Pub Date : 2017-07-01DOI: 10.4103/0975-2870.213928
Vishal Malhotra, R. Balgir, A. Watts, Sharndeep Kaur, Parmeet Singh Nirwan, Raina Cheema
Background: According to the WHO, rabies incidence in India has been constant for a decade, without any obvious declining trend. It has been seen that there is a lack of awareness among health professionals about animal bite management. Therefore, for success of National Rabies control programs, it is of utmost importance to assess their training needs. Objectives: The objective of this study was to assess knowledge and practice regarding animal bite management among resident doctors of the Government Rajindra Hospital Patiala, Punjab. Materials and Methods: A cross-sectional survey using a self-administered pretested questionnaire. The overall knowledge and practices were assessed using sum score of each outcome based on Bloom's cutoff point 60%–80%). Analysis of variance was used and P < 0.05 was considered statistically significant. Results: Out of 386 residents, government doctors (junior resident/senior resident [JR/SR]) constitute 30% (116) and fresh doctors 70% (270). Government doctors (SRs) have mean age of 40 ± 6.2 years and 13.23 ± 7.6 years of service. JRs from government cadre are comparatively young with 5.4 ± 3.1 years of government service. Overall, there are many gaps in the knowledge and practice of all the residents. Government cadre SRs and JRs have shown slightly better knowledge and practices than fresh residents. It is surprising that majority (63.7%) of experienced government doctor have shown moderate knowledge and 30% of them have poor K-P score with just 5% of them have high score. Similar trend was seen in JR of government cadre. Awareness was even less in fresh JRs and least in fresh SRs. Conclusion: The knowledge and practice is inadequate in all the residents. State health department and medical colleges must collaborate and start reorientation programs and continued medical education.
{"title":"Awareness regarding animal bite management among resident doctors of tertiary care institute of Northern India","authors":"Vishal Malhotra, R. Balgir, A. Watts, Sharndeep Kaur, Parmeet Singh Nirwan, Raina Cheema","doi":"10.4103/0975-2870.213928","DOIUrl":"https://doi.org/10.4103/0975-2870.213928","url":null,"abstract":"Background: According to the WHO, rabies incidence in India has been constant for a decade, without any obvious declining trend. It has been seen that there is a lack of awareness among health professionals about animal bite management. Therefore, for success of National Rabies control programs, it is of utmost importance to assess their training needs. Objectives: The objective of this study was to assess knowledge and practice regarding animal bite management among resident doctors of the Government Rajindra Hospital Patiala, Punjab. Materials and Methods: A cross-sectional survey using a self-administered pretested questionnaire. The overall knowledge and practices were assessed using sum score of each outcome based on Bloom's cutoff point 60%–80%). Analysis of variance was used and P < 0.05 was considered statistically significant. Results: Out of 386 residents, government doctors (junior resident/senior resident [JR/SR]) constitute 30% (116) and fresh doctors 70% (270). Government doctors (SRs) have mean age of 40 ± 6.2 years and 13.23 ± 7.6 years of service. JRs from government cadre are comparatively young with 5.4 ± 3.1 years of government service. Overall, there are many gaps in the knowledge and practice of all the residents. Government cadre SRs and JRs have shown slightly better knowledge and practices than fresh residents. It is surprising that majority (63.7%) of experienced government doctor have shown moderate knowledge and 30% of them have poor K-P score with just 5% of them have high score. Similar trend was seen in JR of government cadre. Awareness was even less in fresh JRs and least in fresh SRs. Conclusion: The knowledge and practice is inadequate in all the residents. State health department and medical colleges must collaborate and start reorientation programs and continued medical education.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"359"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46492568","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_267_16
S. Agarwal, P. Gupta, P. Pandey, M. Ralli
Tuberculosis (TB) remains the leading cause of infection-related deaths in adults worldwide. The ocular involvement in TB is extremely rare. The incidence of ocular TB is reported to be 1%–2% of ocular diseases. We report an interesting case of mycobacterial panophthalmitis in an adult male who presented with painful red eye with loss of vision.
{"title":"Tubercular panophthalmitis: Case report of a rare entity","authors":"S. Agarwal, P. Gupta, P. Pandey, M. Ralli","doi":"10.4103/MJDRDYPU.MJDRDYPU_267_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_267_16","url":null,"abstract":"Tuberculosis (TB) remains the leading cause of infection-related deaths in adults worldwide. The ocular involvement in TB is extremely rare. The incidence of ocular TB is reported to be 1%–2% of ocular diseases. We report an interesting case of mycobacterial panophthalmitis in an adult male who presented with painful red eye with loss of vision.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"390"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42905540","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_54_17
Himel Mondal, Shaikat Mondal
{"title":"Precise description of study methodology is the heart of an article","authors":"Himel Mondal, Shaikat Mondal","doi":"10.4103/MJDRDYPU.MJDRDYPU_54_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_54_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"396"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49347115","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_308_16
A. Jena, R. Patnayak, Meena Jain
The incidence of primary ovarian pregnancy is very rare. The clinical diagnosis of ovarian pregnancy remains challenging. There is no definite clinical, ultrasonographic, or laboratory signs to distinguish it from that of a tubal pregnancy. Awareness of the condition and high degree of clinical suspicion and characteristic histopathology is necessary help in arriving at the correct diagnosis. We report one such case in a young female who presented with a complaint of pain abdomen. She had a high serum β-human chorionic gonadotropin levels. She underwent unilateral salpingo-oophorectomy following clinical suspicion of malignancy. Histopathological examination proved it to be a case of ovarian pregnancy. She recovered well in the postoperative period. This is another additional case of ovarian pregnancy to the existing literature highlighting the histopathological findings.
{"title":"Primary ovarian pregnancy mimicking malignancy","authors":"A. Jena, R. Patnayak, Meena Jain","doi":"10.4103/MJDRDYPU.MJDRDYPU_308_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_308_16","url":null,"abstract":"The incidence of primary ovarian pregnancy is very rare. The clinical diagnosis of ovarian pregnancy remains challenging. There is no definite clinical, ultrasonographic, or laboratory signs to distinguish it from that of a tubal pregnancy. Awareness of the condition and high degree of clinical suspicion and characteristic histopathology is necessary help in arriving at the correct diagnosis. We report one such case in a young female who presented with a complaint of pain abdomen. She had a high serum β-human chorionic gonadotropin levels. She underwent unilateral salpingo-oophorectomy following clinical suspicion of malignancy. Histopathological examination proved it to be a case of ovarian pregnancy. She recovered well in the postoperative period. This is another additional case of ovarian pregnancy to the existing literature highlighting the histopathological findings.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"386"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43098001","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_46_17
C. Vlassoff, Shobha S Rao, C. Bahri
{"title":"The need of the hour: A fresh perspective on family planning","authors":"C. Vlassoff, Shobha S Rao, C. Bahri","doi":"10.4103/MJDRDYPU.MJDRDYPU_46_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_46_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"325"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45689610","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_25_17
V. Bharambe
{"title":"Organ donation in India: Crucial role of medical care professionals","authors":"V. Bharambe","doi":"10.4103/MJDRDYPU.MJDRDYPU_25_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_25_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"353"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43695732","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_258_16
Apoorva Sindhu, T. Ramakrishnan, A. Khera, Gurpreet Singh
Context: As per United Network for Organ Sharing, there are over 71,000 people on organ transplant waiting list in the United States. The only way to increase organ donations is to educate the health-care professionals and public about the importance of becoming an organ donor. One of the ways to start this is to promote the awareness of the college students, especially those in the medical field, toward organ donation as they are the most suitable persons to carry the message to the community. Aims: This study aims to determine the knowledge of medical students regarding organ donation. Settings and Design: Cross-sectional study conducted in a medical college of Western Maharashtra. Subjects and Methods: A questionnaire adapted to the study requirements from the published research was designed to capture the knowledge toward organ donation. Final year MBBS students who gave verbal consent to the study were included. Statistical Analysis Used: Microsoft Excel and SPSS version 20. Results: 87% of the students had correct knowledge regarding brain death occurring after road traffic accident. Fifty-four percent (54.45%) of students were not aware that an individual suffering from infectious disease cannot donate organs. 61% of the students were not aware that a National network for organ donation exists in their city. 48.5% of students did not know how to register oneself as an organ donor. Conclusions: The results of the study revealed that there exists a knowledge gap among the medical students regarding organ donation and there is an urgent need for addressing this knowledge gap which will help in improving the organ donation rate in our country.
{"title":"A study to assess the knowledge of medical students regarding organ donation in a selected college of Western Maharashtra","authors":"Apoorva Sindhu, T. Ramakrishnan, A. Khera, Gurpreet Singh","doi":"10.4103/MJDRDYPU.MJDRDYPU_258_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_258_16","url":null,"abstract":"Context: As per United Network for Organ Sharing, there are over 71,000 people on organ transplant waiting list in the United States. The only way to increase organ donations is to educate the health-care professionals and public about the importance of becoming an organ donor. One of the ways to start this is to promote the awareness of the college students, especially those in the medical field, toward organ donation as they are the most suitable persons to carry the message to the community. Aims: This study aims to determine the knowledge of medical students regarding organ donation. Settings and Design: Cross-sectional study conducted in a medical college of Western Maharashtra. Subjects and Methods: A questionnaire adapted to the study requirements from the published research was designed to capture the knowledge toward organ donation. Final year MBBS students who gave verbal consent to the study were included. Statistical Analysis Used: Microsoft Excel and SPSS version 20. Results: 87% of the students had correct knowledge regarding brain death occurring after road traffic accident. Fifty-four percent (54.45%) of students were not aware that an individual suffering from infectious disease cannot donate organs. 61% of the students were not aware that a National network for organ donation exists in their city. 48.5% of students did not know how to register oneself as an organ donor. Conclusions: The results of the study revealed that there exists a knowledge gap among the medical students regarding organ donation and there is an urgent need for addressing this knowledge gap which will help in improving the organ donation rate in our country.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"349"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44502858","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_305_16
J. Biswas
{"title":"Ocular tuberculosis: Challenge to ophthalmologists","authors":"J. Biswas","doi":"10.4103/MJDRDYPU.MJDRDYPU_305_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_305_16","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"392"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46459894","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_22_17
K. Dahiya, Kriti Agarwal, S. Sanghi
Pregnancy in a rudimentary horn of a unicornuate uterus is rare but ruptured horn has a mortality rate of 5%. We report a case of 26-year-old G4P3 L3 with previous full-term vaginal deliveries, who presented at 12-week gestation with severe abdominal pain. Transvaginal ultrasound imaging was suggestive of ruptured right ectopic pregnancy and patient was taken up for emergency laparotomy. Intraoperatively, 2500 cc hemoperitoneum was present and ruptured right rudimentary horn in the posterolateral part was found, with fetus in the pouch of Douglas, the uterus was of unicornuate type. Excision of ruptured right rudimentary horn along with the right salpingectomy was done. Despite advances in imaging, in developing countries where the prerupture diagnosis is unlikely, a high index of suspicion is crucial in saving mother's life.
{"title":"Ruptured noncommunicating rudimentary horn of unicornuate uterus at 12 weeks","authors":"K. Dahiya, Kriti Agarwal, S. Sanghi","doi":"10.4103/MJDRDYPU.MJDRDYPU_22_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_22_17","url":null,"abstract":"Pregnancy in a rudimentary horn of a unicornuate uterus is rare but ruptured horn has a mortality rate of 5%. We report a case of 26-year-old G4P3 L3 with previous full-term vaginal deliveries, who presented at 12-week gestation with severe abdominal pain. Transvaginal ultrasound imaging was suggestive of ruptured right ectopic pregnancy and patient was taken up for emergency laparotomy. Intraoperatively, 2500 cc hemoperitoneum was present and ruptured right rudimentary horn in the posterolateral part was found, with fetus in the pouch of Douglas, the uterus was of unicornuate type. Excision of ruptured right rudimentary horn along with the right salpingectomy was done. Despite advances in imaging, in developing countries where the prerupture diagnosis is unlikely, a high index of suspicion is crucial in saving mother's life.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"381"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43825208","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 : 2017-07-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_276_16
Somsubhra Goswami, Arijit Sen, M. Biswas
Background: Endometrial carcinomas (EC) are the most common gynecological malignancy in developed nations, but in developing nations, it follows cervical cancer. Estrogen and progesterone receptor (ER and PR) status is important prognostic indicators in EC. With this in background, we intended to compare the hormonal receptor status of our cases with markers of tumor aggression and compare our results with that of developed nations. Aims: The present retrospective study aims to check the association of ER and PR status of cases of EC with markers of tumor aggression-tumor grade, MIB-1 score (proliferative index), depth of myometrial invasion, and incidence of nodal metastasis and to also compare status of our cases in developing nation with the studies of similar nature in the developed countries. Materials and Methods: The cases diagnosed in this tertiary care center over the past 2 years were evaluated. ER and PR status of cases in this retrospective observational study was performed using immunohistochemistry. The hormonal status of the cases was checked for its association with markers of tumor aggression. Results: A total of 34 cases were evaluated during the period of the study. The age of the cases ranged from 35 to 85 years. Mean age being 60.36 years. Twenty-four out of 34 (70.6%) cases were ER and PR positive. Significant association of positive hormonal status was found with lower histological grade (P = 0.01) and low MIB-1 score (P = 0.0009) while no association of hormonal status was found with depth of myometrial invasion and incidence of nodal metastasis. Conclusion: We conclude that positive ER and PR status is associated with lower histological grade and low MIB-1 score; however, our study in contrast to previous studies done in developed nations did not find any association with depth of myometrial invasion and incidence of nodal metastasis likely due to late access to treatment in our country when the disease had already advanced.
{"title":"Association of the hormonal receptor status of endometrial carcinomas with the markers of tumor aggression: A comparison with similar studies in developed nations","authors":"Somsubhra Goswami, Arijit Sen, M. Biswas","doi":"10.4103/MJDRDYPU.MJDRDYPU_276_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_276_16","url":null,"abstract":"Background: Endometrial carcinomas (EC) are the most common gynecological malignancy in developed nations, but in developing nations, it follows cervical cancer. Estrogen and progesterone receptor (ER and PR) status is important prognostic indicators in EC. With this in background, we intended to compare the hormonal receptor status of our cases with markers of tumor aggression and compare our results with that of developed nations. Aims: The present retrospective study aims to check the association of ER and PR status of cases of EC with markers of tumor aggression-tumor grade, MIB-1 score (proliferative index), depth of myometrial invasion, and incidence of nodal metastasis and to also compare status of our cases in developing nation with the studies of similar nature in the developed countries. Materials and Methods: The cases diagnosed in this tertiary care center over the past 2 years were evaluated. ER and PR status of cases in this retrospective observational study was performed using immunohistochemistry. The hormonal status of the cases was checked for its association with markers of tumor aggression. Results: A total of 34 cases were evaluated during the period of the study. The age of the cases ranged from 35 to 85 years. Mean age being 60.36 years. Twenty-four out of 34 (70.6%) cases were ER and PR positive. Significant association of positive hormonal status was found with lower histological grade (P = 0.01) and low MIB-1 score (P = 0.0009) while no association of hormonal status was found with depth of myometrial invasion and incidence of nodal metastasis. Conclusion: We conclude that positive ER and PR status is associated with lower histological grade and low MIB-1 score; however, our study in contrast to previous studies done in developed nations did not find any association with depth of myometrial invasion and incidence of nodal metastasis likely due to late access to treatment in our country when the disease had already advanced.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"334"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47233108","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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