Pub Date : 2022-09-15DOI: 10.46347/jmsh.v8i2.21.182
Matuli Das, Saswati Sen, Ridhima Pokharna, P. Sahu
A 28-year-old female, presented with complaints of diminution of vision in left eye and floaters and flashes in right eye. Her visual acuity was 6/9 in right eye and counting fingers- ½ meters in left eye. Patient had high myopia and her posterior segment showed total retinal detachment in left eye. She was advised for surgery and visual prognosis was explained. The patient however was not convinced and was lost to follow up. The patient came back one year later with loss of vision. Her visual acuity in both eyes was then perception of light +ve and projection of rays inaccurate. She gave history of switching to alternative medicine in the intervening period. Had our counselling been proper and treatment initiated at the right time, we could have restored vision in left eye and also retain some useful vision in the right eye. We aim to highlight the importance of counselling through this case report. Keywords: prognosis, compliance, counselling
{"title":"Role of Counselling in Deciding the Fate of a Patient with Retinal Detachment: A Case Report","authors":"Matuli Das, Saswati Sen, Ridhima Pokharna, P. Sahu","doi":"10.46347/jmsh.v8i2.21.182","DOIUrl":"https://doi.org/10.46347/jmsh.v8i2.21.182","url":null,"abstract":"A 28-year-old female, presented with complaints of diminution of vision in left eye and floaters and flashes in right eye. Her visual acuity was 6/9 in right eye and counting fingers- ½ meters in left eye. Patient had high myopia and her posterior segment showed total retinal detachment in left eye. She was advised for surgery and visual prognosis was explained. The patient however was not convinced and was lost to follow up. The patient came back one year later with loss of vision. Her visual acuity in both eyes was then perception of light +ve and projection of rays inaccurate. She gave history of switching to alternative medicine in the intervening period. Had our counselling been proper and treatment initiated at the right time, we could have restored vision in left eye and also retain some useful vision in the right eye. We aim to highlight the importance of counselling through this case report. Keywords: prognosis, compliance, counselling","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48048418","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 : 2022-09-15DOI: 10.46347/jmsh.v8i2.21.211
P. Sneka, V. Sangamithra, K. Hamsadwani
Scrub typhus accounts for a considerable number of cases presenting with acute febrile illness with rash. The clinical presentation of the illness varies from non-specific illness to fatal disease. It is very important to have a high index of suspicion and to diagnose the disease at an early stage to prevent morbidity and mortality due to disease complications. KEYWORDS: Scrub, Rickettsia, Doxycycline.
{"title":"Scrub Typhus - A Case Series","authors":"P. Sneka, V. Sangamithra, K. Hamsadwani","doi":"10.46347/jmsh.v8i2.21.211","DOIUrl":"https://doi.org/10.46347/jmsh.v8i2.21.211","url":null,"abstract":"Scrub typhus accounts for a considerable number of cases presenting with acute febrile illness with rash. The clinical presentation of the illness varies from non-specific illness to fatal disease. It is very important to have a high index of suspicion and to diagnose the disease at an early stage to prevent morbidity and mortality due to disease complications. KEYWORDS: Scrub, Rickettsia, Doxycycline.","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46905121","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 : 2022-09-15DOI: 10.46347/jmsh.v8i2.21.188
A. De, J. Shastri, Nazneen I Malak, Manali Kedia, H. Sisodia
Burkholderia cepacia complex (BCC) represent a group of opportunistic organisms that cause a wide variety of infections including the nosocomial. The organism is found to cause sepsis and is also reported to cause blood stream infections in malignancy. Here, we present a case series of five patients with sepsis in which an unsual violet pigment producing BCC was isolated. Keywords: Violet pigment, Burkholderia, Sepsis, Malignancy
{"title":"Unusual Violet Coloured Pigment Produced by Burkholderia cepacia Complex – A Report of Five Cases from a Tertiary Care Hospital in Mumbai","authors":"A. De, J. Shastri, Nazneen I Malak, Manali Kedia, H. Sisodia","doi":"10.46347/jmsh.v8i2.21.188","DOIUrl":"https://doi.org/10.46347/jmsh.v8i2.21.188","url":null,"abstract":"Burkholderia cepacia complex (BCC) represent a group of opportunistic organisms that cause a wide variety of infections including the nosocomial. The organism is found to cause sepsis and is also reported to cause blood stream infections in malignancy. Here, we present a case series of five patients with sepsis in which an unsual violet pigment producing BCC was isolated. Keywords: Violet pigment, Burkholderia, Sepsis, Malignancy","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45874783","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 : 2022-09-15DOI: 10.46347/jmsh.v8i2.21.206
Avijit Roy, Barindranath Mallick, Ritu Ghosh, S. Mallik
Background: Every year in India about 7 million people suffer from burn injury, which is a leading cause of not only mortality, but morbidity and disability among the burn patients, leading to emotional trauma and stigma. Objectives: The present study was conducted in a peripheral medical college of West Bengal to describe the epidemiology, clinical presentation, and outcome in burn patients and also to identify contributing factors influencing the outcome in burn patients. Methodology: In this descriptive cross-sectional study, all consecutive burn patients admitted in Dept of surgery in 2018 were included. Data was collected regarding socio demographic profile, mechanism, type and degree of burn, total body surface area involved, time taken to reach health facility and outcome. Results: Out of 514 burn patients, majority were 20 to 60 years age group, females, Muslim in religion, from rural background, completed primary education, homemaker and having monthly income of the family below Rs 5000. Most of the burns were accidental, thermal in nature occurred at household level. About one third had burns involving dangerous areas of body. Average length of stay in hospital was 6.104 days with 20% case fatality and directly proportional with body surface area involved. Conclusion: Safety measures and building awareness can prevent burn injury at household level. Early initiation of treatment, infection control and following standard management protocol can avert mortality in tertiary setting. Rehabilitation and psychosocial care are urgently needed to combat disability. Keywords: Burn, Clinico-epidemiology, Length of stay, Outcome
{"title":"A Clinico-Epidemiological Study among Burn Injury Patients in a Tertiary Care Hospital of Eastern India","authors":"Avijit Roy, Barindranath Mallick, Ritu Ghosh, S. Mallik","doi":"10.46347/jmsh.v8i2.21.206","DOIUrl":"https://doi.org/10.46347/jmsh.v8i2.21.206","url":null,"abstract":"Background: Every year in India about 7 million people suffer from burn injury, which is a leading cause of not only mortality, but morbidity and disability among the burn patients, leading to emotional trauma and stigma. Objectives: The present study was conducted in a peripheral medical college of West Bengal to describe the epidemiology, clinical presentation, and outcome in burn patients and also to identify contributing factors influencing the outcome in burn patients. Methodology: In this descriptive cross-sectional study, all consecutive burn patients admitted in Dept of surgery in 2018 were included. Data was collected regarding socio demographic profile, mechanism, type and degree of burn, total body surface area involved, time taken to reach health facility and outcome. Results: Out of 514 burn patients, majority were 20 to 60 years age group, females, Muslim in religion, from rural background, completed primary education, homemaker and having monthly income of the family below Rs 5000. Most of the burns were accidental, thermal in nature occurred at household level. About one third had burns involving dangerous areas of body. Average length of stay in hospital was 6.104 days with 20% case fatality and directly proportional with body surface area involved. Conclusion: Safety measures and building awareness can prevent burn injury at household level. Early initiation of treatment, infection control and following standard management protocol can avert mortality in tertiary setting. Rehabilitation and psychosocial care are urgently needed to combat disability. Keywords: Burn, Clinico-epidemiology, Length of stay, Outcome","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47882103","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 : 2022-09-15DOI: 10.46347/jmsh.v8i2.22.200
Arundhati V Subramani, Vasudha Kulkarni
Crossed fused renal ectopia is a condition in which the ureter of one kidney enters the urinary bladder on the opposite side. It is the second most frequent fusion abnormality of the kidney after the horseshoe kidney. The crossed kidney is horizontally fused to the lower pole of the normal kidney in the case of tandem kidney, which is a kind of crossed fused renal ectopia. A 33-year-old woman was diagnosed with pelvic inflammatory disease and a urinary tract infection. She was found to have left crossed renal ectopia with a Tandem kidney subtype during her ultrasonography assessment. Crossed fused renal ectopia may be asymptomatic, associated with other anomalies such as hydronephrosis, or represent a risk factor for renal neoplasms. It has been associated with genital and anorectal malformations. Fused renal abnormalities are of significance during abdominal surgeries such as malignant kidney excision, renal transplantation, or surgical management of aortic aneurysm. Keywords: Ectopic kidney, Crossed renal ectopia, Tandem kidney, Horseshoe kidney
{"title":"Tandem Kidney: A Case of Left Crossed Fused Renal Ectopia","authors":"Arundhati V Subramani, Vasudha Kulkarni","doi":"10.46347/jmsh.v8i2.22.200","DOIUrl":"https://doi.org/10.46347/jmsh.v8i2.22.200","url":null,"abstract":"Crossed fused renal ectopia is a condition in which the ureter of one kidney enters the urinary bladder on the opposite side. It is the second most frequent fusion abnormality of the kidney after the horseshoe kidney. The crossed kidney is horizontally fused to the lower pole of the normal kidney in the case of tandem kidney, which is a kind of crossed fused renal ectopia. A 33-year-old woman was diagnosed with pelvic inflammatory disease and a urinary tract infection. She was found to have left crossed renal ectopia with a Tandem kidney subtype during her ultrasonography assessment. Crossed fused renal ectopia may be asymptomatic, associated with other anomalies such as hydronephrosis, or represent a risk factor for renal neoplasms. It has been associated with genital and anorectal malformations. Fused renal abnormalities are of significance during abdominal surgeries such as malignant kidney excision, renal transplantation, or surgical management of aortic aneurysm. Keywords: Ectopic kidney, Crossed renal ectopia, Tandem kidney, Horseshoe kidney","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48104979","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 : 2022-09-15DOI: 10.46347/jmsh.v8i2.21.27
S. Laha, A. Roy, Sushama Saren, T. Ghosh
Post COVID-19 MIS-C cases are on the rise recently and various cardiac abnormalities are reported among them in different literature. Here we have presented six cases of MIS-C with significant echocardiographic abnormality. They have a varied presentation like acute encephalitis, acute renal failure, incomplete Kawasaki, shock or acute gastroenteritis along with fever. Our cases have raised inflammatory markers like ESR, CRP, IL-6 with increased D-dimer, CPK-MB and positive COVID serology. Except case5, none has any cardiovascular presentation but every case has some important echocardiographic finding. Mild pericardial effusion was present in two cases, gross LV systolic dysfunction with LVEF 40-45% in one case, significant coronary artery dilatation in three cases and valvular abnormality like MR or TR in three cases. So it is extremely important to evaluate every case of MIS-C with proper echocardiography even if they had no cardiac manifestation at presentation to prevent complication afterwards. Keywords: COVID -19, MIS-C, Echocardiography
{"title":"COVID-19 MIS-C (Multisystem Inflammatory Syndrome in Children) Cases with Significant Echocardiographic Abnormality: A Case Series","authors":"S. Laha, A. Roy, Sushama Saren, T. Ghosh","doi":"10.46347/jmsh.v8i2.21.27","DOIUrl":"https://doi.org/10.46347/jmsh.v8i2.21.27","url":null,"abstract":"Post COVID-19 MIS-C cases are on the rise recently and various cardiac abnormalities are reported among them in different literature. Here we have presented six cases of MIS-C with significant echocardiographic abnormality. They have a varied presentation like acute encephalitis, acute renal failure, incomplete Kawasaki, shock or acute gastroenteritis along with fever. Our cases have raised inflammatory markers like ESR, CRP, IL-6 with increased D-dimer, CPK-MB and positive COVID serology. Except case5, none has any cardiovascular presentation but every case has some important echocardiographic finding. Mild pericardial effusion was present in two cases, gross LV systolic dysfunction with LVEF 40-45% in one case, significant coronary artery dilatation in three cases and valvular abnormality like MR or TR in three cases. So it is extremely important to evaluate every case of MIS-C with proper echocardiography even if they had no cardiac manifestation at presentation to prevent complication afterwards. Keywords: COVID -19, MIS-C, Echocardiography","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43895684","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 : 2022-06-15DOI: 10.46347/jmsh.v8i1.21.28
.. Hamsaveena, M. Rashmi
The new CBME curriculum differs from the older one by being more learner and patient centric, outcome based, aligned & integrated, and emphasis on skill development, attitudes, ethics & communication. The affective domain which was implicit in the curriculum, is now to be taught explicitly. Newer additions like foundation course, early clinical exposure and self-directed learning are introduced. The curriculum implementation support programme is making tremendous efforts in inculcating the new curriculum into day-to-day teaching. The curriculum committee has a huge task to train the faculty in their respective colleges for a smooth transition. Hence, a thorough understanding of the new curriculum by these members is very essential. Keywords: Harden’s ladder, Integration
{"title":"An Attempt to Understand the Different Levels of Harden’s Ladder","authors":".. Hamsaveena, M. Rashmi","doi":"10.46347/jmsh.v8i1.21.28","DOIUrl":"https://doi.org/10.46347/jmsh.v8i1.21.28","url":null,"abstract":"The new CBME curriculum differs from the older one by being more learner and patient centric, outcome based, aligned & integrated, and emphasis on skill development, attitudes, ethics & communication. The affective domain which was implicit in the curriculum, is now to be taught explicitly. Newer additions like foundation course, early clinical exposure and self-directed learning are introduced. The curriculum implementation support programme is making tremendous efforts in inculcating the new curriculum into day-to-day teaching. The curriculum committee has a huge task to train the faculty in their respective colleges for a smooth transition. Hence, a thorough understanding of the new curriculum by these members is very essential. Keywords: Harden’s ladder, Integration","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49450025","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 : 2022-06-15DOI: 10.46347/jmsh.v8i1.21.21
N. R. Masthi, S. Pruthvi
Background: The high incidence of mortality and morbidity among infants and children is attributed largely to unsafe water supply, poor hygienic practice and insanitary environment. Anganwadi are the backbone of non formal education in rural India and place for inculcating healthy habits for children at an early age. Objectives: To assess the environmental sanitation of Anganwadi Centers, to describe personal hygiene of preschool children in Anganwadi and to assess personal hygiene practices of Anganwadi staff. Materials and methods: A cross-sectional study was conducted among Anganwadis located in the rural field practice area of a medical college, Bangalore over a period of two months. Anganwadi teachers, helpers and workers were interviewed through pre tested, semi structured questionnaire regarding their awareness on personal hygiene practices. Anganwadi children were examined for personal hygiene and morbidities. The Anganwadi centers environmental sanitation was assessed by observation. Results: 50 Anganwadi centers were visited. 45(90%) anganwadi center’s vessels and kitchen were kept clean. Lighting was adequate in 43(86%). 32(64%) Anganwadis had sanitary latrines. House hold purification of water was seen in 33(66%) anganwadi’s. Out of 1113 children registered, 689(61.9%) were examined. 479(69.5%) were found to be bare foot walkers, 55(7.9%) had poor face hygeine, 24(3.4%) poor hair hygeine, 95(13.78%) poor oral hygiene, 15(2.17%) poor feet hygeine, 51(7.4%) poor nail hygiene. Conclusions: The environmental sanitation of Anganwadi centre and personal hygiene status of children was not satisfactory. Keywords: Morbidity, Formal education, Hygiene, Anganwadi, Sanitation
{"title":"A Descriptive Study on Environmental Sanitation and Personal Hygiene Status among Pre-school Children of Anganwadi Centres near a Rural Area Bengaluru","authors":"N. R. Masthi, S. Pruthvi","doi":"10.46347/jmsh.v8i1.21.21","DOIUrl":"https://doi.org/10.46347/jmsh.v8i1.21.21","url":null,"abstract":"Background: The high incidence of mortality and morbidity among infants and children is attributed largely to unsafe water supply, poor hygienic practice and insanitary environment. Anganwadi are the backbone of non formal education in rural India and place for inculcating healthy habits for children at an early age. Objectives: To assess the environmental sanitation of Anganwadi Centers, to describe personal hygiene of preschool children in Anganwadi and to assess personal hygiene practices of Anganwadi staff. Materials and methods: A cross-sectional study was conducted among Anganwadis located in the rural field practice area of a medical college, Bangalore over a period of two months. Anganwadi teachers, helpers and workers were interviewed through pre tested, semi structured questionnaire regarding their awareness on personal hygiene practices. Anganwadi children were examined for personal hygiene and morbidities. The Anganwadi centers environmental sanitation was assessed by observation. Results: 50 Anganwadi centers were visited. 45(90%) anganwadi center’s vessels and kitchen were kept clean. Lighting was adequate in 43(86%). 32(64%) Anganwadis had sanitary latrines. House hold purification of water was seen in 33(66%) anganwadi’s. Out of 1113 children registered, 689(61.9%) were examined. 479(69.5%) were found to be bare foot walkers, 55(7.9%) had poor face hygeine, 24(3.4%) poor hair hygeine, 95(13.78%) poor oral hygiene, 15(2.17%) poor feet hygeine, 51(7.4%) poor nail hygiene. Conclusions: The environmental sanitation of Anganwadi centre and personal hygiene status of children was not satisfactory. Keywords: Morbidity, Formal education, Hygiene, Anganwadi, Sanitation","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44343020","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 : 2022-06-15DOI: 10.46347/jmsh.2022.v8i1.37
V. Agrawal, H. Ravikiran, M. Santhosh, C. Vijay, B. S. Prashasth, A. Chandra
Introduction: Arthroscopic ACL reconstruction is one of the most successful surgeries in sports medicine. But the donor site morbidities have been reported with bone patellar tendon bone graft and hamstring tendon graft. The objective of the study is to evaluate the functional outcome of and donor site (ankle) morbidities with full thickness peroneus longus tendon (PLT) autograft in arthroscopic anterior cruciate ligament (ACL) reconstruction. Methods: A Prospective study was done in 30 patients with ACL injury. Knee stability and function were evaluated using the Lachman test, pivot shift test, International Knee Documentation Committee score (IKDC) and Lysholm knee score. Donor ankle was assessed using American Orthopedic Foot and Ankle Score (AOFAS) and grading muscle power by Medical Research Council scale. Data collected preoperatively and postoperatively at 6 & 12 months were compared. Results: The IKDC score was normal or nearly normal in 24 patients and abnormal in 6 patients. The mean Lysholm score had excellent or good results in 24 patients. The Lachman test showed normal findings in 24 patients, 6 patients had 1+ laxity. The pivot-shift test was negative in 22 patients and 8 patients had 1+ glide. The mean AOFAS score was 100±0.0 (preoperatively) and 96.0±9.6 (at final follow up). No patient experienced ankle pain and instability. Conclusion: PLT autograft gave painless stable knee, with a good range of motion. It didn’t have any morbid effect on ankle and gait parameters. So, PLT autograft can be suitable graft with respect to its strength, safety and donor site morbidity. Keywords: ACL, Peroneus Longus Tendon, Knee Arthroscopy
{"title":"Assessment of Functional Outcome and Donor Site Morbidity in Anterior Cruciate Ligament Reconstruction Using Peroneus Longus Autograft","authors":"V. Agrawal, H. Ravikiran, M. Santhosh, C. Vijay, B. S. Prashasth, A. Chandra","doi":"10.46347/jmsh.2022.v8i1.37","DOIUrl":"https://doi.org/10.46347/jmsh.2022.v8i1.37","url":null,"abstract":"Introduction: Arthroscopic ACL reconstruction is one of the most successful surgeries in sports medicine. But the donor site morbidities have been reported with bone patellar tendon bone graft and hamstring tendon graft. The objective of the study is to evaluate the functional outcome of and donor site (ankle) morbidities with full thickness peroneus longus tendon (PLT) autograft in arthroscopic anterior cruciate ligament (ACL) reconstruction. Methods: A Prospective study was done in 30 patients with ACL injury. Knee stability and function were evaluated using the Lachman test, pivot shift test, International Knee Documentation Committee score (IKDC) and Lysholm knee score. Donor ankle was assessed using American Orthopedic Foot and Ankle Score (AOFAS) and grading muscle power by Medical Research Council scale. Data collected preoperatively and postoperatively at 6 & 12 months were compared. Results: The IKDC score was normal or nearly normal in 24 patients and abnormal in 6 patients. The mean Lysholm score had excellent or good results in 24 patients. The Lachman test showed normal findings in 24 patients, 6 patients had 1+ laxity. The pivot-shift test was negative in 22 patients and 8 patients had 1+ glide. The mean AOFAS score was 100±0.0 (preoperatively) and 96.0±9.6 (at final follow up). No patient experienced ankle pain and instability. Conclusion: PLT autograft gave painless stable knee, with a good range of motion. It didn’t have any morbid effect on ankle and gait parameters. So, PLT autograft can be suitable graft with respect to its strength, safety and donor site morbidity. Keywords: ACL, Peroneus Longus Tendon, Knee Arthroscopy","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49499979","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 : 2022-06-15DOI: 10.46347/jmsh.v8i1.22.94
Vasudha Kulkarni, H. Tejaswi, Ashwini C. Appaji
The human lung is a dynamic organ of constant biotransformation. Out of 40 different cell types of lungs, Type‑1 and Type‑2 pneumocytes, pulmonary capillary endothelium, and cells of lung interstitium play a vital role in functioning of the lung. Exploring the structure of these cells would shed light on the pathogenesis of various diseases affecting the lungs. A systematic literature search was conducted using three research databases – Medline, Google Scholar, and Cochrane. Out of ninety articles published between the year 1981 and 2020, 41 articles were included in the study based on the inclusion and exclusion criteria. Among the cellular components of the alveolar cell complex of the lung, the Type‑2 pneumocytes show versatility in its function in the form of surfactant synthesis, immune reaction, and regenerative capacity. The pathogenesis of the lung injury is due to the loss of functions of the Type‑2 pneumocytes and the intercellular junction functional discrepancy. Irrespective of the cause of lung disease, there is an increase in permeability in the alveolocapillary membrane leading to interstitial edema. This, in turn, leads to hyperventilation, low oxygen saturation, and a decrease in lung capacity. The pericytes present in the interstitium have a preventive role to play in lung injury and potential stem cell function. Keywords: alveolar epithelial cells, capillary endothelium, lung interstitium, type-1 pneumocytes, type-2 pneumocytes
{"title":"Ultrastructure of the Alveolar Cell Complex of Human Lung and its Functional Correlation: A Review","authors":"Vasudha Kulkarni, H. Tejaswi, Ashwini C. Appaji","doi":"10.46347/jmsh.v8i1.22.94","DOIUrl":"https://doi.org/10.46347/jmsh.v8i1.22.94","url":null,"abstract":"The human lung is a dynamic organ of constant biotransformation. Out of 40 different cell types of lungs, Type‑1 and Type‑2 pneumocytes, pulmonary capillary endothelium, and cells of lung interstitium play a vital role in functioning of the lung. Exploring the structure of these cells would shed light on the pathogenesis of various diseases affecting the lungs. A systematic literature search was conducted using three research databases – Medline, Google Scholar, and Cochrane. Out of ninety articles published between the year 1981 and 2020, 41 articles were included in the study based on the inclusion and exclusion criteria. Among the cellular components of the alveolar cell complex of the lung, the Type‑2 pneumocytes show versatility in its function in the form of surfactant synthesis, immune reaction, and regenerative capacity. The pathogenesis of the lung injury is due to the loss of functions of the Type‑2 pneumocytes and the intercellular junction functional discrepancy. Irrespective of the cause of lung disease, there is an increase in permeability in the alveolocapillary membrane leading to interstitial edema. This, in turn, leads to hyperventilation, low oxygen saturation, and a decrease in lung capacity. The pericytes present in the interstitium have a preventive role to play in lung injury and potential stem cell function. Keywords: alveolar epithelial cells, capillary endothelium, lung interstitium, type-1 pneumocytes, type-2 pneumocytes","PeriodicalId":33653,"journal":{"name":"Journal of Medical Sciences and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44663223","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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