Journal of Marine Medical Society最新文献

{"title":"Outcome of single and double intrauterine insemination techniques in infertility cases","authors":"Mustajib Ali, Arunav Sharma, Rajesh Sharma","doi":"10.4103/jmms.jmms_50_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_50_23","url":null,"abstract":"Background: Primary infertility is a serious condition that has a profound impact on the mental and physical health of the couple, and the condition forms a significant proportion of cases seeking treatment at gynecological centers across the world. Intrauterine insemination (IUI) forms the cornerstone in the management of most of such cases. However, there has been an ongoing debate regarding whether single IUI or double IUI: which is better. This randomized control trial aims at comparing the outcomes of both the techniques. Materials and Methods: In this randomized control trial, 150 couples having a valid indication for IUI were randomized into two groups. In the first group, single IUI was done at 36 h after human chorionic gonadotropin (HCG) trigger, and in the second group, double IUI was done at 24 and 48 h post-HCG trigger. The outcome measured was pregnancy which was confirmed by urine pregnancy test done on the 18th day after IUI and later followed up till appearance of gestation sac with fetal pole on ultrasound. The Fisher’s exact test for statistical analysis was used to analyze the data for statistical significance. Results: In the single IUI cohort of 75 women, 11 tested positive for urine beta-HCG on day 18 and all had confirmed pregnancy (gestational sac with fetal pole). The pregnancy positivity rate for this cohort was 14.67% (11/75 × 100%). In the double IUI cohort of 75 women, 13 tested positive for urine beta-HCG on day 18 and all had confirmed pregnancy (gestational sac with fetal pole); the pregnancy positivity rate for this cohort was 17.33% (13/75 × 100%). Although the double IUI group had a higher yield of positive outcomes, the result was not statistically significant (statistic test value is 0.8242). Conclusion: The outcome of single versus double IUI is almost similar. In a resource-poor situation, it will be prudent to stick to single IUI in all cases requiring IUI. However, in a resource-rich situation, one might resort to double IUI in male factor abnormalities such as asthenozoospermia or borderline oligozoospermia.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202095","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 to carry out always better control and vital, essential, and desirable analysis in the dispensary of a tertiary care teaching hospital","authors":"Neelesh Patel, Balpreet Kaur, Neeraj Garg, Vasudev Gad","doi":"10.4103/jmms.jmms_183_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_183_22","url":null,"abstract":"Introduction: Due to the advancement of medical technology, it is difficult to monitor the vast inventory in hospitals. Thirty-three percentage of the hospital operating budget are spent on buying materials and supplies. Out of all the inventory control measures, Always better control (ABC) and Vital, essential, and desirable (VED) are the most used inventory control techniques. The present study was conducted at a tertiary care specialty hospital to study drug management through the application of inventory control techniques. Aim and Objectives: The present study aimed at studying the drug management system by application of ABC and VED analysis and to give recommendations for an efficient inventory management system. Materials and Methods: It was an observational study conducted at the dispensary of a tertiary care teaching hospital. The data of annual consumption and expenditure incurred on each item of the dispensary for the fiscal year 2021–2022 were collected. The annual expenditure of individual items was arranged in descending order. The cumulative cost percentage and the cumulative percentage of number of items were calculated, and the list was then categorized into three subdivisions: A, B, and C categories. For classifying drugs into VED, inputs from the concerned clinicians were sought. Data were analyzed using statistical tools of MS Excel. ABC-VED matrix was formed to couple the items into various categories and groups so that managers can efficiently monitor them. Results: Of the 291 items used, 15% of the items were A items which need strict monitoring by the top-level management as they are the costliest. VED analysis revealed 37% of the items as vital which should be present at all times in the hospital and are inescapable requirements. ABC-VED matrix analysis showed 10% of the items as A items from ABC and vital items from VED (AV) items which are costly and should be present at all times at the hospital, thereby demanding strict managerial control. Conclusion: Using inventory control techniques, substantial improvement could be brought about in patient care by ensuring the uninterrupted availability of vital and essential medicines all the time. It can also be used to identify drugs that require stringent control for the optimal use of financial resources and the elimination of out-of-stock conditions at the dispensary.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202538","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":"Spectrum of cardiovascular manifestations in homozygous familial hypercholesterolemia","authors":"N. Bajaj, Balbir Singh, Ananthkrishnan Ramamoorthy, Arijit Ghosh","doi":"10.4103/jmms.jmms_30_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_30_22","url":null,"abstract":"Homozygous familial hypercholesterolemia (HoFH) is a rare, primarily an autosomal dominant genetic disorder that causes markedly elevated low-density lipoprotein (LDL) cholesterol levels predisposing patients to risk of developing premature atherosclerotic cardiovascular diseases. Disease manifestations usually develop in 1st or 2nd decade of life and severity depends on the duration of exposure to elevated LDL cholesterol levels. The mainstay in management is early recognition and treatment with various lipid-lowering agents including lipid-apheresis in severe cases not responding to drug therapy. We report three cases of HoFH presenting to our institute in their 2nd decade of life with different cutaneous and cardiovascular manifestations and discuss challenges in their management.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"25 1","pages":"88 - 92"},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49031373","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":"Novel versus traditional serum biomarkers in predicting the response to anti-tubercular therapy in pulmonary tuberculosis patients: A prospective study","authors":"Vishal Mangal, Anuj Singhal, Gaurav Vohra, Santosh Karade, AS Menon, KaminderBir Kaur","doi":"10.4103/jmms.jmms_185_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_185_22","url":null,"abstract":"Background India ranks first in the global share of tuberculosis (TB). Active TB is also associated with elevated levels of B-Cell growth factors like B-cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL). We aimed to study the circulating levels of ferritin, high-sensitivity C-reactive protein (hsCRP), BAFF, and APRIL in sputum-positive and sputum-negative active pulmonary TB (PTB) patients. Materials and Methods We enrolled 90 sputum positive and 90 sputum-negative newly diagnosed PTB patients. All the patients underwent estimation of serum ferritin, hsCRP, BAFF, and APRIL before initiation of f Anti-Tubercular therapy (ATT), after 1 month of ATT, and after 2 months of ATT. We compared the change in the cytokines mentioned above in PTB subjects at baseline, after 01 and 02 months of the intensive phase of standard anti-tubercular therapy. Results There was a significant difference between the serum BAFF levels at all times between the sputum-positive and sputum-negative groups (P < 0.001). There was a considerable increase in the APRIL level 2 months after initiation of ATT in both the groups (sputum positive group P = 0.004) (sputum negative group P < 0.001). There was a significant decrease in serum ferritin level and hsCRP after 2 months of ATT compared to baseline (P < 0.001) in both sputum positive and negative groups. Conclusion Serum ferritin, hsCRP, and APRIL levels can be used to assess the treatment response in both sputum-positive and sputum-negative cases. Serum BAFF levels >587 pg/ml at baseline implies high probability of sputum smear positivity in a patient with PTB.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202328","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":"Comparative analysis of preoperative high-resolution computed tomography temporal bone and intraoperative surgical findings in cases of cholesteatoma","authors":"RanjitSingh Lahel, S. Tripathi, A. Chail","doi":"10.4103/jmms.jmms_64_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_64_22","url":null,"abstract":"Introduction: Cholesteatoma has been described as an accumulation of desquamated keratin debris in a pocket of squamous epithelium over a matrix within the middle ear cleft. A prospective study was carried out to establish a correlation between preoperative high-resolution computed tomography (HRCT) temporal bone findings with intraoperative findings in cases of cholesteatoma. Methods: Fifty patients of chronic otitis media, active squamous type, i.e. clinically suspected cholesteatoma, scheduled to undergo tympanomastoid exploration were selected. The positive and negative findings of the scan were documented as per the parameters to be analyzed. The important intraoperative surgical findings were then analyzed with preoperative HRCT findings. Results: Agreement between surgical and HRCT findings ranged from 86% (facial canal erosion) to 100% (external bony canal involvement). HRCT had higher detection rate as compared to surgery for scutum erosion (40% vs. 36%), tegmen erosion (6% vs. 4%), facial canal erosion (28% vs. 14%), lateral semicircular canal erosion (6% vs. 2%), incus erosion (78% vs. 64%), sinus tympani involvement (14% vs. 4%), attic involvement (44% vs. 42%), mastoid involvement (88% vs. 80%), and aditus widening (54% vs. 44%). The higher detection of scutum erosion, tegmen erosion, facial canal erosion, lateral semicircular canal erosion, and incus erosion is probably due to partial volume averaging. Conclusion: The findings of the present study showed that HRCT is an essential and indispensable tool for preoperative evaluation of cholesteatoma. It was highly sensitive and adequately specific for a significant number of findings. These findings are pivotal in planning the surgery and preparing for necessary anticipatory reconstructive procedures.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"25 1","pages":"58 - 62"},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49494499","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":"Assessment of peripheral vestibular apparatus in patients with peripheral vestibular symptoms using videonystagmography in tertiary care center","authors":"LakkuV Manohar Reddy, Rahul Naga, DK Gupta, Sunil Mathews","doi":"10.4103/jmms.jmms_25_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_25_23","url":null,"abstract":"Introduction Vertigo, dizziness, giddiness, and unsteadiness are all quite frequent symptoms that affect a large proportion of the population. Due to the challenges associated with effectively diagnosing and documenting vestibular illnesses, figures on their prevalence, frequency of occurrence, and social impact vary greatly. Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo of vestibular origin. Positional nystagmus is most frequently seen in benign paroxysmal positional vertigo (BPPV) associated with peripheral vestibular diseases. Videonystagmography (VNG) tests are an excellent diagnostic tool for distinguishing peripheral from central vestibular abnormalities, provided they are conducted and interpreted by doctors rather than technicians. The current study utilized VNG to evaluate vestibular apparatus function in patients with peripheral vestibular symptoms (dizziness/imbalance/giddiness/vertigo). Methods Prospective observational study comparing efficacy of assessment of vestibular apparatus using clinical vestibular assessment versus VNG in patients having vestibular symptoms. Results With clinical vestibular assessment test, 13 out of 50 symptomatic patients had no nystagmus. When VNG was performed on these patients, 10 out of these 13 patients had shown positive findings, whereas only three patients had negative findings. Our study finds that VNG along with clinical evaluation is more effective in diagnosing vestibular disorders when compared with clinical evaluation alone and this was statistically significant. Conclusion Based on our results, VNG is the better modality for the assessment of vestibular apparatus in patients with peripheral vestibular symptoms for diagnosis and treatment.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202103","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":"Phacoemulsification under peribulbar anesthesia: To patch or not","authors":"Harikrishnan Vannadil, Archana Singh, Ranjit Goenka, Sunandan Bhatta","doi":"10.4103/jmms.jmms_176_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_176_22","url":null,"abstract":"Introduction Anesthesia for cataract surgeries is undertaken in various forms. In cases under peribulbar anesthesia, there exists a practice of patching the eye for varying duration. This study has been conducted to look into the difference in the outcome and comfort of the patient with respect to the use of eye patch in an objective way. Materials and Methods This is a prospective randomized observational study with controls conducted at an Ophthalmology Department of a Tertiary Care Hospital. All patients undergoing uneventful phacoemulsification with posterior chamber intraocular lens implant surgery for age-related cataracts meeting the inclusion criteria were recruited for the study. Results Two hundred and seven patients were included and randomly allotted to the patch and no-patch group. The mean pain score for the no-patch group was 2.930 (standard deviation [SD] =1.4231), while the same for the patch group was 2.879 (SD = 1.3438). The symptom of watering in patch group was significantly lower than the no-patch group with a P = 0.013 by Pearson’s Chi-square test. The mean postoperative day (POD) 1 DVA among the cases was found to be 0.440 LogMAR (SD = 0.3114) and the same for controls was 0.715 LogMAR (SD = 0.2858). On the 2nd POD, the DVA of the cases improved to 0.162 LogMAR (SD = 0.1819) while that of controls were 0.419 LogMAR (SD = 0.2758). However, the visual acuity of both groups was comparable at the end of the 7th POD. The patients without patch demonstrated significantly better visual acuity on the 1st POD. This group of patients also had statistically significant reduction in the conjunctival congestion, aqueous flare, aqueous cells, and corneal edema. The beneficial outcome on the 1st POD is likely due to the early use of topical drugs which is facilitated by the absence of eye patch. However, the final outcome seems independent of the use of patching. Conclusion Using an eye patch for the patient undergoing a routine phacoemulsification surgery under peribulbar block does not seem to have any additional benefit.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136203550","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":"Partnership working between nurses and patients' families in the critical care environment.","authors":"Lucy Kirkham","doi":"10.7748/ns.2022.e11669","DOIUrl":"10.7748/ns.2022.e11669","url":null,"abstract":"<p><p>When an individual becomes critically ill, they may be admitted to a critical care environment, which can have significant effects on themselves and their family. There is a wealth of literature exploring the experiences and priorities of patients and their families in relation to critical care, but also a lack of research on practical interventions that can improve care delivery in this setting. This article explores partnership working between nurses and patients' families in the critical care environment and examines the barriers to, and facilitators of, family-centred care. The author draws on the literature to consider interventions that could enhance family-centred care in this setting, and makes some recommendations for practice.</p>","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"22 1","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76948524","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, attitude, and practice of labor analgesia in antenatal women in India: An observational study","authors":"D. Paul, Nipun Gupta, A. Patra, Saurav, G. Prasad","doi":"10.4103/jmms.jmms_192_20","DOIUrl":"https://doi.org/10.4103/jmms.jmms_192_20","url":null,"abstract":"Background: The concept of labor analgesia is widely unknown to the antenatal women and parturients in the Indian medical setup. Aims: The aim of this study was to assess the knowledge, attitude, and practice of labor analgesia in antenatal women visiting the antenatal clinic in a tertiary care hospital. Methodology: One hundred twenty women in the antenatal period between the age group of 18 and 40 years attending the antenatal clinic were included in the study. A Google form-based questionnaire was used to collect data. Statistical Analysis: Ordinal and nominal data were presented as numbers and percentages. Bar diagrams and pie charts were used for graphical representation. Results: Twenty-one (17.5%) respondents, out of 120, were aware of labor analgesia. Among the rest 99, 13 participants did not have knowledge nor they wanted to gather information further. Out of 86 unaware respondents, 62 (72.1%) were interested in acquiring the knowledge of labor analgesia and rather would be comfortable if the treating obstetrician imparts the information; 46 (53.5%) of them wanted the information to be imparted during the obstetric consultation sessions and 10 (11.6%) respondents considered the best time for gathering awareness for labor analgesia at, or after the onset of labor pain. The major concerns of the respondents for labor analgesia were the safety of their health and the effect on the baby. Conclusions: Awareness of labor analgesia in Indian antenatal women is low. The treating obstetrician should impart knowledge regarding labor analgesia in the pre- and antenatal period which should be supplemented with more emphasis during the prelabor period.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"24 1","pages":"73 - 78"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47181662","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 right internal carotid artery thrombosis in case of mild COVID-19 pneumonia","authors":"D. Paul, R. Goyal, Bhavana Hooda, K. Kaur","doi":"10.4103/jmms.jmms_121_21","DOIUrl":"https://doi.org/10.4103/jmms.jmms_121_21","url":null,"abstract":"","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"24 1","pages":"170 - 171"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49463401","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}