Indian journal of medical sciences最新文献_第10页

Assessment of quality of life among head-and-neck cancer patients 头颈癌患者生活质量评价

Indian journal of medical sciences Pub Date : 2021-12-17 DOI: 10.25259/ijms_344_2021

Afsana Nizar, B. R. Isaac

引用次数: 0

Determinants of quality of life among COVID-19 patients in Southwestern region of Bangladesh 孟加拉国西南地区COVID-19患者生活质量的决定因素

Indian journal of medical sciences Pub Date : 2021-12-06 DOI: 10.25259/ijms_337_2021

Md. Injamul Haq Methun, M. G. Uddin, Iqramul Haq, Md Asaduzzaman Noor, M. Habib, Md. Ismail Hossain, A. Saleheen, S. Roy, Shatabdi Shamrita Ume, Md. Rukonozzaman Rukon, Md. Amit Hasan, Md. jahangir Alam

{"title":"Determinants of quality of life among COVID-19 patients in Southwestern region of Bangladesh","authors":"Md. Injamul Haq Methun, M. G. Uddin, Iqramul Haq, Md Asaduzzaman Noor, M. Habib, Md. Ismail Hossain, A. Saleheen, S. Roy, Shatabdi Shamrita Ume, Md. Rukonozzaman Rukon, Md. Amit Hasan, Md. jahangir Alam","doi":"10.25259/ijms_337_2021","DOIUrl":"https://doi.org/10.25259/ijms_337_2021","url":null,"abstract":"\u0000\u0000The outbreak of COVID-19 has caused an unprecedented health crisis and dramatically changed human lives. This study aims to identify risk factors related to health-related quality of life (HRQoL) among COVID-19 patients who were discharged from the hospital.\u0000\u0000\u0000\u0000A total of 557 COVID-19 patients of Jhenaidah district of Bangladesh who had tested positive before February 1 of 2021 were selected for this cross-sectional study. The EuroQol 5-dimensional-5 level questionnaire was used to measure the HRQoL. Thai value set was used to assess the full health status. Chi-square test was used to find out the association of HRQoL with sociodemographic and clinical factors. Finally, logistic regression was used to find out the predictors of the dimensions of HRQoL.\u0000\u0000\u0000\u0000Using the Thai value set, it is observed that 57.27% of participants had reported that they had experienced moderate or severe health problems. About 40.57% of the respondent reported anxiety or depression, whereas 39.14% of the participants had experienced moderate or severe pain or discomfort. The result of the logistic regression showed that age, gender, occupation, place of care, heart problems, and diabetes significantly affect various dimensions of the HRQoL.\u0000\u0000\u0000\u0000The COVID-19 significantly depletes the health condition of the patients in both mental and physical aspects. Therefore, the policy-makers and government should need to come with comprehensive strategies to reduce the psychological and physical health woe of COVID-19 patients.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87201371","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

Alcohol-based hand sanitizer-induced burns: A harsh reality in current times 含酒精的洗手液引起的烧伤:当今时代的残酷现实

Indian journal of medical sciences Pub Date : 2021-11-22 DOI: 10.25259/ijms_365_2021

D. Gupta, Amrita More

引用次数: 0

Knowledge, attitude, and prevention of self-medication practices among the general population of Gujarat 古吉拉特邦普通民众自我药疗实践的知识、态度和预防

Indian journal of medical sciences Pub Date : 2021-11-22 DOI: 10.25259/ijms_354_2021

H. Shah, B. Arora

{"title":"Knowledge, attitude, and prevention of self-medication practices among the general population of Gujarat","authors":"H. Shah, B. Arora","doi":"10.25259/ijms_354_2021","DOIUrl":"https://doi.org/10.25259/ijms_354_2021","url":null,"abstract":"\u0000\u0000The practice of self-medication (SM) without consulting a health-care professional among the populace of both developed and developing countries like India may lead to a delay in therapeutic effectiveness. The present study was conducted to assess the knowledge, attitude, and practice of SM among the general population of Gujarat.\u0000\u0000\u0000\u0000An observational, cross-sectional questionnaire-based study was conducted among 488 participants between April 2021 and May 2021 to evaluate the several aspects of SM. In April 2021, this study was conducted on both the genders of 18–80 years of urban and rural areas of Gujarat. Data were analyzed for descriptive statistics. The data presented in the form of percentages using tables and figures. The responses were collected and analyzed using GraphPad v.8 and Microsoft Excel for percentage and statistical significance.\u0000\u0000\u0000\u0000Prevalence of SM was 78.3%. It was found to be practiced more among the younger age group (55.32%) than the older. Graduates practiced SM more than the others (P < 0.004). Significant association was found between its practice and residency (P < 0.03), marital status (P < 0.003), education (P < 0.004), and occupation (P < 0.0007). Fever, cough, and cold were the most common conditions noted for SM practice followed by headache. It was noticed that 63.5% participants were procured medications from pharmacy. Multivitamins, nonsteroidal anti-inflammatory drugs, and antibiotics were the most frequent medications used by participants.\u0000\u0000\u0000\u0000The prevalence of SM is alarming which causes serious health issues and needs an intervention. Planning of health awareness programs, educating people, and pharmacists are necessary for promoting rational use of medication.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91148736","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

Brain stem auditory evoked potential response in neonates after recovery from hyperbilirubinemia: A neurophysiological approach to screening neuronal hearing loss 新生儿从高胆红素血症恢复后的脑干听觉诱发电位反应:筛选神经性听力损失的神经生理学方法

Indian journal of medical sciences Pub Date : 2021-11-20 DOI: 10.25259/ijms_342_2021

R. Yadav, L. Yadav, Pujan Bhusal, Sameer Timilsina, Niraj Sapkota, Md. Nazrul Islam

{"title":"Brain stem auditory evoked potential response in neonates after recovery from hyperbilirubinemia: A neurophysiological approach to screening neuronal hearing loss","authors":"R. Yadav, L. Yadav, Pujan Bhusal, Sameer Timilsina, Niraj Sapkota, Md. Nazrul Islam","doi":"10.25259/ijms_342_2021","DOIUrl":"https://doi.org/10.25259/ijms_342_2021","url":null,"abstract":"\u0000\u0000Neonatal hyperbilirubinemia leads to neurological damages including encephalopathy and hearing loss. This study aimed to screen and evaluate the hearing loss in neonates after recovery from hyperbilirubinemia using the Brainstem evoked response audiometry (BERA) test.\u0000\u0000\u0000\u0000This cross-sectional comparative study was conducted in Physiology Department at Chitwan Medical College, Nepal. It included 20 age and sex-matched neonates recently recovered from hyperbilirubinemia and 20 normal healthy controls. The external acoustic canals of subjects were checked for any blockage or collapse before BERA testing. The BERA recordings were performed after the neonate’s natural sleep following a standard lab protocol explained by Taylor’s Evoked Potential in Clinical Testing.\u0000\u0000\u0000\u0000The BERA wave latencies were delayed with a higher number of case group neonates I (IL-75%, IR-80%), III (IIIL-70%, III R-80%), and V (VL-80%, VR-85%) than those of controls. The percentage of neonates with delayed interwave latencies was comparable between groups. The neonate’s hearing sensitivity assessed using the grades of hearing impairment by WHO revealed slight (threshold of hearing left ear [THL]-25% and threshold of hearing right ear [THR]-30%) and moderate (THL-40% and THR-35%) grades among cases whereas no impairment (THL-60% and THR-55%) in controls. The hearing thresholds were more in cases.\u0000\u0000\u0000\u0000The auditory pathway is highly sensitive to elevated serum bilirubin. BERA detects even a minute degree of hearing damage seen after complete treatment of hyperbilirubinemia. Therefore, BERA is a helpful tool in the early screening of hearing impairment in neonates. This improves prognosis by early management so that the neurosensory systems develop to their full extent and one can enjoy a normal social life.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"PC-21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84838613","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

Coping with COVID-19 pandemic lockdown – The lady doctors perspective 应对COVID-19大流行的封锁——女医生的观点

Indian journal of medical sciences Pub Date : 2021-09-24 DOI: 10.25259/ijms_319_2021

I. Aggarwal, Jaishree Ganjiwale, Aparna Parikh, N. Trivedi, Satinderbir Kaur, R. Chennamaneni, N. Choudhary, Roshni Pande, Sonal Dande, P. Iyer

{"title":"Coping with COVID-19 pandemic lockdown – The lady doctors perspective","authors":"I. Aggarwal, Jaishree Ganjiwale, Aparna Parikh, N. Trivedi, Satinderbir Kaur, R. Chennamaneni, N. Choudhary, Roshni Pande, Sonal Dande, P. Iyer","doi":"10.25259/ijms_319_2021","DOIUrl":"https://doi.org/10.25259/ijms_319_2021","url":null,"abstract":"\u0000\u0000This study is about the challenges faced by the women doctors in India during the first wave of the COVID-19 pandemic.\u0000\u0000\u0000\u0000We conducted an online survey in 2020 for women doctors who were professionally engaged in active patient management in India before the onset of the current pandemic.\u0000\u0000\u0000\u0000A total of 260 valid responses were received. Only 28% (73/260) were able to provide at least 50% of professional services as compared to the pre COVID-19 lockdown period. Statistically significant differences related to emotional health (feelings), physical activity, changes in how family sees the lady professional, personal free time availability, and family bonding.\u0000\u0000\u0000\u0000COVID-19 has led to the following important concerns for professional women - academic productivity; work-life balance; missed opportunities for collaborating; mental health, the need for equity-minded academic leadership, and decision-making. Our study showed that majority were stressed during the COVID-19 lockdown – with the impact being highest among those giving more than 50% of their time to professional medical services outside their homes.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80689336","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

The visionary who transformed private health care in India 有远见的人改变了印度的私人医疗保健

Indian journal of medical sciences Pub Date : 2021-08-23 DOI: 10.25259/ijms_403_2021

Raju Vaishya

引用次数: 1

Risk assessment of acquiring SARS-CoV-2 infection among employees of a tertiary cancer care center 某三级癌症护理中心工作人员SARS-CoV-2感染风险评估

Indian journal of medical sciences Pub Date : 2021-08-21 DOI: 10.25259/ijms_194_2021

Sandeep S. Sawakare, S. Tandon, C. Pramesh, Sudeep Gupta, M. Sengar, S. Laskar, S. Nair, G. Mishra, N. Goel, S. Patkar, R. Badwe

{"title":"Risk assessment of acquiring SARS-CoV-2 infection among employees of a tertiary cancer care center","authors":"Sandeep S. Sawakare, S. Tandon, C. Pramesh, Sudeep Gupta, M. Sengar, S. Laskar, S. Nair, G. Mishra, N. Goel, S. Patkar, R. Badwe","doi":"10.25259/ijms_194_2021","DOIUrl":"https://doi.org/10.25259/ijms_194_2021","url":null,"abstract":"\u0000\u0000Continuation of health-care facilities for non-COVID illness during the SARS-CoV-2 pandemic is mired with apprehension of infection to health care workers (HCWs). The lack of facilities can result in dire outcomes for patients of NCDs such as cancer. The Objective of this paper is to assess the risk of running a healthcare facility during the pandemic.\u0000\u0000\u0000\u0000A retrospective analysis was carried out at a tertiary cancer hospital to understand the quantum of risk to HCWs while providing care to patients of cancer and to SARS-CoV-2 patients, within the same set-up with optimal segregation. Data were collected for 6 weeks during which attendance, exposure, and infection status of doctors and nurses were recorded along with comorbidities.\u0000\u0000\u0000\u0000Of 1041 doctors and nurses who attended duties during the study period, 299 worked in dedicated COVID care areas while 742 worked in routine cancer care areas. The proportion of HCWs that developed symptoms or were tested positive for COVID-19 was 3.7% and 3.9%, respectively, with no statistically significant difference between the two. The proportion for the same was found to be 1.2% among the 645 staffs who were on leave. No correlation could be established between pre-existing comorbidities and risk of acquiring infection.\u0000\u0000\u0000\u0000Providing COVID care and routine specialty care within the same hospital premises do not put the HCWs at a drastically increased risk of acquiring infection subject to clear demarcation of work areas, screening at gates by trained personnel, regulation of number of hospital visitors, and optimal use of PPEs.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73033494","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

“Mucormycosis” and coronavirus disease 2019: An epidemic within the larger pandemic 2019年“毛霉病”和冠状病毒病:大流行中的流行病

Indian journal of medical sciences Pub Date : 2021-08-21 DOI: 10.25259/ijms_234_2021

Sangeeta Shukla, Manisha Gupta, N. Agarwal, R. Shukla

引用次数: 0

Management of gender incongruence and gender affirmation surgeries – The Indian perspective, from a large volume gender identity clinic 性别不一致和性别确认手术的管理-从印度的角度来看，从一个大容量的性别认同诊所

Indian journal of medical sciences Pub Date : 2021-07-10 DOI: 10.25259/IJMS_494_2020

Richie Gupta, Rajat Gupta

{"title":"Management of gender incongruence and gender affirmation surgeries – The Indian perspective, from a large volume gender identity clinic","authors":"Richie Gupta, Rajat Gupta","doi":"10.25259/IJMS_494_2020","DOIUrl":"https://doi.org/10.25259/IJMS_494_2020","url":null,"abstract":"A mismatch between the birth sex of a person and psychological recognition of self (gender) leads to a gender expression, which is at variance with the societal norms, and thus gives rise to a persistent distress, which is known as gender incongruence (GI) (previously gender dysphoria). These persons are known as trans genders. A subset of these individuals feels that they are trapped in the wrong sexed body and need to bring their physical sex into alignment with their gender. The “gender” is already imprinted into the brain at birth, and hence cannot be changed, but the physical sex of a person can be, through gender affirmation surgeries (GAS). There has been relative paucity of data from India regarding medical and surgical affirmative management of trans-persons, and hence, the authors present their experience in GAS together with current demography, hypothesis regarding etiology and management, as carried out in India. Authors have been providing comprehensive affirmative management to trans persons, through their multi-specialty gender identity clinic (GIC) sited in a tertiary care hospital. Over past 27 years, the senior author has performed over 3,000 GAS. The authors have noticed a 20- fold rise in presentation of these cases (from six cases per year in 1993 to now around 150 cases in the year 2019), an observation, which is similar to the experience of large volume GICs worldwide, as well as many recent publications. There has been a steep rise in the number of persons with GI worldwide, and those reporting at GICs. In the face of this rising number, authors present their experience, together with current demographics and management. Authors have also contributed to the first version of Indian Standards of Care for persons with GI and people with differences in sexual development/orientation Indian standards of care 1in November 2020.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76586628","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