Journal of Marine Medical Society最新文献

{"title":"Contrast-induced Nephropathy: Incidence and Reversibility in Patients Undergoing High-risk Percutaneous Coronary Intervention","authors":"Bharat Singh Sambyal, Vishal Kansal, Akshay Kumar Nayak, Prabhat Chauhan, Kavya Jeldi","doi":"10.4103/jmms.jmms_15_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_15_24","url":null,"abstract":"\u0000 \u0000 \u0000 There is a paucity of data regarding contrast-induced nephropathy (CIN) in patients undergoing percutaneous coronary intervention (PCI) from this part of the world. The present study was thus planned to find the incidence and reversibility of CIN in patients undergoing high-risk PCI.\u0000 \u0000 \u0000 \u0000 A hospital-based observational study was conducted at the department of cardiology in a tertiary care hospital. The study included 50 consecutive cases undergoing high-risk PCI at the cardiac catheterization laboratory. CIN is characterized as either a relative increase in serum creatinine (S. Cr) of 25% or more or an absolute increase of 0.5 mg/dL or more, occurring within 48 h of exposure to contrast media. This is under the assumption that there are no other factors contributing to the increase in S. Cr.\u0000 \u0000 \u0000 \u0000 The incidence of CIN in cases undergoing high-risk percutaneous interventions was 18% in the present study. On regression analysis, age above 70 years, hypertension and diabetes were identified as significant predictors of the development of CIN in patients undergoing cardiac procedures in the cardiac catheterization laboratory (P < 0.01). All the cases of CIN had a self-limiting course, and none of the cases required renal replacement therapy.\u0000 \u0000 \u0000 \u0000 CIN affects one out of every five to six cases undergoing high-risk PCI; however, almost all cases are reversible. Patients with preexisting comorbidities such as diabetes and hypertension have a significantly increased risk of development of CIN.\u0000","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228467","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":"Nurturing Medical Students through Continuous Mentee Tutoring","authors":"S. Shrivastava, P. Bobhate, Gulshan R. Bandre, Vaishnavi H. Mishra","doi":"10.4103/jmms.jmms_9_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_9_24","url":null,"abstract":"\u0000 In the field of medical education, the mentor–mentee relationship is an integral and indispensable aspect of supporting students’ personal and professional development and is crucial in helping them to attain intended learning outcomes. Continuous mentee tutoring (CMT) refers to an ongoing process, wherein medical students are provided with continuous academic guidance for an extended timeframe, thereby establishing a long-term relationship between a teacher (mentor) and a student (mentee). The success of this tutoring will essentially depend upon the creation of an open communication platform, wherein mentees can freely express their concerns and ask for clarifications whenever they are stuck. In conclusion, CMT is of paramount importance in a medical college as it can play an instrumental role in ensuring academic growth and personal development and providing a positive learning experience to the students. This calls for the need that all medical colleges should look forward to adopting CMT within their settings to benefit the students by setting a strong foundation for a successful career.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228814","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":"How to Spot a Cloned Journal? Why Its Very Relevant for Us to Know about It Today More than Before?","authors":"S. Mukhida, N. Das, Sriram Kannuri, Deepali Desai","doi":"10.4103/jmms.jmms_181_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_181_23","url":null,"abstract":"\u0000 Publication of various clinical studies or trials is very important to researchers, colleges and countries due to various reasons. Medical teachers get promotion on the basis of their teaching experience as well as their research profile and publications. Time to time MCI/NMC issue guidelines for faculty qualification for various post and their future promotions. There was lack of clarity and several temporary indexed journals published articles with higher Article processing charge without any peer review processed. Cloned/predatory journal is harmful not only for students or faculties but also for medical science. Medical science can get harmed by two ways either under reporting data or over reporting/wrong data. To avoid the wrong information and getting real prevalence, cloned/predatory journal should be identified Publication in those journal is always harmful for authors as well as complete society, country and medical world too.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228930","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":"Unforeseen Malfunction of Flexometallic Endotracheal Tube in Pediatric Nasal Intubation: A Critical Incident Report","authors":"Sudhansu Shekhar, Anoop Sharma, R. S. Rajput","doi":"10.4103/jmms.jmms_19_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_19_24","url":null,"abstract":"","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228891","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":"Baboon Syndrome Due to Clotrimazole Topical Preparation with Unusual Route of Entry","authors":"Gopalsing R Rajput, Jeeva John, Chrisinder Kaur, Ritu Agarwal","doi":"10.4103/jmms.jmms_38_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_38_24","url":null,"abstract":"","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228675","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":"Beyond Nonalcoholic Fatty Liver Disease: The Expansive Realm of Metabolic Dysfunction-associated Steatotic Liver Disease","authors":"Samir Samadarshi, Dharmendra Kumar, M. Manrai, S. Dawra, Sharad Srivastava, Alok Chandra","doi":"10.4103/jmms.jmms_28_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_28_24","url":null,"abstract":"\u0000 \u0000 \u0000 The Delphi consensus statement has accepted the new fatty liver disease nomenclature. Steatotic liver disease (SLD) is an overarching term that encompasses various etiologies of steatosis. The name chosen to replace nonalcoholic fatty liver disease was metabolic dysfunction-associated SLD (MASLD). Patients having SLD along with underlying cardiometabolic risk factor(s) are labelled as MASLD. We carried out a cross-sectional study of patients with fatty liver visiting the gastroenterology department of a tertiary care hospital to determine the association of cardiometabolic risk factors with significant fibrosis.\u0000 \u0000 \u0000 \u0000 In this cross-sectional study, adults with evidence of fatty liver on abdominal ultrasonography with no history of heavy alcohol use were enrolled. Participants with evidence of chronic liver diseases (including chronic hepatitis, autoimmune hepatitis, and drug-induced hepatitis), people living with HIV/AIDS, and those with disseminated or advanced malignancy were excluded. Anthropometric assessment and hematological and biochemical tests were done, and all participants underwent transient elastography of the liver using FibroScan™.\u0000 \u0000 \u0000 \u0000 All 135 patients were classified as MASLD as per the new nomenclature accepted by the Delphi consensus. Body mass index (BMI), waist circumference (WC), serum triglycerides (TG), and high-density lipoprotein (HDL) cholesterol were found to have a significant association with liver stiffness measurement (LSM) (adjusted r\u0000 2 0.23, P < 0.001). 32.5% of participants (n = 44) were found to have significant fibrosis on transient elastography. LSM was significantly higher in patients with metabolic syndrome.\u0000 \u0000 \u0000 \u0000 Metabolic syndrome is an important risk factor for significant fibrosis. Among various cardiometabolic risk factors, BMI, WC, and serum TG are associated with higher LSM. HDL levels correlate negatively with LSM. The new nomenclature focuses on these cardiometabolic risk factors and has broader applicability.\u0000","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228620","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":"Autologous Fat Grafting: Whom does it satisfy: Patient or Surgeon?","authors":"Patil Bhushan Ramesh, Sankhe Manashree, G. Vishwanath","doi":"10.4103/jmms.jmms_39_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_39_24","url":null,"abstract":"\u0000 \u0000 \u0000 Autologous fat grafting (AFG) is a versatile and minimally invasive technique in the hands of the plastic surgeon for the correction of contour and other volume deficits. The objective of this study was to assess the efficacy of correction of these defects using AFG in terms of improvement in appearance, as judged both by patient and clinician evaluation.\u0000 \u0000 \u0000 \u0000 This prospective study was conducted from 2012 to 2023. Thirty cases of contour and other defects underwent correction by AFG by a single surgeon using a single technique. The patients were evaluated by themselves and by an independent surgeon preoperatively and at 6 months postoperatively using a Likert scale. Data were evaluated using MS Excel, Python 3.9.18, and SPSS Statistics.\u0000 \u0000 \u0000 \u0000 Thirty patients were studied as described. Significant improvement was found across age groups and indications. The improvement in scores was significant, both in the clinician and patients’ self-evaluations and was comparable. No significant complications were encountered.\u0000 \u0000 \u0000 \u0000 AFG appears to be a safe, minimally invasive, consistently reproducible tool for the correction of contour and other volume deficits.\u0000","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228611","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":"Unmasking Extrapulmonary Tuberculosis: The Diagnostic Conundrum of Erythema Nodosum in a Young Woman","authors":"Anmol Sharma, Aditya Puniyani, Chandrasekhar Raju, Robin Choudhary","doi":"10.4103/jmms.jmms_33_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_33_24","url":null,"abstract":"","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228682","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":"Raised Bilirubin: An Independent Indicator for Perforated or Gangrenous Appendicitis","authors":"M. Pattnaik, S. Ghose, S. Basra, Brajesh Kumar, Mohit Mohan Panigrahi, Dm Ramakrishnan","doi":"10.4103/jmms.jmms_20_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_20_24","url":null,"abstract":"\u0000 \u0000 \u0000 Acute Appendicitis is still one of the most common surgical emergencies that most general surgeons encounter in their practice. Diagnosis of acute appendicitis is made in almost 80% of cases, clinically and is helped by some laboratory tests. Certain clinical scoring systems such as Alvarado Score and MANTRELS Score have been developed to aid in diagnosis. A delay in diagnosis or delayed presentation leads to perforation and localized or generalized peritonitis leading to increased mortality. Furthermore, the presence of appendicolith has been found to be correlated with complicated appendicitis. Increased bilirubin level (>1.0) has been indicated as marker for predicting appendiceal perforation in various studies.\u0000 \u0000 \u0000 \u0000 This study aimed to evaluate whether a raised bilirubin level has an independent predictive value for complicated appendix.\u0000 \u0000 \u0000 \u0000 This was a prospective observational study conducted at Command Hospital, Lucknow, and was further continued at Military Hospital Jaipur and Military Hospital, Jammu, from January 2021 to December 2023. A total of 169 patients were included in the study. After clinical examination, laboratory tests were sent for routine investigations to include total leukocyte count and liver function test. Subsequently, they underwent appendicectomy and intraoperative findings were noted. Data were further analyzed to know the correlation of raised bilirubin with various parameters such as presentation, MANTRELS scoring, presence or absence of appendicolith, intraoperative findings, and pathological findings.\u0000 \u0000 \u0000 \u0000 In our study, in acute presentation of appendicitis, serum bilirubin was raised (>1 mg/dL) in 94 patients. However, in chronic presentation, it was raised only two patients. This difference was statistically significant with P < 0.001. MANTRELS scoring was compared with bilirubin level and it was found that the patients with higher score had raised bilirubin level with a mean of 7.98 and median was 8. Patients with normal bilirubin level had mean MANTRELS score of 7.01 and median of 7. This difference was significant. Gangrenous appendix, burst or perforated appendix with intraperitoneal pus was found in 39 patients. Out of 39 patients, 38 patients had raised bilirubin level which was statistically significant P < 0.001. In our study, 23 patients had appendicolith, out of which 21 patients had raised bilirubin level which was statistically significant. Thirty-seven patients out of a total of 38 patients with perforated or gangrenous appendix on histopathological examination had raised bilirubin level while only one patient had normal bilirubin level which was statistically significant.\u0000 \u0000 \u0000 \u0000 A high index of suspicion should be kept for complicated appendicitis in a patient with acute appendicitis with raised bilirubin.\u0000","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228712","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 Study of Sociodemographic Profile and Factors Associated with Dermatophytosis in Tropical Climates with Comparison among Treatment-Naive and Those Who Have Abused Topical Corticosteroids/Combination","authors":"Ruchi Hemdani, Gopalsing R Rajput, Manas Chattejee","doi":"10.4103/jmms.jmms_2_24","DOIUrl":"https://doi.org/10.4103/jmms.jmms_2_24","url":null,"abstract":"\u0000 \u0000 \u0000 Dermatophytoses have emerged to become an important cause of morbidity and embarrassment due to their symptomatology and chronicity especially post application of topical steroid or combination creams containing steroids which has led to atypical presentation, delay in diagnosis and prolonged treatment with frequent relapses.\u0000 \u0000 \u0000 \u0000 To describe socio demographic profile and various factors associated with dermatophytosis which vary as per topical steroid/ combination application history. Methods: 200 patients with clinically diagnosed tinea corporis, tinea cruris and tinea faciei were randomly selected from the Dermatology outpatient department of tertiary care hospital in Mumbai from Jan 2018 to Jul 2019. A detailed clinical history was recorded in all cases. Both the sexes and all ages were included in this study. Immunocompromised patients, patients with diabetes, secondary infection were excluded in this study.\u0000 \u0000 \u0000 \u0000 Topical steroid/ combination use was more commonly seen in the age group 31-45 years with most patient self medicating themselves and having used it for less than four weeks. Majority of the patients were housewives and students. Longer duration, recurrence and previous history of tinea was seen among patients who had applied topical steroid/ combination. It was seen that a large number of patients are using these steroid/combination therapy as first line treatment and it leads to perpetuation of their condition.\u0000 \u0000 \u0000 \u0000 The present study highlights socio demographic profile and various factors associated with dermatophytoses which vary as per topical steroid/ combination application history.\u0000","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228652","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}