Academia Journal of Medicine 2019-08-25T14:53:34+00:00 Dr. Rohit Varshney Open Journal Systems <p style="text-align: justify;"><strong>Academia Journal of Medicine (AJM)</strong> is an open-access; freely accessible, online and print Bi-Annual peer-reviewed international journal publishes a wide spectrum of advanced research in different fields of clinical medicine, covering etiology, diagnosis, therapy and prognosis aspects.<br> <strong>Online ISSN: 2663-8290 | Print ISSN: 2663-8282</strong></p> Clinical Profile of TB Patients on DOTS at a Tertiary Care Hospital 2019-07-24T18:26:23+00:00 Arjun H Santosh VG <p><strong>Background: </strong>Tuberculosis was considered to be among the top ten causes of global mortality and morbidity. The highest incidence of TB was found in developing countries. Estimates suggest that 32% of the world‟s population was infected with TB. In India, it was seen that TB kills more adults than any other infectious disease. 20% global burden of TB was in India.<strong> Subjects and Methods: </strong>Before initiating anti-tuberculosis treatment a detailed clinical assessment which included history and clinical examination was done. Hematological investigations like HIV test is done as per ICTC along with HBsAg. Hematological investigations included hemoglobin, WBC count, differential count, platelet count, prothrombin time and ESR. Biochemical investigations included total bilirubin, direct bilirubin, AST, ALT, alkaline phosphatase, random blood sugar, blood urea, s.creatinine and uric acid. <strong>Results: </strong>Out of the 50 patients studied, 70 % patients were sputum positive and 30 % were sputum negative. This is probably because majority of the patients studied were pulmonary tuberculosis. <strong>Conclusion: </strong>Adverse drug reaction was seen in 29 patients (58 %). One or more types of ADR was seen in these patients.</p> 2019-07-24T00:00:00+00:00 ##submission.copyrightStatement## Clinical Profile of Snake Bite Envenomation in Patients Admitted at Tertiary Care Hospital 2019-08-13T11:18:12+00:00 N. Kotresh V. Sunitha <p><strong>Background: </strong>Snakebite envenoming is a potentially life-threatening disease that typically results from the injection of venom following the bite of a venomous snake. Sometimes envenoming can also be caused by venom being sprayed into a person’s eyes by certain species of snakes that have the ability to spit venom as a defense measure. Not all snakebites are venomous. Some snakes are non-venomous and venomous snakes do not always inject venom during a bite. <strong>Subjects and Methods: </strong>Patients were examined for complications of snake bite. Haemotoxicity was assessed based on features like bleeding from the bite site, gums, epistaxis, haemoptysis, haematemesis, rectal bleeding or malaena, haematuria, vaginal bleeding, bleeding into the mucosae, skin (petechiae, purpura, discoid haemorrhages, ecchymoses. Neurotoxicity by drowsiness, paraesthesiae, abnormalities of taste and smell, ptosis, external ophthalmoplegia, paralysis of facial muscles and other muscles innervated by the cranial nerves, respiratory and generalized flaccid paralysis. <strong>Results: </strong>Majority of the patients were farmers with 44% followed by housewives (26%). Lower limbs were the most common site of bite in our study group comprising of74% of the patients. <strong>Conclusion: </strong>Most common manifestation of envenomation is local envenomation comprising of 66%.</p> 2019-08-13T00:00:00+00:00 ##submission.copyrightStatement## To Assess Correlation of Fasting Blood Glucose, Hb1Ac and Serum Lipid Level in Type II Diabetes Mellitus Patients 2019-08-25T14:53:34+00:00 Nagendra Singh Chauhan Hemendra Kumar Agrawal <p><strong>Background: </strong>Diabetes Mellitus (DM) refers to a group of common metabolic disorder that share the phenotype of hyperglycaemia caused due to either deficiency of insulin secretion or insulin resistance. The present study was conducted to assess correlation of fasting blood glucose, Hb1Ac and type II DM in given adults. <strong>Subjects and Methods: </strong>The present study was conducted on 134 patients with type II diabetes mellitus (DM) of both genders. Patients were subjected to estimation of fasting and random blood glucose level. Modified method of Fluckiger and Winterhalter was used for estimation of glycosylated haemoglobin (HbA1C). <strong>Results: </strong>Out of 134 patients, males were 84 and females were 50. Age group 20-30 years had 11, 30-40 years had 14, 40-50 years had 38, 50-60 years had 46 and &gt;60 years had 25 patients. The mean fasting blood glucose level in patients with good degree of control was 106.2, in fair was 164.4 and in poor was 208.2. Glycosylated hemoglobin level was good (6.74), fair (8.12) and poor (12.54). A positive correlation of fasting blood glucose and glycosylated hemoglobin level and serum cholesterol &amp; glycosylated hemoglobin level (P&lt; 0.05) was found. <strong>Conclusion: </strong>Authors found a positive correlation of fasting blood glucose and glycosylated hemoglobin level and serum cholesterol &amp; glycosylated hemoglobin level in type II diabetes mellitus patients</p> 2019-08-15T00:00:00+00:00 ##submission.copyrightStatement##