International Journal of Research in Medical Sciences最新文献

Mass closure versus layered closure of midline laparotomy incisions 中线开腹手术切口的整体闭合与分层闭合

International Journal of Research in Medical Sciences Pub Date : 2024-07-26 DOI: 10.18203/2320-6012.ijrms20242053

Nirmal Babu, Debashis Mondal, Rasbihari Hembram

{"title":"Mass closure versus layered closure of midline laparotomy incisions","authors":"Nirmal Babu, Debashis Mondal, Rasbihari Hembram","doi":"10.18203/2320-6012.ijrms20242053","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20242053","url":null,"abstract":"Background: When surgeons started performing surgeries since 19th century, they have to impose wound on their patients and it is their duty to strive constantly to get these wounds to heal as quickly, reliably and severely as possible, and now the behaviour of surgical wound is largely predictable. This study aims to evaluate the benefits or otherwise between single layer closure and layered closure in a peripheral medical college.\u0000Methods: All patients who have undergone emergency exploratory laparotomy in Department of General Surgery, College of Medicine and JNM Hospital, Kalyani\u0000Results: In our study, out of 50 patients, most of the patients were >30 years old [19 (38.0%)]. Seven (28.0%) patients were >30 and <61 years of age in group A (mass closure) and 12 (48.0%) patients were >30 years of age in group B (layered closure). Age was not significantly associated with group in group A (mass closure) and group B (layered closure) (p=0.0540). We observed that, mean age was lower in group B (layered closure) (37.7600±14.8304) compared to group A (mass closure) (47.3600±15.0993) though it was statistically significant (p=0.0279).\u0000Conclusions: In our study, out of 50 patients, most of the patients were >30 years old and age was not significantly associated with group in group A (mass closure) and group B (layered closure). We found that, male population and female population were equal in both two groups. Sex was significantly related with two groups. We observed that, Band adhesion and Perforated appendix were equal in both groups. Which was not statistically significant.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"41 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800355","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}

引用次数: 0

Delayed splenic rupture following abdominal trauma: a case report 腹部创伤后延迟性脾破裂：一份病例报告

International Journal of Research in Medical Sciences Pub Date : 2024-07-22 DOI: 10.18203/2320-6012.ijrms20241982

Erick Hidrogo O., Reynaldo D. Fierro J., Luis F. Bustamante S., Ángel A. Becerril B., Alan J. Gutiérrez P., Iberia M. Ossa N., Pablo A. Mendoza S., Hector U. Quiroga J.

引用次数: 0

The effect of guided imagery on pain levels in post-caesarean section patients 引导想象对剖腹产后患者疼痛程度的影响

International Journal of Research in Medical Sciences Pub Date : 2024-07-22 DOI: 10.18203/2320-6012.ijrms20241980

R. H. Setyaningrum, Arif Setyobudi, Debree Setiawan, Damar Upahita, Anisa Nindiasari

{"title":"The effect of guided imagery on pain levels in post-caesarean section patients","authors":"R. H. Setyaningrum, Arif Setyobudi, Debree Setiawan, Damar Upahita, Anisa Nindiasari","doi":"10.18203/2320-6012.ijrms20241980","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20241980","url":null,"abstract":"Background: Cesarean section is one form of surgical procedure involving incision of the abdominal and uterine walls, which poses a risk of postoperative pain. Pain is a common issue experienced by women after cesarean section, particularly within the first 48 hours. Uncontrolled pain can lead to physical and psychological complications such as postpartum depression and difficulties in infant care. Pain management may involve pharmacological therapy, but non-pharmacological alternatives such as relaxation therapy like guided imagery need to be explored, which can help reduce post-cesarean section pain.\u0000Methods: This study is experimental, utilizing a randomized controlled trial pre-test and post-test control group double-blind design. The research was conducted from July to September 2022. A simple randomized sampling technique was employed, with a sample size of 32 post-cesarean section patients divided into two groups: the treatment group (guided imagery and standard therapy) consisting of 16 patients, and the control group (standard therapy) consisting of 16 patients.\u0000Results: The study revealed a decrease in visual analogue score (VAS) scores by -2.875±0.619 with an effect size of 0.641 in the treatment group. The study had a significant impact with a p value of 0.000 (p<0.05).\u0000Conclusions: Guided imagery is effective in reducing the pain level of post-cesarean section patients.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"9 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141814718","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}

引用次数: 0

Temporary clipping of the external carotid artery in the resection of a massive facial neurofibroma: a case report 在切除巨大面部神经纤维瘤时临时切断颈外动脉：病例报告

International Journal of Research in Medical Sciences Pub Date : 2024-07-22 DOI: 10.18203/2320-6012.ijrms20241981

Karla P. Vidaurri, Kimberly O. Bojórquez, Erubiel T. Lopez, José A. Arvizu, María M. Gracia

引用次数: 0

Pyloric hypertrophy in adults: case report 成人幽门肥大：病例报告

International Journal of Research in Medical Sciences Pub Date : 2024-07-19 DOI: 10.18203/2320-6012.ijrms20241979

Mariana Gonzalez Villegas, Fernanda Vega Robles, Kimberly Bojórquez Osuna, Hector Fregoso Lomeli, Ricardo Macedo Belloso

引用次数: 0

Thanatophoric skeletal dysplasia: a rare case report 甲状腺骨骼发育不良：罕见病例报告

International Journal of Research in Medical Sciences Pub Date : 2024-07-18 DOI: 10.18203/2320-6012.ijrms20241972

Rishabh Arora, V. Holla

引用次数: 0

Study clinical features, haematological changes and outcome in snake bite cases 研究蛇咬伤病例的临床特征、血液学变化和预后

International Journal of Research in Medical Sciences Pub Date : 2024-07-18 DOI: 10.18203/2320-6012.ijrms20241971

Shubham P. Theng, Rajesh J. Khyalappa

{"title":"Study clinical features, haematological changes and outcome in snake bite cases","authors":"Shubham P. Theng, Rajesh J. Khyalappa","doi":"10.18203/2320-6012.ijrms20241971","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20241971","url":null,"abstract":"Background: Snake bite is a common acute medical emergency faced by rural populations in tropical and subtropical countries. In India, a large proportion of snake bites occur when people are working barefoot in the fields or while walking at night. More than 2,000 species of snakes are known worldwide, of which around 400 are poisonous. These snakes belong to the families Elapidae, Viperidae, Hydrophiidae and Colubridae.\u0000Methods: A prospective was done at medicine department of SDH Sawantwadi, Sindhudurgh. Study duration was 3 months (May 2023 to July 2023). Study population included all cases admitted in SDH Sawantwadi with history of snake bite. Sample size was 50.\u0000Results: Majority of cases found in the age group of 18-30 years 19 cases (38%) followed by 9 cases in 31-45 age group, 12 in 46-60 age group and 10 cases in 61 and above group. Majority of patients with history of snake bite were males contributing 27 (54%). Snake bites were more common in males as compared to females 23 (46%). 14% snake bite cases have activated partial thromboplastin time (APTT) >30 seconds, 10% of snake bite cases had prothrombin time (PT) >15 sec, 30% had platelet count <100000, increased leucocyte count >11000 was seen in 22% cases and 12% victims showed whole blood clotting test (WBCT) >20 minutes. Clinical outcome was 90% discharged after treatment and 10% death during treatment. Correlation between PT and clinical outcome is significant at p<0.5.\u0000Conclusions: Association between PT and mortality among snake bite patients was statistically significant.\u0000 ","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":" 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827307","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}

引用次数: 0

Role of vildagliptin and its combination in type 2 diabetes mellitus management: a knowledge, attitude, and practice survey among Indian healthcare professionals 维达列汀及其复方制剂在 2 型糖尿病管理中的作用：印度医疗保健专业人员的知识、态度和实践调查

International Journal of Research in Medical Sciences Pub Date : 2024-07-16 DOI: 10.18203/2320-6012.ijrms20241968

Pramila Kalra, M. Dharmalingam, Samir Kubba, H. Bhojwani, Sanjay Jain

{"title":"Role of vildagliptin and its combination in type 2 diabetes mellitus management: a knowledge, attitude, and practice survey among Indian healthcare professionals","authors":"Pramila Kalra, M. Dharmalingam, Samir Kubba, H. Bhojwani, Sanjay Jain","doi":"10.18203/2320-6012.ijrms20241968","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20241968","url":null,"abstract":"Background: Type 2 diabetes mellitus (T2DM) is a prevalent condition, with a significant burden in India, affecting approximately 74.2 million individuals. Vildagliptin, a selective dipeptidyl peptidase 4 (DPP-4) inhibitor, is approved globally for monotherapy and combination therapy. Recently, it became available as a generic product, which increased its accessibility to patients. This study aimed to assess the knowledge, attitude, and practice (KAP) regarding vildagliptin and its combination in T2DM management.\u0000Methods: A pan-India cross-sectional KAP survey was conducted from February 2022 to March 2023. The survey utilized a specially designed questionnaire focusing on various aspects of vildagliptin treatment. A total of 1,440 healthcare professionals (HCPs) with recognized qualifications and experience in diabetes management participated. Descriptive statistics were employed for data analysis.\u0000Results: HCPs reported initiating Vildagliptin monotherapy at an HbA1c 6.5-7.5%, while combination therapy with vildagliptin and metformin at HbA1c 7-8%. Vildagliptin was primarily preferred as an add-on to metformin. Inadequate HbA1c control with existing therapy emerged as the primary trigger for switching to vildagliptin and metformin combination. Treatment-naïve T2DM patients with HbA1c 1.5% above target and those uncontrolled on metformin monotherapy or dual therapy were reported to benefit most from combination therapy. Combination therapy was reported to result in a glycemic reduction of 1.0-1.5%. HCPs perceived vildagliptin better than other DPP4 inhibitors due to its efficacy in reducing HbA1c and a lower risk of hypoglycemia.\u0000Conclusions: The KAP survey highlights the value Indian HCPs place on the effectiveness and tolerability of vildagliptin and their attitudes and practices in its use, highlighting its clinical utility in routine practice.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831886","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}

引用次数: 0

Role of mirabegron in the management of overactive bladder: a knowledge, attitude, and practice survey among Indian healthcare professionals 米拉贝琼在治疗膀胱过度活动症中的作用：印度医疗保健专业人员的知识、态度和实践调查

International Journal of Research in Medical Sciences Pub Date : 2024-07-15 DOI: 10.18203/2320-6012.ijrms20241963

Madhu Sudan Agrawal, Sanjay Pandey, Prem Kumar, Vikram Sahu, Dinesh Patil

{"title":"Role of mirabegron in the management of overactive bladder: a knowledge, attitude, and practice survey among Indian healthcare professionals","authors":"Madhu Sudan Agrawal, Sanjay Pandey, Prem Kumar, Vikram Sahu, Dinesh Patil","doi":"10.18203/2320-6012.ijrms20241963","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20241963","url":null,"abstract":"Background: Overactive bladder (OAB) is identified by urinary urgency, with or without urgency urinary incontinence, typically accompanied by increased daytime urinary frequency and nocturia, in the absence of proven infection or other evident pathology.\u0000Methods: A cross-sectional, observational, questionnaire-based knowledge, attitude, and practice (KAP) survey was conducted across India from January 2022 to July 2023 to understand OAB therapy through 14 multiple–choice questions containing questionnaire shared with 1, 029 healthcare professionals (HCPs), including urologists, surgeons, nephrologists, and consulting physicians.\u0000Results: The HCPs see 10-20% of patients daily in clinical practice, wherein 5-10% are females. Patients usually consult general practitioners first and then other specialists. Although anticholinergics are commonly used in the management of OAB, HCPs reported that side effects (57%) and the high cost of therapy (43%) were mainly responsible for discontinuing anticholinergics. Mirabegron was preferred by 67% of HCPs in the treatment of these patients. Mirabegron is also preferred as a first-line treatment by all HCPs in this survey. It is prescribed for 6-12 months, has a response rate of >75% in clinical practice, and offers a more favourable side-effect profile compared to anticholinergics. In cases where patients do not respond to anticholinergics or experience treatment failure, a combination therapy of mirabegron and solifenacin is preferred.\u0000Conclusions: The survey highlights the use of mirabegron as a first-line treatment for OAB, its better side-effect profile, and its role in combination therapy with solifenacin for patients unresponsive to anticholinergics, ultimately improving the quality of life of patients.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832802","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}

引用次数: 0

Failed limb salvage by microsurgery, resolved by super-microsurgery 显微外科手术挽救肢体失败，超级显微外科手术解决了这一问题

International Journal of Research in Medical Sciences Pub Date : 2024-01-23 DOI: 10.18203/2320-6012.ijrms20240036

Ponce-Hernandez Jonathan M., Xicohtencatl-Mendoza M. Del Carmen, Ponce-Xicohtencatl Jonathan E., Rivera-Sánchez Gilberto R., Calderon-Hernandez Daniel, Torre-Anaya Erik A., Banegas-Ruíz Rodrigo

{"title":"Failed limb salvage by microsurgery, resolved by super-microsurgery","authors":"Ponce-Hernandez Jonathan M., Xicohtencatl-Mendoza M. Del Carmen, Ponce-Xicohtencatl Jonathan E., Rivera-Sánchez Gilberto R., Calderon-Hernandez Daniel, Torre-Anaya Erik A., Banegas-Ruíz Rodrigo","doi":"10.18203/2320-6012.ijrms20240036","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20240036","url":null,"abstract":"Advances in perforating artery flaps have improved reconstruction in various body parts, particularly the lower extremities, offering benefits in patient quality of life and reduced public health service costs. The use of flaps and microsurgery extends beyond trauma to address conditions like osteomyelitis, tumor resection, osteoarthritis, and post-radiation necrosis. Notably, the superficial circumflex iliac artery perforator flap (SCIP) is highlighted for its thin profile and utility in limb coverage, minimizing donor site morbidity. Microsurgical techniques contribute to limb salvage, reducing amputation risks in severe fractures and post-osteosynthesis complications. A 29-year-old male with cerebral palsy suffered bimalleolar fracture from a high-energy motor vehicle accident. Initial ALT flap reconstruction failed, leading to flap removal and osteosynthesis exposure. After 48 hours, removal of the flap was necessary due to venous thrombosis. Salvage with SCIP flap involved anastomosis to perforators of both posterior tibial artery and vein. This case details a patient with a bimalleolar fracture post-motorcycle accident, initially treated with conventional microsurgery using an ALT flap. Complications arose from venous thrombosis, necessitating flap removal. Salvage was achieved through a SCIP flap with supermicrosurgery techniques, employing 0.5 mm anastomosis for improved functionality and reduced complications in flap recovery and donor site comorbidities. Successful outcomes in microsurgery and supermicrosurgery necessitate comprehensive training. Specialized limb salvage centers must possess specific equipment and instruments for these techniques. The literature reviewed doesn't indicate contraindications related to the patient's mental state for the execution of microsurgery and supermicrosurgery.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"123 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139605456","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}

引用次数: 0