SimranSunil Singh, Manjula Hebbale, Amit Mhapuskar, Subharina Mahapatra, Avneet Kaur
The aim of this study was to evaluate the use of visually-enhanced lesion scope (VELscope) as an adjuvant diagnostic tool along with clinical examination. VELscope device which works on the principle of tissue fluorescence and helps in diagnosis or identification of suspected dysplastic lesions. The use of VELscope in dentistry is contributory as it aids in the detection of dysplastic changes in oral potentially malignant disorders and appropriate surgical margins for resection, VELscope-guided biopsy procedures, indicative of bacterial, fungal, and viral infections, and also inflammatory lesions. The cases discussed in the report are clinical cases where VELscope has been used as an accessory tool to enhance the clinical efficacy of diagnosis. There are different domains of cases where the use of VELscope has been assessed, also cases where VELscope can be beneficial to identify most preferred site of biopsy, aiding in the identification of fungal, bacterial presence, and evaluation of premalignant lesions and different oral carcinomas. Both the advantages, limitations, and significance of the device in each clinical condition have been discussed. VELscope is a handheld, noninvasive adjuvant device which can be used along with conventional clinical conditions for enhanced diagnostic accuracy. It can also be used as a screening tool for the early detection of oral carcinoma and dysplastic lesions in mass screening and tertiary centers. Further studies are required to establish the efficacy of VELscope in the clinical practice of oral medicine and radiology. Increasing incidence of oral carcinoma is a worrying scenario. Early detection of these conditions can be assessed by various diagnostic methods which broadly includes conventional staining dyes such as Lugol’s iodine, methylene blue, toluidine blue, or light-based detection such as chemiluminescence, VELscope, Vizilite, or optical-based system such as colposcopy and optical coherence tomography. VELscope can be one of the tool for assessing dysplastic lesions at an early stage. Due to its portability, cost-effectiveness, and noninvasive advantages, it can be a promising tool for screening mass population for oral carcinomas.
{"title":"”VELscope as an adjuvant chairside diagnostic tool” – A clinical case series","authors":"SimranSunil Singh, Manjula Hebbale, Amit Mhapuskar, Subharina Mahapatra, Avneet Kaur","doi":"10.4103/amhs.amhs_81_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_81_23","url":null,"abstract":"The aim of this study was to evaluate the use of visually-enhanced lesion scope (VELscope) as an adjuvant diagnostic tool along with clinical examination. VELscope device which works on the principle of tissue fluorescence and helps in diagnosis or identification of suspected dysplastic lesions. The use of VELscope in dentistry is contributory as it aids in the detection of dysplastic changes in oral potentially malignant disorders and appropriate surgical margins for resection, VELscope-guided biopsy procedures, indicative of bacterial, fungal, and viral infections, and also inflammatory lesions. The cases discussed in the report are clinical cases where VELscope has been used as an accessory tool to enhance the clinical efficacy of diagnosis. There are different domains of cases where the use of VELscope has been assessed, also cases where VELscope can be beneficial to identify most preferred site of biopsy, aiding in the identification of fungal, bacterial presence, and evaluation of premalignant lesions and different oral carcinomas. Both the advantages, limitations, and significance of the device in each clinical condition have been discussed. VELscope is a handheld, noninvasive adjuvant device which can be used along with conventional clinical conditions for enhanced diagnostic accuracy. It can also be used as a screening tool for the early detection of oral carcinoma and dysplastic lesions in mass screening and tertiary centers. Further studies are required to establish the efficacy of VELscope in the clinical practice of oral medicine and radiology. Increasing incidence of oral carcinoma is a worrying scenario. Early detection of these conditions can be assessed by various diagnostic methods which broadly includes conventional staining dyes such as Lugol’s iodine, methylene blue, toluidine blue, or light-based detection such as chemiluminescence, VELscope, Vizilite, or optical-based system such as colposcopy and optical coherence tomography. VELscope can be one of the tool for assessing dysplastic lesions at an early stage. Due to its portability, cost-effectiveness, and noninvasive advantages, it can be a promising tool for screening mass population for oral carcinomas.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"79 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":"135008131","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}
Endometriosis is a prevalent benign condition arising from the female reproductive system and affects about 7%–10% of females. The association of endometriosis with serous borderline ovarian tumors has been a matter of interest in gynecology. Sampson first described the association between endometriosis and carcinoma. The endometriosis-associated ovarian malignancies are clear cell adenocarcinoma and endometrioid adenocarcinoma, whereas serous and mucinous are rare malignancies associated with endometriosis. Here, we present the case report of a 45-year-old female in which endometriosis was associated with borderline serous tumor, since there is a lack of enough confident criteria for diagnosing endometriosis-associated ovarian tumors.
{"title":"Ovarian endometriosis with borderline serous tumor: A rare occurrence","authors":"ZeebaShamim Jairajpuri, Safia Rana, Arushi Gupta, Shaan Khetrapal, Sujata Jetley, Aruna Nigam","doi":"10.4103/amhs.amhs_48_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_48_23","url":null,"abstract":"Endometriosis is a prevalent benign condition arising from the female reproductive system and affects about 7%–10% of females. The association of endometriosis with serous borderline ovarian tumors has been a matter of interest in gynecology. Sampson first described the association between endometriosis and carcinoma. The endometriosis-associated ovarian malignancies are clear cell adenocarcinoma and endometrioid adenocarcinoma, whereas serous and mucinous are rare malignancies associated with endometriosis. Here, we present the case report of a 45-year-old female in which endometriosis was associated with borderline serous tumor, since there is a lack of enough confident criteria for diagnosing endometriosis-associated ovarian tumors.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"23 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":"135008133","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}
Pub Date : 2023-01-01DOI: 10.4103/2321-4848.379062
G Deepika, GDeepthi Reddy, V Brahmaiah, BY Kavitha, Jayalatha Nethagani, ElizabethCaroline Palaparthi, RajasekharReddy Lebaka
{"title":"Role of epigenetics variation with focus on DNA methylation in triple-negative breast cancer patients","authors":"G Deepika, GDeepthi Reddy, V Brahmaiah, BY Kavitha, Jayalatha Nethagani, ElizabethCaroline Palaparthi, RajasekharReddy Lebaka","doi":"10.4103/2321-4848.379062","DOIUrl":"https://doi.org/10.4103/2321-4848.379062","url":null,"abstract":"","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"1 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":"135686413","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}
KuldeepSingh Shekhawat, S Sakthidevi, Juhi Gupta, Deepika Jain
Background and Aim: Wearing white coat is a recognizable symbol among dental students. It is associated with dignity and respect. However, students are often spotted wearing white coat/apron in public places, a trait that needs to be explored/rectified. Therefore, the aim was to determine student’s perception regarding the usage of white coat/aprons. Materials and Methods: A 10-item closed-ended questionnaire was distributed among clinical students of a dental institute. The questionnaire elicited their understanding of wearing white coat in hospital/college premises, reasons for wearing it after college hours/outside premises, maintenance of white apron, and their willingness to substitute with scrubs. The data were analyzed for frequency distribution. Results: About 65% wore white coat as personal protective equipment within college premises. About 40% commuted to college wearing white coat. More than 91% wore white coat outside college premises during and immediately after college hours. More than 71% kept their belongings in apron pockets. Reasons such as “To lazy to remove white coat” and “For a different feeling” were common responses for wearing white coat outside premises. Eleven percent cited “ease of clothing” as another reason. Majority of study participants preferred white coat over scrubs during college hours. Conclusion: The study provides insight of students understanding of white coat. There is a clear lack of awareness regarding when, where, and how to use a white coat. Institutions have an important role in promoting and disseminating the importance of using white coat. In addition, there is a need for standard white coat handling and maintenance policy to be drafted and implemented.
{"title":"Perception toward wearing white coat among clinical students of a dental college in South India: A cross-sectional study","authors":"KuldeepSingh Shekhawat, S Sakthidevi, Juhi Gupta, Deepika Jain","doi":"10.4103/amhs.amhs_72_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_72_23","url":null,"abstract":"Background and Aim: Wearing white coat is a recognizable symbol among dental students. It is associated with dignity and respect. However, students are often spotted wearing white coat/apron in public places, a trait that needs to be explored/rectified. Therefore, the aim was to determine student’s perception regarding the usage of white coat/aprons. Materials and Methods: A 10-item closed-ended questionnaire was distributed among clinical students of a dental institute. The questionnaire elicited their understanding of wearing white coat in hospital/college premises, reasons for wearing it after college hours/outside premises, maintenance of white apron, and their willingness to substitute with scrubs. The data were analyzed for frequency distribution. Results: About 65% wore white coat as personal protective equipment within college premises. About 40% commuted to college wearing white coat. More than 91% wore white coat outside college premises during and immediately after college hours. More than 71% kept their belongings in apron pockets. Reasons such as “To lazy to remove white coat” and “For a different feeling” were common responses for wearing white coat outside premises. Eleven percent cited “ease of clothing” as another reason. Majority of study participants preferred white coat over scrubs during college hours. Conclusion: The study provides insight of students understanding of white coat. There is a clear lack of awareness regarding when, where, and how to use a white coat. Institutions have an important role in promoting and disseminating the importance of using white coat. In addition, there is a need for standard white coat handling and maintenance policy to be drafted and implemented.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"22 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":"136373107","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}
Pub Date : 2023-01-01DOI: 10.4103/amhs.amhs_292_22
V. Krishnakumar, R. Pandiyan, R. Velu
Background and Aim: Rheumatoid arthritis (RA) is a prevalent and debilitating disease that affects the joints. The study was intended to evaluate the anti-arthritic activity of aerial parts of Heliotropium zeylanicum (EEHZ). EEHZ constituting phytoconstituents to treat adjuvant induced arthritic rats to minimize the side effects. Materials and Methods: The anti-arthritic activity study was carried out by using adjuvant induced model of Wistar albino strain rats. EEHZ was injected at different doses such as 100 and 300 mg/kg/i.p., and the study was compared with standard drug dexamethazone (5 g/kg). The results obtained from the above methods were subjected to statistical analysis. Results: The study was conducted various hematological parameters and histopathological sections were carried out. The plant has various phytoconstituents such as reducing sugars, saponins, starch, steroids and terpenoids. Significantly one among those phytoconstituent lessens to oedema and arthritis of the rodents. The EEHZ showed the maximum inhibitory activity at (300 mg/kg/i.p.) by dose dependent manner. These inhibitions were statistically significant (P < 0.01-0.001). Conclusion: From these results indicate that EEHZ is a bioactive agent and having significant results in anti-inflammatory and anti-arthritic action by inhibition of the exudation, and leukocytes recruitment into the inflamed tissues and bone regeneration calcium deposition.
{"title":"Anti-Mycobacterial arthritis activity of Heliotropium zeylanicum by freund's adjuvant-induced rodents model","authors":"V. Krishnakumar, R. Pandiyan, R. Velu","doi":"10.4103/amhs.amhs_292_22","DOIUrl":"https://doi.org/10.4103/amhs.amhs_292_22","url":null,"abstract":"Background and Aim: Rheumatoid arthritis (RA) is a prevalent and debilitating disease that affects the joints. The study was intended to evaluate the anti-arthritic activity of aerial parts of Heliotropium zeylanicum (EEHZ). EEHZ constituting phytoconstituents to treat adjuvant induced arthritic rats to minimize the side effects. Materials and Methods: The anti-arthritic activity study was carried out by using adjuvant induced model of Wistar albino strain rats. EEHZ was injected at different doses such as 100 and 300 mg/kg/i.p., and the study was compared with standard drug dexamethazone (5 g/kg). The results obtained from the above methods were subjected to statistical analysis. Results: The study was conducted various hematological parameters and histopathological sections were carried out. The plant has various phytoconstituents such as reducing sugars, saponins, starch, steroids and terpenoids. Significantly one among those phytoconstituent lessens to oedema and arthritis of the rodents. The EEHZ showed the maximum inhibitory activity at (300 mg/kg/i.p.) by dose dependent manner. These inhibitions were statistically significant (P < 0.01-0.001). Conclusion: From these results indicate that EEHZ is a bioactive agent and having significant results in anti-inflammatory and anti-arthritic action by inhibition of the exudation, and leukocytes recruitment into the inflamed tissues and bone regeneration calcium deposition.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"11 1","pages":"32 - 36"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44986642","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}
In the field of delivery of medical education, assessment plays a pivotal role in measuring attainment of the student learning outcome. However, we must acknowledge that more often than not, assessment methods have been employed to predominantly measure short-term outcomes. Nevertheless, with the passage of time, medical educators have realized that we must also aim to assess the long-term impact of educational strategies, including assessment methods, in facilitating long-term learning and skill development among medical students. Evaluating the long-term impact of assessment methods has gradually gained importance owing to multiple reasons, such as we can measure the impact of assessment methods in contributing toward the acquisition and retention of knowledge and skills over an extended period of time. In conclusion, the process of evaluating the long-term impact of assessment methods is extremely crucial to gain an understanding of their effectiveness in promoting lasting learning and skill development. In fact, the evaluation findings are expected to provide valuable information in the domains of knowledge retention, skill application, critical thinking, and continuous learning and thereby provide adequate evidence for policymakers to bring about timely and appropriate modifications in the curriculum to ensure the attainment of learning outcomes.
{"title":"Measuring what matters: Decoding the long-term impact of assessment methods in medical education","authors":"SaurabhRamBihariLal Shrivastava, GandesRetno Rahayu","doi":"10.4103/amhs.amhs_157_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_157_23","url":null,"abstract":"In the field of delivery of medical education, assessment plays a pivotal role in measuring attainment of the student learning outcome. However, we must acknowledge that more often than not, assessment methods have been employed to predominantly measure short-term outcomes. Nevertheless, with the passage of time, medical educators have realized that we must also aim to assess the long-term impact of educational strategies, including assessment methods, in facilitating long-term learning and skill development among medical students. Evaluating the long-term impact of assessment methods has gradually gained importance owing to multiple reasons, such as we can measure the impact of assessment methods in contributing toward the acquisition and retention of knowledge and skills over an extended period of time. In conclusion, the process of evaluating the long-term impact of assessment methods is extremely crucial to gain an understanding of their effectiveness in promoting lasting learning and skill development. In fact, the evaluation findings are expected to provide valuable information in the domains of knowledge retention, skill application, critical thinking, and continuous learning and thereby provide adequate evidence for policymakers to bring about timely and appropriate modifications in the curriculum to ensure the attainment of learning outcomes.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"51 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":"135007904","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}
{"title":"Severe hypertension in a sub Saharan African teenager","authors":"K. Uwanuruochi, Ibeneme Adaeze, Kelechi Elendu","doi":"10.4103/amhs.amhs_37_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_37_23","url":null,"abstract":"","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"11 1","pages":"163 - 164"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45742519","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}
BSenthil Kumar, Asra Anjum, R Vallinayagam, GPanneer Selvi, KEzhil Vendhan
Background and Aim: Congenital anomalies and malformations of ear ossicles will cause hearing problems. Most commonly they will be either the absence of long process of incus or capitulum of stapes. The basic knowledge on variations of the ear ossicles and its morphometric data will help the otologist for performing reconstructive surgery and it also provides necessary information for the prosthesis designers. This study aimed to study and analyze the morphometric and morphological features of ear ossicles with correlation on both sides from wet and dry specimens Materials and Methods: A total of 15 sets of human ear ossicles were collected from both cadavers and as well from dry skulls in the Department of Anatomy, VMKV Medical College and Hospital, Salem. A good-quality photograph was taken, and the image was transferred to the computer and magnified. The measuring tool was used, and all the morphometry parameters were recorded and analyzed. Results: The ear ossicles morphometry of the right and left were analyzed and compared. Morphological variations were noted, and morphometric variations (length and width) were also analyzed. Conclusion: The knowledge of variations of these ossicles and its morphometric data will help the otologist during reconstructive surgery and provide necessary information for the prosthesis designer.
{"title":"Morphometry of human ear ossicles","authors":"BSenthil Kumar, Asra Anjum, R Vallinayagam, GPanneer Selvi, KEzhil Vendhan","doi":"10.4103/amhs.amhs_16_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_16_23","url":null,"abstract":"Background and Aim: Congenital anomalies and malformations of ear ossicles will cause hearing problems. Most commonly they will be either the absence of long process of incus or capitulum of stapes. The basic knowledge on variations of the ear ossicles and its morphometric data will help the otologist for performing reconstructive surgery and it also provides necessary information for the prosthesis designers. This study aimed to study and analyze the morphometric and morphological features of ear ossicles with correlation on both sides from wet and dry specimens Materials and Methods: A total of 15 sets of human ear ossicles were collected from both cadavers and as well from dry skulls in the Department of Anatomy, VMKV Medical College and Hospital, Salem. A good-quality photograph was taken, and the image was transferred to the computer and magnified. The measuring tool was used, and all the morphometry parameters were recorded and analyzed. Results: The ear ossicles morphometry of the right and left were analyzed and compared. Morphological variations were noted, and morphometric variations (length and width) were also analyzed. Conclusion: The knowledge of variations of these ossicles and its morphometric data will help the otologist during reconstructive surgery and provide necessary information for the prosthesis designer.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"144 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":"135008387","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 and Aims: The suspicion of obstructive sleep apnea (OSA) has serious implications for an anesthesiologist perioperatively. This study examines the association between the modified Mallampati scoring (MMS) and the STOP-BANG score in a community setting. Materials and Methods: This was a community-based cross-sectional survey among 702 adults in a rural area in South India. Airway assessment using MMS and assessment for OSA using STOP-BANG scoring were made by junior doctors trained in the anesthesia department. The association between the Mallampati score and the STOP-BANG score was tested by the Chi-square test using the SPSS version 21. Results: Among the community-dwelling adults, 19.2% had a score of 1, 27.9% had a score of 2, 31.3% had a score of 3, and 21.5% had a score of 4 on the Mallampati scoring system. Using the STOP-BANG score for risk stratification of OSA, 29.2% had an intermediate risk and 5.8% had a high risk for OSA. Higher Mallampati Grades (3 and 4) were a significant risk factor for OSA (61.8% vs. 38.2%, P = 0.001). Conclusion: A higher Mallampati class (3 or 4) is significantly associated with an intermediate-to high risk for OSA as assessed using STOP-BANG score criteria. Therefore, we suggest using the MMS not only as an airway screening tool but also as a predictor of OSA, in view of the rising obesity rates in India.
{"title":"Modified mallampati score – Does it predict more than a difficult airway? A community-based study assessing the association between modified mallampati score and obstructive sleep apnea","authors":"JithinMathew Abraham, SangeethaMerrin Varghese, GincyAnn Lukachan, AshuSara Mathai","doi":"10.4103/amhs.amhs_152_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_152_23","url":null,"abstract":"Background and Aims: The suspicion of obstructive sleep apnea (OSA) has serious implications for an anesthesiologist perioperatively. This study examines the association between the modified Mallampati scoring (MMS) and the STOP-BANG score in a community setting. Materials and Methods: This was a community-based cross-sectional survey among 702 adults in a rural area in South India. Airway assessment using MMS and assessment for OSA using STOP-BANG scoring were made by junior doctors trained in the anesthesia department. The association between the Mallampati score and the STOP-BANG score was tested by the Chi-square test using the SPSS version 21. Results: Among the community-dwelling adults, 19.2% had a score of 1, 27.9% had a score of 2, 31.3% had a score of 3, and 21.5% had a score of 4 on the Mallampati scoring system. Using the STOP-BANG score for risk stratification of OSA, 29.2% had an intermediate risk and 5.8% had a high risk for OSA. Higher Mallampati Grades (3 and 4) were a significant risk factor for OSA (61.8% vs. 38.2%, P = 0.001). Conclusion: A higher Mallampati class (3 or 4) is significantly associated with an intermediate-to high risk for OSA as assessed using STOP-BANG score criteria. Therefore, we suggest using the MMS not only as an airway screening tool but also as a predictor of OSA, in view of the rising obesity rates in India.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","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":"135007699","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}
Pub Date : 2023-01-01DOI: 10.4103/amhs.amhs_222_22
E. Rajni, Shaveta Kataria, M. Sarna, V. Garg
Achromobacter xylosoxidans is an uncommon nosocomial pathogen known to cause serious infections in immunocompromised patients. Long stays in critical care units often predispose to infection with this bacterium. A female patient, who is a known case of diabetes mellitus type 2, hypertension, and chronic kidney disease, presented to the emergency department with complaints of shortness of breath, generalized swelling, decreased urine output for 7 days, and altered sensorium for 1 day. A. xylosoxidans was isolated from paired blood culture. She was managed according to the antibiotic susceptibility report and was improving when she left against medical advice due to personal issues. The objective of presenting this case report is to stress upon the importance of communication between the microbiologist and the clinician. Embracing automation in microbiology laboratories is essential to identify such novel bacterium in time to achieve clinical and microbiological cures.
{"title":"A case of bacteremia by Achromobacter xylosoxidans in an immunocompromised host and review of literature","authors":"E. Rajni, Shaveta Kataria, M. Sarna, V. Garg","doi":"10.4103/amhs.amhs_222_22","DOIUrl":"https://doi.org/10.4103/amhs.amhs_222_22","url":null,"abstract":"Achromobacter xylosoxidans is an uncommon nosocomial pathogen known to cause serious infections in immunocompromised patients. Long stays in critical care units often predispose to infection with this bacterium. A female patient, who is a known case of diabetes mellitus type 2, hypertension, and chronic kidney disease, presented to the emergency department with complaints of shortness of breath, generalized swelling, decreased urine output for 7 days, and altered sensorium for 1 day. A. xylosoxidans was isolated from paired blood culture. She was managed according to the antibiotic susceptibility report and was improving when she left against medical advice due to personal issues. The objective of presenting this case report is to stress upon the importance of communication between the microbiologist and the clinician. Embracing automation in microbiology laboratories is essential to identify such novel bacterium in time to achieve clinical and microbiological cures.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":"11 1","pages":"141 - 144"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47204972","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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