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   Table of Contents - Current issue
Coverpage
July-September 2021
Volume 5 | Issue 3
Page Nos. 45-61

Online since Monday, July 26, 2021

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ORIGINAL ARTICLE  

Sharp foreign bodies in laryngotracheobronchial airway of children: Our experiences at a tertiary care teaching hospital p. 45
Santosh Kumar Swain, Nibi Shajahan
DOI:10.4103/MTSM.MTSM_48_20  
Background: Sharp foreign bodies (FBs) are rarely found in the laryngotracheobronchial (LTB) tree which may cause threatening to the life. Objective: The aim of this study is to evaluate or study the clinical details of the inhaled sharp FBs and its management in children. Methods: This is a retrospective descriptive study done in between April 2015 and May 2020. There were 22 children with inhaled sharp FB in the airway enrolled in this study. The diagnosis was done from proper history taking, clinical examination, and the X-ray of the neck, chest, and abdomen of the children. All of them underwent rigid bronchoscopy with grasping forceps for the removal of these sharp FBs. Results: Out of the 22 children, 13 were boys (59.09%) and 9 were girls (40.90%). Out of 22 cases, 4 FBs were found in the proximal part of the airway and 18 were seen in distal airways. The most common clinical presentation was chocking sensation with cough. Conclusion: Early diagnosis and prompt rigid bronchoscopy are required for preventing inhalation of the sharp FB in the LTB. Proper education to the caregivers or parents is very helpful to prevent this critical clinical entity.
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CASE REPORT Top

Magnetic resonance imaging of leptomeningeal cyst with atypical presentation: Cough-induced headache p. 50
Musaib Ahmad Dar, Obaid Ashraf, Suhail Rafiq, Ishfaq Ahmad Wani
DOI:10.4103/MTSM.MTSM_44_20  
Leptomeningeal cysts, also known as growing skull fractures, are rare complications of head trauma. It is usually seen a few months posttrauma. These lesions are rare in adults, with over 90% resulting from fractures occurring in children under the age of 3 years. The children usually present with enlarging scalp mass, seizures, focal neurological deficit, and headache. In this case series, we are going to present the two cases of post traumatic leptomeningeal cysts in adults, presenting as cough-induced headache along with imaging description.
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SHORT COMMUNICATIONS Top

Coronavirus disease-2019 infection among people living with noncommunicable diseases: Improving the prognosis p. 53
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava
DOI:10.4103/MTSM.MTSM_37_20  
The ongoing Corona Virus Disease-2019 (COVID-19) infection tends to affect all age-groups, while the development of the serious complications, including mortality has been reported among elderly people and those with pre-existing chronic illnesses. The available evidence suggests that any age group person living with any of the non-communicable diseases (NCDs) can get infected by COVID-19. Keeping the prognosis of the patients with pre-existing NCDs, it is important that the practice of smoking should be discouraged by them. In conclusion, the people living with non-communicable diseases tends to develop serious pulmonary complications secondary to the acquisition of COVID-19 infection. Thus, it is the responsibility of these people to strictly adhere to the prevention measures, while the health professionals should understand their vulnerability and provide additional care while managing them to save their lives.
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Envisaging conduction of periodic reviews to strengthen the preparedness and emergency response to coronavirus disease 2019 outbreak p. 55
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava
DOI:10.4103/MTSM.MTSM_42_20  
The ongoing coronavirus disease-2019 (COVID-19) pandemic has accounted for massive socioeconomic disruptions on the global scale and the number of cases and attributed deaths continue to rise. As the outbreak continues to expand in various nations, it indeed creates an opportunity for the policy makers to have a re-look on the national response to the outbreak. The proposed intra-action review can be scheduled whenever the policy makers feel that there is a need to update the existing emergency response strategies. In conclusion, the COVID-19 pandemic has made the health stakeholders and welfare agencies realize the gaps which are prevailing in the preparedness and emergency response. The conduction of periodic reviews at national or subnational level is the most appropriate approach to give an insight to the policy makers about the best interventions and those interventions which need to be re-visited for ensuring effective containment of the infection.
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LETTERS TO EDITOR Top

Irritant contact dermatitis to medical adhesive bandage: An occasional sticky problem p. 57
Ganesh Singh Dharmshaktu
DOI:10.4103/MTSM.MTSM_32_20  
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Prospects and opinions in immunopathogenesis of COVID-19 p. 59
Falah Hasan Obayes Al-Khikani
DOI:10.4103/MTSM.MTSM_40_20  
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