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  Citation statistics : Table of Contents
   2018| January-June  | Volume 9 | Issue 1  
    Online since January 24, 2018

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Prevalence and risk factors associated with underweight among under-five children in a rural area of Puducherry
Jomon Mathew John, Jomol Sara John
January-June 2018, 9(1):7-11
Background: Nutrition has been recognized as a basic pillar for social and economic development. One in every three malnourished children in the world lives in India. The objective of this study was to measure the prevalence and to study the selected factors associated with underweight among the under-five children in a rural area of Puducherry. Aims: This study aims to study the prevalence of underweight among children under-five years of age and to study the associated risk factors. Methodology: This was a cross-sectional study conducted over a period of 13 months with a sample size of 500. The anthropometric assessments were taken and plotted on the Indian Academy of Pediatrics growth charts.Results: The prevalence of underweight was found to be 23.8%. The age of the child, gender, socioeconomic status, duration of exclusive breast feeds, birth order, and birth weight were found to have statistical significance in underweight. However, the maternal education did not show any significance in underweight. Conclusion: Nutritional status of under-five years children is one of the important indicators of overall development of community and thus country. Intervention to reduce the burden of underweight should be directed toward the education of the mothers regarding the importance of nutrition by community health workers.
  3 5,591 537
Use of in-depth interviews in medical education research
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
January-June 2018, 9(1):41-42
  2 2,438 242
A rare cause of pneumothorax: Diesel aspiration pneumonitis
Ajay K Verma, Anubhuti Singh, Kislay Kishore, Surya Kant
January-June 2018, 9(1):30-33
Chemical pneumonitis refers to the aspiration of an inoculum that is inherently toxic to the lungs. Diesel aspiration is an uncommon cause of chemical pneumonitis, and aspiration leading to pneumothorax is an even rarer occurrence, not having been reported in adults so far. We are reporting a case of a young adult male who developed pneumothorax secondary to accidental diesel aspiration.
  1 3,910 244
Utilizing a toolkit to respond to the health needs of migrant people in the European region: World Health Organization
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
January-June 2018, 9(1):44-45
  1 2,423 188
Clinical profile of pediatric neurotuberculosis patients at a tertiary care center of Western India
Ranvijay Singh, Nishitha Shetty, Maryam Naveed, Mridula Preetham Talari, Deepak Verma, Varsha Kulkarni
January-June 2018, 9(1):12-15
Aim: The aim of this study is to determine the clinical profile of neurotuberculosis in the age group of 6 months to 10 years and its association with biochemical analysis of cerebrospinal fluid (CSF) and neuroradiological findings. Methods: Retrospective assessment of the medical records of confirmed cases of neurotuberculosis from January 2010 to June 2014 was carried out. Results: Of the 46 cases studied, mean age at presentation was 3.4 years. Male-to-female ratio was 1.55:1. Fever, vomiting, headache, seizures, and focal neurological deficits were the most common presenting clinical symptoms. Protein–energy malnutrition (PEM) was detected in 39 cases. On systemic examination, the order of involvement of cranial nerves was VII, II, III, IV, VI, and V. Positive Mantoux test was present in only 11 cases. CSF findings showed lymphocytic predominance, raised protein levels with a decreased to normal glucose levels. Neuroimaging by computed tomography scan/magnetic resonance imaging of the brain gave a definite diagnosis in thirty cases of which hydrocephalus, basal exudates, tuberculoma, and infarctions were the most common findings. The primary focus of tuberculosis was found in the lungs on chest roentgenogram in 12 cases. Conclusions: Neurotuberculosis occurs with increased frequency in the age group of 1–5 years. Fever may be of short duration at presentation in contradiction to current medical literature. PEM is a predisposing factor for the development of the disease. A tuberculin sensitivity test may be negative in cases of neurotuberculosis. CSF analysis and neuroimaging are pivotal in the establishment of a diagnosis.
  1 5,298 433
Development of a module to successfully implement competency-based medical education program in an institute
Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
January-June 2018, 9(1):27-29
Medical education aims to train students in such a way that they are empowered to meet the health needs of the population. Competency-based medical education (CBME) aims to ensure that the student acquires the desired competencies to meet the needs of people in a community and even addresses the constraints attributed to the conventional medical education. Institutes with an active CBME program in place, but in novice stages, have an immense need to sensitize the faculty or the postgraduate students about the different domains of CBME. Having a module, which is designed in a systematic and structured manner, can prove to be a wonderful tool to carry out the sensitization session. The overall process of preparation of a module goes through the stages of needs assessment, designing of the module, and finally the development of a module. To conclude, the presence of a structured module built on the comprehensive needs assessment can help an institute to successfully implement CBME within their setup.
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An unusual florid polypoidal presentation of gastric neuroendocrine tumor
Fouzia Siraj, Sharma Shruti
January-June 2018, 9(1):43-44
  - 2,251 184
Employing one-minute preceptor model in clinical settings
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
January-June 2018, 9(1):34-35
  - 2,388 226
Need to differentiate between descriptive and prospective study in a clinical setup
Radha Saini
January-June 2018, 9(1):35-36
  - 3,970 231
Could this be Milroy's disease? Our experience
Ibrahim Aliyu
January-June 2018, 9(1):36-37
  - 2,791 212
Acral gangrene following diarrheal disease
Mahmood Dhahir Al-Mendalawi
January-June 2018, 9(1):37-38
  - 2,226 215
Ant sting at an unusual site
Ibrahim Aliyu
January-June 2018, 9(1):38-39
  - 6,915 226
Costophrenic angle blunting: Always abnormal?
Venkatraman Indiran
January-June 2018, 9(1):39-40
  - 104,088 647
Multifocal osteomyelitis involving the clavicular bones
Ibrahim Aliyu
January-June 2018, 9(1):40-41
  - 2,260 200
Different rules for different quality of articles: A potential predatory nature of journal?
Shaikat Mondal, Himel Mondal
January-June 2018, 9(1):46-47
  - 2,672 231
Addressing the issue of ethics in public health surveillance: World Health Organization
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
January-June 2018, 9(1):47-48
  - 2,336 250
Inconsolable cry: It may be insect bite
Ibrahim Aliyu
January-June 2018, 9(1):48-49
  - 2,210 223
Efficacy of integrated neuromuscular inhibition technique in improving cervical function by reducing the trigger points on upper trapezius muscle: A randomized controlled trial
Shagun Aggarwal, Garima Bansal
January-June 2018, 9(1):1-6
Background: The efficacy of ischemic compression, strain/counterstrain, and muscle energy techniques were supported by literatures to relieve myofascial trigger points. However, no high-level research is available regarding the integrated neuromuscular inhibition technique (INIT). Objective: To document the efficacy of INIT in improving cervical function by reducing the trigger points on upper trapezius muscle over the traditional approach. Methods: Thirty adults in the age group of 18–35 years diagnosed with mechanical neck pain with upper trapezius trigger point were selected by the simple random sampling for two group pretest-posttest design. They were allocated randomly into two equal groups, Group A and Group B, respectively. Group A received hydrocollator pack, INIT, neck strengthening exercises, scapular stabilization exercises, shoulder stabilization exercises, postural correction, and ergonomic advice while Group B received the same treatment except INIT. They were treated for six sessions on alternate days for 2 weeks. Visual analog scale, neck disability index, and tenderness grading scale were noted at baseline, 3rd session, and 6th session after the above treatment on both the groups and analyzed. Results: In all the outcome measures, Group A showed significant (P < 0.05) improvement when compared to Group B. Conclusion: There is a sufficient evidence to prove the efficacy of INIT in improving cervical function by reducing the trigger points on upper trapezius muscle
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Study of the serum sodium changes in children between 3 months and 5 years age receiving isotonic maintenance intravenous fluids
Esther Soundharya Maddukuri, MD Jaidev, Dipthi Nishal Castelino, Habeeb Ullah Khan, Pavan Hegde
January-June 2018, 9(1):16-18
Background: Isotonic fluid is now the accepted standard of practice as maintenance intravenous fluids. The use of hypotonic fluids has been associated with electrolyte imbalance which could potentially lead to morbidity and mortality. The aim of this prospective study was to assess whether the use of isotonic fluids causes significant changes in the serum sodium concentration and is associated with any related complications in the age group between 3 months and 5 years. Methods: Serum sodium was measured at 0, 12, 24, and 48 h of commencement of isotonic intravenous fluids. Results were analyzed separately for groups between 3–12 months and 13–60 months. Results: All the children in the study group had sodium levels within normal range before the commencement of intravenous fluids. There was no significant change in the mean sodium levels at 12, 24, and 48 h of commencement of intravenous fluids in the age groups between 3–12 months and 13–60 months. There were no complications noted with the use of isotonic intravenous fluids. Conclusion: Use of isotonic intravenous fluids in the age group between 3 months and 5 years is not associated with significant changes in the serum sodium concentrations or adverse events. Hence, isotonic intravenous fluid can be used safely for maintaining hydration in children.
  - 4,268 426
Efficacy of progressive relaxation technique and yoga in patients with stress-induced asthma: A randomized controlled trial
S Veena Kirthika, K Padmanabhan, S Sudhakar, CV Senthil Nathan, S Ramachandran
January-June 2018, 9(1):19-24
Background: Asthma is a chronic inflammatory disorder of the airway. In susceptible individuals, this inflammation causes recurrent episodes of wheezing, breathlessness, and coughing. Various physiotherapy techniques help in the reduction of symptoms associated with asthma which includes deep breathing exercises and relaxation postures. Progressive relaxation technique (PRT) is useful in reducing the respiratory symptoms and stress in asthma. Yoga techniques have shown clinically relevant improvements in their quality of life and effective reduction in the frequency of attacks and degree of stress. Objective: The objective of this study is to compare the effect of PRT and yoga in patients with stress-induced asthma (SIA) so that better treatment program can be adopted in the reduction of symptoms in participants with SIA. Methodology: Thirty participants with asthma were recruited for the study and were divided into two groups. Group A (n = 15) was treated with PRT and Group B (n = 15) was treated with yoga technique for a duration of 3 months. Outcome Measures: Asthma Quality of Life Questionnaire (AQOL) and Depression, Anxiety and Stress Scale (DASS) were used. Results: Group B (yoga group) showed a significant difference, P < 0.05 in the mean values of DASS and AQOL when compared to Group A (P > 0.05). Postyoga intervention, the patients with SIA demonstrated decrease in the symptoms of depression, anxiety, and stress, and increased quality of life. Conclusion: Three-month duration of yoga is more effective than PRT in patients with SIA in reducing asthmatic symptoms and improving quality of life.
  - 5,456 470
A second victim of pregnancy: “Phobic first-time expectant fathers”
Thilagavathy Ganapathy
January-June 2018, 9(1):25-26
A positive paradigm shift is required in reproductive child health services, from a women-centric care to a broader family perspective with the focus firmly on men-friendly hospital initiatives to promote healthier concepts of fatherhood within families.
  - 3,002 315