The National medical journal of India最新文献_第6页

Direct ophthalmoscopy as a screening tool to study retinal vascular changes in acute mountain sickness in response to recent ascent to high altitude: A pilot study. 将直接眼底镜检查作为一种筛查工具，用于研究急性高山症患者视网膜血管的变化对近期攀登高海拔地区的反应：试点研究。

The National medical journal of India Pub Date : 2023-11-01 DOI: 10.25259/NMJI_358_21

Atul Gupta, Vipin Rana, Shibu Sasidharan

{"title":"Direct ophthalmoscopy as a screening tool to study retinal vascular changes in acute mountain sickness in response to recent ascent to high altitude: A pilot study.","authors":"Atul Gupta, Vipin Rana, Shibu Sasidharan","doi":"10.25259/NMJI_358_21","DOIUrl":"10.25259/NMJI_358_21","url":null,"abstract":"Background Advanced diagnostics are not easily accessible in austere topographical locations. We documented retinal changes in patients with acute mountain sickness (AMS+) and compared these with asymptomatic individuals (AMS-) with recent induction into high altitude using direct ophthalmoscopy as a screening tool. Methods We evaluated 97 individuals (43 AMS- and 54 AMS+) who were inducted to an altitude 3800 m above sea level by direct ophthalmoscopy after pupillary dilatation, on day 2 of arrival. Results Retinal vein dilatation was seen in 36 (66.7%) AMS+ v. 14 (32.6%) AMS- (p<0.01), hyperaemia of the optic disc in 30 (55.6%) AMS+ v. 14 (32.6%) AMS- (p<0.05), hyperaemia of the optic disc along with retinal vein dilatation in 27 (50%) AMS+ v. 9 (20.9%) AMS- (p<0.01), retinal vein tortuosity in 12 (22.2%) AMS+ v. 3 (7%) AMS- (p<0.02). In AMS+ with retinal vein dilatation 17 (50%) had SpO2 >91% and 19 (79.2%) had SpO2 <91% (p<0.01). An AMS score of >5 was recorded in 25 (69.4%; p<0.001) with venular dilatation and in 19 (52.8%; p<0.001) who were AMS+ with an induction number ≥3 had retinal dilatation. Conclusion Acute hypobaric hypoxia causes retinal venous dilatation, tortuosity and hyperaemia of the optic disc in those with AMS and correlates directly with SpO2 levels. The incidence of retinal vein dilatation increases with frequent re-entry into high altitude and more severe symptoms of AMS. Hence, all those being inducted to high altitude should be screened for retinal vascular changes.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441283","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

Exogenous endophthalmitis caused by Enterobacter cloacae following water gun injury. 水枪伤后由泄殖腔肠杆菌引起的外源性眼内炎。

The National medical journal of India Pub Date : 2023-11-01 DOI: 10.25259/NMJI_945_20

Amit Kumar Deb, Aswathi Neena, Sushmita Sana Chowdhury, Sandip Sarkar, Sangaraju Suneel, Tanmay Gokhale

{"title":"Exogenous endophthalmitis caused by Enterobacter cloacae following water gun injury.","authors":"Amit Kumar Deb, Aswathi Neena, Sushmita Sana Chowdhury, Sandip Sarkar, Sangaraju Suneel, Tanmay Gokhale","doi":"10.25259/NMJI_945_20","DOIUrl":"10.25259/NMJI_945_20","url":null,"abstract":"Enterobacter is a Gram-negative anaerobic bacillus. Enterobacter-associated endophthalmitis is rare. We report Enterobacter cloacae-associated traumatic endophthalmitis following a water gun injury with no visible external entry wound. A 46-year-old man presented with features masquerading as traumatic uveitis in his left eye following injury by water stream from a toy gun. He was started on topical steroids but within 2 days of initial presentation, there was worsening of vision, presence of hypopyon in the anterior chamber and presence of vitreous exudates confirmed on ocular ultrasound B-scan. Endogenous endophthalmitis was ruled out by extensive work-up including sterile urine and blood cultures. Emergency vitrectomy was done along with lensectomy and silicone oil implantation. E. cloacae were isolated from the vitreous sample, which were sensitive to all standard antibiotics tested. Final visual acuity was 20/200. Traumatic endophthalmitis is usually preceded by a penetrating ocular injury in the form of a corneal, limbal or scleral tear with or without choroidal tissue prolapse and vitreous prolapse. A high index of suspicion is, therefore, needed for the diagnosis of endophthalmitis in the absence of corneal injury following water jet trauma to the eye.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441286","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

Function-preserving surgery in sporadic desmoid-type fibromatosis of brachial plexus. 臂丛神经散发性去瘤型纤维瘤病的保留功能手术。

The National medical journal of India Pub Date : 2023-11-01 DOI: 10.25259/NMJI_980_20

Sundarakrishnan Dharanipathy, Amol Raheja, Sachin Anil Borkar, Ashish Suri, Rimlee Dutta, Aruna Nambirajan, Shiv Kumar Choudhary, Pradeep Ramakrishnan, Bhavuk Garg, Sameer Rastogi

{"title":"Function-preserving surgery in sporadic desmoid-type fibromatosis of brachial plexus.","authors":"Sundarakrishnan Dharanipathy, Amol Raheja, Sachin Anil Borkar, Ashish Suri, Rimlee Dutta, Aruna Nambirajan, Shiv Kumar Choudhary, Pradeep Ramakrishnan, Bhavuk Garg, Sameer Rastogi","doi":"10.25259/NMJI_980_20","DOIUrl":"10.25259/NMJI_980_20","url":null,"abstract":"Desmoid tumours of the brachial plexus are rare locally infiltrative aggressive, monoclonal, fibroblastic proliferations characterized by a variable and often unpredictable clinical course. Only 21 patients have been reported in the literature. We add another one, and report function-preserving surgery in a 34-year-old man with a desmoid tumour of the brachial plexus. The patient presented with paraesthesia and gradually progressive distal muscle weakness in the left upper limb. Electrodiagnostic studies revealed preganglionic changes in segments C8-D1. Contrast-enhanced magnetic resonance imaging showed an enhancing mass with irregular margins in the left paravertebral region encasing the subclavian artery, pre- and post-ganglionic C6-D1 nerve roots and trunks of the brachial plexus. Using an anterior transclavicular approach the tumour was decompressed, which led to a major improvement in paraesthesia and partial motor recovery. He was doing well at 6 months of follow-up. Histopathological examination showed findings consistent with desmoid tumour. A tailored multidisciplinary surgical approach, with the aim to preserve function over radiological clearance, is an acceptable treatment strategy in preserving patient's quality of life for such infiltrating desmoid tumours encasing the brachial plexus. Following surgery, observation and close radiological surveillance offer an optimal strategy without jeopardizing the quality of life.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441287","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

Letter from Chennai. 来自钦奈的信

The National medical journal of India Pub Date : 2023-11-01 DOI: 10.25259/NMJI_1168_2023

M K Mani

引用次数: 0

Development of a structured validated module to inculcate research skills in medical undergraduates. 开发结构化验证模块，向医学本科生灌输研究技能。

The National medical journal of India Pub Date : 2023-11-01 DOI: 10.25259/NMJI_439_21

Tanvir Kaur Sidhu, Rajiv Mahajan, Daljit Kaur, Bharti Bhandari

{"title":"Development of a structured validated module to inculcate research skills in medical undergraduates.","authors":"Tanvir Kaur Sidhu, Rajiv Mahajan, Daljit Kaur, Bharti Bhandari","doi":"10.25259/NMJI_439_21","DOIUrl":"10.25259/NMJI_439_21","url":null,"abstract":"Background Evidence-based research aids in decision-making in the health sector for developing health policies for prevention, diagnosis and treatment of diseases. Medical research is not taught in the undergraduate curriculum. Studies show that attributes of research knowledge, awareness and practical involvement in research are low among undergraduate students. We developed and validated a module and trained undergraduate students in research skills through an inter-ventional workshop using the structured module. Methods We did this participatory action research with a mixed-methods approach in the Department of Community Medicine at Adesh Institute of Medical Sciences and Research, Bathinda, Punjab. A structured module was developed by the core committee and validated internally and externally. Pilot testing of the module was done by delivering it in the form of a workshop to 46 students. For statistical analysis, percentage agreements, validity indices, median (interquartile range), satisfaction percentages and Wilcoxon sign test were used. Results The structured and validated module was established to have high face validity (>90%) and content validity (CVI=0.975). The module was successfully pilot tested for delivery through both onsite and online modes. The satisfaction percentage with the workshop was 91% and 100% and overall rating of the module was 74% and 91% by interns and MBBS students, and 100% by faculty. The scores of knowledge and skills were found to be significantly higher on all variables post workshop with p<0.001. All students scored satisfactory grades for research skills. Conclusions Teaching research using a structured validated module improved the knowledge and skills related to research among students. Both students and faculty were satisfied with the use of the structured module.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441282","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

Workplace violence against physicians in intensive care units in Turkey: A cross-sectional study. 土耳其重症监护室针对医生的工作场所暴力：一项横断面研究。

The National medical journal of India Pub Date : 2023-09-01 DOI: 10.25259/NMJI_691_2022

Damla Ernur, Volkan Hanci, Necatý Gökmen

{"title":"Workplace violence against physicians in intensive care units in Turkey: A cross-sectional study.","authors":"Damla Ernur, Volkan Hanci, Necatý Gökmen","doi":"10.25259/NMJI_691_2022","DOIUrl":"https://doi.org/10.25259/NMJI_691_2022","url":null,"abstract":"Background Although there are many studies on violence against physicians in the literature, there are few studies on violence against physicians working in intensive care units (ICUs). We aimed to investigate the frequency, type and underlying factors of violence against physicians working in ICUs in Turkey in the past 1 year. Methods We collected data by sending a questionnaire about violence against physicians working in ICUs via e-mail and WhatsApp between 1 and 15 May 2022. IBM SPSS Statistics V.24.0 was used for data analysis. The chi-square test and Fisher precision test were used to compare categorical data. Results Over one-third (38.6%) of the 354 physicians participating in our study reported that they had been exposed to violence in the past year, while 20.7% reported that they had been exposed to violence more than once in the past year. There was a significant relationship between the frequency of exposure to violence, female gender, age group, title, subspecialization status, working style and duration of working in the ICU (p<0.05). There was no relationship between the working area, type of hospital and ICU and exposure to violence (p>0.05). The presence of restriction and control points at the entrance to ICUs prevented violence (p<0.05). Conclusion Physicians working in ICUs encounter violence against them. The frequency of violence increased after the Covid-19 pandemic. A significant relationship was found between the frequency of violence and female gender, age group, title, subspecialization status, working style and duration of working in ICUs.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960775","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

Correlates of nicotine dependence among patients visiting a tobacco cessation centre in India: A retrospective analysis. 印度戒烟中心就诊患者尼古丁依赖的相关因素：回顾性分析

The National medical journal of India Pub Date : 2023-09-01 DOI: 10.25259/NMJI_677_21

Puneet Chahar, Vikrant R Mohanty, Aswini Y B, Kavita Rijhwani

{"title":"Correlates of nicotine dependence among patients visiting a tobacco cessation centre in India: A retrospective analysis.","authors":"Puneet Chahar, Vikrant R Mohanty, Aswini Y B, Kavita Rijhwani","doi":"10.25259/NMJI_677_21","DOIUrl":"10.25259/NMJI_677_21","url":null,"abstract":"Background We did a retrospective secondary analysis of 1-year data of a tobacco cessation clinic (TCC) to assess correlates of nicotine dependence among tobacco users visiting the TCC at a tertiary care dental hospital. Methods Secondary data were obtained from the records of patients who had visited the TCC from January to December 2019. Of the 1436 records, 1144 were found to contain all the information needed for the study. Patient records were obtained from a pre-validated standard TCC patient assessment sheet (PAS), which included various sections: Sociodemo-graphic items, tobacco use profile items, nicotine dependence status, strategy used for cessation and follow-up details. Results Of the 1144 proformas, 97.1% (n=1111) were of men and 2.9% (n=33) were of women. Around 48.5% had medium nicotine dependence followed by high nicotine dependence (29.7%) and low nicotine dependence (21.8%). The mean (SD) age of initiation of tobacco use was 26.1 (9.44) years and a significantly lower age of initiation was observed in patients with high nicotine dependence. Greater number of years of tobacco use was significantly associated with high nicotine dependence. About 47% of patients had attempted to quit tobacco in the past and the quitting attempts were found to be significantly higher in patients with high dependence. Conclusion We explored crucial determinants of nicotine dependence among tobacco users reporting to the TCC. These factors may be incorporated in routine assessment of the tobacco use status and may be used in tailored cessation counselling strategies.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960098","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

Severe localized re-expansion pulmonary oedema: An unusual instance. 严重的局部再膨胀性肺水肿：一个不寻常的病例

The National medical journal of India Pub Date : 2023-09-01 DOI: 10.25259/NMJI_838_20

K Gowrinath, S Praveen Kumar Reddy, P Jyothi

引用次数: 0

Choroidal tubercles. 脉络膜小瘤

The National medical journal of India Pub Date : 2023-09-01 DOI: 10.25259/NMJI_763_2022

Mousumi Banerjee, Inderjeet Kaur, Pradeep Venkatesh

引用次数: 0

Haemophagocytic lymphohistiocytosis associated with liver injury in systemic sarcoidosis. 系统性肉瘤病中伴有肝损伤的嗜血细胞淋巴组织细胞增多症。

The National medical journal of India Pub Date : 2023-09-01 DOI: 10.25259/NMJI_MS_314_21

Saumya Ranjan Tripathy, Prajna Anirvan, Manoj Kumar Parida, Dinesh Meher, Pankaj Bharali, Mrinal Gogoi, Kaumudee Pattnaik, Shivaram Prasad Singh, Bidyut Kumar DAS

引用次数: 0