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.

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

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.

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.

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.

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.

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.

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.

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.

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).

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.