Journal of Marine Medical Society最新文献

{"title":"ARC syndrome: A rare cause of infantile cholestasis","authors":"Prashant Panale, A. Jamal, V. Bhat, R. Thergaonkar","doi":"10.4103/jmms.jmms_20_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_20_22","url":null,"abstract":"A 65-day-old female infant, born to a third-degree consanguineously married couple, was brought to us with neonatal cholestasis and technetium-99 m hepatobiliary iminodiacetic acid scan reporting nonvisualization of the tracer activity in the intestine after 24 h. The neonate had ichthyosis and mild flexion contractures at elbows and knees. Ultrasonography and magnetic resonance cholangiopancreatography did not reveal any evidence of biliary atresia. Liver biopsy showed preserved liver and portal triad architecture with sinusoidal dilatation, giant cell formation, and biliary stasis. The neonate had an episode of enterocolitis complicated by acute kidney injury with persistent renal tubular dysfunction on recovery. Genetic testing revealed a homozygous pathogenic variant c. 201C > A (p. Tyr67Ter) in VPS33B. A diagnosis of arthrogryposis, renal dysfunction, and cholestasis (ARC) syndrome was made, and the neonate managed conservatively with counseling of parents regarding poor prognosis. The neonate died of an intercurrent illness at the age of 7 months. This is possibly the fourth case of ARC syndrome reported from India.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48121294","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":"Eruptive pseudoangiomatosis: An outbreak in the third wave of COVID-19","authors":"Bhavni Oberoi, Reetu Agarwal, Gopalsing R Rajput","doi":"10.4103/jmms.jmms_129_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_129_22","url":null,"abstract":"A range of skin manifestations has been reported since the beginning of the COVID-19 pandemic. These findings earlier thought to be due to direct cytopathic effects of the virus are now predominantly known to be paraviral eruptions due to an immune reaction to the virus. Eruptive pseudoangiomatosis is one such paraviral eruption which has been scarcely reported to be associated with COVID-19 vaccination or infection. We did not find any such association during the first two waves of COVID; however, we found a phenomenal increase in cases of eruptive pseudoangiomatosis with the third wave of COVID-19 in India which coincided with the spread of the Omicron variant. Hereby, we report a case series of ten such cases. All these cases had a temporal correlation with COVID-19 infection and resolved spontaneously without recurrence within 14 days.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46489237","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":"Temporal lobe abscess – as a result of COVID pandemic","authors":"Rahul Naga, T. Bedi","doi":"10.4103/jmms.jmms_103_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_103_22","url":null,"abstract":"Complications of chronic otitis media have reduced substantially in the postantibiotic era. The complications are described as being intracranial and extracranial. Intracranial complications are rarer epidemiologically; however, the recent COVID pandemic has led to widespread delay among the general populace from seeking therapy. We present a case where a 22-year-old male failed to seek timely intervention for otorrhea and developed a temporal lobe abscess. The patient was subsequently managed through an intact canal wall mastoidectomy and tympanoplasty with drainage of pus through the transmastoid approach. On follow-up, there was an adequate resolution of the abscess with a well-healed tympanic cavity.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45344873","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":"Future doctor's perspective of saving lives through blood donation: A cross-sectional study to assess knowledge, attitude, and blood donation practice among 2nd year medical undergraduate students","authors":"Ashwini Ratnakar, Manasi Gosavi, P. Bhat, Ramesh Chavan","doi":"10.4103/jmms.jmms_104_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_104_22","url":null,"abstract":"Background: The requirement of blood and its components has always been on a rise, and meeting this growing demand can only be assured through the development of newer encouragement strategies for the recruitment and retention of more healthy voluntary young donors. Medical undergraduate students with an appropriate knowledge and a positive attitude can form an important part of this pool as well as help encourage others for the same. Materials and Methods: A questionnaire was provided to all 2nd year MBBS students who were posted to the Department of Pathology, KAHER's J. N. Medical College, Belagavi, Karnataka, and willing to be a part of this study. Responses of the questionnaire were recorded and quantitative evaluation of the data was done using software Epi Info™ 7.2.2.6. Results: A total of 280 undergraduate MBBS students participated in the study. Knowledge: 88.2% and 86.1% of the students knew the correct donor selection criteria for minimum age and hemoglobin level, respectively. Practice: Only 21.1% of the students had donated blood before. Attitude: 96.1% favored voluntary donation. 95% were willing to donate blood in the future with 82.5% willing to encourage others to do the same. Conclusion: Medical students have a good knowledge and positive attitude toward blood donation, but the practice of the same was very poor. Hence, there is a need to educate and approach these students to create an awareness regarding the importance of blood donation as well as involve them in voluntary blood donation.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46939912","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":"Fast-food culture – Prevalence, pattern, and preference trends and its association with body mass index of medical students","authors":"K. Pushkar, S. Kaushik, P. Nagarjuna, Gautam Mukherjee, Prabhakar Teli, A. Yadav","doi":"10.4103/jmms.jmms_36_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_36_22","url":null,"abstract":"Background: Fast-food culture is an uprising trend among the younger age groups. Stressful life due to increased study load, staying away from home, peculiar working hours, etc., negatively influences the food choices of medical students. Hence, this study was conducted to describe the prevalence, pattern, and preferences of fast-food consumption and also to determine the relationship of frequency of fast food with body mass index (BMI) of students of a medical college in Western Maharashtra. Methods: A cross-sectional study was done among 398 students of a medical college in Pune for 6 months. The data collection was done using a self-administered pretested structured questionnaire and analyzed using Microsoft Excel and SPSS version 20 software. Results: Three hundred and ninety-eight medical students responded. We found a 100% prevalence of fast-food consumption with different frequencies. 13.8% of the students were found to be overweight. Pizza was the most frequently consumed fast food. The taste factor was the most common reason to consume fast food among both sexes. The majority of the study participants (98.5%) were aware that fast foods are hazardous to health. A statistically significant association was found between the frequency of consumption of fast food with the type of diet (P = 0.008) and BMI (P = 0.023). Conclusion: High prevalence and preference for fast-food consumption can result in various noncommunicable diseases among students of the medical profession and is a major concern. Thus, there is a need for educating the students regarding nutritional information and counseling to bridge the gap between their knowledge and practice about healthy eating behavior.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49262375","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":"Relevance of mesenteric lymphadenopathy in children detected on sonography","authors":"RanjitSingh Lahel, A. Chail","doi":"10.4103/jmms.jmms_70_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_70_22","url":null,"abstract":"Objective: Mesenteric lymphadenitis reflects the mesenteric lymph node (MLN) response to an underlying infection of uncertain etiology, usually viral. In children, enlarged MLNs are common findings detected during abdominal ultrasound, whether done for nonspecific pain abdomen or for unrelated clinical presentations. This study was conducted to determine the significance of mesenteric lymphadenopathy in asymptomatic children as compared to those with symptoms of acute abdominal pain or chronic abdominal pain (CAP). Methodology: A prospective hospital-based study was conducted among 72 children aged between 2 and 15 years. These children were referred from the outpatient/pediatric ward department for 1 year, for evaluation by abdominal ultrasonography. Children were grouped into three categories based on their clinical presentations as asymptomatic (controls), those with CAP, and those with acute abdomen. The sonographic findings were tabulated against each, with accounting of parameters such as size, number of enlarged nodes, and site of nodes. Pearson's Chi-square test was used to analyze ordinal variables between groups. About 95% confidence interval was selected with a P = 0.05 taken as statistically significant. Results: Significant enlarged MLNs were comparable in prevalence in all groups. The incidence of significant mesenteric lymphadenopathy in the CAP group was even less than in the control group. The Chi-square statistic was 2.5612. The P = 0.633718. The result is not statistically significant at P < 0.05. This indicates that MLNs on ultrasonography have no significant association with the clinical presentation in children. Conclusion: Our study indicates that reporting of enlarged mesenteric nodes on transabdominal sonography in children is not statistically significant with the clinical symptomatology.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43599038","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":"Navigating the labyrinth of genetic testing","authors":"D. Gulati, M. Gopinath, A. Singhal","doi":"10.4103/jmms.jmms_166_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_166_22","url":null,"abstract":"","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44269848","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":"Cow dung – An unusual cause of halitosis","authors":"Saurabh Sud, Saumya Shree, S. Bhardwaj, Urikhimbam Devi","doi":"10.4103/jmms.jmms_103_21","DOIUrl":"https://doi.org/10.4103/jmms.jmms_103_21","url":null,"abstract":"","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47221258","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":"Comparison of prevalence of metabolic syndrome in submariners with shore-based naval personnel","authors":"DurgeshKumar Chaudhary, CS Mohanty, Chaitanya Kodange, Sourabh Bhutani, Satyasom Sarkar, GR Rajput","doi":"10.4103/jmms.jmms_47_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_47_23","url":null,"abstract":"Introduction: Metabolic syndrome refers to a clustering of metabolic risk factors including central obesity, glucose intolerance, low high-density lipoprotein (HDL) cholesterol, high triglycerides, and hypertension. In the naval setting, some occupational characteristics of submariners such as long work hours, lack of physical activity, disturbed circadian rhythm, and stress have a negative influence on the health status of individuals. It is worth speculating that the occupational factors might also influence the development of clinical conditions related to a greater cardiovascular risk such as metabolic syndrome. Materials and Methods: A cross-sectional study was conducted over a period of 2 years. Submariners posted onboard an operational submarine for the past 1 year in the age group 18–45 years and willing to participate in the study were included in the study. Shore-based personnel in the similar age group posted in shore billet for at least 1 year were taken as control. Universal sampling technique was used for selection of subjects. A total of 250 submariners and 250 age-matched shore-based naval personnel were enrolled in the study. The study group was assessed for prevalence and risk factors of metabolic syndrome using national cholesterol education program adult treatment panel III criteria. Results: The mean age of submariners and shore-based personnel was 29.7 ± 4.9 years and 29.3 ± 5.3 years, respectively (P = 0.77). 20.8% of the submariners had a body mass index (BMI) more than 25 kg/m2 compared to 16.8% in the shore-based group. BMI was higher for the submariners compared to shore-based personnel but the difference was not statistically significant (P = 0.097). The prevalence of systolic and diastolic hypertension in submariners was 16.8%–15.2% compared to 11.6% and 10.4% in shore-based group (P > 0.05). Fasting blood sugar levels >100 mg/dl was observed in 14% submariners compared to 8.4% shore-based personnel (P > 0.05). Triglyceride levels of >150 mg/dl was observed in 22.4% submariners compared to 16% shore-based personnel (P = 0.085). HDL level of <40 mg/dl was observed in 13.6% submariners compared to 8.8% in shore-based personnel (P = 0.12). The prevalence of risk factors such as alcohol consumption (34% vs. 26%) and smoking (3.6% vs. 1.1%) and low physical activity (30% vs. 21.2%) were higher in the submariners as compared to the shore-based personnel though the difference was not statistically significant. The prevalence of metabolic syndrome was 9.2% in submariners compared to 6.4% in shore-based personnel. The difference was not statistically significant (P = 0.31). The overall prevalence of metabolic syndrome among submariners was higher than shore-based personnel but it was less compared to studies conducted on the Indian general population in urban areas. Conclusion: There is a need for preventive and/or therapeutic programs focused on cardiovascular and metabolic health for submariners.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136203247","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 retrospective analysis of 5-year data of training-related injuries in an institutional setting","authors":"ArunKumar Yadav, AmitKumar Singh, Shailendra Kumar, Manoj Yadav, Narendra Yadav","doi":"10.4103/jmms.jmms_196_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_196_22","url":null,"abstract":"Introduction Musculoskeletal injuries sustained during training are not only the major cause of loss of training hours but also lead to attrition of precious workforce. Detailed knowledge of the pattern, type, mechanism of musculoskeletal injury, etc., helps in designing prevention strategies. Hence, the study was conducted to study the epidemiology of injuries sustained by trainees while undergoing training at an institutional training. Materials and Methods The study is a record-based observational study. The data relating to training-related injuries sustained over 5 years (April 2014 to March 2019) were obtained from the record maintained in the medical facility of the training institute in India. The data were extracted using a case record form. The injury data (date of injury, unique identification number, trainee name, diagnosis, and type of treatment taken) were obtained from the medical record register maintained in the medical facility of the training institute. Anthropometric data (height and weight) were obtained from the record of initial medical screening done routinely on the day of joining the training institute. The descriptive analysis of the collected data was done. Results A total of (n = 2946) trainees comprising 2584 male trainees and 362 female trainees underwent training during the period of the study. The total number of visits to the medical facility related to injury during the 5-year study period was 13,579. Most of the injuries are occurring in the 5th–20th week in the first half of training period and 29–44 week in the second half of training period. Among male trainees, the lower limb injuries alone accounted for 72.8% of total injuries, followed by trunk and back injuries (11.97%) and upper limb injuries (11.95%). Among female trainees although lower limb injuries still account for the majority (79.66%) of injuries, among them, hip and groin injuries accounted for the highest percentage of injuries as compared to leg and knee injuries in male trainees. The twisting injuries of the knee, stress fractures, and acute traumatic fractures accounted for the majority (78.34%) of the injuries leading to repetition of the training by 24 weeks. The twisting injuries of the knee, acute traumatic fractures, traumatic shoulder instability, and head injuries accounted for the majority (83.2%) of the injuries leading to dropout from training institution (withdrawal). Conclusion The analysis related to the injuries sustained by trainees during the 5 years found out the timings, severity, and location of injuries. The findings may be important for the formulation of preventive program in an institutional training institute.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136203525","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}