Archives

Author-

Dr Deepak Chhatbar

ENT Consultant, Dhoraji City, Rajkot (Gujarat)

Year: 2024, Volume: 1, Issue: 1, Pages: 1-5, Date of Publication: 26 March 2024

Abstract: Cirsoid aneurysms, although rare, represent an intriguing vascular pathology characterized by tortuous, dilated blood vessels with a propensity for arteriovenous shunting. While these lesions can occur in various regions of the body, their manifestation in the face (cheek) is exceptionally uncommon. This article presents case of 44 yr. male patient, suffering from recurrent Cirsoid aneurysm, rarely reported in literature. The main feeder for the aneurysm being Superficial Temporal artery and drainage to Internal Jugular vein. The Aneurysm was operated. Article involves a comprehensive review of cirsoid aneurysms, with a focus on their etiology, clinical presentation, diagnostic modalities, and management strategies. Through the exploration of a clinical case and pertinent literature, the article sheds light on the challenges associated with diagnosing and treating cirsoid aneurysms of the cheek.

Keywords: Cirsoid aneurysm, arteriovenous malformation, vascular anomaly, face, Superficial temporal artery, Internal jugular vein

Author-

Dr Mittal Patel

ENT Consultant, Ahmedabad (Gujarat)

Year: 2024, Volume: 1, Issue: 1, Pages: 6-11, Date of Publication: 30 March 2024

Abstract:

Type 1 first Branchial cysts are uncommon congenital anomalies that often pose diagnostic challenges due to their varied presentations and potential for misidentification. We present a case report of a patient diagnosed with a type 1 first Branchial cyst, discussing the clinical manifestation, diagnostic approach, and successful surgical management. A 52-year-old female presented with a painful, recurrent, fluctuant swelling in the left lateral neck region, which was initially misdiagnosed as an infected lymph node. Imaging studies revealed a cystic lesion possibly arising from Parotid gland. Surgical excision was performed, and Histopathological examination confirmed the diagnosis of a type 1 first Branchial cyst. This case emphasizes the importance of considering Branchial anomalies in the differential diagnosis of lateral neck masses and highlights the significance of accurate diagnosis and timely surgical intervention for optimal patient outcomes.

Keywords: Type 1 Branchial cyst, lateral neck mass, congenital anomaly, Cysts, First Branchial

Author-

Ajita Sharma*

(DGM AIESL, IGI Airport, Delhi) (Corresponding Author)

Navika Sharma

(Scholar, Delhi)

Year: 2024, Volume: 1, Issue: 1, Pages: 12-47, Date of Publication: 30 April 2024

Abstract: Artificial Intelligence (AI) has emerged as a transformative force in healthcare, presenting innovative approaches to data management, patient engagement, diagnostic accuracy, and surgical assistance. This study explores the multifaceted applications of AI across various subjects integral to the MBBS curriculum, aiming to identify its impact and potential in each domain. A novel approach was adopted using a chatbot powered by AI technology (ChatGPT) to streamline the data collection process. Keywords such as “AI in Healthcare,” “Telemedicine,” “Diagnostic AI,” “Surgical AI”, “MBBS curriculum”, “AI with name of branch” were systematically employed to search ChatGPT and compile relevant literature and data. The chatbot facilitated efficient data extraction and analysis, contributing to the synthesis of comprehensive insights. Surprisingly, our review revealed a dearth of prior studies focusing on the integration of AI across these medical subjects, underscoring the novelty and urgency of this research. This review not only sheds light on the current landscape but also paves the way for future investigations and advancements in AI-driven medical education and practice.

Keywords: Artificial Intelligence, Chatbot, MBBS, AI in Healthcare, Telemedicine, Diagnostic AI, ChatGPT

Rubi Thapa

Audiologist, Jaipur (Rajasthan)

Year: 2024, Volume: 1, Issue: 1, Pages: 48-66, Date of Publication: 20 May 2024

Abstract: This article investigates the prevalence and potential causes of Sensorineural Hearing Loss (SNHL) among individuals living near Railway tracks. Sensorineural Hearing Loss is a significant Public Health concern globally, affecting millions of individuals. While the etiology of SNHL is multifaceted, environmental factors, including exposure to Noise pollution, have been implicated. Railway tracks are recognized sources of Noise pollution, characterized by high-intensity Sound emissions from passing Trains. Audiometric tests were conducted on a sample comprising Railway employees and their family members who sought medical care for ear complaints at the Hospital. The participants were divided into two groups based on their proximity to Railway tracks. The collected data were analyzed to determine the relationship between distance from Railway tracks and the prevalence of Hearing loss. Analysis of the data reveals a significant association between distance from Railway tracks and the severity of Hearing loss. Participants residing further from Railway tracks exhibited lower rates of Hearing loss compared to those living closer to the tracks. The findings suggest a potential link between proximity to Railway tracks and Sensorineural Hearing Loss among family members of Railway workers. This underscores the importance of implementing effective Noise control measures and providing adequate Hearing protection for both Railway workers and their families living in close proximity to Railway tracks.

Keywords: Sensorineural Hearing Loss, Railway Tracks, Noise Pollution, Audiometry, Railway employees, Hospital

Anuj Sharma (GM, Sales and Marketing, Proterial, Delhi)

Ajita Sharma (DGM AIESL, IGI Airport, Delhi)

Year: 2024, Volume: 1, Issue: 1, Pages: 67-81, Date of Publication: 31 May 2024

Abstract- In the dynamic environment of Healthcare, the motivation of service providers is crucial for delivering high-quality patient care and achieving organizational goals. Higher Patient Satisfaction is achieved when service providers the ‘Doctors’ are motivated and satisfied. This study aims to identify and analyze the factors influencing the motivational levels of Healthcare Providers, particularly in relation to management practices. By employing the Delphi method, we seek to develop a comprehensive Hospital Administration Model, termed the 5A Model. This model will encompass key aspects such as Advancement, Acknowledgement, Affluence, Assistance, and Ambiance providing a structured approach for Healthcare managers to foster a motivating work environment.

Keywords– Healthcare, Healthcare Providers, Hospital Administration Model, 5A model, Healthcare managers, Doctors, Patient Satisfaction, Delphi method

Dr Manoj Kumar (HOD and consultant radiologist)

Year: 2024, Volume: 1, Issue: 2, Pages: 82-90, Date of Publication: 15 July 2024

Abstract: Pleomorphic adenomas are the Benign Mixed Salivary gland tumours, typically found in major salivary glands. Their occurrence in the Nasal septum is exceedingly rare. This case report details the clinical presentation, diagnostic process, and treatment of a Pleomorphic adenoma originating from the anterior part of nasal septum in a 63-year-old female patient. The patient presented with a Nasal mass and Epistaxis. The initial diagnosis required the use of both Computerised Tomography (CT) and Magnetic Resonance Imaging (MRI) to accurately identify the tumour’s characteristics and extent. Complete Surgical excision was the treatment employed.

Keywords: Pleomorphic adenoma, Nasal septum, Benign tumour, Mixed Salivary gland tumours, Nasal mass, Epistaxis, Surgical excision

Preyansh Mishra (B Tech, M Tech (Mechanical)) (MBA, IIM-Kashipur, Lead Data Analyst, CSC E-Governance Services, India Pvt Ltd)

Year: 2024, Volume: 1, Issue: 2, Pages: 91-107, Date of Publication: 31 August 2024

Abstract: In recent years, Hospitals have increasingly turned to environmental Sustainability initiatives not only to reduce their ecological footprint but also to enhance their brand image. The study aims to evaluate the knowledge levels of Hospital managers regarding Green healthcare practices, including Green hospital branding, Sustainability, Infrastructure development, Energy efficiency, and Waste management. A structured questionnaire was developed utilizing Likert scale responses for Knowledge assessment of managers familiarity and understanding of these critical areas. The survey was administered to hospital managers across various healthcare facilities. The findings shed light on the current state of knowledge among hospital managers and highlight areas for improvement in environmental Sustainability practices within Healthcare management. Understanding the knowledge gaps in this domain is crucial for implementing effective strategies to enhance sustainability initiatives in healthcare facilities.

Keyword: Hospital managers, Green healthcare practices, Sustainability, Infrastructure development, Energy efficiency, Waste management, Knowledge assessment, Green Hospital Branding

Dr Mohit Vashisth (Consultant ENT Surgeon, JIMS Hisar, Haryana), Dr Ankur Agarwal (Consultant Pathology, Jaipur)

Year: 2024, Volume: 1, Issue: 2, Pages: 108-124, Date of Publication: 31 August 2024

Abstract: This article examines three cases of Wegener’s Granulomatosis, now referred to as Granulomatosis with Polyangiitis (GPA), with a particular emphasis on ENT (ear, nose, and throat) manifestations and clinical observations. GPA is a rare form of Vasculitis that frequently affects the Upper respiratory tract, making early ENT evaluation vital for accurate diagnosis and treatment. The cases presented here illustrate a range of ENT symptoms, such as Chronic sinusitis, Nasal obstruction, and Epistaxis, which played a key role in the initial diagnosis. The detailed clinical assessments and imaging findings shed light on the disease’s progression and the difficulties in distinguishing it from other ENT conditions. This article underscores the essential role of the ENT department in the early detection of systemic diseases, emphasizing the importance of maintaining a high index of suspicion for systemic conditions during ENT evaluations. The case reports highlight the necessity for prompt and comprehensive investigations to ensure accurate diagnosis and timely intervention.

Keywords: Wegener’s Granulomatosis, Granulomatosis with Polyangiitis, ENT, Vasculitis, Chronic Sinusitis, Nasal Obstruction, Epistaxis, Upper Respiratory Tract

Dr Purnima Prasad Acharya (Medical Officer (Specialist), Dept of Obstetrics and Gynaecology, ESI Hospital, Durgapur)

Year: 2024, Volume: 1, Issue: 2, Pages: 125-134, Date of Publication: 31 August 2024

Abstract: The Prevalence of Gynaecology patients in Government hospitals, particularly in Durgapur, highlights significant Healthcare challenges and the accessibility of medical services for women in this region. This article explores the factors influencing the high number of Gynaecology patients in Durgapur’s government hospitals, analyzing both statistical data and broader social and economic trends. The study, conducted over six months with 460 enrolled patients, revealed that Reproductive tract Infections were the most prevalent condition, followed by Pelvic inflammatory disease and Menstrual disorders. These findings underscore the impact of poor health conditions, with infections being the most common issue, reflecting the region’s challenging socio-economic circumstances. The study emphasizes the importance of sustained government support and investment in healthcare infrastructure to address the increasing demand for Gynaecological services in Durgapur.

Keywords: Gynaecology, Prevalence, Government Hospitals, Healthcare challenges, Durgapur, Reproductive Tract, Infections, Pelvic Inflammatory Disease, Menstrual Disorder

Dr Natwar Singh Rathore (Consultant ENT Surgeon, Shalby Hospital, Jaipur)

Year: 2024, Volume: 1, Issue: 2, Pages: 135-153, Date of Publication: 31 August 2024

Abstract: Functional Endoscopic Sinus Surgery (FESS) is a Minimally invasive procedure designed to enhance Sinus drainage and ventilation, often used to address various sinus disorders. This article offers an in-depth exploration of the fundamental concepts and techniques involved in FESS, supplemented with Illustrative examples for clarity. The discussion covers key topics such as the indications for FESS, anesthesia considerations, a detailed step-by-step procedural guide, and an overview of the essential surgical instruments. Special attention is given to Anatomical factors, Surgical methodologies, and Post-Operative care strategies to maximize success and reduce the risk of complications. This guide also highlights foundational surgical steps that are particularly useful for beginners in the field.

Keywords: Functional endoscopic surgery, Sinus surgery, FESS, Minimally invasive, Sinus, Illustrative, Surgical methodologies, Anatomical factors, Post-Operative

Dr Abhishek Sharma (PhD, Consultant), Dr Smita Sharma (Assistant Professor, TAPMI School of Business, Manipal University Jaipur)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Patient satisfaction surveys are essential for evaluating healthcare quality, driving improvements, and benchmarking institutional performance. In India, while numerous studies have been conducted across diverse healthcare settings, they often face limitations such as restricted scope, survey biases, and methodological gaps. This review examines trends and methodologies in patient satisfaction studies, analyzing data from journals, institutional reports, and credible organizations like NABH and SCImago. Key findings reveal a narrow focus on specific departments or patient groups, biases in survey design and administration, and exclusion of critical domains like telemedicine and grievance redressal. Methodological inconsistencies further hinder cross-comparative analyses. Addressing these challenges through standardized tools, inclusive sampling, and comprehensive evaluation can enhance the utility of patient satisfaction surveys, guiding healthcare policies and improving patient outcomes..

Keywords: Patient satisfaction, healthcare quality, survey methodology, India, healthcare evaluation.

Dr Mittal Patel (ENT Consultant, Ahmedabad, Gujarat), Dr Deepak Chhatbar (ENT Consultant, Dhoraji City, Rajkot, Gujarat)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Neck swellings are a common clinical presentation encountered in medical practice, varying significantly in etiology, pathology, and prevalence based on demographic and geographic factors. This study aims to assess the clinicopathologic features and prevalence of neck swellings in patients presenting to a tertiary care hospital in a Tier 2 city over a 1-year period. A retrospective observational study was conducted, analyzing clinical records, histopathological reports, and diagnostic imaging of 550 patients with neck swellings. Data were categorized based on age, gender, duration of swelling, and pathological diagnosis. The findings highlighted a diverse range of etiologies, including reactive lymphadenopathy, thyroid disorders, congenital anomalies, and malignancies, with notable differences in prevalence based on age and gender. Thyroid swellings were found to be the most common cause among adults, while lymphadenopathy predominated in pediatric cases. The study underscores the importance of early and accurate diagnosis for effective management and better clinical outcomes. This study provides valuable insights into the spectrum of neck swellings in a Tier 2 city setting, emphasizing the need for tailored diagnostic and therapeutic strategies in resource-limited environments.

Keywords: Neck swellings, clinicopathologic assessment, Prevalence, tertiary care hospital, Tier 2 city, Reactive lymphadenopathy, thyroid disorders, congenital anomalies, histopathological analysis, Diagnostic imaging

Dr Ramesh Kumar ( Deputy Director, Govt Sub District Hospital, Bheem, Rajsamand Rajasthan)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Doctors in private hospitals often face significant occupational stress due to demanding work environments and job insecurity. This study assessed the health status of 54 doctors using the GHQ-28, focusing on somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression. Findings revealed that 68% of participants experienced psychological distress, with high stress levels reported by 82%, largely attributed to job insecurity (61%). Anxiety and insomnia were the most affected domains. The study underscores the urgent need for mental health screenings, supportive workplace policies, and stress management interventions to improve the well-being and resilience of healthcare professionals.

Keywords: General Health Questionnaire, doctors’ health, occupational stress, job insecurity, private hospital, mental well-being.

Dr Sunit Saxena ( MD (Anaesthesiology), HOD Anaesthesia and OT, Manipal Hospital, Jaipur), Dr Bhavya Sinha ( 3rd Year PG, DNB Anaesthesia)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Sleep endoscopy (DISE) is a vital diagnostic tool for assessing upper airway obstruction in obstructive sleep apnea (OSA). This study reviews anesthesia techniques and safety considerations for DISE in 100 patients over one year. Using propofol titration guided by the Schnider model, a controlled sedative state mimicking natural sleep was achieved in all cases, enabling effective visualization of airway dynamics. Moderate sedation was attained with minimal complications, such as rare instances of airway obstruction, promptly managed with established protocols. The findings emphasize the importance of precise anesthesia techniques and vigilant monitoring to enhance DISE’s diagnostic accuracy and patient safety.

Keywords: Sleep endoscopy, Obstructive sleep apnea, Drug-induced sleep endoscopy, Anesthesia, Propofol, Airway management, Sedation protocols.

Dr Sankhadeb Acharya (Consultant Orthopaedics, Durgapur, West Bengal)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Prolapsed intervertebral disc (PIVD) is a common spinal disorder managed conservatively with physical therapy, medications, and lifestyle modifications. This study retrospectively analyzed 100 patients undergoing conservative treatment for PIVD over a year. Results showed 75% achieved significant pain reduction, and 68% improved functional status, with early adherence to therapy linked to better outcomes. However, 12% required surgery due to persistent symptoms. Challenges included therapy compliance and emotional strain from chronic pain. Conservative management proves effective for most patients, emphasizing the importance of early intervention, patient education, and personalized care plans to optimize recovery.

Keywords: PIVD, conservative management, patient experience, physical therapy, pain management, functional recovery.