The journey of a medical student during the undergraduate training period is quite challenging as they are expected to become competent in a wide range of attributes which are essential to a future health-care professional. It is quite obvious that considering the complex nature of attributes that a medical student must acquire, we must expose them to a number of learning opportunities, preferably in their workplace settings. Various learning theories have explained the ways, in which a medical student can learn various skills in workplace settings. However, it is the responsibility of the teacher to optimize the learning experience. Workplace learning in the field of medicine carries immense potential and offers a crucial opportunity for teachers to shape the career of medical students, who will be our future health-care providers. To conclude, workplace learning is an indispensable component of the medical curriculum. As we move forward in our global vision to improve the health indicators and quality of life of the members of the community, we have to strengthen workplace learning across all medical institutions worldwide and this will essentially require the support of all the stakeholders.
{"title":"Advocating workplace learning in medical education","authors":"S. Shrivastava, R. Lubis","doi":"10.4103/cmi.cmi_128_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_128_22","url":null,"abstract":"The journey of a medical student during the undergraduate training period is quite challenging as they are expected to become competent in a wide range of attributes which are essential to a future health-care professional. It is quite obvious that considering the complex nature of attributes that a medical student must acquire, we must expose them to a number of learning opportunities, preferably in their workplace settings. Various learning theories have explained the ways, in which a medical student can learn various skills in workplace settings. However, it is the responsibility of the teacher to optimize the learning experience. Workplace learning in the field of medicine carries immense potential and offers a crucial opportunity for teachers to shape the career of medical students, who will be our future health-care providers. To conclude, workplace learning is an indispensable component of the medical curriculum. As we move forward in our global vision to improve the health indicators and quality of life of the members of the community, we have to strengthen workplace learning across all medical institutions worldwide and this will essentially require the support of all the stakeholders.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"23 5","pages":"126 - 128"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72409662","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}
Ayan Goswami, A. Majhi, A. Chaudhuri, Pratip Kundu
Background: Many females worldwide have reported abnormalities in their menstrual patterns post-COVID-19 vaccination. The present study was conducted to determine the impact of the COVID-19 vaccination on menstrual patterns among female nursing and paramedical students at a peripheral medical college in eastern India. Materials and Methods: The cross-sectional, online self-administered survey was conducted using Microsoft Forms after taking institutional ethical clearance and informed consent from the participants. Two hundred BSc nursing and paramedical students who had received two doses of COVID vaccination (Covaxin or Covishield) and were not suffering from any endocrinopathies, bleeding disorders, structural gynecological abnormalities, or taking any medication known to affect the hypothalamic–pituitary–gonadal axis were included in the study. The questionnaire included menstrual length cycle length and amount of bleeding and there were no direct identifiers. Results: The participants reported a significant increase in the amount of bleeding on the heaviest day (mean ± standard deviation [SD] of the number of pads used was 3.52 ± 1.15 during prevaccination months vs. 4.64 ± 1.36 during postvaccination months; P < 0.001) following vaccination. A similar result of increased bleeding on the heaviest day of the period was obtained in both the Covaxin group (mean ± SD: 3.08 ± 1.16 vs. 4.88 ± 1.53; P: 0.001) and the Covishield group (mean ± SD: 3.59 ± 1.13 vs. 4.6 ± 1.34; P < 0.001). No difference in change in the menstrual pattern was observed between the two groups who had received two different types of vaccine (P: 0.527). Conclusion: The study showed a possible connection between the COVID-19 vaccination and the change in menstrual patterns.
{"title":"Impact of COVID-19 vaccination on menstruation pattern among female nursing and paramedical students in a peripheral medical college in Eastern India","authors":"Ayan Goswami, A. Majhi, A. Chaudhuri, Pratip Kundu","doi":"10.4103/cmi.cmi_105_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_105_22","url":null,"abstract":"Background: Many females worldwide have reported abnormalities in their menstrual patterns post-COVID-19 vaccination. The present study was conducted to determine the impact of the COVID-19 vaccination on menstrual patterns among female nursing and paramedical students at a peripheral medical college in eastern India. Materials and Methods: The cross-sectional, online self-administered survey was conducted using Microsoft Forms after taking institutional ethical clearance and informed consent from the participants. Two hundred BSc nursing and paramedical students who had received two doses of COVID vaccination (Covaxin or Covishield) and were not suffering from any endocrinopathies, bleeding disorders, structural gynecological abnormalities, or taking any medication known to affect the hypothalamic–pituitary–gonadal axis were included in the study. The questionnaire included menstrual length cycle length and amount of bleeding and there were no direct identifiers. Results: The participants reported a significant increase in the amount of bleeding on the heaviest day (mean ± standard deviation [SD] of the number of pads used was 3.52 ± 1.15 during prevaccination months vs. 4.64 ± 1.36 during postvaccination months; P < 0.001) following vaccination. A similar result of increased bleeding on the heaviest day of the period was obtained in both the Covaxin group (mean ± SD: 3.08 ± 1.16 vs. 4.88 ± 1.53; P: 0.001) and the Covishield group (mean ± SD: 3.59 ± 1.13 vs. 4.6 ± 1.34; P < 0.001). No difference in change in the menstrual pattern was observed between the two groups who had received two different types of vaccine (P: 0.527). Conclusion: The study showed a possible connection between the COVID-19 vaccination and the change in menstrual patterns.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"9 1","pages":"104 - 109"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87308814","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: Anthropometric data for a specific population is always required for identification, product design, ear reconstruction, and manufacture of ear-related instruments. This study aimed to determine the anthropometric measures of the external ear and compare them on both the sides and in either sex among the ethnic Kashmiri population. Methods: The study sample had 98 boys and 102 females aged 18–25. Subjects with a history of craniofacial trauma, ear diseases, congenital defects, or ear surgery were excluded from the study after racial confirmation. A single investigator took all measurements on both the ears using a standard digital Vernier's caliper capable of measuring to the nearest 0.1 mm. Results: It is observed that the total ear width (EW) in the right ear ranged from 2.92 ± 0.19 to 3.12 ± 0.22 in cm. The mean EW on the left ear was found more significant than on the right side in the studied population. The mean TEH among the males in the right ear was found to be 6.02 ± 0.34, while in the left, it was 5.78 ± 0.33. Furthermore, the mean EW among the females on the right side was 2.88 ± 0.21 compared to 2.85 ± 1.25 for the left and right ears respectively. The association was found to be significant (P ≤ 0.001). Conclusion: Identifying landmark variations in distinct ethnic groups could help establish morphological assessment and morphometric variations of human ears.
背景:特定人群的人体测量数据总是需要用于识别，产品设计，耳朵重建和耳相关仪器的制造。本研究旨在确定外耳的人体测量测量，并在克什米尔民族人口的两侧和男女之间进行比较。方法:男性98例，女性102例，年龄18 ~ 25岁。有颅面外伤、耳部疾病、先天性缺陷或耳部手术史的受试者在种族确认后被排除在研究之外。一名调查人员使用标准的数字游标卡尺对两只耳朵进行了所有测量，该卡尺能够测量到最接近的0.1毫米。结果:观察到右耳总耳宽(EW)为2.92±0.19 ~ 3.12±0.22 in cm。在研究人群中，发现左耳的平均EW比右耳的更显著。男性右耳平均TEH为6.02±0.34，左耳平均TEH为5.78±0.33。雌鼠右耳平均EW值为2.88±0.21，左右耳平均EW值为2.85±1.25。相关性发现是显著的(P≤0.001)。结论:识别不同族群的标志性变异有助于建立人耳的形态学评价和形态计量学变异。
{"title":"Morphological variations and biometrics of ear: First documented evidence from ethnic Kashmiri Population (Northern India)","authors":"S. Jan, Sobiya, B. Shah, S. Saleem","doi":"10.4103/cmi.cmi_89_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_89_22","url":null,"abstract":"Background: Anthropometric data for a specific population is always required for identification, product design, ear reconstruction, and manufacture of ear-related instruments. This study aimed to determine the anthropometric measures of the external ear and compare them on both the sides and in either sex among the ethnic Kashmiri population. Methods: The study sample had 98 boys and 102 females aged 18–25. Subjects with a history of craniofacial trauma, ear diseases, congenital defects, or ear surgery were excluded from the study after racial confirmation. A single investigator took all measurements on both the ears using a standard digital Vernier's caliper capable of measuring to the nearest 0.1 mm. Results: It is observed that the total ear width (EW) in the right ear ranged from 2.92 ± 0.19 to 3.12 ± 0.22 in cm. The mean EW on the left ear was found more significant than on the right side in the studied population. The mean TEH among the males in the right ear was found to be 6.02 ± 0.34, while in the left, it was 5.78 ± 0.33. Furthermore, the mean EW among the females on the right side was 2.88 ± 0.21 compared to 2.85 ± 1.25 for the left and right ears respectively. The association was found to be significant (P ≤ 0.001). Conclusion: Identifying landmark variations in distinct ethnic groups could help establish morphological assessment and morphometric variations of human ears.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"93 1","pages":"88 - 92"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74094390","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}
Omar Fakhreddine, Jamil Francis, Joe Younes, W. Gharzeddine
With the emergence of the novel severe acute respiratory syndrome coronavirus 2 as a global pandemic, the cardiovascular system was considered one of the major systems affected by this virus. Here, we report the case of a 62-year-old male, who was diagnosed with COVID-related pericarditis, presenting with worsening chest pain and shortness of breath, with echocardiographic findings suggestive of early-stage constrictive pericarditis.
{"title":"A case of transient constrictive pericarditis following COVID-19 infection","authors":"Omar Fakhreddine, Jamil Francis, Joe Younes, W. Gharzeddine","doi":"10.4103/cmi.cmi_119_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_119_22","url":null,"abstract":"With the emergence of the novel severe acute respiratory syndrome coronavirus 2 as a global pandemic, the cardiovascular system was considered one of the major systems affected by this virus. Here, we report the case of a 62-year-old male, who was diagnosed with COVID-related pericarditis, presenting with worsening chest pain and shortness of breath, with echocardiographic findings suggestive of early-stage constrictive pericarditis.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"25 1","pages":"120 - 122"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81558041","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}
S. Cynthia, M. George, P. Finny, Mathew Thomas, L. Armstrong
Background and Objective: The paucity of knowledge on mortality patterns in a state such as Bihar with its population of 200 million contributes to misdirected planning and prioritization of health expenditure. This study aims to estimate the regional differences in mortality rates between a region in North Bihar and the rest of state and country. Methodology: Using a multi-stage cluster design, 4159 households were interviewed across six Community Development blocks in North Bihar, identifying deaths between the Chhath festivals of 2014 and 2015. The cause of death was assessed by verbal autopsy and coded using the International Classification of Disease 10. Proportionate and specific mortality rates were calculated. Results: Of 229 deaths, only 7% were registered. The epidemiological transition level for the region was 1.12 with an infant mortality rate of 72 per 1000 live births (95% confidence interval [CI] 55.7–88.4) and under-five mortality rate of 93.2 per 1000 live births (95% CI 74.6–111.7). These rates were double that of the state estimates. Among infant deaths, infections predominated over prematurity while in adult deaths diseases of the respiratory system exceed diseases of the circulatory system as seen in the state and country mortality rates. Conclusions: This study indicates that regional mortality patterns widely differ from state and national average estimates. Deaths due to maternal and neonatal conditions along with communicable diseases still predominate over other causes. Obtaining disaggregated information on causes of death by strengthening the vital registration system will bring these variations into focus.
{"title":"Missing the trees for the forest: A survey of sub-district-level mortality pattern in North Bihar, India","authors":"S. Cynthia, M. George, P. Finny, Mathew Thomas, L. Armstrong","doi":"10.4103/cmi.cmi_92_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_92_22","url":null,"abstract":"Background and Objective: The paucity of knowledge on mortality patterns in a state such as Bihar with its population of 200 million contributes to misdirected planning and prioritization of health expenditure. This study aims to estimate the regional differences in mortality rates between a region in North Bihar and the rest of state and country. Methodology: Using a multi-stage cluster design, 4159 households were interviewed across six Community Development blocks in North Bihar, identifying deaths between the Chhath festivals of 2014 and 2015. The cause of death was assessed by verbal autopsy and coded using the International Classification of Disease 10. Proportionate and specific mortality rates were calculated. Results: Of 229 deaths, only 7% were registered. The epidemiological transition level for the region was 1.12 with an infant mortality rate of 72 per 1000 live births (95% confidence interval [CI] 55.7–88.4) and under-five mortality rate of 93.2 per 1000 live births (95% CI 74.6–111.7). These rates were double that of the state estimates. Among infant deaths, infections predominated over prematurity while in adult deaths diseases of the respiratory system exceed diseases of the circulatory system as seen in the state and country mortality rates. Conclusions: This study indicates that regional mortality patterns widely differ from state and national average estimates. Deaths due to maternal and neonatal conditions along with communicable diseases still predominate over other causes. Obtaining disaggregated information on causes of death by strengthening the vital registration system will bring these variations into focus.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"100 1","pages":"37 - 43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76083464","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: Emergency peripartum hysterectomy (EPH) is a life-saving surgical surgery performed during or after childbirth to preserve the lives of women and newborns in life-threatening conditions. It is linked to high rates of maternal morbidity and mortality. This study aimed to determine the incidence and risk factors for EPH at a tertiary care maternity hospital in Jammu and Kashmir, India. Methods: Between January 2020 and December 2022, retrospective descriptive cohort research was carried out. All pregnant patients scheduled for delivery at the Obstetrics and Gynecology department of SMGS, GMC Jammu, were included in the study. Maternal demographics, medical and obstetric history, EPH indications, surgical and obstetric care, and maternal and newborn outcomes were all gathered from medical records and hospital databases. Descriptive analysis and statistical tests were performed using SPSS Statistics. Results: The study comprised 104 cases of EPH, with an incidence of 2.40/1000 deliveries. The usual maternal age at delivery was 36 years, and the median number of children was two. Previous cesarean delivery was a substantial risk factor, with at least one previous cesarean in 69.2% of cases. The most common cause of EPH, accounting for 73.0% of cases, was aberrant placentation. Less common indicators were uterine atony, uterine rupture, uterine myoma, and placental abruption. Total hysterectomy was performed in 83.3% of cases, with general anesthesia being the predominant type of anesthesia. The median estimated blood loss was 2100 mL, and intraoperative complications were observed in 29.8% of cases. No maternal deaths were reported. Conclusion: In the examined cohort, the incidence of EPH was 2.40/1000 deliveries. Abnormal placentation, including placenta previa and placenta accreta spectrum, as well as previous cesarean birth, were significant risk factors for EPH.
{"title":"Incidence and risk factors of emergency peripartum hysterectomy: A cross-sectional study from a single tertiary care maternity hospital","authors":"Heena Chowdhary, Natasha Gupta, Nitin Sepolia","doi":"10.4103/cmi.cmi_76_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_76_23","url":null,"abstract":"Background: Emergency peripartum hysterectomy (EPH) is a life-saving surgical surgery performed during or after childbirth to preserve the lives of women and newborns in life-threatening conditions. It is linked to high rates of maternal morbidity and mortality. This study aimed to determine the incidence and risk factors for EPH at a tertiary care maternity hospital in Jammu and Kashmir, India. Methods: Between January 2020 and December 2022, retrospective descriptive cohort research was carried out. All pregnant patients scheduled for delivery at the Obstetrics and Gynecology department of SMGS, GMC Jammu, were included in the study. Maternal demographics, medical and obstetric history, EPH indications, surgical and obstetric care, and maternal and newborn outcomes were all gathered from medical records and hospital databases. Descriptive analysis and statistical tests were performed using SPSS Statistics. Results: The study comprised 104 cases of EPH, with an incidence of 2.40/1000 deliveries. The usual maternal age at delivery was 36 years, and the median number of children was two. Previous cesarean delivery was a substantial risk factor, with at least one previous cesarean in 69.2% of cases. The most common cause of EPH, accounting for 73.0% of cases, was aberrant placentation. Less common indicators were uterine atony, uterine rupture, uterine myoma, and placental abruption. Total hysterectomy was performed in 83.3% of cases, with general anesthesia being the predominant type of anesthesia. The median estimated blood loss was 2100 mL, and intraoperative complications were observed in 29.8% of cases. No maternal deaths were reported. Conclusion: In the examined cohort, the incidence of EPH was 2.40/1000 deliveries. Abnormal placentation, including placenta previa and placenta accreta spectrum, as well as previous cesarean birth, were significant risk factors for EPH.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134884573","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}
M. Elancheran, K. Siva, V. Sriram, V. Archana, S. Ragavendran
Background: Fine-needle aspiration (FNA) has been challenged about its role in the management of patients with clinical suspicion of infective or neoplastic etiology but cytological picture showing features of acute suppuration. This study emphasizes the need to perform repeat FNA cytology (FNAC), especially if the mass lesion is indicating suppuration and has not responded to the initial course of antibiotics. Materials and Methods: All patients with a previously diagnosed suppurative lesion on cytology smears who have undergone repeat FNA were included in the study. Insufficient material on FNA and the nonavailability of slides were excluded from this study. Results: Repeat FNA assisted in the detection of malignant lesions (3), tubercular lesions (20), fungal lesions (9), and benign lesions (9) out of the 123 cases of previously diagnosed acute suppurative lesions. Comparison of FNAC findings with histopathological specimens was available for 52 cases, following which repeat FNA had a sensitivity of 66.67% (95% confidence interval 34.89%-90.08%) in detecting neoplastic, specificity was 100%, positive predictive value was 100%, negative predictive value was 90.91%, and the total diagnostic accuracy was 92.31%. Conclusion: Patients with acute suppurative lesions should be followed by repeat FNA, especially if the lesion is not responded to initial antibiotic therapy. Repeat FNA will enhance the diagnostic accuracy of malignant lesions and many other lesions, such as fungal or tubercular infections. It will reduce the need for surgical interventions and molecular detection of infectious diseases.
{"title":"Clinical significance of repeat fine-needle aspiration in managing patients with suppurative lesion","authors":"M. Elancheran, K. Siva, V. Sriram, V. Archana, S. Ragavendran","doi":"10.4103/cmi.cmi_107_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_107_22","url":null,"abstract":"Background: Fine-needle aspiration (FNA) has been challenged about its role in the management of patients with clinical suspicion of infective or neoplastic etiology but cytological picture showing features of acute suppuration. This study emphasizes the need to perform repeat FNA cytology (FNAC), especially if the mass lesion is indicating suppuration and has not responded to the initial course of antibiotics. Materials and Methods: All patients with a previously diagnosed suppurative lesion on cytology smears who have undergone repeat FNA were included in the study. Insufficient material on FNA and the nonavailability of slides were excluded from this study. Results: Repeat FNA assisted in the detection of malignant lesions (3), tubercular lesions (20), fungal lesions (9), and benign lesions (9) out of the 123 cases of previously diagnosed acute suppurative lesions. Comparison of FNAC findings with histopathological specimens was available for 52 cases, following which repeat FNA had a sensitivity of 66.67% (95% confidence interval 34.89%-90.08%) in detecting neoplastic, specificity was 100%, positive predictive value was 100%, negative predictive value was 90.91%, and the total diagnostic accuracy was 92.31%. Conclusion: Patients with acute suppurative lesions should be followed by repeat FNA, especially if the lesion is not responded to initial antibiotic therapy. Repeat FNA will enhance the diagnostic accuracy of malignant lesions and many other lesions, such as fungal or tubercular infections. It will reduce the need for surgical interventions and molecular detection of infectious diseases.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"6 1","pages":"3 - 8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82117759","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: Soft-tissue infections are a common emergency surgical problem. The delayed presentation will lead to significant mortality and morbidity. There is no proper prognostication model available for this disease. Hence, we proposed this study to find factors predicting mortality in soft-tissue infections. Methodology: We conducted a case control study with a calculated sample size of 110. All the patients with soft-tissue infections who presented to our hospital were included after written consent. The data collected were analyzed for finding significant parameters predicting mortality using both univariate and multivariate analysis. Results: The factors that predicted mortality are, the requirement of ventilation during the treatment with a P = 0.000 (confidence interval [CI] - 0.001–0.074), and dialysis with a P = 0.026 (CI - 0.004–0.701). If these parameters were present during treatment for soft-tissue infections, the chances of mortality are high. Conclusion: Patients who require ventilator and dialysis assistance during treatment can be anticipated to have mortality from soft-tissue infections.
{"title":"Mortality in soft-tissue infections: Is it predictable?","authors":"Vijayan Purushothaman, DeepakThomas Abraham, Subramani Kandasamy","doi":"10.4103/cmi.cmi_34_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_34_23","url":null,"abstract":"Background: Soft-tissue infections are a common emergency surgical problem. The delayed presentation will lead to significant mortality and morbidity. There is no proper prognostication model available for this disease. Hence, we proposed this study to find factors predicting mortality in soft-tissue infections. Methodology: We conducted a case control study with a calculated sample size of 110. All the patients with soft-tissue infections who presented to our hospital were included after written consent. The data collected were analyzed for finding significant parameters predicting mortality using both univariate and multivariate analysis. Results: The factors that predicted mortality are, the requirement of ventilation during the treatment with a P = 0.000 (confidence interval [CI] - 0.001–0.074), and dialysis with a P = 0.026 (CI - 0.004–0.701). If these parameters were present during treatment for soft-tissue infections, the chances of mortality are high. Conclusion: Patients who require ventilator and dialysis assistance during treatment can be anticipated to have mortality from soft-tissue infections.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134883180","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}
We describe a 17-year-old girl who presented with a nontraumatic gradually progressive swelling in the right leg for 2 months. Clinically, there was a diffuse swelling involving the lower third of the lateral aspect of the right leg, which was firm and nontender. There were no similar swellings elsewhere. The radiological findings were inconclusive and she underwent an excision biopsy. Histopathology revealed features consistent with a neurofibroma. Solitary neurofibromas of the lower extremity are extremely rare benign lesions, having nonspecific clinical and radiological features. Histopathology is the mainstay of the diagnosis. Wide local resection is mandated as the treatment as these lesions have a propensity for recurrence.
{"title":"A case of solitary neurofibroma involving the lower limb in a young tribal girl","authors":"Alisha Kalyanpur, Royson Dsouza, B. Kurien","doi":"10.4103/cmi.cmi_83_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_83_22","url":null,"abstract":"We describe a 17-year-old girl who presented with a nontraumatic gradually progressive swelling in the right leg for 2 months. Clinically, there was a diffuse swelling involving the lower third of the lateral aspect of the right leg, which was firm and nontender. There were no similar swellings elsewhere. The radiological findings were inconclusive and she underwent an excision biopsy. Histopathology revealed features consistent with a neurofibroma. Solitary neurofibromas of the lower extremity are extremely rare benign lesions, having nonspecific clinical and radiological features. Histopathology is the mainstay of the diagnosis. Wide local resection is mandated as the treatment as these lesions have a propensity for recurrence.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"41 1","pages":"68 - 70"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81856621","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}
The introduction of competency-based medical education has brought about a paradigm shift in the delivery of medical education in both undergraduate and postgraduate courses. A portfolio can be regarded as an instrument that can be employed for the storage of learning on a day-to-day basis and for recording the self-reflection by the students. As a matter of fact, the compilation of learning from different sessions gives an opportunity for the students to look back, analyze the overall process and thus reflect on the same, and this process plays a crucial role in ensuring deep learning. At the same time, the compiled information is being used for making evidence-based and well-informed decisions about the overall progress of the student. Further, we also cannot ignore the fact that a well-maintained portfolio can be looked on as one of the indicators of the quality assurance processes employed in an institution. To conclude, portfolios in the field of medical education are an important option to ensure learning and even promote the assessment of medical students. The need of the hour is that every medical institution should look to implement the same in their own settings and help the students in their journey to become competent.
{"title":"Scope of portfolio in medical training","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/cmi.cmi_73_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_73_22","url":null,"abstract":"The introduction of competency-based medical education has brought about a paradigm shift in the delivery of medical education in both undergraduate and postgraduate courses. A portfolio can be regarded as an instrument that can be employed for the storage of learning on a day-to-day basis and for recording the self-reflection by the students. As a matter of fact, the compilation of learning from different sessions gives an opportunity for the students to look back, analyze the overall process and thus reflect on the same, and this process plays a crucial role in ensuring deep learning. At the same time, the compiled information is being used for making evidence-based and well-informed decisions about the overall progress of the student. Further, we also cannot ignore the fact that a well-maintained portfolio can be looked on as one of the indicators of the quality assurance processes employed in an institution. To conclude, portfolios in the field of medical education are an important option to ensure learning and even promote the assessment of medical students. The need of the hour is that every medical institution should look to implement the same in their own settings and help the students in their journey to become competent.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"39 1","pages":"71 - 72"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79175247","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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