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Assessment of Quality of Life among Post-Menopausal Women Visited in Tertiary Care Hospital in Barmer (Rajasthan) 巴默(拉贾斯坦邦)三级医院绝经后妇女生活质量评估
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.og1
S. Khatri, B. Bhati, J. Choudhary, Nirupama Choudhary
Sawai Khatri, Balgopal Singh Bhati, Jogesh Choudhary, Nirupama Choudhary Senior Resident, Department of Obstetrics & Gynaecology, Government Medical College, Barmer, Rajasthan, India, Assistant Professor, Department of Obstetrics & Gynaecology, Government Medical College, Pali, Rajasthan, India, Junior Resident, Department of Obstetrics & Gynaecology, Government Medical College, Barmer, Rajasthan, India.
Sawai Khatri, Balgopal Singh Bhati, Jogesh Choudhary, Nirupama Choudhary印度拉贾斯坦邦巴默政府医学院妇产科高级住院医师,印度拉贾斯坦邦巴利政府医学院妇产科助理教授,印度拉贾斯坦邦巴默政府医学院妇产科初级住院医师。
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引用次数: 0
The Utility of Transbronchial Needle Aspiration and Conventional Diagnostic Procedures in the Diagnosis of Bronchogenic Carcinoma 经支气管针吸与常规诊断方法在支气管源性癌诊断中的应用
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.tb1
M. Mahich, G. Rathi, M. Agrawal
Background: Lung tumours often present as masses or nodules situated beyond the range of even new-generation fibreoptic bronchoscopes. The aim of this study to compare diagnostic yield of TBNA with CDP for diagnosis of Bronchogenic carcinoma. Subjects and Methods: The study was carried out and data were gathered in a prospective fashion and all the data were reviewed retrospectively. All the suspected patients were diagnosed on the basis of clinical, radiological and video bronchoscopic examination (CDP+TBNA); and further diagnosis was confirmed on the basis of histological and / or cytological examination. Results: In the present study, after TBNA & CDP, the overall diagnostic yield for carcinoma was 93% (28/30). CDP was diagnostic in 100% cases of EML and only 70% in SPD. TBNA provided an additional diagnostic yield of 30% in Cases of SPD where CDP was not possible for taking samples, which is seen to be statistically significant (p = 0.02). Conclusion: We conclude that TBNA is a safe procedure that should be routinely used to increase diagnostic yield in patients with EML or SPD.
背景:肺肿瘤常表现为肿块或结节,甚至超出了新一代纤维支气管镜的检查范围。本研究的目的是比较TBNA和CDP诊断支气管源性癌的诊断率。研究对象和方法:本研究以前瞻性方式收集数据,并对所有数据进行回顾性回顾。所有疑似患者均经临床、影像学及支气管镜影像检查(CDP+TBNA)诊断;进一步的诊断是在组织学和/或细胞学检查的基础上确定的。结果:在本研究中,TBNA + CDP后,肿瘤的总体诊断率为93%(28/30)。100%的EML诊断为CDP,而SPD仅为70%。在无法进行CDP取样的SPD病例中,TBNA提供了30%的额外诊断率,这被认为具有统计学意义(p = 0.02)。结论:我们的结论是TBNA是一种安全的程序,应该常规用于提高EML或SPD患者的诊断率。
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引用次数: 0
Assessment of Cases of Cases of Mesenteric Ischaemia with MDCT 多层螺旋ct对肠系膜缺血的评价
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.rd1
Praveen Kumar Monagari
Background: Mesenteric ischaemia comprises a complex, heterogeneous group of disorders that result in inadequate blood supply to the small or large bowel. The present study was conducted to assess the cases of mesenteric ischemia with MDCT. Subjects and Methods: The present study was conducted on 56 cases of mesenteric ischemia of both genders. 128 detector rows Siemens definition AS scanner was used for taking MDCT. Results: Out of 56 patients, males were 32 and females were 24. 26 cases were acute and 30 were chronic patients. The difference was non- significant (P- 0.5). MDCT shows bowel distention in 43 cases, bowel wall thickening in 37, SMA dissection in 48, pneumatosis in 13, SMA thrombosis in 17 and pneumoporta in 17 cases. The difference was significant (P< 0.05). Conclusion: Authors found that MDCT is a newer and best diagnostic tool for the detection of mesenteric ischaemia. Bowel changes are well and accurately seen with MDCT. scanners, a collimation of 0.625 mm and a detector pitch of 1.0–2.0 were used. Sagittal images were obtained for assessing the origin of the mesenteric arteries and their variation. Results were subjected to statistical analysis. P value less than 0.05 was considered significant.
背景:肠系膜缺血是一种复杂的、异质性的疾病,可导致小肠或大肠的血液供应不足。本研究旨在利用多层螺旋ct评估肠系膜缺血病例。对象和方法:本研究对56例男女肠系膜缺血患者进行了研究。采用128行西门子定义AS扫描仪进行多层螺旋ct。结果:56例患者中,男32例,女24例。急性26例,慢性30例。差异无统计学意义(P- 0.5)。MDCT表现为肠胀43例,肠壁增厚37例,SMA剥离48例,肺气肿13例,SMA血栓形成17例,肺气肿17例。差异有统计学意义(P< 0.05)。结论:多层螺旋ct是一种较新的、最好的肠系膜缺血诊断工具。多层螺旋ct能清晰准确地显示肠道变化。扫描器,准直0.625 mm,探测器螺距1.0-2.0。矢状面图像用于评估肠系膜动脉的起源及其变化。结果进行统计分析。P值小于0.05为显著性。
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引用次数: 0
Correlation between Iron Profile of Pregnant Women and Their Newborns: A Cross Sectional Study 孕妇铁谱与其新生儿的相关性:一项横断面研究
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.pe1
G. Kumar, Gunvanti Meena, Bhagwati Lal Bhati
Background: Maternal anemia leads to many adverse effects on the fetuses fetal complications. The mechanisms leading to increased morbidity include a decreased oxygen delivery capacity and the dysfunction of enzymes. The aim of this study to relationship between iron status of pregnant mothers and their newborns using a combination of several hematological parameters. Subjects and Methods: A hospital based descriptive type of observational study done on 50 singleton primi pregnant women at term gestation (37-42 weeks) admitted to labour room in government Medical College and general Hospital, Dungarpur (Raj.). General physical examination was done meticulously to assess maternal conditions regarding anemia such as nutritional status, pallor, edema and glossitis. Results: Our study showed that the male to female ratio was 1.28:1. Normal birth weight in baby was seen in 80% of cases. The spearman correlation of hemoglobin concentration was statistical significant in the newborns of mothers with hemoglobin concentration ( 𝑟 2 = 0.14, 0.50, 0.61 respectively and 𝑃 = 0.0076**, 0.009** & 0.02** respectively). The newborns ferritin level has significant correlation with hemoglobin ( 𝑟 2= 0.142, 𝑃 <0.001) and ferritin ( 𝑟 2= 0.253, 𝑃 < 0.001) levels of their mothers. Conclusion: we can conclude that maternal anemia may have an effect on the iron stores of newborns.
背景:母体贫血会对胎儿造成许多不良影响。导致发病率增加的机制包括氧气输送能力下降和酶功能障碍。本研究的目的是利用几个血液学参数的组合来研究孕妇铁状态与其新生儿之间的关系。对象和方法:一项以医院为基础的描述性观察性研究,对邓加尔普尔(Raj.)政府医学院和总医院产房收治的50名足月妊娠(37-42周)单胎初孕妇女进行了研究。一般体格检查进行了仔细评估产妇的贫血状况,如营养状况,苍白,水肿和舌炎。结果:我们的研究表明,男女比例为1.28:1。80%的病例婴儿出生体重正常。血红蛋白浓度母亲所生新生儿血红蛋白浓度spearman相关性有统计学意义(𝑟2分别= 0.14、0.50、0.61,χ 2 = 0.0076、0.009、0.02**)。新生儿铁蛋白水平与母亲血红蛋白(𝑟2= 0.142,<0.001)、铁蛋白(𝑟2= 0.253,<0.001)水平有显著相关性。结论:母体贫血可能对新生儿铁储备有影响。
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引用次数: 0
Study of Various Morphological Types of Anaemia in Patients With rheumatoid Arthritis and Comparison of Serum Ferritin with Bonemarrow Iron Stores in These Patients. 类风湿关节炎患者不同形态类型贫血的研究及血清铁蛋白与骨髓铁储量的比较
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.me7
Dilip M Pancholi, Shyam Shah, K. Joshi
Background: Anemia is a common extra-articular manifestation in rheumatoid arthritis patients. Its severity roughly parallels the activity of the disease1-2. Chronic disease and iron deficiency are considered to be the most significant causes of anemia 3-5. Anemia of chronic disease is usually confused with iron deficiency anemia due to the low level of iron in blood in both forms of anemia. Subjects and Methods: This study was conducted in Department Of Medicine, C. U. Shah Medical College, Gujarat, India. 68 total number of population were included in this study. The duration of study was over a period of six month. Results: In our study, 68 total numbers of cases were included. Among all cases 58.8 % were male & 41.2% were female. In the present study, 41.2% cases were belongs to 31-40 age group followed by 41-50(35.2%), <30 (11.7%) &>50 (11.7%) age group. This study suggested type of anemia which was found 76.5%Normocytic Normochromic followed by Microcytic Hypochromic 23.5%. Conclusion: Therefore, it can be concluded from the present study that normocytic normochromic anemia is the most common morphological type of anemia in patients with rheumatoid arthritis. And there is a positive correlation between serum ferritin and BMIS in RA patients presenting with anemia. The results of this study also revealed that serum ferritin is an useful index of iron stores in rheumatoid arthritis. Marrow
背景:贫血是类风湿性关节炎患者常见的关节外表现。其严重程度与疾病的活动性大致相当。慢性疾病和缺铁被认为是贫血的最重要原因3-5。慢性疾病性贫血通常与缺铁性贫血相混淆,因为这两种贫血的血液中铁含量都很低。对象与方法:本研究在印度古吉拉特邦c.u.沙阿医学院医学系进行,共纳入68人。研究的持续时间超过6个月。结果:本研究共纳入病例68例。其中男性58.8%,女性41.2%。31-40岁年龄组占41.2%,41-50岁年龄组占35.2%,50岁年龄组占11.7%。本研究提出的贫血类型为常红细胞型,占76.5%,其次为小细胞型,占23.5%。结论:因此,从本研究可以得出,正红细胞正色性贫血是类风湿性关节炎患者最常见的贫血形态类型。伴有贫血的RA患者血清铁蛋白与bmi呈正相关。本研究结果还表明,血清铁蛋白是类风湿关节炎铁储存的有用指标。骨髓
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引用次数: 0
A Prospective Study to the Morphological Variation on Radiological Examination (In Form of Appearance of Ossification Centers in Carpal Bones) in Boys and Girls of Age Group 5 to 12 Years of the Western Rajasthan (Jodhpur) Region 西拉贾斯坦邦(焦特布尔)地区5至12岁年龄组男孩和女孩放射学检查(腕骨骨化中心外观形式)形态学变化的前瞻性研究
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.fm1
Ramratan Bishnoi, Gurusharan Koodi
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引用次数: 0
To Find Out the Incidence of Congenital Malformation in Pregnancies with Polyhydramnios: A Hospital Based Observational Study 羊水过多妊娠先天性畸形发生率的医院观察研究
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.og03
S. Bishnoi, R. Bishnoi, B. Bhati
Background: Polyhydramnios is the term for abnormal increase in the amniotic fluid. The aim of this study to find out the incidence of congenital malformation in pregnancies with polyhydramnios.. Subjects and Methods: This analytical study was conducted on 100 unselected pregnancies attending the antenatal clinic in Department of Obstetrics and Gynecology department of government Medical College and Bangur Hospital Pali, Rajasthan. Pregnancy outcome were recorded for the patients who were classified as having an excess amount of amniotic fluid. Those cases with gross congenital anomalies incompatible with life were advised termination of pregnancy after explaining the risk of procedure. Labor was induced by various methods. The fetal outcome was recorded. Results: In our study there were several confounding factors affecting the occurrence of polyhydramnios. Out of 100 cases 22 (22%) were placental abruption, body weight gain of >20 kg were present in 30 cases (30%). 28 cases (28%) were not associated with any confounding factors. Out of which 21% cases were of preterm labor, 6% were of acute abdominal pain, 7% were of PROM, 4% were of IUFD, 4% were of cord prolapsed, 5% were of PPH, 53% cases were not associated with any maternal complications. Conclusion: We concluded that amniotic fluid index is the guiding tool for early diagnosis of congenital anomalies and early obstetrics intervention. This further helps in reducing the rate of maternal complications of polyhydramnios.
背景:羊水过多是指羊水异常增多。本研究旨在了解羊水过多妊娠中先天性畸形的发生率。对象与方法:本研究对拉贾斯坦邦巴利邦政府医学院妇产科门诊和班古尔医院产前门诊的100例未选择孕妇进行分析研究。记录被归类为羊水过量的患者的妊娠结局。对于有明显先天性畸形与生命不相容的病例,在解释手术风险后建议终止妊娠。用各种方法引产。记录胎儿结局。结果:在我们的研究中,羊水过多的发生有几个混杂因素。100例患者中22例(22%)胎盘早剥,30例(30%)体重增加>20 kg。28例(28%)与任何混杂因素无关。其中早产21%,急性腹痛6%,胎膜早破7%,IUFD 4%,脐带脱垂4%,PPH 5%,未合并产妇并发症53%。结论:羊水指数是先天性异常早期诊断和早期产科干预的指导工具。这进一步有助于降低产妇羊水过多并发症的发生率。
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引用次数: 0
Evaluation of Sexual Dimorphism of Foramen Magnum: A Morphometric Study 枕骨大孔两性二态性的评价:形态计量学研究
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.fm4
P. Kumari, Aman Kumar, Sanjeev Kumar, Saroj Kumar Ranja
Background: Sex determination from skull morphology is important in medico-legal cases. The foramen magnum is an important structure of the skull base and is of particular interest for forensic experts. Aim : In this study the foramen magnum was analyzed for sex differences using standard osteometric techniques for the North Indian Population. Subjects and Methods: This study included 100 completely ossified dry human skull (M=F) in good condition with a record of sex. The cranial base was visually assessed for foramen magnum shape. Morphometry was determined using vernier caliper and the differences amongst gender were ascertained. Results: Oval shape was the most common followed by round, tetragonal and pentagonal in both sex. The results demonstrated that sexual dimorphism is present in the foramen magnum. APD and TD were higher in male skulls than females. Conclusion: In incomplete skeletons, metric analysis of the foramen magnum may provide a statistically useful indication as to sex of the unknown skull.
背景:从颅骨形态学判断性别在医学法律案件中很重要。枕骨大孔是颅底的重要结构,法医专家对此特别感兴趣。目的:在本研究中,使用标准的骨测量技术分析了北印度人口的枕骨大孔的性别差异。对象和方法:本研究包括100个完全骨化的干燥人头骨(M=F),状态良好,有性别记录。目测颅底枕骨大孔形状。用游标卡尺测定形态,确定性别差异。结果:两性中以椭圆形最常见,其次为圆形、四边形和五边形。结果表明,枕骨大孔内存在两性异形现象。男性颅骨APD和TD高于女性。结论:在不完整的骨骼中,对枕骨大孔的测量分析可以为未知颅骨的性别提供统计上有用的指示。
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引用次数: 0
Jejunal Diverticulosis: Presenting As Peritonitis 空肠憩室病:表现为腹膜炎
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.sg6
Vikas Chalotra, P. Bansal, Natasha Nuna, S. Joshi, Sarbjeet Singh, Aman Bharti
Jejunal diverticular perforation is a rare complication of jejunal diverticular disease and few cases have been reported in the literature. Jejunal diverticula have a prevalence of approximately 1% in the general population. Pathophysiology of chronic symptoms is related to either intestinal dyskinesia or bacterial overgrowth from blind loop syndrome due to stasis in diverticular lumen. Patients may develop malabsorption, steatorrhea, and megaloblastic anaemia from vitamin B12 deficiency. Conventional enteroclysis and CT enteroclysis is beneficial for diagnosis of jejunal diverticular disease. Jejunal diverticular perforation is very rare. Clinically, the diagnosis is challenging and mimics with other causes of acute abdomen. Presentation varies widely from asymptomatic to non specific symptoms to acute abdomen with catastrophic consequences. Here, we present a rare case of jejunal diverticular perforation.
空肠憩室穿孔是空肠憩室疾病的一种罕见并发症,文献报道的病例很少。空肠憩室在一般人群中的患病率约为1%。慢性症状的病理生理与肠道运动障碍或憩室腔内瘀滞引起的盲环综合征引起的细菌过度生长有关。由于维生素B12缺乏,患者可能出现吸收不良、脂肪漏和巨幼细胞贫血。常规小肠灌肠和CT小肠灌肠对空肠憩室病的诊断有一定的价值。空肠憩室穿孔非常罕见。临床上,诊断是具有挑战性的,并模仿其他原因的急腹症。从无症状到非特异性症状,再到急性腹部并伴有灾难性后果,表现各异。在此,我们报告一例罕见的空肠憩室穿孔。
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引用次数: 0
The Correlation between Rheumatological Manifestations and Diabetes Complications and Indices 风湿病表现与糖尿病并发症及指标的相关性研究
Pub Date : 2019-09-01 DOI: 10.21276/ajmr.2019.8.3.me5
Amandeep Singh, Chc Guruharasahai Ferozepur Punjab India Medical Officer, Sanaullah Pathan, H. Pal, Chc Guruharasahai Ferozepur Punjab India Medical Officer
Background: Type 2 diabetes mellitus represents approximately 90% of all cases of diabetes. Nonvascular complications include gastrointestinal, genitourinary, dermatologic, infectious periodontal disease and rheumatological. Diabetic amyotrophy is characterized by muscle weakness and wasting, and by diffuse, proximal lower limb muscle pain, and asymmetrical loss of tendon jerks. There have been not much studies on diabetes and its association between rheumatological manifestations. Therefore, the present study was conducted with the aim to determine the correlation between rheumatological manifestations and diabetes complications and indices. Subjects and Methods: The present cross sectional study enrolled 100 subjects reporting to Department of Medicine, Rajindra Hospital/ Government Medical College, Patiala. Complete blood count, erythrocyte sedimentation rate, rheumatoid factor, serum uric acid were done. The rheumatoid factor upto 20 IU/dl and serum uric acid upto 7 mg/dl was taken as normal. X-rays of hand, shoulder, knee, spine and other involved joints wherever necessary were done. Examination of musculoskeletal system was performed. All the data thus obtained was arranged in a tabulated form and analyzed using SPSS software. Student t test was used for statistical analysis. Probability value of less than 0.05 was considered as significant. Results: Mean value of HbA1C of patients with rheumatological manifestations was 8.43 ±1.14 whereas Mean value of HbA1C of patients without rheumatological manifestations was 7.10±0.93. On statistical analysis significant association between rheumatological manifestations and HbA1c was found. On statistical analysis positive association between rheumatological manifestations and retinopathy was noted. Conclusion: Positive association of retinopathy and neuropathy was seen in our study with rheumatological manifestations in T2DM. So, screening of diabetic patients for the presence of rheumatic complications is needed, since early recognition of these lessens the chances of irreversible damage.
背景:2型糖尿病约占所有糖尿病病例的90%。非血管并发症包括胃肠道、泌尿生殖系统、皮肤病、感染性牙周病和风湿病。糖尿病性肌萎缩的特征是肌肉无力和萎缩,下肢近端肌肉弥漫性疼痛和不对称的肌腱痉挛丧失。关于糖尿病及其风湿病表现之间关系的研究并不多。因此,本研究旨在确定风湿病表现与糖尿病并发症及指标的相关性。对象和方法:本横断面研究纳入了100名报告给帕蒂亚拉Rajindra医院/政府医学院医学系的受试者。测定全血细胞计数、红细胞沉降率、类风湿因子、血清尿酸。类风湿因子达20 IU/dl,血清尿酸达7 mg/dl为正常。对手、肩、膝、脊柱和其他受累关节进行x光检查。进行肌肉骨骼系统检查。将得到的所有数据整理成表格,使用SPSS软件进行分析。采用学生t检验进行统计分析。概率值小于0.05为显著性。结果:有风湿病表现的患者HbA1C平均值为8.43±1.14,无风湿病表现的患者HbA1C平均值为7.10±0.93。统计分析发现风湿病表现与HbA1c有显著相关性。统计分析表明风湿病表现与视网膜病变呈正相关。结论:在我们的研究中发现,视网膜病变和神经病变与2型糖尿病的风湿病表现呈正相关。因此,有必要对糖尿病患者进行风湿病并发症的筛查,因为早期识别这些并发症可以减少发生不可逆损伤的机会。
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引用次数: 0
期刊
Asian Journal of Medical Research
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