Efficacy of Different Doses of Fentanyl With Intrathecal Low Dose Levobupivacaine on Recovery profile in cesarean section A Prospective Randomized Double Blind Study - NILL

Start Date20 Aug 2024

Sponsor / Collaborator

Government Medical College Jammu

CTRI/2024/07/071525 / Not yet recruitingNot Applicable

Analysis of Prescribing pattern and Adverse drug reactions of Anti-diabetic drugs in patients of Type 2 Diabetes Mellitus in a tertiary care teaching hospital - A prospective observational study. - NIL

Start Date10 Aug 2024

Sponsor / Collaborator

Government Medical College Jammu

100 Clinical Results associated with Government Medical College Jammu

0 Patents (Medical) associated with Government Medical College Jammu

Literatures (Medical) associated with Government Medical College Jammu

01 Jun 2024·Indian Journal of Otolaryngology and Head & Neck Surgery

Arterial Blood Gas Analysis in Patients with Stridor, and the Impact of Emergency Tracheostomy on It: A Tertiary Care Center Experience

Article

Author: Gupta, Nitika ; Kalsotra, Parmod ; Kalsotra, Sahil ; Bashir, Aadil ; Manhas, Monica

Comparative evaluation of arterial blood gas in patients with stridor, before and after emergency tracheostomy. The present prospective study was conducted in tertiary care Centre from February 2022 to June 2023 on 42 patients who presented with stridor and underwent emergency tracheostomy in our department. After proper history taking and clinical examination, nonsurgical cause of stridor was ruled out. Patients were then classified on the basis of location of cause of stridor (whether oropharyngeal, hypo-pharyngeal, supra-glottic, glottic or sub-glottic). Immediately an arterial blood gas (ABG) analysis was done, and emergency tracheostomy was performed. Following tracheostomy, ABG analysis was done immediately, after 12 h and after 24 h. The mean age of presentation of stridor in our study was 65.02 ± 3.23 years, with male preponderance (Male: female ratio being 3.66:1). Most common etiology of stridor in our study was glottic carcinoma comprising 50%, and least common etiology of stridor was hypopharyngeal carcinoma, and subglottic stenosis comprising 2.4% each. There was statistically significant normalization of ABG in terms of pH, PO2, PCO2, HCO3. Mean pH, PO2, PCO2, and HCO3 before tracheostomy were 7.31, 74.8, 60.6, and 29.8 respectively. Mean pH, PO2, PCO2, HCO3, immediately after tracheostomy were7.38, 91.3, 48.4, and 27.4 respectively. After 12 h of tracheostomy, mean pH, PO2, PCO2, HCO3 were 7.41, 95.4, 42.7, 25.3 respectively. Mean pH, PO2, PCO2, HCO3 24 h after emergency tracheostomy were 7.441, 95.5, 42.8, 24.6 respectively. Emergency tracheostomy in stridor patients improves the acid base and ventilatory status, by relieving the obstruction as evidenced by statistically significant improvement in arterial blood gas values, and can be used as a diagnostic tool in upper airway obstruction.

01 Apr 2024·Indian Journal of Community Medicine

IJCM_189A: Prevalence of Substance use and associated factors among Undergraduate Medical students in a medical school in Jammu City of UT of J&K

Author: Manhas, Sakshi ; Gupta, Rajiv Kumar

Background:Globally, the available literature indicates a disturbing and increasing trend of high levels of alcohol use, illicit drug use and misuse of prescription psychoactive drugs among the medical students. This interferes with the learning of medical students because of the cognitive and psychological impact the substance use can have on an individual and is also a cause of concern because of the direct negative impact substance use can have on the safety of patients, not to mention the conduct and efficiency of future doctors.Objectives:To estimate the prevalence of substance use and the association of various socio-demographic factors associated with substance use among Undergraduate Medical students.Methodology:This was a cross-sectional study conducted among 482 Undergraduate Medical students pursuing M.B.B.S. at GMC Jammu from September to mid-November 2023. First of all the socio-demographic data was collected, followed by an assessment of substance use. It was done using the WHO ASSIST questionnaire, which was distributed to the participants in electronic format (Google form). The participants were instructed to read and answer each question honestly and to the best of their knowledge. Proportions with 95% Confidence Interval were used to summarize the substance use.Results:A total of 482 Medical undergraduates participated in the study. The mean age of the study participants was 20 years (± 1.34). The substance with the most prevalent use was alcohol (12.2%). Tobacco, sedatives and cannabis consumption was reported to be 6%, 1.9% and 1.5% respectively among the respondents.Conclusion:Despite being aware of the potential hazards, medical students continue substance abuse, which is indicative of a lack of awareness about one’s health as well as increased peer and academic pressure and a lack of parental supervision. Proper counselling with well-planned policies should be implemented to address the evil of substance abuse among aspiring doctors.

01 Apr 2024·Indian Journal of Community Medicine

IJCM_301A: Perceived stigma and quality of life in patients living with HIV/AIDS attending antiretroviral therapy centre in a tertiary care hospital in Jammu.

Author: Zaffer, Imran ; Gupta, Rajiv K ; Kumari, Rashmi

Background:HIV/AIDS remains a significant global health challenge, affecting the well-being of millions around the world. While HIV treatments have demonstrated effectiveness, ongoing research indicates the persistence of various psychosocial challenges that tend to compromise the quality of life for individuals coping with HIV/AIDS. Notably, stigma associated with HIV/ AIDS remains widespread among affected individuals, exerting detrimental impacts on their overall quality of lifeObjective:To assess the quality of life in patients living with HIV/AIDS and to assess the relationship between perceived stigma and quality of life in patients living with HIV/AIDS attending an antiretroviral therapy centre in a tertiary care hospital in JammuMethodology:This observational cross-sectional study was conducted among patients with HIV/AIDS over a period of 8 months who were attending an antiretroviral therapy centre in a tertiary care hospital of Jammu city of UT of J&K, using systematic random sampling. Patients were administered a questionnaire comprising socio-demographic data, (Pozqol scale) for quality of life and a short version (HSS-12) of the Berger HIV Stigma Scale. Data was analyzed using SPSS version 23.0 softwareResults:A total of 300 patients were included in the study. The mean age of patients was 42.13±10.48. Mean scores for psychological, social, health and functional domains of quality of life were 10.79Â±3.76, 10.18±3.70, 8.81±3.16 and 10.76±3.35 respectively. Overall quality of life was found to be significantly associated with marital status and HIV status of spouse/partner. There were significant negative correlations between various dimensions of stigma and different domains of quality of lifeConclusion:Our findings indicated that higher HIV/AIDS-related perceived stigma decreases the quality of life in patients living with HIV/AIDS. “Prioritizing efforts to reduce stigma, enhance healthcare plans, and improve economic conditions is crucial for fostering improvements in the overall quality of life and its associated domains in the lives of patients living with HIV/AIDS.”

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