International Journal of Advanced and Integrated Medical Sciences

1.ORIGINAL ARTICLE

Status of living arrangements of elderly people in Eastern Uttar Pradesh

Anand Bihari, Alok Kumar

[Year:2018] [Month:April-June] [Volume:3 ] [Number:2] [Pages No:1-7] [No. of Hits: 331]

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ABSTRACT

Introduction: The increase in life expectancy over the years has resulted in an increase in the population of the elderly. While the overall population of India will grow by 40% between 2006 and 2050, the population of those aged 60 and above will increase by 270%. This situation could be attributed to a combination of factors, such as increase in age, longevity, and decreased death rates due to advancement in the field of medicine, improvement of life expectancy at birth, and enhancement in the average span of life. India ranks fourth in terms of the absolute size of elderly population.

Material and Methods: The data were collected using a specially designed interview schedule technique through a house-to-house survey for those residing in the families. We find that the main factor that has contributed to the change in the living arrangements has been the increase in migration.

Results and Discussion: Population aging is an unavoidable and irreversible change that comes through demographic transition in all societies. India is in the third stage of its demographic transition. The age structure of the country reveals that it has been aging rapidly.

KEY WORDS: Elderly, living arrangement, old-age support, social and economic status

How to cite this article: Bihari A, Kumar A. Status of living arrangements of elderly people in Eastern Uttar Pradesh. Int J Adv Integ Med Sci 2018;3(2):1-7.

Source of Support: Nil,

Conflicts of Interest: None declared

Received: 03-03-2018

Accepted: 17-03-2018

Published: 16-06-2018


How to cite this article: Bihari A, Kumar A. Status of living arrangements of elderly people in Eastern Uttar Pradesh. Int J Adv Integ Med Sci 2018;3(2):1-7.

2.ORIGINAL ARTICLE

Role of mammography and ultrasonography in the evaluation of suspected breast lesions in Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India

Himani Sharma, Himanshu Pandey, Lalit Kumar, Pramod Kumar, Divya Bajpa i, Vibhuti Goyal

[Year:2018] [Month:April-June] [Volume:3 ] [Number:2] [Pages No:8-11] [No. of Hits: 311]

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Introduction: Breast lesions are common presenting complaints in females in the surgical outpatient department. Breast lesions are broadly classified as benign or malignant. It generally affects the females of reproductive age group. Mammography is used as screening modality as well as an efficient technique in evaluation of clinically suspected breast lesions.

Aim: The aim of the study was to assess the role of mammography and sonomammography followed by histopathological/cytological evaluation of the lesions in the assessment of breast lesions and to assign the Breast Imaging Reporting and Data System (BIRADS) category. The aim of our study was to determine the efficacy of mammography and sonomammography in the evaluation of women presenting with breast lesions.

Materials and Methods: We conducted a prospective study on 72 females from January 2018 to May 2018 in the Department of Radiodiagnosis in Rohilkhand Medical College. Mammography and sonomammography characteristics of breast lesions which help to differentiate benign from malignant lesions were assessed. Fine-needle aspiration cytology (FNAC)/biopsy was carried out.

Results: Mammographic and sonomammographic evaluation of 72 females was done. The lesions were classified according to BIRADS categories based on their mammographic and ultrasonographic (USG) findings. Patients were aged from 8 to 60 years with a mean age of 32 years. It was found that most benign lesions were seen in younger age group while malignant lesions were seen in older age group. The mean age of occurrence of breast lesions was about 20-40 years. The lesions were classified according to BIRADS. The FNAC showed the highest incidence of fibroadenoma (44%) followed by benign cysts (31%).

Conclusion: Classification of lesions and assigning categories in accordance with BIRADS help to improve the management. Mammography is better in detection of microcalcifications and early occult malignancies. Sonomammography is better in detecting cystic lesions and has an added advantage in guiding FNAC and biopsies. Combination of mammographic and USG evaluation of breast masses was found to be more accurate than either method alone.

KEY WORDS: American College of Radiology, Breast Imaging Reporting and Data System, Breast masses, fine-needle aspiration cytology, malignant breast lesions, mammography, sonomammography

How to cite this article: Sharma H, Pandey H, Kumar L, Kumar P, Bajpai D, Goyal V. Role of mammography and ultrasonography in the evaluation of suspected breast lesions in Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. Int J Adv Integ Med Sci 2018;3(2):8-11.

Source of Support: Nil,

Conflicts of Interest: None declared

Received: 02-06-2018

Accepted: 10-06-2018

Published: 16-06-2018


How to cite this article: Sharma H, Pandey H, Kumar L, Kumar P, Bajpai D, Goyal V. Role of mammography and ultrasonography in the evaluation of suspected breast lesions in Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. Int J Adv Integ Med Sci 2018;3(2):8-11.

3.RETRACTION NOTICE

RETRACTION NOTICE

[Year:2018] [Month:April-June] [Volume:3 ] [Number:2] [Pages No:12-16] [No. of Hits: 331]



4.ORIGINAL ARTICLE

An epidemiological study of intestinal parasitic infestation among children aged 6–12 years in rural area of Bareilly, Uttar Pradesh, India

Ashish K Sharma, Swati Khan, Ajay Aga rwal, Deepa k Upa dhyay, Arun Singh

[Year:2018] [Month:April-June] [Volume:3 ] [Number:2] [Pages No:17-21] [No. of Hits: 297]

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ABSTRACT

Background: According to a report of the World Health Organization, “the total number of protozoa and helminthic infestations currently existing worldwide far outnumber the total world population since multiple infestations are the rule rather than the exception.” It is estimated that 3.5 billion people are affected and 450 million are ill as a result of these infections, the majority being children. In India, the overall prevalence rate of intestinal parasitic infection ranges from 12.5% to 66% with varying prevalence rate for individual parasite. About 50% of the urban population and 68% of the rural population in India are affected.

Materials and Methods: A cross-sectional study was conducted using multistage random sampling technique in rural area of Bareilly, Uttar Pradesh, India, from November 2016 to October 2017.

Results: Among 248 children, the prevalence of intestinal parasitic infestation in 6-12 years of aged children was found to be 33.90%.

Conclusion: This study revealed high prevalence of intestinal parasitic infection among 6-12 years of age children in rural area of Bareilly district and found association between washing hands before eating meal, eat washed fruits, wear footwear, wash hands after defecation, cut nail when grown, handwash before own food, information and training about personal and environmental hygiene and sanitation to study participants, and mode of defecation.

KEY WORDS: Bareilly, handwashing and cooking practices, intestinal parasitic infestation

How to cite this article: Sharma AK, Khan S, Agarwal A, Upadhyay D, Singh A. An epidemiological study of intestinal parasitic infestation among children aged 6-12 years in rural area of Bareilly, Uttar Pradesh, India. Int J Adv Integ Med Sci 2018;3(2):17-21.

Source of Support: Nil,

Conflicts of Interest: None declared

Received: 14-03-2018

Accepted: 26-03-2018

Published: 16-06-2018


How to cite this article: Sharma AK, Khan S, Agarwal A, Upadhyay D, Singh A. An epidemiological study of intestinal parasitic infestation among children aged 6-12 years in rural area of Bareilly, Uttar Pradesh, India. Int J Adv Integ Med Sci 2018;3(2):17-21.

5.ORIGINAL ARTICLE

Comparative evaluation of metabolic adverse effects of mirtazapine versus paroxetine in patients with depression

Shalini Chandra, Kumar Mayank, Rahul Ranjan, Munish Kumar, Iram Shaifali, Rajib Karmakar, Suruchi Prakash

[Year:2018] [Month:April-June] [Volume:3 ] [Number:2] [Pages No:22-29] [No. of Hits: 287]

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Background: Depression is the common psychological disorder worldwide and is a leading cause of disability. Second-generation antidepressants (mirtazapine [MIRT] and paroxetine [PAR]) are now acknowledged to be the first-line treatment for depression. The aim of the study was to comparatively evaluate MIRT and PAR with regard to metabolic adverse effects (body weight [BW], body mass index [BMI], fasting blood sugar [FBS], and lipid profile) in cases of depression.

Material and Methods: A prospective, randomized, open-label, and interventional clinical study of 1 year duration was conducted at Rohilkhand Medical College and Hospital, Bareilly. A total of 100 naïve patients of depression of age group of 18-65 years of both the sexes were randomly divided into two groups and were administered flexible-dose of MIRT 15-45 mg and PAR 12.5-37.5 mg daily. Patient’s BW, BMI, FBS, and lipid profile were estimated at baseline and reassessed at 1 month, 3 months, 6 months, 9 months, and 12 months.

Results: MIRT group shows statistically significant increase in BW (P < 0.0001), BMI (P < 0.0001), and FBS (P < 0.0001) after 12 months of therapy. Total cholesterol (TC), triglycerides (TG), and low-density lipoproteins (LDL) were also significantly raised (P < 0.05, P < 0.0001, and P < 0.0001, respectively). High-density lipoproteins (HDL) were declined significantly (P < 0.0001). However, none of the patients crossed the normal range. Significant rise in BW (P < 0.0001) and BMI (P < 0.05) (although lesser than mirtazapine) and no statistically significant changes in FBS, TC, TG, HDL, and LDL values were observed in PAR group.

Conclusion: PAR was found to be associated with lesser increase in BW and BMI as compared to MIRT in the treatment of depression. Other metabolic parameters were not affected with PAR. However, mirtazapine had adverse impact on FBS, TC, TG, LDL, and HDL levels. The results of this comparative, prospective, randomized, open-label, interventional, and flexible-dose clinical study revealed that PAR was a safer and well-tolerated as compared to MIRT in the long-term treatment of drug naïve patients of depression.

KEY WORDS: Depression, metabolic parameters, mirtazapine, paroxetine

How to cite this article: Chandra S, Mayank K, Ranjan R, Kumar M, Shaifali I, Karmakar R, Prakash S. Comparative evaluation of metabolic adverse effects of mirtazapine versus paroxetine in patients with depression. Int J Adv Integ Med Sci 2018;3(2):22-29.

Source of Support: Nil

Conflicts of Interest: None

Received: 02-04-2018

Accepted: 05-04-2018

Published: 16-06-2018


How to cite this article: Chandra S, Mayank K, Ranjan R, Kumar M, Shaifali I, Karmakar R, Prakash S. Comparative evaluation of metabolic adverse effects of mirtazapine versus paroxetine in patients with depression. Int J Adv Integ Med Sci 2018;3(2):22-29.

6.CASE REPORT

A rare case of isolated cecal volvulus with a congenital band

Manjul Mohan, Amit Kukreti, Himani Sharma

[Year:2018] [Month:April-June] [Volume:3 ] [Number:2] [Pages No:30-32] [No. of Hits: 298]

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We present a typical case isolated cecal volvulus with the congenital band, leading to intestinal obstruction, which was managed surgically by resection and anastomosis along with a diversion ileostomy. This is a rare entity caused by torsion of the cecum around its mesentery. Hence, there is a definite need for observation after surgery.

KEY WORDS: Cecal volvulus, congenital band, intestinal obstruction

How to cite this article: Mohan M, Kukreti A, Sharma H. A rare case of isolated cecal volvulus with a congenital band. Int J Adv Integ Med Sci 2018;3(2):30-32.

Source of Support: Nil

Conflicts of Interest: None

Received: 12-02-2018

Accepted: 23-02--2018

Published: 16-06-2018


How to cite this article: Mohan M, Kukreti A, Sharma H. A rare case of isolated cecal volvulus with a congenital band. Int J Adv Integ Med Sci 2018;3(2):30-32.