Innovative Journal of Medical and Health Sciences

Leprosy and tuberculosis, both are endemic in India. There are reports of only few
cases of these two diseases occurring together in the same patient. Here we report
a case of TB , leprosy co- infection who presented with fever, pain abdomen and
breathlessness for a month and painful evanescent skin lesions for 2 months. Patients
abdominal and respiratory symptoms improved on starting ATT, skin lesions showed
improvement on starting anti- lepra treatment (MDT) MB adult.
Key words: leprosy–respiratory symptoms–skin lesions–tuberculosis–
immunodeficiency

Introduction: The decompression illness (DCI) is an infrequent event and the exact
incidence is still unknown and not uniformly established. The aims of our register is
a prospective observational study on recreational diving activities.
Materials and Methods: A questionnaire to collect data related to diving experience
and medical characteristics has been administered. When a DCI occurred, data on the
symptoms, physical conditions and of current dive and of the previous 48 hours dives
were registered. At the same time, to obtain a case-control group similar data were
collected about 5 asymptomatic components of the same diving group.
Results: Among 6th October 2018 to 9th May 2019, 248 subjects has been registered;
the total amount of dives by the 248 subjects was 5,331. A significant datum on the
analysis of cohort is represented by Body Mass Index (BMI) calculation; the mean
BMI of studied subjects is above superior limits of normal values; and particularly
significant is the higher value of BMI in males than females.
During the 5,331 dives, 9 DCI events were reported with a rate of 1.6/1,000 dives.
Seven of these cases could be classified as type 1 (with cutaneous and muscular involvement)
and 2 as type 2 (with neurological symptoms). However, all the events
were self-limited and regressed in short time.
DCI events seem to be predominantly present in male and overweight (BMI > 25)
subjects. The DCI cases, showed a deeper dive (even if not statistically significant),
had the same length and reported higher perception of fatigue than controls.
Conclusions: Our data confirm a low incidence of these events, generally of mild
severity. For these cases a local treatment with oxygen normobaric administration,
general support, and hydration obtained a complete resolution of symptoms in a short
time.
Our register has allowed us to collect also data on population engaged in recreational
diving activity. We emphasize the importance of greater medical control in the subjects
who perform diving activities, particularly in presence of some cardiovascular risk
factors, such as an overweight BMI value.
Key words: Diving–decompression illness–Body Mass Index–cardiovascular risk factors

Introduction: The decompression illness (DCI) is an infrequent event and the exact
incidence is still unknown and not uniformly established. The aims of our register is
a prospective observational study on recreational diving activities.
Materials and Methods: A questionnaire to collect data related to diving experience
and medical characteristics has been administered. When a DCI occurred, data on the
symptoms, physical conditions and of current dive and of the previous 48 hours dives
were registered. At the same time, to obtain a case-control group similar data were
collected about 5 asymptomatic components of the same diving group.
Results: Among 6th October 2018 to 9th May 2019, 248 subjects has been registered;
the total amount of dives by the 248 subjects was 5,331. A significant datum on the
analysis of cohort is represented by Body Mass Index (BMI) calculation; the mean
BMI of studied subjects is above superior limits of normal values; and particularly
significant is the higher value of BMI in males than females.
During the 5,331 dives, 9 DCI events were reported with a rate of 1.6/1,000 dives.
Seven of these cases could be classified as type 1 (with cutaneous and muscular involvement)
and 2 as type 2 (with neurological symptoms). However, all the events
were self-limited and regressed in short time.
DCI events seem to be predominantly present in male and overweight (BMI > 25)
subjects. The DCI cases, showed a deeper dive (even if not statistically significant),
had the same length and reported higher perception of fatigue than controls.
Conclusions: Our data confirm a low incidence of these events, generally of mild
severity. For these cases a local treatment with oxygen normobaric administration,
general support, and hydration obtained a complete resolution of symptoms in a short
time.
Our register has allowed us to collect also data on population engaged in recreational
diving activity. We emphasize the importance of greater medical control in the subjects
who perform diving activities, particularly in presence of some cardiovascular risk
factors, such as an overweight BMI value.
Key words: Diving–decompression illness–Body Mass Index–cardiovascular risk factors

Introduction: The decompression illness (DCI) is an infrequent event and the exact
incidence is still unknown and not uniformly established. The aims of our register is
a prospective observational study on recreational diving activities.
Materials and Methods: A questionnaire to collect data related to diving experience
and medical characteristics has been administered. When a DCI occurred, data on the
symptoms, physical conditions and of current dive and of the previous 48 hours dives
were registered. At the same time, to obtain a case-control group similar data were
collected about 5 asymptomatic components of the same diving group.
Results: Among 6th October 2018 to 9th May 2019, 248 subjects has been registered;
the total amount of dives by the 248 subjects was 5,331. A significant datum on the
analysis of cohort is represented by Body Mass Index (BMI) calculation; the mean
BMI of studied subjects is above superior limits of normal values; and particularly
significant is the higher value of BMI in males than females.
During the 5,331 dives, 9 DCI events were reported with a rate of 1.6/1,000 dives.
Seven of these cases could be classified as type 1 (with cutaneous and muscular involvement)
and 2 as type 2 (with neurological symptoms). However, all the events
were self-limited and regressed in short time.
DCI events seem to be predominantly present in male and overweight (BMI > 25)
subjects. The DCI cases, showed a deeper dive (even if not statistically significant),
had the same length and reported higher perception of fatigue than controls.
Conclusions: Our data confirm a low incidence of these events, generally of mild
severity. For these cases a local treatment with oxygen normobaric administration,
general support, and hydration obtained a complete resolution of symptoms in a short
time.
Our register has allowed us to collect also data on population engaged in recreational
diving activity. We emphasize the importance of greater medical control in the subjects
who perform diving activities, particularly in presence of some cardiovascular risk
factors, such as an overweight BMI value.
Key words: Diving–decompression illness–Body Mass Index–cardiovascular risk factors

Introduction: The decompression illness (DCI) is an infrequent event and the exact
incidence is still unknown and not uniformly established. The aims of our register is
a prospective observational study on recreational diving activities.
Materials and Methods: A questionnaire to collect data related to diving experience
and medical characteristics has been administered. When a DCI occurred, data on the
symptoms, physical conditions and of current dive and of the previous 48 hours dives
were registered. At the same time, to obtain a case-control group similar data were
collected about 5 asymptomatic components of the same diving group.
Results: Among 6th October 2018 to 9th May 2019, 248 subjects has been registered;
the total amount of dives by the 248 subjects was 5,331. A significant datum on the
analysis of cohort is represented by Body Mass Index (BMI) calculation; the mean
BMI of studied subjects is above superior limits of normal values; and particularly
significant is the higher value of BMI in males than females.
During the 5,331 dives, 9 DCI events were reported with a rate of 1.6/1,000 dives.
Seven of these cases could be classified as type 1 (with cutaneous and muscular involvement)
and 2 as type 2 (with neurological symptoms). However, all the events
were self-limited and regressed in short time.
DCI events seem to be predominantly present in male and overweight (BMI > 25)
subjects. The DCI cases, showed a deeper dive (even if not statistically significant),
had the same length and reported higher perception of fatigue than controls.
Conclusions: Our data confirm a low incidence of these events, generally of mild
severity. For these cases a local treatment with oxygen normobaric administration,
general support, and hydration obtained a complete resolution of symptoms in a short
time.
Our register has allowed us to collect also data on population engaged in recreational
diving activity. We emphasize the importance of greater medical control in the subjects
who perform diving activities, particularly in presence of some cardiovascular risk
factors, such as an overweight BMI value.
Key words: Diving–decompression illness–Body Mass Index–cardiovascular risk factors

Background and Aim: In adolescence, suicide is accepted as an increasing problem
in our country as in the whole world. It is important to make definitions about
suicide attempt, to identify risk factors, and to recognize high-risk adolescents. The
aim of this study was to investigate the sociodemographic characteristics of children
admitted to the pediatric emergency department because of suicide attempt
retrospectively.
Material and Method:The records of 102 children admitted to the Pediatric
Emergency Department of the Health Sciences University Okmeydan? Training and
Research Hospital for suicide attempt, aged between 12-18 years were
retrospectively analyzed.
Results: The age distribution of the children included in the study was 11-16 years
and the mean age was 13.83 ± 1.42 years. Among patients 73.5% (n = 75) were
female and 26.5% (n = 27) were male. Overdose drug intake was the most common
method in suicide attempts (85.3%). Analgesic-anti-inflammatory drugs were the
most commonly used drugs with a rate of 52.9% (n = 46). Psychiatric problems were
detected in 71% of the patients who were followed up by psychiatrists. Conflict with
family and girlfriend / boyfriend were the most common triggering factors for
suicide attempt.
Conclusion: Regarding our results, being female and having mental disorders and
problems in social relations were determined as important factors related to suicide
attempt in adolescents.
Key words: Adolescent, suicide, psychiatric disorders, socio-demographic features

Background- Stress, Anxiety and Depression disorders are common problems
among the youth today especially among the students of professional courses.[1] Our
study aims to find the levels of stress, anxiety and depression among medical
students, their probable causes and suggest certain measures to control them.
Undergraduate medical education in India comprises strenuous study and training for
5.5 years. It has been reported that medical students consequently suffer from
depression, anxiety, and stress. It has been reported that healthy students develop
depression and stress after commencing their medical education. [2] The competition
for getting postgraduate training and seeking job opportunities could be an additional
trigger for psychological illness. It has also been reported that physicians tend to
have a higher suicide rate than the general population. [3]
Aim- Our study was aimed at finding stress, anxiety and depression levels amongst
MBBS students of North East India.
Methods- A total of 120 questionnaires were distributed among the MBBS Students
of different academic years out of which 108 responses were received out of which
100 were completed questionnaires and were included for the study. The remaining
20 questionnaires were either not returned or were incomplete, hence were excluded
from the study. Results-Among the mental health problems that were assessed,
anxiety disorders are the most common. Following anxiety, students are affected the
most by depression while stress disorders are the least common. Most of the students
felt that they were under academic stress and it can possibly be one of the major
reasons for anxiety and stress among them. Interestingly, it was found that the
participants felt that gender doesn’t play an important role in causing stress but the
stress, anxiety and depression levels were found to be higher or equal among the
females than the males.The students feel that drug intake and peer pressure was not
the cause for adding on to their mental stress. However, the increased usage of
internet and time spent on social media can be correlated to the increasing problems
among the students as was found in our study.
Conclusion-There is an urgent need to tackle the problem of increasing mental
health problems among medical students as emphasised through this study conducted
in a tertiary care level medical institute in the North Eastern part of India.
Key words- MBBS students, Northeast India, Stress, Anxiety, Depression