MGM Journal of Medical Sciences最新文献

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Effectiveness of Dexmedetomidine as premedication to modify the heart rate response to modified electroconvulsive therapy: a randomized controlled trial 右美托咪定作为药物前改善改良电休克治疗的心率反应的有效性:一项随机对照试验
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_165_23
Manjunath Shivapujimath, Nikhita Kalyanshetti, Raghavendra Kalal
{"title":"Effectiveness of Dexmedetomidine as premedication to modify the heart rate response to modified electroconvulsive therapy: a randomized controlled trial","authors":"Manjunath Shivapujimath, Nikhita Kalyanshetti, Raghavendra Kalal","doi":"10.4103/mgmj.mgmj_165_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_165_23","url":null,"abstract":"Background: The present study aims to examine whether using Dexmedetomidine as a premedication can reduce heart rate (HR) and peak HR during modified electroconvulsive therapy (ECT). It is known that the acute hemodynamic stress induced by ECT may elevate the risk of cardiovascular complications in psychiatric patients. Previous research has suggested that β-blockers and α-2 adrenergic agonists effectively alleviate the hyperdynamic responses to ECT. Therefore, the current study seeks to determine whether Dexmedetomidine can offer similar benefits in regulating HR fluctuations during the modified ECT procedure. Materials and Methods: In this prospective, double-blinded, randomized controlled study, a total of 60 psychiatric patients aged between 18 and 50 years, categorized as per the American Society of Anaesthesiologists score I and II, and scheduled for ECT, were included. These patients were randomly divided into two groups: Group D, which received 50 mL of normal saline (NS) with 1 µg/kg of Dexmedetomidine, and Group C, which received 50 mL of NS only. HR measurements were taken every 15 s for 5 min following the modified ECT, and any changes in peak HR were carefully recorded and analyzed. Results: The mean age (years) and weight (kg) in groups C and D were 29.5 ± 7.82 and 32.5 ± 8.37, 59.4 ± 5.33 and 58.6 ± 4.57, respectively. Both groups did not differ significantly concerning age (P = 0.157) and weight (P = 0.519). Statistically, no significant difference in mean HR (baseline, before ECT, and peak HR following ECT within 5 min) was observed between study groups. In group D, the rise in HR was significantly less when compared to group C (P = 0.001). The groups had a significant (P = 0.001) difference in HR before ECT. Conclusions: The administration of Dexmedetomidine at a dose of 1 µg/kg as premedication resulted in a notable decrease in HR and peak HR responses during the modified ECT.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136366659","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
Information and communication technology: Examining knowledge, availability, and utilization among nurses in secondary health care facilities in Ondo State, Nigeria 信息和通信技术:审查尼日利亚翁多州二级卫生保健机构护士的知识、可用性和利用情况
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_91_23
ModupeJokotola Oye, JanetAdebukola Adeniran, OlayinkaSenami Jonathan-Adebiyi
{"title":"Information and communication technology: Examining knowledge, availability, and utilization among nurses in secondary health care facilities in Ondo State, Nigeria","authors":"ModupeJokotola Oye, JanetAdebukola Adeniran, OlayinkaSenami Jonathan-Adebiyi","doi":"10.4103/mgmj.mgmj_91_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_91_23","url":null,"abstract":"Background: Globally, information and communication technology (ICT) has been recognized as a pivotal strategy for embracing the evolving healthcare landscape. Despite its substantial role in facilitating information sharing, its adoption remains notably constrained in most developing nations. Objective: This study investigated the knowledge, accessibility, and usage of ICT resources among nurses in secondary healthcare establishments within Ondo State, Nigeria. Materials and Methods: The research employed a survey approach involving the participation of 200 nurses. A structured instrument was created to gather data, ensuring its validity and internal consistency. Both descriptive and inferential analysis of data was done. Hypothesis testing utilized Pearson correlation and Chi-square tests. Results: Most nurses, comprising 127 individuals (61.5%), demonstrated a commendable understanding of ICT within secondary healthcare establishments in Ondo State. Half of the participants (108, 54%) possessed ICT equipment in their respective units, whereas other essential ICT infrastructure was notably absent. Chi-square tests revealed an association between nurses’ age and their level of ICT knowledge (P = 0.10). This study discerned a direct connection between knowledge and utilization, denoted by a strong correlation coefficient of 0.738. Notably, gender substantially correlated with nurses’ ICT proficiency as evidenced by a significant P value of 0.459. Conclusion: The research indicates that rectifying the observed disparities can be achieved by ensuring an adequate supply of ICT resources and offering ongoing training sessions for practicing nurses. This approach will improve healthcare outcomes in secondary healthcare institutions in Ondo State.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136367870","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
In vitro fertilization: From science fiction to reality and beyond 体外受精:从科幻小说到现实和超越
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_196_23
Sushil Kumar, Pradnya Dongargaonkar
{"title":"<i>In vitro</i> fertilization: From science fiction to reality and beyond","authors":"Sushil Kumar, Pradnya Dongargaonkar","doi":"10.4103/mgmj.mgmj_196_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_196_23","url":null,"abstract":"The renowned author Aldous Huxley captured global interest in the potential of laboratory-born babies rather than traditional childbirth with his iconic 1932 science fiction novel “Brave New World.”[1] While some initial progress has been made in this direction, his projections regarding human fertility largely remain within the realm of speculative fiction, eagerly awaiting the eventual realization. The idea of being able to overcome barriers in procreation has roots deep-seated back to 1890—when a British zoologist Walter Heape showed that it was possible to transfer embryos when he put Angora-fertilized eggs into a Belgian Hare doe rabbit, which gave birth to Angora offspring metaphorically an interspecies surrogacy. It was far later than this that the first birth of an in vitro fertilization (IVF) baby was witnessed in 1978. Robert Edwards and Patrick Steptoe published this report in The Lancet titled “Birth after Reimplantation of a Human Embryo.”[2] Since its clinical introduction, IVF has redefined the ability of the human species to procreate. From baby Louis to now 30 years later, about 3 million babies have been born with IVF. Even though IVF benefits infertile couples, about 10% of all the beneficiaries are not restricted to just them. Clinical indications for IVF have rapidly expanded to include medical and genetic conditions and fertility preservation.[3] An additional driver of IVF utilization is the growing societal acceptance of nontraditional families, including single and same-sex parents, and social media that has opened our minds to think beyond the conventional.[4] The Career driven society has the option of oocyte freezing available, which later form healthy embryos defying age bars and has revolutionized the modern concept of fertility assistance. IVF involves a series of steps, including controlled ovarian hyperstimulation, oocyte retrieval, fertilization, embryo culture, embryo selection, and embryo transfer. A significant limitation of this technique is the inability to enhance the quality of obtained oocytes or sperm. In response to this challenge, efforts have been directed toward augmenting the number of collected eggs or sperm.[5] Despite using expert and stringent morphological criteria to choose embryos, only 52.3% of 2.3 transferred embryos typically result in a live birth.[6] This creates a significant 48% margin of uncertainty that proves challenging to surmount, mainly attributed to the absence of techniques for enhancing gamete quality. Furthermore, the uncertain implantation outcome necessitates transferring more embryos to counterbalance this unpredictability. Using multiple embryos during transfer contributes to a significant rate of multiple births, reaching about 30% in patients undergoing assisted reproductive techniques (ARTs). This circumstance adds to the associated perinatal morbidity, resulting in implications such as preterm birth, prolonged stay in the neonatal intensive care unit (NICU), heighten","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136367873","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
Spectrum of histopathological lesions of heart: An autopsy study at tertiary care center 心脏组织病理学病变谱:三级保健中心的尸检研究
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_117_23
Varsha Pandey, Vishal Kulkarni, Vanita Bhaskar, Veenapani Mire
{"title":"Spectrum of histopathological lesions of heart: An autopsy study at tertiary care center","authors":"Varsha Pandey, Vishal Kulkarni, Vanita Bhaskar, Veenapani Mire","doi":"10.4103/mgmj.mgmj_117_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_117_23","url":null,"abstract":"Background: There has been a notable rise in cardiac-related fatalities globally, especially in the last five decades. In India, ischemic heart disease has become prevalent, affecting roughly 10% of the population. For forensic specialists, establishing the cause of death in individuals previously in good health can be complex. Autopsies are crucial in evaluating the underlying factors responsible for such deaths. This research seeks to identify and scrutinize a wide range of histopathological heart abnormalities that significantly influence the determination of the cause of death. Materials and Methods: This study was conducted in the Department of Pathology from January 2020 to December 2020. During this period, we received a total of 209 whole heart specimens. Of these, 208 specimens underwent comprehensive examinations, including macroscopic and microscopic observations. Results: Out of the 208 cases examined, 94 showed evidence of both early and advanced atherosclerosis, whereas 65 showed early and late signs of myocardial infarction. Myocardial hypertrophy was evident in 29 patients. Isolated instances of myocarditis and pericarditis were observed in one case each. Fatty streaks were identified in 32 cases; three showed red blood cells with sickle cell morphology. Heart rupture was detected in one case, and another revealed metastasis from a poorly differentiated tumor. Notably, in 90 cases, the cause of death remained undetermined despite thorough macroscopic and microscopic autopsies. Conclusion: The primary reason for cardiovascular fatalities is atherosclerosis-related myocardial infarction.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136368294","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
Acute flaccid paralysis surveillance and management in rural and urban reporting sites in Northern Nigeria 尼日利亚北部农村和城市报告点的急性弛缓性麻痹监测和管理
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_147_23
AliJ Onoja, FelixO Sanni, JamesD Babarinde, SheilaI Onoja, ModupeT Babarinde
{"title":"Acute flaccid paralysis surveillance and management in rural and urban reporting sites in Northern Nigeria","authors":"AliJ Onoja, FelixO Sanni, JamesD Babarinde, SheilaI Onoja, ModupeT Babarinde","doi":"10.4103/mgmj.mgmj_147_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_147_23","url":null,"abstract":"Background: The study evaluated the significance of acute flaccid paralysis (AFP) surveillance within the polio eradication strategy and its integral role in the overall eradication efforts. Specifically, the research assessed the implementation of AFP surveillance and its management at reporting sites in Northern Nigeria. Materials and Methods: This study utilized quantitative research methods, including administering interviewer-administered questionnaires to health facility staff and caregivers of children within the community. The research was conducted between May and July 2019 and involved 592 participating health facilities enrolled in the AFP surveillance program for polio eradication. These facilities were spread across 11 states in Nigeria’s Northeast and Northwest regions. Data were analyzed using IBM Statistical Package for Social Sciences (SPSS) Statistics for Windows, Version 25.0 (Armonk, New York). Results: A total of 171 AFP cases were reported 6 months prior, with the highest proportion recorded in Kano (18.7%), Bauchi, and Kaduna (13.5% each) states. Most cases were seen in rural areas (73.1%), with an average of 1–3 cases (80.8%). Of the 171 AFP cases reported in the past 6 months, >90% were investigated, >80% had a complete clinical investigation, and >70 were followed up for residual paralysis examination. Most rural health facilities (>80%) had 1–3 trained staff compared with 70.9% of facilities in urban areas. On the other hand, the proportion of facilities in urban areas with 4–6 trained staff was almost double rural area facilities (18.4% vs. 9.8%). It was a surprise that a higher proportion of pastoral facility staff was able to define AFP correctly (94%) than urban facilities with 85.1% (P < 0.05). Also, AFP surveillance and management were better in rural facilities than in urban. Conclusion: According to the research findings, the AFP surveillance system in the northern region demonstrated strong performance. However, urban and rural healthcare providers require regular training in AFP surveillance to maintain practical surveillance standards.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136368306","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
Professional indemnity/medical malpractice insurance—Awareness among medical students and consultants of India: An online survey study 职业赔偿/医疗事故保险——印度医学生和顾问的意识:一项在线调查研究
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_4_23
Shashikant S Gadhe, S. Kale, A. Chalak, A. Vatkar, S. Doshi, Joydeep Dey
{"title":"Professional indemnity/medical malpractice insurance—Awareness among medical students and consultants of India: An online survey study","authors":"Shashikant S Gadhe, S. Kale, A. Chalak, A. Vatkar, S. Doshi, Joydeep Dey","doi":"10.4103/mgmj.mgmj_4_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_4_23","url":null,"abstract":"Introduction: Professional indemnity (PI) or medical malpractice insurance (MMI) has been a hot topic considering the increasing number of medical negligence cases rising worldwide. However, there is a palpable difference in understanding and usage of this tool in developed countries and regions such as India. Aim: This study aimed to analyze the general understanding of resident doctors and consultants about MMI and knowledge about its technical jargon. Materials and Methods: We distributed short Google Form questionnaires about various aspects of MMI. We recorded the data from 141 resident doctors and 42 consultants in the Navi Mumbai area of India. As it was a survey, we required no ethical review. Results: As consultants’ experience grew, so did their understanding of medical indemnity. Approximately 90%, 64%, and 22% of consultants with 10 years, 5–10 years, and 5 years of experience had acquired PI. The AOY:AOT (any one year:anyone time) ratio was known to just 35% of these specialists. About half of the resident doctors were aware of PI and the effects of medical specialization on PI. Around a fifth of the individuals had only acquired the PI. Conclusion: There needs to be more clarity between the need and knowledge of MMI in India. This needs to be addressed by teaching medical postgraduates about it during training. “There should be special emphasis on medical indemnity in terms of its need, clauses, and cost during postgraduate medical training.”","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"10 1","pages":"38 - 42"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43443965","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
Effect of selected physical exercises on low back pain 选择性体育锻炼对腰痛的影响
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_29_23
Archana Badhe, Marudhar Aman, D. Sonawane
{"title":"Effect of selected physical exercises on low back pain","authors":"Archana Badhe, Marudhar Aman, D. Sonawane","doi":"10.4103/mgmj.mgmj_29_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_29_23","url":null,"abstract":"Background: Men and women are equally affected by low back pain (LBP), which can range in intensity from a dull, constant ache to a sudden, sharp sensation that hinders the person. Pain can begin abruptly due to an accident or by lifting something heavy, or it can develop over time due to age-related changes in the spine. LBP is one of the primary healthcare problems in all developing countries; nurses play a vital role in giving different interventions to treat back pain effectively. This study aims to study the effect of selected physical exercise on LBP among patients attending the outpatient department (OPD) in selected hospitals. Materials and Methods: A quasi-experimental, one-group pretest–posttest time series research design was used to conduct a study among the patients attending OPD in selected hospitals. A total of 160 respondents were studied from October 2021 to February 2022. A numerical pain scale and a semistructured self-administered questionnaire were used to collect data. Only respondents who gave informed consent were issued the questionnaire to complete at their convenience. Physical exercises were demonstrated and done by patients for 6 weeks, thrice a day in a week for 30 min regularly. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 24.0. Descriptive data were presented in the form of bar graphs and frequency tables. Results: The study showed that 59.37% of the respondents had severe LBP in the pretest. After doing selected physical exercises, the severe pain level reduced to 56.25% in post-test-1, 32.5% in post-test-2, and 14.37% in post-test-3. The t value of the difference in mean reduction of LBP was tabulated, and the calculated t values were (0.78, 5.60, 9.64) statistically significant at 0.05 level of significance (P < 0.05). Conclusion: LBP is seen as an issue for all ages and all sectors of society. One common component of pain treatment programs focuses on increased physical exercise reconditioning, and exercise would increase strength and concomitantly decrease pain as a long-term effect. The investigator found that physical activities were very effective and beneficial in reducing back pain among patients with LBP.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"10 1","pages":"43 - 47"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46690675","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
Association of sleep quality and glycemic control in type 2 diabetes mellitus 2型糖尿病患者睡眠质量与血糖控制的关系
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_72_23
Rita Khadkikar, Sweta Bhagat, Sandeep Rai
{"title":"Association of sleep quality and glycemic control in type 2 diabetes mellitus","authors":"Rita Khadkikar, Sweta Bhagat, Sandeep Rai","doi":"10.4103/mgmj.mgmj_72_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_72_23","url":null,"abstract":"Background: Sleep is a modifiable risk factor for many chronic diseases, including type 2 diabetes mellitus. Poor quality of sleep leads to poor management of diabetes, adversely affecting sleep. The vicious cycle can be curtailed by good quality of sleep. Our study observed the association of glycemic control (glycosylated hemoglobin [HbA1C]) with sleep quality. Materials and Methods: A cross-sectional, observational study was conducted in the Diabetic Clinic of MGM Hospital, Kamothe, Navi Mumbai, India. Type 2 diabetes patients in the age group of 30–60 years were assessed for sleep quality using the Pittsburgh Sleep Quality Index questionnaire, and their HbA1C was measured by high-performance liquid chromatography. Results: A total of 101 type 2 diabetes patients aged 30–60 were assessed. A total of 25% were good sleepers, and 75% were poor sleepers. The mean ± standard deviation of HbA1C in good sleepers was 7.14 ± 1.30, and in poor sleepers was 8.9 ± 2.44. The correlation between sleep quality and glycemic control gave an r value of 0.36, and the P value was 0.002, which shows a highly significant correlation between poor sleep and glycemic control. Conclusion: The study shows poor sleep quality leads to poor glycemic control in type 2 diabetic patients with higher HbA1c levels. Creating awareness among diabetic patients about the good quality and duration of sleep for better management of diabetes is essential.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136366366","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
Seroprevalence of acute leptospirosis in a tertiary care hospital in western India 印度西部一家三级医院急性钩端螺旋体病的血清患病率
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_264_22
MahmoodD Al-Mendalawi
{"title":"Seroprevalence of acute leptospirosis in a tertiary care hospital in western India","authors":"MahmoodD Al-Mendalawi","doi":"10.4103/mgmj.mgmj_264_22","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_264_22","url":null,"abstract":"Dear Editor, We stumbled upon an engaging research paper published in Volume 9, Issue 4 of the MGM Journal of Medical Sciences, spanning pages 517-21, October to December 2022. Within this study, Bavejaet al.[1] utilized both serology and the enzyme-linked immunosorbent assay (ELISA) technique. The seroprevalence of Leptospira spp. was 19.78% in a cohort of Indian patients. The diagnosis of leptospirosis usually depends on serology and molecular detection. The serology often takes many days before the result becomes positive after the start of the illness. In addition, the serology necessitates skilled handling and maintaining live Leptospira cells representing all serogroups.[2] The molecular diagnostic techniques, including real-time polymerase chain reaction (PCR), are faster and more sensitive to firm the diagnosis and could also detect the infection before the appearance of antibodies. On targeting the lip L32 gene, PCR could detect Leptospira deoxyribonucleic acid (DNA) in various clinical samples.[3] We believe that if Baveja et al.[1] used PCR in the study methodology rather than ELISA, a more accurate estimate of the leptospirosis seroprevalence might be generated. Despite that limitation, the reported substantial leptospirosis seroprevalence (19.78%),[1] which is nearly comparable to 26.6% recently reported by Shukla et al.,[4] urges the need to implement strict public health interventions to combat that harmful zoonotic infection in India. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136367857","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
Comparative analysis of clinical and sonographic estimation of fetal weight in term pregnancy at a tertiary care hospital 某三级医院足月妊娠胎儿体重临床与超声评估的比较分析
MGM Journal of Medical Sciences Pub Date : 2023-01-01 DOI: 10.4103/mgmj.mgmj_199_23
Sarvamangala B, Shobha Patil, Vidyashree Malipatil
{"title":"Comparative analysis of clinical and sonographic estimation of fetal weight in term pregnancy at a tertiary care hospital","authors":"Sarvamangala B, Shobha Patil, Vidyashree Malipatil","doi":"10.4103/mgmj.mgmj_199_23","DOIUrl":"https://doi.org/10.4103/mgmj.mgmj_199_23","url":null,"abstract":"Objectives: Determining fetal weight is crucial in effectively managing labor and delivery. It helps make informed decisions about the most suitable delivery method and also aids in identifying conditions such as low birth weight, macrosomia, and intrauterine growth restriction in the fetus. In settings where ultrasound may not be readily available due to limited resources, it becomes essential to assess how accurately fetal weight can be estimated clinically by comparing it to ultrasound measurements and the actual birth weight. This study aimed to assess fetal weight in full-term pregnancies using clinical and ultrasound methods and compare their accuracy while examining their correlation with birth weight. Materials and Methods: This cross-sectional observational and comparative study included 200 women in their full-term pregnancies. The study was conducted from November 2019 to October 2021. In this research, we calculated birth weight estimates using clinical methods (using Johnson’s and Dare’s formulas) and ultrasound (using Hadlock’s procedure). Subsequently, these estimated weights were compared to the actual birth weight data. Results: The findings of this study revealed that Hadlock’s ultrasound formula offered the most precise fetal weight estimates, with Dare’s clinical method following closely. Clinical and ultrasound estimations notably showed a significant positive correlation with birth weight. Conclusion: The ultrasound method is superior in accurately assessing birth weight compared to the clinical approach. Consequently, it is advisable to prioritize ultrasound whenever available and feasible.","PeriodicalId":52587,"journal":{"name":"MGM Journal of Medical Sciences","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136367876","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
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