International Journal of Advanced and Integrated Medical Sciences

1.REVIEW ARTICLE

Nurturing of self-sustained medical education and health-care enterprises: An essential desideratum for India to emerge as a global economic power

T. D. Dogra, Keshav Kumar Agrawal, Astha Chaudhry

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:1-5] [No. of Hits: 100]

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ABSTRACT

The medical education system in India has grown tremendously post the national health survey undertaken by Bhore committee and subsequently with the development of national health-care plan. Moreover, through recommendations of various committees set on various aspects of medical education and health care in India constituted by Government of India time to time. The provision of health-care services that cater to the enormous population of our country has been made possible by the equal contribution of the unaided medical colleges that are run by societies or trusts. These private medical institutions are self-sustaining without any financial aid from government but are contributing enormously not only in the provision of health-care services to the community where they are located but also in the overall economic development of that particular area by creating ample employment and opportunities for the people residing, nearby leading to sustenance of thousands of families, thus leading to the development of that particular area and nation at large. This article is aimed to highlight the role of self-sustained medical institutions in the overall growth and economic development of the nation. It also stresses on the challenges faced by these institutions due to the restrictive and suppressive policies that hamper the growth and self-sustenance of these institutions and thus suggests an equal partnership model to function effectively in the overall enhancement of medical education standards as well as health-care facilities to cater to all sections of society and nation.

KEY WORDS: Bhore committee, medical education, private medical colleges
How to cite this article: Dogra TD, Agrawal KK, Chaudhry A. Nurturing of selfsustained medical education and health-care enterprises: An essential desideratum for India to emerge as a global economic power. Int J Adv Integ Med Sci 2020;5(1):1-5.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 18-03-2020

Accepted: 25-03-2020

Published: 29-03-2020


How to cite this article: Dogra TD, Agrawal KK, Chaudhry A. Nurturing of selfsustained medical education and health-care enterprises: An essential desideratum for India to emerge as a global economic power. Int J Adv Integ Med Sci 2020;5(1):1-5.

2.REVIEW ARTICLE

Current scenario of stress in medical students

Anuj Singh, Neha Singh Chauhan

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:6-9] [No. of Hits: 105]

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ABSTRACT

In the fast course of life, to accomplish our goals and responsibilities, we humans are forced to follow certain rules and modify our behaviour as per the society needs. students that come from different parts of the country to their medical institution needs make adjustments with social, semantic, and ecological acclimatization, all adding to their general pressure. Stress is the ""wear and tear"" our bodies understanding as we acclimate to our constantly evolving condition; it has physical and passionate impacts and can make positive or negative effects both. Normally everybody needs a specific measure of pressure"" to perform their level best. However, when pressure surpasses individual's capacity to adapt, the outcome is stress. Consequences of stress among medical students leads to depression, substance dependence like alcohol, tobacco and drug addiction leading to attrition and dropout from the course.

KEY WORDS: Depression, stress, student
How to cite this article: Singh A, Chauhan NS. Current scenario of stress in medical students. Int J Adv Integ Med Sci 2020;5(1):6-9.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 14-01-2020

Accepted: 25-01-2020

Published: 04-02-2020


How to cite this article: Singh A, Chauhan NS. Current scenario of stress in medical students. Int J Adv Integ Med Sci 2020;5(1):6-9.

3.ORIGINAL ARTICLE

A study of oxidative stress, selected antioxidant enzymes, and total antioxidant activity in hypothyroid, hyperthyroid, and euthyroid subjects

Biswajit Das, Sumeru Samanta, Reena Rani, Shikha Saxena, Itika Saxena, B. J. Vanishree, Basant Joshi

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:11-15] [No. of Hits: 102]

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ABSTRACT

Introduction: Thyroid hormones are secreted from the thyroid gland and is one of the important hormone for the normal development of various body organs during infancy as well as for the mental and behavioral development during childhood and reproductive development during adolescence. There are various anti-oxidant systems in our body which under normal physiological and biological conditions governs the regulation of reactive oxygen species (ROS) by various protective mechanisms Malondialdehyde (MDA), degradation metabolite of oxidation of PUFA by a major chain reaction & commonly used marker of oxidative stress.
Materials and Methods: A total of 90 subjects were between the age groups of 25-50 years, both the IPD and the OPD patients who came for evaluation of thyroid hormone level. Estimation of serum T3, T4 & TSH was done by Chemiluminescence assay, Total Antioxidant Activity by D Koracevic et al, serum MDA by Quantichrome TM TBARS Assay Kit, Serum Superoxide Dismutae (SOD) by water soluble tetrazolium salt 1 (wst-1), Glutathione Peroxidase (GSH-pX) & Catalase (CAT) by colorimetric method.
Statistical analysis: The data was expressed as Mean±SD, statistical analysis performed using one way ANOVA followed by two way considering p<0.001 as lowest limit of significance.
Results: The concentration of MDA was significantly higher in cases of hyperthyroid subjects when compared with normal subjects. No change was observed in hypothyroid when compared with normal subjects. The serum levels of TAC & antioxidant enzymes are significantly decreased in both hyper and hypo activity of thyroid gland when compared with normal subjects.
Conclusion: In hyper and hypothyroidism, the level of oxidative stress because of MDA might prove an important role in various systemic effects as well as also in the progression of other diseases.

KEY WORDS: Antioxidant enzymes, hyperthyroid, hypothyroid, LPO, TAC
How to cite this article: Das B, Samanta S, Rani R, Saxena S, Saxena I, Vanishree BJ, Joshi B. A study of oxidative stress, selected antioxidant enzymes, and total antioxidant activity in hypothyroid, hyperthyroid, and euthyroid subjects. Int J Adv Integ Med Sci 2020;5(1):10-15.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 05-01-2020

Accepted: 19-01-2020

Published: 29-01-2020


How to cite this article: Das B, Samanta S, Rani R, Saxena S, Saxena I, Vanishree BJ, Joshi B. A study of oxidative stress, selected antioxidant enzymes, and total antioxidant activity in hypothyroid, hyperthyroid, and euthyroid subjects. Int J Adv Integ Med Sci 2020;5(1):10-15.

4.ORIGINAL ARTICLE

A comparative study of skin closure using staples versus nylon suture in emergency exploratory laparotomy

Ashish Yadav, Chander Kumar Pandey, Abhinav Jahari, Om Kumar Sharma

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:16-20] [No. of Hits: 276]

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ABSTRACT

Background: The goal of suturing is to acquire healing with mild edema, no discharge or any infection, without any wound dehiscence, and with minimal scar formation, after any surgical procedure careful approximation of the tissues will allow good healing by primary intention. Suture thread is made from various materials. The sutures were made from biological materials, such as catgut and silk. These sutures absorbed the body fluids and could be foci of infection. Skin staplers are also used for skin approximation in place of sutures.
Objectives: The objectives of the study were to compare skin staples with skin closure in exploratory laparotomy wounds with respect to wound infection, wound dehiscence, wound cosmesis, post-operative pain, and suturing time.
Materials and Methods: The present study was carried out in the Department of Surgery, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh. This was a double-blinded randomized controlled study. All patients undergoing emergency exploratory laparotomy during the study period and fulfill the inclusion criteria were included in the study. Patients were randomly divided into two groups, Group A (Nylus suturing) and Group B (stapler) and this randomization was done using website www.random.org to make study double blind. A total of 100 patients were included in the study and divided into two groups each containing 50 patients. Post-operative results of the patients at 10 days and 1 month in terms of healing time and complications were assessed.
Results: Stapler was superior to nylons suture with respect to wound infection, discharge, cosmesis, post-operative pain, skin closure time, incidence of seroma, and occurrence of lesser complications.

KEY WORDS: Stapler, nylon, laparotomy
How to cite this article: Yadav A, Pandey CP, Jauhari A, Sharma OK. A comparative study of skin closure using staples versus nylon suture in emergency exploratory laparotomy. Int J Adv Integ Med Sci 2020;5(1):16-20.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 29-12-2019

Accepted: 19-01-2020

Published: 22-01-2020


How to cite this article: Yadav A, Pandey CP, Jauhari A, Sharma OK. A comparative study of skin closure using staples versus nylon suture in emergency exploratory laparotomy. Int J Adv Integ Med Sci 2020;5(1):16-20.

5.ORIGINAL ARTICLE

Spectrum of comorbidities in patients of respiratory sicknesses in a tertiary care center

Rajat Agarwal, Pushpender Singh, V. K. Tiwari, Rajesh Agarwal, Rishi Kumar Saini, Javed Khan

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:21-25] [No. of Hits: 34]

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ABSTRACT

Introduction: Comorbidities contribute to disease severity and mortality in patients suffering from respiratory illness, it will not only contribute to increase in the severity but also increases the economical burden over the health-care system. The comorbidities will be defined as the presence of the additional diseases with simultaneously presence of the primary disorder. Hence, our study aimed to analyze the spectrum of comorbidities in patients suffering from respiratory diseases admitted in the respiratory medicine ward in a tertiary care center in a developing country.
Materials and Methods: This study was carried out at the pulmonary medicine ward of Rohilkhand Medical College and Hospital, Bareilly (U.P.), and included all cases admitted during the period of 1 year from May 2016 to April 2017.
Results: A total of 1440 patients were included in the study. There were 960 (65%) males and 480 (35%) females with a male-to-female ratio of 1.8:1. The average age for the males was 50.8–+14 with a range of 14-85 years, whereas for the females, it was 46.3±12.2 with a range of 13-80 years, the most commonly observed respiratory disease is chronic obstructive pulmonary disease which was seen in 393 (27.3%) followed by tuberculosis which was seen in 314 (21.8%) of the patients, the most common comorbidity observed is hypertension, followed by coronary artery disease (CAD) followed by anemia in association with the respiratory diseases, among comorbid conditions anemia and osteoporosis were found to be more common in females as compared to males, human immunodeficiency virus was found in 7 (0.4%) of patients.
Conclusion: In our study, most of the cases belong to the obstructive airway group of diseases followed by infective pathology. The major comorbidity which was observed among associated respiratory diseases is hypertension followed by CAD. Hence, there is a need toward targeting the health resources in prioritizing for the prevention of risk factors, thereby preventing the occurrence of disease as well as comorbidity.

KEY WORDS: Asthma, chronic obstructive pulmonary disease, comorbidity, coronary artery disease
How to cite this article: Agarwal R, Singh P, Tiwari VK, Agarwal R, Saini RK, Khan J. Spectrum of comorbidities in patients of respiratory sicknesses in a tertiary care center. Int J Adv Integ Med Sci 2020;5(1):21-25.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 04-07-2017

Accepted: 21-07-2017

Published: 22-01-2020


How to cite this article: Agarwal R, Singh P, Tiwari VK, Agarwal R, Saini RK, Khan J. Spectrum of comorbidities in patients of respiratory sicknesses in a tertiary care center. Int J Adv Integ Med Sci 2020;5(1):21-25.

6.ORIGINAL ARTICLE

Prevalence of periodontitis in diabetic patients in Jharkhand

Jyoti Thakur, Sumit Mohan, Santosh Kumar Verma, V. K. Prajapati

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:26-29] [No. of Hits: 30]

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ABSTRACT

Aim: This study aims to investigate the incidence of prevalence of periodontal diseases among individuals with diabetes in Jharkhand.
Materials and Methods: A total of 500 adults (250 males and 250 females) suffering from diabetes between the age of 30 and 60 years were included in the study. Periodontitis was defined as clinical attachment loss >3 mm in two or more non-adjacent teeth or those that exhibited CAL >5 mm in 30.0% of teeth.
Statistical Analysis: Results were tabulated and analyzed using Chi-square test where P < 0.05 was considered as statistically significant.
Results and Conclusion: The analysis revealed that periodontitis was more prevalent among women (P = 0.000872) and among old adults (P = 0.001).

KEY WORDS: Dental health, diabetes, periodontal destruction, periodontitis
How to cite this article: Thakur J, Mohan S, Verma SK, Prajapati VK. Prevalence of periodontitis in diabetic patients in Jharkhand. Int J Adv Integ Med Sci 2020;5(1):26-29.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 12-01-2020

Accepted: 27-01-2020

Published: 02-02-2020


How to cite this article: Thakur J, Mohan S, Verma SK, Prajapati VK. Prevalence of periodontitis in diabetic patients in Jharkhand. Int J Adv Integ Med Sci 2020;5(1):26-29.

7.CASE REPORT

A rare case of hyperparathyroidism presenting as brown tumor of the maxilla

Shreya Sharma, Cheena Garg, Vishal Gojiya, Chander Mohan, Abdur Rahman, Abhinav Srivastava

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:30-33] [No. of Hits: 36]

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ABSTRACT

Introduction: Brown tumor is an intraosseous benign lesion consisting of cellular fibrous tissue with multiple foci of hemorrhage and aggregations of multinucleated giant cells with occasional trabeculae of woven bone and can affect any bone of body. Among facial skeleton, it is rare to find maxilla being affected by it and the condition may represent a late stage of primary or secondary hyperparathyroidism. The name brown tumor is due to the typical brown color of hemorrhage and hemosiderin present in the lesion on histopathology.
Case Report: A 22-year-old female presented with a gradually progressive swelling on the left side of face. The swelling was bony hard swelling in consistency with CT scan showing multiloculated lucent lesion measuring 6.8 × 4.8 × 4.4 cm with enhancing soft-tissue component involving the left maxillary and ethmoid sinus. The histopathology report was suggestive of brown tumor like feature. Biochemical analysis showed increased value of serum alkaline phosphatase and parathyroid hormone.
Discussion: The proposed pathogenesis for this condition is persistent increase level of PTH causes an imbalance in osteoclastic and osteoblastic homeostasis as well as calcium-phosphorus regulation and resulting in rare presentation of central giant cell granuloma and this presents as a bony swelling.
Conclusion: In patients presenting with bony swelling of facial bones, metabolic disorder of calcium should always be considered in the differential diagnosis and a detailed evaluation for its causation should be made.

KEY WORDS: Alkaline phosphatase, brown tumor, hyperparathyroidism, osteoblast, osteoclast, serum calcium
How to cite this article: Sharma S, Garg C, Gojiya V, Mohan C, Rahman A, Srivastava A. A rare case of hyperparathyroidism presenting as brown tumor of the maxilla. Int J Adv Integ Med Sci 2020;5(1):30-33.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 05-01-2020

Accepted: 21-01-2020

Published: 30-01-2020


How to cite this article: Sharma S, Garg C, Gojiya V, Mohan C, Rahman A, Srivastava A. A rare case of hyperparathyroidism presenting as brown tumor of the maxilla. Int J Adv Integ Med Sci 2020;5(1):30-33.

8.CASE REPORT

Cysticercosis neck mimicking tubercular lymphadenitis: An incidental diagnosis on FNAC

Sheetal Mishra, Ranjan Agrawal, Anjana Arya, Mithila Bisht, Vibhuti Goyal

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:34-36] [No. of Hits: 31]

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ABSTRACT

Larvae of taenia solium affect humans as the definitive host following ingestion of contaminated food and water. Nuerocysticercosis is one presentation while involvement of soft tissue is another. Neck is a rare site to be affected. However if it occurs in this site the most common clinical diagnosis most often thought is tubercular lymphadenitis. A case of neck swelling in a 18- year- old male which was cytologically detected as cysticercosis is presented. The case is unique because occurrence of this entity is extremely rare in this site and diagnosing it on cytology is another rarity.

KEY WORDS: Taenia, cysticercosis, tuberculosis, parasite, larva, lymphadenitis
How to cite this article: Mishra S, Agrawal R, Arya A, Bisht M, Goyal V. Cysticercosis neck mimicking tubercular lymphadenitis: An incidental diagnosis on FNAC. Int J Adv Integ Med Sci 2020;5(1):34-36.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 02-01-2020

Accepted: 22-01-2020

Published: 30-02-2020


How to cite this article: Mishra S, Agrawal R, Arya A, Bisht M, Goyal V. Cysticercosis neck mimicking tubercular lymphadenitis: An incidental diagnosis on FNAC. Int J Adv Integ Med Sci 2020;5(1):34-36.

9.CASE REPORT

Giant cell tumor of femoral neck with pathological fracture: A case report

Gopal Tiwari, Rajvirsinh Ghanshyamsinh Sodha, Ashutosh Kumar, Irfan Siddiqui

[Year:2020] [Month:January-March] [Volume:5 ] [Number:1] [Pages No:37-40] [No. of Hits: 35]

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ABSTRACT

The authors describe a case of pathological fracture of femur neck secondary to giant cell tumour. There was adjacent bone invasion over intertrochanteric region. Patient has pain in his Lt. hip since 1 year and was non weight bearing past 5 months. There was grade 1 bed sore over his sacral area. His MRI report was suggestive of giant cell tumour with differential diagnosis of aneurysmal bone cyst. Due to non-malignant nature of the lesion we planned excisional biopsy, chemical cauterization and cemented total hip replacement. The purpose of this article is to demonstrate surgical procedure and its problems. The role of chemical cauterization after resection of giant cell tumour is also emphasized. The authors also aimed to favour intralesional resection and chemical cauterization with cemented total hip replacement over radical proximal femoral resection and endoprosthesis as a primary treatment.

KEY WORDS: Giant cell tumour, chemical cauterization, total hip replacement, pathological femoral neck fracture
How to cite this article: Tiwari G, Sodha RG, Kumar A, Siddiqui I. Giant cell tumor of femoral neck with pathological fracture: A case report. Int J Adv Integ Med Sci 2020;5(1):37-40.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 12-12-2019

Accepted: 17-01-2020

Published: 29-01-2020


How to cite this article: Tiwari G, Sodha RG, Kumar A, Siddiqui I. Giant cell tumor of femoral neck with pathological fracture: A case report. Int J Adv Integ Med Sci 2020;5(1):37-40.