A comparative study of stool antigen Immunocard STAT HpSA test with biopsy in diagnosis of H Pylori Infection

The present study was conducted on 78 cases in the Department of Medicine at G.S.V.M Medical College, Kanpur who reported with various gastrointestinal symptoms such as dyspepsia, heartburns, nausea, vomiting and loss of appetite. They all were advised for biopsy by the physician. Patients treated with antibiotics, bismuth or proton pump inhibitors within 4 weeks preceding the study were excluded. Invasive tests using mucosal biopsies including histology and rapid urease test (RUT) were used to establish the gold standard in order to evaluate the accuracy of Immunocard STAT HpSA. Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value of Immunocard STAT HpSA as compared to gold standard were 95.5%, 81.8%, 96.9% and 75.0% respectively. It is thus concluded that the Immunocard STAT HpSA test has a diagnostic value comparable to the gold standard in detecting H Pylori. The sensitivity and specificity of the test is fair enough to be used as a test for screening purpose and also for diagnosis and treatment of H.Pylori infection in clinical practic

Comparing the efficacy of movement with mobilization in respect to graded mobilization in adhesive capsulitis of shoulder

Adhesive Capsulitis is a clinical syndrome with painful restriction of both active and passive movements. The conSSdition is aggravated by systemic problems like diabetes mellitus, cardiovascular disease and reflex sympathetic dystrophy. Prolonged activity causes small scapular and biceps muscles to waste faster, load on joint increases and degenerative changes sets in. capsule is fibrosed and shoulder movements are decreased. If the movements are continued, then the fibrosis gradually breaks, movement returns but never come back to normal. Thus, we hypothesize that there will be no significant difference between movement with mobilization and graded mobilization on functional performance in adhesive capsulitis. Total 60 subjects were taken for this study as per inclusion & exclusion criteria. Each group consists of 30 subjects. Treatment in both the groups was given for 15 days continuously. Group A received Movement with mobilization technique whereas Group B received graded mobilizations. The outcome measures used were VAS scale for measuring pain, ROM of the shoulder joint movements using goniometer, power of the muscle assessed through MMT, quality of sleep assessed through Pittsburgh sleep quality Index and  Shoulder pain and disability index (SPADI).

Comparing the Efficacy of Movement with Mobilization in Respect to Graded Mobilization in Adhesive Capsulitis of Shoulder

Adhesive Capsulitis is a clinical syndrome with painful restriction of both active and passive movements. The conSSdition is aggravated by systemic problems like diabetes mellitus, cardiovascular disease and reflex sympathetic dystrophy. Prolonged activity causes small scapular and biceps muscles to waste Faster, load on joint increases and degenerative changes sets in. capsule is fibrosed and shoulder movements are decreased. If the movements are continued, then the fibrosis gradually breaks, movement returns but never come back to normal. Thus, we hypothesize that there will be no significant difference between movement with mobilization and graded mobilization on functional performance in adhesive capsulitis. Total 60 subjects were taken for this study as per inclusion & exclusion criteria. Each group consists of 30 subjects. Treatment in both the groups was given for 15 days continuously. Group A received Movement with mobilization technique whereas Group B received graded mobilizations. The outcome measures used were VAS scale for measuring pain, ROM of the shoulder joint movements using goniometer, power of the muscle assessed through MMT, quality of sleep assessed through Pittsburgh sleep quality Index and  Shoulder pain and disability index (SPADI).