http://www.nicpd.ac.in/ojs-/index.php/njirm/issue/feedNational Journal of Integrated Research in Medicine2024-01-31T11:59:06+00:00Dr. Pooja Shahnjirmeditor@gmail.comOpen Journal Systems<p>This is an Open access official publication of <strong>"</strong><strong>Association of Health Professionals and Health Educators". </strong> National Journal of Integrated Research in Medicine will publish article of research in various type of therapy for the benefit of mankind i.e. allopathy, ayurvedic, Homeopathy, Sujok therapy, Unani and Siddha Medicine. All the Content of Journal are Open Access and <strong>can be accessed by all without login or payment . We follow Creative Commons license CC BY for access of article.</strong></p>http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3622Association of Yoga with Happiness and Self-Esteem among Undergraduate Students of Government Medical College – A Comparative Observational Study2024-01-02T06:03:45+00:00Dr. Hiren J. Shekhdashekhda.hiren491@gmail.comDr. Makwana M N*shekhda.hiren491@gmail.comDr. Trivedi A V**shekhda.hiren491@gmail.com<p>Background: Study showed only 60.8% of the medical students were happy. The prevalence of<br>low self-esteem had been found to be 18% in medical students. There has been a recent spurt in deaths by <br>suicide among medical professionals in India. An inverse association exists between suicide rates and <br>happiness. Yoga has become popular as a way of promoting physical and mental well-being. To determine <br>association of yoga with happiness and self-esteem and to estimate the proportion of happiness and selfesteem among medical students. Settings and Design: Government medical college, Comparative <br>observational study. Material And Methods: Self-administered scales for happiness and self-esteem were <br>provided to for base line data collection to assess their happiness and self-esteem using online Google <br>forms. Students attending 10-day yoga session were selected as case group and students not attending <br>yoga session were selected as control group. At the end of 10-day yoga follow up data collection was done. <br>Statistical analysis used: simple proportions paired, unpaired t test, Pearson’s correlation. Result: The <br>prevalence of happiness among participants was 59.65% and the prevalence in male was 59.7% while in <br>female it was 59.6% which is almost identical to male. There was significant increase in happiness level in <br>post yoga score (p-0.014). The mean difference of happiness score between cases and controls was not <br>significant. In case group, mean self-esteem score pre yoga was 24.7 ± 1.69 and post yoga was 25.10 ± 1.87 <br>(p-0.07), whereas in control pre yoga score was 24.89 ± 2.02 and post yoga score was 24.9 ± 3.68 (p-0.44) <br>the difference was not significant in both groups. Conclusion: Association was found between yoga and <br>happiness but no association was observed between yoga and self-esteem. [Shekhda H Natl J Integr Res <br>Med, 2023; 14(4):01-05, Published on Dated: 08/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3623Comparison Between Two Different Treatment Modality Of Amblyopia In Children 2024-01-02T06:30:14+00:00Dr. Mayur Damor*doctor.mayur@icloud.comDr. Richa K Dangi**doctor.mayur@icloud.comDr. Pankaj Taviad***doctor.mayur@icloud.com Dr. Nidhi M Patel****doctor.mayur@icloud.comDr. Shashank Maragur****doctor.mayur@icloud.com<p>Background: AIM: To evaluate the efficacy and compliance between occlusion and <br>pharmacological penalisation among the amblyopic patients. Material And Methods: Prospective study of <br>52 patients between age group of 2-10 years having first time diagnosed as amblyopia were randomly <br>selected .twenty six patients were treated with atropine (group a) and remaining twenty six patients had <br>occlusion therapy(group o). Visual acquity was measured with various visual charts. Result: Group a had <br>mean visual acquity improvement of 0.37 logmar (95% cl 0.312 to 0.441) and group o had 0.61 logmar(95% <br>cl 0.564 to 0.681). Both group showed p<0.001 which is highly significant. Non-compliance was observed in <br>5 patients (19.23%) of group a and 9 patients (34.62%) of group o. No incidence of occlusion amblyopia was <br>seen in any group. Conclusion: Both group showed substantial reduction in amblyopia. Chi-square value of <br>both group is 20.449(p<0.001) which suggest that occlusion therapy have better visual prognosis than <br>atropine but the compliance is better with atropine. [Damor M Natl J Integr Res Med, 2023; 14(4):06-10, <br>Published on Dated: 8/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3624Evaluation And Management Of Immediate Posttraumatic Facial Nerve Palsy At Sir T Hospital, Tertiary Care Centre In Bhavnagar2024-01-02T10:07:00+00:00Dr. Annapoorna K*annapoornamanohar9@gmail.comDr. Sushilkumar.G. Jha**annapoornamanohar9@gmail.comDr. Krupa Suvagiya***annapoornamanohar9@gmail.comDr. Manoj Kumar Meena****annapoornamanohar9@gmail.comDr. Krishna Makadiya*annapoornamanohar9@gmail.comDr. Annamica*annapoornamanohar9@gmail.com Dr. Nehal Panchal*annapoornamanohar9@gmail.com Dr. Prerna Savalya*annapoornamanohar9@gmail.com<p>: Background: Facial nerve palsy following trauma, is an uncommon condition which occurs in<br>1.5% patients of skull base fractures, majority of them due to road traffic accidents causing temporal bone<br>fractures. Indication and timing of facial nerve decompression for facial paralysis and anatomical extent of<br>decompression has been a subject of controversy for years. The aim of this study is to present prospective<br>review of 10 patients with immediate facial paralysis after trauma that underwent either surgical<br>decompression of facial nerve via trans mastoid approach or conservative management. Objectives-To<br>know age and sex wise distribution of immediate posttraumatic facial nerve palsy and to know most<br>common grade of presentation according to H-B scale and most common type of temporal bone fractures<br>and segment of facial nerve involved. To study outcome (within 1 month) of various modes of management<br>of immediate posttraumatic facial nerve palsy. Material And Methods: After approval from ethics<br>committee, this prospective cross-sectional study was carried out in 10 patients presented with immediate<br>facial nerve palsy due to trauma at ENT department of Sir T Hospital, Bhavnagar over a period of 1 year<br>from July 2022 to June 2023. After taking consent, proper history was taken and time of RTA and time of<br>presentation at ENT OPD was separately noted. Patients were examined and graded using House and<br>Brackman grading system. All the patients were evaluated and treated either by conservative management<br>(Injectable steroids with facial physiotherapy) or surgical decompression via trans mastoid approach.<br>Result: Most common age group involved was the young adolescents (20-30years) who are more prone to<br>RTA and traumatic injuries. Numbers of males affected were more than females in our study. Tympanic<br>segment of facial nerve was found to be involved in maximum number of patients. Patients with transverse<br>fracture of temporal bone causing immediate posttraumatic facial palsy were found to have better<br>prognosis with surgical decompression. Patients with longitudinal fracture of temporal bone can go for<br>either conservative management or if no improvement found within 7days were taken for surgical<br>decompression of facial nerve via trans mastoid approach. Most of the patients who were managed<br>surgically were found to have better prognosis according to this study. Conclusion: We draw the conclusion<br>from our study that early diagnosis and surgical intervention significantly improved prognosis for<br>immediate facial palsy following trauma. The trans mastoid approach for facial nerve decompression can be<br>utilized when trauma is clearly localized to the tympanic or mastoid segment of facial nerve. Transverse<br>fracture of temporal bone should be always treated with immediate surgical decompression and in<br>longitudinal fractures both conservative and surgical management plays an important role. Appropriate<br>post-operative management with oral steroids and physiotherapy plays an important role in traumatic<br>facial nerve palsy. [AK Natl J Integr Res Med, 2023; 14(4):11-15, Published on Dated: 8/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3625Analysis Of Capacity And Performance Of Activities & Participation In Patients With Diabetes: A Pilot Study2024-01-02T10:43:51+00:00Dr. Payal Sancheti*suvarna.ganvir@gmail.comDr. Suvarna Ganvir**suvarna.ganvir@gmail.com<p>Background: Diabetes increases the risk of disabling disorders including cardiovascular disease,<br>retinopathy, renal failure, and peripheral vascular disease. ICF is the WHO recommended framework for<br>assessing functioning and disability in various health conditions. It measures health and disability at both<br>individual and population levels. The aim of this study is to analyse the impact of diabetes on Capacity and<br>Performance of activities and participation.Material And Methods: This observational study conducted in<br>tertiary care hospital at Ahmednagar consisted of 60 patients with Diabetes recruited through the parent<br>hospital. A questionnaire based on ICF related to Activities of Daily Living was administered on these<br>patients. Capacity and Performance of patients while performing activities was documented as per their<br>perception. Basic demographic data was also collected. Activities included were Fine hand use, Walking,<br>Moving around, Driving, Caring for body parts, Looking after ones health, Preparing meals, Sports, Hobbies,<br>Socializing. Result: The study consisted of 26 females and 34 males. The range of patient’s age was from<br>17years to 85 years. The mean of capacity and performance of patients was calculated of different<br>categories like Fine hand use (C:0.15,P:1.15), Walking(C:0.22,P:1.18), Moving around(C:0.02,P:0.88) and<br>Looking after one’s health(0.05,P:0.38). Conclusion: Moderate to severe difficulty during performance as<br>compared to capacity opens a new area of research to explore the causes and taking remedial measures to<br>reduce the gap between capacity and performance. [Sancheti P Natl J Integr Res Med, 2023; 14(4):16-20,<br>Published on Dated: 8/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3626Treatment Outcomes And Resistance Patterns In Patients Of MDR-TB Started On Shorter Oral Bedaquiline Regimen2024-01-02T10:53:55+00:00Dr. Bhavi Shah *incyshah07@gmail.comDr. Vishal Kansara**incyshah07@gmail.comDr. Jigna Dave***incyshah07@gmail.com<p>Background: 1.To determine the efficacy of shorter oral BDQ regimen in patients of MDR-TB/RR-<br>TB in terms of treatment outcome. 2. To determine the prevalence of MDR-TB/RR-TB based on age and</p> <p>gender 3. To study the resistance patterns and its association with comorbidities. Material And Methods:<br>This is a retrospective study of 50 patients conducted from August 2021 to December 2022. Patient data<br>sputum AFB and CBNAAT, sputum culture conversion, comorbidities, resistance pattern, age and gender<br>based prevalence and site of infection was collected from District Tuberculosis Centre, Bhavnagar. Result:<br>Total 50 patients of pulmonary tuberculosis were included of which there were 66% males, 34% females<br>with maximum being in age group of 21-40 years. Of total patients included, 58% were cured, 14% lost to<br>follow up, 8% expired and 20 % are on treatment. Results were indicative of 73% cure rate. Of this 4%<br>patients were HIV positive, 12% were diabetic. In terms of resistance, 52% had RIF+ KAT G resistance, 46%<br>had Rif resistance and 2% had Rif + Inh A resistance. Conclusion: Introduction of Shorter oral BDQ regimen<br>has significantly improved compliance as it reduced duration by almost half which ultimately lead to<br>improvement in treatment success rate. [Shah B Natl J Integr Res Med, 2023; 14(4):21-24, Published on<br>Dated: 8/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3627Use Of Digital Haemoglobin (TAMIACS) For Measuring Haemoglobin2024-01-02T11:04:57+00:00Dr. Ashwin Shah*Ircsnadiad@gmail.comDr. Dilpi Patel*Ircsnadiad@gmail.comMr. Nikesh Vaidhya **Ircsnadiad@gmail.comShalini Gupta***Ircsnadiad@gmail.com<p>Background:Hemoglobin estimation serves as a critical screening test for blood donors, ensuring<br>their eligibility and safety. While various methods exist for this purpose, each approach carries its own set<br>of advantages and disadvantages. Among these methods, digital hemoglobinometer stands out as a highly<br>reliable, sophisticated, and well-suited choice, particularly within the context of blood donation centers (1).<br>This study aimed to assess the performance of the TAMIACS digital hemoglobin analyzer by comparing it to<br>the Benesphera H31 cell counter, a well-established and highly accurate method for hemoglobin testing.<br>Material And Methods:Conducted at a tertiary Indian Red cross society .Nadiad.. from July 2023 to<br>september 2023, this study involved 250 donor . The data obtained from the TAMIACS digital hemoglobin<br>analyzer were meticulously compared with those from the Benesphere H31 cell counter. Result: Out of the<br>250 donors, the vast majority (247) were male, while 3 were female. The mean hemoglobin value obtained<br>from the TAMIACS Digital haemoglobin analyzer (mean 14.4 g/dl) was slightly higher by 0.4 g/dl when<br>compared to the reference value from the Benesphera H 31 cell counter (mean 14.2 g/dl). However, this<br>difference was not statistically significant (P > 0.05). Moreover, in comparison to the cell counter, the<br>TAMIACS analyzer proved to be cost-effective while maintaining a high level of sensitivity and specificity,<br>both exceeding 95%. The R square value, which stood at 0.9987, indicates a high level of precision.<br>Conclusion:In conclusion, the digital hemoglobinometer, TAMIACS, has demonstrated its capacity to yield<br>results on par with those of the cell counter. Moreover, it stands out as a cost-effective alternative. This<br>study reaffirms the reliability and cost-effectiveness of the TAMIACS digital hemoglobin analyzer, making it<br>an excellent choice for hemoglobin estimation in blood donation setups. [Shah A Natl J Integr Res Med,<br>2023; 14(4):25-26, Published on Dated: 8/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3628Translation And Cultural Adaptation Of SIO Obesity-Related Disability Test (TSD- OC) For Gujarati Population (TSD-OC-Test SIO Disabilita`Obesita` Correlata, SIO- Italian Society For Obesity)2024-01-02T11:18:52+00:00Dr. Chaitali J. Bhatt*dr.chaitalibhatt97@gmail.comDr. Megha S. Sheth**dr.chaitalibhatt97@gmail.com<p>Background: Obesity is a health condition that, through a complex interaction of biopsychosocial</p> <p>and environmental factors, is associated with mobility disability. SIO Obesity-Related Disability Test (TSD-<br>OC) is a valid instrument for measuring self-reported disability in subjects with obesity. The Questionnaire</p> <p>consists of 36 items distributed in 7 dimensions (pain, stiffness, functionality and autonomy in daily<br>activities, housework, outdoor, occupational activities, and social life). The aim of the study was to translate<br>& test the validity of the Gujarati version of the SIO Obesity-Related Disability Test. Material And Methods:<br>The TSD-OC was translated into Gujarati from English after taking authors permission according to the<br>guidelines using forward-backward-forward method. An expert committee of 7 members including<br>physiotherapists and physiologists evaluated the Gujarati version. Changes suggested were made and a<br>final draft was prepared by mutual consensus. Twenty-two subjects with obesity (BMI >?25 kg/m2) were<br>enrolled. Each question was examined by the group of 22 subjects knowing both English and Gujarati<br>language and analysed for content, meaning, wording, format, ease of administration and scoring.<br>Spearman’s correlation coefficients were used to assess the strength of association between the measures<br>of both the versions. Result: Data of 22 subjects was analysed. Fifteen Female and Seven Male with mean<br>age 47.9±6.8 years were taken. In validation process of Gujarati version of TSD-OC, Mean total score for<br>Gujarati version was 57.45±51.75 and Mean Percentage was 15.96±14.38 and English version was<br>55.23±54.94 and Mean Percentage was 15.34±15.26. The total score was significantly and positively<br>correlated (?=0.92) where p<0.001 between the TSD-OC Gujarati and original English version of TSD-OC.<br>Conclusion: Gujarati version of TSD-OC for disabilities in obesity has a good validity to be used in Gujarati<br>population. [Bhatt C Natl J Integr Res Med, 2023; 14(4):27-31, Published on Dated: 08/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3629A Rare Case Of Peritoneal Mesothelioma2024-01-02T11:27:13+00:00Dr. Malek Mohammedsahil Gulabkhan*sahilmalek1995@gmail.comDr. Naqeeya Mustafa Sabuwala**sahilmalek1995@gmail.comDr. Gami Parth Narendrakumar*sahilmalek1995@gmail.comDr. Sangada Santosh Surmalbhai*sahilmalek1995@gmail.com<p>Background: Malignant peritoneal mesothelioma is an uncommon primary tumor of the<br>peritoneal lining and is the second most common type of mesothelioma; it accounts for about 30% of all<br>malignant mesotheliomas, with an overall incidence of 2 to 2.6 cases per million. Aims and objectives: To<br>establish the role of radiological findings in a case of peritoneal malignancy. Result: A 47 years old female<br>patient came to surgery OPD in our hospital with complain of abdominal pain associated with abdominal<br>distension, nausea, significant weight loss, constipation on/off since last two months. Routine blood<br>investigations and Xray abdomen, USG abdomen and contrast CT abdomen were done. Patient was<br>planned for surgery and Exploratory laparotomy + Resection of cysts + ileoileal anastomosis + Paul mikulicz<br>ileostomy was done. A huge cyst was resected and sent for histopathological examination. On<br>histopathological examination, it shows neoplastic acini and micropapillae in serosa and muscularis propria.<br>Lymphovascular invasion is also seen. Sections from the nodule show cyst lined by neoplastic cells forming<br>micropapillae with presence of necrosis in the center, malignant peritoneal mesothelioma was diagnosed.<br>Conclusion: Malignant peritoneal mesothelioma is very rare tumour of peritoneum diagnosed less<br>frequently than the pleural variant. Radiological findings are of paramount importance in cases of<br>peritoneal malignancy – mesothelioma, which enables accurate diagnosis in appropriate settings. Early<br>diagnosis and timely operative interventions must occur in order to provide best outcome for patient. With<br>advances in treatment, the primary treatment includes excision of the tumour followed by intraperitoneal<br>chemotherapy. [Gulabkhan M Natl J Integr Res Med, 2023; 14(4): 32-36 , Published on Dated: 15/03/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3632A Case Of Idiopathic Intracranial Hypertension In Background Of Empty Sella Syndrome2024-01-02T12:18:58+00:00Dr. Neha Vaghela*jalawalaneel1996@gmail.comDr. Pooja Pateljalawalaneel1996@gmail.comDr. Neel Jalawala*jalawalaneel1996@gmail.com Dr. Panna Kamdar**jalawalaneel1996@gmail.com<p>Background: Empty sella syndrome is a rare disorder characterized by enlargement or<br>malformation of a structure in the skull known as the sella turcica. Most individuals with empty sella<br>syndrome do not have any associated symptoms, but the finding raises concerns about hormone<br>deficiencies. Empty sella syndrome may occur as a primary disorder (idiopathic) or as a secondary disorder<br>in which it occurs due to an underlying condition or disorder such as a treated pituitary tumor, head<br>trauma, or a condition known as idiopathic intracranial hypertension (also called pseudotumor cerebri)<br>during which elevated intracranial pressure causes empty sella syndrome. Here we present a case of 25<br>year married female having symptoms and signs of raised ICP and decreased secondary sexual characters<br>with blood investigations showing hypothyroidism. Her MRI Brain showed features of raised intracranial<br>pressure (ICP) suggestive of Idiopathic Intracranial Hypertension with partially empty sella. Patient was<br>diagnosed as Idiopathic Intracranial Hypertension with partial empty Sella with hypothyroidism and<br>hypogonadotrophic normogonadism secondary to raised ICP. Patient was treated with IV Mannitol,<br>thyroxine was started according to weight and other supportive treatment. Patient conciousness improved<br>and got better. Patient was discharged with follow up on oral acetazolamide, thyroxine and hormone<br>replacement therapy. [Vaghela N Natl J Integr Res Med, 2023; 14(4):37-39, Published on Dated:<br>08/07/2023]</p>2024-01-06T00:00:00+00:00Copyright (c) 2024 http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/3646Role Of High Resolution Computed Tomogrpahy In Evaluation Of Temporal Bone In Middle And Innner Ear Pathology2024-01-31T11:59:06+00:00Dr. Payal Parmardr.payalparmar22@gmail.comDr.Bharat Kumar Patedr.payalparmar22@gmail.com Dr. Swati Mehtadr.payalparmar22@gmail.comDr. Keval Kathiyadr.payalparmar22@gmail.comDr. Bansari Dihoradr.payalparmar22@gmail.comDr. Rajan Parmardr.payalparmar22@gmail.comDr. Mehandi Vadsariadr.payalparmar22@gmail.com<p>Abstract:Background:HRCT, a modification of routine CT, provides a direct visual window into the temporal bone providing minute structural details. Purpose of the present study is to evaluate the normal variations, pathological processes (infections, tumors and congenital anomalies) and their extent involving the temporal bone. Material And Methods:This study evaluating the efficacy of HRCTtemporal bone finding among patients of middle and inner ear diseases in sir t. General hospital a cross sectional study.Result:Amongthe 70 cases which were studied, infection was found to be the most common pathology affecting the temporal bone with increasing preponderance in the younger age group. Temporal bone trauma is forming second largest group of trauma patients in which longitudinal fracture of temporal bone is most common. Neoplasms formed the third largest group of lesions with acoustic neuroma being the most common tumor.Conclusion:HRCT is a revolutionary imaging modality that helps in evaluating the distribution features, localization and assessing the extent of various pathologies affecting the temporal bone. [Parmar P Natl J Integr Res Med, 2023; 14(1):01-05, Published on Dated:20/01/2023]</p>2024-01-01T00:00:00+00:00Copyright (c) 2024