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  Most popular articles (Since February 04, 2014)

 
 
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ORIGINAL ARTICLES
Digital rectal grading of benign prostatic hyperplasia: Where does it stand today?
Bijit Lodh, Rajendra Singh Sinam, Kaku Akoijam Singh
January-June 2016, 21(1):40-45
DOI:10.4103/0971-9903.178104  
Background: Despite the fact that digital rectal examination (DRE) is an integral part of medical teaching curriculum, there is lack of standardized grading system for benign prostatic hyperplasia (BPH) that can be followed uniformly. Aims: To evaluate the validity of digital rectal grading for the assessment of prostate volume, in view to improve its reproducibility. Materials and Methods: This study was carried out in 150 eligible patients of BPH. Based on DRE the prostate enlargement was stratified into four grades. The degree of agreement between the expected prostate volume and measured prostate volume against each digital rectal grade were analyzed using Scatter plots. Data were analyzed using the Statistical Package for the Social Sciences. Results: The digital rectal Grades I-IV correlates well with transrectal ultrasound measurement and roughly corresponds to a volume of 27.78 ± 2.55 ml, 40.54 ± 7.69 ml, 61.08 ± 11.90 ml and 98.42 ± 23.44 ml, respectively. The expected prostate volume in digital rectal Grade II (30-50 ml) showed an underestimation and overestimation by 4.76% and 7.94%, respectively. Similarly, Grade III (expected 50-85 ml) and IV (expected >85 ml) showed overestimation by 22.50% and 23.08% respectively. The Cronbach's coefficient showed good internal consistency (α = 0. 851). Conclusions: Our attempt for standardization of the digital rectal grading satisfactorily validated in the clinical setting. It is feasibly sufficient to provide a rough estimation of the prostate volume and to classify patients with BPH.
  26,556 703 -
MCQS
Multiple choice questions on Rheumatology

January-June 2014, 19(1):80-81
  13,677 1,148 -
ORIGINAL ARTICLES
Evaluation of Anganwadi centres performance under Integrated Child Development Services (ICDS) program in Gujarat State, India during year 2012-13
Rajesh K Chudasama, Umed V Patel, Pramod B Verma, Mayur Vala, Matib Rangoonwala, Ankit Sheth, Ankit Viramgami
January-June 2015, 20(1):60-65
DOI:10.4103/0971-9903.151744  
Background: Even after more than 3 decades of implementation, the success of integrated child development services (ICDS) program in tackling maternal and childhood problems still remain a matter of concern. The present study was conducted to assess issues related to Anganwadi worker (AWW) and Anganwadi center (AWC) including infrastructure facilities. Materials and Methods: A total of 60 AWCs were selected including 46 AWCs from a rural area and 14 AWCs from an urban area during April 2012 to March 2013 from 12 districts of Gujarat. Five AWCs were selected from one district. Information on AWWs background characteristics, along with infrastructure and other services delivered at AWCs were observed and recorded. Results: Majority (66.7%) AWCs building were owned by state and 73.3% AWCs having pucca type of building. Almost two-third (65%) AWWs had >10 years of experience. Induction training was given to only 1 AWW (7.1%) in an urban area. Poor findings were reported for regular health checkups (30%), immunization (10.0%), referral slips availability (18.3%), and referral of sick children (8.3%). Significant number of 6 months to 3 years age group and 3 to 6 years in rural areas received services from Anganwadi. Similarly, significant number of pregnant mothers (P < 0.00), lactating mothers (P < 0.00) and adolescent girls (P < 0.00) in rural areas compared to urban areas received Anganwadi services. Nutrition and health education day was observed in 81.7% AWCs. Conclusion: The performance of AWCs and maternal and child health services delivered by AWCs still needs improvement. Coordinated steps catering to different services provided at the centers are needed to optimize the functioning of the ICDS scheme.
  10,844 910 -
SYMPOSIUM-RHEUMATOLOGY
An approach to monoarthritis
Molly Mary Thabah, Ved Chaturvedi
January-June 2014, 19(1):12-18
DOI:10.4103/0971-9903.126229  
Monoarthritis can be inflammatory or non-inflammatory, and can be acute or chronic. A thorough history and physical examination can differentiate inflammatory from non-inflammatory monoarthritis. The most common causes of acute inflammatory monoarthritis are infectious arthritis, crystal induced arthritis (gout and pseudogout). Examination of synovial fluid often is essential in making a definitive diagnosis. Immunoinflammatory diseases like rheumatoid arthritis, systemic lupus erythematosus, spondyloarthritis, Behηet's disease, and reactive arthritis can all begin as acute inflammatory monarthritis. Synovial biopsy is useful to diagnose chronic infections like tuberculosis and brucellosis. In order to arrive at a final diagnosis other organ systems should be thoroughly reviewed, because other systemic illness like sickle cell disease, thalassemia, sarcoidosis can all cause monoarthritis.
  7,846 788 -
TOXICOLOGY SYMPOSIA – REVIEW ARTICLES
Snake bite poisoning
HS Bawaskar, PH Bawaskar
January-June 2015, 20(1):5-14
DOI:10.4103/0971-9903.151717  
Envenoming by venomous snake evokes a life-threatening response. Rapid diagnosis of acute hemorrhagic disorders, neurorespiratory, renal, and hemodynamic failure subsequent to snake bite and their rapid interventions saves life. Early administration of the appropriate dose of potent snake antivenom along with adjuvant treatment, proper care of the wound, correcting electrolyte imbalance, tissue oxygenation, and maintenance of adequate nutrition may help rapid recovery.
  6,928 791 4
CASE REPORTS
Awake insertion of proseal laryngeal mask airway: A technique for cases of fixed flexed neck deformity
Balasaheb Tukaram Govardhane, Geeta A Patkar, Devangi A Parikh, Bharati Anil Tendolkar
January-June 2017, 22(1):22-25
DOI:10.4103/jmgims.jmgims_37_16  
Fixed flexion deformity of the neck due to postburn contracture results in the nonalignment of oral, pharyngeal, and laryngeal planes for intubations. Airway management is a challenge to anesthesiologist in these cases. Awake fiberoptic intubation if available is the gold standard in such cases. The design of ProSeal laryngeal mask airway (LMA) is such that it provides a good alternative to the endotracheal tube and its insertion does not require the visualization of the vocal cords. We present the successful airway management of a patient with severe fixed flexion deformity of the neck by an awake ProSeal LMA insertion.
  7,522 111 -
MCQS
Multiple choice questions on toxicology

January-June 2015, 20(1):117-118
  6,030 381 -
CASE REPORTS
Unusual case of right iliac fossa pain: A case report
Aditi Agrawal, Aparna Govil, Muffazal Lakdawala
January-June 2015, 20(1):94-96
DOI:10.4103/0971-9903.151742  
Right iliac fossa pain does not always mean acute appendicitis even though it is the most common etiology. We report a rare case where on clinical grounds patient was diagnosed to have acute appendicitis which on diagnostic laparoscopy turned out to be gangrenous small bowel secondary to a band causing constriction and compression.
  5,913 135 -
REVIEW ARTICLES
Adolescent health and adolescent health programs in India
Chetna Maliye, BS Garg
July-December 2017, 22(2):78-82
DOI:10.4103/jmgims.jmgims_32_17  
The 2030 Agenda for Sustainable Development and its Global Strategy for Women's, Children's and Adolescents' Health provides a unique opportunity for accelerated action for the health of adolescents. Investment in adolescent health is also essential to achieve the 17 SDGs and their 169 targets, each of which relates to adolescent development, health or well-being directly or indirectly. India has the largest adolescent population in the World. The health status of an adolescent determines the health status in his/her adulthood. Many serious diseases in adulthood have their roots in adolescence. The main health issues faced by the adolescents include: Mental health problems, early pregnancy and childbirth, (HIV/STI) and other infectious diseases, violence, injuries, malnutrition and substance abuse. To achieve wholesome adolescent health, we need to have a multidimensional approach covering all the adolescent health problems with special emphasis on mental health, behaviour change communication towards healthy lifestyle and positive social environment to acquire life skills.
  4,639 678 -
ORIGINAL ARTICLES
Prevalence of skin diseases in rural Central India: A community-based, cross-sectional, observational study
Sonia Jain, MS Barambhe, Jyoti Jain, UN Jajoo, Neha Pandey
July-December 2016, 21(2):111-115
DOI:10.4103/0971-9903.189537  
Aim: To identify prevalence of skin diseases and to determine the risk factors of skin diseases among the adult population of rural Central India. Materials and Methods: It was a community-based, observational study in which we prospectively recruited general population in and around Wardha beginning October 1, 2011, through March 2012. The main focus was to study population of 10 years and above. Results: Eczema was the most common dermatosis accounting for 22% participants and among them almost 60% sufferers were female. Fungal infection presented in 13.0% of all the affected participants and was found more in male participants (58%) than in female (42%) among those affected with fungal infection. Eczema, benign skin tumors, and pigmentary disorders were more common in participants aged 51 years and above accounting to 52.7%, 9.4%, and 6.3%, respectively. Fungal infection and acne were more in adolescent age group accounting to 17.4% and 30.4%, respectively. Conclusion: Hence, we concluded that of the entire study population prevalence of skin diseases was 60%. Our study brought a higher prevalence of eczema in female and fungal infection in male. Eczema, benign skin tumors, and pigmentary disorders were more common in participants aged 51 years and above, and fungal infection and acne were more in adolescent age group. Adolescents suffered predominantly from fungal infections and acne due to pubertal changes. Various causes such as environment, overcrowding, and poor living conditions are major factors and not only adolescents or old age group but also entire population between 21 and 50 years of age were found to be suffering more commonly from eczema and infective dermatoses.
  4,549 481 -
SYMPOSIUM-RHEUMATOLOGY
Advances in management of systemic lupus erythematosus
Subramanian Shankar, Vineet Behera
January-June 2014, 19(1):28-36
DOI:10.4103/0971-9903.126235  
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease affecting multiple organ systems. In the past 40 years, prognosis for patients with SLE has improved significantly because of advances in the understanding of molecular mechanisms involved in the pathogenesis of disease, which has translated into early diagnosis and novel therapeutic strategies. This article will focus on three aspects that have shaped this transformation, namely; a revisit to diagnostic criteria, development of newer biomarkers, and incorporation of newer targeted therapies.
  4,072 545 -
EDITORIALS
Betatrophin in type 2 diabetes mellitus
Omprakash Gupta
September 2013, 18(2):89-90
DOI:10.4103/0971-9903.117786  
  1,878 2,344 -
Repurposing of bacillus Calmette-Guerin (BCG): Prevention, remission or cure in Type 1 diabetes?
Om Prakash Gupta
July-December 2015, 20(2):121-122
DOI:10.4103/0971-9903.164224  
  1,367 2,779 -
SPECIAL EDITORIAL
The revised guidelines of the Medical Council of India for academic promotions: Need for a rethink
Rakesh Aggarwal, Nithya Gogtay, Rajeev Kumar, Peush Sahni
January-June 2016, 21(1):1-5
DOI:10.4103/0971-9903.178070  
  3,663 403 -
REVIEW ARTICLES
Health hazards among health care personnel
Shakuntala Amirchand Chhabra
January-June 2016, 21(1):19-24
DOI:10.4103/0971-9903.178074  
While providing health services, (preventive, curative, rehabilitative), health care personnel (HCP) face hazards. Developments in medical science provide some safety, still modern technology has made health care very complex with many hazards. Biological (viruses, bacteria, and parasites) and chemical (disinfectants, drugs, and diagnostics) therapeutic modalities in health delivery are leading to many disorders in HCP. Needle prick injuries, radiation exposure, violence, psychiatric disorders, stalking by patients, and suicides are common. HCP are at high risk for musculoskeletal disorders, due to patient handling, compounded by increasing number of obese patients. With increase in workload because of human immunodeficiency virus, hardships have increased. Despite potential for exposure to hazards, many HCP lack awareness about prevention. Also the system is not conducive, policies of prevention not clear, inaccessibile, or there is attitude problem. Hence, HCP continue to suffer, more in developing countries. Health managers need to ensure that health care is geared toward assessment of hazards suffered by HCP, there reasons, and do everything possible for prevention.
  3,476 457 -
EDITORIAL
Vitamin-D: Deficiency in abundance
Omprakash Gupta
July-December 2014, 19(2):83-84
DOI:10.4103/0971-9903.138424  
  1,400 2,328 -
SYMPOSIUM-RHEUMATOLOGY
Antiphospholipid syndrome: A review
Varun Dhir, Benzeeta Pinto
January-June 2014, 19(1):19-27
DOI:10.4103/0971-9903.126231  
Antiphospholipid syndrome is being increasingly recognized as a disease with a myriad of clinical manifestations ranging from recurrent thrombosis and pregnancy morbidity to valvular lesions, transverse myelitis, thrombocytopenia and hemolytic anemia. It may be primary or secondary, i.e., associated with other autoimmune diseases. The latest classification criteria (Sydney 2006) recognize just three tests to define this syndrome-lupus anticoagulant, anticardiolipin antobodies and anti β2 glycoprotein 1 antibodies. Treatment of thrombotic events involves lifelong anticoagulation with vitamin K antagonists like warfarin. Antiphospholipid antibody syndrome (APS) with only pregnancy morbidity is treated with thromboprophylaxis using heparin during pregnancy and postpartum for 6 weeks. Catastrophic APS occurs in approximately 1% of APS, and is characterized by microvascular thrombosis (thrombotic storm) and organ dysfunction. In this review we discuss the pathogenesis, diagnosis, treatment and prognosis of the APS.
  3,140 503 1
TOXICOLOGY SYMPOSIA – REVIEW ARTICLES
Recreational drugs in India
Ashsih Bhalla, Debasish Basu, Shubhmohan Singh
January-June 2015, 20(1):20-30
DOI:10.4103/0971-9903.151724  
Substance use has been present in India since many millennia, and the type and pattern of substances being abused have seen changes over time. In the review, we look at the traditional recreational substance and then describe the newer and emerging recreational drugs in India.
  3,391 244 2
CASE REPORTS
Calcific tendonitis of the gluteus maximus tendon: A case report and review of the literature
Manoj Kumar, Dominic F D'Silva, Munjal Shah, Gaurang Parekh
January-June 2016, 21(1):65-68
DOI:10.4103/0971-9903.178111  
Calcific tendonitis of gluteus maximus tendon is unusual and only few cases have been reported. A case of calcific tendonitis of gluteus maximus is presented here. A 46 year old female patient with a history of local pain over trochanteric area and radiating along the sciatic nerve. The x-ray showed amorphous calcification around the posterolateral aspect of the proximal femoral shaft, in the vicinity of the linea aspara. Magnetic resonance imaging confirmed the location of calcification over posterolateral aspect of the proximal femoral shaft, in the vicinity of the linea aspera with minimal fluid collection deep to tensor fascia lata and in intermuscular plane between gluteus maximus and medius, which is highly suggestive of calcific tendonitis at this unusual location. Ossifying enthesis with well defined cortical defect are frequent at the femoral insertion of the gluteus maximus muscle in asymptomatic subjects which must be differentiated from real cortical lesion sometimes associated with these calcific tendonitis.
  3,068 184 -
SHORT REVIEW
Epidemic diseases act 1897, India: Whether sufficient to address the current challenges?
Binod K Patro, Jaya Prasad Tripathy, Rashmi Kashyap
September 2013, 18(2):109-111
DOI:10.4103/0971-9903.117796  
In this age of noncommunicable diseases, communicable diseases still contribute 30% of disease burden in India. Hundreds of epidemics occur each year and we fail to respond and contain most of them. Apart from various biological and behavioral public health interventions, we need to closely look at the structural intervention, that is, the legal framework to review health system preparedness. Although India has a number of legal mechanisms to support public health measures in an epidemic situation, they are not being addressed under a single legislation. The Epidemic Act 1897 is a century old blunt act which needs a substantial overhaul to counter the rising burden of infectious diseases both new and old. Issues like definition of epidemic disease, territorial boundaries, ethics and human rights principles, empowerment of officials, punishment, etc., need more deliberations and warrant a relook.
  2,943 299 1
TOXICOLOGY SYMPOSIA – REVIEW ARTICLES
Acute hair dye poisoning: Lurking dangers
Subramanian Senthilkumaran, Ponniah Thirumalaikolundusubramanian
January-June 2015, 20(1):33-37
DOI:10.4103/0971-9903.151731  
Hair dye poisoning has emerged as one of the major causes of deliberate self-harm in the rural areas of developing world. This systematic toxicological literature reviews the pathophysiology and clinical features of hair dye poisoning.
  2,903 270 1
EDITORIALS
A tribute to Jonas Salk: A journey towards polio free world
Ranjan Sukhdeo Solanki, Ashok M Mehendale
July-December 2016, 21(2):89-91
DOI:10.4103/0971-9903.189536  
  964 2,074 -
REVIEW ARTICLES
What clinician's need to know about imaging features in lung cancer?
Binit Sureka, Mahesh Kumar Mittal, Aliza Mittal, Mukul Sinha, Brij Bhushan Thukral
July-December 2014, 19(2):100-105
DOI:10.4103/0971-9903.138428  
Bronchogenic carcinoma is one of the most common cancers both in males and females worldwide. Lung malignancies can present with manifestations involving any organ system and also mimic like benign nodules or infective consolidation. Present review highlights spectrum of typical presentations and imaging features of lung malignancies.
  2,823 214 1
Benign joint hypermobility syndrome
Nirankar Singh Neki, Ajay Chhabra
January-June 2016, 21(1):12-18
DOI:10.4103/0971-9903.178073  
Benign hypermobility joint syndrome or benign joint hypermobility syndrome (BJHS) is a common yet poorly recognized disorder of joint in children and adults. It is a connective tissue disorder which affects musculoskeletal system in the absence of general rheumatologic features. Benign hypermobility is stated as laxity of joints that may be associated with pain, discomfort after exercise, and even recurrent subluxations. People with this condition generally report prolonged pain and poor exercise tolerability. The term "benign" has been used to separate BJHS from other hereditary connective tissue disorders that besides having a common denominator of joint hypermobility also involve other organs such as the eyes, bones, heart, and blood vessels. Management includes early recognition keeping a high degree of suspicion using Brighton's criteria. Treatment includes patient education, modification of activity and physiotherapy along with anti-inflammatory agents in case of severe joint infliction.
  2,669 268 -
DR. P.R.J. GANGADHARAM ENDOWMENT ORATION
My journey with epidemiology of tuberculosis
Vineet Kumar Chadha
January-June 2014, 19(1):44-50
DOI:10.4103/0971-9903.126245  
  2,600 255 -
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