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Evaluation of haller's cells prevalence in a sample of Polish population assessed using panoramic radiographs 用全景x线片评估波兰人群样本中哈勒氏细胞的患病率
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-01 DOI: 10.4103/injms.injms_68_22
Angelika Manaj, Aleksandra Osiak, M. Piskórz, Karolina Futyma-Gąbka, I. Różyło-Kalinowska
Introduction: Haller's cells are air structures with variable presence in individuals. They are situated in the anterior part of the ethmoid bone on the inferior and medial walls of the orbits. Their presence can be symptomatic and they may also be an impediment in surgical procedures. A panoramic radiograph commonly used in dental diagnostics allows visualization of their presence. The aim of the study is characteristics and estimation of Haller's cell prevalence in a sample of the Polish population based on panoramic radiographs. Materials and Methods: The study consisted of 467 panoramic radiographs including patients of both genders (303 females and 164 males), aged 17–23 years with a mean of 20.2 years. All radiographs have been evaluated for Haller's cells' presence, shape, number, and location with gender predilection. Results: Haller's cells were found in 72 cases, which comprised 15.4% of the studied group, with a slightly higher prevalence in females (17.82% in females and 10.97% in males). The most predominant shape was oval. Unilateral distribution of the cells outnumbered bilateral variants. One to three Haller's cells were found on one side, in the own material. Conclusions: Panoramic radiograph revealed a relatively low prevalence of Haller's cells in a sample of the Polish population. It is possible to assess the shape and determine the exact number of these cells. Based on the panoramic examination, we can state that they are located more often unilaterally with a slightly higher prevalence in females.
简介:哈勒氏细胞是一种空气结构,在个体中具有不同的存在。它们位于筛骨的前部在眶的下壁和内侧壁上。它们的存在可能是一种症状,它们也可能是外科手术的障碍。全景x光片通常用于牙科诊断,可以可视化它们的存在。该研究的目的是特点和估计的哈勒细胞患病率的波兰人口基于全景x光片的样本。材料与方法:研究共纳入467张全景x线片,患者男女均有,其中女性303人,男性164人,年龄17-23岁,平均20.2岁。所有的x线片都评估了哈勒细胞的存在、形状、数量和位置,并有性别偏好。结果:哈勒氏细胞72例,占研究组的15.4%,其中女性患病率略高(女性17.82%,男性10.97%)。最主要的形状是椭圆形。单侧分布的细胞数量多于双侧变异。在一侧的材料中发现了一到三个哈勒细胞。结论:全景x线片显示,相对较低的患病率的哈勒氏细胞在波兰人口的样本。可以评估这些细胞的形状并确定它们的确切数量。根据全景检查,我们可以说它们更常位于单侧,女性患病率略高。
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引用次数: 0
Accessory spleen torsion simulating acute appendicitis 模拟急性阑尾炎的副脾扭转
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-01 DOI: 10.4103/injms.injms_24_22
Yurisiel Montero Verdecia, Fernando Karel Fonseca Sosa, Yurisel Sánchez Pompa, Miriela León Fonseca
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引用次数: 0
Hemophagocytic lymphohistiocytosis after ChAdOx1 nCoV-19 coronavirus vaccination in a patient with no known comorbidities 一名无已知合并症患者接种ChAdOx1-nCoV-19冠状病毒疫苗后的吞噬细胞性淋巴组织细胞增多症
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-01 DOI: 10.4103/injms.injms_80_22
N. Rai, S. Misra, Shashank Prajapati, Shubhajeet Roy, G. Yadav
Hemophagocytic lymphohistiocytosis (HLH) is an inflammatory condition where there is marked cytopenia and large-scale activation of macrophages and CD8+ cytotoxic T cells. HLH may be of two types – primary HLH caused by genetic abnormalities and secondary HLH due to infections, malignancies, autoimmune disorders, rheumatologic disorders, and metabolic dysfunctions. We describe a case of HLH following the first dose of the ChAdOx1 nCoV-19 Corona Virus vaccine. In this patient, there was no clear precipitant of HLH. The most probable explanation could be intense immune activation by vaccine constituents producing aberrant activation of inflammatory cytokines. There were no signs of infection or malignancy. Since our patient was clinically stable, his symptoms had resolved and HLH parameters had improved, no HLH-specific therapy was given.
噬血细胞淋巴组织细胞病(HLH)是一种炎症性疾病,其特征是细胞明显减少,巨噬细胞和CD8+细胞毒性T细胞大规模活化。HLH可能有两种类型——由遗传异常引起的原发性HLH和由感染、恶性肿瘤、自身免疫性疾病、风湿病和代谢功能障碍引起的继发性HLH。我们报告一例在首次接种ChAdOx1 nCoV-19冠状病毒疫苗后发生的HLH病例。在这个病人中,没有明显的HLH沉淀。最可能的解释可能是疫苗成分产生炎症细胞因子异常激活的强烈免疫激活。没有感染或恶性肿瘤的迹象。由于我们的患者临床稳定,他的症状已经缓解,并且HLH参数有所改善,因此没有给予HLH特异性治疗。
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引用次数: 0
Health-related quality of life and its association with depression in type ii diabetes mellitus patients: A cross-sectional study from Delhi 2型糖尿病患者健康相关生活质量及其与抑郁的关系:来自德里的横断面研究
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-01 DOI: 10.4103/injms.injms_47_22
Kanika Singh, A. Acharya, S. Rasania, J. Khandekar, Rodney Vaz
Background: Diabetes mellitus is noncommunicable disease that in most cases affects the whole life after diagnosis with long-standing effects and debilitating complications. It is also one of the top five causes of mortality and contributes significantly to morbidity. Besides limitations and complications to physical health, it also significantly affects the mental health and affects the quality of life (QOL) among the patients. The current study aimed at finding the QOL among the patients living with diabetes. Methodology: A cross-sectional study was conducted among diabetic patients attending a diabetic clinic at a district hospital in East Delhi between December 2016 and March 2018. A total of 250 study subjects were included in the study. The Physical Health Questionnaire (PHQ 9) and the World Health Organization QOL-BREF questionnaire were used along with a pretested, semi-structured questionnaire for data collection. Data analysis was done on SPSS 23. Results: The prevalence of depression was found to be 17.6% as per the PHQ-9. Health-related QOL was highest for social domain (63.81 ± 12.74) and lowest among the psychological domain (40.83 ± 8.93) followed by environment (46.92 ± 8.34). The score of all the domains was lowest among depressed group as compared to nondepressed study subjects. Conclusion: Mental health can be adversely affected in the case of patients with diabetes which in turn can affect the QOL of the cohort. Hence, it is important to focus on mental well-being of the diabetics and timely intervention.
背景:糖尿病是一种非传染性疾病,在大多数情况下会影响诊断后的整个生命,具有长期的影响和使人衰弱的并发症。它也是造成死亡的五大原因之一,并对发病率有重大影响。除了对身体健康的限制和并发症外,它还显著影响患者的心理健康和生活质量。本研究旨在了解糖尿病患者的生活质量。方法:在2016年12月至2018年3月期间在东德里一家地区医院的糖尿病诊所就诊的糖尿病患者中进行了一项横断面研究。该研究共纳入了250名研究对象。使用身体健康问卷(PHQ 9)和世界卫生组织QOL-BREF问卷以及预测试的半结构化问卷来收集数据。数据分析采用SPSS 23软件。结果:根据PHQ-9,抑郁症患病率为17.6%。健康相关的生活质量在社会领域最高(63.81±12.74),心理领域最低(40.83±8.93),其次是环境(46.92±8.34)。与非抑郁组相比,抑郁组的所有领域得分最低。结论:糖尿病患者的心理健康会受到不良影响,进而影响队列患者的生活质量。因此,关注糖尿病患者的心理健康并及时干预是非常重要的。
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引用次数: 0
Klippel‒Feil syndrome associated with mirror movements: A rare case report 与镜像运动相关的klipppel - feil综合征:一例罕见病例报告
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.4103/injms.injms_3_22
A. Mittal, Ankit Chamoli
Klippel‒Feil syndrome, is a congenital disorder characterized by congenital fusion of two or more cervical vertebrae. Classically, there is triad of short neck, a low posterior hairline, and a limited range of neck movements. Less than half patients present with all three classical features. The presence of other anomalies may be associated with increased morbidity so complete evaluation and further management are critical in every case. Here, we are reporting a case with all clinical triad with associated mirror movements.
klipppel - feil综合征是一种先天性疾病,其特征是两个或多个颈椎的先天性融合。典型的表现是颈部短,发际线低,颈部活动范围有限。不到一半的患者同时具有这三种典型特征。其他异常的存在可能与发病率增加有关,因此对每个病例进行全面评估和进一步治疗至关重要。在这里,我们报告一个病例与所有临床三联症相关的镜像运动。
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引用次数: 0
Relationship between Aedes aegypti indices with perception and practices of dengue in an urban community of Mysore 迈索尔城市社区埃及伊蚊指数与登革热认知和实践的关系
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.4103/injms.injms_37_22
B. Sunil, P. Kulkarni, N. Renuka, M. Murthy
Background: Dengue is one of the major public health problems in the world. Currently, dengue is endemic in more than 100 countries of Asian pacific region. Prevention and control of dengue is largely influenced by the level of awareness and the preventive practices people undertake. In this background, the present study was conducted to find out the relationship between Aedes aegypti indices and perception and practices regarding dengue and its prevention. Materials and Methods: This cross-sectional study was conducted in an urban slum for the period of 1 year among 270 households selected by probability proportionate to size technique. Data were collected by structured questionnaire with details on sociodemographic characteristics, perception, and practices adopted by people toward dengue and its prevention. Larva survey was conducted by observing for the A. aegypti larvae in the containers within and outside the households. Results: Among 270 households included in the present study, overall, 70 (25.9%) and 96 (35.6%) of the study respondents were having poor and average levels of perception. 22 (8.1%) and 163 (60.4%) of respondents had poor and average levels of dengue prevention practices, respectively. Household index, container index, and Bretau's index (BI) were 5.52%, 6.05%, and 8.51%, respectively. Median perception and practice scores among the respondents of households with larva breeding were significantly lower as compared to the ones without larva breeding. Conclusion: Majority of the study participants had poor to average levels of perception and practices regarding dengue and its prevention. These scores were significantly lower among households with active larva breeding.
背景:登革热是世界主要公共卫生问题之一。目前,登革热在亚太地区100多个国家流行。登革热的预防和控制在很大程度上受到人们的认识水平和采取的预防措施的影响。在此背景下,本研究旨在了解埃及伊蚊指数与登革热及其预防的认知和实践之间的关系。材料和方法:本横断面研究在城市贫民窟进行,为期1年,选取270户家庭,采用概率与规模比例技术。通过结构化问卷收集数据,详细说明人们对登革热及其预防的社会人口特征、认知和做法。采用观察法对户内外容器中的埃及伊蚊幼虫进行幼虫调查。结果:在本研究的270个家庭中,总体而言,70个(25.9%)和96个(35.6%)的研究受访者的认知水平为差和平均水平。22个(8.1%)和163个(60.4%)应答者的登革热预防实践水平较差和平均水平。住户指数、容器指数和布雷陶指数(BI)分别为5.52%、6.05%和8.51%。有幼虫饲养的家庭应答者的感知和实践得分中位数明显低于没有幼虫饲养的家庭。结论:大多数研究参与者对登革热及其预防的认知和实践水平低于平均水平。在幼虫繁殖活跃的家庭中,这些分数明显较低。
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引用次数: 0
Clinical profile of primary central nervous system demyelinating disorders: A tertiary care hospital-based study in Guwahati 原发性中枢神经系统脱髓鞘疾病的临床概况:古瓦哈提三级保健医院为基础的研究
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.4103/injms.injms_10_22
M. Manisha, A. Mahanta, Munindra Goswami, Marami Das
Background: The primary central nervous system (CNS) demyelinating disorders are witnessing significant advancement in terms of treatment options and the diagnostics. However, a resource poor country like ours has to rely more on our clinical findings. Aims and Objectives: To study the spectrum of different clinical manifestations in patients of various primary CNS demyelinating disorders in the hospital setting; categorizing them to the most possible extent into its various types viz. multiple sclerosis(MS), neuromyelitis optica spectrum disorder (NMOSD), acute disseminated encephalomyelitis(ADEM), idiopathic optic neuritis(ON). Metarials and Methods: An observational study was conducted for 2 years including old and newly diagnosed cases in whom detailed clinical assessment was done for every attack including the previous and subsequent ones. Statistical analysis was done using SPSS version 21. Results: Of the 47 patients included, 26 (55.3%) were cases of NMOSD, 12 (25.5%) of MS, 4 (8.5%) of ADEM and 5 (10.6%) were isolated cases of ON. 30 were female and 17 were male (ratio 1:0.6). The total mean age for primary CNS demyelinating disorders at presentation was 27.09 ± 13.44 years. Maximum patients fell in the age range of 11–20 years. Among the clinical manifestations, motor abnormalities (97.6%), sensory abnormalities (69%), bladder dysfunction (59.5%), visual manifestations (54.8%) (Unilateral in all MS patients, both bilateral and unilateral in NMOSD) were the most common presentations. In MS, the most common manifestations were motor dysfunction followed by sensory symptoms, optic neuropathy (mostly unilateral), and bladder dysfunction. In NMOSD, the most common clinical manifestations were motor dysfunction, followed by bladder dysfunction, optic neuropathy and then sensory abnormalities. In ADEM, most common manifestations were motor abnormalities, acute encephalopathy, headache, optic neuropathy. Among idiopathic ON, most patients presented with painful diminution of vision (80%). Mean number of attacks was 2.53. Conclusion: A wide spectrum of clinical presentations in various disorders of primary CNS demyelination was found with maximum patients presenting with motor dysfunction in various forms.
背景:原发性中枢神经系统(CNS)脱髓鞘疾病在治疗选择和诊断方面取得了重大进展。然而,像我们这样一个资源贫乏的国家必须更多地依靠我们的临床发现。目的和目的:研究医院各种原发性中枢神经系统脱髓鞘疾病患者的不同临床表现谱;尽可能地将其分类为各种类型,即多发性硬化症(MS)、视神经脊髓炎(NMOSD)、急性播散性脑脊髓炎(ADEM)、特发性视神经炎(ON)。材料与方法:观察性研究2年,纳入老年和新发病例,对每一次发作(包括前后)进行详细的临床评估。采用SPSS 21进行统计分析。结果:47例患者中,NMOSD 26例(55.3%),MS 12例(25.5%),ADEM 4例(8.5%),孤立性ON 5例(10.6%)。女性30例,男性17例(比例为1:6 . 0)。原发性中枢神经系统脱髓鞘疾病的总平均年龄为27.09±13.44岁。患者年龄在11-20岁之间。在临床表现中,运动异常(97.6%)、感觉异常(69%)、膀胱功能障碍(59.5%)、视觉表现(54.8%)(所有MS患者均为单侧,NMOSD患者包括双侧和单侧)是最常见的表现。在多发性硬化症中,最常见的表现是运动功能障碍,其次是感觉症状、视神经病变(主要是单侧)和膀胱功能障碍。在NMOSD中,最常见的临床表现是运动功能障碍,其次是膀胱功能障碍,视神经病变,然后是感觉异常。在ADEM中,最常见的表现是运动异常、急性脑病、头痛、视神经病变。在特发性ON中,大多数患者表现为视力疼痛性下降(80%)。平均攻击次数为2.53次。结论:原发性中枢神经系统脱髓鞘疾病的临床表现广泛,多数患者表现为各种形式的运动功能障碍。
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引用次数: 1
Wandering spleen torsion: A rare case of acute abdomen 游离脾扭转:急腹症1例罕见
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.4103/injms.injms_18_22
Fernando Karel Fonseca Sosa, Yaima Susana Rey Vallés
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引用次数: 0
Hereditary sensory and autonomic neuropathy type IC with SPTLC2 mutation associated with immune thrombocytopenia 伴有SPTLC2突变的IC型遗传性感觉和自主神经病变与免疫性血小板减少症
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.4103/injms.injms_20_22
M. Abdulla
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引用次数: 0
A case report of pancytopenia associated with sheehan's syndrome that resolved with hormone replacement 一例全血细胞减少症合并sheehan综合征的病例报告,通过激素替代得以解决
IF 0.6 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.4103/injms.injms_138_21
Ajay Bhatta, Ratia Singh, Raghuraj Chawla, M. Pradeep
Pancytopenia is an uncommon hematological finding in patients with Sheehan's syndrome. Our case is an adult female who presented after 12 years of severe postpartum hemorrhage with symptomatic hypoglycemic attacks and pancytopenia on hemogram. Hormone replacement corrected pancytopenia within a week.
全血细胞减少症在希恩综合征患者中是一种罕见的血液学发现。我们的病例是一名成年女性,她在产后严重出血12年后出现症状性低血糖发作和全血细胞减少症。激素替代在一周内纠正了全血细胞减少症。
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引用次数: 1
期刊
Indian Journal of Medical Specialities
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