International Journal of Contemporary Medical Research

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/158083

Editor-in-Chief: Dr. Devanand Gupta ISSN: 2393-915X Frequency: Quarterly Language: Half yearly Open Access Peer-reviewed journal Web site: https://www.ijcmr.com/

Browse

Now showing 1 - 20 of 888

An Early Year History of Biological Preparation of Silver Nanoparticles in West Bengal and their Antibacterial Activity: A Review
(International Society for Contemporary Medical Research, 2020-07) Shaw, Kartik; Mazumder, Sahana
Biologically prepared silver nanoparticles are in trend tobe used as antibacterial agents throughout the globe. Silvernanoparticles prepared from different biological sources havebeen tested against Staphylococcus aureus, Escherichia coli,and other clinical bacteria in West-Bengal also. The size, shapeand activity of the biogenic silver nanoparticles will varydepending upon the biological sources and its concentrationused for nanoparticle preparation. UV-Vis spectrophometry,Dynamic light scattering, FESEM, HRTEM are the techniqueswhich can be used for characterizing silver nanoparticles ofdifferent size and shape. From the history of last decade ofresearch upon silver nanoparticles’ green synthesis and itsantibacterial, antifungal, antilarval as well as anticancer agents,researchers used plant parts, fungus and bacteria as biologicalsources for the reduction of silver ions to silver nanoparticles.Which showed promising activity against different bacterialstrains, either procured from ATCC (American type culturecommittee) or from any clinical sources. When it comes toanalyse the activity of the prepared silver nanoparticles againstmultidrug-resistant (MDR) clinical bacterial strains, there arelesser evidences from West-Bengal. This review will work asa reservoir for biologically prepared silver nanoparticles inWest-Bengal in the last decade and will also help researchersto characterize biogenic silver nanoparticles
Critical Flicker Fusion Frequency: Effect of Age, Gender, Sleep and Display Screens
(International Society for Contemporary Medical Research, 2020-06) Kaur, Vishavdeep; Lily Walia; Singh, Randhir
Introduction: The rate at which a successive light stimulusappears to be steady and continuous is called as the criticalflickering fusion frequency (CFFF). It is expressed in Hzand is referred to as the threshold frequency. It providesthe information about CNS activity and arousal as well asmeasures the discrete sensory events happening in the centralnervous system. To perceive the flickering light eye and brainhave to work simultaneously and have to act together. TheCFFFR was measured using critical flicker fusion apparatus.The study aimed to measure critical flicker fusion frequencyand to measure the effect of age, gender, sleep and displayscreens on critical flicker fusion frequencyMaterial and methods: The study was done in the departmentof Physiology, Maharishi Markandeshwar Medical Collegeand hospital, Solan, HP after taking institutional ethicalcommittee clearance. A total of 1000 apparently healthysubjects were recruited from the institute which included thestudents, faculty, non teaching staff and nursing staff. Criticalflicker fusion frequency was measured using Flicker Fusionapparatus (FF-705): Medicaid Ambala.The critical flickerfusion frequency threshold was noted after explaining theprocedure in their native language and obtaining consent. Thedata collected was analyzed stastically.Results: We found a significant difference in the values ofCFFFR between the younger age group and among the olderage group. CFFFR and age are indirectly proportional toeach other with increase in age there is decrease in the valueof CFFFR. The value of CFFFR was found to be higher inindividuals with a normal sleep pattern and duration comparedto those having less sleeping hours Inadequate sleep also hasbeen shown to decrease the motor functioning, decreasedlearning ability, poor productivity and shortened memory.CFFFR was higher in individuals playing games compared tothose who were using display screens normally, in addition toit those individuals who were playing instructive games had ahigher CFFRT than those playing quest games.Conclusion: In this study we measured the critical flickerfusion and the factors that have a role in increasing ordecreasing the CFFFR threshold. A simple and non invasiveprocedure helps in finding the harmful effects of variousfactors like age gender sleep disturbances or over usage ofdisplay screens on retina and central nervous system.
Neonatal Sepsis: The Alarm Bell is Ringing Loud!
(International Society for Contemporary Medical Research, 2020-07) Jha, Girijanand; Keshav, Krishna; Singh, Binod Kumar; Kumar, Saroj; Prakash, Arunika
Introduction: Neonatal sepsis remains an important causeof neonatal mortality and morbidity despite the tremendousadvances in the field of neonatology over the last two decades.Current research aimed to study the profile of neonatal sepsis& its antimicrobial sensitivity pattern.Material and methods Two year prospective observationalstudy was conducted at NICU of NMCH Patna from May2018 to April 2020. Neonates with clinical diagnosis ofneonatal sepsis as per IMCI and WHO clinical criteria forneonatal sepsis and/or >2 risk factors associated with EONSwere enrolled in study.Results: Out of the 341 cases enrolled, blood culture waspositive in only 130(38%). Incidence of EONS was 67%and that of LONS was 33%. Majory of the septic neonateswere preterm (64%). 55% of such neonates were of malesex. Gram negative bacteria accounted for 55% of all cases,61% of EONS and 44% of LONS cases. The most commonisolate was Staph. aureus closely followed by Klebsiella sp.Gram negative bacteria, esp. Klebsiella had a high incidenceof resistance to the empirical antibiotic used and to most ofthe commonly used antibiotics. Culture positive group had asignificantly higher mortality as compared to culture negativegroup(p<0.001).Conclusion: Blood culture though gold standard was notpositive in majority of the cases. Neonatal sepsis was morecommonly associated with prematurity. Gram negativeorganisms were the commonest etiologic agents. Emergenceof strains resistant to even the newest antibiotics poses a greatconcern.
Prevalence of Non-albicans Candida and its Antifungal Susceptibility at a Tertiary Care Hospital, Jaipur
(International Society for Contemporary Medical Research, 2020-07) Chaudhary, Preeti; Singla, Ashina; Mamoria, Ved Prakash; Mittal, Sonali; Bacchani, Daisy
Introduction: Acute appendicitis is one of the most commonsurgical emergencies. Accurate diagnosis of acute appendicitisneeds careful history, and physical evaluation, as the diagnosisis primarily clinical.Material and methods: A cross sectional study was done in50 patients who underwent emergency appendicectomy foracute appendicitis in a medical college hospital in Shimla.The aim was to study the clinical profile of patients with acuteappendicitis and compare it with the existing literature.Results: Mean age of patients was 26.48 (± 12.28) years.Out of 50 patients, 29 (58%) were males and 21 (42%) werefemales, so male predominance was seen in the present study.Most common complaints were pain in the right iliac fossa(100%), nausea and vomiting (82%), anorexia (80%), andmigration of pain (70%). Tenderness in right iliac fossa waspresent in all patients in our study (100%), while reboundtenderness (70%), guarding (64%), rigidity (6%), Rovsingsign (36%), Psoas sign (46%), Obturator sign (22%), andDunphy sign (60%), respectively.Conclusions: Acute appendicitis is more common amongmales than females, and between 10- 30 yrs of age. Themost common presenting features were pain abdomen,anorexia, nausea, and vomiting. The most common signs weretenderness, rebound tenderness and guarding. The rate ofaccuracy of clinical examination was 86%
Photostress Recovery Time in Males: Alcoholics vs Non Alcoholics
(International Society for Contemporary Medical Research, 2020-06) Kaur, Vishavdeep; Walia, Lily
Introduction: The photostress recovery test (PSRT), dependson resynthesis of visual pigments and measures the time torecover after bleaching due to light exposure. Abnormalrecovery times in retinal diseases or toxicity suggests thatthe pathology in these conditions involves the outer layerof the retina or the pigment epithelium. Aim: 1) To measurephotostress recovery time in chronic alcoholics males; (2)To measure photostress recovery time in apparently healthymales; (3) To compare photostress recovery time in apparentlyhealthy males and chronic healthy malesMaterial and methods: Photostress recovery time wasrecorded using Photostress Recovery Tester (GT – 991Medicaid: Chandigarh). The subject was presented with ahigh beam of light focused on the eyes of subjects for shortand fixed period of time. As soon as light stimulation wasover, a word was displayed on screen for subject to read andautomatically the clock started counting in seconds. Whenthe subject recognized the word displayed he pressed the stopbutton on the remote control and read it out aloud, the clockstopped counting and word disappeared.Result: The p-value was statistically significant with a valueof 0.003 showing a comparable difference of PSRT in groupI and group II.Conclusion: Alcohol predisposes nervous tissue to injury viamultiple mechanisms, including the development of oxidativestress. Retina is another among the vulnerable area for redoxchanges caused due alcohol intoxication, with lower thresholdlevels of ethanol tolerance.
Study on Demographic Correlates of Corneal Ulcer among Patients Attending the Tertiary Care Hospital of Jharkhand
(International Society for Contemporary Medical Research, 2020-07) Lakra, Marianus Deepak; Pathak, Anuj Kumar; Kumari, Puspa; Murmu, Sarojini
Introduction: Corneal ulcer is one of the important causesfor ocular morbidity in India. Early presentation with promptdiagnosis and treatment result in good visual rehabilitation.Aim: The aim of this study was to assess the etiology ofcorneal ulcer among patients attending the tertiary careteaching hospital of Jharkhand.Material and Methods: This was a prospective observationalhospital-based study conducted at the Department ofOphthalmology, at a tertiary care hospital, in Jharkhand.Data related to socioeconomic status, predisposing factor,and course of disease was collected. Results were analyzedon the basis of history, slit lamp examination, and appropriatelaboratory investigation.Result: During the study period of one year, 1013 patientswith the clinical diagnosis of corneal ulceration wereevaluated, mean age of the patient was 53 years and majorityof patients of infectious keratitis were in between 46 and 60(45%) age group. Incidence in male was higher than (59%)that of female. The left eye was more commonly involved(53%) as compared to the right eye (47%). Farmers (47%)followed by Industrial worker (27%) were most commonoccupation involved. Incidence of fungal keratitis (42%) washigher than bacterial (31%) and viral (11%).Conclusion: Proper diagnosis and management of cornealulcer is very much necessary among exposed population.Incidence of fungal corneal ulcer is very high amongagriculture and industrial workers and lack of awareness andpoor treatment leads to corneal blindness. Use of protectiveeye wear, masks and face shields may play a key role inprevention of the disease
Bilateral Optic Neuritis in a Child with Typhoid Fever – A Rare Case Report
(International Society for Contemporary Medical Research, 2020-07) Baruah, Mamoni; Agarwalla, Vijaya; Das, Deba Pratim
Introduction: Post Typhoid Immune mediated Bilateraloptic neuritis is a rare sequelae that requires a high indexof suspicion by an ophthalmologist and early institution ofappropriate treatment.Case report: A 5year old child diagnosed with Typhoidfever for 3 weeks was admitted in department of Pediatrics& presented to us with sudden painless loss of vision inboth eyes for 2days. PL was denied in both eyes. Fundusexamination showed blurring of disc margin, oedema andhyperemia of disc both eyes with optic disc hemorrhagein right eye. She was started on steroid therapy followingwhich marked improvement in BCVA in both eyes wasseen.Conclusion: Post Typhoid Immune mediated optic neuritisrequires early diagnosis and steroid therapy that help inimprovement of symptoms and prevention of visual loss.
A Study of the Clinical and Epidemiological Profile of Patients with Congenital Dacryocystitis
(International Society for Contemporary Medical Research, 2020-07) Husain, Shahbaz; Gupta, Rajiv Kumar; Lakra, Deepak
Introduction: The most common functional abnormality ofthe infant’s lacrimal apparatus is the congenital blockage ofthe nasolacrimal duct. Non-canalisation of the duct, presenceof epithelial debris, mucous plug and bony occlusion are someof the possible causes of blockage. This was a prospectivestudy to identify the etiological agents, predisposing factorsand clinical profile of patients with congenital dacryocystitis.Material and Methods: A prospective observationalhospital based study was conducted on 72 eyes of 61 childrenpresenting with congenital dacryocystitis, in the age group 0-4years, attending the ophthalmology outpatient department in atertiary care teaching hospital.Results: Congenital dacryocystitis was common in agegroup of 0-3 months (31.15%). The incidence of disease inage group 4-6 months was 24.59% and 7-12 months was13.11%. 55.74% of males were affected. 83.61% of patientshad unilateral congenital dacryocystitis. 80.33% of thechildren had a normal delivery. 66.66% of cases presentedwith epiphora and discharge. 31.95% of cases presented withepiphora only. Epiphora with mucopurulent discharge was themost common presentation. Regurgitation test was positive in88.89% of cases. The nature of regurgitate was mucopurulentin 42.19% of cases.Conclusion: Congenital dacryocystitis usually presents at anearly age with epiphora and mucopurulent discharge. Earlydiagnosis helps in management.
Perception of Laypersons to Appearance of Orthodontic Appliances their Acceptance and Value for Money: A Questionnaire Study
(International Society for Contemporary Medical Research, 2020-07) Nandeshwar, Nivedita; Banerjee, Sujoy; Shenoy, Usha; Hazare, Ananya; Karia, Himija; Kholgade, Pritam; Bhattacharya, Sangeeta
Introduction: Orthodontic market has experienced remarkableevolution in the development and creation of orthodonticappliances that are designed to appeal the patients. With theadvent of newer technology like invention of CAD-CAMthe brackets travelled its life from a bulky metal appliance,to aesthetic brackets (ceramics and plastic brackets), lingualbracket systems and finally bracket-less approach (Invisalignand Clear Path). This, although enhanced the aesthetic aspect,but lost its dexterity to the common man due the increasingtreatment cost (Value). Study aimed at evaluation of Perceptionof Laypersons to Appearance of Orthodontic Appliances, theirAcceptance and value for money.Material and methods: A sample of 200 laypersons wereselected by simple random sampling. A questionnaire wasframed for evaluation of attractiveness, acceptability andvalue of orthodontic appliances as grouped from group 1 togroup 6 and distributed amongst laypersons. The statisticalanalysis was done using the Statistical Package for the SocialScience (SPSS version 22, Armonk, NY: IBM Corp) andDescriptive statistics were performed.Result: The attractiveness and acceptability of appliances goin favour of ceramic brackets with aesthetic arch wire andaesthetic ligature ties.Conclusion: But the practical acceptability of appliancesbased on three parameters conclusively favour ceramicbrackets with standard arch wire and metal ligature ties whichfulfils both the aesthetics and cost effectiveness.
Penetrating Chest Trauma with Iron Rod In-situ: A Surgical Challenge
(International Society for Contemporary Medical Research, 2020-06) Das, Narendra Nath; Lakhotia, Siddharth; Akanksha
Introduction: Chest trauma both blunt and penetratingconstitutes 10-15% of all traumas and 25% of all deaths fromtraumatic injuries.Case report: We present a case of penetrating right chesttrauma following road traffic accident (RTA) with big metallicrod in-situ, entering from right axillary region and coming outfrom posterior chest wall. The force of impact was so severethat the heavy iron rod got bent upon itself making its removala surgical challenge.Conclusion: In cases of penetrating chest trauma earlyassessment, accurate diagnosis, and rapid transport with noattempt to remove the penetrating foreign body and meticulousplanning play key role in its successful management.
Hyperventilation Syndrome
(International Society for Contemporary Medical Research, 2020-07) D., Satyanarayana; N., Anusha; Bhagawan, R.
Introduction: Hyperventilation syndrome refers to acollection of physical and emotional symptoms, broughtabout by hyperventilation. Though it is a relatively commonpresentation to the emergency department, there are only a fewstudies on hyperventilation syndrome (HVS) especially fromIndia. This study aims at studying the factors associated withhyperventilation syndrome in the current study population.Material and methods: A cross sectional study wasconducted on 83 patients with HVS. Patient responses wererecorded on Nijmegen questionnaire and Perceived stressscale and analyzed with descriptive statistics.Results: Study population included 83 patients, 78.32% ofthe populations were females and 21.68% were males. Themean age of the population is 19.28 years. 66.26% wereadolescents, 81.92% are students and 68.67% were residingin hostel. 12.05% had previous episodes of hyperventilation.Carpo-pedal spasm was the presenting symptom in 40.96%population and exams were the cause of stress for 32.5%population. The mean score on perceived stress scale is 24.92.59.03% had moderate and 38.55% had severe stress as perscores on perceived stress scale.Conclusion: High student population presenting with HVSand exams being the precipitating stressor, high scores onperceived stress scale emphasizes the need to address the needfor stress free curriculum and greater insights in to the issue.
Real World Study to Evaluate Effect of SGLT2 Inhibitor Dapagliflozin on Markers of Macro and Micro Vascular Complications as add on Treatment in Type 2 Diabetes Patients
(International Society for Contemporary Medical Research, 2020-07) Guha, Shaibal
Introduction: In patients with type 2 diabetes mellitus,dapagliflozin, the sodium–glucose cotransporter 2 inhibitorhas been shown to improve diabetic control and reduceblood pressure. The main objective of the study is to evaluateefficacy of SGLT2 inhibitor dapagliflozin on markers of macroand micro vascular complications as add on treatment in type2 diabetes patients in real world set up.Material and methods: This was an observational studydone in real world set up. 87 patients were initially selectedamong whom 5 patients were lost in follow up and 2 patientswere excluded as they discontinued the study medicine. 80patients who received dapagliflozin 10 mg once daily for 24weeks in addition to metformin 1000 mg and glimepiride2 mg combination. Changes in both systolic and diastolicblood pressure, HbA1c (Glycated haemoglobin), fasting andpostprandial plasma glucose, lipid profile (including Totalcholesterol, Triglycerides, LDL and HDL cholesterol), serumcreatinine, serum microalbuminuria, eGFR and HOMA IRwere noted. All pathological test was executed at NABLaccredited lab.Results: After 24 weeks from baseline there was almost1.4% reduction in HbA1c. Fasting and post prandial bloodglucose was significantly reduced within 24 weeks. HOMAIR was significantly changed. No marked changes were seenin serum creatinine, microalbuminuria and eGFR. There wasa favorable reduction in lipid profile.Conclusion: Dapagliflozin has a very potent glycemic effectand has a significant impact on markers of macro and microvascular complications as add on treatment in type 2 diabetespatients. In conclusion it can be stated that early addition ofdapagliflozin therapy not only helps T2DM patients to achievetheir glycemic control but also prevents further macro andmicro vascular complications by reducing markers and riskfactors.
Clinico- Epidemiological Profile of Acute Appendicitis in a Tertiary Care Hospital in North India
(International Society for Contemporary Medical Research, 2020-07) Kumar, Rajesh; Chauhan, Renu
Introduction: Acute appendicitis is one of the most commonsurgical emergencies. Accurate diagnosis of acute appendicitisneeds careful history, and physical evaluation, as the diagnosisis primarily clinical.Material and methods: A cross sectional study was done in50 patients who underwent emergency appendicectomy foracute appendicitis in a medical college hospital in Shimla.The aim was to study the clinical profile of patients with acuteappendicitis and compare it with the existing literature.Results: Mean age of patients was 26.48 (± 12.28) years.Out of 50 patients, 29 (58%) were males and 21 (42%) werefemales, so male predominance was seen in the present study.Most common complaints were pain in the right iliac fossa(100%), nausea and vomiting (82%), anorexia (80%), andmigration of pain (70%). Tenderness in right iliac fossa waspresent in all patients in our study (100%), while reboundtenderness (70%), guarding (64%), rigidity (6%), Rovsingsign (36%), Psoas sign (46%), Obturator sign (22%), andDunphy sign (60%), respectively.Conclusions: Acute appendicitis is more common amongmales than females, and between 10- 30 yrs of age. Themost common presenting features were pain abdomen,anorexia, nausea, and vomiting. The most common signs weretenderness, rebound tenderness and guarding. The rate ofaccuracy of clinical examination was 86%.
Being Evaluator of Peer in Physiology Practical - Does it Improve Academic Performance of Students? – A Pilot Study
(International Society for Contemporary Medical Research, 2020-06) Sidharthan, Anita; M, Karthika
Introduction: In Physiology practical examination, studentsoften don’t realize what is lacking in their answers. Thispilot study makes students, the evaluator for their own peers,with guidance of key, helping them realize shortcomings inanswers of peers and in the process help to improve their ownperformance.Material and methods: Consenting first MBBS students atGovernment T.D. Medical College, Alappuzha, attended thequestionnaire based sessions; 3 Pretests each for Haematologyand Clinical experiments. Ten questions were answered aspretest by students, key discussed by investigator, alongsidestudents evaluated answer papers of their peers, later evaluatedby teacher also. Post tests were conducted and evaluated byteacher alone.Results: The average Pretest scores of students remainedsignificantly higher than teacher, in spite of guidance usingprovided key with marks distribution (Paired t test, p<0.001). Different students had attended different sessions socomparisons for improvement from Pre test to Post test wereinconclusive. Depending on session attended by student,either initial (end of section) or later (end of study) Post testor average of both was taken as Post test score. This whencompared with Pretest score of Teacher/ Student, showed nosignificant improvement.Conclusion: Peer evaluation scores by student are higher,though under guidance. As same students did not attend allthe successive pretest sessions, actual comparisons wereinconclusive and the expected improvement was not seenin post test scores. So before and after comparison for eachsession, is recommended to pursue actual improvements insuch educational studies involving peer assisted learning.
Awareness of Diabetes Mellitus & Its Complications in Southern Part of Assam
(International Society for Contemporary Medical Research, 2020-07) Khopkar, Tejas P.; Das, Dwijen
Introduction: Diabetes Mellitus prevalence is high in Indiaand is increasing every year, with strain on the economy formanagement of this disease and its complications. As the dataon the level of awareness and knowledge about diabetes isscarce, this study was done.Material and methods: It is a cross-sectional study conductedon 182 diabetic patients attending a tertiary care teachinghospital of north eastern India, over a period of two months,using questionnaire. The clinical and non-clinical data weretabulated and quantitative data expressed as percentage.Results: Among 182 diabetics, 43.96% patients knew aboutthe cause of DM, 25.27% knew polyuria as its symptom, 45%patients had an idea of blood sugar testing, 19.23% knewabout its management and 27.47% answered loss of visionas its complications. Majority patients, 58.79%, weren’tcounselled about the disease.Conclusions: Knowledge and awareness about DiabetesMellitus was poor in present study population. Hence it isimportant to extend the diabetic health programs with propercounselling in mass campaigns to improve their knowledgeand thus prevent complications.
Self-Reported - Problematic Smartphone Usage: A Cross Sectional Study
(International Society for Contemporary Medical Research, 2020-07) N., Anusha; D., Satyanarayana; Bhagawan, R.
Introduction: The number of smartphone users in India isshowing a rapidly increasing trend in the last few years. Theexpected user base is nearly one in three by 2021 in India.The evidence on compulsive smartphone use is growingmaking it an addiction along with raising concerns on othermental health issues. The current study aimed to find out theextent of problematic smart phone usage and various variablesassociated with smart phone addiction in the study population.Material and methods: A cross-sectional study wasconducted on 186 participants. Responses were recordedonline through a questionnaire on SAS-SV and analyzed bydescriptive statistics.Results: Study showed 24.2% (45 participants) of studypopulation have smart phone addiction. Male gender, earlyexposure to smart phone, low income, and residence in a citypredicted problematic smart phone usage.Conclusion: People across ages, residence, occupation, andsocial strata are involved with smart phone with one in fourbeing problematic smart phone users.
Prevalence of Hypertension Among Resident Doctors of Clinical Departments in a Tertiary Care Hospital in North-Eastern Region of India
(International Society for Contemporary Medical Research, 2020-07) Shira, Jacquiline D; Das, Dwijen; Bhattacharjee, Prithwiraj
Introduction: Hypertension is a global pandemic andrising every year. Detection of hypertension among doctorsis of utmost importance as hypertension is one of the majorcauses for diseases like chronic kidney disease, stroke, heartfailure and there is paucity in the studies done on doctors forprevalence of hypertension in India. Objective: The studywas undertaken to estimate the occurrence of hypertension inresident doctors of the clinical departments of a tertiary carehospital of northeastern India.Material and methods: It is a hospital based cross-sectionalstudy, conducted in the Department of General Medicine,Paediatrics and General surgery of tertiary care hospital ofnortheastern India including 100 doctors participants. Datalike age, height, weight, family history, smoking history weretaken. Blood pressure was measured on two occasions, oneon an emergency day and another on a non- emergency day.Statistical analysis: Data entry was done and evaluated usingMicrosoft Excel 2010 and IBM SPSS statistics 20.Results: The prevalence of hypertension and prehypertensionamong the doctors was found in 36% and 13% respectively,on an emergency day. This huge number of hypertension wasreduced to 19% when BP was taken on a non- emergency day.There was also significant positive relation between smokingand mean systolic BP (p-value <0.05).Conclusion: The prevalence of hypertension among doctorsis no less than the general population. Stress like emergencyduties may be an important factor of higher prevalence ofhypertension in doctors. There is a need of changes in lifestylefor better future for doctors and hence for the population.
Occupational Health: A Special Reference to Lung Disease in Petrochemical, Metal and Building Material Industrial Workers in Melur Taluk Madurai District
(International Society for Contemporary Medical Research, 2020-07) R., Rahamath Nisha; V., Saravanabavan
Introduction: Occupational health refers to the identificationand control of the risks arising from physical, chemical, andother work place hazards in order to establish and maintaina safe and healthy working environment. Occupationalrespiratory disease is any lung condition humans get atwork. Certain work places lend themselves to disease. Themost common are coalmines and factories or areas with highamounts of toxic. Melur taluk located in the north easternpart of Madurai district was chosen as the study area. Thestudy particularly attempted to determine whether individualsworking in the metal and building material industries are athigher risks of air-related health effects as compared to thosein other industries.Material and Methods: The two important techniques usedin the present study are statistical techniques and cartographicinterpretation. It includes mapping of the study area usingthe GIS soft ware. For the primary data, the design involved,comprising a sample of 150 workers (study participants) fromthe metal, non-metal industries and Petrochemical Industrialworkers. The factor analysis a well known techniques wasused in the present study to analyze the occupational health inthe work environment in Melur taluk.Results: Lack of using protective measures leads to respiratorydisease infection, Smoking habits worsen the health ofworkers. Workers who are working for a long duration (morethan 8 hours) without any protective measures diagnoserespiratory infection and most of this infected workers are inthe age group of above 40.Conclusion: The types of industry determine respiratoryinfection. Workers in metal and building material industrieshighly infected by respiratory infection than petrochemicalindustry. Educated people have knowledge about respiratoryinfection they use protective measures and they do not haveany respiratory infection and most of them are working inmanagement department.
Bilateral Pheochromocytoma Masquerading as Acute Severe Congestive Heart Failure in a Juvenile Male Subject: A Case Report and Review of Literature
(International Society for Contemporary Medical Research, 2020-07) Sood, Mona; Ganie, Mohd Ashraf
Introduction: Pheochromocytomas are rare neuroendocrinetumours of the adrenal medulla that do not always presentwith classical triad of headache, palpitations and diaphoresisalong with paroxysmal or sustained hypertension. Herein wepresent a case of young boy with pheochromocytoma whopresented initially with congestive cardiac failure with noother significant manifestation.Case report: A 17 -year-old boy was admitted in ouremergency with 2 months history of unevaluated headacheand one day history of breathlessness along with syncopalattacks. His initial clinical evaluation was suggestive ofcongestive cardiac failure (CCF) with hypotension. Afterinitial stabilization he was shifted to intensive care unit (ICU)where his echocardiography revealed dilated cardiomyopathywith severe mitral regurgitation. Because of young ageof presentation and no past significant medical historyneuroendocrine cause for cardiac illness was suspected.Further investigations revealed grossly elevated levels ofnormetanephrines in 24-hour urine collection. Imaging studiesincluding ultrasonography followed by computed tomographyof abdomen and I123 MIBG confirmed presence of bilateralpheochromocytoma. An open bilateral adrenalectomywas performed successfully after initial stabilisation.Patient was discharged after one-month postoperative care.Patient is presently in our follow up on low dose steroids,mineralocorticoids along with betablocker and has shownmarked improvement in biochemical and clinical parameters.Conclusion: Pheochromocytoma though a rare catecholamineproducing tumour but if not timely intervened can lead tolife-threatening consequences. Our case report highlights theimportance of high clinical suspicion of pheochromocytomaeven in young adolescent patients who present first time withacute severe CCF with dilated cardiomyopathy
Isolated Psoas Abscess due to Mycobacterium Tuberculosis
(International Society for Contemporary Medical Research, 2020-07) Açar, Pelin; Ziyadanoglu, Pınar; Kula, Atay Can; Ataoğlu, Hayriye Esra
Introduction: Psoas abscess is a collection of pus in theiliopsoas. It was divided into two groups as primary andsecondary according to their origin. The most commonbacterial cause is Staphylococcus aureus, includingmethicillin-resistant S. aureus (MRSA). MycobacteriumTuberculosis is a rare cause of psoas abscess.Case report: In this case, we aimed to show psoas abscessdue to Mycobacter tuberculosis in a case who presented tohospital with nonspecific symptoms and weight loss.Conclusion: It is more common in underdeveloped anddeveloping countries. Symptoms and signs of psoas abscessinclude back or flank pain, fever, inguinal mass, limp,anorexia, and weight loss. The presenting symptoms may benonspecific.

Browse

Recent Submissions