The microorganism profile with antibiotic susceptibility in the crtitically ill patients in General Intensive Care Unit: A Prospective Observational Study - nil

开始日期2025-04-15

申办/合作机构

Indira Gandhi Medical College

CTRI/2024/11/076105

/ Not yet recruiting临床3期IIT

A comparative study to determine the relationship of intrapartum pain (VAS) scores with lactation in parturients. - NIL

开始日期2024-11-05

申办/合作机构

Indira Gandhi Medical College

CTRI/2024/10/075747

/ Not yet recruiting临床2期IIT

Comparitive study between dexmedetomidine and fentanyl as adjuvants to continuous ropivacaine epidural infusion for post-operative analgesia in abdominal cancer surgeries - NIL

开始日期2024-11-02

申办/合作机构

Indira Gandhi Medical College

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项与 Indira Gandhi Medical College 相关的文献（医药）

2025-04-01·BMJ Case Reports

Naso-conjunctival fistula: a rare variant managed with vascularised galea–pericranium flap

Article

作者: Mehta, Kajal ; Kumar, Rajesh ; Sharma, Navneet ; Saini, Parampreet Singh

Naso-conjunctival fistula is a rare complication of endoscopic tumour resection. There is a composite deficiency of supporting medial orbital wall and the mucosal linings. A resilient but pliable flap is needed to form the partition, anchor the medial canthus and fill up the orbital volume defect. We present a case of a man in his late 70s having a fistula in the left eye with complaints of air blows during breathing and frequent epiphora for 6 months. He had a lax lower eyelid with clinically evident enophthalmos. The patient was previously operated for locally invasive inverted papilloma. The radiology of the face showed absent medial and inferior orbital walls. The galea–pericranium flap was harvested, tunnelled into the defect and fixed inferiorly to the maxillary periosteum. The fistula got closed and the epiphora improved with no air reflux at subsequent follow-ups. A secondary medial canthal suspension was done at 2 months for a lax lower eyelid.

2025-04-01·International Journal of Applied & Basic Medical Research

STOP-BANG Score versus Epworth Sleepiness Scale as a Screening Tool for Obstructive Sleep Apnea

作者: Dogra, Manpriya ; Kaur, Komaldeep ; Bhatia, Chahat ; Saini, Varinder ; Aggarwal, Deepak ; Jaggi, Surabhi

AbstractBackground:Obstructive sleep apnea (OSA) is a common sleep-breathing disorder. OSA is becoming highly prevalent, which means that to detect and prevent various hazardous complications, it is imperative that there are easy yet accurate techniques available to identify people with OSA.Objectives:The objective was to compare two questionnaires: The STOP-BANG score and the Epworth Sleepiness Scale (ESS), used to screen the patients suspected of OSA. Polysomnography (PSG), the gold standard investigation, was used to diagnose OSA.Materials and Methods:Sixty-five suspected individuals were recruited as per inclusion/exclusion criteria. Detailed history taking, physical examination, and anthropometric examination were done in all patients. Suspects were subjected to filling up of the STOP-BANG and ESS questionnaires, following which they underwent an overnight PSG examination, which is considered the gold standard diagnostic investigation for OSA. Compiled data were used to compare the sensitivities, specificities, and positive and negative predictive values (NPVs) of the two screening scores.Results:Of 65 screened patients, 57 (88%) had OSA. The sensitivity to predict OSA was the highest for the STOP-BANG questionnaire (91.23%), whereas ESS had a sensitivity of 70.18%. No difference in specificity (75%) of the two scores was noted. The positive predictive values of STOP-BANG and ESS questionnaires was 96.30% and 95.20%, respectively. NPV of STOP-BANG and ESS was 54.50% and 26.10%, respectively.Conclusion:The present study was able to provide valuable insights into OSA screening. Out of the two studied OSA screening questionnaires, we found out that both had comparatively good predictive and diagnostic accuracy, with the STOP-BANG score surpassing the ESS score in the majority of measures. Considering the high global burden of undiagnosed OSA, there is a need to upregulate the screening for OSA followed by appropriate treatment measures. This would improve sleep quality and reduce the risk of complications and future adverse health outcomes.

2025-04-01·INDIAN JOURNAL OF APPLIED RESEARCH

SOCIAL AND HEALTH EFFECTS OF FLASH FLOOD IN HIMACHAL PRADESH

作者: Sharma, Kamlesh ; Sharma, Ram Lal

Flash flood is a torrent flooding of water in low lying areas. It may be caused by heavy rain associated with severe thunderstorm, by melting water from ice or snow flowing over ice sheets or snow fields, collapse of natural ice, debris dam, man made dams. In hilly state of Himachal Pradesh, flash flood is common during monsoon. One of the recent floods were in 2023, when major land slides, cloud bursts and wide spread flooding incidents happened. Portions of Himachal Pradesh received up to 16.54 inches (420 mm) in 24 hours. The intensity and duration of rain fall, steepness of watershed and stream gradients are the important factors in flash flooding. The floods led to closure of schools, disruption of flights and train operations in various parts of North India. Flash flood causes more damage as compared to ordinary floods. Co-ordination among different departments and stakeholders in the state and conducting post disaster needs assessment is very important for effective disaster response.

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