Medical Journal Armed Forces India最新文献

{"title":"Puerperal uterine inversion- mismanaged third stage of labour: A diagnostic challenge","authors":"Sirisha Anne ,&nbsp;Neera Singh ,&nbsp;Arpit Garg ,&nbsp;E. Sibi","doi":"10.1016/j.mjafi.2023.02.006","DOIUrl":"10.1016/j.mjafi.2023.02.006","url":null,"abstract":"<div><div>Puerperal<span><span><span> inversion of uterus is a catastrophic and a rare complication, which occurs during the third stage of labour. It can lead to severe haemorrhage and </span>shock<span><span><span><span> which results in maternal morbidity and mortality. When diagnosed correctly, early cases can be managed by manual reposition, but neglected and late cases need surgery. With advancement in management of the third stage of labour by </span>oxytocics, the incidence of this entity is decreasing. But in developing countries, delivery by untrained birth attendants with inadequate knowledge in management of delivery and delay in referral to higher centres are leading to a relative increase in </span>uterine inversion cases, which leads to an increase in maternal morbidity and mortality. We are presenting a neglected case of subacute uterine inversion in a home delivered female patient bought with clinical presentation of </span>postpartum haemorrhage<span>, shock with acute kidney injury, and sepsis. Diagnosis was a challenge to the treating gynaecologist because of the dramatic presentation in which she was bought with history of </span></span></span>normal delivery 2 days back. This case report is to re-emphasis the need for safe motherhood and delivery, which is still a far cry for many patients. She was resuscitated initially and diagnosed as uterine inversion, and surgical management was required for repositioning of the uterus.</span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S284-S287"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46070080","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":"Importance of interprofessional collaboration in teaching diabetic foot self-management: Perceptions of health care professionals","authors":"Sushma Prabhath ,&nbsp;Ganesh Handady ,&nbsp;Gagana Herle ,&nbsp;M Ganesh Kamath ,&nbsp;Harihara Prakash Ramanathan","doi":"10.1016/j.mjafi.2023.01.003","DOIUrl":"10.1016/j.mjafi.2023.01.003","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes and associated diabetic foot ulcers<span><span> require coordinated management, including several health care professional (HCPs). Therefore, an interprofessional (IP) team-based approach is essential for effectively managing and educating the population on </span>diabetic foot self-management strategies. However, the perceptions of the HCPs related to the importance of IP teamwork in diabetic foot care and their readiness to work in an IP team are less explored.</span></div></div><div><h3>Methods</h3><div>This qualitative study aimed to investigate the HCPs' perception on the importance of IP collaboration in diabetic foot care and their readiness to work as part of an IP team in teaching patients’ effective diabetic foot self-management techniques. The study includes seven HCPs involved in diabetic foot management patient education and treatment. In-depth interviews using an interview guide and a thematic analysis of the interview transcripts were undertaken.</div></div><div><h3>Results</h3><div>Every participant was strongly motivated to be an IP team member. The following themes were identified that supported IP team-based approach in diabetic foot care: ‘patient-centric practices,’ ‘comprehensive care,’ ‘teamwork and coordination for improved patient outcome,’ ‘integrated approach,’ ‘professional knowledge amalgamation,’ ‘time-management,’ ‘education in a favorable environment,’ ‘constant motivation and support through educational modules,’ and ‘commitment and policy reforms.’</div></div><div><h3>Conclusions</h3><div>The HCPs' were aware about the benefits of IP team-based approach in diabetic foot care. They further expressed their willingness to work as part of an IP team and suggested appropriate teaching methods for diabetic foot self-management. This manuscript thus attempts to create an awareness about the importance of IP approach in teaching the proper practices of diabetic foot care. The problems faced in implementing an IP approach in diabetic foot care and the possible solutions are also discussed.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S135-S143"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48069569","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":"Precision therapy for Developmental delay, Epilepsy and Neonatal Diabetes syndrome in the era of genomics","authors":"Sachendra Badal ,&nbsp;Vishal Sondhi ,&nbsp;Kiran Sannalli ,&nbsp;Karthik Ram Mohan ,&nbsp;Shuvendu Roy ,&nbsp;Ashok K. Yadav ,&nbsp;Narendra Kotwal","doi":"10.1016/j.mjafi.2024.01.007","DOIUrl":"10.1016/j.mjafi.2024.01.007","url":null,"abstract":"<div><div><span>Neonatal diabetes mellitus<span> is a rare disorder with prevalence of one in 400,000 live births that's defined by persistent </span></span>hyperglycaemia within the first six months of life. Neonatal diabetes is heterogeneous and can be transient or permanent.</div><div>Developmental delay, Epilepsy and Neonatal Diabetes (DEND) syndrome is characterised by developmental delay, epilepsy, and neonatal diabetes. The most common cause is activating mutations of KCNJ11 or ABCC8 genes, which encode Kir6.2<span> and SUR1 respectively. KATP channels are expressed in the brain, nerves, muscles, and pancreatic b-cells, implying an association with the neurological features observed in patients.</span></div><div><span>Neonate patients with early onset/neonatal onset diabetes are often misdiagnosed as type 1 DM and do not require lifelong insulin therapy. Whenever associated with neurological features </span>DEND<span><span> syndrome should be suspected which is a channelopathy affecting pancreas and brain and is amenable to precision therapy. Oral </span>sulfonylureas<span> show promising results in not only attaining euglycemia, but also in controlling seizures and ameliorating developmental delay.</span></span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S337-S340"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464330","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 rare case of progressive cribriform and zosteriform hyperpigmentation","authors":"Veena Kharayat,&nbsp;K.V. Vinu Balraam,&nbsp;Preema Sinha","doi":"10.1016/j.mjafi.2022.11.007","DOIUrl":"10.1016/j.mjafi.2022.11.007","url":null,"abstract":"","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S356-S359"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41950016","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":"Co-circulation of dengue serotypes in East Delhi: A new threat","authors":"Charu Jain ,&nbsp;Swati Sinha ,&nbsp;Anshdha Shah,&nbsp;Nikita Birhman,&nbsp;N.P. Singh,&nbsp;Shukla Das","doi":"10.1016/j.mjafi.2023.05.002","DOIUrl":"10.1016/j.mjafi.2023.05.002","url":null,"abstract":"","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S395-S397"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46456837","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":"Tolosa Hunt syndrome: A rare cause of headache","authors":"Harish Kasarabada ,&nbsp;Deependra Singh ,&nbsp;Sreenivasa Iyenger ,&nbsp;K. Praveena","doi":"10.1016/j.mjafi.2023.01.009","DOIUrl":"10.1016/j.mjafi.2023.01.009","url":null,"abstract":"<div><div><span>Tolosa Hunt syndrome<span> (THS) is characterized by painful ophthalmoplegia<span> preceded by retro orbital headache<span>. First described in year 1952, it is a diagnosis of exclusion and is extremely rare entity</span></span></span></span>^.<span><span> Here we present a case report of syndrome in a female patient who presented with 03 weeks of progressive unilateral retro orbital headache followed by acute onset </span>ptosis<span> and complete ophthalmoplegia in right eye. On evaluation (brain imaging) and after ruling out all the other differentials, she was diagnosed as a case of THS. She was managed with parenteral corticosteroids followed by oral therapy. Patient showed remarkable response and complete recovery following 10 days of treatment. The follow-up brain imaging confirmed resolution of inflammation.</span></span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S272-S274"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42510456","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 the timing of surgery on the recovery of sexual functions after fracture penis","authors":"Amit Agrawal ,&nbsp;Rankeen Raj","doi":"10.1016/j.mjafi.2022.04.002","DOIUrl":"10.1016/j.mjafi.2022.04.002","url":null,"abstract":"<div><h3>Background</h3><div>Fracture penis is an uncommon urological emergency, which often results from sexual trauma. Diagnosis remains clinical, and early surgical management is advocated. However, the timing of the repair may have a bearing on the outcomes. Herein, we share our experience of 17 such cases and compare the complications and the sexual function in relation to the timing of the surgery.</div></div><div><h3>Methods</h3><div>The records of all patients with a penile fracture who had presented to our hospital between 1st Mar 2015 and 28th Feb 2021 were reviewed. All patients were managed surgically. The patients were divided into three groups based on the time elapsed between the injury and the surgery. All patients were followed up for 6 months and the development of complications was recorded. The sexual function was assessed with International Index of Erectile Function (IIEF) at the end of 6 months.</div></div><div><h3>Results</h3><div>A total of 17 patients were included in the study. Coital trauma was the most common cause, followed by masturbation. 15 out of the 17 patients were operated on within 48 h of the injury. There were no long-term complications except for one patient having a palpable painless nodule at the site of the repair. At 6 months follow-up all patients who had an immediate surgical repair on presentation, had a normal sexual function, and there was no difference between those who presented early or after 48 h of injury.</div></div><div><h3>Conclusion</h3><div>Immediate surgical intervention should be the treatment of choice for all patients with a penile fracture, even if they present late, to prevent complications and erectile dysfunction.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S1-S6"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43265708","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":"Zinner syndrome: A mesonephric duct anomaly with renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction","authors":"Varun Gupta ,&nbsp;Rizwan K. Khan ,&nbsp;Lanka Praveen Kumar","doi":"10.1016/j.mjafi.2022.05.012","DOIUrl":"10.1016/j.mjafi.2022.05.012","url":null,"abstract":"<div><div>Anomalies of the mesonephric duct are associated with a combination of renal agenesis/dysgenesis, ejaculatory duct obstruction<span>, and seminal vesical cyst, called Zinner syndrome. We present a case of this rare syndrome in a young male patient, who initially presented with urinary symptoms. The relevant embryology and diagnostic modalities are discussed.</span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S238-S242"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43657995","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 neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in predicting carcinoma prostate (CaP) in patients with lower urinary tract symptoms and raised serum prostate-specific antigen (sr.PSA)","authors":"Sejal Mehta ,&nbsp;Mrunal Ketkar ,&nbsp;D.K. Jain","doi":"10.1016/j.mjafi.2023.03.001","DOIUrl":"10.1016/j.mjafi.2023.03.001","url":null,"abstract":"<div><h3>Background</h3><div>Carcinoma prostate<span><span> (CaP) is second most common cancer and sixth leading cause of cancer-related mortality among men worldwide. Prostate-specific antigen (sr. PSA) levels are prostate specific, not cancer specific. Therefore, finding non-invasive novel markers that can detect clinically significant CaP for preventing unnecessary biopsies is needed. Relation between host inflammatory responses and tumour has been increasingly recognized in various carcinomas. Many follow-up studies used neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) with sr. PSA level for CaP detection in India. The present study explored the use of these biomarkers in predicting CaP in patients with </span>lower urinary tract symptoms (LUTS).</span></div></div><div><h3>Methods</h3><div>This prospective observational analytical study included 220 patients who underwent prostate biopsy for LUTS and suspected CaP between 2019 and 2021. Pearson's correlation (r) was used to find association between various attributes. Receiver operating characteristic curve analysis was performed to determine cut-off values and find sensitivity, specificity, positive and negative predictive value of NLR and PLR. P-value &lt;0.05 was considered statistically significant (α = 5%).</div></div><div><h3>Results</h3><div>Out of 263 patients, 43 were excluded. Among remaining 220 study patients, 166 had BPH and 54 CaP. Median values of NLR and PLR were significantly higher in CaP patients. There was a strong positive correlation noted between NLR, PLR, and CaP groups. Areas under receiver operating characteristic curve of NLR (p = 0.001) and PLR (p &lt; 0.001) for predicting CaP were statistically significant, with cut-off values of &gt;3.44 and &gt; 165.96, respectively.</div></div><div><h3>Conclusion</h3><div>In present study, we found significant increase in NLR and PLR in CaP patients. These parameters could be useful as pre-prostate biopsy predictors of CaP and help avoid unnecessary biopsies.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S160-S166"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46822941","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":"High altitude pulmonary oedema: Mimicker of acute coronary syndrome","authors":"Rohit Jain ,&nbsp;Sanjeev Sengupta ,&nbsp;Amit Sharma ,&nbsp;Yogendra Mishra","doi":"10.1016/j.mjafi.2023.07.014","DOIUrl":"10.1016/j.mjafi.2023.07.014","url":null,"abstract":"<div><div><span><span>High altitude pulmonary oedema<span> (HAPO) is a common emergency seen at high altitude. It can be associated with electrocardiogram (ECG) changes due to pulmonary arterial hypertension in the form of ST elevation and </span></span>T wave inversion<span> in the right precordial leads, which mimic acute coronary syndrome. These changes can lead to confusion in diagnosis and management. ECG changes resolve over a period of time when the patients are de-inducted to low land. So appropriate history and clinical examination, followed by monitoring of patients with cardiac </span></span>enzymes and ECG, can prevent misdiagnosis and thereafter management.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S312-S319"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249577","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}