International Journal of Research in Medical Sciences最新文献_第7页

Effectiveness of sustained maximal inspiration along with transcutaneous electrical nerve stimulation in patients with malignant pleural effusion with intercostal drainage tube: a randomized controlled trial 持续最大吸气配合经皮神经电刺激对肋间引流管恶性胸腔积液患者的疗效：随机对照试验

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20233980

Sambhaji. B. Gunjal, Vandana Jain

{"title":"Effectiveness of sustained maximal inspiration along with transcutaneous electrical nerve stimulation in patients with malignant pleural effusion with intercostal drainage tube: a randomized controlled trial","authors":"Sambhaji. B. Gunjal, Vandana Jain","doi":"10.18203/2320-6012.ijrms20233980","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20233980","url":null,"abstract":"Background: Malignant pleural effusion (MPE) is one of the most common causes of an exudative pleural effusion. It is the most common cause of a unilateral massive pleural effusion. Most MPE s are secondary to metastases to the pleura, most often from lung or breast cancer. Medical management includes aspiration of fluid with the insertion of a chest tube, which may be necessary to relieve dyspnea. Hypoventilation does occur in certain areas of the lungs because of pain and muscle guarding after intercostal drainage tube (ICD) tube placements in pleural effusion. Therefore, it is important to emphasize pain management and expansion of affected areas of the lungs and chest wall. SMI is the basic maneuver of incentive spirometry and is mainly given to prevent atelectasis and lung collapse in postoperative patients. TENS is a method of producing an electro-analgesic effect and is effective in providing post-operative pain control. Methods: The study design of the study was a randomized controlled trial. A total of 44 participants with a diagnosis of MPE with an intercostal drainage tube were included in this study. The study duration was 5 years with an intervention period of 2 weeks and the outcome measures were pulmonary functions and intercostal pain severity using the NRS Scale. Results: There was a significant improvement in pulmonary functions in the control group and a highly significant improvement in pulmonary functions in the experimental group after 2 weeks of interventions and pain severity (NRS) was significantly reduced in the experimental group only (p<0.001) Conclusions: This study concluded that sustained maximal inspiration (SMI) along with TENS significantly improves pulmonary functions and reduces pain at the site of ICD in patients with MPE.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150502","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

Prevalence, patterns of clinical presentation, and the outcome of treatment of diabetes mellitus among paediatric patients in a tertiary care facility 一家三级医疗机构中儿科糖尿病患者的患病率、临床表现模式和治疗结果

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20233976

Ezinneamaka Maureen Ashibogwu, G. Edeh, O. Ekwebene, S. J. Obiekwe, Chinonuju Franklin Chiekezie, Oluchi Iheakanwa, Uchenna Onyedika Abalihe, Promise Ugochukwu Anisiobi

{"title":"Prevalence, patterns of clinical presentation, and the outcome of treatment of diabetes mellitus among paediatric patients in a tertiary care facility","authors":"Ezinneamaka Maureen Ashibogwu, G. Edeh, O. Ekwebene, S. J. Obiekwe, Chinonuju Franklin Chiekezie, Oluchi Iheakanwa, Uchenna Onyedika Abalihe, Promise Ugochukwu Anisiobi","doi":"10.18203/2320-6012.ijrms20233976","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20233976","url":null,"abstract":"Background: Diabetes mellitus is a multi-systemic disease condition characterized by elevated blood glucose level which can be due to relative or absolute deficiency of insulin secretion or action or a combination of both in humans including paediatric patients which disproves the thought that it is a disease of adults alone. Methods: The study was a retrospective descriptive cross-sectional full population study that involved getting the total population of 7880 paediatric patients that presented to the hospital facility within 3-years (from January 2019-December 2021) and from the total population getting the patients diagnosed with diabetes mellitus. A well-structured proforma was used to collect the relevant data needed from the case files of the patients. Statistical data analysis was done with SPSS version 25. Results: The study showed that out of 7880 paediatric patients that presented to the facility, 20 of them were diagnosed and treated for diabetes mellitus giving a prevalence of 0.25 per 100 patients. The paediatric patients diagnosed with diabetes mellitus were aged 8-18years; 11 females and 9 males. This study showed that about 75.0% of the paediatric patients with DM fully recovered following treatment and was subsequently discharged; however about 95% of these patients were lost to follow-up. Conclusions: Adequate measures needs to be put in place to ensure that the management of these patients are highly optimal and does not constitute much financial burden to the caregivers, in order to improve compliance to treatment and hence reducing morbidity and mortality associated with the condition.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152183","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

Study of association of respiratory viruses in the etiology of acute lower respiratory tract infections in children and correlation with clinical and laboratory features: role of emerging new viruses 研究呼吸道病毒在儿童急性下呼吸道感染病因中的关联以及与临床和实验室特征的相关性：新出现病毒的作用

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20233993

S. Pillai, L. Kailas, Neziya M.

{"title":"Study of association of respiratory viruses in the etiology of acute lower respiratory tract infections in children and correlation with clinical and laboratory features: role of emerging new viruses","authors":"S. Pillai, L. Kailas, Neziya M.","doi":"10.18203/2320-6012.ijrms20233993","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20233993","url":null,"abstract":"Background: Viruses are one of the major causes of childhood pneumonia with the respiratory syncytial virus getting great attention as an important organism for pneumonia. Methods: This cross-sectional study was conducted in the Department of Paediatrics, Sree Gokulam Medical College and Research Foundation, Thiruvananthapuram, Kerala from May 2022 TO November 2022. 119 children admitted with lower respiratory tract infections were included in this study. Symptoms, signs, and investigation reports including PCR and clinical course in the hospital were recorded. Results: 25% of children were in the age group less than 1 year, 52% were between 1-5 years and 23% were above 5 years. Viruses were isolated in 82 patients (68.9%). The main viruses were respiratory syncytial virus (23.5%), boca virus (16.14%), influenza A (7.5%), influenza B (4.2%), meta pneumonia virus (3.3%), and para influenza virus (2.5%). Patients with boca virus infections had a more severe clinical course. Conclusions: Molecular testing with PCR along with clinical and lab parameters will help us to have more insights into the etiology and clinical presentation of respiratory infections in children and help us to do optimum management avoiding unnecessary antibiotic usage.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"338 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152243","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

Study the effectiveness and safety of vitamin D as an additional treatment for type 2 diabetic patients using oral anti-diabetics at a tertiary care hospital 研究维生素 D 作为在一家三级医院使用口服抗糖尿病药物的 2 型糖尿病患者的额外治疗方法的有效性和安全性

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20233995

Fateen Shareef, Azha Fatima, Ananth Naik Banavathu, Abdul Wasay Mohammed, Venkata Anil Chandra Dronamraju, S. Siddiqua

{"title":"Study the effectiveness and safety of vitamin D as an additional treatment for type 2 diabetic patients using oral anti-diabetics at a tertiary care hospital","authors":"Fateen Shareef, Azha Fatima, Ananth Naik Banavathu, Abdul Wasay Mohammed, Venkata Anil Chandra Dronamraju, S. Siddiqua","doi":"10.18203/2320-6012.ijrms20233995","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20233995","url":null,"abstract":"Background: The prevalence of type 2 DM is alarmingly rising on a global scale. Improved treatments for type 2 DM are still needed, in order to slow the disease’s development. A role in the pathophysiology of type 2 DM has been suggested by the correlation between vitamin D insufficiency and several non-skeletal illnesses, including DM. The goal of the study was to determine if vitamin D supplementation may help type 2 DM patients whose glycemic status was uncontrolled even after using oral antidiabetics. Methods: 60 individuals with type 2 DM and vitamin D insufficiency participated in this 12-week open-label, before-and-after study. For 12 weeks, in addition to oral anti-diabetic medications, these patients also received 60,000 IU of vitamin D3 orally every week. HbA1c, FBS, and 25(OH)D levels parameters were included. Results: The majority of the patients were from 41-50 years of age group (48.3%) with a male predominance (60%). Most of them were having >1 year of type 2 DM duration (78.3%) with a high family history of type 2 DM (70%). After 12 weeks, there was a substantial (p<0.001*) drop in FBG levels and a significant (p<0.001*) decrease in HbA1c. 25(OH)D levels showed a high rise (p<0.001*). None of the patients had any side effects. Conclusions: Vitamin D treatment improves glycemic status, which slows the development of type 2 DM and its associated effects. As such, vitamin D supplementation is a safe and promising adjuvant treatment for individuals with type 2 diabetes who are low in vitamin D.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"38 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151422","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

An incidental colonoscopy: finding Trichuris trichiura: a case report and review of literature 偶然的结肠镜检查：发现毛滴虫：病例报告和文献综述

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20234024

Aradhya Abrol, Ram Kishan Abrol, Savita Mahajan, Adil Raza, J. Devrari

引用次数: 0

Surgical treatment of type 2 giant mesenteric cyst: case report and literature review 2 型巨大肠系膜囊肿的手术治疗：病例报告和文献综述

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20234009

Rogelio A. Blaz Zavala, Abril E. García Cerda, Uriel Cruz Calderón, César Reyes Elizondo

引用次数: 0

Inguinal plasty and appendectomy as treatment for Amyand's hernia: case report and literature review 用腹股沟成形术和阑尾切除术治疗艾曼氏疝：病例报告和文献综述

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20234003

Rogelio A. Blaz Zavala, Elizabeth Martinez Uribe, Alba E. Flores Garcia, Uriel Cruz Calderón, César Reyes Elizondo

引用次数: 0

Knowledge, attitude and practices of pregnant women for antenatal care during COVID-19 pandemic 在 COVID-19 大流行期间孕妇对产前护理的认识、态度和做法

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20234000

Ajay K. Singh, Promila K. Goel, Sukhmanpreet Kaur, Vishal K. Goel

{"title":"Knowledge, attitude and practices of pregnant women for antenatal care during COVID-19 pandemic","authors":"Ajay K. Singh, Promila K. Goel, Sukhmanpreet Kaur, Vishal K. Goel","doi":"10.18203/2320-6012.ijrms20234000","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20234000","url":null,"abstract":"Background: The antenatal care had suffered across the globe during COVID-19 pandemic. This study was undertaken to elicit knowledge, attitude and practices adopted by pregnant women for antenatal care during the pandemic. Methods: A cross-sectional survey was undertaken (N=126) at a purposively selected community health center Nalagarh of Solan district in north India. Self-administered pilot tested standardized questionnaire was employed. Results: 46 percent of women were in age group of 21-25 years and had secondary level of education. 60 percent were primigravida. 47 percent of pregnant women significantly undertook antenatal care from civil hospital and 33 percent availed these services from the public health facility of the level of Primary Health Centre or Community Health Centre, χ2 (1, N=126) =7.7, p=0.02. All pregnant women had taken complete antenatal care for four times and as per schedule. Only one tested positive for the disease COVID-19. Majority of the pregnant women studied were asymptomatic. The participants had the knowledge about symptoms of disease and COVID-19 appropriate behavior. About 25 percent also had difficulty in approaching the public health sector due to lack of accessible transportation. 18 and 33 percent of pregnant women suffered from stress and anxiety respectively. All undertook iron and folic acid along with tetanus prophylaxis. 21 and 18 percent practiced wearing of face mask and frequent hand washing with soap respectively. Conclusions: COVID pandemic did not hinder antenatal care adopted by pregnant women. Lockdown and isolation were important perceived worrisome aspects of the disease.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"6 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151594","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

When pathology defies expectations: a surprising diagnosis of prostatic leiomyosarcoma 病理结果出乎意料：前列腺良性肌肉瘤的诊断令人吃惊

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20234020

Abhijit Shah, Anshuman Singh, Kasi V. Gali, Vijay Gunashekaran, Padmaraj Hegde

引用次数: 0

Intestinal duplication cyst in the esophagogastric junction as a cause of gastroesophageal reflux disease: a case report 作为胃食管反流病病因的食管胃交界处肠重复囊肿：病例报告

International Journal of Research in Medical Sciences Pub Date : 2023-12-28 DOI: 10.18203/2320-6012.ijrms20234012

Aldo L. Mejía, Erik D. Á. Sores, Carlo A. G. Rojas

{"title":"Intestinal duplication cyst in the esophagogastric junction as a cause of gastroesophageal reflux disease: a case report","authors":"Aldo L. Mejía, Erik D. Á. Sores, Carlo A. G. Rojas","doi":"10.18203/2320-6012.ijrms20234012","DOIUrl":"https://doi.org/10.18203/2320-6012.ijrms20234012","url":null,"abstract":"This report presents a rare case of a 42-year-old woman with refractory gastroesophageal reflux disease (GERD) attributable to a 5×4 cm enteric duplication cyst at the esophagogastric junction. Despite a year of proton pump inhibitor therapy, the patient experienced persistent symptoms, including nausea and nocturnal vomiting. Surgical intervention involved hiatal plasty, partial Dor fundoplication, and the unexpected discovery of the cystic tumor during the procedure. The cyst, firmly adhered and delimited, ruptured during dissection, leading to successful de-roofing, cauterization, and drainage. The patient's immediate postoperative course was satisfactory, demonstrating the effectiveness of this approach in managing an enteric duplication cyst. This case underscores the importance of considering congenital anomalies in the context of refractory GERD, with the enteric duplication cyst located at the esophagogastric junction representing a unique manifestation. The study contributes valuable insights into the atypical presentation, diagnostic challenges, and successful surgical management of such anomalies.","PeriodicalId":505944,"journal":{"name":"International Journal of Research in Medical Sciences","volume":"38 5‐6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139149307","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