P. Punnyamol, Shabeer Ahamed, G. Sudhakaran, M. Shilpalakshmi, Hasbeena Ali, Ann Renji
{"title":"Effect of music therapy on patients undergoing periodontal flap surgery","authors":"P. Punnyamol, Shabeer Ahamed, G. Sudhakaran, M. Shilpalakshmi, Hasbeena Ali, Ann Renji","doi":"10.4103/jdrntruhs.jdrntruhs_59_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_59_21","url":null,"abstract":"Introduction: It is very difficult to deliver periodontal treatment to extremely anxious patients. Therefore, there is a need to find measures to reduce the anxiety levels without causing any side-effects. This study was conducted to evaluate the effect of music on the anxiety level of the patients who were undergoing periodontal flap surgery. Objective: The objective of this research was to investigate the effectiveness of music therapy on adult patients undergoing periodontal flap surgery. Methods: Ten patients admitted to the department of periodontics for periodontal surgery were recruited for this study. These patients were provided with a questionnaire including Corah Dental Anxiety Scale, prior to the periodontal surgical procedure. Vital signs (diastolic and systolic blood pressure and pulse) were also recorded before and after the procedure. Patients were asked to fill out a short questionnaire about their experience after the procedure. Results were collected and statistically analyzed. Results: Overall, the evidence points to good results for music and patient satisfaction. Indeed, the overall heart rate and blood pressure decreased over the duration of treatment. When patients were asked whether they felt relaxed as compared to the time they entered the clinic, 90% of the patients said “yes.” When patients were asked about the reduction of pain 70% of them said “yes.” When patients were asked about their experience on music therapy, most of them graded it as “Good.” Conclusion: Music can help people in being more at ease during dental care. It was found to be a non-pharmacological sedative and anxiolytic that was cost-effective, painless, and had no side-effects.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"19 1","pages":"281 - 287"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87642021","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}
Andhra Karumanchi, Sai Sharma Sreepada, Phanindra Dulipala
{"title":"Social media in medical education","authors":"Andhra Karumanchi, Sai Sharma Sreepada, Phanindra Dulipala","doi":"10.4103/jdrntruhs.jdrntruhs_97_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_97_21","url":null,"abstract":"Context: Although the traditional methods of medical education have proven to be of utmost value, exploring the new aspects of today's millennial generation is essential to move forward and gain knowledge. Aims: To provide insight into students' perspectives about the availability, accessibility, and utility of social media in medical education. To understand the impact of social media on medical education postpandemic. Methods and Material: After obtaining clearance from the institutional ethical committee, a semi-structured questionnaire with open and closed-ended questions related to social media and medical education was created and circulated randomly to medical students, interns, and medical graduates through various online groups. The study was conducted for a month in December 2020, and the responses obtained were analyzed. Statistical analysis used: Statistical Package for Social Sciences (SPSS) Software 25.0 (IBM). Results: A total of 415 responses were recorded. A total of 99.3% of the students owned a smartphone, and 15.9% mainly utilized it for educational purposes. A total of 89.4% of the students didn't solely rely on the information from the internet. A total of 80% of the students only plan to use social media as supplementary aids. A total of 57.6% of the students found video content most informative, and 49.2% found social media interactive. A total of 80.5% of the students have agreed that social media has enabled studying during the recent COVID-19 pandemic. Conclusions: The study suggests that students perceive judicious use of social media as an advantageous addition to the present learning patterns of medical education. The deleterious effects of it can be reduced by productive usage. The recent pandemic encouraged students to use social media for learning.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"4 1","pages":"362 - 365"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82441660","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":"A study to evaluate the knowledge regarding prevention of osteoporosis among staff nurses of a tertiary care government hospital","authors":"Arockiamary Ignasimuthu, S. Parimala","doi":"10.4103/jdrntruhs.jdrntruhs_185_22","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_185_22","url":null,"abstract":"Background: Osteoporosis is a skeletal illness in which bone strength is weakened, resulting in an increased risk of bone fragility. The homeostatic process is disrupted. The rate of bone resorption is faster than the rate of bone turnover. Osteoporosis causes bone to become porous, brittle, and weak, allowing it to fracture easily under loads that would break normal bone. Materials and Methods: This is a descriptive cross-sectional study conducted for a period of three months from June 2021 to August 2021 at a tertiary care hospital in Chennai, among the population consisting of staff nurses between one and twenty years of experience. A total of 30 staff nurses were selected for this study by a convenient sampling technique after receiving the ethical committee permissions from the institution. Results: The findings of the current study revealed that 16.7% of the respondents belong to the age group of 25–30 years and 30% of the staff nurses were in the age group of 36–40 years and 26.6% of the respondents belong to 31–35 and 41–45 respectively. With respect to the designation, majority, 25 (83%) of samples were staff nurses and 5 (17%) of samples were head nurses. Conclusion: Overall, nurses have little to moderate awareness of osteoporosis, according to the findings. As a result, nurses must make more efforts to improve their understanding of osteoporosis prevention and treatment in order to provide better patient care.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"398 1","pages":"333 - 335"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77724199","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":"Transient cardiac rhythm aberrancy in acute pancreatitis: A case report","authors":"Gautam Jesrani, Ankit Chhabra, Samiksha Gupta, Rayidi Rajesh, Monica Gupta","doi":"10.4103/jdrntruhs.jdrntruhs_137_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_137_21","url":null,"abstract":"The cardiovascular system is one of the commonly affected systems in various inflammatory and metabolic conditions, and rhythm abnormalities are most vulnerable in this context. Here, we are describing a rare presentation of acute pancreatitis, in which a young male appeared with cardiac rhythm irregularity. The patient presented with localized chest pain of recent onset and had a blood pressure of 88/54 mm Hg initially. On electrocardiogram (ECG), an accelerated idio-ventricular rhythm was identified with the absence of P wave and borderline QRS complex duration. However, his electrolytes were normal, qualitative troponin T was negative, echocardiography ruled out structural cardiac anomalies, and coronary arteries had no occlusion in angiogram. In the absence of any identifiable cause, the recent alcohol intake history made us to measure his serum amylase and lipase levels, and surprisingly, the levels were more than three times the upper value. Additionally, his ultrasound of the abdomen depicted bulky pancreatic head, and thus, the diagnosis of acute pancreatitis was made. Rhythm abnormality subsided with conservative management and the patient was discharged with a normal ECG. The case will shed some light on pancreatitis-associated acute cardiac rhythm abnormality, which is uncommon in emergency department.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"203 1","pages":"377 - 381"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77019042","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":"General health-related disorders, medical treatment preferences, and health management practices in South Indians during COVID-19 pandemic - An exploratory study","authors":"D. Punitha, D. Sudhagar","doi":"10.4103/jdrntruhs.jdrntruhs_17_22","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_17_22","url":null,"abstract":"Introduction: The number and type of health related disorders are increasing day by day across the globe and India is not an exception. The emergence of COVID 19 in India is also fuelling health related disorders among Indians. The present study is focused on understanding general health related disorders, medical treatment preferences, and health management practices in South Indians using an exploratory approach. Methods: A survey method was followed to conduct the study using a structured questionnaire. The questionnaire was developed based on a focus group discussion with the experts and researchers in the general medicine field. A convenience sampling method and online survey method were used to collect the data from the respondents. Results: The top six health related disorders reported in the study were skin related problems, eye problems, menstrual problems, mental stress, dental problems, and vitamin and nutritional deficiencies. The most preferred treatment option is allopathy medicine, followed by ayurveda and homeopathy. The preferred place for the treatment were private hospitals, followed by clinics and then government hospitals. A list of 22 positive and negative health related practices currently followed by the respondents was also identified in the study. Discussion: The results of the study will be helpful to understand a comprehensive overview of the study topic by the health professionals, hospital authorities, health researchers, and policymakers to develop strategies to manage the health related disorders, provide effective medical treatment, and enhance the current health management practices. Conclusion: Effective treatment for the top six health-related disorders identified in the study and more awareness programs and training will help achieve better health management.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"43 11","pages":"307 - 313"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72582176","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}
Medaboina Srinivas, Hemalatha Pasupuleti, A. Samantaray, N. Hemanth, M. Madhusudhan
{"title":"Comparison of ease of intubation using McCoy laryngoscope and CMAC videolaryngoscope in modified Mallampati grade III and IV patients","authors":"Medaboina Srinivas, Hemalatha Pasupuleti, A. Samantaray, N. Hemanth, M. Madhusudhan","doi":"10.4103/jdrntruhs.jdrntruhs_138_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_138_21","url":null,"abstract":"Background and Aims: Videolaryngoscopy has been introduced for the management of difficult airway; however, it remains unclear whether it is helpful in routine prediction of a difficult airway. The aim of our study was to compare the ease of intubation using a McCoy laryngoscope and CMAC® videolayngoscope using the Adnets Intubation Difficulty Scale (IDS) score in an anticipated difficult airway (modified Mallampati grade III and grade IV). Methods: Sixty patients belonging to the American Society of Anaesthesiologists physical status I, II, or III with modified Mallampati grade III and IV undergoing elective surgeries requiring tracheal intubation were randomly allocated into the McCoy group (n = 30) and CMAC® videolaryngoscope group (n = 30). The primary outcome of the study was to compare the ease of intubation between the McCoy laryngoscope and CMAC® videolaryngoscope using Adnet's Intubation Difficulty Scale (IDS) score. Secondary outcomes included time for glottic visualization, time to intubation, total intubation time, hemodynamic and any adverse events. Results: Comparison of both groups showed that CMAC® videolaryngoscope had a significantly (P = 0.028) lower IDS score (1.667) compared to the McCOY laryngoscope (2.467). Time to view glottis (P = 0.002), time to intubate (P = 0.009), and total intubation time (P = 0.002) were significantly prolonged with CMAC® videolaryngoscope compared to the McCoy laryngoscope. There was no difference in the hemodynamic response and adverse events between the groups. Conclusion: Our study concludes that although the time to intubate was prolonged in CMAC® videolaryngoscopy, the ease of intubation was better with CMAC videolaryngoscope compared to the McCoy laryngoscope. Hence, we suggest CMAC® videolaryngoscope for anticipated difficult tracheal intubation.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"23 1","pages":"288 - 294"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81507391","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":"Giant splenic artery pseudoaneurysm: A masquerader of pancreatic pseudocyst","authors":"R. Narra, S. Kamaraju","doi":"10.4103/jdrntruhs.jdrntruhs_160_20","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_160_20","url":null,"abstract":"Splenic artery pseudoaneurysms are a rare complication of pancreatitis and occurs due to erosion and weakening of the vessel wall by enzyme rich peri-pancreatic fluid by the cells or contained within an adjacent pseudocyst. Although pseudoaneurysm rupture associated with pancreatitis is very rare, it has a high mortality rate of up to 40%. Therefore, it is necessary to have a sufficient knowledge of this catastrophic complication to make prompt diagnosis and treatment, that is critical in the management of pseudoaneurysms.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"41 1","pages":"382 - 385"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80808924","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}
Aaditya Sharma, Monica Gupta, Jaspreet Kaur, S. Lehl
{"title":"Short term impact of antiretroviral therapy (ART) on nutritional status and quality of life (QOL) of retropositive patients","authors":"Aaditya Sharma, Monica Gupta, Jaspreet Kaur, S. Lehl","doi":"10.4103/jdrntruhs.jdrntruhs_34_22","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_34_22","url":null,"abstract":"Background: Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is usually associated with adverse health outcomes in terms of poor nutritional status and impaired quality of life (QOL) often leading to marked morbidity and mortality. Early initiation of antiretroviral therapy (ART) can have a major impact on the overall well-being of HIV-inflicted patients helping them to live a functionally independent life. Aim: The purpose of our study was to determine the short-term impact of ART on the QOL and nutritional status of retropositive patients. Methods: A prospective study was conducted in the Department of General Medicine, Functionally Integrated Anti-retroviral Therapy (FIART) area on 60 ART-naive retropositive patients who were assessed for improvement in nutritional status and QOL domains after 3 months of ART. Results: The patients were assessed before and after the initiation of therapy and showed improvement in the anthropometric parameters along with improvement in the QOL which was assessed using the six domains using the World Health Organization (WHO) questionnaire. Both the parameters were compared on the basis of gender, education, and socioeconomic class. Male patients with higher education and those belonging to higher socioeconomic strata showed better improvement as compared to others. Conclusion: Improvements in the nutrition and QOL are visible even in the initial short-term follow-up and these are important parameters in global assessment for health and well-being in HIV/AIDS.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"1 1","pages":"323 - 327"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90116676","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}
S. Arora, Monica Gupta, A. Tahlan, Samiksha Gupta, Gautam Jesrani
{"title":"Role of mean platelet volume and platelet distribution width in assessing the severity of dengue fever: An observational study","authors":"S. Arora, Monica Gupta, A. Tahlan, Samiksha Gupta, Gautam Jesrani","doi":"10.4103/jdrntruhs.jdrntruhs_182_22","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_182_22","url":null,"abstract":"Background: Platelet count has been widely used to evaluate the severity, guide management and predict outcome in patients with dengue fever. This sole use, however, has prevented the utility of other platelet indices like Mean Platelet Volume (MPV) and Platelet Distribution Width (PDW) from being explored. Objectives: To study the association of MPV and PDW with the disease severity in patients with dengue fever. Materials and Methods: This prospective observational study was conducted in a tertiary care centre of Northern India for a period of one year. A total of 100 patients with confirmed dengue infection who fulfilled the inclusion criteria were followed from the day of admission to recovery. Clinical and laboratory findings, including platelet parameters were noted. They were classified on the basis of World Health Organization (WHO) 2009 criteria, and MPV and PDW values were correlated in each category. Pearson correlation analysis was performed for correlation identification between platelet indices and disease severity. Results: 64% patients with dengue fever had a low MPV (<9.0 fl). An increased PDW (>13 fl) was observed in 77% cases. A significant correlation was observed between low MPV and platelet count in severe dengue (P value <0.01). Strongest correlation was observed between low MPV and severe dengue (r value 0.745). No significant correlation was witnessed between PDW and severity of infection. Conclusion: Mean platelet volume may serve as an additional laboratory marker to predict severe dengue infection, but PDW is inferior in delineating the disease severity.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"28 1","pages":"328 - 332"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84115871","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}
Mukhesh Gowtam, Aravinda Mandalapu, Sampath Natuva Sai, Sunanda Tirupathe, Madhumitha Rondla, Sai Mudupulavemula, S. Natuva, R. Krishnan
{"title":"A single-center hospital-based prospective study to assess the predictive factors for stoke severity during admission","authors":"Mukhesh Gowtam, Aravinda Mandalapu, Sampath Natuva Sai, Sunanda Tirupathe, Madhumitha Rondla, Sai Mudupulavemula, S. Natuva, R. Krishnan","doi":"10.4103/jdrntruhs.jdrntruhs_16_22","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_16_22","url":null,"abstract":"Background and Objective: Stroke is the most common cause of death and the leading cause of disability worldwide. We aimed to study predictive factors of stroke severity which determine stroke mortality and morbidity. Methods: It is a prospective observational study to analyze predictors of stroke severity in 653 acute stroke patients performed over a period of 18 months. Results: The mean age of stroke was 61.66 years, with males being 317 (48.55%). Stroke severity was significantly associated with parameters such as age, gender, education and economic state, awareness of vascular risk factors, risk factors including family history of coronary artery disease/stroke, alcohol intake, symptom timeline including the first evaluated area and time duration between the last known normal and hospital arrival, with respect to symptoms at presentation, including headache, speech difficulty, and dysphagia, examination findings including respiratory rate, Glasgow Coma Scale (GCS) grade, and higher mental function, with respect to laboratory parameters, including total leukocyte count, neutrophil to lymphocyte ratio, and creatinine, and radiological parameters including Doppler findings. Conclusion: The study has shown that old age, male gender, an increased time duration between the last known normal and hospital arrival, lack of awareness of risk factors, and alcohol consumption for a duration of more than 1 year were independent predictors of increased stroke severity at admission. Headache, dysphagia, low GCS, sub-normal higher mental functions, an abnormal respiratory rate, abnormal Doppler findings, an increased total leukocyte count, and creatinine were independent predictors of stroke severity at admission.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"1 1","pages":"314 - 322"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87532059","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}