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  Access statistics : Table of Contents
   2021| October-December  | Volume 9 | Issue 4  
    Online since July 15, 2022

 
 
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REVIEW ARTICLE
Impact of physical activity on gouty arthritis: A systematic review
Sakshi Shah, Sandeep Babasaheb Shinde
October-December 2021, 9(4):140-145
DOI:10.4103/dypj.DYPJ_65_21  
Gout is a metabolic disorder characterized by hyperuricemia and abnormal depositions of urate around tissues and in and around joints, that is, tophi. Gout is a progressive disease, which, if not treated effectively, can make a person disable. The aim of this study was to systematically review the literature on impact of gouty arthritis on physical activity. We performed a systematic review for impact of gouty arthritis on physical activity. An inclusion criterion of the review was the physical activity for gouty arthritis. Comorbidities were associated with gouty arthritis and long-term manifestations. Physically active patients have shown significantly low uric acid levels and also have fewer gout flares as compared to physically inactive patients.
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ORIGINAL ARTICLES
An observational study on empathy and factors associated with individual variations in empathy levels among youth in Central Kerala
Shaliet Rose Sebastian, Joyal Alias Saji, Geethu Mathew, Bichu P Babu
October-December 2021, 9(4):136-139
DOI:10.4103/dypj.DYPJ_21_21  
Background: Empathy is a social skill that exerts influence on the quality of social relationships. The importance of being empathetic is not only limited to the health care field. An empathetic person is able to understand the emotions of others, accurately express their feelings, comprehend others’ situations and act appropriately. According to the census data of 2011, one-fifth of India’s population is made up of the youth. Added to the volatile nature of the age, our youth face challenges from social exclusion, gender-based violence, and the lack of access to rights and opportunities. Aim: The aim of the study is to measure empathy levels among young adults aged 19–24 years in Central Kerala and to find out the factors associated with individual variations in empathy levels among them. Materials and Methods: A cross-sectional survey was conducted among 610 young adults of both gender in Pathanamthitta, Kottayam, Alappuzha, Kollam, and Trivandrum districts in South-central Kerala. Results: Good academic performance among study participants was found to be significantly associated with fantasy scale. The personal distress scale among study participants was found to be significantly associated with burnout, medical stream, and involvement in humanitarian acts. Burnout scores of study participants were found to be inversely correlated with fantasy scale, empathic concern, personal distress, and the combined interpersonal reactivity index. Conclusion: The present study sheds light on the prevalence of empathy and humanistic values among the youth in Kerala.
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CASE REPORTS
Perioperative allergy and anaphylaxis: An anesthesiologist’s nightmare
Priyanka Pradeep Karnik, Harick B Shah, Nandini Malay Dave, Sujata Shivlal Rawlani
October-December 2021, 9(4):146-148
DOI:10.4103/dypj.DYPJ_39_21  
Perioperative anaphylactic reactions though rarer than in adults, result in severe morbidity in children. There is a shift in the most commonly implicated agents causing anaphylaxis from neuromuscular blocking agents and latex to antibiotics. The allergy work up for children can be tedious due to the necessity to perform skin prick tests which are the gold standard. Anaesthesia for children with documented hypersensitivity to various foodstuffs and drugs can be fraught with difficulties due to airway hyperreactivity, need to avoid culprit drugs and possibility of biphasic reaction if epinephrine is not administered on time. We describe perioperative management of three cases with history of allergies and their implications.
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ORIGINAL ARTICLES
Effectiveness of thermal screening for COVID-19: Some considerations
Colonel Rajiva, Maninder Pal Singh Pardall, Venkata A Kandukuri, Saurabh Bobdey
October-December 2021, 9(4):123-132
DOI:10.4103/dypj.DYPJ_45_21  
Introduction: Fever is a common symptom in most infections, and its rapid identification forms a major component of screening efforts. Such screening has been carried out by several countries during the SARS outbreak in 2003 and during the influenza A (H1N1) 2009 pandemic. Materials and Methods: Infrared scanner-based non-contact (IRSBNC) thermometer was used to measure the forehead skin temperature. A conventional mercury thermometer was used to measure the core body temperature. Verbal informed consent was obtained from all the study subjects. Data collection was unlinked and anonymous, thereby maintaining privacy and confidentiality. A large sample size of 414 study subjects was taken. Data so collected were subject to appropriate statistical tests. The same data were utilized to run a simulation-based Susceptible Exposed Infected and Recovered (SEIR) model regarding the percentage of infectors likely to escape thermal screening and its epidemiological impact using MATLAB software. Results: The mean forehead skin temperature of the study subjects as measured by an IRSBNC thermometer was 96.79°F. The mean oral temperature of the study subjects as measured by a conventional mercury thermometer was 97.33°F. The difference between the two means was statistically significant with a t-value of 8.16 (P < 0.01). The forehead skin temperature as measured by an IRSBNC thermometer and oral temperature as measured by a conventional mercury thermometer showed a poor correlation coefficient of 0.11. Sensitivity, specificity, positive predictive value, and negative predictive value (NPV) of IRSBNC thermometer work out to 0.5384, 0.7087, 0.1102, and 0.9581, respectively. The false positive rate is 0.2912; and the false negative rate is 0.0309. The values of sensitivity, specificity, positive predictive value, NPV, false positive rate, and false negative rate of IRSBNC thermometer estimated using standard statistical tests are not much different from the results obtained by the simulation-based model. Conclusion: Based on the previous literature available and on the findings of the present study, which have been further validated by running a simulation-based model, the workers recommend that not too much reliance be placed on thermal screening by the IRSBNC thermometer. IRSBNC thermometers are of limited utility in thermal screening for Covid-19.
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Experience as anesthesia resident in intensive care unit during COVID-19 pandemic
Anjali Sathish, Gadde Srinivas, Amit Nagpal, Raimol Roy, Varsha Vyas
October-December 2021, 9(4):133-135
DOI:10.4103/dypj.DYPJ_70_21  
Anesthesiologists’ skills are successfully used in the process of distributing care in the COVID-19 pandemic. The first case of COVID-19 in India was reported on January 30, 2020. Since then, this disease placed the entire health system of the world under immense pressure. Approximately 4% of patients with coronavirus disease required ICU admissions. The government had canceled all elective procedures and ordered new ventilators and built new hospitals to meet this unprecedented challenge. The importance and the experience of anesthesiologists were greatly increased as they rose to the occasion and played an important role in handling the crisis. Residents were introduced to this new world of ICU. This time anesthesiologists acted as the specialized physicians with knowledge of the pathophysiology of organ systems both under normal and stress conditions. The virus is known to spread by aerosol or respiratory secretions of symptomatic patients where viral load is higher. So as health professionals, we were also at high risk; no matter how many precautions we took. Personal care of every affected person was very important. Management took proper care in providing us with all necessary paraphernalia for personal protection. The most significant emotional challenge was dealing with the families of the patients and making them understand that everything was done to offer their loved ones the best possible care.
  486 91 -
CASE REPORTS
Effect of yoga and naturopathy on health disorders: A case study
Akshata S Badave, Ritu Prasad, Ranjit S Bhogal, Satish D Pathak
October-December 2021, 9(4):153-155
DOI:10.4103/dypj.dypj_78_21  
RRS, a male participant, was admitted into Kaivalyadhama Yogic Hospital with complaints of obesity, hypertension, borderline diabetes mellitus, and hyperlipidemia. The health-related parameters, namely, weight, blood glucose level, lipid profile, spirometry, and chest-back-leg strength, were assessed. Pre-tests and post-tests were held before and after 30 days of yoga and naturopathic treatment intervention, including diabetes-related expert advice. His weight was reduced from 100 to 92 kg, HbA1c was reduced from 8.1% to 6.9%, and lipid profiles total ratio came down from the initial reading of 4.5 to 3.7, following the intervention. His overall lung capacity was found improved after yoga practices. The participant showed improvement in his chest-back-leg strength from 93.33 to 112.33 kg. The authors recommend diet, naturopathy, and yoga therapies, employed in this case study, for addressing the health issues mentioned in the study.
  512 48 -
An unusual presentation of primary actinomycosis infection in hard palate of a 15-year-old girl: A case report
Santosh K Swain
October-December 2021, 9(4):149-152
DOI:10.4103/dypj.DYPJ_74_21  
Actinomycosis is an uncommon infection caused by filamentous Actinomyces, which forms club-shaped filaments arranged in a radiating pattern and rarely infects palate. The clinical presentations are often non-specific, so it posed a challenging situation for clinicians to get diagnosis of actinomycosis. The histopathological study is often helpful for the diagnosis of actinomycosis. The patient needs clinical follow-up for complete healing of the lesion. This case report describes a case of palatal cyst, which was diagnosed as actinomycosis on the basis of histopathological examination. Surgical excision of the cyst with debridement of the granulation tissue is mandatory for such cystic presentation of actinomycosis. This case was undergoing complete excision, followed by amoxycillin and clavulanic administration for 3 months. The bony defect was reconstructed using mucoperiosteal flap of the palate.
  498 48 -
A rare case report of testicular seminomatous mixed germ cell tumor with components of teratoma, embryonal carcinoma, and choriocarcinoma
Tejas S Choksi, Gunvanti B Rathod, Pragnesh B Parmar
October-December 2021, 9(4):159-161
DOI:10.4103/dypj.DYPJ_62_21  
The tumors arising in testis are of germ cell origin in most of the cases. Approximately 95% of all testicular neoplasms reported in literature are germ cell tumors (GCTs). Nowadays, there is an increase in the incidence of testicular tumors all over the world because of unknown reasons. Mixed GCTs consisting of various combinations are generally rare. In the literature, very few cases have been reported till today with the combination of seminomatous GCT with choriocarcinoma, teratoma, and embryonal carcinoma. We want to report such a rare case to make clinicians and pathologists aware of this rare entity.
  273 17 -
The curious case of an erythematous plaque on penis
Prachi R Srivastava, Deepak Argal, Praveen Vyas, Animesh Saxena, Vivek K Dey
October-December 2021, 9(4):156-158
DOI:10.4103/dypj.DYPJ_77_21  
Penile psoriasis is a rare entity comprising of only 3% of all the psoriatic cases. However, it is one of the most common non-venereal diseases of the genitalia. Due to the location, sexually transmitted diseases are often suspected as the first diagnosis leading to delay in diagnosis and therapy. This causes quality of life impairment of patients along with severe psychosocial disturbances. We hereby present the case of a young immunocompetent male patient with a non-healing lesion on the glans penis of 4 month duration with raised anti-herpes simplex virus 2 immunoglobulin G (IgG) and IgM titres who was previously misdiagnosed as herpes genitalis owing to the location and serology. A biopsy leads to the correct diagnosis of psoriasis. He was then treated with calcipotriol and clobetasol combination with which the lesions healed in a week. We are presenting this case to raise the index of suspicion of psoriasis in patients with isolated penile lesions, as the presentation here is different with the lesions being non-scaly, compared to the other areas of the body. Another aspect is that maybe this case represents Wolf’s isotopic response in relation with “Zoster Sine Herpete” and psoriasis. This is to our knowledge the first time this phenomenon is being reported with psoriasis..
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