{"title":"Part Three","authors":"R. Rolland","doi":"10.18356/77e122a7-en-fr-es","DOIUrl":"https://doi.org/10.18356/77e122a7-en-fr-es","url":null,"abstract":"","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84770360","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":"Part One","authors":"R. Rolland","doi":"10.21832/9781788925105-001","DOIUrl":"https://doi.org/10.21832/9781788925105-001","url":null,"abstract":"","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84618452","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}
Ankit Chauhan, V. Ahluwalia, P. Saharan, S. Narayan, Neelmani Sharma
{"title":"Multiple foreign body ingestion in pica patient","authors":"Ankit Chauhan, V. Ahluwalia, P. Saharan, S. Narayan, Neelmani Sharma","doi":"10.4103/jmgims.jmgims_54_16","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_54_16","url":null,"abstract":"Appetite for substances that are widely non-nutritive is termed Pica and commonly seen in patients with psychiatric disorders. Their clinical presentation may be delayed and include multiple foreign bodies. Most of such ingested bodies pass through gastrointestinal tract uneventfully and only on rare instances cause obstruction or perforation. The length and sharpness of an object govern its risk of perforation. Physicians are dependent upon imaging to detect a foreign body, especially if the history of ingestion is doubtful. We present a case of pica with multiple foreign bodies diagnosed on radiography and ultrasonography with the findings correlating with surgical retrieval of objects.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"103 - 106"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48923622","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}
Kamal R. Dodia, Rajesh Chudasama, Ravi Dharamdasani
{"title":"Study of incidence of endophthalmitis in posttherapeutic keratoplasty patients at a secondary care hospital in Saurashtra Region, India","authors":"Kamal R. Dodia, Rajesh Chudasama, Ravi Dharamdasani","doi":"10.4103/jmgims.jmgims_32_16","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_32_16","url":null,"abstract":"Background: Endophthalmitis is an infrequent but devastating intraocular infection. The objective of the present study was to detect the incidence of endophthalmitis in posttherapeutic keratoplasty patients. Materials and Methods: The study was conducted at a secondary-level government eye care center at Rajkot, Gujarat. The study included 71 eyes of 71 patients prospectively from January 2013 to December 2014. All the patients who underwent therapeutic keratoplasty for suppurative keratitis and descemetocele were included in this study. The study excluded all the patients who underwent optical penetrating keratoplasty and posttraumatic keratoplasty. The patients were followed up on the 1st, 7th, 15th, and 45th postoperative days for signs and symptoms of endophthalmitis. Results: There were 71 eyes of 71 patients including 44 (62.0%) males and 27 (38.0%) females. The mean age of the patients was 53.4 ± 18.9 years (range: 8–98 years). Out of the 71 eyes, 51 had preoperative ocular history including foreign body fall (15 [21.1%]), vegetative material trauma (20 [28.2%]), nonvegetative material trauma (11 [15.5%]), and previous keratoplasty (5 [7.0%]). Predominantly, bacterial infection was reported in 28 (39.4%) patients. Iritis was reported in all patients after keratoplasty followed by conjunctivitis (9.9%) and vitritis (7.0%). During follow-up examination on the 1st, 7th, 15th, and 45th postoperative days, zero incidence of endophthalmitis was reported. Conclusion: The present study reported zero incidence of endophthalmitis in therapeutic penetrating keratoplasty patients. Therapeutic penetrating keratoplasty is effective in the management of eye with suppurative keratitis and descematocoele.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"82 - 86"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46403254","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":"Are all additives of toothpastes rational?","authors":"A. Mani, V. Thawani","doi":"10.4103/jmgims.jmgims_34_18","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_34_18","url":null,"abstract":"Absorption of drugs is more in human oral cavity. Humans get daily exposure to the additives of dentifrices which contain toxic chemicals. The practice of using commercial dentifrices can cause toxic problems to user, and this issue is unfortunately not in public domain and also ignored by the Government. The best way is to avoid it, is to use natural safe tooth cleaners.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"71 - 74"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43157300","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 nitrate reductase assay on Lowenstein–Jensen medium for drug susceptibility testing of Mycobacterium tuberculosis","authors":"Reema Ghodmare, R. Narang, P. Narang","doi":"10.4103/jmgims.jmgims_59_16","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_59_16","url":null,"abstract":"Introduction: Multidrug-resistant tuberculosis is of increasing public health concern and a rapid and inexpensive drug susceptibility test is needed in resource limited settings. Aim: This study aims to compare the efficacy of drug susceptibility testing (DST) of Mycobacterium tuberculosis using nitrate reductase assay (NRA) on solid Lowenstein–Jensen (LJ) medium with proportion method on LJ medium as reference standard. Materials and Methods: From November 2011 to July 2012, 100 isolates of M. tuberculosis were tested for susceptibility to first-line drugs on LJ medium by proportion method and NRA using LJ with potassium nitrate. Results: For various drugs, the sensitivity and specificity by NRA on solid medium were as follows: streptomycin 96.6% and 98.5%; isoniazid 96.87% and 97%; rifampicin 96.3% and 96%; and ethambutol 78.9% and 91.4%, respectively. The concordance for rifampicin and isoniazid between NRA method and LJ proportion method was found to be >95%. Conclusion: NRA was found to be a rapid and sensitive method for DST of M. tuberculosis.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"78 - 81"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46768027","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":"Ayushman bharat and road to universal health coverage in India","authors":"V. Keshri, Subodh S. Gupta","doi":"10.4103/jmgims.jmgims_44_19","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_44_19","url":null,"abstract":"The World Health Organization defines universal health coverage (UHC) as means to enable all people and communities to use promotive, preventive, curative, rehabilitative, and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship. It embodies three objectives: equity in access, quality, and financial risk protection.[1] The UHC movement received more impetus after it was included as one of the targets of the United Nation’s Sustainable Development Goals‐3 (SDG‐3) in 2015.[2] Many low‐ and middle‐income countries have started special programs, mainly different kind of health financing and insurance schemes in aspiration to move toward UHC.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"65 - 67"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49004651","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 rare case report of levofloxacin- and solifenacin-induced acute anaphylactic reaction in an elderly patient","authors":"S. Bahekar, P. More","doi":"10.4103/jmgims.jmgims_16_17","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_16_17","url":null,"abstract":"Drug-induced acute anaphylactic reactions are rare in general. Antibiotics and anticholinergic agents are widely used for renal conditions such as hematuria and overactive bladder, respectively. However, anaphylactic reactions to this category of drugs are very rare, but many times fatal. These types of serious reactions are very important to watch for. Here, we are reporting levofloxacin and solifenacin-induced acute anaphylactic reaction in a 66-year-old male patient.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"101 - 102"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42542040","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":"Types of diabetes: Two or five","authors":"P. Tayde","doi":"10.4103/jmgims.jmgims_39_19","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_39_19","url":null,"abstract":"Traditionally, diabetes is classified as type 1 and type 2 based upon the phenotypic differences. However recent research denotes that there are at least five well characterized subtypes.This classification provides novel insights in the natural history and treatment options for diabetes mellitus.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"75 - 77"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45493132","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":"Pregnancy outcome in women with early pregnancy bleeding in a tertiary health care facility in Southwestern, Nigeria","authors":"A. Olugbenga","doi":"10.4103/jmgims.jmgims_29_16","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_29_16","url":null,"abstract":"Background: Bleeding in early pregnancy is a common occurrence, but very little is known about the outcome of pregnancy complicated by bleeding during the early part of the gestation. This prompted me to explore these in a prospective cohort study over a period of 12 months. Objectives: The aim of this study is to determine the mode of presentation and the materno-fetal outcome in pregnancies complicated by early pregnancy bleeding and compare with a group without such complication. Materials and Methods: A total of 72 cases were observed and these patients were matched with a control group in maternal age in years (+2), parity and gestational ages in weeks. Thus, a total number of 144 patients were studied. Results: Pregnancy loses or abortions occurred in 12 patients (16.6%) in the study group compared with 3 patients (4.1%) in the control group (P < 0.05), 14 patients (19.4%) had preterm deliveries in the study group, compared with four patients (5.5%) in the control group (P < 0.05) and low birth weight was observed in 15 patients (20.83%) among the study group compared with 5 patients (6.94%) in the control group (P < 0.05). All the three outcome measures above had statistically significant differences when compared in between the two groups. These poor outcomes were observed among those who bled in the second trimester, those who had episodes of bleeding in both the first and the second trimesters or recurrent vaginal bleeding throughout the pregnancy. Conclusion: The outcome of this study showed that bleeding in early pregnancy, especially during the second trimester or recurrent bleeding in both the first and the second trimesters correlates with poor pregnancy outcomes.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"24 1","pages":"87 - 90"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42099634","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}