The Journal of Datta Meghe Institute of Medical Sciences University VOLUME 11 NUMBER 3 July to September 2016

Multi Disciplinary Medical Journal Official Publication of Staff Research Society Datta Meghe Institute of Medical Sciences (Deemed University) Sawangi (Meghe), Wardha, Maharashtra, India 442004.


260 Need and Scope of Global Partnership on Public Health Research
Author : Padam Simkhada, Quazi Syed Zahiruddin
Establishing an effective global health research collaboration requires significant organisation and planning. This editorial introduces the launch of our new research collaboration. It highlights the processes and some of the key issues taken into consideration when setting up such a collaboration

Original Articles

263 An Interventional Study of Neurobics and Sanskar Remodelling in Management of Diabetes
Author : Biswas Dalia
Diabetes mellitus is one of the most common chronic diseases across the world and number of diabetic patients is on rise. According to the World Health Organization (WHO, 2006), diabetes mellitus affects at least 171 million people and causes 3.2 million deaths, six deaths every minute and 8700 deaths everyday. WHO estimates that in 2030 there will be an increase of 70% in the number of cases of diabetes in developed countries, and 42% in developing countries. (1). 2011 National Diabetes factsheet released on 26th Jan 2011 estimates about 246 million diabetics worldwide in the year 2010 with prevalence rates of 11.3% among the adults of 20-65 age group(2).
274 A Study on Preoperative Endoscopy Evaluation of the Upper Gastrointestinal Tract in Planned Cholecystectomy
Author : Singh Somarjit
Cholelithiasis is a common gastrointestinal problem which a Surgeon usually encountered in the day to day practice. Cholelithiasis is usually detected by USG for Upper GI Symptoms or during routine checkups for the treatment of other diseases . Surgery is the treatment of choice except in selected high risk patients who are not fit for the surgery where conservative medical management is advised.
278 Neurocognitive Changes After Off-Pump Versus On-Pump Coronary Artery Bypass Grafting
Author : Bhalerao Nikhil
Surgery for coronary artery disease is known as coronary artery bypass grafting (CABG). It was one of the landmark operations in the history of cardiac surgery that rescued millions of people affected by coronary artery disease. Current reasons for performing CABG are the presence of 3-vessel disease (all the 3 major arteries to the heart are blocked), left main coronary artery disease (the main artery itself is critically narrowed), and 3- vessel disease in diabetics. It is also used for patients with severely depressed heart function and for patients who need surgery for heart conditions in addition to coronary artery disease (such as replacement of valves or reconstruction of the heart muscle
285 Relationship Between Perceived Stress and Mental Functions and Psychiatric Morbidity: A Survey in Maharashtra
Author : Tendolkar Vaishali
Today, stress has become part and parcel of everyone`s life. People encounter stress from multiple sources, including work; money, health, and relationship worries; and media overload. With so many sources of stress, it is difficult to find time to relax and disengage. This is why stress is one of the biggest health problems facing people today. Chronic stress increases the risk of developing health problems including obesity, diabetes, heart disease, cancer, and a weakened immune system. Chronic stress also affects a person`s mental health. Many studies show a correlation between stress and the development of mood disorders such as anxiety disorders and depression.
291 Spearman Correlation Assessment of Dermal Collagen and Elastic Fibers in Skin Tissues of two Different Orientations from Head and Neck Region
Author : Kumar Naveen
Scars can be considered less important than other types of life-threatening diseases. But, this treatment challenging disorder can have significant impact on the quality of life and occasionally might become lifethreatening by making the affected individual suicidal.1 There are many treatment methods which have been practiced to improve the negative impact of scars on individuals. However, expected success has not been achieved yet
296 Complications at Arterio-Venous Shunt Among Patients of Chronic Kidney Disease undergoing Hemodialysis
Author : Mahajan Prashant
Cutaneous examination of patients with end stage renal disease (ESRD) has shown that 50-100% of patients can developed at least one dermatological disorder; this may be the result of uremia, hemodialysis or renal transplantation.1 In present era hemodialysis is the most frequently used treatment modalities for the management of patients with chronic kidney disease. With the advent of hemodialysis, the life expectancy of chronic kidney disease (CKD) patients has increased giving time for more and newer cutaneous changes to manifest
299 Role of Computed Tomographic Urography in Renal Calculi
Author : Nayak Aliva
Urinary stones or calculi are concretions formed within the renal tract by the crystallization of one or more substances normally found within the urine. Ureteral calculi almost always originate in the kidneys, although they may continue to grow once they lodge in the ureter. Intravenous Urography has been traditionally used as an imaging modality of choice to evaluate the urinary tract. However, it is a very time consuming procedure and in individuals who are poorly prepared, the imaging findings are prone to be affected by artifacts such as bowel gas or fecal contents that might obscure the kidneys and upper tracts on the images. Another disadvantage is its inability to identify alternative diagnoses. The Wardha district of Maharashtra state has water supply from bore-wells. Thus, a large population of this area is exposed to the high salt content from the water. Because of the high salt content, the prevalence of renal calculi in this area is very high. In our hospital, many cases of renal calculi are reported every year. To evaluate these patients, we need an alternative imaging modality which is more precise than IVU.
303 Comparative Assessment of Hernioplasty done in Inguinal Hernia under Local (Field Block) vs Regional Anesthesia at AVBRH, Sawangi (Meghe), Wardha
Author : Adgudwar Shashank
Hernia is an abnormal protrusion of a viscus or part of viscus through the weakness of the wall of containing cavity (abdomen). Weakness of the abdominal wall is either congenital or acquired in origin. Hernia can be reducible/ irreducible/obstructed or strangulated. The external abdominal hernia is the commonest form of spontaneous hernia, and these are inguinal, femoral and umbilical in percentages 73 %, 17%, 8.5% respectively. As high as 80 to 90% of the repairs are carried out on male, and the most frequent type is right indirect inguinal hernia.1 The inguinal hernia may be indirect if passing through the deep inguinal ring or direct, resulting from weakness in the transversalis fascia in the posterior wall of the inguinal canal. The factors leading to the development of a hernia can be divided into congenital and acquired.
310 Inguinal hernia, Hernioplasty, Local anaesthesia, Spinal anaesthesia
Author : Joshi Pranad
Schizophrenia is still one of the most mysterious and costliest mental disorders in terms of human suffering and societal expenditure.[1]Earlier the aim of therapy for patients with schizophrenia used to be focused only on reducing the psychopathological symptoms, thus leaving them alone with many everyday life problems including: social functioning, employment, or lack of ability to cope with everyday duties.
317 Efficacy of Different Irrigation Activation Regimens in Comparison with Conventional Irrigation Technique for removal of Modified Triple Antibiotic Paste from Root Canals : A in Vitro Study
Author : Mukherjee Prithwish
Pulpal necrosis in an immature tooth maycause many potential complications. The conventional techniques ofchemomechanicalpreparation and disinfection of the root canal systems are not very effective in an immature tooth. In an open apex, it becomesdifficult to seal it with conventional root filling methods as there is the absence of an apical stop. The treatment of pulpal necrosis in an immature tooth with an open apex is a unique challenge to the dentist.
323 Serum Vitamin D Levels and it`s Association with Diabetes Mellitus
Author : Goswami Snehil
Diabetes mellitus is a metabolic disease which is caused by absolute or relative insulin deficiency that can affect nearly every organ system in the body. It has been estimated that 380 million individuals would be affected with diabetes worldwide by the year 2025.In India alone41million individuals are affected by this deadly disease and this is likely to go up to 70 million by the year 2025. Vitamin D has long been recognized for its importance in calcium metabolism and skeletal health. Over the past decade, vitamin D has been gaining increased attention for its potential role in several nonskeletal health conditions including cancer, multiple sclerosis, cardiovascular disease and diabetes. Specifically, emerging evidence suggests a potential association of low vitamin D nutritional status with increased risk of type 2 diabetes mellitus(T2DM), although the currently available data are inconsistent
327 Incidence of ENT Trauma in Rural Setup in Sawangi (M), Wardha
Author : Jose Sharon Ann
Trauma is a major problem in both developing and developed countries. It is the 4thleading cause of death in all age groups and the leading cause in patients between 01 and 39 years in the USA . Globally road-traffic injuries (RTIs) cause 25% of all trauma deaths. Injury to the Ear is not an unknown subject. Accidental injury at home or on the roads is the commonest cause followed by assault, bullet injury, frost bite, burns, animal bites etc (1) The Nose is the most projecting central aesthetic structure of the face and nasal bones are small thin bones.Nasal trauma has been increasing in recent years due to escalating incidence of vehicle accidents and civil violence.
334 Role of Advanced MR Imaging in Brain Tumours
Author : Yadaw Sanjay kumar
“The term brain tumors are referred to a mixed group of neoplasms that originates from the intracranial tissues and the meninges with degrees of malignancy varying from benign to aggressive1.” These tumours are quite ranging from benign to malignant and affecting all age groups right from the very young to the very old2. In india the crude incidence of primary brain tumour is 3.4 per 100,000 populations for males and 1.2 per 100,000 populations for females and accounts for approx 2.1% of all cancers and 2.9% of cancer related death2.