{"title":"Outcomes in multidrug-resistant tuberculosis","authors":"M. Roy","doi":"10.4103/MJDRDYPU.MJDRDYPU_6_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_6_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"319"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48201094","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}
R. Swain, S. Pooniya, Sujita Kumar Kar, Shivani Dhaka
{"title":"Suicide in a patient of rectal carcinoma: Exploration of psychodynamics from the suicide note","authors":"R. Swain, S. Pooniya, Sujita Kumar Kar, Shivani Dhaka","doi":"10.4103/MJDRDYPU.MJDRDYPU_287_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_287_16","url":null,"abstract":"Distress related with cancer not only impairs the quality of life and accelerates disease progression, but also causes noncancer mortality including suicide. The physical and psychological sufferings in a cancer patient are the major causes of suicide. Financial burden related to the expensive treatment of cancer further add up to the suffering of the patients as well as their family. We reported a case of rectal carcinoma, who committed suicide inside the hospital premises leaving behind a suicide note. Patient's clinical history, sociodemographic profile, and the suicide note were analyzed. The content analysis of the suicide note has been described along with an analysis of different factors associated with suicide in cancer patients in an Indian scenario. Suicide note may show the reflections of psychodynamics of suicide, hence, it needs to be included routinely during psychiatric evaluation.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"281"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48236727","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":"T-cell lymphoblastic lymphoma infiltration into the thyroid gland: A rare case report","authors":"H. Rakshitha, M. Usha, Aneesha Asok, P. Shetty","doi":"10.4103/0975-2870.206591","DOIUrl":"https://doi.org/10.4103/0975-2870.206591","url":null,"abstract":"Lymphomas account for approximately 2% of all malignancies of the thyroid gland. Infiltration of T-cell lymphoblastic lymphoma (T-LBL) into the thyroid gland is rare. This case is presented on account of the rarity of T-LBL infiltration into the thyroid gland. A 22-year-old male, diagnosed case of T-LBL by left cervical lymph node biopsy and immunohistochemistry (IHC) and on chemotherapy, presented with a thyroid swelling after 6 months of diagnosis of T-LBL. Ultrasound imaging of the neck showed symmetrically enlarged thyroid gland. Fine needle aspiration cytology of the thyroid swelling showed infiltration of lymphoma cells into the thyroid gland, which was confirmed with IHC. T-LBL is a high-grade lymphoma which rarely infiltrates the thyroid gland. Intensive chemotherapy regimens and long-term maintenance therapy improve the prognosis of T-LBL.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"311"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41819675","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}
N. Nebhinani, Amit Jagtiani, S. Chahal, Mamta Nebhinani, R. Gupta
{"title":"Medical students' attitude toward suicide prevention: An exploratory study from North India","authors":"N. Nebhinani, Amit Jagtiani, S. Chahal, Mamta Nebhinani, R. Gupta","doi":"10.4103/MJDRDYPU.MJDRDYPU_277_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_277_16","url":null,"abstract":"Background and Objectives: Although medical students are the future physicians and their attitudes toward suicide attempters may impact upon the quality of care, literature is not available on their attitude toward suicide prevention. This study was aimed to assess medical students' attitudes toward suicide prevention. Materials and Methods: This cross-sectional study was conducted in an apex medical institute of Haryana. Totally 205 final-year medical students were recruited through total enumeration method. Attitude toward suicide prevention scale was administered. Results: Nearly half of the students' opined lack of disclosure of suicidal intent by suicide attempters and one-third of the students considered unemployment and poverty as the main causes of suicide. Half of the students were not comfortable in suicide risk assessment (girls > boys). More than half of the students acknowledged their role for suicide prevention. However, only half of them had positive attitude toward working with suicidal patients. Minority of students had clinical exposure of managing any suicidal patient and attending suicide prevention programs. Conclusions: Merely half of the medical students had a positive attitude toward working with suicidal patients. To make them more equipped, medical curriculum should incorporate regular programs on assessment and management of suicidal patients and multipronged approach for suicide prevention.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"277"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47028875","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":"Antihyperlipidemic activity of Navaka Guggulu prepared with fresh (Naveena) and old (Purana) Guggulu: A randomized clinical trial","authors":"K. Vyas, P. Bedarkar, R. Galib, P. Prajapati","doi":"10.4103/MJDRDYPU.MJDRDYPU_290_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_290_16","url":null,"abstract":"Introduction: Navaka Guggulu is a well-known polyherbal formulation containing Guggulu (Commiphora wightii Arn. Bhandari) as main ingredient. It is effectively used in Medoroga (hyperlipidemia), Sthaulya (obesity), and other Kaphaja roga. In classics, fresh (Naveena) Guggulu is attributed with Brimhana (body mass increasing) effect while old (Purana) with Atilekhana (scrapping). Earlier studies reported that 1-year-old Guggulu possesses better effect on body weight, body mass index, and cardinal symptoms of Medoroga along with significant lipid lowering effect against fresh Guggulu. It infers that old sample of Guggulu is beneficial. Aim: Considering the results of 1-year-old sample, an attempt has been made to evaluate comparative antihyperlipidemic effect of Navaka Guggulu prepared by old (3-year-old-Purana) Guggulu and fresh (Naveena) Guggulu. Materials and Methods: Navaka Guggulu was prepared by freshly collected and 3-year-old samples of Guggulu. Patients who satisfied inclusion criteria of hyperlipidemia were randomly allocated into two groups, namely, A and B and Navaka Guggulu was administrated at a dose of 2 g twice daily with lukewarm water during Prabhata and Nishi kala (1 h before meal) for 8 weeks. Results: Navaka Guggulu prepared from 3-year-old sample exhibited better results in reducing serum cholesterol (8.94%), serum triglycerides (22.76%), and very low-density lipoprotein (VLDL) level (23.10%), wherein Navaka Guggulu prepared from Naveena sample, reduction was found 4.58% in serum cholesterol, 17.26% in serum triglycerides, and 17.76% in VLDL level. Conclusion: Navaka Guggulu prepared from 3-year-old (Purana) sample is better antihyperlipidemic agent against fresh (Naveena) sample.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"235"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47693214","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":"Functional paradox of leptin and adiponectin in diabetes patients and controls in the Cape Coast Metropolis of Ghana","authors":"S. Acquah, J. N. Boampong, B. A. E. Jnr","doi":"10.4103/MJDRDYPU.MJDRDYPU_271_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_271_16","url":null,"abstract":"Aim: To investigate the concept of obesity paradox in diabetes patients and nondiabetic control in the Cape Coast Metropolis of Ghana. Materials and Methods: Levels of leptin, adiponectin, total antioxidant power (TAP), lipid peroxides, and C-reactive protein (CRP) were assessed in 115 diabetics and an equal number of control respondents. Furthermore, various anthropometric indices and blood pressure were measured using standard methods. Levels of biomarkers were compared between groups based on body mass index or blood pressure classifications. Results: Control respondents exhibited higher ( P P P > 0.05) mean levels of the various biomarkers, except TAP level which was higher ( P P P > 0.05) levels of the other biomarkers between diabetes patients and their control counterpart. Irrespective of diabetes, obesity, or hypertensive status, leptin associated positively with various measures of adiposity. Adiponectin correlated positively with leptin ( R > 0.38; P Conclusion: Overweight/obese respondents appear metabolically healthier than their normal-weight counterparts. However, further studies are needed for proper understanding of this concept in the Ghanaian context.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"268"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42835809","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":"Herbal medicines: knowledge, perception, and usage","authors":"V. Wiwanitkit","doi":"10.4103/MJDRDYPU.MJDRDYPU_11_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_11_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"233"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41616289","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":"Median arcuate ligament syndrome diagnosed on multi-detector computed tomographic angiography","authors":"A. Kharat, V. Kamal, M. Dhende, Anubhav Kamal","doi":"10.4103/0975-2870.206582","DOIUrl":"https://doi.org/10.4103/0975-2870.206582","url":null,"abstract":"Median arcuate ligament syndrome or coeliac artery compression syndrome is one of the abdominal vascular compression syndromes characterized by postprandial intestinal angina in the expiratory phase of respiration due to focal proximal coeliac root compression by a fibrous ligamentous band with resultant inadequate blood supply to the respectively supplied part of the gastrointestinal tract. Multi-detector computed tomography is extremely useful noninvasive modality in differentiating the cause of compression of the coeliac artery along with evaluation of collaterals due to multiplanar imaging capability.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"307"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44668871","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}
M. Gutch, A. Bhattacharjee, Sukriti Kumar, D. Pushkar
{"title":"Graves' disease and idiopathic intracranial hypertension","authors":"M. Gutch, A. Bhattacharjee, Sukriti Kumar, D. Pushkar","doi":"10.4103/0975-2870.206574","DOIUrl":"https://doi.org/10.4103/0975-2870.206574","url":null,"abstract":"Idiopathic intracranial hypertension (IIH) is a central nervous system disorder characterized by raised intracranial pressure with normal cerebrospinal fluid composition and absence of any structural anomaly on neuroimaging. Among all endocrine disorders associated with the development of IIH, the association of hyperthyroidism and IIH is very rare with few cases reported till date. Thyroid disturbances have a unique association with IIH. Hypo- and hyper-thyroidism have been reported in association with this disorder. We present a rare case of a 25-year-old man with Graves' disease with intractable headache that was later investigated and attributed to development of IIH.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"290"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45279683","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":"Is this 4-year-old female child suffering from a forme fruste of hypomelanosis of Ito?","authors":"I. Aliyu, Zainab F Ibrahim, G. Michael","doi":"10.4103/MJDRDYPU.MJDRDYPU_281_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_281_16","url":null,"abstract":"Hypomelanosis of ito (HI) is a multisystemic disorder characterized by cutaneous, neurologic disorder, and musculoskeletal disorder. However, there may be isolated cutaneous manifestation, resulting in diagnostic overlap with other hypopigmentary lesions such as nevus depigmentosus and hypopigmentation along the lines of Blaschko. Therefore, there is the need for generally acceptable diagnostic criteria avoiding these ambiguities. Hence, the case of a 4-year-old female child with isolated hypopigmentations characterized as whorls on the torso and as linear distribution along the lines of Blaschko is reported.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"287"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49610896","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}