Bundelkhand Medical College (BMC) is a full-fledged tertiary government medical college in Sagar, Madhya Pradesh. Dr S.C. Tiwari, acted as the first dean of this college. The first batch of M.B.B.S was admitted in 2009. This institute is currently being developed as the biggest centre for improving the medical teaching activity as well as higher quality health facilities for the people of entire Bundelkhand region. The college imparts the degree of Bachelor of Medicine and Surgery (MBBS). Nursing and para-medical courses are also offered. Post-graduation courses (MD/MS) are offered in 11 subjects currently. The college is affiliated to Madhya Pradesh Medical Science University (from 2014 onwards) and is recognized by Medical Council of India. Until 2013, it was affiliated to Dr Hari Singh Gour University, Sagar. The selection to the college is done on the basis of merit through National Eligibility and Entrance Test.C.C.
Background: Allergic rhinitis is a chronic inflammatory disorder of the nasal mucosa characterized by nasal obstruction, rhinorrhoea, sneezing, and itching, significantly affecting quality of life. Persistent nasal obstruction secondary to inferior turbinate hypertrophy may remain refractory to medical treatment, necessitating surgical intervention. Inferior turbinate reduction surgery aims to improve nasal airflow while preserving mucosal function. The present study evaluated the clinical outcomes of inferior turbinate reduction surgery in patients with allergic rhinitis. Aim and Objective: To assess the efficacy of inferior turbinate reduction surgery in patients with allergic rhinitis using postoperative symptomatic improvement, Total Nasal Symptom Score (TNSS), nasal airway patency, and clinical outcomes. Materials and Methods: A prospective observational study was conducted in the Department of Otorhinolaryngology at Bundelkhand Medical College, Sagar, Madhya Pradesh, India, over 18 months (September 2023–February 2025). Ninety patients with allergic rhinitis associated with inferior turbinate hypertrophy and persistent symptoms despite medical therapy were included. Patients underwent submucosal inferior turbinate reduction surgery and were followed up for 90 days postoperatively. Clinical evaluation included TNSS assessment, anterior rhinoscopy, diagnostic nasal endoscopy, assessment of nasal airway patency, and postoperative healing. Results: Among the 90 participants, the majority belonged to the 18–25-year age group (43.3%), with a mean age of 31.8 years, and males constituted 70% of the study population. Nasal obstruction was the most common presenting symptom (90%), followed by rhinorrhoea (71%). Mean TNSS significantly decreased from 10.4 preoperatively to 5.4 at 90 days postoperatively (p<0.05), indicating substantial symptomatic improvement following surgery. Postoperative follow-up demonstrated satisfactory healing and improved nasal airway patency. Crusting was the most common postoperative complaint and resolved with conservative management, while no cases of severe hemorrhage or empty nose syndrome were observed. Conclusion: Inferior turbinate reduction surgery was associated with significant improvement in symptom severity, reduction in nasal obstruction, and favorable postoperative outcomes with minimal complications among patients with allergic rhinitis. The findings support submucosal inferior turbinate reduction as a safe and effective treatment option for selected patients with persistent symptoms despite medical therapy.
Dengue poses significant health risks and its treatment via platelet transfusions is costly and impractical in resource-limited settings. Therefore, it is of interest to explore fluid resuscitation as a viable alternative to support hemodynamic stability and enhance platelet recovery. Strong correlations were noted between radiological findings and laboratory parameters. Remarkably, all patients, even the severely affected, recovered without transfusions, with prognosis influenced by factors such as liver function and capillary leakage. Thus, we show that platelet count does not solely indicate disease severity and effective fluid resuscitation can manage dengue effectively without the need for blood transfusions
Late diagnosis of acute appendicitis escalates the plausibility of appendicular perforation emerging in inflammation of peritoneum. Therefore, it is of interest to determine the levels of serum bilirubin help in prediction of acute inflammation of appendix. A moderately positive association was seen among the levels of serum bilirubin and seriousness of disease with spearman analysis (ρ = 0.41, p < 0.001). Augmented values of bilirubin exhibit a powerful link with appendix inflammation and a prognostic marker for governing complicated cases like perforation. Thus, data shows the bilirubin values as everyday diagnostic workup may assist in the premature identification of appendix inflammation boosting the clinical outcomes.
Anxiety and depression commonly co-occur in COPD patients, negatively impacting their quality of life and health outcomes. The COPD Assessment Test (CAT) evaluates COPD severity but its potential to predict mental health issues is underexplored. Therefore, it is of interest to investigate the correlation between CAT scores and anxiety and depression in 160 COPD patients. Significant correlations were found between higher CAT scores and increased levels of anxiety and depression. Thus, we show that CAT scores can be integrated into mental health screening, facilitating early detection and management of comorbidities
Background:Polycystic ovary syndrome (PCOS) is a prevalent hormonal disorder among women of reproductive age, marked by irregular menstrual cycles, elevated androgen levels, and polycystic ovaries. If not adequately managed, PCOS can lead to complications such as infertility, type 2 diabetes, and cardiovascular issues. Tailored yoga and naturopathy interventions may offer effective management for this condition. Objective:The purpose of this study was to professionally validate the perceived utility of a systematic yoga and naturopathy protocol in managing PCOS. Methodology:The study was conducted by the Department of Physiology at the All India Institute of Medical Sciences, Bhopal. The study involved 35 yoga and naturopathy experts. An extensive literature search was conducted in databases including PubMed, Scopus, and Google Scholar to develop the yoga and naturopathy protocol. The protocol included yoga asanas (postures), Sithilikaran vyayama (loosening exercises), pranayama (breathing exercises), Kunjal kriya (voluntarily induced vomiting), and kati-snan therapy (hip-bath therapy). Results:The protocol was validated for content validity by participants using a 4-point Likert scale; a minimum content validity ratio of 0.31 was considered. The average content validity ratio of our entire protocol was 0.8, indicating its validity. Conclusion:This protocol can be incorporated into research studies with a larger sample size (comprising diverse age groups, socio-economic and geographical backgrounds, with varying metabolic and hormonal profiles) to assess its efficacy and utility. Keywords:Polycystic Ovary Syndrome, Yoga, Naturopathy, Holistic Health, Naturopathic hydrotherapy, validation of Yoga and naturopathy protocol, content validity score.
