Objective: To compare the overweight and obesity status and associated factors among children of government and private schools in district Peshawar. Materials and Methods: A cross-sectional analytical study was conducted from February 2020 to October 2022.A sample size of 300 school-going children between ages 6-15 years from 30 different schools of Peshawar using a multistage sampling technique. The data were gathered on a structured questionnaire. SPSS version 24 was used for data analysis. Results: The mean age of the children ranged from 15.64 ± 0.48 S.D. 125(41.7%) of the children were from Government schools and 175(58.3%) were from Private Schools. Among 3oo study participants 16(53%) were males and 139(46%) were females. overweight and obesity among government and private school children were 9(36.0%),7 (33.3%) and 16 (64.0%), and 14 (66.7%) respectively(p-value=0.01). Among the Overweight and obese groups respectively there was a positive relationship between the consumption of eggs(r=0.165, p = 0.004), and fried food (r=0.180, p = 0.002). The Duration of Outdoor Sports was inversely related to overweight and obesity (r=0-.333**, P = 0.000). Conclusion: Comparison between overweight and obesity among both groups shows significant differences due to the mandatory lifestyles of private school children. Both obesity and overweight had an inverse relation with the intensity and duration of physical activities. Effective strategies targeting overweight and obese children are required to make them healthy. Keywords: Obesity, BMI, Children
{"title":"OVERWEIGHT, OBESITY AND ITS ASSOCIATED RISK FACTORS AMONG SCHOOL GOING CHILDREN OF PESHAWAR, KHYBER PAKHTUNKHWA, PAKISTAN","authors":"Syed Ghyasuddin, Waqar Ali, K. Khalil","doi":"10.52764/jms.22.30.4.3","DOIUrl":"https://doi.org/10.52764/jms.22.30.4.3","url":null,"abstract":"Objective: \u0000To compare the overweight and obesity status and associated factors among children of government and private schools in district Peshawar.\u0000Materials and Methods: \u0000A cross-sectional analytical study was conducted from February 2020 to October 2022.A sample size of 300 school-going children between ages 6-15 years from 30 different schools of Peshawar using a multistage sampling technique. The data were gathered on a structured questionnaire. SPSS version 24 was used for data analysis.\u0000Results: \u0000The mean age of the children ranged from 15.64 ± 0.48 S.D. 125(41.7%) of the children were from Government schools and 175(58.3%) were from Private Schools. Among 3oo study participants 16(53%) were males and 139(46%) were females. overweight and obesity among government and private school children were 9(36.0%),7 (33.3%) and 16 (64.0%), and 14 (66.7%) respectively(p-value=0.01). Among the Overweight and obese groups respectively there was a positive relationship between the consumption of eggs(r=0.165, p = 0.004), and fried food (r=0.180, p = 0.002). The Duration of Outdoor Sports was inversely related to overweight and obesity (r=0-.333**, P = 0.000).\u0000Conclusion:\u0000Comparison between overweight and obesity among both groups shows significant differences due to the mandatory lifestyles of private school children. Both obesity and overweight had an inverse relation with the intensity and duration of physical activities. Effective strategies targeting overweight and obese children are required to make them healthy.\u0000Keywords:\u0000Obesity, BMI, Children\u0000 ","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43932890","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 : 2022-11-01DOI: 10.4103/jmedsci.jmedsci_268_21
Fang-Chin Hsu, Hsin-Mei Pan, Teng‐Wei Chen, K. Hsu
Large paraesophageal hiatal hernia, which is a type III hiatal hernia, involves the combined herniation of both the esophagogastric junction and fundus. Different symptoms are noted in patient with hiatal hernia, the most common being gastroesophageal reflux disease-related symptoms. Herein, we present two cases of large paraesophageal hiatal hernia with symptoms mimicking cardiopulmonary disease, which were successfully treated by laparoscopic hernia repair.
{"title":"Successful laparoscopic repair for large paraesophageal hiatal hernia presenting cardiopulmonary problems: Two case reports","authors":"Fang-Chin Hsu, Hsin-Mei Pan, Teng‐Wei Chen, K. Hsu","doi":"10.4103/jmedsci.jmedsci_268_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_268_21","url":null,"abstract":"Large paraesophageal hiatal hernia, which is a type III hiatal hernia, involves the combined herniation of both the esophagogastric junction and fundus. Different symptoms are noted in patient with hiatal hernia, the most common being gastroesophageal reflux disease-related symptoms. Herein, we present two cases of large paraesophageal hiatal hernia with symptoms mimicking cardiopulmonary disease, which were successfully treated by laparoscopic hernia repair.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"293 - 295"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43739164","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 : 2022-11-01DOI: 10.4103/jmedsci.jmedsci_262_20
S. Shobika, B. Jagadeesh
Background: The calcaneus bone (heel bone) has angles called the Bohler's angle (BA) and the Gissane angle (GA). Estimation of the normal values of these angles can help in their surgical reduction and in restoring the function of the bone in calcaneal fractures. Aim: Our aim is to evaluate the normal limits of BA and GA from lateral view radiographs of the foot of patients presenting to a tertiary care center and also assess the distribution of these parameters with respect to age, sex, and side of the body and also compare them with literature. Methods: A retrospective study was done on 100 randomly selected patients with intact calcaneus bone attending the Department of Orthopedics of our Tertiary Care Hospital between January 2020 and March 2020. Lateral plain radiographs of both feet are obtained and the angles are calculated by two observers using a goniometer and pencil. Mean BA and GA were calculated and their relationship with age, sex, and side of the body were assessed. The SPSS (Statistical Package for Social Sciences. IBM corp, Armonk, NY, USA) software was used. Unpaired t-test for correlation between the mean of angles with gender and with side of the body and one-way ANOVA test was done for correlation between the mean of angles with age. Results: The mean value of BA in our study was 30.03° ±5.09° (range: 20.2°–42.3°) and mean GA was 123.57° ±7.53° (range: 101.5°–135.3°). No statistically significant variations were found for sex (BA: P = 0.2108; GA: P = 0.2172), age groups (BA: P = 0.6003; GA: P = 0.2275), and side of body (BA: P = 0.1819; GA: P = 0.0602). Conclusion: Variations of statistical significance were present between the results of our study with that of other studies in the past. The values obtained from our study can be used as a reference standard for use by orthopedic surgeons in the treatment of calcaneal fractures for Chennai population.
{"title":"Evaluation of normal calcaneal angles in chennai population","authors":"S. Shobika, B. Jagadeesh","doi":"10.4103/jmedsci.jmedsci_262_20","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_262_20","url":null,"abstract":"Background: The calcaneus bone (heel bone) has angles called the Bohler's angle (BA) and the Gissane angle (GA). Estimation of the normal values of these angles can help in their surgical reduction and in restoring the function of the bone in calcaneal fractures. Aim: Our aim is to evaluate the normal limits of BA and GA from lateral view radiographs of the foot of patients presenting to a tertiary care center and also assess the distribution of these parameters with respect to age, sex, and side of the body and also compare them with literature. Methods: A retrospective study was done on 100 randomly selected patients with intact calcaneus bone attending the Department of Orthopedics of our Tertiary Care Hospital between January 2020 and March 2020. Lateral plain radiographs of both feet are obtained and the angles are calculated by two observers using a goniometer and pencil. Mean BA and GA were calculated and their relationship with age, sex, and side of the body were assessed. The SPSS (Statistical Package for Social Sciences. IBM corp, Armonk, NY, USA) software was used. Unpaired t-test for correlation between the mean of angles with gender and with side of the body and one-way ANOVA test was done for correlation between the mean of angles with age. Results: The mean value of BA in our study was 30.03° ±5.09° (range: 20.2°–42.3°) and mean GA was 123.57° ±7.53° (range: 101.5°–135.3°). No statistically significant variations were found for sex (BA: P = 0.2108; GA: P = 0.2172), age groups (BA: P = 0.6003; GA: P = 0.2275), and side of body (BA: P = 0.1819; GA: P = 0.0602). Conclusion: Variations of statistical significance were present between the results of our study with that of other studies in the past. The values obtained from our study can be used as a reference standard for use by orthopedic surgeons in the treatment of calcaneal fractures for Chennai population.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"255 - 258"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44376288","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 : 2022-11-01DOI: 10.4103/jmedsci.jmedsci_96_21
Bo-Ren Wang, C. Yi, Hsin-Hsuan Cheng, Jane-Dar Lee
Condyloma acuminatum is one of the most commonly occurring sexually transmitted diseases, caused by the human papillomavirus. We report the case of a male with intraurethral condyloma acuminata treated through electrocauterization. He presented to our genitourinary outpatient department with several days of painless gross hematuria. Patient history indicated 3 years of ongoing hemodialysis and a prior ureteroscopy. Multiple intraurethral tumors and bulbar urethral strictures were found by cystoscopy. Eventually, the patient underwent transurethral resection with electrocauterization. The patient recovered well, and there was no evidence of recurrence at the 1-year follow-up consultation. While there are many different methods for the treatment of intraurethral condyloma acuminata, panurethral condyloma acuminata are rare and difficult to treat. Here, we report a case of panurethral condyloma acuminata where urethroscopy with electrocauterization, without the use of the cutting mode, was performed with rapid, safe, and effective results.
{"title":"Intraurethral condyloma acuminata treated with electrocauterization without the use of cutting mode: A case report and literature review","authors":"Bo-Ren Wang, C. Yi, Hsin-Hsuan Cheng, Jane-Dar Lee","doi":"10.4103/jmedsci.jmedsci_96_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_96_21","url":null,"abstract":"Condyloma acuminatum is one of the most commonly occurring sexually transmitted diseases, caused by the human papillomavirus. We report the case of a male with intraurethral condyloma acuminata treated through electrocauterization. He presented to our genitourinary outpatient department with several days of painless gross hematuria. Patient history indicated 3 years of ongoing hemodialysis and a prior ureteroscopy. Multiple intraurethral tumors and bulbar urethral strictures were found by cystoscopy. Eventually, the patient underwent transurethral resection with electrocauterization. The patient recovered well, and there was no evidence of recurrence at the 1-year follow-up consultation. While there are many different methods for the treatment of intraurethral condyloma acuminata, panurethral condyloma acuminata are rare and difficult to treat. Here, we report a case of panurethral condyloma acuminata where urethroscopy with electrocauterization, without the use of the cutting mode, was performed with rapid, safe, and effective results.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"282 - 284"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44081211","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 : 2022-11-01DOI: 10.4103/JMEDSCI.JMEDSCI_28_21
Chun-Lin Kuo, C. Liang, Y. Sung, Chia-Kuang Tsai
{"title":"An extremely low dosage of baclofen-induced neurotoxicity in a patient with end-stage renal disease and parkinsonism","authors":"Chun-Lin Kuo, C. Liang, Y. Sung, Chia-Kuang Tsai","doi":"10.4103/JMEDSCI.JMEDSCI_28_21","DOIUrl":"https://doi.org/10.4103/JMEDSCI.JMEDSCI_28_21","url":null,"abstract":"","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"296 - 298"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45579501","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 : 2022-11-01DOI: 10.4103/jmedsci.jmedsci_18_21
S. Chuang, Jo Wei Wu, C. Wang
Background: People with mental illness often experienced sleep disturbances. Physical activity and psychological factors may be associated with sleep quality among people with mental illness. Aim: The purpose of this study was to assess the association between physical activity (PA), psychological distress, perceived stress, and sleep quality in people with mental illness. Methods: Sixty-seven people with schizophrenia, major depressive disorder, and dysthymia were enrolled in the study group. All participants completed the International PA Questionnaire, Kessler psychological distress Scale, the Perceived Stress Scale, and the Pittsburgh Sleep Quality Index (PSQI). Results: The results revealed that moderate metabolic equivalent task (MET)-minutes/week (min/wk) and psychological distress accounted for 39% of the variance in subjective sleep quality. Walking MET-min/wk and psychological distress accounted for 24% of the variance in the use of sleep medication. Vigorous MET-min/wk, psychological distress, and perceived stress accounted for 42% of the variance in daytime dysfunction over the previous month. Psychological distress was a significant related factor for sleep duration (adjusted R[2] = 0.20) and sleep disturbances (adjusted R[2] = 0.33), respectively. A majority of the participants (n = 58, 87%) used sleep medication and most (91%) of them had PSQI ≥5, which was suggestive of sleep problems. Conclusion: Our results indicated that PA, psychological distress, and perceived stress could have impact on different aspects of sleep quality. More research is needed to explore the association between these variables on sleep quality in people with mental illness.
{"title":"Physical activity, psychological distress, perceived stress, and sleep quality in people with schizophrenia and depression: A descriptive cross-sectional study","authors":"S. Chuang, Jo Wei Wu, C. Wang","doi":"10.4103/jmedsci.jmedsci_18_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_18_21","url":null,"abstract":"Background: People with mental illness often experienced sleep disturbances. Physical activity and psychological factors may be associated with sleep quality among people with mental illness. Aim: The purpose of this study was to assess the association between physical activity (PA), psychological distress, perceived stress, and sleep quality in people with mental illness. Methods: Sixty-seven people with schizophrenia, major depressive disorder, and dysthymia were enrolled in the study group. All participants completed the International PA Questionnaire, Kessler psychological distress Scale, the Perceived Stress Scale, and the Pittsburgh Sleep Quality Index (PSQI). Results: The results revealed that moderate metabolic equivalent task (MET)-minutes/week (min/wk) and psychological distress accounted for 39% of the variance in subjective sleep quality. Walking MET-min/wk and psychological distress accounted for 24% of the variance in the use of sleep medication. Vigorous MET-min/wk, psychological distress, and perceived stress accounted for 42% of the variance in daytime dysfunction over the previous month. Psychological distress was a significant related factor for sleep duration (adjusted R[2] = 0.20) and sleep disturbances (adjusted R[2] = 0.33), respectively. A majority of the participants (n = 58, 87%) used sleep medication and most (91%) of them had PSQI ≥5, which was suggestive of sleep problems. Conclusion: Our results indicated that PA, psychological distress, and perceived stress could have impact on different aspects of sleep quality. More research is needed to explore the association between these variables on sleep quality in people with mental illness.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"259 - 266"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41564874","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 : 2022-11-01DOI: 10.4103/jmedsci.jmedsci_220_21
Hsiang‐han Huang, Mei-Hua Hu, Go-Shine Huang
Obstructive sleep apnea (OSA) is a serious sleep disorder. The complications of OSA are respiratory and cardiovascular events, including bradycardia, tachycardia, and even cardiac arrest. A 57-year-old female with OSA was vulnerable to vagal stimulation, developing severe bradycardia and asystole during general anesthesia while undergoing intubation with a conventional direct laryngoscope. This asystole case highlights the fact that anesthetized patients with OSA may experience increased parasympathetic activity (vagal tone) and vagal stimulation with consequent severe bradycardia and asystole. Atropine is recommended to resolve such conditions.
{"title":"Asystole due to vagal reflex in a patient with obstructive sleep apnea during anesthesia intubation with laryngoscope","authors":"Hsiang‐han Huang, Mei-Hua Hu, Go-Shine Huang","doi":"10.4103/jmedsci.jmedsci_220_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_220_21","url":null,"abstract":"Obstructive sleep apnea (OSA) is a serious sleep disorder. The complications of OSA are respiratory and cardiovascular events, including bradycardia, tachycardia, and even cardiac arrest. A 57-year-old female with OSA was vulnerable to vagal stimulation, developing severe bradycardia and asystole during general anesthesia while undergoing intubation with a conventional direct laryngoscope. This asystole case highlights the fact that anesthetized patients with OSA may experience increased parasympathetic activity (vagal tone) and vagal stimulation with consequent severe bradycardia and asystole. Atropine is recommended to resolve such conditions.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"289 - 292"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46343640","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 : 2022-11-01DOI: 10.4103/jmedsci.jmedsci_250_21
Jen-Chun Wang, W. Chien, Chi-Hsiang Chung, Po-Chuan Chen, Chin‐Li Chen, S. Tsai
Background: Beta-blockers are widely used for the treatment of arrhythmia, hypertension, and congestive heart failure. Major trauma causes significant blood loss and subsequent tachycardia and hypotension. Although beta-blockers may induce negative compensatory sympathetic responses to hemorrhagic shock, the effects of beta-blocker use before major trauma on posttrauma outcomes are controversial. Aim: We examined the association between the use of beta-blockers before major trauma and posttrauma outcomes using a nationwide population-based database. Methods: The data for this nationwide population-based retrospective cohort study were obtained from the National Health Insurance Research Database in Taiwan. A total of 2245 beta-blocker users were assigned to the study cohort, and another 8980 patients matched for age, sex, comorbidity, and medication use by inverse probability of treatment weighting formed the comparison cohort. The major outcome assessed was all-cause mortality during a 30-day follow-up period in major trauma patients with or without pretrauma beta-blocker use. Results: Our study included 2245 patients who used beta-blockers before major trauma. Individuals who used beta-blockers did not have a significantly higher cumulative risk of mortality than individuals who did not use beta-blockers (beta-blockers users: 17.19%, nonbeta-blockers users: 16.70%, P = 0.662). Conclusion: Pretrauma beta-blocker users did not have a higher mortality rate after a major trauma even after adjusting for several comorbidities and medications in a nationwide population database.
{"title":"The use of beta-blockers before major trauma and posttrauma outcome: A nationwide population-based study","authors":"Jen-Chun Wang, W. Chien, Chi-Hsiang Chung, Po-Chuan Chen, Chin‐Li Chen, S. Tsai","doi":"10.4103/jmedsci.jmedsci_250_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_250_21","url":null,"abstract":"Background: Beta-blockers are widely used for the treatment of arrhythmia, hypertension, and congestive heart failure. Major trauma causes significant blood loss and subsequent tachycardia and hypotension. Although beta-blockers may induce negative compensatory sympathetic responses to hemorrhagic shock, the effects of beta-blocker use before major trauma on posttrauma outcomes are controversial. Aim: We examined the association between the use of beta-blockers before major trauma and posttrauma outcomes using a nationwide population-based database. Methods: The data for this nationwide population-based retrospective cohort study were obtained from the National Health Insurance Research Database in Taiwan. A total of 2245 beta-blocker users were assigned to the study cohort, and another 8980 patients matched for age, sex, comorbidity, and medication use by inverse probability of treatment weighting formed the comparison cohort. The major outcome assessed was all-cause mortality during a 30-day follow-up period in major trauma patients with or without pretrauma beta-blocker use. Results: Our study included 2245 patients who used beta-blockers before major trauma. Individuals who used beta-blockers did not have a significantly higher cumulative risk of mortality than individuals who did not use beta-blockers (beta-blockers users: 17.19%, nonbeta-blockers users: 16.70%, P = 0.662). Conclusion: Pretrauma beta-blocker users did not have a higher mortality rate after a major trauma even after adjusting for several comorbidities and medications in a nationwide population database.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"267 - 273"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41622515","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 : 2022-11-01DOI: 10.4103/jmedsci.jmedsci_210_21
Vishal Mangal, Jayaraj Hasvi, S. Dey, A. Menon
Spontaneous pyogenic spondylodiscitis (SPS) is an uncommon disease. The most common causative organism of SPS is Staphylococcus aureus, followed by Gram-negative bacilli in 4%–30% of the cases. Polymicrobial SPS is very rare, with only a few cases reported in the literature. We report a case of polymicrobial SPS in a 43-year-old male who was recently diagnosed with autoimmune hepatitis with cirrhosis of the liver and presented with a 1-month history of progressive low backache with radiation to both the legs. Initially, he was managed as a case of Pott's spine with antitubercular therapy on the basis of immunocompromised status with positive ascitic fluid Mycobacterium tuberculosis polymerase chain reaction. However, due to lack of clinical and radiological response after 6 weeks, he underwent computed tomography-guided biopsy of the affected region. The culture from the biopsy specimen yielded Klebsiella oxytoca and Proteus vulgaris. He was managed with culture-sensitive antimicrobials. To the best of our knowledge, this is the first case of polymicrobial SPS caused by K. oxytoca, P. vulgaris, and M. tuberculosis.
{"title":"Polymicrobial spontaneous pyogenic spondylodiscitis: A very rare entity!","authors":"Vishal Mangal, Jayaraj Hasvi, S. Dey, A. Menon","doi":"10.4103/jmedsci.jmedsci_210_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_210_21","url":null,"abstract":"Spontaneous pyogenic spondylodiscitis (SPS) is an uncommon disease. The most common causative organism of SPS is Staphylococcus aureus, followed by Gram-negative bacilli in 4%–30% of the cases. Polymicrobial SPS is very rare, with only a few cases reported in the literature. We report a case of polymicrobial SPS in a 43-year-old male who was recently diagnosed with autoimmune hepatitis with cirrhosis of the liver and presented with a 1-month history of progressive low backache with radiation to both the legs. Initially, he was managed as a case of Pott's spine with antitubercular therapy on the basis of immunocompromised status with positive ascitic fluid Mycobacterium tuberculosis polymerase chain reaction. However, due to lack of clinical and radiological response after 6 weeks, he underwent computed tomography-guided biopsy of the affected region. The culture from the biopsy specimen yielded Klebsiella oxytoca and Proteus vulgaris. He was managed with culture-sensitive antimicrobials. To the best of our knowledge, this is the first case of polymicrobial SPS caused by K. oxytoca, P. vulgaris, and M. tuberculosis.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"42 1","pages":"285 - 288"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46033533","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}
Objective: To explore the study habits of undergraduate medical students and their study schedule strategies. Material and Methods: This was a cross-sectional study conducted on medical students of Khyber Medical College, Peshawar in May 2019. A total of 118 students were invited to participate in the survey using the convenience sampling technique. However, 82 (69%) students returned signed consent forms and were then asked to complete the questionnaire. All respondents provided information about their study schedules and routines. Results: Most of the students who scored between 80 to 90% in their academics tended to study for about 2-4 hours a day, could concentrate for 1-2 hours in one stretch, and switched places during their study. Students scoring above 90% reported studying from 9 to more than 12 hours daily, studied from 2 to more than 3 hours in one stretch and their studies were unaffected by vacations. Conclusion: The students achieving higher academic scores studied regularly for about 2-4 hours daily, could concentrate for 1-2 hours in a stretch, preferred switching places during their study, and took breaks that lasted around 30 minutes. Key Words: Medical students, study skills, academic performance.
{"title":"EXPLORING STUDY HABITS OF MEDICAL STUDENTS IN AN UNDERGRADUATE MEDICAL SCHOOL IN PESHAWAR: A DESCRIPTIVE CROSS-SECTIONAL STUDY","authors":"Haya Mushtaq","doi":"10.52764/jms.22.30.3.10","DOIUrl":"https://doi.org/10.52764/jms.22.30.3.10","url":null,"abstract":"Objective: To explore the study habits of undergraduate medical students and their study schedule strategies. \u0000Material and Methods: This was a cross-sectional study conducted on medical students of Khyber Medical College, Peshawar in May 2019. A total of 118 students were invited to participate in the survey using the convenience sampling technique. However, 82 (69%) students returned signed consent forms and were then asked to complete the questionnaire. All respondents provided information about their study schedules and routines. \u0000Results: Most of the students who scored between 80 to 90% in their academics tended to study for about 2-4 hours a day, could concentrate for 1-2 hours in one stretch, and switched places during their study. Students scoring above 90% reported studying from 9 to more than 12 hours daily, studied from 2 to more than 3 hours in one stretch and their studies were unaffected by vacations. \u0000Conclusion: The students achieving higher academic scores studied regularly for about 2-4 hours daily, could concentrate for 1-2 hours in a stretch, preferred switching places during their study, and took breaks that lasted around 30 minutes. \u0000Key Words: Medical students, study skills, academic performance.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"24 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41247380","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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