The Bombay Hospital journal最新文献

{"title":"Coexisting Osteoporosis and Vitamin D Deficiency - Double Trouble !","authors":"P. Munshi, Raman O. Toshniwal","doi":"10.15713/ins.bhj.04","DOIUrl":"https://doi.org/10.15713/ins.bhj.04","url":null,"abstract":"1 million women suffer with osteoporosis. The cause for this is multifactorial low calcium intake with extensive vitamin D deficiency, increasing lifespans, early menopause, genetic predisposition, lack of diagnostic facilities in rural areas and poor knowledge of bone health have all contributed to this problem. Vitamin D is a very vital hormone with wide spread ramifications on several organ systems. Low vitamin D predisposes to a multitude of problems. When both pathologies coexist the symptoms get amplified and can get confusing for the physician to diagnose it clinically. Data suggests that prevalence of vitamin D deficiency in India is as follows: 70 to","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88134641","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":"Use of Nasal Septal Splint with Clip in Septoplasty: A Retrospective Study","authors":"S. Sahoo, M. Sarma","doi":"10.15713/ins.bhj.29","DOIUrl":"https://doi.org/10.15713/ins.bhj.29","url":null,"abstract":"and those having allergic rhinosinusitis were excluded from the study. [ Figure 1], postoperatively, the splint was gently inserted by passing the splint through the nostrils and then along the ABSTRACT Background and Aim: Nasal pack is used for the control of bleeding and to prevent post-operative complications in septoplasties. An alternative to nasal packing is a nasal septal splint with clip which can be used postoperatively in septoplasties. Hence, we are doing a retrospective observational study of the septoplasties cases performed in our institute using splint with clip postoperatively and assessing post-operative signs, symptoms, and complications. Case Description: The study involves 40 patients aged between 21 years and 47 years who were having deviated nasal septum and underwent septoplasty between November 2017 and November 2019 in the Department of ENT, ESIC Model Hospital, Guwahati, after taking inclusion and exclusion criteria. Postoperatively, symptoms such as headache, dysphagia, sleep disturbance, epiphora, and bleeding were assessed. During nasal septal splint and clip removal, pain and bleeding were assessed. Post-operative complications such as hematoma, synechiae, and septal perforation were noted. Conclusion: It was observed that patients had less postoperative symptoms, less pain, and bleeding following splint and clip removal and lesser post-operative complications. Clinical Significance: Nasal splint with clip may be used as a safe alternative to nasal packing.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82846393","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":"Bedside Evaluation of Hearing: A comparrative Evaluation of 4 Frequencies","authors":"S. Khadilkar, M. Singla, Jyotsna Nadkarni","doi":"10.15713/ins.bhj.31","DOIUrl":"https://doi.org/10.15713/ins.bhj.31","url":null,"abstract":"Tuning fork tests are commonly performed for bedside evaluation of hearing. Even though these have been used by clinicians for many decades, uncertainty exists as regards the most useful frequency. 128, 256, 512, and 1024 Hz frequencies have been utilized by various studies and 256 and 512 have been found to be more suitable than the other two frequencies.[1,2] There are differences in the perceived utility of these two frequencies as specificity and sensitivity issues have been documented with either of the two, along with falsepositive results. We conducted this study to determine the accuracy of four standard frequencies of tuning forks and using pure tone audiometry as the standard reference to determine the most appropriate frequencies for bedside evaluation of hearing.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"72 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72544615","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":"Multisystem Atrophy Presenting with Hypercapnic Respiratory Failure","authors":"Hiral Halani, S. Khadilkar, H. Oza, Sanjay C. Wagle, Inder A Talwar","doi":"10.15713/ins.bhj.34","DOIUrl":"https://doi.org/10.15713/ins.bhj.34","url":null,"abstract":"Magnetic resonance imaging clue to diagnosis; by showing bilateral middle cerebellar peduncles (MCP) signal abnormalities 1a-c]. Following stabilization of overall clinical status, extubation trial was given but patient continued to have intermittent stridulous breathing and needed re-intubation. On direct laryngoscopy, vocal cords were found to be in the midline position; hence, tracheostomy was done. Clinical features of cerebellar ataxia, orthostatic ABSTRACT Respiratory failure as the presenting feature is uncommon in neurodegenerative diseases. We report a case of 58-year-old male presenting as hypercapnic respiratory failure and stridor due to vocal cord paralysis accompanied with severe autonomic dysfunction, gait, and sleep changes. Examination showed cerebellar ataxia and autonomic dysfunction. Tracheostomy was necessary. Magnetic resonance imaging showed bilateral signal abnormality in middle cerebellar peduncles and favoring multisystem atrophy (MSA). The objective of this case report is to remind readers that MSA should be considered in differential diagnosis of unexplained respiratory failure, stridor, and vocal cord paralysis in appropriate clinical circumstances. Relevant literature is reviewed.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73209225","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":"Insulin Pump Therapy 101","authors":"P. Thakkar","doi":"10.15713/ins.bhj.11","DOIUrl":"https://doi.org/10.15713/ins.bhj.11","url":null,"abstract":"Icontinuous subcutaneous insulin infusion or CSII, consists of a small computerised battery operated device that delivers fast acting insulin; its goal is to mimic the function of a normal pancreas via basal insulin delivery (small continuous dose of insulin to maintain glucose levels stable between meals and overnight) alongside with bolus doses as needed (to cover post prandial glucose spikes and to correct high blood glucose levels with the help of insulin sensitivity factor).","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"103 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72404019","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":"Mindful Eating, Self-Care and Managing Diabetes: A Holistic Approach to Helping Patients Reclaim Their Health and Well-being","authors":"Tara Mahadevan","doi":"10.15713/ins.bhj.08","DOIUrl":"https://doi.org/10.15713/ins.bhj.08","url":null,"abstract":"1 and often gain more than before. Moreover, dieting reduces metabolism, may cause nutritional deficiencies, increases cravings for food and the neurochemical reward that comes from food, and increases fat storage. What's more, patients experience lowered selfesteem, guilt, shame, hopelessness and a sense of failure to the point where many may even give up trying to be healthy. As a psychotherapist and eating behaviour specialist, I see a lot of patients who know what to do but are unable to do it because they have not fully understood the link between food and their emotions. Many have forgotten what real physical hunger feels like, what fullness feels like, what it means to enjoy food as food instead of seeing it as a composition of carbohydrates (which they think are to be shunned) or proteins or fats. Some have even had bariatric surgery and reduced their stomach capacity yet struggle to stop themselves from eating sweet, salty and/or high fat comfort foods in an effort to soothe the emotional pain or discomfort they experience. The first step in working with diabetic patients, particularly those who are overweight and/or obese is to recognise that simply explaining to them what to eat and what not to eat is simply not enough. In fact, it may be counterproductive as many of these patients probably already have some background knowledge and hearing it again reinforces the inner shame and guilt they feel for being overweight in the first place. While some patients do need basic education on how and when to monitor blood sugar, the kind of carbohydrates they need to choose and avoid, what to do when they are hypo and hyper glycaemic and so on, most patients also need compassion and understanding. They need, first of all, to be told being diabetic isn't their fault and that there is much hope and help they can reach for to feel supported. From this place of reassurance from their doctors and health advisors, they are then more responsive to advice and information. The second crucial factor in helping diabetic patients, particularly overweight ones, is introducing them to mindfulness and mindful eating. In fact, research now Mindful Eating, Self-Care and Managing Diabetes: A Holistic Approach to Helping Patients Reclaim Their Health and Well-being","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"205 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86245848","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":"Childhood Obesity","authors":"V. Khadilkar, M. Karguppikar","doi":"10.15713/ins.bhj.03","DOIUrl":"https://doi.org/10.15713/ins.bhj.03","url":null,"abstract":"Imalnutrition with undernutrition at one end of the spectrum and overweight and obesity at the other. Childhood obesity is far more dangerous because it tends to track into adulthood with far reaching health related and psychological complications. WHO has remarked obesity as the most neglected epidemic of modern t i m e s w i t h s e r i o u s l o n g t e r m consequences. Although obesity can be defined in many ways, most popular clinical method of defining overweight and obesity is based on body mass index (BMI) which is calculated as weight in kilograms divided by height in meters squared. Definition","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77468520","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":"Cardiac Calcium Test","authors":"O. Kapoor","doi":"10.15713/ins.bhj.20","DOIUrl":"https://doi.org/10.15713/ins.bhj.20","url":null,"abstract":"","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86877390","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":"Short Stature","authors":"V. Khadilkar, M. Karguppikar","doi":"10.15713/ins.bhj.06","DOIUrl":"https://doi.org/10.15713/ins.bhj.06","url":null,"abstract":"","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88740666","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":"Persistent Hyperbilirubinaemia with Absence of Urinary Bile Salts and Bile Pigments","authors":"V. Poojari, I. Shah","doi":"10.15713/ins.bhj.22","DOIUrl":"https://doi.org/10.15713/ins.bhj.22","url":null,"abstract":"HBsAg negative. was negative for bile salts and bile pigments. dengue with dengue NS1 antigen positive on serum in August 2015 when his urine bile salts and bile pigments became positive and then again subsequently became negative. On presentation to us, he had jaundice. Systemic examination was normal. Liver function tests (LFT) revealed slightly elevated bilirubin with normal serum transaminases and normal albumin. Ultrasound abdomen showed hepatomegaly with normal echotexture of the liver. Fibroscan was normal. Genetic test could not be done due to non-affordability. He was advised yearly liver function tests. Abstract Gilbert Syndrome is a rare benign condition of abnormal bilirubin conjugation. Patients with Gilbert syndrome are usually asymptomatic except for intermittent episode of unconjugated hyperbilirubinaemia, needing no treatment.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"47 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72422122","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}