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Extensive soft-tissue calcification in adult dermatomyositis: An incidental finding 成人皮肌炎的广泛软组织钙化:一项偶然发现
Pub Date : 2022-10-01 DOI: 10.4103/mgmj.mgmj_172_22
Preethy Paul, M. Jalal, T. Pratap, K. Iqbal
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引用次数: 0
Morphometric and biomechanical analysis of gracilis and semitendinosus tendons: A cadaveric study in the South Indian setting 股薄肌腱和半腱肌腱的形态计量学和生物力学分析:在南印度环境中的尸体研究
Pub Date : 2022-10-01 DOI: 10.4103/mgmj.mgmj_175_22
Pulimi Vineel, R. Subramanian, T. Muthu Kumar
Background: Semitendinosus and gracilis muscle tendons are among the most frequently used grafts in anterior cruciate ligament reconstructive surgery. Gracilis is also frequently used in breast reconstruction as well as in upper and lower limb reconstruction as a free graft. Materials and Methods: A total of 60 human cadaver lower limbs were studied of 30 adults (12 men and 18 women) who have been embalmed at a tertiary care institution. Those cadavers whose lower limb had undergone surgery in the past and those with concomitant pathology that would have affected the local anatomy were excluded. Gracilis and semitendinosus tendons were taken out of embalmed remains after the cutaneous and subcutaneous tissues had been carefully dissected. Results: It was observed that the maximum load of all the semitendinosus tendons studied had a mean value of 768.2 ± 130.4 N. The semitendinosus tendon’s maximal load in males ranged from 698.4 to 1133.9 N. However in females, the semitendinosus tendon’s maximal load ranged from 589.5 to 780.0 N. Conclusion: The topographical and morphometric data from this study can be utilized as a database of anthropological parameters for the Semitendinosus and Gracilis muscle tendons of a population in a south Indian setting,
背景:半腱肌和股薄肌肌腱是前交叉韧带重建手术中最常用的移植物之一。股薄肌也经常用于乳房重建以及作为游离移植物的上肢和下肢重建。材料和方法:对在三级护理机构进行防腐处理的30名成年人(12男18女)的60具人体下肢尸体进行了研究。那些下肢在过去接受过手术的尸体以及那些伴有可能影响局部解剖结构的病理的尸体被排除在外。在仔细解剖皮肤和皮下组织后,从防腐的遗体中取出薄肌和半腱肌肌腱。结果:观察到所研究的所有半腱肌腱的最大负荷平均值为768.2 ± 130.4 N.男性半腱肌腱的最大负荷范围为698.4至1133.9 N.然而,在雌性中,半腱肌腱的最大负荷范围为589.5至780.0 N.结论:本研究的地形和形态测量数据可作为南印度地区人群半腱肌和股薄肌肌腱的人类学参数数据库,
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引用次数: 0
Comparison conventional endoscopic myringoplasty with fibrin glue supplemented endoscopic myringoplasty 常规内镜下鼓膜成形术与纤维蛋白胶辅助内镜下鼓膜成形术的比较
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_131_22
Rajendiran Devendiran, Nagabooshanam Mohanbabu, Venugopal Ravikumar
Introduction: The fibrin tissue glues have been used in many surgeries to reinforce surgical sutures and tissue adhesion. Myringoplasty is the commonly done ear surgery for the perforations of the tympanic membrane, where no suturing is done between remnant membrane and graft. Aim: The aim of the study is to compare the results and effectiveness of this biological fibrin tissue glue in myringoplasty surgeries as a supplementary procedure to conventional endoscopic myringoplasty (CEM) surgeries. Materials and Methods: Seventy patients with chronic suppurative otitis media with tympanic membrane perforation without ossicular and mastoid involvement have been chosen. One group of 35 patients underwent CEM surgeries. In another group of 35 patients, biological fibrin tissue glue, TISSEEL, has been used as supplementary to the CEM surgeries, and the graft uptake rate and hearing improvement were evaluated and compared postoperatively. Results: The graft success rate at 3 months postoperatively was 91.42% in both the groups, that is, 32/35, and these values were not statistically significantly different (P = 1.00). There was a highly statistically significant hearing outcome before and after the surgery in both the CEM and the fibrin tissue glue supplemented endoscopic myringoplasty groups. However, there was no statistically significant change in hearing outcomes between the two groups. Conclusion: In our study, we have got more or less similar results compared with the results of the studies on routine CEM cases. But the high-cost nature of the commercially available fibrin tissue glue makes it difficult to recommend for use in all routine endoscopy myringoplasty cases.
简介:纤维蛋白组织胶已被用于许多手术中,以加强手术缝合和组织粘附。鼓膜成形术是治疗鼓膜穿孔的常用耳外科手术,在残膜和移植物之间不进行缝合。目的:本研究的目的是比较这种生物纤维蛋白组织胶作为传统内窥镜鼓膜成形术(CEM)的补充手术在鼓膜成形术中的效果和有效性。材料与方法:选择70例慢性化脓性中耳炎合并鼓膜穿孔,未累及听骨和乳突的患者。一组35名患者接受了CEM手术。在另一组35名患者中,生物纤维蛋白组织胶TISSEL被用作CEM手术的补充,并在术后评估和比较移植物吸收率和听力改善。结果:两组在术后3个月的移植物成功率均为91.42%,即32/35,且这些值无统计学意义(P=0.00)。CEM和纤维蛋白组织胶补充的内镜鼓膜成形术组在术前和术后的听力结果均具有高度统计学意义。然而,两组之间的听力结果没有统计学上的显著变化。结论:在我们的研究中,与常规CEM病例的研究结果相比,我们得到了或多或少相似的结果。但是,商业上可买到的纤维蛋白组织胶的高成本性质使得很难推荐在所有常规内窥镜检查鼓膜成形术病例中使用。
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引用次数: 0
Erosive Gastroesophageal reflux disease – are we missing pulmonary symptoms? 糜烂性胃食管反流病-我们是否遗漏了肺部症状?
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_127_22
S. Kundukulangara
Background: Gastroesophageal reflux disease (GERD) is a common condition that affects about 20- 30% of the adult population, presenting with a broad spectrum of symptoms and varying degrees of severity and frequency. Extra esophageal manifestations like respiratory symptoms are being increasingly recognized. There are only very few studies on the prevalence of pulmonary symptoms in patients with erosive gastroesophageal reflux disease. Aim: The objective of the study was to determine the frequency of pulmonary symptoms in patients with erosive gastroesophageal reflux disease,Materials and Methods: This was a cross-sectional study done on 100 patients diagnosed based on upper gastrointestinal endoscopy findings. Patients were first interviewed about GERD symptoms using the GERD Health-Related Quality of Life questionnaire. Then the respiratory symptoms are assessed. Demographic details are recorded in a proforma. Pulmonary function tests were done on all the patients. Upper GI endoscopic findings are graded according to Los Angeles (LA) grading from A to DResults: The prevalence of pulmonary symptoms was 60%. The most prevalent symptom was a cough, then followed by dyspnoea on exertion, chest pain, wheezing, and snoring. There was a significant association found between LA grading and pulmonary symptoms like wheezing, cough, chest pain, and hoarseness of voice. No significant association was found between GERD duration and pulmonary symptoms. There was a statistically significant association found between LA grading and pulmonary function test. No association was found between quality of life scoring and pulmonary symptoms. Conclusion: There was a high prevalence of pulmonary symptoms in patients with erosive gastroesophageal reflux disease. Erosive GERD can affect pulmonary function according to severity. There was no association between prolonged GERD and pulmonary symptoms.
背景:胃食管反流病(GERD)是一种常见病,影响约20- 30%的成年人,表现为广泛的症状,不同程度的严重程度和频率。食管以外的表现,如呼吸道症状,越来越多地被认识到。关于糜烂性胃食管反流病患者肺部症状的患病率的研究很少。目的:研究的目的是确定糜烂性胃食管反流病患者肺部症状的频率。材料和方法:这是一项横断面研究,对100例根据上消化道内窥镜检查结果诊断的患者进行研究。首先使用GERD健康相关生活质量问卷对患者进行关于GERD症状的访谈。然后对呼吸道症状进行评估。人口统计细节记录在形式表中。所有患者均进行肺功能检查。上消化道内镜检查结果根据洛杉矶(LA)分级从A到结果:肺部症状的患病率为60%。最常见的症状是咳嗽,其次是用力时呼吸困难、胸痛、喘息和打鼾。LA分级与肺部症状(如喘息、咳嗽、胸痛和声音嘶哑)之间存在显著关联。胃食管反流持续时间与肺部症状之间未发现显著关联。LA分级与肺功能检查有统计学意义。没有发现生活质量评分与肺部症状之间的关联。结论:糜烂性胃食管反流病患者肺部症状发生率高。糜烂性反流可根据严重程度影响肺功能。长期反流与肺部症状之间没有关联。
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引用次数: 0
Multisystem inflammatory syndrome in neonate with skin lesions—A rare case report 新生儿皮肤病变的多系统炎症综合征——一例罕见病例报告
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_107_22
S. Arunakumar, Raghunadan Rao, L. Rajagopaliah, Sujatha Ramabhatta
Multisystem inflammatory syndrome in children is a serious condition that occurs due to postinfectious immune-mediated hyperinflammatory reaction seen in children, which develops after 4–6 weeks of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection; it is rare in neonates. We present here a case of a term newborn with fever, respiratory distress, and necrotic skin lesion that gradually progressed to multisystem dysfunction. Reverse transcription polymerase chain reaction for SARS-CoV-2 was negative for both mother and the baby. SARS-CoV-2 IgG titer was negative in the mother but was found to be positive in the newborn. The diagnosis of multisystem inflammatory syndrome in neonate was made and was successfully treated with intravenous immunoglobulin and corticosteroids.
儿童多系统炎症综合征是一种严重的疾病,由儿童感染后免疫介导的高炎症反应引起,在严重急性呼吸综合征冠状病毒2型(严重急性呼吸系统综合征冠状病毒-2型)感染4-6周后发生;它在新生儿中很少见。我们在此报告一例足月新生儿,伴有发烧、呼吸窘迫和坏死性皮肤病变,逐渐发展为多系统功能障碍。母亲和婴儿的严重急性呼吸系统综合征冠状病毒2型逆转录聚合酶链式反应均为阴性。母亲的严重急性呼吸系统综合征冠状病毒2型IgG滴度为阴性,但新生儿的滴度为阳性。诊断为新生儿多系统炎症综合征,并用静脉注射免疫球蛋白和皮质类固醇成功治疗。
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引用次数: 0
Comparative study of epidural fentanyl with bupivacaine and epidural tramadol with bupivacaine for postoperative pain management in orthopedic lower limb surgeries 硬膜外芬太尼与布比卡因、硬膜外曲马多与布比卡因在骨科下肢手术术后疼痛管理中的比较研究
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_35_22
Y. Rao, H. Nadimpalli, L. Kutikuppala
Introduction: Pain is a complex subjective sensation that is difficult to quantify in a repeatable manner. Surgical pain is observed to be more intense post-surgery and then fades in the next 24 h. Epidural anesthesia/analgesia is the most widely used technique for lower limb surgeries because of its good sensory and motor block property, reduces stress response, and maintains sufficient spontaneous respiration and hemodynamic stability. Materials and Methods: The study looked at 100 individuals between the ages of 20 and 60 who underwent elective lower limb surgery and were classified as ASA I and II. The patients were split into two 50-person groups. The adverse effects of nausea, vomiting, respiratory depression, urine retention, and pruritus, as well as the quality and duration of postoperative analgesia, were investigated. The patient was monitored for 48 h after surgery. Results: A total of 100 patients were included in the study, where the least age of the patient was 19 years and the greatest age was 75 years. In group T, maximum patients belong to the age group of 26–35 years, whereas in group F maximum patients belong to the age group of 36–45years. In group T, 41 (82%) were males and 9 (18%) were females. In group F, 37 (74%) were males and 13 (26%) were females. Conclusion: Our findings show that epidural tramadol and epidural fentanyl are equally effective, except for fentanyl’s shorter duration of action. Fentanyl also has a moderate sedative effect, which is beneficial in the postoperative period.
疼痛是一种复杂的主观感觉,很难以可重复的方式量化。术后观察到手术疼痛更强烈,然后在接下来的24小时内消退。硬膜外麻醉/镇痛是下肢手术中最广泛使用的技术,因为它具有良好的感觉和运动阻滞特性,减少应激反应,并保持足够的自主呼吸和血流动力学稳定性。材料和方法:该研究观察了100名年龄在20至60岁之间接受选择性下肢手术并被分类为ASA I和II的患者。这些病人被分成两组,每组50人。研究了恶心、呕吐、呼吸抑制、尿潴留、瘙痒等不良反应,以及术后镇痛的质量和持续时间。术后随访48小时。结果:共纳入100例患者,患者年龄最小为19岁,最大年龄为75岁。T组患者最多的年龄段为26 ~ 35岁,F组患者最多的年龄段为36 ~ 45岁。T组男性41例(82%),女性9例(18%)。F组男性37例(74%),女性13例(26%)。结论:我们的研究结果表明硬膜外曲马多和硬膜外芬太尼同样有效,除了芬太尼的作用时间更短。芬太尼还具有中等镇静作用,对术后有益。
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引用次数: 1
An unusual case of methemoglobinemia resulting from self-administration of nitrobenzene in a psychiatric patient 一名精神病患者因自我给药硝基苯导致高铁血红蛋白血症的罕见病例
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_129_22
Chanjal Sathyan, H. Chidambaram, M. Dominic, S. Sirajudeen, V. Jinka
Nitrobenzene, when consumed in large enough doses, can cause methemoglobinemia. By reducing oxygen unloading and oxygen binding, methemoglobinemia reduces oxygen delivery. This is a case of 55-year-old man who is a known case of psychiatric disorder was brought to the emergency room with an alleged history of deliberate consumption of nitrobenzene liquid approximately 10 mL in the morning of the day at his residence. He also instilled 2 drops in the right ear and was taken to a private hospital where the initial management with gastric lavage, multidose activated charcoal and methylene blue was given. He was then referred to the government tertiary care setting for further management. Prompt intravenous methylene blue treatment increases PaO2 in patients with methemoglobinemia.
硝基苯,当摄入足够大的剂量时,可引起高铁血红蛋白血症。通过减少氧卸载和氧结合,高铁血红蛋白血症减少了氧的输送。这是一名55岁男子的病例,他是一名已知的精神障碍病例,他被送往急诊室,据称有当天上午在其住所故意饮用约10毫升硝基苯液体的历史。患者右耳滴注2滴,送往私立医院,初步处理为洗胃、多剂量活性炭和亚甲基蓝。随后,他被转介到政府三级医疗机构接受进一步治疗。及时静脉注射亚甲基蓝可增加高铁血红蛋白血症患者的PaO2。
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引用次数: 0
Odontogenic tumors: A histopathological overview 牙源性肿瘤:组织病理学综述
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_39_22
Sumedha P Shinde, A. Vatkar
Introduction: Odontogenic tumors (OTs) are rare and account for around 1% of jaw lesions including tumor and tumor-like lesions. OTs are a diverse category of lesions, displaying different inductive interactions. Although some are hamartomas, others are benign and malignant neoplasms with varying degrees of aggressiveness. Materials and Methods: We plan to review the histopathological aspects of OTs because of their diverse properties. At a tertiary medical and dental institute in Pune, India, we studied 28 cases of OTs over 2 years, from 2013 to 2015. Results: The most common forms of OTs were ameloblastoma (42.86%) and odontogenic keratocyst (21.15%). The highest number of OTs was found in the 21–30-year-old age group, with an even gender distribution. Conclusion: Ameloblastoma is the most common OT, accounting for roughly one-quarter of all jaw tumors. The majority of OTs occurs in young people aged 20–40 years. Fortunately, malignant OTs are extremely rare.
牙源性肿瘤是罕见的,约占颌骨病变的1%,包括肿瘤和肿瘤样病变。OTs是一种不同类型的病变,表现出不同的诱导相互作用。虽然有些是错构瘤,但也有良性和恶性肿瘤,具有不同程度的侵袭性。材料和方法:我们计划回顾组织病理学方面,因为它们的不同性质。在印度浦那的一家三级医疗和牙科研究所,我们研究了2013年至2015年2年间28例OTs病例。结果:OTs以成釉细胞瘤(42.86%)和牙源性角化囊肿(21.15%)最为常见。在21 - 30岁年龄组中发现的OTs数量最多,性别分布均匀。结论:成釉细胞瘤是最常见的OT,约占所有颌骨肿瘤的四分之一。大多数卵巢囊肿发生在20-40岁的年轻人身上。幸运的是,恶性卵巢囊肿极为罕见。
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引用次数: 0
Correlation of resting scapular position and functional throwing performance index among amateur basketball players: An observational study 业余篮球运动员静息肩胛骨位置与功能性投掷性能指标的相关性观察研究
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_54_22
Reema Joshi, Varun Pohekar
Background: Scapular dyskinesis is prevalent in 54.5% of overhead athletes. Scapular dyskinesis is abnormal positioning of the scapula over the thorax and also abnormal motions of the scapula. Any alterations to the normal scapular position may alter the accuracy of striking and serving in basketball players. This study aims to find out the relation between the resting scapular position and the throwing accuracy of players. Results: The research suggests that there is a moderate correlation present between the resting scapular position and the throwing accuracy of the players. Conclusion: In this study, results state that the resting position of the scapula plays an important role in power generation and biomechanics of throwing in overhead athletes affecting the throwing accuracy of players.
背景:肩胛骨运动障碍在54.5%的头顶运动员中普遍存在。肩胛骨运动障碍是指肩胛骨在胸部上方的位置异常以及肩胛骨的异常运动。任何对正常肩胛骨位置的改变都可能改变篮球运动员击球和发球的准确性。本研究旨在探讨运动员静息肩胛骨位置与投掷准确率的关系。结果:研究表明,运动员的静息肩胛骨位置与投掷精度之间存在适度的相关关系。结论:在本研究中,研究结果表明,肩胛骨的休息位置在头顶运动员投掷的动力和生物力学中起着重要的作用,影响着运动员的投掷精度。
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引用次数: 0
Copper-based fabric for healthcare professionals to prevent healthcare-associated infections: A futuristic/dreamed uniform 为医疗保健专业人员设计的铜基面料,防止医疗保健相关感染:一种未来主义/梦想的制服
Pub Date : 2022-07-01 DOI: 10.4103/mgmj.mgmj_44_22
Megha Sharma, S. Pareek
Healthcare-associated infections (HAIs) have a major impact on public health worldwide. Till now, we are relying on hand washing and environmental disinfection, but the compliance rate of hand washing and adequate supply of materials is always a catch. Alongside patients, surfaces and supplies act as reservoirs of microorganisms in healthcare settings. The reduction in organisms may prove to be an effective strategy to decline HAIs. The use of gold and silver in commercial textiles is prohibited because of the high cost rather than having excellent antibacterial and antimicrobial properties, so copper has become the best choice for researchers as it possesses similar properties to gold and silver and has other characteristics such as its durability, corrosion resistance, prestigious appearance, and ability to form complex shapes. It has been found that copper brings down the microbial burden of high-touch surfaces in healthcare settings. The fundamental properties of copper offer a theoretical advantage to regular cleaning, as the effect is continuous rather than episodic. So the use of copper-impregnated textiles in hospital areas whether in form of bed linen or uniforms for health professionals, as well as patients, can be a viable alternative to decline the levels of infection in healthcare settings, and with the discovery of copper-encapsulated hospital beds and fabrics, dividends will likely be paid in improved patient outcomes, lives saved, and healthcare cost saved. The application of copper in fabrics for healthcare professionals will be a sound initiative to prevent HAIs. The fabric may help decline the infection rate and mortality among hospitalized patients.
医疗保健相关感染(HAIs)对全世界的公共卫生产生重大影响。到目前为止,我们依靠的是洗手和环境消毒,但洗手的符合率和充足的材料供应一直是一个难题。在医疗保健环境中,表面和用品与患者一起充当微生物的储存库。生物数量的减少可能被证明是减少HAIs的有效策略。在商业纺织品中使用金和银是被禁止的,因为成本高,而不是因为具有优异的抗菌和抗菌性能,所以铜成为研究人员的最佳选择,因为它具有与金和银相似的性能,并且具有耐用性,耐腐蚀性,外观美观,能够形成复杂形状等其他特性。已经发现,铜可以降低医疗机构中高接触表面的微生物负担。铜的基本特性为定期清洁提供了理论上的优势,因为其效果是连续的,而不是偶然的。因此,在医院使用浸渍铜的纺织品,无论是床单还是卫生专业人员和患者的制服,都可以成为降低医疗保健环境感染水平的可行替代方案。随着铜封装医院病床和织物的发现,可能会改善患者的治疗效果,挽救生命,节省医疗费用。在医疗保健专业人员的织物中应用铜将是预防HAIs的一项良好举措。这种织物可能有助于降低住院病人的感染率和死亡率。
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引用次数: 0
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MGM Journal of Medical Sciences
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