Medical Journal of Dr. D.Y. Patil Vidyapeeth最新文献

{"title":"Intraoperative Tension Pneumothorax in a Child during Bronchogenic Cyst Excision – An Anesthetic Nightmare","authors":"S. Khatavkar, Vipul K. Sharma, Jayalakshmi Mohan, Preeti Raj","doi":"10.4103/mjdrdypu.mjdrdypu_582_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_582_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 The bronchogenic cyst is a class of lung malformations that are congenital and non-vascular. Surgical excision per se is a great challenge for anesthesiologists as there have been cases with complications of fatal tension pneumothorax. Our patient is an 11-month-old child who underwent surgical excision of the bronchogenic cyst compressing the left bronchus. Intraoperatively, due to positive pressure ventilation, tension pneumothorax developed, ultimately leading to cardiac arrest. Prompt treatment with cardiopulmonary resuscitation followed by needle insertion in the second intercostal space on the right side, followed by an intercostal drain, revivedthe patient. An early diagnosis and an adequate approach to possible complications is the key to successful anesthetic management.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130302","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 Retrospective Study to Assess the Clinico-Epidemiological Profile of Acute Poisoning Patients Admitted in a Tertiary Care Hospital, Karnataka, India","authors":"Janet Alva, E. Devi, J. M. Balakrishnan, Vivek Gopinathan","doi":"10.4103/mjdrdypu.mjdrdypu_1072_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_1072_22","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Acute poisoning is one of the most common medical conditions which requires emergency management. This study was aimed to generate the clinico-epidemiological profile of acute poisoned patients admitted to the emergency department in a tertiary care hospital.\u0000 \u0000 \u0000 \u0000 A retrospective research study was conducted in between June 2018 and September 2019. All acute poisoned patients admitted in KH hospital Manipal were included in the study. Collected data were analyzed using descriptive and inferential statistics. The obtained results were stated as frequency, percentage, and Chi-square analysis.\u0000 \u0000 \u0000 \u0000 Among 324 poisoned patients, 47.5% were organophosphate poisoning, with 48.9% belonging to the age group of 19–35 years. Apparently, 59.2% were male patients. The most common route of poisoning seen is 96.60% ingestion. Suicidal poisoning was noted in majority of the patients 92.90%. A large number of poisoned patients, 61.11%, were conscious while reporting to emergency department. The main reason for poisoning was marital disharmony 54.32%, and 14.5% patients were put on ventilator life support during treatment. Recovered and discharged from the hospital was seen in 76.54% of patients and death witnessed in 12.34% of poisoned patients. The patient outcome was found to be significantly associated with type of poisoning (P < 0.001) and motive of poison consumption (P < 0.001).\u0000 \u0000 \u0000 \u0000 This study has succeeded to contribute added evidence concerning the clinico-epidemiological profile and consequence of acute poisoning patients admitted in a tertiary care hospital. Increased treatment expenses and admission in intensive care make burden to the family.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"90 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143104","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":"Phenomenology of Depressive Disorders with and without Psychotic Features: A Comparative Study","authors":"Love Surati, A. Arya, Bhushan Chaudhari, Suprakash Chaudhury, D. Saldanha","doi":"10.4103/mjdrdypu.mjdrdypu_1091_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_1091_22","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Depressive disorders can present with psychotic features, which warrants a different diagnosis and a different phenomenological study.\u0000 \u0000 \u0000 \u0000 To study the phenomenology of depressive disorders with and without psychotic features.\u0000 \u0000 \u0000 \u0000 One hundred and forty-eight patients presenting to psychiatry outpatient department of a tertiary care center were screened using Mini International Neuropsychiatric Interview questionnaire to select patients for our study. Sociodemographic data and some clinical variables of these patients were collected. These patients were further assessed for depression severity and psychotic symptoms by using Montgomery and Asberg Depression Rating Scale (MADRS) and Modified Psychotic Symptoms Ratings Scale (PSYRATS), respectively.\u0000 \u0000 \u0000 \u0000 Mean MADRS score for patients with depression without psychotic features was 38.38 and for patients with depression with psychotic features was 44.51. Result was found to be significant. Suicidality was found to be on a higher side in patients of depression with psychotic features.\u0000 \u0000 \u0000 \u0000 Main finding related to our study was that depression severity was found to be more in patients of depression with psychotic features. There are certain phenomenological differences which warrant a separate diagnosis of depression with psychotic features. These include the increased intensity of suicidality, visible sadness, inner stress, difficulty in concentration, lassitude, altered ability to feel, and thoughts of suicide present in patients of depression with psychotic features.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141518","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":"Health-Related Quality of Life and Prosthetic Satisfaction in Below-Knee Amputees: A Cross-Sectional Study","authors":"Priyanka Sindwani, Saumya Kothiyal, Priya Chauhan","doi":"10.4103/mjdrdypu.mjdrdypu_184_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_184_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Global patients are the focus of the bulk of studies looking at patient satisfaction and social integration. The major objective is to integrate those people into society because the prevalence of amputation is increasing in India as well. Also, these researchers include a variety of illnesses, such as renal tubular acidosis (RTA), diabetes, vascular disorders, spinal cord damage, and stroke, in their investigations. There are not many studies conducted in India that only consider urban populations. The purpose of the study was to examine factors influencing the quality of life (QOL) and post-acceptance and contentment with one’s body image in patients with unilateral knee amputations.\u0000 \u0000 \u0000 \u0000 A random sampling method was performed to select the subjects. The records of the participants of the study were retrieved from the Chandigarh Welfare Trust Prosthetic Camp, Chandigarh, India, to obtain information on relevant demographic data. Patients were given both questionnaires, that is, Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) and Community Integration Questionnaire (CIQ), and told about everything, and then, patients gave scores to themselves according to the activities and satisfaction they had with the prosthetic use. Spearman’s correlation test (two-tailed) was used to find the correlation between QUEST 2.0 and CIQ. The correlation between QUEST 2.0 and integration into productive activities (IPA) was also analyzed. A significant level of P ≤ 0.01 was fixed.\u0000 \u0000 \u0000 \u0000 The correlation between QUEST 2.0 and CIQ is significantly strong or good (r = 1.00, P < 0.001). Home integration and social integration had a high or strong correlation with the QUEST assistive device domain (r = 0.43, P < 0.001) and each other (r = 0.785, P < 0.001). QUEST and productive activities are moderately associated (r = 0.57, P < 0.001). The service sub-domain of QUEST 2.0’s home integration component showed a substantially positive connection (r = 0.38, P < 0.001). It demonstrates that social integration has an overall positive relationship (r = 0.59, P < 0.001) with other factors.\u0000 \u0000 \u0000 \u0000 In the social life of those who have lost or are missing limbs, prostheses have a social function. By hiding their usage, individuals were able to avoid social stigmatization, which facilitated their social integration and lessened the emotional issues associated with such a disability.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130268","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":"Prevalence of Psychiatric Morbidity and Somatic Symptoms in Perimenopausal Women","authors":"Sadaf Aziz, Parisha Kelkar, Suprakash Chaudhury, D. Saldanha","doi":"10.4103/mjdrdypu.mjdrdypu_1090_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_1090_22","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 During the perimenopausal phase, women experience a myriad of somatic symptoms as well as changes in mood and emotions which could be related to the endocrine changes and psychological factors during this transition.\u0000 \u0000 \u0000 \u0000 The aim was to assess the prevalence of somatic symptoms and psychiatric morbidity in perimenopausal women.\u0000 \u0000 \u0000 \u0000 By purposive sampling, 100 women in the age group of 45–55 years were included in the study with their consent. They were assessed with a self-made sociodemographic proforma, Mini-International Neuropsychiatric Interview (MINI), depression, anxiety, stress scale (DASS 21), Menopause Rating Scale, big five inventory scale (BFI-10), and social support scale.\u0000 \u0000 \u0000 \u0000 Psychiatric morbidity was seen in 41% of perimenopausal women, out of which 32% showed somatic symptoms. Seventeen percent had mild-to-moderate depressive features, 17% showed mild-to-moderate anxiety, and 7% were dysthymic.\u0000 \u0000 \u0000 \u0000 Prevalent life stressors seemed to affect the transition into menopause for many women which directly corresponded to the prevalence of psychiatric morbidity and somatic symptoms in them.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131398","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 Sigmoid Lipoma Causing Colo-Colic Intussusception in an Elderly Patient","authors":"Prashant Gopal, Debabrata Banerjee, Indrakeela Girish, Sanjay M Khaladkar","doi":"10.4103/mjdrdypu.mjdrdypu_874_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_874_23","url":null,"abstract":"","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"17 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137031","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":"Secondary Epiploic Appendagitis – Report of Three Cases with CT Findings","authors":"Jyotibash Sahoo, Sourav Bera, Pradosh Kumar Sarangi, PrasantaKumar Majumdar","doi":"10.4103/mjdrdypu.mjdrdypu_140_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_140_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 Epiploic appendages are the fat-containing peritoneal pouches usually seen in the anti-mesenteric border, adjacent to the large bowel loop. The major components are adipose tissue and vessels. The exact functions are not understood. Epiploic appendagitis (EA) is an inflammatory process, primarily may be due to torsion or vascular occlusion or may be secondarily related to other inflammatory processes. Symptoms vary from mild abdominal pain to severe variety, depending on the underlying cause. Primary EA is a benign self-limiting condition and does not require any surgical intervention, whereas secondary cause of inflammation needs management of underlying pathology. Proper diagnosis plays a vital role in appropriate management. Cross-sectional study like computed tomography (CT) is the ideal choice of imaging. On CT, epiploic appendigitis appears as round to oval fat-attenuating lesions with hyperattenuating peripheral rim, usually abutting the adjacent large bowel. Chronic inflammation shows peripheral calcification, may detach, and appears as intra-abdominal loose body. We describe three cases of secondary EA with CT imaging features, which will guide the clinician in proper management, avoiding unwarranted surgery or hospitalization.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136027","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":"Comparative Case Series on LMA-Assisted Flexible Fiberoptic Bronchoscopy","authors":"S. Khatavkar, Ujjwal Chandra, N. B. Beevi, Bujugama Sravya","doi":"10.4103/mjdrdypu.mjdrdypu_41_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_41_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 Fiberoptic bronchoscopy in children requires sedation, while routinely employed techniques for oxygenation under sedation don’t provide airway protection.LMA during FOB can provide safer ventilation with good operative views.Although the use of laryngeal mask airway for FOB was described in 1982, its application has not been established in pediatric patients. The aim of our study was to compare the safety and efficacy of LMA-assisted bronchoscopy compared to nasal airway with oxygenation-assisted bronchoscopy. The study was conducted on 12 patients, 6 in each group. Data collected includes monitoring of oxygen saturation, hemodynamics, ETCO2, and complications. LMA group children had lower episodes of desaturation as compared to nasal airway group. ETCO2 values were maintained and rate of complications were less in LMA group. Hemodynamic stability in both groups were comparable. Hence the use of LMA allows better airway conduit, with stable O2 saturation and ETCO2 values than nasal airway-assisted bronchoscopy.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138018","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":"Behavioural Changes Towards AMSP","authors":"Preethy Edavaloth, S. Mirza","doi":"10.4103/mjdrdypu.mjdrdypu_199_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_199_23","url":null,"abstract":"","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"317 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144115","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 Presentation of Carcinoma Urinary Bladder with Multiple Skeletal Muscle Metastasis","authors":"Rushang Dave, Vinod Kumar, Manish Kumar","doi":"10.4103/mjdrdypu.mjdrdypu_216_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_216_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 Lymph nodes, bones, lungs, liver, and the peritoneum are common sites for bladder cancer metastasis. Skeletal muscle involvement is rare. We report the case of a 55-year-old male who has a poorly differentiated carcinoma of the urinary bladder with multiple skeletal muscle metastases.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139624085","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}