The Bombay Hospital journal最新文献

{"title":"STROKES IN COVID- 19","authors":"R. Benny","doi":"10.15713/ins.bhj.78","DOIUrl":"https://doi.org/10.15713/ins.bhj.78","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic that is ravaging the world is caused by infection with the severe acute respiratory syndrome coronavirus 2 (SARS- CoV- 2). The dominant features of COVID- 19 are fever, respiratory and gastro intestinal; however, it is also known to cause neurological complications. Even early in the pandemic thrombotic complications associated with COVID- 19 were recognised including COVID- 19 associated acute ischemic strokes (AIS).","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80812398","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":"WHAT IS NEUROPALLIATIVE CARE: Making it work in India","authors":"Dr. Roop Gursahani","doi":"10.15713/ins.bhj.81","DOIUrl":"https://doi.org/10.15713/ins.bhj.81","url":null,"abstract":"The burden of neurologic disease is substantial and rising worldwide. India is no exception. These illnesses cause prolonged disability and distress for the patient, family and community. Palliative care (PC) is an approach that focuses on providing relief from suffering. Till about two decades ago, PC was largely restricted to oncology but there is now a growing community of healthcare providers and others, working to incorporate the same principles in the care of our patients, through the International Neuropalliative Care Society (INPCS). This paper outlines the evolution of this new subspecialty and the knowledge and skill sets required to practice it. Education and research priorities are important and are also discussed.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86310181","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":"Colloid Cysts of the Third Ventricle: A Review of Literature with Personal Experience","authors":"C. Deopujari, A. Bhagwat, V. Karmarkar","doi":"10.15713/ins.bhj.42","DOIUrl":"https://doi.org/10.15713/ins.bhj.42","url":null,"abstract":"Colloid cyst is a cystic brain lesion comprising 0.5–1% of all intracranial neoplasms. It contains gelatinous material enclosed within a membrane of epithelial tissue. Wallman first reported on a colloid cyst in 1858.[1] It’s paraphyseal origin was first described by Sjövall in 1909, who termed it a paraphyseal cyst of the third ventricle.[2] Its developmental origin is unclear, although the presence of ciliated epithelium and mucinous contents may point toward an endodermal source. The strategic nature of its location is likely to cause obstruction of the cerebrospinal fluid (CSF) pathway at the foramen of Monro. A majority of earlier cases were discovered only at the time of autopsy, due to the non-specificity of symptoms and its propensity to cause sudden death. We briefly review the existing theories about its embryopathogenesis, natural history, and management based on existing English literature. We have also described our own personal experience with the surgical case series with changes in management over the past 20 years.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85436530","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 Structured Computerized Tomography Reporting on Quality of Budd-Chiari Syndrome","authors":"A. Joshi, A. Sankhe, Mohammad Salman Mapara, M. Muthe, Vikrant Firke","doi":"10.15713/ins.bhj.54","DOIUrl":"https://doi.org/10.15713/ins.bhj.54","url":null,"abstract":"Introduction: Radiological reporting has a key role on the patient management with vital components which needs to be addressed to decided specific treatment plan. The structured reporting of Budd-Chiari syndrome (BCS) addresses the key questions and points of gastroenterologists, in terms of mentioning about the exact pathology, associated features, and presence or absence of complications which are presented as checklist in format, thus making sure they are addressed in all reports irrespective of reporting radiologist. Aims and Objectives: The aim of this pilot study was to assess the clinical feasibility, diagnostic yield, and advantage of structured reporting for routine computerized tomography (CT) reading in patients with BCS as compared to traditional free-text reporting, to see the interobserver agreement for the standardized reporting format within the radiologist, and to evaluate the radiologist to communicate the results to the referring gastroenterologist distinctly and conveniently. Setting and Design: This was a descriptive study. Materials and Methods: This descriptive feasibility pilot study was approved by the Institutional Review Board. Thirty consecutive patients of the age group 22–60 years with equal distribution of male and female patients with a first diagnosis of BCS (on ultrasound and clinical examination) were retroprospectively included. All the 30 CT studies were performed on 64 slice CT (Phillips’s Brilliance 64 slice CT scan from Phillips Healthcare, India) with a dedicated triple phase protocol at our institute from January 2019 to December 2019. The triple phase protocol consisted of plain scan, arterial phase (22 s), portal phase (45 s), and venous phase (60 s) and was modified to add an early delayed sequence at 3 min followed by a delayed scan at 7 min to look for excretion of contrast. Contrast dosage was on a weight-by-weight and case-by-case basis. The structured reporting was done by one radiologist in training (SM) and two senior radiologists (AJ and AS) who did not conduct previous radiological reporting and were blinded to patients’ clinical information as well as written reports. The freestyle reporting was done by two other radiologists (VS and MM) who did not conduct previous radiological reporting and were blinded to patients’ clinical information as well as written reports. Appendix 1 summarizes the 11 liver-related and 7 non-liver-related contents. The CT findings were classified into four categories, namely, congruent, partially congruent, incongruent, and not mentioned in freestyle report. The definitions for evaluation of the liver- and non-liver-related contents were adapted from Bink et al . and are summarized in Appendix 2. The structured reporting format developed for structured reporting of BCS is shown in Appendix 3. Conclusion: In this pilot feasibility study, the structured standardized reporting on BCS was feasible for radiological routine and as it provides reproducible and more comple","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88874917","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 Review of the Trends in Dental Caries of School-Going Children in Amritsar City Over 65 Years and Its Comparison with Other Regions of North India","authors":"H. Patel, N. Grewal, A. S. Khadilkar","doi":"10.15713/ins.bhj.53","DOIUrl":"https://doi.org/10.15713/ins.bhj.53","url":null,"abstract":"School health program is one of the important components of health-care delivery system which helps in keeping a close watch on oral and physical health of school-going children. It is an admitted fact that children are the future of the nation. If the children are healthy, the nation is bound to be strong. Government of India has emphasized the importance of medical and dental check-ups of primary and secondary school-going children. Keeping in view, the importance of this program, the state of Punjab, in the northern region of India, utilized the existing medical and paramedical facilities of primary health centers, school health clinics, and community health centers with effect from August 1, 1981.[1] Under this program, all school-going children up to secondary classes of government and private governmentaided schools were examined for oral health at least once in the academic year and twice for children going to primary schools. However, the magnitude of handling more than 2,636,285 number of students studying in primary, middle, high school, and higher secondary classes as listed by epunjabschool. gov.in,[2] has caused hurdles in implementation of the school health program scheme. The monitoring, supervision, and implementation in district headquarters and it’s time to time review at state level, however, can only be reflected through the impact of these programs on the oral health status of schoolgoing children and the knowledge, attitude, and practice (KAP) values of those who received the dental education. Although many studies focusing on the impact and effectiveness of school-based dental health education (DHE) programs are conducted in southern part of India, few studies exist relatively in the northern region.[3] Evaluation of oral health program is a powerful tool to identify the groups at high risk for acquiring a disease. This may bring forth the magnitude of the problems existing in these groups which is a basic step to bring a paradigm shift in approach for dental awareness among school-going children, their parents, and schoolteachers. Epidemiological studies reviewing the trends in dental caries from the past 15 years revealed that the prevalence and weighted mean of dental caries for the north region of India is ABSTRACT","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79646973","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":"Parkinson’s Disease: What is New?","authors":"S. Khadilkar, H. Oza, Hiral Halani, J. Lalkaka","doi":"10.15713/ins.bhj.52","DOIUrl":"https://doi.org/10.15713/ins.bhj.52","url":null,"abstract":"motor and non-motor clinical features are Table 1. Literature now suggests three different stages in clinical evolution of a patient with PD as depicted Table 2 and it is important to appreciate the first two stages. A new subcategory of ‘clinico-genetic PD’ has been added recently. ABSTRACT Parkinson disease (PD) is one of the most common movement disorders in elderly population worldwide. It is a complex, progressive neurodegenerative disease with a constellation of heterogeneous motor and non-motor clinical features. Research developments in recent years have made remarkable progress in pathophysiology, diagnosis, and treatment of this disease. We wish to highlight these recent developments that have the potential to change the management of PD in routine clinical practice in near future. This manuscript will discuss the current developments in the diagnosis, pathophysiology and particularly, the treatment aspects of this commonly encountered disease.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85401623","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":"Acquired Capillary Hemangioma of the Cheek","authors":"S. Sahoo, M. Sarma","doi":"10.15713/ins.bhj.49","DOIUrl":"https://doi.org/10.15713/ins.bhj.49","url":null,"abstract":"Acquired capillary hemangiomas are a rare group of benign vascular tumors which are not mentioned in the classification of vascular anomalies by International Society for the Study of Vascular Anomalies. We are reporting a cutaneous vascular lesion of the cheek in a 34-year-old male which was surgically excised and confirmed as capillary hemangioma on histopathology.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89154674","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":"Telemedicine: The Present and the Future","authors":"S. Khadilkar","doi":"10.15713/ins.bhj.51","DOIUrl":"https://doi.org/10.15713/ins.bhj.51","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic resulted in unprecedented changes in all aspects of life including health care. In March 2020, the beginning of pandemic in India coincided with the Indian government allowing telemedicine and laying down norms for the practice of telemedicine in India. Before this time, telemedicine was practiced in a very limited way.[1] For example, at the Grant Medical College and Sir JJ Group of Hospitals, there was a facility for specialty departments to interact with doctors working at the district health centers. On fixed days, a patient from a district health center could be shown on video and a lecturer in a specialty department would do a long distance consultation, and in this exercise, we had understood that this mode of communication is indeed very helpful in our setting; as there is a shortage of subspecialists in rural India. From March 2020, telemedicine was taken up in a big way and became one of the pillars of health care in COVID ravaged India. The initial fears and inexperience were short lived and it soon became clear to doctors as well as patients that this is a viable mode of interaction. One could easily establish rapid communication and provide timely advice. Renewal of prescriptions and handling simple information became easier. Industry grew around this requirement and service providers upgraded telecommunication and organized it. Taking appointments on the web, managing the audio and video consultations and providing advice became further streamlined and at the present time multiple such avenues are available to us in India. Private and public sector establishments started these services for their patients as did the solo practitioners. The government has laid down guidelines for new consultations, follow-ups, prescribing various categories of medications, and stressed the important fact that this mode of consultation can be undertaken only for patients who reside in India at the time of the consultation.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85144298","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 Case Report of Bilateral Primary Optic Atrophy in Children: Osteopetrosis - An Uncommon Cause","authors":"Akash Jain, H. Pagad, Nita Shanbhag","doi":"10.15713/ins.bhj.58","DOIUrl":"https://doi.org/10.15713/ins.bhj.58","url":null,"abstract":"diagnosis of primary optic atrophy was made based on the clinical findings and with the skeletal system involved, we decided to investigate further with computed tomography (CT) scan of brain and orbit. CT scan (brain with orbit) showed dense sclerosis of the skull and craniofacial bones with loss of corticomedullary differentiation, hypoplasia of the paranasal sinuses, crowding at the orbital apex with narrowing of optic canals (diameter both eyes: <3 mm), and significant narrowing of bilateral internal auditory canals [Figures 5 and 6]. These CT findings were suggestive of osteopetrosis. ABSTRACT A 16-year-old boy presenting to us with profound visual impairment, squinting, with abnormally wide skull, limping gait underwent thorough ophthalmic and systemic examination. He had bilateral optic atrophy and radiological features were suggestive of osteopetrosis, a very rare clinical syndrome characterized by failure of osteoclasts to resorb bone with defective bone modeling and remodeling leading to increased skeletal fragility. The boy had significant narrowing of bilateral optic canals leading to compressive optic neuropathy. In children with abnormal skeletal features with bilateral optic atrophy, rare syndromes such as fibrous dysplasia, craniosynostosis, and osteopetrosis must be considered. Timely awareness about the condition could possibly guide the clinician to reach a proper diagnosis and take appropriate measures related to prevention of optic atrophy. There have been several case reports of early optic nerve decompression resulting in reversal of deterioration of vision. Our case report discusses osteopetrosis and also throws light on efficacy of optic nerve decompression in osteopetrosis with the aid of literature available so far. scan showing dense sclerosis of craniofacial bones on axial and coronal section","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86820028","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 Case of Scleral Tear with Expulsion of Lens and Uveal Prolapse with Vitreous Hemorrhage","authors":"Gauri Badhe, M. Deosthali","doi":"10.15713/ins.bhj.56","DOIUrl":"https://doi.org/10.15713/ins.bhj.56","url":null,"abstract":"Open globe injuries are a major cause of blindness. Globe rupture injuries usually have a poor visual outcome. They are more common in males and are seen in the age group of 30-50 years. [1] Location of scleral tears is most commonly in the superonasal quadrant. [2,3] We report a case of scleral tear with uveal prolapse and crystalline lens expulsion where we were successful to achieve 6/18 vision after two surgeries, in an eye which would have otherwise become blind.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87152253","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}