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Anhidrotic ectodermal dysplasia in an adolescent boy: Case report and review of literature 青春期男孩无汗性外胚层发育不良一例:病例报告及文献复习
Amrita Journal of Medicine Pub Date : 2021-04-01 DOI: 10.4103/AMJM.AMJM_14_21
T. Arun Babu, P. Balakrishnan
{"title":"Anhidrotic ectodermal dysplasia in an adolescent boy: Case report and review of literature","authors":"T. Arun Babu, P. Balakrishnan","doi":"10.4103/AMJM.AMJM_14_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_14_21","url":null,"abstract":"Ectodermal dysplasia is a rare genetic disorder due to defects in structures derived from ectoderm. It occurs due to mutation in genes that encode proteins involved in the development of ectodermal structures. Males show full expression of the disorder, whereas females show minimal signs of disorder because of the usual X-linked recessive pattern of inheritance. Common defects include hypodontia, onychodysplasia, hypotrichosis, and reduced or absence of sweat glands. The incidence of ectodermal dysplasia is seven in 10,000 live births. It is important to prevent hyperpyrexia, a life-threatening complication in hypohidrotic ectodermal dysplasia patients. Here, we are reporting a rare case of anhidrotic ectodermal dysplasia in a 16-year-old male patient with a positive family history of the same condition.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131633544","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}
引用次数: 0
Evaluation of appropriate usage of PPE among healthcare providers during COVID-19 pandemic COVID-19大流行期间卫生保健提供者适当使用个人防护装备的评估
Amrita Journal of Medicine Pub Date : 2021-04-01 DOI: 10.4103/AMJM.AMJM_8_21
S. Sabbella, Tarun Kumar Suvvari, Purnima Naraayan
{"title":"Evaluation of appropriate usage of PPE among healthcare providers during COVID-19 pandemic","authors":"S. Sabbella, Tarun Kumar Suvvari, Purnima Naraayan","doi":"10.4103/AMJM.AMJM_8_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_8_21","url":null,"abstract":"Background: Shortage of personal protective equipment (PPE), inadequate staff training regarding PPE usage, and confused PPE guidance led to infections and deaths among healthcare workers in many countries. Protection of healthcare workers is needed as they are delivering essential services during the pandemic time. So, the main aim of our study is to evaluate the appropriate use of PPE among healthcare providers (HCPs) during COVID-19 pandemic. Materials and Methods: An observational cross-sectional study was conducted among the HCPs of India during September and October. A 15-item self-administered questionnaire was used, and Excel 2019 and SPPS 24 were used for statistical analysis. A χ2 test was performed to determine the role of sociodemographic characteristics on appropriate usage of PPE. Results: One hundred and eighteen HCPs have participated in our study. About 44.9% of the study participants know the proper way of donning the PPE, and 38.9% of the study participants know the proper way of doffing the PPE. About 40.6% of the study participants were aware of place for PPE removal and how to dispose a PPE; 69.49% of the study participants were aware of guidelines of donning and doffing of PPE recommended by the Centers for Disease Control and Prevention and World Health Organization. Conclusion: The prevalence of breathing difficulty, headaches, suffocation, dehydration, hair problems, and skin irritation/maceration among frontline healthcare personnel using PPE during pandemic was seen. Appropriate usage of PPE is vital in safeguarding the HCPs and restriction of the spread of viral infection in the hospital setting.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129360883","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}
引用次数: 0
Transient bradyarrhythmia: A sole presentation of amiodarone-induced hypothyroidism 短暂性慢性心律失常:胺碘酮引起的甲状腺功能减退的唯一表现
Amrita Journal of Medicine Pub Date : 2021-04-01 DOI: 10.4103/AMJM.AMJM_23_21
Gautam Jesrani, Samiksha Gupta, Monica Gupta, S. Gaba
{"title":"Transient bradyarrhythmia: A sole presentation of amiodarone-induced hypothyroidism","authors":"Gautam Jesrani, Samiksha Gupta, Monica Gupta, S. Gaba","doi":"10.4103/AMJM.AMJM_23_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_23_21","url":null,"abstract":"Amiodarone is a class III anti-arrhythmic drug which is commonly used in various cardiac arrhythmias. Hypothyroidism is one important complication linked with this drug. Herein, we recount a case of amiodarone-induced hypothyroidism, which presented as atrial fibrillation (AF) with slow ventricular response. A middle-aged gentleman was brought to the casualty in unconscious state. He was a known case of hypertension and on amiodarone treatment for AF for the past 2 years. On presentation, the patient had a slow pulse rate and his electrocardiogram was suggestive of AF with very slow ventricular beat. This was managed medically and a temporary cardiac pacemaker was instituted thereafter. In search of the cause for bradycardia, his thyroid function test depicted hypothyroidism with 2-fold raised thyroid-stimulating hormone and decreased levels of free tetraiodothyronine hormone, but the patient had no other features suggestive of hypothyroidism. Therefore, the patient was started on oral thyroxine hormone, which led to considerable pulse rate improvement.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123982794","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}
引用次数: 0
Marfan’s syndrome with tetralogy of fallot in an adult female with bronchiectasis: An unacquainted manifestation 马凡氏综合征合并法洛四联症的成年女性支气管扩张:一个未知的表现
Amrita Journal of Medicine Pub Date : 2021-04-01 DOI: 10.4103/AMJM.AMJM_9_21
P. Singla, A. Agrawal, Sunaina Kharb, Kamaljeet Singh
{"title":"Marfan’s syndrome with tetralogy of fallot in an adult female with bronchiectasis: An unacquainted manifestation","authors":"P. Singla, A. Agrawal, Sunaina Kharb, Kamaljeet Singh","doi":"10.4103/AMJM.AMJM_9_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_9_21","url":null,"abstract":"Marfan’s syndrome is an autosomal dominant genetic disorder related to a mutation in fibrillin gene type 1 involving mainly the cardiovascular, ocular, skeletal, and pulmonary systems. A 22-year-old female patient presented with cough, blood-stained sputum, and fever for 4 months. The patient was tall and on skeletal examination, high arched palate, arm-span longer than height, positive finger thumb sign, arachnodactyly, asymmetrical chest, and skin striae were present. Family history of Marfan’s syndrome was present. Echocardiography showed large ventricular septal defect with aortic override and severe pulmonary stenosis. CECT thorax showed bronchiectasis changes. Marfan’s syndrome with cardiovascular abnormalities usually has aortic dilatation, aortic regurgitation, aortic aneurysm, mitral valve prolapse, mitral regurgitation, etc. In this case, the patient has Marfan’s syndrome with tetralogy of Fallot (TPF) and bronchiectasis. The association of TOF with Marfan’s syndrome is one of the rarest findings.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134086402","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}
引用次数: 0
Scope and need of simulation in medical education 医学教育中模拟的范围和需求
Amrita Journal of Medicine Pub Date : 2021-01-01 DOI: 10.4103/amjm.amjm_72_20
S. Shrivastava, P. Shrivastava
{"title":"Scope and need of simulation in medical education","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/amjm.amjm_72_20","DOIUrl":"https://doi.org/10.4103/amjm.amjm_72_20","url":null,"abstract":"Quality-assured patient care is often looked upon as a combination of adequacy, accuracy, and promptness regardless of the settings. Simulation has been acknowledged as an important aspect of medical training as it immensely reduces the probability of errors done by a freshly passed student either in elective or emergency settings. The process of learning is encouraged through immersive learning, reflection by the students on their own performance, and through the feedback given by the teacher who is present. The inclusion of simulation in medical education helps the students to become competent in responding to real-life scenarios in an organized manner without jeopardizing the ethical or legal rights of the patients. In conclusion, the employment of simulation in medical education aids in the improvement of the professional performance of the medical students and ensures the safety of the patients. Thus, all the medical colleges should aim for its gradual introduction within their implemented curriculum and give a number of learning opportunities to the students.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124357627","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}
引用次数: 0
Autologous platelet-rich fibrin in the management of recurrent complex fistula in ano: A novel safer and cost-effective approach 自体富血小板纤维蛋白治疗复发性静脉瘘:一种更安全、更经济的新方法
Amrita Journal of Medicine Pub Date : 2021-01-01 DOI: 10.4103/amjm.amjm_70_20
Riju Ramachandran, A. Pillai, Vaishnavi Gunasekharan, Suyambu Raja, Veena Shenoy
{"title":"Autologous platelet-rich fibrin in the management of recurrent complex fistula in ano: A novel safer and cost-effective approach","authors":"Riju Ramachandran, A. Pillai, Vaishnavi Gunasekharan, Suyambu Raja, Veena Shenoy","doi":"10.4103/amjm.amjm_70_20","DOIUrl":"https://doi.org/10.4103/amjm.amjm_70_20","url":null,"abstract":"We present the case of a 26-year-old female with Crohn's disease who had undergone multiple procedures for recurrent complex fistula-in-ano now presenting with recurrent discharge for 3 months. She underwent video-assisted anal fistula treatment (VAAFT) in our department 2 years back. The patient had financial issues and was unwilling for another sitting of VAAFT. Hence, we tried autologous platelet-rich fibrin (PRF) as a more economical alternative to fibrin sealant used in VAAFT. The patient had a very comfortable postoperative period and the fistula healed well in 3 weeks. We present this case report to highlight a new indication for autologous PRF which is already in use in healing many other types of wounds.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122684113","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}
引用次数: 0
Factors associated with stroke burden in India 与印度中风负担相关的因素
Amrita Journal of Medicine Pub Date : 2021-01-01 DOI: 10.4103/amjm.amjm_73_20
M. Roy
{"title":"Factors associated with stroke burden in India","authors":"M. Roy","doi":"10.4103/amjm.amjm_73_20","DOIUrl":"https://doi.org/10.4103/amjm.amjm_73_20","url":null,"abstract":"Objective: Stroke is one of the largest public health challenges in India. Several factors have been implicated for stroke. The present paper aims to explore associated factors from nationally representative data. Among different variables, smoking, alcohol, smokeless tobacco (SLT), second-hand smoking (SHS), use of clean fuel, and economic condition were considered. Methods: Data were taken from three reports – National Family Health Survey 4, Global Adult Tobacco Survey 2: India 2016–17, and India: Health of the Nation's States. The state-wise analysis was done. Spearman's correlation coefficient and multivariate linear regression were used. Results: Five states from the eastern part of India, viz., West Bengal, Odisha, Tripura, Assam, and Chhattisgarh, recorded the highest burden of stroke. The use of SLT was significantly related to stroke burden (r 0.476). Clean fuel and better economic conditions were found to reduce stroke burden (r \bS722;0.449 and − 0.363, respectively). SLT (B 21.029, P = 0.011) and SHS at work (B 25.905, P = 0.030) were associated with stroke burden significantly. Conclusion: States with the highest proportion of SLT need special intervention to reduce stroke burden in the country.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123023627","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}
引用次数: 0
Problem based learning curriculum under institutional setting develop lifelong learners: a misnomer? 制度性情境下的问题型学习课程培养终身学习者:用词不当?
Amrita Journal of Medicine Pub Date : 2021-01-01 DOI: 10.4103/AMJM.AMJM_59_20
S. Ali
{"title":"Problem based learning curriculum under institutional setting develop lifelong learners: a misnomer?","authors":"S. Ali","doi":"10.4103/AMJM.AMJM_59_20","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_59_20","url":null,"abstract":"","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130010661","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}
引用次数: 0
Intradural disc migration as a complication of chronic disc prolapse 硬膜内椎间盘移位是慢性椎间盘脱垂的并发症
Amrita Journal of Medicine Pub Date : 2021-01-01 DOI: 10.4103/amjm.amjm_56_20
M. Singrakhia, I. Sha
{"title":"Intradural disc migration as a complication of chronic disc prolapse","authors":"M. Singrakhia, I. Sha","doi":"10.4103/amjm.amjm_56_20","DOIUrl":"https://doi.org/10.4103/amjm.amjm_56_20","url":null,"abstract":"Intradural migration of extruded disc is a rare phenomenon. The multiple anatomical barriers including annulus fibrosus, posterior longitudinal ligament, and dural sheath which limit migration of the intervertebral disc material are breached when this happens. It usually happens in case of disc prolapse of prolonged duration. We here report a rare case of dorsal intradural migration of an extruded disc fragment. The report is to emphasize the importance of proper preoperative evaluation and high clinical suspicion needed for preoperative diagnosis of this entity and to plan the treatment accordingly.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132102484","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}
引用次数: 0
Ascariasis presenting as acute cholangitis due to common bile duct stone 蛔虫病表现为胆总管结石引起的急性胆管炎
Amrita Journal of Medicine Pub Date : 2021-01-01 DOI: 10.4103/amjm.amjm_66_20
P. Jayabal, Shalini Arumugam<
{"title":"Ascariasis presenting as acute cholangitis due to common bile duct stone","authors":"P. Jayabal, Shalini Arumugam<","doi":"10.4103/amjm.amjm_66_20","DOIUrl":"https://doi.org/10.4103/amjm.amjm_66_20","url":null,"abstract":"Ascaris lumbricoides is an intestinal parasite, more common habitant of the small intestine, particularly in the jejunum. It can produce a variety of presentations starting from anemia, gastrointestinal bleeding, intestinal obstruction, perforations, intussusception, and rarely obstructive jaundice. Obstructive jaundice is mainly due to proximal migration of the parasite into the biliary tree and causing an obstruction. It is the most common following biliary procedure. Here, we report the case of obstructive jaundice and cholangitis due to biliary ascariasis in a patient without any prior biliary procedure. Prompt intervention is needed in those cases of ascariasis with biliary sepsis. The patient has been managed by emergency cholecystectomy with common bile duct exploration and T-tube insertion.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126848227","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}
引用次数: 0
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