Table of Content

2017 | January-March | Volume 2 | Issue 1

EDITORIAL

Mohan Chander

From the Editor-in-Chief's Desk

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:1] [Pages No:0 - 0]

GET ACCESS  |  DOI: 10.5005/ijaims-2-1-iv  |  Restricted |  How to cite  | 

RESEARCH ARTICLE

Vartika Singh, Vartika Vinay, Reehan Ahmed

Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:7] [Pages No:1 - 7]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10064  |  Restricted |  How to cite  | 

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.

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.

RESEARCH ARTICLE

SHH Zaidi, Preeti Agarwal

Study of Supratrochlear Foramen of Humerus: A Morphometric Study

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:3] [Pages No:8 - 10]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10065  |  Restricted |  How to cite  | 

Abstract

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.

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.

RESEARCH ARTICLE

Rajesh Abbey, Manjul Mohan, Nitin Malik, Rohit Tiwari, Shashank Nahar

Surgical Site Infections in a Rural Teaching Hospital of North India

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:6] [Pages No:11 - 16]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10066  |  Restricted |  How to cite  | 

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.

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.

RESEARCH ARTICLE

Sagar Tyagi, Atul Mehrotra, Pradeep Parakh, Parveen Hans

Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:7] [Pages No:17 - 23]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10067  |  Restricted |  How to cite  | 

Abstract

Introduction

Trauma is the most common worldwide cause of death and disability in young adults. Neurotrauma is one of the most frequent indications for emergent neuroimaging because imaging plays such a key role in patient triage and management.

Aims and objectives

(1) To assess the role of computed tomography (CT) in patients with traumatic head injury. (2) To localize trauma to a particular extraaxial and intraaxial compartment and to delineate various spectrum of hemorrhages that occur in craniocerebral trauma with the aid of CT. (3) To evaluate the value of early CT imaging with patient prognosis.

Materials and methods

This is a prospective study carried out in 100 patients with traumatic brain injury, referred to the Department of Radiodiagnosis, Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India, for CT scan during a period of 1 year. The patients were scanned using GE Bright Speed 16-Slice multidetector CT.

Conclusion

Computed tomography is the single-most informative diagnostic modality in the evaluation of a patient with a head injury and should be considered the first imaging of choice in acute head injury as it forms the cornerstone for rapid and effective diagnosis.

How to cite this article

Hans P, Mehrotra A, Kumar P, Agarwal M, Kumar L, Parakh P, Tyagi S. Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury. Int J Adv Integ Med Sci 2017;2(1):17-23.

RESEARCH ARTICLE

Saurabh Jaiswal, Santosh Kumar

Psychiatric Comorbidities in Patients with Epilepsy: A Cross-sectional Study

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:5] [Pages No:24 - 28]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10068  |  Restricted |  How to cite  | 

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.

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.

RESEARCH ARTICLE

Himalaya Singh

Reason behind Drinking: A Cross-sectional Study on Alcohol Use among Adult Males in Bareilly District, Uttar Pradesh, India

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:3] [Pages No:29 - 31]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10069  |  Restricted |  How to cite  | 

Abstract

Introduction

Alcoholic beverages have been a part of social life for millennia, yet societies have always found it difficult to understand or restrain their use. Different societies not only have different sets of beliefs and rules about drinking, but they also show very different outcomes when people consume alcohol.

Aims and objectives

This study is conducted to assess the reasons behind consuming alcohol among adult males of Bareilly district, Uttar Pradesh, India.

Materials and methods

A community-based cross-sectional study was carried out on males aged ≥15 years in Bareilly district. Thirty clusters were chosen from this population by probability proportional to size sampling, and then from these clusters, in each cluster, houses were taken out and from each, one adult male was selected till the sample size was achieved. The prevalence of alcohol usage among males in Uttar Pradesh (by National Family Health Survey 372) is 25.3%. Taking 10% of nonresponsive rate and design effect of 2, calculated sample size is 632.

Results

Totally 699 adult males participated in the study and analyzed data show that 31% males are current drinkers, 5% are past drinkers, and rest are teetotalers. Most of the study subjects indulged in this habit due to peer pressure (58.7%), while 24.9% reported that the cause was a curiosity to drink. Only 7.0% were because of conforming to social status or norms. The majority of the study subjects continued to drink in order to cheer-up (44.6%) in order to relax (40.8%), whereas only 16% current drinkers reported the cause as “peer pressure” or “think and work better.”

Conclusion

We can conclude that the most common reason to start alcohol habit is peer pressure and people continue it to cheer themselves.

How to cite this article

Singh H, Joshi HS, Singh A, Katyal R, Upadhyay D. Reason behind Drinking: A Cross-sectional Study on Alcohol Use among Adult Males in Bareilly District, Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(1):29-31.

RESEARCH ARTICLE

Pooja Singhania

Diagnostic Accuracy of Ultrasonography in Cases of Acute Appendicitis

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:5] [Pages No:32 - 36]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10070  |  Restricted |  How to cite  | 

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.

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.

RESEARCH ARTICLE

Ambika Dixit, Prerna Yadav

Role of Narrow-band Ultraviolet B Phototherapy with Topical Tacrolimus 0.03% for Treatment of Childhood Vitiligo

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:3] [Pages No:37 - 39]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10071  |  Restricted |  How to cite  | 

Abstract

How to cite this article

Dixit A, Yadav P, Rathore PK, Goyal S. Role of Narrow-band Ultraviolet B Phototherapy with Topical Tacrolimus 0.03% for Treatment of Childhood Vitiligo. Int J Adv Integ Med Sci 2017;2(1):37-39.

REVIEW ARTICLE

Prashant Bhardwaj, Abhinav Srivastava, Danish Arora, Sadhna

History of Rhinoplasty

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:4] [Pages No:40 - 43]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10072  |  Restricted |  How to cite  | 

Abstract

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.

CASE REPORT

Fahad B Hamid, T Somashekarappa, RP Jauhari, Somdutt Singh, Deepanshu Agarwal

Pedunculated Osteochondroma arising from the Medial Aspect of Proximal Femur: A Rare Presentation

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

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10073  |  Restricted |  How to cite  | 

Abstract

How to cite this article

Hamid FB, Singh G, Somashekarappa T, Jauhari RP, Singh S, Agarwal D. Pedunculated Osteochondroma arising from the Medial Aspect of Proximal Femur: A Rare Presentation. Int J Adv Integ Med Sci 2017;2(1):44-46.

CASE REPORT

A Dokania, Y Rizvi, Surabhi Sinha

An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis

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

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10074  |  Restricted |  How to cite  | 

Abstract

Purpose

To highlight monofilament polypropylene surgical mesh commonly used for herniorrhaphy as an alternative implant wrapping for achieving augmented implant volume and enabling easier extraocular muscle attachment in postenucleation reconstruction of artificial eye.

Materials and methods

Following enucleation of a nonfunctional eye in a patient who met with a road traffic accident, a 14 mm hydroxyapatite ball was used to replace the globe. The ball was wrapped with a monofilament polypropylene surgical mesh used in herniorrhaphy and sutured. The patient achieved a satisfactory cosmesis and movements of the implant for different gazes. No ocular discomfort or implant extrusion was reported following 6 months of follow-up.

Conclusion

Monofilament polypropylene mesh can be used safely as an orbital implant wrapping, economizing the implant cost.

How to cite this article

Sinha S, Rizvi Y, Dokania A. An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis. Int J Adv Integ Med Sci 2017;2(1):47-50.

CASE REPORT

SS Bist, Vinish Kumar Agarwal, Mamta Goyal, Kartikeya Purohit

Hypercalcemia due to Parathyroid Adenoma: A Delayed Diagnosis

[Year:2017] [Month:January-March] [Volume:2] [Number:1] [Pages:2] [Pages No:51 - 52]

GET ACCESS  |  DOI: 10.5005/jp-journals-10050-10075  |  Restricted |  How to cite  | 

Abstract

How to cite this article

Agarwal VK, Purohit K, Bist SS, Goyal M. Hypercalcemia due to Parathyroid Adenoma: A Delayed Diagnosis. Int J Adv Integ Med Sci 2017;2(1):51-52.

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