Annals of Geriatric Education and Medical Sciences最新文献_第3页

Diurnal variation of peak expiratory flow rate in adolescents 青少年呼气流量峰值的日变化

Annals of Geriatric Education and Medical Sciences Pub Date : 2023-02-15 DOI: 10.18231/j.agems.2022.017

S. Charles, Archana, Padmavathy, Priscilla, Subhashini

{"title":"Diurnal variation of peak expiratory flow rate in adolescents","authors":"S. Charles, Archana, Padmavathy, Priscilla, Subhashini","doi":"10.18231/j.agems.2022.017","DOIUrl":"https://doi.org/10.18231/j.agems.2022.017","url":null,"abstract":"Lung functions exhibit a circadian rhythm. Peak Expiratory Flow Rate (PEFR) is an easily measured and reproducible parameter for measuring lung functions. Limited information is available on the circadian variations in lung functions in south Indian adolescents. Hence, this study was undertakento evaluate the diurnal variation of PEFR in adolescents.This longitudinal study was conducted among 30 adolescent girls in the age group of 18-19 years recruited from a hostel in Chirala, Andhra Pradesh. Smokers, pregnant women and subjects with history of tuberculosis were excluded from the study. PEFR was measured using the Mini — Wright s, peak flow meter, four times a day (5.30 – 6.00 am, 12.00-1.00 pm, 5.00-6.00 pm, 9-10.00pm) and the diurnal variation of lung function was calculated. The PEFR values at different time points were analyzed using analysis of variance. Statistical significance was taken at 5% level of significance. Amplitude % Mean and Standard deviation % Mean were used to estimate diurnal variation of PEFR. The mean PEFR recorded at 5.30 am, 12.00 noon, 5.00 pm and 9.00 pm were 340, 347, 349 and 348 respectively. The mean of amplitude % mean and standard deviation % mean obtained in this study were 8.42 ± 3.65and 3.87±1 respectively.C The results of this study indicate that PEFR in adolescents exhibits a definite circadian rhythm, it being lowest early in the morning, progressively rises till late afternoon following which there is a slight fall in the night.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"193 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131225511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A study of serum creatine phosphokinase and severity of organophosphorus poisoning 血清肌酸磷酸激酶与有机磷中毒严重程度的研究

Annals of Geriatric Education and Medical Sciences Pub Date : 2023-02-15 DOI: 10.18231/j.agems.2022.015

S. Badiger, Prashant Badiger

{"title":"A study of serum creatine phosphokinase and severity of organophosphorus poisoning","authors":"S. Badiger, Prashant Badiger","doi":"10.18231/j.agems.2022.015","DOIUrl":"https://doi.org/10.18231/j.agems.2022.015","url":null,"abstract":"Organophosphorus (OP) poisoning is an important global health problem especially in developing countries. Estimation of erythrocyte cholinesterase (EChE) and plasma cholinesterase (BChE) as an evidence of OP poisoning is costly, not regularly performed and shows wide inter-individual variability. To study the feasibility of using serum creatine phosphokinase (CPK) as a predictor for severity of OP poisoning. Thirty four patients were included in this study who were admitted to tertiary care centre with history of OP poisoning less than 24hrs. The clinical severity of patients categorized according to Peradeniya organophosphorus poisoning (POP) scale. In our study 53.0% were male, 47.0% were female. Incidence of OP poisoning was more common among age group 21-30 years. Farmers (38.2%) were more common among occupation. Monocrotophos (46.0%) was commonly used compound for poisoning. 38.2% patients were severe. There was significant reduction in plasma cholinesterase and significant increase in CPK levels. There was a highly significant correlation between initial serum CPK levels and severity of acute OP poisoning. This study recommends CPK as an alternative biomarker for acute OP poisoning.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"167 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116636596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A clinical profile of sputum positive pulmonary tuberculosis among elderly patients 老年患者痰阳性肺结核的临床分析

Annals of Geriatric Education and Medical Sciences Pub Date : 2023-02-15 DOI: 10.18231/j.agems.2022.012

A. Ambali, P. Tomar, Pranay Kumar R P

{"title":"A clinical profile of sputum positive pulmonary tuberculosis among elderly patients","authors":"A. Ambali, P. Tomar, Pranay Kumar R P","doi":"10.18231/j.agems.2022.012","DOIUrl":"https://doi.org/10.18231/j.agems.2022.012","url":null,"abstract":"The Pulmonary Tuberculosis has been known to mankind to cause increased morbidity and mortality especially in elderly. There is delay in diagnosis of pulmonary tuberculosis which led to increased mortality. Hence, this study looks into the pattern of presentations of the pulmonary tuberculosis and the radiological features that these patients demonstrate, which may help in early diagnosis and effective management.A cross-sectional, descriptive study was conducted on seventy patients above 60 years of age, who attended the outpatient department or those who were admitted in the geriatric ward of BLDE DU, Shri B. M. Patil Medical College, Hospital and Research Centre with symptoms suggestive of pulmonary tuberculosis over a period of twenty-four months irrespective of sex. The patients who tested sputum positive by ZN Stain for Mycobacterium Tuberculosis irrespective of primary diagnosis, defaulters and reactivation of pulmonary tuberculosis were included in the study group. In our study male predominance was seen with 48% of elderly in age group of 60-65 years. Majority (67%) of patients had typical features like fever, cough, evening rise of temperature while 32% had atypical symptoms like decreased appetite, increased thirst, weight loss and breathlessness. The common comorbid was Hypertension (10%). The most common radiological feature was miliary mottling (21%), while there was 11% mortality reported.This study being carried on elderly with sputum positive have given insight on the various pattern of clinical presentations and radiological features in elderly. Importance of sputum examination cannot be undermined in elderly and high degree of suspicion will help reach the diagnosis.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128817919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case report of Sleromyxedema with sensory motor axonal polyneuropathy treated with immunoglobulin therapy 免疫球蛋白治疗浆液水肿伴感觉运动轴突多发性神经病1例

Annals of Geriatric Education and Medical Sciences Pub Date : 2022-07-15 DOI: 10.18231/j.agems.2022.008

R. Jagdish

引用次数: 0

Prevalence and determinants of left ventricular hypertrophy among elderly hypertensive patients attending tertiary health care center in West Bengal, India 印度西孟加拉邦三级卫生保健中心老年高血压患者左心室肥厚的患病率和决定因素

Annals of Geriatric Education and Medical Sciences Pub Date : 2022-07-15 DOI: 10.18231/j.agems.2022.004

Poonam Kushwaha, Bijay Prakash Yadav

{"title":"Prevalence and determinants of left ventricular hypertrophy among elderly hypertensive patients attending tertiary health care center in West Bengal, India","authors":"Poonam Kushwaha, Bijay Prakash Yadav","doi":"10.18231/j.agems.2022.004","DOIUrl":"https://doi.org/10.18231/j.agems.2022.004","url":null,"abstract":": Hypertension (HTN) is one of the most prevalent, modifiable and treatable causes of cardiovascular diseases in the elderly. Damage to cardiovascular system due to chronic hypertension causes hypertensive heart disease including left ventricular hypertrophy (LVH). It is a physiological adaptation to chronic blood pressure (BP) indicating grave prognosis and should be diagnosed early. Present study therefore aimed to assess LVH and other Cardio-vascular (CV) changes and to ascertain correlation between the electrocardiographic (ECG) and radiographic / chest x-ray (CXR) evidences and find out their determinants among elderly hypertensive patients. 100 elderly hypertensive subjects were included in study. Cardio-vascular changes and LVH was assessed by using chest x-ray and ECG. Other bio-chemical investigations were done also.: 29% and 32% subjects had LVH detected by Chest x-ray and ECG respectively. Female, increasing age, family history and duration of HTN, smoking, alcohol consumption were found independent determinants of LVH. Subjects with LVH had higher mean blood pressures, mean pulse pressure and higher blood urea nitrogen than those without LVH. Micro-albuminuria was significantly more frequent in patients with LVH as detected by CXR. Fasting Blood sugar and dyslipidaemia was associated with greater odds of developing LVH. In low resource settings, where standard diagnostic tests are unavailable- chest x-ray and ECG are the useful tools for detection of cardio vascular changes / LVH among chronic hypertensive.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127627544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Clinico-Radiological analysis of morbidity and mortality in COVID-19 patients admitted in a dedicated covid hospital of eastern India 印度东部一家专门的covid -19医院收治的covid -19患者发病率和死亡率的临床放射学分析

Annals of Geriatric Education and Medical Sciences Pub Date : 2022-07-15 DOI: 10.18231/j.agems.2022.006

Roopak Dubey, K. Sen, Aparajita Mishra

{"title":"A Clinico-Radiological analysis of morbidity and mortality in COVID-19 patients admitted in a dedicated covid hospital of eastern India","authors":"Roopak Dubey, K. Sen, Aparajita Mishra","doi":"10.18231/j.agems.2022.006","DOIUrl":"https://doi.org/10.18231/j.agems.2022.006","url":null,"abstract":"CT scoring helps to stratify patient’s risk and predict short-term outcome of patients with COVID-19 pneumonia. we aim to assess the severity of COVID by examining the variations and degree of the pulmonary involvement on the HRCT thorax. We observed trend of increasing severity of COVID as predicted on HRCT in Eastern India population.HRCT Thorax of 2000 consecutive COVID positive patients were analysed to look for the patterns of lung involvement and to calculate a CT severity score. The CT severity score was compared with laboratory parameters like D-Dimer, CRP, ESR, Procalcitonin, WBC and Lymphocyte count by Pearsons correlation analysis.Out of 2000 COVID positive patients 1220 (61%) patients were found to be radiologically positive on HRCT chest imaging while 780 patients (39%) had normal CT findings.Out of the 62 patients who died, 54 ( 87%) were having CTSS of > 15. Among the dead patient the prevalence of one or more comorbidities was significantly higher (49/62 patients, 79%) The proportion of patients having CT severity score between 16-25 (Severe patients) had increased from 4% in April-May to 27% in August. Trend of severity among COVID patients increased as the months passed from April to August. Most of the deaths in our cohort were associated with pre-existing comorbidities suggesting that the COVID was not the sole cause of these deaths. Among the biochemical markers D-Dimer and CRP correlated well with the CT severity score.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114516364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antibiotic awareness and its usage in hospitals: Do our nurses possess adequate knowledge and practice? 抗生素意识及其在医院的使用:我们的护士有足够的知识和实践吗?

Annals of Geriatric Education and Medical Sciences Pub Date : 2022-07-15 DOI: 10.18231/j.agems.2022.003

Bindu John, Usha Marath, Amala Sojan, Ann Prince, Ardra Manoj, Bismi Biju, Christeena Cleetus, Jismi Jose

{"title":"Antibiotic awareness and its usage in hospitals: Do our nurses possess adequate knowledge and practice?","authors":"Bindu John, Usha Marath, Amala Sojan, Ann Prince, Ardra Manoj, Bismi Biju, Christeena Cleetus, Jismi Jose","doi":"10.18231/j.agems.2022.003","DOIUrl":"https://doi.org/10.18231/j.agems.2022.003","url":null,"abstract":": Antibiotics play a monumental role in infectious diseases control and management and have been used in all drug treatment strategies. But the inappropriate use and practice of antibiotics among health professionals results in adverse effects and accelerates the growth of microbial resistance against the majority of effective antibiotics. This study aimed at assessing the knowledge and practice of antibiotic awareness and its usage among staff nurses working in hospitals and also to identify the association of demographic factors on knowledge and practice of antibiotic awareness and its usage.: A descriptive cross-sectional survey design was used. A total of 100 staff nurses (4 males and 96 females) were selected using a convenience sampling method. Data was collected using a questionnaire to assess the knowledge and a rating scale for practice about antibiotics awareness and usage.About 50 percent of the participants demonstrated good knowledge of antibiotic awareness and its usage, and 72 percent had very good practice of antibiotics usage in hospitals. A highly significant, weak positive correlation (r=0.316, at p ˂ 0.01) between knowledge and practice of antibiotic awareness and usage among staff nurses was obtained. A significant association of gender with practice (χ =59.64, p = 0.002) and educational qualification with knowledge was found (χ=53.82, p = 0.017).: The study results suggested that staff nurses in general have good knowledge of antibiotic awareness and usage and very good practice in antibiotic usage. However, there should be effective training programs to consistently keep the knowledge and practice of staff nurses regarding antibiotic awareness and its practice at a satisfactory level and to raise awareness among those who demonstrated less knowledge and practice for its judicious use and practice.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114297239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing a ludic framework for counteracting interventions for dementia: A narrative and analytic review 发展对抗痴呆干预的滑稽框架:叙述和分析回顾

Annals of Geriatric Education and Medical Sciences Pub Date : 2022-07-15 DOI: 10.18231/j.agems.2022.001

R. Innamuri, Aditya Deshbandhu, D. Kattula

{"title":"Developing a ludic framework for counteracting interventions for dementia: A narrative and analytic review","authors":"R. Innamuri, Aditya Deshbandhu, D. Kattula","doi":"10.18231/j.agems.2022.001","DOIUrl":"https://doi.org/10.18231/j.agems.2022.001","url":null,"abstract":"As the field of medicine tries to tap into various facets of gamification, the potential of video games and gaming-based interventions has become a hotbed of interesting activity in the Dementia circles of medical research. This paper, exploratory in nature is a bid to find common grounds for the fields of neurosciences, psychology, and psychiatry with the sub-field of ludology in a hope to find unique insights from the benefits of interdisciplinary research and extrapolating findings from gaming addiction.From the perspective of game studies, the paper will draw from elements of concepts like flow, immersion and engagement in a bid to understand the various tools that can be of use if people ailing from neurocognitive disorders were to engage in gaming activity. This paper will lay the framework that will enable the beginning of a matching gaming exercises based on cognitive deficits and psychological profiling of clients diagnosed with neurocognitive disorders and advance the fields of neurosciences and psychology.By combining the findings from existing studies and original work this paper will propose both a means to study the possible effects of gaming-based interventions and suggest ways to streamline and optimize the use of gamification in patient care.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128572424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A rare case of primary carcinoma of gallbladder as a cause of Krukenberg tumors in both ovaries 原发性胆囊癌引起双侧卵巢Krukenberg肿瘤的罕见病例

Annals of Geriatric Education and Medical Sciences Pub Date : 2022-07-15 DOI: 10.18231/j.agems.2022.007

Roopak Dubey, K. Sen, Aparajita Mishra

引用次数: 0

Management of masks disposal in COVID-19 era 新冠肺炎时代口罩处置管理

Annals of Geriatric Education and Medical Sciences Pub Date : 2022-07-15 DOI: 10.18231/j.agems.2022.002

R. Jagdish

引用次数: 0