Journal of Dr. NTR University of Health Sciences最新文献_第10页

A study on anxiety, obsession, and reassurance-seeking behavior due to COVID-19 pandemic 新冠肺炎大流行对焦虑、困扰和寻求安慰行为的研究

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-10-01 DOI: 10.4103/jdrntruhs.jdrntruhs_38_21

S. Sreepada, Phanindra Dulipala, Jagannath Dara

{"title":"A study on anxiety, obsession, and reassurance-seeking behavior due to COVID-19 pandemic","authors":"S. Sreepada, Phanindra Dulipala, Jagannath Dara","doi":"10.4103/jdrntruhs.jdrntruhs_38_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_38_21","url":null,"abstract":"Background: Coronavirus disease-2019 (COVID-19) has a devastating impact on public health and requires extensive preventive and precautionary measures to contain its spread. These measures result in dramatic lifestyle changes which might lead to disturbed mental health outcomes among individuals. Aims and Objective: The aims of this study were to (1) assess anxiety, obsession, and reassurance-seeking behavior due to COVID-19 pandemic, and (2) to compare these outcomes among health-care professionals and the general population. Settings and Design: This was an online community based cross sectional study done in the month of November, 2020. Subjects and Methods: The study was conducted in November 2020 among 527 individuals selected randomly. A self-designed, semi-structured questionnaire consisting of 25 questions about demographic details, anxiety, obsession, and reassurance-seeking behavior was applied using Google forms. Statistical Analysis Used: SPSS version 25.0 (IBM). Results: Of 527 individuals, 246 (46.7%) were men and 281 (53.3%) were women. Health-care professionals and general population comprised 255 (48.4%) and 272 (51.6%) individuals respectively. Anxiety was found among 14 (2.65%) individuals, obsession in 97 (18%) and reassurance-seeking behavior in 51 (9.67%) individuals. Obsession and reassurance-seeking behavior was found to be significantly higher (p < 0.05) among general population than in health-care professionals. Reassurance-seeking behavior was found to be significantly higher in COVID-19 positive patients. (p < 0.05). Conclusions: Anxious and obsessive thinking about health during the COVID-19 pandemic stimulating reassurance-seeking behavior was more among the general population in comparison to health-care professionals. This indicates the need for proper health education, guidance, and training regarding the preventive measures and precautions to be taken in order to avoid adverse mental health outcomes.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"42 1","pages":"233 - 237"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85970881","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

Auditory manifestations associated post-COVID-19: What we need to know? covid -19后相关的听觉表现:我们需要知道什么?

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-04-01 DOI: 10.4103/jdrntruhs.jdrntruhs_87_21

Nithya Arigapudi, Tarun Kumar Suvvari, P. N Murthy

引用次数: 0

Neutrophil lymphocyte ratio (NLR) in type 2 diabetes mellitus and its correlation with renal function: An institutional experience 2型糖尿病中性粒细胞淋巴细胞比率(NLR)及其与肾功能的关系:一个机构经验

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-04-01 DOI: 10.4103/jdrntruhs.jdrntruhs_88_21

S. Rahar, S. Marwah, B. Kulshreshtha

{"title":"Neutrophil lymphocyte ratio (NLR) in type 2 diabetes mellitus and its correlation with renal function: An institutional experience","authors":"S. Rahar, S. Marwah, B. Kulshreshtha","doi":"10.4103/jdrntruhs.jdrntruhs_88_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_88_21","url":null,"abstract":"Introduction: Patients with diabetes mellitus commonly develop chronic vascular complications including diabetic nephropathy (DN). Chronic inflammation plays an important role in pathogenesis of diabetes and its complications. Neutrophil-Lymphocyte Ratio (NLR) is a novel potential marker for determining inflammation. Objective: To study NLR in type 2 diabetes mellitus and its correlation with renal function. Method: This study is a cross-sectional observational study conducted at a tertiary care hospital. This study included 200 patients diagnosed with type 2 diabetes mellitus, 100 of whom had deranged renal functions and 100 patients had normal renal function. The control group was composed of 100 healthy age and sex-matched subjects. NLR was calculated and statistical analysis was made using student's t-test, post HOC test, and ANOVA. A value of P < 0.05 was considered significant. Results: When NLR was compared among three groups, NLR was significantly higher in diabetic patients as compared to controls and NLR was significantly higher in diabetic nephropathy group as compared to the diabetic with normal renal function group and control group. Conclusions: NLR is a novel, simple and inexpensive marker that can be used as a measure of systemic inflammation in diabetes and correlates with severity of diabetic nephropathy.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"304 1","pages":"82 - 87"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74108659","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

Case-based learning: Introducing an innovative paradigm for learning medical microbiology in a rural medical college of North India 基于案例的学习:在印度北部的一所农村医学院引入一种创新的医学微生物学学习范式

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-04-01 DOI: 10.4103/jdrntruhs.jdrntruhs_201_20

Jyoti Sangwan, Sumit Lathwal, S. Naik, Prof. Vanita Mane, Sameena Khan, K. Lohan, Mukesh Kumar

{"title":"Case-based learning: Introducing an innovative paradigm for learning medical microbiology in a rural medical college of North India","authors":"Jyoti Sangwan, Sumit Lathwal, S. Naik, Prof. Vanita Mane, Sameena Khan, K. Lohan, Mukesh Kumar","doi":"10.4103/jdrntruhs.jdrntruhs_201_20","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_201_20","url":null,"abstract":"Introduction: It has been observed that there is inadequate retention of microbiology and its inappropriate application to clinical science among medical graduates. To address this problem and facilitate student's learning, we need to adopt active, student centric teaching learning methods. Case-based learning (CBL) is one such method .The present study was planned to introduce Case Based Learning (CBL) in Microbiology and assess its advantages in understanding the topic in comparison to traditional didactic lecture and to observe perception regarding CBL among faculty and students. Material and Methods: 96 MBBS second Prof Students were enrolled in the study after obtaining informed consent and Institutional Ethics Committee approval. Theory lectures and CBL sessions were taken on the selected topics. At the end of both, the lectures and CBL sessions, a post test (MCQ) was conducted. A repeat test was taken after 4 weeks from the first post-test (MCQ) for each topic to see the retention of topic. Feedback of students and faculty were taken on a pre-validated questionnaire and analysed using a 5 point Likert scale. Results: A total of 96/100 (96%) students participated in the study. The CBL scores were significantly higher than DL session scores (P < 0.001). The difference in scores was significant even after four weeks of session (P < 0.001). Student reported satisfaction in being taught by CBL method in 5-point Likert scale feedback form (mean score >4) and recommended it for future batches. Conclusions: The study concludes that Case Based Learning is an active method of student centric learning resulting in better understanding, critical analysis, communication and retention of subject topics among students. The faculty also approved of the method in spite of being demanding and lack of adequate resources opining that the method is of special use in discussing clinically relevant topics.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"55 1","pages":"99 - 104"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81821183","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

Efficacy of C-Reactive protein as a marker in patients with odontogenic fascial space infection: A prospective analytical study c反应蛋白作为牙源性筋膜间隙感染患者标志物的有效性:一项前瞻性分析研究

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-04-01 DOI: 10.4103/jdrntruhs.jdrntruhs_161_20

C. John, S. Gandhi, I. Singh, T. James

{"title":"Efficacy of C-Reactive protein as a marker in patients with odontogenic fascial space infection: A prospective analytical study","authors":"C. John, S. Gandhi, I. Singh, T. James","doi":"10.4103/jdrntruhs.jdrntruhs_161_20","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_161_20","url":null,"abstract":"Purpose: Odontogenic fascial space infections are often unpredictable in their course of spread due to the anatomical connectivity of potential spaces. C-reactive protein (CRP) has been widely studied and accepted as a marker in monitoring acute phase of infection. The purpose of this prospective analytical study was to identify the efficacy of CRP in fascial space infections by analyzing the correlation of CRP levels with other parameters of inflammation. Methods: About 30 patients with fascial space infection who required incision and drainage (I&D) were included in the study. The clinical parameters of infection such as pain, temperature, swelling, and pus discharge were measured. Laboratory parameters such as serum levels of CRP, Erythrocyte Sedimentation Rate (ESR), and Total Leukocyte Count (TLC) were also estimated. The measures were analyzed prior to I&D on day 1, as well as on third, seventh, eleventh, and fifteenth day of I&D. The mean values at different time frames were analyzed statistically and spearman's correlation was performed to identify the relation of CRP with other parameters. Results: The mean CRP values dropped from 149.4 ± 81.8 ml/dl on the first day to 3.39 ± 0.9 mg/dl on the final day of assessment (P < 0.001). The CRP values demonstrated a significant positive correlation with ESR and TLC values and clinical parameters of infection. Conclusion: The results of this study suggest that CRP can be used as an effective marker and should be incorporated as a monitoring tool in the diagnosis and prognosis in patients with fascial space infections.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"36 1","pages":"76 - 81"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80293191","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

A study of evaluation of wound swab for bacteriological culture and antibiotic sensitivity in comparison with tissue sample culture in diabetic patients with infected foot ulcer 糖尿病足溃疡感染患者伤口拭子细菌培养及抗生素敏感性与组织样本培养的比较研究

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-04-01 DOI: 10.4103/jdrntruhs.jdrntruhs_42_21

Akshath Gurulingaiah, Alok Bhalla, S. Rehsi, P. Rao

{"title":"A study of evaluation of wound swab for bacteriological culture and antibiotic sensitivity in comparison with tissue sample culture in diabetic patients with infected foot ulcer","authors":"Akshath Gurulingaiah, Alok Bhalla, S. Rehsi, P. Rao","doi":"10.4103/jdrntruhs.jdrntruhs_42_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_42_21","url":null,"abstract":"Background: Most diabetic wounds are infected and eradication of the infected source is paramount to the success of healing. Antibiotic culture and sensitivity of samples aid in the assessment of the severity of the infection and the state of sensitivity or resistance of organisms in an infected ulcer to antibiotic treatment, thereby preventing or minimizing the necessity of amputation. Aims: To compare two methods of evaluating bacterial infection, wound swab culture (SC) against tissue sample cultures (TC), and determine sensitivity patterns and compare them for establishing the diagnosis of infected diabetic foot ulcers. Methods and Material: New-onset diabetic foot ulcers were subjected to tissue sampling and wound swabbing; specimens were cultured for aerobic and anaerobic organisms. a. Settings and Design: Prospective observational study at a tertiary care hospital done over two years. b. Statistical analysis used: Data was recorded in excel data sheet and statistically analysed by using the SPSS Ver 22.0. Results: Three hundred and eight micro-organisms were isolated from a cumulative total of 127 infected wounds (2.75 and 2.08 per wound for SC and TC, respectively). Sensitivity and specificity were 82.27% vs 78.48% and 71.43% vs 52.38% for the SC and TC groups, respectively. The maximum concordance was noted in the Grade 2 ulcer group (73.84%). Conclusion: Wound SCs were comparable to TCs for Grade 2 ulcers. For higher grades of ulcers, tissue sampling method is recommended.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"42 1","pages":"88 - 93"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77644375","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

The effect of age on COVID-19 patient's outcome 年龄对COVID-19患者预后的影响

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-01-25 DOI: 10.2139/SSRN.3770444

V. Adapa, S. Adapa, H. Narni

{"title":"The effect of age on COVID-19 patient's outcome","authors":"V. Adapa, S. Adapa, H. Narni","doi":"10.2139/SSRN.3770444","DOIUrl":"https://doi.org/10.2139/SSRN.3770444","url":null,"abstract":"Background: The first case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was identified in Wuhan, China, in late 2019. In India, the first case was reported on 30.01.2020, and first COVID-19 death occurred on 10.03.2020. The case fatality rate (CFR) was 3.4% estimate by the World Health Organization (WHO) as of 03.03.2020. All age groups had significantly higher mortality compared with the immediately younger age group. The largest increase in mortality risk was observed in patients aged 60 to 69 years compared with those aged 50 to 59 years. Objective: The aim of this study is to determine the effect of age on COVID-19 patient's outcome. Methods: All the secondary data were collected either from the Indian institute statistics, Bangalore website, or COVID-19 india website, or GitHub website, or Indian government websites. The effect of age on COVID-19 patient's outcome was determined. Results: Age at first quartile was 50 years in the deceased group, whereas in recovered, it was 25 years. The median age in the deceased group and recovered group were 59 and 34 years, respectively. Significant difference was observed in age between the deceased and recovered group. Age was showing a medium effect size (0.574) in the outcome of the COVID-19. The cut-off value of age for estimating risk of death was established by using Receiver Operating Characteristic (ROC) analysis. The cut-off value was 48 years. The sensitivity was 77.5% and the specificity was 78.8%. More than 48 years age group had a 13 times higher risk than the less than 48 years age group. Area under the curve was 0.855 (95% CI: 0.846–0.864). Conclusions: This study suggests that the strong association between the age and outcome of COVID-19 patients. We can predict the outcome of COVID-19 patient based on their age. The outcome of COVID-19 patient prediction may give better results with associated comorbid conditions. The cut-off value of age for outcome was 48 years.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"41 1","pages":"208 - 214"},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76242854","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

Refractive errors and spectacle compliance among truckers in India 印度卡车司机的屈光不正和眼镜依从性

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-01-01 DOI: 10.4103/jdrntruhs.jdrntruhs_143_20

S. Kumar, Asitkumar Jadhav, Sweta H Patel, Pankaj Vishwakarma, Sabitra Kundu, E. Kurian

引用次数: 1

Ectopic pregnancy: “THE MASQUERADER” -A challenge to medical fraternity 异位妊娠:“假面舞者”——对医学博爱的挑战

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-01-01 DOI: 10.4103/jdrntruhs.jdrntruhs_45_21

K. Garikapati, Sajana Gogineni, NarraJ L. Prasuna, Vijetha Eda

引用次数: 0

Road traffic accidents at Government General Hospital, Kakinada, in 2018-19 versus 2019.20: Case series 2018-19年与2019.20年卡基纳达政府总医院的道路交通事故:病例系列

Journal of Dr. NTR University of Health Sciences Pub Date : 2021-01-01 DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_103_20

K. Babji, Manukonda Rao, G. Babu, J. Kóňa, Vandana Valluri

{"title":"Road traffic accidents at Government General Hospital, Kakinada, in 2018-19 versus 2019.20: Case series","authors":"K. Babji, Manukonda Rao, G. Babu, J. Kóňa, Vandana Valluri","doi":"10.4103/JDRNTRUHS.JDRNTRUHS_103_20","DOIUrl":"https://doi.org/10.4103/JDRNTRUHS.JDRNTRUHS_103_20","url":null,"abstract":"Background: Alcohol-related road traffic accidents (RTAs) are the foremost threat to the civilization due to premature loss of life. Policy-making is one such tool for reduction of alcohol-related RTAs. Andhra Pradesh state government implemented the Prohibition and Excise Policy for 2019-20 with respect to liquor sales from October 1, 2019 to September 30, 2020. Aim: This study aims at documenting the reduction of alcohol-related RTAs (head injuries and others) after the introduction of the new policy. Methodology: Case series involving all the RTAs reported to the Government General Hospital, Kakinada, during September 2018–February 2019 and September 2019–February 2020. Secondary data was collected using a semi-structured questionnaire, from the hospital accident registers, in the medical records department. Data was analyzed using Microsoft Excel 2010. Results and Discussion: There is a significant decrease in number of fractures sustained in RTAs from 12.5% in 2018–19 to 9.5% in 2019–20 (P = 0.018, 95% CL). The proportion of RTAs occurring under the influence of alcohol reduced from 9.4% in 2018–19 to 8.4% in 2019–20. There is a marked reduction in deaths of RTA cases, and grievous injuries and head injuries have also reduced during September 19–February 2020 as compared to September 18– February 2019. Conclusions: The fatal injuries sustained in RTAs under the influence of alcohol dramatically reduced to zero from November 2019 to February 2020, suggesting a protective effect of the new prohibition of liquor sales policy.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"38 1","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74859492","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