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

{"title":"Neonatal Sepsis: Frequency and Antibiogram Profiling of Bacterial Isolates in a Tertiary Teaching Hospital Lahore, Pakistan.","authors":"S. Mudassar, J. Nawaz, Mudassar Ali, Maheen Rana, F. Mahmood, S. Iqbal","doi":"10.21276/ijcmr.2019.6.10.50","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.50","url":null,"abstract":"","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76602238","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 Retrospective Study to Estimate the Prevalence of Anemia and Associated Factors among First Year MBBS Students of Maharaja Agrasen Medical College, Agroha, Hisar.","authors":"S. Dube, N. Dhingra, S. Pandey, Ritu Purohit, Manish Kundu, Manisha Singh","doi":"10.21276/ijcmr.2019.6.10.8","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.8","url":null,"abstract":"Introduction: Anemia is a most common public health problem affecting around 1.9 billion population of the world. It is a severe public health problem in India. Medical students are vulnerable to develop anemia due to irregular eating habits due to hectic study schedule. Anemia among this age group has significant health consequences resulting in poor cognition, decreased attention span and memory affecting the performance, depressed immunity, repeated infections, increased fatigue, and shortness of breath, dizziness, blurred vision, low endurance and irregular menstruation. Material and Methods: This study is conducted among 100 students of both gender taking admission in MBBS first year at MAMC, Agroha. Hemoglobin values and other relevant details of the students were taken from academic section submitted at time of admission. World Health Organization criteria were taken to determine the severity of anemia. Modified B.G. Prasad scale was used to assess the socioeconomic status of the family. Data was first entered into MS excel sheet and then was exported to SPSS version 20.0 for appropriate analysis. Results: Prevalence of anemia came out to be 54% among study subjects. Difference between the mean levels of hemoglobin across the genders came out be statistically significant (P=<0.001). Conclusion: Prevalence of anemia is high among the study subjects with more prevalence among females study subjects. There is a need to accelerate efforts for achieving control of anemia by strengthening multi-sectoral partnership involving government departments, academic institutions, bilateral agencies and food industry.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"408 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76345197","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":"Unilateral left Pulmonary Artery Agenesis with Pulmonary Hypertension: Unusual First Presentation.","authors":"V. Dogra, Manu Bhardwaj, Lakshay Beriwal","doi":"10.21276/ijcmr.2019.6.10.23","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.23","url":null,"abstract":"Introduction: Unilateral absence of pulmonary artery is a rare congenital disorder. We present here the case of Unilateral left pulmonary artery agenesis with pulmonary hypertension. Case Report: A 33-year young male patient presented to our tertiary care hospital in the out-patient department with complaints of shortness of breath on exertion for 7 months and bilateral feet swelling for 6 months. Routine investigations were within normal limits except 2 dimensional ECHO showed right atrium and right ventricle dilatation with severe pulmonary artery hypertension and 60% left ventricular ejection fraction. Patients with isolated right pulmonary artery agenesis commonly survive into adulthood with minimal or no symptoms, which makes their identification challenging. But our patient had left pulmonary artery agenesis which has significant association of life threatening cardiovascular malformations with left-sided UAPA and surgical repair is often required during the first year of life. None of which is present in our patient which is unsusual. Conclusion: Clinicians should be aware that recurrent respiratory infections may be presenting feature of UAPA. Initial investigation is usually a chest radiograph. Echocardiography is required for evaluation of possible pulmonary hypertension. Confirmation of the diagnosis and anatomic details can be discerned by CT scanning and MRI. Angiography is reserved for patients requiring embolization or revascularization surgery. Present case demonstrates a rare presentation of UAPA as right heart failure in first visit.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79366457","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":"Peripheral Nerve Blocks in Patients with Diabetic Neuropathy and other Neuropathies: A Narrative Review.","authors":"G. Krishnaprasad","doi":"10.21276/ijcmr.2019.6.10.6","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.6","url":null,"abstract":"","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87387652","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":"Proficiency of Pallor in Predicting Anemia.","authors":"Venkata Tulasi Ramesh Potluri, L. Potluri","doi":"10.21276/ijcmr.2019.6.10.34","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.34","url":null,"abstract":"Introduction: Anemia is one of the most commonly encountered hematologic disease of infancy and childhood. More than 75% of Indian children under 36 months of age are found to be anemic. Iron-deficiency anemia (IDA) has been found to be correlated with decreased cognitive performance in many studies, hence prompt diagnosis and treatment are necessary. Pallor is a clinical sign in the diagnosis of anemia. Current research aimed to study about the predictive value of pallor in various sites and its relation to anemia. Material and methods: 500 children attending the outpatient department of pediatrics were evaluated for clinical pallor and Hemoglobin was estomated by cyanmethemoglobin method. Results: When the various parameters were compared between conjunctival, palmar, mucosal and nail bed pallor; it has been observed that sensitivity was highest for nail bed pallor in the evaluation of anemia. Specificity was highest for conjunctival pallor. The positive predictive value and negative predictive value were both highest for conjunctival pallor and least for palmar pallor. However, when all the evaluated parameters were compared in patients with severe anemia, highest sensitivity and specificity was observed for palmar pallor. The positive predictive value was highest for palmar pallor and least for nail bed pallor. The negative predictive value was highest for conjunctival pallor and least for nail bed pallor. Conclusion: Clinical pallor of the nailbeds had highest sensitivity for detection of moderate anemia while palmar pallor had the highest sensitivity for the detection of severe anemia. These are simple clinical signs which can be read even by non doctors and can thus be taught to various personnel like health workers and school teachers for early detection and prompt management of anemia in children below 5 years.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83661287","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":"Etiological Profile of Patients Presenting with Fever and Thrombocytopenia in a Tertiary Care Hospital, Assam, India","authors":"Anuradha Deuri, D. Das, D. Kalita","doi":"10.21276/ijcmr.2019.6.10.44","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.44","url":null,"abstract":"","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91245980","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 Cross Sectional Study on Quality of Life Measurements for Patients with Chronic Suppurative Otitis Media in a Tertiary Care Centre - A Chronic Ear Survey.","authors":"G. Kumari, M. Manoj","doi":"10.21276/ijcmr.2019.6.10.10","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.10","url":null,"abstract":"Introduction: Chronic suppurative otitis media (CSOM) is a chronic suppurative inflammation of mucoperiosteal layer of the middle ear cleft appreciated by perforation of the tympanic membrane. CSOM can severely impact quality of life (QoL) of patients. QoL is the latest indicator of health care. The aim was to assess the quality of life in CSOM (Chronic suppurative otitis media) patients in a tertiary care centre. Materials and methods: It was a descriptive epidemiological study and sample size is approximately 60 using a Questionnaire by interview method the CES questionnaire (Activity Restriction, Symptom and Medical Resource). Results: In the end we came to know QoL is not affected in CSOM patients (p<.05) in terms of age, gender with activity restriction, symptom and medical resource. Conclusion: Hence concluded that quality of life is not affected in csom patients and though the health seeking behavior has increased, the knowledge about the disease is minimum. We have to promote health education about the disease. Further studies with larger sample size necessary to get significant correlation in QoL of csom patients.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89950711","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":"Comparative Evaluation of Various Cooling Techniques on Intrapulpal Temperature Rise during Direct Provisionalization - An Ex-vivo Study.","authors":"Ronauk Singh, P. Dua, P. Prakash, R. Vijayakumar, S. Bhandari","doi":"10.21276/ijcmr.2019.6.10.32","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.32","url":null,"abstract":"Introduction: Use of autopolymerising resin for direct provisionalization is one of the commonest methods employed by clinicians. However, these materials exhibit an exothermic reaction and are prone to cause pulpal damage. Thus, a combination of cooling technique and matrix material to reduce the quantum of heat transferred to a healthy vital pulpal tissue may be employed for minimal tissue damage. An ex-vivo study was thus envisaged to compare the efficacy of various matrix materials and cooling techniques on time related temperature changes in the pulp chamber during the fabrication of provisional FPD restorations using direct technique. Material and Methods: A total of 100 provisional restorations were fabricated and were grouped on the basis of three different matrices: Vacuum template, Putty index and Alginate index and further subgrouped on the basis of various cooling techniques employed. Thermal changes in the pulp chamber was evaluated using Cr/ Al thermocouple placed in the pulp chamber of a prepared tooth and connected to a digital thermometer. Intrapulpal temperature variations were recorded, tabulated and statistically analysed. Results: The inter-group and intra-group statistical comparisons of continuous variables were done using analysis of variance with Bonferroni’s correction for multiple group comparisons considering the independent study groups. The underlying normality assumption was tested before subjecting each variable to t test and ANOVA. In the entire study, the p-values less than 0.05 were considered to be statistically significant. All the hypotheses were formulated using two tailed alternatives against each null hypothesis (hypothesis of no difference). The entire data was statistically analysed using Statistical Package for Social Sciences (SPSS ver 21.0, IBM Corporation, USA) for MS Windows. Conclusion: The order of heat dissipation for the different matrices used is as follows: Irreversible hydrocolloid matrix > PVS putty matrix > vacuum form template. It was concluded that intrapulpal temperature rise during the direct fabrication of provisional restorations can be limited by employing different cooling techniques. “Cooling” of PVS putty and alginate impression index for 2 minutes in refrigerator (Ambient temperature 10-120C) was found to be most effective “cooling” method for preventing temperature rise in pulp.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79427680","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 Retrospective Study of Clinicopathological Profile and Treatment Outcomes of Thyroid Malignancies Presented to a Tertiary Care Teaching Hospital","authors":"S. Iyengar","doi":"10.21276/ijcmr.2019.6.10.16","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.16","url":null,"abstract":"Introduction: Thyroid cancer is on the developing world over – almost doubling in the past ten years. This is mainly due to improved awareness, screening and diagnosis of the nodular disease. Thyroid cancer has an apparent gender predisposition with women being affected three times more than men and 8th most mostly occurring cancer among women. To analyze the clinicopathological profile of thyroid cancer patients and to assess the pattern of treatment and long-term treatment outcomes. Material and methods: The current study was retrospective case record review of all the thyroid cancer cases including all the histopathological confirmed cases of thyroid cancer. The statistical analysis was carried out by using IBM SPSS version 21. Results: A total of 67 subjects were included with a mean age of 44.72 ± 14.99 years. Females were 68.66% and males 31.34% of the study population, 61 (91.05%) people had usual presentation of neck swelling of various sizes and other associated findings. Thyroid function test showed that 91.04% (61) showed euthyroid status, 40.3% (27) had a total thyroidectomy, 95.52% (64) of the patients were alive and well. Conclusion: The study bears evidence to the fact that papillary carcinoma is the most commonly occurring form of differentiated thyroid cancer (70.6%). The prevalence of distant metastasis is 4.48% and most commonly found in the lung. The disease is more prevalent among women than men.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"156 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83959376","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":"The Commonly Encountered Rheumatological Manifestations amongst Patients with Type 2 Diabetes","authors":"Amandeep Singh, Kiranjit Kiranjit, Sanaullah Pathan, H. Pal","doi":"10.21276/ijcmr.2019.6.10.15","DOIUrl":"https://doi.org/10.21276/ijcmr.2019.6.10.15","url":null,"abstract":"Introduction: Type 1 DM is the result of complete or neartotal insulin deficiency. Type 2 DM is a heterogeneous group of disorders characterized by variable degrees of insulin resistance, impaired insulin secretion, and increased glucose production. Several studies have reported an association of early osteoarthritis and DM. The present study was conducted with the aim to analyze the commonly encountered rheumatological manifestations amongst patients with type 2 diabetes. Material and methods: The study was conducted among 100 patients of already diagnosed type 2 diabetes mellitus, attending outpatient/inpatient department of Department of Medicine, Rajindra Hospital/ Government Medical College, Patiala. The selected patients were subjected to further evaluation using Baseline diabetic questionnaire: Name, age, sex, occupation especially manual labor, height, weight, BMI (We considered overweight subjects with a BMI between 25 and 29.9 and obesity with BMI >30 kg/m2)3, duration and onset of type 2 diabetes, smoking habits, any history of systemic diseases, medications: oral hypoglycemic or insulin injection, blood sugar level: fasting, post prandial and glycosylated hemoglobin. Musculoskeletal system was systematically examined. Student t test was used for statistical analysis. Probability value of less than 0.05 was considered as significant. Results: The age ranges from 41 years to 80 years. Most of the patients were between 61-70 years of age and were 40% of the total patients. In our study out of 100 diabetic patients 27 had rheumatological manifestations. The most common manifestation was Osteoarthritis (Osteoarthritis knee in our study) which was found to be present in 14% cases. Out of 100 patients 27 had rheumatological manifestations out of which 11 were males and 16 were females. 35 males and 38 females were without rheumatological manifestations. Conclusion: Rheumatological manifestations are common amongst subjects with Type 2 diabetes mellitus. The overall prevalence of rheumatological manifestations was 27%. This could be helpful in preventing chronic disability in patients and improving their quality of life. Good glycemic control is a key to prevent rheumatological manifestations in patients with T2DM.","PeriodicalId":13918,"journal":{"name":"International Journal of Contemporary Medical Research [IJCMR]","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89019942","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}