MGM Journal of Medical Sciences

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2016 | January-March | Volume 3 | Issue 1

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EDITORIAL

Shibban K Kaul, Chander P Puri

From Editor's Desk

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/mgmjms-3-1-iv  |  Open Access |  How to cite  | 

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RESEARCH ARTICLE

Poonam Patil, Mansee Thakur, Navami Dayal

Effects of Subacute Exposure to Gold Nanoparticles on Germ Cells of Zebrafish (Danio rerio): An in vivo Study

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:6] [Pages No:1 - 6]

   DOI: 10.5005/jp-journals-10036-1079  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Dayal N, Thakur M, Patil P, Swain N, Joshi DS. Effects of Subacute Exposure to Gold Nanoparticles on Germ Cells of Zebrafish (Danio rerio): An in vivo Study. MGM J Med Sci 2016;3(1):1-6.

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RESEARCH ARTICLE

Sandeep Rai, Jyothi S Warrier, Divya Subramanian, Chaitali S Nachane, Sadhana A Mandlik

Development of Regression Equation for the Measurement of Visceral Fat Area using Bioimpedance Technique

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:5] [Pages No:7 - 11]

   DOI: 10.5005/jp-journals-10036-1080  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Subramanian D, Nachane CS, Mandlik SA, Warrier JS, Rai S. Development of Regression Equation for the Measurement of Visceral Fat Area using Bioimpedance Technique. MGM J Med Sci 2016;3(1):7-11.

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RESEARCH ARTICLE

Varsha Reddy Jayar, Dattatrai More

Geriatric Care: Are We Patient Friendly?

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:6] [Pages No:12 - 17]

   DOI: 10.5005/jp-journals-10036-1081  |  Open Access |  How to cite  | 

Abstract

Objectives

To study family satisfaction of medical care to geriatric patients and to find out any difference in family satisfaction given by geriatric specialist and general medicine specialist. Indian data on family's perception of geriatric care is lacking.

Materials and methods

All geriatric patients who were admitted between March 2015 and September 2015 in medical wards and where hospital stay was more than 3 days were included. An internationally validated family satisfaction questionnaire was used and administered to family member of each patient admitted. Scores were graded on Likert scale under five important areas like staff interaction, support services, quality of medical care, medical communication, and facilities. Special comments were analyzed separately.

Results

Patients’ family members were most satisfied with quality of medical care and facilities (95%), followed by staff interaction and support facilities. Satisfaction regarding medical communication and services was poor (60%). There was no significant difference for satisfaction/perception of quality of care given by geriatric specialist and general medicine specialist.

Conclusion

Medical communication and support services of long-term care of geriatric patients are an important area of improvement. Family perception of geriatric care is vital to overall delivery of health care to this vulnerable group of patients. Support facilities specifically designed for geriatric patients need to be strengthened. There was no significant difference in perception of care offered by geriatric specialist and general medicine specialist.

How to cite this article

Jayar VR, More D. Geriatric Care: Are We Patient Friendly? MGM J Med Sci 2016;3(1):12-17.

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RESEARCH ARTICLE

Kausik Munsi

Blood Culture and Sensitivity Profile Study in a Tertiary Medical Hospital in Kolkata, West Bengal: 7 Years’ Experience

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:8] [Pages No:18 - 25]

   DOI: 10.5005/jp-journals-10036-1082  |  Open Access |  How to cite  | 

Abstract

Aims and objectives

To identify the prevalence of bacteremia and the spectrum of antimicrobial sensitivity in our community, because it will guide the clinician to institute proper antimicrobial therapy.

Background

Bacteremia originates from either intravascular sites or extraVascular sites. In case of bloodstream infection, either Gram-positive or Gram-negative bacteria are responsible. Of these bacterial isolates, Gram-negative bacteria are responsible for higher mortality and morbidity. Since 20 to 30 years, coagulase-negative Staphylococci are responsible for most infection.

Materials and methods

In this retrospective study, blood samples were collected aseptically from 11,581 patients and were injected into the bottles containing bile-broth and brainheart infusion broth and allowed to be incubated at 37°. Then subculture was done on blood agar, chocolate agar, as well as MacConkey agar media and was kept for 7 days or till the appearance of growth of the organism. After identification of isolates, Kirby Bauer disk diffusion test on Mueller-Hinton agar II was performed to detect antimicrobial sensitivity.

Results

Our study documented 8.58% positive cultures in the last 7 years. Gram-negative bacterial isolates were significantly higher than Gram-positive isolates (64.19% vs 34.80%, p = 0.00). Lowest number of positivity was seen in Morganella (0.40%) followed by Proteus (0.50%) and Enterococcus faecium (0.90%) in ascending order. Males were significantly more culture positive than females (549/994 vs 445/994, p = 0.00). Most common bacterial isolates were (coagulase negative Staphylococci) CoNS (239, 24.04%) followed by Klebsiella including ESBL (extended spectrum beta-lactamase), carbapenamase producer (234, 23.74%) and Escherichia coli (110, 11.06%). E. coli was >75% sensitive to imipenem group, polymyxin B (98.18%), colistin (96.36%), and amikacin (80.9%). Coagulase negative Staphylococci showed more than 60% sensitivity to levofloxacin (76.98%), amikacin (82.84%), tigecycline (87.44%), vancomycin (94.45%), teicoplanin (91.63%), linezolid (91.21%), gentamicin (76.56%), netilmicin (74.47%), and tetracycline (75.31%). Klebsiella (non-ESBL and carbapenemase producer) was highly sensitive to polymyxin B (93.06%), colistin (91.90%), meropenem (65.31%), and imipenem (94.73%). Extended spectrum beta-lactamase-producing Klebsiella showed increased sensitivity to meropenem (89.47%), imipenem (94.73%), ertapenem (81.57%), polymyxin B, and colistin (97.36% each).

Conclusion

Positive cultures were 8.58% in the last 7 years. Gram negative bacterial isolates were significantly higher. Males were more culture positive. Most common bacterial isolates were CoNS followed by Klebsiella species and E. coli. Gram-negative bacterial isolates were highly sensitive to piperacillin, cefoperazone, imipenem, meropenem, aminoglycoside group of antibiotics, tigecycline, polymyxin B and colistin. Gram-positive bacterial isolates were sensitive to piperacillin, cefoparazone, vancomycin, teicoplanin, linezolid and clindamycin. Salmonella typhi were sensitive to ampicillin, cefoparazone, cefepime, azithromycin, chloramphenicol, and fluoroquinolones. Acinetobacter showed > 50% sensitivity to cefepime and Pseudomonas showed > 50% sensitivity to cefotaxime and levofloxacin. So to prevent resistance of bacterial isolates, a proper antibiotic guideline should be maintained.

How to cite this article

Saha AK, Munsi K, Dhar P. Blood Culture and Sensitivity Profile Study in a Tertiary Medical Hospital in Kolkata, West Bengal: 7 Years’ Experience. MGM J Med Sci 2016;3(1):18-25.

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REVIEW ARTICLE

Alaka K Deshpande, Shamshersingh G Chauhan, Ankita Sood

Dengue: A Review

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:8] [Pages No:26 - 33]

   DOI: 10.5005/jp-journals-10036-1083  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Deshpande AK, Chauhan SG, Sood A. Dengue: A Review. MGM J Med Sci 2016;3(1):26-33.

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REVIEW ARTICLE

Raman P Yadav, Sveeta V Mhatre, Amita A Bhagit

Pancreatic Lipase Inhibitor from Food Plant: Potential Molecule for Development of Safe Anti-obesity Drug

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:8] [Pages No:34 - 41]

   DOI: 10.5005/jp-journals-10036-1084  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mhatre SV, Bhagit AA, Yadav RP. Pancreatic Lipase Inhibitor from Food Plant: Potential Molecule for Development of Safe Anti-obesity Drug. MGM J Med Sci 2016;3(1):34-41.

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CASE REPORT

Jaishree Ghanekar, Rajat Chopra, Mitesh Thakkar

Dyskeratosis Congenita: A Rare Case

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:3] [Pages No:42 - 44]

   DOI: 10.5005/jp-journals-10036-1085  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chopra R, Thakkar M, Ghanekar J. Dyskeratosis Congenita: A Rare Case. MGM J Med Sci 2016;3(1):42-44.

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CASE REPORT

Parth Nathwani, Nitin S Joshi, Sengol Joseph, Rajpal Lamba, Nandan Pujari, Dheeraj Shamsukha

Ileal Ureter for Panureteral Stricture of Tubercular Origin

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:3] [Pages No:45 - 47]

   DOI: 10.5005/jp-journals-10036-1086  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Nathwani P, Joshi NS, Joseph S, Lamba R, Pujari N, Shamsukha D. Ileal Ureter for Panureteral Stricture of Tubercular Origin. MGM J Med Sci 2016;3(1):45-47.

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CASE REPORT

Dhruti K Amlani, Abhay Mahajan, Martand Patil, Prashant Darakh

Isolated Bladder Endometriosis: A Rare Case Report

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:3] [Pages No:48 - 50]

   DOI: 10.5005/jp-journals-10036-1087  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Amlani DK, Mahajan A, Patil M, Darakh P. Isolated Bladder Endometriosis: A Rare Case Report. MGM J Med Sci 2016;3(1):48-50.

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CASE REPORT

Iqbal Tintoiya, Nimisha Srivastava, Pratima Thamke

High CA 125 in a Case of Abdominal Tuberculosis mimicking Ovarian Malignancy

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:2] [Pages No:51 - 52]

   DOI: 10.5005/jp-journals-10036-1088  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kumar S, Tintoiya I, Srivastava N, Thamke P. High CA 125 in a Case of Abdominal Tuberculosis mimicking Ovarian Malignancy. MGM J Med Sci 2016;3(1):51-52.

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RESEARCH ARTICLE

Revati Sharma, Raman P Yadav, Minakshi Bhattacharjee

Enhancement of Gentamicin Sensitivity in Enterococcus faecalis using Antidiabetic Molecule Gliclazide

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:4] [Pages No:53 - 56]

   DOI: 10.5005/jp-journals-10036-1089  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Bhattacharjee M, Sharma R, Yadav RP. Enhancement of Gentamicin Sensitivity in Enterococcus faecalis using Antidiabetic Molecule Gliclazide. MGM J Med Sci 2016;3(1):53-56.

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