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Prospective validation of the ICH score for long term mortality and functional outcome: A study from North India ICH评分对长期死亡率和功能结局的前瞻性验证:一项来自北印度的研究
Pub Date : 2021-01-01 DOI: 10.5455/jmas.49638
Shaman Gill, P. Dhull, S. Gorthi
The Intracerebral Hemorrhage (ICH) Score is commonly used in patients of ICH as a grading tool which assesses clinical outcome after ICH. It has undergone validation for 30 days mortality in various studies but data on its validation for long term outcome is limited. The aim of this study was to assess whether ICH Score accurately categorizes ICH patients with regard to mortality and functional outcome at 3 months. This was a prospective observational study which included patients reporting to emergency department of a superspeciality care hospital with acute intracerebral hemorrhage over one year period. Components of ICH Score and baseline parameters were recorded. The functional outcome was assessed using modified Rankin scale (mRS) at 3 months post ICH. Of the 70 patients included in the study, 42(60%) patients survived at 3 months and out of them 26(37.1%) patients had a good outcome on mRS scale at 3 months. The ICH score correctly stratified patients with respect to mortality and functional outcome at 3 months as assessed by dichotomous cut points along the mRS. To conclude, the ICH Score is a valid score used in intracerebral hemor-rhage for assessing mortality and functional outcome at 3 months.
脑出血(ICH)评分通常用于脑出血患者,作为评估脑出血后临床结果的分级工具。它已在各种研究中对30天死亡率进行了验证,但对长期结果进行验证的数据有限。本研究的目的是评估ICH评分是否能准确地对ICH患者在3个月时的死亡率和功能结局进行分类。这是一项前瞻性观察性研究,纳入了一年内在一家超专科医院急诊科报告的急性脑出血患者。记录ICH评分组成及基线参数。在ICH后3个月采用改良Rankin量表(mRS)评估功能结果。在纳入研究的70例患者中,42例(60%)患者在3个月时存活,其中26例(37.1%)患者在3个月时mRS评分结果良好。脑出血评分正确地对患者在3个月时的死亡率和功能结果进行分层,通过沿mrs的二分切点进行评估。总之,脑出血评分是用于评估脑出血3个月时死亡率和功能结果的有效评分。
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引用次数: 0
A systematic review on disinfection, airborne precautions and biomedical waste management for prevention of infection by SARS-CoV-2: Current evidences and adoptable practices in healthcare settings 关于预防SARS-CoV-2感染的消毒、空气传播预防措施和生物医学废物管理的系统综述:目前的证据和卫生保健机构可采用的做法
Pub Date : 2021-01-01 DOI: 10.5455/JMAS.124461
Bipasa Chakraborty, R. Ray, P. Roy
The emergence and spread of the novel corona virus SARS-CoV-2 causing pneumonia and severe respiratory tract infections has put the whole world in grave situation. The pandemicity is because the virus is highly contagious with very high transmissibility and spread from person to person by infected respiratory droplets and contacts. As no specific drug or vaccine against SARS-CoV-2 are available in the market, so preventive measures that break the chain of transmission are the mainstay to prevent COVID-19 infections. The present systematic review article highlights the current updates on preventive measures in the context of disinfection practices, droplet precautions, airborne precautions and biomedical waste management based on various research articles, national guidelines by Indian Council of Medical Research (ICMR) and Central Pollution Control Board, Government of India and international guidelines by WHO, CDC. Search was conducted in Medline, Embase and Google Scholar with articles published in English language from 1st January 2020 to 20th July 2020 and were taken for reviewing. A systematic review protocol was developed based on PRISMA checklist and the PRISMA statement and was conducted to synthesise adoptable best practices based on current evidences. Three disinfectants have become most important to combat this novel corona virus, which are 70-85% ethanol, 0.1% sodium hypochlorite for routine environmental disinfection and 0.5% sodium hypochlorite for large spillage management and >0.5% hydrogen peroxide with a minimal contact time of 1 minute for all three disinfectants. Fogging of unoccupied rooms and testing laboratories can be done by 2% hydrogen peroxide solution. UV radiation at 240-260 nm have wide applications in routine terminal disinfection of unoccupied rooms and biosafety cabinets and also used for decontamination of N95 masks for reuse. Based on available evidences from WHO and ICMR it is suggested to take respiratory droplets and contact precautions in every health care settings taking care of suspected or confirmed COVID-19 cases, and airborne precautions are recommended when aerosol generating procedures are performed. According to CDC droplets and contact precautions are essential in routine health care settings and airborne precautions are essential when aerosol generating procedures are performed and are also recommended when taking care of suspected or confirmed COVID-19 cases depending on resource availability. Whether airborne precaution is essential for all settings is debatable and is still unclear based on available evidences. Proper handling of biomedical waste, segregation at source and disposal as per classification along with proper disposal of PPE after doffing can help in preventing the disease in community and among health care providers. Evidence on the modes of transmission of COVID-19 from dead bodies to individuals is yet to be established. Steps to be followed are based on Government Guidelines.
引起肺炎和严重呼吸道感染的新型冠状病毒SARS-CoV-2的出现和传播,使全世界处于严峻形势。大流行是因为该病毒具有高度传染性,具有很高的传播性,并通过受感染的呼吸道飞沫和接触在人与人之间传播。由于市场上没有针对SARS-CoV-2的特异性药物或疫苗,因此打破传播链的预防措施是预防COVID-19感染的主体。本系统综述文章根据各种研究文章、印度医学研究委员会(ICMR)和印度政府中央污染控制委员会的国家指南以及世卫组织、疾病预防控制中心的国际指南,重点介绍了在消毒做法、飞沫预防、空气传播预防和生物医学废物管理方面预防措施的最新情况。在Medline, Embase和谷歌Scholar中检索2020年1月1日至2020年7月20日发表的英文文章并进行审查。根据PRISMA检查表和PRISMA声明制定了系统审查方案,并根据现有证据综合可采用的最佳做法。三种消毒剂已成为对抗这种新型冠状病毒的最重要消毒剂,它们是70-85%乙醇、0.1%次氯酸钠(用于常规环境消毒)和0.5%次氯酸钠(用于大型溢出管理),以及0.5%过氧化氢(三种消毒剂的最短接触时间均为1分钟)。无人房间和测试实验室的雾化可以用2%的过氧化氢溶液来完成。240-260 nm的紫外线辐射广泛应用于无人房间和生物安全柜的常规终末消毒,也用于N95口罩的去污重复使用。根据世卫组织和ICMR提供的现有证据,建议在收治COVID-19疑似或确诊病例的每个卫生保健机构采取呼吸道飞沫和接触预防措施,并建议在进行气溶胶产生程序时采取空气传播预防措施。根据疾病预防控制中心的说法,在常规卫生保健环境中,飞沫和接触预防措施是必不可少的,在执行产生气溶胶的程序时,空气传播预防措施是必不可少的,在处理疑似或确诊的COVID-19病例时,也建议根据资源可用性采取预防措施。空气传播的预防是否对所有环境都是必要的是有争议的,根据现有的证据仍然不清楚。妥善处理生物医学废物,在源头进行隔离并按分类进行处置,以及在脱下个人防护装备后进行妥善处置,可有助于在社区和卫生保健提供者中预防该病。关于COVID-19从尸体到个人的传播方式的证据尚未确定。应遵循的步骤以政府指南为基础。然而,缺乏描述尸体处理策略的可取和不可取效果的学术文章。
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引用次数: 1
An institution based prospective study on clinical spectrum of Sinonasal masses from Kolkata 基于机构的加尔各答鼻窦肿块临床谱前瞻性研究
Pub Date : 2021-01-01 DOI: 10.5455/JMAS.131236
Souradeep Ray, M. S. Chowdhury, A. Maiti, P. Banerjee
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引用次数: 0
Stainless steel flexible intramedullary nailing in pediatric femoral shaft fractures-A retrospective study 不锈钢柔性髓内钉治疗小儿股骨干骨折的回顾性研究
Pub Date : 2021-01-01 DOI: 10.5455/jmas.47982
N. Shah, M. Beigh, N. Dar
Femoral fractures in children are among the most common fractures of long bones. Various methods of treatment exist based on age of the patient, pattern of the fracture and acceptance of the patient and par-ents. Flexible intramedullary nailing has emerged as an accepted pro-cedure for femur fractures in school- age children. In this study our aim is to share our experience of stainless steel flexible intramedullary nail-ing as a treatment modality in femur shaft fractures in children from age 6 to 11 years.
儿童股骨骨折是最常见的长骨骨折之一。根据患者的年龄、骨折的类型以及患者和家长的接受程度,有不同的治疗方法。弹性髓内钉已成为学龄儿童股骨骨折的一种可接受的治疗方法。在这项研究中,我们的目的是分享我们的经验,不锈钢柔性髓内钉作为治疗6至11岁儿童股骨骨干骨折的方式。
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引用次数: 0
Attitude of Sri Lankan radiography undergraduates towards artificial intelligence used in medical imaging 斯里兰卡放射学本科生对人工智能用于医学成像的态度
Pub Date : 2021-01-01 DOI: 10.5455/jmas.53516
N. Chandrasiri, Amila Abeyweera, B. Weerakoon
This study was conducted to evaluate the attitude of radiography un-dergraduates in Sri Lanka towards artificial intelligence (AI) on medical imaging. An electronic questionnaire designed by Google forms survey administration software was used for data collection. The questionnaire consisted of different sections to evaluate demographic status of the participants, attitude, practice and knowledge related to AI on medical imaging. A total of 168 students responded to the questionnaire. The majority of them (64.3%) were female. Most of the respondents (92.3%) stated that they have practiced plain radiography imaging mo-dality during their clinical training. Around 67.9% respondents were aware about the AI based applications used in medical imaging. How-ever, the majority of respondents (51.17%) opined that AI will drastical-ly change and revolutionize medical imaging tools and methods in a foreseeable future. Most of the respondents (64.29%) believed that the use of AI based applications will make a radiographer’s duties more technical in the next 5-10 years. More than two thirds of the respond-ents (73.8%) stated their interest to involve any research on AI based techniques. In sub group analysis, there is a significant difference (p>0.05) of attitude between male and female respondents while no significant difference (p<0.05) of attitude between academic years. In conclusion responders showed a favorable attitude on AI which revolu-tionize medical imaging making radiographers duties more technical. It led to a strong demand to include AI technologies in both undergradu-ate and postgraduate training. Therefore, it is essential to take the lead in educating radiography undergraduate students about these emerg-ing technologies in the field of medical imaging and how to work effi-ciently with those technologies.
本研究旨在评估斯里兰卡放射学本科生对人工智能(AI)用于医学成像的态度。采用谷歌表格调查管理软件设计的电子问卷进行数据收集。问卷由不同的部分组成,以评估参与者的人口统计状况、对医学影像人工智能的态度、实践和知识。共有168名学生回答了问卷。其中以女性居多(64.3%)。大多数受访者(92.3%)表示他们在临床培训期间曾实践过x线平片成像方式。约67.9%的受访者知道医学成像中使用的基于人工智能的应用程序。然而,大多数受访者(51.17%)认为,在可预见的未来,人工智能将彻底改变和革新医学成像工具和方法。大多数受访者(64.29%)认为,基于人工智能的应用程序的使用将使放射技师的职责在未来5-10年内更具技术性。超过三分之二的受访者(73.8%)表示他们有兴趣参与任何基于人工智能技术的研究。在亚组分析中,男、女受访者的态度差异有统计学意义(p<0.05),而不同学年的态度差异无统计学意义(p<0.05)。总而言之,受访者对人工智能表现出良好的态度,人工智能彻底改变了医学成像,使放射技师的工作更具技术性。这导致了将人工智能技术纳入本科和研究生培训的强烈需求。因此,在医学影像领域对放射学本科学生进行这些新兴技术的教育以及如何有效地使用这些技术是至关重要的。
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引用次数: 0
COVID 19 knowledge, misconceptions and practices among the non-medical college students in Tamil Nadu 泰米尔纳德邦非医学院学生的COVID - 19知识、误解和做法
Pub Date : 2021-01-01 DOI: 10.5455/JMAS.7787
V. Dhanaraj, G. Natarajan, J. Asha, P. Revathy, Divya Mohan, J. Udayakumar
COVID 19 is an outbreak of global proportions with a prodigious impact that has made many countries across the globe to institute various forms of lockdown measures. A good understanding and knowledge of the disease is indispensable for the management of infection spread and for effective control measures. The aim of the study was to conduct a rapid online survey for evaluating the COVID 19 knowledge, misconceptions and practices among the non-medical college students in Tamil Nadu. An online cross sectional survey was conducted using Google forms involving 414 participants, who were college students from Tamil Nadu and were not related to health sciences courses. The questionnaire consisted of 4 sections to gauge the demographic details, COVID 19 knowledge, misconceptions and practices. The completed questionnaire was submitted by the students from the period of 6th July 2020 to 18th July 2020.The total responses received were 426 out of which 414 valid responses were taken into account. The female respondents of the study accounted for 57.2%. The Knowledge score was good except for the variable responses in case of knowledge regarding transmission from asymptomatic persons. This study reports considerable percentage of existing misconceptions and sensible practices being followed as advised by the government and health department. In general, the college students' level of COVID 19 knowledge was satisfactory, yet we could find inconsistencies in the fallacies and practices among them. Such online surveys can shed light upon the need for measures to increase the awareness and to improve practices during the rapid outbreak of COVID 19.
新冠肺炎疫情是一场全球性疫情,影响巨大,全球许多国家都采取了各种形式的封锁措施。良好的了解和认识是管理感染传播和采取有效控制措施所必不可少的。该研究的目的是进行一项快速在线调查,以评估泰米尔纳德邦非医学院学生对COVID - 19的知识、误解和做法。使用谷歌表格进行了一项在线横断面调查,涉及414名参与者,他们是来自泰米尔纳德邦的大学生,与健康科学课程无关。调查问卷由4个部分组成,以衡量人口统计细节、COVID - 19知识、误解和做法。完成的问卷由学生在2020年7月6日至2020年7月18日期间提交。收到的回应总数为426份,其中414份有效回应获考虑。女性受访者占57.2%。除了对无症状者传播的知识有不同的反应外,知识得分都很好。这项研究报告了相当大比例的现有误解和政府和卫生部门建议遵循的明智做法。总体而言,大学生对新冠肺炎的知识水平是令人满意的,但我们可以发现其中的谬论和实践存在不一致之处。这种在线调查可以揭示在COVID - 19快速爆发期间需要采取措施提高认识和改进做法。
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引用次数: 1
Dermoscopy as a diagnostic tool in psoriasis 皮肤镜作为牛皮癣的诊断工具
Pub Date : 2021-01-01 DOI: 10.5455/JMAS.125691
Madhulika Gavvala, Manmohan Gavvala
Received 15 August 2020 Revised 29 September 2020 Accepted 30 September 2020 Online 10 January 2021 Print 31 January 2021 Dermoscopy allows visualizing vascular and non-vascular structures and aids in making an accurate diagnosis of pathological skin lesions. The aim of the present study was to observe and report the dermoscopic patterns of psoriatic lesions and correlate the dermoscopic diagnosis with the clinico-histopathological diagnosis. This was a prospective, observational study conducted over a period of 18 months in 44 patients who presented with psoriasis to the outpatient clinic of our department. Psoriatic skin lesions were evaluated clinically and subjected to dermoscopy and histopathological examination and the resulting diagnoses were correlated to establish the diagnostic utility of dermoscopy in psoriasis. The resultant findings were predominantly vascular i.e. red globules (RG-75%), glomerular like vessels (GLV22.72%), red dots (RD-2.27%), in regular distribution (100%) and the non-vascular findings were white scales (93.18%) in a diffuse arrangement (79.54%) and a light red background (56.18%). A combination of these vascular and non-vascular features predicted psoriasis accurately and was found to be significant. A positive correlation between the clinico-dermoscopic-histopathological diagnosis was possible in 75% of the cases. In conclusion, dermoscopic examination is a good auxiliary to strengthen the clinical diagnosis of psoriasis and may help evade the necessity of a biopsy on further standardization of the dermoscopic features in literature. Corresponding author
皮肤镜检查可以可视化血管和非血管结构,并有助于准确诊断病理性皮肤病变。本研究的目的是观察和报告银屑病病变的皮肤镜模式,并将皮肤镜诊断与临床组织病理学诊断相关联。这是一项为期18个月的前瞻性观察性研究,研究对象为44例在我科门诊就诊的牛皮癣患者。对银屑病皮损进行临床评估,并进行皮肤镜检查和组织病理学检查,并将结果诊断相关联,以建立皮肤镜检查在银屑病诊断中的应用价值。结果显示,血管性肾小球(RG-75%)、肾小球样血管(GLV22.72%)、红点(RD-2.27%)呈规则分布(100%),非血管性肾小球呈白色鳞片(93.18%)弥漫性排列(79.54%),浅红色背景(56.18%)。这些血管和非血管特征的结合准确地预测了牛皮癣,并被发现是显著的。在75%的病例中,临床-皮肤镜-组织病理学诊断呈正相关。综上所述,皮肤镜检查是加强银屑病临床诊断的良好辅助手段,可能有助于避免文献中对皮肤镜特征进一步标准化进行活检的必要性。相应的作者
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引用次数: 0
Diagnosis of Pityriasis rosea using a triple light source dermoscope 用三光源皮肤镜诊断玫瑰糠疹
Pub Date : 2021-01-01 DOI: 10.5455/JMAS.125665
Madhulika Gavvala, Manmohan Gavvala
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引用次数: 0
Utility of dermoscopy as a non-invasive diagnostic procedure in Lichen planus 皮肤镜作为一种无创诊断方法在扁平苔藓中的应用
Pub Date : 2021-01-01 DOI: 10.5455/JMAS.125696
Madhulika Gavvala, Manmohan Gavvala
{"title":"Utility of dermoscopy as a non-invasive diagnostic procedure in Lichen planus","authors":"Madhulika Gavvala, Manmohan Gavvala","doi":"10.5455/JMAS.125696","DOIUrl":"https://doi.org/10.5455/JMAS.125696","url":null,"abstract":"","PeriodicalId":16176,"journal":{"name":"Journal of Medical and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70823201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rare cases of Langerhans cell histiocytosis 朗格汉斯细胞组织细胞增多症罕见病例
Pub Date : 2021-01-01 DOI: 10.5455/JMAS.106193
G. Sailabala, D. Kalyani
Langerhans cell histiocytosis (LCH) is a group of disorders character-ized by proliferation of cells of mononuclear phagocytic system. In this study rare cases of Langerhans cell histiocytosis (LCH) were diagnosed. These patients had bony defects, proptosis, bilateral cervical lymphadenopathy in one case. The second case had cheek swelling, hepatosplenomegaly, skull and cheek swellings along with proptosis. The characteristic Langerhans cells were present on cytology for both cases. Hence these cases were diagnosed in both cases as Langerhans cell histiocytosis (LCH) based on clinical, radiological and cytological features.
朗格汉斯细胞组织细胞增生症(LCH)是一组以单核吞噬系统细胞增生为特征的疾病。本研究发现罕见的朗格汉斯细胞组织细胞增多症(LCH)。其中1例出现骨缺损、突出、双侧颈淋巴肿大。第2例出现面颊肿胀、肝脾肿大、颅骨及面颊肿胀伴突出。两例的细胞学检查均可见特征性朗格汉斯细胞。基于临床、放射学和细胞学特征,诊断为朗格汉斯细胞组织细胞增多症(LCH)。
{"title":"Rare cases of Langerhans cell histiocytosis","authors":"G. Sailabala, D. Kalyani","doi":"10.5455/JMAS.106193","DOIUrl":"https://doi.org/10.5455/JMAS.106193","url":null,"abstract":"Langerhans cell histiocytosis (LCH) is a group of disorders character-ized by proliferation of cells of mononuclear phagocytic system. In this study rare cases of Langerhans cell histiocytosis (LCH) were diagnosed. These patients had bony defects, proptosis, bilateral cervical lymphadenopathy in one case. The second case had cheek swelling, hepatosplenomegaly, skull and cheek swellings along with proptosis. The characteristic Langerhans cells were present on cytology for both cases. Hence these cases were diagnosed in both cases as Langerhans cell histiocytosis (LCH) based on clinical, radiological and cytological features.","PeriodicalId":16176,"journal":{"name":"Journal of Medical and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70822967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Medical and Allied Sciences
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