Journal of Surgical Specialties and Rural Practice最新文献

{"title":"Male breast cancer – Experience at a tertiary care center in India","authors":"N. Thakur, Surjeet Dwivedi, Nishant Lohia, LakshmiGeetha Nair, Surender Kumar, M. Saha, AK Ajin Anto","doi":"10.4103/jssrp.jssrp_1_23","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_1_23","url":null,"abstract":"Introduction: Male breast cancer (MBC) is a rare affliction accounting for approximately 1% of all breast cancer cases. The treatment guidelines of MBC mirror those of female breast cancer which are derived mostly from data obtained from studies involving female breast cancer patients. Data on MBC are mostly limited to single-institution studies due to the rarity of the disease. This study was undertaken to assess retrospectively the pattern of demographic and clinicopathological factors in MBC treated at our tertiary care center. Materials and Methods: Records of MBC treated between January 2019 and December 2020 in our institute were analyzed and data regarding the demographic and clinicopathological profile of patients was recorded. Observational retrospective single centre study. Results: A total of 12 patients of MBC were encountered with a median age of 58 years. The painless lump was the most common presentation with the retro-areolar region being the most commonly involved site. The most common American Joint Committee on Cancer anatomical stage group observed was Stage II with the left breast being involved more than the right. None of the patients had a family history of breast carcinoma. Out of the 12 patients, 10 patients were positive for hormonal receptors, whereas only two patients showed human epidermal growth factor receptor 2 amplifications. Conclusion: MBC is a rare disease. Further multi-institutional studies involving a larger number of patients are needed for a better understanding and formulation of gender-specific guidelines for the effective management of MBC.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122031022","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 services available in public health facilities among high priority districts of Jharkhand under reproductive maternal newborn child health + adolescence","authors":"S. Shikha, Abhishek Kumar","doi":"10.4103/jssrp.jssrp_3_23","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_3_23","url":null,"abstract":"Background: The reproductive maternal newborn child health + adolescence (RMNCH + A) strategy is based on the provision of comprehensive care through the five pillars, or thematic areas, of reproductive, maternal, neonatal, child, and adolescent health, and is guided by central tenets of equity, universal care, entitlement, and accountability. This study aims to assess the services available in public health facilities among the selected high-priority districts (HPDs) of Jharkhand under RMNCH + A and also to compare the services available in public health facilities among different HPDs of Jharkhand under RMNCH + A. Materials and Methods: The proposed study was an observational study done by the Department of PSM/Community Medicine, Rajendra Institute of Medical Sciences, Ranchi, with a total duration of the study (24 months) (April 2015–March 2017). Supportive supervision (SS) was conducted in the HPDs selected as Palamu, Latehar, Lohardaga, Gumla, and Simdega of Jharkhand state. The Government of India SS checklist was used during the field visits as data collection tool. After visit, compiled report was prepared as observations. Results: The observations of the visits were done under three broad headings of health-care utilization, health system, and service delivery in a comparative manner for all the five HPDs. It was found that outpatient department numbers and deliveries of pregnant women were maximum at district hospitals. Some logistics such as comprehensive abortion care needs to be ensured at the health facilities. Immunization services were available in almost all the selected facilities. Supply of few drugs such as albendazole, salbutamol, and zinc needed to be ensured so that it can be served to the poor and deprived population of the selected districts. Conclusion: It was concluded from the study that under various public health facilities are available at different health centers of the state which are being utilized by the beneficiaries in huge numbers. Some facilities still need to be strengthened and some logistics availability needs to be ensured.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122273475","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":"Superior hip dislocation in a child","authors":"G. Dharmshaktu","doi":"10.4103/jssrp.jssrp_11_23","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_11_23","url":null,"abstract":"Superior hip dislocation is a rare entity reported in the medical literature. Superior hip dislocation in the pediatric age is even rarer. Careful clinical and radiological assessment helps to diagnose these injuries early for their appropriate management. We, hereby, describe a case of superior hip dislocation in a 10-year-old child following fall from a tree. The characteristic attitude of limb and radiological correlation helped in prompt diagnosis which was then followed by an emergent closed and successful reduction. The stable and concentric reduction was achieved and no re-dislocation was noted in the follow-up of 8 months. The child shall be under periodic review for future complications such as avascular necrosis, arthritis, or femoral head deformity among other potential complications.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128077484","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":"Vitamin D supplementation as a probable measure to alleviate musculoskeletal pain, prevent infection and enhance physical ability among Indian adults from urban low socioeconomic backgrounds: An observational study","authors":"Renu Mahtani, Pranita Bora, Anjali Wikhe, Sonia Garcha, Raunak Mahtani, Prakash Kodali, Pradeep K. Nair","doi":"10.4103/jssrp.jssrp_25_23","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_25_23","url":null,"abstract":"Problem Considered: Vitamin D deficiency is a global concern that needs significant attention. This observational study reports the impact of Vitamin D supplementation on general body aches, frequency of infection, and energy levels among Indian adults. Methods: This study included 508 adults aged 19–89 years old from low socioeconomic backgrounds who were given Vitamin D supplements for 4 months. The severity of musculoskeletal symptoms, frequency of infection or its symptoms, and perceived energy levels of the participants before and after the exposure were measured using a structured questionnaire. Data were analyzed descriptively for the frequencies, and a Chi-square and Wilcoxon signed-rank test was used to analyze the impact of Vitamin D on the variables studied. Results: The majority of the participants were female (82.3%) and were never exposed to Vitamin D supplementation earlier (84%). Nearly 65% of the participants were either homemakers, students, unemployed, or retired. Vitamin D supplementation was significantly associated with the reduction in back pain (P < 0.001), fatigue and body pain (P < 0.001), knee pain (P < 0.001), and pain in the hands and legs (P < 0.001). Vitamin D also significantly reduced the frequency of infection and/or its symptoms (P < 0.001) and improved physical work capacity (P < 0.001). Conclusion: Vitamin D supplementation for urban low socioeconomic groups may be beneficial as it can reduce the pain, frequency of infection and improve general well-being. The limitations of this study, such as the lack of a nonexposed group and data on the Vitamin D status of the participants, warrant consideration in future studies.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115916423","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":"Electronic health literacy and demand for digital health technology among the elderly in Rajasthan","authors":"Ajay Kumar, Praveena Tandon, G. Meratwal","doi":"10.4103/jssrp.jssrp_5_23","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_5_23","url":null,"abstract":"Background: Older people may not be able to use information and communication technologies to get health care due to an age-related digital divide. This study aimed to evaluate the use of the Internet, eHealth literacy levels, and the demand for digital health technologies among the elderly. Materials and Methods: This hospital-based cross-sectional study was conducted from May 2022 to December 2022 in a tertiary care hospital in Ajmer. Three hundred and six elderly people aged 60 years or older and who visited the hospital were included in the study. Data were collected using a pretested, semi-structured, interviewer-administered questionnaire. Literacy in eHealth was evaluated using the electronic Health Literacy Scale (eHEALS). Multiple logistic and multiple linear regressions were used to predict the factors associated with smart device usage and eHealth literacy. Results: The mean (standard deviation [SD]) age of the participants was 69.47 (6.28) years. Approximately one-fifth (n = 61) of the elderly had used a smart device. All participants with smart devices (n = 61, 19.9%) were Web 2.0 users. The mean eHEALS score (SD) was 14.08 (8.81), and the median was 11 (interquartile range = 10). It ranged from 8 to 40. eHealth literacy was significantly associated with residence (B = 0.06, P < 0.01), education (B = 0.53, P < 0.01), income (B = 0.14, P < 0.01), and smartphone ownership (B = −0.41, P < 0.01). Conclusion: In India, Internet use and eHealth literacy are low among the elderly. The National Digital Health Mission is aimed at increasing access to health information through digital technology, but it is also important that older people have the ability to understand and evaluate the resources they find. Future research should focus on improving the use of the Internet by the elderly and the literacy of electronic health care and create interventions based on these areas.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127259114","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 evaluation of intravenous tramadol and dexmedetomidine for treatment of shivering after spinal anesthesia","authors":"Siddhanta Choudhury, Bimal Panda, D. Pradhan, Neha Padhi, D. Soren, Debjani Seth","doi":"10.4103/jssrp.jssrp_18_23","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_18_23","url":null,"abstract":"Background: Intraoperative shivering is a common complication in neuraxial anesthesia, with an incidence of 40%–50%. Shivering is an uncomfortable experience for the patient. It has many severe effects, such as increased oxygen consumption and carbon dioxide production, causing arterial hypoxia and myocardial ischemia. It contributes to delayed wound healing and late discharge from postanesthetic care. Our study aimed at a comparative evaluation of intravenous (IV) tramadol and dexmedetomidine to treat shivering after spinal anesthesia. Materials and Methods: The present work was a randomized, prospective, double-blinded study conducted at VIMSAR, Burla. One hundred patients of the American Society of Anesthesiologists Grades I and II (18–65 years of age), posted for various surgical procedures under spinal anesthesia who developed shivering, were included. After randomization, they were grouped into two groups (50 patients each). Injection dexmedetomidine (0.5 μg/kg) in Group D and injection tramadol (1 mg/kg) in Group T were given as a slow IV bolus. Grade and time taken for the onset of shivering were recorded after the spinal anesthesia. Time for cessation of shivering after IV bolus, recurrence of shivering, response rate, hemodynamic and side effects such as bradycardia, hypotension, nausea, sedation, and vomiting were analyzed. Results: Cessation of shivering was achieved earlier in Group D (3.04±0.94) than in Group T (6.62±1.49). The response rate was 100% in both groups. Vomiting and nausea were very high in Group T (30%). Twenty percent of patients were sedated with a sedation score of 2 in Group D only. A recurrence of shivering was observed in Group T (24%), requiring a repeat dose administration. Conclusion: Both tramadol and dexmedetomidine are effective in controlling shivering, but the time taken for cessation of shivering and adverse effects observed in the case of dexmedetomidine were lesser. Dexmedetomidine also provided complete cessation of shivering.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128355161","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":"Appraisal of endometrial sampling and clinic-radio-pathological correlation: Analysis of 153 cases","authors":"Atul Beniwal, P. Dahiya, Heena Shah, Upender Sharma","doi":"10.4103/jssrp.jssrp_34_22","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_34_22","url":null,"abstract":"Background: Endometrial sampling is a safe and effective diagnostic procedure in evaluation of abnormal uterine bleeding (AUB), infertility cases, and in studying response of endometrium to various therapies. This study was directed to analyze the clinico-radio-pathological spectrum of endometrial samples in these cases as well as to classify various lesions of endometrium. Methodology: A prospective cross-sectional study over 2-year duration was carried out in a tertiary care center, and a total of 153 endometrial samples received in the department of pathology, meeting inclusion criteria, were included. Clinical details were obtained from the patient case files. A systematic approach was followed to process the samples and checklist was used for reporting the endometrial biopsy. Results: Heavy menstrual bleeding (29.4%) was the most common clinical presentation in cases of AUB. Precursor lesions were the most common diagnosis on histopathology (23.7%), followed by normal physiological endometrium (21.7%). More than 50% of cases of infertility had no specific pathology in the endometrium. Conclusions: Owing to an underlying pathology, endometrium demonstrates varied patterns of disease spectrum. Each diagnostic modality has its own limitations and advantages. Hence, clinic-radio-pathological is essential for correctly diagnosing an endometrial pathology.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131284606","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":"Global health emergency of monkeypox after COVID-19: A narrative review","authors":"P. Jain, Manu Rathee, A. Shetye, S. Divakar, Sandeep Singh, S. Tomar","doi":"10.4103/jssrp.jssrp_11_22","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_11_22","url":null,"abstract":"Global hit by coronavirus is followed by another public health emergency known as monkeypox (MPX) that is a rare disease and yet has presented with sudden and wide geographic distribution. The guidelines have been released by the concerned authorities for prevention and management; however, strict measures need to be enforced so that these guidelines can be followed. Surveillance, intervention, close monitoring of the situation, and collaborative international efforts as per the guidelines can optimally aid in achieving the goal of curbing the infection spread. This article presents the current situation update of MPX infection globally and discusses the symptoms, management, and preventive measures to be followed for MPX infection.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115305678","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 chronic kidney disease on functionality level among patients","authors":"C. Kalyani, Priyanka Malhotra, Kusum K. Rohilla","doi":"10.4103/jssrp.jssrp_10_22","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_10_22","url":null,"abstract":"Background: In recent years, there has been a greater focus on the rise of noncommunicable diseases, i.e., chronic kidney diseases (CKD) and their impact in low- and middle-income nations. Due to raised number of noncommunicable cases, functionality level of patients are affected so much. The present study aimed as exploring chronic kidney disease impact on level of functionality of patients. Materials and Methods: The current study used a purposive sampling strategy to survey 399 CKD patients who were visiting the dialysis unit of the All India Institute of Medical Sciences (AIIMS), Rishikesh, India. Results: The mean age of study patients was 50.4 years. Majority of patients were female (58%), married (80%), and belongs to urban community (84%). Majority of patients belonged to lower middle class (49%) socioeconomic status and were overweight (64%). Patient's functionality on Chronic Illness Scale showed that 55% patient's had a low impact of chronic illness on their life. Overall chronic kidney patients showed a medium (59%) functionality level on the Chronic Illness Scale. Conclusion: Chronic diseases have a negative impact on a patient's quality of life. As the patient advanced through the stages of CKD, his quality of life decreased. During the course of the disease, physical domains are severely impacted, which has an impact on mental quality of life as well.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121218116","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":"Ethibond suture with underlying infection – A knotty complication","authors":"G. Dharmshaktu, N. Agarwal, Ishwar S. Dharmshaktu","doi":"10.4103/jssrp.jssrp_7_22","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_7_22","url":null,"abstract":"The surgical site infection is a therapeutic challenge and requires additional interventions, prolonged treatment, and increased health-care expenditure. Superficial infections are easier to treat with debridement, regular dressing, and an appropriate antibiotic regimen. Retained and buried sutures are an occasional source of infection and are reported in the literature. Braided nonabsorbable sutures like Ethibond may be the uncommon reason for adjacent area infection that may present later as nonhealing draining sinuses. We report one such encounter in which an adult patient with chronic nonhealing sinuses over the proximal tibia region underwent debridement to unearth embedded sutures used in previous surgery, the removal of which led to gradual recovery and healing of wounds.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133177850","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}