International Journal of Contemporary Medical Research [IJCMR]最新文献_第2页

Diagnosis of Spinal Tuberculosis -A Computed Tomography Study 脊柱结核的诊断——计算机断层扫描研究

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.7

Sayar Ahmad Taley, K. Ganaie, Mohammad Saleem Dar

{"title":"Diagnosis of Spinal Tuberculosis -A Computed Tomography Study","authors":"Sayar Ahmad Taley, K. Ganaie, Mohammad Saleem Dar","doi":"10.21276/ijcmr.2020.7.6.7","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.7","url":null,"abstract":"Introduction: Tuberculosis is an infectious disease, mainly caused by Mycobacterium tuberculosis and its incidence have increased across the globe. Objective: This was a hospital based retrospective study and was used to determine the role of CT in establishing the definitive diagnosis of spinal TB. Material and Methods: The patient data was retrieved from the digital database of the hospital. Out of 120 patients, 14 patients were included in this study. Patients age, sex, symptoms and signs were noted down. CT scan with axial, coronal and sagittal sections were studied. Axial, coronal and sagittal sections of CT were reviewed by an expert radiologist. Results: Fourteen (11.4%) adults with spinal tuberculosis were found among 120 patients during this study period. The mean age (± SD) in our cases was 46.5 (± 22.0) years. Out of 14, 8 were males and 6 were females, with male: female ratio of 1.4. The mean duration was 1.25 years. The most common feature was rachialgia which was seen in 93% of cases, followed by segmental spinal stiffness (50%). The diagnosis in these cases was based on history, physical examination, vertebral radiographs, CT scan and response the medications. On vertebral imaging, lumbar lesions (57%) were seen in most of the cases, followed by dorsal (36%) and cervical (7%) involvement. The prognosis was good in all these cases except in two patients with medullary compression. Conclusion: In the recent years, the incidence of spinal TB has increased in both the developed and developing nations and is difficult to diagnose as histopathology is not done straight away in such cases. The presence of back pain associated with major radiological signs of spondylosis on CT can be used to diagnose this condition","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87285019","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

Comparative Analysis of Bone Marrow Aspiration Smears, Touch Imprints and Trephine Biopsy in Haematological Malignancies 恶性血液病骨髓穿刺涂片、触摸印迹和环钻活检的比较分析

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.33

S. Pant, H. Dhingra, Anshul Gupta, R. Misra

{"title":"Comparative Analysis of Bone Marrow Aspiration Smears, Touch Imprints and Trephine Biopsy in Haematological Malignancies","authors":"S. Pant, H. Dhingra, Anshul Gupta, R. Misra","doi":"10.21276/ijcmr.2020.7.6.33","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.33","url":null,"abstract":"Introduction: Inspection of the bone marrow is considered one of the most valuable diagnostic tool to evaluate hematologic malignancies. This study compares all three techniques of bone marrow aspiration (BMA), bone marrow imprint (BMI) and bone marrow biopsy (BMB) in morphological diagnosis of hematological malignancies. Material and methods: The study was conducted on 63 selected cases of various hematological malignancies. Only those cases in which bone marrow examination was done by using all the three techniques were included in the study. Results: Out of total 63 cases,53 cases were diagnosed on bone marrow aspirate smears with diagnostic accuracy of 84.12%, 60 cases were diagnosed on bone marrow imprint smears with diagnostic accuracy of 95.23% and all 63 cases were diagnosed on bone marrow biopsy with diagnostic accuracy of 100%. Conclusion: It is concluded that bone marrow imprints are equally useful as bone marrow biopsy in diagnosing hematological malignancies. Imprint cytology should therefore be a standard practice for evaluating bone marrow in cases of hematological malignancies.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80070509","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: 2

Sleeplessness in Patients with end-Stage Renal Disease Undergoing Dialysis Therapy in a Tertiary Care Center 在三级护理中心接受透析治疗的终末期肾病患者的失眠

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.16

H SanthoshPaiB, N. Chandran, D. Prabhu

{"title":"Sleeplessness in Patients with end-Stage Renal Disease Undergoing Dialysis Therapy in a Tertiary Care Center","authors":"H SanthoshPaiB, N. Chandran, D. Prabhu","doi":"10.21276/ijcmr.2020.7.6.16","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.16","url":null,"abstract":"Introduction: Maintenance dialysis patients experience a high burden of physical and emotional symptoms that directly affect their quality of life and health care utilization. Patient with end stage renal disease (ESRD), 80% of them have reported with complaints of subjective sleep abnormalities. Frequent reports have documented in these patients such as sleep disturbances manifestation as insomnia, sleep apnea syndrome, restless leg syndrome (RLS) periodic limb movement disorders, and excessive day time sleepiness. Present study focused to find the quality of sleep and sleep abnormalities in patients with ESRD. Material and methods: Patient data were collected using Pittsburgh Sleep Quality Index(PSQI); The demographic and clinic questionnaire contained questions about age, gender, place of residence, dialysis frequency, HD (Haemodialysis) duration. Scoring of seven components answers is based on a 0 to 3 scale which reflects the various states of sleeping disorders. Results: Study showed that during the earlier stage of hemodialysis patients may have a high PSQI test score. In the period of 312-month patients are facing poor sleep quality; indicating that in the earlier period of treatment patients may have taken more stress and conscious to adjust with hemodialysis as a routine treatment procedure for the rest of the life. This may instigate to have a high score in PSQI test score. Conclusion: The current study indicates that RLS, poor quality sleep, and EDS are common in ESRD patients under hemodialysis. Additional studies involving the change of hemodialysis shift may provide a better understanding of the correlation between time duration dialysis and sleeping disturbances.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75935216","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: 4

A Study on Work Related Neck Pain among Bank Employees in Kolkata, India 印度加尔各答银行员工与工作相关的颈部疼痛研究

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.22

S. Chakraborty, Sita Chatterjee Debasish Sinha, M. Basu, R. Misra

{"title":"A Study on Work Related Neck Pain among Bank Employees in Kolkata, India","authors":"S. Chakraborty, Sita Chatterjee Debasish Sinha, M. Basu, R. Misra","doi":"10.21276/ijcmr.2020.7.6.22","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.22","url":null,"abstract":"Introduction: Varying prevalence of Work Related Neck Pain has been reported in different occupational groups. Employees of Bank industries are subjected to various physical demands, prolonged sitting and standing postures which may lead to neck pain. Material and Methods: An observational cross sectional study was conducted among 270 Bank employees of selected Nationalised banks from June-July 2018 using a pre designed pre tested structured questionnaire. Statistical analysis plan: For Descriptive statistics: mean± SD, for categorical variables: frequency(n) & proportion(%),to test association: chi square test. Results: About 47.41% suffered from WRNP. Significant association were found between WRNP and higher age, education below graduation, duration of employment, bad posture, environment, mental stress, job pressure) and ergonomics of work station, height of monitor screen, distance from mouse to edge of table etc. Conclusion: Sensitization of all bank employees about WRNP and its effects, training programme for good working posture and improvement of working environment may be addressed.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89404842","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: 3

A Case of Postnatally Acquired Tuberculosis in a 2 Month Old Infant 2月龄婴儿出生后获得性肺结核1例

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.35

A. Dhawan

引用次数: 0

Comparative Analysis of the Efficacy of Epidural Dexmedetomidine and Clonidine with Bupivacaine in Patients Undergoing Infraumbilical Surgeries 硬膜外右美托咪定、氯定加布比卡因用于脐下手术的疗效比较分析

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.18

Anjana Hazarika, Yuwaraj Majumdar

{"title":"Comparative Analysis of the Efficacy of Epidural Dexmedetomidine and Clonidine with Bupivacaine in Patients Undergoing Infraumbilical Surgeries","authors":"Anjana Hazarika, Yuwaraj Majumdar","doi":"10.21276/ijcmr.2020.7.6.18","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.18","url":null,"abstract":"Introduction: Pain was defined by Mountcastle in the year 1968 as “that sensory experience evoked by stimuli that injures”. It is a subjective feeling and failure to relieve pain in any procedure cannot be accepted, both ethically and morally, and adequate pain relief must be treated as basic human right. Pain relief both in peri-operative and post-operative period is the crux of anaesthesia. The aim of the study was to evaluate the efficacy of epidural Dexmedetomidine and Clonidine as an adjuvant to Bupivacaine in patients undergoing infraumbilical surgeries. Material and Methods: Seventy (70) patients aged 20-60 years (ASA I-II) undergoing infraumbilical surgery were randomly allocated to two groupsGroup BD receiving epidurally 15ml Bupivacaine (0.5%) + Dexmedetomidine (1mg/kg) and Group BC receiving 15ml Bupivacaine (0.5%) + Clonidine (1mg/kg). After securing I/V line, infusion started with R/L and under strict aseptic condition, patients were administered epidural block via 18G Tuohy needle in the sitting or lateral position at L3-L4 intervertebral space. Results: We observed that the time taken for the onset of sensory block at T10 level, time for sensory block upto T6 and the time taken for maximum motor block is less in Group BD compared to Group BC. Regarding the post-operative block, the time to sensory two segment regression, time to sensory regression to S1, time for recovery of motor block and time to first rescue analgesia were more in Group BD compared to Group BC. And the difference between the two groups were significant (p<0.001). Conclusion: On the basis of the findings of our present clinical study, we can come to conclusion that Dexmedetomidine is more effective epidural adjuvant compared to Clonidine in patients undergoing infraumbilical surgery.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78297921","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

Dermatophytosis: an Epidemiological And Clinical Comparative Study in a Tertiary Care Centre 皮肤真菌病:三级保健中心的流行病学和临床比较研究

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.21

S. J. Sultan, A. Shah, I. Iqbal, F. Younus, I. Shah

{"title":"Dermatophytosis: an Epidemiological And Clinical Comparative Study in a Tertiary Care Centre","authors":"S. J. Sultan, A. Shah, I. Iqbal, F. Younus, I. Shah","doi":"10.21276/ijcmr.2020.7.6.21","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.21","url":null,"abstract":"Introduction: Dermatophytosis is a common superficial mycosis associated with significant morbidity. Dermatophytosis which are recurrent and clinically unresponsive to therapy are showing an alarming increase in the last few years. These patients are a potential source of infection to their family members and others closely associated with them. Our study aimed to investigate the risk factors, clinical patterns and causative dermatophyte species in patients with chronic/ recurrent dermatophytosis and patients with first episode of typical tinea. Material And Methods: The enrolled patients were categorized as group I consisting of 81 cases of chronic/ recurrent dermatophytosis and group II consisting of 81 cases of first episode dermatophytosis. After detailed history and thorough clinical examination, wet-mount preparation for direct microscopic examination was done along with fungal culture using Sabouraud’s dextrose agar. Results: In group I, T.mentagrophytes (51.7%) was the most common species isolated followed by T tonsurans (26.7%) and T rubrum(18.3%) while in group II, T tonsurans (43.3%) was the most common species isolated followed by T rubrum (28.4%)and T mentagrophytes(23.9%). Injudicious use of topical steroids, non-compliance with treatment and presence of dermatophyte infection among family members were the major risk factors with significant association with chronic/recurrent infections. Limitations: Lack of follow up of cases, antifungal susceptibility with clinical outcome and Immunological profile of the patients was not studied. Conclusion: Chronic and recurrent dermatophytosis are emerging as a major problem in dermatology practice. Injudicious use of topical steroid containing preparations, non-compliance, presence of intrafamilial infection are major factors for chronic and recurrent infections.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88273722","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: 3

Screening for Peripheral Vascular Disease among Type 2 Diabetes Patients of Lower Socio Economic Status using Ankle Brachial Index - A Descriptive Cross Sectional Study 利用踝肱指数筛查社会经济地位较低的2型糖尿病患者外周血管疾病——一项描述性横断面研究

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.31

T. Radha, A. P.S, Sukumaran Annamalai

{"title":" Screening for Peripheral Vascular Disease among Type 2 Diabetes Patients of Lower Socio Economic Status using Ankle Brachial Index - A Descriptive Cross Sectional Study","authors":"T. Radha, A. P.S, Sukumaran Annamalai","doi":"10.21276/ijcmr.2020.7.6.31","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.31","url":null,"abstract":"Introduction: Diabetes mellitus is one of the key important non-communicable diseases of this century in terms of mortality and prevalence. Peripheral Vascular Disease (PVD) is one of the most common macrovascular complications of Type II DM. PVD in risky cases exhibits as claudication or gangrene, but in maximum cases, manifests hidden symptoms. Early detection of vascular changes helps in effective handling of Diabetes and its complications. Study objectives were to assess Ankle Brachial Index in all asymptomatic vasculopathy in type2 diabetic patients of low socio-economic status using a hand-held doppler and to correlate the findings of Ankle Brachial Index with PVD. Material and methods: A descriptive cross sectional study done among the patients with asymptomatic vasculopathy in Type 2 diabetes mellitus patients coming to outpatient department as well as admitted as inpatients in Shri Sathya Sai Medical College and Research Centre, Ammapettai, Tamilnadu, India. The study duration was 18 months. Sample size was calculated to be 130. Results: In the study population of 130, using the ankle brachial index, 110 (84.6%) were normal (1 and above). 11 (8.5%) and 9 (6.9%) were having asymptomatic claudication (0.9-0.99) and claudication (<0.9) respectively. The prevalence of PVD is 15.4% in the study population. Conclusion: Ankle Brachial Index is a simple, easy to perform, rapid, reliable and accurate test which can be performed especially among the high risk groups.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75594680","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 Comparative Study of Maximum Mouth Opening amongst Postoperative Oral Cancer Patients with or without Radiotherapy 口腔癌术后放疗前后患者最大开口的比较研究

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.14

A. Bhanja, D. D'Souza, Piyali Poddar, Collin Roy, R. Poddar

{"title":"A Comparative Study of Maximum Mouth Opening amongst Postoperative Oral Cancer Patients with or without Radiotherapy","authors":"A. Bhanja, D. D'Souza, Piyali Poddar, Collin Roy, R. Poddar","doi":"10.21276/ijcmr.2020.7.6.14","DOIUrl":"https://doi.org/10.21276/ijcmr.2020.7.6.14","url":null,"abstract":"Introduction: Restricted mouth opening is a long-term sequelae of head neck cancer treatment. This is a major concern as it leads to multiple problems in maintenance of oral hygiene, speech, chewing, swallowing, prosthetic rehabilitation, and follow-up intra-oral examination. In this study, our aim was to assess maximum mouth opening (MMO) amongst postoperative oral cancer patients with or without conventional radiotherapy over a period of one year. Material and methods: A prospective longitudinal study was done in oral cancer patients, within three years, to compare effect of post-operative radiotherapy (PORT) on MMO over a follow-up period of one year with control of post-operative cases without radiation. Level of significance was set at alpha level 0.05. Results: Among 18 patients of PORT and 19 patients of control group, repeated measure ANOVA were significant for the following parameters: within subject effect in each group; between subject effect and interaction effect of month and radiation. Multiple pairwise comparison showed MMO at 3rd, 6th, 9th and 12th month were significantly different in PORT group, in comparison to preoperative MMO. In the control group however, only postoperative MMO at 1st month was significantly different. After one-year, mean MMO, in PORT and control was 32.56±4.29mm and 46.37±4.65mm, respectively and total trismus in radiotherapy group was 66.67% and that of control group was nil. Conclusion: Conventional radiotherapy in oral cancer patients can lead to high rate of trismus as a late effect. Strict exercise protocol along with close monitoring is recommended to have beneficial effect to the patients.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86911008","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

Foreign Body in Maxillary Deciduous First Molar – A Case Report 上颌第一乳牙异物1例

International Journal of Contemporary Medical Research [IJCMR] Pub Date : 2020-06-01 DOI: 10.21276/ijcmr.2020.7.6.8

N. Chandran, Sudeep C.B Sudeep C.B, Joseph Johny, Navaneeth Yerragudi

引用次数: 0