IMJ Health : July 2016

Medical Journal July 2016 Issue

Glycolic Acid Peels Versus Salicylic Acid Peels in Atrophic Acne Scars : A Randomized Comparative Study

AbstractScarring is a well recognized sequel of acne. Because of the prevalence of acne scarring and strong negative emotions it engendering affected patients, several approaches have been developed for its treatment with varying success rates. Glycolic acid 50% peels and Salicylic acid 30% Peels are classified as superficial peel and are consider safe in Indian patients. While chemical peels are widely being used in India for various indications. There is a paucity of published studies on the efficacy of chemical peel specifically for acne scars in Indian patients.

Purpose of this study was to evaluate and compare the effectively of these two agents in the treatment of acne scars. Eighty cooperative patients[≥18 years age]with predominantly moderately atrophic acne scarring were randomly divided into 2groups of 40each.Patients of group A received Glycolic acid peels and patients in group B, Salicylic acid was used at 3weeks interval for four sessions. Objective evaluations of treatment response. Subjective assessments of treatment response were also done separately by the researcher, an independent observer and the patients separately.

Both of agents led to significant reduction in the total acne scar score[p< 0.05]but no significant difference was noted between the two peels. Side effects were lesser with Salicylic acid peel.

Hence conclusion was drawn that both 50% Glycolic acid and 30% Salicylic acid peels are safe in Indian skin and equally effective in the treatment of mild to moderate acne scarring.

Keywords Acne Scare, Acne Peels, Glycolic acid peel, Salicylic acid peel

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Effect of Root Heal Therapy (RHT) on Asthma: A Quincy Experiment

Abstract—Asthma is a chronic inflammatory disease of the airways that affects people of all ages. It may manifest as severe attacks, which can require urgent health care. It causes limitations in daily activities, loss of school and work days, lung function impairment, reduced quality of life, and an adverse socioeconomic burden. There is no cure of asthma, once it is diagnosed it can be managed by a good treatment plan, so that patient can live a better quality of life with the disease. This present study was planned to compare the effect of traditional treatment alone and in combination with Root Heal Therapy on asthma cases. A Quincy experiment was conducted on 60 patients of Asthma, who were taking treatment from a physician working in Jaipuriya Hospital, Jaipur. Out of these 60 asthama patients who were receiving traditional treatment, 30 patients were given this RHT along with traditional treatment. Baseline status of asthma and Asthma Quality of life Questionnaire (AQLQ) was assessed. These cases were followed for 18 months, again they were assessed as per AQLQ. Changes in status of asthma in both the group over this period were compared with Chi-square test and Unpaired ‘t’ test. It was found that significantly more cases were benefited with this RHT in the form of number of spells of asthma, duration of illness due to asthma, mean days of activity loss and proportion of cases needed hospitalization during last one year. Pulmonary Function test were also better in experimental group than control group. Although mean number of eosinofills decrease was also found higher in experimental group but it was not found significant. It is concluded that Quality of life of these asthma cases were significantly improved on physical, emotional, social and occupational domains of life in cases with RHT than the cases only on traditional treatment.

Keywords Asthma, Root Heal Therapy (RHT), Pulmonary function tests, Asthma Quality of life Questionnaire (AQLQ).

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Association of Tuberculosis and Biochemical Nutritional Status A Case-Control Study

AbstractPulmonary tuberculosis is a very infectious disease and is a public health problem specially in developing country like India. Association between tuberculosis and nutritional status is assumed by various authors at time to time. So this present study was aimed to where there is any association between tuberculosis and nutritional status of individual. For study purpose 40 newly diagnosed tuberculosis taken in one group (Group A), 30 cases of relapse cases of tuberculosis in group ‘B’ and 30 matched healthy controls in group ‘C’. Protein and micronutrient levels of each of the subject were assessed and compared group wisely. Significance of difference was inferred by Unparied ‘t’ Test. It was found in this study that Protein, Albumin, Alkaline Phosphatase and Vitamine D were significantly lowered in Tubercular cases than controls. So it can be concluded that tuberculosis is more common in nutritionally deficit individuals.

Keywords: Tuberculosis, Nutritional Status, Protein Level, Macronutrient Level.

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Socio demographic profile of Diabetic cases attended at Diabetic clinic of a tertiary hospital of western Rajasthan India

AbstractDiabetes Mellitus is a lifestyle disease it is increasing with increase of urbanization. It is a side effect of development. Nowadays with the development of community it is also on increase trend. So this study was conducted on 250 patients of diabetes attended at Diabetic Clinic of SMS Hospital Jaipur, with the aim to find out socio-demographic profile of these diabetes cases. General information about the these case was gathered in a pre-designed semi-structured performa. It was found in this study that majority of cases were in age group of 31 to 45 years with slight male dominance. Education wise majority were Graduate followed by secondary educated and others. Likewise occupation wise majority were either unemployed of professional. Majority of cases were from Socio economic Class II and III. So it can be concluded that diabetes is a disease of middle age slight male dominance and of educated middle class individuals. Further studies are required to establish this fact.

Keywords Diabetes Mellitus, Socio-demographic profile

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Acute Illness episodes and Limitation of Daily Activity of Life in Geriatric population in Jaipur: A Period Prevalence Study

Abstract Elderly population is increasing due to demographic shift in favor of geriatric population. This age group is susceptible for many acute and chronic health problems which may lead to limitation daily activities of life. Study of acute and chronic health problems with limitation daily activities of life of this population is required to frame comprehensive policies to make ageing a comfortable experience. So this cross-sectional period prevalence study was carried out from September 2009 to August 2010 on 1620 elderly residing in Municipal corporation area of Jaipur city with the aim to study episodes of acute health problems within last one month and limitation daily activities of life within last years of this population of elderly population. Study population consist of 1620 elderly with M:F ratio 0.95. Mean age of elderly was 66.08 years with slight female predominance i.e. 1048 females for 1000 males in Jaipur city. It can be concluded from 41.6% of elderly were having difficulty in performing activity of daily living and this difficulty was found more in females that males and in older ages. It was also revealed that 44.37 of elderly had one or more episodes of acute illness in last one month. These number of episodes of acute illness in last one month was found more in males and in older age groups.

Key words- Elderly, Geriatric, Acute Illness, Daily activities of Life.

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