Regional Institute of Medical science RIMS

Imphal, India

Regional Institute of Medical science RIMS

Imphal, India
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Angam G.,Jawaharlal Nehru Institute of Medical science | Maring S.K.,Jawaharlal Nehru Institute of Medical science | Singh K.P.,Jawaharlal Nehru Institute of Medical science | Fimate L.,Regional Institute of Medical science RIMS
Journal of Indian Academy of Forensic Medicine | Year: 2017

Sudden Death often raises a lot of questions and allegations. In the present study, 49 cases of sudden, natural deaths, the post mortem examination of which were conducted during the period 2010 to 2014, were analysed. Male outnumbered female deaths 47: 2. Fifty three percent of the victims were in the 4th to 6th decade. Meiteis suffered the highest number of casualties, comprising of 32%. Eighty six percent of the victims belonged to urban location. Most of the cases occurred during morning, followed by night. Cardiovascular system (CVS) was involved in 45% of the cases, pulmonary system 28%, Gastrointestinal system 22% and Neurological system 5%. Among the CVS causes, Ischemic heart disease was the predominant cause. The need to understand the pattern of sudden natural deaths in Imphal arises.


Kumar S.,Regional Institute of Medical science RIMS | Chiinngaihlun T.,Regional Institute of Medical science RIMS | Singh M.R.,Regional Institute of Medical science RIMS | Punyabati O.,Regional Institute of Medical science RIMS
Journal of Clinical and Diagnostic Research | Year: 2017

Introduction: Body Mass Index (BMI) is significantly increased during pregnancy due to gain of weight with normal progression of pregnancy. The exact influences of thyroid function on BMI are ill defined in euthyroid pregnant women. Aim: To correlate serum levels of Free Triiodothyronine (FT3), Free Thyroxine (FT4) and Thyroid Stimulating Hormone (TSH) level with BMI of participant normal pregnant women in all the three trimesters. Materials and Methods: In this cross-sectional comparative study, total of 210 healthy pregnant women comprising of 70 participants in each trimester, attending Obstetrics Outpatient Department (OPD) for antenatal check-up were consecutively selected. Estimation of serum FT3, FT4 and TSH level was done by ELISA based methods. The Correlation of BMI with serum levels of FT3, FT4 and TSH was done using Pearson correlation test (r) by SPSS version 21.0 software. Results: TSH level of participant normal pregnant women showed significant positive correlation with BMI during first (r=0.254 and p=0.034) and second trimester (r=0.263 and p=0.028) of pregnancy. FT4 level showed significant negative correlation in second (r= -0.454 and p<0.001) and third trimester (r= -0.351 and p=0.003) of pregnancy. Correlation between BMI and FT3 level showed no significant association in any of the trimesters. Conclusion: BMI correlates positively with TSH level in first and second trimesters while it correlates negatively with FT4 level in second and third trimesters, but, failed to demonstrate significant association with FT3 level in any of trimesters in euthyroid pregnant women. Serum TSH along with FT4 level appears more useful modality compared to serum TSH alone for targeted thyroid screening particularly in obese pregnant women. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.


Singh S.V.J.,Regional Institute Of Medical Science Rims | Meetei U.D.,Regional Institute Of Medical Science Rims | Akham S.D.,Regional Institute Of Medical Science Rims | Sanjenbam R.D.,Regional Institute Of Medical Science Rims
Journal of Clinical and Diagnostic Research | Year: 2017

Introduction: Diabetes mellitus is a group of common metabolic disorders sharing the phenotype of hyperglycaemia. Certain disadvantages like side effects or less efficacy limit the optimal use of antidiabetic drugs. Aim: To evaluate the effect of Ethyl Acetate Extract of Melothria Perpusilla (EAEMP) on oral glucose tolerance test in albino rats. Materials and Methods: Six healthy albino rats weighing between 100-150 g were selected. The same set of six animals were used for the experiment throughout and successive tests were conducted after a drug wash out period of 10 days. Fasting blood glucose samples were measured using glucometer. A 2% gum acacia suspension 10 ml/kg per oral (p.o.) was given in all six albino rats followed by the oral glucose load of 3g/kg. Glucose concentrations were estimated at one hour and two hour after the glucose load. Using the same set of animals, similar tests were repeated with the test dose of 250 mg/kg and 500 mg/kg of EAEMP and glibenclamide (0.5 mg/kg p.o.). In this experiment, glucose was given immediately at the dose of 3 g/kg p.o. after the treatments. Drug wash out period of 10 days was maintained in between the successive tests to avoid the interference of action of the drug with the other. The non parametric data were analysed by Kruskal Wallis test. Results: EAEMP produced a significant increase in the oral glucose tolerance test when compared with control and standard. Conclusion: Treatment with Melothria perpusilla lowers the blood glucose level due to higher oral glucose tolerance possibly due to release of insulin from the pancreas. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.


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.


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.


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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