Vol. 2, Issue 1, June 2014


Generating Evidence

Lakhani JD 1, Muley 2.

1Professor & HOD, 2Associate Professor, Department of Medicine, SBKS Medical Institute & Research Center,
Sumandeep Vidyapeeth, Piparia, Vadodara-391760, Gujarat, India


The term Evidence based medicine (EBM) started gaining momentum in 90s, and has been accepted, revered and appreciated as a means of better care for patients in the form of evidence based healthcare. All over the world now, hospital administrators, academicians, and clinicians consider this as a high order of need for medical practice. The whole concept of EBM is based on evidence

[Abstract]       [PDF]

Original Articles:


Correlation of caries status and oral health behavior among adolescent school children of Moradabad city, Uttar Pradesh

Kabasi S1 , Tangade 2, Sarker G3*, Pal R4

1Senior Lecturer, Department of Public Health Dentistry, Institute of Dental Sciences & Hospital, Sector-8, Kalinga Nagar, Bhubaneswar, Odisha-751003, India

2Professor and Head of Department, Department of Public Health Dentistry, Kothiwal Dental College and Research Centre, Mora Mustaqueem, Kanth Road, Moradabad-244001, Uttar Pradesh, India.

3Assistant Professor, Department of Community Medicine, MGM Medical College & LSK Hospital, Kishanganj- 855 107, Bihar, India.

4Additional Professor, Community Medicine and Family Medicine, All India Institute of Medical Science, Jodhpur, Rajasthan-342005, India



Introduction: Oral health is an essential component of health throughout life. This study was done to assess the caries status, oral health behaviour and risk correlate in adolescent school children in Moradabad city, Uttar Pradesh, India.


[Abstract]       [PDF]

Incidence rate of oral submucous fibrosis (OSMF) and its etiology in patients visiting Government Dental College and Hospital, Jamnagar (GDCH, Jamnagar)

Jha RN 1 *, Kalyani PB 2, Savarkar SV 3

1Professor and Head, 2Tutor, 3Internee; Oral Medicine and Radiology, GDCH, Jamnagar, Gujarat, India

Objectives: To assess the incidence rate of OSMF and its etiology in patients attending OPD at GDCH, Jamnagar.
Material and Methods: The diagnosis of OSMF was based on clinical examination and evaluating patients?
signs and symptoms.

Results: The total number of patients affected by OSMF in this time duration was 268. Out of these, 230 (85.82%)
were male, while 38 were female (14.18%). Therefore, male: female (M:F) ratio was 6:1. 104 males in the age
group of 21-30 years constituted a single majority.



[Abstract]       [PDF]

Value of logistics in sexual health services: a hospital based perception

Sarker G1*, Shahnawaz K 2, Pal R3

1Assistant Professor, Department of Community Medicine, MGM Medical College & LSK Hospital Kishanganj- 855 107, Bihar, India.

2Assistant Professor, Department of Community Medicine, MGM Medical College & LSK Hospital Kishanganj- 855 107, Bihar, India

3Additional Professor, Community Medicine and Family Medicine, All India Institute of Medical Science, Jodhpur, Rajasthan-342005, India.


Introduction: Sexually Transmitted Infections (STI) are of major public health significance in most parts of the world affecting rural population in India. Taboos surrounding sexuality lead to a situation where people, particularly women, seeking sexual health care are stigmatized. The study was conducted to explore the availability and effectiveness of sexual health services at the STI clinic of a rural tertiary health care institute in the eastern India.

Methods: This observational health care facility based study for the period of one year included all the newly enrolled 301 patients reported with sexual health problems in the STI clinic. Data were compiled to assess sociodemographic and behavioral profile of the cases attending STI clinic.

[Abstract]       [PDF]

Study of cold chain and vaccine management system at Urban Health Centres (UHCs) of Ahmedabad Municipal Corporation (AMC) area

Govani K J1*, Sheth J K 2

1Assistant Professor, Dept. of Community Medicine, GMERS Medical College, Valsad, Gujarat, India.

2Assistant Professor, Dept. of Community Medicine, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India.


Introduction: Cold chain is an important component in immunization programme.1) To observe status of various cold chain elements. 2) To assess basic knowledge of cold chain handlers.

Materials: A cross sectional study was conducted at all the 56 UHCs of AMC area during August-December, 2011. A check list was prepared with basic details of cold chain equipments, vaccine arrangement and temperature & stock records for evaluation.

[Abstract]       [PDF]

Relationship between nerve conduction studies and risk of fall in elderly

Palani K G1*, Parmar L D2

1Principal, 2Professor; College of Physiotherapy, Sumandeep Vidyapeeth, Piparia, Vadodara-391760, Gujarat, India


Introduction : Redundancy in sensory input is common in the elderly either because of aging alone or because of sub clinical
disease processes and results in impairments in distal proprioception and strength that hinder balance and
predispose them to falls. Aim of study is to identify the risk of falling in elderly persons and determine the
relationship between the risks of fall to the changes of NCS.

Methods : Using purposive sampling 18 elderly subjects reported healthy were selected and underwent BBS, TUS& TUG.
MNCS, SNCS and Late responses were performed using standard techniques. Descriptive statistics (Mean, SD
and SE) were done and t test to compare mean value of variable between two groups. To check association between
two attributes chi-square test was used and Fisher’s Exact test for more precise ‘p’ value (for only 2 by 2 table). To
know the correlation among variables Pearson’s correlation co-efficient(r) was used.

[Abstract]       [PDF]

Case Report/Case Series:

Eruptive xanthoma: a rare cutaneous marker of secondary hyperlipidemia

Shah AC1*, Shah MM2, Mahajan RS3, Bilimoria FE4

1,2Resident, 3Assistant Professor, 4Professor & HOD; Dermatology Department, Sumandeep Vidhyapeeth, Piparia, Vadodara-391760, Gujarat, India.


Cutaneous manifestations of systemic diseases may be early warning signs or late manifestations of chronic diseases. All practitioners should be familiar with common dermatological symptoms of generalized medical conditions so that the patient may be managed appropriately.  Eruptive xanthoma is a papular skin disorder resulting from hyperlipidemia, specifically hypertriglyceridemia. It is characterized by yellowish red papules concentrated on extensor surfaces of the arms and legs. The hyperlipidemia responsible for this disorder can be caused by a primary genetic defect, a secondary disorder, or both. Eruptive xanthomas often rapidly resolve after treatment of the hyperlipidemia has begun (1). We report a case of eruptive xanthoma in a middle aged female…

[Abstract]       [PDF]

Emergency orthodontic management of luxated permanent anterior teeth: A report of two cases showing role of orthodontist in multidisciplinary approach.

Mashru AC1*, Goje S2

1Reader; 2 Professor & HOD, Department of Orthodontics, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Piparia, Vadodara-391760, Gujarat, India

Traumatic luxation of permanent anterior teeth requires an appropriate emergency management and treatment plan. Very less data in literature is available regarding emergency orthodontic treatment in luxated teeth. Light orthodontic forces given in early period of trauma in selected cases can restore teeth in original position that can allow better periodontal healing. This article focuses on the principles which orthodontic specialist should consider while planning orthodontic movement of recently traumatized permanent teeth. Two cases are presented of emergency orthodontic treatment. 

Key words: Incisor trauma, emergency orthodontic treatment (EOT).


[Abstract]       [PDF]

Extra adrenal phaeochromocytoma (paraganglioma)

Piryani 1*, Piryani S2, Khakurel 3

1Professor of Clinical Medicine & Medical Education, Nepal Police Hospital & Nepal Police Medical College,
Maharajganj, Kathmandu, Nepal.

2MPH trainee, Institute of Medicine, Kathmandu.

3Professor of Surgery, Nepal Police Hospital & Nepal Police Medical College, Maharajganj, Kathmandu, Nepal.


Extra-adrenal pheochromocytoma (EAP) or paraganglioma is a rare tumor. We report the patient having
abdominal EAP. A 30 years age female presented initially with headache, sweating and hypertension.
Hypertension remained controlled with drugs but had paroxysm of sweating on few occasions. Urinary VMA was
raised. Renal artery CT angiography and intravenous urography revealed large soft tissue mass in left para aortic
region, medial to mid and lower pole of left kidney getting arterial twigs from abdominal aorta and anterior
division of left internal iliac artery and compressing the left proximal ureter resulting in gross hydronephrosis of
left kidney. Tumor and non functional left kidney were removed through laparotomy. Patient is under follow-up.
BP and 24 hours urinary VMA were normal range on each visit. This tumor falls to aorticosympathetic group of
EAP as per Glenner and Grimley classification.

Keywords: Aorticosympathetic group of EAP, Extra-adrenal pheochromocytoma, Paraganglioma

[Abstract]       [PDF]

EVIDENCE – The other perspective.

Dr (Col ) V P Singh

Professor of Medicine , Director PG studies SBKS MI& RC

Director General, Sumandeep Vidyapeeth, Piparia, Vadodara-391760, Gujarat, India

On a moonlit night a boy and a girl sat on the roof of a high rise building, with a cool breeze, pregnant with romance, blowing across their faces. The boy professed his love in the most poetic language at his command and conjured up images of a conjugal life that would be strewn with roses and rainbows. His monologue was sharply interrupted by a short retort from the girl –

“What is the EVIDENCE that you love me ?”

The boy pulled out a credit card from his purse and said

“I can purchase the world for you” .

“That is you inheritance” retorted the girl .

The boy holding her hand broke into an old romantic number

[Abstract]       [PDF]