Pub Date : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_22_19
Ri Gon, MihwaC. Pak, Ok-Son Ri, Hyok Kim
Purpose: To estimate the effect of treatment for rickets by crab shell powder (CSP). Objects and Methods: We supplied children with rickets with calcium lactate and CSP and observed the serum concentrations of calcium, phosphorus, alkaline phosphatase (ALP) in preadministration and postadministration. Results: Postadministration serum concentrations of calcium, phosphorus, and ALP increased significantly compared to preadministration in both groups (P < 0.05), but significance between two groups is not recognized. Conclusion: The effective ratio of calcium lactate and CSP in the treatment for rickets has no difference, but CSP markedly decreased the incidence of concomitant disorders compared with calcium lactate.
{"title":"The utility of crab shell powder in the treatment of rickets","authors":"Ri Gon, MihwaC. Pak, Ok-Son Ri, Hyok Kim","doi":"10.4103/mjmsr.mjmsr_22_19","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_22_19","url":null,"abstract":"Purpose: To estimate the effect of treatment for rickets by crab shell powder (CSP). Objects and Methods: We supplied children with rickets with calcium lactate and CSP and observed the serum concentrations of calcium, phosphorus, alkaline phosphatase (ALP) in preadministration and postadministration. Results: Postadministration serum concentrations of calcium, phosphorus, and ALP increased significantly compared to preadministration in both groups (P < 0.05), but significance between two groups is not recognized. Conclusion: The effective ratio of calcium lactate and CSP in the treatment for rickets has no difference, but CSP markedly decreased the incidence of concomitant disorders compared with calcium lactate.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42285434","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 : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_16_20
S. Swain, Nishtha Anand
Facial baroparesis is an extremely uncommon clinical entity that occurs due to the middle ear barotrauma. It is rarely reported in the medical literature which can happen among persons who ascend to high altitude in flight or by scuba diving. The overpressure in the middle ear space due to eustachian tube dysfunction may cause exertion of the high pressure over the facial nerve through dehiscence of the horizontal segment of the facial nerve leading to facial nerve paralysis. Clinical history plays a vital role in diagnosis and also sometimes imaging helps confirm this rare cause of facial nerve paralysis. Here, we report a case of a 12-year-old boy who experiences unilateral facial nerve paralysis upon ascent to altitude on a flight with relieves from symptoms shortly after the descent.
{"title":"Facial baroparesis in a 12-year-old boy","authors":"S. Swain, Nishtha Anand","doi":"10.4103/mjmsr.mjmsr_16_20","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_16_20","url":null,"abstract":"Facial baroparesis is an extremely uncommon clinical entity that occurs due to the middle ear barotrauma. It is rarely reported in the medical literature which can happen among persons who ascend to high altitude in flight or by scuba diving. The overpressure in the middle ear space due to eustachian tube dysfunction may cause exertion of the high pressure over the facial nerve through dehiscence of the horizontal segment of the facial nerve leading to facial nerve paralysis. Clinical history plays a vital role in diagnosis and also sometimes imaging helps confirm this rare cause of facial nerve paralysis. Here, we report a case of a 12-year-old boy who experiences unilateral facial nerve paralysis upon ascent to altitude on a flight with relieves from symptoms shortly after the descent.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42655183","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 : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_26_19
B. Bhat, S. Dar, A. Hussain
Background: Evidence seems to suggest that dysfunction in many biological functions is associated with major depressive disorder (MDD). Literature suggests a possible link between different lipid parameters and depression. Aims: The aim was to study lipid parameters in patients with MDD and to find a correlation between these lipid parameters and depression. Settings and Design: This was a case–control study conducted in outpatient services of the department of psychiatry. Materials and Methods: A total of 100 participants were included in this study. Fifty drug-naïve depression cases as assessed clinically and with Hamilton rating scale for depression were included in the study group, whereas control group comprised fifty normal individuals. Lipid parameters were obtained from fasting blood samples in both groups. Statistical Analysis: Data analysis was performed using SPSS 16 software. Continuous variables were summarized as mean and standard deviation, whereas categorical variables were summarized as frequency and percentage. Results: The mean total cholesterol (TC) and the mean low-density lipoprotein cholesterol (LDL-C) were significantly low in the study group than the control group. When compared with severity of depression, there was a significant negative correlation with TC (r = −0.710; P = 0.0001), LDL-C (r = −0.608; P = 0.0001), and triglycerides (TG) (r = −0.289; P = 0.042). Conclusions: Drug-naïve individuals with MDD had significantly low TC and LDL-C in comparison to normal individuals. There was a significant negative correlation between the severity of depression and TC, LDL-C, and TG.
{"title":"A controlled study on serum lipid parameters in individuals with and without major depressive disorder","authors":"B. Bhat, S. Dar, A. Hussain","doi":"10.4103/mjmsr.mjmsr_26_19","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_26_19","url":null,"abstract":"Background: Evidence seems to suggest that dysfunction in many biological functions is associated with major depressive disorder (MDD). Literature suggests a possible link between different lipid parameters and depression. Aims: The aim was to study lipid parameters in patients with MDD and to find a correlation between these lipid parameters and depression. Settings and Design: This was a case–control study conducted in outpatient services of the department of psychiatry. Materials and Methods: A total of 100 participants were included in this study. Fifty drug-naïve depression cases as assessed clinically and with Hamilton rating scale for depression were included in the study group, whereas control group comprised fifty normal individuals. Lipid parameters were obtained from fasting blood samples in both groups. Statistical Analysis: Data analysis was performed using SPSS 16 software. Continuous variables were summarized as mean and standard deviation, whereas categorical variables were summarized as frequency and percentage. Results: The mean total cholesterol (TC) and the mean low-density lipoprotein cholesterol (LDL-C) were significantly low in the study group than the control group. When compared with severity of depression, there was a significant negative correlation with TC (r = −0.710; P = 0.0001), LDL-C (r = −0.608; P = 0.0001), and triglycerides (TG) (r = −0.289; P = 0.042). Conclusions: Drug-naïve individuals with MDD had significantly low TC and LDL-C in comparison to normal individuals. There was a significant negative correlation between the severity of depression and TC, LDL-C, and TG.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43901257","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 : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_38_20
S. Jena
Background: VO2 max is the single most reliable indicator of cardiorespiratory fitness (CRF). More is the VO2 max more is the CRF and aerobic capacity of an individual. The status of CRF ultimately indicates the physical fitness. This study was conceptualized to estimate the CRF of medical students. Materials and Methods: This study included 161 apparently healthy participants, which included 101 male and 60 female MBBS students. The study was started after approval of the ethics committee. Each participant was clearly understood the study protocol and its output. Each participant signed the written consent form. Body weight was estimated without shoes and light clothing. The resting heart rate (RHR) was calculated by palpating radial pulse. VO2 max was determined by a predefined predicted equation using three factors, i.e., age, body weight, and RHR. VO2 max = 3.542+ (−0.014 × age in year) + (0.015 × body weight [kg]) + (−0.011 × RHR). Statistical analysis was done by unpaired test. Results: Mean VO2 max of male and female was 56.4 ± 4 and 51.9 ± 6 ml/kg/min, respectively. This difference was significant at P = 0.000. 26.7%, 28.7%, and 26.7% of males were good, excellent, and superior, respectively, in VO2 max. 13.3%, 8.3%, and 70% of females were good, excellent, and superior, respectively, in VO2 max. 21.7%, 21.1%, and 42.8% of total participants were good, excellent, and superior, respectively, in VO2 max. Conclusion: CRF of male was better than female. The majority of students' CRF was up to mark and minimal students need care to improve their CRF.
{"title":"Cardiorespiratory fitness of medical students in a health institute in Eastern India","authors":"S. Jena","doi":"10.4103/mjmsr.mjmsr_38_20","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_38_20","url":null,"abstract":"Background: VO2 max is the single most reliable indicator of cardiorespiratory fitness (CRF). More is the VO2 max more is the CRF and aerobic capacity of an individual. The status of CRF ultimately indicates the physical fitness. This study was conceptualized to estimate the CRF of medical students. Materials and Methods: This study included 161 apparently healthy participants, which included 101 male and 60 female MBBS students. The study was started after approval of the ethics committee. Each participant was clearly understood the study protocol and its output. Each participant signed the written consent form. Body weight was estimated without shoes and light clothing. The resting heart rate (RHR) was calculated by palpating radial pulse. VO2 max was determined by a predefined predicted equation using three factors, i.e., age, body weight, and RHR. VO2 max = 3.542+ (−0.014 × age in year) + (0.015 × body weight [kg]) + (−0.011 × RHR). Statistical analysis was done by unpaired test. Results: Mean VO2 max of male and female was 56.4 ± 4 and 51.9 ± 6 ml/kg/min, respectively. This difference was significant at P = 0.000. 26.7%, 28.7%, and 26.7% of males were good, excellent, and superior, respectively, in VO2 max. 13.3%, 8.3%, and 70% of females were good, excellent, and superior, respectively, in VO2 max. 21.7%, 21.1%, and 42.8% of total participants were good, excellent, and superior, respectively, in VO2 max. Conclusion: CRF of male was better than female. The majority of students' CRF was up to mark and minimal students need care to improve their CRF.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45109232","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 : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_39_19
S. Saldanha, P. Khandare, L. Dasappa, L. Jacob, M. Babu, K. Lokesh, M. Suma
Introduction: Extranodal natural killer/T-cell lymphoma-nasal type (ENKTL-NT) is an aggressive rare non-Hodgkin's lymphoma (NHL) subtype. It presents with involvement of the nasal and upper aerodigestive region causing extensive destruction of these midline structures. It has a predilection for the Asian population. Most cases present in the early-stage disease. Treatment outcomes are usually poor, and no consensus for optimal treatment strategy exists. Patients and Methods: This is a retrospective analysis of ENKTL-NT, diagnosed in a regional cancer center in India during the period of 2013–2018. The demographic and clinical features, laboratory parameters, radiological, histopathological features, and treatment outcomes were studied. Patients were treated with SMILE or AspaMetDex regimes sandwiched with radiotherapy. Statistical analysis was performed using software “Epi Info” Version 7.2, (CDC, Atlanta, Georgia, USA). Results: Fourteen patients were diagnosed with ENKTL-NT during this period. Eight patients received SMILE, and six patients have received AspaMetDex as induction chemotherapy. Ten (71.42%) of 14 patients have achieved CR. At the median follow-up of 30 months (4–47 months), nine patients relapsed with median progression-free survival of 22 months. The median overall survival was not reached. There were two induction deaths, one in AspaMetDex and one in the SMILE group. All patients receiving SMILE experienced at least one episode of Grade 3/4 hematological toxicity. Patients receiving AspaMetDex did not have any Grade 3/4 hematological toxicity. Discussion: ENKTL-NT in India is not as common as reported in other Asian countries. Patients usually present at an earlier stage because of the peculiar site of affection. It has high response rates, but relapses are common. Most of the relapses occur within the first 2 years of follow-up. Conclusion: ENKTL-NT is rare aggressive NHL subtype with good response to L-asparaginase-based chemotherapy sandwiched with radiation therapy. SMILE is a more toxic regime than AspaMetDex but can be managed with proper supportive care.
{"title":"Extranodal NK/T-cell lymphoma-nasal type: Experience from a regional cancer center in India","authors":"S. Saldanha, P. Khandare, L. Dasappa, L. Jacob, M. Babu, K. Lokesh, M. Suma","doi":"10.4103/mjmsr.mjmsr_39_19","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_39_19","url":null,"abstract":"Introduction: Extranodal natural killer/T-cell lymphoma-nasal type (ENKTL-NT) is an aggressive rare non-Hodgkin's lymphoma (NHL) subtype. It presents with involvement of the nasal and upper aerodigestive region causing extensive destruction of these midline structures. It has a predilection for the Asian population. Most cases present in the early-stage disease. Treatment outcomes are usually poor, and no consensus for optimal treatment strategy exists. Patients and Methods: This is a retrospective analysis of ENKTL-NT, diagnosed in a regional cancer center in India during the period of 2013–2018. The demographic and clinical features, laboratory parameters, radiological, histopathological features, and treatment outcomes were studied. Patients were treated with SMILE or AspaMetDex regimes sandwiched with radiotherapy. Statistical analysis was performed using software “Epi Info” Version 7.2, (CDC, Atlanta, Georgia, USA). Results: Fourteen patients were diagnosed with ENKTL-NT during this period. Eight patients received SMILE, and six patients have received AspaMetDex as induction chemotherapy. Ten (71.42%) of 14 patients have achieved CR. At the median follow-up of 30 months (4–47 months), nine patients relapsed with median progression-free survival of 22 months. The median overall survival was not reached. There were two induction deaths, one in AspaMetDex and one in the SMILE group. All patients receiving SMILE experienced at least one episode of Grade 3/4 hematological toxicity. Patients receiving AspaMetDex did not have any Grade 3/4 hematological toxicity. Discussion: ENKTL-NT in India is not as common as reported in other Asian countries. Patients usually present at an earlier stage because of the peculiar site of affection. It has high response rates, but relapses are common. Most of the relapses occur within the first 2 years of follow-up. Conclusion: ENKTL-NT is rare aggressive NHL subtype with good response to L-asparaginase-based chemotherapy sandwiched with radiation therapy. SMILE is a more toxic regime than AspaMetDex but can be managed with proper supportive care.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48152069","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 : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_28_20
K. Divyakrishnan, K. Avabratha, A. D'souza
Introduction: The diagnosis and management of anemia largely depends on clinical assessment of pallor. There are varied opinions regarding the subjective variation in the assessment of pallor. Objective: The objective is to study the interobserver agreement of pallor between two independent observers. Methodology: This observational study done in a medical college hospital on 50 children in the age group of 6 months to 5 years. Pallor was assessed in four sites namely conjunctiva, tongue, nail bed, and palm. When pallor was present, it was graded as definitely present and borderline. Second examiner independently assessed the pallor at all four sites within an hour. Statistical analysis was done by percentage and kappa value. Results: Out of 50 children aged between 6 months to 5 years, 30 were male and 20 were female. Eleven were infants of 6 months to 12 months, 19 children were between 1 and 3 years and 20 children were 3–5 years of age group. Twenty-eight children had anemia with hemoglobin <11 g/dl. Kappa value for conjunctival and nailbed assessment of pallor were 0.484 and 0.441, respectively, indicating good agreement. The value was 0.644 and 0.73 for tongue pallor and palmar pallor respectively suggesting very good agreement. Conclusion: Interobserver agreement was found to be good in the evaluation of pallor. Palmar and tongue pallor had better agreement than conjunctival and nailbed pallor in our study. By assessing in all four sites, for pallor interobserver variability can be minimized.
{"title":"Interobserver agreement of pallor in detection of anemia","authors":"K. Divyakrishnan, K. Avabratha, A. D'souza","doi":"10.4103/mjmsr.mjmsr_28_20","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_28_20","url":null,"abstract":"Introduction: The diagnosis and management of anemia largely depends on clinical assessment of pallor. There are varied opinions regarding the subjective variation in the assessment of pallor. Objective: The objective is to study the interobserver agreement of pallor between two independent observers. Methodology: This observational study done in a medical college hospital on 50 children in the age group of 6 months to 5 years. Pallor was assessed in four sites namely conjunctiva, tongue, nail bed, and palm. When pallor was present, it was graded as definitely present and borderline. Second examiner independently assessed the pallor at all four sites within an hour. Statistical analysis was done by percentage and kappa value. Results: Out of 50 children aged between 6 months to 5 years, 30 were male and 20 were female. Eleven were infants of 6 months to 12 months, 19 children were between 1 and 3 years and 20 children were 3–5 years of age group. Twenty-eight children had anemia with hemoglobin <11 g/dl. Kappa value for conjunctival and nailbed assessment of pallor were 0.484 and 0.441, respectively, indicating good agreement. The value was 0.644 and 0.73 for tongue pallor and palmar pallor respectively suggesting very good agreement. Conclusion: Interobserver agreement was found to be good in the evaluation of pallor. Palmar and tongue pallor had better agreement than conjunctival and nailbed pallor in our study. By assessing in all four sites, for pallor interobserver variability can be minimized.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48408631","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 : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_24_20
Sujonitha John, H. Khan, J. Devdas, Pavan Hegde
Background: Infants born to diabetic mothers are prone to hypoglycemia once transplacental supply of glucose is cut off due to which there is transient low blood glucose concentration during the first 2 h after delivery. Aim: Our study aimed at the correlation of cord blood glycated hemoglobin (HbA1c) with neonatal hypoglycemia and macrosomia in infants of diabetic mothers (IDMs). Methods: A descriptive longitudinal study was conducted on 100 consecutive IDMs with gestational age >34 weeks in a tertiary care hospital between November 2016 and December 2017, meeting the inclusion criteria. Infant and maternal details were recorded in a predesigned pro forma. Cord blood HbA1c in IDMs correlated with neonatal hypoglycemia and macrosomia. Results: Out of the 100 IDMs, 33 babies developed hypoglycemia. The mean cord blood HbA1c among hypoglycemic babies was 6.4% ± 0.9%, which was higher and statistically highly significant (P < 0.001) than babies who did not develop hypoglycemia. Most hypoglycemic events occurred at 30 min of postnatal life. The birth weight of IDMs correlated with cord blood HbA1c levels. Out of the 33 babies with hypoglycemia, 31 (94%) were macrosomic. Macrosomia increased the risk of hypoglycemia in IDMs (odds ratio: 78, 95% confidence interval: 16.4–379). Conclusion: Cord blood HbA1c showed a significant correlation with the risk of macrosomia and neonatal hypoglycemia.
{"title":"Correlation of cord blood glycated hemoglobin with macrosomia and neonatal hypoglycemia in infants born to diabetic mothers","authors":"Sujonitha John, H. Khan, J. Devdas, Pavan Hegde","doi":"10.4103/mjmsr.mjmsr_24_20","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_24_20","url":null,"abstract":"Background: Infants born to diabetic mothers are prone to hypoglycemia once transplacental supply of glucose is cut off due to which there is transient low blood glucose concentration during the first 2 h after delivery. Aim: Our study aimed at the correlation of cord blood glycated hemoglobin (HbA1c) with neonatal hypoglycemia and macrosomia in infants of diabetic mothers (IDMs). Methods: A descriptive longitudinal study was conducted on 100 consecutive IDMs with gestational age >34 weeks in a tertiary care hospital between November 2016 and December 2017, meeting the inclusion criteria. Infant and maternal details were recorded in a predesigned pro forma. Cord blood HbA1c in IDMs correlated with neonatal hypoglycemia and macrosomia. Results: Out of the 100 IDMs, 33 babies developed hypoglycemia. The mean cord blood HbA1c among hypoglycemic babies was 6.4% ± 0.9%, which was higher and statistically highly significant (P < 0.001) than babies who did not develop hypoglycemia. Most hypoglycemic events occurred at 30 min of postnatal life. The birth weight of IDMs correlated with cord blood HbA1c levels. Out of the 33 babies with hypoglycemia, 31 (94%) were macrosomic. Macrosomia increased the risk of hypoglycemia in IDMs (odds ratio: 78, 95% confidence interval: 16.4–379). Conclusion: Cord blood HbA1c showed a significant correlation with the risk of macrosomia and neonatal hypoglycemia.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43486434","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 : 2020-01-01DOI: 10.4103/mjmsr.mjmsr_13_20
S. Shrivastava, P. Shrivastava
The Corona Virus Disease-2019 (COVID-19) pandemic has produced a massive impact on the health care delivery system and on the daily routine of the general population. Owing to the massive load on the health sector due to the ongoing outbreak, most of the health systems have been stretched beyond their capacity and capability. This is not a good sign considering the fact that if the health system is exhausted, obviously the incidence of vaccine-preventable diseases and other treatable conditions will show a significant rise. In conclusion, amidst the ongoing battle against the COVID-19 pandemic, it is a must that the delivery of essential health services in the community is also sustained. Even though, it is a difficult ask from the health authorities, proper planning and awareness can definitely help us in the delivery of an accelerated response to COVID-19 and also not jeopardize the delivery of essential services.
{"title":"Sustaining the delivery of essential services among the ongoing coronavirus disease 2019 pandemic","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/mjmsr.mjmsr_13_20","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_13_20","url":null,"abstract":"The Corona Virus Disease-2019 (COVID-19) pandemic has produced a massive impact on the health care delivery system and on the daily routine of the general population. Owing to the massive load on the health sector due to the ongoing outbreak, most of the health systems have been stretched beyond their capacity and capability. This is not a good sign considering the fact that if the health system is exhausted, obviously the incidence of vaccine-preventable diseases and other treatable conditions will show a significant rise. In conclusion, amidst the ongoing battle against the COVID-19 pandemic, it is a must that the delivery of essential health services in the community is also sustained. Even though, it is a difficult ask from the health authorities, proper planning and awareness can definitely help us in the delivery of an accelerated response to COVID-19 and also not jeopardize the delivery of essential services.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46609563","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 : 2019-07-01DOI: 10.4103/mjmsr.mjmsr_42_18
J. Hwa, K. Yong, P. Son
Background: Tubal pregnancy is one of the most common diseases in the gynecological department, and to conserve the reproductive ability and guarantee the quality of life, it is very important to select the prompt and correct treatment options. We studied to formulate the mathematical model to select optimal treatment option of tubal pregnancy and evaluate its effectiveness. Materials and Methods: Chi-square test and the analysis of quantization category II were used for the comparison of parameters between two groups. We underwent case–control study of 59 patients with medical treatment and 44 patients with surgical treatment in Pyongyang Maternity Hospital from October 2013 to February 2015. Results: We analyzed the anamnestic, subjective symptom, objective symptom parameters, compared the correlation coefficients, and defined 15 parameters. Conclusion: We assessed the appearance of parameters to select the treatment option of tubal pregnancy, and the sensitivity, specificity, and predictive value of the mathematical model were 93.2%, 90.9%, and 0.932, respectively.
{"title":"The mathematical model to select an optimal treatment option for tubal pregnancy","authors":"J. Hwa, K. Yong, P. Son","doi":"10.4103/mjmsr.mjmsr_42_18","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_42_18","url":null,"abstract":"Background: Tubal pregnancy is one of the most common diseases in the gynecological department, and to conserve the reproductive ability and guarantee the quality of life, it is very important to select the prompt and correct treatment options. We studied to formulate the mathematical model to select optimal treatment option of tubal pregnancy and evaluate its effectiveness. Materials and Methods: Chi-square test and the analysis of quantization category II were used for the comparison of parameters between two groups. We underwent case–control study of 59 patients with medical treatment and 44 patients with surgical treatment in Pyongyang Maternity Hospital from October 2013 to February 2015. Results: We analyzed the anamnestic, subjective symptom, objective symptom parameters, compared the correlation coefficients, and defined 15 parameters. Conclusion: We assessed the appearance of parameters to select the treatment option of tubal pregnancy, and the sensitivity, specificity, and predictive value of the mathematical model were 93.2%, 90.9%, and 0.932, respectively.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49413095","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 : 2019-07-01DOI: 10.4103/mjmsr.mjmsr_32_19
V. Rupalakshmi, Shraddha Shetty
Background: Guillain–Barre syndrome or acute inflammatory demyelinating proliferative syndrome is rare in pregnancy. It affects the nervous system, presenting as an acute onset of symmetric ascending weakness resulting in respiratory failure and autonomic dysfunction. Aims: This study aims to study the incidence of GBS in pregnant women and its association with maternal and perinatal outcome. Settings and Design: Retrospective observational study conducted at a tertiary care hospital. Materials and Methods: Records of all women diagnosed as GBS in pregnancy and postpartum period were analyzed. Maternal and perinatal outcomes were studied based on the pattern of involvement of limbs, need for ventilator support, treatment with plasmapheresis and intravenous immunoglobulin (IVIG), intrauterine fetal demise (IUFD), and neonatal deaths. Results: During the study of 3 years, there were 11,484 deliveries, of which 8 women had GBS. The incidence of GBS was 0.06%. Lower limb weakness developed in 6 (75%) of women, bifacial weakness in 2 (25%), IVIG received by 3 (37.5%), and (62.5%) underwent plasmapheresis. Four (50%) required ventilator support and maternal mortality was recorded in 2 (25%) due to respiratory failure and IUFD in 2 (25%) of women. Conclusions: GBS is associated with high maternal and perinatal morbidity. Timely diagnosis by obstetricians and management in women complaining of muscular weakness and respiratory difficulty in pregnancy and early postpartum period will help in improving the maternal and perinatal outcome.
{"title":"Guillain–Barre syndrome in pregnancy and its association with maternal and perinatal outcome","authors":"V. Rupalakshmi, Shraddha Shetty","doi":"10.4103/mjmsr.mjmsr_32_19","DOIUrl":"https://doi.org/10.4103/mjmsr.mjmsr_32_19","url":null,"abstract":"Background: Guillain–Barre syndrome or acute inflammatory demyelinating proliferative syndrome is rare in pregnancy. It affects the nervous system, presenting as an acute onset of symmetric ascending weakness resulting in respiratory failure and autonomic dysfunction. Aims: This study aims to study the incidence of GBS in pregnant women and its association with maternal and perinatal outcome. Settings and Design: Retrospective observational study conducted at a tertiary care hospital. Materials and Methods: Records of all women diagnosed as GBS in pregnancy and postpartum period were analyzed. Maternal and perinatal outcomes were studied based on the pattern of involvement of limbs, need for ventilator support, treatment with plasmapheresis and intravenous immunoglobulin (IVIG), intrauterine fetal demise (IUFD), and neonatal deaths. Results: During the study of 3 years, there were 11,484 deliveries, of which 8 women had GBS. The incidence of GBS was 0.06%. Lower limb weakness developed in 6 (75%) of women, bifacial weakness in 2 (25%), IVIG received by 3 (37.5%), and (62.5%) underwent plasmapheresis. Four (50%) required ventilator support and maternal mortality was recorded in 2 (25%) due to respiratory failure and IUFD in 2 (25%) of women. Conclusions: GBS is associated with high maternal and perinatal morbidity. Timely diagnosis by obstetricians and management in women complaining of muscular weakness and respiratory difficulty in pregnancy and early postpartum period will help in improving the maternal and perinatal outcome.","PeriodicalId":19108,"journal":{"name":"Muller Journal of Medical Sciences and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41841413","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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