iosr-JDMS   Volume-19 ~ Issue-10 ~ October 2020

Abstract: Background stress is an inevitable part of medical education, and lack of adequate stress-coping skills may affect the students variedly.thepresent study was done to assess the prevalence and compare the levels of stress in the initial and final phases among medical new entrants. Material and methods: The study was conducted as a prospective comparative study among 100 first year undergraduates- new entrants of thoothukudi medical college. Data was collected using the medical students stress questionnaire(mssq) after approval of institutional ethics committee. Results: The prevalence of academic related stress was 38%, the maximum both in the initial and final phases of the new entrants. The intra and inter personal related stress were the minimum 9% during the initial and 12% during the final phase....

Keywords: Stress, Medical New Entrants, MSSQ

[1]. Siang Yong Tan, A Yip -Hans Selye (1907 – 1982): Founder of the Stress Theory , Singapore Medical Journal 59(4), 170, 2018
[2]. Al Rasheed F, Naqvi AA, Ahmad R, et al. Academic stress and prevalence of stress related self-medication among undergraduate female students of health and non-health cluster colleges of a public sector University in Dammam, Saudi Arabia. J Pharm Bio all Sci 2017; 9:251.
[3]. Shah C, Trivedi RS. Coping of stress by medical students. J Clin. Diag Res 2009; 19: 401–523
[4]. Van Harrison R. Person-environment fit and job stress in: C.L. COOPER & R. PAYNE (Eds) Stress at Work. Chichester, UK: Wiley; 1978.
[5]. Saiful M, Yusoff B; The Stability of MSSQ to Measure Stressors among Medical. Int Med J., 2013; 20(2):1–3..

Abstract: Background - Any femoral fracture of up to 15 cms from the articular surface situated on the distal end has been defined as Distal femoral fractures.The condylar fractures either the Supra condylar or intercondylar are difficult to treat fractures. They are known to be complex injuries and having the possibility of causing disabilities of long term.Antegrade option for intramedullary device is used commonly for proximal fracture femur and in type C fractures of distal femur. Retrograde nailing is the choice to go in cases of Distal Femur Fracture. Evidence regarding its success in patients is negligible for the state of PUNJAB. The study intends to build on the evidence part in with certain objectives..

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[6]. Nirav BR, Rajesh AS, Harshad K, Patel A, Punit JT. Study of Retrograde Intramedullary Nailing In Distal One Third femur fracture. IOSR-JDMS. 2016; 15(4):18-23.

Abstract: This was a prospective cross-sectional study and was distributed in the department of Nephrology of Sir Salimullah Medical College and Mitford Hospital, Dhaka. All patients were included in the period from July 2008 to December 2009. Our aim was to compare serum level in CKD stage II-III and stage V.Eighty (80) CKD stage V patients were taken in group I against 40 cases of CKD stage II and III in group II. There was significant decrease in serum albumin level in the study population. Mean serum sodium level was 137.81 mmol/l in the group I and 142 mmol/l in the group II. It showed a normal sodium level in the CKD stage II-III patients but hyponatremia in the CKD stage V patients. Mean serum potassium level was normal in both the groups. Mean serum bicarbonate level was found to be 20.51 mmol/l in group I which was 23.9 mmol/l in group II patients. It revealed a significant....

Keywords: Chronic Kidney Disease (CKD), Hyponatremia, Hypoalbuminemia, Serum Sodium Level

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Abstract: Background: It is said that, people with both diabetes and hypertension have approximately twice the risk of cardiovascular disease as non-diabetic people with hypertension. Hypertensive diabetic patients are also at increased risk for diabetes-specific complications including retinopathy and nephropathy.Prescription pattern is one of the indicators of the current situation of a specific patient community or group. Aim of the study: The aim of this study was to assess theprescription pattern of antihypertensive drugs for hypertensive patients with type-2 diabetes. Methods: This was an observational cross sectional study and it was conducted in Dhaka Medical College Hospital and BIRDEM Hospital during the period from July2016 to June 2017. In total 140 diagnosed hypertensive patients with type 2diabetes mellitus......

Key words: Hypertensive drugs, Type-2 Diabetes, Prescription pattern,CCBs, ACEIs, Beta Blockers

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Abstract: Background: A beautiful nose adds beauty to the face. cosmetic correction of nose
is known as rhinoplaty.There are two techniques for cosmetic correction of Nose, know as External rhinoplasty and internal rhinoplasty.Each of these provides advantages and imposes limitations.The purpose of the study was to compare the internal and external approach for Rhinoplasty and to know Indications ,advantages and limitations of each. Materials and Methods: In this prospective study of the technical approach for correction of deflected nasal septum and associated nasal deformities - Internal versus External approach has been done in a group of 40 cases, belonging to age group of 18-40years.....

Key Word: External rhinoplasty; Internal Rhinoplasty; Conchal cartilage; Augmentation Rhinoplasty; Saddle nose deformity; Crooked nose deformity; Deviated Nasal Septum

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Abstract: Pyometra is the accumulation of pus in the uterine cavity due to its defective natural drainage. It is extremely rare, but comparatively more common in elderly postmenopausal women occuring as a complication mainly due to underlying gynecological malignancy or cervical stenosis following radiotherapy despite other causes. It can chiefly present as post menopausal bleeding, vaginal discharge, lower abdominal pain, uterine enlargement and other non specific symptoms. We have discussed about this complication and its diverse presentation by way of five case reports, all of them having an underlying uterine/cervical malignancy. Ultrasound (USG) is the first line imaging technique adopted followed by MRI pelvis which helped in clenching the diagnosis. Treatment given was cervical dilation and USG guided pyometra drainage along with endometrial/endocervical curettage in all cases except one that was conservatively managed.

Key Words: Pus, stenosis,malignancy, cervical dilation,drainage

[1]. Pramila Yadav*, Nikhil Datar, Pabashi Poddar, Komal Chavan, Rajendra Saraogi."Huge pyometra in a postmenopausal age: a diagnostic dilemma"International Journal of Reproduction,Contraception,Obstetrics and Gynecology.2015 Oct;4(5):1549-1551
[2]. Pyometra,authored by Dr Colin Tidy, Reviewed by Prof Cathy Jackson | Last edited 27 Jul 2016 | Certified by The Information Standard
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Abstract: Introduction: Gallstone disease is a major public health problem worldwide, particularly in adult population. Incidence of gallstone disease shows considerable geographical and regional variations. Its occurrence has been found to be at least 6% in the adult population of North India. The rate of gall bladder diseases are more common among females than males. Gall bladder disease are more common in the Northern and Northeastern states of Uttar Pradesh, Bihar, Orissa, West Bengal and Assam.1 Risk factors for gall bladder disease include diet, obesity, multiparity and chronic infections including Salmonella typhi and paratyphi and Helicobacter pylori. Materials and Methods: This cross-sectional study was done in the department of surgery from June 2017 to May 2019 in Govt Medical College, Azamgarh. And patients from all over the state are being referred & treated in this hospital. A total of 300 patients of ultrasound proven cholelithiasis admitted in hospital for cholecystectomy, underwent Fibroscan....

Key Words: NAFLD, BMI, TG, Fibrosis

[1]. AshtariS, PourhoseingholiMA, ZaliMR. Non-alcoholic fatty liver disease in Asia: prevention and planning.World J Hepatol2015;7(13):1788-96.
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Abstract: Introduction: Nephropathy is one of the serious diabetic complications and hemodialysis the common modality employed generally aimed to correct the altered crystalloids as well as to remove accumulated nitrogenous waste products. But it rarely corrects the vascular lipid levels, hence increasing the thrust of dyslipidemia and dyslipidemia induced cardiovascular complications in these patients. A study was planned to assess the cardiovascular risk factors, Cardiac Risk Ratio, Atherogenic Index of plasma and Atherogenic Coefficient in these patients to evaluate the cardiovascular risk. Materials and Methods: Patients of type 2 diabetes suffering from diabetic nephropathy undergoing hemodialysis at Area Hospital, Zaheerabad in the age group of 30-60 years were randomly selected. A heparinised blood sample was collected after obtaining a written consent. Plasma lipid profile, Cardiac Risk Ratio, Atherogenic index of plasma and Atherogenic.....

Key Words: Diabetic Nephropathy, Hemodialysis, Cardiac Risk Markers

[1]. Johansen JS, Jensen BV, Roslind A, Nielsen D, Price PA: Serum YKL-40, a new prognostic biomarker in cancer patients? Cancer Epidemiol Biomarkers Prev.2006;15:194 –202.
[2]. Recklies AD, White C, Ling H: The chitinase 3-like protein human cartilage glycoprotein 39 (HC-gp39) stimulates proliferation of human connective tissue cells and activates both extracellular signal-regulated kinase-and protein kinase B-mediated signallingpathways. Biochem J.2002;365:119 –126.
[3]. Jun Ho Le, Sang Soo Kim , In Joo Kim, Sang HeonSong.Clinical implication of plasma and urine YKL-40, as a proinflammatory biomarker, on early stage of nephropathy in type 2 diabeticpatients.Journal of Diabetes and Its Complications.2012;26:308-312.
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Abstract: DM is rapidly escalating globally as well as in India affecting all age groups. Diabetic retinopathy (DR) is one of the most prominent pathological microvascular complications in diabetes. Several studies reported an association between hypovitaminosisDand an increased risk of diabetic retinopathy in type 2 diabeticpatientsin various populations all over world. Studies considering an association between hypovitaminosis D withdiabetic retinopathy are not adequate particularly in eastern India.The present study was conducted in a tertiary care teaching hospital approved by the institutional Research and Ethics Committee, aimed to evaluate the relationship of Diabetic retinopathy and hypovitaminosis ThisStudyconducted on 107 type 2 diabetic patients of 40 yearsof age& above.Results were analyzed by using SPSS version16.Statistical analysis used Chi square test for qualitativevariables.Results showed that there was significant association of hypovitaminosis D with Diabetic retinopathy.

Keywords: diabetic retinopathy,hypovitaminosisD, type 2 diabetes(T2DM),vitamin D

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Abstract: Elderly primigravida remains a high risk pregnancy. It was found that most women were literate and belonged to middle class group. The study revealed that most women conceived and delivered within 2 years of marriage. In the present study, elderly primigravida are at high risk of several complications including hypertensive disorders, uterine fibroid & hypothyroidism. Choroid plexus cyst was the most common congenital anomaly noted. It also showed increased rate caesarean section and decreased instrumental delivery. The probable reason for increased caesarean section was the preoccupied mindset that the baby born at old age is precious and the belief that caesarean section is more safe than the normal vaginal delivery. Most obstetricians prefer to carry out caesarean section for an elderly primigravida rather than taking the risk of difficult vaginal delivery or instrumental delivery.NICU admission was less and out of 180 participants, only one perinatal death occurred. There were no.......

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Abstract: Background: Testicular torsion is one of urological emergencies that develop in puberty and early adulthood. Management of testicular torsion is surgical detortion and bilateral orchidopexy through transscrotal access with orchidectomy, which is indicated only for unviable cases that cannot be reperfused after detortion or with necrosis. Ischemia/reperfusion as the main pathophysiologist of testicular torsion with inflammation. Systemic inflammation can make contralateral testicular damage. TNF-α is the main cytokine in the inflammatory response. Increased TNF-α can cause NFκB activation in cells and can affect apoptosis. Aim: This study aims to determine differences in serum.....

Key Words: Histopathology, orchidectomy, orchidopexy, testicular torsion, TNF-α,

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[4]. Dokucu A I, et al. 2000. The protective effect of nitric oxide on the contralateral testis in prepubertal rats with unilateral testicular torsion. BJU int,85, 767-771.
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Abstract: Rajasthan has about 12% tribal population spread over Aravali hills, forests and plains. Majority of them live in Aravali hills with bare means of subsistence. In recent decades some tribals have descended in plains owing to economic compulsions. Zawar is a tribal township with over 60% tribal population. It consists of highly undulating ridges, hills with zinc mines. Area for agriculture is very small. The present study was aimed to assess nutrient status. Concomitantly, lipid profile, oxidant and antioxidant status were also examined.

Key Word: Tribals, Nutrition, Lipid-profile, Oxidative Stress, Antioxidants

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