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Multicystic dysplastic disease of kidney in pediatric age group: A series of five cases 儿童年龄组的多发性肾脏发育异常疾病:5例系列病例
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_137_22
Sibnath Gayen, A. Chowdhury, Picaso Chowdhury, P. Halder, Damini Dutta, P. Chakraborty
Multicystic dysplastic kidney (MCDK) is a congenital somatic maldevelopment in which the renal cortex is replaced by numerous cysts of varying sizes with insinuating dysplastic parenchyma in between. In 76% of cases, it is unilateral occurring on the left kidney. The condition could be diagnosed by ultrasound during pregnancy or after delivery. According to various studies, it follows a benign course and can be managed conservatively. Here, we present a series of five cases of unilateral MCDK that required surgical management due to either parent's psychosocial constraints or incidental discovery during surgery.
多囊性发育不良肾脏(MCDK)是一种先天性体细胞发育不良,肾皮质被大量大小不等的囊肿所取代,其间隐含着发育不良的实质。76%的病例单侧发生在左肾。这种情况可以在怀孕期间或产后通过超声波进行诊断。根据各种研究,它遵循良性过程,可以保守治疗。在这里,我们介绍了一系列五例单侧MCDK病例,由于父母的心理社会限制或手术中的偶然发现,这些病例需要手术治疗。
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引用次数: 0
Generation C/Kappa: Born into a COVID-19 world C一代/Kappa:出生在COVID-19的世界
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_129_21
J. A. Teixeira da Silva
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引用次数: 0
The community of men who have sex with men in Ratlam City, Madhya Pradesh: A case study on risk factors for human immunodeficiency virus infection 中央邦拉特拉姆市男性性行为社区:人类免疫缺陷病毒感染风险因素的个案研究
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_185_22
C. Sajan, Elizabeth Jacob
Background: Not long ago, the National AIDS Control Organization awakened the matter of men who have sex with men (MSM) and incorporated it as the most important group population. Targeted interventions (TI), as projected in the NACP-III, have made dauntless efforts to launch about, that this group demands an urgent and intensive attention, indicating a significant amount of departure from its previous polices. All above-mentioned reasons prompted us to undertake this study on evaluating the risk of MSM for sexually transmitted infections. Methods: A cross sectional descriptive study was conducted and all the acquired data were entered using epi info version 3.5 software and along with proper statistical procedures. Results: In the current study, 156 participants were involved, of which 90% of respondents were male and the remaining were transgender. Majority of the participants in the present study were involved in MSM activity with both regular and nonregular partners (RP)/casual partners. In the present study, 85.3% of the study participants were involved in MSM activity with a regular partner in the last 6 months, which is similar to nonregular partners reflecting high-risk activity. Conclusion: This study offers compelling evidence that MSM is more vulnerable to HIV due to a variety of variables. According to the current studies, about 37% of MSM were married. This brings up additional issues, such as the fact that women often contract HIV, because they are partners of men who are members of the population groups that are most at risk for HIV infection, such as MSM, rather than due to their own sexual behavior.
背景:不久前,国家艾滋病控制组织唤醒了男男性行为者的问题,并将其纳入最重要的群体。正如NACP-III中预测的那样,有针对性的干预措施(TI)已经做出了无畏的努力,这一群体需要得到紧急和深入的关注,这表明它与以前的政策有很大的不同。所有上述原因促使我们进行这项评估男男性行为者性传播感染风险的研究。方法:进行横断面描述性研究,使用epi-info 3.5版软件和适当的统计程序输入所有获得的数据。结果:在目前的研究中,156名参与者参与其中,其中90%的受访者是男性,其余为变性人。本研究中的大多数参与者与固定和非固定伴侣(RP)/临时伴侣一起参与MSM活动。在本研究中,85.3%的研究参与者在过去6个月内与常规伴侣一起参与MSM活动,这与反映高风险活动的非常规伴侣相似。结论:这项研究提供了令人信服的证据,表明由于各种变量,男男性行为者更容易感染艾滋病毒。根据目前的研究,约37%的男男性行为者已婚。这带来了额外的问题,例如女性经常感染艾滋病毒,因为她们是男性的伴侣,而不是由于她们自己的性行为,男性是最容易感染艾滋病毒的人群,如男男性行为者。
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引用次数: 0
Restoring services targeting sexual and reproductive health during the COVID-19 pandemic 在新冠肺炎大流行期间恢复针对性健康和生殖健康的服务
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_162_22
S. Shrivastava, P. Shrivastava
The ongoing coronavirus disease-2019 (COVID-19) pandemic continues to be a public health emergency of global concern. The findings of the studies have reported that owing to the pandemic, the delivery of essential and emergency sexual and reproductive health-care services has been significantly jeopardized. This has resulted in a considerable rise in the number of episodes of gender-based violence, with the situation being grimmer in settings with poor health systems or among people who are being exposed to some form of humanitarian emergencies. This calls for an indispensable need to improve the delivery of sexual and reproductive health-related services to all women, especially those living in low-resource settings. To conclude, the COVID-19 pandemic has accounted for the disruption of almost all types of health-care services and the same thing has been observed with regard to the delivery of sexual and reproductive health-care needs of women. It is the need of the hour to bridge the existing gap and give adequate priority to the special needs of women, which very much determine their quality of life.
持续的2019冠状病毒病(新冠肺炎)大流行仍然是全球关注的突发公共卫生事件。研究结果报告说,由于新冠疫情,提供基本和紧急的性保健和生殖保健服务受到严重危害。这导致基于性别的暴力事件数量大幅增加,在卫生系统较差的环境中或面临某种形式人道主义紧急情况的人群中,情况更加严峻。这就要求必须改善向所有妇女,特别是生活在资源匮乏环境中的妇女提供与性和生殖健康有关的服务。总之,新冠肺炎大流行造成了几乎所有类型的保健服务中断,在满足妇女的性和生殖保健需求方面也观察到了同样的情况。现在需要弥合现有的差距,充分优先考虑妇女的特殊需要,这在很大程度上决定了她们的生活质量。
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引用次数: 0
Role of compression sonoelastography in aiding differentiation of benign and malignant solid hepatic lesions 压缩超声弹性成像在肝实性病变良恶性鉴别中的作用
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_135_22
A. Bala, R. Kadavigere, K. Prakashini, Ramakrishna Narayanan
Background: The liver is primarily or secondarily involved by numerous vascular, metabolic, infectious, and neoplastic processes resulting in formation of focal liver masses, and the detection of such focal liver lesions is frequently accomplished with sonography. However, the categorization a liver mass as benign or malignant on ultrasound has always been a diagnostic dilemma. Objective: This study aimed to assess if the addition of compression sonoelastography to conventional B-mode ultrasound aided in diagnostic accuracy of the focal hepatic lesions. Materials and Methods: We evaluated B-mode characteristics of 52 liver lesions followed by calculation of their strain values on compression sonoelastography. The lesions were categorized as benign or malignant by ascertaining a cutoff strain value and the comparison was made with the histopathological diagnosis/contrast-enhanced computed tomography characteristics of the lesions. Results: The mean strain index value of malignant hepatic lesions (2.12 ± 1.06) was statistically higher than the benign lesions (0.92 ± 1.06) with 2-tailed P = 0.002. The sensitivity, specificity, and positive and negative predictive values of compression sonoelastography in diagnosing a malignant pathology were 74.4%, 88.9%, 94.6%, and 46.7%, respectively, and the additional evaluation of B-mode features yielded higher sensitivity (95.4% vs. 83.7%) and negative predictive value (75% vs. 46.7%). Conclusion: Compression sonoelastography is an efficient and beneficial complementary tool to B-mode imaging in evaluating solid liver lesions.
背景:肝脏主要或次要参与许多血管、代谢、感染和肿瘤过程,导致形成局灶性肝肿块,而这种局灶性肝脏病变的检测通常通过超声来完成。然而,在超声上将肝脏肿块分为良性或恶性一直是一个诊断难题。目的:本研究旨在评估在常规B型超声的基础上增加压缩声弹性成像是否有助于肝局灶性病变的诊断准确性。材料和方法:我们评估了52个肝脏病变的B模式特征,然后在压缩声弹性成像上计算了它们的应变值。通过确定临界应变值,将病变分为良性或恶性,并与病变的组织病理学诊断/增强计算机断层扫描特征进行比较。结果:肝脏恶性病变的平均应变指数值(2.12±1.06)明显高于良性病变(0.92±1.06。压缩声弹性成像诊断恶性病变的敏感性、特异性、阳性和阴性预测值分别为74.4%、88.9%、94.6%和46.7%,结论:压缩声弹性成像是一种有效且有益的B型成像辅助工具。
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引用次数: 0
“Pattern of alcohol use in elderly patients in a primary health center in Goa” "果阿邦某初级保健中心老年患者饮酒模式"
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_197_22
L. Rodrigues, Vanita Da Silva
Background: The portrayal of alcohol as necessary for a vibrant social life has diverted attention from the harms of alcohol use. There is no safe level of alcohol consumption. Studies focusing on problems associated with alcohol use in the elderly are limited. Aim: The aim of this study is to determine the pattern of alcohol use in the study population and to study some factors associated with alcohol use in the study population. Methods: This was a cross-sectional, hospital-based study conducted in the Rural Health and Training Center at Mandur, Goa, India, over 3 months from February 2022 to April 2022 in persons ≥65 years recruited using systematic random sampling method. Results: Out of 207 participants, 114 (55%) were females and 93 (45%) were males. The mean (±standard deviation) age of the study population was 72.73 ± 7.87 years. The total proportion of alcohol use in the study population was 35.3%. Among those who consumed alcohol, 64.4% were current users and 35.6% were former users. Among the current users, 61.7% were low-risk drinkers, 21.3% were at-risk drinkers, and 10.6% indulged in harmful and hazardous drinking, whereas 6.4% had possible dependence on alcohol. Conclusions: Increase in aging populations implies that the absolute number of older people with alcohol use is on the increase. Hence, health services need to cater to alcohol screening and treatment methods and services in the elderly population.
背景:将酒精描述为充满活力的社会生活所必需的,这转移了人们对饮酒危害的注意力。饮酒没有安全水平。关注老年人饮酒相关问题的研究有限。目的:本研究的目的是确定研究人群的饮酒模式,并研究与研究人群饮酒相关的一些因素。方法:这是一项基于医院的横断面研究,于2022年2月至2022年4月在印度果阿Mandur的农村卫生和培训中心进行,为期3个月,采用系统随机抽样方法招募了≥65岁的人群。结果:在207名参与者中,114名(55%)为女性,93名(45%)为男性。研究人群的平均(±标准差)年龄为72.73±7.87岁。研究人群中饮酒的总比例为35.3%。在饮酒的人群中,64.4%是目前的使用者,35.6%是以前的使用者。在目前的使用者中,61.7%的人是低风险饮酒者,21.3%的人是高危饮酒者,10.6%的人沉迷于有害和危险的饮酒,而6.4%的人可能对酒精有依赖性。结论:老龄化人口的增加意味着老年人饮酒的绝对数量正在增加。因此,卫生服务需要满足老年人的酒精检查和治疗方法及服务。
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引用次数: 0
Assessment of quality of life in vitiligo patients in terms of clinical severity and psychological burden in a tertiary care hospital: An observational study 从临床严重程度和心理负担评估三级医院白癜风患者的生活质量:一项观察性研究
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_119_22
C. Sajan, Priyanshi R Shah, R. Mahajan, V. Chandrakar, Disha Baxi, Hiral Patel
Background: Vitiligo is characterized depigmented macules and patches over the skin. It has a major impact on the quality of life (QoL) of patients, many of whom feel distressed and stigmatized by their condition. Aim: To assess QoL in vitiligo patients in terms of clinical severity and psychological burden. Materials and Methods: An observational study on 60 patients with age ≥16 years was conducted at an outpatient department of a tertiary care hospital. Data were collected in a predesigned pro forma. The QoL of patients and family members was assessed using Dermatology Life Quality Index (DLQI) and Family DLQI (FDLQI), respectively. The clinical severity was measured using Vitiligo Area Severity Index (VASI) and psychological burden by Vitiligo Impact Score-22 (VIS-22) questionnaire. Results: Sixty patients were included in the study. The mean age was 35.27 ± 2.24. Male-to-female ratio was 1.1:1. About 51.7% of patients were married. Majority of patients were students (30%). The time of presentation after disease onset was 5 years. About 20% of subjects had positive family history. The common sites were face (75%), lower limb (71.67%), and upper limb (60%), with leukotrichia in 11.7% of patients. The mean VASI score at baseline and at 1-month of follow-up after starting treatment was 4.11 ± 0.38 and 3.59 ± 0.58, respectively. The mean DLQI, FDLQI and VIS-22 score were 11.73 ± 0.80, 10.58 ± 0.71, and 37.32 ± 1.53, respectively. VIS-22 and VASI score correlated with changes in DLQI (P < 0.059). Conclusion: Vitiligo largely impairs the QoL of patients. The more the clinical severity (high VASI score), the higher the psychological burden, impairing QoL of patients, and family members.
背景:白癜风的特征是皮肤上有色素沉着的斑点和斑块。它对患者的生活质量(QoL)有着重大影响,其中许多人对自己的病情感到痛苦和耻辱。目的:从临床严重程度和心理负担两方面评估白癜风患者的生活质量。材料和方法:在一家三级护理医院的门诊部对60名年龄≥16岁的患者进行了观察性研究。数据以预先设计的形式收集。分别使用皮肤科生活质量指数(DLQI)和家庭DLQI(FDLQI)评估患者和家庭成员的生活质量。临床严重程度采用白癜风面积严重程度指数(VASI)测量,心理负担采用白癜风影响评分-22(VIS-22)问卷测量。结果:60名患者被纳入研究。平均年龄35.27±2.24岁。男女比例为1.1:1。约51.7%的患者为已婚。大多数患者是学生(30%)。发病后表现时间为5年。约20%的受试者有阳性家族史。常见部位为面部(75%)、下肢(71.67%)和上肢(60%),11.7%的患者出现白细胞增多。基线时和开始治疗后随访1个月时的平均VASI评分分别为4.11±0.38和3.59±0.58。DLQI、FDLQI和VIS-22的平均得分分别为11.73±0.80、10.58±0.71和37.32±1.53。VIS-22和VASI评分与DLQI的变化相关(P<0.059)。结论:白癜风严重影响患者的生活质量。临床严重程度越高(VASI评分越高),患者和家庭成员的心理负担越高,生活质量受损。
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引用次数: 0
Effectiveness of multi-intervention therapy on the knowledge of blood pressure and quality of life among the hypertensive patients of a primary care setting 综合干预治疗对基层高血压患者血压知识和生活质量的影响
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_165_22
Arockiamary Ignasimuthu, S. Parimala
Introduction: Hypertension is one of the most important global public health concerns because it increases ischemic heart disease, cerebrovascular sickness, and chronic kidney failure. The 2015 Global Burden of Disease report connected 79 risk factors to 41% of all disability-adjusted life years in 2015, with high blood pressure (BP) being the greatest significant risk, surpassing smoking, and obesity. Materials and Methods: The research group conducted a prospective study design in the primary health-care setting of a South Indian city to evaluate the effectiveness of a BP control program. The patients' health was checked, and the results were evaluated over the course of a year. People with hypertension (BP more than 140/90 mmHg) were included in the hypertension group, as were those who had a current diagnosis of hypertension or were using BP medication. Results: The participants in this study were 286 persons with high BP, with an average age of 63.4 years. The average age of the participants was 70 years or older and 53.8% were female. Smokers made up 10.7% of the population, drinkers made up 16.6%, and moderate physical activity was practiced by 18.4% of the participants. Conclusion: Increased public awareness of the need of measuring BP is required to avoid the disastrous effects of inadequate BP control.
高血压是全球最重要的公共卫生问题之一,因为它会增加缺血性心脏病、脑血管疾病和慢性肾衰竭。2015年全球疾病负担报告将79种风险因素与2015年所有残疾调整生命年的41%联系起来,其中高血压(BP)是最大的重大风险,超过了吸烟和肥胖。材料和方法:研究小组在印度南部城市的初级卫生保健机构进行了一项前瞻性研究设计,以评估血压控制计划的有效性。研究人员对患者的健康状况进行了检查,并在一年的时间里对结果进行了评估。高血压组包括高血压患者(血压超过140/90 mmHg),以及目前诊断为高血压或正在使用降压药物的患者。结果:本研究共纳入286例高血压患者,平均年龄63.4岁。参与者的平均年龄为70岁及以上,53.8%为女性。吸烟者占总人口的10.7%,饮酒者占16.6%,适度运动的参与者占18.4%。结论:需要提高公众对测量血压的认识,以避免血压控制不充分带来的灾难性后果。
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引用次数: 0
Gamification in medical education: An approach to enhance active engagement of students 医学教育中的游戏化:一种提高学生积极参与的方法
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jss.jss_113_21
S. Shrivastava, P. Shrivastava
Technology has found its root and application in all sectors, and the same stands true in the field of medical education. Moreover, with the emergence of the coronavirus disease-2019 pandemic, the use of technology in online teaching-learning and assessment has increased immensely. The purpose of the current review is to explore the utility of gamification apps to enhance the active engagement of medical students. An extensive search of all materials related to the topic was carried out in the PubMed search engine and a total of five articles were selected based on their suitability with the current review objectives. Keywords used in the search include gamification and medical education. Gamification refers to the employment of elements of games in nongame contexts with an intention to engage users and making them to solve the given problems. It promotes the delivery of information in a learner-centered way and meets the requirement of individual students, especially by targeting those domains in which they are interested. These games are designed in such a way that it simulates problems of the real world, wherein students have to apply their knowledge into practice and simultaneously learn the clinical decision-making skills. In conclusion, gamification and the use of technology should be acknowledged as the new aspects of curriculum delivery and all efforts should be taken to incorporate them as one of the components of medical teaching and assessment in the near future across all medical institutions.
技术已经在所有部门找到了根基和应用,在医学教育领域也是如此。此外,随着2019年冠状病毒病大流行的出现,技术在在线教学和评估中的应用大大增加。当前回顾的目的是探索游戏化应用程序的效用,以提高医学生的积极参与。在PubMed搜索引擎中对与该主题相关的所有材料进行了广泛的搜索,根据它们与当前审查目标的适用性,总共选择了五篇文章。搜索中使用的关键词包括游戏化和医学教育。游戏化指的是在非游戏环境中使用游戏元素,目的是吸引用户并促使他们解决给定的问题。它促进了以学习者为中心的信息传递,满足了学生个体的需求,特别是针对他们感兴趣的领域。这些游戏的设计方式是模拟现实世界的问题,学生必须将他们的知识应用到实践中,同时学习临床决策技能。总之,应承认游戏化和技术的使用是课程提供的新方面,并应尽一切努力在不久的将来将其纳入所有医疗机构的医学教学和评估的组成部分之一。
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引用次数: 0
Serum calcium levels and its association with coronary artery disease 血钙水平及其与冠状动脉疾病的关系
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.4103/jss.jss_114_22
Mansi N. Patel, S. Agrawal, S. Acharya, S. Sushanth Kumar
Thousands of people took part in prospective studies lasting up to 30 years, and the results showed that circulating calcium is a risk factor for vascular disease. Other cardiovascular risk factors such as circulating lipid levels, blood pressure, and body mass index may partially mediate these relationships, but serum calcium appears to have a residual independent influence. Polymorphisms in calcium-sensing receptors connected to small elevations in serum calcium have also been linked to cardiovascular disease, suggesting that calcium is a causative component. Calcium supplements have been shown to increase mortality and/or accelerate vascular disease in dialysis patients and those with less severe renal failure, and meta-analyses of trials in adults without overt renal disease imply a similar effect. A strong interaction between baseline calcium supplement use and the effect of calcium randomization hampered the interpretation of the largest research. The fact that the study only looked at calcium-deficient people highlights the dangers that are always present. Observational studies of dietary calcium have not consistently demonstrated that it is deleterious to cardiovascular health, albeit exceptionally high or extremely low intakes may be harmful. As a result, eating calcium rather than taking supplements should be encouraged. The current systematic review addresses serum calcium levels and their relationship with coronary artery disease using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards. For studies published through December 2021, electronic and manual data resources were reviewed using the following databases: PubMed/MEDLINE, Embase, ScienceDirect, Cochrane Library. The findings were filtered to exclude studies that were written in English.
数千人参加了长达30年的前瞻性研究,结果表明循环钙是血管疾病的危险因素。其他心血管风险因素,如循环脂质水平、血压和体重指数,可能部分介导这些关系,但血清钙似乎具有残余的独立影响。与血清钙小幅升高有关的钙感应受体的多态性也与心血管疾病有关,这表明钙是一种致病成分。钙补充剂已被证明会增加透析患者和肾功能不太严重的患者的死亡率和/或加速血管疾病,对没有明显肾功能疾病的成年人的试验的荟萃分析也表明了类似的效果。基线钙补充剂的使用和钙随机化的效果之间的强烈相互作用阻碍了对最大研究的解释。这项研究只针对缺钙的人,这一事实突显了一直存在的危险。对膳食钙的观察研究并没有一致地表明它对心血管健康有害,尽管异常高或极低的摄入量可能是有害的。因此,应该鼓励吃钙而不是服用补充剂。目前的系统综述使用系统综述和荟萃分析标准的首选报告项目来解决血清钙水平及其与冠状动脉疾病的关系。对于截至2021年12月发表的研究,使用以下数据库对电子和手动数据资源进行了审查:PubMed/MEDLINE、Embase、ScienceDirect、Cochrane Library。这些发现被过滤掉,排除了用英语写的研究。
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引用次数: 0
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