Eastern Journal of Medical Sciences最新文献_第2页

Discordance between Criteria-diagnosed and clinically-diagnosed Asthma COPD Overlap (ACO) among hospitalized patients in an Indian referral hospital. 印度一家转诊医院住院患者标准诊断与临床诊断哮喘慢性阻塞性肺病重叠(ACO)的不一致

Eastern Journal of Medical Sciences Pub Date : 2023-03-28 DOI: 10.32677/ejms.v8i1.3897

J. Daniel, Barney Isaac, Devasahayam Jesudas Christopher

{"title":"Discordance between Criteria-diagnosed and clinically-diagnosed Asthma COPD Overlap (ACO) among hospitalized patients in an Indian referral hospital.","authors":"J. Daniel, Barney Isaac, Devasahayam Jesudas Christopher","doi":"10.32677/ejms.v8i1.3897","DOIUrl":"https://doi.org/10.32677/ejms.v8i1.3897","url":null,"abstract":"Background and Objectives: Asthma-COPD-overlap (ACO), as a single entity, has been widely contested over the past few years. Most ACO diagnostic criteria do not agree with each other when applied to respiratory patients. From 2016 to 2020, GINA described a syndromic approach for diagnosing ACO, which was replaced with a broader approach after 2021. We intended to learn if the GINA criteria and the CSMA Screening tool agreed with a clinical diagnosis of ACO. Methods: We performed a retrospective cross-sectional analysis of inpatients with a clinical diagnosis of ACO from 2014 to 2019. We reclassified these patients into Not-ACO and ACO using the GINA syndromic approach 2019 (GSA 2019), Modified GINA syndromic approach 2019 (MGSA 2019), GINA 2021 and the CSMA tool. We used Kappa statistics to compare the performance of various tools. Results: 83 clinically diagnosed ACO patients were included. According to GINA syndromic approach 2019, only 41 (49.39%) patients would be classified as ACO. GINA 2021 picked up 57 (68.67%) patients as ACO. The modified GINA syndromic approach 2019, which we proposed, identified 67 (80.72%) patients as ACO. The CSMA tool identified 63 (75.90%) patients as ACO. The GINA 2019 criteria, when interpreted liberally as described by us, have a better agreement with the CSMA tool with a sensitivity of 87.3% and specificity of 40%, with a 'k' agreement of 29.3%. Conclusion: The standard GINA syndromic approach 2019 Tool is stringent and may sometimes miss the ACO diagnosis. The original GINA syndromic approach table 2019 should be brought back with modifications.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122522344","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

Comparison of transabdominal sonography and transvaginal sonography in evaluation of endometrial thickness in the setting of abnormal uterine bleeding 子宫异常出血时经腹超声与经阴道超声评价子宫内膜厚度的比较

Eastern Journal of Medical Sciences Pub Date : 2023-03-28 DOI: 10.32677/ejms.v8i1.3879

S. R, K. Ramakrishnan, Aadithiyan Sekar, M. Subbiah, Paarthipan Natarajan

{"title":"Comparison of transabdominal sonography and transvaginal sonography in evaluation of endometrial thickness in the setting of abnormal uterine bleeding","authors":"S. R, K. Ramakrishnan, Aadithiyan Sekar, M. Subbiah, Paarthipan Natarajan","doi":"10.32677/ejms.v8i1.3879","DOIUrl":"https://doi.org/10.32677/ejms.v8i1.3879","url":null,"abstract":"Background: Abnormal uterine bleeding (AUB) is a common complaint in women of reproductive age for which they consult their gynecologist and is the direct cause of a significant health-care burden for women. Imaging plays a pivotal role in diagnosing and helping the clinicians choose an appropriate management strategy at the earliest possible juncture, thus relieving patients of their symptoms and preventing complications. This tertiary care hospital-based study aims to assess the role transabdominal sonography in comparison with transvaginal sonography in evaluation of endometrial thickness in the setting of AUB in of in female population of Kancheepuram and West Chennai district of Tamil Nadu. Materials and Methods: It is a prospective study conducted in the Department of Radiology, of a tertiary care hospital in Kancheepuram district of Tamil Nadu, India. One hundred adult females who presented with complaints of abnormal bleeding per vaginum underwent both transabdominal (TAS) and transvaginal ultrasonography (TVS). In addition, they were evaluated for AUB through assessment of endometrial thickness and the presence of other uterine and adnexal pelvic pathologies. Result: The results of the present study show that TVS is superior to TAS in assessing endometrial thickness accurately and has a slightly better role in diagnosing endometrial pathologies such as endometrial polyp, hyperplasia, endometrial carcinoma, and number and location of Submucosal/intramural leiomyomas. Conclusion: TVS is superior to TAS in assessing endometrial thickness accurately and have high sensitivity and accuracy in the diagnosis of pelvic pathologies and determination of the type of pelvic mass was improved significantly when a transvaginal study was performed after TAS in cases of AUB.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115171360","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

Evaluating the efficacy of laterally positioned flap in the management of Miller's Class I and II gingival recession: A 6 months follow-up study 评价侧置皮瓣治疗米勒氏1、2级牙龈萎缩的疗效:6个月随访研究

Eastern Journal of Medical Sciences Pub Date : 2023-02-27 DOI: 10.32677/ejms.v8i1.3869

Poornima Rajendran, R. Namburi

{"title":"Evaluating the efficacy of laterally positioned flap in the management of Miller's Class I and II gingival recession: A 6 months follow-up study","authors":"Poornima Rajendran, R. Namburi","doi":"10.32677/ejms.v8i1.3869","DOIUrl":"https://doi.org/10.32677/ejms.v8i1.3869","url":null,"abstract":"Background: The goal of the study is to evaluate the clinical effectiveness of a laterally positioned flap (LPF) six months after it was used to correct Miller's Class I and II gingival recession abnormalities. Materials and methods: The LPF approach was used to treat 10 Miller's Class I or II gingival recession defects of height ≥3 mm (n = 10) on the labial surface of anterior teeth. At baseline, 3 months, and 6 months after surgery, clinical measures including probing pocket depth (PPD), clinical attachment level (CAL), width of attached gingiva (WAG), and height of gingival recession (HGR) were measured, and percentage of root coverage was calculated. Data were gathered, and repeated-measures ANOVA with the post hoc Bonferroni test was used for statistical analysis. Results: All clinical parameters such as PPD, CAL, WAG, and HGR showed improvement. All of the evaluated clinical measures showed statistically significant changes at post-operative 3 and 6 months compared to baseline values. With a p-value of <0.001, the HGR decreased from 3.21 ± 0.52 mm to 0.23 ± 0.65 mm at three months and to 0.36 ± 0.78 mm at six months. At six months, the average level of recession coverage was 97.93%. Conclusion: Employing the LPF technique led to substantially improved gingival recession coverage, which effectively covered isolated deep narrow defects.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133004462","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

Ergonomic Laparoscopic Surgical Repair of three large external herniae through just three optimally placed working ports – A Case report with Review of Literature 符合人体工程学的腹腔镜手术通过三个最佳放置的工作端口修复三个大的外疝-一例文献回顾报告

Eastern Journal of Medical Sciences Pub Date : 2023-02-23 DOI: 10.32677/ejms.v8i1.3821

Mounish Raj Nagula, Abhijit S. Joshi

引用次数: 0

Team Based Learning Vs Problem Based Learning in Medical Education: A Systematic Review. 医学教育中基于团队的学习Vs基于问题的学习:系统回顾

Eastern Journal of Medical Sciences Pub Date : 2023-02-09 DOI: 10.32677/ejms.v8i1.3795

Mark Gera, Urvashi Rathod, Ayah Karra-Aly, E. Aluckal, A. Abraham

{"title":"Team Based Learning Vs Problem Based Learning in Medical Education: A Systematic Review.","authors":"Mark Gera, Urvashi Rathod, Ayah Karra-Aly, E. Aluckal, A. Abraham","doi":"10.32677/ejms.v8i1.3795","DOIUrl":"https://doi.org/10.32677/ejms.v8i1.3795","url":null,"abstract":"Purpose: Problem-based learning (PBL) has been widely used in medical education since the 1960s. In recent years, Team-based learning (TBL) has gained popularity and has been applied in various medical and other professional institutions around the world. The objective of this systematic review was to identify which teaching pedagogy, TBL or PBL, is more effective in delivering medical education. Method: The authors searched PsycNet, ERIC and PubMed databases for articles on TBL and PBL in regards to medical education, published between 2002 and 2020. The articles were selected and reviewed by the PRISMA framework guidelines. Results: The authors identified 15 articles after full-text screening that satisfied their inclusion criteria. Of the 15 articles, 12 incorporated a modified TBL format, while 3 described classic PBL. Conclusions: Overall, the majority of the articles demonstrated a positive learning experience of TBL programs. There are pros and cons to both TBL and PBL. The advantages include promoting critical thinking and fostering collaboration, while disadvantages are lack of motivation and poor clinical problem solving. In the future, finding a way to merge both of these teaching methods might optimize learning experiences in medical education.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125406458","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: 1

Colonic diverticulosis as an isolated colonoscopy finding for iFOBT-positive patients 结肠憩室病作为ifobt阳性患者的孤立结肠镜检查发现

Eastern Journal of Medical Sciences Pub Date : 2023-01-30 DOI: 10.32677/ejms.v8i1.3756

Andriy Hordiychuk, S. Ratnayake

{"title":"Colonic diverticulosis as an isolated colonoscopy finding for iFOBT-positive patients","authors":"Andriy Hordiychuk, S. Ratnayake","doi":"10.32677/ejms.v8i1.3756","DOIUrl":"https://doi.org/10.32677/ejms.v8i1.3756","url":null,"abstract":"Colonic diverticular disease is a common medical condition throughout the world. It is one of the most common findings during the endoscopic evaluation of the colon, such as colonoscopy. A retrospective cohort single-centre study was carried out for all patients referred for colonoscopy with positive immunochemical faecal occult blood test (iFOBT) results in 2016-2018, mostly within The National Bower Cancer Screening Program (NBCSP) in QLD, Australia. The cohort of 319 patients were isolated from all iFOBT-positive individuals with such finding as a diverticular disease. Colonic diverticulosis affected the patients above 43 years old with positive iFOBT, more males than females in this study. In most cases, colonoscopy consisted of benign findings, and diverticular disease was revealed in 47.7% of the patients with such indication for colonoscopy as positive iFOBT. 28.8% of the patients were diagnosed with colonic diverticulosis only. The sigmoid colon was affected by diverticulosis in 96.2% of the cases. Overall, the colorectal cancer (CRC) diagnosis rate of 2.7% for the patients in the positive FOBT cohort (Group A) is comparable with other studies. However, the diverticulosis group's CRC rate of 1.6% (Group B) was lower than in available published data.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133980337","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

SURFACE MATTERS THAN THE IMPLANT ITSELF-A REVIEW 表面比植入物本身更重要

Eastern Journal of Medical Sciences Pub Date : 2022-12-11 DOI: 10.32677/ejms.v7i4.3689

Sheela Kannan, Anjana Kurien, Editor Ejms

{"title":"SURFACE MATTERS THAN THE IMPLANT ITSELF-A REVIEW","authors":"Sheela Kannan, Anjana Kurien, Editor Ejms","doi":"10.32677/ejms.v7i4.3689","DOIUrl":"https://doi.org/10.32677/ejms.v7i4.3689","url":null,"abstract":"Nowadays dental implants are a predictable and popular treatment option for tooth replacement in completely or partially edentulous patients. Implants are preferred over conventional treatment due to certain advantages it offers like preservation of bone; preservation of adjacent teeth, durability, better mastication and speech etc.Implant comes in direct bone contact and anchors through osseointegration. Successful osseointegration revolves around many factors such as biocompatibility of the implant material, quality and quantity of the available bone, surface treatment of the implant, loading and surgical protocol and various other systemic and local factors. Predictability of clinical success of dental implants can be enhanced by using newer materials or alterations in designs, surgical or loading protocols on the basis of available literature. Various studies have suggested that rough surface of implant enhances its integration with bone than a smooth implant surface. Several approaches are used to attain a rough surface and to improve the process of osseointegration of titanium dental implants. The present paper reviews different methods of treating implant surfaces to enhance bone implant interaction starting from the basic material used in dental implant manufacture. \u0000Key words: Osseointegration, Implant Surface Treatment,Titanium,Biomimetic.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124796042","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

Appendicular ‘Googlies’ – Googlies bowled at us by the human vermiform appendix and mimickers of it’s acute inflammation ! – A Case series with Review of literature 阑尾的“谷歌眼镜”——人类蠕虫状的阑尾和模仿它的急性炎症向我们扔来的谷歌眼镜!-一个文献回顾的案例系列

Eastern Journal of Medical Sciences Pub Date : 2022-11-25 DOI: 10.32677/ejms.v7i4.3676

V. M, Abhijit S. Joshi, Shreya Shetty

{"title":"Appendicular ‘Googlies’ – Googlies bowled at us by the human vermiform appendix and mimickers of it’s acute inflammation ! – A Case series with Review of literature","authors":"V. M, Abhijit S. Joshi, Shreya Shetty","doi":"10.32677/ejms.v7i4.3676","DOIUrl":"https://doi.org/10.32677/ejms.v7i4.3676","url":null,"abstract":"ABSTRACT : \u0000Objective: \u0000Acute appendicitis is one of the common abdominal emergencies encountered in surgical practice. However there are a host of other medical and surgical conditions that closely mimic it, clinically. The objective of this paper is to present a study and analysis of our burden of incidental encounters with such mimicking surgical conditions that were erroneously diagnosed as acute appendicitis, prior to surgery. \u0000Methods: \u0000Data was retrieved from the hospital’s electronic medical records about all patients operated for acute appendicitis, by a single surgeon, over a 14 year period. \u0000Results: \u0000A total of 450 patients were operated for acute appendicitis from 2008 to 2022. Out of these, we identified 20 patients who had a normal appendix with some other mimicking surgical condition (Incidence 4.44%). \u0000Conclusion: \u0000Acute appendicitis has many differential diagnoses, both common and rare. At times, some of these are confirmed ‘on table’; as seen in this case series. A sound, reliable and fool proof palpatory assessment of the abdomen is crucial in diagnosing it’s surgical conditions. It is interesting to note that although the initial diagnosis of acute appendicitis made for all the subjects of this case series was erroneous, all still turned out to have alternate conditions which merited surgery.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121333432","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

Foot Amputation in a diabetic patient who didn’t follow-up for five years 5年未随访的糖尿病患者的足部截肢

Eastern Journal of Medical Sciences Pub Date : 2022-11-25 DOI: 10.32677/ejms.v7i4.3641

Reeju Maharjan, Khoa Le

{"title":"Foot Amputation in a diabetic patient who didn’t follow-up for five years","authors":"Reeju Maharjan, Khoa Le","doi":"10.32677/ejms.v7i4.3641","DOIUrl":"https://doi.org/10.32677/ejms.v7i4.3641","url":null,"abstract":"Diabetes foot ulcers (DFUs), a vascular endothelial complication, are linked to higher morbidity and mortality. DFUs are caused by a complex mix of neuropathy, peripheral arterial disease, foot deformities, and infections. Foot ulcers are a leading cause of morbidity in diabetics, and they are usually preceded by peripheral arterial disease, neuropathy, or a combination of the three, as well as other factors. We review the case of a 46 years old man who was evaluated with a small oozing wound. He did not see his doctor about his glucose level for 5 years. When he was presented with the oozing, his X-ray of the left leg and MRI of the left lower leg without contrast revealed osteomyelitis. After three days of Clindamycin administration, the patient was taken to the operating room for a left partial ray amputation as well as a left leg incision and drainage. His wound improved from scant serosanguinous drainage to peri skin dry and peeling skin underneath after continuous dressing in his post-amputation partial ray, an overall area greatly improving and healing wound. This case report summarizes the consequences of not visiting a doctor's office if you have diabetes symptoms.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129898109","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

A review on Parkinson’s disease symptoms before and after deep brain stimulation treatment 脑深部电刺激治疗前后帕金森病症状的研究进展

Eastern Journal of Medical Sciences Pub Date : 2022-09-15 DOI: 10.32677/ejms.v7i3.3640

Reeju Maharjan

{"title":"A review on Parkinson’s disease symptoms before and after deep brain stimulation treatment","authors":"Reeju Maharjan","doi":"10.32677/ejms.v7i3.3640","DOIUrl":"https://doi.org/10.32677/ejms.v7i3.3640","url":null,"abstract":"Introduction: Parkinson’s disease (PD), followed by Alzheimer’s disease, is the most common progressive neurodegenerative disease. Tremors, rigidity, akinesia, and disorders are common PD symptoms. Over the last few decades, deep brain stimulation (DBS) of the subthalamic nucleus has become a standard treatment for advanced PD. The aim of this systematic review paper is to see the difference between the symptoms of PD before and after DBS. Methods: We conducted a literature search using PubMed and Google Scholar. We chose research from the past 10 years. We retrieved 64 papers, and seven duplicated papers were removed. We reviewed the abstract for the remaining 57 papers which led to the selection of 29 papers. After applying inclusion and exclusion criteria for the remaining 29 papers, 23 papers in the English language were chosen for our review. Results: Five Randomized Clinical Trials (RCTs) studied the outcomes of DBS and eight RCTs about effects on posture and motor function. Four RCTs investigated the effects on gait and balance, two on tremors, and the remaining two on posture. The effects of DBS on speech and language were compared in two RCTs. Three studies looked at cognitive performance. One RCT studied sleeping versus awake DBS on PD. These studies showed that with DBS treatment, there was significant improvement in posture, motor function, gait, balance, speech, and language. However, more studies are required for the further analysis on dysphagia and urinary dysfunction. Conclusion: Our study contributed to a better understanding of the advantages of DBS for a range of symptoms, but it concluded that additional RCT on dysphagia and urinary dysfunction was required to reach a reliable conclusion. More research is required to determine the effects of DBS on different motor and non-motor PD symptoms to standardize treatment.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134151981","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