Journal of Marine Medical Society最新文献

{"title":"Projecting prescribing issues and patient patterns on the way to therapeutic appropriateness at the community level through elderly hypertensives","authors":"Adwait Sodani, Tomalwar Murari, V. Sashindran, A. Menon","doi":"10.4103/jmms.jmms_50_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_50_22","url":null,"abstract":"Introduction: Despite treatment, up to 50% of older hypertensives have poorly controlled blood pressure in the community. Possibly, the management advice does not reach the intended. Who stands responsible; the prescriber, the system (social dynamics) or the patients themselves? The study aims to showcase various prescribing practices and patient behaviours that influence therapeutic delivery and thus patient care. Appropriate redressals to such practices and behaviours as and when required during health planning/practice could result in the percolation of the best possible care unto all socioeconomic strata within a community. Materials and Methods: Older patients on antihypertensives (n = 143) were interviewed by visits to various urban slums of a district in Western Maharashtra, India, between December 2018 and October 2020 for this cross-sectional, descriptive study. Demographic and clinical data were recorded on a predesigned pro forma with reasons for the patient's behavior concerning disease/treatment. Finally, available prescriptions and the latest blood/urine evaluations were recorded. Prescribing practices were recorded with available tools and data was analysed. Results: The mean age of the study population was 68 ± 7.39 years. Optimal control of the blood pressure was not achieved in 72.03% of patients (P < 0.0001%; 95% confidence interval [CI]: 32.94–53.54%), whereas adverse drug reactions (ADRs) occurred in 35.66% of patients. Physician's prescription was available in 101 patients for prescription quality assessment; however, 12 patients had never been prescribed and 30 lost their prescriptions. Even patients under regular follow-up with a physician failed to achieve the blood pressure targets or prevent an ADR. Finally, the patients' behavior was studied, wherein 41.22% became lost to follow-up and 64.13% of patients had old prescriptions. Forty-two patients could explain such behaviors. Conclusions: Both physicians and patients were responsible for poor blood pressure control. The means of assisting a physician on physician-patient communication would reduce physician workload (thus increasing efficiency) and reduce confusion/misconception (about drug/disease etc) that patient upholds (thus addressing counterproductive patient behaviours).","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":"43197945","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":"Molar pregnancy with a coexistent fetus following assisted reproductive techniques: Two case reports","authors":"S. Rai, K. Yasaswi, Rishi Raj, R. Hiremath, Sandhya Ghodke","doi":"10.4103/jmms.jmms_90_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_90_22","url":null,"abstract":"Hydatidiform mole with the coexisting live fetus is a rare entity occurring in 0.005%–0.01% of all pregnancies. With the introduction of assisted reproductive techniques (ARTs), a significant rise in the incidence of multiple pregnancies has been reported. Here, we report two cases of molar pregnancies with a coexisting live fetus conceived following assisted conception. In our first case, pregnancy was continued and delivered a term live infant. The second case was aborted at 16 weeks' gestation due to maternal complications. These two patients needed chemotherapy due to persistent gestational trophoblastic disease. The rarity of this condition poses several diagnostic and management challenges, especially conceiving after ART the decision of termination for such couples.","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":"41318517","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":"Successful management of a case of complete hanging: Life does not end by choice","authors":"Vishal Mangal, Vivek Kumar, Khushboo, K. Kaur","doi":"10.4103/jmms.jmms_178_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_178_22","url":null,"abstract":"Suicide is an act of intentionally taking one's own life. In India, hanging remains the most common means of committing suicide. Complete hanging is when no body part touches the ground or any surface. Poor prognosis is associated with a Glasgow coma scale <8, systolic blood pressure <90 mmHg, head imaging consistent with anoxic brain injury, and hanging time longer than 5 min. In suicidal hanging, death is mainly due to hypoxia, asphyxia, or both. Currently, there are no standardized protocols for the management of hanging patients. We present a case of a 31-year-old female who was brought to our hospital after 20 min of bringing her down following complete hanging in a critical condition. She was successfully managed with mechanical ventilation, inotropes, and supportive care. She was discharged on the 7th day in walking condition without any neurological deficit.","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":"42537001","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":"Dyadic congruence, dyadic coping, and psychopathology: Implications in dyads for patients with acute coronary syndrome","authors":"Romita Mitra, S. Pujam, A. Jayachandra, Prafull Sharma","doi":"10.4103/jmms.jmms_124_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_124_22","url":null,"abstract":"Introduction: Along with a worldwide growth of individuals diagnosed with coronary heart disease (CHD), the number of adults affected with acute coronary syndrome (ACS) has substantially increased over a period of time. Such negative effects are not only limited to the patient but also extend to the caregiver. With this growing importance of caregiving among dyads, there comes a commensurate need to carefully exploring the impact of the relationship on the mental and possible overall health of both. The aim of this study is to examine the impact of dyadic coping as a mediator in the relationship between dyadic congruence and psychopathology of patient-caregiver dyads with acute coronary syndrome. Materials and Method: The present study was of a cross-sectional design. A total of 216 dyads (108 patients and 108 caregivers) were selected for this study. All the participants were chosen from Base Hospital and SGT Hospital, India. Data was collected through survey which included measures to test dyadic congruence, dyadic coping, depression, anxiety and somatic symptoms. Results: Correlation and mediation analysis was carried out for statistical analysis. Dyadic coping significantly mediated the relationship between dyadic congruence and psychopathology among patients with acute coronary syndrome and their caregivers. Conclusion: The findings of the present study throw a light on the impact of dyadic congruence and dyadic coping on the mental health of both patients with acute coronary syndrome and their caregivers.","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":"48085416","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":"Review of clinical and hematological profile of hemoglobin D cases in a single centre","authors":"Neha Singh, T. Seth, S. Tyagi","doi":"10.4103/jmms.jmms_165_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_165_22","url":null,"abstract":"Introduction: Hemoglobin D Punjab is a common hemoglobin D variant, which is essentially known to cause a mild disease even in homozygous state. Heterozygous state of hemoglobin D Punjab with sickle cell is the only presentation when a severe disease may be expected. We aim to study the spectrum of clinical and haematological profile of all case of haemoglobin D, reported at an apex referral centre of the country. Material and Methods: This is a record based retrospective study of cases of hemoglobin D Punjab from hematology OPD of a apex medical care centre. The clinical and hematological findings of 30 cases with genotype/phenotype of hemoglobin D Punjab were recorded from physical records and electronic data maintained at the institute. The cases were divided into homozygous Hb D Punjab, Double heterozygous hemoglobin S and D, Hemoglobin D-β-thalassemia, and Hemoglobin D trait. Results: The reported 30 cases consisted of 3 cases of homozygous Hb D Punjab, 8 cases of co-mutation of Hb D and beta thalassemia, 6 cases of co-mutation of Hb D with sickle cell and 13 cases of Hb D trait. All three cases of Hb D disease were mild to moderately symptomatic with co-existent splenomegaly. Out of the 8 cases reported of Hb D-β-thalassemia, three cases were found to have moderate anemia and one with severe anemia. The MCV of all participants were reduced, while, MCHC of all cases was within normal range. Among the 6 cases of compound heterozygous Hb D and S Disease two had hemolytic faces and three cases had splenomegaly. Blood transfusion was required by four out of six cases at varied frequency. Conclusion: We find the spectrum of symptoms presented by the cases of hemoglobin D Punjab is varied and few cases may require blood transfusion and medical care with follow up even in absence of heterozygous hemoglobin S inheritance.","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":"42893261","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":"An observational comparative study of weekly and 3 weekly concurrent cisplatin-based chemoradiotherapy in locally advanced head-and-neck cancer in a peripheral medical college","authors":"Ritika Biswas, R. Bandyopadhyay, Sanghamitra Saren, Suparna Banerjee","doi":"10.4103/jmms.jmms_119_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_119_22","url":null,"abstract":"Introduction: Concurrent chemo-radiation with 100m/m2 three weekly cisplatin is the standard of care in inoperable locally advanced head and neck cancer (LAHNC) but is associated with significant toxicities. The objective of the study was to assess the tumour response and toxicities in the three weekly and lower dose weekly cisplatin based chemo radiation regimens. Methodology: The prospective study was conducted in a peripheral medical college from May 2020 to July 2021. One hundred and twelve patients were recruited, 56 in each arm. The three weekly arms received 100mg/m2 cisplatin whereas the weekly arm received weekly 40mg/m2 cisplatin both concurrently with radiation dose of 70 Gray in 35 fractions over seven weeks. One-way analysis of variance was used to compare means of three or more samples for numerical data. Unpaired proportions were compared by Chi-square test or Fischer's exact test. Results: One hundred patients completed the study and were evaluable, 42 in the three weekly arm and 48 in the weekly arm. Disease response at 12 months in the two arms was not statistically significant. The toxicities were lower in weekly arm as compared to three weekly arms but were not statistically significant. Conclusion: The study confirms that weekly concurrent cisplatin is an acceptable alternative treatment to three weekly regimens in inoperable LAHNC. The lower dose weekly concurrent cisplatin regime is better tolerated in our patients with increased treatment compliance.","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":"46782564","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":"Patient care: A forgotten art – Ten-point solution for better patient care","authors":"S. Shaw, Maj Divyanshi, A. Singhal","doi":"10.4103/jmms.jmms_43_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_43_23","url":null,"abstract":"","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":"45537487","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":"Prevalence of subclinical Vitamin K deficiency in early infancy in exclusively breast-fed term infants","authors":"Gitanjali Jain, K. Adhikari, G. Vasnik, Daljit Singh, Venkatesan Somasundaram, R. Gupta, P. Dudeja, S. Shaw","doi":"10.4103/jmms.jmms_75_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_75_22","url":null,"abstract":"Background: Late Vitamin K deficiency bleeding, is a disease of exclusively breast-fed infants attributable to poor content of Vitamin K in breast milk. We aimed to estimate the prevalence of subclinical Vitamin K deficiency, at 3 months of age in exclusively breast-fed term infants who were administered routine Vitamin K 1 mg intramuscular at birth. Methods: This prospective observational study was conducted between June 2018 and June 2020 in a Tertiary Care Teaching Hospital in Western India. Consecutive inborn infants, having received Injection Vitamin K at birth and on exclusive breast feeds attending immunization at 3 months of age were included. Half milliliter of venous blood was withdrawn for the estimation of Proteins Induced by Vitamin K Absence or Antagonist-II (PIVKA-II). Subclinical Vitamin K deficiency was defined as PIVKA-II level of more than 2 ng/mL. Results: The mean age of infants was 3.2 ± 0.2 months and the PIVKA II levels ranged from 0.19 to 10.07 ng/ml. Subclinical Vitamin K deficiency was present in 62 (32.63%) out of 190 infants. Conclusion: Significantly raised PIVKA II levels (>2 ng/mL) were detectable in 32.6% of infants after 3 months of age who had received 1 mg of Vitamin K at birth.","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":"41586627","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":"Primary intraosseous squamous cell carcinoma presenting as lytic lesion in mandible: Common presentation of an uncommon illness","authors":"C. Pendharkar, R. Mehta, Barun K. Chakrabarty, Arijit Sen","doi":"10.4103/jmms.jmms_68_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_68_22","url":null,"abstract":"Squamous cell carcinomas (SCCs) occurring in the bones are largely metastatic in nature and primary intraosseous squamous cell carcinomas (PIOSCCs) are extremely rare. They tend to involve skull bones more frequently than the other bones. We present the case of a 52-year-old male, presenting with pain in the lower jaw, which was diagnosed with PIOSCC on histopathology.","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":"46493263","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 perception of crew on habitability factors onboard naval afloat units assessment of perception of crew regarding habitability factors onboard naval afloat units","authors":"Anmol Sharma, R. Batlish, Khan Ali","doi":"10.4103/jmms.jmms_123_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_123_22","url":null,"abstract":"Background and Objectives: Habitability onboard a warship is multifactorial and constitutes the environment in which the crew operates and accommodates while at sea or at harbor. Maritime work environment is a complex man-machine interaction, with human being the dynamic component as the machine is mostly run by set protocols and algorithms. Efficiency of the dynamic aspect of the man machine interaction is driven by multiple correlated and interrelated factors which can be linked to the ambient and external environment in nature. This study was therefore conducted to survey upon the crew serving onboard Indian Naval Ships as to assess crew perception toward various habitability factors onboard. Materials and Methods: The descriptive study was carried on board various naval warships. A questionnaire-based analysis was conducted on 384 personnel on active duty. Results: Majority of participants agreed that habitability factors have a direct impact on their efficiency while working. Food, ventilation, and adequate living spaces are most crucial with the maximum positive impact on the crew as determined by the survey. Interpretation and Conclusion: Subsequent increase in the quality and variety of equipment with an ergonomical approach is the way forward for an efficient and happy crew. A happy and satisfied seafarer on board a ship is the pivot point to determine the efforts in place and the mission in hand.","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":"48994426","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}