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  • 1
    Online Resource
    Online Resource
    A comprehensive study of clinical features and management of ulcers of the lower limb
    Medip Academy ; 2019
    In:  International Surgery Journal Vol. 6, No. 11 ( 2019-10-24), p. 4024-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 6, No. 11 ( 2019-10-24), p. 4024-
    Abstract: Background: Leg ulcers are debilitating and painful, greatly reducing patient’s quality of life. These ulcers are often difficult to treat and the successful treatment of leg ulcers depends upon the accurate diagnosis and treatment of the underlying cause.Methods: This prospective cross sectional study was conducted by Department of General Surgery at College of Medicine and JNM Hospital, Nadia. The study was conducted during the period from September 2017 to August 2019 which included 193 patients presenting with ulcers of the lower limb and admitted in surgical wards of our hospital.Results: Most of the patients were engaged in agriculture (23.8%) followed by business (22.8%) and service (14.5%). 52.03% of the patients had habit of smoking, chewing tobacco and drinking of alcohol. Most of the ulcers were diabetic (36.3%) followed by venous (22.3%) (Z=2.17; p=0). Only 4.7% and 3.1% were malignant and trophic ulcers. Peripheral neuropathy (23.3%) was the most common type of ulcer followed by venous hypertension (22.3%). At the end of study period, 180 ulcers were healed, 3 had recurrence, 5 were disease free and 5 patients died.Conclusions: Thus, the study of various cases of leg ulcers arouses lot of interest and is mind boggling as far as the treatment of these cases are concerned. With the availability of arsenal of investigation wide range of antibiotics and with ever improving dressing material, there is certainly a great improvement in treatment of chronic leg ulcers.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20195117
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2019
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  • 2
    Online Resource
    Online Resource
    Prevalence and correlates of low birth weight babies born in a tertiary care teaching hospital in Eastern India
    Medip Academy ; 2020
    In:  International Journal Of Community Medicine And Public Health Vol. 7, No. 8 ( 2020-07-24), p. 3052-
    Details
    In: International Journal Of Community Medicine And Public Health, Medip Academy, Vol. 7, No. 8 ( 2020-07-24), p. 3052-
    Abstract: Background: Low birth weight (LBW) is one of the long-standing birth outcomes amongst all adverse pregnancy outcomes, which have lasting influences in the later life span. The objective of the study was to determine the prevalence of LBW babies; to examine the correlation between maternal socio-demographic, lifestyle, obstetrics, and clinical factors with LBW; and to compare the above factors between mothers with low and normal birth weight babies.Methods: All the pregnant women admitted for delivery in the inpatient Department of Gynaecology and Obstetrics and providing informed consent were interviewed with the help of the semi-structured questionnaire. The antenatal card and labour room log book were also scrutinized for relevant data.Results: The prevalence of LBW and VLBW were 33.8% and 2.8% respectively. A significant positive correlation was found between strenuous working environment, duration of standing, consumption of alcohol and smoking in pregnancy, previous history of premature birth and LBW babies, high blood pressure and pre-eclampsia during pregnancy, total weight gain during pregnancy and gestational age at birth and LBW. Mothers of LBW and normal birth weight babies significantly differed in their age, total weight gain during pregnancy, religion, level of education, history of premature baby and LBW baby, high blood pressure and preeclampsia during pregnancy. In the regression model, there was also a significant positive linear relationship between LBW and strenuous work environment & gestational age at birth.Conclusions: One third of the pregnant mothers delivered LBW child and various socio-demographic and clinical factors had significant correlation with LBW.
    Type of Medium: Online Resource
    ISSN: 2394-6040 , 2394-6032
    URL: Article
    DOI: 10.18203/2394-6040.ijcmph20203378
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2020
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  • 3
    Online Resource
    Online Resource
    Relationship between iron metabolism and thyroid hormone profile in hypothyroidism
    Medip Academy ; 2021
    In:  International Journal of Research in Medical Sciences Vol. 9, No. 3 ( 2021-02-25), p. 790-
    Details
    In: International Journal of Research in Medical Sciences, Medip Academy, Vol. 9, No. 3 ( 2021-02-25), p. 790-
    Abstract: Background: Iron and thyroid hormone metabolism are closely related with each other. Iron plays an important role for both the synthesis as well as metabolism of thyroid hormones acting as a component of many enzymes including thyroid peroxidase (TPO). So, iron deficiency can lead to abnormal functioning of thyroid gland. Ferritin is storage form of iron in our body. Several studies in showed that nutritional iron deficiency can significantly decrease the circulating levels of both T4 and T3 and it can also reduce peripheral conversion of T4 to T3. So, the aim of the study is to find out whether there is any relationship between hypothyroidism and iron metabolism.Methods: This cross-sectional descriptive study was conducted at Deben Mahata Government Medical College and Hospital, Purulia on 50 hypothyroid patients and 50 age and sex matched controls after imposing inclusion and exclusion criterias. Blood samples were collected and estimation of Serum TSH, fT4 and fT3, iron, ferritin and TIBC levels were done. Then the data obtained were analysed by proper statistical methods.Results: Out of 100 subjects 68 were male and rest were female. The mean serum TSH level in study population was significantly higher than that of comparison group. While serum fT3 and fT4 level in study group were lower than the control group and both were statistically significant. In the other hand, the mean serum ferritin and iron levels in cases were lower than that in controls and the mean TIBS was higher in study group and all the differences were statistically significant. There were significant correlation between Serum ferritin and serum iron (positive correlation), Serum ferritin and TSH (negative correlation), Serum TSH and fT4 (negative correlation) but there was no significant relationship between serum TSH and iron.Conclusions: The iron metabolism is disturbed in hypothyroidism reflected by low serum ferritin and iron.
    Type of Medium: Online Resource
    ISSN: 2320-6012 , 2320-6071
    URL: Article
    DOI: 10.18203/2320-6012.ijrms20210879
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2021
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  • 4
    Online Resource
    Online Resource
    Impact of hydration on vocal loading using phonetogram measures
    Medip Academy ; 2021
    In:  International Journal of Otorhinolaryngology and Head and Neck Surgery Vol. 7, No. 8 ( 2021-07-23), p. 1317-
    Details
    In: International Journal of Otorhinolaryngology and Head and Neck Surgery, Medip Academy, Vol. 7, No. 8 ( 2021-07-23), p. 1317-
    Abstract: 〈 p 〉 〈 strong 〉 Background: 〈 /strong 〉 Vocal loading is a phenomenon that affects the vocal folds and voice parameters. Prolonged vocal loading may cause vocal fatigue. Hydration is one of the easiest precautions to reduce the effect of vocal loading. Voice range profile is an analysis of a participant’s vocal intensity and fundamental frequency ranges. Speech range profile is a graphical display of frequency intensity interactions occurring during functional speech activity. Phonetogram software can analyse VRP and SRP. 〈 /p 〉 〈 p 〉 〈 strong 〉 Methods: 〈 /strong 〉 Total sixty normophonic participants (thirty male and thirty female) were included in this study. Phonetogram, version 4.40 by Tiger DRS, software used to measure the voice range profile and speech range profile. For VRP, participants were asked to produce vowel /a/ and a passage reading task was given for SRP measurement. 〈 /p 〉 〈 p 〉 〈 strong 〉 Results: 〈 /strong 〉 All sample recording were done at pre vocal loading task, VLT and after hydration. Parameter that were used to measure the effects were Fo-range, semitone, max-F, min-F, SPL range, max-I, min-I, area (dB). Result showed that after VLT all other parameters like Fo-range, semitone, max-F, min-F, SPL range, max-I, min-I, area (dB) in VRP and SRP were reduced except min-F VRP in male, min-I VRP and min-I SRP in both male and female participants. After hydration all other parameters were improved except max-F VRP and min-F VRP in female, max-I VRP, min-F VRP and area VRP. 〈 /p 〉 〈 p 〉 〈 strong 〉 Conclusions: 〈 /strong 〉 This study concluded that vocal loading has negative impact on vocal fold tissue and mass.  〈 /p 〉
    Type of Medium: Online Resource
    ISSN: 2454-5937 , 2454-5929
    URL: Article
    DOI: 10.18203/issn.2454-5929.ijohns20212900
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2021
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  • 5
    Online Resource
    Online Resource
    Multistage standardization of Beraphone and OAE on neonates
    Medip Academy ; 2023
    In:  International Journal of Otorhinolaryngology and Head and Neck Surgery Vol. 9, No. 8 ( 2023-07-27), p. 613-619
    Details
    In: International Journal of Otorhinolaryngology and Head and Neck Surgery, Medip Academy, Vol. 9, No. 8 ( 2023-07-27), p. 613-619
    Abstract: Background: Universal newborn hearing screening is a strategy to identify children with all kinds and degrees of hearing impairment, to lower the age at the time of diagnosis for early hearing amplification, to maximize their linguistic competence and literacy development. Methods: This study was conducted over the period of 9 months on 200 newborns selected from well-baby nursery and 30 infants from the SNCU unit of the hospitals to obtain field evidence of newborn hearing screening in Indian context by using TEOAE and AABR tests of MAICO easy screen beraphone instrument as well as to standardize the instrument. The process was carried out in different phases at different state government hospitals and the data was collected from the different departments of the hospitals. The obtained data were transferred to an excel spreadsheet. Then the nonparametric Mann-Whitney U test and Wilcoxon Signed rank test were done by using SPSS software version 21. The detailed analysis was done for the age, sex and ear specific values. Results: The results showed a significant difference not only between well-baby and SNCU but also between left and right ear. It is represented both in the tabular and graphical way to explain the findings in detail. Conclusions: It can be stated that the MAICO easy screen beraphone instrument can be used for clinical and further research purposes related to newborn hearing screening suitable for infants up to 3 months of age because of its high sensitivity and specificity value.
    Type of Medium: Online Resource
    ISSN: 2454-5937 , 2454-5929
    URL: Article
    DOI: 10.18203/issn.2454-5929.ijohns20232216
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2023
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  • 6
    Online Resource
    Online Resource
    A comparative study between dexmedetomidine and propofol for maintaining depth of anesthesia in elective craniotomy: a prospective randomized double blind study
    Medip Academy ; 2015
    In:  International Journal of Research in Medical Sciences ( 2015), p. 3238-3244
    Details
    In: International Journal of Research in Medical Sciences, Medip Academy, ( 2015), p. 3238-3244
    Type of Medium: Online Resource
    ISSN: 2320-6071
    URL: Journal
    URL: Article
    DOI: 10.18203/2320-6012.
    DOI: 10.18203/2320-6012.ijrms20151169
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2015
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  • 7
    Online Resource
    Online Resource
    Transcatheter closure of patent ductus arteriosus using duct occluder: an eleven-year experience from a single tertiary cardiac center
    Medip Academy ; 2019
    In:  International Journal of Research in Medical Sciences Vol. 7, No. 8 ( 2019-07-25), p. 2894-
    Details
    In: International Journal of Research in Medical Sciences, Medip Academy, Vol. 7, No. 8 ( 2019-07-25), p. 2894-
    Abstract: Background: Patent Ductus Arteriosus (PDA) is a common congenital disorder. As an isolated lesion, PDA constitutes 6 to 11% of all congenital heart disease. PDA needs closure to eliminate pulmonary over circulation leading to volume overload of left ventricle, pulmonary vascular obstructed disease.Methods: This retrospective study was carried out in pediatric cardiology unit of Institute of Postgraduate Medical Education and Research, Kolkata from September 2005 to August 2016, which included 503 patients.Results: Device closure was attempted in 492 patient’s Procedural success was achieved in 85% cases on table, in who check aortogram revealed complete closure of PDA. In 15% cases, residual shunt was present. In 12% of cases, residual shunt disappeared during follow-up echocardiogram over 6-month follow-up. In 3% cases, small shunt remained at 6-month and 1-year follow up.Conclusion: Transcatheter closure of PDA by duct occluder is safe and effective with good mid-term outcome. The optimum assessment of ductul size and anatomy is crucial for optimum device size, which prevents residual shunt, device embolization and protrusion.
    Type of Medium: Online Resource
    ISSN: 2320-6012 , 2320-6071
    URL: Article
    DOI: 10.18203/2320-6012.ijrms20193141
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2019
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