Acta Medica International最新文献

{"title":"The new 2021 world health organization classification of central nervous system tumor","authors":"Raghav Kesri, Aditya Sarin, Swati Girdhar","doi":"10.4103/amit.amit_7_23","DOIUrl":"https://doi.org/10.4103/amit.amit_7_23","url":null,"abstract":"","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"20 1","pages":"76 - 77"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73149665","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 of the medical record department's experience, competence, and application at a tertiary care hospital","authors":"Sherry P Mathew, S. Rudresh","doi":"10.4103/amit.amit_26_23","DOIUrl":"https://doi.org/10.4103/amit.amit_26_23","url":null,"abstract":"Introduction: The primary source of health information for a patient is medical record data. Thus, accurate, complete, and properly recorded patient data are important to provide the best treatment. The workload of the hospital may be reduced and operate more effectively in the hospital if staff members have the necessary knowledge, awareness, and desired clinical abilities, together with an understanding of medical records. Materials and Methods: From January 1 to December 31, 2017, the study was carried out at Tertiary Care Hospital Medical Record Department (MRD). The staff was evaluated for their competency and skill gaps using questionnaires. The complete use of the medical records was then evaluated per quarter for a year. Results: The staff showed adequate understanding of the various questions about medical records. Over the year, there was the highest utilization of files from the MRD, with medicine and obstetrics and gynecology in broad specialties and the department of cardiology with nephrology having the highest utilization in superspecialties. Conclusion: The job environment was pleasant for the staff, and the questionnaire revealed adequate knowledge. Increased satisfaction among MRD staff members, as well as among doctors, nurses, paramedics, and patients, may be related to the utilization being greater in MRD that has been scientifically designed, well-planned, and appropriately structured, with the best physical amenities.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"106 1","pages":"21 - 28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75775854","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":"Effectiveness of Lactobacillus rhamnosus GG as an adjunct in the treatment of enteric fever in children: A double-blinded randomized controlled trial in Southern India","authors":"Ramya Rajamanickam, Aparna Jayaraman, S. Sivathanu","doi":"10.4103/amit.amit_13_23","DOIUrl":"https://doi.org/10.4103/amit.amit_13_23","url":null,"abstract":"Introduction: A probiotic used as an adjunct in Salmonella typhi infection along with antibiotic is postulated to interfere with the virulence and growth of Salmonella. To determine the effectiveness of Lactobacillus rhamnosus GG (LGG), as an adjunct with intravenous ceftriaxone, compared with a placebo in defervescence and toxemia resolution in children with enteric fever. Settings and Design: This hospital-based randomized double-blinded controlled trial was conducted among 56 study participants who were children below the age of 12 years, admitted as inpatients with fever and whose blood culture grew S. typhi. Materials and Methods: Study participants were equally allocated into intervention or control group by simple randomization. The intervention group received injection ceftriaxone and oral LGG (probiotic) for 7 days while the control group received an injection ceftriaxone and oral placebo for 7 days. Statistical Analysis: Kaplan–Meier curves and mantel cox log-rank test were used to compare the duration for defervescence and toxemia resolution after treatment initiation. Results: Mean duration for defervescence in the intervention and control groups was 3.87 (1.57) days and 3.35 (1.19) days, respectively. The mean time taken for the resolution of toxemia was 3.00 (1.15) days in the intervention group and 2.64 (0.87) days in the control group. Conclusions: The addition of oral LGG at a dose of 3 × 109 colony-forming units for 7 days to the standard antibiotic therapy for enteric fever did not show a significant reduction in the time taken for defervescence (P = 0.099) or resolution of toxemia (P = 0.148).","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"21 1","pages":"52 - 58"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77863932","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":"Medical record keeping for quality patient care: An observational study","authors":"S. Rudresh, Sherry P Mathew","doi":"10.4103/amit.amit_17_23","DOIUrl":"https://doi.org/10.4103/amit.amit_17_23","url":null,"abstract":"Introduction: Effective management of medical records is essential for delivering high-quality treatment. The location, architecture, and personnel of a medical records department (MRD) can considerably impact its operational efficiency. This study seeks to examine hospital MRD and establishes whether its current configuration is suitable for effective medical record management. Materials and Methods: The descriptive method was utilized to evaluate the MRD of the hospital. The review analyzed the department's physical layout, personnel, workload, training programs, and available equipment. The study also evaluated the influence of government and business restrictions on MRDs operations. Results: It was determined that the MRD of the hospital had an appropriate physical layout, with divisions positioned in optimal locations. The department's personnel levels were adequate, with twenty employees managing the patient population's workload. The analysis determined that the department required extra photocopiers and scanners to boost operational efficiency. In addition, the study underlined the significance of adhering to policies, protocols, and established processes in ensuring efficient workflow. Conclusion: The analysis concludes that the hospital MRD has an adequate physical layout, staffing levels, and task management. However, the present equipment could be enhanced to increase operational efficiency. The study also emphasizes the importance of adhering to policies, protocols, and written processes to ensure the department's efficient workflow. The outcomes of this study may inform future decisions on MRD management in other health-care organizations, especially those subject to comparable government and commercial regulations.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"22 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89399909","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":"Squatting facets and trochlear extensions of talus bone in Indian population","authors":"Rintu Biswas, A. Pankaj, Akriti Anand, R. Verma, P. Manik, A. Rani","doi":"10.4103/amit.amit_36_23","DOIUrl":"https://doi.org/10.4103/amit.amit_36_23","url":null,"abstract":"Introduction: The talus is a tarsal bone articulated with the tibia, fibula, navicular, and calcaneus bones to form supratalar, pretalar, and subtalar joints, respectively. A squatting facet is a kind of anomaly that forms on the surfaces where the tibia and talus articulate. The squatting facet states the daily activities and living style of society. Squatting is described as the hyperflexion of the hip and the knee and the movement of hyperdorsiflexion between the leg and the ankle. Materials and Methods: In the present cross-sectional study, 600 dry adult human tali were taken from the osteology laboratory in the Department of Anatomy, King George's Medical University, UP, Lucknow. Each talus was examined for the presence of various patterns of articular facets on the neck of the talus and extensions of its trochlear surface. Ethical clearance was obtained from the Institutional Ethics Committee, King George's Medical University, Lucknow, as reference code: 121 ECMIIA/P3. Results: In our study, we observed that the lateral, medial, and combined squatting faces are 282 (47.64%), 49 (8.28%), and 22 (3.72%), respectively. Lateral, medial, and continuous trochlear extensions are 126 (21.12%), 120 (20.58%), and 31 (5.36%), respectively, in the Indian population. Conclusion: Modifications of the neck of the talus (squatting facets and trochlear extensions) are the result of prolonged squatting positions, which is a common habit of the Indian population, and incidences of these variations can be used as an anthropological marker for racial and regional differentiation of unidentified bones.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"18 1","pages":"71 - 75"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82179311","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 and the factors associated with self-medication practice: A community-based cross-sectional study in an Urban Area of Purba Bardhaman, West Bengal, India","authors":"Priya Shaw, S. Mandal, Md. Samsuzzaman, Sulagna Das","doi":"10.4103/amit.amit_33_23","DOIUrl":"https://doi.org/10.4103/amit.amit_33_23","url":null,"abstract":"Introduction: Self-medication (SM) is popular globally but leads to the wastage of resources, health hazards, and resistance to pathogens. This study aims to ascertain the frequency and manner, in which SM practices were employed by the urban population of Purba Bardhaman district, West Bengal. Materials and Methods: The study was an observational cross-sectional one conducted in Burdwan Municipality, West Bengal, India, using a sample size of 180 adults (aged at least 18 years), residing in the study area, i.e., urban slum area for at least 6 months and conducted over 2 months. The data have been collected through a semi-structured schedule consisting of questions on the sociodemographic characteristics of the study subjects and their SM practices. The data were thereafter analyzed, wherein descriptive statistics and a Chi-square test were used. Results: It was found that SM was prevalent among 48.9% of the study population, with most participants practicing SM for body pain, headache, and fever. Among the different classes of drugs used, analgesics were the most common (31.8%), followed by antipyretics (25.0%) and antacids (20.5%). The correlation between sociodemographic characteristics and the practice of SM showed that individuals below the age of 36 were found to be more likely to engage in SM, along with individuals who had a low monthly income, and no comorbidities. These subjects were practicing SM more than their counterparts and it was statistically significant with the P < 0.05. Conclusion: The study emphasizes the importance of awareness and education regarding the proper use of over-the-counter drugs and recommends educating pharmacists and the public about the same. Public health programs should be introduced for the people living in slums to create cautiousness about SM.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"18 1","pages":"46 - 51"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72733853","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":"Morphometry of skulls from north indian population: Implications for ethnicity and race identification","authors":"A. Khan, S. Srivastava, Fardan Qadeer, G. Srivastava, Mah Paiker, M. Haque","doi":"10.4103/amit.amit_32_23","DOIUrl":"https://doi.org/10.4103/amit.amit_32_23","url":null,"abstract":"Introduction: Anthropometric studies have shown significant variations in the cranium and orbits between races and genders due to various factors such as genetics, race, hormones, nutritional differences, and environmental influences. The present study aims to record cranial and orbital dimensions and indices to classify skulls based on these measurements. Materials and Methods: Thirty-five human adult skulls were obtained from the dissecting laboratory and museum of Hind Institute of Medical Sciences, Safedabad. The orbital height, width, interorbital distance, maximum length, and width of the cranium were measured directly using a digital Vernier caliper. The skulls were then classified based on the orbital and cranial indices calculated. Results: The study found a mean orbital index of 83.42, classifying the skulls as mesoseme, and a cranial index of 73.15, classifying them as dolichocephalic. Conclusion: Basic data and records of morphometry of bones belonging to specific regions can help identify the ethnicity and race of a person. Understanding the correlation of dimensions of the orbital cavity and cranium is crucial in certain conditions, such as interpreting fossils, classification of skulls in forensic medicine, and discovering trends in evolution and racial differences. These findings may also aid in identifying unclaimed bodies in India, which are found in significant numbers yearly.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"8 1","pages":"41 - 45"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90435460","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 an assessment-based training module on communication skills in phase I indian medical undergraduates","authors":"Prerana Aggarwal, A. Rawekar, Saikat Dey, Rajarshi Roy","doi":"10.4103/amit.amit_103_22","DOIUrl":"https://doi.org/10.4103/amit.amit_103_22","url":null,"abstract":"Introduction: Good communication skills (CSs) are not only the crux of a good doctor–patient relationship but also the foundation over which any human relationship is based. The aim of this study was to assess the impact of training on CS in Phase I MBBS students in a Government Medical College in West Bengal, India. Materials and Methods: One hundred and eighty-four Phase I medical students were trained on how to communicate properly with their peers, seniors, teachers, college authorities, department staff, patient relatives, and other health professionals. Each participant underwent a set of three assessments (presession, postsession, and late postsession) for both knowledge and skills in CS. After postsession assessment, feedback by the faculties and peers was provided and reflections were obtained from the participants. A prevalidated questionnaire and Gap-Kalamazoo CS Assessment Form (with some modification) were used for knowledge and skill's assessment, respectively. At the end of the module, feedback was collected from the participants. Data were tabulated and results were compared and interpreted. Results: Mean score and standard deviation for knowledge assessment were 5.29 ± 1.35, 9 ± 1.20 and 8.55 ± 0.97 in T1, T2, and T3 and for skills' score were 17.78 ± 4.89, 26.32 ± 5.04 and 30.77 ± 3.66 in SA1, SA2, and SA3, respectively. Most participants showed improvement in T2 with mean improvement score (T2–T1) of 79.57 ± 47.25 and mean retention score (T3–T1) of 71.9 ± 47.84. About 52% of participants showed deterioration in T3 with late deterioration score (T3–T2) of − 4.06 ± 11.42. 33% showed no change in knowledge, i.e., they retained their improvements, whereas 15% showed further improvement. Fifty-two percent of participants showed skills' improvement by scores of 7–12, 43% showed retention by 13–18, and late deterioration was shown by 82%, their scores dropped by 0–6. Conclusion: The training module was successfully implemented, and participants appreciated this type of participant centric assessment-based teaching learning module. They learned about the effective ways of communication in a fun manner and were determined to apply all that they have learned.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"39 1","pages":"9 - 13"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81677326","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 morphometric study of typical and atypical lumbar vertebrae in South Indian population","authors":"R. Shalini, Kaliyaperumal Pushpa, P. Mangaiyarkkarasi, Sivakami Thiagarajan","doi":"10.4103/amit.amit_1_23","DOIUrl":"https://doi.org/10.4103/amit.amit_1_23","url":null,"abstract":"Introduction: The lumbar vertebrae are affected in conditions such as congenital defects, degenerative diseases, accidents, and cancer metastasis. A thorough knowledge of the morphometry of typical and atypical lumbar vertebrae in adults of South Indian population is needed for lumbar spine surgeries. Materials and Methods: A descriptive study was done on 200 dry lumbar vertebrae, of which 100 were typical and 100 were atypical lumbar vertebrae. The following dimensions of both typical and atypical lumbar vertebrae were measured with digital vernier calipers: anteroposterior and transverse diameters of the body; anterior and posterior body heights; anteroposterior and transverse diameters of vertebral foramen; height, breadth, and width of the laminae; length, height, and width of the pedicles; transverse processes and spinous process; distance between the two superior articular processes; and the distance between the two inferior articular processes. All the measurements were tabulated. The mean and standard deviation were calculated for each of the parameters and the results were statistically analyzed. Results: The anteroposterior and transverse diameters of the body, the height of the laminae on both sides, the length and height of the spinous process, and the distance between the superior articular facets were significantly longer in atypical lumbar vertebrae than that of typical lumbar vertebrae (P < 0.05). There was no significant difference in measurements between both sides. Conclusion: The dimensions of vertebral foramen, transverse processes, spinous processes, and distance between articular processes were different from the dimensions of previous studies. The morphometric data obtained will be useful for orthopedic procedures on the lumbar vertebrae in South Indian population.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"1 1","pages":"14 - 20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90651657","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":"Morphological study of small cardiac vein, right marginal vein, posterior vein of the left ventricle, left marginal vein, oblique vein of marshall, and anterior cardiac veins in human hearts of western region of U.P – Clinical implication","authors":"J. Agarwal, K. Gopal, A. Agrawal, Manisha Naithani, Sudhahar Tamizhan","doi":"10.4103/amit.amit_30_23","DOIUrl":"https://doi.org/10.4103/amit.amit_30_23","url":null,"abstract":"Introduction: Cardiac venous system is an important system for various cardiac interventional procedures such as cardiac catheterization. Various veins like right marginal vein, small cardiac vein (SCV), posterior vein of the left ventricle, left marginal vein, oblique vein of Marshall drain into coronary sinus. While anterior cardiac veins drain right ventricular wall directly into right atrium. Materials and Methods: An observational cross-sectional study was conducted on thirty cadaveric hearts during a 2-year period in Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Anatomy Department. The length, diameter of SCV, left marginal vein, posterior vein of the left ventricle, right marginal vein, and oblique vein of Marshall were taken. Results: The study reveals the length of SCV as 28.12 ± 22.87 mm. The length of right marginal vein and posterior vein of the left ventricle is having a significant correlation with age. The length of oblique vein of Marshall is lower in males as compared to females. A number of ACVs were significantly related to weight of cadaver in males. Conclusions: The present study provides data of cardiac veins for various cardiac interventional procedures.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"9 1","pages":"34 - 40"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91246784","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}