{"title":"A Study of the Relation between Ocular Axial Length and Central Retinal Vein Occlusion at a Tertiary Care Hospital in Mumbai","authors":"Sailie Shirodkar, N. Shah","doi":"10.15713/ins.bhj.32","DOIUrl":"https://doi.org/10.15713/ins.bhj.32","url":null,"abstract":"superficial deep intraretinal in all four of the retina associated variable of retinal venous engorgement and tortuosity, optic disc swelling, cotton wool ABSTRACT Aim: This study aims to assess the association between the ocular axial length (AL) and the pathogenesis of central retinal vein occlusion (CRVO) at a tertiary care hospital. Methods: This study included patients of unilateral CRVO. Informed consent was obtained, followed by comprehensive history taking, ophthalmic evaluation, systemic investigations as per protocol, and ocular investigations including OCT/FFA, depending on the requirement of the patient and duration of disease. Fifteen women and 15 men with a mean age of 64.98 years were selected. ALs of the affected (study group) and unaffected eye (control group) were measured by A-scan ultrasonography (US). Results: The mean AL of affected eyes in males was 23.0267 mm and that in unaffected eyes was 23.191 mm ( P = 0.000). The mean AL of affected eyes in females was 23.0131 mm and that in unaffected eyes was 23.030 mm ( P = 0.000). The ALs of affected eyes were shorter than those of unaffected eyes ( P = 0.000). These differences were statistically significant. The Cronbach’s α found is 0.925, which suggests a strong correlation between AL and CRVO. A comparison was also made between the ALs and CRVO based on the gender, and no statistical difference was found. Conclusion: Our study confirms the existence of shorter ALs in the affected eye of patients of CRVO on comparison with the unaffected eye. It also confirms that this difference is statistically significant in the total population and in each gender.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85919252","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}
Taikhoom Dahodwala, Nadir Z. Shah, Tapaswini Mohanty, S. Bhalerao
{"title":"Disruption of the Indian Orthopaedic Practice during the Coronavirus Disease-19 Pandemic","authors":"Taikhoom Dahodwala, Nadir Z. Shah, Tapaswini Mohanty, S. Bhalerao","doi":"10.15713/ins.bhj.30","DOIUrl":"https://doi.org/10.15713/ins.bhj.30","url":null,"abstract":"impact of the coronavirus disease (COVID)-19 pandemic on orthopedic practice by conducting an online survey among the orthopedic surgeons in India. Materials and Methods: The survey (Google form) consisted of 20 questions concerning three topics: Four questions were addressed to the origin and surgical experience of the participant, 12 questions dealt with the potential disruption of orthopedic practice, and four questions addressed the influence of the pandemic on the particular surgeon. Results: Around 2000 orthopedic surgeons were contacted through email and social networking sites, of which 452 surgeons responded. Regarding arthroplasty procedures, only 17.2% of the participants stated that these procedures were being performed, of which 7.6% were operating regularly, while 9.6% were facing some delay. Around 80% of the participants stated that arthroscopic procedures were completely halted at their health-care centers. The surgeons also voiced their grievances regarding hampered post-operative follow-ups and physical rehabilitation. Conclusion: Due to the COVID-19 pandemic, the orthopedic practice in India is reported to be suffering from a severe disruption of services with a drastic reduction in arthroscopic procedures such as rotator cuff repair and cruciate ligament reconstruction and elective total joint arthroplasty. Only life and limb-threatening pathologies such as acute trauma management are currently being adequately attended to by most of the surgeons. The long-term effects of the lapse of services cannot be predicted as yet and should be considered very significant.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82043568","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 Study of Trigeminal Neuralgia: Special Reference to Painful Awakenings During Sleep","authors":"S. Khadilkar, Devshi R Visana, Hiral Halani","doi":"10.15713/ins.bhj.28","DOIUrl":"https://doi.org/10.15713/ins.bhj.28","url":null,"abstract":"Trigeminal neuralgia (TN) is one of the most painful conditions producing paroxysms of unilateral, recurrent, brief, stabbing, and severe pain along the distribution of trigeminal nerve. While various triggers such as shaving, washing face, chewing, touching or draft of air have been known to exacerbate the pain, it is believed that sleep has a favorable effect on TN and that the pain of TN rarely occurs in sleep.[1-5] There are very few studies of TN in the Indian context; moreover, no study has evaluated the relationship between sleep and TN. Hence, to study the characteristics of Indian TN patients and to evaluate the effects of sleep on pain, we carried out this study.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84090885","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":"Abortion in relation to family planning.","authors":"J K Joshi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"16 3","pages":"24/142-5/143"},"PeriodicalIF":0.0,"publicationDate":"1974-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22009550","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":"Sex and surgery.","authors":"P S Jhaver","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"13 1","pages":"45-6"},"PeriodicalIF":0.0,"publicationDate":"1971-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22002412","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":"Precocious Puberty","authors":"V. Khadilkar, N. Shah","doi":"10.15713/ins.bhj.05","DOIUrl":"https://doi.org/10.15713/ins.bhj.05","url":null,"abstract":"Puberty is an important process in the development of all children during which a series of hormonal changes take place resulting in the appearance of secondary sexual characteristics and an immature child changes into a fertile adult. In addition to these changes, they undergo various other physical and emotional changes also. The normal age of onset of puberty is between 8 and 13 years in girls and 9 and 14 years in boys. There is a common misconception amongst people, that menarche in girls and voice change or appearance of facial hair in boys equates to the onset of puberty. However this is not correct. In girls, the most common first physical sign of puberty is breast development and in boys, the first physical sign is an increase in testicular volume above 3 ml (using Prader orchidometer). The classic pattern of progression of pubertal development in girls is thelarche ( b r e a s t d e v e l o p m e n t ) ’ adrenarche/pubarche (axillary hair and pubic hair) ' menarche (2.53 years after onset of thelarche). In boys the pattern of progression is as follows: testicular enlargement ' adrenarche/pubarche 'penile growth. The above can be documented with the help of sexual maturity rating (SMR) also known as Tanner's Stages (Fig. 1). Voice changes occur in boys at around 10-12 ml testicular volume.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90429357","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}