Amrita Journal of Medicine最新文献

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A case report of rare constellation of complications of scrub typhus 恙虫病罕见并发症1例报告
Amrita Journal of Medicine Pub Date : 2022-04-01 DOI: 10.4103/AMJM.AMJM_17_22
Pooja Ghuge, K. Tony, Ananta Narwadev, Pravin U. Shingade
{"title":"A case report of rare constellation of complications of scrub typhus","authors":"Pooja Ghuge, K. Tony, Ananta Narwadev, Pravin U. Shingade","doi":"10.4103/AMJM.AMJM_17_22","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_17_22","url":null,"abstract":"Scrub typhus is an acute febrile illness widely prevalent in the “Tsutsugamushi Triangle” region of the world. We present a case of a 52-year-old female patient with an atypical presentation of scrub typhus. This is an atypical presentation of scrub typhus because of unusual location of eschar, associated myocarditis, pancytopenia, and cerebellar involvement.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122706326","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
Perception of the community in Kerala on COVID-19 infection and its preventive measures 喀拉拉邦社区对COVID-19感染及其预防措施的看法
Amrita Journal of Medicine Pub Date : 2022-04-01 DOI: 10.4103/AMJM.AMJM_10_22
Aarati Nair, Roshni Mylath, N. Jacob, Asmita A. Mehta, A. Ambily, A. M
{"title":"Perception of the community in Kerala on COVID-19 infection and its preventive measures","authors":"Aarati Nair, Roshni Mylath, N. Jacob, Asmita A. Mehta, A. Ambily, A. M","doi":"10.4103/AMJM.AMJM_10_22","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_10_22","url":null,"abstract":"Background: COVID-19 pandemic was started in December 2019. It has variable presentation from mild sore throat to severe respiratory distress. As we had seen there are no signs of it ending soon. Role of medical management in treatment is limited and so prevention of infection is the best mode to control the spread. It is important to identify people’s awareness about the infection. Aims: The aim of this study was to assess the awareness and their perception among people of kerala regarding outbreak, symptoms, preventive measures and treatment of covid-19. Objective: The primary objective was to evaluate the perception of the community in kerala on COVID-19 infection and its preventive measures. The secondary objective was to assess the factors affecting the awareness of COVID-19 among the community. Materials and Methods: An online survey was conducted from November 2020 to January 2021 among kerala community in relation to their perception towards Covid 19 infection and its preventive measures. Results: Total number of responses received were 610. Total 58.2% of the people agreed that the disease was contagious and spread by droplet, 84.1% of the people knew about asymptomatic carriers, 71.6% of the people believed that infection was curable while 18.5% were not sure about it. 6.1% thought that infection was incurable. Uni-variate analysis showed that neither gender, nor the socioeconomic or education status of the responder affected their level of knowledge about COVID-19. Conclusion: The study showed that the respondents had adequate awareness about COVID-19 outbreak and its preventive measures. People were aware of the virus, its common symptoms, prevention, lab tests and medical facilities. People understood the importance of preventive measures prescribed by the government like social distancing, hand washing, usage of face masks.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"98 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133861409","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
A rare CT brain with intraocular hyperdensity 罕见的CT脑伴眼内高密度
Amrita Journal of Medicine Pub Date : 2022-04-01 DOI: 10.4103/AMJM.AMJM_8_22
Neena Baby, M. George, S. Radhakrishnan
{"title":"A rare CT brain with intraocular hyperdensity","authors":"Neena Baby, M. George, S. Radhakrishnan","doi":"10.4103/AMJM.AMJM_8_22","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_8_22","url":null,"abstract":"","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114769415","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
Impact of the COVID-19 Pandemic: The Perceptions of Students about Change in Medical Education COVID-19大流行的影响:学生对医学教育变化的看法
Amrita Journal of Medicine Pub Date : 2022-01-01 DOI: 10.4103/AMJM.AMJM_11_22
D. Goel, IP S Grover
{"title":"Impact of the COVID-19 Pandemic: The Perceptions of Students about Change in Medical Education","authors":"D. Goel, IP S Grover","doi":"10.4103/AMJM.AMJM_11_22","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_11_22","url":null,"abstract":"Objectives: The COVID-19 pandemic has disrupted teaching in a variety of institutions, especially in medical schools. Online learning became the main method of teaching during the COVID pandemic. After 12 weeks of online teaching and online learning, a study was conducted to know about the student’s perception regarding online teaching during the COVID-19 pandemic. Materials and Methods: A study was conducted by distributing an online questionnaire to medical students. At the end of the survey, summarized data from a google spreadsheet were analyzed. Descriptive statistics and t-test analysis were used for data analysis. Results: Overall, 460 students answered the questionnaire. According to the respondents’ answers, the main advantages of online learning were the ability to stay safely at home (68.56%), meet academic requirements (26.65%), and the opportunity to beat the boredom of lockdown (4.79%). The majority of respondents chose a lack of interactions with teachers (59.52%). Overall, 51.74% respondents did not want online learning to continue after the COVID pandemic. Conclusions: Online learning is a powerful tool for teaching medical students. However, for its successful implementation, a well-thought-out plan and a more active approach is required.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131853843","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
Pseudoaneurysm of an Internal Mammary Artery Due to Tuberculosis 结核引起的乳腺内动脉假性动脉瘤
Amrita Journal of Medicine Pub Date : 2022-01-01 DOI: 10.4103/AMJM.AMJM_48_21
J. Pandiaraja, Arumugam Shalini
{"title":"Pseudoaneurysm of an Internal Mammary Artery Due to Tuberculosis","authors":"J. Pandiaraja, Arumugam Shalini","doi":"10.4103/AMJM.AMJM_48_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_48_21","url":null,"abstract":"Tuberculosis is the most common pulmonary infection in developing countries. Vascular complications are known to occur as a part of disease progression. Aneurysm associated with internal mammary artery can be true aneurysm or pseudoaneurysm. Pseudoaneurysm of the internal mammary artery can be due to invasive procedures or as a part of infective etiology. Tuberculosis destroys the wall of blood vessels leading to the formation of pseudoaneurysm. Early identification and intervention of pseudoaneurysm will avoid complications of hemorrhage, hemothorax, and hemorrhagic shock. We present a case of tuberculous empyema that causes pseudoaneurysm of an internal mammary artery managed with coil embolization along with antituberculous treatment.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116475497","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
Experiences of Menstruation with Factors Influencing Menstrual Hygiene Practices Among Adolescent Girls Attending Outpatient Department of Secondary Care Hospital Setting: A Cross-sectional Study 在二级医院门诊就诊的青春期女孩的月经经历与影响月经卫生习惯的因素:一项横断面研究
Amrita Journal of Medicine Pub Date : 2022-01-01 DOI: 10.4103/AMJM.AMJM_2_22
Mansi Pal, S. Devi, M. Taywade
{"title":"Experiences of Menstruation with Factors Influencing Menstrual Hygiene Practices Among Adolescent Girls Attending Outpatient Department of Secondary Care Hospital Setting: A Cross-sectional Study","authors":"Mansi Pal, S. Devi, M. Taywade","doi":"10.4103/AMJM.AMJM_2_22","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_2_22","url":null,"abstract":"Background: Menstruation is a physiological process as it brings changes in a young woman’s life. In this process, menarche is the most important phase in menstruation. It is the onset of first menstruation in girls. In today’s time also, menstruation is confused by different perceptions, myths, and misconceptions, which later affect their menstrual hygiene practices. Materials and Methods: The mixed method approach is adopted for the study. A qualitative approach using an in-depth interview was adopted for exploring the experiences of adolescent girls, and a quantitative approach was used for assessing factors influencing menstrual hygiene practices. Results: Adolescent girls had various experiences regarding their menarche. Seventy-four percent of girls had average menstrual hygiene practices. Several influencing factors were found and after applying binary logistic analysis four risk factors were found, which are caste, problems faced by girls during menses, frequency of changing pads, and method of disposal. Conclusion: The present study shows that girls had various experiences at the time of their menarche. They are having average menstrual hygiene practices, and there are various factors found which influence menstrual hygiene practices. Though there are several modules to maintain menstrual hygiene, still many adolescent girls lack resources such as a supply of clean water, availability of toilets, and use of sanitary pads.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128413626","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: 1
Utilization of Neutrophils-to-Lymphocytic Ratio as a Marker for Post-operative Pain in Patients Undergoing Harmonic Cholecystectomy: A Single-center Study 利用中性粒细胞与淋巴细胞比值作为胆囊切除术患者术后疼痛的标志物:一项单中心研究
Amrita Journal of Medicine Pub Date : 2022-01-01 DOI: 10.4103/AMJM.AMJM_51_21
A. Tarabay, A. Mousa, Hanin Radwan, I. Khaled
{"title":"Utilization of Neutrophils-to-Lymphocytic Ratio as a Marker for Post-operative Pain in Patients Undergoing Harmonic Cholecystectomy: A Single-center Study","authors":"A. Tarabay, A. Mousa, Hanin Radwan, I. Khaled","doi":"10.4103/AMJM.AMJM_51_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_51_21","url":null,"abstract":"Objectives: Our study aimed to investigate the pre-operative neutrophils-lymphocytes ratio (NLR) in patients who underwent cholecystectomy and to identify whether it discriminates between chances of developing pain or not and at what interval. Materials and Methods: A cross-sectional study was conducted in a single center in Saudi Arabia over a period of 2 months. Analysis was conducted using SPSS 22nd edition; numeric variables were presented in mean ± standard deviation and compared using the Mann–Whitney U-test after normality testing. Results: The study included 69 patients diagnosed with acute cholecystitis and underwent cholecystectomy. The minimum identified NLR in our study was 0.3 and the maximum identified variable was 15.0. Highest sensitivity and specificity were found to be 93.8% and 24.5% after 36 h of performing the procedure, respectively. Conclusion: NLR utilization as a pain marker post-operatively has promising outcomes which will highly impact the reduction of disease burden on patients.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126446397","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
Degree of Hearing Threshold in Patients with Type 2 Diabetes Mellitus 2型糖尿病患者的听力阈值
Amrita Journal of Medicine Pub Date : 2022-01-01 DOI: 10.4103/AMJM.AMJM_54_21
Emmanuel Hernandez Alvarado, Laura Melisa Román Marín, Carlos Cuellar Ramos, Patricia Vieyra Reyes, H. Mendieta Zerón, Virgilio Trujillo Condes
{"title":"Degree of Hearing Threshold in Patients with Type 2 Diabetes Mellitus","authors":"Emmanuel Hernandez Alvarado, Laura Melisa Román Marín, Carlos Cuellar Ramos, Patricia Vieyra Reyes, H. Mendieta Zerón, Virgilio Trujillo Condes","doi":"10.4103/AMJM.AMJM_54_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_54_21","url":null,"abstract":"Background: Type 2 diabetes mellitus (T2DM) leads to multiple chronic complications in the body including sensory functions. Aim: The aim of this study was to determine the hearing threshold in middle-aged patients with T2DM and categorize it according to the presence or absence of hearing loss. Materials and Methods: A prospective, cross-sectional study was performed with 40 patients with T2DM (mean age 58 ± 8.6 years and mean time of T2DM evolution 11.9 ± 8.2 years) and 40 nondiabetic subjects (mean age of 52.4 ± 10.9 years). Pure tone audiometry was performed with a Grason-Stadler GSI 18 screening audiometer, 11 frequencies (0.125–8 kHz) were evaluated and classified as low, medium, and high. Hearing loss was defined as a hearing threshold >20 decibels (dB) and was classified as: mild: 21–40 dB, moderate: 41–70 dB, severe: 71–90 dB, and profound: > 90 dB. Results: Compared to the control group, diabetic patients presented a significant increase in the hearing threshold at medium (P < 0.05) and high (P < 0.0001) audiometric frequencies. When hearing loss was present, it was almost entirely mild (>80%) in the control group, whereas diabetic patients presented moderate, severe, and even profound levels of hearing loss. A linear correlation was found between the diagnosis time of T2DM and the degree of hearing loss at high frequencies (P = 0.04) as well as at medium frequencies (P = 0.01). Conclusions: T2DM affects hearing from the early stages of the disease; routine evaluation of hearing function should be considered in this population.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114290092","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
Assessment of Self-directed Learning Sessions: Approaches, Challenges, and Strategies to Overcome the Challenges 自主学习课程的评估:方法、挑战和克服挑战的策略
Amrita Journal of Medicine Pub Date : 2022-01-01 DOI: 10.4103/AMJM.AMJM_6_22
S. Shrivastava, P. Shrivastava
{"title":"Assessment of Self-directed Learning Sessions: Approaches, Challenges, and Strategies to Overcome the Challenges","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/AMJM.AMJM_6_22","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_6_22","url":null,"abstract":"Considering the changing dynamics in the field of medicine and the expectations of the community from the healthcare professionals, it is an indispensable need that all medical professionals strive to become better. As a matter of fact, being adult learners, medical students have to devise their own strategy to attain the expected competencies, and this essentially requires the inclusion of self-directed learning (SDL). SDL plays an important role in the making of a lifelong learner and thus lays down the seed for a successful medical practitioner. The need of the hour is to plan assessments for topics allocated to SDL, which will ensure that medical students start taking these topics seriously. These planned assessments can be carried out either as self-assessment or peer assessment or by the involvement of teachers. In conclusion, SDL is an important aspect of undergraduate training, and its importance or benefits derived from it can be significantly enhanced by supplementing the same with assessments. Even though the assessment of SDL is a challenging task, but with proper planning and teamwork, we can benefit the students and thereby aid them in the process to attain the desired competencies.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131345102","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
Omicron Variant of Severe Acute Respiratory Syndrome Coronavirus 2: Necessity to Strengthen Public Health and Social Measures 严重急性呼吸综合征冠状病毒组粒变异2:加强公共卫生和社会措施的必要性
Amrita Journal of Medicine Pub Date : 2022-01-01 DOI: 10.4103/AMJM.AMJM_50_21
S. Shrivastava, P. Shrivastava
{"title":"Omicron Variant of Severe Acute Respiratory Syndrome Coronavirus 2: Necessity to Strengthen Public Health and Social Measures","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/AMJM.AMJM_50_21","DOIUrl":"https://doi.org/10.4103/AMJM.AMJM_50_21","url":null,"abstract":"The coronavirus disease-2019 (COVID-19) pandemic continues to be one of the global public health emergencies and interrupts the routine lives of humans. Omicron has been identified as the most recent variant of concern by the World Health Organization, and it has been detected first from the samples reported in South Africa. This variant has been found to have genetic changes that can influence the virus attributes (such as transmissibility, the severity of resulting illness, or limitations in terms of diagnosis––the absence of S gene, making it difficult to establish a diagnosis or reduced potency of existing therapeutic drugs) and has the potential to account for significant community transmission. In conclusion, the detection of the omicron variant of COVID-19 definitely calls for attention from international agencies, program managers, public health authorities, and the community. As we continue to get an in-depth understanding of the new variant in the coming days, the need of the hour is to strictly adhere to the public health and social measures at our end.","PeriodicalId":138060,"journal":{"name":"Amrita Journal of Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130746306","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
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