Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/60977.18632
Harshal Madavi, Hemant Chaudhari
Introduction: Acidogenic diets cause a drop in urinary pH, and increasing features of metabolic syndrome are associated with increased calcium oxalate precipitation. Nowadays, it is well accepted that dietary variables promote the formation of vesical calculi, contributing to the prevalence of vesical stones. Aim: The aim of this study is to estimate the impact of nutritional status on the management of vesical calculi. Materials and Methods: A literature search was conducted in PubMed, Medline, Web of Science, Cochrane library, as well as additional sources such as Google Scholar and ClinicalTrials. gov, covering the period from 2001 to 2022. The most important electronic databases were checked, and all types of studies, including expressive studies, trials, commentaries, and editorials, were considered due to the nature of the studies. The risk of bias was assessed using the recommended methodology. A two-part tool was used to address five specific domains: selection bias, performance bias, attrition bias, selective reporting, and other biases. Quality diagnostic accuracy studies were evaluated using a quality assessment tool. Results: This study included 12 literature sources, of which five were nutrition-based studies and seven were focused on vesical calculi. Dietary modifications and medical treatments were found to be the most important factors in preventing recurrence. Conclusion: Dietary and medical treatments are of utmost importance in preventing recurrence. As per physician advice for vesical calculi, a proper dietary plan that includes a mineralrich diet is needed. Consumption of ample fluids is essential for the removal of stones.
导言:致酸性饮食导致尿pH值下降，代谢综合征的特征增加与草酸钙沉淀增加有关。目前，人们普遍认为饮食变化会促进膀胱结石的形成，从而导致膀胱结石的发生。目的:本研究的目的是评估营养状况对膀胱结石治疗的影响。材料和方法:在PubMed、Medline、Web of Science、Cochrane图书馆以及Google Scholar和ClinicalTrials等其他来源进行文献检索。Gov，涵盖2001年至2022年期间。我们检查了最重要的电子数据库，并根据研究的性质考虑了所有类型的研究，包括表达性研究、试验、评论和社论。采用推荐的方法评估偏倚风险。一个由两部分组成的工具用于解决五个特定领域:选择偏差、绩效偏差、流失偏差、选择性报告和其他偏差。使用质量评估工具评估诊断准确性研究的质量。结果:本研究纳入12篇文献，其中5篇为营养基础研究，7篇为膀胱结石研究。饮食调整和药物治疗是预防复发的最重要因素。结论:饮食和药物治疗对预防复发至关重要。根据医生对膀胱结石的建议，适当的饮食计划包括富含矿物质的饮食是必要的。摄取充足的液体对于清除结石是必不可少的。
{"title":"Nutritional Status’ Impact on the Management of Vesical Calculi: A Systematic Review of a Twenty-Two-Year Database","authors":"Harshal Madavi, Hemant Chaudhari","doi":"10.7860/jcdr/2023/60977.18632","DOIUrl":"https://doi.org/10.7860/jcdr/2023/60977.18632","url":null,"abstract":"Introduction: Acidogenic diets cause a drop in urinary pH, and increasing features of metabolic syndrome are associated with increased calcium oxalate precipitation. Nowadays, it is well accepted that dietary variables promote the formation of vesical calculi, contributing to the prevalence of vesical stones. Aim: The aim of this study is to estimate the impact of nutritional status on the management of vesical calculi. Materials and Methods: A literature search was conducted in PubMed, Medline, Web of Science, Cochrane library, as well as additional sources such as Google Scholar and ClinicalTrials. gov, covering the period from 2001 to 2022. The most important electronic databases were checked, and all types of studies, including expressive studies, trials, commentaries, and editorials, were considered due to the nature of the studies. The risk of bias was assessed using the recommended methodology. A two-part tool was used to address five specific domains: selection bias, performance bias, attrition bias, selective reporting, and other biases. Quality diagnostic accuracy studies were evaluated using a quality assessment tool. Results: This study included 12 literature sources, of which five were nutrition-based studies and seven were focused on vesical calculi. Dietary modifications and medical treatments were found to be the most important factors in preventing recurrence. Conclusion: Dietary and medical treatments are of utmost importance in preventing recurrence. As per physician advice for vesical calculi, a proper dietary plan that includes a mineralrich diet is needed. Consumption of ample fluids is essential for the removal of stones.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"19 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":"135505947","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}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/63394.18385
R S Priya, RC Jagat Reddy, S Vandana, T Sivasankari, A Vani Anusha
Introduction: Forensic dental age estimation plays a vital role in determining the identity of a deceased individual. There are numerous dental age estimation methods available to estimate dental age using radiographs based on tooth maturation. Aim: To compare Nolla’s method, Cameriere’s Indian-specific method, and Acharya’s Indian-specific regression formula in estimating dental age in the Puducherry and Cuddalore populations of South India. Materials and Methods: This retrospective study was conducted in the Department of Oral Medicine and Radiology at the Indira Gandhi Institute of Dental Sciences, Puducherry, India, between January 2021 and October 2022. The study included 448 panoramic radiographs (202 males and 246 females) of individuals aged between six and 17 years. Chronological age was recorded based on the subject’s date of birth. Dental age was estimated using Nolla’s method, Acharya’s Indian-specific regression formula, and Cameriere’s Indian-specific method. Two qualified and experienced oral radiologists evaluated all the samples to assess their reliability. Data were analysed using descriptive statistics, the Pearson’s correlation coefficient, and Student’s t-test. Results: Nolla’s method (excluding the third molar) revealed a mean age of 13.52±3.15 years, while Nolla’s method (including the third molar) revealed a mean age of 12.81±2.84 years. Acharya’s Indian-specific method revealed a mean age of 15.08±2.92 years, and Cameriere’s Indian-specific regression formula revealed a mean age of 11.51±2.19 years. The results showed that the age estimated by Nolla’s method (including the third molar) had a p-value of 0.93 (>0.05), indicating no significant differences between the estimated dental age and chronological age. The r-values for Acharya’s Indian-specific regression formula, Nolla’s method (excluding the third molar), Nolla’s method (including the third molar), and Cameriere’s Indian-specific method were found to be 0.682, 0.885, 0.847, and 0.849, respectively, indicating a strong positive correlation among the age estimation methods. Conclusion: Nolla’s method (including the third molar) was found to be the most accurate method for dental age estimation when compared with the other three methods in the Puducherry and Cuddalore populations.
{"title":"Comparison of Nolla’s Method, Cameriere’s Indian-specific Method, and Acharya’s Indianspecific Regression Formula for Estimation of Dental Age in Puducherry and Cuddalore Population, Southern India","authors":"R S Priya, RC Jagat Reddy, S Vandana, T Sivasankari, A Vani Anusha","doi":"10.7860/jcdr/2023/63394.18385","DOIUrl":"https://doi.org/10.7860/jcdr/2023/63394.18385","url":null,"abstract":"Introduction: Forensic dental age estimation plays a vital role in determining the identity of a deceased individual. There are numerous dental age estimation methods available to estimate dental age using radiographs based on tooth maturation. Aim: To compare Nolla’s method, Cameriere’s Indian-specific method, and Acharya’s Indian-specific regression formula in estimating dental age in the Puducherry and Cuddalore populations of South India. Materials and Methods: This retrospective study was conducted in the Department of Oral Medicine and Radiology at the Indira Gandhi Institute of Dental Sciences, Puducherry, India, between January 2021 and October 2022. The study included 448 panoramic radiographs (202 males and 246 females) of individuals aged between six and 17 years. Chronological age was recorded based on the subject’s date of birth. Dental age was estimated using Nolla’s method, Acharya’s Indian-specific regression formula, and Cameriere’s Indian-specific method. Two qualified and experienced oral radiologists evaluated all the samples to assess their reliability. Data were analysed using descriptive statistics, the Pearson’s correlation coefficient, and Student’s t-test. Results: Nolla’s method (excluding the third molar) revealed a mean age of 13.52±3.15 years, while Nolla’s method (including the third molar) revealed a mean age of 12.81±2.84 years. Acharya’s Indian-specific method revealed a mean age of 15.08±2.92 years, and Cameriere’s Indian-specific regression formula revealed a mean age of 11.51±2.19 years. The results showed that the age estimated by Nolla’s method (including the third molar) had a p-value of 0.93 (>0.05), indicating no significant differences between the estimated dental age and chronological age. The r-values for Acharya’s Indian-specific regression formula, Nolla’s method (excluding the third molar), Nolla’s method (including the third molar), and Cameriere’s Indian-specific method were found to be 0.682, 0.885, 0.847, and 0.849, respectively, indicating a strong positive correlation among the age estimation methods. Conclusion: Nolla’s method (including the third molar) was found to be the most accurate method for dental age estimation when compared with the other three methods in the Puducherry and Cuddalore populations.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"34 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":"135557380","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}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/65714.18381
Nisha S Shetty, Pachha Priya, Krishna Rathod, S Bala Bhaskar, D Srinivasalu, N Kiran Chand, IC Devaraj
Introduction: Neonates and infants are more prone to desaturation during the apnoeic period of laryngoscopy and intubation. Various options exist to reduce this risk beyond conventional preoxygenation. Aim: To assess whether continuous apnoeic oxygenation via nasal prongs during intubation can extend the safe apnoea period compared to standard management with preoxygenation alone. Materials and Methods: A randomised controlled, two-group parallel clinical study was conducted at the Department of Anaesthesiology, Vijayanagar Institute of Medical Sciences, Ballari, Karnataka, India, from July 2019 to November 2020. The study involved 63 infants aged one day to six months undergoing elective or emergency surgeries under general anaesthesia. Preoxygenation via a mask was followed by sevoflurane induction and vecuronium-induced muscle relaxation. Conventional laryngoscopy and intubation were performed in 32 infants in Group-C (Control group), while 31 infants in Group-O (Apnoeic Oxygenation group) also received oxygen (O2 ) via nasal prongs at 4 L/min in addition to preoxygenation. The primary outcome parameter was the time taken for desaturation by 1%. The time taken to desaturate by 2%, 3%, 4%, and 5%, as well as their incidences, lowest observed saturation, safe apnoea period, and Heart Rate (HR) trends, were also noted. Data were analysed using Statistical Package for Social Sciences (SPSS) version 20.0 and OpenEpi version 3.01. Results: Demographic and clinical parameters were comparable between the groups. The mean time for 1% desaturation was 18.33±4.3 seconds in Group-C, while all Group-O cases maintained 100% saturation during the study period. No significant difference was found in the safe apnoea period between the groups (p=0.503). The average lowest O2 saturation observed in Group-C was 98.81±1.28%, while it was 100% in Group-O. Only one infant in Group-C showed desaturation down to 95%. Both groups exhibited similar HR trends. Conclusion: Apnoeic oxygenation by nasal prongs in healthy infants helps prolong the time to desaturation and can be beneficial for those at risk of desaturation and hypoxia.
{"title":"Efficacy of Apnoeic Oxygenation by Nasal Prongs in Preventing Desaturation during Airway Management in Infants Undergoing General Anaesthesia: A Randomised Controlled Study","authors":"Nisha S Shetty, Pachha Priya, Krishna Rathod, S Bala Bhaskar, D Srinivasalu, N Kiran Chand, IC Devaraj","doi":"10.7860/jcdr/2023/65714.18381","DOIUrl":"https://doi.org/10.7860/jcdr/2023/65714.18381","url":null,"abstract":"Introduction: Neonates and infants are more prone to desaturation during the apnoeic period of laryngoscopy and intubation. Various options exist to reduce this risk beyond conventional preoxygenation. Aim: To assess whether continuous apnoeic oxygenation via nasal prongs during intubation can extend the safe apnoea period compared to standard management with preoxygenation alone. Materials and Methods: A randomised controlled, two-group parallel clinical study was conducted at the Department of Anaesthesiology, Vijayanagar Institute of Medical Sciences, Ballari, Karnataka, India, from July 2019 to November 2020. The study involved 63 infants aged one day to six months undergoing elective or emergency surgeries under general anaesthesia. Preoxygenation via a mask was followed by sevoflurane induction and vecuronium-induced muscle relaxation. Conventional laryngoscopy and intubation were performed in 32 infants in Group-C (Control group), while 31 infants in Group-O (Apnoeic Oxygenation group) also received oxygen (O2 ) via nasal prongs at 4 L/min in addition to preoxygenation. The primary outcome parameter was the time taken for desaturation by 1%. The time taken to desaturate by 2%, 3%, 4%, and 5%, as well as their incidences, lowest observed saturation, safe apnoea period, and Heart Rate (HR) trends, were also noted. Data were analysed using Statistical Package for Social Sciences (SPSS) version 20.0 and OpenEpi version 3.01. Results: Demographic and clinical parameters were comparable between the groups. The mean time for 1% desaturation was 18.33±4.3 seconds in Group-C, while all Group-O cases maintained 100% saturation during the study period. No significant difference was found in the safe apnoea period between the groups (p=0.503). The average lowest O2 saturation observed in Group-C was 98.81±1.28%, while it was 100% in Group-O. Only one infant in Group-C showed desaturation down to 95%. Both groups exhibited similar HR trends. Conclusion: Apnoeic oxygenation by nasal prongs in healthy infants helps prolong the time to desaturation and can be beneficial for those at risk of desaturation and hypoxia.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"20 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":"135557427","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}
Introduction: Neuroimaging plays an important role in the assessment of meningitis, but conventional Magnetic Resonance Imaging (MRI) is insensitive for early and specific diagnosis. Diffusion Tensor Imaging (DTI) can illustrate disturbances in white matter integrity before they become obvious on conventional MRI. Aim: To determine DTI parameters, specifically Fractional Anisotropy (FA) and Apparent Diffusion Coefficient (ADC), in patients with meningitis and compare them with controls. Materials and Methods: This case-control study was conducted over a period of 18 months at Teerthanker Mahaveer Medical College and Research Centre in Moradabad, Uttar Pradesh, India. The study included a total of 61 clinically diagnosed meningitis patients, aged 18 years and above, who were referred to the Department of Radiodiagnosis for an MRI Brain. Additionally, 61 controls were included. Conventional MRI images were obtained followed by DTI. FA and ADC values were calculated by placing Regions Of Interest (ROI) at different levels for both groups. DTI parameters for different causative organisms (bacterial, viral, tubercular, and fungal) were compared. Data was analysed using Statistical Package for the Social Sciences (SPSS) software version 24.0, and Analysis of Variance (ANOVA) test was used to identify significant differences. The p-value <0.05 was considered as statistically significant. Results: FA values were significantly lower in cases compared to controls at all levels in the brain (mean whole brain FA value of 0.30±0.036 in cases vs 0.43±0.030 in controls). ADC values were significantly higher in cases at the cerebellum, brainstem, and whole brain levels compared to controls (mean whole brain ADC value of 0.812±0.095 in cases vs 0.758±0.026 in controls) (p-value<0.05 considered statistically significant). These differences were evident in patients with clinically proven meningitis who had a normal appearance on conventional MRI, demonstrating the superiority of DTI over conventional MRI for the diagnosis of meningitis. Statistically significant differences were also found among different aetiological agents, highlighting the potential utility of DTI in the differential diagnosis of meningitis cases (mean whole brain FA of 0.31±0.038 in bacterial cases, 0.029±0.037 in viral cases, 0.299±0.034 in tubercular cases, and 0.27±0.00 in fungal cases vs. 0.43±0.030 in controls (p-value <0.01) and mean whole brain ADC values of 0.80±0.051 in bacterial, 0.85±0.14 in viral, 0.79±0.058 in tubercular, 1.03±0.00 in fungal cases vs. 0.758±0.026 in controls (p-value <0.01)). Conclusion: DTI is more sensitive than conventional MRI and is a useful early indicator of inflammatory process in patients with meningitis.
简介:神经影像学在评估脑膜炎中起着重要作用，但传统的磁共振成像(MRI)对早期和特异性诊断不敏感。弥散张量成像(Diffusion Tensor Imaging, DTI)可以在常规MRI显示白质完整性紊乱之前显示出来。目的:确定脑膜炎患者的DTI参数，特别是分数各向异性(FA)和表观扩散系数(ADC)，并与对照组进行比较。材料和方法:本病例对照研究在印度北方邦莫拉达巴德的Teerthanker Mahaveer医学院和研究中心进行了为期18个月的研究。该研究包括61名临床诊断为脑膜炎的患者，年龄在18岁及以上，他们被转介到放射诊断部门进行MRI脑部检查。此外，还纳入了61名对照。常规MRI成像，DTI成像。通过将两组的感兴趣区域(ROI)置于不同的水平来计算FA和ADC值。比较不同病原菌(细菌、病毒、结核和真菌)的DTI参数。采用SPSS 24.0版社会科学统计软件包(Statistical Package for Social Sciences)对数据进行分析，采用方差分析(ANOVA)检验是否存在显著差异。p值<0.05认为有统计学意义。结果:与对照组相比，病例中脑内所有水平的FA值均显著降低(病例平均全脑FA值为0.30±0.036，对照组为0.43±0.030)。与对照组相比，小脑、脑干和全脑水平的ADC值显著升高(病例全脑ADC平均值为0.812±0.095，对照组为0.758±0.026)(p值0.05认为有统计学意义)。这些差异在临床证实的脑膜炎患者中很明显，这些患者在常规MRI上表现正常，表明DTI在诊断脑膜炎方面优于常规MRI。不同病因间的差异也有统计学意义，突出了DTI在脑膜炎病例鉴别诊断中的潜在应用价值(细菌性病例全脑平均FA为0.31±0.038，病毒性病例为0.029±0.037，结核病例为0.299±0.034，真菌病例为0.27±0.00，对照组为0.43±0.030 (p值<0.01);细菌性病例全脑平均ADC为0.80±0.051，病毒性病例为0.85±0.14，结核病例为0.79±0.058。真菌组为1.03±0.00，对照组为0.758±0.026 (p值<0.01)。结论:DTI比常规MRI更敏感，是脑膜炎患者炎症过程的一个有用的早期指标。
{"title":"Diffusion Tensor Imaging Parameters in Patients with Meningitis: A Case-control Study","authors":"Sargam Miglani, Shruti Chandak, Yogender ., Ankur Malhotra, Arjit Agarwal, Jigar Haria","doi":"10.7860/jcdr/2023/65460.18391","DOIUrl":"https://doi.org/10.7860/jcdr/2023/65460.18391","url":null,"abstract":"Introduction: Neuroimaging plays an important role in the assessment of meningitis, but conventional Magnetic Resonance Imaging (MRI) is insensitive for early and specific diagnosis. Diffusion Tensor Imaging (DTI) can illustrate disturbances in white matter integrity before they become obvious on conventional MRI. Aim: To determine DTI parameters, specifically Fractional Anisotropy (FA) and Apparent Diffusion Coefficient (ADC), in patients with meningitis and compare them with controls. Materials and Methods: This case-control study was conducted over a period of 18 months at Teerthanker Mahaveer Medical College and Research Centre in Moradabad, Uttar Pradesh, India. The study included a total of 61 clinically diagnosed meningitis patients, aged 18 years and above, who were referred to the Department of Radiodiagnosis for an MRI Brain. Additionally, 61 controls were included. Conventional MRI images were obtained followed by DTI. FA and ADC values were calculated by placing Regions Of Interest (ROI) at different levels for both groups. DTI parameters for different causative organisms (bacterial, viral, tubercular, and fungal) were compared. Data was analysed using Statistical Package for the Social Sciences (SPSS) software version 24.0, and Analysis of Variance (ANOVA) test was used to identify significant differences. The p-value <0.05 was considered as statistically significant. Results: FA values were significantly lower in cases compared to controls at all levels in the brain (mean whole brain FA value of 0.30±0.036 in cases vs 0.43±0.030 in controls). ADC values were significantly higher in cases at the cerebellum, brainstem, and whole brain levels compared to controls (mean whole brain ADC value of 0.812±0.095 in cases vs 0.758±0.026 in controls) (p-value<0.05 considered statistically significant). These differences were evident in patients with clinically proven meningitis who had a normal appearance on conventional MRI, demonstrating the superiority of DTI over conventional MRI for the diagnosis of meningitis. Statistically significant differences were also found among different aetiological agents, highlighting the potential utility of DTI in the differential diagnosis of meningitis cases (mean whole brain FA of 0.31±0.038 in bacterial cases, 0.029±0.037 in viral cases, 0.299±0.034 in tubercular cases, and 0.27±0.00 in fungal cases vs. 0.43±0.030 in controls (p-value <0.01) and mean whole brain ADC values of 0.80±0.051 in bacterial, 0.85±0.14 in viral, 0.79±0.058 in tubercular, 1.03±0.00 in fungal cases vs. 0.758±0.026 in controls (p-value <0.01)). Conclusion: DTI is more sensitive than conventional MRI and is a useful early indicator of inflammatory process in patients with meningitis.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"32 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":"135601345","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}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/63452.18393
K Silambu Selvi, J Sai laavanya, G Nandhini, P Shanthini Priya, I Vanthi Ekal
Introduction: Malnutrition is a major global health crisis that needs immediate attention. Adolescence is a crucial stage where nutrition plays a major role on account of their growth and development. There is a need to assess the nutritional status of Government school children in Tamil nadu to take appropriate policy decisions and implement nutritional interventions. Aim: To assess the dietary gaps of Government school children and compare their anthropometric parameters with Indian Council of Medical Reasearch (ICMR) standards. Also, to associate their daily intake of five food groups with their weight status. Materials and Methods: This cross-sectional study was conducted by the Department of Clinical Nutrition and Dietetics, SRM Medical College Hospital and Research Centre (SRMIST), Kattankulathur, Chengalpattu District, Chennai,Tamil Nadu, India as a part of a nutritional awareness camp in month of March 2022 to examine the eating pattern of school-going children aged 11-14 years, in a Government school of Kalivanthapattu village, Chengalpattu, Tamil Nadu. Data was collected randomly among 73 school children during a nutritional awareness camp conducted by study Institute. A validated tool was used to identify the dietary gaps in food group intake and the anthropometric parameters were assessed using standard measures and were compared with ICMR and World Health Organisation (WHO) standards to analyse their nutritional status. The acquired data was analysed using Statistical Package for Social Sciences (SPSS) software. Results: Out of the 73 children, there were 52 girls and 21 boys and the mean age of the children was 12.09±0.80 years. The dietary gap assessment tool indicated the gross deficiency in the intake of different food groups by the children. The majority of the samples 52 (71.2%) had an average dietary pattern, 9 (12.3%) students were found to have poor dietary habits and only 12 (16.4%) students had a good dietary pattern. Body Mass Index (BMI) assessment indicated that 39 students (53.4%) were normal (-2SD to +1SD) and others were found to be malnourished. A substantial variation in the mean weight of 12-year-old-male students (p-value=0.025) as well as female students (p-value=0.003) was observed when compared to ICMR standards. There was high significant difference between mean height of 13-year-old female students and the mean height as per ICMR standards (p-value=0.004). Conclusion: The dietary intake of Government school children was average and the anthropemetric assessment indicated that many of them were malnourished.
导言:营养不良是一项需要立即关注的重大全球健康危机。青春期是一个关键阶段，营养对他们的生长发育起着重要作用。有必要评估泰米尔纳德邦公立学校儿童的营养状况，以便作出适当的政策决定并实施营养干预措施。目的:评估公立学校儿童的膳食差距，并将其人体测量参数与印度医学研究委员会(ICMR)标准进行比较。同时，将他们每天摄入的五种食物与体重状况联系起来。材料和方法:这项横断面研究是由印度泰米尔纳德邦金奈市昌加尔帕图区Kattankulathur SRM医学院医院和研究中心(SRMIST)临床营养和饮食学系进行的，作为营养意识训练营的一部分，于2022年3月在泰米尔纳德邦昌加尔帕图县Kalivanthapattu村一所政府学校检查11-14岁学龄儿童的饮食模式。数据是在研究所举办的营养意识夏令营中随机收集的。使用一种经过验证的工具来确定食物组摄入中的膳食差距，使用标准测量方法评估人体测量参数，并与ICMR和世界卫生组织(WHO)标准进行比较，以分析其营养状况。采用SPSS (Statistical Package for Social Sciences)软件对所得数据进行分析。结果:73例患儿中，女孩52例，男孩21例，平均年龄12.09±0.80岁。膳食差距评估工具显示了儿童在不同食物组摄入方面的总体不足。52名(71.2%)学生的饮食习惯一般，9名(12.3%)学生的饮食习惯较差，只有12名(16.4%)学生的饮食习惯良好。身体质量指数(BMI)评估显示39名(53.4%)学生正常(-2SD至+1SD)，其余学生营养不良。与ICMR标准相比，观察到12岁男学生(p值=0.025)和女学生(p值=0.003)的平均体重发生了实质性变化。13岁女学生的平均身高与ICMR标准的平均身高有高度显著差异(p值=0.004)。结论:公学儿童膳食摄取量处于中等水平，人体测量结果显示存在营养不良。
{"title":"Evaluating the Dietary Gaps and Anthropometric Parameters of the Government School Children Aged 11-14 Years in Accordance with ICMR Standards","authors":"K Silambu Selvi, J Sai laavanya, G Nandhini, P Shanthini Priya, I Vanthi Ekal","doi":"10.7860/jcdr/2023/63452.18393","DOIUrl":"https://doi.org/10.7860/jcdr/2023/63452.18393","url":null,"abstract":"Introduction: Malnutrition is a major global health crisis that needs immediate attention. Adolescence is a crucial stage where nutrition plays a major role on account of their growth and development. There is a need to assess the nutritional status of Government school children in Tamil nadu to take appropriate policy decisions and implement nutritional interventions. Aim: To assess the dietary gaps of Government school children and compare their anthropometric parameters with Indian Council of Medical Reasearch (ICMR) standards. Also, to associate their daily intake of five food groups with their weight status. Materials and Methods: This cross-sectional study was conducted by the Department of Clinical Nutrition and Dietetics, SRM Medical College Hospital and Research Centre (SRMIST), Kattankulathur, Chengalpattu District, Chennai,Tamil Nadu, India as a part of a nutritional awareness camp in month of March 2022 to examine the eating pattern of school-going children aged 11-14 years, in a Government school of Kalivanthapattu village, Chengalpattu, Tamil Nadu. Data was collected randomly among 73 school children during a nutritional awareness camp conducted by study Institute. A validated tool was used to identify the dietary gaps in food group intake and the anthropometric parameters were assessed using standard measures and were compared with ICMR and World Health Organisation (WHO) standards to analyse their nutritional status. The acquired data was analysed using Statistical Package for Social Sciences (SPSS) software. Results: Out of the 73 children, there were 52 girls and 21 boys and the mean age of the children was 12.09±0.80 years. The dietary gap assessment tool indicated the gross deficiency in the intake of different food groups by the children. The majority of the samples 52 (71.2%) had an average dietary pattern, 9 (12.3%) students were found to have poor dietary habits and only 12 (16.4%) students had a good dietary pattern. Body Mass Index (BMI) assessment indicated that 39 students (53.4%) were normal (-2SD to +1SD) and others were found to be malnourished. A substantial variation in the mean weight of 12-year-old-male students (p-value=0.025) as well as female students (p-value=0.003) was observed when compared to ICMR standards. There was high significant difference between mean height of 13-year-old female students and the mean height as per ICMR standards (p-value=0.004). Conclusion: The dietary intake of Government school children was average and the anthropemetric assessment indicated that many of them were malnourished.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"33 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":"135601352","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}
Introduction: Bowlby suggests that children develop internal working models in earlier stages depending on their attachment relationships with parents. In paediatric dental clinics, children tend to display various behaviours depending on their attachment style, which can affect the communication and treatment outcomes with the child dentist. Aim: To determine the prevalence of attachment styles in 9 to 12 years old school children and to assess the association of attachment styles with the age and gender of the children. Materials and Methods: A descriptive cross-sectional study was conducted on a total of 384 school children aged 9 to 12 years, in the Nellore district using the cluster sampling method. Attachment styles were measured using a 15-item questionnaire developed from the Attachment Questionnaire for Children (AQ-C). The children were instructed and then asked to read and rate the extent to which each questionnaire item described themselves. Data were analysed statistically using the chi-square test for prevalence of attachment styles, Pearson correlation, and multiple regression analysis for age and gender associations. The level of significance was set at p≤0.05. Results: The study found that 64.10% (n=246) of all participants exhibited a secure attachment style, while 7% (n=27) and 28.9% (n=111) displayed avoidant and ambivalent attachment styles, respectively. Age showed a significant association with secure (p=0.006) and ambivalent (p=0.026) attachment styles. However, gender did not show any association with attachment styles. Conclusion: The study concluded that the secure attachment style was the most prevalent, followed by ambivalent and avoidant attachment styles, regardless of gender. Age was found to be significantly associated with secure and ambivalent attachment styles.
{"title":"Prevalence of Different Attachment Styles in 9 to 12 years old School Children: A Cross-sectional Study","authors":"Supriya Thambireddy, SVSG Nirmala, Sivakumar Nuvvula","doi":"10.7860/jcdr/2023/64693.18639","DOIUrl":"https://doi.org/10.7860/jcdr/2023/64693.18639","url":null,"abstract":"Introduction: Bowlby suggests that children develop internal working models in earlier stages depending on their attachment relationships with parents. In paediatric dental clinics, children tend to display various behaviours depending on their attachment style, which can affect the communication and treatment outcomes with the child dentist. Aim: To determine the prevalence of attachment styles in 9 to 12 years old school children and to assess the association of attachment styles with the age and gender of the children. Materials and Methods: A descriptive cross-sectional study was conducted on a total of 384 school children aged 9 to 12 years, in the Nellore district using the cluster sampling method. Attachment styles were measured using a 15-item questionnaire developed from the Attachment Questionnaire for Children (AQ-C). The children were instructed and then asked to read and rate the extent to which each questionnaire item described themselves. Data were analysed statistically using the chi-square test for prevalence of attachment styles, Pearson correlation, and multiple regression analysis for age and gender associations. The level of significance was set at p≤0.05. Results: The study found that 64.10% (n=246) of all participants exhibited a secure attachment style, while 7% (n=27) and 28.9% (n=111) displayed avoidant and ambivalent attachment styles, respectively. Age showed a significant association with secure (p=0.006) and ambivalent (p=0.026) attachment styles. However, gender did not show any association with attachment styles. Conclusion: The study concluded that the secure attachment style was the most prevalent, followed by ambivalent and avoidant attachment styles, regardless of gender. Age was found to be significantly associated with secure and ambivalent attachment styles.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"64 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":"135605216","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}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/64681.18653
Dhara M Shah, Bipin K Shah, Shruti Desai, Sarala C Baria
Introduction: With modern advances, Ultrasonography (USG)- guided regional block techniques have improved nerve blockade with lesser drug usage and maximum safety for patient care. The widely appreciated outpatient surgical care has compelled us to apply the fastest and safest anaesthesia technique. For lower limb surgeries, USG-guided Sciatic Femoral Nerve Block (SFNB) is an emerging alternative to Spinal Anaesthesia (SA). Aim: To compare the safety and efficacy of both techniques in terms of haemodynamic stability, quality of block, and postoperative analgesia. Materials and Methods: A randomised double-blind study conducted at GCS Medical College, Hospital, and Research Centre, Ahmedabad, Gujarat, India, on 80 patients aged 18 to 70 years of either sex, with American Society of Anaesthesiology (ASA) Grade 1 to 3, undergoing below-knee surgeries was divided into two groups. Group A received USA with 1.5 mL hyperbaric inj. ropivacaine 0.75%, and Group B received USGguided SFB with inj. ropivacaine 0.5% 30 mL (15 mL for sciatic nerve and 15 mL for femoral nerve block). Preparation Time (PT), Surgical Anaesthesia Time (SAT), haemodynamic changes, quality of block, Longevity of Anaesthesia (LoA), time of first rescue analgesia, time of spontaneous urination, readiness to discharge, and patient satisfaction were recorded. The statistical analysis was carried out using Statistical Package for Social Sciences version 23.0 (SPSS Inc., Chicago II, USA). The p-value was derived by unpaired t-test and Chi-square test. Results: PT and SAT were higher in Group B (12.10±2.02 mins and 15.74±1.58 mins) than in Group A (6.15±1.12 mins and 8.23±1.45 mins). LoA time and time to first rescue analgesic were higher in Group B (284.10±54.44 mins and 265.71±33.69 mins) than in Group A (138.75±23.30 mins and 132.40±17.41 mins). Time to first spontaneous urination and readiness to discharge were shorter in Group B (136.42±18.40 mins and 158.39±10.78 mins) than in Group A (162.20±26.54 mins and 181.53±18.18 mins). Haemodynamic stability was excellent in both groups with no significant fluctuation. Motor blockade of Bromage 3 grade was achieved in 40 and 38 patients in Group A and B, respectively. The development of VAS score >3 was faster in Group A than in Group B (35 versus 2) at the end of three hours. No adverse events were observed in any patient. Conclusion: USG-guided SFB offers a safe and efficient alternative to Unilateral SA (USA) with satisfactory blockage, stable haemodynamics, and better postoperative analgesia for below-knee surgeries.
简介:随着现代技术的进步，超声(USG)引导的区域阻滞技术改善了神经阻滞，减少了药物的使用，最大限度地提高了患者护理的安全性。广泛认可的门诊手术护理已迫使我们采用最快和最安全的麻醉技术。对于下肢手术，usg引导的坐骨股神经阻滞(SFNB)是一种新兴的替代脊髓麻醉(SA)。目的:比较两种技术在血流动力学稳定性、阻滞质量和术后镇痛方面的安全性和有效性。材料和方法:在印度古吉拉特邦艾哈迈达巴德的GCS医学院、医院和研究中心进行的一项随机双盲研究，将80名年龄在18至70岁之间、美国麻醉学会(ASA) 1至3级、接受膝盖以下手术的患者分为两组。A组给予USA + 1.5 mL高压静脉注射。罗哌卡因0.75%，B组注射USGguided SFB。罗哌卡因0.5% 30 mL(坐骨神经15 mL，股神经阻滞15 mL)。记录术前准备时间(PT)、手术麻醉时间(SAT)、血流动力学变化、阻滞质量、麻醉持续时间(LoA)、首次抢救镇痛时间、自主排尿时间、出院准备情况和患者满意度。统计分析使用statistical Package for Social Sciences version 23.0 (SPSS Inc.， Chicago II, USA)进行。p值采用非配对t检验和卡方检验。结果:B组PT和SAT分别为12.10±2.02 min和15.74±1.58 min，高于A组(6.15±1.12 min和8.23±1.45 min)。B组患者首次抢救镇痛时间(284.10±54.44 min)和首次抢救镇痛时间(265.71±33.69 min)均高于A组(138.75±23.30 min和132.40±17.41 min)。B组首次自然排尿时间(136.42±18.40 min)和准备排尿时间(158.39±10.78 min)短于A组(162.20±26.54 min)和181.53±18.18 min。两组患者血流动力学稳定性良好，无明显波动。A组和B组分别有40例和38例患者达到Bromage 3级的运动阻断。3 h时，A组VAS评分>3的发展速度明显快于B组(35比2)。所有患者均未观察到不良事件。结论:usg引导下的SFB为单侧SA (USA)手术提供了一种安全有效的替代方法，具有满意的阻塞，稳定的血流动力学和更好的术后镇痛效果。
{"title":"Comparison of Safety and Efficacy of Unilateral Spinal Anaesthesia and Ultrasound-guided Sciatic Femoral Nerve Block in below Knee Surgery: A Randomised Clinical Study","authors":"Dhara M Shah, Bipin K Shah, Shruti Desai, Sarala C Baria","doi":"10.7860/jcdr/2023/64681.18653","DOIUrl":"https://doi.org/10.7860/jcdr/2023/64681.18653","url":null,"abstract":"Introduction: With modern advances, Ultrasonography (USG)- guided regional block techniques have improved nerve blockade with lesser drug usage and maximum safety for patient care. The widely appreciated outpatient surgical care has compelled us to apply the fastest and safest anaesthesia technique. For lower limb surgeries, USG-guided Sciatic Femoral Nerve Block (SFNB) is an emerging alternative to Spinal Anaesthesia (SA). Aim: To compare the safety and efficacy of both techniques in terms of haemodynamic stability, quality of block, and postoperative analgesia. Materials and Methods: A randomised double-blind study conducted at GCS Medical College, Hospital, and Research Centre, Ahmedabad, Gujarat, India, on 80 patients aged 18 to 70 years of either sex, with American Society of Anaesthesiology (ASA) Grade 1 to 3, undergoing below-knee surgeries was divided into two groups. Group A received USA with 1.5 mL hyperbaric inj. ropivacaine 0.75%, and Group B received USGguided SFB with inj. ropivacaine 0.5% 30 mL (15 mL for sciatic nerve and 15 mL for femoral nerve block). Preparation Time (PT), Surgical Anaesthesia Time (SAT), haemodynamic changes, quality of block, Longevity of Anaesthesia (LoA), time of first rescue analgesia, time of spontaneous urination, readiness to discharge, and patient satisfaction were recorded. The statistical analysis was carried out using Statistical Package for Social Sciences version 23.0 (SPSS Inc., Chicago II, USA). The p-value was derived by unpaired t-test and Chi-square test. Results: PT and SAT were higher in Group B (12.10±2.02 mins and 15.74±1.58 mins) than in Group A (6.15±1.12 mins and 8.23±1.45 mins). LoA time and time to first rescue analgesic were higher in Group B (284.10±54.44 mins and 265.71±33.69 mins) than in Group A (138.75±23.30 mins and 132.40±17.41 mins). Time to first spontaneous urination and readiness to discharge were shorter in Group B (136.42±18.40 mins and 158.39±10.78 mins) than in Group A (162.20±26.54 mins and 181.53±18.18 mins). Haemodynamic stability was excellent in both groups with no significant fluctuation. Motor blockade of Bromage 3 grade was achieved in 40 and 38 patients in Group A and B, respectively. The development of VAS score >3 was faster in Group A than in Group B (35 versus 2) at the end of three hours. No adverse events were observed in any patient. Conclusion: USG-guided SFB offers a safe and efficient alternative to Unilateral SA (USA) with satisfactory blockage, stable haemodynamics, and better postoperative analgesia for below-knee surgeries.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"30 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":"135609941","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}
Introduction: Although alcoholism is a common aetiological link between liver and pancreatic disorders, the frequency of coinciding pancreatic disease in patients with alcohol-related liver disease is not well understood. The present study mentions about the use of Endoscopic Ultrasound (EUS) with standardised criteria to assess asymptomatic or overt pancreatic pathology in patients with alcoholic liver disease. Aim: To determine the prevalence of asymptomatic Alcoholic Chronic Pancreatitis (ACP) in Indian patients affected by Alcoholic Liver Cirrhosis (ALC) using EUS. Materials and Methods: The present observational crosssectional study was conducted on patients attending the Outpatient Department of Gastroenterology at Santokba Durlabhji Memorial Hospital Cum Medical Research Institute, Jaipur, Rajasthan, India. A total of 35 patients were screened with alcoholic liver disease for pancreatic abnormalities using EUS. The patients were recruited for the study over a period of 12 months, from September 2013 to August 2014. The prevalence of chronic pancreatitis (CP) was determined, and abnormalities were graded according to the Rosemont criteria. The severity of alcoholic liver disease, as indexed by Child Pugh Scoring (CPS) and Model for End-stage Liver Disease (MELD), was evaluated for any association with endosonographic findings of CP. The influence of various clinico-demographic factors on alcoholic liver and pancreatic diseases was analysed using the PSS Inc. Chicago, IL program. Results: A total of 35 male patients, aged 28 to 65 years with a mean age of 46.97 years, fulfilled the inclusion criteria. EUS revealed a prevalence of CP in 20% of patients. Three patients showed changes suggestive of CP, of which two had ALC and one had Alcoholic Hepatitis (AH). Four patients were prioritised in categorised as indeterminate for CP, with three having cirrhosis and one having Alcoholic Fatty Liver (ALF). No significant influence of clinico-demographic profiles on the final outcome parameters was observed. The patient with endoscopic changes had a MELD score of 12.85±5.11 compared to patients without changes of ACP (19.1±5.71) (p=0.013). ALC was found to be inversely related to EUS changes of ACP. Conclusion: The EUS is an effective screening tool for evaluating pancreatic abnormalities in patients with alcoholic liver disease. The present study provides a comprehensive review of previous findings in light of the varying facts and figures. As there is still a lack of experimental animal models for ALC and ACP, studies of this kind may shed light on hidden links in disease pathology.
{"title":"Usefulness of Endoscopic Ultrasound for the Detection of Asymptomatic Pancreatic Morphological Changes in Patients with Alcoholic Liver Disease: A Cross-sectional Study","authors":"Pankaj Gupta, Dinesh Agarwal, Anurag Govil, Harsh Udawat","doi":"10.7860/jcdr/2023/65188.18396","DOIUrl":"https://doi.org/10.7860/jcdr/2023/65188.18396","url":null,"abstract":"Introduction: Although alcoholism is a common aetiological link between liver and pancreatic disorders, the frequency of coinciding pancreatic disease in patients with alcohol-related liver disease is not well understood. The present study mentions about the use of Endoscopic Ultrasound (EUS) with standardised criteria to assess asymptomatic or overt pancreatic pathology in patients with alcoholic liver disease. Aim: To determine the prevalence of asymptomatic Alcoholic Chronic Pancreatitis (ACP) in Indian patients affected by Alcoholic Liver Cirrhosis (ALC) using EUS. Materials and Methods: The present observational crosssectional study was conducted on patients attending the Outpatient Department of Gastroenterology at Santokba Durlabhji Memorial Hospital Cum Medical Research Institute, Jaipur, Rajasthan, India. A total of 35 patients were screened with alcoholic liver disease for pancreatic abnormalities using EUS. The patients were recruited for the study over a period of 12 months, from September 2013 to August 2014. The prevalence of chronic pancreatitis (CP) was determined, and abnormalities were graded according to the Rosemont criteria. The severity of alcoholic liver disease, as indexed by Child Pugh Scoring (CPS) and Model for End-stage Liver Disease (MELD), was evaluated for any association with endosonographic findings of CP. The influence of various clinico-demographic factors on alcoholic liver and pancreatic diseases was analysed using the PSS Inc. Chicago, IL program. Results: A total of 35 male patients, aged 28 to 65 years with a mean age of 46.97 years, fulfilled the inclusion criteria. EUS revealed a prevalence of CP in 20% of patients. Three patients showed changes suggestive of CP, of which two had ALC and one had Alcoholic Hepatitis (AH). Four patients were prioritised in categorised as indeterminate for CP, with three having cirrhosis and one having Alcoholic Fatty Liver (ALF). No significant influence of clinico-demographic profiles on the final outcome parameters was observed. The patient with endoscopic changes had a MELD score of 12.85±5.11 compared to patients without changes of ACP (19.1±5.71) (p=0.013). ALC was found to be inversely related to EUS changes of ACP. Conclusion: The EUS is an effective screening tool for evaluating pancreatic abnormalities in patients with alcoholic liver disease. The present study provides a comprehensive review of previous findings in light of the varying facts and figures. As there is still a lack of experimental animal models for ALC and ACP, studies of this kind may shed light on hidden links in disease pathology.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"106 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":"135649977","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}
Tuberculosis of the posterior elements is a rare and destructive form characterised by the destruction of the lamina, pedicle, or facet joints. Delay in clinical diagnosis and presentation is common because of poor visualisation of facet joints in X-rays. A 55-year-old male presented with back and left leg pain lasting for six months, accompanied by weakness in dorsiflexion of the left foot and ankle. Magnetic Resonance Imaging (MRI) revealed features suggestive of L4-L5 facetal arthritis on the left side, including marrow oedema, bone erosions, a posterior paraspinal abscess, and nerve root compression. The patient underwent posterior decompression and stabilisation, along with abscess drainage. The specimen was sent for histopathological examination, confirming the diagnosis of facetal joint tuberculosis. Antituberculous treatment was given for 12 months, that showed improved neurological status. This case is presented due to its rarity, highlighting the importance of considering facetal joint tuberculosis as a potential cause in cases of progressively increasing lower back pain, even in the absence of constitutional symptoms.
{"title":"A Rare Case of Tuberculosis in the Lumbar Facet Joint","authors":"Vijayanand Balasubramanian, Parth Mehta, Rajavel Kalirajan","doi":"10.7860/jcdr/2023/62666.18400","DOIUrl":"https://doi.org/10.7860/jcdr/2023/62666.18400","url":null,"abstract":"Tuberculosis of the posterior elements is a rare and destructive form characterised by the destruction of the lamina, pedicle, or facet joints. Delay in clinical diagnosis and presentation is common because of poor visualisation of facet joints in X-rays. A 55-year-old male presented with back and left leg pain lasting for six months, accompanied by weakness in dorsiflexion of the left foot and ankle. Magnetic Resonance Imaging (MRI) revealed features suggestive of L4-L5 facetal arthritis on the left side, including marrow oedema, bone erosions, a posterior paraspinal abscess, and nerve root compression. The patient underwent posterior decompression and stabilisation, along with abscess drainage. The specimen was sent for histopathological examination, confirming the diagnosis of facetal joint tuberculosis. Antituberculous treatment was given for 12 months, that showed improved neurological status. This case is presented due to its rarity, highlighting the importance of considering facetal joint tuberculosis as a potential cause in cases of progressively increasing lower back pain, even in the absence of constitutional symptoms.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"119 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":"135650562","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}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/65468.18472
Sonai Datta Kakati, Dokne Chintey, Gaurav Das, Marie Ninu
Introduction: Traditional transthoracic oesophagectomy is associated with high perioperative morbidity. Minimally Invasive Oesophagectomy (MIE) techniques have been shown to have a decreased incidence of respiratory complications and an improvement in perioperative outcomes, such as length of hospital stay and wound infection rates. Aim: To evaluate the incidence of postoperative respiratory complications, 30-day mortality, and length of hospital stay among patients with carcinoma of the oesophagus undergoing, VideoAssisted Thoracoscopic Surgery (VATS) oesophagectomy. Materials and Methods: A cross-sectional study was conducted in the Department of Anaesthesiology in a new thoracic oncology unit at a Tertiary Cancer care centre, Dr. B. Borooah Cancer Institute, Guwahati, Assam, India. A total of 67 patients with resectable oesophageal cancer who underwent VATS oesophagectomy from September 2019 to December 2021 were included. Patients who had surgery by open thoracotomy and inoperable cases were excluded. The patients’ clinicodemographic profile, intraand postoperative variables, and complications were studied. Descriptive statistics were used for analysis. A p-value ≤0.05 was considered statistically significant at a 5% level of significance. Results: Out of 67 patients, 45 (67.2%) were male, and 22 (32.8%) were female. The age ranged from 33 to 78 years with a median age of 55 years (IQR 47-61). The median body weight was 45 kg (IQR 42-53). Nineteen (28.4%) patients developed postoperative complications, including respiratory distress in 7 (10.4%) and anastomotic leakage in 5 (7.5%) patients. Other complications included symptomatic Coronavirus Disease 2019 (COVID-19) infection, pneumonia, mediastinitis, Multiorgan Dysfunction Syndrome (MODS) with sepsis, seizure and cardiac arrest, and surgical re-exploration. The 30-day mortality was 2.98%. The median length of hospital stay was 19 days (Interquantile Range (IQR) 16-22), which was higher in those with complications (p<0.001). One-lung ventilation was associated with a higher risk of postoperative respiratory complications (p=0.077). Conclusion: VATS oesophagectomy, even in a new thoracic oncology unit, was associated with lower perioperative complications, a shorter hospital length of stay, and decreased mortality compared to historical controls.
{"title":"Analysis of Postoperative Complications of Minimally Invasive Surgery for Carcinoma of Oesophagus: A Single Centre Retrospective Cohort Study","authors":"Sonai Datta Kakati, Dokne Chintey, Gaurav Das, Marie Ninu","doi":"10.7860/jcdr/2023/65468.18472","DOIUrl":"https://doi.org/10.7860/jcdr/2023/65468.18472","url":null,"abstract":"Introduction: Traditional transthoracic oesophagectomy is associated with high perioperative morbidity. Minimally Invasive Oesophagectomy (MIE) techniques have been shown to have a decreased incidence of respiratory complications and an improvement in perioperative outcomes, such as length of hospital stay and wound infection rates. Aim: To evaluate the incidence of postoperative respiratory complications, 30-day mortality, and length of hospital stay among patients with carcinoma of the oesophagus undergoing, VideoAssisted Thoracoscopic Surgery (VATS) oesophagectomy. Materials and Methods: A cross-sectional study was conducted in the Department of Anaesthesiology in a new thoracic oncology unit at a Tertiary Cancer care centre, Dr. B. Borooah Cancer Institute, Guwahati, Assam, India. A total of 67 patients with resectable oesophageal cancer who underwent VATS oesophagectomy from September 2019 to December 2021 were included. Patients who had surgery by open thoracotomy and inoperable cases were excluded. The patients’ clinicodemographic profile, intraand postoperative variables, and complications were studied. Descriptive statistics were used for analysis. A p-value ≤0.05 was considered statistically significant at a 5% level of significance. Results: Out of 67 patients, 45 (67.2%) were male, and 22 (32.8%) were female. The age ranged from 33 to 78 years with a median age of 55 years (IQR 47-61). The median body weight was 45 kg (IQR 42-53). Nineteen (28.4%) patients developed postoperative complications, including respiratory distress in 7 (10.4%) and anastomotic leakage in 5 (7.5%) patients. Other complications included symptomatic Coronavirus Disease 2019 (COVID-19) infection, pneumonia, mediastinitis, Multiorgan Dysfunction Syndrome (MODS) with sepsis, seizure and cardiac arrest, and surgical re-exploration. The 30-day mortality was 2.98%. The median length of hospital stay was 19 days (Interquantile Range (IQR) 16-22), which was higher in those with complications (p<0.001). One-lung ventilation was associated with a higher risk of postoperative respiratory complications (p=0.077). Conclusion: VATS oesophagectomy, even in a new thoracic oncology unit, was associated with lower perioperative complications, a shorter hospital length of stay, and decreased mortality compared to historical controls.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"16 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":"136053370","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}
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