International Journal of Advanced Medical and Health Research最新文献_第2页

Clinical Presentations of Melioidosis and Antibiogram of Burkholderia pseudomallei: An 8-year Study in a Tertiary Care Center, South India Melioidosis 的临床表现与假马勒伯克霍尔德氏菌的抗生素图谱：印度南部一家三级医疗中心的一项为期 8 年的研究

International Journal of Advanced Medical and Health Research Pub Date : 2024-03-14 DOI: 10.4103/ijamr.ijamr_123_23

Kundoly Velayudhan Suseela, A. Alex, Subi Das

{"title":"Clinical Presentations of Melioidosis and Antibiogram of Burkholderia pseudomallei: An 8-year Study in a Tertiary Care Center, South India","authors":"Kundoly Velayudhan Suseela, A. Alex, Subi Das","doi":"10.4103/ijamr.ijamr_123_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_123_23","url":null,"abstract":"\u0000 \u0000 \u0000 Melioidosis, an infectious disease caused by Burkholderia pseudomallei, is endemic in tropical countries. In nonendemic areas, the disease is rarely suspected because of varying clinical presentations and only a few attempts are made to isolate the pathogen. Many cases are left underdiagnosed or underreported in geographical areas where the disease is not endemic. This study aimed to analyze the clinical presentations, comorbidities, and antibiotic susceptibility patterns in patients with melioidosis in a tertiary care center.\u0000 \u0000 \u0000 \u0000 A retrospective study was done on culture-confirmed melioidosis patients admitted to a tertiary care center, from January 2015 to December 2022. Relevant information on clinical presentations, mortality rate, comorbidities, and antibiogram was collected from hospital medical records.\u0000 \u0000 \u0000 \u0000 A total of 73 culture-confirmed cases of melioidosis were included in the study. Common clinical presentations were pneumonia (n = 35, 47.9%), septicemia (n = 13, 17.8%), and deep abscesses (n = 9, 12.3%). The mortality rate from melioidosis was 15.1% (n = 11). No significant difference was found in the mortality rate between pneumonia and septicemia groups (P = 0.716). Diabetes mellitus (DM) was the major comorbidity detected (n = 56, 76.7%). Isolates were susceptible to ceftazidime (n = 71, 97.3%), meropenem (n = 71, 97.3%), and co-trimoxazole (n = 60, 82.2%).\u0000 \u0000 \u0000 \u0000 Common clinical presentations of melioidosis in our setting were pneumonia and septicemia. DM was the major comorbidity. Nearly one in six patients died. Ceftazidime and meropenem were the effective antibiotics. These findings may help physicians to make an early microbiological diagnosis which is essential to reduce mortality.\u0000","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"9 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140243876","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

Telemedicine is here to Stay: Success and Utility of Video Consultations in Neonatology 远程医疗将继续存在：新生儿科视频会诊的成功与实用性

International Journal of Advanced Medical and Health Research Pub Date : 2024-02-16 DOI: 10.4103/ijamr.ijamr_190_23

Z. A. Bhat, Nithya Babu Gracy, Femitha Pournami, Jyothi Prabhakar, A. Prithvi, A. Kolisambeevi, Naveen Jain

{"title":"Telemedicine is here to Stay: Success and Utility of Video Consultations in Neonatology","authors":"Z. A. Bhat, Nithya Babu Gracy, Femitha Pournami, Jyothi Prabhakar, A. Prithvi, A. Kolisambeevi, Naveen Jain","doi":"10.4103/ijamr.ijamr_190_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_190_23","url":null,"abstract":"\u0000 \u0000 \u0000 “Synchronous videoconference telemedicine in neonatal office-practice” (SyNTOP) has been a routine practice in our center since the start of the COVID-19-related lockdown. We recently reported our experience with the “success” of this practice in terms of removing the need to visit the hospital over the next 48 h after the teleconsult.\u0000 \u0000 \u0000 \u0000 Secondary results of this retrospective descriptive study which analyzed 829 consults are presented in this manuscript. Data from electronic medical records of those who availed teleconsultation facility between March 2020 and April 2021 were retrieved. Relevant information about clinical presentation, findings from the video call, demographic information, decisions made by the clinician, and outcomes were collected. Best efforts were made to obtain follow-up information by the clinical team or guest–patient relations officers.\u0000 \u0000 \u0000 \u0000 Fever (n = 118) and acute diarrheal disease (n = 58) were the common presenting complaints; most (80.5% and 95.5%, respectively) were resolved without physical examination; 265 developmental assessments were completed by video-facilitated checks. Fast-track vaccination visits where queries were resolved and bills paid online, were an innovation where well babies could avoid queues and possible exposure to crowds. One-fourths of SyNTOP were from outside the district, and 1.4% were from foreign countries.\u0000 \u0000 \u0000 \u0000 Teleconsults were successfully conducted in neonatal office practice for different health-care enquiries. Strategies such as fast-track vaccinations and online developmental follow-up assessments were performed by leveraging technology. We highlight the benefits of these innovations in our center with a view to enhance their uptake elsewhere. Such approaches have the potential to increase health equity and access to specialty health care.\u0000","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"42 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961642","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

Lamina Cribrosa Thickness in Patients with Branch Retinal Vein Occlusion: A Cross Sectional Comparative Evaluation Using Enhanced Depth Imaging Optical Coherence Tomography 视网膜静脉分支闭塞患者的脉络膜厚度：使用增强深度成像光学相干断层扫描进行横截面比较评估

International Journal of Advanced Medical and Health Research Pub Date : 2024-02-15 DOI: 10.4103/ijamr.ijamr_158_23

Rahul Bhardwaj, Aeshvarya Dhawan, V. Vats, Priyanka Gupta, Anupam Singh, Nidhi Tomar

{"title":"Lamina Cribrosa Thickness in Patients with Branch Retinal Vein Occlusion: A Cross Sectional Comparative Evaluation Using Enhanced Depth Imaging Optical Coherence Tomography","authors":"Rahul Bhardwaj, Aeshvarya Dhawan, V. Vats, Priyanka Gupta, Anupam Singh, Nidhi Tomar","doi":"10.4103/ijamr.ijamr_158_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_158_23","url":null,"abstract":"\u0000 \u0000 \u0000 Retinal vein occlusion (RVO) is one of the most common causes of retinal vascular disease, second to diabetic retinopathy. We aimed to compare the lamina cribrosa thickness (LCT) of patients with unilateral branch RVO (BRVO) versus healthy individuals.\u0000 \u0000 \u0000 \u0000 This was a hospital-based, prospective, cross-sectional, and comparative study. Participants were newly diagnosed RVO cases (n = 25) and apparently normal age-matched healthy controls (n = 25). All the participants underwent systemic and comprehensive ophthalmic examination, including refraction and enhanced depth imaging optical coherence tomography. Relevant parameters were compared between the groups using the independent t-test. Statistical significance thresholds were set at a P < 0.05.\u0000 \u0000 \u0000 \u0000 The mean age of cases (66.7% female) and controls (52% female) was 55.9 ± 7.4 and 59.4 ± 7.0 years, respectively, (P = 0.089). The mean LCT of the affected eyes in cases (176.6 ± 28.3 μm) was significantly lower compared to the unaffected eyes of cases (200.6 ± 33.1 μm, P = 0.008) and control eye (230.9 ± 36.9 μm, P = 0.001).\u0000 \u0000 \u0000 \u0000 A thinner lamina cribrosa (LC) was observed in both eyes of unilateral RVO patients compared with healthy, nonglaucomatous subjects’ eyes. The role of LCT as a local mechanical factor in the pathogenesis of BRVO and their relationship to systemic factors merits further investigation.\u0000","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774177","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

Lamina Cribrosa Thickness in Patients with Branch Retinal Vein Occlusion: A Cross Sectional Comparative Evaluation Using Enhanced Depth Imaging Optical Coherence Tomography 视网膜静脉分支闭塞患者的脉络膜厚度：使用增强深度成像光学相干断层扫描进行横截面比较评估

International Journal of Advanced Medical and Health Research Pub Date : 2024-02-15 DOI: 10.4103/ijamr.ijamr_158_23

Rahul Bhardwaj, Aeshvarya Dhawan, V. Vats, Priyanka Gupta, Anupam Singh, Nidhi Tomar

{"title":"Lamina Cribrosa Thickness in Patients with Branch Retinal Vein Occlusion: A Cross Sectional Comparative Evaluation Using Enhanced Depth Imaging Optical Coherence Tomography","authors":"Rahul Bhardwaj, Aeshvarya Dhawan, V. Vats, Priyanka Gupta, Anupam Singh, Nidhi Tomar","doi":"10.4103/ijamr.ijamr_158_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_158_23","url":null,"abstract":"\u0000 \u0000 \u0000 Retinal vein occlusion (RVO) is one of the most common causes of retinal vascular disease, second to diabetic retinopathy. We aimed to compare the lamina cribrosa thickness (LCT) of patients with unilateral branch RVO (BRVO) versus healthy individuals.\u0000 \u0000 \u0000 \u0000 This was a hospital-based, prospective, cross-sectional, and comparative study. Participants were newly diagnosed RVO cases (n = 25) and apparently normal age-matched healthy controls (n = 25). All the participants underwent systemic and comprehensive ophthalmic examination, including refraction and enhanced depth imaging optical coherence tomography. Relevant parameters were compared between the groups using the independent t-test. Statistical significance thresholds were set at a P < 0.05.\u0000 \u0000 \u0000 \u0000 The mean age of cases (66.7% female) and controls (52% female) was 55.9 ± 7.4 and 59.4 ± 7.0 years, respectively, (P = 0.089). The mean LCT of the affected eyes in cases (176.6 ± 28.3 μm) was significantly lower compared to the unaffected eyes of cases (200.6 ± 33.1 μm, P = 0.008) and control eye (230.9 ± 36.9 μm, P = 0.001).\u0000 \u0000 \u0000 \u0000 A thinner lamina cribrosa (LC) was observed in both eyes of unilateral RVO patients compared with healthy, nonglaucomatous subjects’ eyes. The role of LCT as a local mechanical factor in the pathogenesis of BRVO and their relationship to systemic factors merits further investigation.\u0000","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"210 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139833669","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

Drug Induced Liver Injury: A Descriptive Analyses of Histopathological Patterns and Clinical Outcomes 药物性肝损伤：组织病理学模式和临床结果的描述性分析

International Journal of Advanced Medical and Health Research Pub Date : 2024-01-31 DOI: 10.4103/ijamr.ijamr_181_23

C. Venkataswamy, Eliz Thomas, R. K. Kartikayan

{"title":"Drug Induced Liver Injury: A Descriptive Analyses of Histopathological Patterns and Clinical Outcomes","authors":"C. Venkataswamy, Eliz Thomas, R. K. Kartikayan","doi":"10.4103/ijamr.ijamr_181_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_181_23","url":null,"abstract":"\u0000 \u0000 \u0000 Given the increased use of complementary and alternative medicine along with over-the-counter drugs, drug-induced liver injury (DILI) has become relatively common and a differential diagnosis for every other patient who presents with a deranged liver function test. As no specific markers or diagnostic tests exist to confirm DILI, it is a diagnosis of exclusion. Liver biopsy is a valuable tool for evaluating patients with clinical suspicion of DILI. However, there are limited published data describing histopathological diagnoses in DILI and their clinical outcomes in the Asian subcontinent.\u0000 \u0000 \u0000 \u0000 In this 2-year retrospective study conducted between January 2020 and December 2022, records of 34 DILI patients were evaluated. The histological patterns of injury and liver functions (total bilirubin and liver enzymes) were described and the corresponding clinical outcomes were assessed.\u0000 \u0000 \u0000 \u0000 All the included cases had elevated liver enzymes. The most common histopathological pattern in DILI was cholestatic hepatitis (n = 14, 41.0%). Eosinophilic prominence and inflammation around the portal tract were seen in majority of the cases (n = 25, 73.5%). A few cases had fibrosis as well (n = 12, 35.0%). The most common drug associated with liver injury was herbal/traditional medicines (n = 17, 50.0%).\u0000 \u0000 \u0000 \u0000 Certain histopathological “clues” can help the pathologist suspect a DILI diagnosis. The main findings associated with DILI are cholestatic hepatitis, lobular disarray, inflammation, and necrosis. Correlation with clinical history and biochemical parameters will help in clinching the diagnosis.\u0000","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"33 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140479237","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

Primary pancreatic lymphoma - A rare entity 原发性胰腺淋巴瘤-一种罕见的实体

International Journal of Advanced Medical and Health Research Pub Date : 2023-01-01 DOI: 10.4103/ijamr.ijamr_212_22

L. Prakash, O. Shaikh, U. Kumbhar, Sagar Prakash, G. Balasubramanian

引用次数: 0

Compulsion beyond hairpulling 除了拔头发以外的强迫行为

International Journal of Advanced Medical and Health Research Pub Date : 2023-01-01 DOI: 10.4103/ijamr.ijamr_22_23

Dimple Gupta, Avisha Mahla, A. Bhardwaj, Nimmi A. Jose

引用次数: 0

How to revise and resubmit the manuscript after a favorable peer review? 如何在同行评议后修改并重新提交稿件?

International Journal of Advanced Medical and Health Research Pub Date : 2023-01-01 DOI: 10.4103/ijamr.ijamr_121_23

Anup Mohta

引用次数: 0

How to write a scoping review? 如何撰写范围界定审查？

International Journal of Advanced Medical and Health Research Pub Date : 2023-01-01 DOI: 10.4103/ijamr.ijamr_91_23

Pooja Sharma, N. Goyal

引用次数: 0

Critical incident stress debriefing experience, training, and anticipated barriers in emergency medicine providers: A targeted needs assessment 紧急事件压力汇报经验、培训和急救医学提供者的预期障碍:目标需求评估

International Journal of Advanced Medical and Health Research Pub Date : 2023-01-01 DOI: 10.4103/ijamr.ijamr_186_22

Dana E. Loke, JehannazD Dastoor, A. Fant

引用次数: 0