Amrita Journal of Medicine最新文献_第2页

Esophageal stricture following repair of a tracheoesophageal fistula: A case report and literature review 气管食管瘘修补术后食管狭窄：病例报告和文献综述

Amrita Journal of Medicine Pub Date : 2023-10-01 DOI: 10.4103/amjm.amjm_42_23

Debarpito Mukherjee, Indranil Das, Achyut Saha, P. Halder

引用次数: 0

Looking back, moving forward 回顾过去，展望未来

Amrita Journal of Medicine Pub Date : 2023-10-01 DOI: 10.4103/amjm.amjm_80_23

UnnikrishnanK Menon

引用次数: 0

A study on the burden of disability among the residents of Endosulfan-sprayed areas of Dakshina Kannada 达克什那-卡纳达邦内啡肽喷洒区居民残疾负担研究

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/AMJM.AMJM_13_23

Arjun Sanora, P. Senapathi, Sushantha Perduru, Shambulinga Kambale, Saniya Salim, Abeera Azeez, . Shabanaz

{"title":"A study on the burden of disability among the residents of Endosulfan-sprayed areas of Dakshina Kannada","authors":"Arjun Sanora, P. Senapathi, Sushantha Perduru, Shambulinga Kambale, Saniya Salim, Abeera Azeez, . Shabanaz","doi":"10.4103/AMJM.AMJM_13_23","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_13_23","url":null,"abstract":"Introduction: Endosulfan is one of the most dangerous pesticides with numerous nations reporting unintentional and deliberate harm brought on by its use. Before a ban was put in place, Endosulfan was widely applied on the cashew plantations in more than 90 villages in the Dakshina Kannada district. This study aims to assess the severity of disease among persons identified with specific illnesses in Endosulfan-sprayed areas of Dakshina Kannada district of Karnataka. Materials and Methods: A record-based study was conducted from September, 2022 to October 2022 where detailed information was obtained regarding persons identified with specific illnesses in Endosulfan-sprayed areas of Dakshina Kannada from records maintained at the District Health Office of Dakshina Kannada. Data regarding socio-demographic details and severity of disability were collected. Results: Among five taluks of Dakshina Kannada district, a total of 4542 persons were identified with specific illness due to Endosulfan spray. Majority are in Puttur taluk (40%) followed by Belthangadi taluk (34.6%). The severity of disability was <25%, 25%–60%, and >60% for 12.1%, 20.7%, and 60.5%, respectively. Overall mortality was 6.6%. Conclusion: Disability more in Puttur and Belthangadi taluks. Disability allowance can be increased and allowance can be given to persons with <25% disability also.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117124193","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

Aarey conservation: A multifaceted opportunity for climate mitigation in an urban setting 森林保护:在城市环境中减缓气候变化的多方面机会

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/AMJM.AMJM_39_23

Anand Pendharkar, Pranav Bhagwat, Aradhya Sardesai

{"title":"Aarey conservation: A multifaceted opportunity for climate mitigation in an urban setting","authors":"Anand Pendharkar, Pranav Bhagwat, Aradhya Sardesai","doi":"10.4103/AMJM.AMJM_39_23","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_39_23","url":null,"abstract":"Citizens of the world are bracing themselves to combat and mitigate cataclysmic climate crisis. Recurrent climate accidents are leaving behind millions of climate refugees, who flock to urban centers in search of safety and security. Overcrowded metropolitan cities are highly vulnerable due to their high human densities and absolute numbers of residents and migrants. A well-connected network of urban green zones (UGZs) provides multiple values that enable sustainable climate mitigation and adaptation. The metropolis of Mumbai, with over 24 million humans (Mumbaikars), is fortunate to also have a network of large UGZs and protected areas (PAs), viz. Sanjay Gandhi National Park, Aarey Milk Colony (AMC), Tungareshwar, Thane, Tansa, and Karnala Wildlife Sanctuaries, along with mangrove forests and public parks. However, most PAs restrict entry and climate mitigation actions. AMC, spread over 12.5 km2 provides a unique “mosaic” landscape, inhabited by indigenous communities (Warli and Mahadev Koli), locals, and migrants. The hills, farms, artificial meadows, and built-up complexes, with a good road network and proximity to Mumbai’s suburbs, provide numerous opportunities to achieve the 17 sustainable development goals set out by members of the United Nations Conference of the Parties. The path to achieve climate and resource stability, in the economic capital of the nation, is a precarious one and needs planning and engagement of all stakeholders. Long-term protection of AMC will provide socioeconomic equity as well as ecological and health security to current and future generations of Mumbaikars.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123322391","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

Epidemiological and clinical profile of children reported with HFMD-like illness in the field practice area of an urban health training center of a teaching hospital in Thiruvananthapuram district, Kerala 喀拉拉邦Thiruvananthapuram地区一所教学医院的城市卫生培训中心现场实习区报告的手足口病样疾病儿童的流行病学和临床概况

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/AMJM.AMJM_14_23

Bhagyalakshmi Kanchana, Vikram Jayaraman, Jishnu Krishnan, P. Rajendran, Adhila Moideenkutty, S. Chintha, Anuja Kumari, Archana Kumari

{"title":"Epidemiological and clinical profile of children reported with HFMD-like illness in the field practice area of an urban health training center of a teaching hospital in Thiruvananthapuram district, Kerala","authors":"Bhagyalakshmi Kanchana, Vikram Jayaraman, Jishnu Krishnan, P. Rajendran, Adhila Moideenkutty, S. Chintha, Anuja Kumari, Archana Kumari","doi":"10.4103/AMJM.AMJM_14_23","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_14_23","url":null,"abstract":"Objective: The aim of this work was to study the epidemiological and clinical profile of children with HFMD-like illness in the field practice area of an urban health training center of a teaching hospital in Thiruvananthapuram district, Kerala during the period from March 2022 to June 2022. Materials and Methods: A cross-sectional study was conducted among 35 cases reported with papulovesicular skin lesions with or without oral lesions. The cases were retrospectively reviewed and data were collected. Results: Out of 35 cases, 22 (62.85%) were female and 13 (37.15%) were male children. The mean age (standard deviation [SD]) of the participants was 3.29 (1.43) years. Fever (85.71%) and rash (94.29%) were the most common presenting symptoms. The mean duration (SD) of illness was 8.94 (4.51) days. All cases recovered completely with supportive treatment. Recurrence of the disease was noted among 7 (20%) children within a median period (interquartile range) of 44 (30, 90) days. Conclusion: Children in the age group of 1–6 years were the most affected population, and all recovered completely without complications. The clinical and epidemiological characteristics described will be useful for early diagnosis and thus prevent further transmission of the disease.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122291177","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

An anthropogenic apocalypse awaits? 一场人为的世界末日正在等着我们?

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/AMJM.AMJM_32_23

U. Menon

引用次数: 0

Epidemiological trend and change in mortality of leptospirosis: An emerging public health threat post-flood in a tertiary care centre in North Kerala 钩端螺旋体病的流行病学趋势和死亡率变化:喀拉拉邦北部三级保健中心洪水后新出现的公共卫生威胁

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/AMJM.AMJM_17_23

T. Athira, Priya Chandran, Vadakkayil Bindu

{"title":"Epidemiological trend and change in mortality of leptospirosis: An emerging public health threat post-flood in a tertiary care centre in North Kerala","authors":"T. Athira, Priya Chandran, Vadakkayil Bindu","doi":"10.4103/AMJM.AMJM_17_23","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_17_23","url":null,"abstract":"Introduction: Leptospirosis is considered to be one of the most widespread and emerging zoonosis in the world. Climate change and global warming is affecting the rainfall and flood episodes which leads to the outbreak of disease. Analyzing the trend and change in the mortality pattern of disease is needed to make necessary public health interventions and strategies. Objective: To study the epidemiological trend of leptospirosis cases reported to our institute over the last 5 years (2018–2022) and to identify the factors associated with the mortality of leptospirosis. Materials and Methods: Secondary data regarding all admitted cases of leptospirosis reported to the surveillance unit of our institution was used. Data were also collected from reports of death audits conducted at frequent intervals. Results: Total number of leptospirosis cases reported during the last 5 years was 3102, with 401 deaths (case fatality rate 12.9 %). A varying trend of cases was noted. A maximum number of cases was reported in 2018 after the flood. The mean age was 44.6 ± 16 years. Males were predominantly affected (77.2%). Occupational risk was reported by nearly half of the patients (46%), whereas a history of exposure to contaminated water was present among more than half of them (52%). Less than one-third of the total cases (28%) were confirmed by laboratory diagnosis. Hepatorenal syndrome (55.7%), Myocarditis (50%), and acute respiratory distress syndrome (30%) were the major causes of death. Conclusion: An increase in leptospirosis cases was reported post-flood in our institution. Early diagnosis and treatment are essential. Preventive measures should be strengthened and proper sanitation, health education, and intersectoral collaboration are essential to keep the disease under control.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130412741","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

Need for a diagnostic algorithm for acute encephalitis syndrome: An approach to changing paradigm 对急性脑炎综合征诊断算法的需要:一种改变范式的方法

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/AMJM.AMJM_16_23

D. Amrutha, Priya Chandran, A. Rahim, V. Bindu, S. A. Aswathy Raj

{"title":"Need for a diagnostic algorithm for acute encephalitis syndrome: An approach to changing paradigm","authors":"D. Amrutha, Priya Chandran, A. Rahim, V. Bindu, S. A. Aswathy Raj","doi":"10.4103/AMJM.AMJM_16_23","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_16_23","url":null,"abstract":"Introduction: Acute encephalitis syndrome (AES) refers to a symptom complex that may be caused due to a wide range of etiologies. Outbreaks of AES have occurred in the recent past contributing to significant morbidity and mortality. Identification of the etiology of AES will help in early treatment and containment of outbreaks. Objective: To assess the need for a diagnostic algorithm for AES and to develop a prototype algorithm for AES to be used in the region. Materials and Methods: Secondary data regarding AES from the surveillance unit of our institution was used. In addition, focus group discussion with stakeholders involved in the diagnosis, treatment, and surveillance of AES was done to identify the challenges in diagnosis and develop an algorithm for AES to be used in the region. Results and Discussion: Of the 767 AES cases reported during the study period, only 38% had a confirmatory diagnosis. Common viral etiologies included herpes simplex virus and adenovirus. Rare etiologies viz Nipah and West Nile were also documented. The varied etiologies pose challenges in diagnosis as multiple tests are required. A diagnostic algorithm was developed, taking into consideration the facilities available. Challenges in diagnosis are due to infrastructural shortcomings like lack of point-of-care tests and the nonavailability of viral panels for simultaneous testing for pathogens. Conclusion: Region-specific diagnostic algorithm may be developed taking into consideration of the common etiological agents in the region, which will help in the early identification of outbreaks and help in the institution of containment measures.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134568983","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

Sapiens: The fall from grace 智人:堕落

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/AMJM.AMJM_34_23

B. Menon

引用次数: 0

The seasons of change 变化的季节

Amrita Journal of Medicine Pub Date : 2023-04-01 DOI: 10.4103/amjm.amjm_31_23

J. Menon

引用次数: 0