The cytological analysis of body fluids is the preliminary investigation performed for the diagnostic evaluation of body fluids, helping the physician make the diagnosis and plan proper treatment. The International System for Reporting Serous Fluid Cytology (ISFRSFC) was created using best international practises, current literature and expert consensus to make a uniform reporting system for serous fluids. The present study was conducted with the aim of recategorising the effusion fluids as per the guidelines prescribed by ISRFRC, knowing the distribution of cases into various categories and assessing their feasibility in day-to-day reporting. This study was performed on serous fluids (ascitic, pleural, peritoneal and pericardial) received over a period of 5 years, from January 2017 to April 2022, in the cytology unit of the Department of Pathology, ABVIMS, Dr. Ram Manohar Lohia Hospital, New Delhi. Wherever possible, clinicoradiological and histopathological data were obtained and correlated with cytological findings. Serous fluids were categorised into reporting formats as prescribed by ISRFRC and its feasibility was assessed in day-to-day reporting. A total of 1115 cases of serous effusion fluid were examined. The male-to-female ratio was 1:1.12. Pleural fluid constituted the majority of the sample (436, 39.10%). Overall, 56 (5.02%) cases were non-diagnostic (ND), 1013 (90.85%) cases were negative for malignancy, 8 (0.72%) were atypia of undetermined significance, 11 (0.99%) were suspicious of malignancy and 27 (2.42%) were malignant (MAL). The current study emphasises the significance of cytological analysis of serous fluid as a comprehensive diagnostic investigation that also aids in determining the cause and monitoring the disease process. With the introduction of ISFRSFC, serous fluid reporting is now uniform and more comprehensive, both for cytopathologists and clinicians.
{"title":"Application of the International System for Reporting Serous Fluid Cytopathology: An Experience at a Tertiary Care Centre in India","authors":"Shashikant Singh, Prajwala Gupta, Anukrishnaa Kannappan","doi":"10.4103/jme.jme_23_23","DOIUrl":"https://doi.org/10.4103/jme.jme_23_23","url":null,"abstract":"\u0000 \u0000 \u0000 The cytological analysis of body fluids is the preliminary investigation performed for the diagnostic evaluation of body fluids, helping the physician make the diagnosis and plan proper treatment. The International System for Reporting Serous Fluid Cytology (ISFRSFC) was created using best international practises, current literature and expert consensus to make a uniform reporting system for serous fluids.\u0000 \u0000 \u0000 \u0000 The present study was conducted with the aim of recategorising the effusion fluids as per the guidelines prescribed by ISRFRC, knowing the distribution of cases into various categories and assessing their feasibility in day-to-day reporting.\u0000 \u0000 \u0000 \u0000 This study was performed on serous fluids (ascitic, pleural, peritoneal and pericardial) received over a period of 5 years, from January 2017 to April 2022, in the cytology unit of the Department of Pathology, ABVIMS, Dr. Ram Manohar Lohia Hospital, New Delhi. Wherever possible, clinicoradiological and histopathological data were obtained and correlated with cytological findings. Serous fluids were categorised into reporting formats as prescribed by ISRFRC and its feasibility was assessed in day-to-day reporting.\u0000 \u0000 \u0000 \u0000 A total of 1115 cases of serous effusion fluid were examined. The male-to-female ratio was 1:1.12. Pleural fluid constituted the majority of the sample (436, 39.10%). Overall, 56 (5.02%) cases were non-diagnostic (ND), 1013 (90.85%) cases were negative for malignancy, 8 (0.72%) were atypia of undetermined significance, 11 (0.99%) were suspicious of malignancy and 27 (2.42%) were malignant (MAL).\u0000 \u0000 \u0000 \u0000 The current study emphasises the significance of cytological analysis of serous fluid as a comprehensive diagnostic investigation that also aids in determining the cause and monitoring the disease process. With the introduction of ISFRSFC, serous fluid reporting is now uniform and more comprehensive, both for cytopathologists and clinicians.\u0000","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140436143","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}
Anitha Livingstone, A. Bhadoria, David Pontin, Vartika Saxena, Michelle Thomas, Aprajita Mehta, Carolyn Wallace
Interactive teaching methods aid post graduate students in learning qualitative research. Four academic researchers from the United Kingdom had an opportunity to teach qualitative research methods, specifically consensus methods, to the Master of Public Health students (MPH) during a visit to India. This teaching formed part of a work package with All India Institute of Medical Sciences Rishikesh, India exploring the concept of family resilience among families with children under 6 years. To use the experiences of the MPH students to gain knowledge and create meaning about using the consensus methods. The participants were the MPH students. We used the workshop method to introduce the concept of family resilience by using the question, ‘What will be the three top public health priorities in India to support family resilience in the 21st century?’ as a central theme for all the workshops. Furthermore, we introduced qualitative research methods and hands on experience of consensus methods to the students. The students were introduced to Delphi and Group Concept Mapping (GCM) methods during workshop 1. Workshop 2 introduced Nominal Group Technique (NGT) through a short presentation followed by a practical hands on session using GCM data from workshop 1. The last workshop (3) focused on the World Café method. The students evaluated the workshops highly and asked for online sessions on GCM, NGT, and World Café which will be planned in the future. We concluded that the post graduate curriculum for master’s in public health studies would benefit from teaching using interactive research methods which will enhance their critical thinking and autonomy. Second, although the MPH curriculum had quantitative methods in place, introducing qualitative consensus methods will open new avenues into future research. Finally, teaching using practical demonstration gives students a voice and makes learning effective and enjoyable.
互动教学法帮助研究生学习定性研究。四名来自英国的学术研究人员在访问印度期间，有机会向公共卫生硕士（MPH）学生传授定性研究方法，特别是共识方法。此次教学是与印度全印度医学科学研究所（All India Institute of Medical Sciences Rishikesh）合作开展的一揽子工作的一部分，目的是在有 6 岁以下儿童的家庭中探索家庭复原力的概念。 利用公共卫生硕士学生的经验来获取知识，并创造使用共识方法的意义。 参与者为公共卫生硕士学生。 我们采用工作坊的方法，以 "21 世纪印度支持家庭复原力的三大公共卫生优先事项是什么 "作为所有工作坊的中心主题，介绍家庭复原力的概念。此外，我们还向学生们介绍了定性研究方法和共识方法的实践经验。讲习班 1 向学生们介绍了德尔菲法和小组概念绘图法（GCM）。工作坊 2 通过简短的演示介绍了名义小组技术 (NGT)，随后利用工作坊 1 中的 GCM 数据进行了实际操作。最后一个工作坊（3）重点介绍了世界咖啡馆（World Café）方法。 学生们对工作坊给予了高度评价，并要求今后计划举办有关 GCM、NGT 和世界咖啡馆的在线课程。 我们的结论是，公共卫生硕士研究生课程将受益于使用互动研究方法的教学，这将提高他们的批判性思维和自主性。其次，尽管公共卫生硕士研究生课程已采用定量方法，但引入定性共识方法将为未来的研究开辟新的途径。最后，使用实践示范教学能让学生有发言权，使学习变得有效和愉快。
{"title":"Public Health Student Evaluation of Teaching Qualitative Research Using Interactive Methods","authors":"Anitha Livingstone, A. Bhadoria, David Pontin, Vartika Saxena, Michelle Thomas, Aprajita Mehta, Carolyn Wallace","doi":"10.4103/jme.jme_124_23","DOIUrl":"https://doi.org/10.4103/jme.jme_124_23","url":null,"abstract":"\u0000 \u0000 \u0000 Interactive teaching methods aid post graduate students in learning qualitative research. Four academic researchers from the United Kingdom had an opportunity to teach qualitative research methods, specifically consensus methods, to the Master of Public Health students (MPH) during a visit to India. This teaching formed part of a work package with All India Institute of Medical Sciences Rishikesh, India exploring the concept of family resilience among families with children under 6 years.\u0000 \u0000 \u0000 \u0000 To use the experiences of the MPH students to gain knowledge and create meaning about using the consensus methods.\u0000 \u0000 \u0000 \u0000 The participants were the MPH students.\u0000 \u0000 \u0000 \u0000 We used the workshop method to introduce the concept of family resilience by using the question, ‘What will be the three top public health priorities in India to support family resilience in the 21st century?’ as a central theme for all the workshops. Furthermore, we introduced qualitative research methods and hands on experience of consensus methods to the students. The students were introduced to Delphi and Group Concept Mapping (GCM) methods during workshop 1. Workshop 2 introduced Nominal Group Technique (NGT) through a short presentation followed by a practical hands on session using GCM data from workshop 1. The last workshop (3) focused on the World Café method.\u0000 \u0000 \u0000 \u0000 The students evaluated the workshops highly and asked for online sessions on GCM, NGT, and World Café which will be planned in the future.\u0000 \u0000 \u0000 \u0000 We concluded that the post graduate curriculum for master’s in public health studies would benefit from teaching using interactive research methods which will enhance their critical thinking and autonomy. Second, although the MPH curriculum had quantitative methods in place, introducing qualitative consensus methods will open new avenues into future research. Finally, teaching using practical demonstration gives students a voice and makes learning effective and enjoyable.\u0000","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"21 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140437956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ten Tips to Design a Better Case Record Form","authors":"Vijay Krishnan","doi":"10.4103/jme.jme_150_23","DOIUrl":"https://doi.org/10.4103/jme.jme_150_23","url":null,"abstract":"","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Melioidosis: A Case of Pyrexia of Unknown Origin","authors":"R. Kaimal, Renjini Joseph","doi":"10.4103/jme.jme_1_23","DOIUrl":"https://doi.org/10.4103/jme.jme_1_23","url":null,"abstract":"","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"7 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140436592","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}
Background: Diabetic peripheral neuropathy (DPN) is a microvascular complication of type 2 diabetes mellitus (T2DM) which may be attributed to chronic uncontrolled hyperglycaemia. DPN increases the risk of foot ulcers and non traumatic amputations, leading to disability, morbidity and poor quality of life for the diabetics. Aims: This study aims to find out the prevalence of peripheral neuropathy amongst T2DM patients and ascertain the correlates for the same. Settings and Design: A cross sectional study was conducted amongst 104 diabetic individuals of Bankura city of West Bengal using principles of simple random sampling technique. Materials and Methods: Data on peripheral neuropathy were collected using Michigan Neuropathy Screening Instrument and correlates were assessed by a pre designed pre tested schedule consisting of background and socio demographic characteristics along with medication adherence rating scale. Statistical Analysis Used: Data were entered into Excel (Microsoft Inc.) and all calculations were done using IBM Statistical Package for the Social Sciences (SPSS) (Version 20.0, IBM). Data were analysed and presented using principles of descriptive and analytical statistics. Results: The prevalence of DPN was 59.1%. The presence of co morbidities, poor socio economic status, polypharmacy, food insecurity, catastrophic health expenditure and lack of social insurance were found significantly associated with DPN. Conclusions: DPN prevalence was found to be considerably high. Multiple factors were found to culminate it, upon which socio economic and health care affordability issues were prominent. A multi disciplinary approach focusing on them using Patients oriented evidence that matters approach, diabetes education and periodic screening of the diabetic population may help in mitigating the morbidity risks.
背景:糖尿病周围神经病变(DPN)是2型糖尿病(T2DM)的微血管并发症，可能归因于慢性不受控制的高血糖。DPN增加足部溃疡和非创伤性截肢的风险，导致糖尿病患者残疾、发病率和生活质量下降。目的:本研究旨在了解T2DM患者周围神经病变的患病率，并确定其相关因素。背景与设计:采用简单随机抽样方法，对西孟加拉邦班库拉市104名糖尿病患者进行横断面研究。材料和方法:使用密歇根神经病变筛查仪收集周围神经病变的数据，并通过预先设计的预测试时间表评估相关因素，该时间表包括背景和社会人口学特征以及药物依从性评定量表。使用统计分析:数据输入Excel (Microsoft Inc.)，所有计算使用IBM Statistical Package for the Social Sciences (SPSS) (Version 20.0, IBM)完成。使用描述性和分析性统计原理对数据进行分析和呈现。结果:DPN患病率为59.1%。合并症的存在、社会经济地位低下、多种药物、粮食不安全、灾难性的卫生支出和缺乏社会保险被发现与DPN显著相关。结论:DPN的患病率相当高。多种因素导致了这一现象，其中社会经济和医疗负担能力问题尤为突出。多学科的方法关注他们，采用以患者为导向的重要证据方法，糖尿病教育和糖尿病人群的定期筛查可能有助于减轻发病风险。
{"title":"Prevalence and correlates of peripheral neuropathy amongst type 2 diabetes mellitus patients – A community-based epidemiological study in a town of Eastern India","authors":"S. Chakraborty, A. Majumder","doi":"10.4103/jme.jme_26_22","DOIUrl":"https://doi.org/10.4103/jme.jme_26_22","url":null,"abstract":"Background: Diabetic peripheral neuropathy (DPN) is a microvascular complication of type 2 diabetes mellitus (T2DM) which may be attributed to chronic uncontrolled hyperglycaemia. DPN increases the risk of foot ulcers and non traumatic amputations, leading to disability, morbidity and poor quality of life for the diabetics. Aims: This study aims to find out the prevalence of peripheral neuropathy amongst T2DM patients and ascertain the correlates for the same. Settings and Design: A cross sectional study was conducted amongst 104 diabetic individuals of Bankura city of West Bengal using principles of simple random sampling technique. Materials and Methods: Data on peripheral neuropathy were collected using Michigan Neuropathy Screening Instrument and correlates were assessed by a pre designed pre tested schedule consisting of background and socio demographic characteristics along with medication adherence rating scale. Statistical Analysis Used: Data were entered into Excel (Microsoft Inc.) and all calculations were done using IBM Statistical Package for the Social Sciences (SPSS) (Version 20.0, IBM). Data were analysed and presented using principles of descriptive and analytical statistics. Results: The prevalence of DPN was 59.1%. The presence of co morbidities, poor socio economic status, polypharmacy, food insecurity, catastrophic health expenditure and lack of social insurance were found significantly associated with DPN. Conclusions: DPN prevalence was found to be considerably high. Multiple factors were found to culminate it, upon which socio economic and health care affordability issues were prominent. A multi disciplinary approach focusing on them using Patients oriented evidence that matters approach, diabetes education and periodic screening of the diabetic population may help in mitigating the morbidity risks.","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127529517","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}
K. Gupta, Amit Kumar, Manisha Naithani, S. Basu, Ankur Tyagi, B. Jat, G. Vetrivel, Rachit Sood
Simulation as a teaching strategy aims to achieve learning objectives without exposing the learner and the patient to the risk of the activity. The simulation takes away the stress of the actual event and what is left is the joy of learning. Simulation can also be used in both formative and summative assignments. The simulation also provides a comfortable space where learners can cross their plateau phase and progress towards mastery. To understand more about the simulation experience, simulation activities are divided into three parts: brief, immersion and debrief. Brief is akin to the introductory or preparatory phase. During this phase keeping in mind the learner's expectation, information is given to the participants and objectives are framed to provide the participants with a self-determined sense of development. An educator must create an ideal learning environment free from stress and filled with trust and mutual respect to facilitate learning. Immersion in clinical simulation is comparable to a theatrical production, and it is defined as a subjective experience one gain when a learner participates in the event. In relation to simulation in healthcare, there is a concept of realism and meaningfulness. Both are individual perceptions but are different concepts. In healthcare, simulation meaningfulness is more relevant. Debrief is the final event and communication type that makes the participant sense of the action. Debrief helps the candidate reflect on his learning in terms of predetermined objectives. Debrief is further broken into the reaction phase, analysis phase and summarisation phase. In this phase, the instructor keeps the learner-centred approach, tries to explore the learner's mental frame, and can help reframe the learner's internal assumptions and feelings. Simulation can be one of the best teaching methods in populous and low-resource settings.
{"title":"A short introduction to simulation in health education","authors":"K. Gupta, Amit Kumar, Manisha Naithani, S. Basu, Ankur Tyagi, B. Jat, G. Vetrivel, Rachit Sood","doi":"10.4103/jme.jme_45_23","DOIUrl":"https://doi.org/10.4103/jme.jme_45_23","url":null,"abstract":"Simulation as a teaching strategy aims to achieve learning objectives without exposing the learner and the patient to the risk of the activity. The simulation takes away the stress of the actual event and what is left is the joy of learning. Simulation can also be used in both formative and summative assignments. The simulation also provides a comfortable space where learners can cross their plateau phase and progress towards mastery. To understand more about the simulation experience, simulation activities are divided into three parts: brief, immersion and debrief. Brief is akin to the introductory or preparatory phase. During this phase keeping in mind the learner's expectation, information is given to the participants and objectives are framed to provide the participants with a self-determined sense of development. An educator must create an ideal learning environment free from stress and filled with trust and mutual respect to facilitate learning. Immersion in clinical simulation is comparable to a theatrical production, and it is defined as a subjective experience one gain when a learner participates in the event. In relation to simulation in healthcare, there is a concept of realism and meaningfulness. Both are individual perceptions but are different concepts. In healthcare, simulation meaningfulness is more relevant. Debrief is the final event and communication type that makes the participant sense of the action. Debrief helps the candidate reflect on his learning in terms of predetermined objectives. Debrief is further broken into the reaction phase, analysis phase and summarisation phase. In this phase, the instructor keeps the learner-centred approach, tries to explore the learner's mental frame, and can help reframe the learner's internal assumptions and feelings. Simulation can be one of the best teaching methods in populous and low-resource settings.","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126940959","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}
Background: Vaccines provide a crucial role in decreasing disease severity in COVID-19 infection. However, the accelerated pace of vaccine development has heightened public anxieties and could compromise acceptance. The World Health Organization has identified vaccine hesitancy as one of the top ten global health threats. There needs to be more community-based data on the causes of vaccine hesitancy of COVID vaccine in India, especially in the Eastern part. Aims: In this study, we intended to estimate the proportion of vaccine hesitancy in the community and elicit the reasons for COVID-19 vaccine hesitancy amongst the population of a slum in Kolkata. Patients and Methods: This was a descriptive observational study, cross-sectional in design conducted in the urban field practice area of a Tertiary Care Centre in Kolkata. Data were collected on the demography of the participants, awareness about COVID-19 and vaccination, willingness to accept the vaccine and willingness to pay for the COVID vaccine. Results: Most participants were willing to take the vaccine (73.95%). Amongst those who were not willing to take the vaccine (26.04%), the most common reason for not taking the vaccine was the concern about efficacy and safety. The willingness to pay for a single dose of the COVID vaccine ranged between 100 INR and 2000 INR with a median value of 250 INR. Conclusion: Transparent communication by the Government addressing the concerns of beneficiaries regarding vaccination may benefit the ongoing vaccination drive.
{"title":"COVID-19 vaccine hesitancy amongst residents of an urban field practice area: A cross-sectional survey","authors":"Sayeli Mitra, Arnab Sarkar, Subhanil Chowdhury, Rivu Basu","doi":"10.4103/jme.jme_84_22","DOIUrl":"https://doi.org/10.4103/jme.jme_84_22","url":null,"abstract":"Background: Vaccines provide a crucial role in decreasing disease severity in COVID-19 infection. However, the accelerated pace of vaccine development has heightened public anxieties and could compromise acceptance. The World Health Organization has identified vaccine hesitancy as one of the top ten global health threats. There needs to be more community-based data on the causes of vaccine hesitancy of COVID vaccine in India, especially in the Eastern part. Aims: In this study, we intended to estimate the proportion of vaccine hesitancy in the community and elicit the reasons for COVID-19 vaccine hesitancy amongst the population of a slum in Kolkata. Patients and Methods: This was a descriptive observational study, cross-sectional in design conducted in the urban field practice area of a Tertiary Care Centre in Kolkata. Data were collected on the demography of the participants, awareness about COVID-19 and vaccination, willingness to accept the vaccine and willingness to pay for the COVID vaccine. Results: Most participants were willing to take the vaccine (73.95%). Amongst those who were not willing to take the vaccine (26.04%), the most common reason for not taking the vaccine was the concern about efficacy and safety. The willingness to pay for a single dose of the COVID vaccine ranged between 100 INR and 2000 INR with a median value of 250 INR. Conclusion: Transparent communication by the Government addressing the concerns of beneficiaries regarding vaccination may benefit the ongoing vaccination drive.","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116324849","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}
V. Maheshwari, Siddharth Sekhar, M. Dhingra, Vivek Singh, Arun Kurmi, A. Regmi
Since January 2020, the entire world has been affected by the COVID-19 epidemic. The issue is getting worse this year since a mutant virus has hit the pandemic harder, and no therapy, except high-dose steroids, is functioning to reduce the harm inflicted by the patient's own body due to self-defence. This treatment to save the patient's life is expected to have several long-term consequences, both as a result of the condition and as a result of the treatment. As orthopaedic surgeons, we are expecting to see an increased incidence of osteonecrosis necrosis of the femoral head shortly, as well as an increase in the number of hip replacement surgeries. In this article, we have discussed the dosage of glucocorticoids and the means through which they are administered, as well as how they can cause femoral head osteonecrosis. The widespread usage of steroids through the parenteral route to address COVID-19's side effects could lead to an increase in the incidence of avascular necrosis of the hip. Unless additional hip preservation techniques, like the use of osteochondral allograft, are developed for routine usage, this will result in a substantial number of replacement surgeries.
{"title":"Consider the cost of total hip replacement in the post-COVID era — A review article","authors":"V. Maheshwari, Siddharth Sekhar, M. Dhingra, Vivek Singh, Arun Kurmi, A. Regmi","doi":"10.4103/jme.jme_103_22","DOIUrl":"https://doi.org/10.4103/jme.jme_103_22","url":null,"abstract":"Since January 2020, the entire world has been affected by the COVID-19 epidemic. The issue is getting worse this year since a mutant virus has hit the pandemic harder, and no therapy, except high-dose steroids, is functioning to reduce the harm inflicted by the patient's own body due to self-defence. This treatment to save the patient's life is expected to have several long-term consequences, both as a result of the condition and as a result of the treatment. As orthopaedic surgeons, we are expecting to see an increased incidence of osteonecrosis necrosis of the femoral head shortly, as well as an increase in the number of hip replacement surgeries. In this article, we have discussed the dosage of glucocorticoids and the means through which they are administered, as well as how they can cause femoral head osteonecrosis. The widespread usage of steroids through the parenteral route to address COVID-19's side effects could lead to an increase in the incidence of avascular necrosis of the hip. Unless additional hip preservation techniques, like the use of osteochondral allograft, are developed for routine usage, this will result in a substantial number of replacement surgeries.","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124504635","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}
Rajneesh Rawat, Ashutosh Kumar Singh, S. Agarwal, Kolli Loknadh
{"title":"Penoscrotoplasty for giant scrotal filariasis: A case report from rural India","authors":"Rajneesh Rawat, Ashutosh Kumar Singh, S. Agarwal, Kolli Loknadh","doi":"10.4103/jme.jme_106_22","DOIUrl":"https://doi.org/10.4103/jme.jme_106_22","url":null,"abstract":"","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133894580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On expansion of medical education in India","authors":"H. Gupta","doi":"10.4103/jme.jme_22_23","DOIUrl":"https://doi.org/10.4103/jme.jme_22_23","url":null,"abstract":"","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127833068","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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