Pub Date : 2023-01-31DOI: 10.14260/jemds.v12i1.320
Mekala Kamala Priyadarshini, Moravineni Usha Rani
BACKGROUND Corona virus disease 2019 (COVID-19) is an acute respiratory infectious disease caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). Pulmonary system is the most commonly affected organ system by COVID-19. SARS-CoV-2 results in disruption of ACE/ACE2 balance leading to RAAS activation. The present study was carried out to determine the lung function in the recovery phase of COVID -19 by spirometry in India. METHODS A prospective (Follow up) observational study was done on 100 patients from March 2021 to November 2021. COVID-19 patients with RT-PCR positive results aged between 25 to 60 years were enrolled in the study. All the subjects were health care workers working in King George Hospital, Visakhapatnam. They were followed for a period of 3 months. RESULTS The mean age was 48.35 ± 11.07 years. 71 % were males. The mean height was 162.85 ± 7.47 cm while the mean weight was 36.71 ± 1.12 kg. During enrolment, the mean forced vital capacity (FVC) was 2.22 ± 0.68 L, forced expiratory volume (FEV1) was 1.97 ± 0.63 L and FEV1/FVC% was 89.35 ± 13.27 %. There was no statistically significant difference in FVC between enrolment and various periods of follow up at 1 and 3 months. There was a statistically significant difference between FEV1 and FEV1/FVC% between enrolment and various periods of follow up at 1 and 3 months. CONCLUSIONS COVID-19 infection has an impact on the lung functions. PFT done 3 months later after clinical cure/discharge showed an improvement in FEV1 and FEV1/FVC% in the present study. Long-term follow-up of the lung function in post-COVID-19 survivors is recommended.
{"title":"Study of Lung Function in COVID-19 Pneumonia Recovered Individuals","authors":"Mekala Kamala Priyadarshini, Moravineni Usha Rani","doi":"10.14260/jemds.v12i1.320","DOIUrl":"https://doi.org/10.14260/jemds.v12i1.320","url":null,"abstract":"BACKGROUND \u0000Corona virus disease 2019 (COVID-19) is an acute respiratory infectious disease caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). Pulmonary system is the most commonly affected organ system by COVID-19. SARS-CoV-2 results in disruption of ACE/ACE2 balance leading to RAAS activation. The present study was carried out to determine the lung function in the recovery phase of COVID -19 by spirometry in India. \u0000METHODS \u0000A prospective (Follow up) observational study was done on 100 patients from March 2021 to November 2021. COVID-19 patients with RT-PCR positive results aged between 25 to 60 years were enrolled in the study. All the subjects were health care workers working in King George Hospital, Visakhapatnam. They were followed for a period of 3 months. \u0000RESULTS \u0000The mean age was 48.35 ± 11.07 years. 71 % were males. The mean height was 162.85 ± 7.47 cm while the mean weight was 36.71 ± 1.12 kg. During enrolment, the mean forced vital capacity (FVC) was 2.22 ± 0.68 L, forced expiratory volume (FEV1) was 1.97 ± 0.63 L and FEV1/FVC% was 89.35 ± 13.27 %. There was no statistically significant difference in FVC between enrolment and various periods of follow up at 1 and 3 months. There was a statistically significant difference between FEV1 and FEV1/FVC% between enrolment and various periods of follow up at 1 and 3 months. \u0000CONCLUSIONS \u0000COVID-19 infection has an impact on the lung functions. PFT done 3 months later after clinical cure/discharge showed an improvement in FEV1 and FEV1/FVC% in the present study. Long-term follow-up of the lung function in post-COVID-19 survivors is recommended.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41966684","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}
Foreign bodies may be traumatically or iatrogenically embedded in the oral cavity. Traumatic impaction of foreign bodies intraorally in children is common, as they are playful and are unaware of the consequences. A case of traumatic penetration of glass shards in the cheek of a 10-year-old female child which is present for three years, and its management is discussed here and the importance of detailed case history, clinical and radiographic examinations in arriving at the diagnosis and planning the treatment are presented in this article. Foreign bodies are objects that are not native to the human body, and they may be ingested, inserted into a body cavity, or deposited into the body by traumatic or iatrogenic injury.[1] Traumatic foreign body impaction in oral cavity is mostly due to assaults and motor vehicle accidents[2] or sometimes may be due to blast injury. Foreign bodies generally in oral cavity may be broken instruments, restorative materials, needles etc., or may range from fish bones, coins, stapler pins, small toys, metal pieces which may be quite common in younger age groups.[3] The foreign bodies once impacted get localized and ensue fibrosis and host response depending on the type of the material impacted. They may cause swelling, abscess formation, septicaemia, or lead to severe haemorrhage; may also undergo distant embolization.[1] Here we report a case of traumatic penetration of glass shards into the buccal mucosa of a female child due to a blast injury which was there for three years without any major complaints.
{"title":"Foreign Body Impaction in the Buccal Mucosa of a Child – A Case Report","authors":"Subalakshmi Krishnamurthy, Loganayagi Ramalingam, Karthikeyan Thirugnanasambandam","doi":"10.14260/jemds.v11i13.293","DOIUrl":"https://doi.org/10.14260/jemds.v11i13.293","url":null,"abstract":"Foreign bodies may be traumatically or iatrogenically embedded in the oral cavity. Traumatic impaction of foreign bodies intraorally in children is common, as they are playful and are unaware of the consequences. A case of traumatic penetration of glass shards in the cheek of a 10-year-old female child which is present for three years, and its management is discussed here and the importance of detailed case history, clinical and radiographic examinations in arriving at the diagnosis and planning the treatment are presented in this article. \u0000Foreign bodies are objects that are not native to the human body, and they may be ingested, inserted into a body cavity, or deposited into the body by traumatic or iatrogenic injury.[1] Traumatic foreign body impaction in oral cavity is mostly due to assaults and motor vehicle accidents[2] or sometimes may be due to blast injury. Foreign bodies generally in oral cavity may be broken instruments, restorative materials, needles etc., or may range from fish bones, coins, stapler pins, small toys, metal pieces which may be quite common in younger age groups.[3] \u0000The foreign bodies once impacted get localized and ensue fibrosis and host response depending on the type of the material impacted. They may cause swelling, abscess formation, septicaemia, or lead to severe haemorrhage; may also undergo distant embolization.[1] \u0000Here we report a case of traumatic penetration of glass shards into the buccal mucosa of a female child due to a blast injury which was there for three years without any major complaints.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44964504","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}
Iridocorneal endothelial (ICE) syndrome is a rare ophthalmic disorder, wherein the basic pathology is an abnormal corneal endothelium that leads to varying degrees of corneal oedema, iris atrophy, and secondary angle closure glaucoma.[1] This syndrome typically affects young women unilaterally with no family history.[2] The true aetiology of ICE syndrome is unclear. Viral cause for the disease has been proposed, based on a history of inflammation in certain cases and on the presence of inflammatory cells on histological analysis.[3] The abnormal endothelial cells may migrate posteriorly, forming a membrane that covers the adjacent structures, iris and trabecular meshwork.[4] The contraction of this membrane leads to characteristic iris changes, iridotrabecular synechiae, and corectopia with the pupil being drawn towards the area where the synechiae are most prevalent and to secondary angle-closure glaucoma.[5]
{"title":"Iridocorneal Endothelial Syndrome – A Case Report","authors":"Manohar Sungar, Mallikarjun Heralgi, Roopasree Bhadrappanavar Vishwamurthy","doi":"10.14260/jemds.v11i13.294","DOIUrl":"https://doi.org/10.14260/jemds.v11i13.294","url":null,"abstract":"Iridocorneal endothelial (ICE) syndrome is a rare ophthalmic disorder, wherein the basic pathology is an abnormal corneal endothelium that leads to varying degrees of corneal oedema, iris atrophy, and secondary angle closure glaucoma.[1] This syndrome typically affects young women unilaterally with no family history.[2] The true aetiology of ICE syndrome is unclear. Viral cause for the disease has been proposed, based on a history of inflammation in certain cases and on the presence of inflammatory cells on histological analysis.[3] The abnormal endothelial cells may migrate posteriorly, forming a membrane that covers the adjacent structures, iris and trabecular meshwork.[4] The contraction of this membrane leads to characteristic iris changes, iridotrabecular synechiae, and corectopia with the pupil being drawn towards the area where the synechiae are most prevalent and to secondary angle-closure glaucoma.[5]","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46087814","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 : 2022-12-31DOI: 10.14260/jemds.v11i13.290
Meesala Rama Devi, Moravineni Usha Rani
BACKGROUND COVID 19 pandemic posed a varied group of challenges to health care workers (HCWs) like new disease with no treatment, less treatment options available, worry for infection to family members, shortage of personal protective equipment (PPEs), uncertainty, and stress associated with lockdowns. HCWs are highly vulnerable to negative mental distress; this psychological distress varies in different group of HCWs and also on different psychological domains. In this study, we wanted to assess the impact of COVID 19 on the psychological well-being of health care professionals when providing care to COVID-19 patients. METHODS A cross-sectional observational study was conducted on doctors providing care to COVID -19 patients at King George Hospital, Visakhapatnam, during the second wave of COVID from March 2021 to December 2021. The questionnaire included three domains – Personal questions, work related questions, and pandemic related questions. The response to the questions was recorded in Likert’s scale. RESULTS 50 (50.00 %) were sometimes physically exhausted, 49 (49.00 %) participants were sometimes emotionally exhausted, and 46 (46.00 %) participants reported that sometimes they felt worn out (extremely tired). 54 (54.00 %) participants reported that sometimes they were frustrated with their work, and 46 (46.00 %) participants reported sometimes feeling burnt out because of the work. 48 (48.00 %) participants reported sometimes feeling depressed, 38 (38.00 %) participants stated sometime having a fear of catching COVID-19 infection, and 44 (44.00 %) participants reported consistently having to fear of family members getting infected due to the exposure in work environment. CONCLUSIONS In total, COVID-19 had a negative effect on psychological well-being of the HCWs, but that was not severe to cause any specific psychological disorders. There was no significant difference in mental health impact between the genders and age groups of the participants.
{"title":"Impact of Covid-19 Pandemic on Mental Wellbeing of Healthcare Professionals: A Cross-Sectional Study","authors":"Meesala Rama Devi, Moravineni Usha Rani","doi":"10.14260/jemds.v11i13.290","DOIUrl":"https://doi.org/10.14260/jemds.v11i13.290","url":null,"abstract":"BACKGROUND \u0000COVID 19 pandemic posed a varied group of challenges to health care workers (HCWs) like new disease with no treatment, less treatment options available, worry for infection to family members, shortage of personal protective equipment (PPEs), uncertainty, and stress associated with lockdowns. HCWs are highly vulnerable to negative mental distress; this psychological distress varies in different group of HCWs and also on different psychological domains. In this study, we wanted to assess the impact of COVID 19 on the psychological well-being of health care professionals when providing care to COVID-19 patients. \u0000METHODS \u0000A cross-sectional observational study was conducted on doctors providing care to COVID -19 patients at King George Hospital, Visakhapatnam, during the second wave of COVID from March 2021 to December 2021. The questionnaire included three domains – Personal questions, work related questions, and pandemic related questions. The response to the questions was recorded in Likert’s scale. \u0000RESULTS \u000050 (50.00 %) were sometimes physically exhausted, 49 (49.00 %) participants were sometimes emotionally exhausted, and 46 (46.00 %) participants reported that sometimes they felt worn out (extremely tired). 54 (54.00 %) participants reported that sometimes they were frustrated with their work, and 46 (46.00 %) participants reported sometimes feeling burnt out because of the work. 48 (48.00 %) participants reported sometimes feeling depressed, 38 (38.00 %) participants stated sometime having a fear of catching COVID-19 infection, and 44 (44.00 %) participants reported consistently having to fear of family members getting infected due to the exposure in work environment. \u0000CONCLUSIONS \u0000In total, COVID-19 had a negative effect on psychological well-being of the HCWs, but that was not severe to cause any specific psychological disorders. There was no significant difference in mental health impact between the genders and age groups of the participants.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49662735","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 An ectoparasitic disease, scabies, caused by the mite Sarcoptes scabiei var hominis. Some of the predisposing factors are overcrowding, unhygienic surroundings, immunocompromised status, dementia, homelessness, and sexual contact. In this study, we wanted to evaluate the changed distribution of lesions of scabies during pandemic. METHODS A cross sectional study was performed on 600 patients attending the skin department of our tertiary care hospital over a period of 6 months. The sites of the scabies lesions were noted along with types of lesions. Demographic data and history of regular hand washing and sanitization were also documented. RESULTS Our study revealed an important correlation between change in pattern of distribution of scabies lesions from being less frequent on finger webs (19 %) to being more frequent on abdomen (periumbilical area) (73 %) and groins (67 %) due to regular hand washing and frequent sanitization, in this pandemic era. CONCLUSIONS A significant change in distribution of skin lesions in scabies can be noticed during this COVID-19 pandemic.
{"title":"Changing Patterns in the Distribution of Skin Lesions of Scabies during the COVID -19 Pandemic – A Cross-Sectional Observational Study","authors":"Chanchal Chauhan, Praveen Kumar Rathore, Aarzoo Pahwa","doi":"10.14260/jemds.v11i13.289","DOIUrl":"https://doi.org/10.14260/jemds.v11i13.289","url":null,"abstract":"BACKGROUND \u0000An ectoparasitic disease, scabies, caused by the mite Sarcoptes scabiei var hominis. Some of the predisposing factors are overcrowding, unhygienic surroundings, immunocompromised status, dementia, homelessness, and sexual contact. In this study, we wanted to evaluate the changed distribution of lesions of scabies during pandemic. \u0000METHODS \u0000A cross sectional study was performed on 600 patients attending the skin department of our tertiary care hospital over a period of 6 months. The sites of the scabies lesions were noted along with types of lesions. Demographic data and history of regular hand washing and sanitization were also documented. \u0000RESULTS \u0000Our study revealed an important correlation between change in pattern of distribution of scabies lesions from being less frequent on finger webs (19 %) to being more frequent on abdomen (periumbilical area) (73 %) and groins (67 %) due to regular hand washing and frequent sanitization, in this pandemic era. \u0000CONCLUSIONS \u0000A significant change in distribution of skin lesions in scabies can be noticed during this COVID-19 pandemic.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47024201","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 Supraglottic airway devices (SAD) like air Q and I-Gel are widely used in place of tracheal intubation for general anaesthesia. The present study was undertaken to compare the insertion conditions of these two supraglottic airway devices and as conduits for endotracheal tube (ETT) insertion in adult patients undergoing elective surgeries. METHODS 100 patients belonging to American Society of Anaesthesiologists (ASA) grade 1 and 2 between 18 to 70 years were randomly divided into 2 groups of 50 each. In group A, Air-Q was used and in group B, I-gel. The following parameters were compared while inserting SAD and endotracheal tube (ETT): number of insertion attempts, insertion time, ease of insertion, intraoperative and postoperative complications. RESULTS Insertion in first attempt was 90 % in air- Q and 72 % in I-gel. The mean time of insertion for air-Q was 7.28 1.46 seconds which was shorter as compared to I-gel which was 8.46 2.18 seconds (p = 0.002). Air Q was easy to insert in 93 % cases and I-Gel in 52 % cases. ETT insertion through Air-Q was easy when compared to I-Gel .Complications occurred in some patients in both the groups. CONCLUSIONS We concluded that Air-Q has better efficacy than I-gel in terms of insertion conditions and as a conduit for endotracheal intubation.
{"title":"A Comparison of Air-Q and I-Gel in Terms of Insertion Conditions and as Intubating Aids for Elective Surgeries under General Anaesthesia","authors":"Babita Ramdev, Heena Goyal, Dinesh Kumar Sharma, Archit Sharma","doi":"10.14260/jemds.v11i13.291","DOIUrl":"https://doi.org/10.14260/jemds.v11i13.291","url":null,"abstract":"BACKGROUND \u0000Supraglottic airway devices (SAD) like air Q and I-Gel are widely used in place of tracheal intubation for general anaesthesia. The present study was undertaken to compare the insertion conditions of these two supraglottic airway devices and as conduits for endotracheal tube (ETT) insertion in adult patients undergoing elective surgeries. \u0000METHODS \u0000100 patients belonging to American Society of Anaesthesiologists (ASA) grade 1 and 2 between 18 to 70 years were randomly divided into 2 groups of 50 each. In group A, Air-Q was used and in group B, I-gel. The following parameters were compared while inserting SAD and endotracheal tube (ETT): number of insertion attempts, insertion time, ease of insertion, intraoperative and postoperative complications. \u0000RESULTS \u0000Insertion in first attempt was 90 % in air- Q and 72 % in I-gel. The mean time of insertion for air-Q was 7.28 1.46 seconds which was shorter as compared to I-gel which was 8.46 2.18 seconds (p = 0.002). Air Q was easy to insert in 93 % cases and I-Gel in 52 % cases. ETT insertion through Air-Q was easy when compared to I-Gel .Complications occurred in some patients in both the groups. \u0000CONCLUSIONS \u0000We concluded that Air-Q has better efficacy than I-gel in terms of insertion conditions and as a conduit for endotracheal intubation.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45993001","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 : 2022-12-31DOI: 10.14260/jemds.v11i13.295
Sujata Singh, Superna Ganguly
Epipericardial fat necrosis is an uncommon benign and self-limiting condition that leads patients to the emergency department owing to the onset of acute pleuritic chest pain. Fat necrosis in adipose tissue can occur at various sites: in the breast and subcutaneous fat after trauma, peripancreatic fat in pancreatitis, and epiploicappendagitis.[1,2] Rarely, it may occur within the epipericardial fat. Since the first description by Jackson et al.,[3] only 35 cases have been published in the English literature, and extensive epipericardial fat necrosis (EFN) is currently described as an extremely rare disease.[4] The aetiology of EFN remains unknown, but some theories have been proposed to explain its origin. Acute torsion of a vascular pedicle is described in some cases, although the presence of a vascular pedicle has been described in only two patients who underwent surgery.[4] Furthermore, increased intrathoracic pressure due to heavy lifting or Valsalva's manoeuvre might trigger rapid changes in capillary pressure, leading to haemorrhagic necrosis, especially if pre-existing structural abnormalities of the adipose tissue, such as lipoma, hamartoma or lipomatosis, are present.[5] Both males and females are affected, and neither age predilections nor pre-disposing factors have been described.[4]
{"title":"Extensive Epipericardial Fat Necrosis in a Case of Metastatic Adenocarcinoma of Lung","authors":"Sujata Singh, Superna Ganguly","doi":"10.14260/jemds.v11i13.295","DOIUrl":"https://doi.org/10.14260/jemds.v11i13.295","url":null,"abstract":"Epipericardial fat necrosis is an uncommon benign and self-limiting condition that leads patients to the emergency department owing to the onset of acute pleuritic chest pain. Fat necrosis in adipose tissue can occur at various sites: in the breast and subcutaneous fat after trauma, peripancreatic fat in pancreatitis, and epiploicappendagitis.[1,2] Rarely, it may occur within the epipericardial fat. Since the first description by Jackson et al.,[3] only 35 cases have been published in the English literature, and extensive epipericardial fat necrosis (EFN) is currently described as an extremely rare disease.[4] The aetiology of EFN remains unknown, but some theories have been proposed to explain its origin. Acute torsion of a vascular pedicle is described in some cases, although the presence of a vascular pedicle has been described in only two patients who underwent surgery.[4] Furthermore, increased intrathoracic pressure due to heavy lifting or Valsalva's manoeuvre might trigger rapid changes in capillary pressure, leading to haemorrhagic necrosis, especially if pre-existing structural abnormalities of the adipose tissue, such as lipoma, hamartoma or lipomatosis, are present.[5] Both males and females are affected, and neither age predilections nor pre-disposing factors have been described.[4]","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44836014","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 : 2022-12-31DOI: 10.14260/jemds.v11i13.292
Sujata Singh, Sarika More
Leiomyomas are benign tumours that can arise from any organ containing smooth muscle cells. They are commonly seen in the uterus but can also be found in other sites like the renal pelvis, bladder, spermatic cord, epididymis, prostate, scrotum and glans penis. Testis-associated leiomyomas are extremely rare. We present a case of testicular leiomyoma in a 69-year-old male who presented with a slowly growing, painless, firm, mobile lump in the left side of the scrotum. Histopathology and Immunohistochemistry showed findings suggestive of Leiomyoma.
{"title":"Testicular Leiomyoma: Report of a Rare Case","authors":"Sujata Singh, Sarika More","doi":"10.14260/jemds.v11i13.292","DOIUrl":"https://doi.org/10.14260/jemds.v11i13.292","url":null,"abstract":"Leiomyomas are benign tumours that can arise from any organ containing smooth muscle cells. They are commonly seen in the uterus but can also be found in other sites like the renal pelvis, bladder, spermatic cord, epididymis, prostate, scrotum and glans penis. Testis-associated leiomyomas are extremely rare. We present a case of testicular leiomyoma in a 69-year-old male who presented with a slowly growing, painless, firm, mobile lump in the left side of the scrotum. Histopathology and Immunohistochemistry showed findings suggestive of Leiomyoma.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44618395","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 Efficacy of COVID vaccines has been evaluated in various studies. The interim analysis from four randomized controlled trials in UK, Brazil, and south Africa regarding efficacy of two doses of the vaccine was found to be 70.4% (95·8% CI 54·8–80·6). There is a limited data on follow-up Ab titer post vaccination. Hence, the current study is first of its kind with the objective to determine vaccine long term efficacy and its determinants. METHODS Health Care Workers (HCW) from Apollo Multispeciality Hospitals, Kolkata who underwent Covishield vaccination from January 2021 to April 2021 were included in the study. Serological testing was done prior to first and second dose of vaccinations, and additionally around six months post second dose. RESULTS Between January 2021 to April 2021, 2032 HCW, with predominant age of less than 30 years (44.83%) and male gender (61.96%) undergoing Covishield vaccination were enrolled. Antibodies were detected in 953 (46.9%) individuals prior to first dose, 1449 out of 1495 (96.9%) remained positive prior to second dose and 465 out of 504 (92.3%) HCW after 6 months and remaining 39 (7.7%) either had lost or never had antibodies in their blood. The mean ± SD value of first, second and third antibodies were 2.35 ± 3.10, 10.46 ± 4.84 and 8.75 ± 4.88 respectively. CONCLUSIONS This study provides long observation period, covering the complete progress of the pandemic which provides a “real-life” picture of the antibody level dynamics over time, and after vaccination.
{"title":"Six Months Follow-Up Study on Health Care Workers on Persistence of Antibodies to SARS-CoV-2 after Covishield Vaccination","authors":"Shinjini Chaudhuri, Shivaraj Afzalpurkar, Vikram Uttam Patil, Gajanan Ashok Rodge, Mohuya Mukherjee, Surabhi Jajodia, Usha Goenka, Mahesh Kumar Goenka","doi":"10.14260/jemds.v11i12.263","DOIUrl":"https://doi.org/10.14260/jemds.v11i12.263","url":null,"abstract":"BACKGROUND \u0000Efficacy of COVID vaccines has been evaluated in various studies. The interim analysis from four randomized controlled trials in UK, Brazil, and south Africa regarding efficacy of two doses of the vaccine was found to be 70.4% (95·8% CI 54·8–80·6). There is a limited data on follow-up Ab titer post vaccination. Hence, the current study is first of its kind with the objective to determine vaccine long term efficacy and its determinants. \u0000METHODS \u0000Health Care Workers (HCW) from Apollo Multispeciality Hospitals, Kolkata who underwent Covishield vaccination from January 2021 to April 2021 were included in the study. Serological testing was done prior to first and second dose of vaccinations, and additionally around six months post second dose. \u0000RESULTS \u0000Between January 2021 to April 2021, 2032 HCW, with predominant age of less than 30 years (44.83%) and male gender (61.96%) undergoing Covishield vaccination were enrolled. Antibodies were detected in 953 (46.9%) individuals prior to first dose, 1449 out of 1495 (96.9%) remained positive prior to second dose and 465 out of 504 (92.3%) HCW after 6 months and remaining 39 (7.7%) either had lost or never had antibodies in their blood. The mean ± SD value of first, second and third antibodies were 2.35 ± 3.10, 10.46 ± 4.84 and 8.75 ± 4.88 respectively. \u0000CONCLUSIONS \u0000This study provides long observation period, covering the complete progress of the pandemic which provides a “real-life” picture of the antibody level dynamics over time, and after vaccination.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42817244","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 : 2022-11-30DOI: 10.14260/jemds.v11i12.264
Manisha Kankonker, Prajoth Kankonkar, Amit Dias, Rajat Sawant
BACKGROUND Universal Health Coverage (UHC) means that individuals and communities receive the healthcare services they need without suffering financial hardship. It includes the full spectrum of essential, quality healthcare services, from health promotion to prevention, treatment, rehabilitation and palliative care. Unmet Healthcare Needs (UHNs) are defined as the difference between the healthcare services deemed necessary to deal with a particular health problem and the actual services received. UHC is possible only if we identify the UHNs among people and plan the delivery of healthcare services accordingly. The study aimed to identify the UHNs among the people in the field practice area of a Rural Health and Training Centre (RHTC), Mandur in Goa. METHODS A community-based cross-sectional study was conducted in a rural area. A multistage sampling technique was used to include 160 study participants of 21 years of age or above. A semi-structured questionnaire was used to collect data which was later entered into Google Sheets and analysed using SPSS. RESULTS The mean age of study participants was 44 years (95% CI 41-47). The majority were males (53.13%), 65% were Hindus, and most of them (38.75%) had completed secondary school education, however, more than half (53.13%) of them were unemployed. Twenty-six percent of the study participants reported UHNs during their last visit to a healthcare facility. CONCLUSIONS The majority of the UHNs consisted of radiological investigations such as X-Ray and Ultrasound. Similarly, the most commonly perceived UHNs was also for radiological investigations followed by the unavailability of general practitioner, medicines and dentist.
全民健康覆盖意味着个人和社区在不遭受经济困难的情况下获得所需的卫生保健服务。它包括从促进健康到预防、治疗、康复和姑息治疗的所有基本优质保健服务。未满足的医疗保健需求(UHNs)的定义是处理特定健康问题所需的医疗保健服务与实际获得的服务之间的差距。只有当我们确定人群中的全民健康覆盖者并相应地规划提供卫生保健服务时，才有可能实现全民健康覆盖。该研究的目的是确定果阿邦曼都尔农村卫生和培训中心(RHTC)实地实践领域人员中的unhn。方法在农村地区进行以社区为基础的横断面研究。采用多阶段抽样技术对160名年龄在21岁及以上的研究参与者进行了抽样。采用半结构化问卷收集数据，随后输入谷歌Sheets并使用SPSS进行分析。研究参与者的平均年龄为44岁(95% CI 41-47)。大多数是男性(53.13%)，65%是印度教徒，其中大多数(38.75%)完成了中学教育，然而，超过一半(53.13%)的人失业。26%的研究参与者在他们最后一次去医疗机构时报告了uhn。结论:绝大多数UHNs由x线和超声等放射学检查组成。同样，最普遍认为的不健康状况也是用于放射检查，其次是没有全科医生、药品和牙医。
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