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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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List of All Articles
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 : 2645]
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 : 2091]
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 : 574]
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
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 : 507]
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

 
5.  Original Article
Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airways
Siddhartha Hanjura, Anil P Agrawal, Malti Agrawal, Vartika Singh, Vartika Vinay, Reehan Ahmed
[Year:2017] [Month:January-March] [Volume:2 ] [Number:1] [Pages:52] [Pages No:1-7] [No of Hits : 121]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10064 | FREE

ABSTRACT

Introduction: This prospective randomized study aimed to compare the effectiveness of the intubating laryngeal mask airway (ILMA) with the King Vision Video laryngoscope in aiding endotracheal intubation in Asian patients with normal airway. King Vision Video laryngoscope is a two-piece design. It has a reusable monitor that attaches to disposable blades. The ILMA is a device specifically designed to be an effective ventilatory device and blind intubating guide in patients with normal and abnormal airways.

Materials and methods: After ethics committee approval and obtaining patient’s written informed consent, 60 American Society of Anesthesiologists grade I and II adult patients undergoing elective surgery requiring intubation were randomly allocated into either the ILMA group (Group L) or the King Vision Video laryngoscope group (Group V).
• Thorough preanesthetic checkup was done. Patient was premedicated. Induction was done with propofol 2.5 mg/ kg and succinylcholine 1.5 mg/kg. In Group L, ILMA was inserted using a single-handed rotational technique. In the King Vision Video laryngoscope group, intubation was done with videolaryngoscope. Placement was confirmed with auscultation and capnography.
• An independent observer recorded the following:
  – Time taken for successful intubation
  – Success or failure of the tracheal intubation
  – Number of attempts needed for successful tracheal intubation
  – Complication associated with tracheal intubation: bleeding or postoperative sore throat
  – Hemodynamic response to intubation

Results and conclusion: King Vision Video laryngoscope is the more effective technique in aiding endotracheal intubation in patients with normal airways.

Keywords: Intubating laryngeal mask airway, Intubation, King Vision video laryngoscope.

How to cite this article: Hanjura S, Agrawal AP, Agrawal M, Singh V, Vinay V, Ahmed R. Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway. Int J Adv Integ Med Sci 2017;2(1):1-7.

Source of support: Nil

Conflict of interest: None

 
6.  Original Article
Psychiatric Comorbidities in Patients with Epilepsy: A Cross-sectional Study
Saurabh Jaiswal, Santosh Kumar, Chandra S Sharma, Abhinav Kuchhal, Arpit Jaiswal
[Year:2017] [Month:January-March] [Volume:2 ] [Number:1] [Pages:52] [Pages No:24-28] [No of Hits : 110]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10068 | FREE

ABSTRACT

Introduction: People with epilepsy are more likely than the general population to have comorbid psychiatric disorders that include anxiety, depression, and interictal and chronic psychoses. Even though psychiatric comorbidity is common in epilepsy, it is underrecognized and undertreated, both in specialty epilepsy centers and also in community-based services. A thorough assessment of this was sought in this study among the patients of Rohilkhand region of Uttar Pradesh (India).

Materials and methods: A total of 100 patients with epilepsy who visited the psychiatry outpatient clinic were recruited for this study. They were assessed in detail for the presence of comorbid psychiatric disorders on Axis 1 with the help of Structured Clinical Interview for Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders.

Results: Overall, it was found that a comorbidity of psychiatric disorders was present in 45% of patients with epilepsy. The frequency of cooccurrence of different types of psychiatric disorders was as follows: Mood disorders 21%, anxiety disorders 14%, and psychotic disorders 28%.

Conclusion: Psychiatric comorbidities were found to be a common problem in patients with epilepsy. The results of this study are in line with many different research works both in India and abroad. A proper address of this issue is important for management, better outcome, and policy making in patients with epilepsy.

Keywords: Axis 1 disorders, Comorbidity, Epilepsy, Psychiatric disorders.

How to cite this article: Jaiswal S, Kumar S, Sharma CS, Kuchhal A, Jaiswal A. Psychiatric Comorbidities in Patients with Epilepsy: A Cross-sectional Study. Int J Adv Integ Med Sci 2017;2(1):24-28.

Source of support: Nil

Conflict of interest: None

 
7.  Original Article
Diagnostic Accuracy of Ultrasonography in Cases of Acute Appendicitis
Vaibhav Kumar, Gaurav Sharma, Akhita Singhania, Saherish Khan, Pooja Singhania, Shraddha Singhania
[Year:2017] [Month:January-March] [Volume:2 ] [Number:1] [Pages:52] [Pages No:32-36] [No of Hits : 97]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10070 | FREE

ABSTRACT

Aims and objectives: To evaluate the accuracy of ultrasonography in the diagnosis of various pathologies of the appendix and to compare the findings of ultrasonography with surgical outcome.

Materials and methods: All the patients suspected of appendicitis clinically were referred for ultrasonography. The accuracy of ultrasonography in the diagnosis of appendicitis was compared with surgical outcome.

Results: Out of 50 cases who underwent ultrasonography, 37 cases were sonographically positive for appendicitis and 13 cases were appendicular masses. Right iliac fossa tenderness, rebound tenderness, and Rovsing’s sign were the cardinal signs. The overall specificity and sensitivity were 95% in the diagnosis of acute appendicitis.

Conclusion: Ultrasound is the first-line method in patients referred with clinically suspected acute appendicitis and is cost-effective and reduces the cost of treatment of expensive procedures like exploratory laparoscopy and computed tomography abdomen.

Keywords: Accuracy, Acute appendicitis, Diagnosis, Ultrasonography.

How to cite this article: Kumar V, Sharma G, Singhania A, Khan S, Singhania P, Singhania S. Diagnostic Accuracy of Ultrasonography in Cases of Acute Appendicitis. Int J Adv Integ Med Sci 2017;2(1):32-36.

Source of support: Nil

Conflict of interest: None

 
8.  Original Article
Study of Supratrochlear Foramen of Humerus: A Morphometric Study
Preeti Agarwal, SHH Zaidi
[Year:2017] [Month:January-March] [Volume:2 ] [Number:1] [Pages:52] [Pages No:8-10] [No of Hits : 95]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10065 | FREE

ABSTRACT

This study is conducted to know the incidence of supratrochlear foramen and its morphometry. A total of 38 humerus bones are studied in the Indian population sample, in light of available literature, and clinical, racial, and regional significance is drawn, if present.

Materials and methods: Thirty-eight humerus bones belonging to the museum of the Department of Anatomy, Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India, were studied to observe the incidence of supratrochlear foramen anomaly in the Indian population sample.

Results: The supratrochlear foramen anomaly was observed in 7 out of 38 humeri studied, i.e., 18.4%.

Conclusion: The findings are of considerable clinical, racial, and regional significance, and are discussed.

Keywords: Bony septum, Coronoid fossa, Supratrochlear foramen.

How to cite this article: Agarwal P, Zaidi SHH. Study of Supratrochlear Foramen of Humerus: A Morphometric Study. Int J Adv Integ Med Sci 2017;2(1):8-10.

Source of support: Nil

Conflict of interest: None

 
9.  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 : 95]
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

 
10.  Review Article
History of Rhinoplasty
Danish Arora, Chander Mohan, Prashant Bhardwaj, Sadhna, Abhinav Srivastava
[Year:2017] [Month:January-March] [Volume:2 ] [Number:1] [Pages:52] [Pages No:40-43] [No of Hits : 95]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10050-10072 | FREE

ABSTRACT

Rhinoplasty, is derived from the Greek word rhinos (nose) and plassein (to shape), and is a surgery performed to achieve two results: To improve breathing function of nose and to improve cosmetic look of the nose. Rhinoplasty is a plastic surgery for correcting and reconstructing the form, restoring the functions, and esthetically enhancing the nose, by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, and a failed primary rhinoplasty. An otolaryngologist or a plastic and reconstructive surgeon creates a functional, esthetic, and facially proportionate nose by separating the nasal skin and the soft tissues from the osseocartilaginous nasal framework, correcting them as required for form and function, suturing the incisions, and applying either a pack or a stent, or both, to immobilize the corrected nose to ensure the proper healing of the surgical incision. The nonsurgical rhinoplasty procedure corrects and modifies slight defects of the nose by means of subcutaneous injections of biologically inert fillers; the results tend to be relatively transitory, in comparison with the results of nose surgery. The forehead rhinoplastic reconstruction of nose practiced by Indians centuries ago is known universally as Indian forehead flap for nasal reconstruction.

Keywords: Flap, Hump nose, Reconstruction, Saddle nose.

How to cite this article: Arora D, Mohan C, Bhardwaj P, Sadhna, Srivastava A. History of Rhinoplasty. Int J Adv Integ Med Sci 2017;2(1):40-43.

Source of support: Nil

Conflict of interest: None

 
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