Medical Journal Armed Forces India最新文献

{"title":"Peripartum genital tuberculosis causing uterine scar dehiscence and secondary post-partum hemorrhage: Exceedingly rare yet alarmingly life threatening","authors":"Satish Choudhury, Subarna Mitra, Pruthwiraj Sethi, Saubhagya Kumar Jena","doi":"10.1016/j.mjafi.2023.12.003","DOIUrl":"10.1016/j.mjafi.2023.12.003","url":null,"abstract":"","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S424-S426"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139637192","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":"Deep angiomyxoma of bladder wall","authors":"Harish Sadashiva, Surya Prakash Vadlamani, Manoj Gopal Madakshira","doi":"10.1016/j.mjafi.2023.01.008","DOIUrl":"10.1016/j.mjafi.2023.01.008","url":null,"abstract":"","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S379-S382"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43270021","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":"Evaluation of an interprofessional collaborative practice training module for the management of children with autism spectrum disorder","authors":"Saleena Ummer Velladath ,&nbsp;Muralidhar M. Kulkarni ,&nbsp;Sumita Rege ,&nbsp;Sreelakshmi Edavana Santhosh ,&nbsp;Shivani Tiwari ,&nbsp;Sunila John ,&nbsp;Rashmi Nayak ,&nbsp;Shrikiran Aroor ,&nbsp;Seena Biju ,&nbsp;Ciraj Ali Mohammed","doi":"10.1016/j.mjafi.2022.06.018","DOIUrl":"10.1016/j.mjafi.2022.06.018","url":null,"abstract":"<div><h3>Background</h3><div><span>Protocols instituted for behavioral treatment<span> and skills training programs for the management of autism spectrum disorder<span> (ASD) suffer from lack of collaborative approaches. The tenets of interprofessional collaborative practice<span> (IPCP) focus on preparing a panel of health care professionals (HCPs) from different </span></span></span></span>professions who can work together to enable the common goal of ensuring that children with ASD can participate in society. This study was designed to pilot this approach through an IPCP training module on ASD for care providers from multiple professions.</div></div><div><h3>Methods</h3><div>An interventional study with pre-post analysis began with formation of the interprofessional (IP) team, who developed an IPCP module, addressing the knowledge and skills needed for the collaborative management of neurodevelopmental issues of children with ASD. This module was delivered through an online training workshop using various teaching learning methods to the participants from seven different health professions after obtaining informed consent. Perceptions of interprofessional collaboration and competencies of IPCP were assessed using standard IP tools and reflective summaries and analyzed through a mixed-methods approach.</div></div><div><h3>Results</h3><div>A total of 42 HCPs from seven professions, including speech and hearing, occupational therapy, clinical psychology, physiotherapy, pediatrics, nursing, and pedodontics, participated in the study. Pre-post analysis of PINCOM-Q and Dow-IPEC data and thematic analysis revealed a significant difference in the perceptions of interprofessional collaboration and competencies’ levels of IPCP.</div></div><div><h3>Conclusion</h3><div>This study suggests that use of IPCP principles in the training of professionals working with ASD is a promising and feasible option to develop more competent health professionals. The training enhanced the abilities of professionals to work in field of ASD as conveyed by the participants. They also expressed confidence in the knowledge of IP core competencies after the completion of the module.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S38-S42"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42441168","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":"SARS-CoV-2-induced autoimmune hemolytic anemia in pediatric age-group","authors":"Hitesh Daryani ,&nbsp;Ahmed Jamal ,&nbsp;Vivek Bhat ,&nbsp;Bal Mukund","doi":"10.1016/j.mjafi.2022.12.016","DOIUrl":"10.1016/j.mjafi.2022.12.016","url":null,"abstract":"<div><div>SARS coronavirus (SARS-CoV-2) since the year 2020 has been affecting people of all age groups involving all systems possible. The effect of COVID-19 on hematological system has been commonly seen in the form of cytopenia, prothrombotic states, or disorders of coagulation, but it has been rarely implicated as a causal factor for hemolytic anemia in children. We present a 12-year-old male child who presented in congestive cardiac failure due to severe hemolytic anemia caused by SARS-CoV-2, with hemoglobin falling to a nadir of 1.8 g/dL. Child was diagnosed as a case of autoimmune hemolytic anemia and managed with supportive management and long-term steroids. This case highlights one of the lesser known effects of the virus, causing severe hemolysis and the role of steroids in its treatment.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S256-S259"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9769926","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 cross-sectional study of poisoning deaths by rubber latex processing acid in Tripura, India","authors":"Anupam Datta ,&nbsp;Anamika Nath ,&nbsp;Juthika Debbarma","doi":"10.1016/j.mjafi.2022.11.003","DOIUrl":"10.1016/j.mjafi.2022.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Rubber latex processing acid poisoning is a frequently encountered phenomenon in Tripura. Formic acid is the preferred choice for coagulating rubber latex in rubber sheet manufacturing units. The objective of this study aimed to assess the epidemiological profile of poisoning deaths by rubber processing acid and to record their autopsy findings.</div></div><div><h3>Methods</h3><div><span>This was a 2-year prospective cross-sectional study of deaths by rubber processing acid ingestion<span>, which were brought for postmortem examination in two health care institutes of Tripura. Profiles of the cases were noted from hospital records, family members, Inquest and Challan papers from police and autopsy findings. All data were entered in SPSS software version 23.0, and Pearson's correlation was used to correlate the corrosion of stomach and </span></span>survival time.</div></div><div><h3>Results</h3><div>Of 42 cases, 30.90% were between the ages of 41 and 50 years, and the majority were rubber tappers (69.01%). Familial disharmony (52.38%) was the most common cause of acid consumption. Close proximity (within 1 km) of the rubber tapping area to the consumption spots was observed (59.52%). Overall, 97.62% of victims had corrosion of the stomach and congestion of internal organs, and the majority (66.67%) died within 24 h of consumption.</div></div><div><h3>Conclusion</h3><div>This study emphasises the mortality brought on by rubber latex processing formic acid in areas surrounding rubber plantation. The poisoning prevention and control can be strategised in pre-exposure and exposure levels among vulnerable population based upon Information, Education and Communication model.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S101-S106"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43416699","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":"Treating adult patients of severe psoriasis with methotrexate leads to reduction in biomarkers of atherosclerosis: A prospective study","authors":"Shekhar Neema ,&nbsp;Biju Vasudevan ,&nbsp;Pratibha Misra ,&nbsp;Roma Rai ,&nbsp;M.K. Sibin ,&nbsp;Senkadhir Vendhan ,&nbsp;Shantanu Banerjee ,&nbsp;Vinay Gera ,&nbsp;A.K. Yadav","doi":"10.1016/j.mjafi.2023.03.004","DOIUrl":"10.1016/j.mjafi.2023.03.004","url":null,"abstract":"<div><h3>Background</h3><div>Psoriasis<span><span> is a common skin disorder; affecting 0.4–2% of general population and is associated with increased risk of cardiovascular diseases. We conducted this prospective study to determine change in biomarkers of </span>atherosclerosis<span><span> in plaque psoriasis in patients treated with </span>methotrexate.</span></span></div></div><div><h3>Methods</h3><div>The study was carried out at a tertiary care centre over a period of 1 year after institutional ethical clearance. The study included 50 patients. Adults with severe psoriasis not receiving any systemic treatment<span><span><span> for last 3 months were included in the study. Clinical parameters including psoriasis area and severity index (PASI), </span>dermatology </span>quality of life index (DLQI) and estimation of IL-6, hsCRP, and HDL levels and LDL: HDL ratio were done at baseline and at 12 weeks.</span></div></div><div><h3>Results</h3><div>A total of 50 patients were included and 42 completed the study. The mean age and mean duration of disease was 44.4 (±13.2) years and 10.8 (±9.9) years, respectively. Pre- and post-treatment mean PASI was 16.3 (±8.3) and 7.43 (±4.9), respectively (<em>p</em> = 0.001). The level of VEGF, IL-6, and hsCRP was 127 (±158) pg/ml, 5.3 (±2.5) pg/ml, and 4.2 (±4.1) mg/L, respectively. The levels of VEGF, IL-6, and hsCRP after 12 weeks of treatment were found to be 59.3 (±61) pg/ml (<em>p</em>=0.006), 3.6 (±2.1) pg/ml (<em>p</em> &lt; 0.001), and 2.6 (±3.1) mg/L (<em>p</em> = 0.012), respectively.</div></div><div><h3>Conclusion</h3><div><span>Methotrexate use in patients with chronic plaque psoriasis reduces the level of biomarkers of </span>atherosclerosis<span> at 12 weeks. Early treatment with methotrexate may help in reduction of cardiovascular risk in psoriasis patients.</span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S174-S179"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45484344","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":"Dimensions of bony Kambin's triangle pertaining to endoscopic procedure","authors":"Manisha B. Sinha ,&nbsp;Meryl Rachel John ,&nbsp;Joseph Abraham Poonuraparampil ,&nbsp;Human Prasad Sinha","doi":"10.1016/j.mjafi.2022.12.018","DOIUrl":"10.1016/j.mjafi.2022.12.018","url":null,"abstract":"<div><h3>Background</h3><div><span>Endoscopic procedures nowadays are successful, minimally invasive, and safer, with fewer intraoperative and postoperative complications<span> and shorter hospital stays. Kambin's triangle (KT) is the three-dimensional configuration that is used as a transforaminal anatomical corridor for epidural steroid injections and endoscopic surgeries for various lumbar pathologies. This study aims to estimate the dimensions of KT and diameter of the </span></span>cannula for the transforaminal surgical approaches using KT in the Chhattisgarh population.</div></div><div><h3>Methods</h3><div><span>Seven human cadavers (three males and four females) were included in the study for observing KT. Dissection was done to carefully clear landmarks, including the vertebral bodies, </span>intervertebral disc<span>, exiting nerve root, and superior articular process. Base<span> (a horizontal plane passing through the superior border of the caudal vertebra) and height (along the superior articular process of the inferior vertebra in line with the articular facet) were measured. Hypotenuse, semiperimeter of the triangle, area of triangle, diameter, and area of the inscribed circle were calculated.</span></span></div></div><div><h3>Results</h3><div>Height, base, and inscribed circle diameter increased from L1-L2 to L4-L5 then decreased to L5-S1. There was no statistically significant difference between males and females. The safest admissible cannula diameter according to the current study that can be used at all levels in KT was 6.06 mm.</div></div><div><h3>Conclusion</h3><div>This study provides the safest cannula size to be considered in the patients of the Chhattisgarh population during transforaminal approaches in the lumbar area. Minimally invasive surgery and shorter hospitalization are vital criteria to evaluate any surgery these days.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S127-S134"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45736261","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":"Development of a novel multimedia tool for obtaining informed consent from survivors of sexual offenses and its comparison with the conventional method","authors":"Anamika Nath ,&nbsp;Rama Krishna Rachakonda ,&nbsp;Pradip Kumar Thakuria","doi":"10.1016/j.mjafi.2022.09.014","DOIUrl":"10.1016/j.mjafi.2022.09.014","url":null,"abstract":"<div><h3>Background</h3><div><span>Although multimedia tools for obtaining informed consent have been researched for surgeries, chemotherapy, and </span>clinical trials, nothing has been explored in the context of the medico-legal examination of survivors of sexual offenses. The objective of the study was to develop a novel multimedia tool for obtaining informed consent and assent from survivors of sexual offenses and to compare it with conventional consent-taking procedure.</div></div><div><h3>Methods</h3><div>One cross-sectional study was conducted with survivors of sexual offenses as study participants. They were divided into two groups; one group has been given a conventional consent document, and the other was given an additional multimedia tool. The multimedia tool consisted of one video with animations, audio, and narrations in English and Assamese. Their understanding and satisfaction with the procedures were noted.</div></div><div><h3>Results</h3><div>Out of the 50 study participants, 46% were children, and the majority fell into the age group of 11–20 years. Only five individuals studied till higher secondary or were still studying. A total of 66% of participants were illiterate or had studied till primary school. However, 86% belonged to lower socioeconomic status. Then, 76% of individuals from the first group consented/assented to medico-legal examination, while all individuals from the second group consented/assented to examination. The second group showed higher levels of understanding (84%) and personal satisfaction (80%).</div></div><div><h3>Conclusion</h3><div>Multimedia tool for informed consent shows promising results in the field of medico-legal examination. It is survivor friendly, allays fear, and gives a better understanding of the medico-legal examination.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S84-S88"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46116267","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":"Tracheobronchopathia osteochondroplastica as an unusual cause of chronic cough","authors":"Puneet Saxena ,&nbsp;Sarvinder Singh ,&nbsp;R.N. Verma ,&nbsp;Neeraj Sharma ,&nbsp;Kunal Kumar ,&nbsp;Vikram Singh","doi":"10.1016/j.mjafi.2023.01.001","DOIUrl":"10.1016/j.mjafi.2023.01.001","url":null,"abstract":"<div><div><span>A cough that persists for more than 8 weeks is defined as a chronic cough<span><span>. In routine practice, asthma, gastroesophageal reflux disease, and postnasal drip are the most common causes of chronic cough. A 58-year-old non-smoking male patient with no known comorbidities presented with a 3-month history of non-productive cough. Clinically, the respiratory system examination was normal, and radiological evaluation showed tracheal nodularity on </span>computed tomography scan<span>. He was then subjected to bronchoscopy, which showed multiple white-colored nodules involving the anterolateral wall of the </span></span></span>tracheobronchial tree<span> with the sparing of the posterior membranous wall. The bronchoscopic picture was the characteristic of Tracheobronchopathia osteochondroplastica (TBOP) and was later confirmed on histopathological examination of the nodules. TBOP presenting as chronic cough is very rare. It is a rare benign disease of the tracheobronchial tree and does not warrant any active intervention in the majority of patients.</span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S260-S263"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48030413","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":"NEDRIHF syndrome or PURA syndrome : A rare cause of central hypotonia","authors":"Swati Richa ,&nbsp;Aradhana Dwivedi ,&nbsp;Subhash Chandra Shaw ,&nbsp;Daljit Singh","doi":"10.1016/j.mjafi.2023.08.009","DOIUrl":"10.1016/j.mjafi.2023.08.009","url":null,"abstract":"<div><div>Neurodevelopmental disorder with neonatal respiratory insufficiency, hypotonia<span>, and feeding difficulties (NEDRIHF) is a very rarely reported disease. The disease is due to microdeletions in the PURA gene on chromosome 5q31. It is one of the rare causes of central hypotonia in neonates causing parental concern and anxiety. We report one such rarely diagnosed case of NEDRIHF-PURA (purine-richelement-binding protein A) syndrome.</span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"80 ","pages":"Pages S325-S328"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934155","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}