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":"Comparative study on the effects and complications of transverse insertion of two fine gauge quincke's spinal needles 26 and 29 G in spinal anesthesia","authors":"Becki Varghese, Ajay Wahi, G. Duggal, S. Bansal, Prabhdeep Singh, Manvi Garg","doi":"10.4103/amit.amit_11_23","DOIUrl":"https://doi.org/10.4103/amit.amit_11_23","url":null,"abstract":"Introduction: Spinal anesthesia is one of the most commonly used techniques in modern anesthesia. Spinal needles have evolved over time to increase efficacy and decrease complications. Fine gauge spinal needles technically consume more time but are advisable in certain clinical conditions such as raised intracranial pressure and when patient well-being and comfort are the priorities. Hence, we undertook this study to compare the effects and complication of transverse insertion of Quincke's spinal needle 26 G (gauge) and 29 G. Materials and Methods: Hundred patients of age 18–40 years posted for lower abdominal and lower limb surgeries were allocated into two groups of 50 each to receive spinal anesthesia with 3 ml of 0.5% bupivacaine using 26 G or 29 G Quincke's spinal needle. All the patients were evaluated for the time of drug administration, number of attempts, time to attain sensory blockade up to T8 level, time to attain motor blockade up to bromage Grade 3, and incidence of post-dural puncture headache (PDPH) and post-dural puncture backache. Results: Demographic data were comparable in both groups. The PDPH incidence on 3rd day for 29 G Quincke's was 0% while for 26 G Quincke's was 12%. There was statistically significant difference when 26 G Quincke's was compared with 29 G Quincke's for number of attempts, time of drug administration, time to attain motor and sensory block. Conclusion: 29 G Quincke's spinal could be used to provide spinal anesthesia in young adult patients owing to adequate sensory and motor blockade with no incidence of PDPH and backache.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"112 1","pages":"29 - 33"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79632503","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":"Application of the milan system for reporting salivary gland cytology and risk stratification by cytohistological correlation","authors":"Zeeshan Iqbal, S. Rana, S. Khetrapal, Monal Trisal, N. Ahmed, S. Jetley, Arun Sharma, Z. Jairajpuri","doi":"10.4103/amit.amit_28_23","DOIUrl":"https://doi.org/10.4103/amit.amit_28_23","url":null,"abstract":"Introduction: Salivary gland neoplasms are uncommon tumors comprising <3%–10% of all head-and-neck neoplasms. Recent WHO classification of salivary gland tumor added many newer entities; however, no definite risk-stratification system is specified to predict the likelihood of malignancy for each diagnostic category. The present study is designed to evaluate the salivary gland aspirates using the Milan System for Reporting Salivary Gland Cytology for reporting correlating with histological diagnosis which will lead to determine the malignancy risk for each diagnostic category. Risk of malignancy is calculated by the ratio of cytopathology cases with a malignant histopathology to the total number of cytopathology cases with follow-up histopathology for that particular category. Materials and Methods: The present study was a cross-sectional study done prospectively over a period of 2 years, and a total of 72 participants were selected. This study characterized the cytological features of spectrum of salivary gland lesions varying from benign to malignant. The lesions were evaluated and classified cytologically according to “the Milan System for Reporting Salivary Gland Cytopathology” for reporting salivary gland neoplasms. Histopathological correlation was done with cytological diagnosis wherever possible. Results: In our study of 72 patients with salivary gland lesions with the mean age of the patient being 50.6 years and maximum number of lesions involved the parotid gland followed by the submandibular gland and sublingual gland. Majority of the lesions in the present study were nonneoplastic in nature followed by lesions benign in nature. Malignant lesions were least common in occurrence. Among 72 cases, majority of the cases were seen in Milan category II (nonneoplastic) consisting of 34 cases (47.2%), followed by 31 cases (43.1%) in Milan category IV (benign). Final diagnostic categorization of 72 cases of salivary gland lesions was done according to the Milan system and the histopathological correlation was available in 23 of these cases. Out of the 34 cases in Milan system category II (nonneoplastic), histopathological evaluation was done in 2 cases. Both the cases were benign in nature, 31 cases in Milan system category IV (benign) histopathological evaluation was done in 16 cases where 15 cases were benign in nature and 1 lesion was malignant. Four cases were put in category VI of the Milan system, histopathological evaluation was done in all the 4 cases which were all malignant in nature. Conclusion: The current study validates fine-needle aspiration cytology as a cost-effective and noninvasive procedure for differentiating between benign and malignant lesions of the salivary gland, information of critical importance when determining the patient's next course of treatment.","PeriodicalId":32506,"journal":{"name":"Acta Medica International","volume":"112 5 1","pages":"65 - 70"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83635454","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}