Innovative Journal of Medical and Health Science最新文献

{"title":"Impact of COVID-19 Induced Lockdown on Health and Education: A Survey Based Study","authors":"Ashutosh Kumar Singh, Vibha Singh, Sanatan Nayak","doi":"10.15520/IJMHS.V10I09.3089","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I09.3089","url":null,"abstract":"Background & Objectives: The COVID-19 pandemic has createdsignificant effect on well-being, health, economic and social systemof the country. However, dearth of studies has explored the effect ofCOVID-19 individual as well as social system. Therefore, the studyaimed to assess the effect of COVID-19 on psychological and physicalhealth of individual and educational system. Methods: An onlinequestionnaire that assesses the individual perspective about effect ofCOVID-19 on health and educational system was framed and wasfilled by 400 participants. From this, 20 questionnaires were invalidor not completed. Therefore the data of 380 participants were presentedusing descriptive statistics. Results: Most respondents were male, 15to 30 years of age, post graduated, single, and working in agriculturesector. Most of the respondents have monthly income of less than20,000 and expenditure of 5000 and above. Participants have agreedwith the statement that monthly income, education has affected andsavings, addiction or smoking got decreased during lockdown. Foodhabits have been changed. Health problems, practicing vipasyana, levelof stress, and internet surfing has increased during lockdown. Peoplewere spending their most of the time with family during lockdown.Daily wage workers were most affected group in this pandemic inducedlockdown situation. Conclusion: COVID-19 has impacted educationsystem. This lockdown situation has affected physical and psychologicalhealth, economic condition of individuals. These impacts shouldbe considered in policy making related to these areas in this pandemicsituation. \u0000  \u0000Keywords: Covid-19, Lockdown; descriptive statistics, India, Education, Health, Psychological, Stress.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89595061","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}

{"title":"An Evaluation of Abdominal Manifestations by Ultrasonography in Immunodeficiency Patients","authors":"Prakash Tayade, R. Jain","doi":"10.15520/IJMHS.V10I09.3087","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I09.3087","url":null,"abstract":"Introduction: The major target of HIV is the immune system and the abdominal pathologies are second most commonly found in patients of AIDS after pulmonary manifestations. These abdominal manifestations are on increase may be due to immunocompromised status of these patients and due to antiretroviral therapy which has increased life expectancy in these patients. Purpose of this study is to describe abdominal findings and to evaluate clinical utility of USG in HIV patients with the use of abdominal probe, high frequency probe and Color Doppler USG. \u0000Methods: This Retrospective Analytical  study involved 60 randomly selected HIV patients attending to Local  ART Units .  Prior Consent was obtained  from Local ART Centre to see the records of the patients from there MRD .Patients of all age groups and both sex having cataract were included in the study \u0000Results: This study includes 60 HIV patients, 37 patients were male and 23 patients were female. Age group studied was 20 yrs to 65 yrs referred from ART Department . Most prevalent age group was from 40 - 49 yrs that was 23 patients, next was 30 - 39 yrs i.e. 20 patients, third in declining order was 20 - 29 yrs i.e. 12 patients and less prevalent age groups were from 50 - 59 yrs and above 60 - 70 yrs. These patients had diverse abdominal findings. Out of 60 patients 3 had no abdominal findings. Hepatomegaly was found in 33 patients, fatty hepatic changes in 14 patients and in one case there was Hepatic abscess. Lymphadenopathy was found in 28 cases. Splenomegaly was found in 20 cases and in 6 cases there were also having splenic abscesses. Ascites was found in 12 cases it was septated and non septated ascites. Cholecystitis in 4 cases. Bowel wall thickening in 5 cases in most of cases it was thickening of ileum and Ileocaecal junction thickening. Other findings were renal parenchymal disease in 2 cases, Bulky pancreas in 2 cases, cervicitis in 2 cases, one case each of cystitis and pyocele. Testicular abscess in 2 cases and gluteal abscess in one case along with other abdominal findings. Many patients had two or more pathologies. \u0000Conclusion: AIDS is multisystem disease but its demographic and clinical pattern remains same globally. USG is optimally suited for its clinical management especially in developing countries like India. Results of sonographically evaluated cases of abdominal findings are comparable to other diagnostic modalities like CT scan. The ease of availability, diagnostic accuracy of USG and its affordable cost and interventional and follow up advantages makes USG first choice of investigation for evaluation of abdominal findings. Clinico-pathological correlations can further increase its diagnostic accuracy.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"1 1","pages":"1231-1235"},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88153581","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}

{"title":"Comparative Evaluation of Levo-Bupivacaine against Ropivacaine for Post-Operative Pain Relief in Patients of Laparoscopic Appendectomy","authors":"S. Panjiyar, R. Goel","doi":"10.15520/IJMHS.V10I09.3085","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I09.3085","url":null,"abstract":"Introduction: Pain in the immediate postoperative period is less after laparoscopic surgery  than conventional  surgical techniques. Ropivacaine is often in favored over Bupivacaine to avoid toxicity. Levo-bupivacaine a newer version of bupivacaine is said to be safer than Ropivacaine. We have evaluated the pain relief provided by Ropivacaine and Levo-bupivacaine instilled intra-abdominally during laparoscopic surgery for acute appendicitis. \u0000Methods and material: In a randomized placebo controlled study conducted on 90 patients in private medical institute over a period of year, a  patient control analgesia (PCA) total amount of morphine utilized to attain pain scores of 0-1 was measured in placebo, Ropivacaine and Levo-bupivacanie group  using visual analog score (VAS). Data was analyzed using analysis of variance and tests of statistical significance were employed.    \u0000Results:  Significant difference was not observed between the Ropivacaine and Levo-bupivacaine groups with similar utilization of morphine for both drugs. Whereas significant difference was noted between placebo and local anaesthetics.  \u0000Conclusions: There appear to be no difference between Ropivacaine and Levo-bupivacaine in terms of pain relief. Pre-emptive instillation of local anaesthetic for laparoscopic surgery is beneficial for post-operative pain relief.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"69 1","pages":"1225-1230"},"PeriodicalIF":0.0,"publicationDate":"2020-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90631790","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}

{"title":"CASE OF HIATUS HERNIA: AN AGGRAVATING FACTOR FOR IRON DEFICIENCY ANEMIA","authors":"Atharva Nanday, V. Patil, Punam Kela","doi":"10.15520/IJMHS.V10I09.3083","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I09.3083","url":null,"abstract":"Abstract - Hiatus hernia (HH) is the herniation of stomach into the chest cavity through diaphragm. HH is idiopathic and hence its exact cause is not known; possible causes are age related changes in diaphragm and inborn large hiatus. [1] Cameron lesions are yet another indicative for hiatus hernia. The purpose of this case report is highlighting various sources of the above condition which lead to worsened patient condition leading to hospitalization. \u0000Current case is a presentation of heme fibroid, duodenal Cameron lesion and type 1 hiatus hernia leading to worsened iron deficiency anaemia. For the efficient management of patient a proton pump inhibitor and vitamin B complex was advised. \u0000Key words:  Hiatus Hernia, Iron deficiency Anemia, Proton Pump Inhibitor, Heme Fibroid","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"11 1","pages":"1222-1224"},"PeriodicalIF":0.0,"publicationDate":"2020-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80349304","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}

{"title":"Comparative Assessment of Age and parity as risk factors of Cervical Cancer in Rural women population of Lucknow, India","authors":"J. Misra, A. Srivastava, Z. Zaidi","doi":"10.15520/IJMHS.V10I08.3077","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I08.3077","url":null,"abstract":"Background- Age and parity of the participating women have been normally considered as major risk factors of carcinoma cervix in a screening program. \u0000Objective- Comparative assessment has been made of these two factors in 2949 rural women. to see which of these two play effective role in cervical carcinogenesis or cumulative effect of both has greater impact. \u0000  \u0000Methods – The 2949 women were derived from the ongoing Rural cervical cancer screening program carried out in the villages of west Lucknow by organizing camps. The squamous   intraepithelial lesions of cervix (SIL) incidence have been analyzed in different age groups with increasing parity and vice-versa. \u0000  \u0000Results- The findings revealed no relation between SIL incidence and increasing age but a correlation with increasing parity. The SIL incidence in the different age groups with increasing parity revealed two trends- adolescents and postmenopausal women showing high SIL rate with nulliparity which declined with increasing parity while the  adult girls and women (21-40 years) showed SIL incidence rising  with increasing parity. When the SIL incidence was analyzed in different parity groups with increasing age, the rise in SIL incidence was seen with increasing parity in adult women between 21-40 years. \u0000  \u0000Conclusion- Though the comparative study showed increasing parity playing dominant role in the SIL development but the SIL rate was also found higher with nulliparity in adolescents and postmenopausal women. Hence all rural women showing primary infertility have to be cytologically examined and   treated. Further cytology is mandatory in all multiparous women between 21-40 years of age. \u0000  \u0000Key words- Increasing age and parity, Squamous Intraepithelial lesions of cervix Nulliparity, Adolescents, Postmenopausal women","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87377627","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}

{"title":"Preventing the spread of Coronavirus in ENT unit, our experience","authors":"Francesco Cariti, A. Giudice, F. Barbara, Salvatore Dadduzio, S. Ciccarone, V. D. Robertis, F. Cialdella, Michele Barbara","doi":"10.15520/ijmhs.v10i08.3075","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i08.3075","url":null,"abstract":"SARS-CoV19 is spreading all over the world starting from China in the end of 2019. This important emergency involved every single aspect of ordinary life. Even hospitals have undergone changes with the aim of ensuring the best care and preventing the spread of the virus. This is a personal contribution to illustrate all the measures put in place to avoid contagion. Although in an ENT unit you have strictly to do with the airway, none of the staff so far has been positive. \u0000 Keyword: SARS-CoV19, safety, prevention, ENT, contagion.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88618800","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}

{"title":"Parathyroid Hormone Abnormalities Related with Mitral and Aortic Valve Calcification in Maintenance Hemodialysis Patients","authors":"I. A. A. A. Sabawi, Azzam Hussein Hmod, M. Ibrahim","doi":"10.15520/IJMHS.V10I08.3076","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I08.3076","url":null,"abstract":"Back ground: parathyroid hormone abnormalities and minerals disorder are common in hemodialysis patients which increase mitral and aortic valve calcification as well as mortality and morbidity. The aim of the study: to verify the risk factors associated with valvular calcification and a benefit of Kidney Disease Improving Global Outcome guidelines foe minerals level. Patients and Methods: observation study of (52) hemodialysis patients divided into two groups (C) and (D) depend on the presence and absence of valve calcification by echocardiography then compared according to their association with risk factors and achievement of global guideline. Results: group (C) 14 patients, group (D) 38, by comparison the age was a strong risk factor mean age for (C) = 58.71 ± (12.70) vs 44.39 ± (16.57) for (D) p- value = 0.005, for other risk factors, group (C) had longer duration of dialysis, higher use of drugs that increase calcium load, higher in hyperphosphatemia, hypercalcemia and a dynamic bone disease although the difference statistically not significant. Discussion: all factors that mentioned were a risk factors for valvular calcification and global guidelines for minerals level were beneficial. Conclusion: we should know these risk factors because many of them are treatable. Key words: PTH (parathyroid hormone), ca (calcium), po4 (phosphate), HTN (hypertension), DM (diabetes) and ESRD (end stage renal disease).","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86129275","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}

{"title":"Clinical outcomes of Patients infected with Novel Corona virus COVID- 19 at Covid Center in Dehradun, Uttarakhand","authors":"N. Singh, M. Rana, Syed Altamash","doi":"10.15520/IJMHS.V10I07.3052","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I07.3052","url":null,"abstract":"Novel Corona virus, COVID – 19, virus is highly contagious, and has become pandemic globally in a very short period. This virus in human can cause illness ranging from common cold to severe respiratory tract symptoms as MERS, SARS. In the present study we report the clinical outcome of patients infected with COVID- 19, in Covid Center, GDMC, Dehradun, Uttarakhand. Material and Methods- All the patients infected with COVID- 19 in Garhwal region Uttarakhand, were admitted in Covid center, GDMC, Dehradun. We collected and analyzed the Data of laboratory confirmed COVID – 19 infection by RT- PCR. We also communicated with the patients and their family members regarding disease symptoms. Clinical outcome was compared and documented. The study protocol was approved by Ethical committee of GDMC, Dehradun, Uttarakhand. Results-About 4/5th patients were males, most of the patients were aged between 21-30 years. Most of the patients (84.1%) were residents of Dehradun and all patient were Indian. Mortality rate was 1% in this study. Females had more complaint of pain abdomen while males had more complaint of chills (p-value <0.05). Conclusion- An outbreak of novel Coronavirus, COVID–19 disease has affected worldwide and continue to represent a serious public health issue affecting all ages. Complications and mortality were higher in elderly and comorbid patients. Clinical presentation of the disease was less severe in Dehradun, Uttarakhand and mortality rate is much lower than the other parts of the world.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81680716","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}

{"title":"Nursing Practice Environment and Its Relation to Missed Nursing Care : A Scoping Review","authors":"Rahmah A Aloufi, M. Banakhar, Duaa Hafez","doi":"10.15520/ijmhs.v10i07.3059","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i07.3059","url":null,"abstract":"Objective: To examine the association between the practice environment of nursing and themissed care of nursing in a systematic way in the related literature.Methodology: An extensive search was conducted in CINAHL, ProQuest, ERIC, MEDLINE,Web of Science, PubMed, and Science Direct databases. the included studies were publishedduring time period of 2015-2020 with full text.Results: A total of 110 studies were screened, out of which 19 studies were identified to beeligible as per fulfillment of inclusion/exclusion criteria. Degraded quality of nursing,inpatient complications, and mishaps, as well as negative patient outcomes, is examined asexamples for results of missed nursing care. The nurses missed the process and task ofproviding important patient care because of the increased workload, less communication andpoor working environment. Inadequate resources and staffing were the major factors thatwere linked with the events of missed nursing care.Conclusion: It is concluded that reducing and modifying the examined factors, such as poorworking environment, inadequate staffing, less resources, poor communication amongnurses or patients etc. may decrease the missed nursing care practice. In addition, the missednursing can also be managed through the practical implementation of motivating positivework environment and safety culture of patients. These improvements and practicalimplementation will help to provide quality patient care and decrease the missed nursingcare.Keywords: Practice environment, missed nursing care, Teamwork, communication,workload, resources.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84705060","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}

{"title":"Clinical Performance of Direct Anterior Composite Restorations in Mixed Dentition: A randomized cross-sectional study","authors":"Can Özükoç","doi":"10.15520/IJMHS.V10I07.3047","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I07.3047","url":null,"abstract":"Aim: Direct anterior composite restoration is the first preferred method for children in the mixed dentition stage to replace dental tissue lost to caries, trauma or similar reasons. This study aimed to evaluate the effect of cavity type and treating institution on clinical longevity of direct anterior composite restorations in children in the mixed dentition stage. \u0000Material method: The data obtained from 114 direct anterior composite restorations performed in different institutions using the Modified USPHS criteria were evaluated according to cavity types and types of institutions where restorations were performed. \u0000Results: It was found that the mean values of retention, marginal adaptation and postoperative sensitivity were higher in class IV restorations, the highest values were obtained from the restorations performed at the Public Oral Health Center, and there was a statistically significant difference. (p<0.05) \u0000Conclusion: Although it has been shown that the clinical longevity of class IV composite restorations is shorter than other types of restoration in children in the mixed dentition stage, restorations performed at the University Dental Clinic have been found to be more successful. \u0000Key words: Anterior restoration, Composite restoration, Direct composites, Pediatric dentistry, USPHS","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"53 54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80489552","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}