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Slong D.,North Eastern Indira Gandhi Regional Institute of Health and Medical science NEIGRIHMS | Meera Devi T.H.,Regional Institute of Medical science RIMS
Medico-Legal Update | Year: 2013

This study was conducted at the mortuary of the Regional Institute of Medical Sciences during the period of September 2007 to August 2009 on 126 victims of road traffic accidents, who had sustained head injuries. It was observed that majority of the cases were in the age group of 21 - 30 years (28.57%) with the male: female ratio of 2:1. Pedestrians (38.89%) were the commonest victims and trucks were the frequent offending vehicles. Fissured fracture was observed in 54.72% followed by comminuted fracture in 33.96%. Temporal bone was the most frequent bone (33.96%) to be fractured. 43.42% of the victims had intracranial haemorrhage, of which 47.19% had subdural with subarachnoid haemorrhage. 77.5% had laceration of the brain and 31.25% had contre coup lesions. 38.10% died on the spot while another 38.10% died within 6 hours. The study highlights the need for implementation of stricter traffic rules and provision of emergency trauma services at the site of accidents.


Slong D.,North eastern Indira Gandhi Regional Institute of Health & Medical science NEIGRIHMS | Meera T.H.,Regional Institute of Medical science RIMS
Medico-Legal Update | Year: 2015

Suicide is one of the leading causes of death in the world, and suicide amongst the military is not uncommon. In this paper, suicide by a military man using his service rifle is presented. The paper emphasizes the importance of regular check up for these people who are working under stressful circumstances for their mental health besides the routine physical check up. © 2015, World Informations Syndicate. All rights reserved.


Rajlakshmi C.,Regional Institute of Medical science RIMS
Journal of the Anatomical Society of India | Year: 2012

Sonologists uses various parameters for determining gestational age. Although not very popular, orbital dimensions are one such parameter which helps in determining age of fetus. Therefore, the aim of the paper was to construct a nomogram of the size of the fetal orbit as well as the interorbital and binocular distance followed by :evaluation of correlation between gestational age and biometrics of fetal orbit. Studied in 128 orbits from 64 fetuses belonging to Manipuri population, different dimensions of orbit were measured using vernier calipers. Measured dimensions include orbital height, orbital width, interorbital distance and binocular distance and subsequent determination of orbital index. The data was elaborated statistically by t-test. Correlation and regression analysis was performed. It was observed that with age, all the dimensions increases, however, difference in growth rate between dimensions were noted. Furthermore, it was observed that there was difference in the orbital values of previous studies as compared to the present study, which could be due to ethnicity of the study group. This easily assessable anatomical part can be used by Sonologists in lieu of biparietal diameter and also, in medicolegal cases of determination of unknown gestational age of fetus. © 2012 Anatomical Society of India.


Florence L.,Regional Institute of Medical science RIMS | Samananda L.,Regional Institute of Medical science RIMS
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2015

Background: Lecture still remains the most common mode of instruction in higher education. Students learn from lectures by listening, observing, summarizing, and note taking. Lectures can be supplemented with audiovisual aids for better illustrations, clarity, and learning. Aims and Objective: To assess student’s perceptions of the impact of different teaching aids and to analyze the preferences for teaching aids of medical versus dental students. Materials and Methods: Medical and dental undergraduates were asked to fill in 10-item questionnaire about their perceptions on three lecture delivery methods used in our college. The results were analyzed separately for medical and dental students to see any difference in their perceptions. Result: Majority of the medical students (66.05%) preferred PowerPoint (PPT) presentation, whereas 22.21% preferred the use of blackboard (BB) and 11.1% preferred overhead projector transparency (OHPT) for teaching (P < 0.001). Of the dental students, 61.2% preferred PPT presentation, 26.5% preferred BB, and 12.2% preferred OHPT during lectures (P < 0.001). Conclusion: Majority of both the medical and the dental students clearly preferred the use of PPT presentation in lectures over the other two methods. Visual aids such as PPT will motivate the students to learn their subjects, thus making the learning process an enjoyable experience. © 2015 Florence L.


Lodh B.,Regional Institute of Medical science RIMS | Kanwar V.,Regional Institute of Medical science RIMS | Kaku Singh A.K.,Regional Institute of Medical science RIMS | Rajendra Singh S.,Regional Institute of Medical science RIMS
Journal of Clinical and Diagnostic Research | Year: 2013

The reported incidence of unfused crossed renal ectopia is 1 in 75,000 autopsies. A majority of such cases go unnoticed, as they remain asymptomatic and are found incidentally at autopsy. We have presented such a case for its rarity, unusual presentation and association, and have discussed it in light of the available literature. In this report, a 7-year-old boy was pre-operatively diagnosed as having left crossed renal ectopia with a cryptorchid left testis. At surgery, we noticed an ectopic, hydronephrotic left kidney with an absent left testis. Left Nephrectomy was performed, based on findings of a DTPA scan which was done. Post-operative course was uneventful. Histopathology revealed chronic pyelonephritis without any evidence of dysplastic changes.


Devi P.V.,Regional Institute of Medical science RIMS | Marangmei L.,Regional Institute of Medical science RIMS | Chongtham D.S.,Regional Institute of Medical science RIMS | Ram R.,Regional Institute of Medical science RIMS
JMS - Journal of Medical Society | Year: 2015

Introduction: Hepatitis C virus infection is a major global health problem being the second most common chronic virus infection. It is associated with numerous extra hepatic manifestations of which cardiovascular diseases constitute an important but under diagnosed aspect of the infection. Aim: This study was carried out to evaluate the association between cardiovascular manifestation and HCV seropositivity patients attending Regional Institute of Medical Sciences (RIMS) in Imphal, Manipur. Materials and Methods: From august 2009 to july 2011, 50 HCV seropositive patients in the department of Medicine, Regional Institute of Medical Sciences, Imphal were evaluated. They were subjected to thorough physical examination and baseline laboratory investigations. Above that, echocardiogram was done for each patient. For statistical analysis of data, statistical package for the social sciences (SPSS16.0 version) and student’s t-test was used. Results: In this study, the average age of patients was 44 years, ratio of males to females was 3.5: 1. HCV infection is more common in males who are in the sexually active and married age group 30 to 49 years. In the laboratory parameters high serum glutamic pyruvic transaminase (SGPT) and high erythrocyte sedimentation rate (ESR) were signifi cant indicators of cardiac chamber (left atrial and left ventricular) enlargement and left ventricular diastolic dysfunction in HCV seropositive patients. Conclusion: The result corroborated favorably that the more progressed is the infl ammation and liver dysfunction due to HCV infection, the more likely to have cardiovascular changes of cardiac chamber enlargement and left ventricular diastolic dysfunction. © 2015, Regional Institute of Medical Sciences. All rights reserved.


Bala R.,Regional Institute of Medical science RIMS | Das S.S.,Regional Institute of Medical science RIMS | Singh L.R.,Regional Institute of Medical science RIMS
JMS - Journal of Medical Society | Year: 2016

Retained placenta is a common complication of the third stage of labor. It can be due to an atonic uterus, a trapped placenta, or an adherent placenta. The most common source of a trapped placenta is from a partial closure of the cervix and/or a contracted lower uterine segment. We present an unusual case of a trapped placenta managed by Misoprostol [prostaglandin (PG) E1] administered sublingually with spontaneous expulsion of the placenta on the 21st day after delivery. © 2016 Journal of Medical Society.


Lodh B.,Regional Institute of Medical science RIMS | Gupta S.,Regional Institute of Medical science RIMS | Singh A.K.,Regional Institute of Medical science RIMS | Sinam R.S.,Regional Institute of Medical science RIMS
Journal of Clinical and Diagnostic Research | Year: 2014

Aims: Ultrasound guided percutaneous nephrostomy tube placement: evaluation, safety and efficacy review. Settings and Design: This was a quasi-experimental study conducted at Department of Urology, Regional Institute of Medical Sciences, Imphal. Materials and Methods: The total number of 176 patients with grade I-IV hydronephrosis requiring percutaneous nephrostomy tube placement were included in the study. Scientific, operational and accessory steps of the technique and its related safety and efficacy pre-procedural, intra-procedural and post-procedural parameters were carefully and meticulously recorded. Statistical Analysis: Statistical analyses was performed using the Statistical Package for the Social Sciences (SPSS 16.0) for Windows. Results: The average length of the procedure was 9.07±2.79 (6-15) minutes. Severe procedure related pain (VAS score 8-10) was observed only in 18 patients (10.23%). Nephrostomy tube placement was successful in 96.60% of cases and only 9.66% required more than a single attempt of puncture. In this study, impacted ureteric calculus was found to be most common indication of PCN tube placement. Conclusions: Ultrasound guided direct percutaneous nephrostomy tube placement is a reliable, easy and cost effective technique. This procedure is particularly suitable for developing countries like India, where the majority of the patients belongs to the low socio-economical status and health care system lacks adequate infrastructural facility at most places.


Rajlakshmi C.,Regional Institute of Medical science RIMS | Debbarma T.,Regional Institute of Medical science RIMS
JMS - Journal of Medical Society | Year: 2016

A case is reported here of a stillborn fetus of about 21 weeks of gestation that was collected from the Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, India. The weight of the fetus was around 350 g. Crown rump (CR) length was not taken because of spine deformity and, therefore, the foot length, which measured 3.3 cm, was used to determine the age of the fetus. External examination of the fetus revealed an enormous defect in the anterior abdomen wall (omphalocele). The umbilical cord was attached on the right side of omphalocele. Incision of the membranous sac revealed liver, coils of intestine, and a muscular sac herniating through the defect in the abdominal wall. Further exploration of the abdomen showed continuity of the large intestine and ureters to the muscular sac. The sac is the cloaca. Exstrophy of the cloaca is a rare developmental anomaly involving the urinary bladder and the distal part of the digestive tract. This case report discusses the embryological background of the development of exstrophy of the cloaca and is reported because of the association of complete absence of external genitalia. © 2016 Journal of Medical Society.


Khumanthem P.D.,Regional Institute of Medical science RIMS | Chanam M.S.,Regional Institute of Medical science RIMS | Samjetshabam R.D.,Regional Institute of Medical science RIMS
Journal of Obstetrics and Gynecology of India | Year: 2012

Objectives To study the maternal mortality and the complications leading to maternal death. Methods A retrospective study of hospital records and death summaries of all maternal deaths over the period from January 2000 to August 2009 was carried out. Results There were a total of 80 maternal deaths out of 88,443 live births giving maternal mortality rate (MMR) of 90.45 per 100,000 live births. Unbooked and late referral accounted for 77.5 % of maternal deaths. The majority of the deaths was in 30-40-year age group and around term. Hemorrhage was the commonest cause of death (52.5 %), followed by sepsis (13.75 %) and pregnancy-induced hypertension including eclampsia (10 %). Conclusions Hemorrhage, sepsis, and pregnancy-induced hypertension including eclampsia were found to be the direct major causes of death. Anemia and cardiac disease were other indirect causes of deaths. © Federation of Obstetric & Gynecological Societies of India 2012.

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