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Medical Journal, Armed Forces India

Tanushri Mukherjee
No abstract text is available yet for this article.
April 2019: Medical Journal, Armed Forces India
Mark D Griffiths
No abstract text is available yet for this article.
April 2019: Medical Journal, Armed Forces India
Vijoy Kumar Jha, Dev Prakash Sharma, Vivek Sharda, Abhilasha Kumari
Marchiafava- Bignami disease is a rare condition characterized by demyelination of corpus callosum due to alcohol or malnutrition. Here we report a young lady who, due to her religious beliefs had stopped taking food and presented with neuropsychiatric manifestations. Neuroimaging was suggestive of Marchiafava Bignami disease and with adequate nutritional and thiamine therapy she had dramatic improvement clinically and had near complete resolution of lesions in neuroimaging.
April 2019: Medical Journal, Armed Forces India
Bhargava V Devarakonda, Yuvraj Issar, Rakhee Goyal, Kiranmai Vadapalli
No abstract text is available yet for this article.
April 2019: Medical Journal, Armed Forces India
Anusree Majumder, S Srivastava, P Ranjan
No abstract text is available yet for this article.
April 2019: Medical Journal, Armed Forces India
Prabhat Peeyush, Amit Kumar Paliwal, Mintu Mani Baruah, Vivek Sharma
No abstract text is available yet for this article.
April 2019: Medical Journal, Armed Forces India
Tanushri Mukherjee, Inam Danish Khan, Rena Guha, Tanmay Ganguly
No abstract text is available yet for this article.
April 2019: Medical Journal, Armed Forces India
Ruchi Garg, Neeraj Garg, D K Sharma, Shakti Gupta
Background: Violence against health-care workers has become a great issue in health-care organizations. This study was conceptualized with the aim to know the prevalence of violence and to identify gap between rate of reporting of an incident of violence at a tertiary care hospital in India. Methods: The study was descriptive and cross-sectional; a validated questionnaire was used as a tool. Reported incidents of violence against workers were collected. P value <0...
April 2019: Medical Journal, Armed Forces India
J S Sandhu, Ajit K Singh, Abhijit Bhatulkar, Uday Pratap, Milind Chauhan
Background: Ureteroscopic management of ureteral calculi using topical anaesthesia has been described. Most studies topically anaesthetized the urethra or urinary bladder by instilling 2% of plain lignocaine. In addition to the success rate, the pain perception in these studies was reported subjectively using non-standard criteria. Topical anaesthesia of the ipsilateral ureter and the pelvicalyceal system (PCS), in addition to urethra and urinary bladder, and use of alkalinised lignocaine, for enhanced effect, has not been reported for ureteroscopy...
April 2019: Medical Journal, Armed Forces India
D Bhattacharyya, A Timothy, P Yadav, M Namdev
Background: Deliberate self-harm (DSH) is common in modern society. A million people worldwide die from suicide each year, leading to a large toll on human resources and economy. Research has revealed DSH as an important indicator of eventual suicide worldwide. The present study focused on DSH attempters among Armed Forces personnel and family members with the aim of identifying modifiable factors to provide recommendations for primary prevention in the military milieu. Methods: Hundred cases of survivors of DSH were evaluated in a case-control study using psychiatry assessment instruments (the Mini-International Neuropsychiatric Interview, Pierce Suicide Intent Scale, Hamilton's Depression and Anxiety Scales and presumptive life event scale) to assess psychiatric morbidity and psychosocial correlates...
April 2019: Medical Journal, Armed Forces India
Mathews Jacob, M N Kale, Shahabaz Hasnain
Background: Traumatic brain injury (TBI) is known to be an important reason for the increase in disabilities and deaths worldwide. Studies have demonstrated that brain tissue oxygen (PO2) monitoring reduces mortality significantly but is a invasive method of monitoring. Therefore, there is a need to monitor cerebral ischemia in TBI by noninvasive methods. The study aims to correlate cerebral co-oximetry and possible outcomes in patients with TBI. Methods: The study included 78 patients with TBI admitted in intensive care unit (ICU) with glascow coma scale (GCS) of 8 or less than 8...
April 2019: Medical Journal, Armed Forces India
Uma Patnaik, Ajith Nilakantan, Ram Bajpai, Kalyani Addya
Background: Rhinoplasty has a tremendous psychosocial impact. A good surgical correction may not guarantee an expected response from the patient. This is due to the fact that there may be associated psychological distress, the assessment of which may have to be incorporated while evaluating the surgical result. We aimed to identify if the questionnaire may help in identifying patients who might be less satisfied psychologically to the surgical result. This aspect of psychological assessment is not standardized, although it is reported in Western literature and recently in Asian Koreans...
April 2019: Medical Journal, Armed Forces India
S Sawhney, R K Singh, S Chakraberty
Background: Intrathecal adjuncts have been used to prolong the quality and duration of subarachnoid anaesthesia. Midazolam given intrathecally is reported to have antinociceptive properties. The purpose of this study was to compare intrathecal midazolam with fentanyl for pain relief and patient comfort. Methods: In this prospective, double-blind, randomised controlled trial, 90 patients for lower limb surgeries were randomly allocated to three groups: "control group" (3 ml 0...
April 2019: Medical Journal, Armed Forces India
Amit Sharma, U Naga Satish, M S Tevatia, S K Singh
Background: Massive hemorrhage is the leading preventable cause of death in modern warfare injuries. Early and accurate detection of source of hemorrhage and massive blood transfusions remain the mainstay of management in such cases. Hemodynamic indices like shock index (SI), modified shock index (MSI), and pulse pressure heart rate (PP/HR) ratio have shown promising results in predicting massive transfusion in trauma patients. The present study aimed at assessing the accuracy of SI, MSI, and PP/HR ratio to predict the requirement of massive blood transfusions...
April 2019: Medical Journal, Armed Forces India
R N Verma, Navdeep Sethi, Sharmishtha Pathak, Vasu Vardhan
Background: Inter-costal chest drain (ICD) used for varied thoracic pathologies causes continuous pain and irritation of the pleura, which limits respiratory efforts and impairs ventilatory function. Intrapleural block deposits local anaesthetic between the layers of pleura and may improve ventilatory function especially in non surgical patients. Methods: Twenty eight ASA I-III patients treated with ICD, who could perform incentive spirometry, were included for study...
April 2019: Medical Journal, Armed Forces India
Raksha Jaipurkar, S S Mahapatra, Saurabh Bobdey, Chitra Banerji
Background: The combat naval vessels require continuous operational preparedness for guarding the vast coastline. Sailors onboard these ships are at risk for sleep deprivation. Sailors may be vulnerable to chronic fatigue; and decreased performance, vigilance, and cognitive functioning owing to sleep debt, which may affect safety during tactical operations and while transportation of ships. In this study we assessed the work-rest pattern and level of alertness during sailing and non sailing days...
April 2019: Medical Journal, Armed Forces India
Ujjwal Dimri, T Chatterjee, R S Mallhi, J Philip, N Kushwaha
Background: Venous thromboembolism (VTE) is a known situation of considerable mortality and morbidity and occurs due to the convergence of multiple acquired and genetic risk factors. Methods: In this study, we have comprehensively analyzed the effect of ABO blood groups and inherited thrombophilia factors [Protein C (PC), Protein S (PS), Antithrombin III (AT III), Activated Protein C Resistance (APCR) and Homocysteine (Hcy)] on 150 unprovoked VTE patients, comparing with normal healthy controls...
April 2019: Medical Journal, Armed Forces India
Deepak K Sreevastava, R N Verma, Ravi Verma
Background: Gastro laryngeal tube (GLT) is a newly introduced device. It is an advanced purpose specific design (essentially a modified laryngeal tube) which especially provides a separate wide channel specifically designed for the introduction of a gastroscope for endoscopic retrograde cholangio-pancreatography (ERCP), simultaneously functioning as a supra-glottic airway device for ventilation. Methods: In a randomized controlled trial on 100 patients undergoing ERCP under GA, GLT was compared with endotracheal tube as an alternative airway device...
April 2019: Medical Journal, Armed Forces India
Hardeep Kaur, Vandana Negi, Mukti Sharma, Gaurav Mahajan
Background: Neonates being nonverbal are unable to express their pain leading to underestimation of their pain and hence insufficient pain relief. Neonatal pain is assessed by pain scales based on the behavioural and physiological changes that occur in response to painful stimuli. This cross sectional study was conducted at a tertiary care centre using Premature Infant Pain Profile (PIPP) score with 4% lidocaine as local anaesthetic agent to produce surface anaesthesia of skin prior to intravenous cannulation...
April 2019: Medical Journal, Armed Forces India
Vinay Maurya, C M Sreedhar, Anurag Khera, Mukul Bhatia, Vivek Sharma
Background: The most common cause for trigeminal neuralgia is contact of the trigeminal nerve with an offending vessel which is also observed routinely in many asymptomatic patients. Therefore, the aim of this study was to determine when an asymptomatic Neuro Vascular Contact (NVC) turned into a neurovascular conflict and made the patient symptomatic. Methods: All patients who underwent Magnetic Resonance Imaging (MRI) brain with clinical diagnosis of trigeminal neuralgia formed the study group and all cases of sensorineural hearing loss formed the control group...
April 2019: Medical Journal, Armed Forces India
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