Objective: Clinicopathological analysis of testicular tumors as per World Health Organisation (WHO) classification.
Materials and methods: All consecutive cases of testicular tumors diagnosed in the department of pathology for five year were included in this study.
Results: During the span of five years, total 59 cases of testicular tumors were diagnosed. Scrotal mass or swelling was the predominant mode of presentation. Germ cell tumors constituted 89.8% (n = 53) of all testicular neoplasms in which seminoma 32.2% and teratocarcinoma 13.4% were present. Yolk-sac tumor (5.1%) was the commonest testicular neoplasm in children while lymphoma (8.5%) was the predominant neoplasm in elderly population. One case of leukemic infiltration of testis (1.7%) in a known patient of acute lymphocytic leukemia after chemotherapy was also observed.
Conclusion: In this study clinical presentation, age, and frequency of testicular tumors, with few exceptions are similar to other studies from different parts of country, confirming similarity in international literature.
Background: Healthcare in India has seen many changes over the years. The objectives of healthcare changed with the requirements of society and the availability of resources and technology, even though the roles of patients and doctors have remained fixed. There is increased dissatisfaction among the public. It is vital to know exactly what our patients expect of us as their health care providers to practice according to the need of the day; in addition to ethically correct medicine. Bengaluru is known as IT capital of India with most of them being software engineers who often are first among the patients to be aware and informed of the diseases suffered by them or beloved ones. Hence, this study was undertaken with an objective of estimating the satisfaction of the medical care received by software engineers working in multinational companies in Bengaluru, Karnataka, India.
Methodology: The required number of engineers were selected using the snowballing technique until the sample size was met. The participants were given self-administered questionnaire (PSQ-18) after obtaining the consent. The selfadministered questionnaire consisted of demographic profile and 18 questions related to the medical system which were scored from agreeing to disagree strongly. The scoring was done using the scoring method for the PSQ-18 and overall satisfaction with the healthcare found along with subscores. Data were analyzed using SPSS 20 and chi-square was used as a test of significance.
Results: Mean age of the study population was found to be 26.4 years ± 4, with males representing the majority (73.5%) of the study population. Overall satisfaction among engineers was found to be 55.5%. Less satisfaction among participants was found when it came in terms of financial aspect (28.5%) and time spent with doctors (31.5%) followed by accessibility to health services (43%).
Conclusion: A comprehensive approach involving all the stakeholders so as to arrive at a way to decrease the financial burden of the diseases as well as to improve time spent with the doctor is required.
Gurvinder S Sethi
Benign prostatic hyperplasia, Bipolar resection of prostate, TURP
DOI: 10.5005/jp-journals-10045-0090 |
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Srinath N, Jhulmaria S, Sethi GS. A Prospective Randomised Comparative Study of Monopolar Transurethral Resection of Prostate versus for Bipolar Resection of Prostate. J Med Sci 2018; 4 (3):75-78.
We conducted a prospective randomized study to compare bipolar resection of prostate (BRP) with mono-polar transurethral resection of prostate (mTURP). A total of 120 patients of symptomatic benign prostatic hyperplasia (BPH) were randomized into two groups and treated with bipolar resection of prostate with saline as irrigating fluid and monopolar TURP with 1.5% glycine as irrigation fluid. Pre- and post-op findings were recorded up to 6 months in all patients. Both the groups were comparable in age, prostate size regarding volume, international prostate symptom score (IPSS) and hemoglobin levels. The TURP group showed a statistically significant decline in Hb from the preoperative value. Postoperative serum sodium level was significantly low in the mTURP group than in the BRP group. We did not come across transurethral resection (TUR) syndrome in any patient. There was no significant difference in operation time, catheterization time, hospital stay among the two groups. Postoperative improvement in IPSS was similar. The peak urine flow (Q Max) was significantly high in bipolar resection group. Bipolar resection of prostate ha s lower intraoperative complications and improved results compared to monopolar TURP.
Keywords: Candida albicans, CAUTI, Device Days, E. coli
DOI: 10.5005/jp-journals-10045-0091 |
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Harshini R, Sangeetha S. Catheter-associated Urinary Tract Infection Surveillance in Intensive Care Units in a Tertiary Care Hospital: A Pilot Study. J Med Sci 2018; 4 (3):79-82.
Catheter-associated urinary tract infections (CAUTI) develop either during or after placement of a urinary catheter. CAUTI has been shown to increase patient morbidity and mortality, increase in the length of stay, and add to the cost of care. It is preventable provided appropriate protocols are meticulously followed.
Aims and objectives: This pilot study was conducted over a two month period to determine the rates of CAUTI in the intensive care units of a tertiary care hospital.
Materials and methods: One hundred samples from CAUTI cases were studied for their microbiological profile and antibiotic sensitivity pattern.
Study: Descriptive study.
Results: It was observed that out of 100 samples collected after obtaining informed consent from the Medical Intensive Care Unit (MICU) and Surgical Intensive Care Unit (SICU), 3 cases were reported positive for CAUTI. The sex ratio indicated higher rates for males and lesser for females. Candida albicans was present as a main pathogen followed by Escherichia coli. The overall rate of CAUTI for the two months was 5 per 1000 device days. But this study indicates that precautionary measures need to be properly implemented for preventing CAUTI.
Filariasis is a tropical infectious disease and a global public health problem with high incidence in the Indian subcontinent. The clinical manifestations of filariasis vary from person to person depending upon course of infection and the worm load. It is very rare to observe adult filarial worm in the testicular tissues. We herewith report a case of adult filarial worm in the testicular tissue.
Habit disorders and impulse control disorders include conditions involving problems in self-control of emotions and behaviors. These are disorders which people generally neglect in day to day life as the symptoms are not severe, disabling or distressing. However, we present a case of 30 years old male with a habit disorder of sniffing smell of own breath using fingers, who responded well to fluoxetine.
Methodology: Patient who came to Psychiatry OPD, Raja Rajeswari Medical College and Hospital was taken for case report.
ICD-10: Textbook was used to diagnose patient with Habit Disorder.
Introduction: There are evidence-based guidelines for the management of diabetes mellitus (DM). These will not take into account, comorbidity the patient has, and these may come in the way of diabetes management. There are a wide range of comorbidities in Type 2 diabetes (T2DM) which again depends on the study subjects selected and the accompanying diseases.
Methodology: This cross-sectional, observational project was conducted in Rajarajeswari Medical College and Hospital (RRMCH) which included 96 women above the age of 30 years to analyze the number of comorbidities associated with diabetes mellitus. These women were selected based on the criteria and detailed history, and lab investigations were done and tabulated.
Results: Based on the investigations it is found that 67.7% of patients were hypertensive. Thirteen patients had hypothyroidism, 11 patients had dislipidemia and 14 patients had nonalcoholic fatty liver disease (NAFLD). There were 18 patients without any comorbidity in our study.
Conclusion: It was observed that (a) Diabetes mellitus is most commonly associated with hypertension as the comorbidity. (b) As the age advances risk to comorbidities also increases.