Pub Date : 2022-07-01DOI: 10.4103/ajoim.ajoim_12_22
Arvind Nath
Background: Malaria still occurs in Bangladesh which is one of the countries of the South-east Asia region. Materials and Methods: The study design included an online search of all data pertaining to Malaria in Bangladesh from the year 2020 onwards. Results: During 2020, 90% of Malaria cases in Bangladesh occurred in just 3 districts of the country. Conclusion: The number of imported cases of Malaria from Bangladesh to India and vice versa would decrease if anti-Malaria measures are stepped up in the respective countries’ border districts.
{"title":"A study of malaria in Bangladesh","authors":"Arvind Nath","doi":"10.4103/ajoim.ajoim_12_22","DOIUrl":"https://doi.org/10.4103/ajoim.ajoim_12_22","url":null,"abstract":"Background: Malaria still occurs in Bangladesh which is one of the countries of the South-east Asia region. Materials and Methods: The study design included an online search of all data pertaining to Malaria in Bangladesh from the year 2020 onwards. Results: During 2020, 90% of Malaria cases in Bangladesh occurred in just 3 districts of the country. Conclusion: The number of imported cases of Malaria from Bangladesh to India and vice versa would decrease if anti-Malaria measures are stepped up in the respective countries’ border districts.","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"876 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125475178","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/ajoim.ajoim_5_22
D. Vanamali, H. Gara, A. Hatekar, Jeneeta Baa, Surekha Pardeshi, Naruttam Sonowal, Sarita Panigrahy, S. Mulkutkar, M. Sar
Background: Limited language proficiency (LLP) in English and state language may constrain the impetus of a medical undergraduate for effective communication, social interaction, and academic progression. Hence, the study aimed to explore the extent and perceptions pertaining to language barrier among medical undergraduates and to obtain feedback about language and communication skill sessions of foundation course. Materials and Methods: This multi-centric cross-sectional study across five medical colleges in India involved participation of 691 1st phase MBBS undergraduates. The study was conducted in two phases: (a) at the beginning of Foundation course before initiation of language training classes and (b) at the end of training sessions. The questions were either semi-structured or multiple-choice type regarding (a) sociodemographic characteristics, (b) schooling details, and (c) questionnaire regarding proficiency of English and local language and emotional and cognitive responses toward LLP. Results: Out of 691, proficiency for English and respective state language was confirmed by 170 (24.6%) and 318 (46.02%), respectively. Ninety (13.02%) students had no acquaintance for respective state languages. Difficulty in understanding concepts when taught in English and communication breakdown were expressed by 121 (18.22%) and 263 (38.95%) students, respectively. Regarding language and communication skill sessions, improvement in English and state language was expressed by 495 (71.63%) and 521 (75.4%), respectively. The sessions rating was highest for usefulness, followed by quality. Conclusion: Approximately 75% and 50% of MBBS undergraduates of 1st phase expressed LLP for English and state language, respectively, which represents a liability. Language enhancement benefited students in terms of usefulness and better comprehension of medical terminologies and colloquialism. Circumspection of language barrier among medical undergraduates would bridge the gap of linguistic knowledge and communication goal.
{"title":"Assessment of language proficiency and enhancement among 1st phase MBBS undergraduates","authors":"D. Vanamali, H. Gara, A. Hatekar, Jeneeta Baa, Surekha Pardeshi, Naruttam Sonowal, Sarita Panigrahy, S. Mulkutkar, M. Sar","doi":"10.4103/ajoim.ajoim_5_22","DOIUrl":"https://doi.org/10.4103/ajoim.ajoim_5_22","url":null,"abstract":"Background: Limited language proficiency (LLP) in English and state language may constrain the impetus of a medical undergraduate for effective communication, social interaction, and academic progression. Hence, the study aimed to explore the extent and perceptions pertaining to language barrier among medical undergraduates and to obtain feedback about language and communication skill sessions of foundation course. Materials and Methods: This multi-centric cross-sectional study across five medical colleges in India involved participation of 691 1st phase MBBS undergraduates. The study was conducted in two phases: (a) at the beginning of Foundation course before initiation of language training classes and (b) at the end of training sessions. The questions were either semi-structured or multiple-choice type regarding (a) sociodemographic characteristics, (b) schooling details, and (c) questionnaire regarding proficiency of English and local language and emotional and cognitive responses toward LLP. Results: Out of 691, proficiency for English and respective state language was confirmed by 170 (24.6%) and 318 (46.02%), respectively. Ninety (13.02%) students had no acquaintance for respective state languages. Difficulty in understanding concepts when taught in English and communication breakdown were expressed by 121 (18.22%) and 263 (38.95%) students, respectively. Regarding language and communication skill sessions, improvement in English and state language was expressed by 495 (71.63%) and 521 (75.4%), respectively. The sessions rating was highest for usefulness, followed by quality. Conclusion: Approximately 75% and 50% of MBBS undergraduates of 1st phase expressed LLP for English and state language, respectively, which represents a liability. Language enhancement benefited students in terms of usefulness and better comprehension of medical terminologies and colloquialism. Circumspection of language barrier among medical undergraduates would bridge the gap of linguistic knowledge and communication goal.","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128199627","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/ajoim.ajoim_11_22
Karishma Das, S. Kar, U. Pegu, Liza Hazarika
Upper GI bleeding(UGIB) is defined as bleeding derived from a source proximal to the ligament of Treitz. It is a life threatening condition. Bilioenteric fistulas are abnormal communication between the bile duct system and the gastrointestinal tract that occurs spontaneously and usually occurs as a rare complication of untreated gallstone in majority of cases. Cholecystoduodenal fistula(CDF) as a cause of upper GI bleeding is an extremely rare event. It has been theorized that a cholecystoduodenal fistula may lead to development of carcinoma gall bladder due to chronic reflux of duodenal contents. High index of clinical suspicion is required to make a diagnosis.
{"title":"UGI bleed- A rare presentation of carcinoma gall bladder with cholecystoduodenal fistula","authors":"Karishma Das, S. Kar, U. Pegu, Liza Hazarika","doi":"10.4103/ajoim.ajoim_11_22","DOIUrl":"https://doi.org/10.4103/ajoim.ajoim_11_22","url":null,"abstract":"Upper GI bleeding(UGIB) is defined as bleeding derived from a source proximal to the ligament of Treitz. It is a life threatening condition. Bilioenteric fistulas are abnormal communication between the bile duct system and the gastrointestinal tract that occurs spontaneously and usually occurs as a rare complication of untreated gallstone in majority of cases. Cholecystoduodenal fistula(CDF) as a cause of upper GI bleeding is an extremely rare event. It has been theorized that a cholecystoduodenal fistula may lead to development of carcinoma gall bladder due to chronic reflux of duodenal contents. High index of clinical suspicion is required to make a diagnosis.","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114481772","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}
Chronic myeloid leukemia (CML) is a myeloproliferative disorder of the hemopoietic stem cells, which may occasionally present with symptoms of leukostasis secondary to hyperleukocytosis, which includes headache, priapism, and dreaded ones such as stroke and myocardial infarction. This is a case of a 23-year-old man who presented with priapism and was subsequently found to have CML. The patient later developed stroke and succumbed to it. This case demonstrates that the importance of treating CML patients presenting with signs of hyperleukocytosis promptly and cautiously to prevent the impending grievous complications.
{"title":"Priapism as the initial presentation in chronic myeloid leukemia is a red flag sign: A case report","authors":"Aritra Saha, Salitteeswaran Visvesvaran, Sudem Narzari, Krishnangshu Das, A. Pegu, Rajesh Dhanowar","doi":"10.4103/ajoim.ajoim_13_22","DOIUrl":"https://doi.org/10.4103/ajoim.ajoim_13_22","url":null,"abstract":"Chronic myeloid leukemia (CML) is a myeloproliferative disorder of the hemopoietic stem cells, which may occasionally present with symptoms of leukostasis secondary to hyperleukocytosis, which includes headache, priapism, and dreaded ones such as stroke and myocardial infarction. This is a case of a 23-year-old man who presented with priapism and was subsequently found to have CML. The patient later developed stroke and succumbed to it. This case demonstrates that the importance of treating CML patients presenting with signs of hyperleukocytosis promptly and cautiously to prevent the impending grievous complications.","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116453206","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 : 1900-01-01DOI: 10.4103/2278-8239.346799
Dr. Ashis Biswas, C. Baruah, T. Maitra
{"title":"Systemic lupus erythematosus with neuropsychiatric manifestations, autoimmune haemolytic anaemia and cutaneous vasculitis in a patient of beta thalassemia minor","authors":"Dr. Ashis Biswas, C. Baruah, T. Maitra","doi":"10.4103/2278-8239.346799","DOIUrl":"https://doi.org/10.4103/2278-8239.346799","url":null,"abstract":"","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117350873","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 : 1900-01-01DOI: 10.4103/2278-8239.346800
R. Marak, P. Kashyap, BN Mahanta, J. Das, A. Dutta
{"title":"A case report of a 48 years female with SLE with secondary Sjogren's syndrom with all","authors":"R. Marak, P. Kashyap, BN Mahanta, J. Das, A. Dutta","doi":"10.4103/2278-8239.346800","DOIUrl":"https://doi.org/10.4103/2278-8239.346800","url":null,"abstract":"","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123166020","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 : 1900-01-01DOI: 10.4103/2278-8239.346803
KK Prabhakar, S. Latchamsetty, PK Koppula, Armugam
{"title":"Correlation of cholinesterase levels in diagnosis, severity and prognosis in organophosporous compound poisoning","authors":"KK Prabhakar, S. Latchamsetty, PK Koppula, Armugam","doi":"10.4103/2278-8239.346803","DOIUrl":"https://doi.org/10.4103/2278-8239.346803","url":null,"abstract":"","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114865813","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 : 1900-01-01DOI: 10.4103/ajoim.ajoim_4_21
Mustafizur Rahman, A. Sharma, Zarika Ahmed
Context: The novel coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) began in Wuhan, China, in December 2019. The management plan is supportive care with oxygen supplementation and mechanical ventilation. US FDA approved convalescent plasma (CP) for COVID-19 for clinical trials and as an emergency investigational new drug. Although numerous trials are currently investigating the safety and efficacy of CP in COVID-19 patients, there is a paucity of ongoing and published studies evaluating the CP donors’ side. This retrospective study reports the CP donors’ selection and deferrals. Aim: To evaluate and analyze the donor deferral pattern and its causes among CP donors in a tertiary care hospital blood bank apheresis unit. Settings and Design: Hospital-based retrospective analysis. Subjects and Methods: Donors aged 18–65 years who had recovered from COVID-19 at least 4 weeks previously coming for plasma donation were retrospectively analyzed from July 25, 2020 to January 24, 2021 for a period of 6 months at blood bank apheresis unit, Assam Medical College and Hospital. Results: A total of 396 potential plasma donors were screened during the study period. The donor deferral rate was 39.1%. The permanent deferral was 36.8%, and the temporary deferral was 63.2%. The maximum number of donors deferred because of low antibody (18.7%) followed by low hemoglobin (14.8%). Associated comorbidities, low platelet count, repeat reverse transcription-polymerase chain reaction positivity, transfusion transmitted infection reactivity, intake of medicines, infections, vaccination, and underweight were other causes identified. Conclusion: The pattern of donor deferral is an important tool for blood safety and also provides key areas to focus on a demographic region or policy formulation for donor selection as well as to ensure donor safety.
{"title":"Donor selection and deferral pattern in convalescent plasma donor in plasmapheresis unit of a tertiary care hospital","authors":"Mustafizur Rahman, A. Sharma, Zarika Ahmed","doi":"10.4103/ajoim.ajoim_4_21","DOIUrl":"https://doi.org/10.4103/ajoim.ajoim_4_21","url":null,"abstract":"Context: The novel coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) began in Wuhan, China, in December 2019. The management plan is supportive care with oxygen supplementation and mechanical ventilation. US FDA approved convalescent plasma (CP) for COVID-19 for clinical trials and as an emergency investigational new drug. Although numerous trials are currently investigating the safety and efficacy of CP in COVID-19 patients, there is a paucity of ongoing and published studies evaluating the CP donors’ side. This retrospective study reports the CP donors’ selection and deferrals. Aim: To evaluate and analyze the donor deferral pattern and its causes among CP donors in a tertiary care hospital blood bank apheresis unit. Settings and Design: Hospital-based retrospective analysis. Subjects and Methods: Donors aged 18–65 years who had recovered from COVID-19 at least 4 weeks previously coming for plasma donation were retrospectively analyzed from July 25, 2020 to January 24, 2021 for a period of 6 months at blood bank apheresis unit, Assam Medical College and Hospital. Results: A total of 396 potential plasma donors were screened during the study period. The donor deferral rate was 39.1%. The permanent deferral was 36.8%, and the temporary deferral was 63.2%. The maximum number of donors deferred because of low antibody (18.7%) followed by low hemoglobin (14.8%). Associated comorbidities, low platelet count, repeat reverse transcription-polymerase chain reaction positivity, transfusion transmitted infection reactivity, intake of medicines, infections, vaccination, and underweight were other causes identified. Conclusion: The pattern of donor deferral is an important tool for blood safety and also provides key areas to focus on a demographic region or policy formulation for donor selection as well as to ensure donor safety.","PeriodicalId":426816,"journal":{"name":"Assam Journal of Internal Medicine","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128591563","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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