CHRISMED Journal of Health and Research最新文献

{"title":"Ocular scedosporiosis in an immunocompetent host","authors":"M. Al-Mendalawi","doi":"10.4103/cjhr.cjhr_76_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_76_20","url":null,"abstract":"","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47431468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of factors affecting the quantity and quality of platelet-rich plasma and platelet-derived growth factor-BB","authors":"Rahul Verma, Priyanka Sharma, G. Negi, A. Kandwal, H. Chandra","doi":"10.4103/cjhr.cjhr_167_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_167_20","url":null,"abstract":"Context: Platelet-rich plasma (PRP) releases growth factors (GFs) upon activation which accelerates the healing and regeneration in the target tissue. Wider applications of PRP warrant product standardization. PRP compositions may vary according to the patient's demographics and the constituents of PRP. Aims: Our study aimed to assess the correlations between age, gender, platelet counts, platelet indices, platelet yield, platelet dose, GF dose, and platelet-derived GF-BB (PDGF-BB) concentration. Settings and Design: This was an experimental study done in the Department of Pathology along with the Department of Dentistry at a tertiary care hospital in North India. Subjects and Methods: PRP was prepared from 40 ml of whole blood. Platelet counts, platelet indices (LH 750 coulter analyzer, Florida, USA), and PDGF-BB levels (enzyme-linked immunosorbent assay, Qayee Bio., Ltd, China) were measured. Platelet yield (%), platelet dose (×106), and GF dose (×1012) in PRP were also calculated. Statistical Analysis Used: All the parameters were analyzed using Pearson's correlation coefficient and linear regression. Paired t-test and Mann–Whitney test were used for two-group analysis. Results: Mean platelet count, PDGF-BB concentration, platelet yield, platelet dose, and GF dose in PRP were 1317 × 103/mm3, 30 ± 9.89 ng/ml, 71.62 ± 28.34%, 6.5 ± 3.5 × 109, and 159.62 ± 52.39 ng/ml, respectively. PRP platelet counts were positively correlated with PDGF-BB concentration, platelet yield, platelet dose, and GF dose. Conclusions: Of all the parameters, PDGF-BB concentration, platelet yield, platelet dose, and GF dose showed a positive correlation with PRP platelet count. Age, gender, and platelet indices had no significant influence.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46456199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faculty development programs in dentistry: The need and the way forward!!","authors":"Ritu Jain, Anushi Mahajan, D. Badyal","doi":"10.4103/cjhr.cjhr_159_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_159_20","url":null,"abstract":"Oral health-care delivery in India is rapidly evolving given the increasing awareness about oral health among the public, advances in dental science and technology, and the demand for high-quality care. The dental workforce needs to be trained to develop the required skills and attitudes for delivering quality dental care. Modifications are required in the dental curriculum to accommodate the changing needs of the society. There is an urgent need to incorporate advances in educational methods and technology in dental teaching/learning to prepare future dental practitioners for real-world challenges. The conventional training of dental faculty in India does not involve any training in educational methods and techniques. Faculty development programs organized on a regular basis in the institutions can be very helpful in training the teachers in the latest and evidence-based teaching/learning methods. This article highlights the current status of faculty development initiatives for improving dental education and also makes suggestions to improve faculty training in Indian dental institutions for future.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43582561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary tuberculosis presenting as acute respiratory distress syndrome and pulmonary embolism","authors":"N. Dhamecha, Qury Nagadia, Anurag Gupta, Nehal H. Patel, R. Thanvi, Ghosha Pandav","doi":"10.4103/cjhr.cjhr_17_21","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_17_21","url":null,"abstract":"This series describes six pediatric cases who presented as severe acute respiratory illness during the pandemic of COVID-19 with high D-dimer levels. All six patients tested negative for novel coronavirus. They were diagnosed as having tuberculosis (TB) on detailed investigations; high D-dimer levels are one of the most important indicators of the pulmonary embolism. Pulmonary embolism is a rare presentation of TB, and this study emphasizes the need of keeping TB as an important differential diagnosis of those who present as acute respiratory distress syndrome.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47108251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum 25-Hydroxyvitamin D level estimation among patients with parkinson's disease in West Bengal, India, and its relationship with motor impairment","authors":"Uma Sinharoy, S. Saha","doi":"10.4103/cjhr.cjhr_63_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_63_20","url":null,"abstract":"Context: Worldwide, the association of Vitamin D deficiency in Parkinson's disease (PD) has recently been proposed. However, to the best of our knowledge, such studies are lacking from eastern India. Aims: This study compares the prevalence of Vitamin D deficiency in a cohort of patients with PD with the prevalence in age-matched healthy controls. It also aimed at determining a significant correlation of the severity of the various motor manifestations in PD with low serum vitamin levels. Settings and Design: It was a prospective observational case–control study to estimate the level of serum 25-hydroxyvitamin D (25[OH] D) concentrations of the sample population. Subjects and Methods: One hundred consecutive PD patients were selected for this study between 2015 and 2018 from the patients attending neurology outpatient department. Control (n = 100) participants were randomly selected after matching for age sex, and geographic location. Statistical Analysis Used: Statistical Package for the Social Sciences version 15 with multivariate logistic regression (the Pearson correlation coefficient (r) and P value) was applied. Results: Among 100 PD patients 48, patients (48%) had Vitamin D deficiency, 34 patients (34%) had Vitamin D insufficiency, and 18 patients (18%) had normal Vitamin D level; whereas age- and sex-matched control population shows Vitamin D deficiency in 46% people, normal vitamin level in 42%, and insufficient Vitamin D level in 12% control population. The mean (standard deviation) 25(OH) D concentration in the PD cohort was significantly lower than in the control cohorts (20.72 [8.21] ng/mL vs. 25.56 [11.99] ng/mL, respectively; P = 0.001). There was major association between 25(OH) D levels and severity of motor scores (P = 0.028), tremor (P = 0.0001), bradykinesia (P = 0.001), and severity of freezing (P = 0.002), whereas no significant association was found between Vitamin D levels and rigidity (P = 0.05) and postural instability (P = 0.395). Conclusions: This study demonstrates a significantly higher prevalence of hypovitaminosis in PD versus healthy controls. The severity of motor scores, tremor, and bradykinesia and severity of freezing were found to have a direct inverse correlation with low serum Vitamin D levels which further emphasizes the provision of preventive and therapeutic supplementation of Vitamin D in PD.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49444221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of oral biopsy procedure among dentists: A web-based cross-sectional study","authors":"S. Keshwar, S. Grover, D. Sarraf, Daya Shankar","doi":"10.4103/cjhr.cjhr_108_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_108_20","url":null,"abstract":"Introduction: Various diagnostic procedures are available to reach a diagnosis in case of oral lesions/conditions. Biopsy is one of the important tools for confirmatory diagnosis. Therefore, the dentist should have adequate awareness regarding oral biopsy procedures. Objectives: The objective of the study was to determine the awareness of oral biopsy procedure among dentists in Haryana. Materials and Methods: It was a cross-sectional study conducted among dentists in Haryana, India, using a 16-item close-ended questionnaire. Google Forms was prepared via docs.google.com/forms, and the link was sent to the participants via social media platforms such as WhatsApp and Viber. The filled questionnaires were extracted from Google Forms and exported to Microsoft Excel 2016. Descriptive statistics such as frequency and percentage were calculated to present the data using the Statistical Package for the Social Sciences software, version 21. Results: Out of 68, only 35.3% and 50% of the dental surgeons were aware that the removal of tissue by laser or electrosurgery can introduce artifacts or tissue distortion and punch biopsy generally produces few artifacts within the biopsied sample, respectively. Among the respondents, 35.3% and 11.8% responded that formaldehyde and normal saline also can be used for fixation of the biopsy sample. Conclusion: Awareness of oral biopsy technique was not up to date among majority of the dentists. Eminent steps should be taken to increase the awareness of biopsy procedure among them.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48654098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultra sound guided erector spinae plane block for perioperative analgesia in post coronary artery bypass grafting sternal dehiscence (Type 2b) patient posted for pectoralis major flap","authors":"Bhimala Ramya, R. Ranjan, P. Nagalakshmi, S. George","doi":"10.4103/cjhr.cjhr_35_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_35_20","url":null,"abstract":"Sternal dehiscence is a grave complication after cardiac surgery. Deep sternal dehiscence usually requires debridement and flap coverage as the mainstay of management. The perioperative period is considered very challenging and the anesthetic technique has a direct impact on the risk of perioperative complications. Perioperative pain management is usually carried out with the help of regional anesthetic techniques as they offer various benefits for this patient population, including the provision of high-quality analgesia, reduced requirements for opioids and nonsteroidal anti-inflammatory drugs, and reduced autonomic system activation. Conventionally, regional anesthesia techniques such as epidural and paravertebral blocks have been shown to provide effective analgesia and enhance postoperative recovery. However, these techniques were associated with minimal but unacceptable complications. Ultrasound-guided erector spinae plane (ESP) block is a recently described technique providing thoracic analgesia. This is the first case report to our knowledge, which describes the use of ESP block as perioperative analgesic technique for pectoralis flap in a high-risk cardiovascular patient.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43097112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A community-based survey on evaluation of prevalence of domestic violence against women in the rural area of Pondicherry","authors":"P. Kanagarajan, D. Bharati, M. Sharadha, A. Lokeshmaran, A. Boratne","doi":"10.4103/cjhr.cjhr_95_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_95_20","url":null,"abstract":"Background: Domestic violence refers to type of family violence, which includes elder abuse, child abuse, wife abuse, and other forms of violence between family members. Not only is a women's physical and mental well-being perturbed by domestic violence but it also takes a toll on their child rearing attributes, thereby victimizing children as well. Various studies have shown the prevalence of domestic violence in different developed as well as developing countries. However, there are few studies available on the domestic violence among women in the rural areas of India. Therefore, the present study was designed to estimate the prevalence of domestic violence in the rural regions of Pondicherry. Materials and Methods: This community-based study was conducted on a total of 623 women in the age group of 15–49 years, which were recruited by following the inclusion/exclusion criteria given by demographic and health surveys. The selected population was further distributed based on the different demographic characteristics such as education, type of family, occupation, marital status, and type of marriage. The Chi-square test was used to analyze the observations. Results: A statistically significant association was noted between marital status and domestic violence with incidents of domestic violence being more in the married women (P = 0.01), especially those employed (P = 0.004). Women with alcoholic husbands and receiving dowry threats were more prone to domestic violence (P < 0.00001). Conclusion: This study indicates that, although an advanced educational status of women is a protective factors against domestic violence in both married and unmarried woman, employed woman are more often targets of violence exalting the need to upscale societal sensitization in tandem with educational programs for girl child.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45916451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gossypiboma transduodenal migration causing partial gastric outlet obstruction","authors":"R. Sharma, V. Bodh, Brij Sharma, R. Jhobta, Rajesh Kumar, A. Ahluwalia","doi":"10.4103/cjhr.cjhr_124_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_124_20","url":null,"abstract":"The term “gossypiboma” denotes a mass of cotton that is retained in the body following surgery. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investigations. It can even remain silent and present years after the operation. We report a case of a 46-year-old female who presented with vague upper abdominal pain associated with postprandial fullness and occasional vomiting. She had a history of open cholecystectomy 16 years ago. Abdominal X-ray and ultrasonogram examination of the abdomen were inconclusive. Her contrast-enhanced computed tomography of the abdomen revealed thickening of the wall of the pyloric antrum with air containing thick-walled structure in relation to the pyloric antrum and the first part of the duodenum possibility of the duodenal diverticulum with inflammatory/neoplastic thickening was suggested. Her esophagogastroduodenoscopy revealed large cotton sponge embedded in the anterior wall of the first part of the duodenum. On exploratory laparotomy, she was found to have a large gossypiboma embedded in the first part of the duodenum with dense adhesions to surrounding structures. Although rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain even years after the operation.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42332535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An unusual finding of ipsilateral pantaloon hernia with contralateral direct inguinal hernia in a male cadaver","authors":"S. Bino, Sipra Rout","doi":"10.4103/cjhr.cjhr_146_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_146_20","url":null,"abstract":"The presence of unilateral Pantaloon's hernia with contralateral direct hernia coexisting together is a rare occurrence. We noticed such a case, where in one male cadaver aged 78 years on routine cadaveric dissection. A case of unilateral Pantaloon hernia was observed where both direct and indirect hernial sac were observed in the inguinal region on the right side while on the left side a huge direct inguinal hernial sac was present with coils of sigmoid colon as its content. Here, we have discussed this rare occurrence of composite hernias with their contents in a single body in detail with the associated morphological distortions and possible complications.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48047774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}