DocumentsDate added
Original article:-
Khadanga Sagar 1* & T. Karuna2
Affiliation:-
1Department of Medicine, M.K.C.G Medical college & hospital; Berhampur, Odisha, India. 2Department of Microbiology Hi-Tech Medical college & hospital ; Block 3,flat 1,Pandara, Rasulgarh, Bhubaneswar ,Odisha, India.
Abstract:- Background: According to standard textbooks the diagnosis of UTI in male is questionable in the absence of anatomical abnormalities, instrumentation or rectal intercourse. But in our clinical practice we come across male UTI in the age group of 15-50. We wanted to study this aspect of male UTI and their sensitivity pattern. Material & methods: We conducted a prospective interventional type of hospital based study. A predesigned questioner was designed. Midstream clean catch urine samples were collected from 217 patients after carefully considering the inclusion and exclusion criteria. The samples were transported and processed within 1 hr. The urine samples were then processed by semi quantitative culture methods. Results: Sterile pyuria was found in 68.6% (149/217) cases. Among 68 culture positive cases the most common organism isolated was E.coli in 36.7% (25/68) cases. Non E.coli GNB was isolated in 42.6% (29 /68) cases. GPC were isolated in 16.1% (11/68) cases. Mycobacteriuria was found in 7 out of 149 sterile pyuria cases. Nitrofurantoin was the most sensitive oral drug followed by ciprofloxacin for GNB. Almost all GPC were sensitive to Linezolid and Vancomycin. . Conclusion: Though E.coli was the most common uropathogen, non-E.coli GNB related UTI is definitely increasing. GPC related UTI once rare in males, are not uncommon these days. Linezolid should be added to Nitrofurantoin/Quinolones in non resolving UTI as empirical therapy. Genitourinary tuberculosis should be suspected in non resolving symptomatic sterile pyuria cases. Key Words:-Acid fast bacilli (AFB), Coagulase-negative Staphylococci (CONS), Escherichia coli (E. coli), Gram-negative bacilli (GNB) ,Gram-positive cocci (GPC), urinary tract infection (UTI).
References:-
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Copyright © 2013 Khadanga Sagar & T. Karuna. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:-
Tank Gyaneshwar1*, Singh Prashant P2, Singh Gajraj3, Ahmed Parvez4, Philip Rajiv5, Singh Amit6 & Gupta Amit6
Affiliation:-
1Assistant Prof & Head,2Junior Resident,3Lecturer,4Professor,5Senior Resident,6Junior Resident,Orthopaedics Department., LLRM Medical College, Meerut,U.P,India.
Abstract:
Background: Periarthritis of shoulder is a common condition of uncertain aetiology characterized by a significant restriction of both active and passive shoulder motion that occurs in the absence of a known intrinsic shoulder disorder. It is also referred to as frozen shoulder and adhesive capsulitis. Though a self limiting condition, lasting 4–36 months, it may leave behind residual disabilities. Various conservative and invasive treatment modalities are available, but there is no consensus on its standard management.
Aims and objective: (1) to assess the efficacy of intra-articular injection of high molecular weight sodium hyaluronate (SH) on functional outcome in periarthritis shoulder and, (2) to compare with the efficacy of intra-articular corticosteroid (methylprednisolone).
Method: This prospective, double blind, RCT included 200 patients, selected from the OPD of LLRM Medical College, Meerut. They were randomized in two groups: A and B. Group A received intra-articular injection of methyl-prednisolone with xylocaine. Group B received intra-articular injection of SH (with xylocaine). Posterior injection technique was used under ultrasound guidance. 166 patients completed treatment and follow-up. Quick DASH score, total shoulder flexion, and total shoulder abduction (passive) were used as criteria for assessment of outcome. Wilcoxon matched-pairs signed-ranks test was used for comparison within same group. Mann Whitney test was used to compare group A with group B. Follow-up period was 6 months.
Result and conclusion: SH injection caused significant improvement in shoulder function within one week. The effect lasted for at least 6 months. Similar pattern and degree of improvement was seen in corticosteroid group. No significant side effects were observed in either group. We suggest that SH may be used as an alternative drug to popular steroid use for the patients of periarthritis shoulder. This drug may be very useful when steroid related side effects are a concern.
Key Words: Hyaluronate, steroid, periarthritis, frozen, shoulder, adhesive capsulitis.
References:-
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2.Zuckerman J, Cuomo F, Rokito S. Definition and classification of frozen shoulder: a consensus approach. J Shoulder Elbow Surg 1994; 3:S72.
3.Arkkila, P. E., et al. "Shoulder capsulitis in type I and II diabetic patients: association with diabetic complications and related diseases." Annals of the rheumatic diseases 1996; 55(12): 907-91.
4.Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis. Jan 1972; 31(1):69-71.
5.Balci, Nilüfer, Mustafa Kemal Balci, and Serdar Tüzüner. "Shoulder adhesive capsulitis and shoulder range of motion in type II diabetes mellitus: association with diabetic complications." Journal of Diabetes and its Complications 13.3 (1999): 135
6.Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 2008; 17:231.
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9.Vastamäki, Heidi. "The natural history of idiopathic frozen shoulder: a 2-to 27-year follow-up study." Clinical Orthopaedics and Related Research® 470.4 2012: 1133-43.
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18.Neviaser, Andrew S., and Robert J. Neviaser. "Adhesive capsulitis of the shoulder." Journal of the American Academy of Orthopedic Surgeons 2011; 19(9): 536-42.
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20.Fayad, Fouad, et al. "Reliability, validity and responsiveness of the French version of the questionnaire Quick Disability of the Arm, Shoulder and Hand in shoulder disorders." Manual Therapy 2009; 14(2): 206-12.
21.Mintken, Paul E., Paul Glynn, and Joshua A. Cleland. "Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (Quick DASH) and Numeric Pain Rating Scale in patients with shoulder pain." Journal of Shoulder and Elbow Surgery 2009; 18(6): 920-6.
22.Randomized controlled trials." Arthritis Care & Research 2010; 62(7): 1009-18.
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Article citation:-
Tank Gyaneshwar et al. Efficacy of high molecular weight sodium hyaluronate in periarthritis of shoulder- A randomised controlled study. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 June; 31(31): 1170-1177.
Copyright © 2013 Tank Gyaneshwar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the
Original work is properly cited.
Original article:-
*1Raut Mohan ,1Rajurkar Sampda,1Malkar Vilas,1Joge Umesh,2Sapkal Pravin & 1Wagh Sanjay
Affiliation:-
1Assistant Professor Department of PSM,2Assistant Professor, Department of Anesthesia, Government Medical College, Akola,Maharastra,India.
Abstract:
Background: HIV/ AIDS is one of the most urgent threat to global public health. The changing trend in the country indicates that HIV infection is spreading in two ways: From urban to rural areas and from individuals practicing high risk behavior to the general population called Type 4 pattern. Auto drivers considered to be the one of the important mediator between this two population groups and hence studied here. Methods: The present study was carried out among the 346 auto drivers in urban area of Akola during July 2012 to Dec2012. Universal followed by convenience sampling method was used for selection of study participants. The preformed semi-structured questionnaire was used to collect the information. Result and conclusion: A total 346 auto rickshaw drivers were studied. Majority 331 (95.7%) of them have heard about HIV and around 50% knew that it is STI. Of the four routs of transmission, around 50% had correct knowledge about three route of transmission but the fourth one i.e infected mother to her foetus correct knowledge was seen in only 36%. 54% auto drivers ask for new needles before injection, 5% had sex with FSW and 5% had multiple sex partners. In the present sample of Auto drivers, though majority had heard of HIV / AIDS, they didn’t have correct knowledge about transmission of HIV / AIDS and safe sex practices. Hence health education on HIV / AIDS along with safe sex and condom promotion needs to be inculcated among them.
Key Words:- HIV/AIDS, Route of transmission, Safe sex practice.
References:-
1.Agarwal S. Acquired Immuno-Deficiency Syndrome. In Bhalwar R (ed). Text book of Public Health and Community Medicine, 1st edition. New Delhi, Department of Community Medicine AFMC, Pune In collaboration with WHO, India office, 2009; 1163-73.
2.Sarkar P, Mostofa G, Rahman M. Knowledge of fearfulness of HIV / AIDS between floating and frequently moving population of three metropolitans cities in Bangladesh. Jour of infectious disease and Immunity 2013; 5: 1-9.
3.Chaudhary S S, Nagargoje M M, Kubde S S, Bhardwaj A K, Singh R. Knowledge and attitude of auto-rickshaw drivers about HIV/AIDS and other sexually transmitted diseases. Indian J Dermatol Venereol Leprol 2011;77:197-9.
4.Singh G I, Girdha S, P.S. Gall, R.K. Soni, M. Satija, S. Sharma: HIV/AIDS Awareness Of Auto Rickshaw Drivers In Ludhiana City. Punjab – India. The Internet Journal of Health. 2008;8:266-71.
5.Jayadevan S, Jayakumary M. HIV/AIDS awareness among lorry/truck /taxi/auto drivers. Int Conf AIDS 2004;1511-6.
6.Chaturvedi S, Singh Z, Banerjee A, Khera A, Joshi R K, Dhrubajyoti D. Sexual behavior among long distance truck drivers. Indian J Community Medicine 2006;31: 153.
Article citation:-
Raut et al. Knowledge Attitude and Practice regarding HIV/ AIDS among auto drivers in one of the urban area of India. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 June; 31(31): 1229-1232.
Copyright © 2013 Raut et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:-
*1Sushma Katkuri, 1Nithesh Kumar, 1Pravinpisudde, & 2Mallika Anjum
Affiliation:-
1Assistant Professor,2Final Year MBBS student, Department of Community Medicine, Deccan College of Medical Sciences, Hyderabad, India.
Abstract:
A study to determine awareness of pregnancy related complications among pregnant women in Esra Hospital in Hyderabad, India.
Background: Giving birth to an off-spring is the most beautiful experience for a woman. Yet in most of the world, pregnancy and childbirth is a tough journey. Every pregnant woman faces the risk of sudden, unpredictable complications that could end in death or injury to herself or to her infant. Aims & Objectives: To determine awareness of pregnancy related complications among pregnant women. Materials & Methods: A hospital based cross-sectional study was conducted in two hospital areas of Deccan College of Medical college, Hyderabad. The study was carried out in the month of May 2011-june 2011 for duration of 2 months. The study subjects were all pregnant women attending the Obstetrics and Gynecology OPD of Owaisi hospital and Esra hospital. Results: Only 10% were having knowledge about the high risk pregnancy. Anemia was seen in 68% of the selected subjects. Swelling over feet was noted in one fourth of respondents and blood pressure of 140/90mmHg and above was seen in 36% of the subjects. Conclusion: Lack of awareness about obstetric danger signs was related to low level of education about the danger signs of pregnancy.
Key Words:- Antenatal care, Danger signs, High risks, Pregnancy.
References:-
1.Ransom EI and Yinger NV. Making motherhood safer, overcoming obstacles on the pathway to care. Population reference Bureau, February 2002.Available at: http://www.prb.org/pdf/Mak MotherhdSafer_Eng.pdf.
2.United Nations Population Fund (UNFPA), Maternal Mortality Declining in Middle income Countries; Women Still Die in Pregnancy and Childbirth in Low-income Countries (Oct. 12, 2007), available athttp://www.unpf.org/news/news.
3.Roopa Bakshi, UNICEF unveils new tool to combat maternal mortality in India, UNICEF, Apr. 6, 2006, at http://www.unicef.org/infobycountry/india33208
4.U.N. Committee on the Elimination of All Forms of Discrimination Against Women (CEDAW Committee), Consideration of Reports Submitted by States Parties Under Article 18 of the Convention on the Elimination of All Forms of Discrimination Against Women, Initial Report of States Parties: India, para. 221, UN Doc .CEDAW/C/IND/1 (1999).
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10.Rizk MA, Abdel-Aziz F, Ashmawy AA, Mahmoud AA, Abuzeid TM Knowledge and practices of pregnant women in relation to the intake of drugs during pregnancy. The Journal of Egyptian Public Health Association1993; 68(5-6):567-91.
11.Zulfia Khan, Saira Mehnaz, Najam Khalique, Mohd Athar Ansari, and Abdul Razzaque Siddiqui. Poor Perinatal Care Practices in Urban Slums: Possible Role of Social Mobilization Networks. Indian Journal of Community Medicine. 2009 April; 34(2): 102–7.
12.Anya SE, Hydara A, Jaiteh LE. Antenatal care in The Gambia: missed opportunity for information, education and communication. BMC Pregnancy Childbirth. 2008 Mar 7;8:9. doi: 10.1186/1471-2393-8-9.
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Article citation:-
Katkuri Sushma et al. A study to determine awareness of pregnancy related complications among pregnant women in Esra hospital in Hyderabad, India. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 June; 31(31): 1250-1255.
Copyright © 2013 Katkuri Sushma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Case report:-
Serdar SARGIN1, Aziz ATİK1, Gökhan MERİÇ1, Ahmet Aslan2*& M.Nuri Konya2
Affiliation:-
1MD, Orthopaedics Surgeon; Balıkesir Universty, Medicine Faculty, Departmants of Orthopaedics and Traumatology. Balıkesir/TURKEY.
2MD, Orthopaedics Surgeon; Afyonkarahisar State Hospital, Departmants of Orthopaedics and Traumatology. Afyonkarahisar/TURKEY.
Abstract:- Coincidence of ipsilateral posterolateral elbow dislocation and distal radial fracture is very rare. Herein we present an 84-year-old female who had an unusual case of ipsilateral fracture of distal radius and posterolateral elbow dislocation. Closed reduction was immediately performed under sedation. A long arm cast was applied for immobilisation. In the sixth month, the patient regained full flexion-extension of the elbow and wrist, and full pronation-supination of the forearm. As we report good results of our patient, we can offer closed reduction and long arm cast for the treatment of İpsilateral posterolateral elbow dislocation and distal radial fracture.
Key Words:- Elbow dislocation, Distal radial fracture, Ipsilateral, Treatment.
References:-
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7.McKee MD, Bowden SH, King GJ, Patterson SD, Jupiter JB, Bamberger HB, Paksima N. Management of recurrent, complex instability of the elbow with a hinged external fixator.J Bone Joint Surg Br. 1998 Nov;80(6):1031-6.
8.Management of recurrent, complex instability of the elbow with a hinged external fixator. J Bone Joint Surg Br. 1998 Nov;80(6):1031-6.
9.Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am. 2002 Apr;84-A(4):547-51.
10.Konya MN, Aslan A, Sofu H, Yıldırım T. Biepicondylar fracture dislocation of the elbow joint concomitant with ulnar nerve injury. World J Orthop. 2013 Apr 18;4(2):94-7. doi: 10.5312/wjo.v4.i2.94.
Copyright © 2013 Aslan Ahmet et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.