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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  Original Article
Road Traffic Accidents in India
SM Sharma
[Year:2016] [Month:April-June] [Volume:1 ] [Number:2] [Pages:50] [Pages No:57-64] [No of Hits : 5571]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10020 | FREE

ABSTRACT

Road traffic accidents (RTAs) result in tremendous loss of lives and prolonged morbidity besides causing sufferings to relatives and friends. Loss of lives and useful working hours inflict heavy damage to a nation’s economic activity, loss of breadwinner to family, and deprivation of family bond of love and security. Increasing traffic accidents and subsequent trauma creates heavy burden on our scarce funds and already overburdened hospitals. Road traffic accidents are one of the major causes of death and illness which is preventable. There is tremendous rise in RTAs due to increase in vehicular volume on our roads, incredible speeding of the vehicles, poor driving skills, drunk driving, bad roads, poor traffic control, and lack of public awareness, rampant indiscipline, incompetent authorities and lack of implementation of existing laws to tackle the menace of disrespect to law and rules. The solution to the problem lies in reducing the volume of traffic on roads by instituting efficient public transport system all over, like the one prevalent in advanced nations of the world, honest road engineering, universal education and training of all citizens in driving, creating awareness about road safety precautions, enforcing strict punishments upon offenders indulging in drunk driving and crossing the speed limits, and regulating control of traffic on highways and accident-prone areas.

Keywords: Drunk driving, Indian roads, Prevention of road traffic accidents, Road rage, Road traffic accidents.

How to cite this article: Sharma SM. Road Traffic Accidents in India. Int J Adv Integ Med Sci 2016;1(2):57-64.

Source of support: Nil

Conflict of interest: None

 
2.  Case Report
Gestational Gigantomastia: A Rarity
Disha Shakya, Tripti Gupta, Lata Agrawal, HK Premi
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages:41] [Pages No:13-14] [No of Hits : 2467]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-0005 | FREE

ABSTRACT

Hypertrophy of the breast is a rare medical condition of breast connective tissue. It is listed as a ‘rare disease’ by the ‘Office of Rare Diseases’ of National Institute of Health (NIH). A woman aged 20 years presented to our antenatal clinic in her first pregnancy at 23 weeks of gestation with excessive enlargement of breasts since conception. Although its etiology has yet to be clarified, it has been associated with the response of breast receptors to gestational hormones. Gestational gigantomastia is a complication whose etiology and pathogenesis have yet to be fully clarified. However it has been speculated that placental hormones may trigger the condition.

Keywords: Fibroadenoma, Gestational gigantomastia, Phylloides tumor.

How to cite this article: Shakya D, Gupta T, Agrawal L, Premi HK. Gestational Gigantomastia: A Rarity. Int J Adv Integ Med Sci 2016;1(1):13-14.

Source of support: Nil

Conflict of interest: None

 
3.  Review Article
Dermatoglyphics: A Brief Review
Archana Singh, Rakesh Gupta, SHH Zaidi, Arun Singh
[Year:2016] [Month:July-September] [Volume:1 ] [Number:3] [Pages:45] [Pages No:111-115] [No of Hits : 1589]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10039 | FREE

ABSTRACT

Dermatoglyphics refers to epidermal ridges present on the palm, sole, fingers, and toes. These epidermal ridges are formed in the same intrauterine period when neuronal development takes place in the intrauterine life of a fetus. Thus, dermatoglyphics is correlated with genetic abnormalities and is useful in the diagnosis of congenital malformations and many other medical disorders. Each and every individual has unique fingerprints, even in twins. These fingerprints remain the same lifelong from their development unless they are damaged by dermal injuries. The different regions of our brain are reflected by fingerprints, palm prints and foot patterns present in the 10 fingers, 10 toes, palmar and plantar surfaces respectively and these dermatoglyphics represent the various regions of brain therefore can be used in dermatoglyphics mental intelligence test (DMIT) and now a day is being used globally.

Keywords: Dermatoglyphics, Dermatoglyphics mental intelligence test, Fingerprint.

How to cite this article: Singh A, Gupta R, Zaidi SHH, Singh A. Dermatoglyphics: A Brief Review. Int J Adv Integ Med Sci 2016;1(3):111-115.

Source of support: Nil

Conflict of interest: None

 
4.  Case Report
A Rare Case of Vallecular Cyst
Anil Gangwar, Vaibhav Kuchhal, Priyanshu Srivastava
[Year:2016] [Month:April-June] [Volume:1 ] [Number:2] [Pages:50] [Pages No:88-90] [No of Hits : 1417]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10030 | FREE

ABSTRACT

Vallecular cyst is an uncommon but potentially dangerous condition causing stridor and has been associated with sudden airway obstruction resulting in death due to its anatomical location in neonates. It may also present with feeding problems resulting in failure to thrive. Endoscopic laryngoscopy is necessary to visualize vallecular cyst when suspected clinically. Other conditions leading to neonatal stridor should be ruled out, such as laryngomalacia and other laryngotracheal abnormalities. Marsupialization with a CO2 laser is the most successful treatment. We report a case of a 6-month-old male infant referred to our ear, nose and throat department of Dr. Susheela Tiwari Hospital, Government Medical College, Haldwani, for the evaluation of inspiratory stridor, feeding difficulty, suprasternal retraction, and failure to thrive. The patient was misdiagnosed and treated conservatively by a pediatrician. On rigid laryngoscopic examination, an anteriorly displacing cystic mass on the tongue base on the left side was detected. The cyst was removed intoto using bipolar cautery. Immediately after surgery, inspiratory stridor, suprasternal retraction, and feeding difficulty improved gradually. One week later, follow-up rigid laryngoscopy showed no abnormal finding except episodic influx of epiglottis.

Keywords: Laryngomalacia, Laryngoscopy, Lymphadenopathy, Vallecular cyst.

How to cite this article: Gangwar A, Kuchhal V, Srivastava P. A Rare Case of Vallecular Cyst. Int J Adv Integ Med Sci 2016;1(2):88-90.

Source of support: Nil

Conflict of interest: None

 
5.  Case Report
Anesthesia for a Patient on Monoamine Oxidase Inhibitors
Gopal Krishan, Ram P Singh, Malti Agrawal, Richa Agrawal
[Year:2016] [Month:April-June] [Volume:1 ] [Number:2] [Pages:50] [Pages No:81-83] [No of Hits : 1100]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10027 | FREE

ABSTRACT

Monoamine oxidase (MAO) inhibitors are frequently used for multidrug-resistant major depression, which is emerging as an epidemic in the modern era. Anesthesia during chronic use of MAO inhibitors is a matter of debate because of increased risk of drug interactions with various anesthetic drugs. Cardiac disorders contribute to perioperative and postoperative complications. Recent studies illustrate the safety of anesthesia without discontinuation of MAO inhibitors if sympathetic homeostasis is maintained and known drug interactions are avoided. In this case study, a 72-year-old male psychiatric patient on permanent treatment with tranylcypromine (30 mg/ day) was admitted for bipolar hemiarthroplasty. After complete aseptic precautions, spinal anesthesia was achieved by 12.5 mg 0.5% heavy bupivacaine and 30 ìg clonidine intrathecally. The anesthetic effect was adequate, but surgery was not completed timely and the effect of spinal anesthesia was weaned off, so general anesthesia was given and surgery was completed. There was no perioperative or postoperative complication. In conclusion, general or regional anesthesia for noncardiac surgery without discontinuation of MAO inhibitors may be safe after careful preoperative evaluation of the patient.

Keywords: Monoamine oxidase inhibitors, Spinal anesthesia, Tranylcypromine.

How to cite this article: Krishan G, Singh RP, Agrawal M, Agrawal R. Anesthesia for a Patient on Monoamine Oxidase Inhibitors. Int J Adv Integ Med Sci 2016;1(2):81-83.

Source of support: Nil

Conflict of interest: None

 
6.  Original Article
Assessment of Knowledge and Practice of Mothers of Children under Five regarding Zinc Therapy in Childhood Diarrhea
Dipak Kumar Dhar, Nilratan Majumder, Debasish Paul
[Year:2016] [Month:October-December] [Volume:1 ] [Number:4] [Pages:62] [Pages No:169-172] [No of Hits : 804]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10055 | FREE

ABSTRACT

Aim: Zinc is now considered as an important treatment intervention along with low-osmolarity oral rehydration salts in diarrhea. But awareness about the use of zinc remains low. The present study was conducted with an objective of assessing knowledge and practice of mothers of under-5 children about zinc supplementation in diarrhea.

Materials and methods: A hospital-based cross-sectional study was carried out in the Paediatric Outpatient Department Agartala Government Medical College and GB Pant Hospital, Agartala, Tripura, India, with a sample size of 700 mothers of under-5 children over 2 months. Convenience sampling technique was employed and the data were collected in a structured, interview schedule. Descriptive statistics and tests like chi-square test were used for analysis.

Results: Only 1.9% of all the respondents (13 out of 700) had heard about zinc therapy in diarrhea. Out of them, 11 mothers had actually used zinc in practice and 7 could tell the duration of therapy. None of them were aware of what benefit is conferred by zinc in an episode of diarrhea. An association between knowledge levels and educational status and occupation of mothers was found to be statistically significant.

Conclusion: T he s tudy r eaffirmed t he a bysmally l ow l evel of awareness about zinc supplementation among mothers. Therefore, health education can be used as a tool to promote knowledge and practice of zinc supplementation in diarrhea to reduce mortality and morbidity.

Keywords: Diarrhea, Knowledge, Mothers, Zinc.

How to cite this article: Dhar DK, Majumder N, Paul D. Assessment of Knowledge and Practice of Mothers of Children under Five regarding Zinc Therapy in Childhood Diarrhea. Int J Adv Integ Med Sci 2016;1(4):169-172.

Source of support: Nil

Conflict of interest: None

 
7.  Case Report
Ovarian Ectopic Pregnancy: A Rare Case Report
Sonika Dahiya, Shabina Khan, HK Premi, Sana Amrin, Sugandh Srivastava
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages:41] [Pages No:23-24] [No of Hits : 672]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-0009 | FREE

ABSTRACT

Ovarian pregnancy is the most common type of non-tubal ectopic pregnancy. Ovarian ectopic pregnancy incidence after natural conception ranges from 1 in 2000 to 1 in 60,000 deliveries and accounts for 3% of all ectopic pregnancies. Here, we report a rare case of ruptured ectopic pregnancy. A 30 years old, G2P1+0L1 was admitted with amenorrhea of 1½ months and severe pain abdomen. Self urinary pregnancy test (UPT) was positive. Ultrasonography (USG) revealed it sided adnexal mass. Emergency laparotomy was done and a diagnosis of ovarian ectopic pregnancy was made.

Keywords: Extrauterine pregnancy, Ovarian ectopic, Partial ovariectomy.

How to cite this article: Dahiya S, Khan S, Premi HK, Amrin S, Srivastava S. Ovarian Ectopic Pregnancy: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):23-24.

Source of support: Nil

Conflict of interest: None

 
8.  Case Report
Neurofibromatosis in Pregnancy
Sonika Dahiya, Shobha Mukherjee, HK Premi
[Year:2016] [Month:April-June] [Volume:1 ] [Number:2] [Pages:50] [Pages No:91-92] [No of Hits : 542]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10031 | FREE

ABSTRACT

Neurofibromatosis (NF) is one of the most frequent genetic diseases in humans. It is less common to find pregnancy in NF patients. It may not reflect the real situation as most current information on pregnancy and NF is derived from case reports. In the past 15 years only two series of pregnant NF patients were reported in English language literature.
Neurofibromatosis is a genetic disorder which increases the risk of obstetric complications as well as aggravation of maternal disease. However, here is a case of NF in which transmission to baby has also occurred, which is very rare.

Keywords: Neurofibromatosis, Obstetric complications, Pregnancy.

How to cite this article: Dahiya S, Mukherjee S, Premi HK. Neurofibromatosis in Pregnancy. Int J Adv Integ Med Sci 2016; 1(2):91-92.

Source of support: Nil

Conflict of interest: None

 
9.  Case Report
Ascariasis presenting as Acute Abdomen: A Rare Case
Ranjan Agrawal, Parbodh Kumar, Nitesh Mohan
[Year:2016] [Month:April-June] [Volume:1 ] [Number:2] [Pages:50] [Pages No:75-78] [No of Hits : 503]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10025 | FREE

ABSTRACT

Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications.
We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child.

Keywords: Acute abdomen, Ascaris lumbricoides, Intestinal obstruction.

How to cite this article: A grawal R , K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.

Source of support: Nil

Conflict of interest: None

 
10.  Original Article
Surgical Site Infections in a Rural Teaching Hospital of North India
Rajesh K Abbey, Manjul Mohan, Nitin Malik, Rohit Tiwari, Shashank Nahar
[Year:2017] [Month:January-March] [Volume:2 ] [Number:1] [Pages:52] [Pages No:11-16] [No of Hits : 290]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10066 | FREE

ABSTRACT

Aims and objectives: Surgical site infections (SSIs) are one of the most important causes of health care-associated infections. Understanding SSI reduces the social and economic burden of a hospital and society. In this context, we evaluated the various aspects of SSI in our institution, Rohilkhand Medical College & Hospital (RMCH), which is a tertiary care teaching hospital in rural Uttar Pradesh in North India.

Materials and methods: This prospective study was conducted in the Department of General Surgery, RMCH, Bareilly, Uttar Pradesh, India. A total number of 1,498 patients admitted for surgical procedures with effect from November 1, 2016 to December 31, 2016, formed the subjects of the present study. All operated cases during the above period, including major and minor, emergency and elective, laparoscopic and open procedures were included in the present study. Data so obtained were analyzed statistically. The Centers for Disease Control and Prevention, USA criteria were used for defining the wound. Sample swabs were collected from the first dressing and up to 2 to 4 weeks postoperatively. Samples were processed for aerobic and anaerobic flora, and the antibiotic sensitivity of the isolates was also performed.

Results and discussion: The SSI rate in the present study was 8.67%. Significantly higher incidence of SSI was detected with increasing age. The SSI rate in case of emergency surgeries was more (27.7%) as compared with routine/elective surgeries (6.3%). The higher incidence (18.75%) of SSI was detected in patients having preoperative hospital stay of more than 7 days, and the maximum incidence (15.7%) was observed in patients having longer postoperative hospital stay of more than 10 days. Dirty wounds had the highest incidence of SSI (53.45%). The incidence of SSI increased with duration of surgery, order of surgery, and with the increasing duration of postoperative drains. Staphylococcus aureus was the commonest isolate (32.30%) followed by Escherichia coli (39%).

Conclusion: Though the incidence of SSI in the present study was slightly low as compared with similar reports from other institutions of the country, more rational antibiotic policy and more stringent infection control measures are needed.

Keywords: Centers for disease control and prevention criteria, Hospital stay, Surgical drains, Surgical site infections

How to cite this article: Abbey RK, Mohan M, Malik N, Tiwari R, Nahar S. Surgical Site Infections in a Rural Teaching Hospital of North India. Int J Adv Integ Med Sci 2017;2(1):11-16.

Source of support: Nil

Conflict of interest: None

 
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