Pub Date : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_99_17
D. Kanade
{"title":"Short training in family medicine during internship: insights gained over a decade","authors":"D. Kanade","doi":"10.4103/MJDRDYPU.MJDRDYPU_99_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_99_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"507 - 509"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44406421","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 : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_95_17
S. Mananje, S. Kabekkodu, Ajitha Sharma, R. Saya
Introduction: There has always been a search for marker for predicting the complications of malaria. Electrocardiography (ECG) is a simple, easily available investigation, and QT-prolongation on ECG is a known marker of severity in many diseases. Aim: This study aimed to assess the association between QT interval prolongation and complications in malaria. Materials and Methods: This retrospective record-based study included 92 patients diagnosed with malaria by smear and was conducted from January to December 2013. The normal-corrected QT interval (QTC) was taken as 0.44 s (440 ms). Data were analyzed for association using Chi-square test and multivariate logistic regression model. Results: Mean QTC of the study group was 413.08 ± 34.8 ms. A total of 12 patients had QTC >440 ms, of them 10 had associated complications. Among 80 patients with normal QTC, 17 had complications associated with P < 0.001. Specificity of prolonged QTC for identifying complicated malaria was 83.33%, and sensitivity was 37.03%. On multivariate logistic regression model with QTC interval as the dependent variable, QTC was significantly associated with acute kidney injury (AKI) (P = 0.036) and Plasmodium vivax malaria (P = 0.01). Conclusions: Prolonged QTC has high specificity and low sensitivity for patients with complicated malaria. Prolonged QTC is significantly associated with vivax malaria and AKI in malaria. Hence, malaria patients with prolonged QTC should be more carefully watched for complications.
{"title":"QT-prolongation as an indicator of complications in malaria","authors":"S. Mananje, S. Kabekkodu, Ajitha Sharma, R. Saya","doi":"10.4103/MJDRDYPU.MJDRDYPU_95_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_95_17","url":null,"abstract":"Introduction: There has always been a search for marker for predicting the complications of malaria. Electrocardiography (ECG) is a simple, easily available investigation, and QT-prolongation on ECG is a known marker of severity in many diseases. Aim: This study aimed to assess the association between QT interval prolongation and complications in malaria. Materials and Methods: This retrospective record-based study included 92 patients diagnosed with malaria by smear and was conducted from January to December 2013. The normal-corrected QT interval (QTC) was taken as 0.44 s (440 ms). Data were analyzed for association using Chi-square test and multivariate logistic regression model. Results: Mean QTC of the study group was 413.08 ± 34.8 ms. A total of 12 patients had QTC >440 ms, of them 10 had associated complications. Among 80 patients with normal QTC, 17 had complications associated with P < 0.001. Specificity of prolonged QTC for identifying complicated malaria was 83.33%, and sensitivity was 37.03%. On multivariate logistic regression model with QTC interval as the dependent variable, QTC was significantly associated with acute kidney injury (AKI) (P = 0.036) and Plasmodium vivax malaria (P = 0.01). Conclusions: Prolonged QTC has high specificity and low sensitivity for patients with complicated malaria. Prolonged QTC is significantly associated with vivax malaria and AKI in malaria. Hence, malaria patients with prolonged QTC should be more carefully watched for complications.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"522 - 525"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42881206","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 : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_304_16
Krishna Tadepally, Vijaya Gattu
A 45-year-old female presented with a history of pedunculated, soft, nodule on the right leg in popliteal region for 5 years. The lesion started as a small nodule and increased in size for 2 years and remained unchanged thereafter. The histological examination confirmed ectopic mature adipose tissue within dermis that supported the clinical diagnosis of nevus lipomatosus. This case report is of a solitary form of nevus lipomatosis cutaneous superficialis or pedunculated lipofibroma.
{"title":"Solitary form of nevus lipomatosus cutaneous superficialis: A rare entity with review of literature","authors":"Krishna Tadepally, Vijaya Gattu","doi":"10.4103/MJDRDYPU.MJDRDYPU_304_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_304_16","url":null,"abstract":"A 45-year-old female presented with a history of pedunculated, soft, nodule on the right leg in popliteal region for 5 years. The lesion started as a small nodule and increased in size for 2 years and remained unchanged thereafter. The histological examination confirmed ectopic mature adipose tissue within dermis that supported the clinical diagnosis of nevus lipomatosus. This case report is of a solitary form of nevus lipomatosis cutaneous superficialis or pedunculated lipofibroma.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"589 - 591"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44096808","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 : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_118_17
Shefal S. Parikh, I. Shah
{"title":"Acute respiratory distress syndrome and erosive gastritis with hepatitis A in children","authors":"Shefal S. Parikh, I. Shah","doi":"10.4103/MJDRDYPU.MJDRDYPU_118_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_118_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"609 - 610"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45307977","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 : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_89_17
P. Yadav
Uterine congenital anomalies are clinically relevant because these are associated with increased incidences of infertility and menstrual disorder. These are frequently not diagnosed at birth. These anomalies usually diagnosed at child-bearing age when reproductive malfunction arise. When normal mullerian duct development interrupted at any stage, it results in mullerian abnormality. Magnetic resonance imaging (MRI) has an excellent role in evaluation of mullerian duct anomalies. Ultrasonography is the primary investigation; however, MRI is an excellent noninvasive investigation for accurate evaluation of uterine congenital anomalies. MRI is a very good modality to evaluate the vaginal malformation, which usually difficult to evaluate by ultrasound.
{"title":"Magnetic resonance imaging in diagnosis and classification of uterovaginal congenital anomalies","authors":"P. Yadav","doi":"10.4103/MJDRDYPU.MJDRDYPU_89_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_89_17","url":null,"abstract":"Uterine congenital anomalies are clinically relevant because these are associated with increased incidences of infertility and menstrual disorder. These are frequently not diagnosed at birth. These anomalies usually diagnosed at child-bearing age when reproductive malfunction arise. When normal mullerian duct development interrupted at any stage, it results in mullerian abnormality. Magnetic resonance imaging (MRI) has an excellent role in evaluation of mullerian duct anomalies. Ultrasonography is the primary investigation; however, MRI is an excellent noninvasive investigation for accurate evaluation of uterine congenital anomalies. MRI is a very good modality to evaluate the vaginal malformation, which usually difficult to evaluate by ultrasound.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"510 - 516"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47901444","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 : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_68_17
Arghya Pal, Nitu Mallik, R. Acharya, D. Mondal
Background: Sexual dysfunctions (SD) are among the most common psychiatric disorders leading to significant impairment in the quality of life. However, in spite of that, little data exist regarding the prevalence of these disorders, especially from Eastern India. Methodology: This study was a retrospective analysis of the data from patients attending a special clinic conducted in the Outpatient Department in a General Hospital Psychiatry Unit from an urban center in Eastern India over the calendar year of 2016, adhering the Prins criteria. Results: Of the 237 patients attending the clinic, 235 (99.2%) were male and rest were female. The most common disorders reported included premature ejaculation (PME), erectile dysfunction (ED), comorbid ED and PME, lack of sexual desire, and dhat syndrome (DS). Comparison of the sociodemographic and clinical profile of patients of each disorder showed that patients with DS had a younger age and significantly lower history of nicotine use disorder. Conclusion: There is dearth of data regarding the prevalence of SD in clinical population from Eastern India. There is a high gender disparity among the patients attending the special clinic. The prevalence of the disorder in this clinic-based was similar to community studies conducted in India, but differed from studies conducted in Western countries. The major limitation was the cross-sectional design and limited generalizability of results.
{"title":"Epidemiology of patients attending a special clinic on sexual dysfunction from Eastern India: A retrospective data review","authors":"Arghya Pal, Nitu Mallik, R. Acharya, D. Mondal","doi":"10.4103/MJDRDYPU.MJDRDYPU_68_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_68_17","url":null,"abstract":"Background: Sexual dysfunctions (SD) are among the most common psychiatric disorders leading to significant impairment in the quality of life. However, in spite of that, little data exist regarding the prevalence of these disorders, especially from Eastern India. Methodology: This study was a retrospective analysis of the data from patients attending a special clinic conducted in the Outpatient Department in a General Hospital Psychiatry Unit from an urban center in Eastern India over the calendar year of 2016, adhering the Prins criteria. Results: Of the 237 patients attending the clinic, 235 (99.2%) were male and rest were female. The most common disorders reported included premature ejaculation (PME), erectile dysfunction (ED), comorbid ED and PME, lack of sexual desire, and dhat syndrome (DS). Comparison of the sociodemographic and clinical profile of patients of each disorder showed that patients with DS had a younger age and significantly lower history of nicotine use disorder. Conclusion: There is dearth of data regarding the prevalence of SD in clinical population from Eastern India. There is a high gender disparity among the patients attending the special clinic. The prevalence of the disorder in this clinic-based was similar to community studies conducted in India, but differed from studies conducted in Western countries. The major limitation was the cross-sectional design and limited generalizability of results.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"542 - 547"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42519093","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 : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_38_17
Himel Mondal, Shaikat Mondal, Chayan Baidya
Background: Human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) are global health issue with estimated 21.17 lakhs infected people living with HIV/AIDS (PLHIV) in 2015 in India. Ayurveda doctors are working in different health settings especially in rural India. Adequate knowledge about HIV/AIDS and positive attitude toward PLHIV are desired in treatment and counseling of HIV/AIDS patients. Aim: The aim of the study was to evaluate the level of knowledge about HIV/AIDS and attitude toward PLHIV among Ayurveda medical students. Materials and Methods: A cross-sectional study was conducted with 151 Bachelor of Ayurveda Medicine and Surgery (B.A.M.S.) students of different years of study. A pretested and validated self-administered questionnaire was used as survey instrument. Responses were recorded in “Yes,” “No,” and “Don't Know” tick box. Responses were scored, analyzed, and expressed in percentage, mean and standard deviation. One-way analysis of variance and Pearson's correlation were used according to necessity with α = 0.05. Results: Survey response rate was 91%. Seventy-four percent students had basic knowledge about HIV/AIDS. Correct knowledge about disease transmission was found in 66% students. Positive attitude was found in 51% students. Mean knowledge score of four groups of student according to year of the study was significantly (P < 0.05) different. There was no correlation (P > 0.05, insignificant r) between knowledge and attitude score. Conclusion: B.A.M.S students have basic knowledge about HIV/AIDS with relatively less knowledge about transmission of HIV. Knowledge increases with increase in year of the study. Increase in knowledge is not an indicator of positive attitude toward PLHIV.
{"title":"Knowledge and attitude toward human immunodeficiency virus infection and acquired immunodeficiency syndrome among ayurveda medical students: A single institute experience","authors":"Himel Mondal, Shaikat Mondal, Chayan Baidya","doi":"10.4103/MJDRDYPU.MJDRDYPU_38_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_38_17","url":null,"abstract":"Background: Human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) are global health issue with estimated 21.17 lakhs infected people living with HIV/AIDS (PLHIV) in 2015 in India. Ayurveda doctors are working in different health settings especially in rural India. Adequate knowledge about HIV/AIDS and positive attitude toward PLHIV are desired in treatment and counseling of HIV/AIDS patients. Aim: The aim of the study was to evaluate the level of knowledge about HIV/AIDS and attitude toward PLHIV among Ayurveda medical students. Materials and Methods: A cross-sectional study was conducted with 151 Bachelor of Ayurveda Medicine and Surgery (B.A.M.S.) students of different years of study. A pretested and validated self-administered questionnaire was used as survey instrument. Responses were recorded in “Yes,” “No,” and “Don't Know” tick box. Responses were scored, analyzed, and expressed in percentage, mean and standard deviation. One-way analysis of variance and Pearson's correlation were used according to necessity with α = 0.05. Results: Survey response rate was 91%. Seventy-four percent students had basic knowledge about HIV/AIDS. Correct knowledge about disease transmission was found in 66% students. Positive attitude was found in 51% students. Mean knowledge score of four groups of student according to year of the study was significantly (P < 0.05) different. There was no correlation (P > 0.05, insignificant r) between knowledge and attitude score. Conclusion: B.A.M.S students have basic knowledge about HIV/AIDS with relatively less knowledge about transmission of HIV. Knowledge increases with increase in year of the study. Increase in knowledge is not an indicator of positive attitude toward PLHIV.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"548 - 554"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42968170","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 : 2017-11-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_16_17
A. Mangot, F. Siddiqui, V. Murthy
Introduction: Sexual misconceptions have been around in India for a very long time. Growing liberal attitudes toward sex and sexual permissiveness can be expected to occur in the context of improved sexual knowledge among people. However, sexual myths continue to remain rampant. Therefore, the present study was planned with the aim to assess the level of sexual misconceptions regarding semen loss prevalent among male medical interns. Participants and Methods: This was a cross-sectional study among unmarried male medical students doing an internship. Eighty-one interns were recruited after fulfilling predecided inclusion/exclusion criteria and were asked to complete a specially made questionnaire to assess their sexual beliefs anonymously in complete privacy. Responses were analyzed using frequency distribution. Results: Seventy-nine percent of the participants believed that loss of semen can lead to reduction in the size of the penis, while 44.44% (n = 36) believed that it leads to sexual weakness, 56.8% (n = 46) believed it can lead to physical weakness, and 56.8% (n = 46) believed that excess masturbation can decrease sexual prowess. Discussion: This study helps bring to light the prevalence of sexual misconceptions among medical interns in spite of reaching a stage where they are expected to have sound conceptual, theoretical, and practical knowledge about sexual health and wellbeing. There is a dearth of national and international studies exploring the sociocultural aspects of sexuality specifically among medical students. The findings from this study are expected to stimulate researchers and academicians into further exploring the aspect of sexuality among the young medical fraternity.
{"title":"Prevalence and pattern of misconceptions about semen loss and sexual prowess among male medical interns","authors":"A. Mangot, F. Siddiqui, V. Murthy","doi":"10.4103/MJDRDYPU.MJDRDYPU_16_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_16_17","url":null,"abstract":"Introduction: Sexual misconceptions have been around in India for a very long time. Growing liberal attitudes toward sex and sexual permissiveness can be expected to occur in the context of improved sexual knowledge among people. However, sexual myths continue to remain rampant. Therefore, the present study was planned with the aim to assess the level of sexual misconceptions regarding semen loss prevalent among male medical interns. Participants and Methods: This was a cross-sectional study among unmarried male medical students doing an internship. Eighty-one interns were recruited after fulfilling predecided inclusion/exclusion criteria and were asked to complete a specially made questionnaire to assess their sexual beliefs anonymously in complete privacy. Responses were analyzed using frequency distribution. Results: Seventy-nine percent of the participants believed that loss of semen can lead to reduction in the size of the penis, while 44.44% (n = 36) believed that it leads to sexual weakness, 56.8% (n = 46) believed it can lead to physical weakness, and 56.8% (n = 46) believed that excess masturbation can decrease sexual prowess. Discussion: This study helps bring to light the prevalence of sexual misconceptions among medical interns in spite of reaching a stage where they are expected to have sound conceptual, theoretical, and practical knowledge about sexual health and wellbeing. There is a dearth of national and international studies exploring the sociocultural aspects of sexuality specifically among medical students. The findings from this study are expected to stimulate researchers and academicians into further exploring the aspect of sexuality among the young medical fraternity.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"536 - 541"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44727584","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 : 2017-11-01DOI: 10.4103/0975-2870.223362
R. Ravikanth
Budd-Chiari syndrome refers to the clinical picture that occurs when there is obstruction of the hepatic veins. The etiology is mixed and varied. The majority of cases result from thrombosis within the hepatic veins. However, 25% result from external compression that results in obstruction. Here, we present the multimodal imaging findings in a case of Budd-Chiari syndrome.
{"title":"Multimodality imaging in budd-chiari syndrome","authors":"R. Ravikanth","doi":"10.4103/0975-2870.223362","DOIUrl":"https://doi.org/10.4103/0975-2870.223362","url":null,"abstract":"Budd-Chiari syndrome refers to the clinical picture that occurs when there is obstruction of the hepatic veins. The etiology is mixed and varied. The majority of cases result from thrombosis within the hepatic veins. However, 25% result from external compression that results in obstruction. Here, we present the multimodal imaging findings in a case of Budd-Chiari syndrome.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"596 - 598"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41556430","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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