Journal of Postgraduate Medicine, Education and Research

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2015 | April-June | Volume 49 | Issue 2

EDITORIAL

Ramandeep S Virk

The Autobots are Here to Stay: Robotics in Medicine

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/jpmer-49-2-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Rohit Sharma, Vandana Esht, Pallvi Goomer

Retrospective Analysis of Etiology, Incidence and Management of Facial Trauma Over 5 Years in North India: A Clinical Audit

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:3] [Pages No:59 - 61]

PDF  |  DOI: 10.5005/jp-journals-10028-1145  |  Open Access |  How to cite  | 

Abstract

Aim

To analyze etiology, incidence and management of facial trauma over a period of 5 years in a tertiary care center in North India.

Materials and methods

Records of 195 patients with 274 facial fractures were analyzed retrospectively from 2009 to 2013. Fractures were classified according to anatomical area involved (zygoma, maxilla, mandible, teeth), and etiology was divided into road traffic accidents (RTAs), falls, sports injuries and assaults. It was found that RTA was most common etiologic factor for facial trauma, followed by falls, assaults and sports injuries. Mandibular fractures were most common, followed by midface fractures and dental injuries. Various treatment options were also evaluated.

Results

Mandibular fractures were more common than midface fractures. Most common line of treatment was open reduction and internal fixation with mini-plate fixation. Mandible reconstruction was done in one case of bone defect following a gun-shot injury. Coronoidectomy had to be performed in one case of zygoma fracture.

Conclusion

Patient's best interest, affordability and general well being should be kept in mind while managing trauma of maxillofacial region. Surgeon should utilize his knowledge to the best possible level as any injury to this region has a direct impact on psyche as well as general well being of patient.

How to cite this article

Sharma R, Esht V, Goomer P. Retrospective Analysis of Etiology, Incidence and Management of Facial Trauma Over 5 Years in North India: A Clinical Audit. J Postgrad Med Edu Res 2015;49(2):59-61.

RESEARCH ARTICLE

Suman Arora, Harihar Vishwanath Hegde, Jyotsna Wig

The Effect of Glycopyrrolate on Induction Dose of Propofol during General Anesthesia

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:4] [Pages No:62 - 65]

PDF  |  DOI: 10.5005/jp-journals-10028-1146  |  Open Access |  How to cite  | 

Abstract

Background

Preinduction cardiac output (CO) is a small but significant predictor of induction dose of propofol. We hypothesized that glycopyrrolate, by inducing tachycardia (although to a small extent) would increase CO, and hence the induction dose of propofol. Aim of the study was to find out the dose of propofol required to induce anesthesia in patients receiving glycopyrrolate as compared to those not receiving it.

Meterials and methods

Eighty female patients (25-60 years, ASA-1, 2) undergoing elective procedures under general anesthesia were randomized into group G (glycopyrrolate) and group C (control). Patients received 1 ml (0.2 mg) glycopyrrolate (group G) or 1 ml normal saline (group C) intravenously 5 minutes before induction. Anesthesia was induced with propofol at a rate of 0.8 mg/kg/min titrated to achieve a target BIS = 40. Dose of propofol required for induction of anesthesia (loss of consciousness) and to reach the target BIS, heart rate (HR) and mean arterial pressure (MAP) at various intervals were compared. Correlation between the dose of propofol required to reach target BIS = 40 and heart rate after giving the test drug was performed by regression analysis.

Results

The dose of propofol required for achieving target BIS was significantly higher (p < 0.001) in group G (2.08 ± 0.42 mg/kg) (mean ± SD) as compared to group C (1.66 ± 0.23 mg/ kg). There was a significant positive correlation between the preinduction HR (3 minutes after giving the test drug) and the propofol dose required to reach target BIS = 40 (r = 0.356, p < 0.01).

Conclusion

Administration of 0.2 mg of glycopyrrolate intravenously before induction of general anesthesia significantly increased the dose of propofol required for induction of anesthesia.

How to cite this article

Arora S, Hegde HV, wig J, Puri GD. The Effect of Glycopyrrolate on Induction Dose of Propofol during General Anesthesia. J Postgrad Med Edu Res 2015;49(2): 62-65.

RESEARCH ARTICLE

Satyawati Mohindra, Sandeep Mohindra, Karan Gupta, Bhumika Gupta, Dharamveer Singh

Hearing Loss with Amphotericin B Therapy in Patients with Rhinocerebral Aspergillosis: Is it a Reality?

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:4] [Pages No:66 - 69]

PDF  |  DOI: 10.5005/jp-journals-10028-1147  |  Open Access |  How to cite  | 

Abstract

Context

Study carried out to investigate the relationship of amphotericin B (AmB) therapy with hearing loss developing in patients with rhinocerebral aspergillosis during prolonged AmB therapy.

Aim

To study the effect of prolonged AmB therapy on the hearing acuity of patients suffering from invasive fungal sinusitis. Setting and design: Nonrandomized prospective study carried in Department of Otolaryngology and Head and Neck Surgery from January, 2010 to June, 2013.

Materials and methods

High frequency pure tone audiometry (PTA) and cold caloric test (CCT) were done for all patients before starting of therapy with AmB. Both tests were repeated at 500 mg, 1 and 2 gm of AmB administration. Follow-up was done for all patients at 3 and 6 months after completion of therapy.

Results

Twenty-four patients of invasive fungal sinusitis included. On prolonged AmB therapy some patients had deterioration in hearing. But these changes were not statistically significant. The changes were mild and shift was one grade above or below. It was also seen that the hearing complaints were reported in the middle of the therapy although all these patients had baseline hearing loss.

Conclusion

Amphotericin B does cause some change in hearing pattern; although not statistically significant. A further study is required with more number of patients so as to say definitively that AmB causes a change in hearing. Though these patients have numerous factors which can affect hearing in many ways, a systematic study is required to go a long way in clearing the doubts attached to AmB therapy.

Key message

Amphotericin related hearing loss has not been reported in English literature till date. Our study focuses on the effect of AmB on hearing. Amphotericin B does cause some change in hearing pattern, although not statistically significant. All the patients complained of hearing deterioration while some showed improvement on audiogram (though not significant) showing a paradoxical feature.

How to cite this article

Mohindra S, Gupta B, Mohindra S, Gupta K, Singh D. Hearing Loss with Amphotericin B Therapy in Patients with Rhinocerebral Aspergillosis: Is it a Reality? J Postgrad Med Edu Res 2015;49(2):66-69.

RESEARCH ARTICLE

Rohit Sharma, Gerish Atri, Madhur Verma

Awareness of Oral and Maxillofacial Surgery among Medical Practitioners in North India: A Survey

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:4] [Pages No:70 - 73]

PDF  |  DOI: 10.5005/jp-journals-10028-1148  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sharma R, Atri G, Verma M. Awareness of Oral and Maxillofacial Surgery among Medical Practitioners in North India: A Survey. J Postgrad Med Edu Res 2015;49(2):70-73.

REVIEW ARTICLE

Mathew Varghese, Gautam Chakrabarty, Sivaharan Thambapillay

Unicompartmental Arthroplasty of the knee

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:5] [Pages No:74 - 78]

PDF  |  DOI: 10.5005/jp-journals-10028-1149  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chakrabarty G, Varghese M, Thambapillay S. Unicompartmental Arthroplasty of the knee. J Postgrad Med Edu Res 2015;49(2):74-78.

CASE REPORT

Arul Dasan, Vasanthakumar Kalanayak, B Deepashri

Solitary Fibular Metastasis from Hilar Adenocarcinoma of Lung

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:4] [Pages No:79 - 82]

PDF  |  DOI: 10.5005/jp-journals-10028-1150  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Dasan A, Kalanayak V, Deepashri B. Solitary Fibular Metastasis from Hilar Adenocarcinoma of Lung. J Postgrad Med Edu Res 2015;49(2):79-82.

CASE REPORT

Nidhi Prabhakar, Vivek Gupta, Naresh Panda

Dual Ectopic Thyroid: An Uncommon Imaging Diagnosis

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:2] [Pages No:83 - 84]

PDF  |  DOI: 10.5005/jp-journals-10028-1151  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Prabhakar N, Gupta V, Panda N, Khandelwal N. Dual Ectopic Thyroid: An Uncommon Imaging Diagnosis. J Postgrad Med Edu Res 2015;49(2):83-84.

CASE REPORT

Arvind Jayaswal, Sanjay Yadav, Ankur Goswami, G Vijayraghavan

Coexistent Tuberculosis of Spine and Chronic Myeloid Leukemia: Resolving the Diagnostic Dilemma and Management

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:3] [Pages No:85 - 87]

PDF  |  DOI: 10.5005/jp-journals-10028-1152  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Yadav S, Jayaswal A, Vijayraghavan G, Goswami A. Coexistent Tuberculosis of Spine and Chronic Myeloid Leukemia: Resolving the Diagnostic Dilemma and Management. J Postgrad Med Edu Res 2015;49(2):85-87.

CASE REPORT

Rajesh Kashyap, Ravi Sharma

Successful Treatment of a Complicated Case of Neuroleptic Malignant Syndrome with a Higher Dose of Bromocriptine and Lorazepam

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:3] [Pages No:88 - 90]

PDF  |  DOI: 10.5005/jp-journals-10028-1153  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sharma R, Kashyap R. Successful Treatment of a Complicated Case of Neuroleptic Malignant Syndrome with a Higher Dose of Bromocriptine and Lorazepam. J Postgrad Med Edu Res 2015;49(2):88-90.

CASE REPORT

Karan Gupta, Satheesh Kumar Sunku

Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:3] [Pages No:91 - 93]

PDF  |  DOI: 10.5005/jp-journals-10028-1154  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Gupta K, Virk RS, Sunku SK. Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature. J Postgrad Med Edu Res 2015;49(2):91-93.

RESEARCH ARTICLE

Ashim Das, SC Varma, Nandita Kakkar, Vani Bharani, Ojas Gupta, Deepa Shrestha, Shano Naseem

Respiratory Distress in Acute Promyelocytic Leukemia after ATRA Therapy: Not always due to Differentiation Syndrome

[Year:2015] [Month:April-June] [Volume:49] [Number:2] [Pages:7] [Pages No:94 - 100]

PDF  |  DOI: 10.5005/jp-journals-10028-1155  |  Open Access |  How to cite  | 

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