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Outbreak of respiratory syncytial virus infection during COVID-19 strict control: An implication in pediatrics 新冠肺炎严格控制期间呼吸道合胞病毒感染的爆发:对儿科的影响
Q4 Medicine Pub Date : 2021-05-01 DOI: 10.4103/jms.jms_52_21
B. Joob, V. Wiwanitkit
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引用次数: 0
Multifocal sarcomatoid urothelial carcinoma of the renal pelvicalyceal system and ureter: A diagnostic dilemma 肾盂肾盂系统和输尿管的多灶肉瘤样尿路上皮癌:诊断困境
Q4 Medicine Pub Date : 2021-05-01 DOI: 10.4103/jms.jms_103_20
A. Nangia, S. Sehgal
Sarcomatoid urothelial carcinomas (SUCs) are characterized by intimately mixed malignant epithelial and malignant mesenchymal components. We present a case of a multifocal SUC in the left pelvicalyceal system of the kidney and the left ureter. SUC although rare should be included in the differential diagnosis of multifocal tumors of the renal pelvis and ureter. Immunohistochemistry is essential to confirm the diagnosis and rule out other differentials including pure sarcoma, sarcomatoid variant of renal cell carcinoma, and pseudosarcomatous mesenchymal proliferation.
肉瘤样尿路上皮癌(SUCs)的特征是恶性上皮和恶性间充质成分紧密混合。我们报告了一个多灶性SUC在肾脏和左侧输尿管的左肾盂系统。SUC虽然罕见,但应纳入肾盂和输尿管多灶性肿瘤的鉴别诊断。免疫组织化学对于确认诊断和排除其他差异至关重要,包括纯肉瘤、肾细胞癌的肉瘤样变体和假肉瘤间充质增殖。
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引用次数: 1
Crossed testicular ectopia: A report of two cases 交叉睾丸异位2例报告
Q4 Medicine Pub Date : 2021-05-01 DOI: 10.4103/jms.jms_40_21
Puja Ganguly, P. Halder, P. Chakraborty, K. Mandal
The term “crossed testicular ectopia” (CTE) means the deviation from the normal path of descent resulting in unilaterality of both testes. The condition is mostly detected incidentally during repair of inguinal hernia or laparoscopic evaluation of impalpable undescended testis. Preoperative identification of this anomaly is feasible during the clinicoradiological evaluation of the genito-urinary abnormalities. Orchiopexy (transeptal/extraperitoneal transposition/laparoscopy-assisted) is the mode of surgical management. We present here two cases of CTE where laparoscopy-assisted trans-inguinal orchiopexy was done.
术语“交叉睾丸异位”(CTE)是指偏离正常下降路径导致双睾丸单侧。这种情况通常是在修补腹股沟疝或腹腔镜检查隐睾时偶然发现的。在泌尿生殖系统异常的临床放射学评估中,这种异常的术前识别是可行的。睾丸切除术(经隔/腹膜外移位/腹腔镜辅助)是手术治疗的模式。我们在此报告两例经腹腔镜辅助的经腹股沟睾丸切除术的CTE病例。
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引用次数: 0
Efficacy of thumb abduction orthosis versus local methylprednisolone acetate injection in De Quervain's tenosynovitis: A randomized controlled trial 拇指外展矫形器与醋酸甲基强的松龙局部注射治疗De Quervain肌腱滑膜炎的疗效:一项随机对照试验
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.4103/jms.jms_125_20
R. Das, N. Bimol, D. Deb, S. Meethal, Y. Singh
Context: De Quervain's disease tenosynovitis is a painful inflammation of tendons on the side of the wrist at the base of the thumb. The most common cause is chronic overuse. It can be self-limited and may resolve without intervention. For those individuals with persistent symptoms, nonsurgical modalities such as rest, massage, cold and heat application, splinting, physical therapy, systemic anti-inflammatory drugs, and corticosteroid injections have been tried with variable success. Aims: The aim of this study was conducted to compare the efficacy of thumb abduction orthosis with local methylprednisolone acetate injection for the management of De Quervain's tenosynovitis. Settings and Design: A randomized controlled study was conducted from September 2017 to August 2019, in the Physical Medicine and Rehabilitation Department of a tertiary hospital in Imphal, Manipur. Subjects and Methods: In Group 1, thumb abduction orthosis was applied, and in Group 2, injection methylprednisolone acetate was given in the first dorsal compartment. Treatment effectiveness was measured by visual analog Scale (VAS) for pain and Quick disabilities score of the Arm, Shoulder, and Hand (quick DASH) for functional assessment. Follow-up assessment was done at 1 month, 3 months, and 6 months. Statistical Analysis: Chi-square test, independent t-test, and paired t-test were used for analysis. Results: Out of the total 60 patients, 51 patients were females and 9 were males. There was a significant improvement in both mean VAS scores and Quick DASH scores in both the groups. At 1-month of follow-up, VAS and Quick DASH score in control group significantly improved compared to study group (P < 0.05). However, there was no statistically significant differences between the two groups at 3 months and 6 months follow-up period (P > 0.05). Conclusions: Although methylprednisolone acetate injection has an excellent outcome, thumb abduction orthosis can be an alternative treatment option for De Quervain's disease.
背景:德·奎尔万病肌腱滑膜炎是一种疼痛的拇指根部手腕侧肌腱炎症。最常见的原因是长期过度使用。它可以是自我限制的,并且可以在没有干预的情况下解决。对于那些有持续症状的人,已经尝试了非手术方式,如休息、按摩、冷热应用、夹板固定、物理治疗、全身抗炎药和皮质类固醇注射,并取得了不同的成功。目的:本研究旨在比较拇指外展矫形器与醋酸甲基强的松龙局部注射治疗De Quervain肌腱滑膜炎的疗效。设置和设计:2017年9月至2019年8月,在曼尼普尔邦英帕尔一家三级医院的物理医学和康复科进行了一项随机对照研究。受试者和方法:第一组采用拇指外展矫形器,第二组在第一背侧室注射醋酸甲基强的松龙。通过疼痛的视觉模拟量表(VAS)和功能评估的手臂、肩膀和手的快速残疾评分(快速DASH)来衡量治疗效果。随访评估分别在1个月、3个月和6个月进行。统计分析:采用卡方检验、独立t检验和配对t检验进行分析。结果:60例患者中,女性51例,男性9例。两组的平均VAS评分和Quick DASH评分均有显著改善。在随访1个月时,对照组的VAS和Quick DASH评分与研究组相比有显著改善(P<0.05)。然而,在3个月和6个月的随访期,两组之间没有统计学上的显著差异(P>0.05),拇指外展矫形器可以作为治疗De Quervain病的替代选择。
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引用次数: 1
Safety of COVID-19 vaccine in the patient with history of drug allergy: An issue to be monitored 新冠肺炎疫苗在有药物过敏史患者中的安全性:一个需要监测的问题
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.4103/jms.jms_55_21
P. Sookaromdee, V. Wiwanitkit
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引用次数: 0
Candida parapsilosis: A rare cause of arthritis and its successful treatment with oral fluconazole 副平滑念珠菌:一种罕见的关节炎病因及其口服氟康唑的成功治疗
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.4103/jms.jms_77_21
N. Devi, K. Devi, K. Singh Akoijam, P. Devi, L. Singh
Fungal arthritis is a rare condition, often missed and underreported. Among all Candida species, Candida parapsilosis is a rare cause. A 66-year-old male with a history of arthritis on and off for the past 3 years and treated symptomatically presented with acute pain and swelling of the left knee joint for 1 week. Synovial fluid examination revealed yeast-like structures and fungal culture showed growth of Candida spp. VITEK 2 compact identified it as Candida famata but matrix-assisted laser desorption ionization–time of flight mass spectrometry assay confirmed it as C. parapsilosis. This is a rare case of nonalbicans candida arthritis, especially in this part of the country.
真菌性关节炎是一种罕见的疾病,经常被忽视和低估。在所有念珠菌种类中,假丝酵母菌病是一种罕见的原因。66岁男性,过去3年断断续续有关节炎病史,经治疗后表现为左膝关节急性疼痛和肿胀1周。滑液检查显示酵母样结构,真菌培养显示念珠菌生长,VITEK 2 compact鉴定为famata念珠菌,基质辅助激光解吸电离飞行时间质谱分析证实为C. parapsilosis。这是一个罕见的非白色念珠菌关节炎的情况下,特别是在这个国家的一部分。
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引用次数: 0
New COVID-19 vaccines and new COVID-19 variants: A long way for COVID-19 containment? 新冠肺炎新疫苗和新冠肺炎新变种:遏制新冠肺炎还有很长的路要走?
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.4103/jms.jms_31_21
Rujittika Mungmungpuntipantip, V. Wiwanitkit
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引用次数: 0
Platelet function disorder in women with heavy menstrual bleeding in Eastern Uttar Pradesh 北方邦东部月经大量出血妇女的血小板功能障碍
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.4103/jms.jms_53_21
Shuchi Jain, N. Agrawal, V. Tilak, Ekhlak Mohammad, D. Dash, Madhu Jain
Background: Platelet function disorder (PFD) is turning out to be a major cause of heavy menstrual bleeding (HMB) in women. One should suspect for this entity and should look for it in all girls who have this issue since menarche to impart proper management. Objectives: This study was carried out to find the incidence of PFD in Patients with HMB referred to our tertiary care teaching hospital. Materials and Methods: Platelet aggregation in response to ristocetin-induced platelet aggregation (RIPA), Adrenaline, adenosine diphosphate, and Collagen was studied in 50 women with HMB and in the equal number of age-matched healthy women. Bleeding time and Platelet count were also measured. Results: Glanzmann's thrombasthenia (GT) was detected in 5 and Bernard Soulier Syndrome (BSS) in 2 women with HMB. Macrothrombocytopenia was observed in BSS. RIPA was also significantly reduced in BSS but normal in GT. Coagulopathies should always be doubted in the presence of significant anemia. One should carry out the Platelet function studies when screening parameters like prothrombin time, partial thromboplastin time, von Willebrand factor , and factor VIII activity level are normal. Normal platelet count and morphology in addition suggest functional defects in platelets which can be detected by various aggregation studies, electron microscopy, flow cytometry, and thromboelastography. Conclusion: The clinicians treating women with HMB should be aware of PFD as an important etiology and the platelet function should be studied in all women with HMB in a phase-wise manner in order not to miss the diagnosis and also to make it more cost-effective.
背景:血小板功能障碍(PFD)被证明是女性重度月经出血(HMB)的主要原因。人们应该怀疑这个实体,应该在所有初潮以来有这个问题的女孩身上寻找它,以传授适当的管理方法。目的:本研究旨在了解转介至我院三级护理教学医院的HMB患者PFD的发生率。材料与方法:在50名HMB女性和同等数量的年龄匹配的健康女性中研究了利司他汀诱导的血小板聚集(RIPA)、肾上腺素、二磷酸腺苷和胶原蛋白的血小板聚集反应。同时测定出血时间和血小板计数。结果:HMB患者5例检出Glanzmann血栓减少症(GT), 2例检出Bernard Soulier综合征(BSS)。BSS患者有大量血小板减少症。在BSS患者中,RIPA也显著降低,但在GT患者中则正常。在存在明显贫血的情况下,凝血功能障碍应始终受到怀疑。当筛查参数如凝血酶原时间、部分凝血活酶时间、血管性血友病因子、因子VIII活性水平正常时,应进行血小板功能研究。此外,正常的血小板计数和形态表明血小板存在功能缺陷,这可以通过各种聚集研究、电子显微镜、流式细胞术和血栓弹性成像来检测。结论:临床医生在治疗女性HMB时应意识到PFD是一个重要的病因,应分阶段对所有女性HMB患者进行血小板功能研究,以避免漏诊,并使其更具成本效益。
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引用次数: 0
Media and suicidality during the surge of Thai student suicides in 2019: A hospital-based study 2019年泰国学生自杀激增期间的媒体与自杀:一项基于医院的研究
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.4103/jms.jms_29_21
Chonnakarn Jatchavala, Suchawadee Pongthanawisut
Background: During the 2 months of February and March 2019, more than 10 Thai university students were official reported to have committed suicide, which may impact on others' suicidality. Aims: This study aims to examine media and other factors influenced suicidal ideation among Thai university students, during the crisis of suicidal height in March–April 2019. Methods: The study was of a retrospective and cross-sectional design. Patients, who were university students and accessed the psychiatric outpatient clinic in March–April 2019, were recruited. Data collected by the hospital's databased system included patient profiles, perceptions of media influencing suicidality, and the Thai version of the suicide screening test. Results: Of the 68 participants, most participants were female (75.0%). They mostly stated that they were at a high risk of suicide (35.0%); whereas those who reported that the media influenced them were shown to have 3.5 times, higher risk of suicide (P = 0.012). Moreover, the moderate risk of suicide was statistically significantly associated with media, while other variables did not associate with suicidal risk (P = 0.03). Conclusion: During the crisis of copycat suicides, among Thai university students; most of whom were psychiatric outpatients, were at high risk for suicide. In addition, those who reported that the media had influenced them demonstrated a higher risk of suicide. Moreover, those who were at moderate risk for suicide were significantly associated with media.
背景:在2019年2月和3月的两个月里,官方报告有10多名泰国大学生自杀,这可能会影响其他人的自杀行为。目的:本研究旨在调查2019年3-4月泰国大学生在自杀高度危机期间影响自杀意念的媒体和其他因素。方法:本研究采用回顾性和横断面设计。患者是大学生,于2019年3月至4月进入精神科门诊。医院数据库系统收集的数据包括患者档案、对影响自杀的媒体的看法以及泰国版的自杀筛查测试。结果:在68名参与者中,大多数参与者是女性(75.0%),他们大多表示自己有自杀的高风险(35.0%);而那些报道媒体影响他们的人自杀的风险是媒体的3.5倍(P=0.012)。此外,中等自杀风险与媒体显著相关,而其他变量与自杀风险无关(P=0.03)。结论:在模仿自杀危机期间,在泰国大学生中;其中大多数是精神科门诊患者,自杀风险很高。此外,那些报道媒体影响他们的人自杀的风险更高。此外,那些有中等自杀风险的人与媒体有着显著的联系。
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引用次数: 0
Knowledge, attitude, and practice toward COVID-19 among the general public in Manipur: A cross-sectional survey 曼尼普尔普通公众对新冠肺炎的知识、态度和实践:一项横断面调查
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.4103/jms.jms_71_21
S. Konjengbam, Madhubala Phurailatpam, J. Laishram, V. Loukrakpam, Pooja Akoijam, Sushma Khuraijam
Introduction: Various measures have been adopted to control the rapid spread of the ongoing COVID-19 epidemic in the state. Adherence to control measures by the population is influenced by their knowledge, attitudes, and practices (KAP) toward COVID-19. Objective: The objective of this study was to determine KAP toward COVID-19 among the general public of Manipur. Methods: A semi-structured questionnaire was used to interview the study participants. The demographics and KAP of the participants were investigated. Chi-square test and t-test were used for statistical analysis. Results: Out of the total participants (n = 398), 240 (60.3%) were female. One hundred and seventeen (29.4%) participants have adequate knowledge regarding COVID-19. The number of participants who have adequate knowledge was significantly more among males, those residing in plain districts, those residing in rural areas, and among those who studied up to graduate and above. The study also showed that attitude toward practicing more hand hygiene during infectious disease outbreaks was significantly associated with residence, education, religion, and occupation. A significant association was also observed between the preventive practices and knowledge, gender, district, residence, and education. Conclusion: Nearly one-third of the participants have good knowledge and positive attitude. However, when coming to practice, a little more than one-tenth of the study participants practiced preventive behaviors all the time. Knowledge on COVID-19 and practice of preventive behaviors were significantly associated with gender, district, residence, education, and occupation. The results of this study can help to identify the specific target groups with low KAP with well-planned, tailored strategies.
简介:已采取各种措施控制新冠肺炎疫情在该州的迅速蔓延。民众对控制措施的遵守程度受其对新冠肺炎的知识、态度和实践(KAP)的影响。目的:本研究旨在确定曼尼普尔普通公众对新冠肺炎的KAP。方法:采用半结构化问卷对研究对象进行访谈。对参与者的人口统计学和KAP进行了调查。采用卡方检验和t检验进行统计分析。结果:在总共398名参与者中,240名(60.3%)为女性。一百一十七名(29.4%)参与者对新冠肺炎有足够的了解。男性、居住在平原地区的人、居住在农村地区的人以及学习到研究生及以上的人中,掌握足够知识的参与者人数要多得多。研究还表明,在传染病爆发期间,人们对多洗手的态度与居住地、教育、宗教和职业显著相关。预防措施与知识、性别、地区、居住地和教育之间也存在显著关联。结论:近三分之一的参与者具有良好的知识和积极的态度。然而,在练习时,略多于十分之一的研究参与者一直在练习预防行为。新冠肺炎知识和预防行为实践与性别、地区、居住地、教育和职业显著相关。这项研究的结果有助于通过精心规划、量身定制的策略来确定KAP低的特定目标群体。
{"title":"Knowledge, attitude, and practice toward COVID-19 among the general public in Manipur: A cross-sectional survey","authors":"S. Konjengbam, Madhubala Phurailatpam, J. Laishram, V. Loukrakpam, Pooja Akoijam, Sushma Khuraijam","doi":"10.4103/jms.jms_71_21","DOIUrl":"https://doi.org/10.4103/jms.jms_71_21","url":null,"abstract":"Introduction: Various measures have been adopted to control the rapid spread of the ongoing COVID-19 epidemic in the state. Adherence to control measures by the population is influenced by their knowledge, attitudes, and practices (KAP) toward COVID-19. Objective: The objective of this study was to determine KAP toward COVID-19 among the general public of Manipur. Methods: A semi-structured questionnaire was used to interview the study participants. The demographics and KAP of the participants were investigated. Chi-square test and t-test were used for statistical analysis. Results: Out of the total participants (n = 398), 240 (60.3%) were female. One hundred and seventeen (29.4%) participants have adequate knowledge regarding COVID-19. The number of participants who have adequate knowledge was significantly more among males, those residing in plain districts, those residing in rural areas, and among those who studied up to graduate and above. The study also showed that attitude toward practicing more hand hygiene during infectious disease outbreaks was significantly associated with residence, education, religion, and occupation. A significant association was also observed between the preventive practices and knowledge, gender, district, residence, and education. Conclusion: Nearly one-third of the participants have good knowledge and positive attitude. However, when coming to practice, a little more than one-tenth of the study participants practiced preventive behaviors all the time. Knowledge on COVID-19 and practice of preventive behaviors were significantly associated with gender, district, residence, education, and occupation. The results of this study can help to identify the specific target groups with low KAP with well-planned, tailored strategies.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"18 - 23"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45667037","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}
引用次数: 0
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JMS - Journal of Medical Society
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