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Research article:-
Dr.Girishbabu R J1*, Dr.Prakash R1 & Dr.Prashanth H V2
Affiliation:- 1 Assistant Professor, 2 Professor ,Department of Microbiology, Sri Siddhartha Medical College, Tumkur- 572107, Karnataka, India.
Abstract: Background: Urinary tract infections are among the most common bacterial infections that lead patients to seek medical care. The incidence of extended spectrum beta lactamase producing Escherichia coli and Klebsiella pneumoniae have been steadily increasing over the past few years resulting in limitation of therapeutic options. Aims & Objectives: The aim of the study was to isolate, identify and to establish the antimicrobial susceptibility pattern of the pathogens responsible for urinary tract infections and also to determine the extended spectrum beta lactamase production of Escherichia coli and Klebsiella pneumoniae. Settings and design: Hospital based Prospective study. Materials & Methods: The study includes 3060 clinically suspected cases of urinary tract infection over a period of one year. Isolates were identified by conventional methods. Isolated Escherichia coli and Klebsiella pneumoniae which showed resistance to cefotaxime and ceftazidime were tested for extended spectrum beta lactamase production by phenotypic confirmatory test as proposed by the Clinical and Laboratory Standards Institute document. Statistical Analysis: The results were analyzed using mean, median and Chi-square (χ2) test. Results: Of the 3060 urine samples processed 990 (32.35%) samples yielded various bacterial isolates. Extended spectrum beta lactamase production was observed in 174 (38%) of Escherichia coli isolates and in 102 (42%) of Klebsiella pneumoniae isolates. Conclusion: Our results showed Escherichia coli as predominant organism, followed by Klebsiella pneumoniae causing urinary tract infection. Klebsiella pneumoniae were found to be more extended spectrum beta lactamase producer when compared to Escherichia coli.
Key Words:- Escherichia coli, Extended Spectrum Beta Lactamase, Klebsiella pneumoniae, Urinary tract infection.
References:-
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Copyright © 2013 Girishbabu R J, Prakash R & Prashanth H V. 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.
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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.
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:-
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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
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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.
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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.
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:-
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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:-
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.
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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.