International Journal of Medical Research and Review

Communication barriers encountered by the undergraduate nursing students and the newly admitted patients while interacting with each other in the tertiary care hospital of Bhopal

Mamta Verma — 2025-04-21

Introduction: Communication is a lifelong learning process. Clear communication means the information is conveyed effectively between people. As a part of training for nursing service, nursing students have to communicate with patients focusing on the patient's needs and problems. Many nursing students face communication difficulties with their facilitators and patients during their clinical learning. This study aims to determine the communication barriers encountered by the undergraduate nursing students and the newly admitted patients in tertiary care hospital of Bhopal and to find out the association of the communication barriers with the selected socio- demographic variables. Methods: A descriptive, cross sectional study was conducted among 138 undergraduate nursing students and 73 newly admitted patients. The barriers were assessed with the help of a self structured questionnaire and the association was analyzed with frequency, percentage, distribution and fischer’s exact test. Results: Among nursing students, 68.8% reported moderate communication barriers, and 21% faced severe barriers. Among patients, 36% experienced moderate communication barriers and 24.7% of them faced severe communication barriers. This study also concludes that there is significant association between the level of communication barrier with the course and year of study of the undergraduate nursing students and with the highest level of education of the patients. Conclusion: Furthermore, it was also concluded that the most significant barrier among the nursing students and the admitted patients was psychological barrier with those patients who did not neither maintain eye contact nor show interest and with those nursing students who did not maintain a good eye contact nor let them express their ideas, respectively.

Role of Yoga Prana Vidya (YPV) system as complementary medicine in the successful treatment of HIV: A case research study

Venkata Satyanarayana Nanduri — 2025-03-25

Introduction: The human immunodeficiency virus (HIV) is a pathogen that compromises the body's immune system by targeting white blood cells known as CD4 cells. Studies show evidence of successful YPV therapy as complementary in the healing cases of dreaded diseases like cancer, and various other diseases. This paper presents an in-depth case study of a HIV patient treated successfully using YPV protocols as complementary medicine to overcome psychological issues and side effects of ART medication.
Method: An in-depth Case study method is used, collecting case details from the Trainer-healer, medical information from patient, and a qualitative research interview of the patient transcribed for thematic analysis.
Results; The CD4 figures for the period 2016 to 2022 show fluctuating results (above and below 500 cells /mm-cube) when ART medication was used alone. However, for the period 2022 to 2024 when the patient was treated complementarily using YPV protocols together with ART medication, CD4 values show a stable and rising pattern, above 500 cells/mm-cube. The medical team reduced dosage by 41%. Qualitative analysis shows he is not experiencing any side effects of ART medication, while feeling strong and energetic functioning normally.
Conclusions: In addition to medical care, HIV patients require effective psychosocial assistance. A higher quality of life and longer lifespan are possible for individuals living with HIV who have access to timely diagnosis, treatment, and psychosocial support. According to this study, the YPV protocols provide efficient ways for patients to heal and rehabilitate. Recommendations include conducting more studies using right samples and methodology.

NERVE SHEATH MYXOMA IN AN UNCHARTED TERRITORY

Lekshmi Devi V — 2025-04-02

Dermal nerve sheath myxoma is a rare benign tumor of perineural schwann cells of peripheral nerves¹. It commonly affects limbs of younger adults with peak incidence in thirties² and has a high recurrence rate if not fully excised. This is a case of an elderly female who presented with a swelling in the right nasal cavity. Excision biopsy of the mass was done and histopathology showed features of nerve sheath myxoma.

CASE REPORT CREST Syndrome: A Rare Cause of Chronic Upper-Gastro Intestinal Haemorrhage in Adults

SJ Sanketh — 2025-04-02

ABSTRACT:

Background: CREST syndrome, a limited cutaneous variant of systemic sclerosis, rarely presents with chronic upper gastrointestinal haemorrhage. This case report explores the complex pathological mechanisms and management challenges of this uncommon manifestation.

Case Presentation: A 52-year-old female with established CREST syndrome presented with recurrent melena and hematemesis. Comprehensive clinical evaluation revealed extensive gastrointestinal telangiectasia with significant bleeding potential. Upper endoscopy demonstrated multiple fragile vascular lesions throughout the esophagus, stomach, and duodenum.The patient underwent detailed diagnostic imaging, including CT angiography and capsule endoscopy. Therapeutic interventions included argon plasma coagulation, tranexamic acid therapy, and systemic immunosuppression with mycophenolatemofetil.

UNMASKING THE CULPRIT – PSEUDOANEURYSM OF PETROUS INTERNAL CAROTID ARTERY

Anju Krishna R — 2025-04-28

Pseudoaneurysms of the petrous internal carotid artery are rare. This is the case of a patient who presented with intermittent episodes of profuse bleeding from left nostril and pulsatile tinnitus. Digital subtraction angiography (DSA) showed pseudoaneurysm from left petrous internal carotid artery and was promptly treated with balloon assisted coiling.

Anaesthetic Management of a Patient With Varicella For Emergency Caesarean Section

Chanchal — 2025-07-09

Varicella zoster (VZ) is highly contagious virus and it can cause two different diseases; chicken pox as the primary infection and later reactivates shingles or herpes zoster. Approximately 5–10% of pregnant women lack antibodies to VZV and may acquire varicella during pregnancy. We present a case of 20 year old woman with herpes zoster presented for emergency caesarean section in view of foetal distress while discussing the anaesthetic issues related to varicella in pregnancy.

A Case Report on Treatment of Pancreatoblastoma in a 55-year-old female

Priyanka — 2025-07-11

Background: Pancreatoblastoma is a rare, malignant tumor develops in the pancreas and is distinguished by lobular structures which contain acinar cells and squamoid corpuscles. The most common site was head of the pancreas and most common symptom is abdominal pain and vomiting.

Case Presentation: A 55-year-old female presented with complaints of abdominal pain and vomiting’s with vitals in normal range. However, her serum amylase and lipase levels were found to be elevated. A contrast-enhanced computed tomography (CECT) revealed a large exophytic mass lesion in her pancreas, measuring 6.5 x 9.3 x 8.5 cm and causes distortion of the SMV medially and stretching of the anterior superior pancreaticoduodenal vein. The main pancreatic duct is severely compressed. Our patient underwent a Whipple procedure and exhibited an unremarkable recovery.

Conclusion: Pancreatoblastoma is a curable tumor that requires early diagnosis through a multi-disciplinary approach. The tumor is removed completely by surgery and pathology; Immunohistochemistry confirms the diagnosis. Following surgery, the patient is closely monitored to look for any residual disease, metastases, or recurrences.

Keywords: Pancreatoblastoma, amylase, lipase, Whipple procedure, immuno histochemistry

Six interesting case discussions of adult type 1 diabetes from Karnataka, South India

Anil kumar R — 2025-03-20

Type 1 diabetes can affect adults, although it is more common in children and young adults. We are presenting six cases of adult onset type 1diabetes. The etiology was autoimmune in five persons and idiopathic in one person. Two persons had diabetic ketoacidosis at presentation and four persons had symptoms of hyperglycemia. Fasting c-peptide was measured after blood glucose control and all six persons had very low c-peptide levels. Diabetes may present at any age so when there is strong clinical suspicion of type 1 diabetes in adults, physicians should do fasting C-peptide levels to diagnose type1 diabetes for management.

Challenges and Opportunities in Normothermic Liver Perfusion: A Standard Research Review from an Indian Perspective

Khushbu Gautam — 2025-04-21

Liver transplantation is the only definitive treatment for end-stage liver disease and acute liver failure; however, the shortage of viable donor organs remains a critical challenge. Conventional static cold storage (SCS), while widely used, is associated with ischemia-reperfusion injury, leading to suboptimal graft function. Normothermic liver perfusion (NLP) has emerged as an advanced preservation technique that mimics physiological conditions, thereby reducing cellular injury, extending preservation times, and improving organ viability. Studies have demonstrated that NLP enhances graft recovery, facilitates viability assessment, and increases the utilization of marginal donor livers. Despite these advantages, the implementation of NLP in India is hindered by high costs, infrastructure limitations, and the need for specialized expertise. However, with increased investment in healthcare, research collaborations, and regulatory support, NLP could revolutionize liver transplantation in India by improving transplant outcomes and expanding the donor pool. This review explores the clinical benefits, challenges, and potential pathways for integrating NLP into India’s organ transplantation framework, highlighting the need for strategic policy interventions, cost-effective solutions, and workforce training to enable widespread adoption.