PubMed | NIMS Medical College & Hospital, Shaheed Hasan Khan Mewati Government Medical College, JSS Medical College, Post Graduate Institute of Medical Education and Research and 9 more.
Type: Journal Article | Journal: The International journal of social psychiatry | Year: 2016
To assess the phenomenology and associated beliefs in patients with Dhat syndrome.A total of 780 male patients aged more than 16 years were recruited from 15 centers spread across the country and were assessed on Dhat Syndrome Questionnaire.The most commonly reported reasons for passage of Dhat were excessive masturbation (55.1%), sexual dreams (47.3%), excessive sexual desire (42.8%) and consumption of high energy foods (36.7%). The most common situation in which participants experienced passage of Dhat were as night falls (60.1%) and while passing stools (59.5%). The most common consequence due to passage of Dhat was weakness in sexual ability (75.6%). In terms of psychological and somatic symptoms, the common symptoms included bodily weakness (78.2%); feeling tired or having low energy (75.9%); feeling down, depressed, or hopeless (67.9%); and little interest or pleasure in doing things (63.7%). In terms of treatment expectations, about half of the patients (49.1%) expected that energizing medications like vitamins/tonics/tablets were required and more than one-third (38.2%) expected that there was a need for taking energizing injections.Present study shows that Dhat syndrome is a distinct clinical entity seen all over India, with its characteristic features.
Rout S.K.,Kalinga Institute of Medical science |
Rout S.K.,Kalinga Hospital |
Lath M.K.,Kalinga Hospital |
Lath M.K.,Hi Technology Medical College
Journal of Craniofacial Surgery | Year: 2013
Supernumerary nostril is a rare congenital anomaly that is classified under duplication of nose. Only 32 cases have been reported so far in the English literature. We attended to an adult female having supernumerary nostril. Surgical correction with minimum intervention was planned, keeping an option of open tip rhinoplasty as backup in case the patient needs it later. She was satisfied with the outcome in spite of having little asymmetry of her nostrils. This case is being reported here as an addition to the published list and the literature reviewed in this context. Copyright © 2013 by Mutaz B. Habal, MD.
Lavania S.,Sarojini Naidu Medical College |
Ram D.,Central Institute of Psychiatry |
Praharaj S.K.,Kasturba Medical College |
Khan A.H.,Brd Medical College |
Pattojoshi A.,Hi Technology Medical College
Journal of Addiction Medicine | Year: 2012
Objective: The lifetime diagnosis of substance dependence syndrome is a major risk factor for attempting suicide. The systematic study of various risk factors of suicide in substance-dependent patients in Indian population will have far-reaching implications about the understanding of disorder. The objective was to study the sociodemographic and clinical factors associated with deliberate self-harm (DSH) in nondepressed substance-dependent patients. Methods: Participants included 60 male inpatients (30 patients with DSH and 30 without DSH) fulfilling International Classification of Diseases, Tenth Revision Diagnostic Criteria for Research for substance dependence syndrome, aged between 18 and 60 years, with Hamilton Depression Rating Scale score fewer than 7. They were assessed using Addiction Severity Index, Presumptive Stressful Life Event Scale, State-Trait Anger Expression Inventory, Lubben Social Network Scale, International Personality Disorder Examination, Risk Rescue Rating Scale, and Global Assessment of Functioning. Result: Patients with DSH had significantly higher rates of opioid dependence (P < .05), risk of isolation (P < 0.001), the number of life events (P < 0.001), anger trait and anger expression (P < 0.001), personality disorder (P < 0.05), the number of substance use problems and lower social functioning (P < 0.001), as compared with those without DSH (P < 0.001). There was no significant correlation between Risk Rescue Rating Scale with sociodemographic and clinical variables. Conclusions: The study demonstrated that patients with opioid dependence, high risk of isolation, the greater number of life events, higher anger trait and anger expression, personality disorder, low social functioning, and greater number of substance use problems have risk for DSH. Copyright © 2012 American Society of Addiction Medicine.
Prasad A.,Hi Technology Medical College
Mymensingh medical journal : MMJ | Year: 2014
Pharmacology is a subject taught in the medical curriculum in India over a period of one and half years along with pathology, microbiology and forensic medicine. The present study was planned to know the opinion of medical students regarding pharmacology and to assess the proposed teaching schedule and methods of teaching pharmacology. The study was conducted in a private medical college in eastern India among the medical undergraduate students in 5th semester. Total 74 students participated in the study. A pre-designed, pre-tested, semi-structured questionnaire was given to the students and data was collected after one hour. Collected data was compiled, tabulated and analyzed in SPSS (version 16.0). The subject was perceived as interesting and useful by majority of students and most of them were in opinion to integrate pharmacology with the clinical subjects. Lecture in whole class was the most preferred teaching method according to the students and teaching with chalk and board they preferred most. Rational use of medicine, clinical trial, pediatric and geriatric pharmacology are the important topics the students felt to be included in the curriculum. Regular assessment of teaching methods by the students and taking suggestions from the students about improving the teaching method and redesigning the curriculum can help a lot in improving the learning capacity of the medical students and that will give benefit for the society as a whole.
Panigrahi R.,Hi Technology Medical College |
Roy R.,Hi Technology Medical College |
Mahapatra A.K.,Hi Technology Medical College |
Prasad A.,Hi Technology Medical College |
And 2 more authors.
Orthopaedic Surgery | Year: 2015
Objective: Knee arthroscopy is a commonly performed orthopedic procedure. Post-operatively, adequate pain relief reduces the surgical stress response and patient's morbidity and facilitates rehabilitation. The analgesic effect of dexmedetomidine (2μg/kg body weight) as an adjunct to ropivacaine in knee arthroscopic knee procedures was studied to determine whether this would achieve longer post-operative analgesia and whether the study dosage of dexmedetomidine was safe and free of adverse effects. Patients and Methods: In a multicenter prospective double blind trial of sixty patients undergoing knee arthroscopic procedures, patients were randomly assigned to three groups: Group R, receiving intra-articular ropivacaine (20mL); Group D1 (18mL ropivacaine, dexmedetomidine 1μg/kg body weight); and Group D2 (18mL ropivacaine, dexmedetomidine 2μg/kg). Results: Group D2 had significantly lower pain scores for the first 12 postoperative hours than Group D1 and Group R. Time to first analgesic requirement was longest in Group D2 (757.30 ± 207.68min), followed by Group D1 (433.2 ± 54.3min) and Group R (311.80 ± 61.56min); these differences were significant (P < 0.05). Total analgesic requirement was significantly lower in Group D2 (82.50 ± 48.05mg; P < 0.05). Intensity of pain was significantly less in Group D2 in the third (P < 0.01) and sixth hours (P < 0.05). Conclusion: Intra-articular dexmedetomidine (2μg/kg) has superior analgesic efficacy, delayed the first postoperative requirement for analgesia and decreasing the need for postoperative analgesics with no major adverse effects. © 2015 Chinese Orthopaedic Association and Wiley Publishing Asia Pty Ltd.
Samanta Prof. A.K.,Hi Technology Medical College |
Nayak S.R.,SCB Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2012
A total of 105 cases of deaths due to hanging were studied in a span of 5 years time. This present study throws some light on the emerging trends that Hanging is increasingly being adopted by a relatively younger age group who are mostly illiterate and of poor socio-economic status. Hanging being viewed as giving swift painless death and without much expenses and without arousing much suspicion, this mode is increasingly adopted to commit suicide. Dribbling saliva mark, which was a hallmark of Ante-mortem hanging, is increasingly seen in less number of cases. No incidence of fracture of Hyoid bone being seen in this study, due to the fact that most cases were of lower age group and also may be due to most of the victims adopting soft ligatures and low suspension points. Transverse tears in the Carotid arteries were not seen here and on subjecting to Histo-pathological study, we could detect disruption of intimal layer of Carotid artery. Effect of pressure on layers of skin were seen on Histo-pathological study showing vital reaction changes useful for labelling Ante-mortem hanging.
Das D.K.,Hi Technology Medical College |
Shukla S.,SCB Medical College
SAJCH South African Journal of Child Health | Year: 2016
Ecthyma gangrenosum (EG) is a cutaneous lesion, mostly caused by pseudomonas in immunocompromised patients. Other bacterial and fungal pathogens have also been reported. It can occasionally affect previously healthy children. The cutaneous findings are characterised by small indurated papulovesicles, progressing rapidly to necrotic ulcers with surrounding erythema and a central black eschar. Sites most commonly involved are the buttocks, perineum, limbs and axillae; the face is less commonly involved. We are presenting a rare case of EG in a neutropenic infant who had just completed the induction phase of chemotherapy for acute lymphoblastic leukaemia. The gangrenous lesion was on the face involving the tip of the nose, which is an uncommon location. Blood and pus cultures grew Stenotrophomonas maltophilia, which is a rare cause of EG. The patient was treated with IV antibiotics (colistin for 14 days) and improved. © 2016, Health and Medical Publishing Group. All right reserved.
Mohapatra E.,Hi Technology Medical College
Biomedicine | Year: 2010
Background: Micro-organism like Bacteria invades our body and utilises some of our nutrients for their growth and multipication.One of such nutrient is iron. Though, it comes under the group of trace element but plays very important role in our body.There is reduction in Serum iron concentration and Iron binding capacity during early phase of Acute bacterial infection. So, this study was taken up to observe the changes in Serum iron concentration and total iron binding capacity along with total protein, albumin and globulin in acute bacterial infection. Methods: A total of 39 patient were taken out of which 20 were healthy control and 19 were those with acute bacterial infection. Results: It was observed that there was significant reduction in Serum iron concentration and total iron binding capacity as compared to control.Similarly, Total protein was slightly high as compared to control. Conclusions: This suggest that a history of recent bacterial infection should be excluded before supplementing with iron or else it may result in hyperferrimia.
Nayak P.,Hi Technology Medical College |
Mahapatra A.,Sanjay Gandhi Postgraduate Institute
Journal of Neurosciences in Rural Practice | Year: 2011
Background: Neurotrauma is one of the most important causes of death and disability. Some of the severely head injured patients, failed to show significant improvement despite aggressive neurosurgical management and ended up in a vegetative state. Aims: To assess the outcome at six months and one year using Glasgow outcome scale (GOS), in this prospective study on patients with severe head injury, who remained vegetative at one month. Materials and Methods: This prospective study was carried out in the department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), New Delhi, over a period of a year and a half (March 2002 through July 2003). Materials and Methods: In patients with severe head injury (GCS < 8), post resuscitation, neurological assessment was done with Glasgow coma scale (GCS), pupillary light reflex, doll's eye movement and cold caloric test in all cases. Fifty patients, who remained vegetative post injury according to the criteria of Jennett and Plum, at one month, were considered for the study. Brain SPECT (Single Photon Emission Computed T omography) Scanning was carried out in selected cases. Statistical analysis: Data analysis was done by Pearson's chi-square test on computer software SPSS, Version 10 (California, USA). Results: Patients with preserved brainstem reflex and with no perfusion defect on SPECT scan had statistically significant favorable outcome. More than 40% of vegetative patients regained consciousness by the end of one year, of whom 24% had favorable outcome in the form of moderate disability and good recovery. Conclusion: SPECT is better than computed tomography/magnetic resonance imaging (CT/MRI) as it assesses the cerebral perfusion and functional injury rather than detecting the lesions only. Further study with a control group is necessary to establish the role of SPECT in head injury.
PubMed | Hi Technology Medical College
Type: Journal Article | Journal: The journal of knee surgery | Year: 2016
Bilateral anterior cruciate ligament (ACL) injuries are rare with incidence between 2 and 4%, and presently no definitive guidelines for proper management exist. Ideal treatment protocol remains controversial between a single-stage and two-stage bilateral ACL reconstruction. The purpose of this study is to evaluate the outcome of single-stage bilateral ACL reconstruction with hamstring tendon autografts in bilateral ACL injuries. A prospective study was undertaken including a total of 14 consecutive patients with bilateral ACL deficient knee who underwent single-stage bilateral ACL reconstruction with hamstring tendon autograft with a mean follow-up duration of 28 months (24-38 months). Functional outcomes were evaluated by range of movements, International Knee Documentation Committee (IKDC), Lysholm and Tegner activity score, and stability tests. The mean age was 30 years (range 18-42 years). Average duration of rehabilitation was 8 weeks. Time to return to full-time work and full sports was 5.6 weeks and 6.2 months, respectively. Clinical examination demonstrated full range of motion; a total of 12 patients (86%) had a negative Lachman test and 13 patients (93%) had a negative pivot shift at the final follow-ups. The mean IKDC evaluation score was 89 points, the mean Tegner activity score was 7 points, and the mean Lysholm knee score was 91 points. A total of 12 patients (86%) returned to their preinjury level of activity and an overall greater than 90% satisfaction rate was achieved. Single-stage bilateral ACL reconstruction using hamstring autografts is clinically safe, effective, and cost-effective with better patient compliance and with comparable functional outcome as opposed to two-stage ACL reconstructions.