引用次数: 0
Retroperitoneal Pheochromocytoma: A Rare Tumour Presenting as Ovarian Mass 腹膜后嗜铬细胞瘤:以卵巢肿块表现的罕见肿瘤
Research Journal of Medical and Allied Health Sciences Pub Date : 2018-07-09 DOI: 10.46319/rjmahs.2018.v01i01.009
B. Dhananjaya, B. Thanmaye, G. Sowmya, M. Naveen
{"title":"Retroperitoneal Pheochromocytoma: A Rare Tumour Presenting as Ovarian Mass","authors":"B. Dhananjaya, B. Thanmaye, G. Sowmya, M. Naveen","doi":"10.46319/rjmahs.2018.v01i01.009","DOIUrl":"https://doi.org/10.46319/rjmahs.2018.v01i01.009","url":null,"abstract":"A 40 year old patient suffering from vague pain in the abdomen since 1 month, came with CT scan of abdomen and pelvis showing large lobulated cystic lesion of 11 x 10.6 x 9.7cms suggesting ? Left ovarian neoplasm. On exploratory laparotomy uterus and ovaries were normal and a mass of 10 x 9 cm was seen arising from the pelvis. The Histopathological report stated pheochromocytoma. The extra adrenal pheochromocytomas are rare tumors that originate from the chromaffin tissue of sympathetic nervous system.","PeriodicalId":121001,"journal":{"name":"Research Journal of Medical and Allied Health Sciences","volume":"11 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133042903","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}
引用次数: 0
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