International Journal of Contemporary Medicine <p><strong>International Journal of Contemporary Medicine</strong> is a double blind peer reviewed international journal which has commenced its publication from January 2013. The journal is half yearly in frequency. The journal covers all aspects of l medical specialties including intensive care, hospital practice, ICU etc . The journal has been assigned ISSN 2320-9623 (Print Version) and ISSN 2321-1032(Online Version). The journal is indexed in many international data bases like Google scholar , EBSCO , Pro Quest etc.</p> <p>This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.</p> <p> </p> en-US (Prof. Daya Chand) (Prof. Daya Chand) Wed, 31 Mar 2021 09:10:42 -0500 OJS 60 Appraisal of Beneficiaries’ Perspective on Opportunities and Barriers of NCD Clinics in a Coastal District of Kerala <p>Background: Non-Communicable diseases (NCDs) have become the main causes of morbidity and<br>mortality in many developing countries. In India, NCD Clinics are set up by the guidelines of National<br>Programme for Control of Diabetes, Hypertension, Cardiovascular Disease and Stroke (NPCDCS) for the<br>control, prevention and treatment of NCDs. Govt of Kerala introduced the NCD clinics to compact the<br>disease burden of the state in 2010 through the National Health Mission.<br>Objective: To appraise the beneficiaries’ perspective on opportunities and barriers of NCD Clinics in<br>Alappuzha district.<br>Methods: It was a qualitative study conducted over a period of 6 weeks among the people in the age<br>group of 30 years and above residing in Ambalappuzha taluk. 28 in-depth interviews and 18 focus group<br>discussions were conducted and the reviews of records in the primary health centres using a questionnaire<br>were done. Thematic analysis of observations and percentage estimation of service indicators were done.<br>Result: The study revealed a cluster of four themes such as awareness about the services, availability,<br>accessibility, acceptability of services and Satisfaction about the services. Although there is receptiveness<br>to the services, barriers to mainstreaming also exist which persuade them not to utilise these services. In all<br>PHCs the indicators for screening for NCDs are less than 80%. Screening services should be strengthened<br>more. So, the need to revamp the structure and systems to enhance the utilisation of the services of NCD<br>Clinics is highlighted.</p> Aranya GN, Athirarani MR, Sujitha Elavally, Sairu Philip Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500 The Ability to Interact with Schizophrenic Patients through Socialization Group Activity Therapy <p>Social isolation is a disorder of interpersonal relationships that occurs due to an inflexible personality, which<br>causes maladaptive behavior and interferes with one’s function in relationships. One of the nursing actions<br>for schizophrenic patients with social isolation is Socialization Group Activity Therapy. Socialization Group<br>Activity Therapy is an effort to facilitate socialization skills in schizophrenia patients with social relationship<br>problems. The purpose of this study was to determine the effect of socialization group activity therapy on<br>the ability to interact with schizophrenic clients. The research design used one group pre-post test design,<br>the sampling technique used was purposive sampling and the total sample was 21 respondents. The ability<br>to interact socially was measured using a questionnaire sheet before and after therapy using a paired sample<br>test. The analysis showed that there was a significant effect with p = 0.014 (p &lt;0.05). The conclusion is that<br>Socialization Group Activity Therapy is one of the effective therapies to improve the interaction ability of<br>schizophrenic patients.</p> Jek Amidos Pardede, Arya Ramadia Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500 Effect of Core Stabilization Exercises on Balance Performance in Older Adults <p>Objective: Fall is defined as unintentional loss of balance that leads to failure of postural stability. Around<br>30% of older adults aged over 65 years have an episode of falls each year.. All postural control components<br>undergo changes with ageing. Any impairment in neuromuscular, central nervous system and sensory<br>system leads to fall. So the aim of present study was to determine the effects of Core stabilization exercises<br>on balance performance in older adults. Methodology: Sixty participants both males and females aged<br>between 65 -75 years were divided into 2 groups, Experimental and Control group (n=30). Experimental<br>group performed core stabilization exercises 5 times a week for 6 weeks, while control group carried on<br>their routine daily activity for 6 weeks. Berg Balance Scale (BBS), Y-Balance Test, Functional Reach Test<br>were assessed at the baseline and after 6 weeks of intervention. Results: Statistical analysis revealed that<br>Experimental group showed significant improvement in BBS, Y – Balance Test and Functional Reach Test<br>scores with (p ? 0.05) post 6 weeks of intervention. Control group showed no significant improvement in<br>the scores. Conclusion: Core stabilization exercises had significant improvement on balance variables in<br>experimental group when compared to control group.</p> Ketki Ponde, Ronika Agrawal, Nazneen Khalil Chikte Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500 Evaluation of Quality of Life in Diabetic Population with and without Diabetic Polyneuropathy <p>Background: Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose, which<br>leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves. The complications<br>of the Diabetes such as Diabetic Poly Neuropathy impacts the patient’s Quality of Life, later may result in<br>early death.<br>Methods: A total of 260 samples were taken and divided into 3 groups, Diabetes with DPN (G1), Isolated<br>DM (G2), and Controls (G3) with 65, 65 and 130 samples respectively. They were assessed for Quality<br>of Life with WHOQOL-BREF Questionnaire. Data were collected and taken for analysis. The overall<br>WHOQOL-BREF scores of the three groups were 83.86 ±5.93, 92 ±6.75 and 98.33 ±0.94 respectively.<br>There was a significant statistical difference in WHOQOL-BREF in G1, G2 and G3 (p=0.000), but there<br>was no significant statistical difference in WHOQOL-BREF in between G2 and G3 (p=0.847) in domain 2.<br>Conclusion: The findings in this study showed that the Quality of Life is reduced in patients with Diabetes<br>mellitus with and without Diabetic Poly Neuropathy when compared with Controls without any metabolic<br>disorders including Diabetes and without any types of associated Poly Neuropathy.</p> Manoj Abraham M , Hari Hara Sudan S, Pavithra V Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500 The Deadly Duo-A Combination of Allergy and Acute Coronary Syndrome A Case of Kounis Syndrome Type 1. <p>Kounis syndromewas first described by Kounis and Zavras in 1991, as the concurrent occurrence of<br>acute coronary events with an allergic or a hypersensitivity response. Mast cell activation and release of<br>inflammatory mediators have shown to induce coronary spasm, plaque erosion and even stent thrombosis.<br>A 41 years old male, smoker was admitted with chest discomfort and features suggestive of myocardial<br>infarction. His ECG showed ST elevation and T inversion in I, aVL. High sensitive troponin I was elevated<br>and echocardiogram was normal. Four days ago, he had a history of redness and itching all over the body<br>and was treated for allergic dermatitis. He had a family history of urticaria also. Coronary angiogram<br>revealed no major flow limiting coronary artery disease. Kounis syndrome type 1 was diagnosed and he was<br>discharged on oral steroids and cardiac drugs. We always have to think of Kounis syndrome when treating<br>a young patient with allergy or anaphylaxis and concurrent acute coronary syndrome. Prompt recognition is<br>important as treatment is significantly different.</p> Ramkumar Rajappan, Bivin Wilson, Priya Kubendiran, Rajpal K.Abhaichand, Abhishek Kasha Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500 A Rare Case of Pneumonia and Haemoptysis Caused by Citrobactor Freundii in a Young Immunocompetent Male <p>Citrobacter infections are often nosocomially acquired, seen in patients with significant underlying diseases<br>and isolates are commonly drug-resistant.A rare clinical syndrome of haemoptysis with underlying<br>pneumonia caused by Citrobactor freundii in a immunocompetent young male is presented.</p> Sushil Upadhyay Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500 Association of XmnI Polymorphism with Fetal Hemoglobin Level in Sudanese Patients with Sickle Cell Disease <p>Background: Sickle cell disease (SCD) is an inherited blood disorder that affects red blood cells. The study<br>of various modulating factors, and genetic factors affecting the clinical severity of the SCD is an interesting<br>research focus especially in communities with a distinct genetic background. The XmnI polymorphism is<br>a common genetic variation that was reported in previous studies to increase fetal hemoglobin (HbF) level.<br>This was a descriptive cross-sectional study, conducted in El-Obeid city in Northern Kordofan state, western<br>Sudan, during the period from August to November 2016. The Xmn1 polymorphic site was determined by<br>polymerase chain reaction. Data was analyzed using SPSS software program version 20. P-value of 0.05<br>and below was considered of significance. In present study HbF level among normal individuals AA , shown<br>significant difference (p&lt;0.05) between presence of Xmnl +/+ and absence of Xmnl -/- site. in patients with<br>SS , the HbF level was higher in those who had one or two Xmnl sites as compared to those with the site<br>absent . In patients with sickle cell trait AS and AA, only the presence of the one and two Xmnl site (+/+)<br>compared to the absence of the site (-/-) was associated with significant increase in the HbF level. There is<br>a close link between the Xmn1 polymorphism site and HbF level. A wide range of HbF level was obtained<br>both in the present and absence of this site. Further studies with a large sample size as well as analysis BS<br>haplotypes among the patient with sickle cell anemia population are needed for better understand of possible<br>association .</p> Tarig Osman Khalafallah Ahmed, Abeer Alshazaly Abdulrahman Altag, Ahmed Abdalla Agab Eldour, Anass M. Abbas, Asaad Ma.Babker Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500 Association of Glycated Hemoglobin and Dyslipidemia Inpatients with Type 2 Diabetes Mellitus in a K.M.C.H. Katihar, Bihar-A Retrospective, Cross-Sectional and Descriptive Study <p>Introduction: Dyslipidemia is one of the major risk factors for cardiovascular disease in diabetes<br>mellitusType2.The aim of the study was to understand the pattern of dyslipidemia and its association with<br>glycated hemoglobin (HBA1C) among Type 2 diabetic.<br>Materials and Methods: This was a retrospective cross-sectional study to assess the relationship between<br>glycemic control (as reflected by HBA1C) and serum lipid profile in Type2 diabetic patients which included<br>a total of 200 Type2 diabetic patients (104 males; 96 females; mean age years 62.91). Venous blood samples<br>were collected from all the patients after at least 8 h fasting.<br>Results: HBA1C, fasting blood glucose (FBG), total cholesterol, triglycerides (TG), high-density lipoprotein<br>(HDL) cholesterol, and low-density lipoprotein (LDL) cholesterol were analyzed. In male and female<br>patient, serum levels of HBA1C, FBG, and LDL were not significantly different. As compared to males,<br>female patients showed significantly higher serum cholesterol and HDL but significantly lower TG levels.<br>Correlation between HBA1C and FBG was highly significant in this study. Both HBA1C and FBG exhibited<br>direct correlations with cholesterol, TG, and LDL and inverse correlation with HDL; the magnitude of<br>significance for all these lipid parameters being greater with HBAIC than FBG. There was a linear<br>relationship between HBA1C and dyslipidemia. The levels of serum cholesterol and TG were significantly<br>higher and of HDL significantly lower in patients with worse glycemic control as compared to patients with<br>good glycemic control.<br>Conclusion: The findings of this study clearly showed that HBA1C is not only a useful biomarker of longterm<br>glycemic control but also a good predictor of lipid profile.</p> Amresh Kumar, Jiut Ram Keshari, Manish Kumar Copyright (c) 2021 Tue, 30 Mar 2021 00:00:00 -0500