JMS - Journal of Medical Society最新文献

{"title":"Are donor predonation variables related to the quality of single donor platelets? – A tertiary care center experience","authors":"P. Chatterjee, S. Sehgal, Swati Bhardwaj, R. Bhushan, Chintamani Pathak, M. Jain","doi":"10.4103/jms.jms_108_20","DOIUrl":"https://doi.org/10.4103/jms.jms_108_20","url":null,"abstract":"Introduction: Platelets are the most common product collected by apheresis. The product obtained is called single donor platelets (SDPs). The quality of the SDP is determined by the platelet yield (that is platelet count of the SDP product), which in turn directly influences the patient recovery. Materials and Methods: In the present study, donor demographic and complete blood count parameters were studied and their influence on the yield of the SDP was analyzed. With such an analysis, a better quality product (with a good platelet yield) can be obtained consequently improving clinical outcome. This would allow prolonging intervals between transfusions. Results: Parameters such as height, weight, and body mass index did not statistically influence the platelet yield in this study, unlike the results obtained by past studies. The most consistent parameter found to influence the platelet yield was platelet count of the donor. Healthy donors with high platelet counts can yield better platelet yield in SDPs in a shorter time and therefore improve the clinical outcome in patients with thrombocytopenia. Conclusion: It is important to consider hematological characteristics of the donors on an individual basis so as to ensure a good quality of the plateletpheresis product.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"30 - 34"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49395158","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 review of rare palatal fractures and their management","authors":"Umesh Kumar, P. Jain","doi":"10.4103/jms.jms_35_21","DOIUrl":"https://doi.org/10.4103/jms.jms_35_21","url":null,"abstract":"Objective: The objective of this study was to diagnose rare palatal fractures and to subcategories them to formulate a definitive treatment plan depending upon the fracture lines. Materials and Methods: All patients presenting in triage with palatal fractures were classified after computed tomography scan. Thirteen patients diagnosed with complex and transverse palatal fractures were included in the study. Complex fracture was further subdivided into five groups: (a) comminuted, (b) oblique, (c) S shaped, (d) C shaped, and (e) T shaped. The patients were divided into two groups. In Group A, six patients were managed without palatal vault plating, and in Group B, seven patients were managed with palatal vault plating along with anterior alveolar and anterior maxillary buttress plating. Results: Twelve patients presented with complex fracture and one patient presented with transverse fracture. The male-to-female ratio and age range of the study were 5.5:1 and 15–55 years, respectively.Le Fort I and II fracture was present in five patients, isolated Le Fort II fracture in four patients, Le Fort I was present in two, and Le Fort I, II and III fractures was present in two patients. Conclusion: Complex palatal fractures can be subcategorized which simplifies the management and documentation of the fracture. Palatal vault plating should be attempted in cases where there are two large fracture segments to achieve the better stability of fracture and reduce the duration of maxillomandibular fixation in postoperative period.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"13 - 17"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47145677","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":"Tubular adenoma of the breast: A rare entity","authors":"L. Simon, Moirangthem Singh, Angelica Laiphrakpam, L. Devi","doi":"10.4103/jms.jms_6_21","DOIUrl":"https://doi.org/10.4103/jms.jms_6_21","url":null,"abstract":"Tubular adenoma is a rare benign neoplasm of the breast. It is commonly seen in premenopausal women and has no association with an increased risk of breast cancer. It is difficult to diagnose tubular adenoma clinically, radiologically, and cytologically. Histopathological examination remains the gold standard in diagnosing tubular adenoma.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"40 - 41"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42971384","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":"Clinicopathological study of papulosquamous skin disorders in a tertiary health-care center","authors":"R. Shimray, S. Laishram, G. Pukhrambam, K. Devi, Paramita Pal","doi":"10.4103/jms.jms_18_21","DOIUrl":"https://doi.org/10.4103/jms.jms_18_21","url":null,"abstract":"Background: Papulosquamous skin disorder is a group of heterogenous dermatoses with a distinct histomorphological feature. The characteristic primary lesion is a papule, usually erythematous, that has a variable amount of scaling on the surface. The most common papulosquamous dermatoses are psoriasis, lichen planus, and pityriasis rosea. Because all papulosquamous disorders are characterized by scaling papules, clinical confusion may result during their diagnosis. Our study is to evaluate histomorphological findings in various papulosquamous skin disorders encountered at RIMS, Imphal. Materials and Methods: Skin biopsies of clinically diagnosed papulosquamous skin disorders along with their relevant clinical data received during a period of 2 years from September 2017 to August 2019 were included in the study. The diagnosis was confirmed by histopathological examination using hematoxylin and eosin stain. Results: A total of 115 papulosquamous skin disorders were studied with 75 cases of psoriasis (11–80 years), 36 cases of lichen planus (2–70 years), and 4 cases of pityriasis rosea. Age ranges from 2 to 80 years. Maximum cases were seen in the age group of 31–50 (70.6%) with a mean age of 39.18 years. Both genders were almost equally affected with a male: female ratio of 1.13:1. An analysis of the clinical with histopathological diagnosis of these papulosquamous skin lesions revealed a positive correlation in 76 (66.08%) cases and a negative correlation in 39 (2.9%) cases. Conclusion: Because of the varied clinical presentation and histopathological patterns of papulosquamous skin disorder, it is important to characterize the types of papulosquamous lesions as far as possible for definitive treatment.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42867561","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 community-based study to assess the perceptions and barriers in utilization of no-scalpel vasectomy among married men in a rural area of South India","authors":"P. Shrivastava, S. Shrivastava","doi":"10.4103/jms.jms_126_20","DOIUrl":"https://doi.org/10.4103/jms.jms_126_20","url":null,"abstract":"Background: India is the second most populous country in the world after China. In 1992, the government introduced an innovative technique “no-scalpel vasectomy” (NSV), a simpler, safer, and cheaper method aimed at increasing male participation in family planning. Despite the many advantages over female sterilization techniques, NSV still accounts for <1% of all the family planning methods used in India. Hence, this study was conducted among married men in a rural area to assess their knowledge and perceptions regarding NSV and identify various barriers in utilization of NSV. Materials and Methods: A community-based cross-sectional descriptive study was carried out for 6 months in the rural field practice area of a tertiary care hospital in Chengalpet district among a total of 170 married men in the age group of 21–60 years. Systematic random sampling was used to identify the study participants, and all the eligible participants were interviewed using a pretested semi-structured schedule. Data entry was done in Microsoft Excel, and analysis was done using the Statistical Package for the Social Sciences, version 23. Results: Good knowledge level about NSV was found in only 21 (12.4%) participants. Among the 170 study participants, only 2 (1.2%) had undergone vasectomy. The most common barriers to utilization of NSV were found to be availability of alternative methods of contraception by 136 (80%) participants followed by misconceptions about the procedure of NSV in 134 (78.8%) participants. Conclusion: The study highlights the urgent need to overcome the misconceptions and sociocultural concerns not only regarding NSV but also about the importance of male involvement in family welfare by targeted interventions in order to boost the acceptance of this simpler terminal contraception method.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"34 1","pages":"139 - 143"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42650663","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":"Number of COVID-19 test and positive rate: Is there any relationship?","authors":"Rujittika Mungmungpuntipantip, V. Wiwanitkit","doi":"10.4103/jms.jms_99_20","DOIUrl":"https://doi.org/10.4103/jms.jms_99_20","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"34 1","pages":"178 - 178"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44732446","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 comparative clinical study of collagen and paraffin gauze dressing on skin donor site","authors":"Saugat Das, A. Singh, L. Singh, Nehar Sinam, Sanjib Singh","doi":"10.4103/jms.jms_25_21","DOIUrl":"https://doi.org/10.4103/jms.jms_25_21","url":null,"abstract":"Background: Split skin grafting (SSG) is a commonly performed plastic surgical procedure. It is done to cover wounds, defects from excision of cutaneous lesions, donor sites of fascio-cutaneous flaps. The harvest of a split thickness skin graft causes a partial thickness injury. Complete re-epithelialization occurs in 10-14 days, although the rate may be affected by the local wound environment. However, tissue desiccation and infection can convert a partial thickness injury to a full thickness loss. Aims and Objectives: The purpose of the study was to determine the best method of dressing the donor site split-thickness graft between conventional paraffin gauze dressing and collagen-based dressings with respect to the rate of healing, pain, secretion, infection, and cost. Settings and Design A hospital based Non-Randomized control trial was conducted in a tertiary hospital setup in Manipur, India, for a period of 2 years. This study was done on 60 patients who underwent split skin graft procedure. Materials and Methods: The selected sample will be divided into two groups. The donor site dressing was done in two different ways. One was dressed with collagen sheet and the other with paraffin gauze dressing. The two groups were compared on the basis of post-operative pain, complication, and healing. Statistical analysis Statistical analysis was done by using IBM SPSS Version 21 for windows. Descriptive statistics such as mean, proportion, percentage were used to present the result. Chi square test was used to see the association of proportions. Student's t- test and repeated ANOVA were used for the continuous variables. P-value <0.05 was taken as significant. Results: A total of 60 patients were included in this study as per the estimated sample size. The Case group i.e., the patients for whom the STSG donor site were dressed by Collagen dressing and the Control group i.e., the patients for whom paraffin gauze dressings were used. Patients with collagen dressings are found to have only minimal to moderate pain in the entire postoperative period. In these patient's analgesic requirement is reduced, and early mobilization can be done. This is the major advantage of using collagen as a donor site dressing. We found that collagen slightly increases epithelization, which will reduce the chance of infection saving time and resources for the hospital staff and minimizing discomfort for the patient. Conclusion: In this study it was found that dressing the donor site for split-thickness graft with collagen-based dressings gave better results with respect to the rate of healing and post-operative pain scores than conventional paraffin gauze dressing.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"34 1","pages":"162 - 166"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48006571","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":"Medical students' practice, attitudes, and motives toward physical activity: A cross-sectional study","authors":"Vanlalduhsaki, J. Laishram, B. Akoijam","doi":"10.4103/jms.jms_1_21","DOIUrl":"https://doi.org/10.4103/jms.jms_1_21","url":null,"abstract":"Background: Medical students have substantial knowledge of the benefits of regular physical activity. A person's motives for physical activity are important in determining whether the person will be physically active. Objectives: The purpose of this study was to explore the attitude and motivation to be physically active among undergraduate medical students. Materials and Methods: This was a cross-sectional study conducted in a tertiary care medical institute in Manipur between July 18, 2016, and August 16, 2016. Self-administered questionnaire was used for data collection. Data collected were analyzed in IBM SPSS version 21. The results were summarized in frequencies and proportions for categorical variables and in means and standard deviations for continuous variables. Chi-square test, ANOVA, and Student's t-test were employed and P < 0.05 was considered statistically significant. Results: Out of 361 participants, 180 (49.9%) were females. The mean age of the participants was 22.55 ± 2.08 years (range: 18–34 years). Body mass index of majority of the participants (59%) fell within the normal range. About 62.3% of the students were currently engaged in physical activity. Attitude of the students toward physical activity was favorable and the total mean attitude score was 3.82. Intrinsic motivation was identified as the most important motive for being physically active. Conclusions: The participants displayed a favorable attitude toward physical activity with no difference in attitude compared to male and female students. Those who were active identified intrinsic motivation as the most important motive for being physically active.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"34 1","pages":"144 - 148"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47444030","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":"Knowledge of mothers and caretakers on adverse events following immunization in an urban community of Imphal","authors":"Vanlalduhsaki, Romola Pukh","doi":"10.4103/jms.jms_115_20","DOIUrl":"https://doi.org/10.4103/jms.jms_115_20","url":null,"abstract":"Context: Immunization is a great success in public health and has prevented a number of diseases. Although there are some adverse effects from certain vaccines, the benefits of vaccination have resulted in significant decline in infant and childhood morbidity and mortality. Parental concerns about perceived vaccine safety issues have led increasing number of parents to refuse or delay vaccination for their children. Hence, the knowledge regarding immunization in prevention of infectious disease among mothers and caretakers of under-five children is important. Aims: We aimed to assess the knowledge of mothers/caretakers of children under 5 years of age about adverse effects following immunization. Settings and Design: It was a cross-sectional study conducted in the urban field practice area of the Department of Community Medicine, Regional Institute of Medical Sciences, Imphal. Subjects and Methods: House-to-house survey was carried out and data were collected using a semi-structured questionnaire among the mothers and caretakers of children under 5 years of age. A total of 400 participants were interviewed in the study. Statistical Analysis Used: Data were entered in IBM SPSS Statistics 21 (IBM Corp. 1995, 2012) and summarized using descriptive statistics such as percentages and proportions. Chi-square test was employed to test the association between knowledge on immunization and selected variables of interest. P < 0.05 was taken as statistically significant. Results: Out of the 400 respondents, only 23.5% had adequate knowledge regarding immunization, 19% had average knowledge, and 57.5% had poor knowledge. Mothers who were above 30 years had better knowledge than those younger (P < 0.001). The higher the education level, the better was the knowledge, and this was also significant (P < 0.001). Christians were found to have better knowledge than Hindus (P < 0.001), and working mothers had better knowledge than homemakers (P < 0.001). There was no association between type of family and knowledge. 40.3% of the respondents were aware of adverse events following immunization (AEFI), out of which 37.9% acquired it mainly from the accredited social health activists/auxiliary nurse midwives, and the most common adverse event identified was fever (87.6%). 72.2% of the respondents who had experienced an adverse event following immunization in their children reported that the event developed within 6 h. Conclusions: Nearly one-fourth (23.5%) of the participants had good knowledge about immunization and nearly half of them were aware of AEFI. The main source of immunization and AEFI was reported to be peripheral health workers. Knowledge of the participants was significantly associated with mothers' age, educational status, and religion and employment status.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"34 1","pages":"121 - 127"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46756650","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 series of hypokalemic thyrotoxic periodic paralysis presenting in the North Eastern region of India","authors":"Monica Moirangthem, L. Singh, M. Janet, C. Sreejith, Tasso Opo, A. Singh","doi":"10.4103/jms.jms_33_21","DOIUrl":"https://doi.org/10.4103/jms.jms_33_21","url":null,"abstract":"Hypokalemic periodic paralysis (HPP) with thyrotoxicosis is a rare but treatable cause of sudden onset paralysis. Its occurrence is more common in males particularly of Asian descent. Presentation is like those seen in HPP with an additional feature of a hyperthyroid state, where the symptoms of hyperthyroidism may often be mild and thus may be missed. We are reporting a series of 4 cases of HPP in two males and two females from the North eastern region of India who presented with sudden onset weakness of limbs. Although hyperthyroidism is not common in this region of the country, all of them had elevated thyroid hormone levels on further evaluation. This case series is to highlight the significance of thyroid function test in cases presenting with a history of periodic paralysis.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"34 1","pages":"175 - 177"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47007362","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}