Journal of Medical Science And clinical Research最新文献

{"title":"Jejunoileal atresia and multiple ileal diverticulae in a twelve-day-old infant: A Case Report","authors":"Supriya Mehrotra","doi":"10.18535/jmscr/v12i02.04","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.04","url":null,"abstract":"A twelve-day-old neonate presented with persistent bilious vomiting and dehydration. A transverse supraumbilical laparotomy was done. Later, he died and autopsy was done. A jejunoileal segment and several other ileal segments were collected. The jejunoileal segment was dilated. It measured 11 cm in length and had a blind end. One of the ileal segments measured 16 cm in length. Ileum showed multiple small diverticulae at the mesenteric border and each diverticula measured 3 to 4 mm in length. Lumen of ileum appeared collapsed or strictured. Further, the lumen of diverticulae contained soft eosinophilic material. He was finally diagnosed as a case of jejunoileal atresia associated with multiple terminal ileal diverticulae. Keywords: Jejunoileal dilatation multiple ileal type IV diverticulosis.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420738","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 study to assess the knowledge regarding antenatal care among pregnant women at District Hospital of Bareilly (U.P.) with a view to develop an information booklet","authors":"Pratibha Manoharam B.","doi":"10.18535/jmscr/v12i02.13","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.13","url":null,"abstract":"The objective of the study are to assess knowledge regarding antenatal care among pregnant women. To associate knowledge of pregnant women with their selected demographic variable that is age, area, qualification, occupation, religion, type of family, living of area, dietary pattern. To develop a information booklet on knowledge of antenatal care for pregnant women. Nurses being one of the members in multidisciplinary health care team must have adequate knowledge of the Antenatal Care. The researcher felt the need of a structured interview schedule for pregnant women and intended to assess the knowledge regarding antenatal care . The descriptive research design was used to assess the knowledge regarding Antenatal care among pregnant women of District Hospital Bareilly, (U.P). In view of the nature of problem and to accomplish the objectives of the study, a structured interview schedule to assess the knowledge regarding Antenatal care among pregnant women was prepared and used. Validity of the tool was ensured by consulting the guides and experts in the fields of statistics, medicines and Nursing and reliability (0.78) of the tool was tested. The study was carried out in District Hospital Bareilly (U.P) pregnant women were selected by Non probability purposive sampling technique. Structured interview schedule was used to collect the needed data. Data was analyzed by using descriptive and inferential statistics. Pregnant women knowledge regarding antenatal care is very good .Divided into 4 parts. Excellent 11(36.66%), V.Good15(50%) , Good 4(13.33%) Poor 0 (0%). Hence the total mean average is 706 and mean percentage is 78.43%. Thus by conducting this study we conclude that pregnant women having very good knowledge regarding antenatal care. Keywords: Assess; Knowledge; Antenatal care; pregnant women","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423422","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":"Conservative management of tubercular intestinal obstruction with antitubercular drugs and steroid","authors":"Dr Jayesh Kalbhande","doi":"10.18535/jmscr/v12i02.05","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.05","url":null,"abstract":"Objective: Tubercular intestinal obstruction is a challenging condition often necessitating surgical intervention. This case study aims to evaluate the effectiveness of conservative management, including antitubercular therapy, short-course steroids, and dietary modifications, in resolving acute and complete intestinal obstruction caused by tuberculosis. Case Description: A 17-year-old malnourished male presented with acute abdominal pain, vomiting, and constipation. Imaging revealed mid-ileal intestinal obstruction due to tuberculosis. Conservative management, involving intravenous antibiotics, nasogastric decompression, steroids, and antitubercular treatment, led to gradual resolution. The patient experienced recurrent partial obstruction episodes, each managed conservatively with antibiotics, steroids, and dietary adjustments. A slow transition from liquid to solid diet accompanied recovery. After a year of treatment, the patient achieved recovery with weight gain. Conclusion: Tubercular intestinal obstruction, challenging to treat medically, often requires surgery. However, this case demonstrates the successful outcome through a comprehensive conservative approach. The inclusion of steroids alongside antitubercular treatment played a crucial role. Additionally, a cautious transition from liquid to solid diet post-resolution proved effective in preventing recurrence. Conservative management, when tailored to the patient's nutritional needs and disease course, can lead to favorable outcomes in tubercular intestinal obstruction.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"264 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140417591","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":"Tumoral Calcinosis (TC) of iliac Crest in a 70 year-Old Female: A Case Report","authors":"Dr Meenu Aggarwal","doi":"10.18535/jmscr/v12i02.08","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.08","url":null,"abstract":"Objective; To study the side effects of COVID-19 vaccines among the patients visiting health centre at Shimla. Methods: Patients visiting the health centre were enquired about the side effects of COVID-19 vaccine experienced by them. Results: 38% felt no side effects, neither after 1st dose, nor after 2nd dose. 2% reported improvement in overall health. 18% reported side effects after 2nd dose. 43% experienced side effects after 1st dose. 38% felt no side effects.33% had fever. 8% had body pain, 6% had pain in the arm, 5% had weakness and fatigue.2% had joint pains. 1% each had pain in legs, hypertension, giddiness, stiffness in body and diarrhoea. 1% had clotting. 1% each experienced increase in appetite and improvement in body pains after the vaccination. Conclusions; Majority of the patients had either no side effects or only mild side effects and some had reported in improvement in overall heath. Practical implications: This study demonstrated that benefits of vaccination greatly outweigh the risks.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"134 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423390","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":"Determination of Planning Target Volume in Radiotherapy - A Review","authors":"Dhanjit Lahkar","doi":"10.18535/jmscr/v12i02.03","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.03","url":null,"abstract":"Treatment volume definitions used in three-dimensional radiotherapy treatment planning are essential in advancing treatment modalities. However, there are many sources of error during the treatment preparation and execution that limit the accuracy. Consequently, a safety margin is required to add to the target to ensure that the planned dose is delivered to the target. Multiple margins surround the tumour to reduce positional inaccuracy, such as Clinical Target Volume (CTV), Planning Target Volume (PTV), etc. The International Commission of Units and Measurement (ICRU) recommended margins in 1978. It was later reviewed in Reports 50 and 62 of ICRU, providing information on margins covering gross volume, clinical volume, and critical structures that should be eliminated as feasible. This article aims to discuss various techniques and methods that various authors have created. Keywords: Margin, Errors, GTV, CTV, ITV, PTV, ICRU 50, ICRU 62, Radiotherapy.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"571 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140417123","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 Uterine Artery Ligation and Chemotherapy in Atypical Cases of Gestational Trophoblastic Disease: A Case Report of Atypical GTD Diagnosis & Management","authors":"Poonam Maggo Sushant Mittal","doi":"10.18535/jmscr/v12i02.07","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.07","url":null,"abstract":"Introduction Gestational trophoblastic disease[1 i ] is a rare developmental form of proliferative trophoblastic tissue in women of reproductive age that involves both benign and malignant entities that include hydatidiform mole (complete or partial), choriocarcinoma, invasive mole, epithelioid trophoblastic tumor (ETT), and placental site trophoblastic tumor (PSTT). Four of these known as gestational trophoblastic neoplasia [2 ii], and hydatidiform is most common type of GTD. Gestational trophoblastic neoplasia (GTN) is a type of gestational trophoblastic disease that is almost always malignant, and can metastasize and be fatal if not treated. The ultimate treatment for GTD includes surgery (evacuation of the proliferative trophoblastic tissue, hysterectomy), chemotherapy regimens, radiotherapy and emerging targeted therapies. It is one of the most chemotherapy responsive and highly curable cancer. In most instances, it is cured by surgical evacuation of the uterus. If persistent, it is treated with chemotherapy which provides response in >90% of the cases. In the unresponsive persistent cases and if the women has completed her child bearing, hysterectomy is generally recommended. Here, we report a case of atypical GTD {uncommon, that is not fitting a single diagnosis} treated by chemotherapy and bilateral uterine artery ligation.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"3 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418754","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":"Observational Cross-Sectional Study of ETCO2 and Pulse Oximetry for Early Detection of Hypoxia in MAC Patient (Monitored Anaesthesia Care)","authors":"Dr Rajshree","doi":"10.18535/jmscr/v12i02.09","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.09","url":null,"abstract":"Background and Aim: The study aims to identify whether ETCO2 detects early hypoxia compared to monitoring of SpO2, HR and RR (Standard Monitor) in patients undergoing surgical procedure under MAC. Method: Total 336 patients belonging to Age group of 18-60 years, ASA grade 1 and grade 2, procedure lasting for <4hrs, undergoing sedation under MAC for day care surgery. Measurements of Spo2, HR, RR, ETCO2, NIBP done by applying monitors. Nasal cannula also put for supplemental Oxygen. Result: Overall 92 episodes of disordered ventilation were detected out of which 67 were detected by ETCO2 (44- Hypoventilation and 23- Apnoea) and 25 were detected by Pulse Oximetry (4- Hypoventilation and 21- desaturation. Overall a mean delay of 51.04 seconds was seen in detection by Pulse Oximetry. Conclusion: In the study it was concluded that patients under sedation, underwent frequent episodes of disordered ventilation leading to hypoxia. In such scenarios it was seen that ETCO2 monitoring provided a practical advantage of detecting hypoventilation and apnea earlier than Pulse Oximetry showing desaturation. Keywords: Capnography, ETCO2, pulse oximetry.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"37 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420002","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 Rare Case of Proliferating Trichilemmal Tumor Treated with Radiotherapy","authors":"D. Hg","doi":"10.18535/jmscr/v12i02.11","DOIUrl":"https://doi.org/10.18535/jmscr/v12i02.11","url":null,"abstract":"Proliferating Trichilemmal Tumor (PTT) is a rare tumor of the outer root sheath of the hair follicle with different biological behavior. They usually develop in older patients, most commonly affecting women, from pre-existing pilar cyst. Histologically, this tumor may mimic squamous cell carcinoma (SCC). The standard of treatment is surgical excision with a margin of normal tissue. As most of the patients are not good surgical candidates, Radiotherapy plays an important role in the management of this tumor. We report a case of PTT on the occipital region of a 79-year-old female with its brief overview. In view of large size of the lesion and advanced age of the patient, Neoadjuvant Radiotherapy was planned and delivered. A near complete response of the lesion to radiotherapy was observed with good cosmesis. We discuss the role of radiotherapy in the management of PTT in various settings with literature review. Keywords: Proliferating Trichilemmal Tumor, Proliferating Pilar Tumor, Radical Radiotherapy, Neoadjuvant radiotherapy, outer root sheath tumor, skin cancer, scalp tumor, cosmesis.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"1 4‐5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418554","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 Role of clinical pharmacists’ interventions and prevention of medication errors in emergency departments","authors":"Abdulrahman J. Almokhalas","doi":"10.18535/jmscr/v11i11.01","DOIUrl":"https://doi.org/10.18535/jmscr/v11i11.01","url":null,"abstract":"Clinical pharmacists play a vital role in mitigating medication errors within the high-pressure setting of emergency departments (EDs). This study underscores the significance of their interventions in elevating patient safety and reducing adverse drug events. Medication errors in the ED often stem from factors such as time constraints, incomplete patient information, and complex drug regimens. Clinical pharmacists address these challenges by conducting comprehensive medication reconciliation, assessing drug interactions, and adjusting dosages to align with each patient's specific requirements. Their presence in EDs facilitates real-time verification of medication orders, immediate correction of errors, and close collaboration with the healthcare team. Furthermore, clinical pharmacists provide invaluable drug information and education to patients and medical staff, thereby lowering the risk of inappropriate drug usage and promoting safer administration practices. Existing literature affirms that clinical pharmacist interventions in EDs lead to a notable reduction in medication errors, adverse drug events, and subsequent healthcare costs. In summary, the integration of clinical pharmacists in the ED is indispensable for augmenting patient safety, averting medication errors, and ultimately enhancing patient outcomes. Keywords: medication errors, clinical pharmacists, emergency departments, patient safety, healthcare.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"72 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138606593","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":"Assessment the awareness of the elderly patient's knowledge and attitudes among influenza vaccination in kingdom of Saudi Arabia 2023","authors":"Ahmad Ali Yahya Qadri","doi":"10.18535/jmscr/v11i11.06","DOIUrl":"https://doi.org/10.18535/jmscr/v11i11.06","url":null,"abstract":"Background: Although influenza vaccination is recommended for people aged 50 and above in Saudi Arabia, and the vaccine is provided free of charge, the elderly influenza vaccination rate is still low, also influenza vaccination reduces rates of pneumonia, hospitalization and mortality, influenza vaccination uptake remains low in older patients. Globally, influenza epidemics cause 3–5 million cases of severe illness and result in a quarter million deaths each year. Despite Saudi Arabia tropical climate, influenza and a significant number of hospitalization's. Influenza vaccination has been shown to reduce influenza‑related hospitalizations and deaths. Patients with an influenza infection are at increased risk of severe illness and complications and have a higher mortality and morbidity rate. Despite the significant role of influenza vaccination in preventing and minimizing the serious complications of influenza infection in elderly patient's. Aim of the study: Assessment the awareness of the elderly patient's knowledge and attitudes among influenza vaccination in kingdom of Saudi Arabia 2023. Methods: This cross-sectional study was conducted among 300 participants from health care centers in Makkah Al-Mokarramah city. A validated self-administered questionnaire was used. It includes questions on socio demographic variables, knowledge, attitude, and vaccine response, during the August to September 2023. Results: shows the majority of participant (47.0%) have average of the knowledge towards influenza vaccination followed by (35.0%) of participant high while Range(2-8) and Mean ±SD(7.011±0.512), X2 38.22 P=0.001also the majority of participant (51.0%) have high of the attitudes towards influenza vaccination followed by (37.0%) of participant average while Range(10-18) and Mean ±SD (15.521±1.755), X2 70.26 P=0.001. Conclusion: The proportion of elderly people aged 50 and above who are willing to receive free influenza vaccine is high in Saudi Arabia. But the level of knowledge about influenza, vaccine and trust in society is low. The government should continue to improve the elderly’s awareness and trust in society through medical staff, family members, television and radio media, and guide the elderly to actively vaccinate against influenza. Effective publicity should be carried out through the above channels to guide the elderly to actively vaccinate against influenza, and a significant number of hospitalization's Keywords: Assessment, Knowledge, attitudes, Patients, PHC, seasonal influenza, Immunization, Saudi Arabia.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"122 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138606853","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}