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CASE REPORT
CG Devaraj, Ashish Yadav, Swati Sharma, Meenakshi Meena, Kriti Goyal

Diagnosis and Management of Chronic Gingival Overgrowth

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:47-50][No of Hits : 988]


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


 
RESEARCH ARTICLE
Surendra Ojha, Chandan Jailiya

To find the Efficacy of Therapeutic Laser for Piriformis Syndrome

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:14-17][No of Hits : 595]


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


 
RESEARCH ARTICLE
Manvi Jindal, ML Swarankar, Swati Garg, Urvashi Sharma

Comparison of Implantation Rates in Ultrasound-guided vs Clinical Touch Embryo Transfer

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:10-14][No of Hits : 1728]


ABSTRACT

Aims: The present study was conducted in the fertility unit of a medical college to compare the implantation rate of embryo in ultrasound-guided vs clinical touch method of embryo transfer. Today, approximately 80% of women undergoing in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) will reach the embryo transfer stage with good quality embryos. Traditionally, the ‘clinical touch’ method has been used to guide placement of the embryo transfer. The use of ultrasound to guide embryo transfer would allow accurate and atraumatic positioning of the catheter tip near the uterine fundus.

Materials and methods: A prospective study was conducted at fertility center of Mahatma Gandhi Hospital. A total 100 patients requiring IVF, from a period of July 2011–July 2013 were taken into the study. A total of 50 patients were subjected to USG-guided embryo transfer and 50 patients were subjected to clinical touch embryo transfer. Detailed patient history, clinical examination, relevant investigation and details of procedure were entered in a prestructured proforma. The data were entered and analyzed in Microsoft Office Excel.

Results: There was a significant improvement in the implantation rates in the USG-guided group (31.9%) as compared to clinical touch group (24.3%). There was also a significant improvement in the pregnancy rates in the USG-guided group (40%) as compared to the clinical touch group (28%). Compared with the traditional clinical touch method, the abdominal ultrasound-guided embryo transfer was found to have a number of advantages.

Keywords: Clinical touch embryo transfer, In vitro fertilization, Ultrasound-guided embryo transfer.

How to cite this article: Jindal M, Swarankar ML, Garg S, Sharma U. Comparison of Implantation Rates in Ultrasoundguided vs Clinical Touch Embryo Transfer. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):10-14.

Source of support: None

Conflict of interest: Nil


 
RESEARCH ARTICLE
Giriraj Prasad Soni

A Study to evaluate the Effectiveness of Planned Teaching Program regarding Prevention of Renal Calculi in Terms of Knowledge and Dietary Pattern of Primary School Teachers of Moodabidri, Dakshina Kannada District

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:55-57][No of Hits : 1143]


ABSTRACT

Introduction: A renal calculus is a painful condition. Renal calculi occur in up to 15% population. The incidence of calculi is 100 to 400 out of 1,00,000 people from a renal calculi every year. Dietary practice of the individuals has a direct influence over the stone formation. Change in dietary habits and lifestyle are suggested to contribute markedly to the rise in the prevalence and incidence of urolithiasis.

Materials and methods: An evaluative approach with one group pretest design was adopted in order to evaluate effectiveness of planned teaching program on prevention of renal calculi and dietary practice among primary school teachers in Moodbidri. The conceptual framework adopted for the study was based on modified Rosen stocks health belief model. Convenient sampling was used to select the sample for the study. Data collected from the sample were analyzed by descriptive and inferential statistics. The final sample size was 70.

Results: Majority of samples belonged to age group 20 to 30 years (54.28%), female (62.85%), D.Ed. students (64.28%), married (60%), hindu background (62.85%), teaching experience below 10 years (65.71%), source of health-related information by books (48.57%) and mixed diet (61.42%).
• There was significant difference between pretest and posttest knowledge scores (t69 = 36.46, p < 0.05 significant)
• There was no significant association between pretest knowledge and selected demographic variables age (x2 = 1.33, p > 0.05), sex (x2 = 0.568, p > 0.05), religion (x2 = 0.843, p > 0.05), diet (x2 = 0.003, p > 0.05).
• There was a significant difference between pretest and posttest dietary practice scores (t69 = 32.27, p < 0.05, significant).

Conclusion: The findings of the study show that the planned teaching program was effective in all the areas in improving the knowledge and dietary practice of primary school teachers and, thus, reduced complication. It also helped them to take self responsibility for their own health.

Keywords: Food habits, Minerals, Occupational exposure, Renal calculi and its prevention, Stone formation, Urinary system.

How to cite this article: Soni GP. A Study to Evaluate the Effectiveness of Planned Teaching Program Regarding Prevention of Renal Calculi in Terms of Knowledge and Dietary Pattern of Primary School Teachers of Moodabidri, Dakshina Kannada District. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):55-57.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Rajaat Vohra, Siddharth Pramod Dubhashi, Bhoopendra Nath Sharma, GN Saxena, Anusha Vohra

Cognition, Comprehension and Application of Biostatistics in Research by Postgraduate Medical Students of a Tertiary Care Teaching Hospital: Pretest and Posttest Study Design

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:5-9][No of Hits : 921]


ABSTRACT

Introduction: Biostatistics plays a key role in planning, conduct, analysis and reporting of a research. Teaching biostatistics and research methodology is often considered as a difficult task to medical students. The present study was undertaken to evaluate the cognition, comprehension and application of biostatistics in research in the 1st year postgraduate medical students.

Materials and methods: A predesigned and pretested questionnaire was used to collect data regarding knowledge and application of biostatistics from 65 postgraduate students registered. A series of 10 lectures were taken on various topics of biostatistics and research methodology. All students were subjected to Multiple Choice Questions covering all the topics before the 1st lecture and after the 10th lecture. Mean knowledge score was calculated and data were analyzed.

Results: Only 16.92% students had publication, 35.38% students have presented a paper/poster in any national or international conference while only 10.76% students have participated in any research methodology workshop. A total of 63.07% students said that they were aware of importance of biostatistics in research, 50.76% students said that they were having some knowledge of biostatistics. A total of 60% students have consulted statistician regarding the study while 23.07% students have attempted statistical analysis on their own. A total of 33.84% students are familiar with the use of MS-EXCEL spreadsheet. There was statistically significant improvement seen in the mean knowledge score of the students after the lectures in comparison to the mean knowledge score before the lectures.

Conclusion: Considering the fruitful outcome of structured training program in biostatistics, there is a need for provision of formal training in biostatistics to postgraduate students in all medical colleges. Capacity building initiative in this domain is the need of the hour.

Keywords: Application, Biostatistics, Knowledge, Postgraduate medical students, Research methodology.

How to cite this article: Vohra R, Dubhashi SP, Sharma BN, Saxena GN, Vohra A. Cognition, Comprehension and Application of Biostatistics in Research by Postgraduate Medical Students of a Tertiary care Teaching Hospital: Pretest and Posttest Study Design. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):5-9.

Source of support: Nil

Conflict of interest: Nil


 
RESEARCH ARTICLE
Aparna Garg, Manisha Sankhla, RC Gupta

To evaluate the Gender Differences in Learning Style Modalities among the Undergraduate Students and their Preferred Mode of Learning

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:58-63][No of Hits : 874]


ABSTRACT

Background: Academic demands of medical students are quite high. Learning styles may be classified into four major sensory modalities—visual, auditory, read-write and kinesthetic, that one most prefers to use when internalizing information.

Objectives: The purpose of the study was to evaluate the gender differences in learning style modalities among the First Year Undergraduate Students and their Preferred Mode of Learning.

Methodology: Total 243 first year students of various medical courses (135 MBBS, 56 BDS, and 52 BPT) attending lectures in the Department of Physiology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan were included for the project. Learning style preference was identified using the visual, auditory, read-write and kinesthetic (VARK) online inventory developed by Fleming, 1992. A questionnaire was filled by the students which included their demographic profile, medical science stream and preferred sensory modality of instruction.

Findings: Learning style of the students of various medical courses showed a statistically significant difference according to VARK questionnaire (p < 0.0001). Within the group, based on VARK, the preferred Sensory Modality was kinesthetic in MBBS, BDS and BPT students. On the basis Preferred Sensory Mode, kinesthetic was the preferred mode in MBBS, BDS and visual mode amongst BPT students. The most common pattern of learning was bimodal in male and female students of the various medical courses.

Conclusion: Present findings suggest that kinesthetic was the preferred learning style by both individual preferred sensory modality and VARK inventory tool, and was found to be statistically significant among the students of medical and allied sciences. The gender differences when evaluated for both the individual preferred sensory modality and VARK inventory tool, it was found to have a predilection for the kinesthetic mode in both the male as well as female students.

Keywords: Auditory, Kinesthetic, Learning modes, Learning style preferences, Visual, Read-write.

How to cite this article: Garg A, Sankhla M, Gupta RC. To evaluate the Gender Differences in Learning Style Modalities among the Undergraduate Students and their Preferred Mode of Learning. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):58-63.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Avneet Kaur, Narendra Padiyar, Pragati Kaurani, Sudhir Meena, Devendra Pal Singh Chhonkar, Aditi Sarawgi

Neutral Zone Technique for Rehabilitation of Resorbed Mandibular Ridge

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:35-38][No of Hits : 699]


ABSTRACT

The neutral zone technique is an alternative approach for the construction of the complete dentures. It is most effective for cases where there is a highly atrophic ridge. The technique aims to construct a denture, i.e., shaped by muscle function and is in harmony with the surrounding oral structures. This clinical report describes the fabrication of complete dentures for a patient with poorly formed mandibular ridges.

Keywords: Denture stability, Neutral zone, Resorbed ridge.

How to cite this article: Kaur A, Padiyar N, Kaurani P, Meena S, Chhonkar DPS, Sarawgi A. Neutral Zone Technique for Rehabilitation of Resorbed Mandibular Ridge. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):35-38.


 
CASE REPORT
Munish Kumar Kakkar, Divya Bohra, Nitin Trivedi, Jitendra Gupta, Yashu Saini

Sleep Patterns of Urban and Rural School-going Adolescents

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:20-23][No of Hits : 645]


ABSTRACT

Objective: To analyze the variance in sleep habits of adolescents (10–18 years) in urban and rural Rajasthan.
Design: Cross-sectional questionnaire-based study.
Setting: Community based school survey in an urban and a rural setting.
Subjects: School-going adolescents 10 to 18 years.

Materials and methods: A total of 565 adolescents aged 10 to 18 years were included. The questionnaire contained questions related to sleep habits. Each question was explained to the participants and their responses were noted. Outcome parameters were total sleep time.

Results: Out of 585 adolescents, 285 were residing in urban areas while 280 from rural areas. Total 43.3% adolescent were using bedroom for sleep only without any significant difference in rural and urban area. Alcohol consumption was seen in urban area only (n = 6) and mainly by 10 to 15 year age group. Urban adolescents on week days spend 7.15 hours of sleep while on week ends they spend 9.2 hours while In rural area week days sleep was 6.34 hours while at week ends it was 6.64 hours. So surprisingly sleep deprivation was more in rural area and there was not much variation in total sleep time in rural area on weekdays or weekend.

Keywords: Adolescents, Rural, Sleep patterns, Urban.

How to cite this article: Kakkar MK, Bohra D, Trivedi N, Gupta J, Saini Y. Sleep Patterns of Urban and Rural Schoolgoing Adolescents. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):20-23.

Source of support: MKK conceived the study, and drafted the paper. DB collected data NT and YS revised the manuscript critically. JG was also involved in interpretation of data. The final manuscript was approved by all authors.

Conflict of interest: None


 
CASE REPORT
Ashish Soni, Sunil Sharma, Punit Chitlangia, Amit, Prateek Agarwal

The Use of Diode Laser in Treatment of Oral Submucous Fibrosis

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:79-81][No of Hits : 575]


ABSTRACT

Oral submucous fibrosis (OSMF) is an established precancerous condition with increased prevalence in the Indian subcontinent. The treatment of OSMF is a challenging task for a clinician. Different authors have suggested variety of treatment modalities and have claimed success rates; still there is no universally acceptable protocol for the management of OSMF. In our case, transaction of bands was done by contact diode lasers (12 watt) under local anesthesia and it offered good results. Diode lasers offered excellent results and had many advantages over conventional surgical treatment.

Keywords: Diode laser, Local anesthesia, Oral submucous fibrosis.

How to cite this article: Soni A, Sharma S, Chitlangia P, Amit, Agarwal P. The Use of Diode Laser in Treatment of Oral Submucous Fibrosis. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):79-81.


 
CASE REPORT
Ankita Beniwal, Shefali Chaturvedi, Tanmay Bhatt, Asmita Sharma, Anant Gopal Nigam

Eugenol Hypersensitivity in Pediatric Dental Patient: A Rare Case Report

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:68-70][No of Hits : 558]


ABSTRACT

Eugenol is a phenolic compound commonly used in dentistry as an analgesic and anti-inflammatory drug. Zinc oxide eugenol is an important root canal filling material in primary teeth with excellent documented success. Its cytotoxic effect is documented in some cases due to production of zinc eugenolate which is highly unstable and induces type IV hypersensitivity reactions and even generalized anaphylactic symptoms. But, the case reports documenting immediate hypersensitivity reaction to eugenol are very rare. This was a case of type I immediate hypersensitivity reaction to eugenol in a 3 years old pediatric patient. During the full mouth rehabilitation under general anesthesia, hard indurated swelling of lower lip was observed at the time of obturation of mandibular primary teeth. The procedure was stopped immediately suspecting an allergic response which was later confirmed to be eugenol allergy by patch test. Hence, it is important to evaluate all local allergies even if the patient fails to report allergy history.

Keywords: Allergy, General anesthesia, Zinc oxide eugenol.

How to cite this article: Beniwal A, Chaturvedi S, Bhatt T, Sharma A, Nigam AG. Eugenol Hypersensitivity in Pediatric Dental Patient: A Rare Case Report. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):68-70.


 
RESEARCH ARTICLE
RK Sureka, Kuldeep S Yadav, Rishika Agrawal, Madhu Nijhawan

Quality of Life in Patients with Epilepsy: Study from a Northern Indian Teaching Hospital

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:10-13][No of Hits : 488]


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


 
CASE REPORT
Dileep Soni, Deepak Raisingani, Ashwani B Prasad, Prachi Mital, Harshit Srivastava, Abhilasha Dixit

Smile Design with All Ceramic Veneers

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:51-54][No of Hits : 478]


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


 
RESEARCH ARTICLE
Murlidhar Swami, Mona Narain, Krishna Kanwal, Mahesh Mishra, Shubhangi Singh

Premenstrual Syndrome: Correlation and Functional Impairment

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:18-22][No of Hits : 360]


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


 
RESEARCH ARTICLE
Bushra Fiza, Jai P Yogi, Jaishree Choudhary, Anita Semar, Maheep Sinha

Association of Hyperuricemia and Urinary Albumin Excretion with Glycosylated Hemoglobin in Patients with Type II Diabetes Mellitus

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:1-6][No of Hits : 350]


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


 
CASE REPORT
Dinesh C Sharma, Sunil Sharma, Punit Chitlangia, Amit

Surgical Management of Chronic Bilateral Condylar Dislocation

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:41-43][No of Hits : 297]


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


 
CASE REPORT
Puneet Rijhwani, Abhishek Charan, CM Agrawal, Manish R Pahadia, Shubham Gupta, Haritej Anand

Pan Digital Gangrene: A Rare Phenomenon in Scrub Typhus

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:35-37][No of Hits : 262]


ABSTRACT

Introduction: Scrub typhus is an acute, febrile zoonosis, caused by an obligate intracellular bacterium Orientia tsutsugamushi. The disease is of greatest public health importance in rural areas of Asia and in Western Pacific Islands. The clinical manifestations of the disease range from subclinical disease to an organ failure. The various complications known with this disease are jaundice, renal failure, pneumonitis, acute respiratory distress syndrome, septic shock, myocarditis, vasculitis, and meningoencephalitis. The complications of scrub typhus usually develop after the first week of illness.

Case report: We report a case of a 70-year-old female, farmer by occupation, who presented with acute febrile illness and was diagnosed as scrub typhus. She subsequently developed vasculitis, which resulted in pan digital gangrene. After thorough workup for digital gangrene, it was established that scrub typhus is the cause of gangrene in this patient.

Conclusion: Thus, our inference is that vasculitis might be seen in very few cases of scrub typhus and it may progress up to gangrene of digits. Only one such case has been reported, thus making it a very rare phenomenon.

Keywords: Digital gangrene, Scrub typhus, Vasculitis.

How to cite this article: Rijhwani P, Charan A, Agrawal CM, Pahadia MR, Gupta S, Anand H. Pan Digital Gangrene: A Rare Phenomenon in Scrub Typhus. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):35-37.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Mohit Agrawal, Neha Gupta, Gunjan Pandey

Bacterial Etiology of Otitis Media and their Antibiotic Susceptibility Pattern among Patients coming to a Tertiary Care Hospital, Jaipur, India

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:7-9][No of Hits : 251]


ABSTRACT

Aim: The aim of the study was to identify the microorganisms associated with the chronic discharging ears and their antimicrobial susceptibility pattern.

Materials and methods: A total of 251 samples of ear swabs were received at Mahatma Gandhi Medical College & Hospital, Jaipur, Rajasthan, India. Pus samples were taken from external auditory canal using sterile cotton swabs and then cultured on different microbiological media. Antibiotic sensitivity was tested and interpreted by method according to Clinical and Laboratory Standards Institute standards.

Results: Out of 251 samples received, 135 (53.78%) samples had growth. The microbiology of these 135 samples was studied. Pseudomonas aeruginosa was the major organism isolated from 88 samples followed by Staphylococcus aureus (37), and other coliforms (10). Drug susceptibility of P. aeruginosa showed that colistin was active against all isolates followed by piperacillin-tazobactam and imipenem. Approximately 60% S. aureus isolates were methicillin-resistant S. aureus. Vancomycin, linezolid, and teicoplanin were 100% sensitive.

Conclusion: From the current study, it was concluded that P. aeruginosa is the potential cause of ear-associated infections. All isolates of P. aeruginosa were susceptible to colistin, and S. aureus was susceptible to vancomycin, linezolid, and teicoplanin.

Keywords: Chronic suppurative otitis media, methicillin-resistant S. aureus, Pseudomonas aeruginosa, Staphylococcus aureus,

How to cite this article: Agrawal M, Gupta N, Pandey G. Bacterial Etiology of Otitis Media and their Antibiotic Susceptibility Pattern among Patients coming to a Tertiary Care Hospital, Jaipur, India. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):7-9.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Swati Agarwal, Puneet Goenka, Vijay Lakshmi, Yogita Chaturvedi, Mitakshara Nirwan

Management of an Impacted Dilacerated Permanent Maxillary Central Incisor

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:44-46][No of Hits : 248]


ABSTRACT

The impacted maxillary incisor is rare and detrimental for problems related to esthetics and occlusion in permanent dentition stage. The diagnosis of an impacted incisor with dilaceration refers to a dental deformity characterized by an angulation between the crown and the root, causing noneruption of the incisor. The most common cause of dilaceration in a tooth is trauma to its primary predecessor like avulsions, intrusions, or gross displacement of primary incisors. This study presents a case with overretained mobile deciduous teeth that were diagnosed radiographically with an impacted dilacerated maxillary central incisor surrounded by a large radiolucency. History of trauma to the same region was given at the age of 1 year. On examination, multiple missing permanent teeth were noted. The management of the case was carried out by surgical enucleation and histopathologic examination confirmed diagnosis of an infected dentigerous cyst.

Keywords: Dentigerous cyst, Dilaceration, Maxillary permanent central incisor.

How to cite this article: Agarwal S, Goenka P, Lakshmi V, Chaturvedi Y, Nirwan M. Management of an Impacted Dilacerated Permanent Maxillary Central Incisor. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):44-46.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Hemant K Sharma, Narendra Padiyar, Pragati Kaurani, Devendra P Singh, Sudhir Meena, Ajay Gupta

Tooth-supported Overdenture using Castable Ball and Socket Attachments

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:106-108][No of Hits : 240]


ABSTRACT

Dentists have a responsibility to prevent tooth loss whenever possible and everything should be done to keep the patient away from an edentulous state. Overdenture is defined as a removable partial denture or a complete denture that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and/or dental implants (GPT-6). Whenever there is extraction of teeth, resorption of the bone takes place. When tensile stresses are applied on the bone like when occlusal forces are transmitted to the alveolus by the periodontal ligament, additional bone formation takes place. This principle is used in overdenture treatment. Preventive prosthodontics emphasizes upon the importance of procedures that can delay or rectify the future problems in a prosthesis and the overdentures are the optimum method to achieve this requirement. Advantages of overdenture are maintenance of alveolar bone, sensory feedback, minimal load threshold, reduction of psychological trauma, and intact tactile sensitivity discrimination. In this study, we will present a case report of overdenture treatment using castable ball and socket attachments.

Keywords: Ball and socket attachments, Castable, Toothsupported overdenture.

How to cite this article: Sharma HK, Padiyar N, Kaurani P, Singh DP, Meena S, Gupta A. Tooth-supported Overdenture using Castable Ball and Socket Attachments. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):106-108.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Kanika Jain, Krupali Mistry

Comparative Study on Effects of Active Cycle of Breathing Technique and Manual Chest Physical Therapy after Uncomplicated Coronary Artery Bypass Grafting Surgery

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:65-68][No of Hits : 233]


ABSTRACT

Purpose: Pulmonary functions tend to alter after surgeries related to cardiovascular system. This study is designed to compare the effects of Active Cycle of Breathing Technique (ACBT) and Manual Chest Physical Therapy (MCPT) along with incentive spirometry (IS) on pulmonary function after normal Coronary Artery Bypass Grafting (CABG) surgery.

Materials and methods: Thirty subjects for elective CABG with the age group of 30 to 65 years were randomly assigned to two groups. Group I received treatment of ACBT along with IS and group II received treatment of MCPT along with IS. Arterial oxygen saturation (SpO2), respiratory rate (RR), breath-holding time (BHT), partial pressure of oxygen (PaO2), and partial pressure of carbon dioxide (PaCO2) were recorded on first postoperative day before treatment and fourth postoperative day after treatment with physiotherapy maneuvers.

Results: To compare between the groups, independent paired t-test was performed, while paired t-test was performed to compare all the variables within each group. Significant difference was found in SpO2 (p = 0.003, p < 0.05) and PaO2 (p = 0.011, p < 0.05) with MCPT+IS, and significant difference was found in BHT (p = 0.000, p < 0.05), RR (p = 0.001, p < 0.05), and PaCO2 (p = 0.007, p < 0.05) with ACBT+IS.

Conclusion: Results of this study suggest that both ACBT and MCPT techniques are effective along with IS in postoperative pulmonary functions. Specifically, MCPT is more effective for SpO2 and PaO2, while ACBT is more effective with BHT, RR, and PaCO2.

Keywords: Active cycle of breathing technique, Breath-holding time, Incentive spirometry, Manual chest physical therapy, Respiratory rate.

How to cite this article: Jain K, Mistry K. Comparative Study on Effects of Active Cycle of Breathing Technique and Manual Chest Physical Therapy after Uncomplicated Coronary Artery Bypass Grafting Surgery. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):65-68.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Hina Kausher, Narendra Padiyar, Pragati Kaurani, Sudhir Meena, Devendra PS Chonkkar

An Insight into the Surface of Dental Implants

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:23-28][No of Hits : 220]


ABSTRACT

Osseointegration, the direct contact between living bone and the surface of load-carrying implant, is imperative for the long-term success of dental implants. There is no distinct relationship between osseointegration and defined surface characteristics, since a great number of different surfaces achieve osseointegration. However, the rate, extent, and the strength of this connection may be dependent on the surface characteristics of the implant. The aim of this article was to review the literature on the various approaches available to modify the bone-implant interface.

Keywords: Dental implant, Surface modifications, Topography.

How to cite this article: Kausher H, Padiyar N, Kaurani P, Meena S, Chonkkar DPS. An Insight into the Surface of Dental Implants. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):23-28.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Kopal Sharma, Pushpawati Jain, Shipra Jain, Chandrabhan Chandrabhan

Evaluation of Computer-assisted Learning Module for Undergraduate Pharmacology Practical Classes

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:61-64][No of Hits : 216]


ABSTRACT

Introduction: Undergraduate training in pharmacology recently has been reformed with adoptions of new methods of teaching that focus on supportive learning through novel teaching approaches like computer-assisted learning (CAL), integrated teaching, learning by problem-based clinical scenarios.

Materials and methods: This study was done on 125 secondyear professional MBBS students after taking their informed consent. They were first given a pretest questionnaire and then divided into two groups, viz., group I and group II based on their performance in pretest. The CAL sessions were used to teach them experimental pharmacology topics. The performance of the students in the two groups in both pre- and posttests was compared. Students’ perception on the use of CAL for delivering experimental pharmacology training was also assessed.

Results: A statistically significant difference in performance was seen among the students in the pre- and posttests in both the groups. Average scores for groups I and II in the pretest were 11.73 and 19.48 respectively. However, in posttest, the average scores for both the groups increased to 18.91 and 24.79 respectively. About 97% students strongly agreed that CAL sessions were interesting and easy to retain. The students’ knowledge about the disadvantages of CAL was sound.

Conclusion: The study concludes that CAL is a promising teaching option for undergraduate practical sessions in pharmacology. It provides a platform for students to develop a near to real idea of actual experimentation and hence bridges the gap in isolated animal experiments and didactic demonstration classes.

Keywords: Computer-assisted learning module, Experimental pharmacology practicals, Isolated animal experiment.

How to cite this article: Sharma K, Jain P, Jain S, Chandrabhan C. Evaluation of Computer-assisted Learning Module for Undergraduate Pharmacology Practical Classes. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):61-64.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Tushar Bhati, Brijesh K Sharma

A Comparative Study of Surgical Treatment of Hemorrhoids: Stapled vs Open and Closed Hemorrhoidectomy

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:109-113][No of Hits : 211]


ABSTRACT

Hemorrhoids and piles are used interchangeably very often but originally the words have entirely different meanings. Surgical treatment of hemorrhoids has been suggested for third- and fourth-grade hemorrhoidal disease and include removal of hemorrhoidal tissue. Stapled hemorrhoidectomy [minimally invasive procedure for hemorrhoid (MIPH)] introduction received much enthusiasm as it offers patients a significantly improved postoperative comfort level. The aim of this study is to make comparative assessment of following procedures for hemorrhoids: Stapled hemorrhoidectomy, open hemorrhoidectomy, closed hemorrhoidectomy, in terms of operative time, hospital stay, postoperative complications, and cost-effectiveness.

Keywords:Comparative study, Hemorrhoids, Stapler.

How to cite this article: Bhati T, Sharma BK. A Comparative Study of Surgical Treatment of Hemorrhoids: Stapled vs Open and Closed Hemorrhoidectomy. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):109-113.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Aniket Kedawat, AK Mathur, Mohit Kumar, Anshu Sharma, Anand Gupta

An Indigenous Removal Method of a Broken Interlocking Nail

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:38-40][No of Hits : 208]


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


 
ORIGINAL ARTICLE
Rajesh K Sharma, Ved P Mamoria

A Prospective Study on Prevalence and Antibiotic Susceptibility Pattern of Acinetobacter baumannii in Clinical Samples obtained from Patients admitted in Various Wards and Intensive Care Units

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:122-127][No of Hits : 184]


ABSTRACT

Introduction: Acinetobacter baumannii is a nonfermentative and nonmotile, Gram-negative coccobacillus, which is the most often identified pathogen among Acinetobacter species that causes wide range of infection in humans. It has emerged as one of the most troublesome pathogens for health care institutions globally. Acinetobacter baumannii strains resistant [multidrug-resistant A. baumannii (MDR-Ab)] to all known antibiotics have now been reported.

Aim: To determine the prevalence and antimicrobial susceptibility pattern of A. baumannii isolates in the clinical samples obtained from patients admitted in various wards and intensive care units (ICUs).

Materials and methods: A total of 9,540 clinical specimens [from the patients of inpatient department (IPD)] were collected between March 2016 and February 2017 from various wards and ICUs of Mahatma Gandhi Hospital (MGH), Sitapura, Jaipur, Rajasthan, India. All tests were done at microbiology lab of Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Rajasthan, India, using standard protocol.

Results: Of 9,540 (45%) clinical specimens, 4,293 specimens from various wards and ICUs were culture positive. Out of 4,293 positive cultures, Acinetobacter isolates were 276 (6.42%). From 276 Acinetobacter isolates, 230 (83.33%) strains were confirmed as A. baumannii strains and remaining 46 (16.67%) strains as other Acinetobacter species. Maximum frequency of Acinetobacter isolates was from respiratory tract intubated patients (endotracheal samples: 59.5%). Maximum frequency of A. baumannii isolates was recovered from ICUs (63.04%) compared with wards. In our study, most Acinetobacter isolates were resistant (80-99%) to third- and fourth-generation cephalosporins, quinolones, penicillins, aminoglycosides, carbapenems, and macrolides. Drugs of choices are colistin (99.13%), tigecycline (67.83%), cefoperazone/sulbactam (44.78%), minocycline (40.87%), ampicillin + sulbactam (36.09%), doxycycline hydrochloride (10.43%), and cotrimoxazole (9.57%).

Conclusion: Acinetobacter species is an emergent and global hospital-acquired pathogen. Drug resistance pattern of A. baumannii is quite alarming in our health care settings, so effective infection control practices and judicious use of antibiotics is mandatory.

Keywords: Endotracheal, Intensive care units and wards, Multidrug-resistant Acinetobacter baumannii, Nosocomial infection.

How to cite this article: Sharma RK, Mamoria VP. A Prospective Study on Prevalence and Antibiotic Susceptibility Pattern of Acinetobacter baumannii in Clinical Samples obtained from Patients admitted in Various Wards and Intensive Care Units. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):122-127.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
MA Chishti, Vivek Rawat, P Nagarwal

Acute Dissection of the Ascending Aorta: A Case Report and Topic Review

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:31-34][No of Hits : 181]


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


 
RESEARCH ARTICLE
Priyamvada Gupta, Manisha Agrawal, Durga Jethava, DD Jethava

A Comparison of the Effect of Dexmedetomidine and Esmolol in Attenuating Stress Responses during Laparoscopic Surgeries

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:151-156][No of Hits : 179]


ABSTRACT

Introduction: The creation of pneumoperitoneum leads to increased mean arterial pressure and systemic vascular resistance as a result of stimulation of the sympathetic system leading to increased release of catecholamines and vasopressin. In order to prevent these hemodynamic changes, various pharmacological agents like clonidine, esmolol, or dexmedetomidine are used. Hence, there is need for this study.

Materials and methods: A total of 60 patients were randomized into two equal groups: group D—dexmedetomidine was administered as loading dose 1 μg/kg administered slowly over 15 minutes before induction followed by maintenance infusion of 0.5 μg/kg/hour throughout the period of pneumoperitoneum. Group E—esmolol was administered as loading dose at 1 mg/kg administered slowly over 5 minutes before induction followed by maintenance infusion of 0.5 mg/kg/ hour throughout the period of pneumoperitoneum. Intraabdominal pressure was maintained at 12 to 14 mm Hg throughout the procedure. The infusions were discontinued immediately after the release of pneumoperitoneum. Heart rate, systolic blood pressure, diastolic blood pressure, and mean arterial pressure were recorded at frequent intervals as per the pro forma. Data were analyzed using appropriate statistical tests.

Results and conclusions: As compared with esmolol, dexmedetomidine is more effective for attenuation of the pressor responses to pneumoperitoneum and thus achieving hemodynamic stability during laparoscopic surgeries (p < 0.05).

Keywords: Dexmedetomidine, Esmolol, Laparoscopic, Pneumoperitoneum.

How to cite this article: Gupta P, Agrawal M, Jethava D, Jethava DD. A Comparison of the Effect of Dexmedetomidine and Esmolol in Attenuating Stress Responses during Laparoscopic Surgeries. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):151-156.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Simmi Mehra

A Variant Articular Facet on Left Second Rib

[Year:2017] [Month:January-April] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:29-30][No of Hits : 177]


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


 
CASE REPORT
Kimi Mittal, Sheetal Bohra, Sangeeta Yadav, Ashish Kakkar

Mandibular Single-incisor Extraction: An Efficient Treatment Approach

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:97-101][No of Hits : 175]


ABSTRACT

Removal of the mandibular single incisor is an alternative approach to treat some malocclusion. Many treatment strategies are presently used for crowded mandibular anterior dentition that include distalization of posterior teeth, slenderization, extraction of bicuspids, and extraction of mandibular incisors. This report presents the case of a boy aged 17 years with class I type III malocclusion, and the case is treated with lower single-incisor extraction due to the presence of crowding in mandibular anterior teeth, Bolton discrepancy in lower anterior by more than 4 mm, anterior cross bite, and the periodontally compromised single incisor. These all indicated the extraction of mandibular single incisor.

Keywords: Anterior cross bite, Bolton discrepancy, Mandibular incisor extraction, Periodontally compromised incisor.

How to cite this article: Mittal K, Bohra S, Yadav S, Kakkar A. Mandibular Single-incisor Extraction: An Efficient Treatment Approach. J Mahatma Gandhi Univ Med Sci Tech 2017; 2(2):97-101.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Malvika Sharma, Sweta Gupta, Neha Gupta, Shanoo Sharma

Biofilm Production in Clinical Isolates and their Antimicrobial Susceptibility Pattern in the Intensive Care Unit of a Tertiary Care Hospital in Rajasthan

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:55-60][No of Hits : 171]


ABSTRACT

Aims and objectives: This study was carried out to know about the production of biofilm by the microorganisms in various clinical isolates and to compare the antimicrobial sensitivity pattern of biofilm- and nonbiofilm-producing organisms.

Materials and methods: One hundred and fifty samples collected from intensive care units for a period of 1 year were taken for the study. Samples included blood, urine, sputum, endotracheal tips, suction tips, pus/swabs, stents/valves, body fluids, etc. Samples were processed and identification of microorganisms and antibiotic sensitivity was tested by methods according to Clinical and Laboratory Standards Institute guidelines.
Biofilm production identification was done by tissue culture plate (TCP) method, tube method (TM), and Congo red agar (CRA) plate method.

Results: Out of 150 samples, 108 (72%) samples showed growth of Gram-negative bacilli, 16 (11%) samples showed growth of Gram-positive cocci, and Candida species were seen in remaining 26 (17%) samples. Among the total organisms isolated, 124 organisms (82.66%) showed production of biofilm, while 26 organisms (17.33%) did not produce biofilm. Antibiotic resistance was seen more in biofilm-producing organisms as compared with nonbiofilm-producing organisms.

Conclusion: Most of the biofilm-related infections are characterized particularly by high resistance to antibiotics and persistent infections, in turn leading to a very high morbidity and mortality. Therefore, detection of biofilm production is of high relevance to the clinician for appropriate approach to the treatment.

Keywords: Antibiotic susceptibility, Biofilms, Device-associated infections, Quorum sensing, Resistance.

How to cite this article: Sharma M, Gupta S, Gupta N, Sharma S. Biofilm Production in Clinical Isolates and Their Antimicrobial Susceptibility Pattern in the Intensive Care Unit of a Tertiary Care Hospital in Rajasthan. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):55-60.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Arun Kumar, Bushra Fiza, Lokesh Jain, Rajeev Kasliwal, Maheep Sinha

Role of Lipid Profile in the Assessment of Nonalcoholic Steatohepatitis in Prediabetic and Diabetic Patients with Nonalcoholic Fatty Liver Disease

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:81-84][No of Hits : 149]


ABSTRACT

Nonalcoholic fatty liver disease (NAFLD) is a chronic condition ranging from simple steatosis and fatty liver to more severe manifestations like nonalcoholic steatohepatitis (NASH), cirrhosis, and hepatocellular carcinoma. Excess fat deposition is common in NAFLD and it is strongly correlated with insulin resistance and associated conditions, such as obesity, metabolic syndrome, type II diabetes mellitus, or hyperglycemic conditions. Most people with NAFLD remain asymptomatic until development of irreversible damage of liver tissue. The present study was planned to study the role of lipid profile in assessment of NASH in prediabetic and diabetic patients with NAFLD. Prediabetic (n = 100) and diabetic (n = 100) patients with NAFLD were enrolled for the study. Of the total 200 patients, 16% confirmed for NASH. Serum cholesterol > 200 mg/dL, triglycerides > 150 mg/dL, and high-density lipoprotein (HDL) < 60 mg/dL exhibited a strong association with occurrence of NASH. The study demonstrated that increased cholesterol (p = 0.000) and triglyceride (p = 0.009) and low HDL (p = 0.006) were significant markers in NASH patients. The study therefore recommends that prediabetic and diabetic patients with NAFLD should be regularly screened for lipid levels and patients with dyslipidemia should be considered to be at risk of developing NASH. Early identification of the disease can be helpful in providing timely treatment.

Keywords: Dyslipidemia, Insulin resistance, Lipid profile, Nonalcoholic fatty liver disease, Nonalcoholic steatohepatitis.

How to cite this article: Kumar A, Fiza B, Jain L, Kasliwal R, Sinha M. Role of Lipid Profile in the Assessment of Nonalcoholic Steatohepatitis in Prediabetic and Diabetic Patients with Nonalcoholic Fatty Liver Disease. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):81-84.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Puneet Rijhwani, Chand M Agarwal, Abhishek Charan, Kanishk Sharma, Namrata Pareek

Prevalence of Vitamin D Deficiency in Diabetes Mellitus and Its Correlation with Glycated Hemoglobin

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:148-150][No of Hits : 145]


ABSTRACT

Introduction: The modern-day lifestyle and industrialization has led to the deficiency of sunshine vitamin, i.e., vitamin D, in all age groups. Vitamin D deficiency has its implications in almost each system and has widespread manifestation. This deficiency has far more severe outcomes when associated with diabetes.

Aim: To evaluate vitamin D level in type II diabetes patients.

Materials and methods: One hundred diabetic patients will be screened for serum 25-hydroxyvitamin D level by enzymelinked immunosorbent assay technique and the results will be statistically analyzed.

Results: In our study, vitamin D was deficient in 42%, insufficient in 40%, and normal in 18% cases. Deficiency was seen more in female diabetics. This study has significant correlation with glycated hemoglobin (HbA1c) level and vitamin D level, i.e., as HbA1c increased, so is the vitamin D deficiency.

Conclusion: Vitamin D was deficient in more than 80% of diabetic patients. Therefore, all diabetic patients should be investigated for vitamin D level.

Keywords: Diabetes mellitus, HbA1c, Vitamin D.

How to cite this article: Rijhwani P, Agarwal CM, Charan A, Sharma K, Pareek N. Prevalence of Vitamin D Deficiency in Diabetes Mellitus and Its Correlation with Glycated Hemoglobin. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):148-150.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Aditya Soni, Vikas Gaur, Manju Bhaskar, Prerak Kumar, Shubhangi Singh

Body Image in Students: Relationship with Eating, Media Influence, and Self-esteem

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:128-134][No of Hits : 139]


ABSTRACT

Introduction: This study was carried to examine the body image satisfaction and its relationship with self-esteem, body mass index (BMI), and influence of media on body image. Another objective was to observe any existing relationship between gender and body image dissatisfaction.

Materials and methods: Exploration of relationship of body image satisfaction with BMI, media influence, self-esteem, and other variables like socioeconomic demographic data, overall satisfaction in life (academic/professional), and current health status was carried out via a cross-sectional study using 5-item-based Likert scale in 303 participants.

Results: Males showed less concern about body image. Significant relationship of body mass was seen with BMI (p < 0.001), eating attitude (p < 0.001), influence of media (p < 0.001), and self-esteem (p < 0.001). Overweight students had a significantly higher prevalence of dissatisfaction (p < 0.001) than students with low weight who reported a higher body image satisfaction.

Conclusion: To conclude, this study proves that there exists a significant relationship between eating attitude, media influence, and self-esteem with body image. Adequate anticipatory measures are required for improvement in individuality, selfacknowledgment, and individual contrasts while keeping up ideal weight and dynamic lifestyle.

Keywords: Body image, Body mass index, Media, Selfesteem.

How to cite this article: Soni A, Gaur V, Bhaskar M, Kumar P, Singh S. Body Image in Students: Relationship with Eating, Media Influence, and Self-esteem. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):128-134.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Navendu Agarwal, Brijesh K Sharma

Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:114-117][No of Hits : 137]


ABSTRACT

Introduction: Cholecystectomy is the most common surgery performed. The invention of laparoscopic cholecystectomy has made it extremely convenient and safe, but still the question of when to perform the surgery persists. This study attempts to compare the intraoperative findings of acute cholecystitis patients of the early and delayed group and its impact in surgery.

Materials and methods: Institutional-based prospective randomized control study was done on two groups of patients who were diagnosed and admitted to the General Surgery outpatient department (OPD) of Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India from November 2015 to November 2017. The early group was operated within 7 days of the appearance of symptoms and the delayed group was operated after 6 weeks. Intraoperative findings and modification of technique were duly noted in both and analysis done by applying the chi-square test.

Results: Acute complications are found to be more in an early group like turbid bile or pus with distended gallbladder in the early group, but adhesions are much more in the delayed group. Technique modification is more required in early as compared with the delayed group.

Conclusion: An early cholecystectomy is a convenient option for a patient with a nonsignificant technique modification to manage the intraoperative complications.

Keywords: Adhesions, Delayed, Early, Laparoscopic cholecystectomy, Technique modifications.

How to cite this article: Agarwal N, Sharma BK. Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):114-117.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Pratibha Choudhary, Abhilasha Dixit, Deepak Raisingani, Medhavi Sharma, Anubha Sejra, Ashwini Prasad

Enigmatic Maxillary First Molar with Five Canals

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:94-96][No of Hits : 137]


ABSTRACT

Maxillary first molar has an extremely variable anatomy that makes a successful root canal procedure challenging. This case report describes a nonsurgical endodontic treatment of a maxillary first molar with two mesial, two distal, and a palatal canal. It also emphasizes the need of a thorough knowledge of the root canal and its variations to prevent the cases of failure and retreatments.

Keywords: Access, Endodontic therapy, Mesiobuccal canals.

How to cite this article: Choudhary P, Dixit A, Raisingani D, Sharma M, Sejra A, Prasad A. Enigmatic Maxillary First Molar with Five Canals. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):94-96.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Pooja Mishra, Nikhil Marwah, Asmita Sharma, Thejavinuo, Bharathi Padiyar

Evaluation of the Knowledge and Belief of Expectant Mothers in Their Last Trimester about Importance of Primary Teeth and Their Care

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:143-147][No of Hits : 137]


ABSTRACT

Objective: “An ounce of prevention is worth a pound of cure” can be applied in pediatric dentistry to reduce the risk of early childhood caries (ECC). Prevention can bring revolutionary change in field of ECC, especially by creating awareness among expectant mothers who play a role of primary caregivers in infant’s oral health. The aim of this study is to evaluate the knowledge and belief of expectant mothers in third trimester about importance of primary teeth and their care.

Materials and methods: A total of 500 expectant mothers were randomly selected and questionnaire was prepared regarding their approach toward infant oral health care and role of primary teeth in their child’s life.

Results: The results of the study indicated that expectant mothers had minimal knowledge about primary teeth and also the role of teeth. In spite of this poor knowledge, the results also revealed that most expectant mothers were also eager to know information regarding children’s teeth.

Conclusion: Implementing educational awareness about primary teeth and their importance can bring change in mindset of expectant mothers, thus decreasing risk for ECC.

Keywords: Early childhood caries, Expectant mother, Infant oral health, Primary teeth.

How to cite this article: Mishra P, Marwah N, Sharma A, Thejavinuo, Padiyar B. Evaluation of the Knowledge and Belief of Expectant Mothers in Their Last Trimester about Importance of Primary Teeth and Their Care. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):143-147.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Jitendra K Gupta, Pawan Kumar, Usha Acharya

Study of Production of Alloantibodies in Multiple Transfused Thalassemia Patients in Pediatric Age Group

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:118-121][No of Hits : 133]


ABSTRACT

Introduction: Thalassemia is a heterogeneous group of genetic disorders in which blood transfusion is life saving for thalassemia patients. Repeated transfusion causes multiple unexpected antibodies other than anti-A or B.

Aim: To detect and subtype the irregular antibodies in sera of thalassemia patients in Jaipur.

Materials and methods: A total of 100 patients of proven thalassemia were included in the study at Mahatma Gandhi Medical College and Hospital and JK Lon Hospital, Jaipur, Rajasthan, India. Information on transfusion history was recorded, 5 mL of blood was collected from each subject, and plasma was separated. These samples were subjected to direct Coomb’s test (DCT) by column gel agglutination (CGA) technique.

Results: In the present study, the alloantibodies which were most common among the seven positive samples out of 100 are anti-D, anti-K, anti-E, and anti-MN, with an incidence of 28.57, 28.57, 28.57, and 14.3% respectively. Blood group O had maximum number of alloantibodies (57%). According to number of transfusions, alloantibodies of thalassemia major patients showed statistically significant increase with increase in number of transfusion.

Conclusion: From the current study, it can be concluded that alloantibodies to minor group antigens are more frequent among thalassemia patients, which need more frequent blood transfusions.

Keywords: Alloantibodies, Direct Coomb test, Multiple transfusion, Thalassemia major.

How to cite this article: Gupta JK, Kumar P, Acharya U. Study of Production of Alloantibodies in Multiple Transfused Thalassemia Patients in Pediatric Age Group. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):118-121.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Kuldeep S Yadav, Amit Nijhawan, Rishika Agarwal, Madhu Njihawan, Preetkamal, Manisha Nijhawan

Validity of Screening Questionnaire for Detection of Psychiatric Manifestations in Chronic Dermatoses

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:135-137][No of Hits : 129]


ABSTRACT

Skin being the largest organ of the body determines its appearance that may aid in sexual and social communication. Changes in a person’s external appearance secondary to any dermatologic disease can deter self-esteem and social interaction. Psychosocial burden of skin disease can affect the overall disability experienced by the person. The present study attempted to find out the validity of a screening questionnaire [General Health Questionnaire 12 (GHQ-12)] to find the psychiatric morbidity in patients suffering from chronic dermatoses. The questionnaire was found to be a valid and reliable instrument to screen psychiatric morbidity in patients with chronic dermatoses attending outpatient setting. There were only 6 (30%) false-positive cases and reliability was found to be 91.4%.

Keywords: Chronic dermatosis, General Health Questionnaire- 12.

How to cite this article: Yadav KS, Nijhawan A, Agarwal R, Njihawan M, Preetkamal, Nijhawan M. Validity of Screening Questionnaire for Detection of Psychiatric Manifestations in Chronic Dermatoses. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):135-137.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Yogesh Agrawal, Ruchi Agrawal, Vinod Sharma, Jitendra Singh, Pankaj Gupta, Bhawani S Sharma

Spinal Intramedullary Tubercular Abscess

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:102-105][No of Hits : 127]


ABSTRACT

Introduction: Spinal intramedullary tubercular abscess is an extremely rare entity. Only few cases are reported in published literature.

Case report: A 30-year-old female with known case of pulmonary tuberculosis taking antitubercular treatment (ATT) for the last 6 months presented with back pain and progressive paraparesis. Her magnetic resonance imaging (MRI) dorsolumbar spine was suggestive of intramedullary abscess at D3 to D7 vertebrae level; she underwent D2 to D7 laminectomy and evacuation of pus and, subsequently, acid-fast bacilli (AFB) staining and pus culture. Mycobacterium tuberculosis was seen in both staining and culture of pus. Patient had shown signs of improvement and was discharged on 7th postoperative day.

Conclusion: In tuberculosis abscess, if the patient does not respond to medical management, and if progressive neurological deficit is present, surgery should be done for a definite histological diagnosis and decompression.

Keywords: Intramedullary tuberculosis, Spinal cord tuberculosis, Tubercular abscess.

How to cite this article: Agrawal Y, Agrawal R, Sharma V, Singh J, Gupta P, Sharma BS. Spinal Intramedullary Tubercular Abscess. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):102-105.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Shipra Shrivastava, Nalini Mishra

Impact of Reorientation and Training of Active Management of the Third Stage of Labor in a New Medical College of Chhattisgarh, India

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:138-142][No of Hits : 126]


ABSTRACT

Introduction: Active management of third stage of labor (AMTSL) is a best practice that reduces the incidence of postpartum hemorrhage (PPH). The present study was done with an objective to document the prevalent practice in regard to various components of AMTSL and the impact of reorientation session.

Materials and methods: A total 200 women fulfilling the inclusion criteria (low-risk singleton pregnancy at term) and anticipating vaginal delivery were enrolled in the study. In the first stage of the study, observation and documentation of ongoing practice of management of third stage of labor in 100 consecutive women (group I) was followed by reorientation session. In the second stage, again 100 women were observed and documented as above (group II). The changes and its impact in terms of blood loss and incidence of PPH were noted and compared with group I.

Results: None of the women of group I was given injection oxytocin in comparison to 77 women of group II. Controlled cord traction (CCT) was done in 44 women of group I as against 97 of group II women. No significant change in the timing of cord clamping was observed. The PPH occurred in only three women of group II in comparison to 11 of group I (p ≤ 0.05).

Conclusion: The level of adherence to AMTSL was low particularly for the use of oxytocin as first-line prophylactic uterotonic. The change in practice after a session of reorientation was positive and was associated with significant reduction in the incidence of PPH. The study reiterates the importance of frequent trainings.

Keywords: Active management of third stage of labor, Maternal mortality, Postpartum hemorrhage, Visual estimation of blood loss.

How to cite this article: Shrivastava S, Mishra N. Impact of Reorientation and Training of Active Management of the Third Stage of Labor in a New Medical College of Chhattisgarh, India. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):138-142.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Surbhi Chaturvedi, Rajendra K Sureka, Rishika, Apoorv Sharma, Manamita Mandal

Forgotten Psychiatric Comorbidity in Neurological Disorders

[Year:2017] [Month:September-December] [Volumn:2 ] [Number:3] [Pages:71] [Pages No:157-161][No of Hits : 125]


ABSTRACT

Introduction: Neurological disorders like headache, stroke, and seizures are associated with many psychiatric comorbidities like anxiety, depression, psychosis, eating disorders, personality disorders, etc. In order to look for the association of psychiatric comorbidities in epilepsy, headache, and stroke, this study was undertaken as very few studies have been reported from this part of the country so that we can help patients in improving their quality of life.

Materials and methods: This study was done in Mahatma Gandhi Medical College and Hospital, Jaipur, India, by the Department of Neurology and the Department of Psychiatry at the time of 1st visit. Fifty patients each of proved epilepsy, stroke, and headache were enrolled after consent and they were put to screening using the Global Mental Health Assessment Tool (GMHAT) questionnaire and at the same time, Department of Psychiatry assessed comorbidities—depression and anxiety—and made diagnosis using Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D) scale respectively.

Results: The GMHAT tool showed that 50% of the patients having headache, 80% of the patients who had stroke, and 72% of the patients suffering from epilepsy had psychiatric comorbidities. The HAM-A scale showed that 40% of the patients with headache, 16% of patients suffering from epilepsy, and 30% of patients with stroke had anxiety as psychiatric comorbidity. The HAM-D scale showed depression in 30% of the patients having headache, 36% of the patients with epilepsy, and 60% of the patients who had stroke.

Conclusion: Results of our study showed that depression and anxiety are the most frequently encountered psychiatric comorbidities in patients with epilepsy, headache, and stroke. In our study, it was seen that depression was more common as compared with anxiety in patients with epilepsy and stroke, and anxiety was more common as compared with depression in patients with headache. To confirm our findings further, larger multicenter studies are needed. Anxiety and depression should be evaluated by clinicians using these simple screening instruments that can rapidly detect symptoms of these comorbidities in their busy clinical settings.

Keywords: Epilepsy, Headache, Psychiatric comorbidity, Stroke.

How to cite this article: Chaturvedi S, Sureka RK, Rishika, Sharma A, Mandal M. Forgotten Psychiatric Comorbidity in Neurological Disorders. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):157-161.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Brijesh Sharma, Tushar Bhati, Vikalap Gupta

Predictive Role of Preoperative Ultrasonography in Laparoscopic Cholecystectomy.

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:78-80][No of Hits : 112]


ABSTRACT

Laparoscopic cholecystectomy is now accepted as the new gold standard for the treatment of symptomatic gallbladder disease. The present study was conducted to look for some preoperative predictor factors in ultrasound that can give surgeons some idea about the potential difficulties and complications that can be encountered during the course of laparoscopic cholecystectomy that may require conversion to open cholecystectomy.

Keywords: Difficult, Laparoscopic cholecystectomy, Prediction, Preoperative ultrasonographic prediction.

How to cite this article: Sharma B, Bhati T, Gupta V. Predictive Role of Preoperative Ultrasonography in Laparoscopic Cholecystectomy. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):78-80.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Sinni Jain, Shilpa Soni, Manisha Nijhawan, Savita Agrawal

Assessment of Quality of Life in Chronic Dermatoses

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:71-77][No of Hits : 110]


ABSTRACT

Introduction and aim: Chronic skin diseases are associated with significant morbidity in the form of physical discomfort and impairment of patient’s quality of life (QOL). This study was aimed to assess the impact of various chronic dermatoses on the QOL.

Materials and methods: This was a hospital-based, crosssectional study done on 180 consenting outdoor patients between 20 and 60 years of age clinically diagnosed to have a chronic skin disorder, including acne, psoriasis, atopic dermatitis (AD), vitiligo, chronic urticaria (CU), or androgenetic alopecia (AGA) for more than 6 months duration. Quality of life was assessed by using the World Health Organization (WHO) QOL-BREF (Hindi version) which had four domains—physical, psychological, social relationship, and environmental health.

Results: Out of total 180 cases, 100 (55.6%) were males and 80 were females (44.4%). Most cases (43.3%) were in the age group of 20 to 30 years. Urban patients (143, 79.4%) were more than rural patients (37, 20.6%). Chronic urticaria and AGA had significant impact on psychosocial domain.

Conclusion: All the six dermatoses showed impact on the patient’s QOL. This raises the need to have an assessment by psychologists and counselors within dermatology services in treating the chronic dermatoses.

Keywords: Chronic skin diseases, Quality of life, World Health Organization quality of life-BREF.

How to cite this article: Jain S, Soni S, Nijhawan M, Agrawal S. Assessment of Quality of Life in Chronic Dermatoses. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):71-77.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Ram M Jaiswal, Anjana Mittal, Shweta Sharma, Shubhi Saxena, Haresh Saxena

Role of Capillary Electrophoresis in the Evaluation of Serum Protein Abnormalities: An Experience of a Tertiary Care Teaching Hospital

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:69-70][No of Hits : 109]


ABSTRACT

Introduction: Serum protein electrophoresis (SPE) has been an integral part of the diagnostic process for more than a decade. It is used mainly to assess the patients for the presence of a monoclonal gammopathy, but it is also useful for detecting humoral immunodeficiency, liver disease, alphaantitrypsin deficiencies, acute phase reaction, chronic inflammation, and various other conditions.

Materials and methods: The present study was conducted on 90 serum samples to detect presence and quantify monoclonal gammopathy in clinically indicated cases.

Conclusion: Capillary electrophoresis (CE) provides highresolution and detailed information about the major protein fractions. Capillary electrophoresis is an exciting new method that may improve the detection of monoclonal gammopathies and other abnormalities.

Keywords: Capillary electrophoresis, Monoclonal gammopathy, Protein electrophoresis.

How to cite this article: Jaiswal RM, Mittal A, Sharma S, Saxena S, Saxena H. Role of Capillary Electrophoresis in the Evaluation of Serum Protein Abnormalities: An Experience of a Tertiary Care Teaching Hospital. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):69-70.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
K Aparna Sharma, Alka Kriplani

Preconceptional Care

[Year:2017] [Month:May-August] [Volumn:2 ] [Number:2] [Pages:53] [Pages No:85-93][No of Hits : 96]


ABSTRACT

Pregnancy is one of the most cherished experiences in a woman’s life. However, oftentimes, the outcome is less than ideal. The interventions aimed at improving the outcomes are usually focused on pregnancy and delivery. The problem is, however, not addressed because the genesis of the adverse pregnancy outcomes is much before the pregnancy actually occurs.

How to cite this article: Sharma KA, Kriplani A. Preconceptional Care. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):85-93.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Siddharth P Dubhashi, Ratnesh Jenaw

Inguinal Herniation of Urinary Bladder

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:66-67][No of Hits : 457]


ABSTRACT

Urinary bladder hernia is evident into 1 to 3% of inguinal hernias. About 7% of bladder hernias are diagnosed preoperatively. The herniation of the bladder occurs in an acquired direct inguinal hernia with the bladder setting into the hernia along with the peritoneal sheath. This is a report of an elderly male with a para-peritoneal vesical hernia. This is a rare condition requiring a high index of suspicion to prevent complications like urinary tract infection, obstruction and incarceration of bladder wall.

Keywords: Elderly males, Inguinal, Para-peritoneal, Urinary complaints, Vesical hernia.

How to cite this article: Dubhashi SP, Jenaw R. Inguinal Herniation of Urinary Bladder. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):66-67.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Gaurav Agarwal, Anjali Jain

To evaluate and compare the Effectiveness of Sensorimotor Integration with that of Conventional Training for improving Balance and Gait in Stroke Hemiparesis: A Comparative Study

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:47-54][No of Hits : 444]


ABSTRACT

Aim of the study: To evaluate and compare the effectiveness of sensorimotor integration with that of conventional training for improving balance and gait in stroke hemiparesis.

Materials and methods: The study design used for this research will be comparative study. Data will be taken from Mahatma Gandhi Hospital and Medical College, Jaipur and Mumbai.

Results: When both the groups were compared using unpaired t-test, sensorimotor group showed significant improvement in all outcome measures (p < 0.0001) except for MCTSIAB conditions 1 and 2 where the difference was not statistically significant.

Conclusion: Sensorimotor integration training is one of the novel treatment which can have a addictive effects along with the conventional training for balance.

Keywords: Balance and gait training, Sensorimotor integration.

How to cite this article: Agarwal G, Jain A. To evaluate and compare the Effectiveness of Sensorimotor Integration with that of Conventional Training for improving Balance and Gait in Stroke Hemiparesis: A Comparative Study. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):47-54.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Anusha Vohra, Rajaat Vohra, Meghna Verma

Poor Knowledge, Attitude and Practices of Pharmacovigilance among Health Care Professionals: A Cross-sectional Study

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:42-46][No of Hits : 442]


ABSTRACT

Background: As the number of drugs available in the market are increasing, there arises a need to detect their adverse drug reactions and report them on time so that further harm can be avoided. The level of underreporting of adverse drug reactions is very high. Therefore, present study aimed to assess the knowledge, attitude and practice (KAP) of pharmacovigilance among the various health care professionals and suggest ways to improve them.

Materials and methods: A cross-sectional survey was done on 215 health care personnels working in a medical college in Jaipur. They were subjected to KAP questionnaire consisted of knowledge, attitude and practice based questions, designed specifically to assess the awareness about pharmacovigilance.

Results and conclusion: The mean KAP scores of physicians were found to be 5.75, 4.44 and 1.75 respectively. The KAP score of postgraduate students was 5.5, 4.25 and 1.5 respectively. The KAP score of final year MBBS students was 5, 3.4, and 1.4 respectively, and that of interns was 4, 4.2 and 1.4 respectively. The KAP score of pharmacists was 3.5, 2 and 1 respectively, and that of nurses was 2.75, 2.25 and 0.8 respectively. It was found that mean score of physicians and postgraduate students was higher than interns and final year MBBS and much higher than nurses and pharmacists. Still they all fall under the poor score range to unsatisfactory score range which suggest that there is an urgent need for ongoing educational programs to train health care professionals about pharmacovigilance.

Keywords: Health care professionals, KAP, Pharmacovigilance.

How to cite this article: Vohra A, Vohra R, Verma M. Poor Knowledge, Attitude and Practices of Pharmacovigilance among Health Care Professionals: A Cross-sectional Study. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):42-46.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Vaishali Jamdade, Sunil Sharma, Punit Chitlangia, Amit

Nasolabial Flap in the Management of Oral Submucous Fibrosis.

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:27-29][No of Hits : 433]


ABSTRACT

Oral submucous fibrosis (OSMF) is a premalignant condition associated with restricted mouth opening. Oral submucous fibrosis is poorly understood and unsatisfactorily treated disease. Serious complication is the risk of development of oral carcinoma. Different treatment modalities like medical, surgical, physical therapy or combination are used to improve the condition of the patient. Surgical treatment is usually indicated in late and irreversible stage of the disease. Successful use of nasolabial flap in the management of OSMF is presented.

Keywords: Nasolabial flap, Oral submucous fibrosis, Premalignant condition.

How to cite this article: Jamdade V, Sharma S, Chitlangia P, Amit. Nasolabial Flap in the Management of Oral Submucous Fibrosis. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):27-29.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
CG Devaraj, Ashish Yadav, Swati Sharma, Meenakshi Meena, Pulak Mishra, Sonia Godara, Radhika Kapoor

Palatoradicular Groove Associated Defect Resolved with GIC, Alloplastic Graft and GTR Membrane

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:75-78][No of Hits : 342]


ABSTRACT

The region of maxillary lateral incisor is an area of embryological importance with major and minor malformations like, gemination, fusion, cysts, dens in dente, peg-shaped laterals, talon cusps, supernumerary roots, and palatogingival groove (PGG). Palatogingival groove is a developmental groove usually found on the lingual aspect of maxillary incisors. It can be simple or complex on the basis of its connection to the pulp. These grooves act as a nidus for plaque accumulation which destroys the sulcular epithelium and later deeper parts of the periodontium. Since proper cleaning of this region is difficult by patient himself, it can lead to serious localized periodontal lesion or can communicate with endodontic lesion. Suggested treatment modalities are curettage of the affected tissues, elimination of the groove by grinding (saucerization), or by sealing with a variety of filling materials. If the groove extends beyond the middle.third of the root apex, surgical procedures are required, including use of barriers and intraosseous alloplastic graft to correct the defect.

Keywords: Developmental groove, Maxillary incisors, Palatogingival groove, Saucerization.

How to cite this article: Devaraj CG, Yadav A, Sharma S, Meena M, Mishra P, Godara S, Kapoor R. PalatoRadicular Groove Associated Defect Resolved with GIC, Alloplastic Graft and GTR Membrane. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):75-78.

Source of support: Nil

Conflict of interest: None


 
SHORT COMMUNICATION
Siddharth P Dubhashi, GN Saxena, Saurabh Sharma

Professionalism as a part of Medical Curriculum: Need of the Hour

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:39-41][No of Hits : 288]


ABSTRACT

Professionalism in medicine can be viewed as contact between the medical professional and the society. There are no established methods of teaching and valuating professionalism in the traditional medical curriculum. Inculcation of values of medical professionalism requires integration of value and behavior among faculty, non-teaching staff, postgraduate and undergraduate students. Teaching can be enhanced using experimental learning. Various methods include case-based learning, hidden curriculum, role plays, peer-assisted learning. Medical teachers act as role models for students. Assessment should foster an environment for change. There should be an effective feedback and an opportunity for continuous improvement.

Keywords: Experimental learning, Feedback, Professionalism, Role modeling.

How to cite this article: Dubhashi SP, Saxena GN, Sharma S. Professionalism as a part of Medical Curriculum: Need of the Hour. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):39-41.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Mahesh Mishra, Vikram Kumar Jain, Anubhav Sharma, Gaurav Bhardwaj, Lokesh Maan

Methotrexate-induced Pulmonary Toxicity Bronchiolitis Obliterans Organizing Pneumonia: A Rare Entity

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:64-65][No of Hits : 247]


ABSTRACT

Methotrexate is one of the most widely used broad-spectrum immunomodulator. It can be used as a primary option or as in combination of drugs in various immunological conditions. Generally, it is safe when use in lower dosages. However, a clinician has to be alert regarding some of its less common but toxic side-effects. Here, we discuss a rare case who developed methotrexate-induced pulmonary toxicity.

Keywords: Bronchiolitis obliterans organizing pneumonia, Methotrexate, Pulmonary toxicity.

How to cite this article: Mishra M, Jain VK, Sharma A, Bhardwaj G, Maan L. Methotrexate-induced Pulmonary Toxicity Bronchiolitis Obliterans Organizing Pneumonia: A Rare Entity. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):64-65.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Neha Agarwal, Shefali Chaturvedy, Nikhil Marwah, Pooja Mishra, Shakun Kanjani

Bilateral Hypodontia of Mandibular Second Premolars and Lateral Incisors in a Nonsyndromic Patient: A Rare Case Report

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:24-26][No of Hits : 235]


ABSTRACT

Hypodontia is the term used to describe the developmental absence of one or more primary or permanent teeth, excluding the third molars. It is the most commonly occurring developmental dental anomaly and can be a challenge to manage clinically. Hypodontia can occur in association with syndrome or it may occur in nonsyndromic patient. Bilateral occurrence is common but it is very rare to see two bilateral congenital missing teeth in a nonsyndromic patient. This case report presents a rare occurrence of congenital bilateral missing mandibular second premolars and mandibular lateral incisors in a nonsyndromic patient.

Keywords: Bilateral, Hypodontia, Incisor-premolar.

How to cite this article: Agarwal N, Chaturvedy S, Marwah N, Mishra P, Kanjani S. Bilateral Hypodontia of Mandibular Second Premolars and Lateral Incisors in a Nonsyndromic Patient: A Rare Case Report. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):24-26.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Prachi Mittal, Ashwini B Prasad, Deepak Raisingani, Amit, Purav Mehta, Dileep Soni, Deeksha Khurana

Hemisection: A Savior for Hopeless Teeth.

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:30-34][No of Hits : 232]


ABSTRACT

Hemisection refers to the sectioning of a molar tooth with the removal of unrestorable root (along with the crown part) which maybe affected by periodontal, endodontic, structural (cracked roots), or caries. The treatment strategy involves a combined periodontal, endodontic and prosthodontic assessment and evaluation because in hemisection, like any other treatment, appropriate case selection is the most important factor determining the long-term success.

Keywords: Endodontic, Hemisection, Mandibular molar, Periodontal.

How to cite this article: Mittal P, Prasad AB, Raisingani D, Amit, Mehta P, Soni D, Khurana D. Hemisection: A Savior for Hopeless Teeth. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):30-34.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Rudraksh Gupta, Sanyukta Gupta, Hemant Kumar Mishra

Diagnostic Correlation of Findings of Multidetector Computed Tomography and Fine Needle Aspiration Cytology in Lung Masses

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:15-19][No of Hits : 210]


ABSTRACT

Introduction: The multidetector computed tomography helps to differentiate between benign and malignant lesions.

Materials and methods: In the present study, 50 patients with the lung masses underwent computed tomography (CT) of chest followed by fine needle aspiration cytology (FNAC) these patients referred from medical and chest out patient department (OPD) and indoor patient department (IPD).

Results: A total of 36% in males and 10% in female patients belong to 61 to 80 years and 41 to 60 years respectively male to female ratio 2.8:1. The smoking has approximate 36% association with 35% in males and 1% females. In malignant group, 32% were squamous cell carcinoma followed by adenocarcinoma (18%), metastases (16%) poorly differentiated carcinomas (12%) small cell carcinoma (6%) and large cell carcinoma (2%).

Conclusion: The study concludes that combination of CT and CT-guided FNAC give the final diagnosis of the lesion with extension of lesion.

Keywords: Carcinoma lung, Computed tomography, Fine needle aspiration cytology, Lung masses.

How to cite this article: Gupta R, Gupta S, Mishra HK. Diagnostic Correlation of Findings of Multidetector Computed Tomography and Fine Needle Aspiration Cytology in Lung Masses. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):15-19.

Source of support: Nil

Conflict of interest: None


 
Editorial
G N Saxena

Editorial

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:v][No of Hits : 140]


ABSTRACT

It gives me immense pleasure to welcome you to the Journal of Mahatma Gandhi University of Medical Sciences and Technology (JMGUMST). This journal, with the help of its editorial board, contributors and readers will publish high quality clinical and epidemiological research and we hope that it will become a leading journal in the respective field.


 
CASE REPORT
Sonal Gupta, Parvind Gumber

Extranodal Large B-cell Type Aggressive Non-Hodgkin’s Lymphoma.

[Year:2016] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:42] [Pages No:71-74][No of Hits : 126]


ABSTRACT

Non-Hodgkin’s lymphomas belongs to a group of neoplasm, originate from the cells of lymphoreticular system that shows diversity in manner of presentation, response to therapy and prognosis. Non-Hodgkin’s lymphoma accounts for 80–90% of all lymphomas. Though primary intraoral lesion in non- Hodgkin’s lymphoma are uncommon, it is important to be aware of them since intraoral manifestation are presenting symptom in these patients. A 72-year-old Indian male presented with complaint of asymptomatic swelling in the left side of face since one and half months. A careful clinical evaluation supported by radiologic, histopathologic and immunohistochemical investigations will help in identifying the disease at an early stage, which will result in better prognosis.

Keywords: Extranodal, Lymph nodes, Non-Hodgkin’s lymphoma, Swelling.

How to cite this article: Gupta S, Gumber P. Extranodal Large B-cell Type Aggressive Non-Hodgkin’s Lymphoma. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):71-74.


 
RESEARCH ARTICLE
Pallavi Goyal, Manisha Nijhawan, Savita Agrawal, Sinni Jain, Rakesh Jangra

Patch Test Results in Patients with Suspected Contact Dermatitis at A Tertiary Care Hospital in a Semiurban Area in Rajasthan: A Cross-sectional Study

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:1-4][No of Hits : 111]


ABSTRACT

Contact dermatitis is an inflammatory condition of the skin after exposure to any exogenous substance. It can be classified as irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD). A cross sectional study was conducted in Mahatma Gandhi Hospital over a period of 3-month duration from March-May 2016 and total 68 patients with suspected contact dermatitis were subjected to patch test. Most common allergen found to be positive in both males and females was parthenium followed by fragrance mix.

Keywords: Contact dermatitis, Cross-sectional, Fragrance mix, Parthenium, Patch test.

How to cite this article: Goyal P, Nijhawan M, Agrawal S, Jain S, Jangra R. Patch Test Results in Patients with Suspected Contact Dermatitis at a Tertiary Care Hospital in a Semiurban Area in Rajasthan: A Cross-sectional Study. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):1-4.

Source of support: None

Conflict of interest: Nil


 
Message
ML Swarankar

Message

[Year:2016] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:38] [Pages No:v][No of Hits : 43]


ABSTRACT

Academic curriculum forms one of the most important pillar for the development of medical education. Comprehensive treatments based on sound scientific knowledge forms the basis of excellent patient care.



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