Pub Date : 2022-12-15DOI: 10.5005/jp-journals-10045-00212
A. Rao, R. Sanji, Sarasa Akhila
{"title":"Trichilemmal Cyst in the Neck: An Unusual Site","authors":"A. Rao, R. Sanji, Sarasa Akhila","doi":"10.5005/jp-journals-10045-00212","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00212","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75380205","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 : 2022-12-15DOI: 10.5005/jp-journals-10045-00210
Moksha N Prasad, Santosh K Yatnatti, N. P. Nagothi
{"title":"Knowledge, Attitude, and Practice of Medical Doctors Practicing in Karnataka towards SARS-CoV-2: A Cross-sectional Study","authors":"Moksha N Prasad, Santosh K Yatnatti, N. P. Nagothi","doi":"10.5005/jp-journals-10045-00210","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00210","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76358362","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 : 2022-12-15DOI: 10.5005/jp-journals-10045-00211
E. Thirumurugan, K. Gomathi, P. Swathy, S. A. Afrin, Thamarai A Selvi, Krithika KS Saravana, S. Jagadeeswari
{"title":"Awareness of Myocardial Infarction Risk Factors among Secondhand Smokers","authors":"E. Thirumurugan, K. Gomathi, P. Swathy, S. A. Afrin, Thamarai A Selvi, Krithika KS Saravana, S. Jagadeeswari","doi":"10.5005/jp-journals-10045-00211","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00211","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82036609","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":"How to Make Health Care Delivery a Better One","authors":"Dr Visweswara Reddy","doi":"10.5005/jmeds-7-2-iv","DOIUrl":"https://doi.org/10.5005/jmeds-7-2-iv","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86378983","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 : 2022-03-29DOI: 10.5005/jp-journals-10045-00202
Narinder P Singh, P. Rani, Sunita Dubey, Vishakha Gupta
{"title":"Spontaneous Splenic Rupture during Pregnancy: A Rare Entity","authors":"Narinder P Singh, P. Rani, Sunita Dubey, Vishakha Gupta","doi":"10.5005/jp-journals-10045-00202","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00202","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88383330","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 : 2022-03-29DOI: 10.5005/jp-journals-10045-00204
G. Karthik, H. Sahajananda
{"title":"Cardiomyopathy: An Update and Anesthetic Considerations","authors":"G. Karthik, H. Sahajananda","doi":"10.5005/jp-journals-10045-00204","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00204","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88574333","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 : 2022-03-29DOI: 10.5005/jp-journals-10045-00201
Amarjeet Kumar, C. Sinha, Ajeet Kumar, P. Kumari
{"title":"Breathing Circuit Leak Caused by Breathing Tube Holder: A Case Report","authors":"Amarjeet Kumar, C. Sinha, Ajeet Kumar, P. Kumari","doi":"10.5005/jp-journals-10045-00201","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00201","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74842624","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 : 2022-03-29DOI: 10.5005/jp-journals-10045-00203
S. Ganguly, P. Lalawmpuia, P. V. Reddy
{"title":"Two-dimensional Echocardiographic Study of Left Ventricular Volume and Function in COPD Patients Admitted in Tertiary Care Hospital in Kolkata","authors":"S. Ganguly, P. Lalawmpuia, P. V. Reddy","doi":"10.5005/jp-journals-10045-00203","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00203","url":null,"abstract":"","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88535617","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 : 2022-01-11DOI: 10.5005/jp-journals-10045-00164
S. Swain, A. Didwania, M. Soneja
Ab s t r Ac t Background: Tubercular pyomyositis is a rare entity in immunocompetent induvial, and involvement of head and neck region is very uncommon. It usually presents as diffuse swelling with some tenderness and other constitutional symptoms of tuberculosis (like a low-grade fever, loss of appetite, and weight loss). It can also mimic other entities like a pyogenic abscess, malignancy (sarcoma), benign soft tissue tumors, cervical lymphadenitis, and hematoma; which can pose a diagnostic challenge. Case description: We here present a case of a 22-year-old male who came with complaints of neck swelling with low-grade fever and weight loss for about a month duration. A detailed clinical history and examination helped us to narrow down the differential. Finally radiological imaging and microbiological test aided in clenching the diagnosis and helping with further management. The patient was diagnosed with tubercular pyomyositis of cervical muscles and was successfully treated with first-line anti-tubercular therapy.
{"title":"Tubercular Pyomyositis: An Uncommon Presentation of Extrapulmonary Tuberculosis","authors":"S. Swain, A. Didwania, M. Soneja","doi":"10.5005/jp-journals-10045-00164","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00164","url":null,"abstract":"Ab s t r Ac t Background: Tubercular pyomyositis is a rare entity in immunocompetent induvial, and involvement of head and neck region is very uncommon. It usually presents as diffuse swelling with some tenderness and other constitutional symptoms of tuberculosis (like a low-grade fever, loss of appetite, and weight loss). It can also mimic other entities like a pyogenic abscess, malignancy (sarcoma), benign soft tissue tumors, cervical lymphadenitis, and hematoma; which can pose a diagnostic challenge. Case description: We here present a case of a 22-year-old male who came with complaints of neck swelling with low-grade fever and weight loss for about a month duration. A detailed clinical history and examination helped us to narrow down the differential. Finally radiological imaging and microbiological test aided in clenching the diagnosis and helping with further management. The patient was diagnosed with tubercular pyomyositis of cervical muscles and was successfully treated with first-line anti-tubercular therapy.","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83497249","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 : 2022-01-11DOI: 10.5005/jp-journals-10045-00162
M. Sowmya, H. Sahajananda, Sharan Vasan, KS Navyashree
Background: Pain has a multifactorial origin; therefore, it may be difficult to achieve pain management with a single drug. Hence, multimodal analgesia was introduced. Multimodal analgesia is achieved by combining different analgesics that act by different mechanisms and at different sites in the nervous system, resulting in additive or synergistic analgesics with lowered adverse effects of sole administration of individual analgesics. This is advantageous as it acts by both peripheral and central pain pathways; this minimizes pain with better tolerability and reduces recovery time. The multimodal strategy allows early mobilization, early enteral nutrition, and attenuation of the perioperative stress response which leads to reduced morbidity and accelerated convalescence. Materials and methods: After institutional ethical committee approval, 60 patients undergoing abdominal surgeries and laparotomies belonging to the American Society of Anesthesiologists (ASA) I and II of either sex, aged between 20 years and 70 years were enrolled for this study. Thirty were provided unimodal analgesia with inj. tramadol and the other 30 received multimodal analgesia with quadratus lumborum block (QLB), inj. tramadol, and inj. diclofenac for postoperative analgesia. Our main aim was to assess the efficacy of multimodal analgesia vs unimodal analgesia for postoperative pain management. Results: We observed the visual analog scale (VAS) pain scores in patients of both groups at 0, 2, 4, 8, and 12 hours. When the scores were above 7, rescue analgesia with inj. fentanyl was provided. The duration of the first analgesic request and the total number of rescue analgesics given were recorded along with any complications. Conclusion: Multimodal analgesia was superior compared with the unimodal approach as it provided better analgesia with low VAS score values. Duration of analgesia was longer based on time of request of first rescue analgesia, with reduced adverse effects. It reduced the number of rescue analgesics required and the opioid side effects were overcome by non-steroidal anti-inflammatory drug (NSAID) use.
{"title":"Efficacy of Multimodal Analgesia vs Unimodal Analgesia for Acute Postoperative Pain Relief after Abdominal Surgeries","authors":"M. Sowmya, H. Sahajananda, Sharan Vasan, KS Navyashree","doi":"10.5005/jp-journals-10045-00162","DOIUrl":"https://doi.org/10.5005/jp-journals-10045-00162","url":null,"abstract":"Background: Pain has a multifactorial origin; therefore, it may be difficult to achieve pain management with a single drug. Hence, multimodal analgesia was introduced. Multimodal analgesia is achieved by combining different analgesics that act by different mechanisms and at different sites in the nervous system, resulting in additive or synergistic analgesics with lowered adverse effects of sole administration of individual analgesics. This is advantageous as it acts by both peripheral and central pain pathways; this minimizes pain with better tolerability and reduces recovery time. The multimodal strategy allows early mobilization, early enteral nutrition, and attenuation of the perioperative stress response which leads to reduced morbidity and accelerated convalescence. Materials and methods: After institutional ethical committee approval, 60 patients undergoing abdominal surgeries and laparotomies belonging to the American Society of Anesthesiologists (ASA) I and II of either sex, aged between 20 years and 70 years were enrolled for this study. Thirty were provided unimodal analgesia with inj. tramadol and the other 30 received multimodal analgesia with quadratus lumborum block (QLB), inj. tramadol, and inj. diclofenac for postoperative analgesia. Our main aim was to assess the efficacy of multimodal analgesia vs unimodal analgesia for postoperative pain management. Results: We observed the visual analog scale (VAS) pain scores in patients of both groups at 0, 2, 4, 8, and 12 hours. When the scores were above 7, rescue analgesia with inj. fentanyl was provided. The duration of the first analgesic request and the total number of rescue analgesics given were recorded along with any complications. Conclusion: Multimodal analgesia was superior compared with the unimodal approach as it provided better analgesia with low VAS score values. Duration of analgesia was longer based on time of request of first rescue analgesia, with reduced adverse effects. It reduced the number of rescue analgesics required and the opioid side effects were overcome by non-steroidal anti-inflammatory drug (NSAID) use.","PeriodicalId":33135,"journal":{"name":"The Iraqi Journal of Medical Sciences","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75520163","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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