Research & reviews journal of medical science & technology (vol3, issue2)

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Research & Reviews (RRJoMST) ISSN 2349 - 1272 www.stmjournals.com May - August 2014 STM JOURNALS Scientific Technical Medical STM JOURNALS STM JOURNALS Scientific Scientific Technical Technical Medical Medical Journal of Medical Science & Technology

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Transcript of Research & reviews journal of medical science & technology (vol3, issue2)

Research & Reviews

(RRJoMST)

ISSN 2349 - 1272

www.stmjournals.com

May - August 2014

STM JOURNALSScientific Technical Medical

STM JOURNALSSTM JOURNALSScientificScientific Technical Technical MedicalMedical

Journal of Medical Science

& Technology

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VenereologyInstitute of medical Sciences, Banaras Hindu University, Varanasi India.

I take the privilege to present the hard copy compilation for the [Volume 3 Issue (2)] of Research &

Reviews: Journal of Medical Science and Technology. The intension of RRJoMST is to create an

atmosphere that stimulates creativeness, research and growth in the area of Medical Science and

Technology.

The development and growth of the mankind is the consequence of brilliant Research done by

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International recent developments & research initiative.

The aim and scope of the Journal is to provide an academic medium and an important reference for

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Finally, I express my sincere gratitude and thanks to our Editorial/ Reviewer board and Authors for

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regards to their due continuous support and co-operation, we have been able to publish quality

Research/Reviews findings for our customers base.

I hope you will enjoy reading this issue and we welcome your feedback on any aspect of the Journal.

Dr. Archana Mehrotra

Director

STM Journals

Director's Desk

STM JOURNALS

1. Continuous Thoracic Epidural Infusion: A Comparative Study of Fentanyl and Ropivacaine V/S Fentanyl and Bupivacaine in Upper Abdominal Surgery for Postoperative Analgesia Bhatia A., Ajmera P., Sharma M., Navaria R. 1

2. Visual Reaction Time and Its Relationship with Sex, Age, and BMI in Northern Indian Children's Dhungana H. N., Singh S., Tripathi P., Prakash J., Waseem S. M. A., Tiwari N., Sarthi P. 11

3. Associated Factors of Low Back Pain among The Workers of Commercial Bank of Ethiopia: Mekelle, North EthiopiaKshtrashal Singh, Haile Gebremichel Gebrekidan 17

4. An Epidemiological Profile of Diabetes Mellitus amongst High Risk Age Group: A Community based StudyNadeem Ahmad, Rubeena Bano, R.P. Sharma 22

5. Infant Cry Analysis for Emotion Detection by using Cross-Correlation AlgorithmMalika Narang, Sharda Vashisth 27

6. Comparison of McKenzie Treatment and Inhibitive Distraction on Cervical Range of Motion, Disability in Subjects with Nonspecific Neck PainVivek Chauhan, Apurba Rajbongshi 34

ContentsResearch & Reviews : Journal of Medical Science & Technology

RRJoMST (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: Journal of Medical Science and Technology ISSN: 2319-3417 (online), ISSN: 2349-1272 (print)

Volume 3, Issue 2

www.stmjournals.com

Continuous Thoracic Epidural Infusion: A Comparative

Study of Fentanyl and Ropivacaine V/S Fentanyl and

Bupivacaine in Upper Abdominal Surgery for

Postoperative Analgesia

Bhatia A.*, Ajmera P., Sharma M., Navaria R. Department of Anaesthesia, NIMS Medical College Jaipur, Rajasthan, India

Abstract To measure and compare the efficacy of analgesia with the both techniques with

measurement of changes in hemodynamics, respiratory rate, and SPO2 with the two

techniques and to compare their side effects and evaluate the patient’s satisfaction. The random selection of patients was allocated in two groups. Each group consist of 25ASA

group I–II patients. Infusion was given at the rate of 0.1 ml/kg/h. Group RF: continuous

thoracic epidural infusion of 0.1% ropivacaine +5 µg/ml fentanyl at the rate of 0.1 ml/kg/h. Group BF: continuous thoracic epidural infusion of 0.125%

bupivacaine + 5 µ gm/ml fentanyl at the rate of 0.1 ml/kg/h. Post operativeop Aanalgesia was noted by VAS Scale & Verbal Ranking Scale , Degree of Motor Blockade was

measured using Modified Bromage Scale and other vital parameters like blood pressure,

pulse, SPO2, etc. were noted. The efficacy of the technique on pain at rest was also qualitatively better in patient’s who received fentanyl in combination with local

anesthetic agent bupivacaine 0.1%, through majority of patient except 16 and 4% of patient in group A had VAS score of 4 at 2 and 4 h PO and they required a top-up dose.

Changes in hemodynamics, respiratory rate, SPO2 were also recorded at the same time.

Decrease in mean arterial pressure of approximately 5 and 6% from their base value was observed in group A and B, respectively. No significant changes in pulse rate, respiratory

rate, and SPO2 were observed between two groups. It is concluded that a combination of

fentanyl with bupivacaine 0.1% provides better dynamic pain relief and also qualitatively a marginal better pain relief at rest after upper abdominal surgery without causing a

concernable degree of hypotension or motor weakness.

Keywords: Epidural infusion, Fentanyl, Bupivacaine

RRJoMST (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: Journal of Medical Science and Technology ISSN: 2319-3417 (online), ISSN: 2349-1272 (print)

Volume 3, Issue 2

www.stmjournals.com

Visual Reaction Time and Its Relationship with Sex, Age, and

BMI in Northern Indian Children’s

Dhungana H. N.1, Singh S.

2*, Tripathi P.2, Prakash J.

2,

Waseem S. M. A.2, Tiwari N.

2, Sarthi P.

2

1Department of Community Medicine, Integral Institute of Medical Sciences and Research,

Lucknow, UP, India 2Department of Physiology, Integral Institute of Medical Sciences and Research,

Lucknow, UP, India

Abstract Reaction time is a measure of how quickly an organism can respond to a particular

stimulus. Reaction time has been widely studied, as its practical implications may be of

great consequence. The present study is undertaken keeping in view the conflicting

reports about the visual reaction time with respect to different color perception and

reaction time in normal children and young adults (6–21 years). In this study, we try to emphasis the change in visual reaction time with respect to sex, age, and BMI. The

statistical analysis shows significant correlation among variables.

Keywords: Reaction time, BMI, Statistical analysis, Correlation coefficients

RRJoMST (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: Journal of Medical Science and Technology ISSN: 2319-3417 (online), ISSN: 2349-1272 (print)

Volume 3, Issue 2

www.stmjournals.com

Associated Factors of Low Back Pain among

The Workers of Commercial Bank of Ethiopia:

Mekelle, North Ethiopia

Kshtrashal Singh*, Haile Gebremichel Gebrekidan Department of Physiotherapy, College of Health Sciences, Ayder Referral Hospital,

Mekelle University, Ethiopia

Abstract Its known sitting and standing postures at work vary as to duration and freedom to

alternate postures, and standing postures vary as to mobility. The purpose of the study to

find out the associated factors of LBP among the bank workers and to find out the impact of demographic, occupational, psychological, and social factors so that bank workers

may able to identify the cause, that can control or minimize the risk of LBP. Bank works should provide clear information’s about every risks they have. This study provides a

proper base for, equipment, furniture, and environmental condition which are mandatory

in the design of working place of the bank workers. The sedentary life style is always associated with low back pain as bank workers have. This study will help in making

aware of the bank workers about their proper posture to avoid any unnecessary stress on

lower back to prevent low back pain.

Keywords: Low back pain, Posture, Bank workers

RRJoMST (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: Journal of Medical Science and Technology ISSN: 2319-3417 (online), ISSN: 2349-1272 (print)

Volume 3, Issue 2

www.stmjournals.com

An Epidemiological Profile of Diabetes Mellitus amongst

High Risk Age Group: A Community based Study

Nadeem Ahmad1*, Rubeena Bano

2, R.P. Sharma

3

1Department of Community Medicine, Integral Institute of Medical Sciences and Research,

Lucknow, Uttar Pradesh, India 2Department of Physiology, Integral Institute of Medical Sciences and Research,

Lucknow, Uttar Pradesh, India 3Department of Community Medicine, G.S.V.M. Medical College, Kanpur, Uttar Pradesh, India

Absract The present study was conducted to study the epidemiological profile including

prevalence, magnitude, possible associates and sociodemographic variables related to

Diabetes mellitus amongst high-risk age group population in urban and rural areas of

Kanpur, India. It was a cross-sectional study performed on five thousand populations

each in urban and rural areas of Kanpur. The high risk-age group population, i.e., 45 years and above participated in the study. Study variables such as age, sex, education,

working status, social class, Impaired Glucose Tolerance (IGT), Body Mass Index, hypertension, family history of diabetes mellitus etc were collected on a predesigned and

pretested performa. Chi-square test and percentages were used for statistical analysis.

The overall prevalence of diabetes mellitus amongst high-risk age group population was found to be 7.6% with 11.3% in urban areas and 3.6% in rural areas. The overall

maximum prevalence was in 56–60 years age group. Higher prevalence was observed

amongst the graduates and onwards (30.1%), social class-1 (32.1%), sedentary lifestyle (62.5%), obese (19.7%), hypertensives (39.5%), and family history of diabetes mellitus

(31.5%). It was observed that 77.7% cases in rural areas and 26.9% cases in urban areas were newly diagnosed.

Keywords: Diabetes mellitus, hypertension, high-risk age group, urban area,

Body Mass Index

RRJoMST (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: Journal of Medical Science and Technology ISSN: 2319-3417 (online), ISSN: 2349-1272 (print)

Volume 3, Issue 2

www.stmjournals.com

Infant Cry Analysis for Emotion Detection by using

Cross-Correlation Algorithm

Malika Narang*, Sharda Vashisth Department of Electronics and Communication, ITM University, Gurgaon, Haryana, 122017 India

Abstract Crying is the part of normal behavior of human. It is the first way of communication for

the infant after his birth and it is a very positive sign of a new healthy life. There are

several reasons for which infant cry including hunger, discomfort, and need for attention. Analysis of infant cry is very useful because infant cry contains useful information, which

helps in detecting the nature of infant cry and the reason due to which he/she is crying.

Information inside the crying signal is used to detect the infant’s psychological condition. The analysis of the infant cry easily deduces the state of health of newborn babies. Many

research papers have been written on the analysis of infants by using various methods i.e., spectrography, melody shape method, inverse filtering, etc. In this paper we used a

different method to detect the emotion of crying infant. Cross-correlation algorithm is

used to detect the reason due to which infant is crying. GUI (Graphical User Interface) is developed to study and analyze the reason. In the present work the study is performed for

five a reason due to which infant is crying: hascolic, hungry, sad, stomach pain, unhappy.

Keywords: Infant cry, GUI, Cross-correlation, STE (short term energy)

RRJoMST (2014) © STM Journals 2014. All Rights Reserved

Research & Reviews: Journal of Medical Science and Technology ISSN: 2319-3417 (online), ISSN: 2349-1272 (print)

Volume 3, Issue 2

www.stmjournals.com

Comparison of McKenzie Treatment and Inhibitive

Distraction on Cervical Range of Motion, Disability

in Subjects with Nonspecific Neck Pain

Vivek Chauhan*, Apurba Rajbongshi Dolphin (PG) Institute of Bio-Medical & Natural Sciences, Dehradun, Uttarakhand, India

Abstract This is a comparative study to compare the effectiveness of McKenzie method and

Inhibitive Distraction on subjects with nonspecific neck pain. A total of 34 subjects were

included based on the inclusion and exclusion criteria through convenient sampling and

divided into two groups. Outcome measures were a Visual Analogue Scale (VAS) with a 10 cm baseline, a Gravity Inclinometer (Figure 1), and Copenhagen Neck Functional

Disability Scale (CNFDS). Result of present study showed that McKenzie treatment and

Inhibitive Distraction, both were found to have significant effect for nonspecific neck pain, but McKenzie treatment was slightly more effective than Inhibitive Distraction.

Although differences were not particularly large for all outcome measures between the

two groups, McKenzie method is an effective treatment for patients with nonspecific neck pain.

Keywords: Cervical range of motion, Inhibitive distraction, McKenzie Treatment