Innovative Journal of Medical and Health Science最新文献

{"title":"COMPARISON OF ORAL PREMEDICATION IN CHILDREN (1-16YRS) USING MIDAZOLAM VERSUS CLONIDINE: A PROSPECTIVE DOUBLE BLIND STUDY","authors":"Dr.Asif Mammutty Pm, S. MuhammedAmeenG, Dr.Ashir Kr","doi":"10.15520/IJMHS.V10I06.3012","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I06.3012","url":null,"abstract":"Background \u0000Premedication in pediatric anesthesia is a challenge for Anesthesiologist. Anxious children have higher incidence of negative postoperative behaviors for up to two weeks after surgery. Hence, right premedication is the eternal search for anesthesia fraternity. \u0000Aims and Objectives \u0000To compare oral midazolam (0.5mg/kg) with oral clonidine (4 micrograms/kg) as a pre medication in children \u0000Material & Methods \u0000This study was carried out on 30 children who were admitted to Yenepoya Medical College & Hospital for surgical intervention under general anaesthesia during the period from 01-10-2009 to 30-11-2011. \u0000Result \u0000In the midazolam group the sedation score after 30 mins and 90 mins, 80% of the subjects were awake . In the Clonidine group it was found that 66.7% are drowsy at 30 mins and 70% are drowsy at 90 mins. The difference between to the groups was statistically highly significant. \u0000In the midazolam group parental separation were good only in 56% of the subjects where as it was 93.3% in the Clonidine group which is statistically highly significant. \u0000In the midazolam group the mask acceptance was good in 86.7% of the subjects . In the Clonidine group 100% of the subjects had good acceptance. \u0000  \u0000Conclusion \u0000Present study showed that premedication oral clonidine appeared to superior than oral midazolam.Oral clonidine produces significantly better sedation than oral midazolam","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"685 1","pages":"1030-1035"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77036918","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":"FAD (Formative Assessment using panel Discussion)- A useful tool for medical undergraduate students","authors":"Manika Agarwal, S. Agarwal, Yashika Parashar","doi":"10.15520/IJMHS.V10I06.3011","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I06.3011","url":null,"abstract":"Introduction-Assessment plays an important role in medical education as it can stimulate & also direct the students towards what they should learn. In this study, we have highlighted that Panel discussion could be a good method of formative assessment for medical undergraduate students. \u0000Material & Methods-The study was carried out on 51 students of 8th semester MBBS. The topic which was already covered by the faculty pertaining to Obstetrics & Gynaecology in a didactic lecture was again discussed in a 2 hour session in the form of a panel discussion. \u0000Observations & Results-31.3% and 58.8% students strongly agree and agree respectively that panel discussion helps in better understanding of the topic.17.6% and 60.7% students strongly agree and agree respectively that this method helps in preparing better for exams. 68.6% students wished that panel discussion should be introduced as an adjunct to traditional didactic lecture on a regular basis in teaching methodology while covering a particular topic especially in clinical subjects. \u0000Conclusion- From student’s feedback and supervising faculty’s observation, we conclude that “Panel discussion” is a highly effective method of active learning which enhances critical thinking and also the communication skills of the students. \u0000Key words- Medical education, active learning, bloom’s taxonomy, cognitive skills","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84659942","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":"Evaluation of Preferences in Learning Styles among Undergraduate Medical Students of a South Indian Medical College using the Grasha-Reichmann Student Learning Style Scales: A Cross-Sectional Study","authors":"K. Prathibha, Nivedha Senkuttuvan Pillai","doi":"10.15520/IJMHS.V10I06.3015","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I06.3015","url":null,"abstract":"Background:Understanding various learning styles and framing teaching strategies accordingly has become a cornerstone of good teaching practice.Grasha and Riechmann (1996) consider learning styles as social interactions. They classify them into six categories: Independent, Avoidant,Collaborative, Dependent, Competitive and Participant, each of whichhas its own characteristics.Hence, the present study was planned and conducted to evaluate thepreferences in learning styles among the undergraduate medical students of a South Indian medical college, using the GRSLSS.Methodology: The GRSLSS inventory was used for the assessment oflearning style preferences among the participants. The survey questionnaire comprised of 60 questions, amongst which, ten questions weregrouped for each of the six mentioned learning styles. The sum ofthe scores for the specified ten questions of each learning style wascalculated and then averaged. The mean scores were calculated andcompared using the Kruskal Wallis Test.Results: Among the 134 participants, there was a statistically significant difference in the distribution of learning style patterns amongindividuals.(p<0.01) There was a dominance of Collaborative andDependant learning type, followed by the Independent style. TheParticipant and Competitive learning styles were sparsely distributedamong the individuals.Discussion: A mismatch between the teaching style of a teacher andthe learning style of a student can render the teaching/learning processless effective. The present study highlighted that the student’s learningprocess and academic performance can be improved by tailoring theinstructional modality to the student’s preference or style, wheneverfeasible.Keywords: Grasha Reichman, Learning Scale, Learning Style, Studentcentered learning.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"34 1","pages":"1040-1044"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81057521","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":"Breast cancer related lymphoedema (BCRL): Prevalence and evaluation of risk factors","authors":"R. Srivastava, S. Singh, Amarjot Singh, P. Rai, Mushtaq Ali","doi":"10.15520/IJMHS.V10I06.2997","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I06.2997","url":null,"abstract":"Among cancer related mortality and morbidity, the Breast cancer is commonest causein women worldwide . Despite of improved treatment technique of the breast cancer,the incidence some refractory complications like breast cancer related lymphoedema(BCRL) of corresponding arm has increased ,which is related to treatment modalitieslike axillary staging, axillary irradiation or both . BCRL is an agonizing complicationwhich limits day to day activity of the patient and becomes more relevant as thesurvival after diagnosis of breast cancer increases. Due to lack of standard definitionand standardized criteria for evaluation, the incidence varies. This Cohort study withhistorical cohort and prospective follow-up for 1 year aimed to determine the prevalence, risk factors, influence of axillary staging and locoregional radiotherapy in thedevelopment of BCRL .Methods: From May 2017 to March 2019 , clinical records of 180 Breast cancer patientswere reviewed from 3 different institutes with Stage I to stage III breast cancertreated with BCT(breast conservation surgery ), MRM (Modified Radical Mastectomy) and RT( Radiotherapy) in addition to systemic chemotherapy and the patients werefollowed up till 1 year. Data were recorded in terms of age, menopausal status, bodymass index (BMI) and presence of co-morbid conditions. Difference between bothupper limb circumferences at any level of more than 2 cm was considered as significantlymphoedema. With the help of SPSS software, all the statistical calculationwas done. Results: The prevalence of clinically significant lymphedema was 32.7%.The prevalence of lymphedema was 34% % in patients treated with MRM where asit was 20% in patients treated with Breast conservative surgery. Among sub groupof MRM in which more than 4 LN came to be positive were having significant lymphedema(42%) as compared to less than 4 LN positive patients(21%). It was observedthat BMI(Body mass index), presence of co-morbid conditions and chemotherapywere not significantly associated with BCRL. Post-operative radiotherapy (axillaryirradiation) appears to be an independent risk factor for development of BCRL inmultivariate analysis (P 25kg/m2 patients . Women whounderwent MRM with more than 4 positive lymph nodes had significantly more numberlymphedema patients . Radiotherapy was found to be independent risk factor forthe development lymphedema, suggesting that the combination of axillary staging andradiation therapy puts patient at much higher risk of lymphedema development.Key words: Breast cancer–lymphoedema","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"1 1","pages":"987-992"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83023624","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":"Evaluation and comparison of antioxidant status in ischemic and haemorrhagic cases of stroke","authors":"B. Agrawal, Rahul Kumar Shukla, Amit Kumar","doi":"10.18231/j.ijcbr.2020.038","DOIUrl":"https://doi.org/10.18231/j.ijcbr.2020.038","url":null,"abstract":"Introduction:The World health organization (WHO) has well-defined stroke as “rapidly progressionof clinical signs of focal and at times global disturbances of cerebral function longlasting> 24 hours or resulting of death, with no apparent reason other than vascularregion.”Material and MethodsThis case-control study was conducted on an overall population of 200 individuals (58ischemic strokes and 29 haemorrhagic strokes as the case groups; 58 healthy individualsas the control group).Diagnosis: The diagnosis of stroke was based on history and clinical examination andbrain CT scan were used to confirm and classify ischemic and haemorrhagic strokecases.Results:A total of 200 cases of stroke (58 ischemic stroke, 29 haemorrhagic strokes, and 58healthy individuals as the control group) were identified during the study follow-up.GPX levels are reduced significantly in ISPs and HSPs equated with control subjects(p<0.001). Extreme decrease in GPX is seen in ISPs than HSPs(p<0.001).ConclusionFinally, positive direct relationship was seen in MDA along with infarct size. So,it could consider as a bio marker for recognising stroke. This could be valued forimproving the dose frequency for improvement of patient health. From these studies,we can conclude that antioxidant defence is reduced in ischemic stroke patients as asignificance of inclined oxidative stress.Key words: Oxidative stress–Antioxidant–Ischemic–Haemorrhagic","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"29 1","pages":"935-939"},"PeriodicalIF":0.0,"publicationDate":"2020-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81182214","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 Analysis of Orthopedic Surgical Services Provided to Syrian Refugees in a Health Center Away from the Syria District","authors":"Sevda Uzun Dirvar, Ferdi Dırvar, Haşim Çapar, Yusuf Baktir","doi":"10.15520/ijmhs.v10i06.2970","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i06.2970","url":null,"abstract":"Background: The Arab Spring, a wave of demonstrations and protests that hadtaken place in the Arab world since December 18, 2010, had also affected Syria. Thenumber of Syrian refugees who have migrated to Turkey is over 3.5 million.Objective: The aim of this study was to evaluate the demography, clinical featuresand invoice amounts of Syrian refugee patients who were operated in an orthopedicand traumatology clinic of a healthcare institution far from the Syria district region.Materials and Methods: For this purpose, 329 Syrian patients who underwentsurgery in the field of orthopedics and Traumatology between June 2011 and 2018were enrolled in the study. The records of Syrian refugees have been retrospectivelyexamined.Results: Male applicants (76.3%) were more than females (23.7%).%). It was observedthat the highest number of applications were in the field of microsurgery (21.3%),followed by trauma (20.7%) and pediatric orthopedics (14.6%), respectively. Includingthe non-emergency trauma patients, 90% of the patients underwent elective surgerieswhile 10% underwent emergency surgeries. It was determined that the average invoiceamount was 4987 TL (min: 207 TL, max: 87541 TL) and the highest cost was in thefield of vertebral surgery (average 19384 TL). The rate of emergency applications hasshown a significant increase in 2016 and later (2016-2017-2018) compared to 2015 andbefore .Conclusion : The main Syrian refugees patient profile of the health centers far fromthe war zone is composed of elective cases and their costs.Key words: Health Services Accessibility–Hospital Costs–Orthopedic Procedures–Refugees–Syria","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"28 7 1","pages":"940-943"},"PeriodicalIF":0.0,"publicationDate":"2020-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78797444","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":"Quality of Life of Women Survived after Breast Cancer Surgery","authors":"Alyaa Ibrahim, H. Elsaba","doi":"10.15520/IJMHS.V10I04.2867","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I04.2867","url":null,"abstract":"Introduction: Quality of life(QOL) is a complicated and multidimensionalmeasure that affects the diagnosis and impact the treatment of a disease. QOLcontinuously impacts the daily lives and activities of patients with breast cancerduring and after recovery. The current study aimed to: identify therelationship between bio socio-demographic characteristics and quality of lifeof women identify the relationship between bio socio-demographiccharacteristics and quality of life of women undergone surgery as a treatmentfor breast cancer. Methodology: a descriptive cross-sectional design wasadopted. Data was collected by conducting home visits for 120 randomlyelected adult women who had undergone breast surgery as a treatment forbreast cancer. Bio-socio-demographic structured interview schedule, QLQ-C30and QLQ-C23 were used for data collection. Results: there was significantlyhigher frequencies effect of marital status, tumor condition before surgery,client’s activity and time period between diagnosis & surgery as predictors onQLQ-C30 (p = 0.05). Conclusion: The overall quality of life of the study participants wasbelow average compared to international references. Functional and symptomscales were affected in women after surgery. There was significantly higherfrequencies effect of demographic factors as marital status, education, familyincome, family housing and clinical characteristics as tumor condition beforesurgery, breast cancer stage, client’s activity, time period between diagnosis &surgery and post-surgery treatment as predictors on QLQ-C30 and QLQ-C23.While, age, occupation, after surgery medical problem and family history werenot predicted by relation to participants’ quality of life. Key words: Breastcancer, quality of life, therapy impact, breast cancer survivals","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"79 1","pages":"907-921"},"PeriodicalIF":0.0,"publicationDate":"2020-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79288273","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":"Evaluation of Home Environments of People Over the Age of 65 in Terms of Home Accident Information","authors":"A. Yıldız, S. Guven","doi":"10.15520/IJMHS.V10I03.2849","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I03.2849","url":null,"abstract":"Background: Home accidents pose serious problems that threaten public health.This study aims to evaluate the home environments of the elderly and to identifyrisky situations in terms of home accidents. Methods: This study was performed as adescriptive study between February and April 2015 and included 324 individuals aged65 years and above. As for data collection tools, an interview form involving personalinformation with 23 questions and a home safety checklist with 26 questions preparedby researchers in line with the literature were used. The validity and reliability of thehome security checklist were checked by Guler P et al. in 2002. Forms were filled outusing observation and interview techniques by the researchers during the home visits.Data were transferred to a computer and evaluated. Number and percentile tests wereused for data analysis. R esults: The average score of the risk of home accidents for theelderly was found to be 14.00 \u0006 4.91. The first items threatening home security wereidentified as the absence of bath and toilet bars. The relationships between the maritalstatus of the elderly, working status, whether or not living together, income status,continuous use of medication, diagnosis of chronic illness and point average of homeaccident risk were statistically significant (p < 0.05). Conclusion: In the presentstudy, it was determined that the elderly are at risk of experiencing home accidents. Atthe end of this work, planning and implementation of domestic regulations, training,and necessary nursing interventions are proposed to reduce the risk of home accidents.Key words: home environments–older people–home accident–nursing","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"151 1","pages":"877-881"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87653513","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":"Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report","authors":"Noviana Joenputri, A. A. I. S. Kumaladewi, I. G. M. Sanjiwani, Gede Angga Swistrawan Marto","doi":"10.15520/ijmhs.v10i03.2840","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i03.2840","url":null,"abstract":"Thoracoabdominal aortic aneurysm (TAAA) is rarely found and commonly asymptomatic.We reported an 83-year-old woman who was admitted to emergency roomsuffering from shortness of breath and intermittent epigastric pain. The patient wasknown to have a history of chronic obstructive pulmonary disease (COPD). Chestradiograph, CT scan of the chest, and echocardiograph showed TAAA with intraluminalthrombus along the TAAA. Patient was given symptomatic treatment andmedical therapy for AA, including lipid profile optimization, blood pressure and heartcontractility control, which aimed to reduce the shear stress and rupture risk of AA.This case report aimed to explain about the COPD as a risk factor of aortic aneurysm(AA) development.Key words: aortic aneurysm–thoracoabdominal aortic aneurysm–chronic obstructivepulmonary disease","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"75 1","pages":"871-876"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76098684","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":"PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA","authors":"M. Nkpozi, Nwanke Ri, Uzor Ei, Ubani-Ukoma Bc, Ugwu Et","doi":"10.15520/ijmhs.v10i03.2835","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i03.2835","url":null,"abstract":"Background and Objective: Medical admissions in hospitals located within a certainregion reflect the diseases burden in that region. The objective of this study is todetermine the profile of diseases and their treatment outcome in the medical wardsof the Department of Internal Medicine, Abia State University Teaching Hospital(ABSUTH), Aba, South East,Nigeria.Materials and Methods: This was a 10-year retrospective descriptive study in whichdata was extracted from the Admission/Discharge registers in the male and femalemedical wards of ABSUTH, Aba from May 1, 2007 to April 30, 2017. Relevant dataobtained were analyzed using Statistical Package for Social Sciences (SPSS) version20.0 software.Results: A total of 6587 admissions made up of 3153 (47.9%) males and 3434 (52.1%)females were seen with a mean age of 52.34 years. The elderly topped the list ofthe medical admissions followed by the middle aged group. Non-communicable diseases,NCDs, (73%) caused more medical admission than communicable diseases, CDs,(27%). The overall commonest causes of death in the medical wards were stroke andhuman immunodeficiency virus infection and acquired immune deficiency syndrome(HIV/AIDS). Stroke, diabetes mellitus (DM) related complications, heart failures andchronic kidney diseases (CKD) were the commonest causes of death among the NCDs.While mortality of the medical admissions was 22.6%, 69.4% improved and were dischargedhome. Mean duration of hospital stay for the medical admissions was 9.97days and the longest was by diabetic foot/hand ulcer.Conclusion: The female gender and the elderly population were admitted more inthe medical wards while NCDs caused more medical admissions and deaths than theCDs. Stroke followed by HIV/AIDS were the commonest overall causes of deaths inthe medical wards within the study period.Key words: medical admissions–diseases pattern–admission outcome–communicableand non-communicable diseases–South East–Nigeria","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"66 3 1","pages":"856-861"},"PeriodicalIF":0.0,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84685741","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}