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Medical Journal, Armed Forces India

Amit Agrawal
No abstract text is available yet for this article.
January 2017: Medical Journal, Armed Forces India
Amit Dua, Mathangi Krishnakumar
No abstract text is available yet for this article.
January 2017: Medical Journal, Armed Forces India
Maj Amit Sood, Satish Nair, Brig Ajith Nilakantan, Akshat Malik
No abstract text is available yet for this article.
January 2017: Medical Journal, Armed Forces India
Kundan Tandel, Puneet Bhatt, Praveer Ranjan, K R Rathi
No abstract text is available yet for this article.
January 2017: Medical Journal, Armed Forces India
Anirudh Singh, J K S Parihar, R Maggon, S Kumar, S K Mishra, Anurag Badhani
No abstract text is available yet for this article.
January 2017: Medical Journal, Armed Forces India
M Bhatia, Alok Sharma, R Ravikumar, V K Maurya
Lunate dislocation is an uncommon injury occurring in young adults due to high-energy trauma. The volar displacement of the bone may result in compression of the median nerve within the carpal tunnel and is an uncommon cause of entrapment neuropathy.
January 2017: Medical Journal, Armed Forces India
S K Kathpalia, M K Singh, D S Grewal
BACKGROUND: Intrauterine contraceptive device is a popular and effective method of contraception. It can be inserted either as an interval procedure or after abortion or delivery. Threads are attached to the vertical limb so that the user can find out the location of the device. Sometimes the threads are not palpable by the user; this study was conducted to find out the reasons for inability to palpate the threads. METHODS AND RESULTS: The retrospective study was conducted over a period of eight years; 110 female patients who complained of inability to feel the threads were included in the study...
January 2017: Medical Journal, Armed Forces India
Rohit Aggarwal, R A George, Aftab Alam, B K Soni
As per current statutory requirement, licence for operation of all medical radiation facilities (diagnostic radiology/radiotherapy/nuclear medicine) in India has to be obtained using the e-Licensing of Radiation Applications (acronym as 'eLORA') platform which is a web-based application on Atomic Energy Regulatory Board (AERB) website. This article is envisaged as a procedural guide for all medical administrators and radiologists in service institutions processing eLORA. Specific focus has been placed on practical methods to deal with inherent procedural hurdles unique to armed forces institutions, based on first-hand experience gained in successful eLORA processing at a tertiary care hospital...
January 2017: Medical Journal, Armed Forces India
Jyotindu Debnath, R A George, R Ravikumar
Acute appendicitis (AA) is the commonest cause of pain abdomen requiring surgical intervention. Diagnosis as well as management of acute appendicitis is mired in controversies and contradictions even today. Clinicians often face the dilemma of balancing negative appendectomy rate and perforation rate if the diagnosis is based on clinical scoring alone. Laboratory results are often non-specific. Imaging has an important role not only in diagnosing appendicitis and its complication but also suggesting alternate diagnosis in appropriate cases...
January 2017: Medical Journal, Armed Forces India
Prasanna Kumar, Sanjeev Datana, S M Londhe, Abhijeet Kadu
BACKGROUND: Nonsurgical correction of deep bite involves either extrusion of posterior teeth, intrusion of incisors, or combination of both. The introduction of skeletal anchorage device with microimplant provides near absolute anchorage without producing any untoward effects on anchor unit. Connecticut Intrusion Arch (CIA) provided an efficient system of intruding anterior segment without producing much adverse affects on anchor teeth. METHODS: The study comprised of 30 patients of Class II Div 1 malocclusion with overbite of >6 mm and required therapeutic extractions of all first premolars, randomly distributed into two groups...
January 2017: Medical Journal, Armed Forces India
H S Trehan, Jaya Kaushik, Atul Rangi, A S Parihar, P Vashisht, J K S Parihar
BACKGROUND: Intravitreal injections are standard of care today and have the potential to change the anatomy of the anterior segment of the eye. This research was undertaken to evaluate the changes in anterior segment anatomy after intravitreal anti vascular endothelial growth factor (anti VEGF) injections. METHODS: We conducted a prospective interventional case series at a quaternary care center where patients undergoing intravitreal injection had pre and post injection ultrasound biomicroscopy (UBM) and intraocular pressure (IOP) measurement after intravitreal anti VEGF injection of 0...
January 2017: Medical Journal, Armed Forces India
Tathagata Chatterjee, Venkatesan Somasundaram
BACKGROUND: Normal B lymphoid precursors that express CD19, CD10, and/or CD34 are highly sensitive to corticosteroids and after two weeks of remission-induction therapy, they form less than 0.01% of the bone marrow population. More than 0.01% of such cells indicate minimal residual disease (MRD). MRD "lite" panel uses only three antibodies, namely CD19, CD10, and CD34 for MRD detection in cases of B-lineage acute lymphoblastic leukemia (B-ALL) expressing CD19, CD10, and/or CD34 by flow cytometry...
January 2017: Medical Journal, Armed Forces India
Puja Dudeja, Amarjeet Singh, Nancy Sahni, Sukhpal Kaur, Sonu Goel
BACKGROUND: Food-borne illnesses have been a recognized hazard for decades. Recent promulgation of Food Safety and Standards Act (FSSA), 2006, indicates the concern of our Govt. for food safety. Research on effectiveness of food safety interventions in our country is remarkably scarce. Hence, the present study was conducted in a tertiary care hospital of north India to create evidence-based results for food safety interventions. METHODS: The study was before and after intervention trial which was registered with CTRI...
January 2017: Medical Journal, Armed Forces India
Harsha Moole, Amy Jaeger, Micheal Cashman, Fritz H Volmar, Sonu Dhillon, Mathew L Bechtold, Srinivas R Puli
BACKGROUND: Palliation for inoperable malignant distal biliary strictures can be achieved with self-expandable metal stents (SEMS) and plastic stents (PS). This is a meta-analysis to compare PS and SEMS. The aim of the study is to compare clinical outcomes in patients with SEMS and PS. METHODS: Study selection criteria were studied using SEMS and PS for palliation in patients with malignant distal biliary stricture. For data collection and extraction, articles were searched in Ovid journals, Medline, Cochrane database, and Pubmed...
January 2017: Medical Journal, Armed Forces India
J S Sandhu, S C Karan, G D Maiti, Puja Dudeja
BACKGROUND: The prevalence of stress urinary incontinence (SUI) in the middle-aged Indian women is around 16%. The use of transvaginal tapes (TVTs) has revolutionised the surgical management of SUI. Patients who undergo placement of the tape via the transobturator route often complain of persistent thigh pain at the site of trocar insertion. The use of minimally invasive tapes with a single suburethral incision reduces surgical trauma by eliminating thigh incisions, while maintaining the cure achieved by conventional TVTs...
January 2017: Medical Journal, Armed Forces India
Arijit Sen, B S Sunita
BACKGROUND: Cells with stem cell like properties in solid organ malignancies like breast and pancreas have been studied over the last decade and have been found to be associated with poor prognosis. Presence of CD44 positive and CD24 negative tumor cells in breast carcinoma (cells with 'stem cell' like property) as marker of aggressiveness and poor prognosis was checked for association with various markers of disease aggression like age at presentation, size of tumor, histological grade of tumor, triple negative status, level of micro-vessel density, and nodal status...
January 2017: Medical Journal, Armed Forces India
Sunny Pathania, Navjyot Kaur, Sandeep Kumar, V K Sashindran, Pankaj Puri
BACKGROUND: Derangement of liver function tests (LFTs) is common in people living with human immunodeficiency virus/acquired immune deficiency syndrome (PLHA). The cause is multifactorial. Drug-induced liver injury (DILI) is the commonest cause and others being alcohol abuse and concomitant viral hepatitis. The aim of the research was to study the prevalence of LFT abnormalities in PLHA. METHODS: The study was carried out in a tertiary care hospital. Evaluation included a detailed history, thorough clinical examination and investigations including a haemogram, serum biochemistry, serology for hepatitis, and CD4 cell count...
January 2017: Medical Journal, Armed Forces India
Deepak Joshi, Mithilesh K Tiwari, Venkatnarayan Kannan, S S Dalal, S S Mathai
BACKGROUND: To study the emotional and behavioral disturbances (EBD) in school going HIV positive children attending HIV center in a tertiary care hospital. METHOD: This cross-sectional study was conducted on 258 HIV infected children between 6 and 16 years of age, 200 were on Anti-retroviral therapy (ART) and 58 were not on ART. They were evaluated for EBD by using Pictorial Pediatric Symptom Checklist (PPSC) screening tool. A cut-off score of 28 was taken as significant for detecting early EBD...
January 2017: Medical Journal, Armed Forces India
Pankaj Puri, Navjyot Kaur, Sunny Pathania, Sandeep Kumar, P K Sharma, V K Sashindran
BACKGROUND: Both antitubercular therapy (ATT) and antiretroviral therapy (ART) can cause drug induced liver injury (DILI) in tuberculosis (TB) and human immunodeficiency virus (HIV) coinfection. The aim of this research was to study ATT-induced liver function test (LFT) abnormalities in HIV-infected patients. METHODS: HIV-infected patients diagnosed with TB were evaluated with baseline LFT and CD4 counts. ATT regimen was modified if baseline LFT was significantly abnormal...
January 2017: Medical Journal, Armed Forces India
Seema Patrikar, Subramanian Shankar, Atul Kotwal, D R Basannar, Vijay Bhatti, Rajesh Verma, Sandip Mukherji
BACKGROUND: As HIV steps into the third decade, there are more number of patients living on lifelong (antiretroviral therapy) ART and facing the threat of drug resistance with subsequent treatment failure. The aim of this study was to determine predictors of first-line ART failure with the objectives to estimate the burden of 2nd line ART. METHODS: A retrospective 5-year cohort of HIV patients who were initiated on first line ART in 2008-09 was studied. Patients were followed from the time of ART initiation...
January 2017: Medical Journal, Armed Forces India
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