International Journal of Contemporary Medical Research [IJCMR]最新文献

{"title":"Evaluation of Various Non Culture Methods for the Diagnosis of Spontaneous Bacterial Peritonitis","authors":"Kunal Bansal, R. Aggarwal, H. Aggarwal, A. Yadav, Priyanka Yadav, P. Bansal","doi":"10.21276/ijcmr.2019.6.11.15","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.15","url":null,"abstract":"","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89198528","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}

{"title":"Mullerian Duct Anomaly- A Spectrum of Varied Clinical Manifestations","authors":"Poonam Poonam, Amit Kumar, R. Sinha","doi":"10.21276/ijcmr.2019.6.11.23","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.23","url":null,"abstract":"Introduction: Multiple integrated steps are required for normal development of the female genital tract. A wide variety of malformations can occur when this system is disrupted either in form of nondevelopment or defective fusion or failure of resorption. The purpose of this study was to review the spectrum of symptoms with which mullerian anomalies present so that timely intervention could be done to save sexual and reproductive life. Material and methods: The study was done in the department of Obstetrics and Gynaecology of a tertiary care teaching hospital in Bihar. Only the admitted cases i.e,those who required surgical correction were taken into study. Results: Majority of patients presented with severe abdominal pain(71.4%) followed by menstrual problems (46.4%), and urinary symptoms (35.7%) including vvf. 25% patients reported subfertility, 14.2% abdominal lump and 14.2% dyspareunia, 10.7%PID and 10.7% rectal pressure symptoms. Majority had transverse vaginal septum (28.5%),followed by MRKHS and OHVIRA syndrome (14.2% each), Conclusion: The variety of ways with which mullerian duct anomalies present hints that clinical suspicion should be there if early diagnosis is not to be missed.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87739557","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}

{"title":"Cause and Effect Relationship between Candida Spp. and Oral Premalignant Conditions: A Review","authors":"Mimansha Pradahan, R. K Srivastava","doi":"10.21276/ijcmr.2019.6.11.35","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.35","url":null,"abstract":"","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90395476","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}

{"title":"Incidence and Characteristics of Phlegmasia Cerulea Dolens. A 17- Year, Descriptive Study in a Third-Level Hospital in Madrid","authors":"Penedo Alonso, Y Aranda-García, D. Ly-Pen, M. SánchezPérez, F RoldánMoll","doi":"10.21276/ijcmr.2019.6.11.10","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.10","url":null,"abstract":"Introduction: Phlegmasia cerulea dolens (PCD) presents initially as a triad of pain in the affected limb, oedema and cyanosis. In more advanced cases, venous gangrene, pre-renal shock, arterial insufficiency, and even death. Study objectives were to ascertain the incidence of PCD in our hospital, to compare our patients ́ characteristics with those described in the literature and taper of point of care ultrasound in its diagnosis Material and methods: This was a retrospective, observational, descriptive study. The study period was from July 24th 2002 to April 30th 2019. It was conducted in a third level hospital in Madrid, Spain. Results: Thirty-three patients were diagnosed with PCD, 21 (63.7%) women and 12 men. Mean and median of age was 72 years. Range was from 38 to 89 years. The main association was with cancer, in 19 patients (57.5%), and pulmonary embolism in 9 patients (30%). Our mortality rate was 24%. The incidence of PCD in our study, is about 1:73,000 patients. Conclusion: The incidence of PCD in our hospital was 1:73,000. As soon as the clinical suspicion of PCD is raised, early diagnosis and treatment is crucial, with the aim of saving patient ́s lower limb and life. This is the only point where all publications coincide.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86942721","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}

{"title":"Evaluation of Root Dentin Cracks Caused by Three Single File Systems Versus Pro Taper System – An In Vitro Study","authors":"A. Rashid, Mubashir Younis, Manjula Sp","doi":"10.21276/ijcmr.2019.6.11.5","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.5","url":null,"abstract":"Introduction: Biomechanical preparation of root canals is one of the main steps in achieving endodontic success due to enabling bacterial elimination, removal of debris, and facilitating obturation. The aim of this study was to compare the incidence of dentinal cracks observed in the canal wall after canal instrumentation with 3 single-file systems and the ProTaper system (Dentsply Maillefer, Switzerland). Material and Methods: Eighty mandibular premolars with single root canal were selected. Teeth were decoronated and mounted in resin blocks with simulated periodontal ligaments. They were divided into 4 experimental groups (n = 20); then instrumented to the full working length with the ProTaper, OneShape (MicroMega, Besancon, France), Reciproc (VDW, Munich, Germany), and WaveOne Gold (Dentsply Malliefer) was performed. The roots were sectioned perpendicular to the long axis at 3, 6, and 9 mm from the apex and were observed under a stereomicroscope. The presence of cracks was noted. The chi-square test was performed to compare the appearance of cracked roots between the experimental groups. Results: Cracks found after canal instrumentation with the ProTaper, OneShape, and Reciproc and WaveOne Gold files, were 46.6%, 23.3%, 13.6%, 11.6% respectively. The difference between the experimental groups was statistically significant (P < .001). Conclusion: Nickel-titanium instruments cause cracks in root surface or in the canal wall; Reciproc and WaveOne Gold files caused less cracks than the ProTaper and OneShape files.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85819575","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}

{"title":"Survey of Usage and Type of Topical Anesthesia among Dentists of Tricity","authors":"A. Dhindsa, R. Rani, A. Chachra, S. Chachra, Kumar Shrikant, Manu Sharma","doi":"10.21276/ijcmr.2019.6.11.13","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.13","url":null,"abstract":"Introduction: Local anaesthesia injection is widely accepted as the gold standard for pain management during various dental procedures. Intra-oral topical anaesthesia not only reduces the pain of injection prick but also several minor dental procedures can be carried out under topical anaesthetic. Study aimed to determine the usage, type & effectiveness of various topical anaesthetics used for minor dental procedures in pediatric patients. Material and Methods: A self-structured, closed ended questionnaire was emailed to 100 private dental practitioners in the tricity and were asked to fill and mail it back. Results: 59% dentists responded, out of them 70.7% routinely used topical anesthetic. 64.8% used Lidocaine gel for administration of local anesthesia. 24.1% used topical anesthetic for extraction of nearly exfoliating deciduous teeth. 42.6% responded that the effect of topical anesthetic was achieved between 30 seconds to 1 minute. Conclusion: All the dentists were aware of using topical anesthetic and the most preferred delivery system was gel.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75726137","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}

{"title":"Role of Citicoline for Management of Myopic Amblyopia Patients in Teriary Care Hospital of India","authors":"D. Prabha, Yuvraj Lahre","doi":"10.21276/ijcmr.2019.6.11.16","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.16","url":null,"abstract":"Introduction: Myopia is a very common condition affecting people worldwide. Current research aimed to study the effects of oral citicoline as treatment option in myopic amblyopia. Material and Methods: Patients of myopic amblyopia of age group 5-30 years were evaluated between June2018 to March2019. Detailed eye examinations including visual acuity, refraction, and dilated fundoscopy were done. Patients were randomly divided into 2 groups. 1 group of patients were given oral citicoline(500mg) daily for 12 weeks. Other group of patients was given placebo daily for 12 weeks. All patients were followed up to at monthly interval for 6 months; visual acuity and refraction were done in each follow up visit. Results: Total 378 patients with myopic amblyopia were identified. Visual acuity improved or became stable over time following citicoline therapy, as compared to placebo. Maximum improvement in visual acuity was from 6/60 to 6/9(p). Conclusion: Citicoline therapy resulted in significant improvement or stability of visual acuity in myopic amblyopic patients.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74589402","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}

{"title":"Diagnostic Significance of Uric Acid, C Reactive Protein, Magnesium in Acute Myocardial Infarction","authors":"C. Mani, Avapati Raja Sekhar, A SuryaKanth, T. Chandra","doi":"10.21276/ijcmr.2019.6.11.7","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.7","url":null,"abstract":"Introduction: Study was undertaken to note the levels of high sensitive C-reactive protein (hs-CRP), serum uric acid, serum magnesium levels in acute myocardial infarction (MI). Material and methods: This study was conducted in GSL Medical College, study was approved by institutional ethical committee. Participants were recruited by folloing inclusion and exclusion criteria. After getting detailed history of patient’s blood samples were taken for hemoglobin, blood urea, serum creatinine, uric acid, serum electrolytes, hs CRP, serum uric acid, serum Magnesium. All the participants were subjected to ECG and ECHO cardiography. Fischer’s exact Chi square test was to find statistical analysis, P<0.05 was considered as statistically significant. Results: Of the 100 study participants, 39% participants’ hs CRP levels were ≤3mg/dl; statistically the difference was significant. When serum ureic acid considered, 46% patients with uric acid levels were ≤7mg/dl 66% participants’ magnesium levels were > 1.4mg/dl; The difference was statistically significant. Conclusion: The above findings showed a positive correlation of elevated hs CRP and uric acid; and low magnesium with various risk factors of MI.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81314657","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}

{"title":"Association between ABO Blood Group Phenotype and Reaction to Academic Stress in Young Medical Students","authors":"S. Iqbal, R. Akram, Sameea Akram, M. Ullah, Qurat u lain Fatima, H. Afzal","doi":"10.21276/ijcmr.2019.6.11.42","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.42","url":null,"abstract":"Introduction: Professional medical education needs hard work, good physical and mental health. In previous studies there is no scientific consensus that a relationship exists between the ABO blood group and personality traits. In this current study we tried to find out association between different blood groups and different type of stressors like physical, environmental, interpersonal and academic in young medical students. Material and methods: This Descriptive Cross sectional study was conducted at Rashid Latif Medical College Lahore from April to May 2019. A modified pre structured, valid and reliable questionnaire SSI was used to access the physical, academic, environmental, interpersonal stress, blood group and gender of 1st year and 2nd year MBBs students. Initially 220 (91 male and 129 female) were enrolled. Results: A total of 216 medical students filled in the survey out of 220 students, 126 students (n=126) were female and (n=90) were male who completed the questionnaire; the response rate was 98.18%. Out of 216 students blood group A was 32, AB was 42, B was 92 and O was 50. A greater variation in the response was observed in the physical category (St: deviation 10.40), while the least variation was observed in the category of interpersonal (St: deviation 5.27), respondents while the variation tends to increase in environment (St: deviation 6.78) and academic (St: deviation 7.20). Conclusion: All variables stressors like Physical, academic, environment and interpersonal are found to have negative and insignificant relationship with dependent variable blood group.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80941174","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}

{"title":"A Study of Assessment of Cardiac Autonomic Functions after Yogasana and Pranayama","authors":"Sangita Phatale, B. V. Shinde, S. Patil, P. Shinde","doi":"10.21276/ijcmr.2019.6.11.6","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.11.6","url":null,"abstract":"Introduction: Modern lifestyle, busy work schedule, lack of exercise, more expectancy generates stress in human life. Stress is a crucial factor in origin of diseases. Stress leads to autonomic imbalance. Yoga has very positive effects on stress. Yoga is now widely used for prevention and treatment of various disorders and to achieve the physical, Physiological, Psychological, spiritual and social well being of the person. So this study is planned to see the effects of yoga on healthy subjects as an important preventive measure to remain away from diseases. The present study was undertaken to show the various effects of selective yogasana and pranayama on cardiac autonomic functions in healthy subjects between age group 31 to 60 years. Material and Methods: The subjects fulfilling the inclusion criteria underwent the yogasana and pranayama sessions. Anthropometric data was collected. The cardiovascular status of 45 healthy subjects was assessed by cardiac autonomic function tests before the start of and after 3 months of yogasanaand pranayama practice daily for one hour. The instruments Diabetic Risk Profiler by Genesis Healthcare System Hydrabad, Handgrip dynamometer, digital blood pressure apparatus, cold water tub were used. The tests conducted were resting heart rate, resting blood pressure, deep breathing test(E/I ratio), orthostatic heart rate response (30/15 ratio), valsalva ratio, sustained handgrip test, cold pressor test and blood pressure response to standing. Results: After yogasana and pranayama for three months significant reduction in resting HR, SBP and DBP were found. Mean resting heart rate (HR) was decreased from 77.04/min to 71.38/min, mean SBP from 121mmHg to 117.51 mmHg and mean DBP from 83.42mmHg to 79.91mmHg. There was significant increase in parasympathetic reactivity parameters like orthostatic HRR from 1.12 to 1.50, Deep breathing from 1.20 to 1.52 and valsalva ratio from 1.24 to 1.67. There was significant decrease in sympathetic reactivity variables like sustained HGT Difference of diastolic BP (∆DBP) from 11.40 to 7.73 mmHg, cold pressor test ∆DBP 11.67 to 7.71mmHg and BP response to standing Difference of systolic BP (∆SBP) from 10.71 to7.64 mmHg. There were no statistical significant change observed in anthropometric parameters like body mass index (BMI) from 24.12 to 23.28 and waist hip ratio(WHR) from 0.87 to 0.85. Conclusion: It can be concluded that yogasana and pranayama has beneficial effects on cardiac autonomic activities and reactivity. This lifestyle should be followed regularly as a preventive measure by the persons with cardiac diseases to get relief and also healthy persons to remain away from cardiovascular problems.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75852843","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}