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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
Nursing Education in the Age of Chat Generative Pre-Trained Transformer: Current Roles and Future Perspective 聊天工具时代的护理教育:当前角色与未来展望
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_208_23
Bhavna Rani, Saumya P Srivastava, Shafali Thakur
Chat Generative Pre-trained Transformer (ChatGPT), an artificial intelligence-powered chatbot, has received a lot of interest from the academic community since its inception. Health-care sector and higher education has significantly advanced with the use of AI technologies. With the advent of AI technologies, such as ChatGPT, the future of nursing education is poised for significant transformation. In this article, we will explore the potential impact of ChatGPT on nursing education, discussing its benefits, challenges, and implications.
由人工智能驱动的聊天机器人 Chat Generative Pre-trained Transformer(ChatGPT)自诞生以来就受到了学术界的广泛关注。随着人工智能技术的应用,医疗保健行业和高等教育取得了长足的进步。随着 ChatGPT 等人工智能技术的出现,未来的护理教育将迎来重大变革。本文将探讨 ChatGPT 对护理教育的潜在影响,讨论其优势、挑战和意义。
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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
Nursing Education in the Age of Chat Generative Pre-Trained Transformer: Current Roles and Future Perspective 聊天工具时代的护理教育:当前角色与未来展望
Pub Date : 2024-02-09 DOI: 10.4103/amhs.amhs_208_23
Bhavna Rani, Saumya P Srivastava, Shafali Thakur
Chat Generative Pre-trained Transformer (ChatGPT), an artificial intelligence-powered chatbot, has received a lot of interest from the academic community since its inception. Health-care sector and higher education has significantly advanced with the use of AI technologies. With the advent of AI technologies, such as ChatGPT, the future of nursing education is poised for significant transformation. In this article, we will explore the potential impact of ChatGPT on nursing education, discussing its benefits, challenges, and implications.
由人工智能驱动的聊天机器人 Chat Generative Pre-trained Transformer(ChatGPT)自诞生以来就受到了学术界的广泛关注。随着人工智能技术的应用,医疗保健行业和高等教育取得了长足的进步。随着 ChatGPT 等人工智能技术的出现,未来的护理教育将迎来重大变革。本文将探讨 ChatGPT 对护理教育的潜在影响,讨论其优势、挑战和意义。
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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
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
Exploring Travel Medicine Perspectives among Primary Care Physicians in Kurnool District: A Comprehensive Study of Knowledge, Attitudes, and Practices 探索库尔努尔地区初级保健医生的旅行医学观点:关于知识、态度和实践的综合研究
Pub Date : 2024-01-05 DOI: 10.4103/amhs.amhs_220_23
Rajesh Raja Satharla, H. Ahad
The study’s purpose is to improve the quality of care for both local residents and travelers in the Kurnool district by identifying and addressing gaps and barriers. The main objective of the research was to assess the knowledge, attitudes, and practical implementation of travel medicine among primary health-care physicians working in the Kurnool district. The research utilized a descriptive cross-sectional study design. A total of 397 primary care doctors in the Kurnool area participated. Data were collected through a self-administered questionnaire, which covered sociodemographic factors, travel medicine knowledge, attitudes, and practices. The study revealed that a significant portion (around 79.5%) of the participants reported providing travel health advice at some point. The primary source of information on travel medicine for most participants (66%) was the Ministry of Health’s travel guides. However, the study identified a knowledge gap, as 11.4% of individuals were unaware of the origin of typhoid infection. The most common health issues reported during posttrip consultations were diarrhea and respiratory infections. The study’s findings suggested that the general practitioners in the Kurnool district had insufficient knowledge, attitudes, and practices concerning travel medicine. This underscores the need for additional education and training in travel medicine to improve traveler health care and reduce the risk of preventable diseases.
这项研究的目的是通过找出差距和障碍并加以解决,提高库尔努尔地区当地居民和旅行者的医疗质量。研究的主要目的是评估在库尔努尔地区工作的初级保健医生对旅行医疗的认识、态度和实际执行情况。 研究采用了描述性横断面研究设计。库尔努尔地区共有 397 名初级保健医生参与了研究。数据通过自填式问卷收集,内容包括社会人口因素、旅行医学知识、态度和实践。 研究显示,很大一部分参与者(约 79.5%)表示曾提供过旅行健康建议。大多数参与者(66%)获取旅行医学信息的主要来源是卫生部的旅行指南。不过,研究发现了一个知识缺口,即 11.4% 的人不知道伤寒感染的起源。在旅行后的咨询中,最常见的健康问题是腹泻和呼吸道感染。 研究结果表明,库尔努尔地区的全科医生在旅行医学方面的知识、态度和实践不足。这突出表明,有必要增加旅行医学方面的教育和培训,以改善旅行者的医疗保健,降低可预防疾病的风险。
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引用次数: 0
Yolk Sac Tumor in Ascitic Fluid – Cytodiagnosis of a Rare Case 腹水中的卵黄囊肿瘤--罕见病例的细胞诊断
Pub Date : 2024-01-05 DOI: 10.4103/amhs.amhs_262_23
Meesa Mehraj, D. Aden, Sabina Khan, N. Ahmad, S. Jetley
Yolk sac tumor (YST) is a germ cell tumor of gonads presenting in children and young adults. It is rare to find metastasis of the YST in effusion fluid. We report a case of a YST in a 17-year-old female diagnosed on cytological examination of ascitic fluid and confirmed histologically after resection as YST. This case not only highlights the rare possibility of metastasis of the YST in ascitic fluid cytology but also emphasizes the diagnostic dilemma it causes in diagnosing such cases in body fluids. Detailed clinical history including the age of the patient, along with serum alpha-fetoprotein (AFP) levels is essential to a make a preoperative diagnosis. Histopathology with AFP immunohistochemistry confirms the diagnosis of such lesions.
卵黄囊肿瘤(YST)是一种生殖细胞肿瘤,好发于儿童和年轻人。在腹腔积液中发现 YST 转移是罕见的。我们报告了一例根据腹腔积液细胞学检查确诊为卵黄囊瘤的 17 岁女性病例,切除后经组织学证实为卵黄囊瘤。本病例不仅强调了腹腔积液细胞学检查中 YST 转移的罕见可能性,还强调了在诊断体液中的此类病例时所面临的诊断困境。详细的临床病史(包括患者年龄)和血清甲胎蛋白(AFP)水平对于术前诊断至关重要。组织病理学结合甲胎蛋白免疫组化可确诊此类病变。
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引用次数: 0
Cold Agglutinin Disease Unfurled in Laboratory and Blood Bank: A Little Poignant Observation Can Speak a Lot! 实验室和血库中的冷凝集素病:一点微小的观察就能说明很多问题
Pub Date : 2024-01-05 DOI: 10.4103/amhs.amhs_204_23
Archana Shetty, Gurudatta Murthy, Bharadwaj Golithadka
Autoimmune hemolytic anemias (AIHAs) are hemolytic anemias characterized by the production of autoantibodies against surface antigens on red blood cells. Cold agglutinin disease (CAD) is a relatively rare subcategory of AIHA, affecting mainly the middle-aged with anemia often being the presenting symptom. We present a case of a middle-aged female who was admitted for severe anemia under evaluation. A discrepancy in blood grouping was noted when request for blood transfusion was received in a blood bank, owing to autoantibodies interfering in testing. Routine complete blood counts showed temperature-based variations. A detailed workup confirmed a diagnosis of CA type of AIHA. The case reiterates the importance of good interdepartmental coordination between clinicians, laboratory, and blood bank, which helped clinch the diagnosis of CAD through the correlation of clinical findings, blood counts, and immunological and biochemical parameters.
自身免疫性溶血性贫血(AIHA)是一种溶血性贫血,其特征是产生针对红细胞表面抗原的自身抗体。冷凝集素病(Cold agglutinin disease,CAD)是自身免疫性溶血性贫血(AIHA)中相对罕见的一个亚类,主要影响中年人,贫血通常是其主要症状。我们介绍了一例因严重贫血而入院接受评估的中年女性病例。由于自身抗体干扰了检测,她在血库申请输血时发现血型不符。常规全血细胞计数显示出温度变化。经过详细检查,确诊为 CA 型 AIHA。该病例重申了临床医生、实验室和血库之间良好的跨部门协调的重要性,通过临床结果、血细胞计数、免疫学和生化指标的相关性,有助于确诊 CAD。
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引用次数: 0
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Archives of Medicine and Health Sciences
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