Global Journal of Health Sciences and Research最新文献

{"title":"Research in the post-pandemic era….","authors":"P. Sanjay","doi":"10.25259/gjhsr_17_2023","DOIUrl":"https://doi.org/10.25259/gjhsr_17_2023","url":null,"abstract":"","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"142 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120820328","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":"The mechanical cause of loculated pleural effusion","authors":"Nikhil Mishra","doi":"10.25259/gjhsr_12_2022","DOIUrl":"https://doi.org/10.25259/gjhsr_12_2022","url":null,"abstract":"In this research, we are going to deal with the probable mechanism behind the loculated pleural effusions using the Law of Viscous fluids against rough surfaces/walls. The idea of the research is to form a firm ground regarding the mechanism of pleural effusion.","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123991685","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 case of papilledema with TB meningitis with bilateral abducent nerve palsy – A diagnostic challenge","authors":"P. Induja, P. Nallamuthu, K. R. Devi","doi":"10.25259/gjhsr_21_2022","DOIUrl":"https://doi.org/10.25259/gjhsr_21_2022","url":null,"abstract":"Tuberculous meningitis (TBM) contributes around 5% among extrapulmonary tuberculosis (TB) and it is devastating with significant morbidity and mortality. It is associated with high frequency of neurologic sequelae and mortality. TBM has a subacute presentation with non-specific clinical signs making difficulty in early diagnosis. We report a case presenting with only ocular symptoms and no typical signs of meningitis with normal brain imaging. Real time PCR and other nucleic acid amplification methods are increasingly used for detection of mycobacterium TB from cerebrospinal fluid. When recognized early and treated promptly with appropriate anti-tuberculous medication, prognosis is good.","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123557302","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":"UNCLE (Unconventional Learning Exercises): An Innovative approach towards active learning in Physiology for I MBBS students","authors":"K. Soundariya, Deepika Velusami","doi":"10.25259/gjhsr_16_2022","DOIUrl":"https://doi.org/10.25259/gjhsr_16_2022","url":null,"abstract":"\u0000\u0000Physiology is a constantly evolving subject; hence, it demands participation from the students for effective learning. In the current trend of medical education, medical teachers need to accumulate a good knowledge of efficient “Teaching–Learning Methods,” that enable active student participation. “UNCLE– Unconventional Learning Exercises” is one such approach that facilitates learning through discussions with colleagues and helps in acquiring facts through “Participatory learning” rather than through rote memory.The present study aimed to assess the effectiveness of an active learning method “UNCLE” in learning physiology among I MBBS students.\u0000\u0000\u0000\u0000Thirty I MBBS students were exposed to “Unconventional Learning Exercises” in small groups during the regular tutorial sessions. The study tools used for “UNCLE” were worksheets with critical thinking questions and analogies shown in flash cards. Pre- and post-test scores were obtained for the evaluation of their learning. Feedback was obtained from the students to elicit their perception about the effectiveness of the new method.\u0000\u0000\u0000\u0000The post-test scores (7.7 ± 1.37) were significantly greater than the pre-test scores (6.24 ± 1.57). The students reported the method to be innovative, interesting, refreshing, and more engaging. They reported that this method enhanced team-work and improved their communication skills.\u0000\u0000\u0000\u0000UNCLE may be considered an effective active learning strategy in physiology for I MBBS students.\u0000","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130311704","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":"Maxillary cemento-ossifying fibroma – A rare occurrence","authors":"R. Geetha, S. Pasupathy, Karthik Ragupathy, R. Ganesh","doi":"10.25259/gjhsr_20_2022","DOIUrl":"https://doi.org/10.25259/gjhsr_20_2022","url":null,"abstract":"Cemento-ossifying fibromas are benign fibro-osseous neoplasm that involves the jaws. These tumors are a rare group of mesodermal odontogenic tumors occurring in the maxilla. Most of the lesions are centrally within the jaw as a slow and progressively growing lesion. If left untreated, they achieve vast size with consequent malformation. Radiographically, they are presented as well-defined unilocular or multilocular intraosseous masses. They are less sensitive to radiotherapy and recurrences are unusual. A rare occurrence of cemento-ossifying fibroma of the anterior maxilla is noted in a 42-year-old male patient. Clinically, they manifested as a well-demarcated swelling in the right anterior region of the maxilla. Radiographic characteristics, histological, and surgical findings are enlisted and the several differential diagnoses are mentioned.","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116624203","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":"Role of D-Dimer in assessing severity, monitoring, and predicating outcome in COVID-19 pneumonia: A single center study","authors":"S. Patil, Shubhangi Khule, S. Toshniwal","doi":"10.25259/gjhsr_11_2023","DOIUrl":"https://doi.org/10.25259/gjhsr_11_2023","url":null,"abstract":"\u0000\u0000Robust data are available regarding role of D-dimer in analyzing coagulation status in pulmonary embolisms and deep vein thrombosis. As thrombogenic nature of coronavirus disease 2019 (COVID-19) has been evolved in this pandemic, we have studied its role in predicting disease severity, correlation with durations of illness and oxygenation status, and ventilatory support requirement with prediction of deep vein thrombosis and pulmonary embolism in these cases.\u0000\u0000\u0000\u0000Prospective, observational follow-up study, included 2000 COVID-19 cases confirmed with reverse transcription–polymerase chain reaction. All cases were assessed with high-resolution computed tomography (HRCT) thorax, oxygen saturation, inflammatory marker as D-Dimer at entry point and follow-up. Age, gender, comorbidity, and use of bilevel-positive airway pressure (BIPAP)/non-invasive ventilation (NIV) and outcome as with or without lung fibrosis were key observations. In selected cases, lower limb venous Doppler and computed tomography (CT) pulmonary angiography to rule out deep vein thrombosis or pulmonary thromboembolism. Statistical analysis is done using Chi-square test.\u0000\u0000\u0000\u0000CT severity score at entry point with D-Dimer titer has significant correlation (P < 0.00001). Age (<50 and >50 years) and gender (male vs. female) have significant association with D-Dimer level (P < 0.00001) and (P < 0.010), respectively. D-Dimer titer has significant association with duration of illness before hospitalization (P < 0.00001). Comorbidities have significant association with D-Dimer level (P < 0.00001). D-Dimer titer has significant association with oxygen saturation (P < 0.00001). BIPAP/NIV requirement has significant association with D-Dimer level (P < 0.00001). Timing of BIPAP/NIV requirement during hospitalization has significant association with D-Dimer level (P < 0.00001). Follow-up D-Dimer titer during hospitalization, as compared normal and abnormal to entry point level has significant association with post-COVID lung fibrosis, deep vein thrombosis and pulmonary thromboembolism (P < 0.00001).\u0000\u0000\u0000\u0000D-Dimer has documented very crucial role in COVID-19 pneumonia in predicting severity of illness, ventilatory support requirement and course in critical care setting. D-Dimer follow-up titer has documented role in predicting lung fibrosis and deep vein thrombosis and pulmonary embolism. D-Dimer serial titers have documented significant role in step-up or step-down interventions in critical care setting.\u0000","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124990486","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":"Strongyloidiasis in a newly diagnosed patient living with HIV – A case report","authors":"Sunil Satanjali Shivekar, N. S. K. R. Sri, R. Sugumaran, Udhayasankar Ranganathan, M. Thiyagarajan, G. Rangasamy","doi":"10.25259/gjhsr_19_2022","DOIUrl":"https://doi.org/10.25259/gjhsr_19_2022","url":null,"abstract":"Strongyloides stercoralis has a unique free-living stage in addition to the parasitic life cycle causing dissemination and hyperinfection syndrome. Clinical manifestations ranges from asymptomatic presentation in the immunocompetent host to disseminated disease and even septic shock in immunocompromised host. The non-specific presentation, risk factors, and complications of strongyloidiasis often require multiple tests for screening and diagnosis to increase the sensitivity of the tests. Here, we present a case report of a newly diagnosed patient of HIV with overlapping symptoms of respiratory and gastrointestinal tract involvement who was treated successfully. This emphasizes the need for strong clinical suspicion and screening of patients with the risk factors of strongyloidiasis.","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131827956","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":"Normal variations in MR venography that may cause pitfalls in the diagnosis of cerebral venous sinus thrombosis","authors":"Revin Kuruvilla Thomas, Elamparidhi Padmanaban, J. V. Raj, Avinesh Varadane, Pugazhendhi Sambath","doi":"10.25259/gjhsr_14_2022","DOIUrl":"https://doi.org/10.25259/gjhsr_14_2022","url":null,"abstract":"\u0000\u0000Magnetic resonance venography (MRV) is a widely used non-invasive imaging technique to diagnose cerebral dural venous sinus thrombosis (CVST) and intracranial venous abnormalities. Non-visualization of a dural venous sinus is diagnostic of CVST on MRV. However, there are numerous common variances and technical aberrations on MRV that mimic filling defects and might be confused with CVST, making diagnosis difficult. These include aberrant veins and missing, hypoplastic or asymmetric venous sinuses. In addition, reconstruction artifacts might take the form of flow gaps with various lengths. The purpose of this study is to examine the occurrences, geographic distribution, and imaging properties of these variations and artifacts on MRV.\u0000\u0000\u0000\u0000After obtaining clearance from the Institution’s Ethics Committee, magnetic resonance imaging (MRI) brain of 60 patients were taken for the study. MRI was performed using 1.5 Tesla Intera PHILIPS. A cross-sectional study was conducted to study the normal anatomy of the intracranial venous system and its normal variations.\u0000\u0000\u0000\u0000This study showed that hypoplasia of the left transverse sinus was found to be more predominant (60%) among other sinuses of the brain followed by right transverse sinuses (31%); the left sigmoid sinus was hypoplastic in 35%, the right sigmoid sinus hypoplastic in 18% and superior sagittal sinuses in 5%.\u0000\u0000\u0000\u0000It is essential to know the anatomical variations of the dural venous system for the discrimination between pathological processes such as thrombosis and physiologic conditions. Furthermore, the association of these variations with each other must be kept in mind for explanation of the presence of multiple variations in the same individuals.\u0000","PeriodicalId":369069,"journal":{"name":"Global Journal of Health Sciences and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129967355","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}