The knowledge of the humeral morphology is an important tool in determination of the prosthetic size, its positioning and also its design. Reconstructive surgery of upper end of humerus requires measurement of intertubercular sulcus. In this descriptive and cross sectional study it was attempt to study the clinical correlation of length, depth and width of the bicipital groove with antero-posterior and transverse diameters of surgical neck of the dry humeri, for their use in the betterment of human humeral prosthesis. The study was conducted on 100 adult dry intact human humerii collected from different medical colleges of Kolkata in the department of Anatomy, Calcutta National Medical College, Kolkata. This study analysis was done in SPSS 23 Software. Independent sample-‘t’ test was used for statistical analysis. P-value <0.05 was considered to be significant. The difference of anthropometric dimensions of left humeral bicipital groove are more significant as compared to right. There is strong statistical correlation between length of Bicipital Groove vs Total Length of Humerus, Width of Bicipital Groove vs. Transverse Diameter at surgical neck To conclude, with minor differences from previous similar studies the present study is noteworthy in the field of prosthetic limb manufacture.
{"title":"Anthropometric study of the bicipital groove in Kolkata based population and its clinical implication","authors":"Oyndrila Sengupta, Srijit Narayan Chaudhuri, Mithu Paul, Subhajit Halder","doi":"10.18231/j.pjms.2023.114","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.114","url":null,"abstract":"The knowledge of the humeral morphology is an important tool in determination of the prosthetic size, its positioning and also its design. Reconstructive surgery of upper end of humerus requires measurement of intertubercular sulcus. In this descriptive and cross sectional study it was attempt to study the clinical correlation of length, depth and width of the bicipital groove with antero-posterior and transverse diameters of surgical neck of the dry humeri, for their use in the betterment of human humeral prosthesis. The study was conducted on 100 adult dry intact human humerii collected from different medical colleges of Kolkata in the department of Anatomy, Calcutta National Medical College, Kolkata. This study analysis was done in SPSS 23 Software. Independent sample-‘t’ test was used for statistical analysis. P-value <0.05 was considered to be significant. The difference of anthropometric dimensions of left humeral bicipital groove are more significant as compared to right. There is strong statistical correlation between length of Bicipital Groove vs Total Length of Humerus, Width of Bicipital Groove vs. Transverse Diameter at surgical neck To conclude, with minor differences from previous similar studies the present study is noteworthy in the field of prosthetic limb manufacture.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"21 82","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999055","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.120
Gyanesh Mishra, Rinu Dwivedi
Thrombocytopenia refers to a reduction in platelet count below 1,50,000/cumm. It is the most common cause of defective primary hemostasis that can lead to significant bleeding in children. It was a retrospective observational study conducted in a tertiary care hospital in Bhilai, chattisgarh between Augusts to December 2021. Data collection was done from Sept 2018-Sept 2019. The aim of present study was to determine the various causes of thrombocytopenia in children and adolescents and to correlate its severity with etiology and risk of bleeding. Total 112 patients were included from age group 1y-18 yrs. Out of total 112 patients 59 were males and 53 were females. 27 patients were 1-5 years of age, 30 patients were 6-12 years of age and55 were 13-18 years. The mean platelet count in my study was 68,340/cumm with a minimum of 4000/cumm. Bleeding was present in total 19 (16.9%) patients. The main bleeding manifestations were petechie or purpurae, epistaxis, ecchymosis, gastrointestinal bleed and others. Severity of thrombocytopenia correlates significantly with risk of bleeding (The p-value is 0.001**). The most common cause of thrombocytopenia in 69 patients with fever were infective and 43 patients without fever it was vitamin b12 deficiency. Severity of thrombocytopenia (p=0.0528) and bleeding (p=0.121) in patients with fever and without fever was not significant. Thrombocytopenia in pediatric and adolescent children is caused by both infective and non infective illness. It mainly presents with cutaneous bleeds and mucosal bleeds. Severity of thrombocytopenia is significantly correlated with bleeding.
{"title":"To determine the various causes of thrombocytopenia and its clinical correlation with bleeding in children and adolescents","authors":"Gyanesh Mishra, Rinu Dwivedi","doi":"10.18231/j.pjms.2023.120","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.120","url":null,"abstract":"Thrombocytopenia refers to a reduction in platelet count below 1,50,000/cumm. It is the most common cause of defective primary hemostasis that can lead to significant bleeding in children. It was a retrospective observational study conducted in a tertiary care hospital in Bhilai, chattisgarh between Augusts to December 2021. Data collection was done from Sept 2018-Sept 2019. The aim of present study was to determine the various causes of thrombocytopenia in children and adolescents and to correlate its severity with etiology and risk of bleeding. Total 112 patients were included from age group 1y-18 yrs. Out of total 112 patients 59 were males and 53 were females. 27 patients were 1-5 years of age, 30 patients were 6-12 years of age and55 were 13-18 years. The mean platelet count in my study was 68,340/cumm with a minimum of 4000/cumm. Bleeding was present in total 19 (16.9%) patients. The main bleeding manifestations were petechie or purpurae, epistaxis, ecchymosis, gastrointestinal bleed and others. Severity of thrombocytopenia correlates significantly with risk of bleeding (The p-value is 0.001**). The most common cause of thrombocytopenia in 69 patients with fever were infective and 43 patients without fever it was vitamin b12 deficiency. Severity of thrombocytopenia (p=0.0528) and bleeding (p=0.121) in patients with fever and without fever was not significant. Thrombocytopenia in pediatric and adolescent children is caused by both infective and non infective illness. It mainly presents with cutaneous bleeds and mucosal bleeds. Severity of thrombocytopenia is significantly correlated with bleeding.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"95 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999386","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.126
Rashmi Jain, Nikita Singh, D. Sanjuna, Lokesh Tripathi, Ankit Jain
: Cervical lesions require screening for early diagnosis to differentiate between non-neoplastic and neoplastic lesions of cervix. The present research aimed to evaluate the prevalence of various cervical lesions and detect the efficacy as a screening test of pap smear for early diagnosis of cervical lesions. : The current retrospective study was conducted in the Department of Pathology, SSMC, Rewa, M.P. Total 658 cervical pap smears were retrieved, re-examined and re-classified according to the revised Bethesda system for reporting of cervical cytology, 2014. Out of 658 pap smears, 234 biopsies were available, which were re-examined histopathologically and correlation was done with their corresponding cytological findings.: Out of 658 pap smears, negative for intraepithelial lesion or malignancy (NILM) was found in 74.47% smears, while the prevalence of epithelial cell abnormalities (ECA) was 24.32%. Amongst ECA, most common (11.86%) cervical lesion was low-grade squamous intraepithelial lesion (LSIL). Diagnostic sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy for the diagnosis of pre-invasive and invasive cervical lesions was found 70.54%, 81.9%, 82.72%, 69.35% and 75.6% respectively.: The current study showed that pap smear cytology is able to detect various cervical lesions with a diagnostic accuracy of 75.6%. So, women belonging to reproductive or postmenopausal age-group should be routinely screened for cervical lesions by non-invasive pap smear method. Conclusively, early diagnosis of cervical lesions is possible, thus reducing the incidence of invasive cervical carcinoma.
{"title":"Cytomorphological study of pap smear and its efficacy to detect various cervical lesions","authors":"Rashmi Jain, Nikita Singh, D. Sanjuna, Lokesh Tripathi, Ankit Jain","doi":"10.18231/j.pjms.2023.126","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.126","url":null,"abstract":": Cervical lesions require screening for early diagnosis to differentiate between non-neoplastic and neoplastic lesions of cervix. The present research aimed to evaluate the prevalence of various cervical lesions and detect the efficacy as a screening test of pap smear for early diagnosis of cervical lesions. : The current retrospective study was conducted in the Department of Pathology, SSMC, Rewa, M.P. Total 658 cervical pap smears were retrieved, re-examined and re-classified according to the revised Bethesda system for reporting of cervical cytology, 2014. Out of 658 pap smears, 234 biopsies were available, which were re-examined histopathologically and correlation was done with their corresponding cytological findings.: Out of 658 pap smears, negative for intraepithelial lesion or malignancy (NILM) was found in 74.47% smears, while the prevalence of epithelial cell abnormalities (ECA) was 24.32%. Amongst ECA, most common (11.86%) cervical lesion was low-grade squamous intraepithelial lesion (LSIL). Diagnostic sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy for the diagnosis of pre-invasive and invasive cervical lesions was found 70.54%, 81.9%, 82.72%, 69.35% and 75.6% respectively.: The current study showed that pap smear cytology is able to detect various cervical lesions with a diagnostic accuracy of 75.6%. So, women belonging to reproductive or postmenopausal age-group should be routinely screened for cervical lesions by non-invasive pap smear method. Conclusively, early diagnosis of cervical lesions is possible, thus reducing the incidence of invasive cervical carcinoma.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"88 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999502","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.135
M. Verma, Parmila Malik, Jyotsana Khattri, Veeresh Vg, A. Khajuria, Lalit Singh
Chemotherapeutic drugs are chemical drugs used in management of cancer, these drugs are chemotoxic and has varied number of adverse effects. Thrombocytopenia is one such adverse effect, thrombocytopenia is the condition in which the platelets counts are less than few lakhs and cause the symptoms of the bleeding. The present study desiged to find the prevalence of thrombocytopenia among Indians who are on chemotherapeutic drugs.: a descriptive cross section survey design used to identify the prevalence rate of thrombocytopenia among patients who are on chemotherapeutic drugs in India the cities studied are Lucknow 268 patients, Panipath 357 patients, Sonipath 384 patients, Gohana 291 patients, Delhi 445 patients, a total 1745 patients were under chemotherapeutic drugs of which 281 patients developed thrombocytopenia, in the samples collected analyzed at various selected diagnostic centers.: The present study found that in Lucknow for 268 patients on chemotherapy 37 patients samples developed thrombocytopenia, Panipath for 357 patients on chemotherapy 76 patients samples developed thrombocytopenia, Sonipath for 384 patients on chemotherapy 68 patients samples developed thrombocytopenia, Gohana for 291 patients on chemotherapy 32 patients samples developed thrombocytopenia and in Delhi for 445 patients on chemotherapy 68 patients samples developed thrombocytopenia respectively. The overall prevalence of thrombocytopenia among patients who are on chemotherapeutic drugs is 16.01%. chemo drugs are vital in management of cancer conditions, these drugs are best currently known in reducing or killing the cancer cells, however they also carry a bag of adverse effects which hampers the wellbeing of patients hence, the knowledge and prevalence rate of thrombocytopenia in patients under chemotherapy plays a vital role in primordial prevention and better management of thrombocytopenia in its occurrence.
{"title":"Prevalence of thrombocytopenia among Indian patients who are on chemotherapeutic drugs in five cities of India: A cross sectional descriptive study","authors":"M. Verma, Parmila Malik, Jyotsana Khattri, Veeresh Vg, A. Khajuria, Lalit Singh","doi":"10.18231/j.pjms.2023.135","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.135","url":null,"abstract":"Chemotherapeutic drugs are chemical drugs used in management of cancer, these drugs are chemotoxic and has varied number of adverse effects. Thrombocytopenia is one such adverse effect, thrombocytopenia is the condition in which the platelets counts are less than few lakhs and cause the symptoms of the bleeding. The present study desiged to find the prevalence of thrombocytopenia among Indians who are on chemotherapeutic drugs.: a descriptive cross section survey design used to identify the prevalence rate of thrombocytopenia among patients who are on chemotherapeutic drugs in India the cities studied are Lucknow 268 patients, Panipath 357 patients, Sonipath 384 patients, Gohana 291 patients, Delhi 445 patients, a total 1745 patients were under chemotherapeutic drugs of which 281 patients developed thrombocytopenia, in the samples collected analyzed at various selected diagnostic centers.: The present study found that in Lucknow for 268 patients on chemotherapy 37 patients samples developed thrombocytopenia, Panipath for 357 patients on chemotherapy 76 patients samples developed thrombocytopenia, Sonipath for 384 patients on chemotherapy 68 patients samples developed thrombocytopenia, Gohana for 291 patients on chemotherapy 32 patients samples developed thrombocytopenia and in Delhi for 445 patients on chemotherapy 68 patients samples developed thrombocytopenia respectively. The overall prevalence of thrombocytopenia among patients who are on chemotherapeutic drugs is 16.01%. chemo drugs are vital in management of cancer conditions, these drugs are best currently known in reducing or killing the cancer cells, however they also carry a bag of adverse effects which hampers the wellbeing of patients hence, the knowledge and prevalence rate of thrombocytopenia in patients under chemotherapy plays a vital role in primordial prevention and better management of thrombocytopenia in its occurrence.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"25 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000732","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.136
Sarita Jaiswal, R. K
In spite of availability of procedures which are less invasive for hysterectomy, some prefer abdominal approach for the hysterectomy (TAH). Laparoscopic hysterectomy (TLH) is useful for the patients, as they recover fast and the convalescence period is reduced.To compare and evaluate three different methods of hysterectomy for benign gynecological disorders with regard to time for recovery, outcome after surgery, cost-effectiveness and complications due to surgery.Prospective study conducted on 90 patients who underwent hysterectomy for benign gynecological conditions. Patients were assigned to either TAH (n=30), TLH (n=30) or Vaginal hysterectomy (VH) (n=30), with or without salpingo-oophorectomy. All patients presenting in the gynecology OPD with indications for hysterectomy with or without salpingo-oophorectomy were included. Pre-operative parameters like age, basal metabolic index, intra-operative and post-operative parameters like reduction in hemoglobin etc. were compared in three groups.The mean blood loss, Time from surgery to tolerance of normal diet (days), Time from surgery to unassisted ambulation (days), post-operative pain score on day 3, mean reduction in hemoglobin and duration of hospital stay (days) were significantly (p<0.05) higher in patients who underwent total abdominal hysterectomy compared to total laparoscopic or vaginal hysterectomy. In terms of intra-operative and post-operative complications, operative time, hospital bill and satisfaction score the differences were not significant statistically (p>0.05). Total laparoscopic hysterectomy and vaginal hysterectomy are safe and less invasive alternative, compared to abdominal hysterectomy, and show significantly better post-operative reconstitution
{"title":"Utility of laparoscopic hysterectomy compared to vaginal and abdominal hysterectomy for benign gynecological conditions","authors":"Sarita Jaiswal, R. K","doi":"10.18231/j.pjms.2023.136","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.136","url":null,"abstract":"In spite of availability of procedures which are less invasive for hysterectomy, some prefer abdominal approach for the hysterectomy (TAH). Laparoscopic hysterectomy (TLH) is useful for the patients, as they recover fast and the convalescence period is reduced.To compare and evaluate three different methods of hysterectomy for benign gynecological disorders with regard to time for recovery, outcome after surgery, cost-effectiveness and complications due to surgery.Prospective study conducted on 90 patients who underwent hysterectomy for benign gynecological conditions. Patients were assigned to either TAH (n=30), TLH (n=30) or Vaginal hysterectomy (VH) (n=30), with or without salpingo-oophorectomy. All patients presenting in the gynecology OPD with indications for hysterectomy with or without salpingo-oophorectomy were included. Pre-operative parameters like age, basal metabolic index, intra-operative and post-operative parameters like reduction in hemoglobin etc. were compared in three groups.The mean blood loss, Time from surgery to tolerance of normal diet (days), Time from surgery to unassisted ambulation (days), post-operative pain score on day 3, mean reduction in hemoglobin and duration of hospital stay (days) were significantly (p<0.05) higher in patients who underwent total abdominal hysterectomy compared to total laparoscopic or vaginal hysterectomy. In terms of intra-operative and post-operative complications, operative time, hospital bill and satisfaction score the differences were not significant statistically (p>0.05). Total laparoscopic hysterectomy and vaginal hysterectomy are safe and less invasive alternative, compared to abdominal hysterectomy, and show significantly better post-operative reconstitution","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"23 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000876","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.118
Anita Misra, Pranati Chaudhury, P. Subudhi, Niranjan Puthal, Rajesh Panda, Rupa Gupta
To study the clinical profile, management and outcomes of pseudoexfoliation (PXF) syndrome with glaucoma in a tertiary eye care hospital.This is a prospective hospital based interventional study over a period of two years from January 2020 to December 2022. 300 eyes of 150 cases aged between forty to ninety years, visiting OPD and diagnosed with PXF syndrome with glaucoma were enrolled in the current study. Cases with other causes of glaucoma, ocular trauma or surgery, cases who were lost on follow-up were excluded. In our study, 67% eyes with PXF syndrome were non-glaucomatous and 33% (300 eyes) were glaucomatous which was taken as the study population. PXF syndrome cases having glaucoma showed 43 % of PXF glaucoma, 27% primary open angle glaucoma, 18 % primary angle closure glaucoma and 12 % normal tension glaucoma respectively. Bilateral glaucoma was seen in 83% .Mean Intra ocular Pressure (IOP) of the cases was found to be 18.28 ± 3.48 mmHg. Surgical intervention was done in 20% with surgical complications reported among 16.7 % eyes. Mean IOP after 1 month and 12 month of surgery was 16.8 mmHg and 14.6 mmHg respectively.Greater prevalence rate was found with age greater than 60 yrs, mean being 64 yrs and there was no gender predilection.We observed a greater incidence of PXF syndrome with glaucoma in our region and a positive statistical correlation with increasing age, poor mydriasis and progressive glaucomatous optic neuropathy unresponsive to medical management.Rate of surgical complications was very high.Hence, Ophthalmologists must emphasize on screening and meticulous preoperative examination of PXF to avoid intraoperative complications in these cases.
{"title":"Clinical profile, management and outcomes of pseudoexfoliation syndrome with glaucoma in a tertiary eye care hospital","authors":"Anita Misra, Pranati Chaudhury, P. Subudhi, Niranjan Puthal, Rajesh Panda, Rupa Gupta","doi":"10.18231/j.pjms.2023.118","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.118","url":null,"abstract":"To study the clinical profile, management and outcomes of pseudoexfoliation (PXF) syndrome with glaucoma in a tertiary eye care hospital.This is a prospective hospital based interventional study over a period of two years from January 2020 to December 2022. 300 eyes of 150 cases aged between forty to ninety years, visiting OPD and diagnosed with PXF syndrome with glaucoma were enrolled in the current study. Cases with other causes of glaucoma, ocular trauma or surgery, cases who were lost on follow-up were excluded. In our study, 67% eyes with PXF syndrome were non-glaucomatous and 33% (300 eyes) were glaucomatous which was taken as the study population. PXF syndrome cases having glaucoma showed 43 % of PXF glaucoma, 27% primary open angle glaucoma, 18 % primary angle closure glaucoma and 12 % normal tension glaucoma respectively. Bilateral glaucoma was seen in 83% .Mean Intra ocular Pressure (IOP) of the cases was found to be 18.28 ± 3.48 mmHg. Surgical intervention was done in 20% with surgical complications reported among 16.7 % eyes. Mean IOP after 1 month and 12 month of surgery was 16.8 mmHg and 14.6 mmHg respectively.Greater prevalence rate was found with age greater than 60 yrs, mean being 64 yrs and there was no gender predilection.We observed a greater incidence of PXF syndrome with glaucoma in our region and a positive statistical correlation with increasing age, poor mydriasis and progressive glaucomatous optic neuropathy unresponsive to medical management.Rate of surgical complications was very high.Hence, Ophthalmologists must emphasize on screening and meticulous preoperative examination of PXF to avoid intraoperative complications in these cases.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"43 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138995898","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.115
JV Praveen, K. Preethi, B. Padmaja
The connection to hyperglycaemia & intense intensifications of persistent obstructive pneumonic infection (COPD) are presently starting to arise. Expanded blood glucose is related with unfriendly clinical results among patients with significant ailments. Hyperglycemia might be related with expanded mortality, length of stay (LOS), & re-confirmations in COPD patients. This study was finished in 80 hospitalized patients with intense compounding of persistent obstructive aspiratory sickness in the Department of pneumonic medication between June 2021 to January 2022. The segment, clinical data, lab results, radiographic outcomes, & data on Length of stay (LOS), mortality & re-confirmation were gathered. Point of the review is to concentrate on the impact of blood glucose, HbA1c levels on the mean length of medical clinic stay in patients of AECOPD. Out of 80 COPD individuals, 61(76%) were male & 19(24%) were female. Majority belonged to 56-65 years (38.8%), followed by 66-75 years (28.8%). Of the total 80 COPD individuals, 100% of male patients (n=61) were smokers, 15% of females (n=3) were smokers. Duration of the hospital stay was more with higher RBS values of ≥200mg/dl (9.2 ± 3.5 days) when compared to RBS value of 171-200 mg/dl (7.6±2.3 days) which was more than the RBS group with values of 141-170 (7.2±1.9 days). Whereas for normal RBS values of ≤140 mg/dl mean duration of hospital stay was (5.12±0.82 days). The conclusion arrived from our study, Higher the RBS at the time of admission, longer the mean duration of stay in the hospital. At admission, RBS more than 170 mg/dl is detrimental in AECOPD patients. High HbA1C levels (>6%) were associated with a high risk of exacerbations.
{"title":"Effect of blood glucose & glycated hemoglobin levels on the outcome of patients with acute exacerbation of chronic obstructive pulmonary disease","authors":"JV Praveen, K. Preethi, B. Padmaja","doi":"10.18231/j.pjms.2023.115","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.115","url":null,"abstract":"The connection to hyperglycaemia & intense intensifications of persistent obstructive pneumonic infection (COPD) are presently starting to arise. Expanded blood glucose is related with unfriendly clinical results among patients with significant ailments. Hyperglycemia might be related with expanded mortality, length of stay (LOS), & re-confirmations in COPD patients. This study was finished in 80 hospitalized patients with intense compounding of persistent obstructive aspiratory sickness in the Department of pneumonic medication between June 2021 to January 2022. The segment, clinical data, lab results, radiographic outcomes, & data on Length of stay (LOS), mortality & re-confirmation were gathered. Point of the review is to concentrate on the impact of blood glucose, HbA1c levels on the mean length of medical clinic stay in patients of AECOPD. Out of 80 COPD individuals, 61(76%) were male & 19(24%) were female. Majority belonged to 56-65 years (38.8%), followed by 66-75 years (28.8%). Of the total 80 COPD individuals, 100% of male patients (n=61) were smokers, 15% of females (n=3) were smokers. Duration of the hospital stay was more with higher RBS values of ≥200mg/dl (9.2 ± 3.5 days) when compared to RBS value of 171-200 mg/dl (7.6±2.3 days) which was more than the RBS group with values of 141-170 (7.2±1.9 days). Whereas for normal RBS values of ≤140 mg/dl mean duration of hospital stay was (5.12±0.82 days). The conclusion arrived from our study, Higher the RBS at the time of admission, longer the mean duration of stay in the hospital. At admission, RBS more than 170 mg/dl is detrimental in AECOPD patients. High HbA1C levels (>6%) were associated with a high risk of exacerbations.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"87 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996101","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.107
K. P. Kumar, T. U. Rani, Sneha Male
Common presenting feature of hepatobiliary and metabolic dysfunction in neonates is cholestatic jaundice. It is essential to recognise the neonatal cholestasis early. Significant proportion of cases of cholestatic disease are constituted by EHBA. If management of Extra Hepatic Biliary Atresia is delayed beyond three months of life, only option available then is liver transplantation.To analyse etiological factors and to study clinical presentation of cases presenting with cholestasis.Study the clinical presentation and analyse the etiological factors in infants with cholestasis. To determine the validity of ACS and compare outcomes of EHBA with respect to age at presentation.Prospective observational study was done in 104 infants with cholestasis who were admitted in Paediatric ward of niloufer hospital from January 2019 to July 2020.Statistical analysis done by chi square test and fisher’s exact tests.Of the total 104 cases, 47 cases were diagnosed to be EHBA and 38 cases were found to have neonatal hepatitis.58.6% were male and 41.34%were female and 72 were term and 32 were preterm. Mean age of presentation with EHBA and Neonatal hepatitis was 91 days and 94 days. LFT’s in EHBA cases showed mean TSB 12.19 ± 5 mg/dl Vs 11.7 ± 5.8 mg/dl in NH babies with a p value equal to 0.379. Direct bilirubin revealed 6.44 ± 3.1mg/dl Vs 6.64 ± 3.1mg/dl in NH group (p = 0.824).HIDA scan showed 41% had EHBA, 33.3% had NH AIIMS Clinical score (ACS) cannot correctly differentiate EHBA from NH.Survival was significantly higher in infants with EHBA who were operated before 60 days of life.
{"title":"Clinic-o-etiological profile of cholestasis in infants in a tertiary care center","authors":"K. P. Kumar, T. U. Rani, Sneha Male","doi":"10.18231/j.pjms.2023.107","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.107","url":null,"abstract":"Common presenting feature of hepatobiliary and metabolic dysfunction in neonates is cholestatic jaundice. It is essential to recognise the neonatal cholestasis early. Significant proportion of cases of cholestatic disease are constituted by EHBA. If management of Extra Hepatic Biliary Atresia is delayed beyond three months of life, only option available then is liver transplantation.To analyse etiological factors and to study clinical presentation of cases presenting with cholestasis.Study the clinical presentation and analyse the etiological factors in infants with cholestasis. To determine the validity of ACS and compare outcomes of EHBA with respect to age at presentation.Prospective observational study was done in 104 infants with cholestasis who were admitted in Paediatric ward of niloufer hospital from January 2019 to July 2020.Statistical analysis done by chi square test and fisher’s exact tests.Of the total 104 cases, 47 cases were diagnosed to be EHBA and 38 cases were found to have neonatal hepatitis.58.6% were male and 41.34%were female and 72 were term and 32 were preterm. Mean age of presentation with EHBA and Neonatal hepatitis was 91 days and 94 days. LFT’s in EHBA cases showed mean TSB 12.19 ± 5 mg/dl Vs 11.7 ± 5.8 mg/dl in NH babies with a p value equal to 0.379. Direct bilirubin revealed 6.44 ± 3.1mg/dl Vs 6.64 ± 3.1mg/dl in NH group (p = 0.824).HIDA scan showed 41% had EHBA, 33.3% had NH AIIMS Clinical score (ACS) cannot correctly differentiate EHBA from NH.Survival was significantly higher in infants with EHBA who were operated before 60 days of life.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138997971","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}
Appendicitis is one of the most common diseases that a surgeon faces in practice. Sometimes patients may present a few days after the onset of acute appendicitis with a palpable mass a phlegmon is a type of inflammatory tumour that consists of an inflamed appendix, as well as the larger omentum and associated viscera.To evaluate the need for interval appendicectomy in patients with appendicular lump. The study included all patients with an appendicular mass and was put on conservative management. . Failures of resolution of mass with conservative management were taken up for appendicectomy. The patients were discharged on successful conservative management and followed up at regular intervals for 12 months. Any patient with features suggesting recurrence of acute appendicitis on follow up was admitted and taken up for appendicectomy. All of the above information was gathered and statistically evaluated.Out of 58 cases of appendicular mass, 3 (5.17%) were operated due to failure of resolution of mass. The remaining 55 (94.83%) cases were successfully treated conservatively and followed up regularly for 12 months. 4 (7.27%) patients were lost to follow up. 1 (1.81%) patient revealed carcinoma of caecum and underwent right hemicolectomy. The remaining 50 (86.2%) cases, from which 42 (84%) patients remained recurrence free. 8 patients (16%) had recurrent appendicitis, out of which 7 (14%) patients underwent emergency appendicectomy, 1(2%) patient developed appendicular lump and was treated non operatively. In our study recurrence rate of acute appendicitis following resolution of appendicular mass is low (16%). So interval appendicectomy have to no longer be the rule in all patients after resolution of mass and should be reserved for patients with recurrences or with increased risk factors for recurrence.
{"title":"A prospective study of relevance of interval appendicectomy in treatment of appendicular lump","authors":"Suvendu Amitav, S. Mallick, Koresh Prasad Dash, Asiso Kumar Pradhan, Tapan Kumar Malla, Narendra Nath Swain","doi":"10.18231/j.pjms.2023.119","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.119","url":null,"abstract":"Appendicitis is one of the most common diseases that a surgeon faces in practice. Sometimes patients may present a few days after the onset of acute appendicitis with a palpable mass a phlegmon is a type of inflammatory tumour that consists of an inflamed appendix, as well as the larger omentum and associated viscera.To evaluate the need for interval appendicectomy in patients with appendicular lump. The study included all patients with an appendicular mass and was put on conservative management. . Failures of resolution of mass with conservative management were taken up for appendicectomy. The patients were discharged on successful conservative management and followed up at regular intervals for 12 months. Any patient with features suggesting recurrence of acute appendicitis on follow up was admitted and taken up for appendicectomy. All of the above information was gathered and statistically evaluated.Out of 58 cases of appendicular mass, 3 (5.17%) were operated due to failure of resolution of mass. The remaining 55 (94.83%) cases were successfully treated conservatively and followed up regularly for 12 months. 4 (7.27%) patients were lost to follow up. 1 (1.81%) patient revealed carcinoma of caecum and underwent right hemicolectomy. The remaining 50 (86.2%) cases, from which 42 (84%) patients remained recurrence free. 8 patients (16%) had recurrent appendicitis, out of which 7 (14%) patients underwent emergency appendicectomy, 1(2%) patient developed appendicular lump and was treated non operatively. In our study recurrence rate of acute appendicitis following resolution of appendicular mass is low (16%). So interval appendicectomy have to no longer be the rule in all patients after resolution of mass and should be reserved for patients with recurrences or with increased risk factors for recurrence.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"112 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999577","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 : 2023-12-15DOI: 10.18231/j.pjms.2023.153
S. D. Wakde, A. Kasulkar, Vedanti Warjurkar
: Fingerprint (Dermatoglyphics) is the best tool of identification of any individual which holds as the surest data for identification even in this techno savvy world having various methods of identification. This study was carried out to find out the association between fingerprint and gender determination. This study analyzed fingerprint patterns of 100 participants, with equal gender distribution who are 18–25 years of age. Fingerprints are obtained and classified according to Kucken classification. We observed the Loop pattern preponderance in overall. Significant variation is found in distribution of pattern of fingerprints in different genders as Loop pattern found is higher in frequency in females compared to males, and Whorl pattern found is higher in frequency in males compared to females. Fingerprint is an effective tool in gender determination.
{"title":"Relationship of fingerprint with gender in medical college of Central India","authors":"S. D. Wakde, A. Kasulkar, Vedanti Warjurkar","doi":"10.18231/j.pjms.2023.153","DOIUrl":"https://doi.org/10.18231/j.pjms.2023.153","url":null,"abstract":": Fingerprint (Dermatoglyphics) is the best tool of identification of any individual which holds as the surest data for identification even in this techno savvy world having various methods of identification. This study was carried out to find out the association between fingerprint and gender determination. This study analyzed fingerprint patterns of 100 participants, with equal gender distribution who are 18–25 years of age. Fingerprints are obtained and classified according to Kucken classification. We observed the Loop pattern preponderance in overall. Significant variation is found in distribution of pattern of fingerprints in different genders as Loop pattern found is higher in frequency in females compared to males, and Whorl pattern found is higher in frequency in males compared to females. Fingerprint is an effective tool in gender determination.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000855","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：