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International Journal of Medical and Pharma Research (IJMPR)

Index Copernicus Journal id: 7526

ISSN 2277-2413

Volume 1 (1) December 2011

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About IJMPR iii
Subscription Details iv
Editorial Board v
Table of Contents vii
  Research Papers
1. Influence of Internet in Healthcare Knowledge Management 1
  Hitesh Gupta
2. The Development of Glucosamine Analysis in the Shark Cartilage Using High Performance Liquid Chromatography 9
  Ida Musfiroh, Aliya Nur Hasanah
3. Yoga in Bhagavath Gita and its Relevance in the New Millennium 16
  Vadde Kishore Babu, Dr. Koppula Victor Babu
4. Rational Use of Drugs – Need of the Hour 27
  Dr.Suneela Garg, Dr.Ritesh Singh
5. Perception Regarding Child Birth of a Female Child: A Cross-Sectional Study in Kanpur City 31
  Dr. Aparna Padhye, Dr. Yashwant K. Rao, Dr. Supriya Rastogi, Dr. Tanu Midha, Dr. Anita Soni, Dr. Ankita Taneja, Dr. G.N. Dwivedi
  Case Reports
1. Spontaneous Fecal Fistula in a HIV patient: A Rare Presentation of Inguinal Hernia 36
  Dr. Umesh Jethwani, Dr. Vipul Kandwal, Dr. Archana Shukla, Dr. Mahim Koshariya
2. Ovarian teratoma as a Differential in an Upper Abdomen Lump: A Case Report 39
  Dr. Navneet Kaur, Dr. Pradeep Saini, Dr. Pankaj Panwar, Dr. Nitin Agarwal, Dr. Arun Gupta
3. Appendicovesicocolonic Fistula: A Very Rare and Interesting Case 42
  Dr. Umesh Jethwani, Dr. Vipul Kandwal, Dr. Sanjay Jain, Dr. M.C. Songra
4. Intravaginal Foreign Body presenting as Proctitis in Minor Girl Child: A Rare Case Presentation 45
  Dr. Umesh Jethwani, Dr. Ishrat Jahan, Dr. Divya Jethwani

  Letter to Editor

48
About Editorial Team ix
General Information xi
Submission Guidelines xiii
Call for Papers xx
Order Form xxiii

Research Papers

1. Influence of Internet in Healthcare Knowledge Management
Hitesh Gupta
President, SPEAK Foundation, Delhi, India
Vol. 1(1) : pp 1-8 (2011)
Abstract: The increasing globalization and use of the Internet, accompanied with multiple resources, pose challenges to the healthcare industry. The healthcare industry is going through a major transformation due to the influence of internet in the life of healthcare professionals, organizations as well as patients. Everyone has data, but the knowledge from that vast amount of data can only be obtained through internet in a cost effective, updated and speedy manner. As such, this exploratory paper is an attempt to throw some light on the influence of internet in Healthcare knowledge management based on the judgmental sampling of secondary sources.
Keywords: Healthcare, Knowledge Management, Internet, Internet Influence, Healthcare Knowledge Management, Internet in Healthcare

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2. The Development of Glucosamine Analysis in the Shark Cartilage Using High Performance Liquid Chromatography
Ida Musfiroh, Aliya Nur Hasanah

Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, Indonesia
Vol. 1(1) : pp 9-15 (2011)
Abstract: The study is to analyze the development of glucosamine in the shark cartilage by employing High Performance Liquid Chromatography (HPLC) with UV-Vis detector. The analytical method is done by using the derivatization process considering the fact that glucosamine is a polar compound and has no sufficient chromophor to absorb UV radiation. The research is conducted through steps of shark cartilage mineral processing, that is, the preparation of standard and sample solution, the determination of optimum conditions, the validation of analytical methods, and the analysis of glucosamine in the shark cartilage respectively.
The validation of the analytical method is shown by these results: correlation coefficient of linearity test 0.995, variation coefficient of precision test 0.38% - 1.42%, recovery of accuration test 98.24 % - 101.95 %, resolution test (Rs) 1.975, LOD 0.24 ppm, and LOQ 0,80 ppm. The concentration of glucosamine in the shark cartilage is 1.08% at 240 nm UV detector, a C18 column (Lichocart (R), 250 mm x 4 mm), mobile phase aqua bidestilata: glassial acetic acid: methanol (89.96:0.04:10 pH 2.67) and a flow rate 1.2 ml / min.
Keywords: Derivatization, HPLC, PITC, Reverse Phase, Shark Cartilage, UV Detector

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3. Yoga in Bhagavath Gita and its Relevance in the New Millennium
Vadde Kishore Babu, Dr. Koppula Victor Babu
Research Scholar, Department of Philosophy, Andhra University, Vishakhapatnam, Andhra Pradesh, India
Vol. 1(1) : pp 16-26 (2011)
Abstract: “The Gita is not only my Bible or my Quran; it is more than that, it is my mother. I lost my earthly mother, who gave me birth, long ago, but this eternal mother has completely filled her place by my side ever since. She has never changed. She has never failed me. When I am in difficulty or distress I seek refuge in her bosom” (Hingorani and Hingorani, 1985, p.136), says Mahatma Gandhi; the father of India. Gandhi considered it as a kind dictionary which he consulted constantly to solve his problems of life. This sacred book influenced the life of Gandhi very much. The influence of Gita can be seen not only in the life of Gandhi but also in the life of many important personalities of modern and contemporary India.
It is because of the uniqueness of this sacred book. The essence of the Hindu religion is found in thy source. It is both philosophical and devotional in nature. Its content is theoretical as well as practical. Many great people in India sought in Gita inspiration for their lives and action. It has been the source of strength for people from all walks of life. Bhagavad Gita can be studied from many angles. Its subject matter consists of many interesting themes. One of them is yoga. It is dealt at length in it. It is also an important theme. Many important teachings of Gita are centered around this theme. This paper tries to present some of those insights on yoga. This article is divided into four parts. The first part deals with yoga and its origin. The second part explains about Karma yoga. The third part throws light on Jnana yoga. The last part explains Bhakti yoga.
Keywords: Yoga, Gita, Bhakti yoga, Jnana yoga, Karma yoga, Hindu religion, Bhagavath Gita

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4.Rational Use of Drugs – Need of the Hour
Dr.Suneela Garg1, Dr.Ritesh Singh2
Director & Professor1, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
Assistant Professor2, Department of Community Medicine, College of Medicine and JNM Hospital, Kalyani, West Bengal, India
Vol. 1(1) : pp 27-30 (2011)
Abstract: Irrational use of allopathic medicines is an age old problem. It is more common in developing and third world countries where there is either no regulation or weak monitoring of the health system. The medicines may be overused, underused or misused by the dispenser or the consumer. This results in wastage of scarce resources. The paper discusses about the strategies for rational use of drugs in order to be effective and efficient in taking care of the patient.
Keywords: Drugs, Rational Use of Drugs, WHO, Drug Use, Medicine Use

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5.Perception Regarding Child Birth of a Female Child: A Cross-Sectional Study in Kanpur City
Dr. Aparna Padhye1, Dr. Yashwant K. Rao2, Dr. Supriya Rastogi2, Dr. Tanu Midha3, Dr. Anita Soni4, Dr. Ankita Taneja4, Dr. G.N. Dwivedi2
GSVM Medical College1, Kanpur, India
Department of Pediatrics2, GSVM Medical College, Kanpur, India
Department of Community Medicine3, GSVM Medical College, Kanpur, India
Lala Lajpat Rai Hospital4, Kanpur, India
Vol. 1(1) : pp 31-35 (2011)
Abstract: The present study was conducted in order to observe the actual reaction of the society to the birth of a girl child and assess whether there was a male preference prevalent in the society. A cross-sectional survey was done on 187 pregnant women who gave birth to a child, at Lala Lajpat Rai Hospital, Kanpur, using a pre designed questionnaire to measure the various attributes related to the nutritional intake.
About 55.4 % mothers were happy with the girl child but 78.8% were happy for the boy child. Although 71.9% of the grandparents were happy for their granddaughters, 97% were happier for the grandson in the family. And among the couples with birth order of >2, about 52.8% had planned pregnancy, 89.9% didn’t have previous elective abortion and 90.9% didn’t get pre sex determination done. The study reveals that there is a male preference in the Indian society.
Keywords: Female Birth, Female Child, Male Preference, Female Child Birth, Perception of Child Birth, Child Birth Cross-sectional study

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Case Reports

1. Spontaneous Fecal Fistula in a HIV patient: A Rare Presentation of Inguinal Hernia
Dr. Umesh Jethwani1, Dr. Vipul Kandwal2, Dr. Archana Shukla3, Dr. Mahim Koshariya4

Senior resident1,2, Vardhman Mahavir Medical College & Safdarjang Hospital, New Delhi, India
Assistant Professor3, Gandhi Medical College, Bhopal, India
Associate Professor4, Gandhi Medical College, Bhopal, India
Vol. 1(1) : pp 36-38 (2011)
Abstract: Congenital inguinal hernia is a common condition encountered in surgical practice. We report a case of scrotal Enterocutaneous fistula, a rare complication of incarcerated hernia in a HIV patient due to late presentation, neglect and lack of proper management. This case report highlights the need for an early and accurate diagnosis followed by prompt treatment of groin swellings. The presentation of congenital inguinal hernia in this form in adults also reflects state of health care in developing countries.
Keywords: Fecal Fistula, HIV, Congenital inguinal hernia, Inguinal Hernia

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2. Ovarian teratoma as a Differential in an Upper Abdomen Lump: A Case Report
Dr. Navneet Kaur1, Dr. Pradeep Saini2, Dr. Pankaj Panwar3, Dr. Nitin Agarwal2, Dr.Arun Gupta1

Professor of Surgery1, Lecturer in Surgery2, Postgraduate in Surgery3
University College of Medical Sciences & Guru Teg Bahadur Hospital, New Delhi, India
Vol. 1(1) : pp 39-41 (2011)
Abstract: A 40 year old woman presented with an ever-increasing lump in right upper abdomen that she had noticed after drainage of an abscess in the same region during her pregnancy 15 years back. On examination it was a smooth, globular, 10 x 8 cm size lump in right hypochondrium and lumbar region that moved with respiration and could have been mistaken for a gall bladder lump but for a well defined upper margin.
A CECT abdomen showed a 6.6x5.8x4.5 cm3 oval non enhancing soft tissue lesion having fat density and calcification adjacent to ascending colon & small bowel loops. On exploration it was found to be an ovarian cyst that was adherent to the surrounding bowel and had a long pedicle going into the pelvis. On histopathology it was reported to be a mature ovarian teratoma.
Keywords: Ovarian teratoma, infection, abdominal lump, ectopic ovary

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3. Appendicovesicocolonic Fistula: A Very Rare and Interesting Case
Dr. Umesh Jethwani1, Dr. Vipul Kandwal2, Dr. Sanjay Jain3, Dr. M.C.Songra4

Senior resident1,2, Vardhman Mahavir Medical College & Safdarjang Hospital, New Delhi, India
Associate Professor3, Gandhi Medical College, Bhopal, India
Professor4, Gandhi Medical College, Bhopal, India
Vol. 1(1) : pp 42-44 (2011)
Abstract: Vesicoenteric fistulas occur between the bladder and bowel wall. Appendicovesicocolonic fistula is a rare condition for which an accurate prelaparotomy diagnosis is difficult to make. The presentation of Appendicovesicocolonic Fistula in this form in adults also reflects state of health care in developing countries. This very rare complication should be an eye opener for the concerned authorities to improve the existing health care system.
Keywords: Appendicovesicocolonic Fistula, Vesicoenteric Fistula, Bladder, Prelaprotomy

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4. Intravaginal Foreign Body presenting as Proctitis in Minor Girl Child: A Rare Case Presentation
Dr. Umesh Jethwani1, Dr. Ishrat Jahan2, Dr. Divya Jethwani3

Senior resident1, Department of General Surgery,
Senior resident2,3, Department of Obstetrics and Gynecology,
Vardhman Mahavir Medical College & Safdarjang Hospital, New Delhi, India
Vol. 1(1) : pp 45-47 (2011)
Abstract: Retention of foreign body for long duration may lead to serious morbidity in form of infection, pelvic inflammatory disease (PID) and chronic pelvic pain. We report a case of a 14 yr old unmarried girl who presented with chronic pelvic pain and rectal discharge for 4 months. USG was suggestive of echogenic lesion in vagina. CT scan revealed intravaginal foreign body. A torch cap was retrieved from vagina.
Keywords: Proctitis, Intravaginal Foreign Body, Foreign Body, Intravaginal

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International Journal of Medical and Pharma Research (IJMPR)
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