Journal of Mahatma Gandhi University of Medical Sciences and Technology

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2017 | January-April | Volume 2 | Issue 1

RESEARCH ARTICLE

Jai P Yogi, Anita Semar

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

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:6] [Pages No:1 - 6]

PDF  |  DOI: 10.5005/jp-journals-10057-0021  |  Open Access |  How to cite  | 

Abstract

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.

RESEARCH ARTICLE

Mohit Agrawal, 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] [Volume:2] [Number:1] [Pages:3] [Pages No:7 - 9]

PDF  |  DOI: 10.5005/jp-journals-10057-0022  |  Open Access |  How to cite  | 

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.

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.

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] [Volume:2] [Number:1] [Pages:4] [Pages No:10 - 13]

PDF  |  DOI: 10.5005/jp-journals-10057-0023  |  Open Access |  How to cite  | 

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).

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.

RESEARCH ARTICLE

Surendra Ojha, Chandan Jailiya

To find the Efficacy of Therapeutic Laser for Piriformis Syndrome

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:4] [Pages No:14 - 17]

PDF  |  DOI: 10.5005/jp-journals-10057-0024  |  Open Access |  How to cite  | 

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.

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.

RESEARCH ARTICLE

Murlidhar Swami, Mona Narain, Krishna Kanwal

Premenstrual Syndrome: Correlation and Functional Impairment

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:5] [Pages No:18 - 22]

PDF  |  DOI: 10.5005/jp-journals-10057-0025  |  Open Access |  How to cite  | 

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.

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.

REVIEW ARTICLE

Hina Kausher, Devendra PS Chonkkar

An Insight into the Surface of Dental Implants

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:6] [Pages No:23 - 28]

PDF  |  DOI: 10.5005/jp-journals-10057-0026  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Simmi Mehra

A Variant Articular Facet on Left Second Rib

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:2] [Pages No:29 - 30]

PDF  |  DOI: 10.5005/jp-journals-10057-0027  |  Open Access |  How to cite  | 

Abstract

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.

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] [Volume:2] [Number:1] [Pages:4] [Pages No:31 - 34]

PDF  |  DOI: 10.5005/jp-journals-10057-0028  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

CM Agrawal, Manish R Pahadia, Shubham Gupta, Haritej Anand

Pan Digital Gangrene: A Rare Phenomenon in Scrub Typhus

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:3] [Pages No:35 - 37]

PDF  |  DOI: 10.5005/jp-journals-10057-0029  |  Open Access |  How to cite  | 

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.

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.

CASE REPORT

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

An Indigenous Removal Method of a Broken Interlocking Nail

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:3] [Pages No:38 - 40]

PDF  |  DOI: 10.5005/jp-journals-10057-0030  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Sunil Sharma, Punit Chitlangia, Dinesh C Sharma, Amit  

Surgical Management of Chronic Bilateral Condylar Dislocation

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:3] [Pages No:41 - 43]

PDF  |  DOI: 10.5005/jp-journals-10057-0031  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

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

Management of an Impacted Dilacerated Permanent Maxillary Central Incisor

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:3] [Pages No:44 - 46]

PDF  |  DOI: 10.5005/jp-journals-10057-0032  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Meenakshi Meena, Ashish Yadav, Kriti Goyal, CG Devaraj

Diagnosis and Management of Chronic Gingival Overgrowth

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:4] [Pages No:47 - 50]

PDF  |  DOI: 10.5005/jp-journals-10057-0033  |  Open Access |  How to cite  | 

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.

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.

CASE REPORT

Dileep Soni, Ashwani B Prasad

Smile Design with All Ceramic Veneers

[Year:2017] [Month:January-April] [Volume:2] [Number:1] [Pages:4] [Pages No:51 - 54]

PDF  |  DOI: 10.5005/jp-journals-10057-0034  |  Open Access |  How to cite  | 

Abstract

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.

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