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JAYPEE JOURNALS
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1.  RESEARCH ARTICLE
Association of Hyperuricemia and Urinary Albumin Excretion with Glycosylated Hemoglobin in Patients with Type II Diabetes Mellitus
Bushra Fiza, Jai P Yogi, Jaishree Choudhary, Anita Semar, Maheep Sinha
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:1-6] [No of Hits : 38]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0021 | FREE

ABSTRACT

Type II diabetes mellitus (DM) is the most common endocrine disorder and a leading cause of morbidity and mortality across the world. Long-standing diabetes and a poor glycemic control are the major factors which contribute to the development of various microvascular complications of diabetes. Microvascular changes in kidneys lead to microalbuminuria, which may further lead to end-stage renal disease (ESRD) if left untreated. Elevated serum uric acid level has been recognized as a marker of endothelial dysfunction which contributes to the development of microvascular changes in various organs. The main objective of the present study was to assess the association of serum uric acid and urine microalbumin levels with glycosylated hemoglobin (HbA1c) in type II DM patients. One hundred diagnosed cases of type II DM were enrolled for the study. Blood samples were collected and estimated for fasting blood sugar, serum uric acid, and HbA1c. Also, 24-hour urine samples were collected and analyzed for microalbumin. A positive association (r = 0.203) was observed between HbA1c and serum uric acid. The study also suggested a positive association between glycemic control and microalbuminuria (r = 0.237) in diabetic patients. A strong positive association was also observed between uric acid and urine microalbumin levels (r = 0.338). Findings of the study, therefore, recommend that development of microvascular complications in type II DM patients can be averted by adopting dietary control and healthy lifestyle changes. Strict glycemic control and lowering of serum uric acid levels can be helpful in minimizing the risk of developing nephropathy and its progression toward ESRD.

Keywords: Diabetes mellitus, Glycemic control, Glycosylated hemoglobin, Microalbuminuria, Nephropathy, Uric acid.

How to cite this article: Fiza B, Yogi JP, Choudhary J, Semar A, Sinha M. Association of Hyperuricemia and Urinary Albumin Excretion with Glycosylated Hemoglobin in Patients with Type II Diabetes Mellitus. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):1-6.

Source of support: Nil

Conflict of interest: None

 
2.  CASE REPORT
An Indigenous Removal Method of a Broken Interlocking Nail
Aniket Kedawat, AK Mathur, Mohit Kumar, Anshu Sharma, Anand Gupta
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:38-40] [No of Hits : 29]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0030 | FREE

ABSTRACT

Breakage of locking nail is an important cause of interlocking nail failure in femoral fractures. Usually, it takes place at one of the ends of the nail. Here we report an unusual extraction method of intramedullary femoral nail failure with breakage of nail proximal to distal locking holes. Such a scenario usually complicates further management. This case was managed with exchange nailing and bone grafting after removal of implant using a novel technique and using commonly available orthopedic instruments in the operation theater. Here, we briefly review the literature regarding such an unusual presentation and discuss in detail the possible etiology of such a presentation and the management options when facing such a complex situation.

Keywords: Broken nail, Exchange nail, Implant removal.

How to cite this article: Kedawat A, Mathur AK, Kumar M, Sharma A, Gupta A. An Indigenous Removal Method of a Broken Interlocking Nail. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):38-40.

Source of support: Nil

Conflict of interest: None

 
3.  CASE REPORT
Surgical Management of Chronic Bilateral Condylar Dislocation
Dinesh C Sharma, Sunil Sharma, Punit Chitlangia, Amit
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:41-43] [No of Hits : 29]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0031 | FREE

ABSTRACT

Dislocation is the complete separation of the articular surfaces of a joint and fixation in an abnormal position. In case of mandibular dislocation, the normal anatomic relationship of the mandibular condyle with the glenoid fossa disrupts and condyle seats in an unfavorable position which is mostly anterior. Dislocation can be of acute and chronic subtypes. Acute dislocation is once in a lifetime event, but chronic dislocations are painful and distressing to the patient. There are various nonsurgical and surgical treatment options available in the literature but the most sought after method is eminectomy. A case of chronic dislocation treated surgically with eminectomy is reported here.

Keywords: Condylar dislocation, Eminectomy, Subluxation.

How to cite this article: Sharma DC, Sharma S, Chitlangia P, Amit. Surgical Management of Chronic Bilateral Condylar Dislocation. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):41-43.

Source of support: Nil

Conflict of interest: None

 
4.  RESEARCH ARTICLE
To find the Efficacy of Therapeutic Laser for Piriformis Syndrome
Surendra Ojha, Chandan Jailiya
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:14-17] [No of Hits : 21]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0024 | FREE

ABSTRACT

Introduction: Excessive static and dynamic muscle work/ action of the piriformis causes Piriformis syndrome (PS). The sciatic nerve runs on bilateral side of posterior hip or thigh just closed to piriformis muscles or sometimes just passes through it. In case of PS, patients feel sharp radiating pain and paresthesia and muscle weakness in lower quadrants of limbs including low back, hip, and ankle.

Aims and objectives: The aim of the study was to compare and observe the effect of light amplification by stimulated emission of radiation (LASER) therapy and ultrasound therapy in case of PS. The purpose of this study was to investigate the effectiveness of laser therapy for the physiotherapy rehabilitation to restore range of motion (ROM) of lower limb and decrease pain and disability in PS.

Materials and methods: Thirty patients were taken for this study. The mean age in group I and group II were 28.2 ± 5.116 and 29.93 ± 4.793 respectively, and the patients were referred from orthopedic outpatient physiotherapy department of Mahatma Gandhi Hospital, Jaipur, Rajasthan, India. The duration of study was of 3 weeks. Baseline measurements of pain intensity, lower extremity functional disability, and ROM of all the subjects were measured using the visual analog scale (VAS), Lower Extremity Functional Scale, and goniometer respectively, and recorded as per test data for statistical analysis.

Results and conclusion: The results have shown that clinically there is a significant difference in the subjects treated with low-level laser and ultrasound efficient in treating pain, ROM, and function in subjects with PS. Between-the-group comparison of values of VAS readings for pain was found to be statistically significant (0.0001) for ROM, but was not found statistically significant for function.

Keywords: External rotation, Functional lower extremity scale, Laser, Lower limb, Piriformis syndrome, Range of motion, Visual analog scale.

How to cite this article: Ojha S, Jailiya C. To find the Efficacy of Therapeutic Laser for Piriformis Syndrome. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):14-17.

Source of support: Nil

Conflict of interest: None

 
5.  RESEARCH ARTICLE
Premenstrual Syndrome: Correlation and Functional Impairment
Murlidhar Swami, Mona Narain, Krishna Kanwal, Mahesh Mishra, Shubhangi Singh
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:18-22] [No of Hits : 21]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0025 | FREE

ABSTRACT

Introduction: Premenstrual syndrome (PMS) and its more severe form “premenstrual dysphoric disorder (PMDD)” is a common yet underdiagnosed disorder. It is characterized by anxiety, mood changes, and several somatic symptoms in the last week of the luteal phase and began to remit within a few days after the onset of the follicular phase.

Aims: The aim of this study was to evaluate the prevalence of PMS and PMDD among females at a tertiary care center and evaluate the associated symptomatology, sociodemographic variables, and functional impairment.

Materials and methods: In an observational, cross-sectional study, 150 randomly selected females (18-30 years) were evaluated for menstrual history after sociodemographic profiling. Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV)-TR (SCID)-PMDD was applied among those who were positive on premenstrual symptoms screening tool. Statistical analysis was done using Statistical Package for the Social Sciences, version 14.0.

Results: The prevalence of PMS was 21.33%. Moderate to severe PMS was 14% and PMDD was 7.33% according to DSM-IV-TR criteria. Fatigue/lack of energy, decreased interest in work were the most commonly reported symptoms. Decreased school/work efficiency and productivity was the commonest form of functional impairment. Increased body mass index, onset of symptoms since menarche, duration of premenstrual symptoms, menstrual cramps, and family history showed statistically significant association with PMS/PMDD.

Conclusion: Premenstrual syndrome is fairly common and causes significant functional impairment. Screening females in relevant age group for its symptomatology may aid in early detection and better management.

Keywords: Premenstrual dysphoric disorder, Premenstrual symptom, Premenstrual syndrome.

How to cite this article: Swami M, Narain M, Kanwal K, Mishra M, Singh S. Premenstrual Syndrome: Correlation and Functional Impairment. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):18-22.

Source of support: Nil

Conflict of interest: None

 
6.  RESEARCH ARTICLE
Quality of Life in Patients with Epilepsy: Study from a Northern Indian Teaching Hospital
RK Sureka, Kuldeep S Yadav, Rishika Agrawal, Madhu Nijhawan
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:10-13] [No of Hits : 20]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0023 | FREE

ABSTRACT

Objectives: Epilepsy is a significant public health problem in the world today. The social stigma and impact on quality of life (QOL) may pose a bigger challenge than the clinical severity. In India, there are not many studies using quality of life in epilepsy (QOLIE-31) questionnaire to study the QOL in epileptic patients. This study may be useful in planning the management of patients with epilepsy. So, our study was conducted to determine the level of health-related QOL (HRQOL) of patients with epilepsy in a teaching hospital.

Materials and methods: This was a cross-sectional, questionnaire- based study conducted in a teaching hospital from March to October 2015. The subjects included both male and female adults of at least 18 years of age with a diagnosis of epilepsy, which was present for minimum 1 year. The QOLIE- 31 was used for collecting data on HRQOL.

Results: Totally, 70 patients with epilepsy were included in the study. The standard deviation (mean) total score of QOLIE- 31 in our study was 60.46. There was a significant difference in the total score of QOLIE-31 within the monotherapy and polytherapy group as the total score of QOLIE-31 was better in monotherapy group as compared with polytherapy group.

Conclusion: The study revealed that patients who were on a single drug (monotherapy) had a much better QOL than the patients on more than one drug (polytherapy).

Keywords: Monotherapy, Polytherapy, Quality of life in epilepsy questionnaire, Seizure worry.

How to cite this article: Sureka RK, Yadav KS, Agrawal R, Nijhawan M. Quality of Life in Patients with Epilepsy: Study from a Northern Indian Teaching Hospital. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):10-13.

Source of support: Nil

Conflict of interest: None

 
7.  CASE REPORT
Diagnosis and Management of Chronic Gingival Overgrowth
CG Devaraj, Ashish Yadav, Swati Sharma, Meenakshi Meena, Kriti Goyal
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:47-50] [No of Hits : 20]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0033 | FREE

ABSTRACT

Introduction and objectives: Chronic inflammatory gingival enlargement also called as chronic hyperplastic gingivitis is an enlargement of the gingiva as a result of chronic inflammation due to local or systemic factors; most important local factor appears to be the dental plaque and calculus. This case report aimed to present the clinical, histopathological features and treatment of inflammatory gingival enlargement which disturbed the esthetics and masticatory function of the patient.

Materials and methods: A 34-year-old male patient reported with a chief complaint of swelling and bleeding in the gums of teeth in maxillary and mandibular anterior region. The enlargement was firm and fibrotic accompanied by an inflammatory component probably due to inability to maintain adequate personal oral hygiene. Periodontal surgical therapy was performed for good esthetic outcome.

Results and interpretation: No recurrence was reported 6 months postsurgery. The importance of patient motivation and compliance during and after therapy as a critical factor in the success of treatment has also been highlighted through this case report.

Conclusion: Gingival overgrowth interferes with mastication and speech of the patient. A thorough diagnosis and treatment planning is essential.

Keywords: Inflammation, Gingival overgrowth, Gingival Diseasen, Gingivectomy

How to cite this article: Devaraj CG, Yadav A, Sharma S, Meena M, Goyal K. Diagnosis and Management of Chronic Gingival Overgrowth. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):47-50.

Source of support: Nil

Conflict of interest: None

 
8.  CASE REPORT
Smile Design with All Ceramic Veneers
Dileep Soni, Deepak Raisingani, Ashwani B Prasad, Prachi Mital, Harshit Srivastava, Abhilasha Dixit
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:51-54] [No of Hits : 20]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0034 | FREE

ABSTRACT

The use of porcelain laminate veneers to solve esthetic and/or functional problems has been shown to be a valid management option, especially in the anterior esthetic zone. In cases when patients decline orthodontic treatment, adhesively bonded porcelain veneers are a reliable treatment option to modify the appearance of tooth position and form, to close diastema or cervical embrasures, or to change the tooth shade. Porcelain veneers are one of the best corrective options available considering biological, functional, mechanical, and esthetic points of view. The present case report is about discolored anterior teeth in a healthy dentition by means of sectional porcelain veneers simply cemented onto the natural teeth and with minimal tooth preparation.

Keywords: Esthetics, Porcelain veneers, Smile design.

How to cite this article: Soni D, Raisingani D, Prasad AB, Mital P, Srivastava H, Dixit A. Smile Design with All Ceramic Veneers. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):51-54.

Source of support: Nil

Conflict of interest: None

 
9.  CASE REPORT
A Variant Articular Facet on Left Second Rib
Simmi Mehra
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:29-30] [No of Hits : 18]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0027 | FREE

ABSTRACT

During routine scanning of bones in the Department of Anatomy, Mahatma Gandhi Medical College & Hospital, Jaipur, India, an unusual second rib belonging to left side was found having an oval facet, almost centrally placed along the inner border of the shaft. In the absence of the corresponding skeleton, it can be hypothesized that the left first rib or an extra rib articulated with the second rib at this facet. Such structural anomalies of ribs are quite rare and need to be documented. If present, they may lead to compression of neurovascular structures crossing the ribs leading to thoracic outlet syndrome. An incidence of 0.3% of synostosis of first and second ribs has been reported in the literature. Search of literature reveals that there are 22 known syndromes in which fused ribs are a constant component. Such a variant second rib as found in the present case could lead to neurovascular compression and a possible indicator of underlying systemic disorder.

Keywords: Bicipital rib, Fused second rib, Synostosis of ribs, Thoracic outlet syndrome.

How to cite this article: Mehra S. A Variant Articular Facet on Left Second Rib. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):29-30.

Source of support: Nil

Conflict of interest: None

 
10.  CASE REPORT
Acute Dissection of the Ascending Aorta: A Case Report and Topic Review
MA Chishti, Vivek Rawat, P Nagarwal
[Year:2017] [Month:January-April] [Volume:2 ] [Number:1] [Pages:54] [Pages No:31-34] [No of Hits : 17]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10057-0028 | FREE

ABSTRACT

Aortic dissection (AD) is a rare entity with an incidence estimated to be 5 to 30 cases per million people per year1 (The Gale Encyclopedia of Medicine, 3rd ed.). It has association with hypertension, connective tissue disorders, congenital aortic stenosis, and bicuspid aortic valve. Spontaneous dissections are rare. It has a high mortality rate when left untreated. Recent advances in imaging have allowed for early and accurate diagnosis of acute aortic syndromes and the options for management are expanding. This case report and review presents the case of a 20-year-old man with Marfan’s syndrome with acute type I AD who underwent emergency Bentall’s procedure.

Keywords: Aortic dissection, Bentall’s procedure, Hypertension, Type I aortic dissection.

How to cite this article: Chishti MA, Rawat V, Nagarwal P. Acute Dissection of the Ascending Aorta: A Case Report and Topic Review. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):31-34.

Source of support: Nil

Conflict of interest: None

 
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