Perspectives In Medical Research最新文献

{"title":"Evolution from peripartum cardiomyopathy to dilated cardiomyopathy: time to halt the progression","authors":"Achanta Vivekanand","doi":"10.47799/pimr.1102.01","DOIUrl":"https://doi.org/10.47799/pimr.1102.01","url":null,"abstract":"","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"478 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242652","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 of peripheral lymph node tuberculosis: a prospective study of 24 cases","authors":"Mothiki Bhavyasri, Chenimilla Nagender Prasad, Ramulu Madire","doi":"10.47799/pimr.1102.13","DOIUrl":"https://doi.org/10.47799/pimr.1102.13","url":null,"abstract":"Abstract Introduction: Tubercular lymphadenitis which comes under Extra-pulmonary Tuberculosis (EPTB) has been affecting mankind since ancient times. Peripheral lymph node involvement is the commonest form of EPTB among which cervical lymph nodes are most frequently affected. Objectives: The aim of this study was to evaluate the demographic, clinical characteristics and treatment outcomes of peripheral lymph node Tuberculosis cases in a rural tertiary health care centre. Methods: The study was conducted prospectively at Prathima Institute of Medical Sciences, Nagunur, Karimnagar between January 2021 to August 2022. Pathologically confirmed cases of lymph node Tuberculosis were assessed and followed up. Results: 24 cases of lymph node TB were included with 83.3% females and 16.6% males (p=0.02) with a mean age of 32.6 ± 15.24 years. The mean age among males was 37 ± 15.59 years and among females was 31.75 ± 15.24 years. 58.3% were from rural areas. All of them presented with a history of swelling, 37.5% had a fever, 50% had a loss of appetite and 54.1% had a loss of weight. 8% had a past history of tuberculosis. 79.1% had cervical swelling and 20.8% had axillary swelling. 83.3% had multiple lymph nodes and 33.3% had lymph node matting. Three cases were lost to follow-up, 79% improved with standard anti-Tuberculosis treatment (ATT) and one case died during treatment. Conclusion: Lymph node TB is still prevalent in TB endemic countries and has to be considered first in the differential diagnosis of peripheral lymph node swellings.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241669","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":"Histopathological study on the spectrum of various sinonasal lesions","authors":"Syeda Naheed Kauser, Nabeela Azhar, Rajesh Patil, Anitha AM, Anuradha G Patil","doi":"10.47799/pimr.1102.07","DOIUrl":"https://doi.org/10.47799/pimr.1102.07","url":null,"abstract":"Abstract Background : A variety of neoplastic and non-neoplastic conditions involve the nasal cavity and paranasal sinuses, amongst which the prevalence of non-neoplastic sinonasal lesions in the general population is 1-4%. It can give rise to a very diverse assay of neoplasms i.e., about 1% of all malignancies. Methods: The study was conducted in the Department of Pathology Mahadevappa Rampure Medical College over a period of two years (2019-2021). A total of 30 cases of sinonasal tract lesions were identified and their histopathological examination was carried out and special staining was done wherever necessary. Results: Out of 30 sinonasal cases, 16 lesions were inflammatory, seven lesions were benign neoplastic lesions and the other seven were malignant. Nasal polyps were the most common inflammatory lesions, mostly in females. Out of seven malignant lesions, squamous cell carcinoma was found in three lesions, and in benign lesions, sinonasal papillomas were found in five lesions. Conclusion: Various lesions of the sinonasal tract including non-neoplastic, benign, and malignant can occur in any age group and both sexes.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241671","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":"Study of reasons for discarding whole blood and its components in a blood bank in a rural tertiary care teaching hospital in Maharashtra","authors":"Syeda Lubna, Shaikh Murtuza, Tooba Fatima, Jawwad Hashmi Syed","doi":"10.47799/pimr.1102.11","DOIUrl":"https://doi.org/10.47799/pimr.1102.11","url":null,"abstract":"Abstract Introduction: Each unit of blood is valuable; thus, it must be used as efficiently as possible with the least amount of waste. Supply of blood in an emergency requires stringent storage conditions with quality checked and should be available at the time of demand to the needy. So blood banks play a vital role in this demand-supply process. On the other hand, because of the biological nature of blood, it is very vulnerable to contamination by infections, early expiry and hemolysis. The purpose of this study was to determine the reasons for the wastage of blood and blood components. Materials and Methods : At our tertiary care teaching hospital blood bank we conducted a retrospective analysis of data of all whole blood and blood component samples collected from January 2013 to December 2020. Results: 391 (9%) of the 4022 entire blood bags collected were discarded 132 (32%) of them were eliminated due to hemolysis and lipolysis and the same 32% expired due to completion of the life span of RBC. Sero-reactivity for TTI or transfusion-transmitted diseases was 22.4% and only 13% were rejected for use because of some leakage or inadequate quantity of blood in the bag. Conclusion: An adequately conducted donor screening, notification and counseling of permanently deferred donors will help in discarding less number of bags that are positive for different TTI. Properly implemented blood transfusion policies will help to utilize the blood components in a proper way resulting in discarding the number of blood bags due to expiry.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242654","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":"Impact of sudden change to online teaching during COVID-19 pandemic on mental health of medical students using the DASS-21 scale","authors":"Jabeen Hafsa, Vaseem Anjum","doi":"10.47799/pimr.1102.09","DOIUrl":"https://doi.org/10.47799/pimr.1102.09","url":null,"abstract":"Abstract Background: The COVID-19 pandemic has influenced almost every aspect of life, education being no exception. The sudden shift of teaching and learning using virtual methods was not an easy task. While medicine needs not just knowledge but also skills there were many questions regarding the efficacy of online classes. Aims: To study the impact of the sudden change of teaching method on the mental health of medical students using the DASS 21 questionnaires. Methods and Material: It was a cross-sectional study. This study was done among the 1 st , 2 nd and 3rd-year medical students over a period of 5 months. Pre-structured DASS-21 questionnaire was used to assess the mental health of these students. We have excluded all the students who already had a history of anxiety, stress, and depression before the corona virus pandemic. Results: Out of 122 students, 34 (27.9%) were males and 86 (70.5%) belonged to the age group 18-21 years. Depression, Anxiety and stress were more among the 1 st MBBS students. Conclusions: Sudden changes in the mode of teaching are not easily accepted by the students. The transition should be well-planned.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241680","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":"Ischemia-Modified Albumin (IMA) for early detection of myocardial ischemia in acute coronary syndrome with type 2 diabetes mellitus: a case control study","authors":"Mehraj A Junedi, Abdulazim A Junaidi","doi":"10.47799/pimr.1102.04","DOIUrl":"https://doi.org/10.47799/pimr.1102.04","url":null,"abstract":"Abstract Introduction : Evaluation of the patients who present to the hospital with a complaint of chest pain or other signs suggestive of acute coronary syndrome (ACS) is time-consuming, expensive, and difficult. Most of the biochemical markers are negative in early phase acute myocardial ischemia. Recent literature reports have shown more interest in a new biochemical marker which is Ischemia-modified albumin for the detection of myocardial injury. Objective: to estimate the level of ischemia-modified albumin (IMA) as a risk factor for cardiovascular disease in diabetes mellitus patients. Materials and methods: A case-control study was undertaken with sixty Type-2 diabetic patients as cases and sixty non-diabetic healthy subjects as controls. Demographic data (sex, age), an ECG and Biochemical data were collected. Blood for IMA and HbA1C levels was collected within two hours of arrival, and IMA risk marker testing was performed before any heparin/thrombolytic treatment was started. Controlled and uncontrolled diabetic patients were determined by the level of their HBA1c and comparison with the means of IMA level in their serum. Results : The IMA was significantly increased in diabetic patients compared to healthy controls, with cut off value (0.92 IU/L), and there is also a significant increase in IMA level in uncontrolled diabetic patients (Mean ± SD; 240.55 + 52.5) that presented with acute chest pain and have signs and symptoms of cardiac ischemia when compared with the well-controlled diabetic patients(Mean ± SD; 159.8 ± 60.4). Conclusion: Ischemic Modified Albumin (IMA) level was elevated significantly in uncontrolled diabetic patients with early signs of early myocardial ischemia. Additionally, IMA estimation may improve our ability to identify ischaemic patients who are missed by current diagnostic strategies, or more confidently rule out patients who do not have ACS.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242661","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 breast tuberculosis: case report","authors":"Pravinya Pittala, Ravinder Rao, Anandam Gadda, Ramulu Madire","doi":"10.47799/pimr.1102.15","DOIUrl":"https://doi.org/10.47799/pimr.1102.15","url":null,"abstract":"Abstract Breast tuberculosis is a rare form of extra-pulmonary tuberculosis. It accounts for less than 0.1% of breast conditions in developed countries but reaches about 3-4% in developing high TB endemic regions. It usually occurs in multiparous and lactating women. The clinical, radiological and pathological presentation may often mimic breast abscess, idiopathic granulomatous mastitis or carcinoma. The most common presentation is that of a lump. Constitutional symptoms are not usually present. The most common site is the right upper outer quadrant of the breast. It also occurs in association with Immunosuppression disorders such as HIV. Here we present a case of a young, multiparous non- lactating woman with tubercular mastitis, confirmed by FNAC of the mass. The Tuberculin skin test was positive and the patient improved with anti-tubercular treatment.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"145 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242511","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":"Imaging in Covid-19 associated mucormycosis: a case series","authors":"Shailaja Prashanth, Prakash Handi, Nisha Prathap, Rudresh Shoorshetty Manohar, Karthik Bhaskarn","doi":"10.47799/pimr.1101.09","DOIUrl":"https://doi.org/10.47799/pimr.1101.09","url":null,"abstract":"Abstract Introduction: Mucormycosis is a very rare saprophytic, opportunistic fungal infection with high morbidity and mortality. With the Covid-19 pandemic, there is a sudden increase in the incidence of this disease due to causes not clearly known. Methods: Retrospective clinic-radiological analysis of a series of seven microbiologically confirmed cases of Covid-19 associated mucormycosis (CAM) treated at our tertiary care center in 2021 was done. Results: All patients were middle-aged with a mean age of 47 years. All patients had poor glycemic control. Three patients were on oxygen support and were given steroids during Covid-19 treatment. Symptoms were facial pain, swelling, headache, eyelid swelling, and nasal block. All patients underwent contrast MRI to study the extent of tissue involvement. MRI helped in complete surgical debridement with minimal deformity. Conclusion: Judicious use of immunosuppressants and strict glycemic control vital during covid-19 treatment. Contrast MRI is the investigation of choice to identify the extent of involvement in surgical planning.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135693365","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 Cross sectional study on Students’ Attitude towards Communication Pharmacology in Medical Education","authors":"Prashanth Kumar Patnaik, Narendar Koyagura, Sreedhar Ganga, Prasanna Vedula, Jaya Prakash Konda, Vinay Kumar Ksheerasagar","doi":"10.47799/pimr.1101.13","DOIUrl":"https://doi.org/10.47799/pimr.1101.13","url":null,"abstract":"Abstract Background: Effective communication between doctor-patient is essential to provide high-quality health care. The introduction of communication skills is a promising step at an undergraduate level by National Medical Commission (NMC) that improve students’ attitude towards patient care. Objectives : The study objective was to assess the student’s attitude and their perception towards learning communication skills. Methods: A total of 122 students participated in the study who were pursuing second-year MBBS in a Medical college located in Telangana State. A Questionnaire related to attitude towards Communication Pharmacology (Communication Skills Attitude Scale), their interest in the topic of choice and reason for their interest in communication pharmacology was given. Using the Likert scale, scores were given ranging from 13 to 65 and the median values of responses were taken for positive and negative attitudes. Results : The study results showed that the median value of positive response for girls was 56 and for boys was 52 whereas for a negative response was 25 and 27 respectively. There was no significant (p>0.05) difference was observed in the tested groups. The majority of the students opted for empathy-related communication skills as their interest (30.33%) and opined that it will help to build future communication skills (31.33%). Conclusion : It was concluded that students have a more positive attitude towards communication pharmacology and girls have shown more interest in these types of skills.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135693051","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":"Body image perception and self-esteem among undergraduate medical students in Nanded, Maharashtra","authors":"Devi Padmakumar, I.F Inamdar, P L Gattani, R.D Gadekar","doi":"10.47799/pimr.1101.07","DOIUrl":"https://doi.org/10.47799/pimr.1101.07","url":null,"abstract":"Abstract Introduction: Body image is the perception and attitude one holds toward one’s own body, especially, but not exclusively, one’s physical appearance. The promotion of positive body image improves people’s quality of life and behaviors related to health. Social factors, sociocultural influences, media pressure, and the pursuit of an ideal body, associated with accomplishments and happiness are among the causes of changes in the perception of body image, leading to dissatisfaction. There is very less literature on these topics among males and also medical students. Objectives: To assess body image perception and the influence of sociocultural factors on it and self-esteem among undergraduate students of a medical college. Methods : A cross-sectional study was carried out among 192 undergraduate medical students of a medical college from June 2021 to September 2021 using a predesigned pretested self-administered questionnaire in English. Results: Out of 200 students included in the study the mean age of study subjects was 19.78 ± 1.39 years, of which,107(56%) were males and 85(44%) were females. The 192 students were classified as Underweight (27(14%)), Normal weight (78(41%)), Overweight (43(22%)) and Obese I (44(23%)) according to Asian WHO BMI classification. BISS scores (which measure body image satisfaction) were the median of the six items after reverse-scoring the three positive-to-negative items which were found to be 5.5(4-7) and 53% of students showed body image dissatisfaction. 33% (63 students) of students have thin/low body fat internalization and about 77(40%) have muscular/athletic internalization.54(28%) students mostly agree about family pressure to attain the ideal appearance, 53(28%) feel pressure from peers and 75(39%) mostly agree with influence of media to attain ideal appearance. Out of the 192 students,124(64%) showed normal self-esteem, 63(33%) with low self-esteem, and 5(3%) with high self-esteem as per Rosenberg’s self-esteem score. A statistically significant association was found between BMI and body image perception and also between Body image perception with sociocultural attitudes toward the appearance and self-esteem of students. Conclusion: Body image dissatisfaction affects young students. In this study, about 53% of the students showed body image dissatisfaction. This perception of self has mainly been influenced by media (39%), family pressure (28%), and peer pressure (28%). Also, 33% of the students have low esteem with a significant association between Body image perception and self-esteem.","PeriodicalId":30624,"journal":{"name":"Perspectives In Medical Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135693366","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}