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Ultrasound and Nerve Stimulator: A Combo Technique to Improve Safety during Nerve Blocks 超声波和神经刺激器:提高神经阻滞安全性的组合技术
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_276_23
Ruchi Kumari
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引用次数: 0
A Study on Uniqueness of Lip Print Patterns: Sexual Dimorphism, Twins, and Across Three Generations 唇印图案独特性研究:性别二形性、双胞胎和三代人之间的差异
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_68_23
Qudusia Sultana, Vanessa Fernandes, A. Shetty
Lip prints just like fingerprints follow unique patterns in every individual and are said to vary significantly even within the same family. Lip prints can be recognized from 6th week of intrauterine life and remain unchanged throughout their life. The objective of the present study was to evaluate personal identification through lip print patterns with additional reference to twins and members of the same family. Lips of 75 males, 75 females, and 30 twins were studied in various quadrants. In addition, the pattern in the middle 10 mm of the lower lip was also evaluated to note the pattern distribution and dominance of the type of pattern in different genders. Lip print patterns in five families across three generations (eight members each of the same family) were observed for the existence of inheritance of patterns from their ancestors. Among males and females, the most common pattern in the middle 10 mm of the lower lip is Type III (34.66%) and Type IV (32%), respectively. In the middle 10 mm of the lower lip, 33.33% of twins have similar lip patterns but with differences in its arrangements. The result showed different lip print patterns even in twins and among the members of the same family across three generations, with some similar patterns which suggesting hereditary influences in lip prints. In the present, we can see that lip prints are unique and permanent for every human being even among twins and individuals of the same family.
唇纹就像指纹一样,每个人的唇纹都有独特的模式,即使在同一个家庭中也会有很大的差异。从胎儿出生后第 6 周开始,唇纹就可以被识别出来,并且终生保持不变。本研究的目的是通过唇纹图案评估个人识别能力,同时参考双胞胎和同一家族成员的唇纹图案。 研究人员对 75 名男性、75 名女性和 30 名双胞胎的嘴唇进行了不同象限的研究。此外,还对下唇中间 10 毫米处的唇纹进行了评估,以了解不同性别唇纹的分布情况和主要类型。观察了五个家庭三代人(每个家庭八名成员)的唇印图案,以确定是否存在祖先遗传的图案。 在男性和女性中,下唇中间 10 毫米处最常见的图案分别是第 III 型(34.66%)和第 IV 型(32%)。在下唇中间 10 毫米处,33.33% 的双胞胎唇纹相似,但排列方式不同。结果显示,即使是双胞胎和同一家族的三代成员,唇纹的形态也不尽相同,有些形态相似,这表明唇纹受遗传的影响。 由此可见,唇纹对于每个人来说都是独特而永久的,即使在双胞胎和同一家庭的成员中也是如此。
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引用次数: 0
Histopathological Features of Incidental Neoplasms of the Gallbladder: A Case Series with Review of Literature 胆囊偶发肿瘤的组织病理学特征:病例系列与文献综述
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_221_23
Anish Chandran, Sudha Sharma, Rajni Kaushik, Shailendra Kaushik
Gallbladder (GB) neoplasms, although rare, are the most common group of malignant neoplasms of the biliary system and can be missed preoperatively as well as on gross examination. Detection of the type of GB neoplasm and reporting the depth of invasion are important for appropriate management. Histopathologic examination of all cholecystectomy specimens is a must, even if no malignancy is detected radiologically or grossly. We describe a series of eight incidentally detected GB neoplasms and discuss the morphological features, staging, and management along with clinical significance.
胆囊(GB)肿瘤虽然罕见,但却是胆道系统最常见的恶性肿瘤,术前和大体检查时都可能被漏诊。确定胆管肿瘤的类型并报告其侵犯深度对于适当的治疗非常重要。即使放射学或大体检查未发现恶性肿瘤,也必须对所有胆囊切除术标本进行组织病理学检查。我们描述了一系列偶然发现的八例胆囊肿瘤,并讨论了其形态特征、分期、处理方法以及临床意义。
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引用次数: 0
Dry Needling with Fascial Winding in Nontraumatic Medial Tibial Shin Pain 干针配合筋膜缠绕治疗非创伤性胫骨内侧胫骨痛
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_158_23
Manoj Kumar Sharma, Sarika Chaudhary
Shin pain is common term used to describe pain and discomfort localized on medial side of the lower leg. A significant association has been discovered between shin pain with distance runners and proving the impact of the physical demands inherent in these physical activities. Contraction of the deep leg flexors during running leads to stress transfer to the tibial fascial attachment, i.e. deep crural fascia at the medial tibial crest which results in fascial dysfunction resulting in shin pain and discomfort. Herein, we report a case of medial tibial shin pain due to fascial dysfunction in a 26-year-old male athletic who was initially treated with physical therapy, and it was failed to ease the patient’s problems completely. Dry needling with fascial winding relieved his symptoms. Dry needling with fascial winding can be a viable therapeutic option for the treatment of nontraumatic medial tibial shin pain.
胫骨痛是描述小腿内侧局部疼痛和不适的常用术语。研究发现,胫骨痛与长跑运动员之间存在着明显的联系,这也证明了这些体育活动所固有的体能要求所产生的影响。跑步时腿部深屈肌的收缩会导致应力转移到胫骨筋膜附着处,即胫骨内侧嵴处的深嵴筋膜,从而导致筋膜功能障碍,引起胫骨疼痛和不适。在此,我们报告了一例因筋膜功能障碍导致胫骨内侧胫骨疼痛的病例,患者为 26 岁的男性运动员,最初接受物理治疗,但未能完全缓解患者的问题。采用筋膜缠绕干针疗法缓解了他的症状。带筋膜缠绕的干针疗法是治疗非创伤性胫骨内侧疼痛的一种可行疗法。
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引用次数: 0
Study of Brain-derived Neurotrophic Factor in Drug-naive Patients with Schizophrenia 对精神分裂症患者的脑源性神经营养因子研究
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_225_23
Partik Kaur, V. Pal, Vijay Niranjan, V. Mudgal
Brain-derived neurotrophic factor (BDNF) is a widely studied neurotrophin and is said to be involved in the regulation of many neuronal processes, including neurogenesis, neuronal differentiation, maturation, and survival. Over the years, research has shown a significant variation of serum BDNF levels in schizophrenia with no widespread agreement. Herein, we report on serum BDNF levels in drug-naive patients of schizophrenia in comparison to healthy controls (HC) and correlates of BDNF levels in patients of schizophrenia. The study sample consisted of 120 participants with 60 drug-naive patients of schizophrenia and 60 HC. The blood sample of the study subjects was collected and processed serum was analyzed using an enzyme-linked immunosorbent assay kit for BDNF levels. Clinical assessment of patients was done using the Positive and Negative Syndrome Scale (PANSS) and Montreal Cognitive Assessment. Serum BDNF levels were significantly lower in drug-naive patients of schizophrenia as compared to age and sex-matched HC (P – 0.024). The PANSS total score and positive subscale score were negatively correlated with serum BDNF levels which were statistically significant with P = 0.005 and P = 0.001, respectively. The index study found BDNF levels to be reduced in patients of schizophrenia and BDNF was found to correlate with severity of illness, especially positive symptoms. Thus, developing therapeutic strategies that can activate BDNF signaling may prove beneficial in improving the clinical outcome of schizophrenia.
脑源性神经营养因子(BDNF)是一种被广泛研究的神经营养素,据说它参与了许多神经元过程的调节,包括神经发生、神经元分化、成熟和存活。多年来,研究表明精神分裂症患者的血清 BDNF 水平存在显著差异,但尚未达成广泛一致。在此,我们报告了未服药的精神分裂症患者与健康对照组(HC)的血清 BDNF 水平对比,以及精神分裂症患者 BDNF 水平的相关性。 研究样本由 120 名参与者组成,其中包括 60 名精神分裂症患者和 60 名健康对照组。研究人员采集了研究对象的血样,并使用酶联免疫吸附试剂盒对血清中的 BDNF 水平进行了分析。研究人员使用阳性和阴性综合征量表(PANSS)和蒙特利尔认知评估对患者进行了临床评估。 与年龄和性别匹配的HC相比,未服药的精神分裂症患者血清BDNF水平明显较低(P - 0.024)。PANSS 总分和阳性分量表得分与血清 BDNF 水平呈负相关,分别为 P = 0.005 和 P = 0.001,具有统计学意义。 索引研究发现,精神分裂症患者的 BDNF 水平降低,而且 BDNF 与病情严重程度,尤其是阳性症状相关。因此,开发能够激活 BDNF 信号的治疗策略可能会有利于改善精神分裂症的临床疗效。
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引用次数: 0
Plasmacytoma of the Sternum with Amyloid Deposition – A Cytological Diagnosis 胸骨浆细胞瘤伴淀粉样沉积--细胞学诊断
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_247_23
D. Aden, Prajwala Gupta, Purnima Paliwal, M. Bhardwaj
Plasmacytoma with amyloid deposition to be diagnosed on cytology is rare. In the absence of typical clinical presentation and radiological findings, the diagnosis of plasmacytoma may not be suspected. Fine-needle aspiration cytology (FNAC) in these patients may help in early and definitive diagnosis, thus helping inappropriate management of such patients. We report a case of plasmacytoma of the sternum with amyloid deposition who presented with suprasternal swelling. Apart from being a rare and interesting finding, this case highlights the usefulness of FNAC in making an early diagnosis of patients having an atypical presentation.
浆细胞瘤伴有淀粉样蛋白沉积并通过细胞学检查确诊的情况非常罕见。如果没有典型的临床表现和放射学检查结果,可能不会怀疑浆细胞瘤的诊断。对这类患者进行细针穿刺细胞学检查(FNAC)有助于早期明确诊断,从而有助于对这类患者进行适当的治疗。我们报告了一例胸骨浆细胞瘤伴淀粉样蛋白沉积的病例,患者表现为胸骨上肿物。除了罕见和有趣的发现外,该病例还强调了 FNAC 在对表现不典型的患者进行早期诊断方面的作用。
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引用次数: 0
Unfamiliar Expectant Father: Indian Obstetrician’s Achilles Heel! 陌生的准爸爸:印度产科医生的致命弱点!
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_231_23
S. Naik, T. Revathi
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引用次数: 0
Effect of Virtual Reality Therapy with Brain Gym Exercises for Sleep-deprived Individuals: A Randomized Clinical Trial 虚拟现实疗法与脑健身操对睡眠不足者的影响:随机临床试验
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_149_23
Ms. Marissa De Souza Eremita, J. Chitra
Sleep deprivation refers to getting less than the required amount of sleep, which for adults range between 7 and 9 h per night and can be caused due to social and biological factors. Virtual reality therapy (VRT) allows individuals to experience a computer-generated virtual environment so that they can be exposed to stimuli that imitate real-world experiences and have been used in other psychological conditions with positive outcomes. Brain Gym (BG) is a kinesiology program that engages the participant in a number of activities that teach the body how to comprehend the primary behavior and coordinate the brain and body. A randomized clinical trial was performed by screening 51 samples, from which 32 individuals were recruited, using purposive sampling, based on the Pittsburgh Sleep Quality Index (PSQI) which was used as the inclusion criteria. VRT session was for 15 min and BG exercises were given thrice a week for 4 weeks. The PSQI and Athens Insomnia Scale (AIS) were used as the outcome measures and were assessed after the intervention. The Shapiro–Wilk test, paired t-test, and independent sample t-test were used for the statistical analysis of the data. There was a significant difference between the pre- and postscores of the PSQI of Group A (Pre – 7.00 ± 1.55; Post – 6.31 ± 2.06; P = 0.029) and Group B (Pre – 8.44 ± 2.63; Post – 6.19 ± 2.97; P = 0.001), although Group B showed a better improvement, based on the effect size (1.06) and Group B (Pre – 7.13 ± 2.58; Post – 5.63 ± 2.60) showed a significant difference in the pre- and postvalues of the AIS (P = 0.011). The study concluded that VRT and BG exercises were effective interventions, although BG exercises were shown to be more effective than the virtual reality intervention.
睡眠不足是指睡眠时间少于所需时间,成年人每晚睡眠时间在 7 到 9 小时之间,造成睡眠不足的原因可能是社会和生理因素。虚拟现实疗法(VRT)允许个人体验计算机生成的虚拟环境,使他们能够接触到模仿真实世界体验的刺激物,这种疗法已被用于其他心理疾病的治疗,并取得了积极的效果。大脑健身房(Brain Gym,BG)是一项运动学计划,让参与者参与一系列活动,教导身体如何理解主要行为并协调大脑和身体。 根据匹兹堡睡眠质量指数(PSQI)作为纳入标准,通过有目的的抽样筛选了 51 个样本,从中招募了 32 人,进行了随机临床试验。VRT疗程为15分钟,每周进行三次BG锻炼,持续4周。PSQI和雅典失眠量表(AIS)作为结果测量指标,在干预后进行评估。数据统计分析采用 Shapiro-Wilk 检验、配对 t 检验和独立样本 t 检验。 A 组(前- 7.00 ± 1.55;后- 6.31 ± 2.06;P = 0.029)和 B 组(前- 8.44 ± 2.63;后- 6.19 ± 2.97;P = 0.001),但根据效应大小(1.06),B 组的改善效果更好,B 组(前- 7.13 ± 2.58;后- 5.63 ± 2.60)的 AIS 前后值差异显著(P = 0.011)。 研究得出结论,虚拟现实技术和脑力锻炼都是有效的干预措施,但脑力锻炼比虚拟现实干预更有效。
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引用次数: 0
Plasmacytoma of the Sternum with Amyloid Deposition – A Cytological Diagnosis 胸骨浆细胞瘤伴淀粉样沉积--细胞学诊断
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_247_23
D. Aden, Prajwala Gupta, Purnima Paliwal, M. Bhardwaj
Plasmacytoma with amyloid deposition to be diagnosed on cytology is rare. In the absence of typical clinical presentation and radiological findings, the diagnosis of plasmacytoma may not be suspected. Fine-needle aspiration cytology (FNAC) in these patients may help in early and definitive diagnosis, thus helping inappropriate management of such patients. We report a case of plasmacytoma of the sternum with amyloid deposition who presented with suprasternal swelling. Apart from being a rare and interesting finding, this case highlights the usefulness of FNAC in making an early diagnosis of patients having an atypical presentation.
浆细胞瘤伴有淀粉样蛋白沉积并通过细胞学检查确诊的情况非常罕见。如果没有典型的临床表现和放射学检查结果,可能不会怀疑浆细胞瘤的诊断。对这类患者进行细针穿刺细胞学检查(FNAC)有助于早期明确诊断,从而有助于对这类患者进行适当的治疗。我们报告了一例胸骨浆细胞瘤伴淀粉样蛋白沉积的病例,患者表现为胸骨上肿物。除了罕见和有趣的发现外,该病例还强调了 FNAC 在对表现不典型的患者进行早期诊断方面的作用。
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引用次数: 0
Ultrasound and Nerve Stimulator: A Combo Technique to Improve Safety during Nerve Blocks 超声波和神经刺激器:提高神经阻滞安全性的组合技术
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_276_23
Ruchi Kumari
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引用次数: 0
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Archives of Medicine and Health Sciences
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