Amrita Journal of Medicine最新文献_第4页

Public health: A public good 公共卫生:一项公益事业

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_10_23

U. Menon

引用次数: 4

Development of home-based care intervention module for filarial lymphedema patients 丝虫性淋巴水肿患者居家护理干预模块的开发

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_30_22

D. Sethi, S. Devi, M. Taywade

{"title":"Development of home-based care intervention module for filarial lymphedema patients","authors":"D. Sethi, S. Devi, M. Taywade","doi":"10.4103/amjm.amjm_30_22","DOIUrl":"https://doi.org/10.4103/amjm.amjm_30_22","url":null,"abstract":"The study aims to describe the development and validation of an intervention module based on home-based care training for patients with filarial lymphedema. Qualitative and quantitative approaches were followed for the development of the intervention module. Initial steps involved the framing of the intervention module. Direct observation, interviews with patients, suggestions from five experts in community medicine, community health nursing, and plastic surgery department were conducted. The experts and patients for the discussion were chosen with the help of convenient sampling. The experts rated the usefulness and feasibility of the components on a scale of 1–5 (5 extremely helpful). The ingredients derived for the intervention module included washing and drying of limb, prevention, care of entry lesions, light oil massage, the exercise of limb, the elevation of the stem, wearing of appropriate footwear, and management of adenolymphangitis (ADL). The intervention included individual sessions with demonstration and return demonstration. The final version of the module was pilot tested among five patients and had been found to improve the quality of life. Home-based care training with low-cost interventions can improve patients’ quality of life.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114263909","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

Re-emergence of monkeypox: Changing epidemiology, clinical manifestations, and preventive strategies 猴痘再次出现:不断变化的流行病学、临床表现和预防策略

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_43_22

Abhinandh Babu, Chithira V Nair, M. Moni, D. Sathyapalan

{"title":"Re-emergence of monkeypox: Changing epidemiology, clinical manifestations, and preventive strategies","authors":"Abhinandh Babu, Chithira V Nair, M. Moni, D. Sathyapalan","doi":"10.4103/amjm.amjm_43_22","DOIUrl":"https://doi.org/10.4103/amjm.amjm_43_22","url":null,"abstract":"Monkeypox (MPX), a zoonotic disease caused by an orthopoxvirus, results in a smallpox-like disease in humans. The Democratic Republic of the Congo (DRC) reported the first human cases of MPX in 1970. Before 2000, outbreaks of MPX were regularly reported in Africa Apart from the outbreaks in Congo (2007–2011) and Nigeria (2017–2018), the current outbreak includes mostly men who identified themselves as gay, bisexual or other men who have sex with men. Along with the COVID-19 pandemic, the recent rise in the number of MPX cases reported from non-endemic nations has sounded global concerns and warnings. The current outbreak of MPX in Western countries seems to be a milder disease with reported mortality only of 0.04%. However, according to the World Health Organization, rates of MPX deaths have been between 3% and 6% in recent years, and have reached 11% in the past. This review examines the existing scientific understanding of the disease and highlights the key difference from the classic description of MPX to that of the current epidemic and to provide insight into its changing epidemiology and clinical manifestations.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114539351","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

Path analysis of measured variables of subjective motivational values toward child gender tool tested in women of reproductive age in a Northern State of India 对印度北部一个邦育龄妇女儿童性别主观动机价值测量变量的通径分析

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_15_22

Dinesh Kumar

{"title":"Path analysis of measured variables of subjective motivational values toward child gender tool tested in women of reproductive age in a Northern State of India","authors":"Dinesh Kumar","doi":"10.4103/amjm.amjm_15_22","DOIUrl":"https://doi.org/10.4103/amjm.amjm_15_22","url":null,"abstract":"Background: Structural equation modeling was done for path analysis among domain scores of motivational values toward child gender (MVCG) questionnaire. It was used to assess consistency between observed and estimated covariance matrix as theoretically assumed. The objective of the study is to identify paths to influence the power domain among selected women of Himachal Pradesh. Materials and Methods: A total of 655 women were interviewed and information was collected using the MVCG questionnaire. Responses to 28 questions of eight domains were used for path analysis. The model-building process was started from an assumed theoretical construct and referred to as Model-1 and changes in the model were done gradually by addition of pathway(s) within the construct. The addition of pathways was carried out to observe a good model fit. Results: Fit indices from Model-1 to -4 changed across models as the user-defined χ2/df ratio decreased from 56.8 to 5.8 indicating acceptable fit. Change across models for normed-fit index, comparative fit index, and Tucker Lewis index showed that a large improvement from 0.74 to 0.94, 0.73 to 0.95, and from 0.56 to 0.90 indicating a good fit, respectively. Likewise, root mean square error of approximation reduced from 0.29 to 0.08 and standardized root mean square from 0.07 to 0.03 from Model-1 to -4, indicative of a close fit. In final model (Model-3), significantly, tradition, hedonism, and security had negative whereas, benevolence, conformity, and self-direction had positive influence on power. Conclusion: Path analysis observed the influence of motivational values on power through self-direction, achievement, and tradition. They were observed to be the main drivers toward decision-making process toward gender of child.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125553400","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

Five-year trend of blood pressure among industrial workers in Haryana, India: A record-based analysis 印度哈里亚纳邦产业工人血压的五年趋势:基于记录的分析

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_2_23

Mita Singh, P. Goyal, Shweta Goswami, Kriti Yadav, Mithilesh Kumar, S. Kumari

{"title":"Five-year trend of blood pressure among industrial workers in Haryana, India: A record-based analysis","authors":"Mita Singh, P. Goyal, Shweta Goswami, Kriti Yadav, Mithilesh Kumar, S. Kumari","doi":"10.4103/amjm.amjm_2_23","DOIUrl":"https://doi.org/10.4103/amjm.amjm_2_23","url":null,"abstract":"Background: The burden of noncommunicable diseases (NCDs) has very swiftly seeped into all the classes of our society. It was a belief, a few decades back, that these diseases cannot affect the labor class or industrial workers. However, this has been proved wrong. Objective: To determine the trend of blood pressure among industrial workers at the same factory recorded between 2018 and 2022. Materials and Methods: A record-based analysis was conducted on the available records of health screening camps conducted at a steel dockyard located in Haryana, India. The blood pressure was measured using standard technique and was used as the outcome variable. Among all the records, data of 18 workers were available for all the five visits. Their trend was presented over the 5-year period. To account for regression to mean and effect of passage of time on blood pressure measurements of the industrial workers, repeated measures linear regression analysis was conducted on 18 observations at five points of time. Results: The prevalence of hypertension was 24.8% in the year 2018, it increased to 25.7% in 2020 and then drastically reduced to 16.8% in 2022. Among the 18 workers who were screened on all five visits, two were known hypertensives and taking treatment. Their mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) demonstrated a rising trend from baseline mean SBP of 126.61 ± 12.50 to 132.89 ± 16.19 mmHg and DBP of 81.72 ± 6.46 to 84.39 ± 12.31 mmHg. The estimated mean blood pressure in the repeated measures model was higher than the original means (although both followed the same trend over time). Although the blood pressure values of the industrial workers depicted a rising trend, the reported prevalence of hypertension was quite low. Therefore, the huge chunk of industrial population being constantly exposed to strenuous working conditions comprise of a highly vulnerable group warranting regular NCD screening and tracking.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126694532","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

Survival analysis: A primer 生存分析:引物

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_60_23

Arun Valsan, KuttyNarayanan Anila, Sivaprasadan Saraswathy, Surendran Sudhindran

引用次数: 0

A case of Takayasu arteritis presenting with sensorineural hearing loss as first manifestation 以感音神经性听力损失为首发表现的高须动脉炎1例

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_1_23

Priya Baluni, Damanjit Duggal

引用次数: 0

Eyes cannot see what the mind does not know! 心灵所不知道的，眼睛是看不见的!

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_6_23

Asmita A. Mehta, Nandita Shashindran, A. Kunoor, Lakshmi Theja

引用次数: 0

Perceptions of undergraduate students of allied health sciences program toward online assessments 健康科学专业本科学生对在线评估的看法

Amrita Journal of Medicine Pub Date : 2023-01-01 DOI: 10.4103/amjm.amjm_5_23

Poornima Baby, Sumithra N Unni, N. Radhakrishnan, S. Gopalakrishnan, A. Sasidharan, Suchithra Sivadas

{"title":"Perceptions of undergraduate students of allied health sciences program toward online assessments","authors":"Poornima Baby, Sumithra N Unni, N. Radhakrishnan, S. Gopalakrishnan, A. Sasidharan, Suchithra Sivadas","doi":"10.4103/amjm.amjm_5_23","DOIUrl":"https://doi.org/10.4103/amjm.amjm_5_23","url":null,"abstract":"Background: The coronavirus disease-2019 (COVID-19) pandemic changed the pattern of learning from regular face-to-face classes to entirely digital and virtual learning. Assessments also had to be, and were, conducted online. Hence, we thought of assessing the level of satisfaction toward this mode of assessment among the allied health students in our institute. Objectives: The aim of this study was to assess the level of satisfaction and usefulness with the online practical and theory assessments among different phases of allied health sciences students belonging to different programs. Materials and Methods: A questionnaire was prepared after discussions among faculty members of the medical education department, appropriately validated and administered as Google Forms to the participants. Consecutive sampling technique was followed. Of the total 59 participants, 31 belonged to BSc Optometry and 28 belonged to BSc. Medical laboratory technology (MLT) courses. Results: The mean ± standard deviation (SD) of satisfaction of online theory/ practical assessments among the students of BSc. MLT was 5.893 ± 2.097 and BSc. Optometry was 6.194 ± 2.227. Usefulness of online theory/ practical assessments in testing knowledge and practical skills of BSc. MLT was 5.607 ± 2.061 and BSc. Optometry was 6.419 ± 2.363. Both of these were not found to be statistically significant. The median (Q1–Q3) of usefulness of online assessment in testing practical skills of students among the four phases was 5(2–6), 3(2–3), 2(2–6) and 3(3–5) and was found to be statistically significant. Conclusion: Most of the students felt that online assessments were useful only for theory examinations and that this modality was unsuitable to test practical skills.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114433333","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

Study of clinical, hematological, and biochemical profile of under five hospitalized children with diarrhea from a tertiary care institute in Himachal Pradesh 喜马偕尔邦一家三级保健机构五岁以下腹泻住院儿童的临床、血液学和生化特征研究

Amrita Journal of Medicine Pub Date : 2022-10-01 DOI: 10.4103/amjm.amjm_42_22

M. Bajaj, M. Gandhi, Pancham Kumar, C. Gowda, Swati M. Mahajan

{"title":"Study of clinical, hematological, and biochemical profile of under five hospitalized children with diarrhea from a tertiary care institute in Himachal Pradesh","authors":"M. Bajaj, M. Gandhi, Pancham Kumar, C. Gowda, Swati M. Mahajan","doi":"10.4103/amjm.amjm_42_22","DOIUrl":"https://doi.org/10.4103/amjm.amjm_42_22","url":null,"abstract":"Background: Diarrhea is still the second leading cause of death in children under 5. These deaths can be easily prevented by early recognition and appropriate intervention. Understanding of symptoms, signs, and complications of acute diarrhea is necessary in preventing these deaths. The main focus of this study was to study clinico-epidemiological and laboratory profile of under 5 hospitalized children with diarrhea. Materials and Methods: This prospective study was conducted in the Department of Pediatrics, of a tertiary care teaching hospital in North-west India from June 2016 to November 2018. Children presenting with acute watery diarrhea, between age of 1 month and 5 years, were enrolled in study. Clinical symptoms/signs along with demographic details and lab investigations of each case were studied. Results: Out of 179 admitted children, majority were males and maximum were in age group of 1–24 months. 136 (75.97%) children were exclusively breastfed till 6 months of age. Fever (88.82%), vomiting (74.30%), and oliguria (82.68%) were most common symptoms observed at admission. Depressed anterior fontanelle (63.12%), dry sunken eyes (80.45%), and/or delayed skin turgor (78.21%) were most common clinical signs observed. 140 (78.21%) children had some dehydration and 11 (6.15%) had severe dehydration. Severe features of bradycardia (2.23%), tachypnea (2.79%), and hypothermia (1.67%) were also noted. Deranged blood urea nitrogen and creatinine levels were observed in 48 (26.82%) and 15 (8.4%) children. Conclusion: Complications of diarrhea can be prevented by improving prevalent poor knowledge, attitude, and practices among parents regarding feeding and home-based interventions in diarrhea.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128488259","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