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ORIGINAL ARTICLES
A comparative study of nasal smear eosinophilia vs absolute eosinophilic count in patients with allergic rhinitis
V Venkateswarlu, KV Murali Mohan
January-June 2015, 3(1):36-38
DOI:10.4103/2321-7006.301955  
Background: Allergic rhinitis (A.R) is one of the most common chronic conditions affecting patients attending ENT OPD. It has significant impact on the quality of life and productivity of people affected by it. There is no single test which is gold standard for its diagnosis. Objective: To compare the value of Nasal Smear Eosinophilia (NSE) with Absolute Eosinophilic Count (AEC) of peripheral blood as diagnostic test and establish a diagnostic tool for A.R. Methods: 50 patients were taken up for 1 year prospective study and NSE Count and AEC were done. There were 36 patients in study group and 14 patients acted as controls. Allergic rhinitis was diagnosed as per standard criteria and sensitivity and specificity of NSE and AEC as diagnostic tests were calculated. Results: The sensitivity of NSE and AEC were found to be 55.56% and 50% respectively. The specificity was calculated as 71.45% and 64.29%. So both the tests have moderate sensitivity and high specificity. Conclusion: Nasal Smear Eosinophilic Count can be considered as simple, economical and semi invasive diagnostic test for A.R in the peripheral setup.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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Role of dermatoglyphics in atrial septal defect in children (Congenital heart disease)
N Pushpamala
October-December 2015, 3(3):218-222
DOI:10.4103/2321-7006.302237  
Dermatoglyphics is the study of patterns and configurations on volar aspects of hands and feet. This helps in identifying patients suffering from medical diseases and to screen relatives of patients with chromosomal disorders. The objective of present study was to use Dermatoglyphs as a diagnostic tool to identify children suffering from Atrial septal defect (ASD) by comparing dermatoglyphs of 100 children with congenital heart disease aged between 3-12 years with that of dermatoglyphs of 100 normal children (controls – CON) of same age group. Among the parameters analyzed in the present study, ulnar loops showed increased percentage incidence (65% in ASD and 56% in CON) and whorls showed decreased percentage incidence (25% in ASD and 34% in CON) are statistically significant. Incidence of Hypothenar patterns showed statistically higher values in children with ASD (25% right hand & 14% left hand) incidence in control group is less (9% right hand & 8% left hand). Incidence of statistically significant wider atd angles is higher in children with ASD (50% in right, 61%in left) and less in control group (16% in right, 15%in left). Hence, Dermatoglyphs may be used as a diagnostic tool to identify atrial septal defect in children with a family history of congenital heart diseases.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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EDITORIAL
Exploring the importance of incubation period in epidemiology of infectious diseases
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
July-December 2014, 2(2):69-69
DOI:10.4103/2321-7006.306242  
Full text not available  [PDF] [CITATIONS]
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ORIGINAL ARTICLES
A cross-sectional study on knowledge, attitude and practices among diabetic patients about diabetes and its complications in Central Delhi
Ravinder Pal Singh, Megha Khobragade, Anil Kumar
July-December 2013, 1(2):44-47
DOI:10.4103/2321-7006.301938  
Background: Diabetes mellitus (DM) is now one of the most common non-communicable diseases globally. It is the fourth or fifth leading cause of death in most high-income countries and there is substantial evidence that it is epidemic in many economically developing and newly industrialized nations. The mortality due to diabetes is mostly due to its complication and the most effective way to prevent complications is to impart knowledge to patient so that they can practice for prevention of complication of diabetes. Objective: To assess the knowledge, attitude and practices of diabetic patients for diabetes and its complications. Methods: Data was collected using a pre-tested, validated questionnaire from a total of 170 patients attending diabetes clinic in Ram Monohar Lohia Hospital New Delhi. Results: Out of 170 patients, 91 (53.5 %) were female and 79(46.5 %) were male patients. In the study population 146 (85.9%) participants had the basic knowledge regarding what type of disorder diabetes is, and about 149 (87.6 %) participants in study population said that the know what to eat. The maximum knowledge was seen about eye problems 48.82 % and kidney problems 40%. Conclusion: There is still need for increase in IEC and BCC activity in term of campaigns on diabetic complication, awareness regarding foot care, regular exercise, and regular routine checkups.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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Thyroid Status in Relation to Age and Gender - A Cross Sectional Study
Amrut A Dambal, Samata Padaki, Anita Herur, Sangappa V Kashinakunti, R Manjula, K Gurupadappa
July-December 2013, 1(2):37-40
DOI:10.4103/2321-7006.301936  
Background: Thyroid disorders have become much more common in the present days and so are its resultant complications or sequelae. There are marked variations in thyroid function with age and sex, evident in all of the in vitro hormone and protein measurements. Objective: To correlate the thyroid status with age and gender. Methods: 500 subjects of all age group and both genders from the general population of Bagalkot, Karnataka were included in the study. Subjects suffering from thyroid disorders were excluded. Non-Fasting venous samples were collected from all the subjects, serum T3, T4, and TSH levels were estimated by microplate immunoenzymometric assay. Statistical analysis was done by ANOVA and unpaired ‘t’ test. Results: It was observed that T3 and T4 levels declined but TSH levels raised, as the age advanced. T3 and T4 levels were lower and TSH levels higher in female subjects as compared to male subjects, in the age group of 21 – 40 years. Conclusion: The variability in the thyroid status has to be borne in mind during evaluation and treatment of thyroid disorders.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 144 25
Prevalence and patterns of research misconduct among medical college faculties
PR Kokiwar, VV Gaiki, AK Soodi Reddy
April-June 2020, 8(2):35-39
DOI:10.4103/2321-7006.301997  
Background: With availability of the internet in all hands, the information on any topic is widely available. It is easy to access and many journals are open access. Hence it is tempting to easily copy paste the material to save time and serves as short cut for various purpose. Objective: To study prevalence and factors for research misconduct among medical college faculties Methods: Cross sectional study was carried out in two medical colleges in 58 faculty members using self-administered questionnaire. Confidentiality was ensured. Questionnaire consisted of questions pertaining to self-declaration of committing research misconduct. Next part was related to their opinions on factors, action to be taken and prevention related to research misconduct. Results: 68.9% knew what is plagiarism but only 8.6% knew types of plagiarism. Prevalence of research misconduct as faculty was 62.1%, (plagiarism=41.4%, fabrication=18.9%, falsification=1.7%). Prevalence of research misconduct as postgraduate was 91.4% (plagiarism=63.8%, fabrication=25.9% and falsification=1.7%). Lack of facilities and lack of time was the major response leading to research misconduct in 25.9% and 24.1% respectively. Most common action suggested was removal of published article and disciplinary warning by 37.9% of responses each. 8.6% of responses said that it is not possible to prevent research misconduct. Majority of responses were in favor of training followed by increasing awareness i.e. 56.9% and 51.7% respectively for prevention of plagiarism. Conclusion: Commitment of research misconduct was very high in publications as faculty and still more in dissertations as postgraduates. Lack of awareness, time, facilities, resources were responsible factors. Training and increasing awareness were the suggested measures.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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Study of trace elements in type 2 diabetes mellitus with special Reference to iron and magnesium indicating significance for early detection of complications
Jhansi Rani Chalampalyam, Vemula Solomon Sanjeeva Rao, T Sudhakar
April-June 2018, 6(2):61-64
DOI:10.4103/2321-7006.303075  
Background: Diabetes mellitus is a group of etiologically different metabolic defects characterized by hyperglycemia resulting from defect in insulin secretion as well as insulin action or both. The role of trace elements in type 2 diabetes like serum magnesium and total serum iron is essential in glucose homeostasis at multiple levels with complex interplay which exist between glucose and magnesium. The aim of the study was to determine the role of iron and magnesium in type 2 diabetes and its complications. Objective: To identify the persons with type 2 diabetes mellitus and state their iron status, magnesium levels in serum for early detection of risk factors which indicate the severity of diabetes and its complications. Methods: A total of 50 subjects aged >35 years were selected from Chalmeda Anand Rao institute of medical sciences, Bommakal, Karimnagar. Total serum iron is determined by Ferrozine method, serum magnesium is determined by xylidyl blue with ATCS method. Results: The mean and SD of serum Random Blood Glucose in controls is 114.5±9.75 as compared to 207.5±31.5 in cases. The mean and S.D of serum Iron in control is 114.36±20.35 as compared to 286.08± 96.35 in cases. The mean and S.D of serum Magnesium in control is 1.9±0.1 as compared to 0.88± 0.1 in cases. Conclusion: Our study was concluded that serum magnesium is decreased and serum total iron is increased in type 2 diabetes which plays a pathogenic role in diabetes and its complications
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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Job satisfaction among health care workers in Block Shahapur, district Thane: An explorative study
Ranjan Solanki
January-March 2017, 5(1):25-29
DOI:10.4103/2321-7006.302534  
Background: An organization is as strong and successful as its employees are. By measuring employee satisfaction in key areas, organizations can gain the information needed to improve their satisfaction, motivation, retention and productivity. Objective: To assess the factors leading to job satisfaction among health care workers at Taluka Shahapur in district Thane in state of Maharashtra. Methods: Four Focus group discussions were planned for 50 health care workers in Block Shahapur in district of Thane. Participation was on voluntary basis conducted during 5-10-2010 to 8-10-2010. 35 ANMs and 20 MPWs participated in four focus group discussions. Result: 70% respondents were satisfied with their job. 80% respondents felt that their services are appreciated and acknowledged by the community73% respondents are not satisfied with their pay scale. 94% respondents are suspicious about the transparency of the system. Low monetary compensation, overburden of work due to vacancies, poorly defined job roles, poor non monetary rewards for achievements, poor participation in micro planning and decision making were mentioned as major stressors by most of the participants. Conclusion: The study, however, is yielding a useful conclusion that some organizational transformation must be initiated at district and national level. To improve health care services in India, policy-makers need to consider the impact of current policies on job satisfaction in order to improve the efficiency of the system. Constant appraisal programs and appreciation should be instilled in the health care system to reinstate and motivate the employees.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 168 17
Study of foramina tympanicum
Usha Mukkera, Maria Kala, TK Rajasree, Sri Sarada Devi Sattiraju, Ratnakar
January-March 2017, 5(1):18-20
DOI:10.4103/2321-7006.302532  
Introduction: Foramen Tympanicum or Huschke is an aperture in tympanic plate of temporal bone. It may persists after age of five years in small population .If it persists mostly it is asymptomatic but few percentage of population go in for complications like ear infections ,parotid fistula and temporo mandibular joint infection. Study of these foramina is clinically useful for ENT surgeons, general surgeons and dento maxillary facial surgery. Aim: Due to its clinical importance during ENT and Dento-Maxillary Facial surgeries study of incidence of Foramen Tympanicum is undertaken. Material & Methods: 100 skulls from Malla Reddy Institute of Medical Sciences, Malla Reddy women?s Medical College, Osmania Medical College and Kakatiya Medical College, Warangal were studied. Sex of skulls determined as per the standard parameters given in Grays Anatomy text book. Distance from the lower margin of external acoustic meatus to the foramen Tympanicum was measured using a scale among the male and female skulls. Results: Out of 100 skulls, 69 were male & 31 were female skulls. Out of 69 male skulls foramen Tympanicum was found in three skulls. Among them two were unilateral and in one it is bilateral; in the female skulls no foramen Tympanicum was found.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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Role of non- dietary factors in the causation of Urolithiasis
AA Kameswar Rao, A SaiRam, Ch. Hiranmayee, A Navatha
April-June 2016, 4(2):93-96
DOI:10.4103/2321-7006.302257  
Background: Urolithiasis is a well known cause of morbidity in Indian population. Objective: To know the Non-dietary factors causing Urolithiasis among the patients in Karimnagar district and to compare the extent of awareness, attitude and practices by the patients about non- dietary and dietary factors. Methods: Two resident doctors interviewed 1400 patients (720 urban, 680 rural) attending urban and rural hospitals in Karimnagar district using predesigned questionnaire regarding the non-dietary factors causing urolithiasis. Results: Overall prevalence of Urolithiasis was 7.7% seen among 109 patients. Patients with kidney stones were 92 (84.4%), with ureteric stones 14 (12.8%) while patients having both were 3 (2.8%). Significant Non- dietary factors include Age predilection for the age group of 15-45 years 74 patients (68%), Male sex predilection (p value < 0.00790961) , Family history 47 (43%), illiteracy(p value = 0.0001) , the presence of Urinary tract infections 51(47%), Less daily water intake 18(16.5%), obesity 13(12%), and Catheterization 9(8%) and Excess use of antacids 10(9%). Awareness and preventive care practices were less with non- dietary factors when compared with those of dietary factors. Conclusion: Some non- dietary factors were significantly associated with urolithiasis. But the patients were not aware of the significance of their role as they do with dietary factors. Hence poor attention was paid by the patients to the non dietary factors.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 112 20
Refractive Errors in Congenital Ptosis-A Clinical Study
P V Nanda Kumar Reddy, D Kamala
April-June 2016, 4(2):111-113
DOI:10.4103/2321-7006.302247  
Background: Ptosis is a common public health problem worldwide. It is the lowering of eye lid or prolapse of an organ. In all major ocular surgeries the involvement of eye lid is seen. Etiology of ptosis is multifactorial. Objective: The main objectives of the study were degree of ptosis, refraction through clinical examination and measuring with refractionometer. Methods: The study was conducted in SD Eye Hospital, Hyderabad. 60 eyes of 55 patients with congenital ptosis were studied. Complex ptosis cases were excluded from study. Results: 37 patients were in the age group of 0-19 years & 18 in 20-39 years age group were in the study group. 31 patients of them were males. In five cases both eyes were involved. 10 cases of the studied were with severe ptosis. In 18 cases astigmatism was observed. Conclusion: In the present study congenital ptosis observed more in males in first two decades of life, unilaterally with more than 80% astigmatism. Ambylopia was associated more with severe ptosis.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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Analytical study of leg ulcers and surgical management
G Lakshmi Narayana, M Shiv Rama Krishna Rao
July-September 2015, 3(2):130-133
DOI:10.4103/2321-7006.301978  
Due to recent advances in diagnostic studies such as Doppler, Plethysmography there has been considerable gain in the knowledge about anatomy, pathophysiology of chronic leg ulcers. Even though there are various techniques and procedures in the management of chronic leg ulcers since the recent past, but the management of leg ulcers still remains a study. The objective was to study leg ulcers and their surgical management. All Patients visiting the surgical outpatient department with lower limb ulcers were included in this study. These cases were examined in detail and investigated thoroughly. This study included patients with venous ulcers, arterial ulcers, diabetic ulcers, non-healing ulcers and other rare types. In our study of 81 patients with leg ulcers, diabetic ulcers were the most common accounting for 38.27% of the cases, whereas venous ulcers accounted for 24.69% and arterial accounted for 13.58% cases. In our study amputations were mostly done in diabetic patients accounting for 57.89% cases. The risk of lower extremity amputation is 15 to 46 times higher in diabetics than in persons who do not have diabetes mellitus. Early detection and appropriate treatment of these ulcers may prevent up to 85 percent of amputations.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 122 27
A clinicopathological study of eyelid tumours and its management at a tertiary eye care centre of Southern India
Arvind Rathod, Modini Pandharpurkar, Kavitha Toopalli, Samir Bele
January-June 2015, 3(1):54-58
DOI:10.4103/2321-7006.301960  
Background: Tumours of eyelids are common in people of both sexes and all age groups representing more than 90% of all ophthalmic tumours. Most of the tumours are diagnosed clinically. The treatment depends on site, extent of spread and the invasiveness of the tumour. Objective: To study the clinical presentations, types and management of eyelid tumours and its histopathological confirmation. Methods: A prospective study was conducted on patients presented with eyelid tumours to the Sarojini Devi Eye Hospital, Hyderabad during December 2007 to November 2009. Tumours were diagnosed clinically. Treatment was planned according to the nature of lesion. Data were presented as frequencies, mean ± Standard Deviation (SD). Unpaired t test was used to test the significance of difference of the type of the tumour with age, eye and eyelid involvement. Results: A total of 100 cases, 52 were females, 48 cases involved right eye, 61 cases were benign and 39 malignant. The mean age of the participant in benign tumour was 37.02 ± 16.847 years and of malignant tumour was 58.59 ± 11.271 years and this difference was statistically significant (p<0.05). There was no statistically significant difference observed in the context of type of tumour, eye and eyelid involvement (p>0.05). Commonest benign tumour was intradermal nevus with 17 cases, whereas Basal cell carcinoma and Sebaceous gland carcinoma presented equally in 16 cases each. Conclusion: A significant proportion of tumours were malignant, predominantly Sebaceous gland carcinoma and Basal cell carcinoma. Majority of malignant tumors were observed above 60 years of age.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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Assessment of satisfaction among OPD patients at Noor Hospital, Warudi, Badnapur
Hina Kausar, Mohd Shafee, PR Gangwal
January-June 2015, 3(1):42-44
DOI:10.4103/2321-7006.301957  
Background: Health care quality is a global issue. Consumer satisfaction is recognized as an important parameter for assessing the quality of patient care services, satisfaction regarding the attitude of providers towards the services is expected to affect treatment outcome and prognosis. Objective: To assess patient satisfaction with services provided in a tertiary care hospital in rural Jalna. Method: This cross sectional study was carried out in the outpatient department of, Noor hospital of Indian Institute of medical science and research Warudi Badnapur, District Jalna. A total of 250 patients were selected by systematic random sampling from 1 st march to 31 th August 2014 and interviewed. The data collected was analysed by applying appropriate statistical test. Results: The overall satisfaction rate in this study was 87.45%.Total 88.4% of patients are satisfied with the availability of essential medicine and 88% patients get medicine easily. Satisfaction with laboratory location was 93.6% and 90% of respondents agreed with investigation reports received in time. Regarding cleanliness of hospital 94.8% of respondents are satisfied. Total 85.6% of respondents were satisfied with the condition of the toilets. Satisfaction rate for availability of drinking water was 83.6%. About paramedical staff 95.6% of patients agree that paramedical staff talk politely with them and 94% of patients told they are helpful. Conclusion: Patient’s feedback is important as continuous quality improvement is linked to the use of timely and useful feedback from the clients.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
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