International Medical Journal

Journal ID : IMJ-23-12-2021-1107

Total View : 459

Title : Comparison between Open Surgery versus Endovenous Laser Ablation for treatment of varicose veins- a prospective study

Abstract : Ultrasound-guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA), and endovenous laser therapy are all minimally invasive treatments for large saphenous varicose veins (EVLT). When compared to flush saphenofemoral ligation with stripping, also recognised as open surgery or high ligation and stripping (HL/S), the proposed advantages include fewer complications, accelerated return to work, improved quality of life (QoL) scores, reduced need for general anaesthesia, and comparable recurrence rates..
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International Medical Journal

Journal ID : IMJ-23-12-2021-1105

Total View : 468

Title : A prospective investigation of the treatment outcome of drug-resistant tuberculosis patients in Kashmir valley using molecular assays

Abstract : Drug-resistant tuberculosis strains pose a significant danger to worldwide tuberculosis control disease centres. Because of the poor health care system and budget constraints in low and middle-income countries, it is difficult to identify and monitor drug resistance instances utilising drug susceptibility testing and culture. In this situation, molecular tests like CBNAAT, TRUENAT, GeneXpert, and Line probe assays appear to be a cost- effective solution. The study's goal is to see how well molecular assays and Line probe assays work in diagnosing pulmonary tuberculosis, medication resistance, and treatment outcomes in Kashmir valley patients. The current study was conducted in collaboration with the State Tuberculosis Office (STO) Kashmir and the Department of Chest Medicine, Chest Diseases Hospital (CDH), Govt. Medical College, Srinagar, and the Intermediate Reference Laboratory (IRL), State TB Training and Demonstration Centre (STDC), Chest Diseases Hospital, Srinagar. A total of 400 cases were taken for the study out of 195 known drug resistance and sensitivity in the ethnic population. Between 2017 and 2021, 195 individuals with drug-resistant TB were treated in our study. Patients ranged in age from 25 to 80 years old, with 101 patients (51.8%) being male and 101 patients (51.8%) living in rural areas. There were 135 smokers among the patients, 13 with multidrug-resistant tuberculosis, 111 with rifampicin resistance, and 42 with isoniazid resistance. Patients with tuberculosis had the following treatment outcomes: 97 patients were cured (49.7%), 13 completed therapy (6.6%), 34 patients died before the treatment was completed, 11 patients were lost to follow up (5.6%), and one patient had treatment failure. More than half of the cases resulted in treatment success, which falls short of the World Health Organization's aim of at least a 75% success rate. A considerable number of patients dropped out of treatment before it was finished. These dropouts are a severe public health threat that requires immediate attention..
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International Medical Journal

Journal ID : IMJ-20-12-2021-1104

Total View : 403

Title : A STUDY ON NON OPERATIVE MANAGEMENT IN ORGAN SPECIFIC BLUNT TRAUMA ABDOMEN AND ITS OUTCOME

Abstract :

Abdominal trauma usually occurs following motor vehicle accidents, fall or assault. The management of patients following trauma is an ongoing challenge to the trauma surgeons. Treatment of abdominal trauma requires an accurate assessment of the presence, nature and extent of injury. Therefore diagnosis usually requires application of imaging tools.
Blunt abdominal trauma (B.A.T) is particularly misleading since clinical signs might take hours or even days to appear, despite the fact that internal organ damage can be significant and fatal. The most common mode of injury that results in B.A.T is a road traffic accident (R.T.A). Diagnostic techniques such as F.A.S.T and C.T scans have shifted management patterns away from surgery and toward a more conservative approach. The goal of this study was to look into the management and outcome of blunt trauma to the abdomen in a tertiary care hospital.

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International Medical Journal

Journal ID : IMJ-19-12-2021-1102

Total View : 362

Title : Correlation between faces scale and pressure algometer in pain threshold assessment in healthy children

Abstract : Pain threshold is the lowest intensity at which a specific stimulus is perceived as painful; it’s relatively constant across subjects for a given stimulus. For example, most subjects will define a thermal stimulus as painful when it reaches about 50° C. Similarly, mechanical pressure produces pain (Pressure Pain Threshold/PPT) at approximately the same pressure across subjects. Pain threshold because it relates to sensitivity to pressure is measured with a pressure algometer. The most objective of this study was to research the correlation between Faces Pain Scale-Revised (FPS-R) and the pressure algometer as assessment of pain threshold in normal healthy children. 170 normal healthy children of both sexes with age ranged from 4-10 years old were allocated into three groups: (4 < 6 years old) group (1), (6 < 8 years old) group (2) and (8-10 years old) group (3) who been selected from several nurseries and schools. The pain threshold was assessed by both the Digital Pressure Algometer (Egyptian Digital Algometer, Patent No.258 for 2017) and FPS-R on dominant upper limb and lower limb. The results showed that the correlation between FPS-R and PPT of the study group was a weak negative significant correlation in both upper limb and lower limb. The correlation between FPS-R and PPT of children in group (1) was a weak positive non-significant correlation in both upper and lower limbs. The correlation between FPS-R and PPT of children in group (2) was a weak positive non-significant correlation in both upper and lower limbs. The correlation between FPS-R and PPT of children in group (3) was a weak positive non-significant correlation in both upper and lower limbs. We concluded that there is no correlation between the pressure algometer and FPS-R in assessing the pain threshold..
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International Medical Journal

Journal ID : IMJ-18-12-2021-1101

Total View : 502

Title : Clinicopathological correlation of hyperpigmented skin lesions in a tertiary care centre in Western Maharashtra

Abstract : Hyperpigmentation of the skin represents one of the major dermatological concerns for populations with pigmented skin phototypes, with a high prevalence in the Indian population. Our study was conducted to correlate histopathological and clinical findings of various hyperpigmented skin lesions in a tertiary care centre. A prospective study over a period of 2 years was conducted and included 78 cases. Biopsies of various hyperpigmented skin lesions coming to the pathology department were analysed. Both acute and chronic hyperpigmented skin lesions of all age groups and of both sexes were included. Those cases without any history of hyperpigmentation, inadequate biopsy material and those without a proper clinical history were excluded. Skin biopsy samples were processed, slides were stained by routine H&E stain and histopathological analysis was carried out. Special stains were applied wherever required (Ziehl-Nelson, periodic acid Schiff, Congo red etc). Hyperpigmented lesions were predominant in age group of 21-40 years, males, least occurrence was seen above age of 60yrs. The most common site being upper limbs and most common type of lesions were plaques. Most common clinical and histopathological diagnosis was lichen planus. Clinicopathological corelation was found to be 80.7%. Hyperpigmented lesions are a common occurrence but with a widely different aetiology. Commonest diagnosis was lichen planus both clinically and histopathologically. Histopathological study remains the gold standard for the diagnosis of hyperpigmented lesions and should be sought for to obtain an early diagnosis..
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023