Supriya Keisham, K. Singh, Deepen Chetri, JamesDa O Wanio Sungoh, Lynda B. Zohlupuii, ThDevi Meera
{"title":"Maternal deaths: A medicolegal autopsy study in a tertiary care hospital","authors":"Supriya Keisham, K. Singh, Deepen Chetri, JamesDa O Wanio Sungoh, Lynda B. Zohlupuii, ThDevi Meera","doi":"10.4103/jms.jms_141_21","DOIUrl":"https://doi.org/10.4103/jms.jms_141_21","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70806552","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":"Medical students' perception on ethics and communication module: How to deal with death?","authors":"C. Gupta, V. Palimar","doi":"10.4103/jms.jms_117_20","DOIUrl":"https://doi.org/10.4103/jms.jms_117_20","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70806401","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":"Introducing telesimulation as an innovative tool in the delivery of medical education","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/jms.jms_19_22","DOIUrl":"https://doi.org/10.4103/jms.jms_19_22","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70807105","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}
Background: During the corona virus disease 19 (COVID-19) pandemic, most of the medical schools across the world has started to transfer the curriculum from face-to-face to online delivery using various virtual platforms for undergraduate teaching without any uniformity. It is imperative to understand the students' outlook about the current online teaching in order to make it more effective. This study was planned to gain an insight into the medical students' perspective toward online teaching–learning program and the challenges faced by them toward the same. Materials and Methods: It was a cross-sectional descriptive study conducted for 3 months at a medical college in Chengalpet district, Tamil Nadu, among 351 medical students across all professional years. The Google form platform was used to administer a semi-structured questionnaire to all the participants to obtain information related to various parameters of online teaching-learning. The statistical analysis was done using frequency and percentages. Results: A total of 351 students participated in this study, including 134 males and 217 females. Almost 318 (90.6%) perceived that online classes were able to cover academic portion amidst COVID-19 pandemic. The most common challenges found were network related issues, lack of practical sessions, including dissection and lack of exposure to clinical cases cited by 181 (90%), 77 (38.3%) and 72 (35.8%) participants, respectively. Conclusions: The study reveals the perspectives of medical students on online teaching–learning sessions and identifies important challenges pertaining to it. However, the positive overall experience by the students provides confidence to the medical education fraternity in the entire process of online teaching and learning amidst the COVID-19 pandemic.
{"title":"Assessment of online teaching–learning during coronavirus disease-19 pandemic: Medical students' perspective","authors":"P. Shrivastava, S. Shrivastava","doi":"10.4103/jms.jms_104_21","DOIUrl":"https://doi.org/10.4103/jms.jms_104_21","url":null,"abstract":"Background: During the corona virus disease 19 (COVID-19) pandemic, most of the medical schools across the world has started to transfer the curriculum from face-to-face to online delivery using various virtual platforms for undergraduate teaching without any uniformity. It is imperative to understand the students' outlook about the current online teaching in order to make it more effective. This study was planned to gain an insight into the medical students' perspective toward online teaching–learning program and the challenges faced by them toward the same. Materials and Methods: It was a cross-sectional descriptive study conducted for 3 months at a medical college in Chengalpet district, Tamil Nadu, among 351 medical students across all professional years. The Google form platform was used to administer a semi-structured questionnaire to all the participants to obtain information related to various parameters of online teaching-learning. The statistical analysis was done using frequency and percentages. Results: A total of 351 students participated in this study, including 134 males and 217 females. Almost 318 (90.6%) perceived that online classes were able to cover academic portion amidst COVID-19 pandemic. The most common challenges found were network related issues, lack of practical sessions, including dissection and lack of exposure to clinical cases cited by 181 (90%), 77 (38.3%) and 72 (35.8%) participants, respectively. Conclusions: The study reveals the perspectives of medical students on online teaching–learning sessions and identifies important challenges pertaining to it. However, the positive overall experience by the students provides confidence to the medical education fraternity in the entire process of online teaching and learning amidst the COVID-19 pandemic.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"108 - 112"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41543763","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}
Background: Alcohol withdrawal syndrome (AWS) is a frequent presentation in patients with alcohol dependence syndrome. Complicated alcohol withdrawal state (i.e., delirium and/or convulsions) is the most severe form with significant morbidity and mortality if left untreated. Therefore, it is imperative to identify the risk factors associated with complicated AWS for early diagnosis and swift management. Materials and Methods: This study utilized a cross sectional design in a tertiary care center on 60 patients to identify the risk factors associated with complicated alcohol withdrawal. The data collected were subsequently subjected to statistical analysis with appropriate tests (Pearson Chi-square test, t-test). Results: Out of the 60 patients, 30 developed complicated AWS. Amongst the demographic variables, patients with education <10th standard, unemployment and history of delirium tremens were found to be significant predictors of complicated AWS. Patients with complicated AWS consumed higher mean ± standard deviation (19.33 ± 1.77 vs. 11.87 ± 1.17) units of alcohol per day (P < 0.001). The duration of alcohol withdrawal lasted for 7.13 ± 4.17 days in complicated AWS compared to 5.23 ± 2.70 days in uncomplicated (P = 0.041). Tacycardia (P = 0.001), respiratory rate (P = 0.001), low platelet count (P < 0.001) and higher Erythrocyte sedimentaion rate (P < 0.001) were also found to be significant predictors of complicated AWS. Serum gamma-glutamyl transferase GGT values were higher in complicated AWS but the difference was not statistically significant. Conclusion: This study found lower education, unemployment, history of delirium tremens, higher units of alcohol consumed per day, tacycardia, higher respiratory rate, lower platelet count and higher erythrocyte sedimentaion rate as significant predictors of complicated AWS.
{"title":"Risk factors associated with complicated alcohol withdrawal syndrome","authors":"Navdeep Banyal, H. Dhillon, S. Sasidharan","doi":"10.4103/jms.jms_92_21","DOIUrl":"https://doi.org/10.4103/jms.jms_92_21","url":null,"abstract":"Background: Alcohol withdrawal syndrome (AWS) is a frequent presentation in patients with alcohol dependence syndrome. Complicated alcohol withdrawal state (i.e., delirium and/or convulsions) is the most severe form with significant morbidity and mortality if left untreated. Therefore, it is imperative to identify the risk factors associated with complicated AWS for early diagnosis and swift management. Materials and Methods: This study utilized a cross sectional design in a tertiary care center on 60 patients to identify the risk factors associated with complicated alcohol withdrawal. The data collected were subsequently subjected to statistical analysis with appropriate tests (Pearson Chi-square test, t-test). Results: Out of the 60 patients, 30 developed complicated AWS. Amongst the demographic variables, patients with education <10th standard, unemployment and history of delirium tremens were found to be significant predictors of complicated AWS. Patients with complicated AWS consumed higher mean ± standard deviation (19.33 ± 1.77 vs. 11.87 ± 1.17) units of alcohol per day (P < 0.001). The duration of alcohol withdrawal lasted for 7.13 ± 4.17 days in complicated AWS compared to 5.23 ± 2.70 days in uncomplicated (P = 0.041). Tacycardia (P = 0.001), respiratory rate (P = 0.001), low platelet count (P < 0.001) and higher Erythrocyte sedimentaion rate (P < 0.001) were also found to be significant predictors of complicated AWS. Serum gamma-glutamyl transferase GGT values were higher in complicated AWS but the difference was not statistically significant. Conclusion: This study found lower education, unemployment, history of delirium tremens, higher units of alcohol consumed per day, tacycardia, higher respiratory rate, lower platelet count and higher erythrocyte sedimentaion rate as significant predictors of complicated AWS.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"113 - 117"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43003871","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}
Sudipta Naorem, Ajit Singh Yanglem, Randhir Singh Yendrembam, R. Laiphrakpam, R. Khuraijam
Background and Objectives: Vulvovaginal candidiasis (VVC) is one of the most common vaginal infections during fertile period of women. An increase in the prevalence of non-albicans Candida which are resistant to commonly used antifungals has been documented. Therefore, studying the antifungal susceptibility pattern of the causative agents is of great significance in successfully treating the ailment and understanding the local data. Materials and Methods: Forty-six Candida spp. isolated from VVC patients were subjected to antifungal minimum inhibitory concentration testing for itraconazole, fluconazole, and voriconazole using E-test method. Results: Candida albicans and Candida glabrata showed 87.8% and 60% sensitivity, respectively, to itraconazole. Twenty percent of Candida parapsilosis and 40% of C. glabrata were resistant to fluconazole. Voriconazole showed higher sensitivity with 0.013 μg/ml as the minimum concentration to inhibit all Candida spp. C. glabrata noted higher minimum inhibitory concentrations against itraconazole, fluconazole, and voriconazole. Interpretation and Conclusion: Voriconazole is the drug of choice in case of fluconazole treatment failure among VVC.
{"title":"E-test antifungal susceptibility profile of Candida spp. associated with vulvovaginal candidiasis in patients of Manipur","authors":"Sudipta Naorem, Ajit Singh Yanglem, Randhir Singh Yendrembam, R. Laiphrakpam, R. Khuraijam","doi":"10.4103/jms.jms_117_21","DOIUrl":"https://doi.org/10.4103/jms.jms_117_21","url":null,"abstract":"Background and Objectives: Vulvovaginal candidiasis (VVC) is one of the most common vaginal infections during fertile period of women. An increase in the prevalence of non-albicans Candida which are resistant to commonly used antifungals has been documented. Therefore, studying the antifungal susceptibility pattern of the causative agents is of great significance in successfully treating the ailment and understanding the local data. Materials and Methods: Forty-six Candida spp. isolated from VVC patients were subjected to antifungal minimum inhibitory concentration testing for itraconazole, fluconazole, and voriconazole using E-test method. Results: Candida albicans and Candida glabrata showed 87.8% and 60% sensitivity, respectively, to itraconazole. Twenty percent of Candida parapsilosis and 40% of C. glabrata were resistant to fluconazole. Voriconazole showed higher sensitivity with 0.013 μg/ml as the minimum concentration to inhibit all Candida spp. C. glabrata noted higher minimum inhibitory concentrations against itraconazole, fluconazole, and voriconazole. Interpretation and Conclusion: Voriconazole is the drug of choice in case of fluconazole treatment failure among VVC.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"98 - 102"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43689917","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}
Angiomatoid fibrous histiocytoma (AFH) is one of the spindle cell neoplasms having fibroblast and myofibroblast origin. The perineoscrotal region is an uncommon site for such tumors and never reported in the literature. We present a 31-year-old gentleman presented with a painless, rapidly growing scrotal swelling for 2 months duration. Guided core needle biopsy demonstrated spindle cell neoplasm; regional magnetic resonance imaging (MRI) revealed a large mass extending from the perineum to inter-testicular space within the scrotal sac. After staging evaluation, he underwent en bloc resection of the tumor. Histopathology showed features of AFH which is supported by immunohistostains positivity to smooth muscle actin, clusters differentiation (CD) 68, CD99, and desmin. Despite any adjuvant treatment, he remained disease-free on follow-up MRI for 4 years. AFH can also have an unusual origin from perineoscrotum, and it grows rapidly and has a good prognosis.
{"title":"An unusual presentation of angiomatoid fibrous histiocytoma as a perineo-scrotal swelling","authors":"A. Safwan, S. Babu, Rachel B Abraham, A. Thivya","doi":"10.4103/jms.jms_85_21","DOIUrl":"https://doi.org/10.4103/jms.jms_85_21","url":null,"abstract":"Angiomatoid fibrous histiocytoma (AFH) is one of the spindle cell neoplasms having fibroblast and myofibroblast origin. The perineoscrotal region is an uncommon site for such tumors and never reported in the literature. We present a 31-year-old gentleman presented with a painless, rapidly growing scrotal swelling for 2 months duration. Guided core needle biopsy demonstrated spindle cell neoplasm; regional magnetic resonance imaging (MRI) revealed a large mass extending from the perineum to inter-testicular space within the scrotal sac. After staging evaluation, he underwent en bloc resection of the tumor. Histopathology showed features of AFH which is supported by immunohistostains positivity to smooth muscle actin, clusters differentiation (CD) 68, CD99, and desmin. Despite any adjuvant treatment, he remained disease-free on follow-up MRI for 4 years. AFH can also have an unusual origin from perineoscrotum, and it grows rapidly and has a good prognosis.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"122 - 125"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42911725","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}
Shivi Jain, R. Shukla, Madhu Jain, U. Singh, T. Singh
Background: Antral follicle count (AFC) and anti-Mullerian hormone (AMH) have been used as indicators of ovarian reserve in infertile women. There still exists a debate about the association between the two parameters. Objective: The objective of the study was to find out the relationship between AFC and AMH in infertile women. Methods: This was a prospective, hospital-based, cross-sectional study, in which 1083 infertile women (aged 20–40 years) with primary infertility were included. They were divided into four age groups, i.e., Group I (20–24 years), Group II (25–29 years), Group III (30–34 years), and Group IV (35–40 years). AMH and AFC were measured on 3rd day of menstrual cycle. Pearson correlation and linear regression analysis were done to find out the relationship between age, AFC, and AMH. Statistical analysis was done using IBM SPSS Statistics for Windows, version 20 (IBM Corp., Armonk, N.Y., USA). A P < 0.05 was considered statistically significant. Results: There was modest negative correlation of AFC with age (r = −0.476, P < 0.001). AMH showed strong negative correlation with age (r = −0.844, P < 0.001) and modest positive correlation with AFC (r = 0.400, P < 0.001). For separate age groups also, statistically significant correlations (P < 0.05–P < 0.001) were noted between age, AFC, and AMH. Age explained 22.7% variation in AFC and 71.2% variation in AMH. Conclusion: There was a significant correlation between AMH and AFC in infertile women. AFC showed a continuous decline with increasing age. However, AMH increased with age till third decade of life and showed negative correlation with AFC. Thereafter, AMH started decreasing with age and showed positive correlation with AFC.
背景：窦卵泡计数（AFC）和抗苗勒管激素（AMH）已被用作不孕妇女卵巢储备的指标。关于这两个参数之间的联系仍然存在争论。目的：探讨不孕妇女AFC与AMH的关系。方法：这是一项前瞻性的、以医院为基础的横断面研究，纳入1083名原发性不孕的不孕妇女（年龄20-40岁）。他们被分为四个年龄组，即第一组（20–24岁）、第二组（25–29岁）、第一组（30–34岁）和第四组（35–40岁）。在月经周期第3天测量AMH和AFC。采用Pearson相关和线性回归分析，找出年龄、AFC和AMH之间的关系。使用IBM SPSS Statistics for Windows，版本20（IBM Corp.，Armonk，NY，USA）进行统计分析。P＜0.05被认为具有统计学意义。结果：AFC与年龄呈中度负相关（r=-0.476，P<0.001）。AMH与年龄呈强负相关（r=-0.844，P<0.000），与AFC呈中度正相关（r=0.400，P<0.001。年龄解释了AFC 22.7%的变异和AMH 71.2%的变异。结论：不孕妇女AMH与AFC之间存在显著相关性。AFC随着年龄的增长而持续下降。然而，AMH随着年龄的增长而增加，直到生命的第三个十年，并且与AFC呈负相关。此后，AMH开始随着年龄的增长而下降，并与AFC呈正相关。
{"title":"Correlation between antral follicle count and anti-Mullerian hormone in infertile Indian women","authors":"Shivi Jain, R. Shukla, Madhu Jain, U. Singh, T. Singh","doi":"10.4103/jms.jms_126_21","DOIUrl":"https://doi.org/10.4103/jms.jms_126_21","url":null,"abstract":"Background: Antral follicle count (AFC) and anti-Mullerian hormone (AMH) have been used as indicators of ovarian reserve in infertile women. There still exists a debate about the association between the two parameters. Objective: The objective of the study was to find out the relationship between AFC and AMH in infertile women. Methods: This was a prospective, hospital-based, cross-sectional study, in which 1083 infertile women (aged 20–40 years) with primary infertility were included. They were divided into four age groups, i.e., Group I (20–24 years), Group II (25–29 years), Group III (30–34 years), and Group IV (35–40 years). AMH and AFC were measured on 3rd day of menstrual cycle. Pearson correlation and linear regression analysis were done to find out the relationship between age, AFC, and AMH. Statistical analysis was done using IBM SPSS Statistics for Windows, version 20 (IBM Corp., Armonk, N.Y., USA). A P < 0.05 was considered statistically significant. Results: There was modest negative correlation of AFC with age (r = −0.476, P < 0.001). AMH showed strong negative correlation with age (r = −0.844, P < 0.001) and modest positive correlation with AFC (r = 0.400, P < 0.001). For separate age groups also, statistically significant correlations (P < 0.05–P < 0.001) were noted between age, AFC, and AMH. Age explained 22.7% variation in AFC and 71.2% variation in AMH. Conclusion: There was a significant correlation between AMH and AFC in infertile women. AFC showed a continuous decline with increasing age. However, AMH increased with age till third decade of life and showed negative correlation with AFC. Thereafter, AMH started decreasing with age and showed positive correlation with AFC.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"87 - 91"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48676891","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":"Characteristics of COVID-19 vaccine-associated hypermetabolic lymphadenopathy, a new problem in cancer screening by 18F-fludeoxyglucose positron emission tomography-computed tomography: A preliminary summary","authors":"R. Mungmunpuntipantip, V. Wiwanitkit","doi":"10.4103/jms.jms_83_21","DOIUrl":"https://doi.org/10.4103/jms.jms_83_21","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"126 - 126"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45330630","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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