Scientific Research Journal of Clinical and Medical Sciences最新文献

{"title":"Clinical Profile of Liver Cirrhosis at a Rural Tertiary Care Centre in Dhauladhar Region","authors":"S. Sharma, B. Rana","doi":"10.47310/srjcms.2022.v02i03.004","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i03.004","url":null,"abstract":"Background and aim: Epidemiology of liver cirrhosis suggests that although Hepatitis B and C are still common in developing countries, alcohol related cirrhosis is increasing in countries like India. Rising trends in alcohol consumption in North India, makes it essential to analyse the influence of these changes on the clinical profile of liver cirrhosis. Therefore, we aimed to study 50 patients of cirrhosis of liver in Dhauladhar region. Methods: In this descriptive hospital-based study, 50 patients with evidence of liver cirrhosis diagnosed on history, imaging and investigations were included for a period of 12 months. Results: In our study, 72% patients aged between 40-60 years with a mean age was 50.4±10.1 years. Around 58% patients had CTP Class C disease suggesting advanced disease in our study. In our study, 88% patients were anemic. 74% had thrombocytopenia. 40% patients also had kidney dysfunction. Conclusion: Cirrhosis is common in the most productive age and they also have co-morbidities like anemia, thrombocytopenia, and renal dysfunction.","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"585 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115103511","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":"Sarcopenia in Liver Cirrhosis: A Prospective Study","authors":"Shubham Sharma, Nidhi Chauhan","doi":"10.47310/srjcms.2022.v02i03.003","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i03.003","url":null,"abstract":"Background and aim: Liver diseases are associated with low testosterone. However, little is known about risk factors of changes in testosterone. This study determined skeletal mass index in liver cirrhosis and associated risk factors with the abnormal testosterone levels. Methods: In this descriptive hospital-based study, 50 patients with evidence of liver cirrhosis diagnosed on history, imaging and investigations were included for a period of 12 months. Sarcopenia was defined as value of ≤36.5 cm2/m2 in males and ≤30.2 cm2/m2 in females. Results: The mean age was 50.4±10.1 years. The most common symptom was abdominal distension (50%) followed by upper GI bleed (30%), altered sensorium (20%), and jaundice (10%). Majority of the patients (58%) in our study were in CTP class C, followed by 16 patients (32%) in CTP class B, and 5 patients (10%) in CTP class A. 66% of the patients had low skeletal mass index. SMI was not associated with CTP class (P=0.463). Conclusion: There is a significantly higher prevalence of loss of skeletal mass in liver cirrhotic patients in this region","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"13 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113979392","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":"The Peripheral Nervous System Is a Common Target of SARS-Cov-2 Infections","authors":"J. Finsterer, D. Matovu","doi":"10.47310/srjcms.2022.v02i03.001","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i03.001","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"14 35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130276597","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":"Before SARS-Cov-2 Is Held Responsible For a Guillain-Barre Syndrome, Alternative Causes Must Be Ruled Out","authors":"J. Finsterer","doi":"10.47310/srjcms.2022.v02i03.002","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i03.002","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122735307","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":"Role of E-Learning during COVID -19 pandemic","authors":"Shyamala Ravikoti, Rajeshwari Pusa","doi":"10.47310/srjcms.2022.v02i02.003","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i02.003","url":null,"abstract":"Ever increasing use of technology in day to day life activities has made distance education evolved into online or E-learning, which has many benefits for teachers on one side and leaners on the other side. E-learning has now become a key application in many fields like education, business and commerce. In our study we tried to focus on various concepts of E-learning its evolution in India, technology used, various advantages and challenges involved in its adoption and implementation. The research shows that there is abundant availability of technology and E-learning tools which can be widely used in education systems and this is expected to grow hugely in the near future.","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125666722","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":"Postoperative Clinical and Radiological Assessment among Patients of Proximal Tibial Fractures Treated with Open Reduction Internal Fixation with Locking Compression Plate","authors":"Divyansh Sharma, Bahrat Bhushan, Ravi Kumar, M. Lal, Desh Raj Chandel","doi":"10.47310/srjcms.2022.v02i02.006","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i02.006","url":null,"abstract":"Background: Present study was done to evaluate the Postoperative Clinical and Radiological assessment among patients of proximal tibial fractures treated with open reduction internal fixation with locking compression plate. Material and Methods: The study was conducted during 1st August 2019 to 31st October 2020 in the Department of Orthopaedic Surgery, Indira Gandhi Medical College Shimla that included 21 prospective and 4 retrospective cases who fulfilled the inclusion criteria with closed tibial plateau fracture. Results: All the patients were above 18 years of age; 60% of patients were between 31 to 60 years with mean age of 42.5±14.4 years. There were 21 males and 4 females. The ratio between male to female patients was 5.3:1. Post-operatively eighty percent patients had no articular step and 20% had residual step less than 5 mm. Condylar width was normal in 84% patients while 16% patients had residual widening of less than 5mm. Osteoarthritis occurred or progressed by one or two grades in 16% patients. Eighty four percent of the patients had no or mild pain and 16% of the patients had moderate pain on activity involving the knee joint. Average knee flexion achieved at final follow up was 128.40±9.20 and average extension was 8.60±1.20. All patients exhibited excellent to good stability. Rasmussen’s criteria showed excellent functional result in 56% patient, good in 36% patient and 8% patient had fair result. Mean Rasmussen functional score was 27.32.Excellent radiological results were observed in 76% patients, 20% patients had good and 4% had fair results. Mean Rasmussen radiological score was 8.24. Conclusion: Post-operatively, there was decrease in articular depression, restoration of condylar widening to normal, osteoarthritis was not present or not progressed, restoration of full Range of motion both in flexion as well in extension and had excellent Clinical and Radiological results according to Rasmussen score in majority of treated patients.","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128158782","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":"Pneumothorax in a Patient Hospitalized for COVID-19, A Case Report and Literature Review","authors":"H. Ziani, Khalid Ouahman, Ayoub Ettaj, R. Tachinante, A. Azzouzi","doi":"10.47310/srjcms.2022.v02i02.002","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i02.002","url":null,"abstract":"SARS-CoV-2 was first identified at the end of 2019, in the Wuhan region (China), subsequently spreading worldwide with a major impact on health and economic system. A pneumothorax is a rare complication, affecting between 1–2% of SARS-CoV-2 cases. Pneumomediastinum is even rarer. Pneumothorax in the context of SARS-CoV-2 infection mainly occurs in patients with a severe form of the infection and requiring mechanical ventilation. This type of ventilation makes it possible to impose high positive expiratory pressures which can be complicated by pneumothorax when patients present with a lack of compliance secondary to fibrosis. Nevertheless, cases under conventional ventilation including without oxygen therapy are possible, suggesting that SARS-CoV-2 infection could be an independent risk factor for pneumothorax. Therefore, any worsening of the respiratory picture should evoke a pneumothorax. The management of pneumothorax secondary to SARS-CoV-2 pneumonia is usual. Placement of a chest drain could increase the risk of aerosol dissemination. We report the case of a pneumothorax occurring in a non-smoking patient hospitalized in intensive care for treatment of a serious SARS COV 2.","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117328008","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":"Polyneuritis Cranialis in COVID-19 Patients Requires Comprehensive Work-Up to Apply Appropriate Treatment","authors":"J. Finsterer, D. Matovu","doi":"10.47310/srjcms.2022.v02i02.009","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i02.009","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126395350","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":"Traumatic Pseudo-aneurysm of the Hepatic Artery in a 12 Year Old Child, Case Report and Literature Review","authors":"El Hadloussi Abdelaaziz, A. Mohammed, Abidi Asmae, El Hamdouchi Hajar, N’joumi Younes, A. Bentalha, A. Koraichi, Salma Es-Sherif Kettani","doi":"10.47310/srjcms.2022.v02i02.007","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i02.007","url":null,"abstract":"Background: COVID 19 pandemic has caused additional challenges and insurmountable psychosocial impact for patients with opioid use disorders. The particularly challenging group include those seeking treatment with medication for OUD patients. This article discusses the bi-directional effects between opioid use disorder patients and covid 19. Method: PubMed and Google Scholar were searched with the following keywords- “COVID-19”, “opioid use disorder”, “pandemic”, “behavioural addiction”, “opioid”, “opioid agonist therapy”. Results: People with opioid use disorder are at a heightened risk of acquiring and increased severity of COVID 19 infections due to compromised immunity, homelessness or housing instability, lockdown and social distancing leading to failure of rehabilitation strategies, mucociliary dysfunction, cardiopulmonary morbidities, etc. Conclusion: COVID 19 pandemic and opioid use disorder is on the verge of the collision so every effort must be taken by the government and health care sector to prevent a big wave of opioid overdose and relapse in our community..","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132480892","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":"The Opioid Epidemic in COVID 19 Pandemic","authors":"R. Shyamala1, V. Bhatia, Vijayalakshmi Nayak, M. Prashanth","doi":"10.47310/srjcms.2022.v02i02.004","DOIUrl":"https://doi.org/10.47310/srjcms.2022.v02i02.004","url":null,"abstract":"Background: COVID 19 pandemic has caused additional challenges and insurmountable psychosocial impact for patients with opioid use disorders. The particularly challenging group include those seeking treatment with medication for OUD patients. This article discusses the bi-directional effects between opioid use disorder patients and covid 19. Method: PubMed and Google Scholar were searched with the following keywords- “COVID-19”, “opioid use disorder”, “pandemic”, “behavioural addiction”, “opioid”, “opioid agonist therapy”. Results: People with opioid use disorder are at a heightened risk of acquiring and increased severity of COVID 19 infections due to compromised immunity, homelessness or housing instability, lockdown and social distancing leading to failure of rehabilitation strategies, mucociliary dysfunction, cardiopulmonary morbidities, etc. Conclusion: COVID 19 pandemic and opioid use disorder is on the verge of the collision so every effort must be taken by the government and health care sector to prevent a big wave of opioid overdose and relapse in our community.","PeriodicalId":104481,"journal":{"name":"Scientific Research Journal of Clinical and Medical Sciences","volume":"50 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130910296","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}