Journal of Postgraduate Medicine, Education and Research

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2014 | January-March | Volume 48 | Issue 1

EDITORIAL

ARE YOU LOSING YOUR HEAD IN FOOTBALL?

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/jpmer-48-1-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Reema Bansal, R Sehgal

Amniotic Membrane Transplantation in the Treatment of Primary Pterygium: A Comparative Study of Two Techniques

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:7] [Pages No:1 - 7]

PDF  |  DOI: 10.5005/jp-journals-10028-1091  |  Open Access |  How to cite  | 

Abstract

Purpose

To compare two techniques of human amniotic membrane transplantation (AMT) following pterygium excision: (1) end to end suturing of the amniotic membrane graft (AMG) with the conjunctiva versus (2) a new technique of purse-string suturing of the AMG and tucking of AMG under the free edge of conjunctiva.

Materials and methods

Pterygium surgery with human AMT was done in 42 eyes with primary pterygium. Twenty four eyes (group A) underwent end-to-end suturing of AMG with conjunctiva. Eighteen eyes (group B) underwent purse-string suturing of AMG with underlying sclera with free edge of AMG tucked under conjunctiva on three sides. The two groups were compared in terms of the outcome measures, i.e. complete epithelialization time of AMG and recurrence of pterygium within 1 year.

Results

The complete epithelialization of AMG occurred in 21 days (range 14 to 28 days) and 14 days (range 7 to 21 days) in groups A and B respectively. In group A, 7 eyes (29.17%) developed recurrence. In group B, 2 eyes (11.11%) developed recurrence.

Conclusion

Purse string suturing and tucking of AMG resulted in faster epithelization of AMG and lower recurrences in comparison with end to end suturing of AMG in the management of primary pterygium.

How to cite this article

Bansal R, Jain AK, Sehgal R. Amniotic Membrane Transplantation in the Treatment of Primary Pterygium: A Comparative Study of Two Techniques. J Postgrad Med Edu Res 2014;48(1):1-7.

RESEARCH ARTICLE

Suchet Sachdev, Shobhana Pravin Pandit

Acute Respiratory Distress Syndrome: An Autopsy Study

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:6] [Pages No:8 - 13]

PDF  |  DOI: 10.5005/jp-journals-10028-1092  |  Open Access |  How to cite  | 

Abstract

Aim

To find out prevalence and the associated predisposing etiologic conditions of acute respiratory distress syndrome (ARDS) amongst autopsied cases.

Setting and design

The present study was a retrospective analysis of 125 cases of ARDS obtained at autopsy over a span of 4 years from 2000-2003.

Materials and methods

Data was retrieved from the postmortem record of the pathology department and the medical record department. A review of histology slides was done with diffuse alveolar damage (DAD) as the correlate of ARDS at histopathology.

Results

Prevalence of ARDS amongst autopsied cases was 3.15%. There were 60% cases in adult age group and of male gender; whereas 40% were children and of female gender. Almost 90% of cases succumbed to ARDS within a week of admission. The most common presenting features were of the respiratory system. The most common predisposing etiologic association was leptospirosis, septicemia and pneumonia.

Conclusion

Systemic infections were the most common predisposing etiologic conditions of ARDS at autopsy.

How to cite this article

Sachdev S, Pandit SP. Acute Respiratory Distress Syndrome: An Autopsy Study. J Postgrad Med Edu Res 2014;48(1):8-13.

RESEARCH ARTICLE

Daisy Sahni, Anjali Aggarwal, Tulika Gupta

Anatomic Landmarks and Morphometric Measurements for Accurate Localization of the Sphenopalatine Ganglion via the Transnasal and Infrazygomatic Approaches: A Cadaveric Study

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:5] [Pages No:14 - 18]

PDF  |  DOI: 10.5005/jp-journals-10028-1093  |  Open Access |  How to cite  | 

Abstract

Objective

Sphenopalatine ganglion (SPG) block is used for a variety of craniofacial pain syndromes either through the trans-nasal route or via the infrazygomatic approach. Intraoperative imaging can identify the pterygopalatine fossa (PPF) but not the exact position of the SPG. Accurate localization of the PG requires knowledge of the relevant anatomical landmarks.

Materials and methods

Thirty mid sagittal head and neck cadaveric sections were studied and the morphometric data was te correct SPG localization via trans-nasal roach and infrazygomatic approach.

Results

The sphenopalatine foramen (SPF) was located at an average distance of 55 mm from the anterior nasal spine at a mean angle of 22°. It was at or just superior to the midpoint of a line joining the skull base and the hard palate. The SPG was located 4 mm posterior and 4.7 mm lateral to the SPF at a mean distance of 6.3 mm from the SPF at an inclination of about 50° in both the sagittal and coronal planes. In the infrazygomatic approach, the SPG was between 4.5 and 6.3 cm the skin and an angle of about 7° posterior and inferior.

Conclusion

These morphometric measurements will be of help to the clinician for accurate electrode or needle placement for SPG block and in avoiding complications related to inaccurate needle placement.

How to cite this article

Gupta T, Aggarwal A, Sahni D. Anatomic Landmarks and Morphometric Measurements for Accurate Localization of the Sphenopalatine Ganglion via the Transnasal and Infrazygomatic Approaches: A Cadaveric Study. J Postgrad Med Edu Res 2014;48(1):14-18.

RESEARCH ARTICLE

Madhanraj Kalyanasundaram, Amarjeet Singh, Navpreet Singh

How ‘Healthy’ are Villages in District Ambala, Haryana: A Pilot Study?

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:5] [Pages No:19 - 23]

PDF  |  DOI: 10.5005/jp-journals-10028-1094  |  Open Access |  How to cite  | 

Abstract

Background

A ‘healthy village’ concept as a healthy setting approach is lacking in India, where approximately 70% of population lives in villages. Despite various village development programs, the quality of life in Indian villages continues to be poor.

Objective

To evaluate some villages in district Ambala as healthy villages.

Materials and methods

This cross-sectional study of seven villages under a sub center was conducted during January to April 2010. These villages were compared on the basis of scores obtained on a checklist developed for evaluating ‘healthy village’. The village headmen, committee members, various health workers, accredited social health activists and anganwadi workers were also interviewed.

Results

The sub center headquarter, the largest village, scored maximum among seven villages (90/130; 69.2%). Lowest score was observed in the smallest village (49/130; 37.7%). Most villages faired poorly on intersectoral coordination, youth activities, and historical/cultural heritage. Performance of all villages on ‘availability of basic statistics’ and ‘animal shelter’ was excellent.

Conclusion

Apparently, population size of a village was linked with its being a healthy village. None of the village had an excellent score. Overall, an average rating can be assigned to these villages as healthy village.

How to cite this article

Kalyanasundaram M, Singh A, Singh N. How ‘Healthy’ are Villages in District Ambala, Haryana: A Pilot Study? J Postgrad Med Edu Res 2014;48(1):19-23.

RESEARCH ARTICLE

Tarun Narang, Sanjeev Handa

An Open-Label, Single-Arm Pilot Study in Patients with Moderate to Severe Plaque-Type Psoriasis treated with Mesalazine

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:3] [Pages No:24 - 26]

PDF  |  DOI: 10.5005/jp-journals-10028-1095  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Handa S, Narang T. An Open-Label, Single-Arm Pilot Study in Patients with Moderate to Severe Plaque-Type Psoriasis treated with Mesalazine. J Postgrad Med Edu Res 2014;48(1):24-26.

RESEARCH ARTICLE

Shweta Shenoy, Amrinder Singh, Kartik Kulkarni, Jaspal Sandhu

Effect of 6 Weeks of Preseason Concurrent Muscular Strength and Plyometric Training in Professional Soccer Players

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:6] [Pages No:27 - 32]

PDF  |  DOI: 10.5005/jp-journals-10028-1096  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Singh A, Kulkarni K, Shenoy S, Sandhu J. Effect of 6 Weeks of Preseason Concurrent Muscular Strength and Plyometric Training in Professional Soccer Players. J Postgrad Med Edu Res 2014;48(1):27-32.

RESEARCH ARTICLE

Sujata Siwatch, Goter Doke

Sublingual vs Oral Misoprostol for Labor Induction

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:4] [Pages No:33 - 36]

PDF  |  DOI: 10.5005/jp-journals-10028-1097  |  Open Access |  How to cite  | 

Abstract

Background

This study compares the eficacy and safety of sublingual vs oral misoprostol for induction of labor.

Materials and methods

160 women admitted for induction of labor at the Postgraduate Institute of Medical Education and Research, Chandigarh were randomized to receive 25 µg misoprostol orally 3 hourly or 25 µg sublingual misoprostol 4 hourly for labor induction.

Outcome

The two groups were compared for number of women not delivered in 24 hours, misoprostol dose required, induction delivery interval, incidence of uterine contraction abnormalities, mode of delivery, side effects and neonatal outcomes.

Results

Low dose of misoprostol is eficacious with both routes of administration. Majority women delivered vaginally and of them, comparable numbers in both vaginal and sublingual misoprostol groups delivered within 24 hours of induction (93.1 and 83.7%). The sublingual route is associated with a statistically signiicant lesser induction to delivery interval (14.8 ± 6.2 hours vs 17.67 ± 7.32 hours) and lesser requirement of oxytocin augmentation (62.5 vs 35%). The occurrence of uterine contraction abnormalities and neonatal outcome was similar in both groups.

Conclusion

The low dose of 25 µg is eficacious and safe by both sublingual and oral routes. Sublingual route has lesser induction to delivery interval and lesser requirement for oxytocin augmentation.

How to cite this article

Siwatch S, Doke G, Kalra J Bagga R. Sublingual vs Oral Misoprostol for Labor Induction. J Postgrad Med Edu Res 2014;48(1):33-36.

REVIEW ARTICLE

Bhavuk Garg, Rajendra Kanojia

Implant-related Metal Hypersensitivity—A Cause for Concern: A Report of Two Cases and Literature Review

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:3] [Pages No:37 - 39]

PDF  |  DOI: 10.5005/jp-journals-10028-1098  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kanojia R, Kumar V, Garg B, Dhillon MS. Implant-related Metal Hypersensitivity—A Cause for Concern: A Report of Two Cases and Literature Review. J Postgrad Med Edu Res 2014;48(1):37-39.

CASE REPORT

Sangeeth Kumar Kasilingam, Savita Jindal

Unilateral Hypoplasia of Lung in Association with Dilated Stomach

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:3] [Pages No:40 - 42]

PDF  |  DOI: 10.5005/jp-journals-10028-1099  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kasilingam SK, Jindal S. Unilateral Hypoplasia of Lung in Association with Dilated Stomach. J Postgrad Med Edu Res 2014;48(1):40-42.

CASE REPORT

Amanjit Bal, Shrawan K Singh, Madhusudhanan Gnanasekharan, Raguram Ganesamoni

Metastatic Adenoid Cystic Carcinoma of Prostate: Is Androgen Deprivation Therapy Beneficial?

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:3] [Pages No:43 - 45]

PDF  |  DOI: 10.5005/jp-journals-10028-1100  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Singh SK, Gnanasekharan M, Kumar S, Ganesamoni R, Bal A. Metastatic Adenoid Cystic Carcinoma of Prostate: Is Androgen Deprivation Therapy Beneficial. J Postgrad Med Edu Res 2014;48(1):43-45.

CASE REPORT

Amanjit Bal, BD Radotra, Nandita Kakkar, Suvradeep Mitra, Bikram Shah, J Preethi

Clinicopathological Conference Report—PM 25381 Postpartum Prothrombotic State with Multiple Brain Infarcts Mimicking Tuberculous Meningitis with Vasculitis

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:7] [Pages No:46 - 52]

PDF  |  DOI: 10.5005/jp-journals-10028-1101  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Ramandeep S Virk

New Products and Processes

[Year:2014] [Month:January-March] [Volume:48] [Number:1] [Pages:2] [Pages No:53 - 54]

PDF  |  DOI: 10.5005/jpmer-48-1-53  |  Open Access |  How to cite  | 

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