International Journal of Advanced and Integrated Medical Sciences

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2016 | October-December | Volume 1 | Issue 4

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EDITORIAL

From the Editor-in-Chief's Desk

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/ijaims-1-4-iv  |  Open Access |  How to cite  | 

1,669

RESEARCH ARTICLE

Pranav Gupta, Etti Goyal, Jaya Devendra

Comparative Study of 0.1% Olopatadine vs 0.05% Cyclosporine in Patients of Recalcitrant Vernal Keratoconjunctivitis

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:4] [Pages No:139 - 142]

   DOI: 10.5005/jp-journals-10050-10048  |  Open Access |  How to cite  | 

Abstract

Introduction

Vernal keratoconjunctivitis (VKC) is a chronic, recurrent, bilateral inflammatory disease showing exacerbations during the spring and summer seasons, affecting young children. Present study was conducted with the aim of comparing the efficacy of cyclosporine 0.05% with olopatadine 0.1% in recalcitrant patients of VKC.

Materials and methods

A prospective randomized controlled trial was performed on 40 eyes (20 patients of recalcitrant VKC) during the period of May 2015 to September 2015. A short course of mild steroid was given for 5 days to all patients as they presented with acute exacerbation of recalcitrant VKC.

Left eye of each patient received topical cyclosporine 0.05%, which is a nonsteroidal immunomodulator, twice daily, and right eye of the same patient received olopatadine 0.1%, which has a dual action, i.e., mast cell stabilizer action as well as antihistaminic activity, twice daily for a period of 3 months. Grading of signs and symptoms was done at the time of presentation and at 2 weeks, 1 month, and 3 months interval.

Results

When compared with baseline, scores for signs and symptoms at 2 weeks reduced significantly for both cyclosporine and olopatadine. However, at 3 months, scores as regards signs and symptoms were found to be lower in cyclosporine as compared with olopatadine eyes.

Conclusion

Cyclosporine 0.05% was found to be equally effective in treating signs and symptoms as olopatadine in the early phase of the treatment. But, a significant improvement was noted in cyclosporine eyes as compared with olopatadine eyes in the late period.

How to cite this article

Goyal E, Devendra J, Gupta P. Comparative Study of 0.1% Olopatadine vs 0.05% Cyclosporine in Patients of Recalcitrant Vernal Keratoconjunctivitis. Int J Adv Integ Med Sci 2016;1(4):139-142.

3,549

RESEARCH ARTICLE

Juhi Goel, Swapnila Prasad, Ashutosh Dokania

A Clinicopathological Study of Various Conjunctival Lesions in Children

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:5] [Pages No:143 - 147]

   DOI: 10.5005/jp-journals-10050-10049  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Goel J, Prasad S, Dokania A. A Clinicopathological Study of Various Conjunctival Lesions in Children. Int J Adv Integ Med Sci 2016;1(4):143-147.

2,293

RESEARCH ARTICLE

An Epidemiological Study on Perception of the Cataract Patients regarding Cataract Surgery in Tertiary Care Hospital, Bareilly District, Uttar Pradesh

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:148 - 150]

   DOI: 10.5005/jp-journals-10050-10050  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kumar P, Joshi HS, Katyal R, Ranjan P. An Epidemiological Study on Perception of the Cataract Patients regarding Cataract Surgery in Tertiary Care Hospital, Bareilly District, Uttar Pradesh. Int J Adv Integ Med Sci 2016;1(4):148-150.

2,119

RESEARCH ARTICLE

Ashok Agarwal, Pooja Bansal, Abhishek Kumar, VK Tiwari

Impact of Health Education in Perception of Patients regarding Storage of Health Records among Patients attending Tertiary Care Hospital, Bareilly District, Uttar Pradesh

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:7] [Pages No:151 - 157]

   DOI: 10.5005/jp-journals-10050-10051  |  Open Access |  How to cite  | 

Abstract

Objective

To know the patients’ attitude regarding preserving records: pre- and postcounseling.

Materials and methods

A questionnaire was administered to all the subjects, and data were assessed by applying statistical test. The health education awareness is regularly carried out in outpatient department (OPD) and inpatient department (IPD) by various audiovisual aids.

Setting

A cross-sectional study was conducted among the patients from OPD and IPD of the Department of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.

Results

Out of 998 patients studied, 421 (42.2%) of them were preserving record and 577 (57.8%) did not. After counseling both groups who were preserving and not preserving the records, a remarkable change was observed, i.e., 800 (80.2%) patients from OPD and IPD started preserving their records in a positive way and were bringing at the time of consultation.

Conclusion

With the sustained and regular health education/motivation, the patients realized the importance of record keeping.

How to cite this article

Tiwari VK, Kumar A, Agarwal A, Joshi HS, Upadhyay D, Bansal P. Impact of Health Education in Perception of Patients regarding Storage of Health Records among Patients attending Tertiary Care Hospital, Bareilly District, Uttar Pradesh. Int J Adv Integ Med Sci 2016;1(4):151-157.

3,344

RESEARCH ARTICLE

SM Sharma

Prehospital Trauma Care

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:6] [Pages No:158 - 163]

   DOI: 10.5005/jp-journals-10050-10052  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sharma SM. Prehospital Trauma Care. Int J Adv Integ Med Sci 2016;1(4):158-163.

1,584

RESEARCH ARTICLE

Piyush Gupta, Himalaya Singh

The Study of Sociodemographic Profile of Pediatric Tuberculosis Patients in Bareilly District, Uttar Pradesh: A Cross-sectional Study

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:164 - 166]

   DOI: 10.5005/jp-journals-10050-10053  |  Open Access |  How to cite  | 

Abstract

Introduction

Tuberculosis in children is mainly due to failure of tuberculosis control in adults. In India, over 100,000 children die from tuberculosis every year. The risk of developing disease after infection is determined by various factors, including age at exposure, sex, family, and socioeconomic status. There are no such studies carried out in Bareilly district till date; therefore, with this view, this study is being conducted.

Aims and objectives

To know the sociodemographic profile of pediatric tuberculosis patients in Bareilly district.

Materials and methods

A cross-sectional study was carried out on 120 children aged 0 to 14 years registered at various tuberculosis units (TUs) in Bareilly district. The selection of TUs was done by simple random sampling.

Result and conclusion

Out of total 120 cases in the study, majority of them were females (65%), followed by 35% male pediatric tuberculosis cases; 61.7% study participants belonged to 10 to 14 years of age, and 51.7% belonged to lower socioeconomic status.

How to cite this article

Gupta P, Singh A, Joshi HS, Kumar P, Singh H. The Study of Sociodemographic Profile of Pediatric Tuberculosis Patients in Bareilly District, Uttar Pradesh: A Crosssectional Study. Int J Adv Integ Med Sci 2016;1(4):164-166.

3,493

RESEARCH ARTICLE

A Study of Precondylar Tubercle in North Indian Crania

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:2] [Pages No:167 - 168]

   DOI: 10.5005/jp-journals-10050-10054  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Zaidi SHH. A Study of Precondylar Tubercle in North Indian Crania. Int J Adv Integ Med Sci 2016;1(3):167-168.

2,694

RESEARCH ARTICLE

Dipak Kumar Dhar, Nilratan Majumder, Debasish Paul

Assessment of Knowledge and Practice of Mothers of Children under Five regarding Zinc Therapy in Childhood Diarrhea

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:4] [Pages No:169 - 172]

   DOI: 10.5005/jp-journals-10050-10055  |  Open Access |  How to cite  | 

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

The study reaffirmed the abysmally low level 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.

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.

1,877

RESEARCH ARTICLE

Parveen Hans, Sagar Tyagi, Atul Mehrotra, Pradeep Parakh

Radiological Evaluation of Thyroid Diseases using Gray Scale and Color Doppler Sonography

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:10] [Pages No:173 - 182]

   DOI: 10.5005/jp-journals-10050-10056  |  Open Access |  How to cite  | 

Abstract

Introduction

The thyroid gland is the largest of all endocrine glands and is the only one which is amenable to direct physical examination and high resolution real-time grayscale sonography because of its superficial location. High Resolution Ultrasonography (USG) with Color Doppler is used to assess the nature of the lesion according to its vascularity and also the hemodynamic characteristics of the gland. Thus, the combination of Gray scale Sonography and Color Flow Doppler provide huge benefits and help in increasing the sensitivity, specificity and accuracy in distinguishing benign and malignant thyroid nodules. Nearly 50% of patients with a clinically palpable solitary thyroid nodule have avoided surgery because of thyroid ultrasound.

Aims and objectives

The present study is aimed to determine the role of high resolution USG in the evaluation of lesions of the thyroid with Fine-needle aspiration cytology (FNAC) correlation and compare it with other studies.

Materials and methods

This is a prospective study carried out on 50 patients (44 female and 6 male) who attended ENT or Surgery outpatient department/inpatient department (OPD/IPD) and were referred to the Department of Radio-Diagnosis for high resolution USG of neck at Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. This study was conducted for a period of one year from March 2015 to February 2016. The ultrasound machine used was GE LOGIQ V5.

Result and Conclusion

Our present study consisted of 50 cases which were clinically suspected suffering from thyroid dysfunction. Thyroid ultrasound was very efficient in picking up lesions in all 50 cases in our study. In comparison, to other studies our study gave a similar picture in terms of benign lesions being much more common than malignant lesions. The most common benign lesion determined in our study was colloid goiter which was the most common benign lesion in many other studies. In comparison to other studies, we were able to detect malignant nodules with a better specificity. Chronic thyroiditis was also very efficiently detected using ultrasound in our study.

How to cite this article

Tyagi S, Kumar P, Mehrotra A, Parakh P, Kumar L, Hans P. Radiological Evaluation of Thyroid Diseases using Gray Scale and Color Doppler Sonography. Int J Adv Integ Med Sci 2016;1(4):173-182.

2,653

REVIEW ARTICLE

Abhinav Srivastava

Vestibular Implant: Are We Ready for It?

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:183 - 185]

   DOI: 10.5005/jp-journals-10050-10057  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mohan C, Srivastava A. Vestibular Implant: Are We Ready for It? Int J Adv Integ Med Sci 2016; 1(4):183-185.

3,078

RESEARCH ARTICLE

Nitin Agarwal, Payodh Chaudhary, Malini Kulshrestha, RR Chaudhary

Brugada Syndrome: Killer Genetic Heart Disorder

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:2] [Pages No:186 - 187]

   DOI: 10.5005/jp-journals-10050-10058  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chaudhary P, Agarwal N, Kulshrestha M, Chaudhary RR. Brugada Syndrome: Killer Genetic Heart Disorder. Int J Adv Integ Med Sci 2016; 1(4):186-187.

3,437

RESEARCH ARTICLE

Etti Goyal, Y Rizvi, Pranav Gupta

A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:188 - 190]

   DOI: 10.5005/jp-journals-10050-10059  |  Open Access |  How to cite  | 

Abstract

Introduction

Sebaceous gland carcinoma (SGC) is a rare tumor affecting the elderly, with a predisposition for females arising from the meibomian glands and occurring more commonly on the upper eyelid. Diagnosis is difficult because the tumor mimics chalazion or blepharitis. Sebaceous gland carcinoma has a mortality rate of about 5 to 10%.

Aim

To present a modified Cutler-Beard technique of lid reconstruction to manage a case of extensive SGC of upper lid.

Materials and methods

A 65-year-old male presented with a rapidly growing extensive mass of right upper eyelid (size 4.2 × 4 × 2.1 cm) causing mechanical ptosis. Histopathology confirmed the diagnosis as SGC. Wide excision of the lesion was performed sacrificing the whole upper eyelid. Lid reconstruction was done employing lower eyelid as per the bridged flap technique with the use of 4 mm silicon band to enhance lid stability. Patient achieved a satisfactory functional and cosmetic result following the second stage of the procedure.

Conclusion

Total loss of upper eyelid is often dealt with classical lid sharing technique of reconstruction first described by Cutler-Beard. For lid stability, use of tarsus from contralateral eye, ear cartilage has their attendant problems. A 4.0 silicon band was used to replace the sacrificed tarsus, achieving good results.

How to cite this article

Gupta P, Rizvi Y, Goyal E. A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid. Int J Adv Integ Med Sci 2016;1(4):188-190.

3,765

RESEARCH ARTICLE

Sagar Tyagi, Parveen Hans, Robin Singh

Rare Case of Intrahepatic Pancreatic Pseudocyst misdiagnosed as Hepatic Abscess

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:191 - 193]

   DOI: 10.5005/jp-journals-10050-10060  |  Open Access |  How to cite  | 

Abstract

Introduction

Pseudocyst formation is a well known complication of pancreatitis. Intrahepatic pancreatic pseudocyst is very rare event and only about 30 cases have been reported in literature.

We report here a case of 32-year-old male who was previously diagnosed as a case of hepatic abscess. He was referred to our department for ultrasonography (USG) and contrast enhanced computed tomography (CECT) abdomen with complaint of recurrent pain in upper abdomen. On the basis of findings of CECT Abdomen, diagnosis of large intrahepatic pancreatic pseudocyst in left lobe of liver is made.

Conclusion

Intrahepatic pseudocyst should be considered a differential diagnosis of cystic hepatic lesions in the patients with chronic or recent episode of acute pancreatitis. Computed tomography and high level of amylase in the collection plays an important role for diagnosing this complication.

How to cite this article

Hans P, Tyagi S, Sinha P, Kumar L, Gupta D, Singh R. Rare Case of Intrahepatic Pancreatic Pseudocyst misdiagnosed as Hepatic Abscess. Int J Adv Integ Med Sci 2016;1(4):191-193.

363

RESEARCH ARTICLE

Leena Jain, Ashish K Maurya, Shalini Jadia, Sadat Qureshi

Sublingual Epidermoid Cyst: A Rare Presentation

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:2] [Pages No:194 - 195]

   DOI: 10.5005/jp-journals-10050-10061  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Maurya AK, Jadia S, Jain L, Qureshi S. Sublingual Epidermoid Cyst: A Rare Presentation. Int J Adv Integ Med Sci 2016;1(4):194-195.

2,189

RESEARCH ARTICLE

Rajesh Abbey

Spontaneous Cholecystocutaneous Fistula

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:196 - 198]

   DOI: 10.5005/jp-journals-10050-10062  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Abbey R. Spontaneous Cholecystocutaneous Fistula. Int J Adv Integ Med Sci 2016; 1(4):196-198.

4,444

RESEARCH ARTICLE

Laennec Contributions to the Field of Medicine

[Year:2016] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:199 - 201]

   DOI: 10.5005/jp-journals-10050-10063  |  Open Access |  How to cite  | 

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