BJKines National Journal of Basic & Applied Sciences最新文献

{"title":"Chronic Morbidity Pattern and Quality of Life among Geriatric Fisherman Population in Pondicherry-An Explanatory Sequential Mixed Method Study","authors":"S.Kirubakaran S.Kirubakaran, K.Logeswari K.Logeswari, .G.Aravind G.Aravind, M. J. M. Janaki, J. S. P. J. Shanmuga Priya","doi":"10.56018/202306118","DOIUrl":"https://doi.org/10.56018/202306118","url":null,"abstract":"Abstract\u0000Background: Almost half of the geriatric population in India has chronic morbidity. Health status is an important factor that has a significant impact on the quality of life of an elderly population. Objectives: To find out the pattern of chronic morbidities and to explore the coping skills among the Geriatric Population. Methodology: The study was Explanatory Mixed Methods study design, where a quantitative phase (Survey) followed by the qualitative phase (In depth interviews [IDI]) is used. A total of 450 patients aged 60 and above from the coastal villages were studied and analysed. Socio Demographic details, Morbidity Patten and the treatment taken. Results: For the 5 item General Health Questionnaire among the 254 Young old 92 (36.2%) were positive and among the 216 Older/Oldest population about 88 (40.7%) were positive which is statistically significant (p value 0.0224) comparing the two age categories Regarding Alzheimer’s disease – 8 item questionnaire positive there is statistically very significant (p value 0.0003) difference among the Young old 44 (17.6%) and for Older/Oldest population about 64 (29.6%).Conclusion: Hence it is prudent to screen the elderly population for these General health, Alzheimer’s diseases spread knowledge, awareness and self-care advice to them among the fisherman community though their food pattern and physical activity is on positive note. This will help to create “the society for ages” and to promote the concept of active and healthy ageing.\u0000Keywords: Elderly, Quality of Life, Chronic morbidity, Geriatrics, Fisherman","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125811202","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":"Histopathological Spectrum of Gallbladder Lesions and Outcome Of Routine Histopathological Examination Of Cholecystectomy Specimens","authors":"Biren Parikh, Swati B Parikh, Prahari Upadhyaya, Monali Halpati, Kinjal Damor, Vishva Vora","doi":"10.56018/2023066","DOIUrl":"https://doi.org/10.56018/2023066","url":null,"abstract":"Abstract\u0000Background: \u0000Cholecystectomy specimens are very frequently examined in a surgical pathology practice and reveal a myriad of lesions. Cholelithiasis is a major risk factor for most of the gallbladder diseases. Gallbladder is one of the most common organs where the incidental carcinoma is commonly reported in published literature. This study was intended to evaluate the histopathological spectrum of gallbladder lesions and to assess the utility of histopathological examination of cholecystectomy specimens to diagnose the incidental carcinoma. Materials and Methods: This observational and descriptive study was carried out on a total 400 cholecystectomy specimens by conventional histopathological methods. Results: Cholecystectomy specimens comprised of 4.70% all surgical pathology specimens. The mean age of patients was 41.84 ± 13.74 years. A striking female preponderance (F: M = 3.49:1) was noted. Most cases were associated with gallstones (83.5%). Non-neoplastic and neoplastic lesions comprised 97.5%, and 2.5% respectively. Chronic cholecystitis was the most frequent pathology (67.5%). Adenocarcinoma was observed in 2.25% cases and 88.89% of all malignant lesions were reported as an incidental finding. Conclusion: Gallstones are consistently observed in both neoplastic as well as non-neoplastic lesions of gallbladder. Many premalignant and malignant lesions may masquerade as chronic cholecystitis; both on clinical and radiological parameters and so, histopathology proves to be a gold standard tool for the correct diagnosis. This study affirms the importance of routine histopathological examination of each and every cholecystectomy specimen; as incidental detection of gallbladder carcinoma is very high.\u0000Key words: Histopathology, Cholecystectomy, Gallstones, Cholecystitis, Adenocarcinoma","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115123864","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":"Study of comparison of effect and complications of intravitreal triamcinolone injection of 1 mg, 2 mg and 4 mg in macular edema of vascular origin","authors":"Dr Kajal Kataria, Dr. Jignesh Gosai, Dr.Jignasa Makvana","doi":"10.56018/bjkines2022121","DOIUrl":"https://doi.org/10.56018/bjkines2022121","url":null,"abstract":"Introduction: The present study aimed to compare the efficacy and safety of different doses (1 mg, 2 mg and 4 mg) of triamcinolone acetonide (IVTA) in treatment of eyes with macular edema of vascular origin.Methods: Using simple random sampling among patients attending our tertiary healthcare referral centre, 60 patients fulfilling selection criteria were divided into 3 groups and were followed up for a period of 16 weeks. Following IVTA injections of different doses, patients were observed for changes in best-corrected visual acuity (BCVA), central foveal thickness (CFT) on optical coherence tomography (OCT), intraocular pressure (IOP) and cataract occurrence/ progression in all three groups at 1 week , 4 weeks, 12 weeks and 16 weeks. Results: Following IVTA injection in all three groups (1 mg, 2 mg and 4 mg), mean BCVA improvedfrom baseline but no statistically significant difference was observed in mean BCVA at different follow ups betweenthe three groups. Mean CFT significantly improved from baseline in all threegroups but no statistically significant difference was observed at different follow ups between groups. MeanIOP increasedfrom baseline in all three groupsbut no statistically significant difference was observed among groups at different follow ups. Anti glaucoma treatment was required at end of 16 weeks postoperatively in 0, 1 and 3 eyes receiving 1 mg, 2 mg and 4 mg IVTA respectively. Lenticular changes at the end of 16 weeks postoperatively were found in 0, 1 and 2 eyes with 1 mg, 2 mg and 4 mg IVTA respectively.Conclusion: 4 mg dose of IVTA improves the functional and anatomical outcome in macular edema of vascular origin in most patients followed by 2 mg dose. 1 mg and 2 mg dose of IVTA has less incidence of steroid induced elevation of IOP and lenticular opacity development or progression. Further large scale studies are recommended to compare the effectiveness and safety of different doses of IVTA. Keywords: Triamcinolone Acetonide, Macular edema, diabetic retinopathy, retinal vein occlusion","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123090919","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 Study of Induction of Labour Vs Expectant Management in Pregnant Females from 39 weeks to 41 weeks of Pregnancy","authors":"D. Panchal, Dr. Vandana Saini, Dr Shailee Bhatt","doi":"10.56018/bjkines2022063","DOIUrl":"https://doi.org/10.56018/bjkines2022063","url":null,"abstract":"Background: The present study assessed the maternal and foetal outcomes of both induced and spontaneous labour in 39 to 41 weeks pregnant women. Material & Methods: A comparative study was conducted among 200 women including 100 women in spontaneous labour group and 100 women in induced labour group. Maternal and fetal outcomes like antenatal complications, duration of labour, mode of delivery, indication for caesarean delivery, maternal complications, meconium staining of liquor, birth weight, APGAR score and NICU admissions were studied. Results: Mean maternal age was similar among both study groups. Majority of patients in both groups had gestational age between 39 to 40 weeks. Antenatal complications like PROM, oligohydroamnios etc. were more prevalent in induced women. Caesarean section rate was significantly high among the induced group in both nulliparous and multiparous women as compared to spontaneous labour group. Most common indication of caesarean section was fetal distress in both groups. Birth weights of babies were similar in the study groups. Induction was not found to affect meconium staining of liquor and APGAR score of babies and NICU admission rates. Conclusion: Although induction of labour increases the odds of caesarean section, it has no adverse effects on mother or baby. Hence induction of labour can be recommended as a safe technique for pregnant women with delayed gestation. Keywords: Expectant management, Induction of labour, spontaneous labour, Maternal, Fetal","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121306272","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":"Valsalva Retinopathy: A Case Report","authors":"Damini .j. patel, Dr. Geeta Sonarkar, Dr. Nikita Goel, Dr. Somesh Agrawal, Dr. Neha Desai","doi":"10.56018/bjkines20220619","DOIUrl":"https://doi.org/10.56018/bjkines20220619","url":null,"abstract":"Valsalva retinopathy is characterised by pre-retinal haemorrhage which presents with unilateral, sudden, painless diminution of vision. Pre-retinal haemorrhage caused by sudden rise in venous pressure was first termed as Valsalva haemorrhage by Duane TD in 1972. It is caused by rupture of superficial retinal capillaries due to increased intra-ocular venous pressure following increase in intra-thoracic or intraabdominal pressure. It resolves in few weeks or month and vision returns to normal depending on the location of the bleed on the retina. Observation, Nd:YAG (neodymium-doped yttrium aluminium garnet) laser and Argon laser hyaloidotomy, vitrectomy are effective treatment options for eyes with Valsalva retinopathy. Here we present a case of a 32 year old female with Valsalva retinopathy with subhyaloid haemorrhageafter an episode of vomiting who was treated with Nd:YAG laser hyaloidotomy with a good visual outcome.The novelty of this case report lies in the fact that although conservative management is practiced more often with similar prognosis, early intervention by Nd:YAG laser hyaloidotomycan benefit the patient with marked improvement and rapid recovery. Key words: Valsalva retinopathy, subhyaloid haemorrhage, Nd:YAG laser hyaloidotomy.","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129349052","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":"Epidermal Appendageal Tumours-Histopathological Study at a Tertiary Care Hospital","authors":"D. Parikh, Dr. Swati Parikh, Dr. Bhoomika Chaudhari, Dr. Tanvi Patel, Dr. Jigar Suthar","doi":"10.56018/bjkines20220610","DOIUrl":"https://doi.org/10.56018/bjkines20220610","url":null,"abstract":"Background: Skin appendageal tumours are a heterogeneous group of tumours with considerable clinical and histopathological overlap. The overall incidence of Skin adnexal tumours (SATs) is low in Indian population. In some cases, the diagnosis of adnexal neoplasms poses unique difficulties due to complex nomenclature, and expression of one or more lines of appendageal differentiation in the same lesion. The study was aimed to evaluate the histopathological spectrum of skin appendageal tumours and to correlate SATs with various demographic and clinical data. Material and Methods: This observational and descriptive cross-sectional study was conducted on a total 55 skin biopsies diagnosed as SATs over a period of 2 years. Results: Peak age incidence of SATs was observed in the 5 th decade with marginal female preponderance (M: F = 1:1.11). The most commonly affected site was head and neck region (69%); followed by extremities (27%) and trunk (4%). Out of total 55 cases of SATs, 50 cases (90.91%) were benign tumours and 05 cases (9.09%) were malignant tumours. The sweat gland tumours constituted the largest group (43.64%); followed by hair follicle tumours (36.36%) and sebaceous gland tumours (20%). Amongst all SATs, nodular hidradenoma was the commonest benign tumour (16.36%) and sebaceous cell carcinoma (7.27%) was the most common malignant tumour. Conclusion: The study confirmed that skin appendageal tumours are rare tumours. Histopathology proves to be the gold standard tool to confirm the diagnosis. Key words: Skin adnexal tumour, Histopathology, Eccrine, Apocrine , Sebaceous, Hair follicle","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128143625","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":"Impact of the second wave of COVID-19 pandemic on the mental health and training of ophthalmology residents doing COVID duties in Gujarat.","authors":"D. P. K. Bhole, Dr. Farhad Mansuri, Dr. Kshitij Gandhi, Dipali P. Parmar, Dr. Sanket Oza","doi":"10.56018/bjkines2022062","DOIUrl":"https://doi.org/10.56018/bjkines2022062","url":null,"abstract":"Background: To study the impact of the second wave of the COVID-19 pandemic on the attitude and practice of vaccination, mental health and training of the ophthalmology residents doing COVID duties in Gujarat. Materials and methods: In this prospective study, online survey (Google Forms) was conducted during the second wave of COVID-19 pandemic from May 13 to May 17 2021 amongst the ophthalmology residents doing COVID duties in Gujarat. It was designed to understand their attitudes and practices towards COVID-19 vaccination, their mental health using the Patient Health Questionnaire (PHQ-9) and their perceived impact of the second wave of the pandemic on their ophthalmology training. Results: 148 residents responded to the survey. Mean age was 25.86 ± 1.4years and 73 (49.32%) were males. 112/148 (75.67%) had been vaccinated against COVID-19. The mean PHQ-9 score was 10.61 ± 4.5 (range of 1 to 24).130(87.83%) participants had some degree of depression. Depression was significantly more in students from government medical colleges (p=0.013). Mean duration of covid duty performed was 26.54 ± 17.63 days. 83/101 (82.18%) residents who had done COVID duties during both waves of the pandemic, found the second wave more stressful. 109/148 (73.65%) residents found COVID duties during the second wave had hampered their training in ophthalmology. Conclusion: With the constant threat of ongoing COVID-19 pandemic, an accessible psychological support system and effective e-learning process amongst the ophthalmology trainees, thereby boosting their self-confidence should be encouraged. Key words: second wave, ophthalmology residents, vaccination, mental health, training, COVID 19","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134259854","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":"Evan’s Syndrome: Case Series with Review of Literature","authors":"Dhara Patel, Dr. Sangita Shah, Dr. Nidhi Bhatnagar, Dr.Mamta Shah, Dr Garima Thakkar, Dr Rajvi Vora","doi":"10.56018/bjkines20220615","DOIUrl":"https://doi.org/10.56018/bjkines20220615","url":null,"abstract":"Evans syndrome is a rare autoimmune disease in which an individual’s antibodies attack the body’s own red blood cells and platelets. It is characterised by simultaneous or sequential development of Immune Thrombocytopenic Purpura (ITP) and Autoimmune Hemolytic Anemia (AIHA) with positive Direct Antiglobulin test (DAT). AIHA can be cold, warm or mixed type depending on the type of antibody. 80% of total AIHA cases are warm AIHA. Warm AIHA is mostly caused by IgG antibody which reacts at 370 C. Warm AIHA is associated with classical case of Evan’s syndrome. Some variants of Evan’s syndrome are associated with leucocytosis. The current article discusses 3 cases of Evan’s syndrome, all presenting differently - Classical Evan’s syndrome, Evan’s syndrome associated with leucocytosis and Evan’s syndrome associated with neuropathic pain. In this case series, pathophysiology, workup done at blood centre and blood component transfusion support in patients with Evan’s syndrome has been discussed. Keywords: Evan’s syndrome, Anemia, Autoimmune","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121173236","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 Rare Case Report of Disseminated Cysticercosis","authors":"Dr. Jignesh Jethva, Dr. Purvi R. Bhagat, Dr. Rutvi Parmar, Dr. Farhad Mansuri","doi":"10.56018/bjkines20220620","DOIUrl":"https://doi.org/10.56018/bjkines20220620","url":null,"abstract":"One of the most important parasites which frequently causes blindness in humans is the cysticercus\u0000cellulosae, in which humans are the intermediate hosts in the life cycle. Ophthalmological involvement\u0000can affect eyelids, conjunctiva, anterior chamber, uvea, vitreous, retina, extra ocular muscles and optic\u0000nerve. We report the case of a 55 years old female who presented with multiple swelling in all limb,\u0000difficulty in walking and loos of vision in right eye. On ocular examination, there was subconjunctival\u0000cyst in inferior forniceal region in left eye and ill-defined ruptured cyst in vitreous cavity in right eye. On\u0000physical examination, multiple cystic swellings were observed over her skull, arms, forearm, thighs,\u0000fingers and toes. Simultaneous involvement of eye, limbs and CNS is rare in routine scenario. Diagnosis\u0000of cysticercosis is based mainly on orbital imaging because of its highly specific appearance. Medical\u0000therapy is the main stay of treatment.\u0000Keywords: Disseminated cysticercosis, ocular cysticercosis, neurocysticercosis.","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132519193","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":"Benign Peripheral Nerve Sheath Tumors: A 10 Year Hospital Based Study","authors":"M. Rouf, Shayesta Ali, A. Kirmani, A. Bhat","doi":"10.56018/bjkines20220613","DOIUrl":"https://doi.org/10.56018/bjkines20220613","url":null,"abstract":"Background: Benign nerve sheath tumours present as isolated soft tissue masses and are classified as solitary neurofibroma and schwannoma. They cause virtually identical symptoms and signs, and there are no clinically distinct pathognomonic features. Failure to appreciate the possibility and the nature of these tumours at the time of surgery may lead to a catastrophic loss of function for the patient. Aim of the study is to analyse peripheral nerve sheath tumours in reference to; Hospital based incidence, age and sex distribution peripheral nerve involved most preoperative diagnostic tool efficacy histopathological variations and surgical outcome. Materials and Methods: the study was carried out at SKIMS Srinagar from January 2005 to October 2014.Study included 49 patients, with an average age of 38 years (range 7-65 years). The diagnostic tools used were FNAC, NCV, USG, & MRI for location & provisional diagnosis, surgical excision was performed and final diagnosis achieved by HPE. Results: The incidence of isolated peripheral nerve sheath tumors in our study was 4.9 per year. In case of schwannomas upper limbs were involved more frequently than lower limbs (2:1), while neurofibromas were more evenly distributed (1.16:1). Presenting symptoms were mass, pain, weakness, dysesthesia an average follow-up of 6 months after surgery pain syndromes had complete resolution in 66% vs 44%, paraesthesia 80% vs 50% and motor strength restoration to normal in 45.5% vs 6.25% patients in schwannomas and neurofibromas respectively. Conclusion: Meticulous dissection with Intracapsular tumour removal under magnification can achieve complete tumour removal without neurological loss or recurrence. Key Words: schwannoma, neurofibroma, microsurgical excision, paraesthesia, mass","PeriodicalId":430295,"journal":{"name":"BJKines National Journal of Basic & Applied Sciences","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114548389","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}