Introduction: The aim of this study was to estimate the prevalence of Epstein–Barr virus (EBV) infection among children presenting with acute cervical lymphadenopathy and describe the clinical characteristics of children with primary EBV-induced cervical lymphadenopathy. Materials and Methods: This was a prospective observational study in a tertiary care hospital. Results: Twenty-two children out of 127 patients evaluated had primary EBV infection among children presenting with acute cervical lymphadenopathy. The most common symptoms noted were fever (95.5%), loss of appetite (63%), and sore throat (45.5%). Posterior and anterior cervical lymph nodes (99.5% and 86.4%) were most commonly affected with a frequency of 2–6 nodes (mean of 3 nodes) and an average size of 2.4 cm (range: 2–6 cm). Maculopapular, nonpruritic rash was noted in 27.3% and Hoagland sign in 9.1% of cases. Hepatomegaly and clinical splenomegaly were noted in 81% and 59%, respectively, among EBV-positive patients. Conclusion: EBV primary infection is a common cause of acute cervical lymphadenopathy among Indian children with EBV responsible for approximately 17% of such clinical presentation. A high index of clinical suspicion and timely diagnosis of EBV in these children will be useful in limiting investigations and avoidable use of antibiotics by clinicians in such presentation.
{"title":"Epstein–Barr virus infection in children presenting with acute cervical lymphadenopathy","authors":"Bal Mukund, Priyanka Augustya, Ashok Bhandari","doi":"10.4103/jmms.jmms_29_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_29_23","url":null,"abstract":"Introduction: The aim of this study was to estimate the prevalence of Epstein–Barr virus (EBV) infection among children presenting with acute cervical lymphadenopathy and describe the clinical characteristics of children with primary EBV-induced cervical lymphadenopathy. Materials and Methods: This was a prospective observational study in a tertiary care hospital. Results: Twenty-two children out of 127 patients evaluated had primary EBV infection among children presenting with acute cervical lymphadenopathy. The most common symptoms noted were fever (95.5%), loss of appetite (63%), and sore throat (45.5%). Posterior and anterior cervical lymph nodes (99.5% and 86.4%) were most commonly affected with a frequency of 2–6 nodes (mean of 3 nodes) and an average size of 2.4 cm (range: 2–6 cm). Maculopapular, nonpruritic rash was noted in 27.3% and Hoagland sign in 9.1% of cases. Hepatomegaly and clinical splenomegaly were noted in 81% and 59%, respectively, among EBV-positive patients. Conclusion: EBV primary infection is a common cause of acute cervical lymphadenopathy among Indian children with EBV responsible for approximately 17% of such clinical presentation. A high index of clinical suspicion and timely diagnosis of EBV in these children will be useful in limiting investigations and avoidable use of antibiotics by clinicians in such presentation.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202954","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}
Introduction: Traditional methods of teaching residents in medicine are lectures, symposiums, case presentations and CMEs. Students have different levels of attitude about learning and responses to specific environments. A sound understanding of the changing trends in medical education is crucial to the accurate implementation of adequate training protocols which helps in good perception of subject by students. Novel ideas and concepts must pave way for modern methodologies of teaching. Methodology: We administered the peer validated questionnaire to 30 Junior residents(JRs) who participated in the quiz on Diabetes. JRs were informed about quiz 10 days prior and adequate material was shared with them. Results: More than half of the students (56.7%) responded that the quiz was better enjoyed than discussing the similar topic in class room teaching, maximum students (86.7%) responded that the quiz should be inculcated in postgraduate curriculum. Conclusion: This kind of novel methods helps the students to have good understanding and perception of the subject rather than routine teaching methods and helps to make an impact.
{"title":"Quiz in PG teaching: Are we adapted to new methods in learning?","authors":"Anuj Singhal, Rajat Shukla, SubashChandra Shaw, Mahesh Manthene, Shrimukta Sahoo, Aditya Singhal","doi":"10.4103/jmms.jmms_8_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_8_23","url":null,"abstract":"Introduction: Traditional methods of teaching residents in medicine are lectures, symposiums, case presentations and CMEs. Students have different levels of attitude about learning and responses to specific environments. A sound understanding of the changing trends in medical education is crucial to the accurate implementation of adequate training protocols which helps in good perception of subject by students. Novel ideas and concepts must pave way for modern methodologies of teaching. Methodology: We administered the peer validated questionnaire to 30 Junior residents(JRs) who participated in the quiz on Diabetes. JRs were informed about quiz 10 days prior and adequate material was shared with them. Results: More than half of the students (56.7%) responded that the quiz was better enjoyed than discussing the similar topic in class room teaching, maximum students (86.7%) responded that the quiz should be inculcated in postgraduate curriculum. Conclusion: This kind of novel methods helps the students to have good understanding and perception of the subject rather than routine teaching methods and helps to make an impact.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136203267","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}
N. Bajaj, Balbir Singh, Ananthkrishnan Ramamoorthy, Arijit Ghosh
Homozygous familial hypercholesterolemia (HoFH) is a rare, primarily an autosomal dominant genetic disorder that causes markedly elevated low-density lipoprotein (LDL) cholesterol levels predisposing patients to risk of developing premature atherosclerotic cardiovascular diseases. Disease manifestations usually develop in 1st or 2nd decade of life and severity depends on the duration of exposure to elevated LDL cholesterol levels. The mainstay in management is early recognition and treatment with various lipid-lowering agents including lipid-apheresis in severe cases not responding to drug therapy. We report three cases of HoFH presenting to our institute in their 2nd decade of life with different cutaneous and cardiovascular manifestations and discuss challenges in their management.
{"title":"Spectrum of cardiovascular manifestations in homozygous familial hypercholesterolemia","authors":"N. Bajaj, Balbir Singh, Ananthkrishnan Ramamoorthy, Arijit Ghosh","doi":"10.4103/jmms.jmms_30_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_30_22","url":null,"abstract":"Homozygous familial hypercholesterolemia (HoFH) is a rare, primarily an autosomal dominant genetic disorder that causes markedly elevated low-density lipoprotein (LDL) cholesterol levels predisposing patients to risk of developing premature atherosclerotic cardiovascular diseases. Disease manifestations usually develop in 1st or 2nd decade of life and severity depends on the duration of exposure to elevated LDL cholesterol levels. The mainstay in management is early recognition and treatment with various lipid-lowering agents including lipid-apheresis in severe cases not responding to drug therapy. We report three cases of HoFH presenting to our institute in their 2nd decade of life with different cutaneous and cardiovascular manifestations and discuss challenges in their management.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"25 1","pages":"88 - 92"},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49031373","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 India ranks first in the global share of tuberculosis (TB). Active TB is also associated with elevated levels of B-Cell growth factors like B-cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL). We aimed to study the circulating levels of ferritin, high-sensitivity C-reactive protein (hsCRP), BAFF, and APRIL in sputum-positive and sputum-negative active pulmonary TB (PTB) patients. Materials and Methods We enrolled 90 sputum positive and 90 sputum-negative newly diagnosed PTB patients. All the patients underwent estimation of serum ferritin, hsCRP, BAFF, and APRIL before initiation of f Anti-Tubercular therapy (ATT), after 1 month of ATT, and after 2 months of ATT. We compared the change in the cytokines mentioned above in PTB subjects at baseline, after 01 and 02 months of the intensive phase of standard anti-tubercular therapy. Results There was a significant difference between the serum BAFF levels at all times between the sputum-positive and sputum-negative groups (P < 0.001). There was a considerable increase in the APRIL level 2 months after initiation of ATT in both the groups (sputum positive group P = 0.004) (sputum negative group P < 0.001). There was a significant decrease in serum ferritin level and hsCRP after 2 months of ATT compared to baseline (P < 0.001) in both sputum positive and negative groups. Conclusion Serum ferritin, hsCRP, and APRIL levels can be used to assess the treatment response in both sputum-positive and sputum-negative cases. Serum BAFF levels >587 pg/ml at baseline implies high probability of sputum smear positivity in a patient with PTB.
{"title":"Novel versus traditional serum biomarkers in predicting the response to anti-tubercular therapy in pulmonary tuberculosis patients: A prospective study","authors":"Vishal Mangal, Anuj Singhal, Gaurav Vohra, Santosh Karade, AS Menon, KaminderBir Kaur","doi":"10.4103/jmms.jmms_185_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_185_22","url":null,"abstract":"Background India ranks first in the global share of tuberculosis (TB). Active TB is also associated with elevated levels of B-Cell growth factors like B-cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL). We aimed to study the circulating levels of ferritin, high-sensitivity C-reactive protein (hsCRP), BAFF, and APRIL in sputum-positive and sputum-negative active pulmonary TB (PTB) patients. Materials and Methods We enrolled 90 sputum positive and 90 sputum-negative newly diagnosed PTB patients. All the patients underwent estimation of serum ferritin, hsCRP, BAFF, and APRIL before initiation of f Anti-Tubercular therapy (ATT), after 1 month of ATT, and after 2 months of ATT. We compared the change in the cytokines mentioned above in PTB subjects at baseline, after 01 and 02 months of the intensive phase of standard anti-tubercular therapy. Results There was a significant difference between the serum BAFF levels at all times between the sputum-positive and sputum-negative groups (P < 0.001). There was a considerable increase in the APRIL level 2 months after initiation of ATT in both the groups (sputum positive group P = 0.004) (sputum negative group P < 0.001). There was a significant decrease in serum ferritin level and hsCRP after 2 months of ATT compared to baseline (P < 0.001) in both sputum positive and negative groups. Conclusion Serum ferritin, hsCRP, and APRIL levels can be used to assess the treatment response in both sputum-positive and sputum-negative cases. Serum BAFF levels >587 pg/ml at baseline implies high probability of sputum smear positivity in a patient with PTB.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202328","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}
Introduction: Cholesteatoma has been described as an accumulation of desquamated keratin debris in a pocket of squamous epithelium over a matrix within the middle ear cleft. A prospective study was carried out to establish a correlation between preoperative high-resolution computed tomography (HRCT) temporal bone findings with intraoperative findings in cases of cholesteatoma. Methods: Fifty patients of chronic otitis media, active squamous type, i.e. clinically suspected cholesteatoma, scheduled to undergo tympanomastoid exploration were selected. The positive and negative findings of the scan were documented as per the parameters to be analyzed. The important intraoperative surgical findings were then analyzed with preoperative HRCT findings. Results: Agreement between surgical and HRCT findings ranged from 86% (facial canal erosion) to 100% (external bony canal involvement). HRCT had higher detection rate as compared to surgery for scutum erosion (40% vs. 36%), tegmen erosion (6% vs. 4%), facial canal erosion (28% vs. 14%), lateral semicircular canal erosion (6% vs. 2%), incus erosion (78% vs. 64%), sinus tympani involvement (14% vs. 4%), attic involvement (44% vs. 42%), mastoid involvement (88% vs. 80%), and aditus widening (54% vs. 44%). The higher detection of scutum erosion, tegmen erosion, facial canal erosion, lateral semicircular canal erosion, and incus erosion is probably due to partial volume averaging. Conclusion: The findings of the present study showed that HRCT is an essential and indispensable tool for preoperative evaluation of cholesteatoma. It was highly sensitive and adequately specific for a significant number of findings. These findings are pivotal in planning the surgery and preparing for necessary anticipatory reconstructive procedures.
{"title":"Comparative analysis of preoperative high-resolution computed tomography temporal bone and intraoperative surgical findings in cases of cholesteatoma","authors":"RanjitSingh Lahel, S. Tripathi, A. Chail","doi":"10.4103/jmms.jmms_64_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_64_22","url":null,"abstract":"Introduction: Cholesteatoma has been described as an accumulation of desquamated keratin debris in a pocket of squamous epithelium over a matrix within the middle ear cleft. A prospective study was carried out to establish a correlation between preoperative high-resolution computed tomography (HRCT) temporal bone findings with intraoperative findings in cases of cholesteatoma. Methods: Fifty patients of chronic otitis media, active squamous type, i.e. clinically suspected cholesteatoma, scheduled to undergo tympanomastoid exploration were selected. The positive and negative findings of the scan were documented as per the parameters to be analyzed. The important intraoperative surgical findings were then analyzed with preoperative HRCT findings. Results: Agreement between surgical and HRCT findings ranged from 86% (facial canal erosion) to 100% (external bony canal involvement). HRCT had higher detection rate as compared to surgery for scutum erosion (40% vs. 36%), tegmen erosion (6% vs. 4%), facial canal erosion (28% vs. 14%), lateral semicircular canal erosion (6% vs. 2%), incus erosion (78% vs. 64%), sinus tympani involvement (14% vs. 4%), attic involvement (44% vs. 42%), mastoid involvement (88% vs. 80%), and aditus widening (54% vs. 44%). The higher detection of scutum erosion, tegmen erosion, facial canal erosion, lateral semicircular canal erosion, and incus erosion is probably due to partial volume averaging. Conclusion: The findings of the present study showed that HRCT is an essential and indispensable tool for preoperative evaluation of cholesteatoma. It was highly sensitive and adequately specific for a significant number of findings. These findings are pivotal in planning the surgery and preparing for necessary anticipatory reconstructive procedures.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"25 1","pages":"58 - 62"},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49494499","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}
Introduction Vertigo, dizziness, giddiness, and unsteadiness are all quite frequent symptoms that affect a large proportion of the population. Due to the challenges associated with effectively diagnosing and documenting vestibular illnesses, figures on their prevalence, frequency of occurrence, and social impact vary greatly. Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo of vestibular origin. Positional nystagmus is most frequently seen in benign paroxysmal positional vertigo (BPPV) associated with peripheral vestibular diseases. Videonystagmography (VNG) tests are an excellent diagnostic tool for distinguishing peripheral from central vestibular abnormalities, provided they are conducted and interpreted by doctors rather than technicians. The current study utilized VNG to evaluate vestibular apparatus function in patients with peripheral vestibular symptoms (dizziness/imbalance/giddiness/vertigo). Methods Prospective observational study comparing efficacy of assessment of vestibular apparatus using clinical vestibular assessment versus VNG in patients having vestibular symptoms. Results With clinical vestibular assessment test, 13 out of 50 symptomatic patients had no nystagmus. When VNG was performed on these patients, 10 out of these 13 patients had shown positive findings, whereas only three patients had negative findings. Our study finds that VNG along with clinical evaluation is more effective in diagnosing vestibular disorders when compared with clinical evaluation alone and this was statistically significant. Conclusion Based on our results, VNG is the better modality for the assessment of vestibular apparatus in patients with peripheral vestibular symptoms for diagnosis and treatment.
{"title":"Assessment of peripheral vestibular apparatus in patients with peripheral vestibular symptoms using videonystagmography in tertiary care center","authors":"LakkuV Manohar Reddy, Rahul Naga, DK Gupta, Sunil Mathews","doi":"10.4103/jmms.jmms_25_23","DOIUrl":"https://doi.org/10.4103/jmms.jmms_25_23","url":null,"abstract":"Introduction Vertigo, dizziness, giddiness, and unsteadiness are all quite frequent symptoms that affect a large proportion of the population. Due to the challenges associated with effectively diagnosing and documenting vestibular illnesses, figures on their prevalence, frequency of occurrence, and social impact vary greatly. Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo of vestibular origin. Positional nystagmus is most frequently seen in benign paroxysmal positional vertigo (BPPV) associated with peripheral vestibular diseases. Videonystagmography (VNG) tests are an excellent diagnostic tool for distinguishing peripheral from central vestibular abnormalities, provided they are conducted and interpreted by doctors rather than technicians. The current study utilized VNG to evaluate vestibular apparatus function in patients with peripheral vestibular symptoms (dizziness/imbalance/giddiness/vertigo). Methods Prospective observational study comparing efficacy of assessment of vestibular apparatus using clinical vestibular assessment versus VNG in patients having vestibular symptoms. Results With clinical vestibular assessment test, 13 out of 50 symptomatic patients had no nystagmus. When VNG was performed on these patients, 10 out of these 13 patients had shown positive findings, whereas only three patients had negative findings. Our study finds that VNG along with clinical evaluation is more effective in diagnosing vestibular disorders when compared with clinical evaluation alone and this was statistically significant. Conclusion Based on our results, VNG is the better modality for the assessment of vestibular apparatus in patients with peripheral vestibular symptoms for diagnosis and treatment.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202103","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}
Introduction Anesthesia for cataract surgeries is undertaken in various forms. In cases under peribulbar anesthesia, there exists a practice of patching the eye for varying duration. This study has been conducted to look into the difference in the outcome and comfort of the patient with respect to the use of eye patch in an objective way. Materials and Methods This is a prospective randomized observational study with controls conducted at an Ophthalmology Department of a Tertiary Care Hospital. All patients undergoing uneventful phacoemulsification with posterior chamber intraocular lens implant surgery for age-related cataracts meeting the inclusion criteria were recruited for the study. Results Two hundred and seven patients were included and randomly allotted to the patch and no-patch group. The mean pain score for the no-patch group was 2.930 (standard deviation [SD] =1.4231), while the same for the patch group was 2.879 (SD = 1.3438). The symptom of watering in patch group was significantly lower than the no-patch group with a P = 0.013 by Pearson’s Chi-square test. The mean postoperative day (POD) 1 DVA among the cases was found to be 0.440 LogMAR (SD = 0.3114) and the same for controls was 0.715 LogMAR (SD = 0.2858). On the 2nd POD, the DVA of the cases improved to 0.162 LogMAR (SD = 0.1819) while that of controls were 0.419 LogMAR (SD = 0.2758). However, the visual acuity of both groups was comparable at the end of the 7th POD. The patients without patch demonstrated significantly better visual acuity on the 1st POD. This group of patients also had statistically significant reduction in the conjunctival congestion, aqueous flare, aqueous cells, and corneal edema. The beneficial outcome on the 1st POD is likely due to the early use of topical drugs which is facilitated by the absence of eye patch. However, the final outcome seems independent of the use of patching. Conclusion Using an eye patch for the patient undergoing a routine phacoemulsification surgery under peribulbar block does not seem to have any additional benefit.
{"title":"Phacoemulsification under peribulbar anesthesia: To patch or not","authors":"Harikrishnan Vannadil, Archana Singh, Ranjit Goenka, Sunandan Bhatta","doi":"10.4103/jmms.jmms_176_22","DOIUrl":"https://doi.org/10.4103/jmms.jmms_176_22","url":null,"abstract":"Introduction Anesthesia for cataract surgeries is undertaken in various forms. In cases under peribulbar anesthesia, there exists a practice of patching the eye for varying duration. This study has been conducted to look into the difference in the outcome and comfort of the patient with respect to the use of eye patch in an objective way. Materials and Methods This is a prospective randomized observational study with controls conducted at an Ophthalmology Department of a Tertiary Care Hospital. All patients undergoing uneventful phacoemulsification with posterior chamber intraocular lens implant surgery for age-related cataracts meeting the inclusion criteria were recruited for the study. Results Two hundred and seven patients were included and randomly allotted to the patch and no-patch group. The mean pain score for the no-patch group was 2.930 (standard deviation [SD] =1.4231), while the same for the patch group was 2.879 (SD = 1.3438). The symptom of watering in patch group was significantly lower than the no-patch group with a P = 0.013 by Pearson’s Chi-square test. The mean postoperative day (POD) 1 DVA among the cases was found to be 0.440 LogMAR (SD = 0.3114) and the same for controls was 0.715 LogMAR (SD = 0.2858). On the 2nd POD, the DVA of the cases improved to 0.162 LogMAR (SD = 0.1819) while that of controls were 0.419 LogMAR (SD = 0.2758). However, the visual acuity of both groups was comparable at the end of the 7th POD. The patients without patch demonstrated significantly better visual acuity on the 1st POD. This group of patients also had statistically significant reduction in the conjunctival congestion, aqueous flare, aqueous cells, and corneal edema. The beneficial outcome on the 1st POD is likely due to the early use of topical drugs which is facilitated by the absence of eye patch. However, the final outcome seems independent of the use of patching. Conclusion Using an eye patch for the patient undergoing a routine phacoemulsification surgery under peribulbar block does not seem to have any additional benefit.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136203550","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 : 2022-08-03Epub Date: 2022-06-06DOI: 10.7748/ns.2022.e11669
Lucy Kirkham
When an individual becomes critically ill, they may be admitted to a critical care environment, which can have significant effects on themselves and their family. There is a wealth of literature exploring the experiences and priorities of patients and their families in relation to critical care, but also a lack of research on practical interventions that can improve care delivery in this setting. This article explores partnership working between nurses and patients' families in the critical care environment and examines the barriers to, and facilitators of, family-centred care. The author draws on the literature to consider interventions that could enhance family-centred care in this setting, and makes some recommendations for practice.
{"title":"Partnership working between nurses and patients' families in the critical care environment.","authors":"Lucy Kirkham","doi":"10.7748/ns.2022.e11669","DOIUrl":"10.7748/ns.2022.e11669","url":null,"abstract":"<p><p>When an individual becomes critically ill, they may be admitted to a critical care environment, which can have significant effects on themselves and their family. There is a wealth of literature exploring the experiences and priorities of patients and their families in relation to critical care, but also a lack of research on practical interventions that can improve care delivery in this setting. This article explores partnership working between nurses and patients' families in the critical care environment and examines the barriers to, and facilitators of, family-centred care. The author draws on the literature to consider interventions that could enhance family-centred care in this setting, and makes some recommendations for practice.</p>","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"22 1","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76948524","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 : 2022-07-01DOI: 10.4103/jmms.jmms_192_20
D. Paul, Nipun Gupta, A. Patra, Saurav, G. Prasad
Background: The concept of labor analgesia is widely unknown to the antenatal women and parturients in the Indian medical setup. Aims: The aim of this study was to assess the knowledge, attitude, and practice of labor analgesia in antenatal women visiting the antenatal clinic in a tertiary care hospital. Methodology: One hundred twenty women in the antenatal period between the age group of 18 and 40 years attending the antenatal clinic were included in the study. A Google form-based questionnaire was used to collect data. Statistical Analysis: Ordinal and nominal data were presented as numbers and percentages. Bar diagrams and pie charts were used for graphical representation. Results: Twenty-one (17.5%) respondents, out of 120, were aware of labor analgesia. Among the rest 99, 13 participants did not have knowledge nor they wanted to gather information further. Out of 86 unaware respondents, 62 (72.1%) were interested in acquiring the knowledge of labor analgesia and rather would be comfortable if the treating obstetrician imparts the information; 46 (53.5%) of them wanted the information to be imparted during the obstetric consultation sessions and 10 (11.6%) respondents considered the best time for gathering awareness for labor analgesia at, or after the onset of labor pain. The major concerns of the respondents for labor analgesia were the safety of their health and the effect on the baby. Conclusions: Awareness of labor analgesia in Indian antenatal women is low. The treating obstetrician should impart knowledge regarding labor analgesia in the pre- and antenatal period which should be supplemented with more emphasis during the prelabor period.
{"title":"Knowledge, attitude, and practice of labor analgesia in antenatal women in India: An observational study","authors":"D. Paul, Nipun Gupta, A. Patra, Saurav, G. Prasad","doi":"10.4103/jmms.jmms_192_20","DOIUrl":"https://doi.org/10.4103/jmms.jmms_192_20","url":null,"abstract":"Background: The concept of labor analgesia is widely unknown to the antenatal women and parturients in the Indian medical setup. Aims: The aim of this study was to assess the knowledge, attitude, and practice of labor analgesia in antenatal women visiting the antenatal clinic in a tertiary care hospital. Methodology: One hundred twenty women in the antenatal period between the age group of 18 and 40 years attending the antenatal clinic were included in the study. A Google form-based questionnaire was used to collect data. Statistical Analysis: Ordinal and nominal data were presented as numbers and percentages. Bar diagrams and pie charts were used for graphical representation. Results: Twenty-one (17.5%) respondents, out of 120, were aware of labor analgesia. Among the rest 99, 13 participants did not have knowledge nor they wanted to gather information further. Out of 86 unaware respondents, 62 (72.1%) were interested in acquiring the knowledge of labor analgesia and rather would be comfortable if the treating obstetrician imparts the information; 46 (53.5%) of them wanted the information to be imparted during the obstetric consultation sessions and 10 (11.6%) respondents considered the best time for gathering awareness for labor analgesia at, or after the onset of labor pain. The major concerns of the respondents for labor analgesia were the safety of their health and the effect on the baby. Conclusions: Awareness of labor analgesia in Indian antenatal women is low. The treating obstetrician should impart knowledge regarding labor analgesia in the pre- and antenatal period which should be supplemented with more emphasis during the prelabor period.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"24 1","pages":"73 - 78"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47181662","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 : 2022-07-01DOI: 10.4103/jmms.jmms_121_21
D. Paul, R. Goyal, Bhavana Hooda, K. Kaur
{"title":"A case of right internal carotid artery thrombosis in case of mild COVID-19 pneumonia","authors":"D. Paul, R. Goyal, Bhavana Hooda, K. Kaur","doi":"10.4103/jmms.jmms_121_21","DOIUrl":"https://doi.org/10.4103/jmms.jmms_121_21","url":null,"abstract":"","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":"24 1","pages":"170 - 171"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49463401","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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