International Journal of Integrative Medical Sciences

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/158098

Editor-in-Chief: Dr. Vijay Kumar Narayana
ISSN: (Print)2394-6318 (Online) 2394-4137

Frequency: Monthly

Language: English

Open Access Peer-reviewed journal

Web site: https://imedsciences.com/

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Study Of Intra Ocular Pressure In Patients With Type 2 Diabetes Mellitus Of Udaipur District, Rajasthan, India
(IMed Research Publications, 2019-03) Samar, Rajendra Kumar; Sisodiya, Rishendra Singh
Background: Intraocular pressure constitutes the most important risk factor for the emergence of glaucoma, apathology often associated with diabetes mellitus.Objective: The purpose of the study was to analyze the relationship between intraocular pressure and type 2diabetes mellitus and to investigate the effects of chronic hyperglycaemia on the intraocular pressure (IOP).Materials and Methods: We prospectively measured the IOP by applanation tonometry in 100 patients with type2 diabetes (Group I) and in 100 Normal subject as a control(Group II). The glycosylated haemoglobin (HbA1c)levels of the subjects with diabetes were determined and based on that, they were divided into 3 subgroups asgroup Ia with HbA1c levels of < 7% (n = 40); group Ib with HbA1c levels of 7 to 8.0%(n = 32); and group Ic withHbA1c levels of > 8.0% (n = 28 ) All the data were expressed as means ± standard deviations.The statisticalanalysis was performed by the Student’s t test. The correlation between HbA1c and IOP was analyzed by thePearson’s correlation coefficient. A p value of < 0 .05 was considered to be significant.Results: We observed that the IOP values were higher in the subjects with diabetes (Mean = 21.50 ± 3.50) than inthe age and sex matched control groups. The mean IOP in the groups Ia, Ib and Ic were 16.32 ± 2.10 , 20.54 ± 2.50mm Hg, and 21.95 ± 3.20 mm Hg respectively. The difference in the IOP between the groups Ib and Ic was found tobe statistically significant (P = .001)Conclusion: Diabetic subjects with elevated HbA1c levels exhibited significantly higher IOPs compared to thosewith lower HbA1c levels. Findings from this study indicate an association between hyperglycemia and elevatedIOP and that poor glycemic control may contribute to increased IOP levels in long-term diabetic patients.
Comparative Study To Assess The Role Of Yoga Practice On Blood Glucoselevels Of Diabetes Mellitus Type 2 Patients In Tertiary Care Institution, Tirupati
(IMed Research Publications, 2019-02) Poojasri; M., Sharan B Singh
Introduction: Diabetes mellitus is plausibly one of the earliest diseases known to mankind. Effect of yoga as an intervention in the treatment of diabetes mellitus varies widely. While many researchers conceptualize yoga as a form of physical activity others argue that yoga is a holistic intervention incorporating body postures (asanas), breathing techniques (pranayamas),meditation, cleansing, modification of attitudes and behavior and mental discipline.Materials and Methods: A Comparative study was conducted among Diabetes Mellitus Type 2 patients visiting the endocrinology outpatient department in a tertiary care institution in Tirupati. The study group consists of 30 patients who were practicing yoga and the control group consists of 30 patients who were not practicing yoga. Data collection was done by questionnaires on the sociodemographic profile, diabetic history, yoga practice, and their blood glucose levels (fasting blood glucose, post prandial blood glucose) were recorded before and after the study period.Results: The blood glucose levels in the study group were lower when compared to those of the control group both before and after the study period. In our study yoga is not taken as an intervention, but the comparison was done between yoga practicing and not practicing groups.Conclusions: Yoga is effective in controlling blood sugar levels in patients with type 2 diabetes mellitus, it can be practiced as an adjuvant to conventional treatment with anti- diabetic medication.
Relationship Of Blood Pressure With Qtc Interval And C-Reactive Protein
(IMed Research Publications, 2019-03) M, Karthik; M., Mahantha
Background: C-reactive protein (CRP) is a systemic inflammatory marker used extensively. QTc interval representsboth ventricular depolarization and repolarization. Hypertension is one of the foremost leading causes ofmorbidity and mortality globally.Objectives: To explore the relationship of systolic blood pressure with QTc interval and CRP levels. Likewise toinvestigate the association of diastolic blood pressure with QTc interval and CRP levels.Materials and Methods: The study was carried out on 100 randomly selected subjects in the age group of 20-45years. Both genders were included. Hypertensive subjects on treatment were also included. Three records ofblood pressure in the supine position were obtained with 2 minute interval between each and average wasconsidered. QT interval and RR interval were measured from standard 12 lead electrocardiogram (ECG). Tangentmethod was used for QT interval and later it was corrected for heart rate to arrive at QTc interval using Bazett’sformula. CRP levels were obtained using high sensitivity (hs-CRP) assay kits.Results: There was a positive and significant association for systolic blood pressure with both QTc and CRP.Likewise we also found a positive and significant association for diastolic blood pressure with both QTc andCRP.Discussion: The inflammatory modulatory processes are altered in hypertension, thereby increasing CRP levels.CRP increases endothelin-1 and reduces nitric oxide leading to vasoconstriction and hypertension. Further CRPcauses autonomic imbalances by increasing sympathetic activity that lead to hypertension and indirectlyprolonging QTc interval. QTc interval is also lengthened by left ventricular hypertrophy as a complication ofhypertension.Conclusion: Hypertension with left ventricular hypertrophy can cause cardiac arrhythmias and sudden cardiacdeath. This may be prevented by early detection of high risk hypertensive subjects or even those prone todevelop hypertension using QTc and CRP indicators. Further these markers are cheap and widely used and theyprovide valuable diagnostic and prognostic features especially in developing countries like India.
A Comparative Study Of Heart Rate Variability In Middle Aged Obese Male And Non Obese Male
(IMed Research Publications, 2019-02) Singh, Akhilesh Kumar
Objectives: Obesity is on the rise in our country once viewed as a sign of prosperity it is a contributing factor to diseases. The purpose of this study is to see whether obesity has an effect on the heart rate of the subject by comparing and possibly contrasting the heart rate variability in obese and non-obese males.Materials and methods: Out of 100 participants, 50 healthy male obese (BMI >25kg/m2) individuals and 50 healthy male non-obese individuals (BMI <25kg/m2) of age group 35yrs-55yrs were taken from the general population. The ECG was recorded and HRV were derived from it. Results were compared by using independent ‘t’ test and Pearson’s correlation test was done for BMI and HRV. P < 0.05 was considered as significant.Results: HRV parameters and heart rate between the two groups LF, HF and HFnu, was found to be significantly reduced and LFnu and LF/HF was found to be significantly higher in obese persons. The correlation of BMI with the parameters such as ratio of LF/HF, normalised units of LF and HF revealed a significantly negative relation with HFnu. A positive relationship was also observed between LFnu and LF/HF ratio. However, it was statistically not significant.Conclusion: The middle aged obese males had reduced parasympathetic activity associated with elevated sympathovagal modulation. This altered balance of the autonomic nervous system increases the risk of cardiovascular disorders.
An Observational Study Of Cardiac Involvement In Copd Patients And It’s Correlation With Severity Of The Disease
(IMed Research Publications, 2020-04) Shinde, Prapti; Khare, A. B.; Waghmare, Manoj; Waran, Marcia; Tyagi, Arun
Introduction: The association of type 2 diabetes mellitus and thyroid dysfunction is well known. Thyroid dysfunction especially subclinical hypothyroidism has been reported to be a risk factor for sight threateningdiabetic retinopathy. Therefore, it is of importance to investigate the determinants of clinical and subclinicalhypothyroidism in patients with diabetic retinopathy. This study was aimed to investigate the effect of hypothyroidism on diabetic retinopathy and the determinants of hypothyroidism.Aims: To study the association of hypothyroidism and diabetic retinopathy and its effect on severity of retinopathy in type 2 diabetes and investigate the determinants of hypothyroidism in patients with diabetic retinopathy.Subjects and methods: A cross sectional study conducted on one hundred patients of type 2 diabetes withdiabetic retinopathy. They were evaluated for status of diabetes control, thyroid function, lipid profile andretinopathy grade. Those found to have clinical and subclinical hypothyroidism were analyzed for variousclinical and biochemical parameters for possible determinants of thyroid dysfunction.Results: There were seventy-four euthyroid patients and eighteen with subclinical hypothyroidism and five withclinical hypothyroidism. Patients with subclinical hypothyroidism had severe form of retinopathy (61.11%versus 32.43%). The odds of having a subclinical hypothyroidism in patients with severe form of diabeticretinopathy was found to be significant (OR 3.23; p=.048 CI=1.10-9.88). High HBA1c was an independent determinant of abnormal thyroid function.Conclusions: About one fourth of type II diabetes patients with retinopathy have thyroid dysfunction. Thesepatients are also likely to have severe form of the retinopathy especially those having subclinical hypothyroidism. Thus, we recommend thyroid function test should be done in all patients with type II diabetes mellitus withretinopathy. Those identified as having subclinical hypothyroidism should be closely followed so as, to detectand prevent vision threatening complications
A Spectrum Of Skin Adnexal Tumors
(IMed Research Publications, 2019-02) G, Sunitha.; Gouthami, S; Rao, T. Sheshagiri
Background: Troublesome tumors (Skin adnexal tumors (SAT)) pose a major diagnostic difficulties because of their wide spectrum and variants, their rarity, differentiation along two or more adnexal lines and their complicated nomenclature to both the surgeon and the pathologist. Histopathology is the gold standard of diagnosis with immunohistochemistry playing a limited role.Materials and methods: A Prospective study of skin adnexal tumors (n =25) diagnosed on histopathological examination over a period of 2 years (June 2015 to May 2017). All slides were stained with H & E.Results: Majority of the patients are in the third and fourth decade. Females outnumbered the males.Twenty-two tumors are benign and 3 are malignant. Most common skin adnexal tumors are Hair follicle origin tumors comprising of 15cases (60%). In that most common benign tumor is Trichoepithelioma. Head and neck region is the commonest site involved.Conclusion: Skin adnexal tumors are relatively rare. Benign adnexal tumors are more common than the malignant lesions. Histopathology is essential to confirm the diagnosis.
Study Of Correlation Between Bmi And Pefr Rate In Rayalaseema Population
(IMed Research Publications, 2019-02) Prasoona, G. Reen; Nightigale, S Sarah
Introduction: Obesity, waist-hip ratio, rather than Body Mass Index (BMI) explains large part of the variance in pulmonary gas exchange. Hence, present study will be taken up to study the correlation between BMR, and Peak Expiratory flow rate (PEFR) in healthy underweight, normal weight, and obese adults.Materials and Methods: The present cross section study conducted in the department of Physiology, Kurnool medical college, Kurnool, with randomly selected 100 health voluntaries from both the sexes of the age group 20-40 yrs. The height and weight were taken to calculated BMI and PEFR was recorded.Results: The mean PEFR values were significantly lower in obese group when compared to normal weight. BMI was significantly and negatively correlated with PEFR in both males and females.Conclusion: The isolated effects of obesity unassociated with other diseases must be identified and the analysis of those effects should be stratified so that obesity related dysfunction may be evaluated in detail.
Proceduralizing The Art Of Clinical Skills Teaching
(IMed Research Publications, 2020-5) Babu, teesh; Arja; Paramban, Simi; Kumar, Ponnusamy; Kottathveetil, Praveen; Ahmed, Tarig Fadlallah Altahir; Arja, Sireesha Bala
Purpose: Literature suggests that there are two common teaching methods in clinical skills are the four-stepapproach of Peyton and the theory of instructional design by Gagne. The combination of these two teachingmethods was planned and implemented in the undergraduate medical program at Avalon University, Curacao,in training and teaching clinical skills during the firsttwo years of the program. The objective behind developingthis teaching modality is to offer more chances to repeat the demonstration by the instructors, to rehearsal bystudents, and to provide instant feedback on specific concepts of clinical skills. This study aims to examinefurther and evaluate this teaching method for clinical skills.Methods: This is a quasi-experimental study that was conducted to evaluate the new teaching method. The datawere gathered in summer 2017, which is a control group and for another three groups; fall 2017, winter 2018,and summer 2018, which are study groups. A survey of course evaluations was developed to collect bothqualitative and quantitative feedback from students at the end of the course. The quantitative questionnaireincluded 17 questions used a five-point Likert scale with one of the following responses; one indicates stronglydisagree, two-disagree, three-neutral/no opinion, four-agree, and five-strongly agree. Qualitative analysis wasdone based on the responses from students for open-ended questions. Quantitative data were gathered even forstudents’ grades on the final assessments.Results: Students’ responses (survey questionnaire) data were analyzed for descriptive statistics. The responserate for the summer 2017 group (control) is 100% and 95.65%, 87.5%, and 90.9% for the three study groups,respectively. Students’ feedback for all questions showed improved satisfaction with the new method of teaching.The class performance (mean grade) of different groups wasshown a difference which is statistically significant(p<0.05) on the Kruskal-Wallis test.Conclusion: The new modality of teaching in clinical skills showed that students are more satisfied and alsoimproved students’ performance.
Novel Model For Integrative Medicine Curriculum
(IMed Research Publications, 2020-07) Camelia, Carl; Arja, Sateesh Babu; Kumar, Ponnusamy; Deivassagayame, Nimra
While the use of Traditional, Complimentary, and Integrative Medicine (TCIM) is substantial, it continues to existat the periphery of allopathic medicine. This article provides a global scenario with the strengths and weaknesses of the present health care systems. Availability, affordability, and accessibility of healthcare coupledwith uneven growth and the double burden of diseases have become major concerns around the globe. Thisarticle emphasizes the need for mindset change from illness-disease-drug centric curative to person-healthwellness centric preventive and promotive approaches. It highlights the innovation deficit faced by conventionalallopathic medicine and delineates the significant benefits of the integration of conventional medicine withtraditional, complementary and integrative therapies in the medical curriculum.Medical heterogeneity is a rising trend, and people are trying to explore various options, including allopathic,complementary, and alternative medicine. In such a situation, knowledge from Yoga, Ayurveda, TraditionalChinese medicine/Acupuncture, and Homeopathy may play a vital role. We can progress with an appropriatemodel by integrating allopathic medicine with traditional medicine systems for affordable health care. Severalmedical scientists have contributed positive reflections and benefits of integrative approaches to health. Theseprovide not only clear insight into the historical roots of the healing traditions of traditional and complementary medicine, but also into the entire concept of integrative approaches to health.
Knowledge, Awareness, And Practices (KAP) Among Health Science Students And Primary Health Care Physicians Regarding Updated Guidelines Towards Covid-19 Pandemic Infection In Andhra Pradesh: A Cross Sectional Study
(IMed Research Publications, 2020-05) Naick, D. Kishore; Haripriya, Manoharan; Kumar, B. Ravindra
Background: In 2019, a novel virus belonging to the coronavirus (CoV) family, SARS-CoV-2, emerged in Wuhan,China’s Hubei province. This was first reported to the WHO Country Office in China at the end of that year and isnow known as COVID -19.Although this is a new strain, related coronaviruses can cause illnesses ranging fromthe common cold to more severe diseases such as SARS and MERS as per the literature.The clinical presentationis generally that of a respiratory infection with a symptom severity ranging from a mild common cold-like illness,to a severe viral pneumonia leading to acute respiratory distress syndrome that is potentially fatal.Aim and Objective of the study: Unprecedented measures have been espoused to control the rapid spread of theenduring COVID-19 epidemic in Andhra Pradesh. Health science students and primary health care physician’sadherence to control measures is prejudiced by their knowledge, attitudes, and practices (KAP) towards COVID19.The battle against COVID-19 is continuing in India. To guarantee the final success, public adherence to thesecontrol measures are vital, which is mostly pretentious by their knowledge, Awareness, and practices (KAP)towards COVID-19 in accordance with KAP theory.Materials and Methods: A cross sectional study is designed to include health sciences students and primary healthcare physicians in Andhra Pradesh state. An interview questionnaire has been designed to assessKnowledge,Awareness and Practices of health sciences students and primary health care physicians, regardingCOVID -19.Results and Discussion: All the registered study participants after giving their consent,completed the questionnaireperfectly. Regarding the Sociodemographic characteristics, out of 243,Male 79 (32.5), Female 164 (67.5) in Gender.Majority of the study participants 128(52.7%) were from Allied Health Science background, 95 (39.1% ) medicinebackground 10(4.1%) and others 10(4.1%). Knowledge variables,Type of Locality and Educational qualificationsvariables, *Awareness variable and *Practices variables i.e.,Occupation variable unvarying with demographicsusing Multiple linear regression endured significant.Educational qualifications variables and Monthly incomewise most of the study participants are students 208.
Prevalence Of Anaemia During Pregnancy In Nashik District, India
(IMed Research Publications, 2019-01) Rajole, Kiran Mahendra; Rajole, Mahendra P
The present study was designed to estimate the prevalence of anaemia during pregnancy in women of SMBT Institute of Medical science and research center, Nandi hills, Dhamangaon, Ghoti taluka, Nashik dist., and its association with socio-economic status of patients. Blood samples of 100 randomly selected pregnant women of age group (20-40) years were analysed. The overall prevalence rate of anaemia was 75%. Anaemia was found to be prevalent in third trimester (89.3%) as compared to the second (8%) and first (27%) trimester of pregnancy. Out of the 75 anaemic patients, the socio-economic factors (age, monthly income) showed non-significant correlation between anaemic and non-anaemic pregnant women. Present investigation revealed high prevalence of anaemia and the majority of them were of the moderate (hemoglobin: 8.1 -9.9 g/dl) type (33%). The need of the day is to educate people especially pregnant women about their health by launching special health promotional programs and supplementation programs.
High Levels Of Stress Causing Anxiety Amongst Medical Students
(IMed Research Publications, 2020-01) Fateh, Reshma; Arja, Sateesh Babu; Arja, Sireesha Bala; Ahmed, Tarig Fadlallah Altahir; Veetil, Praveen Kottath; Kumar, Ponnusamy
The medical students undergo tremendous stress and mental pressure during their academic life and clinicalstudies. The high level of anxiety and depression among medical students is very common occurrence combinedwith the academic pressure that has a severe impact on their mental and physical health. The current study aimsto explore various articles presented by scholars in the field of analysing the impact of stress causing anxietyand depression in medical students and evaluating its impact on prevalence of depression among medicalstudents. This study critically analyses and reviews articles published in this decade for analysing the role ofdepression and anxiety and experiences of medical students and the reaction to stress. The central idea of thestudy understands different perspectives presented by scholars in the field of stress and anxiety and its prevalence among the medical students highlighting the causes and key issues. This is vital for understanding thecritical factors affecting the mental health and physical well-being of the medical students in order to derivesuggestions for early identification and providing for support by the medical schools. The study had usedelectronic databases for rummaging and reviewing literature articles published on stress and other psychological determinants among medical students and management of stress. In the current study, data were extractedthrough reviewing various related research articles focusing more on the prevalence and suggest possible stressmanagement strategies in medical students. The current study focuses on findings and views of different scholars with stress as an epicentre of discussion and other factors such as environmental factors, social andeconomic factors and so on that directly or indirectly impacts on the medical student’s mental health. Thepurpose of the study to analyse the research articles to acknowledge the quantum of research done in the fieldof understanding the causes and impact of stress and depression among medical students and mark the areaswhere further research can be conducted
Assessment Of Risk Factors And Identification Of Fungal And Bacterial Agents In Otomycosis At Rural Community Attending A Tertiary Care Hospital
(IMed Research Publications, 2020-03) Krishna, Hari
Introduction: Otomycosis is a sub-acute or a chronic superficial fungal infection of the external auditory canal.It is one of the frequently encountered fungal infections of the ear. The prevalence of otomycosis is higher intropical and subtropical climates zones. This study was planned to identify the most common organismsinvolved in otomycosis, clinical features and various predisposing factors of the disease in south India.Materials and Methods: Prospective study on 187 confirmed cases of Otomycosis who attended the ENT OPD. Apredesigned proforma was administered to the participants to know the clinical symptoms, predisposingfactors, sociodemographic details, and comorbid conditions. Clinical findings in both ears were recorded.Results: The majority of the study population (31%) were in the age group of 31-40. Around 47% of the studypopulation had a history of manipulation of the external auditory canal. Around 32 % gave the history of theinstallation of either antibiotic drops or steroid drops into the ear. Around 97% of the study population hadblocked, 83% had pain and 77 % had itching. The discharge was present in 47% of the study population. Femaleprevalence was high and more than 88% was unilateral. Aspergillus species and Candida species were morecommonly present in the fungal culture. Around 88% had a bacterial infection along with fungal growth.Conclusion: the diagnosis of Otomycosis must be considered for all cases of ear discharge for prompt andaccurate treatment and to save time and suffering.
Evaluation Of Pulmonary Hypertension In Chronic Obstructive Pulmonary Disease
(IMed Research Publications, 2019-01) Herald, G. Peter Praveen; Murthy, H Krishna
Introduction: The early detection and treatment of pulmonary hypertension in chronic obstructive pulmonary disease (COPD) becomes important to prevent right heart failure. We aimed to pulmonary hypertension in COPD patients by non-invasive methods.Materials and Methods: After Ethical committee clearance, the purpose of the study was explained to the patient and obtained informed consent from 105 Clinically diagnosed as COPD were included and ECG, Chest X-Ray, 2-D Echocardiography pulmonary hypertension is evaluated.Results: Of 105 COPD patients, 96 had PH. Prevalence of pulmonary hypertension in COPD patients were 54 (51.43%): 9 (25.71%) of mild COPD patients, 16 (45.71%) of moderate COPD and 29 (82.85%) of severe COPD.Conclusion: the chest radiography electrocardiography and 2 D-Echocardiography are the best clinical assessment and non-invasive investigations for the screening for pulmonary hypertension and subsequent development of cor pulmonale.
Empathy In Caribbean Medical Students Assessed Using The Toronto Empathy Questionnaire
(IMed Research Publications, 2020-02) Acharya, ogesh; Isart, Fernando; Shah, Sanket; Patak, Pooja; Kour, Ahmed; Sayed, Abida; Arja, Sateesh Babu
Introduction: Empathy is the emotional process to understand a patient’s state of being and current emotion.Empathy, through humanization of medical students, plays an important role while learning and practicing theart of medicine. Our study aims to quantify empathy as an indicator of humanization, in medical studentsthroughout their education.Subjects and Methods: A cross-sectional questionnaire survey was performed on basic medical and clinicalscience students at Avalon University School of Medicine, Curacao. Standard Toronto Empathy Questionnaire[TEQ] was utilized to quantify the empathy.Results: Average TEQ scores of the basic students in MD1 - MD4 were 51.55 ± 4.16, 49.42±3.58, 46.72±4.60,48.86±6.17 respectively. Overall TEQ scores were slightly higher in basic science students in comparison to theclinical students (48.82 ± 5.12 vs 48.74 ± 4.01, P=0.46).Conclusions: Empathy scores were higher in basic science medical students in comparison to the clinicalstudents. Lack of progression of empathy amongst medical students needs to be addressed. We recommendmedical schools to adapt and instill the virtue of empathy in the course curriculum
Association And Determinants Of Clinical And Subclinical Hypothyroidism In Patients With Diabetic Retinopathy: A Clinic Based Study From North India
(IMed Research Publications, 2020-04) Chowdhury, Bithi; Raviranjan, Prakash; Jain, Sanjay; Sharma, Hemant
Introduction: The association of type 2 diabetes mellitus and thyroid dysfunction is well known. Thyroid dysfunction especially subclinical hypothyroidism has been reported to be a risk factor for sight threateningdiabetic retinopathy. Therefore, it is of importance to investigate the determinants of clinical and subclinicalhypothyroidism in patients with diabetic retinopathy. This study was aimed to investigate the effect of hypothyroidism on diabetic retinopathy and the determinants of hypothyroidism.Aims: To study the association of hypothyroidism and diabetic retinopathy and its effect on severity of retinopathy in type 2 diabetes and investigate the determinants of hypothyroidism in patients with diabetic retinopathy.Subjects and methods: A cross sectional study conducted on one hundred patients of type 2 diabetes withdiabetic retinopathy. They were evaluated for status of diabetes control, thyroid function, lipid profile andretinopathy grade. Those found to have clinical and subclinical hypothyroidism were analyzed for variousclinical and biochemical parameters for possible determinants of thyroid dysfunction.Results: There were seventy-four euthyroid patients and eighteen with subclinical hypothyroidism and five withclinical hypothyroidism. Patients with subclinical hypothyroidism had severe form of retinopathy (61.11%versus 32.43%). The odds of having a subclinical hypothyroidism in patients with severe form of diabeticretinopathy was found to be significant (OR 3.23; p=.048 CI=1.10-9.88). High HBA1c was an independent determinant of abnormal thyroid function.Conclusions: About one fourth of type II diabetes patients with retinopathy have thyroid dysfunction. Thesepatients are also likely to have severe form of the retinopathy especially those having subclinical hypothyroidism. Thus, we recommend thyroid function test should be done in all patients with type II diabetes mellitus withretinopathy. Those identified as having subclinical hypothyroidism should be closely followed so as, to detectand prevent vision threatening complications
90-Day Glaucoma: A Rare Case Report
(IMed Research Publications, 2019-07) Gogoi, R.N; Ekka, Jayant; Nandi, Sunanda
Neovascular glaucoma (NVG) also called as 90-day glaucoma, is a potentially devastating sequela of seriousunderlying ocular and/or systemic diseases. Anterior segment neovascularization involving the iris, the angle orboth is accompanied by the formation of a fibrovascular membrane that obstructs the aqueous outflow throughthe trabecular meshwork and results in rise of IOP. Here we present a case of a fifty seven year old male whopresented with diminution of vision in left eye since 45 days associated with pain and redness L/E since 15 days.On examination visual acquity of R/E was 6/6,N6 and in L/E patient denied perception of light. Our case presentedwith almost all features suggestive of NVG except that of rubeosis iridis which makes it unique, as to the best ofour knowledge this has been very rarely reported anywhere in literature before.
Association Between Sensorineural Hearing Loss And Type Ii Diabetes Mellitus
(IMed Research Publications, 2020-03) Krishna, Hari
Introduction: sensorineural hearing loss is usually common in diabetics. Microangiopathy and neuropathyare the main attributed caused for sensorineural hearing loss.Objectives: planned to study the prevalence of sensorineural hearing loss(SNHL) among Type II DM patients andto study the association between age, duration of DM and HbA1C levels with SNHL in India.Methodology: A cross-sectional study was done on 256 type II Diabetic patients who attended medicine OP.sensorineural hearing loss was measured using Pure tone audiometry and were classified according to WHOclassification.Results: 45.7% were males and 54.3 % were females. 88.7% had bilateral SNHL. 17 % had severe degree of SNHL.The prevalence of SNHL increased with advancement of age, increased duration of DM and poor glycaemiccontrol.Conclusion: There is a strong association between diabetes and SNHL. Hence proper glycemic control in diabeticsmust be ensured to prevent from complications.
Study Of Learning Style Preferences In Students Of Different Phases Of Medical Undergraduate Course In Relation To Gender And Academic Performance
(IMed Research Publications, 2019-06) Ekramuddin; Gauhar, Hussain; Ibrahim, Farooque; MD, Faisal Iqubal
Background: To become effective faculty, he should understand a learner’s characteristics and their learningstyle. Matching students’ learning styles with a learning framework has resulted in improved test scores. Thisstudy was initiated to identify the learning styles of MBBS students and explored the relationship betweenlearning style preferences and students’ gender and academic achievement.Methods: We conducted cross-sectional study on students from the medical college studying in MBBS second,final prof (part-I) and final prof (part-II). The VARK questionnaire was used to identify the learning style preference. Based on the instructions given for the VARK inventory, scores were calculated to determine the predominant learning modality used by each individual.Results: The students of MBBS showed multiple learning preferences (52%) only slightly more than unimodalstyle (48 %). None of the students showed quadrimodal learning preference.In 2nd professional students, readwrite was preferred mode followed by auditory while in final prof (both part 1 & 2) kinesthetic /read-writelearning style was preferred in unimodal types.Female students scored higher in all four components as compared to male students.There was no relationship between learning style preference and academic achievement.Conclusion: This study demonstrated that many medical students at this single medical institution prefer to learnusing all VARK modalities. There can be different type of learners in a single batch of medical students, soeducators’ awareness of various learning styles of students is a must. Identifying differences in learning stylescould potentially be used in medical curriculum.
Use Of Visual Infusion Phlebitis (VIP) Score To Care And Control Intravenous (IV) Infusion Related Phlebitis
(IMed Research Publications, 2019-05) Sengupta, Manashi
Phlebitis is the inflammation of vein which is a common complication associated with the use of peripheralintravenous (IV) catheters affecting between 27% and 70% of all patients receiving IV therapy and associationwith up to 10% of S.Aureus bacteremia. Importance factors found to determine phlebitis incidence include thekind of infusion and dwell time of intravenous cannula. The use of the visual infusion phlebitis (VIP) score toolfor the assessment of the early signs of phlebitis along with prompt removal of peripheral intravenous cannulahas been very successful in reducing below the acceptable rate of 5%. However, achieving this goal depends onstrict compliance with guidelines for cannula insertion, documentation and assessment using the VIP tool.This study aimed to increase the use of VIP scoring tool in the intensive care units and wards during a 6 monthsperiod in order to maximize its utility in phlebitis prevention. Nursing audit was carried out, during whichassessment and plan of actions were introduced. The first step aimed to make the nurses aware of VIP scoringtool by the use of posters and training sessions. Second the assessment of nurses’ knowledge and skill relatedto the intravenous cannula insertion and use of VIP score tool for the early detection and prompt action relatedto the care and control of infusion related phlebitis and its documentation.

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