{"title":"Irretrievable morse taper junction of the femoral prosthesis at revision hip arthroplasty for metallosis: A case report","authors":"V. Singh, G. Mercer","doi":"10.4103/jmgims.jmgims_34_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_34_20","url":null,"abstract":"Incidence of total hip arthroplasties being performed is on a rise across the world, consequently we would see more and more revisions hip arthroplasties being done for various indications such as infection, loosening, wear, metallosis, trauma; alone or a combination of the above factors. This case report highlights one of the rare but interesting scenarios that a revision hip surgeon must be prepared to encounter while planning to perform a technically challenging revision hip arthroplasty surgery. This report also thus emphasizes the importance of extensive pre-operative planning in terms of technique and timing of the procedure, the skills set and the armamentarium of tools that may be needed for a demanding revision arthroplasty procedure.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70803807","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":"Conclusion","authors":"R. Jahanbegloo","doi":"10.4324/9780429343865-6","DOIUrl":"https://doi.org/10.4324/9780429343865-6","url":null,"abstract":"","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87900283","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 low cost ingenious approach for ultraviolet decontamination of N95 filtering face-piece respirators to deal with dwindling supply during the COVID-19 pandemic","authors":"Anjali Patond, R. Narang","doi":"10.4103/jmgims.jmgims_48_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_48_20","url":null,"abstract":"Introduction: COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus-2 is rapidly evolving and hospitals are facing the issue of shortage of personal protective equipment (PPE) due to stringent requirements of PPE use. For reuse of N95 filtering face-piece respirators (N95FFR), we prepared an ingenious cabinet with ultraviolet light C (UV-C) using scarce material available during the lockdown period. Materials and Methods: Since like many other microbiology laboratories in medical colleges, we did not have access to viruses, we could not test our product with them. We thus tested the efficacy of the cabinet to decontaminate material using 0.5 McFarland standard broth of Escherichia coli 25922. The broth was exposed to UV-C inside the cabinet for 15 and 30 minutes in Petri dishes, with and without lids. The broth was subcultured on nutrient agar plates, both pre and post exposure. We also could not test integrity and static charge of the respirators; we relied on CDC data on the same. Results: It was observed that there was at least 4 log reduction (99.99%) in the number of viable E. coli on exposure to UV-C for 15 as well as 30 minutes. The plates with glass lids on did not show any reduction in number of viable bacilli. The reduction in number of E. coli was taken as surrogate marker for the reduction of ssRNA viruses. Conclusions: UV-C inside an ingeniously made cabinet can be used to decontaminate N95 FFR in exceptional circumstances of reduced supply under lockdown conditions of a pandemic.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"80 - 85"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44878873","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":"Empowered rural communities: The key to India's response to COVID-19 pandemic","authors":"Subodh S. Gupta, P. Kothekar","doi":"10.4103/jmgims.jmgims_125_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_125_20","url":null,"abstract":"","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"59 - 61"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45849578","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":"Cutaneous dermatophyte invasion below the stratum corneum in an immunocompetent patient: To blame mixed creams or not?","authors":"H. Pathave, A. Dongre, V. Nikam","doi":"10.4103/jmgims.jmgims_19_19","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_19_19","url":null,"abstract":"Dermatophytes are pathogenic fungi that infect human skin, nails, and hair. Dermatophytes very rarely invade the epidermis below the stratum corneum in an immunocompetent host. Herein, we report a case of invasive cutaneous dermatophytosis in a 30-year-old immunocompetent male who had a history of intermittent mixed cream application on the lesion. Biopsy from the plaque showed neutrophilic spongiosis with superficial perivascular infiltrate of neutrophils, eosinophils, and lymphocytes. On periodic acid–Schiff staining, multiple branched septate hyphae in the stratum corneum were seen. Some of them were seen invading the stratum granulosum and upper spinous layer. On culture, Trichophyton schoenleinii species was isolated.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"107 - 109"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46738344","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":"Why do orthopedic implants break?: A retrospective analysis of implant failures at a rural tertiary care centre in central India","authors":"R. Patil, C. Badole, G. Mote, K. Wandile","doi":"10.4103/jmgims.jmgims_29_19","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_29_19","url":null,"abstract":"Background: The AO Foundation's Association for the Study of Internal Fixation has advocated rigid fixation with implants in the form of plates and screws. Focus is on development of implants which are stronger, more acceptable to the body, cheaper, and durable. Aim: The aim of this study was to find the factors responsible for implant breakage. Materials and Methods: We have retrospectively analyzed the data from January 2008 to December 2018 (10 years). Information on sociodemographic characteristics, clinical features, and radiographic features was retrieved from the hospital information system. Data were entered and analyzed with Epi Info software. Results: Of the 37 patients, there were 33 (89.2%) males and four (10.8%) females in the age group of 17-95 years. The most common site for implant breaks was observed to be the shaft of the femur (40.5%), and the most common type of implants which broke were locking intramedullary nails (62.1%). Conclusion: The factors responsible for breakage of implants were observed to be: retrauma, failure of compliance with advice about ambulation, absence of union at fracture sites, and persistent infection. Out study shows the importance of educating patients properly about physiotherapy and rehabilitation protocols.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"95 - 98"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46169862","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":"Prediction of lipohypertrophy in patients with diabetes mellitus","authors":"V. Brijeetha, J. Fernandes, J. Idiculla","doi":"10.4103/jmgims.jmgims_58_19","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_58_19","url":null,"abstract":"Introduction: Lipohypertrophy (LH) may result in variable absorption of insulin and affect glycemic control. Objectives: This study aimed to study the risk factors and prevalence of lipohypertrophy in diabetic patients at a tertiary hospital in South India. Methodology: 206 patients with diabetes mellitus aged over 18 years of age, on insulin therapy for over two years, were included in this study conducted at St Johns Medical Hospital to explore the prevalence and risk factors for development of lipohypertrophy. Demographics, duration of diabetes and insulin therapy, type of needles used, times of reuse, injection technique was recorded. The injection sites were inspected meticulously for the presence of lipohypertrophy. Results: 66 patients (32%) were found to have LH of which 62 had Type 2 diabetes and 4 had Type 1 diabetes. The median duration of diabetes was 15 years (IQR 10-20) and was higher in the group with LH (P=0.000). The duration of insulin therapy was 10 years (IQR 5-10.5) and was significantly higher in the group with LH (P=0.000). The commonest site for insulin injection was the abdomen and it was associated with LH (P=0.000).Patients reusing the needles over 6 times and those who failed to rotate injection sites had the highest frequency of LH(P=0.000). Conclusions: Patients on long term insulin should be advised against the reuse of needles to save on cost of therapy in view of increased risk of LH and glycemic variability. Physicians must reinforce proper insulin injection technique periodically and document lipohypertrophy if present.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"86 - 89"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46249216","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":"Branch retinal artery occlusion in a young healthy patient: Embolism as a rare cause","authors":"J. Jain, S. Banait, Tanvi Banait","doi":"10.4103/jmgims.jmgims_70_19","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_70_19","url":null,"abstract":"Branch retinal artery occlusion (BRAO) is an acute, painless, vision threatening, ocular emergency among people older than 60 years having cardiovascular disease. Here, we present a case of BRAO which occurred due to embolism as a rare etiology in an otherwise healthy young Asian male without any systemic or ocular disorders. The patient was treated as an ocular emergency with improved vision and retinal perfusion. The patient did not complain of recurrence of symptoms in the 3 months after the treatment.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"110 - 112"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41465424","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":"Functional foods for mental health promotion","authors":"Soumam Dutta, S. Roy, S. Roy","doi":"10.4103/jmgims.jmgims_15_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_15_20","url":null,"abstract":"Mental health problems and morbidities are increasing day by day. The etiology of mental health disorders is extremely complex and encompasses a range of genetic, dietary, emotional, and social as well as lifestyle factors. Finding adequate therapeutic and preventive strategies for mental health promotion is a great challenge. India is a country which is famous for its flora and fauna, many of which possess functional and medicinal properties. This article summarizes the mental health role of some selected functional foods of Indian origin, namely, brahmi (Bacopa monnieri), ashwagandha (Withania somnifera), turmeric (Curcuma longa), garlic (Allium sativum), and pumpkin seeds (Cucurbita maxima). Relevant article searches were conducted in PubMed, Google Scholar, and Google to identify the scientific articles highlighting the role of the functional foods on various mental health problems such as neurodegeneration, Alzheimer's disease, Parkinson's disease, depression, epilepsy, stress, and anxiety. The eligible articles were reviewed to gather information. These functional foods were found to be highly beneficial in treating and preventing mental health disorders mainly due to their antioxidant and anti-inflammatory properties as well as their ability to prevent mitochondrial dysfunction and degrade abnormal protein aggregates. These functional foods were also found to be effective in the improvement of the activities of various neurotransmitters such as acetylcholine and monoamines. These foods can be incorporated into the diet as well as can be used to develop drugs and nutraceuticals for treating various psychiatric problems.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"72 - 79"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46002517","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 association between chronic kidney disease, waist circumference and body mass index: A case-control study from a tertiary hospital of West Bengal, India","authors":"Anirban Ghosh, Soma Das","doi":"10.4103/jmgims.jmgims_64_19","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_64_19","url":null,"abstract":"Introduction: In this hospital-based study, we investigated the association between chronic kidney disease (CKD) and two globally accepted obesity parameters – waist circumference (WC) and body mass index (BMI). Aims: To investigate the association between CKD with BMI and WC. Materials and Methods: We included 416 consecutive CKD patients (age >20 years, calculated glomerular filtration rate <60 ml/min/1.73 m2) as the case group and 408 consecutive age- and sex-matched non-CKD patients as the control group for our study. after obtaining consent, all groups were tested for WC and BMI. Results: Of 416 cases, the prevalence of high WC according to the International Diabetes Federation (IDF) criteria was 37.5% and of obesity according to the Indian BMI scale was 38.46%. When compared with the control group, we found that WC (p < 0.0001, odds ratio [OR] 2.182, 95% confidence interval [CI] 1.099–1.852) and BMI (p = 0.006, OR 3.125, 95% CI 1.625–3.125) were significantly high in the CKD group. Conclusion: The parameters of obesity were found to be significantly associated with the non-edematous CKD group.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"25 1","pages":"103 - 106"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44776372","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}